Age Proof
Age Proof: Unlock the Real Fountain of Youth
What if the secret to staying young isn’t a myth, but just hidden in plain sight?
Age Proof is where real science meets real-life results.
Each episode brings you inside conversations with doctors, biohackers, and longevity experts who are redefining what it means to grow older. Together, we unpack breakthrough treatments, debunk outdated health myths, and explore everything from anti-aging supplements to the newest regenerative therapies.
No trends, no shortcuts, just practical, science-backed tools to help you feel better, move better, and stay sharp as you age.
This is Age Proof, where growing older comes with smarter choices and stronger health.
Age Proof
CONSIDERING OZEMPIC? LISTEN HERE FIRST!
Ozempic Side Effects? Plastic Surgeons Reveal Truth About "Ozempic Butt" & Extreme Weight Loss Risks
What really happens after major weight loss with Ozempic or GLP-1 meds? These top plastic surgeons and doctors aren’t guessing—they’ve treated the aftermath firsthand.
From “Ozempic face” to loose skin and surprising muscle loss, they’ve seen it all. In this episode, they break down the untold side effects, the rising demand for surgery, and the deeper impact these drugs are having on patients' bodies—and confidence.
But it’s not just warnings.
They also unpack:
- Why some transformations look amazing—and others don’t
- What mistakes people make when starting GLP-1s
- A smarter approach to preserving your body as the weight drops
- The next wave of meds everyone’s whispering about (and whether they’re any better)
If you’re considering GLP-1s—or already on them—watch this first. These are the voices behind the scenes, telling the truth no one else is saying.
so latest, latest, uh viral trends going on? Uh, I have no clue, but I've heard about this ozempic. But what do you guys think about the ozempic? But do people get ozempic eyes?
Speaker 2:uh, they, they can't do. You lose some fat in the eyes actually there.
Speaker 1:There's stuff about people that can like right after they start ozempic. Especially as we age, people get like blurred vision right after because the blood sugars are moving around a lot but.
Speaker 2:But like, how about the lower eyelids? Do do they get more saggy, or do do they? Do they get more deflated?
Speaker 3:so why do you ask about? That is what's behind the eyelid. What do most?
Speaker 2:people see yeah, yeah, we go and take fat out, right, yeah, does that fat shrink ever? Or is that fat that that's probably like one of the last things to shrink, right?
Speaker 1:yeah, so the fat's gonna be there from previously and probably after a zempic, because they lose a little uh, probably the. They lose weight and then the skin becomes more lax, so it probably becomes bigger. Yeah, probably bigger fat pads there.
Speaker 2:Yeah.
Speaker 1:Then more people would probably look towards a lower blepharoplasty, which is taking the excess skin from the lower eyelids and removing the fat.
Speaker 2:Yeah, so ozempic butt, yeah, it's a real thing and it's more than just ozempic butt. Me and Rods have been doing more and more eight, 10 hour cases because people have Ozempic arms, Ozempic legs, uh, Ozempic everything.
Speaker 1:There's.
Speaker 2:Ozempic body, yeah, ozempic body where they've lost all this weight. Now there's the excess skin and for them to build the confidence and get back into the normal daily activities. It's tough when you're having to put on Spanx to go and lift and you're not seeing the results on the scale still. You know you can't really keep on going up on Ozempic or any of these GLP-1s because what that's going to do is you're going to just continue on losing muscle mass as well as, like fat mass. But overall going up in dosage isn't going to help you much. You want to maintain the dosage, just eat more protein and keep the um, keep the muscle and ozempic, but not are you just losing weight and the skin sagging, but you're also going to lose some muscle mass. So you know you got to continue on doing squats and your resistance exercises with that to kind of like if you're having surgery to help these things out, you also want to kind of continue on building that muscle, right, Whatever you say.
Speaker 3:Yeah, definitely Like, cause you'll, you'll drop. You'll definitely drop muscle mass if you don't do anything, if you sit around. But it's like they're saying oh, people are coming out with ozempic butt, ozempic face. That's kind of why you're taking the medication right, you actually want that.
Speaker 3:So if you actually get ozempic butt or ozempic face, that's just telling you you have weight loss. Those are your fat pockets. And now those fat pockets are deflating and once that's deflating, the skin sags. That's just classic signs of aging. Right, like during training, they're like these are classic signs of your facial aging. It's like it's plump. Your, your face is like oval and then like it gradually drops down with age. Same thing happens if you gain weight and then drop a bunch of weight.
Speaker 2:It's going to sag and whether it's your face, your butt, Just like when I had like 23-inch arms and I thought I was huge. Then I lost all that weight and my skin's like what's that stretch arm strong?
Speaker 3:This can stretch out to 23 inches. You know that much.
Speaker 2:Yeah, I take semaglutide, take I take semaglutide. I've taken semaglutide. I take terzeptide. I take red true tide. Do I have ozempic? But my wife would probably say no, because I never had a butt to get ozempic, but so you got to really have a butt to actually lose it, but you wear spanks to work uh, no, he wears sometimes sometimes
Speaker 1:I wear more leg warmers.
Speaker 2:But it's kind of like, yeah, it keeps my butt up I have heard.
Speaker 3:I have heard uh on different like podcasts, youtube videos and stuff. People are afraid to lose their muscle mass and uh, bone density density as a side effect from taking Ozempic or GLP-1, whether it's Manjaro Ozempic Wegovy. But how can you prevent that or diminish that?
Speaker 2:You really can't prevent it because, no matter what, you're decreasing calorie intake, so that's going to decrease it. You're also decreasing the amount of weight and stress on your bones, so that decrease, decrease weight is also going to decrease the amount of muscles and stuff you need to carry that extra 10, 20, 30 pounds.
Speaker 3:That you know what also does that if you get sent out to the space station and you get stuck there for eight months for political reasons. You're going to lose bone density and muscle mass.
Speaker 2:But maybe everyone needs to wear a weighted jacket, like a lot of these people do these days just to simulate that extra weight being on them so when they're walking around daily.
Speaker 3:that actually benefits you in multiple ways anyhow, but is the uh, like the the bone density and skeletal muscle mass lost relative to overall weight proportional, or are they losing more? Like, let's say, more bone mass and skeletal muscle mass compared to overall mass?
Speaker 2:it's patient dependent. You know I've been on it for, I think, almost three years and you know, like that first six months I probably lost a lot of weight and I lost muscle mass. But after that six months I've gained muscle mass and kind of kept at the same weight. And, like you know, I microdose and like change dosing, like when I go on vacation and stuff like sometimes to get cut up and sometimes you know, and you know, just play around with a dosing. But I've always put on more skeletal muscle mass over the past two years. That first six months was the only time I think I lost a little bit of the muscle mass and the thing is like increasing protein and I wasn't really working out that first six months but once the weight came off I started working out and I think that kind of like. Also, you know you can't live a sedentary lifestyle. I think you're going to, um, just lose, uh.
Speaker 3:Oh yeah, asking for like a chemical way to starve yourself? Yeah, that makes sense, I'm going to start it. I've been saying it for like a year I starve yourself. Yeah, that makes sense, I'm gonna start it. I've been saying it for like a year I just want to see the difference.
Speaker 3:But I've you saw, I sent you the in-body results. I'm actually able to get down my body fat percentage yeah, nowhere near what I wanted and increase my skeletal muscle mass. I actually wanted to increase my skeletal muscle mass to about like two more pounds than where it is right now. It's already up like four pounds, yeah, but then get on some terzapatide yeah, so then see how lean I can get. Yeah, with like small doses, but not but like.
Speaker 2:Also, the other thing that people don't look at is like optimizing your hormones, like, yeah, your your testosterone um and also your thyroid hormone, you know, like just optimizing those. You'll also need a lower dose of your glp-1s um to be able to maintain your muscle mass and lose weight and have the energy to go work out and be focused and get on with daily activities. Instead of, like you know, people are like, oh, glp ones are going to cause me to be tired and I don't want to do anything, but they're because you're taking them the wrong way.
Speaker 2:If you're taking them with appropriate vitamin and nutrition and like with a balance lifestyle changes that you know that appropriate physicians will lead you the right way instead of you know, yeah, you could pay someone like 99 bucks a week or 99, however much of your pain, and they're just handing you the medication and telling you unless you're self-motivated, which usually aren't, that's why you're on these medications, You're you're not going gonna get to the point you really want to and you're never going to be able to come off of them or be like micro dosing just for health purposes. Yeah, because you're. You're still living that same lifestyle that as soon as you come off of them, you're going to eat bad stuff and not work out, and it you know.
Speaker 3:You it or you get off because you're craving that stuff.
Speaker 2:You're like, ah, I want to eat some more cake now. Yeah, so I'm going to this.
Speaker 3:This thing prevents me from wanting to eat more cake.
Speaker 2:Yeah, I find like, as I lowered my dose, like I was shopping more frequently online. Whatever I wanted, I was buying online.
Speaker 3:Really, it's seriously when you lower your dose. When I lowered, yeah, there's definitely some effect, because I started.
Speaker 2:I started like doing it once every two, three weeks and I felt like, yeah, I was definitely. I was like, all right, I need to up my dose a little bit.
Speaker 3:I'm buying too much. So if your wife's buying too much, stuff online yeah, that's a good, good indication to get some.
Speaker 2:You can offer a nice massage and just rub it in. Yeah, quick little shot. It won't hurt nobody Do we want to see the video and go from.
Speaker 3:Yeah, what video are we watching?
Speaker 2:Dr Mike was talking about Ozempic butt.
Speaker 6:I don't want to exercise, I'll just take Ozempic. That's the thing I'm sure you're aware of, like Ozempic butt or whatever, where housewives who had no interest in resistance training or building muscularity, no interest in controlling their diets or eating healthier, they just take a crapload of Ozempic and they're like oh, I've lost a ton of weight, but now I'm sarcopenic. That's definitely a bad outcome, but I would say that's more of a slight misapplication of pharmaceutical technology, and there is such a thing as proper application and I think in the end we'll have a cocktail of drugs that are increasingly better at doing things, increasingly lower risks and downsides. I think that's a world we want to live in.
Speaker 3:Which one's Dr Mike with glasses, one's a real doctor, is he a? Chiropractor? No, he's a physical therapist or like exercise physiologist. I listened to him on a podcast, yeah, and it sounds like he knows what he's talking about. It's like, oh yeah, best way to gain strength is probably based on some research. I didn't even look it up. It's like going to like max, like range.
Speaker 2:Yeah.
Speaker 3:And light reps Light reps make a lot of sense to me and max range light reps make a lot of sense to me and max range like extending the muscle fibers makes sense to me too. But I swear that next day I went and did like deep squats yeah, my back hurt like fucking hell. Like I was like ah, I knew I shouldn't have fucking done that. Like I'm not building muscle Cause my muscle, my fucking back hurts.
Speaker 2:But. But like the, the way to um work out, like with the resistance bands and the resistance bands, you're doing high reps, it's not very high weight, and what you're doing is you don't want to lock out at all, you want to go, you want to keep the ranges in between where you're going up and down, so your muscles are always engaged.
Speaker 3:I might have misunderstood them, yeah, but it was pretty much saying kind of like what? Corley tells us like yeah oh, you gotta range out with like the squats go like, and it's just like you know what. Maybe I don't need to do that yeah, I don't um, I'm not trying to get that strong no, um.
Speaker 2:Well, you know you gotta slowly, like what corley was saying. You gotta kind of slowly get there because you know your ankles kind of stiffen up quite a bit pretty quickly.
Speaker 3:So you gotta get them on here.
Speaker 2:That would actually be hilarious I know he listens to a lot especially if you start talking about black rights activists and stuff.
Speaker 3:A whole mix of things Deep squats versus DI yeah.
Speaker 2:And why you need to do explosive exercises. For a lot of you'll need explosiveness in your life.
Speaker 3:As an anesthesiologist, I was going to just ask.
Speaker 2:I've been going lower carbs.
Speaker 3:I've been eating raw eggs. Do I need to worry about anything about the bird flu going on?
Speaker 2:No, because they killed off a lot of eggs.
Speaker 1:Yeah, they shouldn't be. It shouldn't reach me right? No, I don't think so.
Speaker 3:Okay, because I don't want to take the time to cook the eggs. It's so much easier.
Speaker 2:But does it matter if you cook it or not? With the bird flu, I don't know. I don't think it matters. That's why they took it off the shelf.
Speaker 3:They said most ways of contracting bird flu is coming in contact with it.
Speaker 4:So at least like three to eight people have gotten bird flu before I do.
Speaker 2:Do you need a Fauci vaccine if you get it? So what happens if you get the bird flu? You might die.
Speaker 3:Oh yeah, that's why I'm asking you.
Speaker 1:You guys are clearly the wrong. Can you get bird flu through Like? Is it oral?
Speaker 3:Through contact. I don't know they got rid of all those eggs. No but like could you eat bird flu Can?
Speaker 1:it be fecal-oral Not fecal-oral necessarily.
Speaker 3:Not everything has to be fecal-oral.
Speaker 1:I mean that's one of the routes I'm talking about eggs.
Speaker 3:I'm not talking about shit. I'm not talking about shit.
Speaker 6:I'm not eating shit, yeah, but.
Speaker 2:Well those chickens are shitting those eggs out.
Speaker 3:But I don't literally eat shit, I don't think. No, it said contact with birds.
Speaker 2:So, it's usually the bird farmers that, get it, but like what happens with the eggs that they had to kill off all those eggs?
Speaker 3:It's just the chickens passing the shit around themselves, so okay.
Speaker 2:So killing off the eggs isn't going to pass the Eating undercooked eggs oh yeah, is that?
Speaker 3:number one. I'll hold off on that.
Speaker 1:Number one is contact with infected birds of course.
Speaker 2:What does it give you? Does it give you diarrhea?
Speaker 3:No, you can fucking die. It's scary shit. If it was just like a little, you know me and diarrhea I'm cool with. Like I'm not going to die of diarrhea. I'm in the developed world.
Speaker 1:I'll give you guys a death rate for bird flu in a second. See what AI tells us. I'll give you guys a death rate for bird flu in a second. See what AI tells us. Wait, what was this?
Speaker 3:episode about oh shit.
Speaker 4:And while okay, so yeah, Close contact with infected birds or contaminated environments.
Speaker 1:While the risk of human-to-human transmission is low, the mortality rate for known human cases is around 50%. Oh shit, you can die. You can die. One out of two die.
Speaker 2:It's like people that get it are probably like pretty sick people.
Speaker 1:Yeah, they're knee-deep in birds.
Speaker 3:Yeah, we're talking about these farms with like thousands and thousands of chicken in them.
Speaker 2:Yeah, you probably get like freakingicking high dose of bird flu.
Speaker 3:I'm just picturing Napoleon Dynamite tending to chicken.
Speaker 1:Speaking about explosive exercises oh exercise. I was like, oh, you got the right guy, I know exactly everything about explosive diarrhea.
Speaker 2:Me too, me too. But okay, let's think of the chat. Well, eat at chamber.
Speaker 1:The last three months I've gotten the first two food poisonings of my life.
Speaker 2:Dude you guys scared the crap out of me Like I won't even eat fruit at that place.
Speaker 1:I know I look and I'm like, oh, that's a salad bar. I don't know if I could. I'm going to go grab the salad from the fridge I'm gonna probably at least it's in the fridge. And then he says, ah, never mind, I'll take the meatloaf no, my buddy and uh, my college roommate used to he always be like, yeah, you gotta do explosive exercises, he's like. He's like you gotta be ready if the apocalypse happens, you gotta be ready. He'd do just like random shit corley probably thinks the same.
Speaker 3:Yeah, yeah, yeah, yeah he's like you, gotta be prepared honestly, one thing I always like used to tell myself is I want to be able to do a push-up with something heavy on my back in case I get stuck somewhere, or like pull myself out of a situation, like if I can do that, I can get out of anything but, if you're putting in dire enough situation you you can probably pull yourself out yeah, right, so I just stopped putting myself in those situations.
Speaker 2:You just put your mind into it yeah make it happen right, okay, so I have numbers, I have numbers on bird flu not explosive diarrhea since
Speaker 1:2003 954 confirmed cases. Half of those people have died 52. That's kind of crazy. Yeah, that's a that's a lot.
Speaker 2:That's a high fatality rate.
Speaker 1:That's much more than easy corona but that's how many people?
Speaker 3:thought they had it same thing with corona when it originally came out. They thought it was a higher percentage, but they're underestimating the total amount of people who had it Is the bird flu from China.
Speaker 1:Yeah, that's true, because the sick people aren't going in. Yeah, I mean, it's basically like actually, it's like highest number of bird flu deaths are in Indonesia, egypt, vietnam, cambodia and China.
Speaker 3:The bat flu, the bat flu, okay All right, I'm done looking at it, so I can eat raw eggs. Yeah, did we get an answer?
Speaker 2:Yeah, especially if you're starting to take tereseptide. I would definitely eat more raw eggs.
Speaker 3:If there's, like, only 95 people who've ever gotten bird flu.
Speaker 1:And those are the people that are, it looks like.
Speaker 3:They're inhaling chicken shit.
Speaker 1:Yeah, like that's just not probably the trick like yeah, I I I doubt it's from range.
Speaker 4:Can you imagine if?
Speaker 2:because if one of those that qualify if someone's tough to find those free-ranged organic eggs someone gets contaminated with the bird flu, from whatever farm.
Speaker 1:That is that person's life's over, so I'm pretty sure they're trying to prevent that from happening. I would hope.
Speaker 3:So how many people have died of measles?
Speaker 2:Maybe we should look into buying an egg farm, you know, because these guys, if they're dying off, measles is a good one, but then we could get the bird flu. Yeah.
Speaker 3:That's called risky business. You know what was hilarious when egg prices went fucking crazy and bird flu was at its peak. I think it might be at its peak now. Supposedly it's been going on for years. Sprouts stopped carrying eggs and their egg cooler their egg fridge. They emptied it all out and it was all filled with liquid death.
Speaker 3:The irony of that, I was like what I was like I thought this is where I get the eggs. And then I'm like I spent an extra 10 minutes because I'm like Sarah's going to be pissed off if I go home with no eggs. There's got to be eggs somewhere over here. Just start rummaging through all the sprouts.
Speaker 2:So what are your thoughts on liquid? It's sparkling water.
Speaker 3:It's not sparkling water, no, it's regular, it's regular mineralized water.
Speaker 1:It can be regular. It can be sparkling, it can be different. Tea, it is. It's a bread.
Speaker 5:I actually like the taste.
Speaker 2:It's like a crisp water. It's actually pretty good yeah, which was weird.
Speaker 1:Yeah, it's not bad. I'm like I go and yeah, they have good iced teas.
Speaker 2:I don't drink anything with sugar in it.
Speaker 1:It's not really. It's like agave.
Speaker 3:Yeah, like agave is worse than sugar, agave is pretty much yeah. See, that's why, I'm on the show. It spikes your sugars. It's not influenza. You're going to need to be on terzeptide. It spikes your sugars.
Speaker 1:Have you guys had blue eggs though? Yeah, what? Yeah, blue eggs, blue eggs, they're supposedly like the most raw, the free range.
Speaker 2:It's those the Vital Farms makes the blue eggs.
Speaker 3:Is it lower rates of bird flu?
Speaker 1:I think so.
Speaker 3:I got to switch.
Speaker 2:They look better Apparently there's less.
Speaker 3:Oh no, rfk. They give them methylene blue. No more food dye.
Speaker 1:It's not food dye, I'm kidding I guess the eggs are the ones that are actually something happens, whereas the blue ones they don't. But with the food dye, but I don't even know exactly what it is, but Saran's been crushing blue eggs lately.
Speaker 3:Where do you get blue eggs from? Vital Farms been crushing blue eggs lately.
Speaker 2:So where do you get blue eggs from vital farms? Vital, no, vital farms has that same free range, the brown and black packages. That same company makes blue eggs. They're blue eggs. Is the egg whites blue? No, no whites are egg whites are blue and the outside the outsides the egg whites blue the egg whites a, isn't it, or is?
Speaker 1:it just the outside? No, I don't think so. I think it's just the outside, it's just the outside, yeah, I don't know what's special about it.
Speaker 3:Is that what they fed the kids?
Speaker 1:in the boys TV show. I haven't watched that show, but I'm assuming someone turned blue.
Speaker 3:No, they did, it's the.
Speaker 2:Smurf chickens, smurf juice, all right on to our next video Certain chicken eggs produced that went completely off topic.
Speaker 3:Yeah, yeah, that would yep.
Speaker 1:Thanks, Dr.
Speaker 3:Mike, back on topic.
Speaker 1:Oh, the color of an eggshell does not affect its nutritional value or taste, that's what AI says, but that's all I know.
Speaker 6:But the taste of that vital farms eggs are good, yeah, better than any other ones, really, just see you can just see the color of the eggs.
Speaker 3:I don't know if you could tell from what we've talked about, but I'm like an egg aficionado.
Speaker 2:Let me judge this way dude my kid, my kids won't eat any other eggs. They're like, like, as soon as you feed them other eggs, they're like. You know, I've always loved runny eggs.
Speaker 3:I don't know if you remember you were young, but mom used to make the soft-boiled eggs. You just crack the top and eat it.
Speaker 2:You can make real good ones sous vide. I actually did them sous vide, they come pretty good.
Speaker 1:Yeah, that is probably good.
Speaker 2:But what's gotten kind of crazy lately is the whole FDA and getting rid of the drug shortage.
Speaker 3:Welcome to Age Proof, where we're going to talk about random shit. Make sure you live forever, all right, what's that? Fda?
Speaker 2:So the whole FDA taking terzapetide and semaglutide off the shortage list, we've gotten quite a few patients.
Speaker 3:What does that mean exactly to people? Because people call in our clinic.
Speaker 2:Yeah, asking for 50 vials of semaglutide. Can I get like 80 vials of semaglutide? And 100 vials of semaglutide, I'll get the Mexican stuff off you too, if you have any of that.
Speaker 2:So what it is is so Eli Lilly and Nova Nordisk hold patents to the commercial drugs known as Ozempic or Manjaro so and they hold the patents till like 2032. I don't know the exact date, but it's going to be a while. But you know, so many people have started taking them and they couldn't keep up with the amount of need and one of the main things was they couldn't create enough needles to inject with their pens the two different companies.
Speaker 2:Most of their patents behind the pen, not even the medication Like I was just reading that like they do hold patents to the medications themselves, because I had heard someone say that it's patent to the pens, but no, it's it wouldn't make sense yeah so.
Speaker 2:So they couldn't come up with enough pens. But now they can come up with enough pens, so they the fda is pulling the drugs off the shortage list, which means the compound pharmacies can't make the medications if it's off the shortage list. So everyone's supposed to pay this exuberant amount of money to buy these drugs from the companies themselves. So now the companies have started to sell it direct, but still it's much more expensive than buying the compounded form.
Speaker 3:It's half the price of what it used to be but it's four times the price of what you can get.
Speaker 2:Yeah four times more than what you can get compounded. So there are ways around it and certain certain pharmacies still compound it because there's different things you can add to decrease the side effects. So they add some vitamin B6 to decrease the nausea. You can add some glycine to semaglutide to prevent muscle loss. And then the other thing people are doing is a lot of people do microdosing. No one wants to because those pens, those pens, once you inject it's done and you can't take different dosing and some people don't require that entire dose.
Speaker 3:So micro oh yeah, because it's filled with a certain amount, and that's it.
Speaker 2:You use it and yeah, whatever, you take that time and that's it, yeah so if, if you're, you know, wanting to lose 10 pounds or 15 pounds and you only need, like you know, for someide it's 0.25 milligrams, it's the lowest dose, you could take 12.5 milligrams with the compounded formula, where with the pen you've got to take the 0.25. So, and especially once you get to, you know maintenance doses and stuff and you want to take more, you know, and kind of titrate however you want. You can't do that with the pens you. You can do that with a compounded formula, but you got to be at least 10 percent different than what the dose is coming to be able to order from the compound pharmacy, but you could still get it from the company and yeah, and there's multiple ways around it which I don't know if we're supposed to say that you can go to.
Speaker 4:Mexico. You could take half the dose and just do it twice.
Speaker 2:Do it twice a week instead of once a week if you're getting the hunger pains. But I don't know how this is going to turn out with, like lawyers and stuff and there's so many people on it and, uh, you know, big farmers just trying to come out on top and you know they are regulatory capture yeah, and they're also trying to say, like how, these other drug compounded forms have more side effects, which isn't true.
Speaker 3:Um, or meanwhile. Meanwhile, they get most of these drugs manufactured overseas.
Speaker 2:It's all yeah china, turkey, um, you name it. Like my friend went overseas to try different compounded pharmacies from different countries and see where he could find some.
Speaker 1:Did he know, yeah, what happened from that that you got from your friend?
Speaker 2:I haven't used anything from there.
Speaker 1:He went missing.
Speaker 4:But what it's going to turn out to be. He got the bird flu.
Speaker 1:What's going to turn out is going to be a lot more black market stuff, oh yeah.
Speaker 3:People find it right yeah.
Speaker 2:And the thing is like we actually have access to the newest one that's coming out, red True Tide, which is supposed to be more effective. In 48-week studies there was more weight loss about 25% as compared to terazepatides, which was 22% 23%, and semaglutides at 15%.
Speaker 3:What's the name of that new one, retatrutide, and that has glucagon on top of GLP and GIP.
Speaker 2:Yeah, yeah. So what I've read is like you know your actual GLP-1 is your semaglutide. Your terzeptide is actually a GIP agonist that has an amino acid different that makes it also act on the GLP-1 receptor. It's not as strong of a GLP-1 receptor agonist as your semaglutide is, but it has two receptors.
Speaker 1:What happens when they're agonist to these receptors? What does it do exactly?
Speaker 2:It decreases or decreases satiety.
Speaker 6:Increases satiety.
Speaker 2:Yeah, Slow gastric emptying. You're just hungry and you lose weight.
Speaker 3:It tells your brain you're full faster.
Speaker 2:Yeah, all the functions of a GLP-1.
Speaker 3:It tells you you're full faster. Slows your gastric emptying. It gives off the same.
Speaker 2:Increases insulin secretion. Increases insulin sensitivity.
Speaker 1:Does it have an effect on the kidney?
Speaker 2:Yeah, it's got you know. All the receptors are everywhere in your body so it affects all different parts of your body.
Speaker 3:Okay, but overall it seems beneficial. Yeah, yeah, yeah, yeah, yeah, even for kidney chronic kidney disease. They're studying it for chronic kidney disease Heart disease kidney disease.
Speaker 4:Alzheimer's.
Speaker 2:Arthritis, alcohol withdrawal, fatty liver disease.
Speaker 3:Skinny liver disease.
Speaker 1:So would you recommend getting like for a normal patient? You would recommend getting it from a compounding pharmacy.
Speaker 3:What do you mean? Normal patient? I guess you can't say normal. A little bit above weight, I shouldn't say normal patient.
Speaker 4:No diabetes.
Speaker 1:Yeah, no diabetes, obviously. Yeah, I mean, that's going to be your typical like medical patient is going to be diabetes, but person off the street who's looking to just lose a little bit of weight and they're a little bit heavier and trying to control you know what they're eating get themselves in shape.
Speaker 2:So so you got to figure out why they're overweight first. You know it's checking the hormones and everything and making sure everything's in check before just trying like a GLP one, you know and because the GLP might work or might not work.
Speaker 3:And then if it doesn't work, then you got to start all over again and be like, oh, why is this not working? Yeah, I gotcha.
Speaker 2:Yeah, because sometimes it's like you got to make sure the patient's sleeping enough. Like some people can't lose weight with GLP-1s and they're under high stress, they never sleep and they're wondering why they can't lose weight. There's like everything comes together, like you gotta fix your gut, you gotta, you know, eating whole foods.
Speaker 3:It's better to go step by step yeah, get there rather than like trying to look. It's an overall well-being. It's not a miracle drug that you just take by itself.
Speaker 1:I mean it's a great drug. Yeah, it's a fantastic drug.
Speaker 3:Yeah, but like if you just jump into it, like where a lot of people do it too, they just prescribe it and it's like okay, there you go and there's your standard dose. Take that until you're at your weight and this is why I see, like, how many percent of people try and get off of it.
Speaker 3:It's like about a quarter, at least 25% of people that just like quit and never try it again. It's not like they're like, okay, I try it, it's just like, eh, yeah, I try to make me feel sick and rather than being like, okay, did you test everything else out? Or did you go to like the GLPip agonist, like, did you try a different route? Make sure? Like, is your gut health appropriate? Like there's a lot of things that can throw it off.
Speaker 2:So yeah, and then and then, on top of that, you also you know you look for what the patient needs with what you can offer them to lose weight. There's, there's a lot of peptides that you can offer them to lose weight. There's, there's a lot of peptides that you can offer um to lose weight, whether it's like a growth hormone uh receptor agonist or, you know, there's testofenicine, which is a different medication. That um is almost like uh reoptic inhibitor of serotonin dopaminerenaline so this is like ssri.
Speaker 3:Almost it was a medication that they actually created for alzheimer's yeah um but when the glps originally created for alzheimer's no no, the glps were diabetes.
Speaker 2:So the test fennel scene was created for alzheimer's. But the alzheimer's patients in the study that were taking it were losing all this weight and they they're like you know. So they stopped the study and they dropped the drug because, um, you don't want alzheimer's patient losing all these this weight and becoming sarcopenic I know that.
Speaker 3:I mean, that would be a weird situation. Like doc, I lost all this weight. Oh really, how much did you weigh?
Speaker 1:I don't know yeah uh, so you guys feel like patients that you've been prescribing it to like. You feel like most people you talk to have realistic expectations.
Speaker 3:Obviously you set those as the physician right the nice part with being in plastics is like. You're already like it's probably the same way you approach any patient. You're like it's. Are you realistic? Can we get there? Yeah, yeah like if somebody's like I want to lose 120 pounds maybe not, but if they're 340 pounds and you go over the steps that it'll take and they reverberate and you get their motivation and you're like it might take this amount of time.
Speaker 3:So it's patient by patient. Yeah and they some people, it's just not going to happen they you know they're going to like take it like twice and then stop and then blame you for it.
Speaker 3:Like it's like, if you can, you can't 100% nail it, but like, if you can tell with like a good chance of certainty, that like they're going to be adherent to what you tell them and they're going to trust you, like you build that bond and when that trust is built, like you know they're going to get the results they want or at least get them to a reasonable place and and you know, like our success rates much higher than a lot of other places because we're not just handing it out, we know the side effects.
Speaker 2:Yeah, um, also on my own trial and error, I figure things out where I can help patients with it, where, you know, some people are like they don't really know what the max dose is, or like how to titrate patients up appropriately to get them to their weight loss, or discuss nutrition and weight.
Speaker 2:You know exercise and stuff with them um, where, or like you know this, this isn't working. This might be a better thing to try to see if you lose, to see if it works. Or like adding on other peptides to help them, like, or even hormone replacement and uh, or thyroid replacement to try to get them to that level, or even, you know, like vitamin d replacement. There's all these different things that you need in your body to kind of be able to lose that weight. And like sleep's a big thing, like people that don't sleep, your cortisol level is going to be increased. You're going to have a tough time, uh, losing that weight feeling that today, yeah, not because of stress so it doesn't work.
Speaker 5:When you get off of it, I gain double the weight back after.
Speaker 4:If you stop taking ozempic or any of the other glp-1 agonist medications, will you gain double the weight back? If only we had research to tell us this answer. Thankfully we do. But before we get to that, I just want to say that I cannot tell you about her individual experiences. If she says that she gained double the weight back after she stopped taking Ozempic, then I'm going to believe her, but it's important to know if that did happen to her. Just because it happened to her does not mean that's the norm for everyone else who stops taking it. So, since we cannot extrapolate one individual person's experience to a large population, what do we do? We look at research, and the research that we have right now come from the STEP trial. So there was a STEP1 trial which showed that people lost a significant amount of weight with semaglutide. This is something that I think pretty much everyone knows now.
Speaker 4:The GLP-1 medications are incredible medications that help with weight loss, but the big question that arises is well, if I stop that medication, am I going to gain the weight back? Am I going to gain all the weight back, double the weight back? And so what they did is they took the step one trial and extended it, and they allowed people to stop taking the medication to see what happened. So when we look at the step one extension trial, what we see is that when people stop the medication, they do regain weight, but it's not double the weight back and it's not really all the way back either. In this study, it showed that on average, they gain about two thirds of the weight back, which is a significant amount. But it's also important to know not only did they just stop semaglutide, they also stopped their intensive lifestyle regimen that they had been put on as well. So what does this mean? It means that obesity is a chronic medical condition that's going to need ongoing lifestyle modifications and, potentially, medications to help keep the weight off, and that is okay.
Speaker 4:No one should feel any stigma behind needing to use medication for weight loss or to keep weight off. We are not all playing on the same playing field. We all have a different biological makeup and for some of us, medications may be needed, and that is completely okay. Lastly, you may be asking well, what if I want to stop the medication? I've lost the weight that I want to, but I just want to see if I could stop it.
Speaker 4:What I genuinely tell people is try it, to go a period of time off of the medication and see if you can maintain your weight off of it. And if you can, that's incredible, but if you can't, there's's also no. There should be no stigma and there's no reason not to go back on it. At the end of the day, it's your decision and what you believe is best for your health. So if you want to trial off of it, just talk to your physician about it and give it a shot, or don't give it a shot anyway. To end with, if you struggle with obesity, do not let people tell you you shouldn't be on a medication for weight loss. It's just willpower. That's not true. Studies show that it's not true. Do not feel bad for using medication to help you maintain weight loss I.
Speaker 3:I agree with this guy, other than the fact that he's chronically wearing a stethoscope in the car.
Speaker 2:Yeah, I don't know why that's needed if the tesla is burning, you got to go and test the heartbeat right.
Speaker 3:No, he's right, he brings the data right Like you expect about, like. He's totally right, and that's exactly what I tell my patients.
Speaker 2:I'm like, yeah, you're going to lose the weight If you, if you don't keep up with the lifestyle, you're not going to and you got to titrate back down just like you titrated up. You can't just bounce on it, bounce off it, bounce on it. You're going to regain the weight Like you're going to eat. If you're going to eat like crap and haven't changed your lifestyle, you're going to gain that weight back. But yeah, it's not the same amount of weight. And, just like he said, obesity is a disease, just like high blood pressure. If you come off your high blood pressure medications, your blood pressure is going to be twice as high as it was before.
Speaker 2:And you might stroke out and not live At least with this you gain some weight, so get back on the drug and lose the weight.
Speaker 3:Try it out. Yeah, go ahead, try it out. I completely agree with that.
Speaker 1:Speaking about burning teslas, though I I was with. I was with my father-in-law. How many do?
Speaker 3:you know where?
Speaker 1:no, we're, we're in the back of a tesla and the bumper sticker says this is my last tesla. I'm just like you're legit driving a tesla and you're like, I mean I and you guys know your people.
Speaker 3:Yeah, I lean democratic, obviously, but yeah, and you guys know, that I told you guys we saw like the car in front of us in front at ari's school dropping her off as a tesla model 3 with a no elon sticker on it like yeah please don't scratch my car, don't key my car. I Don't key my car. I wonder. The messed up part is they have the most advanced camera systems on them and they automatically go off and they automatically record when someone gets close to it. Yet people are like let me go.
Speaker 6:Let me go.
Speaker 3:I'm like a sneaky cat over here. I wonder if he's got a bumper sticker.
Speaker 1:This is his last, so we want to destroy it like a sneaky cat over here. I wonder if the adjuster on Pam's Tesla was.
Speaker 2:He was a Democrat because he crammed into him he totaled it. He put it as a total.
Speaker 3:But he was in a Jeep, though Jeep's a conservative I'm saying like the adjuster the insurance adjuster is like oh, that car's totaled.
Speaker 1:Go burn it. We'll give you double the price you burnt it. I wish what we were talking about. We'll give you double the price you burnt it. You burnt it.
Speaker 3:I wish there were two Teslas next to each other.
Speaker 2:Well, I got Tesla stock, so the more Teslas they burn, the more money they make, because they get all this insurance money.
Speaker 3:I know they got to build more and sell more. Thanks a lot. It works for me. A lot of production.
Speaker 1:What were we talking about? Elon's plan ozempic?
Speaker 3:let's go back he just had a video, was elon on ozempic, did he claim it, does he? He must go on and off of it no, I think he looks like he's lost weight because I remember there was some beef with. Mark Zuckerberg Like he was challenging him to an MMA fight. Oh yeah, because Elon's picture went viral and he was all overweight and pale.
Speaker 2:I don't know, Like Jeff Bezos, they showed those pictures. Dude, if you want to show me a miracle drug, show me something.
Speaker 3:you rub on Jeff Bezos' head that makes his hair grow. Now you want a miracle drug. Give me that Like. I'll prescribe that to anybody.
Speaker 1:Elon Musk dubs himself as Ozempic Santa yeah.
Speaker 4:I love it, I love it.
Speaker 2:I love it. This is great.
Speaker 3:I mean he's a high-functioning person. You can't. There it is. I mean you can't. I don't know about you guys. I recently lost like about 15 pounds and it's like I'm significantly out of breath. When I was 15 pounds more doing normal everyday stuff. If I'm trying to be a high functional human being, like it's like I'm picking something up and sarah's like why are you breathing heavy? I'm like I leaned over why else would I be breathing.
Speaker 2:It's like dude. It gets difficult and it was that's. That's the way I felt before I started this whole journey. It's like yeah, I didn't want to sit on the couch and I was like you know, the wife would ask for something. I was like I'm going to punch her in the face.
Speaker 5:Why can't?
Speaker 2:you just get off the couch, but like now, I'm like all right.
Speaker 3:I'll go.
Speaker 2:I'll go like three miles and grab it and come back.
Speaker 3:Now he's all pissed off.
Speaker 1:He's like I got to stop doing these jumping jacks to go grab you these chips, speaking, of which I just got a text, because I put away the groceries and it was bite-sized pancakes and I thought they belonged in the cupboard, but apparently they belonged in the fridge. So those are gone. Yes, in very kind words.
Speaker 2:Were they the Elmo ones?
Speaker 1:No no.
Speaker 2:No.
Speaker 1:They were for my pregnant wife. I think more so than actually they were for my kids.
Speaker 2:She could still eat them. Tell her they're tastier yeah. They're ready to eat now, I mean, whatever they thought out, just tell her, it's like ready to eat now and so you don't have to even microwave. Tell her, it's the safer version.
Speaker 3:As long as you eat it before the fungus grows? Yeah, and the fungus might be good, quick and easy tell me they need to be refrigerated oh yeah, product refrigerated and consumed within three days after go off his wife
Speaker 2:belgian boys, his wife's about to pop, so yeah.
Speaker 3:You can't be wasting pancake bites. Not at month eight. You're playing with fucking fire, dude yeah.
Speaker 1:She might deliver right now.
Speaker 3:She's like nine and a half months pregnant.
Speaker 1:Yeah, yeah, I might need to leave the show.
Speaker 3:Is that Jim from the office? Oh no, it's Dr Mike.
Speaker 6:Oh Zempik let's stay on that.
Speaker 3:To lose five pounds. How do you feel about that?
Speaker 5:It's not what it's intended uses.
Speaker 5:Why that's dangerous is because when a medicine is studied by this evil farmer that we're talking about, it's studied in a certain population people who have type 2 diabetes, who are overweight or have high blood pressure.
Speaker 5:So when you're taking it as someone who doesn't have any of these diagnoses and you take it, how do I know that the risks you're facing are gonna be what? The ones that we found in the research when we didn't test it on people like you? It's the same reason why we suck at treating women's heart disease, because we never did research on women's heart disease. So when a female patient comes in and says, oh, I have a little acid reflux, maybe a little arm pain, we discount it and they're having a heart attack, because our initial research was not done on women, it was done on men who said I have an elephant sitting on my chest. This is how I describe it and that's how our common knowledge is of heart disease and therefore we miss all these heart attacks in women he's got some type of point, but if a side effect's gonna show, it's gonna show on a sick fucking person, like if someone's going to die from COVID is cause they were really sick to start with.
Speaker 3:Like if you're telling me, this side effect didn't show up on somebody that has heart disease, history of strokes, diabetes, but it's going to show up.
Speaker 2:Yeah.
Speaker 3:But going to show up more on a healthy person. I don't buy that shit for a second I don't know.
Speaker 2:Well, unhealthy person. I don't buy that shit for a second, I don't know well and you know a lot of these, a lot of medications. You need to study everything on every type of person. But like no, and all these medications, any medications that you look at like oh yeah, all of a sudden, some person's gonna have a reaction, a weird reaction that's never been seen before, you know, like even my brother-in-law.
Speaker 2:He ended up in the hospital on like some oh yeah fucking like he was on a antibiotic that's like pretty common and he almost went into fulminant hepatitis.
Speaker 4:Um he was yeah, he was in the hospital for a few days and we have, like our parents, friend who, like they gave her frickin didn't follow the liver labs.
Speaker 2:Well, no, they gave her what they gave her TB medication because she previously had BCG vaccine and she tested positive on the TB results, and they gave her frickin. Tb medication and she went into liver failure. They had to. Her daughter was her liver donor. If she wasn't around then she might have died.
Speaker 1:That's how she went into liver failure. It was from the meds, I said is it in rifampin.
Speaker 3:They didn't follow the liver labs appropriately.
Speaker 1:Are you kidding? I didn't realize that's how she decompensated. At least, I didn't realize that's how she decompensated.
Speaker 3:At least she didn't die of TB. Yeah.
Speaker 2:If you don't trial and error these medications, you're not going to Rapamycin now. It's an anti-aging medication Before it was used for transplant patients Suppress them.
Speaker 6:Yeah, like trial and error of some of these things.
Speaker 2:Are they going to have side effects? And some patients, some people, yes, and they're all going to have side effects. And some people have gene mutations that some medications work on them and some medications don't. And actually one of my friends is building an AI system which actually like and he runs a gene lab that like, tests all these genes and like they can tell which medications actually work. If, like, like some people, they you know, I hope it's not 23andMe they just want to be bankrupt.
Speaker 2:It's 23andMe plus, but like what? What his company's doing is like you know, if a patient gets prescribed like Plavix and they, they have a gene mutation that Plavix isn't going to work on them. What's going to happen is like that AI is going to deny the guy getting Plavix because Plavix isn't going to work as his anti-platelet for whatever stents he has. He needs to be on a different medication, so that that's going to improve health care. It's going to piss a lot of physicians off because it's denying their care but they have to like prior off for different medications.
Speaker 1:that's actually going to work for the patient, yeah, but I mean you got to imagine that you could actually trial. I'd be like, okay, see this medication, this medication, this medication and what is actually effective for this person get this fly off of me, dude, he's been all around yeah, he's all up in me reminds me of the breaking bad episode that stopped me.
Speaker 1:I was watching breaking bad religiously and then there was an episode where they just chased a fly the whole time and I was like I love this show, but I, I just wasted an hour, so I'm done I and I stopped watching it I've watched it, since it's gonna use a high school chemistry teacher making meth so you guys know something exciting.
Speaker 2:Hopefully the I finished the flat you know something exciting.
Speaker 3:I just brought my, bought my own trailer.
Speaker 2:Yeah, I got jumpsuits. Yeah, tomorrow I'm going to IV up and I'm going to try this whole NAD and glutathione.
Speaker 3:Oh, yeah, yeah, oh, can't wait to hear about that.
Speaker 2:I'm going to record the whole thing and see, because I just want to know how it feels because a lot of people say like it almost feels like an elephant on your chest, which sounds like you're having a heart attack when you're getting this IV NAD. The good thing is I got the meta glasses, so I don't know.
Speaker 4:Maybe I should put the meta glasses on someone else and see Dude you tried dying in our office before I know. Try it again, don't do it.
Speaker 1:Third time's the charm, right? So the second time is not. We got to build this surgery center up.
Speaker 2:What else did?
Speaker 3:we have. So we'll get you a wrap up on the. So it's NAD glutathione.
Speaker 1:Oh, that's going to be great.
Speaker 2:NAD, glutathione, b-complexes, some aminos.
Speaker 3:Dude, my sweet taste buds have not come back from using the NAD nasal spray. Oh yeah, Overdoing it. It's actually like a good, like side effect.
Speaker 2:Yeah.
Speaker 3:Because I'm like oh, that looks like a yummy cupcake.
Speaker 2:I'm going to see what happens. I also started.
Speaker 1:No, just prescribe NAD spray Just order it, just order it yeah. I also started doing Just order it online Like anyone, just order it online like your doctor order it or compound pharmacy prescribed. Right, yeah, okay, no you could order it.
Speaker 3:You could order it online. He doesn't know how to prescribe medication no, you no.
Speaker 1:You could order it online. What do you order, though? Is it just?
Speaker 2:you could just order it online, but you got to make sure it's credible, because I don't know. Ours says it needs to be refrigerated, so some of these places are just sending them like you know, without being refrigerated.
Speaker 4:So yeah, so those are probably more. You can get it from the compound pharmacies okay yeah, taste buds.
Speaker 2:Now I also started doing IM injections of vitamin D once a week what the fuck are you not doing dude? So yeah is the NAD. He doesn't eat anymore. Get my vitamin D. What the fuck are you not doing?
Speaker 3:dude. So, yeah, everything Is the NAD. He doesn't eat anymore. Is there any difference between the NAD?
Speaker 1:sprays and, like IV or other, it's going to have different effects of different things, you know it's like Some people take pills.
Speaker 3:That stuff doesn't work.
Speaker 2:Well, it matters, but like nicotinamide, riboside is probably the best form to take orally. A lot of people like over NMN. Nmn, I guess, doesn't get into your cells as well. So these are just precursors to NAD, so NAD, and so NMN and nicotinamide riboside are your precursors for NAD and NAD itself. Even getting getting an iv it doesn't get into your cells, um, but you know people are seeing drastic changes with energy and you know mitochondrial function and stuff.
Speaker 3:so anecdotal is anecdotal, yeah, yeah no, it's, it's like.
Speaker 2:I've gone to so many different lectures about it and it's like you know it's like, and even like in your nicotinamide riboside or NMN.
Speaker 3:Like how much of it are you getting it? Do you think that's why zins are hot right now?
Speaker 6:Zins, zin.
Speaker 3:What's in?
Speaker 2:those, those packets.
Speaker 6:Isn't that nicotine?
Speaker 3:Is there nicotine broken down into nicotinamide?
Speaker 2:I don't think so. I don't know how I was going to check on that.
Speaker 3:See the function of I was too like a year ago and I decided not to I thought.
Speaker 1:I thought nicotine's just hitting your nicotinic receptor.
Speaker 2:But I, I, you know I, but it kind of sounds the same, but like I I was, I was thinking the nasal, the nad nasal spray like affects your brain more because it's through the nasal passage and yeah, it goes straight through your cribriform plate.
Speaker 1:I thought so too that's why you get more energy. That would make more sense.
Speaker 3:I honestly felt it with the nasal spray. I was just like, okay, I don't need any caffeine today, like I seriously I think I'm just higher function, like when I operate.
Speaker 2:I think I'm operating at a different level with nad nasal spray the thing is, I do that.
Speaker 3:I don't know if it's that or the ketone yeah, give me another nasal spray. Let's go.
Speaker 2:Six more flaps.
Speaker 1:Let's do it. Let's do it. I didn't know. In the pre-op you got to ask your surgeon did you take your NAD today?
Speaker 3:My patient asked me how are you feeling? I'm like. I feel great If I felt like shit, I would not tell you. I'm like yeah, I feel great. If I felt like shit, I would not tell you I'm just, I'm just shaking like an appropriate way to lead you into the or yeah yeah yeah it's just like you're serious. I was like yeah, I was like honestly, though it's monday, so chances are I got pretty good rest over the weekend or you got really drunk over the weekend.
Speaker 2:That is true.
Speaker 3:Which I don't really do. Well, rested baby let's go. How are you feeling? Oh, it's Friday. I'm just doing this case to get the week done.
Speaker 1:Can you imagine they're like how are you feeling? Oh yeah, whatever.
Speaker 3:I got a basketball game to go to tonight. Let's go back. Let's roll back.
Speaker 1:Let's do the surgery.
Speaker 2:Yeah, whatever so my thoughts on GLP-1s. I love them. I'll probably be on them for the rest of my life and I kind of mix it up and a few people have asked me like I do the Riturotide low dose and I do TERS Epitide, like I do them like four days apart, because TERS Epitide definitely suppresses your appetite a lot more than the.
Speaker 3:Riturotide. Oh, so you're doing the two and you're going like every four days Just low dose, yeah, Okay.
Speaker 2:Yeah, because Riturotide, you actually build muscle. So I'm just mixing, all right I I think, overall for you, for your health and like people may tell you differently, but overall for your health, like there's nothing more important than keeping your glucose balance. I gotta get on a continuous glucose monitor to see, like, how my sugars shift with eating different things, because everyone's body responds differently and especially, being on GLP, see how that moderates it. But like I think being on these, like for your liver health, for your brain health, your cardiovascular health and even your joint health, overall I think it's a great product. Try to get your hands on as much as you can before they get taken off the market.
Speaker 2:Uh, but they, you know, I I don't think they'll ever completely go off the market. There's going to be availability, um, because it's going to get more dangerous if they don't allow these compound pharmacies to make them. It's going to become more of an issue with all these black marketplaces showing up and who knows, some of them may have fentanyl or whatever in them and, like cause some deaths, especially people injecting random things.
Speaker 2:Yeah, and they couldn't have bacterial infections because the compound pharmacies are very highly regulated, everything's third-party tested. But the main thing like people talk about like purity tested. You could be purity tested but like to be in that sterile format versus.
Speaker 5:Pure versus clean is different?
Speaker 2:Yeah, because the compound pharmacies get their stuff from the same place as some of these black market places. But sterility is going to be the big part. Are they as sterile as the compound pharmacies have them?
Speaker 3:Yeah, and all I got to add to that is I personally don't think in its current form it's like the like miracle drug that like you see things like CNnbc talking about stocks and affecting like how many potato chip bags of potato chips are going to be sold this week, I don't think it's going to have quite that much effect overall, but it's definitely very useful and it can benefit a ton of people with a good side effect profile. It has side effects but relative like risk to benefits, it's definitely worthwhile for a lot of people.
Speaker 2:I think the side effect mainly came out when you know FDA still had the medications on the shortage list to they were trying to scare people away from getting them. Now that it's back off the shortage list they're going to minimize it.
Speaker 3:Yeah, yeah, they small words on yeah, on the uh advertisement, yeah it's all about the censorship on what they they want to the until pharma ads are made illegal now yeah so it's the next push so.