PEPTIDES FOR RUNNERS: WHAT YOU NEED TO KNOW

What if the right peptides could be the secret to better sleep, faster recovery, and lasting health?

We sit down with Dr. Micol Neely, who went from 15 years in the ER to building a concierge longevity clinic in Phoenix. She shares what COVID taught her about nutrient support, the burnout hidden in quick-fix medicine, and the real habits that move the needle: sleep, strength, inflammation control, and sustainable exercise.

We also dive into brain health, psychedelics, ketamine for depression and PTSD, and how coaching and neuroplasticity matter as much as any treatment. Plus, we break down peptides, stacking strategies, and GLP-1 weight loss drugs like semaglutide, tirzepatide, and retatrutide, including why microdosing can improve body composition and reduce inflammation.

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Which topic are you most curious about: ketamine, peptides, or metabolic health?

Transcript

From ER Burnout To Wellness

SPEAKER_02 0:19

Starts nervously.

SPEAKER_00 0:21

I trust you. Not sure I should, but I am.

SPEAKER_03 0:25

So you guys were talking about you moved here from Seattle or? I lived in Seattle for a little bit. Yeah.

SPEAKER_00 0:31

They asked when I came to Arizona. Okay. And I was here like 10 years and then up in Seattle for a little bit. Okay. Then I was in California with COVID. And then I came back here. Back here. Yeah.

SPEAKER_02 0:42

How long have you been here since California?

SPEAKER_00 0:45

Uh 2020. I moved back here. And I have a little like functional medicine practice right by Encanto Park.

SPEAKER_03 0:51

Okay. Okay.

SPEAKER_00 0:53

Yeah.

SPEAKER_03 0:54

And you were ER doc before? I was. Yeah.

SPEAKER_00 0:57

I did 15 years ER. Okay. And then I was telling them like through COVID, like it was amazing because we took this little dumpy psych unit that was supposed to be torn down and we just took all the overflow.

SPEAKER_04 1:09

Okay.

SPEAKER_00 1:09

And California didn't want to know what to do. So they're like, just keep them alive. And one of the docs that I worked with did concierge like IV vitamins. And um, so we started doing like the monoclonal antibody. We started doing some high-dose vitamin C. We did a lot with vitamin D.

SPEAKER_04 1:28

Yeah.

SPEAKER_00 1:28

Um, and it was just amazing the difference in people and how well they responded to to just vitamins. And I was like, I want to do this. I'm tired of the ER. So I I did.

SPEAKER_03 1:40

There are a lot of people from ER transitioning into well, it's all different aspects, even like pain, pain mean management, anesthesia, ER. I have a friend that like I I always go and talk about like peptides and everything. And yeah, I've gotten a few people, a few physician friends to go into longevity medicine and concierge medicine over from you know, even pathology and stuff. They're like, all right, I'm tired of this.

SPEAKER_00 2:10

But there are a lot from the ER. Yeah. I think our brains just get one, we get burned out.

SPEAKER_03 2:15

Yeah. Oh, yeah. It's really easy to burn out. Then people don't they're like, you're seeing those patients for like 12 hours, even though it's like 12, 13 days a week or a month. It's crazy. Like the amount of things.

SPEAKER_02 2:28

I was gonna say we gotta dive deep in your regiment. You spent 15 years in the ER and still look this good and young. So ER years are almost like dog years, like people age more in the ER than like the the presidency photos you see like every four years. Yeah.

SPEAKER_00 2:46

Oh, getting out of the ER really helped. Yeah.

unknown 2:49

Yeah.

SPEAKER_03 2:50

So what other than um how did you transition over to doing wellness from I kind of learned it on my own.

SPEAKER_00 3:00

Like I did a lot with A4M.

SPEAKER_03 3:01

Yeah.

SPEAKER_00 3:02

Um like I just went to their conference in December.

SPEAKER_04 3:04

Yeah.

SPEAKER_00 3:05

Um, I started picking other doc's brains. Like even in COVID, yeah, um, I got my MBA while I was there because I was ready to quit medicine, honestly. I was like, I'm I'm done. Anything. So I was like, I'll do business. That sounds like fun. Um, but then it kind of morphed into, well, I'll do business, but I'll use medicine as my business. And so um, yeah, talking to people, I made a huge business mistake. My first step out is I actually bought into a franchise. Okay.

SPEAKER_03 3:40

And it was it it always seems it's it seems a lot better than it is. Yeah. Yeah. Yeah. Yeah.

SPEAKER_00 3:47

And it was, I was like not supported. They had me set things up horribly. It was a lot of aesthetics and a lot on group on. I'm like, this is not what I wanted to do. Yeah. Okay. Yeah. So I was paying people to come see me.

SPEAKER_03 4:02

Yeah, that that's the thing. Like, I being in plastics, you just automatically get tossed into it, which is kind of nice because you get your entrepreneurial aspect, especially when you're in private practice rather than academic. So we kind of get that, and it kind of fits into like when you go do longevity and wellness, it kind of fits into that model. And yeah, I've I've looked at a lot of these, and it's like all these wellness places, they're looking to franchise. They're like, Oh yeah, we'll buy you a red light bed and a hyperbaric and like get you set up. You just have to pay this franchise fee. But yeah, overall, I'm like, uh, it's kind of a lot of it looks fishy, and like how are they gonna get are they gonna get you patients or how are you gonna thrive in that atmosphere?

SPEAKER_00 4:52

Yeah, it all it did was really get me uh a lot of debt. Yeah, but I learned a lot and I tend to learn things the hard way in my life. So like all right.

SPEAKER_02 5:05

Doing something like that's like bad investment or devastating to what you hold later on in your career than like extending your career like 10, 15 more years.

SPEAKER_03 5:15

Yeah, like our younger brother, he's in academic neurosurgery.

SPEAKER_00 5:18

I knew I was gonna set something wrong.

SPEAKER_03 5:22

So, like our younger brother, he's been stuck in academic neurosurgery for so long and he's been waiting for a promotion, and we're like, You're not gonna get it, dude.

SPEAKER_02 5:31

And he's like he gets little promotions, but it's like uh yeah, for what he went through as well.

SPEAKER_03 5:38

So yeah, so a lot of people get stuck in that route for like 10, 15 years, and then they finally get out on their own and they really figure out like I I got that told multiple times by multiple attendings to me, where I was like, and I trained in like a private private practice academic sort of thing. So it kind of taught me the hustle, and it was in New York, so it taught me the hustle even more. Yeah. Then you know, you go to a lot of these academic places and they teach you how to hate private practice. So they don't teach you how to like get your feet in the ground, and then a lot of young plastic surgeons or like just physicians in general, get out and they join like a bigger practice or some old guy that just completely like like makes them hate life and not want to do medicine, right?

Franchise Debt And Business Blind Spots

SPEAKER_02 6:30

Yeah, yeah, it's just business management. You're never taught that in residency. Business management is never even in plastics where like everybody's doing it, nobody wants to give away their secret or something, or just like have a couple lectures throughout the year.

SPEAKER_00 6:45

It should be, it should be included in and so just like nutrition and vitamin should be included, and they're not nutrition, vitamin, hormones, yeah.

SPEAKER_03 6:54

It's all like especially like in the surgical fields, like learn how to help your patients post opt, yeah, uh reduce their risk of complications and like recovery is so important, it's probably bigger part of the picture than the actual surgery, yeah. And even like for us, it's like patients coming in, right? Like come in with high BMIs, like some patient some people will operate on them, but I'm like, it's not a long-term result that you're getting with if we're not balancing everything out and making your life better beforehand, and and you're gonna end up at the same place like two or three years down the line, wishing you'd never done it before. But we want you to be happy with what you did. So A4M, I I do a lot of the A4M stuff and like I I can't I can't go I can't go straight to the lectures. I need to listen to things two or three times, 3x speed to actually like be able to pay attention to it. But like I go there for the vendors. I went last year, I this year I had a lot of stuff going on, so I couldn't make it, but yeah, it is a great conference. You learn so much from it.

SPEAKER_00 8:09

I I'm the same. Like honestly, I go to the conferences to meet people and like pick their brains. Yeah, I think I learn more at the conferences from like sitting in the lounges and yeah, talking with people and making new connections. Yeah, and then I just get the lectures and I listen to them later.

SPEAKER_03 8:24

Yeah, that on demand.

SPEAKER_00 8:27

Oh yeah, yeah, yeah.

SPEAKER_03 8:29

Yeah, it's like just I I'm like, do these people really talk this slow? You know, like when you're like listening to it, I'm like, you know, when you have it hyper speed. So what are some of the like key things like you learned this year going to it, like that you know, that you didn't know before?

SPEAKER_00 8:50

So I am completely fascinated with the brain right now and how our brain health like plays into longevity.

SPEAKER_04 8:59

Yeah.

SPEAKER_00 8:59

So I really enjoyed learning some of the studies they're doing with like psychedelics and brain health. Okay.

SPEAKER_02 9:06

Um I've been doing those studies since high school.

SPEAKER_00 9:09

I a lot of people have, and I I think we would have a bigger coreho, corehoot if people would like be open about it. But yeah, no, Harvard's doing a lot right now. Um, and so that was really fascinating to me.

SPEAKER_02 9:24

Anything specific about that, like specific type of psychedelics and for what they were being used for?

SPEAKER_00 9:30

Um so a lot are being used for more like um resistant depression, PTSD. I don't know exactly which which strain of mushrooms or anything.

SPEAKER_02 9:42

No, no, I I know that, but I I don't know anything about that either. But um is it just mushrooms or is there anything on ketamine?

SPEAKER_00 9:50

A lot on ketamine. I actually have just added ketamine into my prototype. Nice, yeah. Um I did a journey last year. Um, it was really healing. Um, and I think ketamine works really similar to the psychedelics because it raises like BDNF. Yeah. Um, so you create these new neuropathways and you know the hot topic of neuroplasticity.

SPEAKER_04 10:10

Yeah.

SPEAKER_00 10:11

Um, but it really was like a reset button. Um kind of takes you out of sometimes like a negative train of thought and let you like reformulate how that works in your brain.

SPEAKER_02 10:22

It's like the guided trip. Yeah.

SPEAKER_03 10:24

Did you do a single thing or was it like few? Do you have to do like a cycle of I guess? I did mine a single. Oh yeah.

SPEAKER_00 10:32

And then it was like a month of coaching afterwards. Um, and I'm doing like training through conscious ketamine. Okay. Um, and that's more kind of the model for that.

SPEAKER_04 10:42

Yeah.

SPEAKER_00 10:43

Um, I've also um Dr. James is in Scottsdale, and he does more of the IV and does like six IV treatments in a row.

SPEAKER_04 10:50

Yeah.

SPEAKER_00 10:51

Um and then you meet with a coach. I think it varies depending on what he's treating. Um, and like he'll meet with the patient and kind of figure out a program.

SPEAKER_03 11:00

Yeah, it's usually I think like a lot of people just go and try it out. Like if you got just something you want to get over, but if you got like PTSD or depression or something, you need to go for a line of yeah, and if you're specifically treating something, yeah, it's yeah.

SPEAKER_02 11:17

You might actually some of the studies show that it has like uh one-time dose has like long-term effects for like PTSD and stuff. Yeah, yeah, but that's probably how they dose how they but you need the it's it's the cognitive aspect, um, like behavioral therapy around it during that trip.

SPEAKER_03 11:36

Yeah, because like I was looking at doing a one of the anesthesiologists we use quite often were and my wife's an anesthesiologist, but I can't get her to she doesn't want to see. She doesn't want to see patients really, she likes just putting them to sleep. So I'm like, we we gotta start doing this because it it's like becoming more and more popular. Yeah. More and more people are doing it. Like five years ago. Yeah.

SPEAKER_00 12:00

And I think it works.

SPEAKER_02 12:02

Like, I think it actually what's your other option for like uh any type of like drug-resistant, like severe mental health disorders, electric shock therapy.

SPEAKER_00 12:13

Exactly.

SPEAKER_02 12:14

Like pretty much a walking vegetable.

SPEAKER_00 12:15

TMS, I think, works. Like ETL just came out with the ExoMind. Yeah, and I would love that machine and combine that TMS.

SPEAKER_03 12:24

I was trying to buy that for myself, not like just to try it out. Yeah, but I was like, all right, that's a too much for yeah. I was about to buy it and come to my clinic.

SPEAKER_00 12:35

Yeah, yeah.

SPEAKER_02 12:36

What does TMS stand for?

SPEAKER_00 12:38

Oh, uh I don't know. That would be a good question that I should be able to answer.

SPEAKER_03 12:44

Bring the reps. It's like let me dial the reps. It's almost like you know waves through your brain. Yeah, yeah, yeah. Almost yeah, pretty, you know, you have examine. Yeah, but it's pretty much like m sculpt for your brain.

SPEAKER_00 12:58

Oh, so it stimulates that left prefrontal cortex and just helps create new neuropathways again. Yeah.

SPEAKER_03 13:06

Yeah. So but yeah, they charge like I think it's$300,000. The examine, right? Yeah, yeah. It's like$300,000. And we have the M sculpt. And like, yeah, they you kind of so I just use the M sculpt and zap my head once in a while.

SPEAKER_00 13:23

We have the M Cela. I've tried lay laying my head on it, it doesn't work.

SPEAKER_03 13:27

You gotta sit on that. It's you gotta do full-on headstands on it. Yeah, it's yeah, we have the M Cella too. It's like they kind of, you know, they're like, oh no, you should be selling the and like you're like, all right, the there's no ROI. The only ROI is I get a six pack when I go to the beach. Yeah, that's the only thing. Like otherwise it's a great machine, but I I don't know. We don't want to mark you know to market it and then everyone's just bringing other stuff, yeah.

SPEAKER_02 13:58

Like if we can be a gamma last leader. We just include it in some other packages and stuff. Um just like our hyperbarracks, red light. Those actually the return on investment on those have been great. Yeah, uh the best ones. Um they'll pretty much pay themselves off in less than a year.

What A4M Conferences Actually Teach

SPEAKER_03 14:18

Yeah, because the laser all the laser companies, they went from having hundred thousand, you know, fifty to a hundred thousand dollar machines, they all of a sudden, like even before inflation hit, they went up to three hundred thousand dollars.

SPEAKER_04 14:31

They're crazy.

SPEAKER_03 14:32

You know, when I think Cool Sculpt was the first one that like really like pushed that push that limit and see how much they could collect from physicians, and yeah, but like everyone undercuts themselves and then they sit in the laser graveyard, you know.

SPEAKER_00 14:46

And that was one of my big mistakes of the franchise. They're like, Oh yeah, get that. And then I bought into it. I'm like, well, look, I I can make payments on it, and I'll bring this much more in, it'll help me speed up and you're not putting anything in and just making payments.

SPEAKER_03 15:01

Six months you don't make it, you don't make any payments, and by the time you're making payments, you already have and will help with your marketing. Yeah. Oh, it's only seven thousand dollars of treatment. Oh, everyone's charging that.

SPEAKER_02 15:14

We have we have very limited devices, especially for a plastic surgery clinic.

SPEAKER_03 15:19

Like uh because that's why we've div dove more into wellness because it's just much better. And also, we don't really need staff. You you know, you need an aesthetician for a lot of these other things, yeah. And it's like the aestheticians are like huge turnover, they they jump from clinic to clinic, and like a lot of them well, you know, even when we interview for other positions, everyone's an aesthetician too. Yeah, and and we tend to not interview estheticians because we they don't last long, no, and they always think they're gonna become the esthetician for the practice since we're plastics and we're like uh not so much.

SPEAKER_01 15:58

We don't really promote that.

SPEAKER_00 16:00

Do you do IVs? We don't.

SPEAKER_03 16:02

I've I actually did an IV and I was given IV post op to one of my post op patients, she's a week out, and couldn't get a vein on her, so I was like, Oh, I'll take the IV. So I I started doing it on myself so we could start it in clinic in our clinic. We'll start doing it as our surgery center opens up. We'll do more and more of it. Nice, yeah.

SPEAKER_00 16:24

And it seems like with plastic, peptides would work really well too.

SPEAKER_03 16:28

Yeah, so yeah, we already have like the supplement package that we give all our patients post op, and part of it's the Wolverine stack to help with the healing process. And a lot of people like love it so much they're on it for at least three to six months post-op. So it's one of my favorite.

SPEAKER_00 16:48

Yeah. I used it after my um I did an ultra marathon. Yeah, and I really did you get lost? Uh no, I was just being stubborn.

SPEAKER_02 16:58

Where was it at?

SPEAKER_00 16:59

I did the Havelina hundreds. Yeah. We were talking about it. I just it that was I so I did my ketamine journey and then I did the 100 mile race.

SPEAKER_02 17:09

Oh, so the ketamine got you lost. But it was fantastic. I'm kidding.

SPEAKER_00 17:17

Um, but no, I think I recovered so much better by using peptides afterwards because did you do oral or injectable?

SPEAKER_03 17:23

Injectable.

SPEAKER_00 17:24

Injectable, yeah.

SPEAKER_02 17:25

I feel like I get less sore after workouts and stuff with even the oral stuff. The injectable definitely works better.

SPEAKER_00 17:32

I've been anti-oral until recently. Melts, they're a local company. Yeah, okay. And they just came out with like one that's um, they make trochies, yeah. Yeah, okay. And I really like it.

SPEAKER_03 17:45

There's some some of the sublingual ones work pretty well. I I've used different, I've used AOD, oxytocin, um what else? Uh I I've used a bunch of them that are sublingual from different like Progress Pharmacy, Grand Avenue, um, that are pretty good. They even oxandrolone comes troche form, which is more on the uh anaerobics. But um, that works pretty well. Uh but yeah, there's a lot of them. Uh the company we use is Level Up, it's based out of Australia. The guy seems the owner is like really into it, and like I think he formulates these stuff pretty pretty strong in like I I think in ways where it's bioavailable. If it's not bioavailable and not making a difference, he's not using it. And one of the like our younger brother, he has a lot of um inflammation just in general all the time. I don't know. He's stepping up.

SPEAKER_00 18:43

Sounds like the stressed out one.

SPEAKER_02 18:44

He's not actually, he's one of the ophthalmologists, chill one. Yeah, like doesn't like working more than 20 hours a week. Uh but he stepped on a bunch of sea urgents down in um St. Martin and had like an anaphylactic reaction. And ever since then, he's just been like hyper-inflamed. Like for the longest time, he had a spit bottle, yeah, and like he takes like immunoglobulins and stuff.

SPEAKER_03 19:09

Yeah, he was taking allergy shots, and like he actually we actually kicked him out of our house because he like we're like, dude, we can't live with someone hacking up like in the middle of the night. We're like, we gotta get our rest, especially with kids.

SPEAKER_02 19:24

Other brother, and I remember discussing about him, and we're like, I think at this point it's mental. This guy's just coughing for the sake of coughing. I don't think he has symptoms. He feels the need to do it. There's no way somebody needs to cough this much.

SPEAKER_03 19:39

Yeah, because he started, he took the Wolverine stack, he took the oral form. He's like immediately he's like he got energized, and like um, he's like it felt like the inflammation and everything went way down. He stopped doing his allergy shots and stuff. He's like, I don't think I need them anymore.

SPEAKER_02 19:58

And the other thing that's dropped down gradually though, yeah.

Brain Health Psychedelics And Ketamine

SPEAKER_03 20:02

Yeah, and then now he like he goes on and on like methylene blue is a little strong for him. So he I don't know, he took the 25 milligram. He's like, I think I gotta cut this down because it gives me migraines. It all uh almost helps him a little too much, so he's like trying to cut down the dose when he's taking it. So um yeah, I'm trying to come out with a trokey, I'm working on it with different compound farms and see who can make it for me. And I'm huge into the brain health, and uh because like I got my like weight loss, then fitness, and then like once like everything was lined up, I'm like, I want a like super functioning brain. Since we're operating, I just want to be next level when I'm operating, just to be able to think better, just better results and overall. Um, and so I like take different steps.

SPEAKER_02 20:55

You're getting ready to compete for a math conference?

SPEAKER_03 20:58

Have you done cereal lysin? I haven't done cerebral lysin. Just I'm really I was kind of is that it's it's IV. IV, yeah. IV. The whole thing that scared me with the uh I've thought about it. You can't you can't really find a a lot of the compound pharmacies. Yeah, I love it. Yeah, yeah. How how did it help? How did it change, you know?

SPEAKER_00 21:22

So like I read on it and I was like, okay, I I think there's enough evidence that it will help like prevent early dementia. And that's one of my big fears is I don't I'm not afraid to age because I think I can do it well. You're fearing, but I'm worried about losing my brain. Yeah, it runs in my family. I saw my grandfather go through it, and I'm like, It's brutal. I've put way too much work into my brain to lose it.

SPEAKER_04 21:44

Yeah, yeah.

SPEAKER_00 21:44

So I decided I'd try it. Yeah. And I'm telling you, I was the most calm, and like my brain, I could physically feel my brain working better. Yeah. Um, for about a month after I did it, IV.

SPEAKER_03 21:59

That's like The only like peptide that I haven't tried. I'll say that again. Yeah. Um, because right now I'm even on cloth. Oh, okay. Try to see how that works.

SPEAKER_02 22:11

Is that Spanish for cloth? No. Okay. Jose, resident Spanish expert. Can you confirm?

SPEAKER_03 22:23

What's your favorite peptide? Uh if we've tried the one.

SPEAKER_02 22:26

Oh, there's like a hundred weight tie for him. So all the hundred I take are fantastic.

SPEAKER_03 22:31

I've liked sloop. I think sloop works great. Um, that's SLU PP332. Um it's almost like workout in a bottle type of thing. Um right now I take sloop, tesamorlin, tesamorlin, epimorlin uh for weight loss, muscle gain. Um I think is excellent. BPC and then epithalon. Epithalon's like up there all the time, especially when I see my sleep dwindling. I, you know, I'm like, all right, I do like a 10-day cycle of it. Yeah.

SPEAKER_02 23:04

My my wife uses mine are the essential amino acids. Those are my favorite because my body needs it. Yeah. They're essential. Don't ask medical jokes. Sorry. I don't know about it. All right.

SPEAKER_03 23:22

Um, how about yours?

SPEAKER_00 23:23

Like, what do you I thought you never asked? I do love the glow stack, so like the GHKCU, BPC, TB500, and I like it with KPV.

SPEAKER_04 23:34

Yeah.

SPEAKER_00 23:34

I think it just brings down inflammation so well. I love Tesla Morlin. Um, because being a runner, like I also love lifting because I want to maintain my muscle. And I think Tesla Morlin works really well for women.

SPEAKER_04 23:46

Yeah.

SPEAKER_00 23:47

Um, especially I think it balances hormones and mood and sleep.

SPEAKER_03 23:52

So and that's what epithalon, I think, does a real good job at balancing hormones too. I think for females. I I think like also again, sleep, focus, and like just and overall it's probably balanced out the hormones that's I've used it, but I used it similar timing to the zebra lysin, so maybe it was a combo of that.

SPEAKER_00 24:12

Yeah. And they should use it more.

SPEAKER_03 24:14

Yeah, I do, you know, like the Russian studies were 10 days, um, a bit higher dose, but 10 days in a row and then like twice a year, and it decreased mortality rate. So I'm like, why not? But I'm gonna do it. I just don't see a downside to it. So yeah.

SPEAKER_02 24:31

What do you was your Tesla Moralin regimen?

SPEAKER_00 24:33

What dosage and like do you cycle or do you just I cycle it so I do like five days on, two off in the evenings. Yep.

SPEAKER_02 24:40

When I remember Are you consistently on it?

SPEAKER_00 24:45

No, no, I cycle. I'll do it for like a month and then I'll take a month or two off. Um, sometimes I'll throw in CJC epamorlin while I'm off Tesla Moralin, or I'll just come off altogether. Um so I probably do Tesla Morlin like three times a year.

SPEAKER_01 25:01

Okay.

SPEAKER_00 25:01

For like a month long for like a month, yeah, four to six weeks.

SPEAKER_03 25:04

Do you get the flushing with CJC? Because a lot of people like I didn't know, but like one of my friends said it, and I thought it was just that he took he's been on growth hormone for like 20 years, um low dose, but then he took C. I was like, why don't you stop taking growth hormone? You're like running. Yeah, I'm like, just start CJC, but like CJC caused a lot of flushing. I never had him try tesomorlin or anything, but he he had a lot of flushing. And then like I was talking to some of my other friends that I had started on CJC, and they're like, but one of them's like, I don't care, I I like what it's doing, so I continue to take it. Yeah. Uh and his wife was like, I couldn't do it because it just like felt like my whole face uh like I was racing.

SPEAKER_00 25:53

I I hadn't ever. Um, I've got one of my nurses, he and his wife took it, and they both like he hadn't had it and then had a he'd been on it a while and got it. His wife was similar, like she even felt like almost short of breath.

SPEAKER_04 26:09

Yeah.

SPEAKER_00 26:09

She's like, Oh, I can't take it.

SPEAKER_04 26:11

Yeah.

SPEAKER_00 26:11

But what I've read is like the more inflammation you have in your body, the more you can get that kind of flushing sensation with it. And I had it one time, yeah, but it was when I was pretty run down, like right around Christmas. I'd just run a big race. Yeah. And I was like, Oh, I need to go back on my CJC because I'd come off Tesmorlin. I did experience just a little flushing.

SPEAKER_02 26:31

How far after the race?

SPEAKER_00 26:32

Oh, it was like the next week. Okay. So I'm sure I was pretty inflamed.

SPEAKER_02 26:36

I I think so they these probably like just unexplained pathways between growth hormone and like your your inflammatory cells. Yeah. So they're gonna probably like release some type of histamine.

SPEAKER_00 26:47

Release more histamine, yeah.

SPEAKER_03 26:49

For me, I would get it some sometimes, but I didn't know if it was that or the 10 other things I was thinking. So melanotan will make me party flushan PT141 for sure. Melanotan just like makes you feel miserable for the first hour after you take it. But do you feel that?

SPEAKER_00 27:06

I get about 10 minutes. Yeah. Like nausea, flushed. I'm like, what did I just do? I know.

SPEAKER_03 27:12

I'm like, especially runs ultra marathons.

SPEAKER_02 27:14

That's why if you do that, you won't have those side effects for more than 10 minutes.

SPEAKER_03 27:18

No, melanatin, like, yeah, you you take it, you're like, all right, at least you know it's working. Yeah. Yeah.

SPEAKER_00 27:25

That's my theory.

SPEAKER_03 27:28

Yeah, it was that. What was the other?

SPEAKER_02 27:30

I want to chart how much you two spent on peptides throughout the year. This has gotta this has gotta add up.

SPEAKER_00 27:39

You get them wholesale, so it helps. That is true. I know that's why you have to have them in your clinic so that you can get them yourself.

SPEAKER_03 27:47

Makes it a lot easier. Yeah, definitely.

SPEAKER_00 27:49

So GHKCU sometimes stings, but it's really interesting because a lot of times it doesn't. One time I did it in my arm and I swear it went in the muscle instead of subcutaneous, and that hurt for like days.

SPEAKER_03 28:00

Oh, yeah, I'll get like a so I never put in my arm anymore. I have quite a reaction to it. Like, I gotta do very low dose because otherwise, yeah, I'll get a stro, like it'll go anywhere it spreads to, I'll get a red spray.

SPEAKER_00 28:14

Is it bruise too? No, no bruise.

SPEAKER_03 28:16

It just turns like Matsy and GHK, like those two.

SPEAKER_02 28:20

He just bruises wherever I hit him.

SPEAKER_03 28:22

Um yeah, and the other thing is if I do a little too high of a dose, like my entire face starts flaking because like your keratinosite turnover is like, yeah, it just like goes crazy.

SPEAKER_00 28:37

And like what if you just push through? Then will it settle down?

SPEAKER_03 28:41

I got it takes like a week or so to for it. Like, I'm like, why am I flaking so much? I was like, oh, because um I I got some that I had to mix, and like I I I was like, usually it just tells me units to put in, and I think I put two too high. First of all, it burnt like hell, and then I noticed for like a week my like my nose, everything's like peeling, and I was I was like, it must be from the GHK.

SPEAKER_00 29:11

That makes sense.

SPEAKER_02 29:14

I'm just tuning in.

SPEAKER_03 29:18

Um what peptides sucked?

SPEAKER_00 29:20

I don't know if I've had any that I didn't like.

SPEAKER_03 29:23

The one I think did nothing was KIS peptin. KIS peptin's never because people were like, take it to like increase your testosterone level, like it almost like a HCG.

SPEAKER_00 29:34

I used it with some women for like fertility to help, but I always use it with something else too.

SPEAKER_03 29:39

But someone said there's like a Kispeptin 50, but you can't find it anywhere. It's like the KIS peptin 10 and KIS peptin 10 is not as effective at all. Like some people it works for, I think it's only like 30% of people or something that it's effective on. Yeah.

Peptide Stacks For Recovery And Performance

SPEAKER_00 29:55

So yeah, simaglutide I hated, honestly. Really? Yeah. I think I mean I think trzepatide, and I just use retitrutide now. Yeah, because I think it's so much better. Yeah, but I took after I had like 10 pounds of baby weight that I wanted to get rid of, and I'm this was like six years ago, and I'm like, let me try it. And literally one shot, I had nausea the whole week, and I was like crazy. Like, and the only thing I can relate it to is that like dark thoughts. I was crazy.

SPEAKER_03 30:27

It it I could like being female, I will admit, but but it might be a female thing that the females react because I had a patient that called me today that just started oral semiglutide. She's like, I love the anti-inflammatory effect, but it made me just absolutely moody and crazy. She's like, I can't do this. It's like just absolutely nuts. I'm like, I didn't have I haven't really had, you know, I I knew about the whole suicidal ideation and thoughts like that and decreased energy, but I hadn't heard about like really much mood changes.

SPEAKER_00 31:03

One shot, and I'll never touch some of glitide again. So I was nervous for turbulence.

SPEAKER_02 31:07

Start at a lower dose. I think it's the body tolerance to the just pure GLP one agonist that that could do that if you maybe but I might start it at like the lowest dose.

SPEAKER_03 31:21

Yeah, but even the lowest dose because 0.25.

SPEAKER_02 31:24

Yeah, start at the highest dose. I started at the highest. He showed up in the operating room. He's like, I'm feeling sick. Oh, yeah. Yeah. You have to leave the whole R. We're in a case together. He's like, I gotta go to the bathroom. And he's like, I don't know. This guy's too cool for anything. Like it's stuff like I don't need to titrate this. These weak ass motherfuckers taking like half the dose.

SPEAKER_03 31:49

It's like I've taken everything, every diet thing on the planet, and I'm like, oh, this is kind of like nothing really works on me. And like I don't have time with anything either. I because at the time, like you got like my insurance even paid for it.

SPEAKER_02 32:05

I paid 25 bucks for like six months worth and I came into the OR for like an eight-hour procedure, and he was just like, I gotta go to the bath.

SPEAKER_00 32:15

Oh, that would be miserable.

SPEAKER_03 32:16

Yeah, I finished my part and then I was like, I I gotta run. Yeah. But like, yeah, it was like I thought I got food poisoning because I I had like a tuna sandwich, and then uh that's what did it then I was like uh must have been in the tuna sandwich, and then I was like, hospital food?

SPEAKER_02 32:35

Yeah, yeah. If it's hospital food, we're just like in the physician's lounge and stuff, like you know what, you get sick, you get to deal with it.

SPEAKER_03 32:44

And I rarely eat hospital food, so it was like once in a free while hospital food, like free food.

SPEAKER_02 32:52

I know, I know. Now I'm like, I look at it like one of the hospitals. I'm literally like deciding between the entrees, like how much diarrhea do I want after this?

SPEAKER_03 33:04

This is well, our youngest brother, he keeps on getting sick from the one hospital. He's like, I'm more like, you got issues, man. You're sick every other week. It's like he's we both got sick one time.

SPEAKER_02 33:16

Like I showed up like the operating room whole day of surgery with him too, and we both were like not just having stomach issues, but had fevers and have to operate the whole day. We were having like fevers and chills, and it's just like I gotta scrub out. I gotta scrub out again. And then like we brought it up to him and was like, Did you guys eat at the hospital on Thursday? We're like, Yeah, he's like, What do you think?

SPEAKER_00 33:43

Yeah, isn't that sad?

SPEAKER_02 33:44

Like the place that's supposed to be healing people is where it's horrible, it's like mass-produced, and we've we've brought it up on prior episodes.

SPEAKER_03 33:53

Talk about seed oils. I uh I'm just afraid of the oils they use, so I freaking my own food.

SPEAKER_02 33:59

Forget about the oils. Like, I've brought this story up a couple times already in previous episodes, but I we had a friend on the wrestling team that his work study was in the cafeteria. We're like, Oh no, his name was Jose. Um like, hey Jose, what are you doing with those buckets? Five-gallon buckets, he's garrying two of them. He's like, Oh, just taking them to the kitchen so they can use it with the food. Like, what is that? He's like, Oh, it's laxatives. I'm like, wait, what? He's like, Oh yeah, anywhere you mass produce foods, they dump it with laxatives because the faster it goes through your system, the less chance you're gonna get food poisoning from it. I was like, what the fuck?

SPEAKER_00 34:43

That can't be true.

SPEAKER_02 34:44

It is, it's true. I looked it up. It's true.

SPEAKER_03 34:48

You go to the buffets and stuff, that's the don't eat up. Yeah, and that's that's why I'm like always wary of like I almost never go to all you can eat buffets.

SPEAKER_02 34:58

Yeah, it's just yeah, go to PF Chang's for like for for like rat shit lettuce reps.

SPEAKER_03 35:06

I want to know where you get your Reditrutide from.

SPEAKER_00 35:09

Soma.

SPEAKER_02 35:10

Another great segue.

SPEAKER_00 35:13

I use I use Soma peptides for all my peptides, really.

SPEAKER_03 35:17

All right.

SPEAKER_00 35:18

I love them. They've been really good to work with. Soma peptides?

SPEAKER_03 35:21

Soma, yeah. My friends, a bunch of my friends get it from third-party tests, they're batches.

SPEAKER_00 35:27

I feel like they're pure, they're good to work with, they're easy to get.

SPEAKER_03 35:31

I've started to use Alpha Biomed. They um for my own stuff. I don't use it with the patients, but they I supposedly they're a 503B company, but like I'm just kind of afraid of like when the patients go because you can set up a site that they can go and buy their own stuff from.

SPEAKER_00 35:51

So my patients all like go through me to get them, but yeah. But I do like the redotruitide.

SPEAKER_03 35:57

Yeah, yeah. No, I know it's I've been on the red or true tide and I just ran out and ordered some more.

SPEAKER_02 36:03

So which receptors do you does redotruda trutide work?

SPEAKER_00 36:08

GLP1, GIP, and the glucagon receptor. Okay, that's yeah, so that's the third one.

SPEAKER_03 36:14

So you actually don't feel like you're on a GLP one when you're doing it, yeah, but you notice like you notice you're keeping muscle, you're eating less, and you just feel clean. I don't know.

SPEAKER_00 36:26

That's that's the way I think it's more anti-inflammatory, although I read a study that showed maybe trzeptide had a little less inf like a little stronger anti-inflammatory effect. Yeah, yeah. I I definitely see with retitruitide, people don't have as much muscle wasting. Yeah. So I take it more for the anti-inflammatory effect and microdose it, but I don't want to lose weight and I want to keep my muscles. So that's why I like it. Which you'll micro dose about half is like yeah, like five units, like one milligram.

SPEAKER_02 36:58

Yeah. And where do you usually start your uh patients at?

SPEAKER_00 37:02

Usually at like 10 units. Yeah. So two.

SPEAKER_03 37:06

It starts at two milligrams. Yeah. You gotta get on it. Um I I do.

SPEAKER_00 37:12

But that would require me to think my mom used it and it it made her mood so much better. My whole family is like, what did you do to mom? Please keep doing it.

SPEAKER_03 37:24

Overall, it's it's probably balancing hormones too. Yeah, you know, overall less fat, less inflammation. Yeah.

SPEAKER_00 37:31

For for my patients, I do. Yeah, yeah. I do it like once or twice a month because I really, really low dose it. Yeah.

SPEAKER_03 37:39

Yeah, and it actually like, you know, even at a like when I do it once a week, it like you don't feel like you actually need it with troseptide you at day five, six, you notice you're like snacking a little more. Yeah.

SPEAKER_00 37:54

So with trzepatite, I often actually split it and have my patients do it twice a week.

SPEAKER_03 37:59

Yeah. Okay.

SPEAKER_01 38:00

Okay.

SPEAKER_03 38:00

But and semiglutide has the best satiety. It's supposed to have the best satiety out of all of them.

SPEAKER_00 38:06

But yeah, I hardly use it at all. And probably personally, just my experience, so I guide my patients away from it. Yeah, yeah.

SPEAKER_03 38:13

I I know I try to as well like but some patients want a cost effective.

SPEAKER_00 38:19

Yeah, yeah, it's much cheaper.

SPEAKER_03 38:21

Yeah.

SPEAKER_02 38:22

For now.

SPEAKER_00 38:22

For now.

SPEAKER_02 38:23

It's gonna be different in 12 months. It'll always be cheaper, but yeah, price gap is gonna decrease over time.

SPEAKER_00 38:29

Yeah, I think we'll see it improve. Be more available.

SPEAKER_02 38:32

Until uh 15 receptor injection comes out.

SPEAKER_00 38:37

Yeah.

SPEAKER_03 38:37

Yeah, I'm just wondering when Reditru Tide's actually gonna come out.

SPEAKER_00 38:41

It'll be really interesting, especially like since so many people already are using it and found it. Like what Eli Lily's gonna do with that.

SPEAKER_03 38:50

Yeah. So um yeah, it's just it's just a wonder like what they're waiting for to actually release it. Yeah, you know, because they probably have enough results in every because it's shown drastically better results than the other two.

SPEAKER_00 39:07

But how to rep tummy once they're trying to get it labeled as like a biologic, because then that makes a difference on whether compound pharmacies can make it or not. So they can charge more and compound pharmacies can't do it then.

SPEAKER_02 39:20

So I that makes sense. That actually makes perfect sense.

SPEAKER_00 39:24

So maybe that's what's taking longer for them to push it out, is because they're trying to wait on that.

SPEAKER_02 39:29

They just need to add a monoclonal antibody to it, and they can really charge like top dollars. And then you'll start seeing commercials on TV for moderate to severe obesity. If you have mild to moderate, you're fine. But moderate to severe, we got we got the drug for you.

SPEAKER_00 39:48

You need it. Yep.

SPEAKER_03 39:49

It's a biologic. So, what are some of the things you do in your practice?

SPEAKER_00 39:54

So we do hormones, yeah. Um, we do we do a lot of IV therapy.

SPEAKER_04 40:00

Okay.

SPEAKER_00 40:00

Um, we do some of the specialty IVs too. So, like ozone therapy, yeah, methylene blue. I love NAD. Okay. We do chelation. Um, and then we do weight loss. Um, I call it body balancing. Yeah. Because I'm trying to teach them like I don't want you to lose weight. I want you to get your body fat percentage down and build muscle.

SPEAKER_04 40:23

Yeah. Yeah.

SPEAKER_00 40:24

Um, and I try to do a lot with recovery and getting more and more connections with like more athletes and especially runners. Yeah. Like, hey, like use this like to improve your performance and your recovery. We do a lot of peptides.

SPEAKER_02 40:39

Okay. Um where are you guys located?

Cycling Protocols Flushing And Skin Reactions

SPEAKER_00 40:41

I'm right by Encanto Park. So I have a little, it's a historic home that I turned into like a little wellness retreat. Okay. So you feel like you're going into a house and it's really cozy and cute and have a nice little garden where they can go drip outside. Nice. Yeah.

SPEAKER_02 40:56

Um do you do acetamine treatments there too now?

SPEAKER_00 40:59

Yep. So that's just coming on this spring. We just got it in. Um so I love it.

SPEAKER_03 41:08

And then for like hormones, what are you doing overall with hormones, injections, creams, or like what are you doing? Oh, the above.

SPEAKER_00 41:16

Yeah. So usually hormones, um right now they're meeting with me, but I'm bringing on uh a nurse practitioner who will kind of lead that up. Um and then I'll meet with her every six months. Yeah. Um, and then they just choose what works best for them. Yeah. I think not it's not a one size fits all. Yeah. Um, so I don't love creams, but some people want to try that. So I let them.

SPEAKER_03 41:42

Yeah, I have a ton of friends that are on creams because yeah, they're don't want to do injections. It's easy for them. Like for me, I hate putting on creams, so it's like a lot of things.

SPEAKER_02 41:52

It's kind of sloppy from what I hear.

SPEAKER_04 41:55

Yeah.

SPEAKER_00 41:55

And then the trochies we use, um, RX formulations or camelbot compounding is usually will custom make them for us. And I think they work. I just I mean, it takes forever for those things to melt in your mouth, and I would get sick of it. Yeah. And I'd forget. I'm I'm terrible at that. So I like the injections or the pellets the best.

SPEAKER_04 42:15

Yeah.

SPEAKER_00 42:15

Um, I love pellets because again, probably personal preference. Like it's a like you get it and you forget about it. What pellets do you use? Um, I've used bio T and Anazao. Okay. Yeah.

SPEAKER_01 42:27

What do you prefer? Either one or both?

SPEAKER_00 42:30

I don't know that I we just had a bio tea recall and I had the pellet, I had extra pellets put in me.

SPEAKER_03 42:37

Yeah, they had heavy metal in them. So like we we were we didn't have them for a while, and we just got a bunch of. Yeah, there was a recall, so yeah.

SPEAKER_00 42:46

So I got a bunch from Aniseo, and I I don't know what I'm saying.

SPEAKER_03 42:50

We were thinking of going to, but yeah, yeah. I I I just think like they gotta IOT's like education stuff.

SPEAKER_02 42:58

It talks about how like it's gotta be pure bioidentical. It's like what what are they like putting fish in there? Where is your heavy metal poison?

SPEAKER_03 43:08

I don't know. I don't know. Um sorry, yeah, yeah. I I love pellets, but like I you know, you don't get the high like you do with uh injectables. Um but also I don't like you can never tell how they dissolve or how you absorb them. Um uh but it is good to have a balance with that, and if you need to either add creams or injections, like yeah, when you're you feel like you're getting down, I think it's uh that's what I'm finding.

SPEAKER_00 43:40

And even people that you think you've got, hey, they're on the dose, yeah, every once in a while they'll metabolize it faster. And then like is it what they're eating, is it their stress? Is it they're exercising more?

SPEAKER_02 43:49

Yeah, you probably have a wide range of exercise. Yeah. Patients like you probably have some like hyper athletes.

SPEAKER_00 43:57

I push them to to get more exercise, so maybe. They're listening to me finally.

SPEAKER_03 44:02

That would be nice. But like your numbers could look good, but you don't like you don't feel like your numbers are are there. And I I've felt some sometimes with the pellets where I'm like, all right, I'll do an injection this week or something like that. But like definitely a little bit. Yeah, different different doses.

SPEAKER_01 44:19

And I've I I've gone to titrate the other hundred peptides I'm taking. It might be one of those.

SPEAKER_03 44:27

Well, for you, you you just probably do small pellets, but like yeah, I I was doing the larger pellets and I was like, you gotta be a pretty big guy to it. Like it felt like a grapefruit in my back. So I was like, I couldn't do that for too long. Yeah. So I but still like it's like 12 or 14 pellets with a small one, so it's not like a small thing, right? So I watched the subconscious. They do have something that's similar to a gun. I'm like, that's one of the things I wanted to go to the conferences for. It's like last time I went, like, we looked at a bunch of pellets. We're like, oh, we have bio T, but like now I'm like need to go and study the pellet companies. I know there's so many companies out there, and I kind of just like I was like, ah, whatever.

SPEAKER_00 45:12

But it's that's the same with the peptides. Like, I'm sure there are tons of great companies. Yeah, and I've tried a I tried a few out before I found Soma and I yeah, I like Soma, and I'm like, I like them. Yeah, I know them, and there's just the options are overwhelming. So I think with Pulitz, it's kind of similar for me. I'm like, okay, I know how these work, and I'm just gonna stay with them even though there's a hundred other options, just because when do you stop searching?

SPEAKER_03 45:38

And yeah, like one guy, um I on YouTube, he he was doing a comparison and testing out like 10 different companies he bought Reditrutite from. Oh, really? And he's like, he's trying to see how pure they were. They were all like the same purity level. He's like, either they're all getting it from the same place in China, or like arguing whose is more pure. Yeah, and they were all like 97% pure, which is like it's good to hear that there's that many companies producing even out of China, yeah. Yeah, well, I've I've looked at it, and like my friend, because we were looking at opening up a research um company, and he went and like tested like 20 different companies. Um, and he's like and he brought them back and third party tested them and like found pretty good product. And a lot of the companies, the higher, the more you paid for it, like the more testing they had done on the product. Yeah, already. So uh beforehand. One of one of the main things was like I I used to use originally started with peptides, I used peptide sciences. Oh, yeah. And that was the changeover was when I went to the compound pharmacy, and when we were talking about the whole growth hormone thing, and you were saying with um the flushing, like if you're more inflamed, what happened like with me, it was like CJC epimoral. I got these vivid dreams as soon as I got the compounded form compared to what I was getting from peptide sciences. I was like, all right, maybe it's because like the peptide sciences one was just like nothing, and now I'm getting the real stuff. But like once I caught up with my deep sleep, yeah, then the vivid dreams went away. But like anytime I came, you know, I had low sleep quality, yeah, then the vivid dreams come back when I take interesting. Yeah, when I just epimorin, even with tesamorin stuff, yeah, with the growth hormone releasing peptides. Yeah, that I was trying to remember what I was trying to say, and that that was it because you were talking about the inflammation, and that's kind of like you know, inflammation or not enough sleep, that all that comes together with these peptides kind of balancing everything out.

SPEAKER_00 48:00

I think that's a big deal I teach my patients too, is like, hey, we have all these tools, and I love peptides. They know it because I talk about them all the time. I love IVs, I use them, but I mean at the base is you've got to get sleep and you've got to get exercise and you've got to eat right.

SPEAKER_04 48:14

Yeah.

SPEAKER_00 48:14

And so we do a lot of that trying to educate the patients on that. Um, because it's amazing how many people don't realize hey, just get the basics. Yeah.

SPEAKER_03 48:23

Um well, their PCPs also don't tell them because that's and that's how they come to me and the you know, out of everything for their health, and because their PCPs don't spend the time, they just give them more antihypertensive or diabetic medications without or tell them to they're like, Oh, your hemoglobin A1C, it's a little elevated, you're pre-diabetic, but you you could do diet and exercise.

SPEAKER_02 48:49

Hemoglobin A1C is probably so detrimental for your own.

SPEAKER_03 48:52

Oh, they're already five years behind.

SPEAKER_00 48:54

So, you know, and then you look back and they've been trending up for eight years, and you're like, why didn't we stop this six years ago when you saw it slowly trending up?

SPEAKER_02 49:03

Yeah, so I was thinking you should probably do something with the ketamine with life coaching for balancing diet and not like anything major, like major depressive disorder, but doing doing like the ketamine or psychedelics, and then providing the coaches coaching to reset the way they think about eating, exercise, daily routine, sleep. Yeah, I think that would be like a huge like shift. That would it's like minimum risk and like little cost, really.

SPEAKER_00 49:41

So change your mindset so that you can get better sleep, better nutrition, and be willing to exercise and then be able to prioritize your life the appropriate way.

SPEAKER_02 49:52

Like this is what's confident, this is what's like really important in your life. Yeah, like yeah, I know we're trying to treat depression and stuff, but if you get the appropriate sleep, you're gonna be doing better. If you get eat appropriately, you're gonna be doing better, and all those little things add up even more.

SPEAKER_00 50:12

Yeah, it seems so simple, but we all struggle with it.

SPEAKER_02 50:15

Yeah, yeah, and we don't get taught this in residency or anything, not at all.

SPEAKER_00 50:20

And we're because big pharma is taking over.

GLP-1 Drugs Retatrutide And Microdosing

SPEAKER_03 50:23

Yeah, but like but like as you learn more and more, and you're like everything's connected, and like people say that over and over again in like longevity medicine, but like once you start your journey and like you start doing it, you're like, shit, like you you notice, you're like, all right, my stomach's felt like crap, like I like my mind's been out of this world, like I can't think straight, I haven't slept appropriately, and like everything combines, like you know, you settle out your stomach, then your your brain gets back to functioning and you get better sleep, like all of it kind of comes together, and and like that's that's the thing with some of our TikTok posts, like you know, we're talking about like breast deformities and stuff, and people are like, it's not help, it's not a deformity, or you know, it's it how is it good for their health? I'm like, mental health is part of your overall health. So if your overall health isn't good, or if your mental health isn't good, your overall health isn't gonna be good. If you look at yourself in the mirror and are down, like you you need something to pick you up, you know, what you want to be normal. Um, it's not what like you know, other people think looks like a defect or not like a defect. If it bothers you that much, you know, like go and do something about it because mental health's a huge part of everyone's world, and yeah, with care.

SPEAKER_00 51:52

We have a whole sexual wellness program too, and I think that's super important.

SPEAKER_03 51:56

Yes, yeah.

SPEAKER_00 51:57

And people like get scared to talk about it or embarrassed to talk about it, but you can't be healthy with that part of your life.

SPEAKER_03 52:04

Yeah, not I always say you can't be you can't be healthy if you're not horny. So that's like someone said that, and I've always said Jose.

SPEAKER_02 52:12

It looks like he would say that.

SPEAKER_03 52:14

Yeah, someone said that, and I was like, Oh, that's that that is absolutely true. Yeah, so yeah.

SPEAKER_02 52:21

If you didn't recognize the the main thing we do in this podcast is we we bring on people who specialize in health, and he just talks at them for a good hour.

SPEAKER_03 52:36

So when you're treating hormones, here we go, look at it. Yeah, it's like okay, you want to know how to treat hormone level. Like, so what do you do you look at blood tests? How do what tests do you look at? And what do you try to get people to like level wise?

SPEAKER_00 52:52

What oh, um, so we just do labs, yeah. Um, like serum testing. Um, I do have the Dutch test. I'll do the Dutch plus test with the cortisol.

SPEAKER_02 53:03

Yeah. What's the Dutch test?

SPEAKER_00 53:04

The Dutch test is like urine and saliva. So um it's gonna break down all the hormone pathways. It's a lot of information. Yeah. Is it necessary? It's not a have to, but sometimes it's a nice added bonus when you get someone who's like, okay, we've got a serum, we've done biodenical replacement, and you don't feel better, even though your numbers say you're better.

SPEAKER_02 53:26

Which hormones does it um test?

SPEAKER_00 53:29

I mean, you're gonna break down all of your estrogen, testosterone, progesterone, but then you're gonna get all of the in-between chemicals and the pathway that they break down in your body. Okay. Um, and then you're gonna look at the HDA access too with cortisol.

SPEAKER_02 53:45

Okay, that's okay.

SPEAKER_00 53:46

So you're looking at all the different steroids. Um, we do the GI map. Yeah so we do some GI testing because I think gut health is related to overall health in a really big way.

SPEAKER_04 54:00

Yeah.

SPEAKER_00 54:00

Um, and then I do max gen, so some genetic testing. Okay. Because that's gonna look at like where are your genetics and how can that foundation build on how we treat you.

SPEAKER_04 54:11

Yeah.

SPEAKER_00 54:12

Um, and that's where we see like the apolipoproteins, the MTHFR. It's so popular to talk about right now.

SPEAKER_03 54:18

Yeah. I think it's well, I I heard someone talking about it on the one of the Aforum lectures a couple weeks ago. It was from the longevity conference. But they were saying how like people are making it like it's a huge thing where it's not. It's like, you know, it's only a certain port of that uh gene that's that you got to look at because a lot more people are gonna have that issue. It seems like they're gonna have that issue, but it's only a subset of them that have that part of the like 80% of people in America have some form of it.

SPEAKER_00 54:57

Yeah, but to what degree? Yeah, and how much is that in the case?

SPEAKER_03 55:00

Yeah, she said yeah, to look at like the second receptor, not just the notes.

SPEAKER_00 55:05

And the max gen does break that down, yeah. So you see both alleles. So it's kind of neat.

SPEAKER_02 55:10

Is for what again?

SPEAKER_00 55:12

The MTHFR. Yeah.

SPEAKER_03 55:15

And how does that affect like when you take vitamin and like the B vitamins and folate, and what format form you take it and how you can metabolize and absorb it.

SPEAKER_02 55:26

There's different ways to take those supplements and your body will absorb it if you have certain genetics.

SPEAKER_00 55:34

Genetically, some people don't methylate it. Yeah. And so then it just builds up in the body and they're not utilizing it. Um, so you can get like methylated foliage.

SPEAKER_03 55:43

Um Thorn has the methyl B compact, so you can just take that. But do you need that?

SPEAKER_02 55:50

Like, you know, it's not for everybody. It's not everybody.

SPEAKER_03 55:54

No, like Gary Brecca makes it like this huge thing, like it's a lifesaver. Like like I tested this person for this and they gave them B vitamins and it cured their life, you know. Um, which it doesn't really make that much of a difference.

SPEAKER_00 56:11

I've seen people with like significant, like that have like both alleles and really don't late getting them, and then their energy really goes up.

SPEAKER_04 56:20

Yeah.

SPEAKER_00 56:20

But for majority of people, like, is it helpful? Six, seven.

SPEAKER_03 56:27

But but it what it's made is that like everyone just like makes methylated, you know, like B complexes.

SPEAKER_00 56:34

So now you could, you know, if you're even worried about it, you don't even need the genetic test, and just take the I use it a lot to scare people, not to take energy drinks, because I'm like, oh, don't take cyano cobalamincy, your body can't use it.

SPEAKER_03 56:48

Yeah. That's good because the energy drinks are so bad. Yeah, like even the sh like I used to drink the sugar-free ones.

SPEAKER_02 56:55

What if you drink less than four energy drinks a day asking for a friend?

unknown 57:01

I'm kidding.

SPEAKER_02 57:02

I'm joking.

SPEAKER_03 57:03

At least you're less than four. I just think it used to it it made me want to eat more and eat more sugar. Yeah. That's all it did. Definitely does. Like I would just crave like sugar as soon as I got home.

SPEAKER_00 57:15

I just got a caffeine intolerance and I would eat more and more and more until I started like pounding red line. And yeah, it's how it goes.

SPEAKER_02 57:24

I I wake up to four shots of espresso in the morning. Yeah.

SPEAKER_04 57:27

Well, coffee's good for you. Yeah.

SPEAKER_02 57:30

And and then on the drive to work, I have like a 20-ounce Red Bull. So it's not good.

SPEAKER_03 57:36

Yeah. What are your thoughts on coffee? But it's true. Like, you know, you hear people that are like, uh, it's good. But like I heard you on was it one of your reels or on the podcast saying, like you the first thing you enjoy is like your coffee.

SPEAKER_00 57:53

And I like coffee. Yeah.

SPEAKER_02 57:55

What do you have? Just this straight up coffee, black coffee, whipped.

SPEAKER_00 58:00

Just black, yeah. Okay. Yeah.

SPEAKER_02 58:01

I one cup.

SPEAKER_00 58:04

No, no. I have like three or four. In the morning. Yeah. I do the layered mushroom coffee. I love it. It tastes good. Oh, yeah. Yeah.

SPEAKER_03 58:12

I do that for my wife. I make the espresso shots and I put it in there. She doesn't know. I just started using that as the creamer because it's got like lion's mane and raishy mushrooms still.

SPEAKER_00 58:24

Yep.

SPEAKER_02 58:24

Nobody knows.

SPEAKER_00 58:25

I think the biggest problem with coffee is when you put all the sugars and the creams in it. I like a good latte here or there, but my morning is black coffee.

SPEAKER_03 58:33

But the lyrd actually has a lot of sugar in it.

SPEAKER_00 58:37

No, just the coffee.

SPEAKER_03 58:39

Oh. I don't use the creamer. Oh, the creamer. Yeah, the coffee beans. Yeah, their creamer has a lot of um. She was like, How dare you? Their creamer has a lot of um sugar in it. Oh, with the amount they tell you to use. Not per serving on the bag is actually low, but they tell you to put two tablespoons and that's like a teaspoon. Never use their creamer. Yeah.

SPEAKER_00 59:04

I just get the beans and make it French crust.

SPEAKER_03 59:07

I I didn't know they yeah, I didn't know what they made their beans.

SPEAKER_02 59:11

I just have espresso shots. Black.

SPEAKER_03 59:14

Yeah, I try to wait two to three hours to like so let my cortisol like do its thing before doing my coffee.

SPEAKER_00 59:22

I have a friend that ER doc and that, and he's like, you need to drink water first. Yeah. I'm like, no, this is me.

SPEAKER_02 59:31

Just balance, a little bit of balance.

SPEAKER_03 59:33

I I think it it works well with overall mood too. I think you get a good serotonin dopamine release with it.

SPEAKER_02 59:42

So like overall, like it's no, definitely not your coffee right now. Absolutely not.

SPEAKER_00 59:48

I feel best if I like go for a little run, yeah, and then have coffee. But I can do that some rings and not all the rooms.

SPEAKER_02 59:57

Yeah, what's a little run for you?

SPEAKER_00 1:00:00

Five miles.

Inside A Functional Medicine Clinic

SPEAKER_02 1:00:03

It's more than what I will run for the rest of my life, like all put together. I hate running. Nothing against running. It's okay. I just hate it. We were forced for wrestling, wrestled in college. We ran two to eight miles to warm up for practice. Yeah. And it's just like the whole time, it's like, what the fuck? Like, this is this is just so I can go and do excruciating stuff. Get beat up. And even before then, in in high school, I built up to like 18 miles, something like that. And to lose weight. It's when I was wrestling like 103. Oh my god. I was short. Um and the last day I ran, it it was it's funny, I keep saying I ran because that's where we're from. I ran out like nine miles. I was gonna run out like do kind of a marathon 13 miles out, 13 miles back. I was nine miles away from the house, and I was just like, I think I'm done running, like I don't want to run anymore. And I walked home. I didn't even run home. I was just like, You're just dying. I'm just good, I'm I'm done. I'm not doing this. And then after wrestling, because uh how much running was involved, I was like, I'm not never running again. And I actually did run again like six years after it was in Rhode Island, so you ran halfway across the state. Yeah, that is true, that is very true. It was like a fifth of of the way Rhode Island's really Rhode Island's like a fifth of the size of Maricopa County, but um it's the size of Phoenix, isn't it? Yeah, yeah. But yeah, I I don't I don't know. It's not it's not for everybody else.

SPEAKER_00 1:02:01

It's not, it's not, but there's other exercises we could get Jazzer size. There you go.

SPEAKER_02 1:02:08

I'm gonna pick up Zumba. My wife was.

SPEAKER_00 1:02:10

Maybe you wanted one of the like strip pole classes.

SPEAKER_03 1:02:16

I just went to Cardi B and they had stripopoles like the entire I had a patient for everyone that's watching to use? No, they had like no, it's for stage. There were like different setups with stripopoles on it.

SPEAKER_00 1:02:31

Okay.

SPEAKER_03 1:02:32

Yeah.

SPEAKER_02 1:02:35

I forget what the patient said, Jed breast dogs. Like, it's what I do for fitness. I do like pole exercises, and I'm like, what? It's like like pole exercises. I'm like, I I think I know all different exercise routines, or almost all of them, but what does that mean? It's like, oh, you know, dancing with the pole. I was like, oh, okay. I was like, you enjoy it? She's like, yeah, I'm like, go ahead, you can go back to it.

SPEAKER_00 1:03:05

It's removing. Yeah.

SPEAKER_02 1:03:07

I was just like, just not too much pushing, whatever to you. Which you really don't need to do on a pole. Like, you're you're more pulling.

SPEAKER_03 1:03:15

Yeah.

SPEAKER_02 1:03:16

I'd never be never been big into strip joints, but you always have a friend growing up in a boys' group. I just bring up, I have my friend, like, like, oh, what are we doing? Yeah. What are we doing tonight? Oh, strip joints. Like, dude, it's 4 p.m. Like, no, like, we're not gonna do it. But one of the most incredible feats I've seen is I I lived in New Orleans for um six years, and I would end up at strip joints because friends would come in with bachelor parties.

SPEAKER_00 1:03:54

And you had to go.

SPEAKER_02 1:03:56

Yeah, it it I never I swear, New Orleans doesn't seem like a place to be able to do it. I don't I don't enjoy them because as a plastic surgeon, I'm looking for deformities more than like appreciating it's like, oh man, look at how mobside her boobs are, or this it's oh yeah, that incision looks crazy bad. But at one of the clubs, they have like a two to three floor uh pole, and the stripper would go to the top, go upside down, and like suicide drop down and stop with their face like this close to the floor. I was like, oh my god, I gotta go with the ATM. This start the Soleil shit.

SPEAKER_00 1:04:43

I've never been until COVID, and everyone was like, No, okay. And so I was like, okay. And I just was like, wow, they're really strong.

SPEAKER_02 1:04:54

They're really strong. Like to do it for that long.

SPEAKER_03 1:04:57

Yeah, yeah, the stuff they do is just like even like the Cardi B concert. And I I don't know, I she's like six months from pregnancy. I'm like, I don't know how you like you gotta really be fit to like be out there and like she's Puerto Rican, it's almost like running the marathon. But like for her to carry that ass around, it's like it's even more work. I'm like, you just watch her, you're like, holy shit, that seems like it's was it bigger in person? Oh, it was freaking huge. And then I and and just like you were saying, you notice the deformities, like she's got this huge knot and her right butt cheek. And we're sitting in the front, we're sitting in the front row.

SPEAKER_02 1:05:38

This is why it sucks to be a plastic surgeon. You're like, Oh, you're supposed to enjoy this stuff. Oh, what's Yeah.

SPEAKER_03 1:05:44

I tell my wife, I'm like, I'm like, do you see that fat nec? That's what the fat necrosis they were talking about, you know. Yeah.

SPEAKER_02 1:05:51

I can't I can't enjoy boobs anymore. It's done. I left that behind like 15 years ago.

SPEAKER_00 1:06:00

Terrible, terrible problem to have.

SPEAKER_02 1:06:07

You're a medical professional that's been through residency and stuff. One story I'll share with you is that that same friend that always brings up going the strip joint. When I was in medical school, I was just like, Yeah, this sucks. I'm two weeks into my obi-guine rotation. I can't wait to leave. He's like, wait, you look at vaginas all day? I'm like, yeah. He's like, and that sucks to you. I'm like, how many times have you gone to the doctor to tell him how good you feel?

SPEAKER_04 1:06:37

Yeah.

SPEAKER_02 1:06:37

This is what we're dealing with. It's just this is wrong with my vagina. That's wrong with my vagina. One lady came in with these, like one lady came in with these small white chalky things coming out, and I'm picking them out with tweezers, and I'm like, like all our textbooks, nothing resembled this. I'm like, it's a yeast infection, some type of STD, some type of weird cancer, whatever. And I just asked her, I was like, what's going on? And she's like, I put some tic-tacks in there, so I figured I'd freshen up for you.

SPEAKER_04 1:07:21

Are you just joking? No, that was wrong.

SPEAKER_00 1:07:23

That is the one thing I don't miss about the ER is all the things that I have removed from orifices.

SPEAKER_02 1:07:28

Oh, I had a I I rotated like during plastics residency, spent two months in the ER, but one of the ER residents was notorious for trying to like sign out a bunch of pelvic exams. I'm like, dude, I'm an outside rotator. That's your exam. I do not need to do a single pelvic, uh, one more pelvic exam. And and they're just like, you you have to do it. I was like, no, you just stored up three pelvic exams. I don't, I I will not do it. I will I will discharge this patient without doing the pelvic exam if you guys force me to do it. And that's how we came across especially the ER.

SPEAKER_03 1:08:08

Like, I would skate like when I was a sub eye and dude.

SPEAKER_02 1:08:13

The ER was brutal. Yeah, like I I don't know what we would spin through like, uh, not that one.

SPEAKER_03 1:08:19

There's a lack on the face, I'll fix that.

SPEAKER_02 1:08:21

You ever you ever yeah, you ever get the patients you have to put the net on their face for spitting?

SPEAKER_00 1:08:26

Yeah, yeah. Yeah, we had a especially in Seattle, they were all angry and drunk and wanted to spit at us.

SPEAKER_02 1:08:33

Yeah, or are high on drugs.

SPEAKER_00 1:08:35

Yeah, yeah. But there was one that I swear was demon-possessed, like crawling up the wall, hanging from the ceiling.

unknown 1:08:42

Yeah.

SPEAKER_00 1:08:44

That was that was like we ended intubating them.

SPEAKER_02 1:08:46

Yeah, like wait, you end up oh, you had to sedate them and intubate them. Yeah, that makes sense. We had we had a couple like those.

SPEAKER_03 1:08:54

Yeah, yeah, like the psych rotation, like you you're like, oh, I read this in the books, but people are like really like it's like I was it really happens, I was freaking scared shitless. They put me in this room with this like huge lady, and she starts talking to some something else, and like I was like, Oh my god, am I safe?

SPEAKER_02 1:09:18

The problem with ER is like everything with any other specialty outside of ER, things are kind of packaged up for you, yeah, or you're told to take care of certain parts in the ER, you're like just taking care of any type of madness that comes out. Had a patient that kept getting brain bleeds because he would get drunk, talk a bunch of crap, and eventually he needed a craniotomy and and lost the bone flap. So he had a soft spot over here. And I I just I knew him because of my neurosurgery rotation, and this guy would be just like yelling all these obscenities, and the neurosurgery staff would press on a certain part of his frontal lobe, and he would shut up and just be normal.

SPEAKER_04 1:10:13

Oh my god.

ER War Stories And Where To Follow

SPEAKER_02 1:10:14

And I see this guy coming to the ER and he's just yelling, like he called me the N-word, like no less than 45 times as a white dude. I'm like, dude, he's he's kind of off. If you guys can't tell, he's a little bit off. Like he's called me the N-word. I'm a couple shades lighter, and he's actually called me the N-word with an R, like he really thinks I'm black. Need to calm him down. Just like, no, we gotta give him more drugs. And they kept like pounding him with all this uh Haldol and stuff, and not calming down. I'm like, oh, I remember what works for him. And I went and just pushed on his brain on that same spot, and it worked, it worked, and then all the ER docs are like, No, you can't do that. I was like, No, I've seen a neurosurgeon, tubis. It was like an off button. I couldn't believe it. He's just like, hey, how are you guys doing?

SPEAKER_00 1:11:17

Wow. Wow.

SPEAKER_02 1:11:19

It's my weird ER stories to finish the episode off.

SPEAKER_00 1:11:24

Aren't we glad I were not there anymore?

SPEAKER_02 1:11:26

Yeah, you miss it. You definitely I'm kidding. Nope. It's it's tough. It's tough.

SPEAKER_00 1:11:31

I'll stick with the peptides. Yeah.

SPEAKER_02 1:11:34

Well, thanks for coming by. Oh, thank you. Where else can people find your material?

SPEAKER_00 1:11:40

You're on Instagram or Yeah, I'm on Instagram. Um PWR.phx is the business one, and then mine is dr.mcall.neally. Okay. On TikTok that too. And then I have a podcast, um, Sassy and Strong with Dr. McCole. Okay. Nice. And hopefully next year I'll have a book coming out called Why We Run. Um, it's an anthology, so there's several authors. Um really fun.

SPEAKER_02 1:12:05

It's funny you say that. I'm just about to release a book saying why I don't run.

SPEAKER_00 1:12:12

They can come out together.

SPEAKER_02 1:12:14

But your podcasts are you can bad into all platforms.

SPEAKER_00 1:12:17

All platforms, yeah. Yeah. Okay.

SPEAKER_02 1:12:19

So go check it out.

SPEAKER_00 1:12:20

Just around the corner by Encanto Park.

SPEAKER_02 1:12:22

Yeah, there we go. Thank you so much for coming.

SPEAKER_00 1:12:25

Thank you so much, guys.

SPEAKER_03 1:12:26

Makes me neat.