WEBVTT 1 00:00:00.480 --> 00:00:04.320 This may be the most controversial thing we have on this table. 2 00:00:04.320 --> 00:00:07.680 This is a peptide that absolutely torches belly fat 3 00:00:07.680 --> 00:00:09.120 at a disproportionate rate. 4 00:00:09.120 --> 00:00:10.880 And what we found is not only do patients lose 5 00:00:10.880 --> 00:00:12.440 an incredible amount of weight, 6 00:00:12.440 --> 00:00:14.520 but they also get the best improvements 7 00:00:14.520 --> 00:00:15.760 we've ever seen in their liver health. 8 00:00:15.760 --> 00:00:16.920 It's absolutely wild. 9 00:00:16.920 --> 00:00:20.480 And I think this is going to be a trillion dollar rug 10 00:00:20.480 --> 00:00:21.560 when it comes out. 11 00:00:21.560 --> 00:00:22.920 And I'm probably here because you were an expert 12 00:00:22.920 --> 00:00:24.200 in this subject matter, and it's worth saying 13 00:00:24.200 --> 00:00:26.360 that there was some significant news about this. 14 00:00:26.360 --> 00:00:27.200 Correct. 15 00:00:27.200 --> 00:00:30.440 FDA saying that in July, they are going to consider 16 00:00:30.440 --> 00:00:32.200 legalize it, seven peptides. 17 00:00:32.200 --> 00:00:34.960 And by farm as estimate, it might be the most dangerous thing 18 00:00:34.960 --> 00:00:36.480 to their entire business model. 19 00:00:36.480 --> 00:00:38.520 So do you think it is plausible? 20 00:00:38.520 --> 00:00:40.960 That big farmer didn't want these in the hands 21 00:00:40.960 --> 00:00:43.200 of regular people because they can't patent this 22 00:00:43.200 --> 00:00:44.120 and it's powerful. 23 00:00:44.120 --> 00:00:45.480 110%. 24 00:00:45.480 --> 00:00:47.720 Because the question isn't, what can peptides do? 25 00:00:47.720 --> 00:00:49.320 It's what can't they do? 26 00:00:49.320 --> 00:00:51.520 And we've got several peptides here in front of us. 27 00:00:51.520 --> 00:00:52.960 We want to go through all of them. 28 00:00:52.960 --> 00:00:53.960 Let's do it. 29 00:00:53.960 --> 00:00:57.160 So this is probably the most well-known peptide 30 00:00:57.160 --> 00:00:59.680 for skin complexion, and it improves quality of hair 31 00:00:59.680 --> 00:01:00.360 and nails. 32 00:01:00.360 --> 00:01:02.560 And then epithelan is maybe, maybe not 33 00:01:02.560 --> 00:01:04.040 going to be the fountain of youth. 34 00:01:04.040 --> 00:01:06.080 But I'm very skeptical as far as that goes. 35 00:01:06.080 --> 00:01:07.600 Next, we've got this. 36 00:01:07.600 --> 00:01:09.560 If you injected that at night, it would improve 37 00:01:09.560 --> 00:01:10.600 your quality of your sleep. 38 00:01:10.600 --> 00:01:12.000 Next, Molana Tan, too. 39 00:01:12.000 --> 00:01:14.680 And this will actually end up giving you a deep tan 40 00:01:14.680 --> 00:01:17.280 in response to just a little bit of UV sun exposure. 41 00:01:17.280 --> 00:01:19.120 It will also give you some of the most impressive 42 00:01:19.120 --> 00:01:20.320 erections you've ever had in your life. 43 00:01:20.320 --> 00:01:21.400 So be warned. 44 00:01:21.400 --> 00:01:22.320 And what else have we got? 45 00:01:22.320 --> 00:01:23.160 Oh my gosh. 46 00:01:23.200 --> 00:01:24.480 Medley and blue, where people take it 47 00:01:24.480 --> 00:01:25.920 and they think it's going to make a live forever. 48 00:01:25.920 --> 00:01:26.680 Don't take this. 49 00:01:26.680 --> 00:01:29.200 It literally will stain your nails blue and your hair blue. 50 00:01:29.200 --> 00:01:31.320 These two here stimulate building muscle. 51 00:01:31.320 --> 00:01:33.760 This one can aid with healing after an injury. 52 00:01:33.760 --> 00:01:36.000 And then is this, this, this, this. 53 00:01:36.000 --> 00:01:36.760 It's crazy. 54 00:01:36.760 --> 00:01:37.480 It's wild. 55 00:01:37.480 --> 00:01:38.400 So why don't I take it? 56 00:01:38.400 --> 00:01:39.960 Well, we need to talk about that. 57 00:01:39.960 --> 00:01:41.160 Because they're trade-offs. 58 00:01:41.160 --> 00:01:43.280 But also outside of the world of peptides for a second, 59 00:01:43.280 --> 00:01:45.080 I've got these three vials. 60 00:01:45.080 --> 00:01:45.760 Do you know what those are? 61 00:01:45.760 --> 00:01:49.040 Yeah, this is, unfortunately, our future for not careful. 62 00:01:49.040 --> 00:01:49.560 Explain. 63 00:01:49.560 --> 00:01:51.800 So what we've got here is representing 64 00:01:51.800 --> 00:01:55.440 the fertility trajectory for young men. 65 00:01:55.440 --> 00:01:56.160 I'm so scared. 66 00:01:57.880 --> 00:02:00.360 Guys, I've got a favor to ask before this episode begins. 67 00:02:00.360 --> 00:02:02.600 The algorithm, if you follow a show, 68 00:02:02.600 --> 00:02:05.160 deliver you the best episodes from that show 69 00:02:05.160 --> 00:02:06.760 very prominently in your feed. 70 00:02:06.760 --> 00:02:08.880 So when we have our best episodes on this show, 71 00:02:08.880 --> 00:02:10.960 the most shared episodes, the most rated episodes, 72 00:02:10.960 --> 00:02:12.160 I would love you to know. 73 00:02:12.160 --> 00:02:13.840 And the simple way for you to know that 74 00:02:13.840 --> 00:02:15.160 is to hit that follow button. 75 00:02:15.160 --> 00:02:17.440 But also, it's the simple, easy, 76 00:02:17.440 --> 00:02:19.680 free thing that you can do to help us make the show better. 77 00:02:19.680 --> 00:02:22.280 I would be hugely grateful if you could take a minute 78 00:02:22.280 --> 00:02:23.920 on the app you're listening to this one right now 79 00:02:23.920 --> 00:02:25.040 and hit that follow button. 80 00:02:25.040 --> 00:02:28.320 Thank you so, so, so much. 81 00:02:28.760 --> 00:02:35.760 Dr. Alex Tatum. 82 00:02:39.000 --> 00:02:42.080 There's this word that has exploded in society in recent times. 83 00:02:42.080 --> 00:02:44.080 In fact, when I look at the data, 84 00:02:44.080 --> 00:02:46.400 people searching this word has increased 85 00:02:46.400 --> 00:02:49.880 by 400% just recently. 86 00:02:49.880 --> 00:02:52.600 And that word is peptides. 87 00:02:52.600 --> 00:02:55.480 I have no idea what peptides are. 88 00:02:55.480 --> 00:02:57.680 I'm someone that wants to be healthy. 89 00:02:57.720 --> 00:03:00.440 I want to start to my health, wants to live long, 90 00:03:00.440 --> 00:03:02.160 doesn't, doesn't love aging. 91 00:03:02.160 --> 00:03:03.280 Yeah. 92 00:03:03.280 --> 00:03:06.360 And I'm told that this word peptides is somewhat linked to it. 93 00:03:06.360 --> 00:03:08.240 So I've brought you here because you're an expert 94 00:03:08.240 --> 00:03:10.920 in the subject matter of what's your videos on YouTube. 95 00:03:10.920 --> 00:03:13.600 To start at the very beginning, Dr. Alex, sure. 96 00:03:13.600 --> 00:03:15.440 What the hell is a peptide? 97 00:03:15.440 --> 00:03:19.080 Peptides are a structural class of medications. 98 00:03:19.080 --> 00:03:21.120 The best way to think about peptides 99 00:03:21.120 --> 00:03:23.160 is that just like we have small molecules, 100 00:03:23.160 --> 00:03:25.520 which are drugs that are very small, 101 00:03:25.520 --> 00:03:28.600 taken in a pill, and have a wide-ranging effect 102 00:03:28.600 --> 00:03:31.520 throughout the body, peptides are derived 103 00:03:31.520 --> 00:03:34.600 from little pieces of amino acids, 104 00:03:34.600 --> 00:03:37.960 which think of them as the Legos that make up the human body, 105 00:03:37.960 --> 00:03:40.000 the Legos that make up proteins. 106 00:03:40.000 --> 00:03:43.600 These are fragments of proteins that are designed 107 00:03:43.600 --> 00:03:46.320 to specifically target certain receptors 108 00:03:46.320 --> 00:03:49.280 and affect cells in a very targeted fashion. 109 00:03:49.280 --> 00:03:53.600 Or a best way to think about it is a very specific targeted key 110 00:03:53.600 --> 00:03:55.280 to unlock a very specific lock. 111 00:03:55.360 --> 00:03:57.400 So instead of a small molecule 112 00:03:57.400 --> 00:04:00.280 that may have a wide-ranging effect throughout the body, 113 00:04:00.280 --> 00:04:02.760 peptides are much, much more focused. 114 00:04:02.760 --> 00:04:05.760 So you've got different types of Lego cubes here. 115 00:04:05.760 --> 00:04:08.160 Would they be different types of peptides 116 00:04:08.160 --> 00:04:10.720 or are they different types of amino acids 117 00:04:10.720 --> 00:04:12.360 that come together to make a peptide? 118 00:04:12.360 --> 00:04:15.360 The best way to think about it is my son loves Legos, 119 00:04:15.360 --> 00:04:17.680 which is why I'm glad we have these here. 120 00:04:17.680 --> 00:04:19.880 But he can take the same set of Legos 121 00:04:19.880 --> 00:04:22.240 and he can build a rocket ship. 122 00:04:22.240 --> 00:04:23.920 And then just a few minutes later, 123 00:04:23.920 --> 00:04:27.960 he can build a pirate ship and then he builds a race car. 124 00:04:27.960 --> 00:04:29.280 And he's using the same Legos, 125 00:04:29.280 --> 00:04:31.600 but he's creating very, very different things 126 00:04:31.600 --> 00:04:33.960 that all do very, very different things. 127 00:04:33.960 --> 00:04:36.520 And so peptides have become incredibly popular 128 00:04:36.520 --> 00:04:39.560 because yes, we have some really fascinating peptides 129 00:04:39.560 --> 00:04:41.840 that can help with anti-aging, with healing 130 00:04:41.840 --> 00:04:42.680 and with tissue repair. 131 00:04:42.680 --> 00:04:44.680 And we're gonna talk about some of those, hopefully. 132 00:04:44.680 --> 00:04:46.720 But they can do so much more than that. 133 00:04:46.720 --> 00:04:48.840 The first peptide that was actually isolated 134 00:04:48.840 --> 00:04:52.240 and used in medicine was insulin back in 1921. 135 00:04:52.280 --> 00:04:55.960 And then all the way in 1985 in the world of urology, 136 00:04:55.960 --> 00:04:58.440 which is where I was trained, we had luper-lied, 137 00:04:58.440 --> 00:05:01.200 which is a different peptide that again, 138 00:05:01.200 --> 00:05:02.400 also a peptide like insulin, 139 00:05:02.400 --> 00:05:04.760 but instead of having wide-ranging metabolic effects, 140 00:05:04.760 --> 00:05:06.000 it had an endocrine effect. 141 00:05:06.000 --> 00:05:09.600 It was designed to shut down the production of testosterone 142 00:05:09.600 --> 00:05:11.320 for prostate cancer patients 143 00:05:11.320 --> 00:05:13.920 that needed to have their testosterone taken away. 144 00:05:13.920 --> 00:05:14.760 Interesting. 145 00:05:14.760 --> 00:05:16.120 Okay, so insulin's a peptide. 146 00:05:16.120 --> 00:05:20.040 Insulin's a peptide because it's a series of amino acids 147 00:05:20.040 --> 00:05:21.320 that are put together. 148 00:05:21.360 --> 00:05:23.880 Okay, so you said that the combination of amino acids 149 00:05:23.880 --> 00:05:25.000 forms a key. 150 00:05:25.000 --> 00:05:26.280 So what is the lock? 151 00:05:26.280 --> 00:05:29.360 The lock could be a cellular receptor. 152 00:05:29.360 --> 00:05:32.480 It could actually be regulating a certain pathway 153 00:05:32.480 --> 00:05:33.520 within the cell. 154 00:05:33.520 --> 00:05:34.800 Okay, so let me repeat this back to you 155 00:05:34.800 --> 00:05:35.800 to make sure I understand it. 156 00:05:35.800 --> 00:05:39.960 So peptides are like a key, which you can make 157 00:05:39.960 --> 00:05:42.680 by configuring amino acids in a certain way. 158 00:05:42.680 --> 00:05:45.960 And there's different locks in our body 159 00:05:45.960 --> 00:05:47.440 that these keys can go into. 160 00:05:47.440 --> 00:05:49.720 So if I take, we've got some peptides 161 00:05:49.720 --> 00:05:51.280 in the front of us here. 162 00:05:51.280 --> 00:05:54.320 So a good way to think about it is this. 163 00:05:54.320 --> 00:05:57.680 If you've got a hammer, right? 164 00:05:57.680 --> 00:05:59.560 Which is what a lot of small molecules are. 165 00:05:59.560 --> 00:06:01.080 Like you can do a lot with that, right? 166 00:06:01.080 --> 00:06:03.240 Like you could hammer in a nail. 167 00:06:03.240 --> 00:06:04.800 But if you try to use that hammer 168 00:06:04.800 --> 00:06:06.600 when you're trying to put in a screw 169 00:06:06.600 --> 00:06:09.560 or you're trying to put together a table 170 00:06:09.560 --> 00:06:10.760 that you got from IKEA, 171 00:06:10.760 --> 00:06:12.960 it may not always end the way that you want to. 172 00:06:12.960 --> 00:06:14.400 And that's the problem that we have 173 00:06:14.400 --> 00:06:15.960 with a lot of small molecules. 174 00:06:15.960 --> 00:06:17.560 It's not that they don't do what we want them to. 175 00:06:17.560 --> 00:06:19.320 They do a lot of other things 176 00:06:19.320 --> 00:06:20.680 while they're at that job 177 00:06:20.680 --> 00:06:22.880 that can have significant negative side effects. 178 00:06:22.880 --> 00:06:25.680 Which is why a lot of these small molecules 179 00:06:25.680 --> 00:06:27.120 actually don't make it all the way 180 00:06:27.120 --> 00:06:29.360 through the FDA approval process 181 00:06:29.360 --> 00:06:31.520 because we find something, it does what we want to do. 182 00:06:31.520 --> 00:06:34.520 But it has significant safety concerns down the line, right? 183 00:06:34.520 --> 00:06:37.280 Now, what we see with peptides, for example, 184 00:06:37.280 --> 00:06:38.800 I've got in my hand right now, 185 00:06:38.800 --> 00:06:41.760 a little vial labeled BPC157. 186 00:06:41.760 --> 00:06:43.760 This is probably one of the most popular peptides 187 00:06:43.760 --> 00:06:45.440 that we're talking about right now. 188 00:06:45.440 --> 00:06:49.120 Because BPC157 is a synthetic version 189 00:06:49.120 --> 00:06:52.680 of a naturally found peptide in the gut. 190 00:06:52.680 --> 00:06:56.560 But what this actually does is it enhances 191 00:06:56.560 --> 00:06:59.160 blood vessel growth in areas of injury. 192 00:06:59.160 --> 00:07:00.200 And it kind of makes sense 193 00:07:00.200 --> 00:07:01.880 because if you think about it, 194 00:07:01.880 --> 00:07:06.440 our gut, our stomach, is really just this bag of acid 195 00:07:06.440 --> 00:07:08.320 that sits inside of our abdomen. 196 00:07:08.320 --> 00:07:10.440 And yet somehow you and I are here talking to each other 197 00:07:10.440 --> 00:07:11.720 and our bodies aren't eating themselves. 198 00:07:11.720 --> 00:07:12.640 Well, how does that work? 199 00:07:13.040 --> 00:07:15.680 Well, it's because we've developed a lot of really robust 200 00:07:15.680 --> 00:07:18.560 systems to encourage healing of the gastric lining. 201 00:07:18.560 --> 00:07:21.520 And so the idea is, well, if this is one of the compounds 202 00:07:21.520 --> 00:07:22.360 that can help do that, 203 00:07:22.360 --> 00:07:24.800 and it's been proven in multiple animal models. 204 00:07:24.800 --> 00:07:27.040 For example, they have completely transacted 205 00:07:27.040 --> 00:07:29.360 the Achilles tendon in rats. 206 00:07:29.360 --> 00:07:30.320 And they've transacted. 207 00:07:30.320 --> 00:07:31.160 Transsected. 208 00:07:31.160 --> 00:07:33.080 So they've cut across the Achilles tendon. 209 00:07:33.080 --> 00:07:35.480 So not just a small injury that you or I might experience 210 00:07:35.480 --> 00:07:37.600 in the gym where we pull it or strain it, 211 00:07:37.600 --> 00:07:40.920 but actually surgically cut the Achilles tendon. 212 00:07:40.920 --> 00:07:42.720 And then they administer it to rats 213 00:07:42.720 --> 00:07:45.480 and they are healing spontaneously 214 00:07:45.480 --> 00:07:48.240 with administration of BPC157. 215 00:07:48.240 --> 00:07:50.160 If you have an Achilles tendon injury 216 00:07:50.160 --> 00:07:53.080 and you're a rat, BPC157 is one of the best things 217 00:07:53.080 --> 00:07:54.280 that you can ever have. 218 00:07:54.280 --> 00:07:56.080 Now, that is not a one-to-one translation 219 00:07:56.080 --> 00:07:57.760 to what we might see in humans, 220 00:07:57.760 --> 00:08:00.640 but as we talked about earlier with our point on safety, 221 00:08:00.640 --> 00:08:03.200 when they are studying BPC157, 222 00:08:03.200 --> 00:08:07.080 we try to look for something called the LD1 or the LD50. 223 00:08:07.080 --> 00:08:08.760 How much can I give this to someone 224 00:08:08.760 --> 00:08:11.800 until 50% of the population that receives that dose 225 00:08:11.800 --> 00:08:13.840 doesn't do well or dies? 226 00:08:13.840 --> 00:08:16.320 That's called the LD50 dose. 227 00:08:16.320 --> 00:08:19.640 We have yet to figure out what the LD1 dose is for this, 228 00:08:19.640 --> 00:08:21.800 which is the amount that it would take 229 00:08:21.800 --> 00:08:24.040 to hurt even 1% of the population 230 00:08:24.040 --> 00:08:27.360 because it is so incredibly well tolerated. 231 00:08:27.360 --> 00:08:30.480 So just giving you an example of this as a compound 232 00:08:30.480 --> 00:08:32.840 that can have profound healing effects 233 00:08:32.840 --> 00:08:35.960 at least in our animal models that we've seen so far. 234 00:08:36.000 --> 00:08:40.680 But so far, we haven't seen any precipitous negative effects 235 00:08:40.680 --> 00:08:43.560 in human patients when taking this, okay? 236 00:08:43.560 --> 00:08:45.040 But we need more data. 237 00:08:45.040 --> 00:08:47.600 I am mind blown and I'm very, very excited. 238 00:08:47.600 --> 00:08:50.360 We've got all of the several peptides here in front of us. 239 00:08:50.360 --> 00:08:51.200 I want to go through all of that 240 00:08:51.200 --> 00:08:53.280 and understand which ones do which things. 241 00:08:53.280 --> 00:08:57.080 There's a bigger question here, which is, why now? 242 00:08:57.080 --> 00:09:00.480 Why have the subject of peptides suddenly exploded 243 00:09:00.480 --> 00:09:02.800 into society's consciousness? 244 00:09:02.800 --> 00:09:03.640 What's going on? 245 00:09:03.640 --> 00:09:04.480 What's the big picture? 246 00:09:04.480 --> 00:09:06.320 So this is really interesting. 247 00:09:06.320 --> 00:09:10.280 In 2013, there was actually a court case in the United States. 248 00:09:10.280 --> 00:09:13.400 It was the sort of, it was called myriad genetics case. 249 00:09:13.400 --> 00:09:15.720 This was the company that actually patented 250 00:09:15.720 --> 00:09:17.560 the BRCA1 and BRCA2 genes. 251 00:09:17.560 --> 00:09:20.040 They discovered the genes that cause breast cancer, all right? 252 00:09:20.040 --> 00:09:21.400 This was mind blowing. 253 00:09:21.400 --> 00:09:23.000 They identified the specific genes 254 00:09:23.000 --> 00:09:24.440 that would predispose patients 255 00:09:24.440 --> 00:09:26.480 to developing both breast ovarian 256 00:09:26.480 --> 00:09:28.280 and since we've learned also prostate cancer. 257 00:09:28.280 --> 00:09:30.680 It was a fantastic discovery, but they patented it. 258 00:09:30.680 --> 00:09:33.480 And they said, we now own this alien intellectual property. 259 00:09:33.640 --> 00:09:34.960 And then everyone else said, 260 00:09:34.960 --> 00:09:36.560 don't I know, that's the human body. 261 00:09:36.560 --> 00:09:37.600 You can't patent that. 262 00:09:37.600 --> 00:09:40.480 And the Supreme Court actually cited the argument 263 00:09:40.480 --> 00:09:42.080 saying that if something is natural, 264 00:09:42.080 --> 00:09:43.720 it's found within us, okay? 265 00:09:43.720 --> 00:09:46.120 I can't patent your muscle cells, right? 266 00:09:46.120 --> 00:09:47.240 Which is a wonderful thing, 267 00:09:47.240 --> 00:09:50.480 but the unintentional byproduct of that 268 00:09:50.480 --> 00:09:52.040 is all of a sudden, 269 00:09:52.040 --> 00:09:54.520 Barma had no incentive whatsoever 270 00:09:54.520 --> 00:09:57.600 to pursue really promising compounds 271 00:09:57.600 --> 00:09:59.640 that they could not monetize. 272 00:09:59.640 --> 00:10:01.560 So that happens in 2013. 273 00:10:01.560 --> 00:10:04.880 At the same time, I believe it was around 2012, 2013, 274 00:10:04.880 --> 00:10:07.960 there was a terrible event that happened in New England 275 00:10:07.960 --> 00:10:09.960 where there was a compounding pharmacy 276 00:10:09.960 --> 00:10:11.400 that was not doing the right thing 277 00:10:11.400 --> 00:10:14.800 and they ended up having a bunch of contaminated specimens 278 00:10:14.800 --> 00:10:17.920 that caused a fungal meningitis. 279 00:10:17.920 --> 00:10:19.400 A bunch of patients got really sick. 280 00:10:19.400 --> 00:10:21.120 It was a huge scandal. 281 00:10:21.120 --> 00:10:23.240 And all of a sudden, the FDA stepped in and said, 282 00:10:23.240 --> 00:10:25.400 hey, historically, all right, 283 00:10:25.400 --> 00:10:27.320 states have been allowed to regulate 284 00:10:27.320 --> 00:10:28.600 compounding pharmacies themselves, 285 00:10:28.600 --> 00:10:30.080 but we need some federal oversight here 286 00:10:30.120 --> 00:10:31.960 because this is not acceptable. 287 00:10:31.960 --> 00:10:33.040 Completely agree with that. 288 00:10:33.040 --> 00:10:36.680 And they introduced a new set of regulations 289 00:10:36.680 --> 00:10:38.720 on top of compounding pharmacies, 290 00:10:38.720 --> 00:10:41.520 basically saying what you can and cannot make. 291 00:10:41.520 --> 00:10:42.960 And what they eventually said is, 292 00:10:42.960 --> 00:10:44.880 well, you can only make three things. 293 00:10:44.880 --> 00:10:48.760 You can make things that are in the USP United States 294 00:10:48.760 --> 00:10:50.200 of Pharmacopeia, okay? 295 00:10:50.200 --> 00:10:53.240 Things that have been well described, already published. 296 00:10:53.240 --> 00:10:56.280 Things are already in drugs that are already on the market 297 00:10:56.280 --> 00:10:59.120 or three, things that are on a very specific list 298 00:10:59.280 --> 00:11:01.240 that we're going to give you, okay? 299 00:11:01.240 --> 00:11:04.320 And in that list, they actually included 300 00:11:04.320 --> 00:11:06.840 a lot of these very promising compounds 301 00:11:06.840 --> 00:11:09.800 that were stuck in drug development, limbo. 302 00:11:09.800 --> 00:11:11.840 And you say compounding pharmacies. 303 00:11:11.840 --> 00:11:12.680 You said that a few times. 304 00:11:12.680 --> 00:11:13.880 What is a compounding pharmacy, 305 00:11:13.880 --> 00:11:15.320 just so I'm carrying the definition? 306 00:11:15.320 --> 00:11:18.280 Back in the 1800s or early 1900s. 307 00:11:18.280 --> 00:11:19.400 If you ever needed a medication, 308 00:11:19.400 --> 00:11:21.680 you go see the pharmacist who had a shop down the road 309 00:11:21.680 --> 00:11:23.560 and he would actually make your medication in front of you 310 00:11:23.560 --> 00:11:24.520 and he would do that custom 311 00:11:24.520 --> 00:11:26.560 for every single patient that came by, all right? 312 00:11:26.560 --> 00:11:29.080 It was only since the advent of modern factories 313 00:11:29.120 --> 00:11:31.480 that we had the modern pharmaceutical industry come about. 314 00:11:31.480 --> 00:11:33.480 But the truth is, is that, again, 315 00:11:33.480 --> 00:11:34.680 that's kind of paint by numbers. 316 00:11:34.680 --> 00:11:36.280 You're creating this one pill 317 00:11:36.280 --> 00:11:38.520 and it always seemed kind of crazy 318 00:11:38.520 --> 00:11:42.520 that the adult dose is one standardized dose for all adults. 319 00:11:42.520 --> 00:11:45.080 Like if you look at what your body composition is 320 00:11:45.080 --> 00:11:46.120 versus some of my patients, 321 00:11:46.120 --> 00:11:48.000 why is the dose in your blood pressure medicine 322 00:11:48.000 --> 00:11:49.920 the exact same, that doesn't seem to be quite right? 323 00:11:49.920 --> 00:11:51.480 But it is what it is. 324 00:11:51.480 --> 00:11:53.520 So when patients fall outside of that 325 00:11:53.520 --> 00:11:55.120 and they need custom medication, 326 00:11:55.120 --> 00:11:57.080 we still have those people 327 00:11:57.080 --> 00:11:59.560 who make custom formulations of medications. 328 00:11:59.560 --> 00:12:01.720 But instead of it being just your local pharmacist, 329 00:12:01.720 --> 00:12:03.040 use your gun mortar and pestle 330 00:12:03.040 --> 00:12:05.080 and it was creating something in his back office. 331 00:12:05.080 --> 00:12:07.920 These are now large sophisticated industrial operations 332 00:12:07.920 --> 00:12:10.280 that can make custom formulations for patients. 333 00:12:10.280 --> 00:12:11.120 All right. 334 00:12:11.120 --> 00:12:12.680 I think the important context for people 335 00:12:12.680 --> 00:12:15.120 that don't understand how drug development occurs 336 00:12:15.120 --> 00:12:17.840 is that to get chemicals like the ones we have in front 337 00:12:17.840 --> 00:12:20.480 of us on the table through FDA approval, 338 00:12:20.480 --> 00:12:22.840 you've got to spend millions and millions and millions of dollars. 339 00:12:22.840 --> 00:12:24.040 Tens if not hundreds and millions of dollars. 340 00:12:24.040 --> 00:12:25.440 Sometimes hundreds and millions of dollars. 341 00:12:25.480 --> 00:12:27.000 An incredible amount of money. 342 00:12:27.000 --> 00:12:29.160 And if you know you can't protect it, 343 00:12:29.160 --> 00:12:30.440 once you spend a hundred million dollars, 344 00:12:30.440 --> 00:12:32.680 you have no incentive to just do charity work. 345 00:12:32.680 --> 00:12:33.880 Absolutely not, okay? 346 00:12:33.880 --> 00:12:35.720 Because you have shareholders 347 00:12:35.720 --> 00:12:37.480 and you have to make payroll. 348 00:12:37.480 --> 00:12:39.800 And so because drug development is so expensive, 349 00:12:39.800 --> 00:12:43.960 there is no incentive for commercial pharmaceutical companies 350 00:12:43.960 --> 00:12:46.400 to pursue the development of these compounds. 351 00:12:46.400 --> 00:12:48.400 And then on the other side of that, 352 00:12:48.400 --> 00:12:50.040 well, we have compounding pharmacies 353 00:12:50.040 --> 00:12:52.200 that for them it makes sense. 354 00:12:52.200 --> 00:12:53.800 What if we could just make these compounds 355 00:12:53.800 --> 00:12:54.920 and then sell them directly to patients? 356 00:12:54.920 --> 00:12:56.280 We make a small margin when we sell it. 357 00:12:56.280 --> 00:12:57.640 This makes sense for us. 358 00:12:57.640 --> 00:13:00.360 Well, they could do that starting in about 2014 359 00:13:00.360 --> 00:13:02.600 whenever that legislation finished, all right? 360 00:13:02.600 --> 00:13:03.640 What did it do? 361 00:13:03.640 --> 00:13:07.920 Essentially what it did is it gave a assignment 362 00:13:07.920 --> 00:13:09.720 to each one of these compounds. 363 00:13:09.720 --> 00:13:11.440 It was either gonna be category one, 364 00:13:11.440 --> 00:13:13.920 which is you can compound this. 365 00:13:13.920 --> 00:13:15.000 This is on our specific list 366 00:13:15.000 --> 00:13:17.800 of approved, compoundable drug ingredients. 367 00:13:17.800 --> 00:13:21.120 Number two was, hey, we see some negative safety signals here. 368 00:13:21.120 --> 00:13:22.400 You cannot make this, okay? 369 00:13:22.400 --> 00:13:24.400 Something goes on category two, it's forbidden. 370 00:13:24.560 --> 00:13:25.560 And then we have category three, 371 00:13:25.560 --> 00:13:27.480 which is we just need more information. 372 00:13:27.480 --> 00:13:29.440 And all of these original compounds, 373 00:13:29.440 --> 00:13:31.080 these peptides that were so interested in now, 374 00:13:31.080 --> 00:13:34.840 were originally on that first list, category one, all right? 375 00:13:34.840 --> 00:13:37.520 And so they were able to be compounded. 376 00:13:37.520 --> 00:13:38.600 We could prescribe them in patients. 377 00:13:38.600 --> 00:13:40.440 I prescribed them to patients, all right? 378 00:13:40.440 --> 00:13:42.920 From 2014 onward. 379 00:13:42.920 --> 00:13:46.800 But then in 2023, and the FDA at that time, 380 00:13:46.800 --> 00:13:49.640 switched all of those peptides, 19 of them 381 00:13:49.640 --> 00:13:52.920 that were popular to category two, and then they were banned. 382 00:13:52.920 --> 00:13:55.520 Over night, we got notifications in our email inboxes 383 00:13:55.520 --> 00:13:56.920 from our compounding pharmacy partner saying, 384 00:13:56.920 --> 00:13:59.720 hey, we can't make this anymore, we're sorry. 385 00:13:59.720 --> 00:14:00.760 So I've got two questions there. 386 00:14:00.760 --> 00:14:01.600 Yes. 387 00:14:01.600 --> 00:14:04.240 The first is, when you were prescribing 388 00:14:04.240 --> 00:14:05.880 these peptides to your patient. 389 00:14:05.880 --> 00:14:07.160 Yes. 390 00:14:07.160 --> 00:14:09.400 What are you saying, incredible results? 391 00:14:09.400 --> 00:14:10.440 Very much so. 392 00:14:10.440 --> 00:14:13.240 Very much, again, you have to use the right key 393 00:14:13.240 --> 00:14:15.000 for the right lock, okay? 394 00:14:15.000 --> 00:14:18.160 But I think a really good example, all right? 395 00:14:18.160 --> 00:14:22.360 So there is a compound that is not technically a peptide. 396 00:14:22.360 --> 00:14:24.880 It is a small molecule, but it was lumped in with all of these 397 00:14:24.880 --> 00:14:27.880 and was the victim to the same process. 398 00:14:27.880 --> 00:14:31.120 Something called MK677, also known as Ibutamorin. 399 00:14:31.120 --> 00:14:34.280 So this is a small molecule, but when a patient takes it, 400 00:14:34.280 --> 00:14:35.480 it's orally available. 401 00:14:35.480 --> 00:14:37.520 It binds to this receptor called Grellen, 402 00:14:37.520 --> 00:14:39.240 and it actually stimulates the release 403 00:14:39.240 --> 00:14:40.720 of significant growth hormone. 404 00:14:40.720 --> 00:14:43.240 But what was really interesting is that it would actually 405 00:14:43.240 --> 00:14:45.320 stimulate hunger a profound amount. 406 00:14:45.320 --> 00:14:48.160 And all of a sudden, patients that were struggling 407 00:14:48.160 --> 00:14:49.440 with cacaxia, okay? 408 00:14:49.440 --> 00:14:51.680 So being very, very thin, very malnourished, 409 00:14:51.680 --> 00:14:53.240 maybe they're going through cancer treatment. 410 00:14:53.240 --> 00:14:54.920 Grellen's the thing that makes us feel hungry, right? 411 00:14:54.920 --> 00:14:56.280 Absolutely, yeah. 412 00:14:56.280 --> 00:14:58.920 So they were able to stimulate the hunger response 413 00:14:58.920 --> 00:15:02.760 and patients were actually able to eat more to meet caloric goals. 414 00:15:02.760 --> 00:15:07.320 And so this was a medication that was fantastically effective at that. 415 00:15:07.320 --> 00:15:09.760 Again, it had gone through some clinical trials 416 00:15:09.760 --> 00:15:12.760 but was never taken all the way to commercial. 417 00:15:12.760 --> 00:15:14.560 And so it was never gonna be available 418 00:15:14.560 --> 00:15:17.320 from CVS or Walgreens, but you could get it 419 00:15:17.320 --> 00:15:18.960 from a compounding pharmacy. 420 00:15:18.960 --> 00:15:21.440 And so that was one that made a big difference for us. 421 00:15:21.480 --> 00:15:22.920 We also had other peptides. 422 00:15:22.920 --> 00:15:26.160 So GHRP2 and GHRP6 were some of the ones 423 00:15:26.160 --> 00:15:27.800 we were using at that time. 424 00:15:27.800 --> 00:15:31.000 Those are growth hormone releasing peptides 425 00:15:31.000 --> 00:15:33.360 that stimulate the release of your body's natural growth 426 00:15:33.360 --> 00:15:35.440 hormone, which can help with tissue repair, 427 00:15:35.440 --> 00:15:38.600 can also help with fat loss and with building muscle. 428 00:15:38.600 --> 00:15:43.120 We also had BPC157 and we had derivatives 429 00:15:43.120 --> 00:15:44.240 like thymus and beta-4. 430 00:15:44.240 --> 00:15:47.480 These are also compounds that can help stimulate 431 00:15:47.480 --> 00:15:50.840 angiogenesis so making new blood vessels and tissue repair. 432 00:15:50.840 --> 00:15:53.240 So if we have a patient that's injured themselves, 433 00:15:53.240 --> 00:15:56.160 maybe we could help them get back at life faster. 434 00:15:56.160 --> 00:15:57.920 These were all things that were used very commonplace 435 00:15:57.920 --> 00:16:01.280 for many years and truthfully they weren't super popular 436 00:16:01.280 --> 00:16:03.200 at the time, we were just using them 437 00:16:03.200 --> 00:16:04.960 and then they were banned overnight. 438 00:16:04.960 --> 00:16:05.960 And they were working. 439 00:16:05.960 --> 00:16:09.360 And they were working and we were not seeing adverse events 440 00:16:09.360 --> 00:16:10.920 which is the most important thing. 441 00:16:10.920 --> 00:16:11.960 What's an adverse event? 442 00:16:11.960 --> 00:16:15.120 An adverse event is a patient has a terrible side effect. 443 00:16:15.120 --> 00:16:17.880 They call you, they have an allergic reaction to something, 444 00:16:17.880 --> 00:16:19.440 they call, they've got shortness of breath 445 00:16:19.480 --> 00:16:21.200 and it's a direct result of the medication 446 00:16:21.200 --> 00:16:22.040 that you gave them. 447 00:16:22.040 --> 00:16:23.320 It was working, it was working 448 00:16:23.320 --> 00:16:25.640 and by all accounts seem to be incredibly safe. 449 00:16:25.640 --> 00:16:26.560 And then they banned it. 450 00:16:26.560 --> 00:16:27.680 And then they banned it. 451 00:16:27.680 --> 00:16:28.520 Why? 452 00:16:28.520 --> 00:16:29.560 That's a great question. 453 00:16:29.560 --> 00:16:33.320 So officially what happened is there is a meeting 454 00:16:33.320 --> 00:16:35.320 where they brought together the experts at the time 455 00:16:35.320 --> 00:16:38.200 and they said there is insufficient data for us to say 456 00:16:38.200 --> 00:16:39.400 that these are safe because again, 457 00:16:39.400 --> 00:16:41.920 they had not gone through the full FDA approval process. 458 00:16:41.920 --> 00:16:45.120 And so as a result of lacking that data, 459 00:16:45.120 --> 00:16:46.960 we're gonna say that they're too dangerous. 460 00:16:46.960 --> 00:16:48.680 Now there wasn't any evidence of any of that 461 00:16:48.680 --> 00:16:49.520 in the population. 462 00:16:49.520 --> 00:16:51.280 These were widely used at the time. 463 00:16:51.280 --> 00:16:54.840 Potentially we had commercial pharmaceutical companies 464 00:16:54.840 --> 00:16:57.640 saying, well, hey, this is people spending money 465 00:16:57.640 --> 00:17:01.120 on a compound, on something that isn't coming to us. 466 00:17:01.120 --> 00:17:03.480 So, hey, like we love medicine, 467 00:17:03.480 --> 00:17:06.000 but maybe only when it's our medicine. 468 00:17:06.000 --> 00:17:08.760 And so there's concern that that was at play as well. 469 00:17:08.760 --> 00:17:10.640 And so there is not a great paper trail 470 00:17:10.640 --> 00:17:12.080 and there's not a great explanation why. 471 00:17:12.080 --> 00:17:13.640 And that's something that's been iterated 472 00:17:13.640 --> 00:17:16.720 by our current administration from RFK himself. 473 00:17:17.000 --> 00:17:20.080 He himself has characterized that move down in 2023 474 00:17:20.080 --> 00:17:21.000 as being illegal. 475 00:17:21.000 --> 00:17:23.120 With everything you know about the medical industry, 476 00:17:23.120 --> 00:17:26.720 do you think it is plausible that big pharma? 477 00:17:26.720 --> 00:17:28.360 110%. 478 00:17:28.360 --> 00:17:31.240 Didn't one 110%. 479 00:17:31.240 --> 00:17:32.720 These in the hands of regular people 480 00:17:32.720 --> 00:17:35.560 because they can't patent this and it's powerful. 481 00:17:35.560 --> 00:17:38.880 So ultimately, the way to think about it is this. 482 00:17:41.920 --> 00:17:44.280 Pharma may not have a compound 483 00:17:44.280 --> 00:17:47.360 that directly competes for BBC 157. 484 00:17:47.360 --> 00:17:48.480 BBC 157. 485 00:17:48.480 --> 00:17:51.360 So this is the medication or the peptide 486 00:17:51.360 --> 00:17:54.600 that can aid with healing after an injury, okay? 487 00:17:54.600 --> 00:17:57.240 So it's not necessarily there's direct competition. 488 00:17:57.240 --> 00:18:00.360 But at the end of the day, your average patient 489 00:18:00.360 --> 00:18:02.160 going throughout their daily life 490 00:18:02.160 --> 00:18:05.160 only has so much money that they can spend on medicine. 491 00:18:05.160 --> 00:18:09.800 And $10, $15, however much money that goes to this 492 00:18:09.800 --> 00:18:11.520 doesn't go to a prescription drug 493 00:18:11.520 --> 00:18:13.680 from a commercial pharmaceutical company. 494 00:18:13.680 --> 00:18:15.360 And so there is real concern 495 00:18:15.360 --> 00:18:17.680 that potentially that was at play during that decision. 496 00:18:17.680 --> 00:18:19.360 And you said 110%. 497 00:18:19.360 --> 00:18:21.520 Yeah, well, you know, it's interesting 498 00:18:21.520 --> 00:18:24.920 because you know, I tried to walk a very fine line 499 00:18:24.920 --> 00:18:28.360 between what I can prove versus what I suspect 500 00:18:28.360 --> 00:18:31.400 after being in this space for a long time. 501 00:18:31.400 --> 00:18:33.880 And you know, ultimately, you know, 502 00:18:33.880 --> 00:18:36.720 I don't think it's accurate to characterize 503 00:18:36.720 --> 00:18:39.360 pharmaceutical companies or really any other entity 504 00:18:39.360 --> 00:18:42.360 as being, you know, evil or bad. 505 00:18:42.360 --> 00:18:44.400 And the truth is maybe a little bit more ominous. 506 00:18:44.400 --> 00:18:48.080 The truth is is that they are these large machines 507 00:18:48.080 --> 00:18:50.320 that are designed to prioritize profit over everything. 508 00:18:50.320 --> 00:18:51.160 Yeah. 509 00:18:51.160 --> 00:18:52.400 And that's everything. 510 00:18:52.400 --> 00:18:54.240 I think this is one of the really interesting observations 511 00:18:54.240 --> 00:18:56.200 I've had the higher I've gone in my career 512 00:18:56.200 --> 00:18:59.080 is that oftentimes we had about the Illuminati. 513 00:18:59.080 --> 00:18:59.920 Like when I was growing up I was like, 514 00:18:59.920 --> 00:19:00.960 oh, there's this Illuminati. 515 00:19:00.960 --> 00:19:01.800 Yeah. 516 00:19:01.800 --> 00:19:03.640 And you think of it as these like shadow-headed people 517 00:19:03.640 --> 00:19:05.720 that get together and decide evil things. 518 00:19:05.720 --> 00:19:07.160 But the further I've gone in business, 519 00:19:07.160 --> 00:19:08.680 the more I've realized that the Illuminati 520 00:19:08.680 --> 00:19:10.680 or these evil forces are actually just machines 521 00:19:10.800 --> 00:19:12.480 that were designed to optimize for profit. 522 00:19:12.480 --> 00:19:13.320 Correct. 523 00:19:13.320 --> 00:19:14.160 Correct. 524 00:19:14.160 --> 00:19:15.960 So like corporations of Illuminati. 525 00:19:15.960 --> 00:19:16.960 Yeah. 526 00:19:16.960 --> 00:19:19.000 And so I don't actually think that there is necessarily, 527 00:19:19.000 --> 00:19:21.880 you know, a group of maniacal individuals, 528 00:19:21.880 --> 00:19:23.400 you know, the legion of doom, you know, 529 00:19:23.400 --> 00:19:25.600 plotting to like take away your health. 530 00:19:25.600 --> 00:19:28.240 But at the same time, I think that there are these 531 00:19:28.240 --> 00:19:30.120 large organizations that really couldn't care less 532 00:19:30.120 --> 00:19:31.120 about your health, you know. 533 00:19:31.120 --> 00:19:33.440 They are prioritizing what's important for them. 534 00:19:33.440 --> 00:19:36.200 And regular people just get caught up in the mix. 535 00:19:36.200 --> 00:19:38.240 And what's challenging is that as a physician, 536 00:19:38.240 --> 00:19:40.200 you know, I took a Hippocratic oath. 537 00:19:40.200 --> 00:19:41.880 You know, I care about my patients. 538 00:19:41.880 --> 00:19:43.440 And so those are the people that are in front of me 539 00:19:43.440 --> 00:19:46.320 every single day that are seeking to improve their lives 540 00:19:46.320 --> 00:19:47.240 to recover from injury. 541 00:19:47.240 --> 00:19:48.960 I have, you know, fertility patients 542 00:19:48.960 --> 00:19:50.960 that are just dying to start their family. 543 00:19:50.960 --> 00:19:53.320 And I have patients that are suffering 544 00:19:53.320 --> 00:19:55.600 from hormonal imbalances that haven't felt right in years. 545 00:19:55.600 --> 00:19:57.440 I treat erectile dysfunction in men 546 00:19:57.440 --> 00:19:58.840 that have been struggling for years 547 00:19:58.840 --> 00:20:00.120 after prostate cancer treatment. 548 00:20:00.120 --> 00:20:01.920 I mean, these are people that are broken and hurting. 549 00:20:01.920 --> 00:20:03.720 You want to be able to help them. 550 00:20:03.720 --> 00:20:07.080 And so I feel that is a very strong personal calling 551 00:20:07.080 --> 00:20:09.240 that I have to be that advocate for that patient. 552 00:20:09.240 --> 00:20:11.640 Both in the room, whenever I'm treating them 553 00:20:11.640 --> 00:20:12.600 and taking care of them, 554 00:20:12.600 --> 00:20:14.240 but also when I'm talking to others 555 00:20:14.240 --> 00:20:16.320 and I'm speaking out about these issues. 556 00:20:16.320 --> 00:20:18.400 Like I want access to these medications 557 00:20:18.400 --> 00:20:21.200 because I care about the patients who benefit from them. 558 00:20:22.200 --> 00:20:24.960 So they banned these peptides that we have here. 559 00:20:24.960 --> 00:20:25.800 Correct. 560 00:20:25.800 --> 00:20:26.880 And with that here, two years after the ban, 561 00:20:26.880 --> 00:20:28.520 I believe to roughly two years after that ban. 562 00:20:28.520 --> 00:20:29.360 Yeah. 563 00:20:29.360 --> 00:20:31.360 And suddenly everybody's talking about peptides again. 564 00:20:31.360 --> 00:20:32.200 Yes. 565 00:20:32.200 --> 00:20:33.040 Why? What's going on? 566 00:20:33.040 --> 00:20:37.160 So I think what we're seeing is the forbidden fruit effect 567 00:20:37.160 --> 00:20:39.000 because this was banned and all of a sudden, 568 00:20:39.000 --> 00:20:39.880 oh, well, why they banned it? 569 00:20:39.880 --> 00:20:41.960 Well, it wouldn't have banned it if it weren't working, right? 570 00:20:41.960 --> 00:20:44.480 And we're also seeing the effect of TikTok 571 00:20:44.480 --> 00:20:46.960 and short form content being spread very rapidly, 572 00:20:46.960 --> 00:20:47.920 very virally. 573 00:20:47.920 --> 00:20:50.040 And that's been going on for two years now 574 00:20:50.040 --> 00:20:54.480 combined with a new emphasis from administration leadership 575 00:20:54.480 --> 00:20:56.360 and the HHS and an RFK. 576 00:20:56.360 --> 00:20:59.640 What is the most incredible impact 577 00:20:59.640 --> 00:21:02.280 that you've seen peptides create in a patient? 578 00:21:02.280 --> 00:21:04.680 Oh my gosh, I have a best story for you. 579 00:21:04.720 --> 00:21:09.000 So one of the most frustrating things about my practice 580 00:21:09.000 --> 00:21:12.360 is treating infertility in young men 581 00:21:12.360 --> 00:21:14.760 that have significant metabolic dysfunction. 582 00:21:14.760 --> 00:21:18.080 These are young men that have a low sperm count, right? 583 00:21:18.080 --> 00:21:19.200 So they can't get pregnant 584 00:21:19.200 --> 00:21:21.720 because they just don't have the numbers to make it happen. 585 00:21:21.720 --> 00:21:24.680 And you're looking at them and they're morbidly obese, okay? 586 00:21:24.680 --> 00:21:27.160 They have high insulin resistance, all right? 587 00:21:27.160 --> 00:21:30.440 And their endocrine system has been damaged by that obesity. 588 00:21:30.440 --> 00:21:32.760 So they don't have low testosterone levels 589 00:21:32.760 --> 00:21:34.320 and their brain is not making enough 590 00:21:34.320 --> 00:21:36.360 of the signals to stimulate their testicles. 591 00:21:36.360 --> 00:21:39.360 Now, we have medications that we can use 592 00:21:39.360 --> 00:21:40.600 to help stimulate that, 593 00:21:40.600 --> 00:21:43.360 to make more of that signal stimulate the testicles, right? 594 00:21:43.360 --> 00:21:45.840 But really, what is eating at them, 595 00:21:45.840 --> 00:21:48.520 what is causing this is not that chemical imbalance, 596 00:21:48.520 --> 00:21:51.240 that's the symptom, it's not the problem, okay? 597 00:21:51.240 --> 00:21:53.480 And treating symptoms doesn't really get you very far. 598 00:21:53.480 --> 00:21:55.600 And so I would have patients that I would take care of 599 00:21:55.600 --> 00:21:57.360 and we would never see a significant improvement 600 00:21:57.360 --> 00:21:58.720 in their numbers because losing weight 601 00:21:58.720 --> 00:21:59.920 is really, really hard. 602 00:21:59.920 --> 00:22:02.280 Regardless of all the education and resources 603 00:22:02.360 --> 00:22:03.400 that try to give them. 604 00:22:03.400 --> 00:22:07.320 But now we have peptides in the form of GLP-1 drugs 605 00:22:07.320 --> 00:22:09.600 like semi-glue diet and tersepotide. 606 00:22:09.600 --> 00:22:11.640 And I just saw a patient last week 607 00:22:11.640 --> 00:22:15.120 who increased his sperm count 10 times over 608 00:22:15.120 --> 00:22:19.760 and is now in a normal range because he's lost 100 pounds 609 00:22:19.760 --> 00:22:21.920 due to using tersepotide, 610 00:22:21.920 --> 00:22:24.080 exercising and improving his diet. 611 00:22:24.080 --> 00:22:26.080 And he has totally changed his life. 612 00:22:26.080 --> 00:22:27.360 And that started with a peptide. 613 00:22:27.360 --> 00:22:28.840 It started with a peptide. 614 00:22:28.840 --> 00:22:31.200 So we've got lots of peptides on the table in front of us. 615 00:22:31.200 --> 00:22:32.800 We will go into them individually, 616 00:22:32.800 --> 00:22:35.400 but just can you give me a high level view 617 00:22:35.400 --> 00:22:38.000 of the types of areas in our health and life 618 00:22:38.000 --> 00:22:39.880 that these peptides can help with? 619 00:22:39.880 --> 00:22:41.800 So we've talked there about infertility, 620 00:22:41.800 --> 00:22:44.160 as a downstream consequence of the weight loss 621 00:22:44.160 --> 00:22:46.400 and fixing the metabolic health. 622 00:22:46.400 --> 00:22:48.920 What are the parts of the body to peptides touch? 623 00:22:48.920 --> 00:22:51.040 The best way to think about it is like this. 624 00:22:51.040 --> 00:22:55.280 So peptides are almost like an app on your phone. 625 00:22:55.280 --> 00:22:57.640 So imagine before we had apps, 626 00:22:57.640 --> 00:22:59.800 I'm old enough to remember trying to log on 627 00:22:59.800 --> 00:23:01.840 and do my banking online before we had apps 628 00:23:01.840 --> 00:23:03.600 and gosh, it was so painful, right? 629 00:23:03.600 --> 00:23:04.800 Like there were ways to accomplish things 630 00:23:04.800 --> 00:23:07.280 but they were very inconvenient in a roundabout way. 631 00:23:07.280 --> 00:23:09.840 And now all of a sudden we have these apps on our phone 632 00:23:09.840 --> 00:23:12.640 that can do just about anything except for your laundry, right? 633 00:23:12.640 --> 00:23:14.000 You know, there's some limits to it, 634 00:23:14.000 --> 00:23:15.760 but I mean, really the sky's the limit 635 00:23:15.760 --> 00:23:17.520 from an electronic standpoint. 636 00:23:17.520 --> 00:23:19.400 And really that's what peptides are. 637 00:23:19.400 --> 00:23:21.880 So the thing is is that we have peptides 638 00:23:21.880 --> 00:23:24.400 that can help you lose weight like the GLP1 drugs. 639 00:23:24.400 --> 00:23:28.120 We have peptides that can improve skin quality 640 00:23:28.120 --> 00:23:30.320 like GHKCU. 641 00:23:30.320 --> 00:23:34.240 We have peptides that can help heal your gut like BPC157, 642 00:23:34.240 --> 00:23:36.960 particularly effective and ulcerative colitis, 643 00:23:36.960 --> 00:23:38.520 which is something that's being investigated 644 00:23:38.520 --> 00:23:40.800 with FDA's planned upcoming meeting on it. 645 00:23:40.800 --> 00:23:43.920 We also have peptides that can help with sleep 646 00:23:43.920 --> 00:23:46.400 and with recovering the gland in your brain 647 00:23:46.400 --> 00:23:47.760 that's responsible for melatonin 648 00:23:47.760 --> 00:23:49.800 and regulating your sleep weight cycles. 649 00:23:49.800 --> 00:23:52.480 So the question isn't, you know, what can peptides do? 650 00:23:52.480 --> 00:23:54.480 It's kind of, well, what can't they do? 651 00:23:54.480 --> 00:23:55.960 And if they can't do that yet, 652 00:23:55.960 --> 00:23:58.880 can we develop a peptide that can accomplish that task? 653 00:23:58.880 --> 00:24:00.720 And the answer is probably 654 00:24:00.720 --> 00:24:03.120 and simultaneously while there may be resistance 655 00:24:03.120 --> 00:24:06.000 from pharmaceutical industry in these peptides, 656 00:24:06.000 --> 00:24:08.360 the ones that we're most interested right now, 657 00:24:08.360 --> 00:24:10.680 they have signed multi-billion dollar deals 658 00:24:10.680 --> 00:24:13.440 with other pharmaceutical companies 659 00:24:13.440 --> 00:24:14.800 that are involved in peptide, 660 00:24:14.800 --> 00:24:18.000 a development aided by AI to try and fast track 661 00:24:18.000 --> 00:24:20.000 their own peptide products. 662 00:24:20.000 --> 00:24:20.840 Interesting. 663 00:24:20.840 --> 00:24:23.840 And so we are going to see exponentially more of these products 664 00:24:23.840 --> 00:24:26.600 come down the pipeline from pharmaceutical companies 665 00:24:26.600 --> 00:24:28.240 in the form of commercial products. 666 00:24:28.240 --> 00:24:31.080 And it's worth saying that there was some significant news today. 667 00:24:31.080 --> 00:24:31.920 Correct. 668 00:24:31.920 --> 00:24:33.520 What happened today, but also what's going on? 669 00:24:33.520 --> 00:24:34.560 And just for anyone that doesn't know, 670 00:24:34.560 --> 00:24:36.120 it's April the 15th. 671 00:24:36.120 --> 00:24:37.120 Yes. 672 00:24:37.120 --> 00:24:41.800 So today, we got a press release from the FDA 673 00:24:41.800 --> 00:24:44.560 saying that in July, they are going to consider 674 00:24:44.560 --> 00:24:48.560 seven peptides for removing from category two 675 00:24:48.560 --> 00:24:49.720 back to category one. 676 00:24:49.720 --> 00:24:50.640 We legalizing them. 677 00:24:50.640 --> 00:24:52.160 Legalizing them, okay? 678 00:24:52.160 --> 00:24:56.200 And some of the heavy hitters from that list 679 00:24:56.200 --> 00:25:00.120 include BPC 157, which is the one we talked about 680 00:25:00.120 --> 00:25:01.640 to do with like repair and injury. 681 00:25:01.640 --> 00:25:02.640 Absolutely, okay? 682 00:25:02.640 --> 00:25:05.680 And then we have the brother to that, 683 00:25:05.680 --> 00:25:08.600 which is TV 500, this file over here. 684 00:25:08.600 --> 00:25:11.080 This improves blood flow to an injured area. 685 00:25:11.080 --> 00:25:13.560 You could think of this as sending the soldiers, 686 00:25:13.560 --> 00:25:15.560 as sending the cells that are required 687 00:25:15.560 --> 00:25:17.840 for rebuilding that tissue matrix 688 00:25:17.840 --> 00:25:20.760 that was damaged by a tear or a cut, all right? 689 00:25:20.760 --> 00:25:24.040 On top of that, we're also getting something called 690 00:25:24.040 --> 00:25:26.000 KPV may not have it here, 691 00:25:26.000 --> 00:25:29.360 but that is another peptide that has been linked 692 00:25:29.360 --> 00:25:32.320 to angiogenesis and tissue repair. 693 00:25:32.320 --> 00:25:33.920 We're also getting MOTC. 694 00:25:33.920 --> 00:25:36.640 And you know, some patients will call it exercise in a vial. 695 00:25:36.640 --> 00:25:39.840 It improves your VO2 max and your exercise tolerance 696 00:25:39.840 --> 00:25:42.960 and by up regulating the energy pathway, 697 00:25:42.960 --> 00:25:45.960 basically making more ATP, the energy that we all use to move, 698 00:25:45.960 --> 00:25:48.120 it makes more of that available, all right? 699 00:25:48.120 --> 00:25:52.360 We're also going to get DSIP, epithelon, and CMax, 700 00:25:52.360 --> 00:25:55.200 which are all peptides that affect cognitive function. 701 00:25:55.200 --> 00:25:59.400 So improving thinking, like CMax is a great option for that. 702 00:25:59.400 --> 00:26:02.120 And then DSIP and epithelon both have rules 703 00:26:02.120 --> 00:26:05.520 in regulating sleep and recovery. 704 00:26:05.520 --> 00:26:07.320 Wow. Yeah, pretty wild. 705 00:26:08.480 --> 00:26:10.120 And I've got to say, how does, 706 00:26:10.120 --> 00:26:12.040 so some of them are becoming legalized, 707 00:26:12.040 --> 00:26:13.440 but even the ones that aren't legal right now, 708 00:26:13.440 --> 00:26:14.720 a lot of people are taking them anyway. 709 00:26:14.720 --> 00:26:15.720 Correct. 710 00:26:15.720 --> 00:26:17.960 So my question is how are people getting them? 711 00:26:17.960 --> 00:26:20.240 Listen, I don't want to promote illegal drugs here. 712 00:26:20.240 --> 00:26:21.360 This is not the back of my shirt. 713 00:26:21.360 --> 00:26:22.960 But I just want to know what's going on. 714 00:26:22.960 --> 00:26:25.080 No, this is what this is important to talk about, right? 715 00:26:25.080 --> 00:26:27.720 Can we have to understand like what's going on in the marketplace? 716 00:26:27.720 --> 00:26:30.240 The moment that these drugs were banned 717 00:26:30.240 --> 00:26:32.400 or these medications were banned in 2023, 718 00:26:32.400 --> 00:26:34.280 it was kind of like the United States experimented 719 00:26:34.280 --> 00:26:36.520 banning alcohol, it didn't go very well, right? 720 00:26:36.520 --> 00:26:38.800 All of a sudden, you know, they, you know, 721 00:26:38.800 --> 00:26:41.000 the mob came around and we started, you know, 722 00:26:41.000 --> 00:26:46.120 seeing unregulated saloons and unregulated alcohol production. 723 00:26:46.120 --> 00:26:48.000 And it was contaminated with all this stuff that you didn't want. 724 00:26:48.000 --> 00:26:49.240 And so we're like, people are troubling. 725 00:26:49.240 --> 00:26:50.080 Yeah, exactly. 726 00:26:50.080 --> 00:26:52.320 It's just, it's not a good idea, right? 727 00:26:52.320 --> 00:26:54.280 And so what happened is we banned these 728 00:26:54.280 --> 00:26:55.920 and the gray market stepped in. 729 00:26:55.920 --> 00:26:59.240 And so these are companies that will sell peptides 730 00:26:59.240 --> 00:27:02.240 that have on the label for research use only, all right? 731 00:27:02.240 --> 00:27:04.480 And the idea is that that takes them 732 00:27:04.480 --> 00:27:05.840 out of the FDA's jurisdiction 733 00:27:05.840 --> 00:27:07.120 because they're not selling it for people 734 00:27:07.120 --> 00:27:09.560 to inject into themselves out of the FDA's hands. 735 00:27:09.560 --> 00:27:12.840 I'm just creating a vial of this magical juice 736 00:27:12.840 --> 00:27:15.120 that you can use for your rat, okay? 737 00:27:15.160 --> 00:27:16.000 That's the idea. 738 00:27:16.000 --> 00:27:18.240 We all know that's not what's really happening. 739 00:27:18.240 --> 00:27:20.960 But because there isn't any quality control, 740 00:27:20.960 --> 00:27:23.000 it's kind of like getting gas station sushi. 741 00:27:23.000 --> 00:27:24.200 Like, yeah, you can do it, 742 00:27:24.200 --> 00:27:25.880 but you don't really know if it's sushi 743 00:27:25.880 --> 00:27:27.720 and it may not in very well for you. 744 00:27:27.720 --> 00:27:29.760 And so again, not saying that there aren't 745 00:27:29.760 --> 00:27:32.040 some people who have gotten good results 746 00:27:32.040 --> 00:27:34.680 with research use only peptides, 747 00:27:34.680 --> 00:27:36.120 but again, it's not standardized, 748 00:27:36.120 --> 00:27:38.640 which is why I think moving this back 749 00:27:38.640 --> 00:27:40.560 into the 503A compounding world 750 00:27:40.560 --> 00:27:41.680 is the best thing for everyone. 751 00:27:41.680 --> 00:27:43.360 Which is the legal framework. 752 00:27:43.600 --> 00:27:45.640 Okay, so how does one take a peptide? 753 00:27:45.640 --> 00:27:46.640 That's a great question. 754 00:27:46.640 --> 00:27:48.880 So what's interesting is that as we mentioned, 755 00:27:48.880 --> 00:27:50.280 you know, peptides are just made up 756 00:27:50.280 --> 00:27:52.040 of building blocks of amino acids. 757 00:27:52.040 --> 00:27:55.400 And you know, if you were to go make yourself a protein shake, 758 00:27:55.400 --> 00:27:56.400 you know, what is that gonna look like 759 00:27:56.400 --> 00:27:57.440 from a Lego standpoint? 760 00:27:57.440 --> 00:27:59.880 It just looks like this, a handful of Legos in your hand, 761 00:27:59.880 --> 00:28:00.720 right? 762 00:28:00.720 --> 00:28:01.720 Sort of ground up 763 00:28:01.720 --> 00:28:03.200 and individual pieces, right? 764 00:28:03.200 --> 00:28:04.040 Okay. 765 00:28:04.040 --> 00:28:07.040 The thing is is that your gut is designed to break up 766 00:28:07.040 --> 00:28:09.520 any sort of protein that you ingest 767 00:28:09.520 --> 00:28:11.640 orally into these little pieces. 768 00:28:11.720 --> 00:28:13.360 And so if you were to say, 769 00:28:13.360 --> 00:28:17.240 I don't know, drink some of, you know, this TB 500, 770 00:28:17.240 --> 00:28:18.480 your body wouldn't be able to tell the difference 771 00:28:18.480 --> 00:28:19.720 between that and a piece of chicken 772 00:28:19.720 --> 00:28:21.120 because it would break it all apart. 773 00:28:21.120 --> 00:28:22.000 It would break it all apart. 774 00:28:22.000 --> 00:28:24.840 Now, there are some very unique exceptions to that. 775 00:28:24.840 --> 00:28:27.560 There's a form of BPC157 that actually is tolerated 776 00:28:27.560 --> 00:28:29.480 in the gut, but by and large, 777 00:28:29.480 --> 00:28:32.080 overwhelming majority of these have to be injected, 778 00:28:32.080 --> 00:28:34.440 either subcutaneously or into the muscle. 779 00:28:34.440 --> 00:28:35.760 And that's usually a preference. 780 00:28:35.760 --> 00:28:37.640 Subcutaneous being 100. 781 00:28:37.640 --> 00:28:38.560 Just underneath the skin. 782 00:28:38.560 --> 00:28:39.560 You know, as I tell patients, 783 00:28:39.560 --> 00:28:41.200 just pinch an inch and inject under the skin, 784 00:28:41.200 --> 00:28:42.920 we do that for a lot of other medications as well. 785 00:28:42.920 --> 00:28:44.200 Is that what this is? 786 00:28:44.200 --> 00:28:45.040 Yeah. 787 00:28:45.040 --> 00:28:47.320 So this is a prescription mongaro pen. 788 00:28:47.320 --> 00:28:51.160 So mongaro is the brand name for trizepa type, all right? 789 00:28:51.160 --> 00:28:54.920 Trizepa type being the leading GLP1 product right now 790 00:28:54.920 --> 00:28:55.760 from Lily. 791 00:28:55.760 --> 00:28:59.400 So this produces more weight loss per milligram 792 00:28:59.400 --> 00:29:01.640 than any other product that we've got out right now. 793 00:29:01.640 --> 00:29:04.840 Is this the mechanism in which people inject peptides? 794 00:29:04.840 --> 00:29:05.880 A little bit different. 795 00:29:05.880 --> 00:29:08.280 So this is an auto-injector pen. 796 00:29:08.280 --> 00:29:10.000 And so what you do is you're able to actually 797 00:29:10.000 --> 00:29:11.960 ratchet the dose there on the right side, 798 00:29:11.960 --> 00:29:13.960 and then you pinch an inch in your skin 799 00:29:13.960 --> 00:29:16.080 and then push it up against it'll auto-deploy. 800 00:29:16.080 --> 00:29:17.320 And so there's nothing that you need to do. 801 00:29:17.320 --> 00:29:19.960 You don't have to learn how to drop medication and inject. 802 00:29:19.960 --> 00:29:22.920 Whenever you're administering peptides at home, 803 00:29:22.920 --> 00:29:24.880 especially for patients that have obtained them 804 00:29:24.880 --> 00:29:26.520 from research use only markets, 805 00:29:26.520 --> 00:29:28.320 they usually come in just little vials 806 00:29:28.320 --> 00:29:30.760 that need to be drawn up with a needle, okay? 807 00:29:30.760 --> 00:29:34.440 Now, the benefit of that is that you can do custom dosing, 808 00:29:34.440 --> 00:29:35.280 all right? 809 00:29:35.280 --> 00:29:36.120 But the drawback is, is that, well, 810 00:29:36.120 --> 00:29:37.760 you have to know how to calculate that 811 00:29:37.760 --> 00:29:38.840 and put it together. 812 00:29:38.920 --> 00:29:42.280 This may be the most controversial thing 813 00:29:42.280 --> 00:29:43.640 we have on this table. 814 00:29:43.640 --> 00:29:45.600 And by pharma's estimate, 815 00:29:45.600 --> 00:29:47.160 it might be the most dangerous thing 816 00:29:47.160 --> 00:29:48.640 to their entire business model. 817 00:29:48.640 --> 00:29:51.200 Because this is tersepotide, 818 00:29:51.200 --> 00:29:53.600 the exact same thing that you had in that pen. 819 00:29:53.600 --> 00:29:58.040 But this is made by a high quality 503A compounding pharmacy. 820 00:29:58.040 --> 00:30:02.800 And the reason why this is so controversial right now 821 00:30:02.800 --> 00:30:05.600 is because it offers an incredible amount of flexibility 822 00:30:05.600 --> 00:30:08.120 because what you have in your hand there is very standardized 823 00:30:08.120 --> 00:30:09.800 and you administer it once a week 824 00:30:09.800 --> 00:30:11.040 because that's what's approved by interest. 825 00:30:11.040 --> 00:30:12.680 This is like the exact thing everyone's been talking about. 826 00:30:12.680 --> 00:30:13.920 Exactly, yeah. 827 00:30:13.920 --> 00:30:17.240 But think of that as paint by numbers, okay? 828 00:30:17.240 --> 00:30:19.800 You are, this section is this color, 829 00:30:19.800 --> 00:30:21.600 this section is that color, all right? 830 00:30:21.600 --> 00:30:24.560 Think of this as the thing you've got in your hand. 831 00:30:24.560 --> 00:30:27.720 Right now, yeah, exactly just a vial of tersepotide 832 00:30:27.720 --> 00:30:31.160 as being having infinite permutations and dosing ability 833 00:30:31.160 --> 00:30:33.640 because you can draw this up with a small syringe 834 00:30:33.640 --> 00:30:34.600 and do micro dosing. 835 00:30:34.600 --> 00:30:36.760 So instead of one large dose once a week 836 00:30:36.760 --> 00:30:38.640 because what many patients will experience 837 00:30:38.640 --> 00:30:41.280 is they'll have a return of their hunger by the end of the week 838 00:30:41.280 --> 00:30:43.120 and they end up losing ground. 839 00:30:43.120 --> 00:30:45.960 You can actually instead of doing a full dose once a week, 840 00:30:45.960 --> 00:30:48.680 you could do multiple mini doses throughout the week 841 00:30:48.680 --> 00:30:50.200 with this formulation 842 00:30:50.200 --> 00:30:52.800 and with this presentation of the medication, all right? 843 00:30:52.800 --> 00:30:55.120 But the challenge is that that is the benefit 844 00:30:55.120 --> 00:30:57.800 that allows this to be compounded by compounding pharmacies 845 00:30:57.800 --> 00:31:01.560 because they're able to provide something that is similar 846 00:31:01.560 --> 00:31:02.880 to what's in your hand, all right? 847 00:31:02.880 --> 00:31:04.880 But it offers more flexibility 848 00:31:04.880 --> 00:31:07.080 that may be the right choice for some patients. 849 00:31:07.080 --> 00:31:10.360 So personalization of medicine, okay? 850 00:31:10.360 --> 00:31:13.640 But the challenge is that if you spend however much money 851 00:31:13.640 --> 00:31:15.960 on this, you're not giving it to Lily. 852 00:31:15.960 --> 00:31:19.200 And so as a result, we have seen an unprecedented crackdown 853 00:31:19.200 --> 00:31:21.840 in the United States from the FDA 854 00:31:21.840 --> 00:31:24.360 and trying to shut down compounding pharmacies 855 00:31:24.360 --> 00:31:27.480 and prevent them from making these medications 856 00:31:27.480 --> 00:31:30.880 even though that ability to customize the fact 857 00:31:30.880 --> 00:31:34.200 that this is not an exact copy of what's in your hand right now 858 00:31:34.200 --> 00:31:36.760 should protect it under current legislation. 859 00:31:36.760 --> 00:31:40.440 But there is now enough pressure from the powers that be 860 00:31:40.440 --> 00:31:44.400 and from lobbyists, from both Lily and Novo Nordisk 861 00:31:44.400 --> 00:31:47.840 that which are the two companies that make the GLP1 medications 862 00:31:47.840 --> 00:31:51.400 that we're seeing Marty Macri, the FDA commissioner, 863 00:31:51.400 --> 00:31:53.920 has now tweeted more about cracking down 864 00:31:53.920 --> 00:31:56.000 on compounded GLP1 medications 865 00:31:56.000 --> 00:31:58.200 than he's tweeted about diabetes or heart disease 866 00:31:58.200 --> 00:31:59.800 in his entire time in office. 867 00:31:59.800 --> 00:32:02.000 And just so I understand, I want to play this back to you 868 00:32:02.000 --> 00:32:04.160 to make sure I understand, sure. 869 00:32:04.160 --> 00:32:08.880 In my hand here, I have trizapotite on my left. 870 00:32:08.880 --> 00:32:10.280 Yep, and this is made by Lily, 871 00:32:10.280 --> 00:32:12.760 which is a corporate company who has patented it 872 00:32:12.760 --> 00:32:14.080 so they can make lots of money from it. 873 00:32:14.080 --> 00:32:14.920 Right. 874 00:32:14.920 --> 00:32:18.000 In my right hand, I have trizapotite. 875 00:32:18.000 --> 00:32:19.880 Trizapotite with niacinamide. 876 00:32:19.880 --> 00:32:21.320 With niacinamide. 877 00:32:21.320 --> 00:32:22.160 Yep. 878 00:32:22.160 --> 00:32:23.560 And this is not patentable. 879 00:32:23.560 --> 00:32:27.960 So Lily has a patent on the trizapotite molecule 880 00:32:27.960 --> 00:32:29.640 in that formulation in your hand. 881 00:32:29.640 --> 00:32:30.640 Okay. 882 00:32:30.640 --> 00:32:33.840 And if anyone violates a patent, 883 00:32:33.840 --> 00:32:38.200 that can be pursued in US court, patent law, right? 884 00:32:38.200 --> 00:32:42.320 But what's interesting is that Lily and Novo Nordisk 885 00:32:42.320 --> 00:32:44.520 know that that's different in your right hand. 886 00:32:44.520 --> 00:32:45.640 It doesn't look the same. 887 00:32:45.640 --> 00:32:47.440 You can dose it differently. 888 00:32:47.440 --> 00:32:50.000 And they know that if they were going to fight that in court, 889 00:32:50.000 --> 00:32:52.840 it would cost a lot of money and take a lot of time. 890 00:32:52.840 --> 00:32:55.040 So you know, it's a lot easier calling your friend 891 00:32:55.040 --> 00:32:57.320 at the FDA and getting him to step on the competition 892 00:32:57.320 --> 00:32:58.440 so you don't have to. 893 00:32:58.480 --> 00:33:01.200 And then who's paying for that enforcement? 894 00:33:01.200 --> 00:33:05.720 It's not the lawyers that the pharma company is paying for. 895 00:33:05.720 --> 00:33:08.440 It's the taxpayer paying for the FDA through taxes. 896 00:33:08.440 --> 00:33:10.840 And you seem to imply that this was actually better 897 00:33:10.840 --> 00:33:13.040 because you could take it in a more flexible dose. 898 00:33:13.040 --> 00:33:14.120 You could take a little bit a lot. 899 00:33:14.120 --> 00:33:15.000 You can take it when you want. 900 00:33:15.000 --> 00:33:17.440 Whereas this is kind of once a week. 901 00:33:17.440 --> 00:33:19.440 Well, I mean, you know, what is better, right? 902 00:33:19.440 --> 00:33:22.120 So I like this option for many of my patients 903 00:33:22.120 --> 00:33:23.760 because it's flexible, all right? 904 00:33:23.760 --> 00:33:26.120 So that is something that works for most patients, all right? 905 00:33:26.120 --> 00:33:29.080 But then again, this works great for patients too. 906 00:33:29.080 --> 00:33:32.520 But what you want is you want an ecosystem where you have choice 907 00:33:32.520 --> 00:33:34.920 so you can make the right choice for the right patient. 908 00:33:34.920 --> 00:33:37.520 For a lot of patients, they're going to do exceedingly well 909 00:33:37.520 --> 00:33:40.120 on this and there's so much data to support that. 910 00:33:40.120 --> 00:33:43.240 But I also have a lot of patients who get really ill 911 00:33:43.240 --> 00:33:47.560 after they do a large dose of Mondarro or of GLP1 men. 912 00:33:47.560 --> 00:33:50.160 And if we take that same dose and we just cut it 913 00:33:50.160 --> 00:33:51.360 into multiple doses within a week, 914 00:33:51.360 --> 00:33:53.480 we can avoid those side effects. 915 00:33:53.480 --> 00:33:55.440 So you've told me that these peptides we have on the table 916 00:33:55.440 --> 00:33:57.920 in front of us can improve your skin, weight loss, 917 00:33:57.920 --> 00:34:01.000 muscle, energy, chronic illnesses. 918 00:34:01.000 --> 00:34:03.520 You talked about the cognitive upsides 919 00:34:03.520 --> 00:34:04.920 and you talk about it very passionately. 920 00:34:04.920 --> 00:34:05.760 Yeah. 921 00:34:05.760 --> 00:34:09.600 So one should ask you, presumably you're taking some peptides. 922 00:34:09.600 --> 00:34:10.280 I am. 923 00:34:10.280 --> 00:34:11.520 Yeah. So what ones do you take? 924 00:34:11.520 --> 00:34:14.320 So I will tell you that as of right now, 925 00:34:14.320 --> 00:34:18.080 the only peptide I'm taking is a small dose of therasaphythide, 926 00:34:18.080 --> 00:34:19.440 which is the one we were just talking about. 927 00:34:19.440 --> 00:34:19.940 Yeah. 928 00:34:19.940 --> 00:34:23.280 Because back a couple of months ago, 929 00:34:23.280 --> 00:34:27.080 I was probably close to about 240 or so. 930 00:34:27.080 --> 00:34:28.720 And I was into powerlifting. 931 00:34:28.720 --> 00:34:29.560 I still am. 932 00:34:29.560 --> 00:34:32.760 But it's really great to be able to deadlift 500 pounds. 933 00:34:32.760 --> 00:34:34.960 But then stairs become really hard when you're trying 934 00:34:34.960 --> 00:34:35.800 to walk up. 935 00:34:35.800 --> 00:34:36.720 And I don't know. 936 00:34:36.720 --> 00:34:39.160 I kind of like being able to not take a break 937 00:34:39.160 --> 00:34:40.840 after two or three flights of stairs. 938 00:34:40.840 --> 00:34:42.760 And so I was like, OK, all right, longevity 939 00:34:42.760 --> 00:34:43.760 is a priority of mine. 940 00:34:43.760 --> 00:34:45.120 I'm going to slim down a little bit. 941 00:34:45.120 --> 00:34:46.760 I'm like, let me just try this for a little bit. 942 00:34:46.760 --> 00:34:48.920 And what I found is that it is incredibly potent 943 00:34:48.920 --> 00:34:51.880 and at a very low dose, very, very tolerable. 944 00:34:51.880 --> 00:34:53.520 Why didn't you take some of the others? 945 00:34:53.520 --> 00:34:55.440 Honestly, because right now, there 946 00:34:55.440 --> 00:34:57.920 is not a legal framework for me to obtain them. 947 00:34:57.920 --> 00:35:00.040 And the truth is, is that I want 948 00:35:00.040 --> 00:35:01.680 to be an example for my patients. 949 00:35:01.680 --> 00:35:04.040 And that's why I'm out here advocating 950 00:35:04.040 --> 00:35:05.920 that we get access to these peptides 951 00:35:05.920 --> 00:35:08.200 in a legal, safe way again, all right? 952 00:35:08.200 --> 00:35:10.680 And because it's the best thing for everyone. 953 00:35:10.680 --> 00:35:14.240 If they were legal, which ones might you consider? 954 00:35:14.240 --> 00:35:15.640 Oh, man, I would tell you this. 955 00:35:15.640 --> 00:35:18.360 As some, like, I don't know how old you are, Stephen. 956 00:35:18.360 --> 00:35:19.200 But I might be 33. 957 00:35:19.200 --> 00:35:19.960 33. 958 00:35:19.960 --> 00:35:20.560 God bless you. 959 00:35:20.560 --> 00:35:23.360 I will tell you, once you get over 35, man, that is brutal. 960 00:35:23.360 --> 00:35:25.040 I sleep on my neck in a wrong way, 961 00:35:25.040 --> 00:35:27.760 and I need like a frickin' brace for like two weeks. 962 00:35:27.760 --> 00:35:30.600 And so if someone who spends a lot of time in the gym, 963 00:35:30.600 --> 00:35:32.400 working out, like you start to accumulate 964 00:35:32.400 --> 00:35:33.680 all these little aches and pains. 965 00:35:33.680 --> 00:35:35.520 And so the idea of, for example, 966 00:35:35.520 --> 00:35:38.120 I have a very finicky right shoulder. 967 00:35:38.120 --> 00:35:40.760 If I try to do a really heavy bench 968 00:35:40.760 --> 00:35:42.720 and I haven't warmed up, I can tweak this. 969 00:35:42.720 --> 00:35:45.280 And it takes me out of the fight for at least a month, okay? 970 00:35:45.280 --> 00:35:46.760 And I have to do other things. 971 00:35:46.760 --> 00:35:48.920 I would have killed at various points in time 972 00:35:48.960 --> 00:35:53.080 over the past two years to have had BPC and TB500 973 00:35:53.080 --> 00:35:55.920 to hopefully speed that sort of healing, all right? 974 00:35:55.920 --> 00:35:59.800 Also, for example, I suffer from really bad rosacea. 975 00:35:59.800 --> 00:36:01.080 It flares constantly. 976 00:36:01.080 --> 00:36:01.920 What's that? 977 00:36:01.920 --> 00:36:03.400 So just redness of the face. 978 00:36:03.400 --> 00:36:04.240 Okay. 979 00:36:04.240 --> 00:36:05.920 That, you know, it makes me look like I'm sunburned. 980 00:36:05.920 --> 00:36:08.040 And then I come in on the office on like a Tuesday 981 00:36:08.040 --> 00:36:09.440 and then my staff's like, oh my gosh, 982 00:36:09.440 --> 00:36:10.880 you go out in the yard and do some work this week. 983 00:36:10.880 --> 00:36:12.800 I'm like, this is just my face. 984 00:36:12.800 --> 00:36:15.120 You know, for example, that's something that a lot of people 985 00:36:15.120 --> 00:36:18.360 have reported benefits from GHKCU from. 986 00:36:18.360 --> 00:36:20.880 So again, another compound, another peptide 987 00:36:20.880 --> 00:36:23.240 that could be beneficial for a patient like myself. 988 00:36:23.240 --> 00:36:25.640 What about muscle mass and muscle? 989 00:36:25.640 --> 00:36:26.480 Yeah. 990 00:36:26.480 --> 00:36:29.360 So that is an interesting misnomer 991 00:36:29.360 --> 00:36:31.720 because that has been a common selling point 992 00:36:31.720 --> 00:36:33.120 that you'll see on social media. 993 00:36:33.120 --> 00:36:36.560 But as of right now, the only peptide 994 00:36:36.560 --> 00:36:38.760 that you might construe that way 995 00:36:38.760 --> 00:36:43.760 would be this guy right here in my hand, IGF1LR3, okay? 996 00:36:44.000 --> 00:36:46.840 Now, IGF1LR3 is basically 997 00:36:46.840 --> 00:36:49.520 the longer-lasting version of IGF1, 998 00:36:49.520 --> 00:36:52.360 which is the downstream effect of growth hormone. 999 00:36:52.360 --> 00:36:54.320 I'm sure you've heard of bodybuilders taking growth hormone 1000 00:36:54.320 --> 00:36:56.680 to increase size and, you know, lose fat. 1001 00:36:56.680 --> 00:37:00.760 In higher doses, it can help contribute to muscle mass, right? 1002 00:37:00.760 --> 00:37:04.920 But truthfully, if you're trying to gain significant muscle mass, 1003 00:37:04.920 --> 00:37:06.680 this is not the way to do it. 1004 00:37:06.680 --> 00:37:09.680 And so the right now, one of the things 1005 00:37:09.680 --> 00:37:11.640 that peptides can't do for you 1006 00:37:11.640 --> 00:37:14.600 is independently put on significant amounts of lean mass. 1007 00:37:14.600 --> 00:37:15.680 You still have to get to the gym. 1008 00:37:15.680 --> 00:37:17.200 You still have to go to the gym, believe it or not. 1009 00:37:17.200 --> 00:37:18.040 And guess what? 1010 00:37:18.040 --> 00:37:19.040 Well, that seemed to be the podcast. 1011 00:37:19.040 --> 00:37:19.880 Yeah. 1012 00:37:19.880 --> 00:37:21.800 I'll tell you, but something that blows my mind 1013 00:37:21.800 --> 00:37:23.080 is that I have so many patients 1014 00:37:23.080 --> 00:37:25.160 that think that they can just take testosterone 1015 00:37:25.160 --> 00:37:26.440 and just put on muscle naturally. 1016 00:37:26.440 --> 00:37:27.760 And it doesn't work that way. 1017 00:37:27.760 --> 00:37:29.120 You might get a tiny little bit, 1018 00:37:29.120 --> 00:37:30.560 but you still have to have stimulus. 1019 00:37:30.560 --> 00:37:31.440 You still have to get in the gym. 1020 00:37:31.440 --> 00:37:32.880 You still have to put the work in. 1021 00:37:32.880 --> 00:37:35.040 And so I tell patients that I am not a replacement 1022 00:37:35.040 --> 00:37:36.160 for a personal trainer. 1023 00:37:36.160 --> 00:37:37.160 I am your doctor. 1024 00:37:37.160 --> 00:37:38.640 You also need your personal trainer. 1025 00:37:38.640 --> 00:37:40.480 And most of you need a nutritionist, man. 1026 00:37:40.480 --> 00:37:42.640 And so I'm lucky to work with some great people 1027 00:37:42.640 --> 00:37:44.640 in the community who partner with me on that. 1028 00:37:44.640 --> 00:37:46.400 But it's a full court press 1029 00:37:46.400 --> 00:37:49.440 when you're trying to get people to live the highest quality life. 1030 00:37:49.440 --> 00:37:51.320 What about some of these metabolic disorders 1031 00:37:51.320 --> 00:37:54.160 and diseases in terms of insulin resistance? 1032 00:37:54.160 --> 00:37:55.600 People on the diet of the CIO, 1033 00:37:55.600 --> 00:37:58.320 the audience are very interested to learn about insulin. 1034 00:37:58.320 --> 00:37:59.520 I see that a lot in the comments section 1035 00:37:59.520 --> 00:38:00.640 and a lot of the data. 1036 00:38:00.640 --> 00:38:01.480 Yeah. 1037 00:38:01.480 --> 00:38:02.720 So how can if someone's struggling 1038 00:38:02.720 --> 00:38:04.960 with their insulin levels or their glucose response, 1039 00:38:04.960 --> 00:38:06.600 how does these peptides help? 1040 00:38:06.600 --> 00:38:08.480 Honestly, the best peptides for that right now 1041 00:38:08.480 --> 00:38:11.000 are the GLP1 drugs, hands down. 1042 00:38:11.000 --> 00:38:13.320 Because what you're doing is you are slowing 1043 00:38:13.320 --> 00:38:14.160 the gastric emptying. 1044 00:38:14.160 --> 00:38:17.520 And so you have a slower absorption 1045 00:38:17.520 --> 00:38:19.160 of that bolsa food that you've eaten. 1046 00:38:19.160 --> 00:38:20.840 So your glucose doesn't spike. 1047 00:38:20.840 --> 00:38:22.240 And so as a result, 1048 00:38:22.240 --> 00:38:25.120 that increases insulin sensitivity significantly. 1049 00:38:25.120 --> 00:38:26.920 Now, again, you have to be careful 1050 00:38:26.920 --> 00:38:28.480 about what peptides you're using for what? 1051 00:38:28.480 --> 00:38:31.760 A lot of these peptides that boost growth hormone 1052 00:38:31.760 --> 00:38:34.200 and boost, let's say IGF1, 1053 00:38:34.200 --> 00:38:37.280 those can actually increase serum glucose. 1054 00:38:37.280 --> 00:38:39.000 And that may not be what you want 1055 00:38:39.000 --> 00:38:40.520 if you are someone that is trying 1056 00:38:40.520 --> 00:38:42.600 to work on your insulin sensitivity. 1057 00:38:42.600 --> 00:38:45.320 And to any of these peptides come as like creams 1058 00:38:45.320 --> 00:38:47.760 or as pills or anything like that. 1059 00:38:47.760 --> 00:38:48.800 If you look online, 1060 00:38:48.800 --> 00:38:50.320 you can probably find a version of everything. 1061 00:38:50.320 --> 00:38:53.640 But if we're talking about actual legitimate formulations, 1062 00:38:53.640 --> 00:38:56.360 the best example of a topical cream 1063 00:38:56.360 --> 00:38:57.960 is going to be GHKCU. 1064 00:38:57.960 --> 00:39:01.040 And this is interesting because this is a copper tripeptide 1065 00:39:01.040 --> 00:39:03.840 that has been found to decrease 1066 00:39:03.840 --> 00:39:06.480 in expression and concentration as we age. 1067 00:39:06.480 --> 00:39:08.320 But when it is applied topically, 1068 00:39:08.320 --> 00:39:09.960 it's highly effectively, 1069 00:39:09.960 --> 00:39:12.480 so putting on a cream on your face, all right? 1070 00:39:12.520 --> 00:39:14.600 It's been found to be extremely beneficial 1071 00:39:14.600 --> 00:39:17.080 in regenerating the quality of skin. 1072 00:39:17.080 --> 00:39:18.840 So complexion, all right? 1073 00:39:18.840 --> 00:39:21.360 Increasing the amount of collagen and elastin, 1074 00:39:21.360 --> 00:39:24.400 the things that we need to keep our faces taught and youthful, 1075 00:39:24.400 --> 00:39:26.360 the things that people will pay lots of money 1076 00:39:26.360 --> 00:39:28.000 to go get laser to get improvements. 1077 00:39:28.000 --> 00:39:29.720 Not that it's a replacement for that, 1078 00:39:29.720 --> 00:39:32.640 but that's a topical form that believe it or not, 1079 00:39:32.640 --> 00:39:33.760 you could go out and buy today 1080 00:39:33.760 --> 00:39:37.600 because topical GHKCU is regulated very differently 1081 00:39:37.600 --> 00:39:39.320 than the injectable form. 1082 00:39:39.320 --> 00:39:41.320 Is it expensive usually? 1083 00:39:41.320 --> 00:39:42.280 You know, growing up, I thought 1084 00:39:42.280 --> 00:39:45.000 all these sort of anti-aging creams were bullshit. 1085 00:39:45.000 --> 00:39:47.880 But you're telling me that this has actually been associated 1086 00:39:47.880 --> 00:39:50.320 with improving signs of aging. 1087 00:39:50.320 --> 00:39:51.160 I will tell you this, 1088 00:39:51.160 --> 00:39:53.600 when I was going through college and medical school, 1089 00:39:53.600 --> 00:39:55.040 I was the biggest skeptic. 1090 00:39:55.040 --> 00:39:58.360 Like I did not believe any of the health or wellness claims 1091 00:39:58.360 --> 00:39:59.720 that we saw coming out at the time. 1092 00:39:59.720 --> 00:40:01.200 And again, you know, that was at a time 1093 00:40:01.200 --> 00:40:02.720 where we were getting bombarded with stuff 1094 00:40:02.720 --> 00:40:04.840 about the acne's diet and this out of the other. 1095 00:40:04.840 --> 00:40:05.920 But then all of a sudden, 1096 00:40:05.920 --> 00:40:07.720 you start having patients come back to you 1097 00:40:07.720 --> 00:40:09.120 and they're testifying as the benefits 1098 00:40:09.120 --> 00:40:10.200 they've seen from these things. 1099 00:40:10.200 --> 00:40:12.240 And you start to actually look at the biochemistry behind them. 1100 00:40:12.240 --> 00:40:14.880 You're like, there's a lot of science backing this up. 1101 00:40:14.880 --> 00:40:16.720 This isn't just mumbo jumbo. 1102 00:40:16.720 --> 00:40:18.400 And so believe it or not, 1103 00:40:18.400 --> 00:40:21.880 yeah, there are creams that can slow the process of aging, 1104 00:40:21.880 --> 00:40:23.000 at least from a visual standpoint, 1105 00:40:23.000 --> 00:40:24.280 when it comes to your skin. 1106 00:40:24.280 --> 00:40:26.720 I have yet to figure out anything that, you know, 1107 00:40:26.720 --> 00:40:29.120 makes me as energetic as I was in my early 20s, 1108 00:40:29.120 --> 00:40:30.440 but you know, I'm working on it. 1109 00:40:30.440 --> 00:40:33.080 But on that point of energy and cognition, 1110 00:40:33.080 --> 00:40:35.520 if I wanted to become a better pollcaster, yeah. 1111 00:40:35.520 --> 00:40:36.720 And you know, I say here sometimes, 1112 00:40:36.720 --> 00:40:37.800 sometimes we do tune a day, 1113 00:40:37.800 --> 00:40:39.200 which means I might see it for eight hours. 1114 00:40:39.640 --> 00:40:41.360 I think a couple of times you've done three in a day. 1115 00:40:41.360 --> 00:40:42.200 That's brutal. 1116 00:40:42.200 --> 00:40:43.240 Which is 12 hours of recording. 1117 00:40:43.240 --> 00:40:44.560 Yeah. But what would you recommend 1118 00:40:44.560 --> 00:40:46.480 if I was trying to improve my cognitive performance? 1119 00:40:46.480 --> 00:40:47.840 So again, as a physician, 1120 00:40:47.840 --> 00:40:49.080 it likes keeping my license. 1121 00:40:49.080 --> 00:40:50.840 I would say necessarily recommend, 1122 00:40:50.840 --> 00:40:53.960 but I would say if we're looking at how these medications 1123 00:40:53.960 --> 00:40:57.320 have been used and potentially one that may be legal again, 1124 00:40:57.320 --> 00:40:59.640 coming this July pending what the FDA says, 1125 00:40:59.640 --> 00:41:01.080 intranasal CMax. 1126 00:41:01.080 --> 00:41:03.280 And this was one that was originally studied 1127 00:41:03.280 --> 00:41:06.400 actually in Russia many years ago. 1128 00:41:06.400 --> 00:41:10.480 And what they found is that this seven amino acid peptide 1129 00:41:10.480 --> 00:41:14.120 when it was administered after a TBI, 1130 00:41:14.120 --> 00:41:17.120 so a traumatic brain injury or acute injury 1131 00:41:17.120 --> 00:41:19.640 that patients tended to bounce back faster. 1132 00:41:19.640 --> 00:41:23.000 Also, they saw evidence of it improving outcomes after stroke. 1133 00:41:23.000 --> 00:41:26.280 And it also seems to upregulate the same sort of factors 1134 00:41:26.280 --> 00:41:28.200 that help with cognition 1135 00:41:28.200 --> 00:41:31.840 and with connecting sentences and bits of data in your brain. 1136 00:41:31.840 --> 00:41:34.240 And so it's also one of the interestingly enough, 1137 00:41:34.240 --> 00:41:37.320 one of the ones that is available intranasally 1138 00:41:37.320 --> 00:41:38.880 because it goes through the mucus membranes 1139 00:41:38.880 --> 00:41:40.440 and gets right where you need it. 1140 00:41:40.440 --> 00:41:43.080 And so that's gonna be a really, really fascinating 1141 00:41:43.080 --> 00:41:44.760 compound to see back on the market. 1142 00:41:44.760 --> 00:41:47.880 And then we can actually get more data regarding efficacy 1143 00:41:47.880 --> 00:41:50.320 and across a wide population. 1144 00:41:50.320 --> 00:41:51.160 So interesting. 1145 00:41:51.160 --> 00:41:53.640 And you can even sniff that through your nose. 1146 00:41:53.640 --> 00:41:56.800 Like you would for any nasal decongestant, right? 1147 00:41:56.800 --> 00:41:58.680 And if you have allergies or something like that. 1148 00:41:58.680 --> 00:42:01.320 Also for someone like yourself, you travel a lot. 1149 00:42:01.320 --> 00:42:02.960 You're going in between different time zones. 1150 00:42:02.960 --> 00:42:04.520 You're balancing multiple obligations 1151 00:42:04.520 --> 00:42:06.000 at different odd times of the day. 1152 00:42:06.000 --> 00:42:08.800 I shudder to think what your circadian rhythm looks like, 1153 00:42:08.800 --> 00:42:09.800 my friend. 1154 00:42:09.800 --> 00:42:11.360 But that is what we have. 1155 00:42:11.360 --> 00:42:13.960 Some of these other compounds that are gonna be available for. 1156 00:42:13.960 --> 00:42:17.880 So if we look at a D-SIP, okay? 1157 00:42:17.880 --> 00:42:19.680 That has been shown to be helpful 1158 00:42:19.680 --> 00:42:22.440 with regulating your circadian rhythm, all right? 1159 00:42:22.440 --> 00:42:24.040 That is one of the ones that's gonna be approved 1160 00:42:24.040 --> 00:42:26.840 hopefully here soon again in July, right? 1161 00:42:26.840 --> 00:42:31.200 And then on top of that, you've got things like Selenck, 1162 00:42:31.200 --> 00:42:33.480 which is another one that can help calm you 1163 00:42:33.480 --> 00:42:35.840 as you're going to sleep about an hour ahead of time. 1164 00:42:35.840 --> 00:42:39.120 And again, help those deep delta wave brain waves 1165 00:42:39.120 --> 00:42:43.440 that are so restorative whenever you actually are resting. 1166 00:42:43.440 --> 00:42:45.320 Where will we be able to buy these 1167 00:42:45.320 --> 00:42:47.280 when and if they are legalized? 1168 00:42:47.280 --> 00:42:52.440 So from 503A compounders here in the United States 1169 00:42:52.440 --> 00:42:54.600 with a prescription from a physician. 1170 00:42:54.600 --> 00:42:55.760 So you still need a prescription. 1171 00:42:55.760 --> 00:42:58.200 You still need a prescription, correct? 1172 00:42:58.200 --> 00:42:59.280 It can be quite crazy world 1173 00:42:59.280 --> 00:43:02.800 when everybody is gonna be injecting themselves every day. 1174 00:43:02.800 --> 00:43:04.160 I mean, we're already getting to that point now 1175 00:43:04.160 --> 00:43:05.840 with a Zem pack where I've got loads of people 1176 00:43:05.840 --> 00:43:07.520 in my friendship group that are. 1177 00:43:07.520 --> 00:43:09.720 Yeah, and they're doing great. 1178 00:43:09.720 --> 00:43:10.800 Yeah, they're doing great. 1179 00:43:10.800 --> 00:43:11.640 They're doing great. 1180 00:43:11.640 --> 00:43:15.040 And that's what I like about the advent of these GLP ones 1181 00:43:15.040 --> 00:43:17.080 is they're removing the stigma of a needle. 1182 00:43:17.080 --> 00:43:19.600 And I look at some of my friends who have been on it. 1183 00:43:19.600 --> 00:43:21.480 I can't recognize them, they look awesome. 1184 00:43:21.480 --> 00:43:24.400 Are you concerned with any of them? 1185 00:43:24.400 --> 00:43:26.240 You know, I've got a couple of friends in my circle 1186 00:43:26.240 --> 00:43:27.920 where I'm a little bit concerned. 1187 00:43:27.920 --> 00:43:29.600 I don't even know if I should be concerned, 1188 00:43:29.600 --> 00:43:32.120 but it's just when you see someone you know change 1189 00:43:32.120 --> 00:43:33.800 so dramatically, so quickly. 1190 00:43:33.800 --> 00:43:35.440 Yeah, I think there's something in us 1191 00:43:35.440 --> 00:43:37.200 which is something pretty historic in us 1192 00:43:37.200 --> 00:43:38.560 which goes, oh my god, there's a problem. 1193 00:43:38.560 --> 00:43:40.760 Yeah, one thing I am concerned about 1194 00:43:40.760 --> 00:43:44.040 is the rapid weight loss with GLP1 medications. 1195 00:43:44.040 --> 00:43:45.960 Because the problem is that when you go 1196 00:43:45.960 --> 00:43:47.920 into such a radical caloric deficit, 1197 00:43:47.920 --> 00:43:51.400 your body goes into catabolism, which is breaking down tissue. 1198 00:43:51.400 --> 00:43:53.040 And you wanna break down fat, right? 1199 00:43:53.040 --> 00:43:54.600 But your body isn't that judicious. 1200 00:43:54.600 --> 00:43:55.840 It's gonna break down muscle. 1201 00:43:56.000 --> 00:43:59.000 And muscle is the most metabolically important tissue 1202 00:43:59.000 --> 00:44:00.240 that any of us have. 1203 00:44:00.240 --> 00:44:02.840 And so if you really wanna optimize your insulin sensitivity, 1204 00:44:02.840 --> 00:44:04.520 well, you need to maintain your muscle. 1205 00:44:04.520 --> 00:44:07.600 And right now, really the only compounds that we have 1206 00:44:07.600 --> 00:44:09.280 that are really good at preserving muscle 1207 00:44:09.280 --> 00:44:11.520 with resistance training is testosterone, right? 1208 00:44:11.520 --> 00:44:13.320 But that isn't gonna be a good option 1209 00:44:13.320 --> 00:44:15.200 for our male patients that wanna get pregnant 1210 00:44:15.200 --> 00:44:17.720 because testosterone turns off fertility in men, all right? 1211 00:44:17.720 --> 00:44:20.760 It's also not a great idea for our female patients, 1212 00:44:20.760 --> 00:44:22.800 all right, depending on their age, testosterone, 1213 00:44:22.800 --> 00:44:25.440 TRT is a thing in older women, 1214 00:44:25.440 --> 00:44:26.760 menopausal won't go into that. 1215 00:44:26.760 --> 00:44:29.520 But truthfully, testosterone is not the right answer 1216 00:44:29.520 --> 00:44:30.360 for everybody. 1217 00:44:30.360 --> 00:44:34.760 And so what we are gonna see come down the pipe very soon 1218 00:44:34.760 --> 00:44:36.680 is kind of the older brother of peptides, 1219 00:44:36.680 --> 00:44:40.120 the more complex form biologics called monoclonal antibodies 1220 00:44:40.120 --> 00:44:43.080 that are specifically designed to inhibit 1221 00:44:43.080 --> 00:44:44.920 the enzymes that break down muscle. 1222 00:44:44.920 --> 00:44:47.600 So these are specifically called myostatin inhibitors. 1223 00:44:47.600 --> 00:44:49.960 There are three that are coming down the pipeline. 1224 00:44:49.960 --> 00:44:52.640 There is one called the magramab, which is owned by Lily. 1225 00:44:52.640 --> 00:44:55.120 That is going to bind to the peanut butter 1226 00:44:55.120 --> 00:44:57.880 to myostatin's jelly, which is called active in. 1227 00:44:57.880 --> 00:45:01.440 And then you have heredosmab and travogumab, 1228 00:45:01.440 --> 00:45:04.240 which are two other compounds owned 1229 00:45:04.240 --> 00:45:05.720 by different pharmaceutical company 1230 00:45:05.720 --> 00:45:07.880 that are all designed to maintain muscle 1231 00:45:07.880 --> 00:45:10.080 even in a significant caloric deficit. 1232 00:45:10.080 --> 00:45:11.280 This is getting interesting now. 1233 00:45:11.280 --> 00:45:12.120 Yeah, yeah. 1234 00:45:12.120 --> 00:45:14.440 So you're telling me I'm gonna be able to inject myself 1235 00:45:14.440 --> 00:45:16.080 with this impact to lose the fat 1236 00:45:16.080 --> 00:45:18.320 and then inject myself with something else to keep the muscle. 1237 00:45:18.320 --> 00:45:19.800 It's wild. 1238 00:45:19.800 --> 00:45:20.640 It's wild. 1239 00:45:21.640 --> 00:45:25.440 And I'll tell you one of the hardest things 1240 00:45:25.440 --> 00:45:26.680 that I'm sure you've heard being 1241 00:45:26.680 --> 00:45:29.440 on the receiving end of this is just the complexity of it. 1242 00:45:29.440 --> 00:45:31.960 And there are so many levers that are moving at once 1243 00:45:31.960 --> 00:45:35.120 and trying to get your head around it and balance it all. 1244 00:45:35.120 --> 00:45:38.840 It requires nuance and it requires a thoughtful discussion 1245 00:45:38.840 --> 00:45:42.000 with your doctor who's well-educated on them. 1246 00:45:42.000 --> 00:45:44.280 And that's one of the challenges is that 1247 00:45:44.280 --> 00:45:46.200 there isn't broad, great education 1248 00:45:46.200 --> 00:45:48.800 on these products right now in the medical space. 1249 00:45:48.840 --> 00:45:51.080 And so that's something that I'm very passionate about 1250 00:45:51.080 --> 00:45:54.200 is improving education across my colleagues 1251 00:45:54.200 --> 00:45:56.320 so that they're not afraid of these anymore. 1252 00:45:56.320 --> 00:45:57.440 What'd you say to people that are listening 1253 00:45:57.440 --> 00:45:58.440 to this now, you're fucking out. 1254 00:45:58.440 --> 00:46:01.480 Why don't you just like eat your greens and go to the gym? 1255 00:46:01.480 --> 00:46:02.320 Yeah. 1256 00:46:02.320 --> 00:46:03.720 And just be more human and you'll be fine. 1257 00:46:03.720 --> 00:46:04.560 I love that. 1258 00:46:04.560 --> 00:46:07.480 I love eating your greens and going to the gym, okay? 1259 00:46:07.480 --> 00:46:10.840 But the unfortunate reality is that here in the United States, 1260 00:46:10.840 --> 00:46:13.320 it depends on what database you look at. 1261 00:46:13.320 --> 00:46:17.200 But obesity rates are estimated to be 40 to 70%. 1262 00:46:17.200 --> 00:46:20.200 Okay, whether you, depending on what BMI cut off you're using, 1263 00:46:20.200 --> 00:46:22.520 okay, BMI is not perfect, but it is what it is. 1264 00:46:22.520 --> 00:46:24.400 And so the thing is, is that, well, 1265 00:46:24.400 --> 00:46:26.160 eating greens and going to the gym 1266 00:46:26.160 --> 00:46:28.520 are not working for us as a society. 1267 00:46:28.520 --> 00:46:31.320 And we could talk about how we don't have real food anymore. 1268 00:46:31.320 --> 00:46:32.600 We have food deserts. 1269 00:46:32.600 --> 00:46:36.680 We have this colloquially dense, but nutritionally poor food. 1270 00:46:36.680 --> 00:46:39.280 I'll tell you, the most disturbing thing I see 1271 00:46:39.280 --> 00:46:41.760 as a surgeon is I'll see a patient come in the door. 1272 00:46:41.760 --> 00:46:42.960 And they're morbidly obese. 1273 00:46:42.960 --> 00:46:45.320 They're a large individual, but I have to do surgery on them. 1274 00:46:45.320 --> 00:46:46.800 But the connective tissue, the stuff 1275 00:46:46.800 --> 00:46:48.360 is made of a protein that makes them, 1276 00:46:48.360 --> 00:46:51.760 them that literally holds them together is paper, paper, thin 1277 00:46:51.760 --> 00:46:54.000 because they're eating an incredible amount of calories. 1278 00:46:54.000 --> 00:46:56.480 They're gaining fat, but they don't have any protein in their diet. 1279 00:46:56.480 --> 00:46:58.360 And that's not something that's rare. 1280 00:46:58.360 --> 00:47:00.000 I see that on a daily basis. 1281 00:47:00.000 --> 00:47:02.960 And so the truth is, is that, we're talking about this 1282 00:47:02.960 --> 00:47:05.520 from the angle of biohackers and people 1283 00:47:05.520 --> 00:47:07.240 that are super engaged in our health. 1284 00:47:07.240 --> 00:47:10.240 But the truth is, is that this is going to be able to be used 1285 00:47:10.240 --> 00:47:12.520 to help our population at large. 1286 00:47:12.520 --> 00:47:16.040 And ultimately, hopefully avoid a lot 1287 00:47:16.040 --> 00:47:17.240 of the terrible disease states 1288 00:47:17.240 --> 00:47:19.640 that we're seeing overwhelm the medical system right now. 1289 00:47:19.640 --> 00:47:22.800 How big is the peptide industry right now? 1290 00:47:22.800 --> 00:47:26.000 If we look at the top four large language models companies, 1291 00:47:26.000 --> 00:47:27.520 all right, so all the heavy hitters 1292 00:47:27.520 --> 00:47:29.400 and how much revenue they're generating, 1293 00:47:29.400 --> 00:47:34.400 it's estimated between 58 billion up to maybe 62 billion. 1294 00:47:35.320 --> 00:47:39.200 Yet the income and the revenue from just semi-gluteide 1295 00:47:39.200 --> 00:47:44.000 and tersepatide alone is going to be over 55 billion this year. 1296 00:47:44.000 --> 00:47:46.440 And so what we have is peptides 1297 00:47:46.440 --> 00:47:48.440 without even considering all of this happening 1298 00:47:48.440 --> 00:47:51.080 in the research space or the research-use-only space, 1299 00:47:51.080 --> 00:47:53.240 without even considering the peptides 1300 00:47:53.240 --> 00:47:56.040 that we'll see come from compounding pharmacies. 1301 00:47:56.040 --> 00:47:58.080 We're already approaching parity 1302 00:47:58.080 --> 00:48:01.120 with what we're seeing in AI as far as revenue goes. 1303 00:48:01.120 --> 00:48:04.440 That is the demand that we're seeing in the marketplace. 1304 00:48:04.440 --> 00:48:07.320 I run multiple companies that have multiple sales teams. 1305 00:48:07.320 --> 00:48:09.160 And one of the things as a founder of a company 1306 00:48:09.160 --> 00:48:11.360 that's often confusing is you find it hard 1307 00:48:11.360 --> 00:48:12.840 to figure out where sales are. 1308 00:48:12.840 --> 00:48:14.080 So about 10 years ago, 1309 00:48:14.080 --> 00:48:16.520 I started using pipe drive in my former company. 1310 00:48:16.520 --> 00:48:18.240 And it's also the reason why I switched over 1311 00:48:18.240 --> 00:48:19.200 all of my commercial teams 1312 00:48:19.200 --> 00:48:20.960 in my current media company called steven.com 1313 00:48:20.960 --> 00:48:22.280 to use pipe drive as well. 1314 00:48:22.280 --> 00:48:23.680 Not only do they sponsor this show, 1315 00:48:23.680 --> 00:48:25.240 but they've been an incredibly effective way 1316 00:48:25.240 --> 00:48:27.040 of scaling our sales engine over the years. 1317 00:48:27.040 --> 00:48:30.200 Pipedrive is an easy to use intelligence CRM. 1318 00:48:30.200 --> 00:48:31.560 And at its very core, 1319 00:48:31.560 --> 00:48:35.520 it makes your sales process visible through one dashboard, 1320 00:48:35.520 --> 00:48:38.080 a visual pipeline showing every deal, 1321 00:48:38.080 --> 00:48:40.440 what stage it's in, what needs to happen next, 1322 00:48:40.440 --> 00:48:42.880 and it's all in real time with no delay. 1323 00:48:42.880 --> 00:48:45.360 It doesn't magically close the deal for you, of course, 1324 00:48:45.360 --> 00:48:48.080 but it does replace complexity with clarity. 1325 00:48:48.080 --> 00:48:50.520 If you want to join over 100,000 companies 1326 00:48:50.520 --> 00:48:51.720 already using pipe drive, 1327 00:48:51.720 --> 00:48:54.160 you can use my link for a 30 day free trial 1328 00:48:54.160 --> 00:48:55.960 with no credit card payment needed. 1329 00:48:55.960 --> 00:48:59.720 Head to pipedrive.com slash CEO to get started. 1330 00:48:59.720 --> 00:49:03.600 That's pipe drive.com slash CEO. 1331 00:49:03.600 --> 00:49:05.600 I'll see you over there. 1332 00:49:05.600 --> 00:49:07.840 When your patients come and see you, Dr Alex, 1333 00:49:08.120 --> 00:49:10.960 what are they asking you most frequently 1334 00:49:10.960 --> 00:49:12.320 as it relates to peptides? 1335 00:49:12.320 --> 00:49:14.840 What do I like to talk three questions you get asked the most? 1336 00:49:14.840 --> 00:49:17.120 The first thing I get asked is, 1337 00:49:17.120 --> 00:49:18.520 what peptides do I need? 1338 00:49:18.520 --> 00:49:20.000 And then I just look at them and I'm like, 1339 00:49:20.000 --> 00:49:21.680 well, what's your problem? 1340 00:49:21.680 --> 00:49:23.040 What's bothering you? 1341 00:49:23.040 --> 00:49:24.240 And what did they say? 1342 00:49:24.240 --> 00:49:26.560 And then they'll come in and they'll start talking about, 1343 00:49:26.560 --> 00:49:28.440 no, energy, sex drive and that sort of things. 1344 00:49:28.440 --> 00:49:30.200 And I'm like, okay, if that's it, 1345 00:49:30.200 --> 00:49:32.480 well, we need to check your testosterone levels, brother. 1346 00:49:32.480 --> 00:49:35.720 So instead of looking for peptides, right? 1347 00:49:35.720 --> 00:49:37.760 You don't walk into a home depot or a loas, 1348 00:49:37.760 --> 00:49:39.080 like, what tools do I need? 1349 00:49:39.080 --> 00:49:40.880 And you're like, what are you trying to do, right? 1350 00:49:40.880 --> 00:49:42.400 And then you start to talk to someone there, 1351 00:49:42.400 --> 00:49:43.320 like, well, I'm trying to build this. 1352 00:49:43.320 --> 00:49:44.160 Okay, you need a saw. 1353 00:49:44.160 --> 00:49:45.400 You need a screwdriver, you need this. 1354 00:49:45.400 --> 00:49:48.080 And some of those tools might be peptides, right? 1355 00:49:48.080 --> 00:49:49.480 But some of them may be hormones. 1356 00:49:49.480 --> 00:49:51.000 Some of it may be diet and exercise. 1357 00:49:51.000 --> 00:49:53.480 And so peptides are just another type of tool 1358 00:49:53.480 --> 00:49:54.320 that we can use. 1359 00:49:54.320 --> 00:49:56.160 We all want a shortcut, though, Dr., 1360 00:49:56.160 --> 00:49:58.120 we all want a quick way to be better. 1361 00:49:58.120 --> 00:49:59.760 Yeah, and ideally not to have to do hard work. 1362 00:49:59.760 --> 00:50:00.640 That's like what most, you know, 1363 00:50:00.640 --> 00:50:01.800 the average person is looking for. 1364 00:50:01.800 --> 00:50:02.680 And we hear about these peptides. 1365 00:50:02.680 --> 00:50:03.920 We hear other people are taking them. 1366 00:50:03.920 --> 00:50:06.520 We hear the fantastic results and skin, hair, muscle. 1367 00:50:06.560 --> 00:50:08.160 And we go, what about me? 1368 00:50:08.160 --> 00:50:10.840 You know what, I tell patients, I'm like, me too, man. 1369 00:50:10.840 --> 00:50:13.080 But my alarm still went off at 4.45 this morning 1370 00:50:13.080 --> 00:50:14.920 so I can hit the gym before I made it to clinic 1371 00:50:14.920 --> 00:50:17.160 because there are no real shortcuts. 1372 00:50:17.160 --> 00:50:19.040 There are things that can help, right? 1373 00:50:19.040 --> 00:50:21.160 GLP ones are the best example of that, right? 1374 00:50:21.160 --> 00:50:22.280 Okay, this is the closest thing 1375 00:50:22.280 --> 00:50:23.600 that you'll shortcut you're going to get. 1376 00:50:23.600 --> 00:50:25.520 But the truth is, is that this isn't going to go 1377 00:50:25.520 --> 00:50:27.320 to the gym for you and it's not going to lift the weight 1378 00:50:27.320 --> 00:50:28.680 so you can maintain that muscle mass. 1379 00:50:28.680 --> 00:50:29.800 So you get the best pasta result 1380 00:50:29.800 --> 00:50:31.880 and try to hold onto your muscle while losing the fat. 1381 00:50:31.880 --> 00:50:33.840 One thing I've learned from Dana's podcast 1382 00:50:33.840 --> 00:50:35.720 that is really grown with me over time. 1383 00:50:35.720 --> 00:50:36.560 People ask me all the time, 1384 00:50:36.560 --> 00:50:38.480 like, what's the one thing you've learned from the podcast? 1385 00:50:38.480 --> 00:50:40.400 One of the answers that I've never given 1386 00:50:40.400 --> 00:50:42.760 that I'm going to give now is that I've learned 1387 00:50:42.760 --> 00:50:44.880 that there's no such thing in life as a free lunch. 1388 00:50:44.880 --> 00:50:46.920 No, absolutely not. 1389 00:50:46.920 --> 00:50:51.160 And what I mean by that is like everything is a trade-off. 1390 00:50:51.160 --> 00:50:54.640 And if you ever hear on a podcast or in any medium 1391 00:50:54.640 --> 00:50:56.880 that something has tremendous upsides, 1392 00:50:56.880 --> 00:51:00.000 the first question one should ask is, what's the trade? 1393 00:51:00.000 --> 00:51:01.560 And like just with everything, you can apply this 1394 00:51:01.560 --> 00:51:03.040 to having a relationship with a partner. 1395 00:51:03.040 --> 00:51:05.200 Huge upsides, also trade-off. 1396 00:51:05.720 --> 00:51:08.160 Yeah, kids, I love my children. 1397 00:51:08.160 --> 00:51:10.320 I've been slept in years, right? 1398 00:51:10.320 --> 00:51:12.080 This is just, this is life, right? 1399 00:51:12.080 --> 00:51:14.120 There are trade-offs and even with great tools, 1400 00:51:14.120 --> 00:51:14.960 there are trade-offs. 1401 00:51:14.960 --> 00:51:17.080 So what are the trade-offs of these peptides? 1402 00:51:17.080 --> 00:51:20.000 The biggest trade-off right now is you don't know 1403 00:51:20.000 --> 00:51:21.800 if you're even getting what you want, right? 1404 00:51:21.800 --> 00:51:25.200 Because you're ordering this from some research compound only. 1405 00:51:25.200 --> 00:51:26.480 You don't know whether or not they've gotten out 1406 00:51:26.480 --> 00:51:27.560 all they appropriate into toxins. 1407 00:51:27.560 --> 00:51:29.480 You don't know if you're getting what you actually paid for. 1408 00:51:29.480 --> 00:51:30.760 So that's the biggest thing. 1409 00:51:30.760 --> 00:51:33.320 And also the thing is that, well, all right, 1410 00:51:33.720 --> 00:51:35.720 these have a good example of, okay, 1411 00:51:35.720 --> 00:51:38.160 preventing or helping heal injury. 1412 00:51:38.160 --> 00:51:41.080 But the thing is that, well, we've got other compounds 1413 00:51:41.080 --> 00:51:43.440 over here, let's go ahead and like, 1414 00:51:43.440 --> 00:51:46.080 let's just pull Tesla Moreland as an example. 1415 00:51:46.080 --> 00:51:47.560 So this is actually interesting. 1416 00:51:47.560 --> 00:51:50.320 It's a peptide that is commercially available right now. 1417 00:51:50.320 --> 00:51:51.320 I could write this script for you, 1418 00:51:51.320 --> 00:51:53.320 you could go pick it up from CVS or Walgreens, okay? 1419 00:51:53.320 --> 00:51:55.120 This is available as a commercial product. 1420 00:51:55.120 --> 00:51:57.720 And people really like it because it'll help boost growth 1421 00:51:57.720 --> 00:51:59.400 hormone and it happens to be uniquely good 1422 00:51:59.400 --> 00:52:02.160 at stripping abdominal fat, okay, or visceral fat. 1423 00:52:02.240 --> 00:52:03.760 But the thing is, is that, you know, 1424 00:52:03.760 --> 00:52:06.160 the moment you stop taking it for a brief period of time, 1425 00:52:06.160 --> 00:52:08.080 well, if you haven't changed anything about your lifestyle, 1426 00:52:08.080 --> 00:52:09.440 you're gonna write back to where you were. 1427 00:52:09.440 --> 00:52:11.560 It's good at stripping abdominal fat, belly fat. 1428 00:52:11.560 --> 00:52:13.600 Your belly fat, this is what it's known for. 1429 00:52:13.600 --> 00:52:14.280 Yeah. 1430 00:52:14.280 --> 00:52:15.680 It's good at stripping belly fat. 1431 00:52:15.680 --> 00:52:16.920 Stripping belly fat specifically. 1432 00:52:16.920 --> 00:52:18.320 So bodybuilders actually really like it 1433 00:52:18.320 --> 00:52:20.800 for that particular application. 1434 00:52:20.800 --> 00:52:23.960 I had no idea there was a peptide for stripping belly fat. 1435 00:52:23.960 --> 00:52:25.240 There you go, man, you know? 1436 00:52:25.240 --> 00:52:26.880 And like, for example, here, we've got another one. 1437 00:52:26.880 --> 00:52:28.840 So this is Melana Tan II, right? 1438 00:52:28.840 --> 00:52:32.000 So this is a Melana cordon receptor agonist. 1439 00:52:32.000 --> 00:52:34.640 So Melana cordons this, what makes you tan, right? 1440 00:52:34.640 --> 00:52:36.720 So you could administer this, all right? 1441 00:52:36.720 --> 00:52:40.360 And it will actually end up giving you a deep tan 1442 00:52:40.360 --> 00:52:43.720 in response to just a little bit of UV sun exposure, all right? 1443 00:52:43.720 --> 00:52:45.440 Now, I know, right? 1444 00:52:45.440 --> 00:52:47.000 Listen, I've embraced my pasty whiteness, 1445 00:52:47.000 --> 00:52:50.640 so I'm not necessarily my bag, but it's real. 1446 00:52:50.640 --> 00:52:52.560 Now, again, there are some safety concerns with this 1447 00:52:52.560 --> 00:52:54.240 because again, could that potentially stimulate 1448 00:52:54.240 --> 00:52:56.240 a melanoma or something like that? 1449 00:52:56.240 --> 00:52:58.480 But this is something, again, it's a peptide 1450 00:52:58.480 --> 00:53:00.000 that gives a wildly different result 1451 00:53:00.000 --> 00:53:01.280 than Tessa Morlin, right? 1452 00:53:01.280 --> 00:53:02.600 Because it's a different time. 1453 00:53:02.600 --> 00:53:03.440 It does. 1454 00:53:03.440 --> 00:53:04.280 Yeah, it does. 1455 00:53:04.280 --> 00:53:07.600 It'll also give you some of the most impressive 1456 00:53:07.600 --> 00:53:11.120 erections you've ever had in your life, so be warned. 1457 00:53:11.120 --> 00:53:13.880 Wait, it's literally taming you into a black guy. 1458 00:53:15.880 --> 00:53:17.880 Finally, yeah, right? 1459 00:53:17.880 --> 00:53:18.720 And it's wild. 1460 00:53:18.720 --> 00:53:20.280 So there's actually, and there's even a derivative 1461 00:53:20.280 --> 00:53:25.080 of Melana Tan II called PT-141, Bremelana Tide, 1462 00:53:25.080 --> 00:53:27.720 that is a commercial product right now 1463 00:53:27.720 --> 00:53:30.080 that you can write as a prescription, okay? 1464 00:53:30.080 --> 00:53:32.200 But that doesn't have the tanning benefit, 1465 00:53:32.200 --> 00:53:34.840 but has the sexual benefits. 1466 00:53:34.840 --> 00:53:35.440 Oh, wow. 1467 00:53:35.440 --> 00:53:36.600 Yeah. 1468 00:53:36.600 --> 00:53:37.680 Keep those ones over here. 1469 00:53:37.680 --> 00:53:38.520 We have to talk about this. 1470 00:53:38.520 --> 00:53:41.000 Another really interesting thing that phenomenon 1471 00:53:41.000 --> 00:53:42.640 that we've seen, right, is that now we've got 1472 00:53:42.640 --> 00:53:44.800 all of these companies that are making these research 1473 00:53:44.800 --> 00:53:45.920 use only compounds, right? 1474 00:53:45.920 --> 00:53:47.920 It used to be that you would have a compound 1475 00:53:47.920 --> 00:53:49.800 that's in drug development, and you're seeing all 1476 00:53:49.800 --> 00:53:51.240 the advertisements for it. 1477 00:53:51.240 --> 00:53:52.680 Maybe if you follow these sorts of things, 1478 00:53:52.680 --> 00:53:53.720 like I do because I'm a nerd, right? 1479 00:53:53.720 --> 00:53:56.360 You get excited about it, but you don't get access to it, right? 1480 00:53:56.360 --> 00:53:59.000 Well, believe it or not, the next blockbuster drug 1481 00:53:59.000 --> 00:54:00.440 that Lily is going to come out with, 1482 00:54:00.440 --> 00:54:01.920 probably in the next couple of months, 1483 00:54:01.920 --> 00:54:04.080 is this guy called Retotruthide, all right? 1484 00:54:04.080 --> 00:54:07.680 And Retotruthide is fantastic in that it is 1485 00:54:07.680 --> 00:54:11.520 the first three receptor agonist GLP1 drug. 1486 00:54:11.520 --> 00:54:13.240 So the GLP1 drugs, okay? 1487 00:54:13.240 --> 00:54:14.760 Whenever you're talking about 1488 00:54:14.760 --> 00:54:16.440 semi-glutide and transepetide, 1489 00:54:16.440 --> 00:54:17.680 they have slightly different profiles. 1490 00:54:17.680 --> 00:54:20.000 This is the Asimpyc category, correct, right? 1491 00:54:20.000 --> 00:54:23.520 So GLP1 is the primary receptor that they work on, 1492 00:54:23.520 --> 00:54:26.440 and what that will do is it slows gastric emptying 1493 00:54:26.440 --> 00:54:28.880 and it limits caloric intake, all right? 1494 00:54:28.880 --> 00:54:31.520 But then, and transepetide, not semi-glutide, 1495 00:54:31.520 --> 00:54:33.240 but transepetide is a dual agonist. 1496 00:54:33.240 --> 00:54:37.360 So it has a effect on GIP, which is a different receptor. 1497 00:54:37.360 --> 00:54:42.080 Well, Retotruthide adds in glucagon receptor activation. 1498 00:54:42.080 --> 00:54:44.800 And so believe it or not, your liver actually acts 1499 00:54:44.800 --> 00:54:46.440 like a repository of energy 1500 00:54:46.440 --> 00:54:49.000 where it stores glycogen and fat 1501 00:54:49.000 --> 00:54:50.680 that your body can use as energy. 1502 00:54:50.680 --> 00:54:51.880 But that's a problem, right? 1503 00:54:51.880 --> 00:54:52.920 If you get too much fat there, 1504 00:54:52.920 --> 00:54:54.560 if you have a caloric excess, 1505 00:54:54.560 --> 00:54:57.560 then you could end up having what's called NASH cirrhosis, 1506 00:54:57.560 --> 00:55:00.480 but non-alcoholic stato hepatitis, 1507 00:55:00.480 --> 00:55:01.760 basically inflammation of your liver 1508 00:55:01.760 --> 00:55:03.120 due to accumulating too much fat. 1509 00:55:03.120 --> 00:55:04.160 It's a problem. 1510 00:55:04.160 --> 00:55:07.000 But by stimulating the glucagon receptor 1511 00:55:07.000 --> 00:55:10.760 while simultaneously hitting GLP1 and GIP, 1512 00:55:10.760 --> 00:55:12.360 what we found is not only do patients lose 1513 00:55:12.360 --> 00:55:13.920 an incredible amount of weight, 1514 00:55:13.920 --> 00:55:16.200 but they also get the best improvements 1515 00:55:16.200 --> 00:55:18.680 we've ever seen in their liver health that we've ever seen. 1516 00:55:18.680 --> 00:55:21.120 And people have been buying that 1517 00:55:21.120 --> 00:55:23.560 from research use only websites 1518 00:55:23.560 --> 00:55:25.880 and using it for about two years now. 1519 00:55:25.880 --> 00:55:27.320 And bodybuilders have already made this 1520 00:55:27.320 --> 00:55:29.080 standard in their protocol when it comes to cutting 1521 00:55:29.080 --> 00:55:30.040 for a show. 1522 00:55:30.040 --> 00:55:32.760 And it is wildly effective. 1523 00:55:32.760 --> 00:55:35.880 And we're now seeing the population using a drug 1524 00:55:35.880 --> 00:55:38.240 at scale that hasn't even made it 1525 00:55:38.240 --> 00:55:40.920 through commercialization yet. 1526 00:55:40.920 --> 00:55:42.520 Oh, I used to not, can you, using it? 1527 00:55:42.520 --> 00:55:43.360 No. 1528 00:55:43.360 --> 00:55:44.720 I have not. 1529 00:55:44.720 --> 00:55:47.000 I can honestly say I have not used retta, 1530 00:55:47.000 --> 00:55:49.640 but I find it fascinating though. 1531 00:55:49.640 --> 00:55:50.800 It's absolutely wild. 1532 00:55:50.800 --> 00:55:53.400 Yeah, I'm talking about power to the people, right? 1533 00:55:53.400 --> 00:55:54.320 What about these others then? 1534 00:55:54.320 --> 00:55:56.000 What else have we got here that you think's interesting? 1535 00:55:56.000 --> 00:55:58.280 So we've got these two here 1536 00:55:58.280 --> 00:55:59.320 that I think are really interesting. 1537 00:55:59.320 --> 00:56:01.680 So CJC1295 and Ipa Moralim. 1538 00:56:01.680 --> 00:56:05.000 So the whole idea is that, can we stimulate growth hormone? 1539 00:56:05.000 --> 00:56:06.800 And there's an interesting story behind that. 1540 00:56:06.800 --> 00:56:09.280 Actually, growth hormone itself was very, very popular 1541 00:56:09.280 --> 00:56:11.760 for many, many years as an anti-aging compound. 1542 00:56:11.760 --> 00:56:14.640 But then we changed some laws here in the 1990, okay? 1543 00:56:14.640 --> 00:56:16.920 That made it a little dicey to prescribe growth hormone. 1544 00:56:16.920 --> 00:56:19.320 And also, it's kind of a blunt instrument. 1545 00:56:19.320 --> 00:56:21.280 We wanted something to stimulate more natural growth hormone 1546 00:56:21.280 --> 00:56:22.120 release. 1547 00:56:22.120 --> 00:56:23.360 So we have this entire class of medications 1548 00:56:23.360 --> 00:56:24.880 called secretedogs that help stimulate 1549 00:56:24.880 --> 00:56:26.360 natural growth hormone release. 1550 00:56:26.360 --> 00:56:27.880 And these are two of the most potent ones 1551 00:56:27.880 --> 00:56:29.360 that are often combined together. 1552 00:56:29.360 --> 00:56:31.720 And when we say growth hormone, yes. 1553 00:56:31.720 --> 00:56:33.280 What does growth hormone do? 1554 00:56:33.280 --> 00:56:35.640 So growth hormone acts like a signal 1555 00:56:35.640 --> 00:56:38.280 that tells your liver to make more of another compound 1556 00:56:38.280 --> 00:56:39.760 we talked about, IGF1. 1557 00:56:39.760 --> 00:56:42.200 What growth hormone does is growth hormone 1558 00:56:42.200 --> 00:56:44.480 actually stimulates building muscle, okay? 1559 00:56:44.480 --> 00:56:47.560 It also strips fat, okay? 1560 00:56:47.560 --> 00:56:50.640 And it's also been found to help with tissue healing. 1561 00:56:50.640 --> 00:56:51.480 Okay. 1562 00:56:51.480 --> 00:56:53.760 And so there's a significant benefit in that regard. 1563 00:56:53.760 --> 00:56:55.520 And so people want to boost their growth hormone, 1564 00:56:55.520 --> 00:56:57.880 improves quality of skin, improves quality of hair, 1565 00:56:57.880 --> 00:56:59.400 and nails, and that sort of thing. 1566 00:56:59.400 --> 00:57:03.680 And so these two compounds together are particularly potent. 1567 00:57:03.680 --> 00:57:08.680 CJC1295 being a growth hormone releasing hormone derivative. 1568 00:57:09.240 --> 00:57:14.040 And then we have Ipomoralin, which is a Grellen receptor agonist. 1569 00:57:14.040 --> 00:57:16.560 So again, release improving the release of growth hormone 1570 00:57:16.560 --> 00:57:18.800 through two different synergistic mechanisms. 1571 00:57:18.800 --> 00:57:20.720 And so that one is really, really interesting 1572 00:57:20.760 --> 00:57:22.000 or these two together. 1573 00:57:22.000 --> 00:57:25.760 And then on top of that, so this one, somatotropin, 1574 00:57:25.760 --> 00:57:27.240 another word for growth hormone, okay? 1575 00:57:27.240 --> 00:57:29.240 So this is growth hormone, okay? 1576 00:57:29.240 --> 00:57:30.640 Just a different word for it. 1577 00:57:30.640 --> 00:57:31.480 So what would happen? 1578 00:57:31.480 --> 00:57:32.320 Let's just take this one. 1579 00:57:32.320 --> 00:57:33.440 Somatotropin. 1580 00:57:33.440 --> 00:57:34.280 Yeah. 1581 00:57:34.280 --> 00:57:35.560 Somatotropin. 1582 00:57:35.560 --> 00:57:36.400 Yeah. 1583 00:57:36.400 --> 00:57:38.360 If I put this for research purposes, 1584 00:57:38.360 --> 00:57:39.400 my purpose is only. 1585 00:57:39.400 --> 00:57:41.880 And I started injecting some of this into me. 1586 00:57:41.880 --> 00:57:42.720 Yes. 1587 00:57:42.720 --> 00:57:43.560 What would change? 1588 00:57:43.560 --> 00:57:45.520 So it depends on how much you do and when you do it. 1589 00:57:45.520 --> 00:57:48.920 So the idea is that if you injected that at night, 1590 00:57:48.920 --> 00:57:50.960 you would improve your quality of sleep, okay? 1591 00:57:50.960 --> 00:57:54.280 You would get a boost in your quality of your hair, 1592 00:57:54.280 --> 00:57:56.760 your skin, nails, theoretically. 1593 00:57:56.760 --> 00:57:59.000 It would be easier for you to recover from injuries, 1594 00:57:59.000 --> 00:58:00.960 hopefully put on a little bit more muscle, a little bit easier, 1595 00:58:00.960 --> 00:58:02.240 maybe lose a little bit of fat. 1596 00:58:02.240 --> 00:58:03.320 So why didn't I take you? 1597 00:58:03.320 --> 00:58:04.880 Well, because if you take a little bit too much, 1598 00:58:04.880 --> 00:58:07.360 you can actually get insulin resistance 1599 00:58:07.360 --> 00:58:09.720 because your glucose levels will go too high for too long, 1600 00:58:09.720 --> 00:58:10.560 all right? 1601 00:58:10.560 --> 00:58:11.560 You'd use too much for too long. 1602 00:58:11.560 --> 00:58:12.920 You will actually get acromegaly. 1603 00:58:12.920 --> 00:58:16.760 So that's development of your bones continue to grow, 1604 00:58:16.760 --> 00:58:18.920 but not along only in certain junctures. 1605 00:58:18.920 --> 00:58:21.200 And so there's a very specific look that bodybuilders 1606 00:58:21.200 --> 00:58:23.800 who abuse growth hormone and high amounts will get to them, 1607 00:58:23.800 --> 00:58:25.520 all right, which is an irreversible change 1608 00:58:25.520 --> 00:58:26.880 to the facial bone structure. 1609 00:58:26.880 --> 00:58:29.280 You can also theoretically, if you had a cancer, 1610 00:58:29.280 --> 00:58:31.640 maybe it could make it worse, all right? 1611 00:58:31.640 --> 00:58:34.000 We've never shown it that it causes new cancers, 1612 00:58:34.000 --> 00:58:35.360 but that could be a concern. 1613 00:58:35.360 --> 00:58:37.640 And on top of that, it could give you insulin resistance 1614 00:58:37.640 --> 00:58:39.400 because you're again. 1615 00:58:39.400 --> 00:58:41.040 Yeah, exactly, right? 1616 00:58:41.040 --> 00:58:42.640 And if you take too much, it could potentially 1617 00:58:42.640 --> 00:58:43.880 make your hands numb in the morning 1618 00:58:43.880 --> 00:58:45.840 because you get effusions into the joint space. 1619 00:58:45.840 --> 00:58:48.360 And so bodybuilders will talk about lifting a dumbbell 1620 00:58:48.360 --> 00:58:50.280 and having to drop it because their hand goes numb temporarily 1621 00:58:50.280 --> 00:58:53.320 if they're taking too much growth hormone too soon. 1622 00:58:53.320 --> 00:58:54.400 And what else have we got here? 1623 00:58:54.400 --> 00:58:55.240 Oh my gosh. 1624 00:58:55.240 --> 00:58:56.400 So epithelan. 1625 00:58:56.400 --> 00:59:02.760 So this is the medication that is theoretically 1626 00:59:02.760 --> 00:59:06.080 going to be available to us in July, OK? 1627 00:59:06.080 --> 00:59:11.560 And so the hope is that this is going to expand cell life. 1628 00:59:11.560 --> 00:59:14.520 So epithelan, the purpose of it 1629 00:59:14.520 --> 00:59:18.760 is it works to enhance telomerase. 1630 00:59:18.760 --> 00:59:20.920 So at the end of your cells, imagine it this way. 1631 00:59:20.920 --> 00:59:22.680 You're trying to copy the genome, 1632 00:59:22.680 --> 00:59:26.080 but the little copier that copies it takes up 1633 00:59:26.080 --> 00:59:26.880 space enough itself. 1634 00:59:26.880 --> 00:59:28.400 So it's kind of like it cuts off the last couple 1635 00:59:28.400 --> 00:59:29.800 of letters every single time. 1636 00:59:29.800 --> 00:59:31.160 This is when you're aging. 1637 00:59:31.160 --> 00:59:33.120 When you're aging, you're creating new cells, right? 1638 00:59:33.120 --> 00:59:35.320 Cells divide through this process called mitosis, 1639 00:59:35.320 --> 00:59:36.680 where they split, all right? 1640 00:59:36.680 --> 00:59:38.360 Well, if you got to make an exact copy, 1641 00:59:38.360 --> 00:59:40.600 you've got to read through all these lines of code, 1642 00:59:40.640 --> 00:59:42.080 but because of the way that we're built, 1643 00:59:42.080 --> 00:59:44.640 we always end up cutting off the last little bit of code. 1644 00:59:44.640 --> 00:59:46.480 Now, which is how we age, which is how we age. 1645 00:59:46.480 --> 00:59:48.840 It is one of the things that contributes to aging, all right? 1646 00:59:48.840 --> 00:59:51.520 Now, that is considered to be, quote unquote, 1647 00:59:51.520 --> 00:59:52.560 junk information. 1648 00:59:52.560 --> 00:59:55.040 It's at the very end called the telomere, all right? 1649 00:59:55.040 --> 00:59:56.880 But we know that shorter telomeres 1650 00:59:56.880 --> 01:00:00.120 are associated with aging, potentially worse health outcomes. 1651 01:00:00.120 --> 01:00:03.000 And there is an enzyme that can help heal or repair 1652 01:00:03.000 --> 01:00:05.080 the telomere called telomerase. 1653 01:00:05.080 --> 01:00:07.280 Epithelan helps encourage that. 1654 01:00:07.280 --> 01:00:09.080 And so some people are looking at that 1655 01:00:09.120 --> 01:00:11.840 as being one of the fountain of youth compounds. 1656 01:00:11.840 --> 01:00:13.720 I'm very skeptical as far as that goes, 1657 01:00:13.720 --> 01:00:17.640 but it does show some benefits when it comes to healing parts 1658 01:00:17.640 --> 01:00:20.000 of your brain that are associated with regulating 1659 01:00:20.000 --> 01:00:21.080 your circadian rhythm. 1660 01:00:23.280 --> 01:00:25.000 So the average person listening now, 1661 01:00:25.000 --> 01:00:27.360 they've heard a lot of stuff about a lot of things. 1662 01:00:28.360 --> 01:00:31.840 How do they know if they should pursue 1663 01:00:31.840 --> 01:00:33.600 getting and taking peptides? 1664 01:00:33.600 --> 01:00:34.440 Like how do they know? 1665 01:00:34.440 --> 01:00:35.280 What are they looking for? 1666 01:00:35.280 --> 01:00:38.640 So what I will say is that think of peptides 1667 01:00:38.640 --> 01:00:40.600 as falling into three categories, all right? 1668 01:00:40.600 --> 01:00:42.480 You get category one, which are peptides 1669 01:00:42.480 --> 01:00:43.840 that you can prescribe right now, 1670 01:00:43.840 --> 01:00:45.760 legal from a commercial pharmacy. 1671 01:00:45.760 --> 01:00:49.360 That includes the GLP1's PT141, a Bremelanna tide. 1672 01:00:49.360 --> 01:00:51.640 I mentioned to you earlier, oxytocin is another one. 1673 01:00:51.640 --> 01:00:53.880 We have these different compounds that are available. 1674 01:00:53.880 --> 01:00:56.440 And then we have what we call category two. 1675 01:00:56.440 --> 01:00:58.000 If you don't have anything in right now, 1676 01:00:58.000 --> 01:01:00.800 but that will consist of the seven peptides 1677 01:01:00.800 --> 01:01:03.160 that are hopefully gonna be approved in July, 1678 01:01:03.160 --> 01:01:05.200 whenever they get moved from category two, 1679 01:01:05.200 --> 01:01:08.160 cannot compound, a category one can compound, all right? 1680 01:01:08.400 --> 01:01:10.880 And then everything else is kind of in this category three, 1681 01:01:10.880 --> 01:01:13.360 where it's only available for research use only. 1682 01:01:13.360 --> 01:01:15.480 And so my recommendation for patients is, 1683 01:01:15.480 --> 01:01:17.920 don't go out and buy research about use only compounds, 1684 01:01:17.920 --> 01:01:18.760 all right? 1685 01:01:18.760 --> 01:01:19.760 You don't know what you're getting, 1686 01:01:19.760 --> 01:01:21.240 and you don't know if you're dosing it right, 1687 01:01:21.240 --> 01:01:23.200 you don't know if it's contaminated. 1688 01:01:23.200 --> 01:01:24.800 So really what the public should be doing 1689 01:01:24.800 --> 01:01:26.480 is educating themselves on this, 1690 01:01:26.480 --> 01:01:28.560 and then going and talking to their doctors 1691 01:01:28.560 --> 01:01:30.360 about what problems they have, 1692 01:01:30.360 --> 01:01:33.720 and then potentially when those options become available, 1693 01:01:33.720 --> 01:01:36.920 a peptide might be part of the answer for their problem. 1694 01:01:36.920 --> 01:01:38.400 Okay, so speak to your doctor. 1695 01:01:38.400 --> 01:01:40.480 Yeah, consult with your doctor, 1696 01:01:40.480 --> 01:01:42.960 and make it a conversation with whoever your medical 1697 01:01:42.960 --> 01:01:44.760 professional is about your symptoms 1698 01:01:44.760 --> 01:01:45.760 and what might be useful, 1699 01:01:45.760 --> 01:01:48.720 and what the range, the toolbox, the options are, 1700 01:01:48.720 --> 01:01:50.240 correct, to attack those symptoms. 1701 01:01:50.240 --> 01:01:51.800 Yes, absolutely. 1702 01:01:51.800 --> 01:01:53.720 Talk, collaborate with your doctor. 1703 01:01:53.720 --> 01:01:54.880 Your doctor should be your partner 1704 01:01:54.880 --> 01:01:57.240 in you getting as healthy as humanly possible. 1705 01:01:58.200 --> 01:02:00.440 We talked about trizepa-tide, 1706 01:02:00.440 --> 01:02:01.920 Zempec, semi-glytide. 1707 01:02:01.920 --> 01:02:04.560 One of the questions that's fun to mind for everybody, 1708 01:02:04.560 --> 01:02:06.640 whether they're taking them or watching others take them, 1709 01:02:06.680 --> 01:02:08.560 is what happens when you stop? 1710 01:02:08.560 --> 01:02:09.400 We've looked at that. 1711 01:02:09.400 --> 01:02:10.560 You actually regain the weight. 1712 01:02:10.560 --> 01:02:12.120 And so, because the truth is, 1713 01:02:12.120 --> 01:02:15.480 is that you have introduced something into your life 1714 01:02:15.480 --> 01:02:17.640 that has moved the needle in one direction. 1715 01:02:17.640 --> 01:02:19.280 But if you don't change anything else, 1716 01:02:19.280 --> 01:02:20.560 well, you take that back out. 1717 01:02:20.560 --> 01:02:22.440 Well, you're gonna go back to where you were. 1718 01:02:22.440 --> 01:02:25.360 And so if you're going to maintain that weight loss, 1719 01:02:25.360 --> 01:02:28.040 you have to make lifestyle changes associated with that. 1720 01:02:28.040 --> 01:02:30.040 And what we found is that people do regain, 1721 01:02:30.040 --> 01:02:31.400 if they do make lifestyle changes, 1722 01:02:31.400 --> 01:02:32.920 they do regain some of the weight, 1723 01:02:32.920 --> 01:02:35.240 but not necessarily all of the weight. 1724 01:02:35.240 --> 01:02:38.280 And there's also data showing that you could potentially 1725 01:02:38.280 --> 01:02:40.880 stay on that medication, but at a much lower dose, 1726 01:02:40.880 --> 01:02:43.240 and then maintain your weight, okay? 1727 01:02:43.240 --> 01:02:45.120 So there are options to minimize 1728 01:02:45.120 --> 01:02:46.840 your medication burden long term. 1729 01:02:46.840 --> 01:02:48.560 And of all the things we've talked about today, 1730 01:02:48.560 --> 01:02:50.880 if you had to just pick one thing that excites you the most, 1731 01:02:50.880 --> 01:02:53.200 that's either coming down the pipe or here already. 1732 01:02:53.200 --> 01:02:54.040 Yeah. 1733 01:02:54.040 --> 01:02:54.880 What is the thing you're most excited about? 1734 01:02:54.880 --> 01:02:56.320 I see your eyes wondering. 1735 01:02:56.320 --> 01:02:58.840 Hands down, it's that one over there, a red or true tide. 1736 01:02:58.840 --> 01:03:03.040 Because the changes in body composition 1737 01:03:03.040 --> 01:03:06.160 that we have seen both in clinical trials, okay? 1738 01:03:06.160 --> 01:03:08.680 And in anecdotal reports from users 1739 01:03:08.680 --> 01:03:11.000 who have obtained on their own are wild. 1740 01:03:11.000 --> 01:03:15.600 We're talking losing 20 to 25% of total body weight 1741 01:03:15.600 --> 01:03:18.920 within a relatively short period of time. 1742 01:03:18.920 --> 01:03:23.160 And I think that this is going to be basically 1743 01:03:23.160 --> 01:03:26.400 the Ferrari of GLP1 medications when it comes out. 1744 01:03:26.400 --> 01:03:27.640 It's not for everybody, right? 1745 01:03:27.640 --> 01:03:29.760 It's gonna go faster than everything else, 1746 01:03:29.760 --> 01:03:31.520 but it's gonna change the game. 1747 01:03:31.520 --> 01:03:34.920 I think this is going to be a trillion dollar drug 1748 01:03:34.920 --> 01:03:36.120 when it comes out. 1749 01:03:36.120 --> 01:03:37.280 And no one's gonna ruin the patent 1750 01:03:37.280 --> 01:03:39.120 so everybody will be able to access it, is that right? 1751 01:03:39.120 --> 01:03:41.840 No, no, that is gonna belong solely to Lily. 1752 01:03:41.840 --> 01:03:43.440 And so you are going to see, 1753 01:03:43.440 --> 01:03:47.000 and they are going to enforce it as aggressively 1754 01:03:47.000 --> 01:03:48.640 as they've ever enforced anything. 1755 01:03:48.640 --> 01:03:52.160 But you will see profound results in patients. 1756 01:03:53.120 --> 01:03:55.120 People are referring to peptides 1757 01:03:55.120 --> 01:03:57.600 as Silicon Valley's miracle drug. 1758 01:03:57.600 --> 01:03:58.720 And I wondered why that was. 1759 01:03:58.720 --> 01:04:00.200 Why it's been associated with Silicon Valley? 1760 01:04:00.200 --> 01:04:01.200 Have you heard that at all? 1761 01:04:01.200 --> 01:04:02.680 I have, and I'll tell you, 1762 01:04:02.680 --> 01:04:07.680 I've seen some peptide stacks from Silicon Valley founders 1763 01:04:07.680 --> 01:04:11.880 and individuals that blow my mind. 1764 01:04:11.880 --> 01:04:13.760 I'm like, oh man, even I think that's a lot. 1765 01:04:13.760 --> 01:04:15.360 Why would people in Silicon Valley 1766 01:04:15.360 --> 01:04:17.440 why would founders be interested in peptides? 1767 01:04:17.440 --> 01:04:19.240 Well, I think it's because we all want to live 1768 01:04:19.240 --> 01:04:21.200 our best version of our own lives, right? 1769 01:04:21.200 --> 01:04:22.600 We want to perform at the highest level. 1770 01:04:22.600 --> 01:04:25.200 And so people will do whatever they can, 1771 01:04:25.200 --> 01:04:29.040 they'll drink caffeine, they'll pop a zen in their mouth 1772 01:04:29.040 --> 01:04:31.160 and they'll try to tweak whatever variable 1773 01:04:31.160 --> 01:04:33.480 they possibly can to get the best possible performance. 1774 01:04:33.480 --> 01:04:35.320 And the thing is, is that anabolic steroids 1775 01:04:35.320 --> 01:04:37.320 come with significant side effects, 1776 01:04:37.320 --> 01:04:39.040 and that's not everybody's cup of tea, right? 1777 01:04:39.040 --> 01:04:41.080 And the health consequences from high dose 1778 01:04:41.080 --> 01:04:43.680 androgens dwarf anything that you might experience 1779 01:04:43.680 --> 01:04:44.520 with peptides. 1780 01:04:44.520 --> 01:04:46.840 And so peptides offer a lot of flexibility 1781 01:04:46.840 --> 01:04:48.560 in pulling many different levers 1782 01:04:48.560 --> 01:04:51.560 that are interesting to your regular average person. 1783 01:04:51.560 --> 01:04:55.680 And honestly, it requires a little bit of DIY right now 1784 01:04:55.680 --> 01:04:57.400 because of the nature of these peptides. 1785 01:04:57.440 --> 01:05:01.640 And I think you combine that with the kind of rogue, 1786 01:05:01.640 --> 01:05:06.640 a founder spirit that is common in Silicon Valley. 1787 01:05:07.000 --> 01:05:08.640 And I think it's a perfect fit. 1788 01:05:08.640 --> 01:05:09.480 I asked you a second to go, 1789 01:05:09.480 --> 01:05:11.400 what are the three questions that people come to 1790 01:05:11.400 --> 01:05:13.160 and ask you as a doctor? 1791 01:05:13.160 --> 01:05:14.840 The first one as a related to peptides 1792 01:05:14.840 --> 01:05:16.720 was which peptides should it be taken? 1793 01:05:16.720 --> 01:05:18.040 Yeah, while there are any other questions 1794 01:05:18.040 --> 01:05:21.000 we haven't covered off that are commonplace in your practice. 1795 01:05:21.000 --> 01:05:23.920 The second one is, can you prescribe me? 1796 01:05:23.920 --> 01:05:26.360 And then I have to explain to them the regulatory environment, 1797 01:05:26.360 --> 01:05:28.640 surrounding peptides that as of right now, 1798 01:05:28.640 --> 01:05:30.000 the only peptides that I can prescribe 1799 01:05:30.000 --> 01:05:32.400 or the ones you can get from CVS or Walgreens, 1800 01:05:32.400 --> 01:05:34.440 which is going to be your GLP1 medications. 1801 01:05:34.440 --> 01:05:36.880 And a handful of others that usually aren't applying 1802 01:05:36.880 --> 01:05:39.520 to the young men that I see in my practice. 1803 01:05:39.520 --> 01:05:41.960 I've had so many founders speak to me and say, 1804 01:05:41.960 --> 01:05:43.560 why didn't this particular ad that I ran 1805 01:05:43.560 --> 01:05:45.560 on this platform work for me? 1806 01:05:45.560 --> 01:05:47.880 Maybe the copy wasn't good, the creative wasn't strong, 1807 01:05:47.880 --> 01:05:49.240 but usually the problem is they're not having 1808 01:05:49.240 --> 01:05:51.600 the right conversation because that ad never reached 1809 01:05:51.600 --> 01:05:52.600 the right person. 1810 01:05:52.600 --> 01:05:55.680 And if you're in B2B marketing, that is much of the game. 1811 01:05:55.680 --> 01:05:57.280 And this is where LinkedIn ads 1812 01:05:57.280 --> 01:05:59.160 solves that problem for you. 1813 01:05:59.160 --> 01:06:01.320 Their targeting is ridiculously specific. 1814 01:06:01.320 --> 01:06:02.960 You can target by job title, 1815 01:06:02.960 --> 01:06:05.320 seniority, company size, industry, 1816 01:06:05.320 --> 01:06:07.400 and even someone's skillset. 1817 01:06:07.400 --> 01:06:10.440 And then network includes over a billion professionals, 1818 01:06:10.440 --> 01:06:13.720 about 130 million of them are decision makers. 1819 01:06:13.720 --> 01:06:14.960 So when you use LinkedIn ads, 1820 01:06:14.960 --> 01:06:17.720 you're putting your brand in front of the right people. 1821 01:06:17.720 --> 01:06:20.080 And LinkedIn ads also drive the highest B2B return 1822 01:06:20.080 --> 01:06:23.120 on ad spend across all ad networks in my experience. 1823 01:06:23.120 --> 01:06:24.720 If you want to give them a try, 1824 01:06:24.760 --> 01:06:28.280 head over to LinkedIn.com slash diary. 1825 01:06:28.280 --> 01:06:31.880 And when you spend $250 on your first LinkedIn ads campaign, 1826 01:06:31.880 --> 01:06:36.520 you'll get an extra $250 credit from me for the next one. 1827 01:06:36.520 --> 01:06:40.360 That's LinkedIn.com slash diary, terms and conditions apply. 1828 01:06:41.440 --> 01:06:43.760 We have finally caved in. 1829 01:06:43.760 --> 01:06:46.560 So many of you have asked us if we could bundle 1830 01:06:46.560 --> 01:06:48.640 the conversation cards with the 1% diary. 1831 01:06:48.640 --> 01:06:50.120 For those of you that don't know, 1832 01:06:50.120 --> 01:06:52.320 every single time a guest sits here with me in the chair, 1833 01:06:52.320 --> 01:06:54.320 they leave a question in the diary of a CEO. 1834 01:06:54.320 --> 01:06:56.600 And then I ask that question to the next guest. 1835 01:06:56.600 --> 01:06:59.920 We don't release those questions in any environment other than 1836 01:06:59.920 --> 01:07:01.880 on these incredible conversation cards. 1837 01:07:01.880 --> 01:07:04.920 These have become a fantastic tool for people in relationships, 1838 01:07:04.920 --> 01:07:07.560 people in teams, in big corporations, 1839 01:07:07.560 --> 01:07:09.480 and also family members to connect with each other. 1840 01:07:09.480 --> 01:07:11.640 With that, we also have the 1% diary, 1841 01:07:11.640 --> 01:07:14.880 which is this incredible tool to change habits in your life. 1842 01:07:14.880 --> 01:07:16.560 So many of you have asked if it was possible 1843 01:07:16.560 --> 01:07:18.200 to buy both at the same time, 1844 01:07:18.200 --> 01:07:20.600 especially people in big companies. 1845 01:07:20.600 --> 01:07:23.440 So what we've done is we've bundled them together, 1846 01:07:23.440 --> 01:07:25.240 and you can buy both at the same time. 1847 01:07:25.240 --> 01:07:26.600 And if you want to drive connection 1848 01:07:26.600 --> 01:07:28.960 and then still habit change in your company, 1849 01:07:28.960 --> 01:07:30.800 head to the diary.com to inquire 1850 01:07:30.800 --> 01:07:32.160 and our team will be in touch. 1851 01:07:33.200 --> 01:07:36.000 Is there a super peptide for anti-aging and skin 1852 01:07:36.000 --> 01:07:37.240 and some of those issues? 1853 01:07:37.240 --> 01:07:38.840 Oh, for skin, GHKQ. 1854 01:07:38.840 --> 01:07:39.680 GHQ. 1855 01:07:39.680 --> 01:07:44.120 Yeah, so this is probably the most well-known peptide 1856 01:07:44.120 --> 01:07:46.880 for use for skin complexion. 1857 01:07:46.880 --> 01:07:49.960 And I mean, really, it may have some small benefits 1858 01:07:49.960 --> 01:07:51.120 when it comes to hair, all right, 1859 01:07:51.120 --> 01:07:53.560 but those reports are a little bit more spotty. 1860 01:07:53.560 --> 01:07:54.400 Is that okay? 1861 01:07:54.400 --> 01:07:55.240 Yeah. 1862 01:07:55.240 --> 01:07:56.600 And then outside of the world of peptides for a second, 1863 01:07:56.600 --> 01:08:00.000 yeah, I've got these three vials in my hand. 1864 01:08:00.000 --> 01:08:01.600 I'm so scared. 1865 01:08:01.600 --> 01:08:02.440 All right. 1866 01:08:04.440 --> 01:08:06.240 Do you know what those are? 1867 01:08:06.240 --> 01:08:08.400 Oh, yeah. 1868 01:08:08.400 --> 01:08:12.840 This is unfortunately our future for not careful. 1869 01:08:12.840 --> 01:08:13.680 Explain. 1870 01:08:13.680 --> 01:08:18.680 So what we've got here is we have three different canisters 1871 01:08:18.680 --> 01:08:22.760 containing water that has a little bit of coloring in it. 1872 01:08:22.760 --> 01:08:25.440 And what you can see is that all the way back in 1973, 1873 01:08:25.440 --> 01:08:27.400 this is pretty opaque, all right, like, you know, 1874 01:08:27.400 --> 01:08:30.320 this is not what you would, you can't see through it. 1875 01:08:30.320 --> 01:08:32.720 And then 2026 has a little bit of color to it. 1876 01:08:32.720 --> 01:08:37.080 And then we've got over here 2045, which is totally clear. 1877 01:08:37.080 --> 01:08:39.680 This unfortunately is actually representing 1878 01:08:39.680 --> 01:08:42.440 the fertility trajectory for young men. 1879 01:08:42.440 --> 01:08:46.600 Because what we're seeing is that back in 1973, 1880 01:08:46.600 --> 01:08:47.720 total modal sperm counts. 1881 01:08:47.720 --> 01:08:51.240 So how many healthy swimming sperm do we have in each ejaculation 1882 01:08:51.240 --> 01:08:55.440 is exponentially higher and more dense than what we're seeing today. 1883 01:08:55.440 --> 01:08:58.280 And so what we're seeing is a progressive decline 1884 01:08:58.280 --> 01:09:00.320 in male fertility over time. 1885 01:09:00.320 --> 01:09:02.000 And that's been demonstrated in multiple studies. 1886 01:09:02.000 --> 01:09:03.600 We've debated this at multiple meetings. 1887 01:09:03.600 --> 01:09:05.680 People tried to argue that it's a measuring difference. 1888 01:09:05.680 --> 01:09:09.040 But as we give it more time and as we give it more scrutiny, 1889 01:09:09.040 --> 01:09:09.800 this is real. 1890 01:09:09.800 --> 01:09:14.520 We are experiencing a significant decline in sperm quality 1891 01:09:14.520 --> 01:09:17.000 and motility and concentration. 1892 01:09:17.000 --> 01:09:18.400 Why? 1893 01:09:18.400 --> 01:09:22.760 So the leading culprits are going to be, yes, 1894 01:09:22.760 --> 01:09:25.360 microplastics and environmental toxins, 1895 01:09:25.360 --> 01:09:26.960 okay, things that are putting our environment 1896 01:09:26.960 --> 01:09:29.720 that we have been exposed to that we can't help. 1897 01:09:29.720 --> 01:09:32.680 But again, the biggest modifiable risk factor 1898 01:09:32.680 --> 01:09:35.320 is insulin resistance and metabolic disease. 1899 01:09:35.320 --> 01:09:36.160 obesity. 1900 01:09:36.160 --> 01:09:37.000 obesity. 1901 01:09:37.000 --> 01:09:40.720 And so a downstream effect that we may see 1902 01:09:40.720 --> 01:09:43.120 from peptides like we discussed before 1903 01:09:43.120 --> 01:09:45.600 is we may be able to help reverse this 1904 01:09:45.600 --> 01:09:47.680 for the first time in history by trying 1905 01:09:47.680 --> 01:09:50.040 to prevent the development of metabolic disease. 1906 01:09:50.040 --> 01:09:51.640 Using some of the peptides we talked about earlier. 1907 01:09:51.640 --> 01:09:53.360 Exactly, I'd give you the example of a patient 1908 01:09:53.360 --> 01:09:54.720 that I saw on clinic this past week 1909 01:09:54.720 --> 01:09:57.000 that increased his sperm count 10 times over. 1910 01:09:57.000 --> 01:09:59.000 Imagine if we had given that to him 1911 01:09:59.000 --> 01:10:00.440 before he even got that obese 1912 01:10:00.440 --> 01:10:02.120 when he just started to get a little bit overweight 1913 01:10:02.120 --> 01:10:03.360 and at a lower dose. 1914 01:10:03.360 --> 01:10:05.360 Well, he may have never ended up in my office, right? 1915 01:10:05.360 --> 01:10:07.200 Because his primary care doctor would have identified 1916 01:10:07.200 --> 01:10:08.040 that treated it. 1917 01:10:08.040 --> 01:10:10.040 And he never would have needed the specialist. 1918 01:10:10.040 --> 01:10:12.920 Hmm, it's crazy. 1919 01:10:12.920 --> 01:10:15.600 It's wild. 1920 01:10:15.600 --> 01:10:20.000 So ultimately, if you look at what are the ills 1921 01:10:20.000 --> 01:10:24.040 that are affecting health care in any first world nation, 1922 01:10:24.040 --> 01:10:27.120 the number one offender is metabolic disease 1923 01:10:27.120 --> 01:10:28.680 and metabolic dysfunction. 1924 01:10:28.680 --> 01:10:33.360 And this is something that was actually hinted at by RFK 1925 01:10:33.360 --> 01:10:37.600 whenever he was talking about root cause of disease. 1926 01:10:37.600 --> 01:10:39.680 Well, yes, we have many, many diseases 1927 01:10:39.680 --> 01:10:42.080 and many, many infections that don't stem necessarily 1928 01:10:42.080 --> 01:10:43.240 from insulin resistance. 1929 01:10:43.240 --> 01:10:44.640 But if we look at cardiac disease, 1930 01:10:44.640 --> 01:10:48.240 if we look at issues with lack of perfusion, 1931 01:10:48.240 --> 01:10:50.600 my specialty, erectile dysfunction, right? 1932 01:10:50.600 --> 01:10:51.520 We look at cancer. 1933 01:10:51.520 --> 01:10:53.840 All of this is related back to obesity 1934 01:10:53.840 --> 01:10:55.120 and metabolic dysfunction. 1935 01:10:55.120 --> 01:10:58.280 And so if we can eliminate that as a society 1936 01:10:58.280 --> 01:11:00.800 or we can minimize it to as little as possible, 1937 01:11:00.800 --> 01:11:04.240 well, I mean, man, maybe I'd finally work myself out of a job. 1938 01:11:04.240 --> 01:11:06.120 Your speciality is erectile dysfunction. 1939 01:11:06.120 --> 01:11:09.840 Yeah, so my specialty is this branch off of urology 1940 01:11:09.840 --> 01:11:11.960 that we broadly call men's health, okay? 1941 01:11:11.960 --> 01:11:13.840 And so what that incorporates for us 1942 01:11:13.840 --> 01:11:16.800 is going to be low testosterone, advanced hormone management. 1943 01:11:16.800 --> 01:11:18.280 I take that a little bit for the most people. 1944 01:11:18.280 --> 01:11:19.320 That's totally cool. 1945 01:11:19.320 --> 01:11:22.040 And then also a erectile dysfunction, 1946 01:11:22.040 --> 01:11:23.520 peronis disease, which is damaged 1947 01:11:23.520 --> 01:11:25.240 to the penis that causes curvature. 1948 01:11:25.240 --> 01:11:28.440 And then male fertility on top of that. 1949 01:11:28.440 --> 01:11:30.800 And I do a little other thing, 1950 01:11:30.800 --> 01:11:33.520 treating leaky-gefter prostate cancer treatment. 1951 01:11:33.520 --> 01:11:34.880 And that's basically it. 1952 01:11:34.880 --> 01:11:38.880 I treat like five things maybe and that's it. 1953 01:11:38.880 --> 01:11:42.120 So I'm very, very specialized because I was the kid 1954 01:11:42.120 --> 01:11:43.760 that I like to take my sandwiches apart 1955 01:11:43.760 --> 01:11:44.760 and eat it one at a time. 1956 01:11:44.760 --> 01:11:46.000 I was very precise. 1957 01:11:46.000 --> 01:11:46.840 And I figured, you know, 1958 01:11:46.840 --> 01:11:49.040 you can do a lot of things in this world and be okay at them. 1959 01:11:49.040 --> 01:11:50.680 Or you can pick like, I don't know, four or five 1960 01:11:50.680 --> 01:11:51.800 and get pretty good at them. 1961 01:11:51.800 --> 01:11:54.320 So that seemed to work for me. 1962 01:11:54.320 --> 01:11:56.640 I was looking at a photo of you five years ago 1963 01:11:56.640 --> 01:11:57.920 and you were very different. 1964 01:11:57.920 --> 01:11:58.760 Yeah. 1965 01:11:58.760 --> 01:11:59.960 You've changed a lot. 1966 01:11:59.960 --> 01:12:05.480 So I will tell you this. 1967 01:12:05.760 --> 01:12:10.760 Medical training in the United States has gotten better, 1968 01:12:13.640 --> 01:12:15.280 but it is grueling. 1969 01:12:15.280 --> 01:12:16.800 It's absolutely grueling. 1970 01:12:17.840 --> 01:12:19.800 For five years, 1971 01:12:19.800 --> 01:12:23.440 I worked anywhere from 80 to 100 hours a week in a hospital. 1972 01:12:24.400 --> 01:12:27.200 No eating, very little sleep. 1973 01:12:27.200 --> 01:12:28.920 Did not care for yourself at all. 1974 01:12:30.240 --> 01:12:31.920 And again, we can argue whether or not 1975 01:12:31.920 --> 01:12:33.960 that's necessary all day long. 1976 01:12:34.000 --> 01:12:38.160 But the truth is is that it really beat me down. 1977 01:12:38.160 --> 01:12:43.160 It absolutely took me apart physically and psychologically. 1978 01:12:43.400 --> 01:12:45.080 In part, it's designed to do that 1979 01:12:45.080 --> 01:12:46.840 because the idea is that as a surgeon, 1980 01:12:46.840 --> 01:12:49.120 you have to be able to perform 1981 01:12:49.120 --> 01:12:51.160 when all the lights are on, 1982 01:12:51.160 --> 01:12:52.680 when everything is against you, 1983 01:12:52.680 --> 01:12:54.960 you have to be the one holding together in the operating room 1984 01:12:54.960 --> 01:12:57.120 and command that ship and save that patient. 1985 01:12:58.080 --> 01:13:01.880 And I remember being totally devastated 1986 01:13:01.880 --> 01:13:03.560 towards the end of training. 1987 01:13:03.560 --> 01:13:08.560 And I did a very challenging surgery on a very needy patient. 1988 01:13:08.600 --> 01:13:11.000 Gentlemen was about to go into renal failure, 1989 01:13:11.000 --> 01:13:12.600 did not have a lot of kidney left. 1990 01:13:12.600 --> 01:13:16.080 And he had a very challenging kidney tumor 1991 01:13:16.080 --> 01:13:18.440 that was in a very treacherous location. 1992 01:13:18.440 --> 01:13:21.440 It was in a location where he should have lost that kidney 1993 01:13:21.440 --> 01:13:24.680 by all measure if we were gonna take out that cancer. 1994 01:13:24.680 --> 01:13:26.960 And he was at a county hospital. 1995 01:13:26.960 --> 01:13:29.240 He had no insurance, 1996 01:13:29.240 --> 01:13:32.120 and we swung for the fences 1997 01:13:32.120 --> 01:13:35.040 and did a very, very challenging operation on him. 1998 01:13:35.040 --> 01:13:39.240 And against our best efforts with having everybody there, 1999 01:13:39.240 --> 01:13:43.160 he ended up having a bleed postoperatively that night. 2000 01:13:43.160 --> 01:13:44.480 And I remember getting the call. 2001 01:13:44.480 --> 01:13:48.320 I was on call and that he is blood pressure had dropped 2002 01:13:48.320 --> 01:13:49.440 and that he did not look well. 2003 01:13:49.440 --> 01:13:50.800 And I knew exactly what it was 2004 01:13:50.800 --> 01:13:53.560 because again, this was a very treacherous surgery. 2005 01:13:53.560 --> 01:13:56.360 And I went in in the middle of the night with my attending, 2006 01:13:56.360 --> 01:13:57.280 who was a different attending 2007 01:13:57.280 --> 01:13:59.320 the one I did the initial surgery with. 2008 01:13:59.320 --> 01:14:02.240 And I remember just opening him up 2009 01:14:03.520 --> 01:14:06.960 and just being covered in blood 2010 01:14:06.960 --> 01:14:08.920 that we were taking out of the abdominal field 2011 01:14:08.920 --> 01:14:10.440 that we were evacuating, 2012 01:14:10.440 --> 01:14:12.680 eventually identifying the area of the bleed. 2013 01:14:12.680 --> 01:14:15.160 And there was no way that it could have been avoided. 2014 01:14:15.160 --> 01:14:16.560 I remember my attending yelling at me 2015 01:14:16.560 --> 01:14:19.480 and we ultimately had to take that guy's kidney. 2016 01:14:19.480 --> 01:14:24.400 And I remember walking out of there, 2017 01:14:24.400 --> 01:14:26.640 just being totally shattered, covered in blood, 2018 01:14:26.640 --> 01:14:28.560 crying on a hallway by myself. 2019 01:14:28.560 --> 01:14:31.640 Wondering if, what was the point? 2020 01:14:31.640 --> 01:14:33.640 Like, is there a tomorrow after this? 2021 01:14:33.640 --> 01:14:34.960 Like, I spent all this time in this training, 2022 01:14:34.960 --> 01:14:35.880 like, am I good enough? 2023 01:14:35.880 --> 01:14:37.920 Am I gonna be able to make this? 2024 01:14:37.920 --> 01:14:42.320 And I wasn't well put together, wasn't healthy. 2025 01:14:42.320 --> 01:14:45.360 And I ended up spending a lot of time in that patient, 2026 01:14:45.360 --> 01:14:46.760 literally held his hand throughout 2027 01:14:46.760 --> 01:14:48.400 the rest of his hospital stay. 2028 01:14:48.400 --> 01:14:52.360 And he ended up recovering and against all odds. 2029 01:14:52.360 --> 01:14:56.920 But afterwards, I took a strong interest 2030 01:14:56.920 --> 01:15:00.480 in not only taking care of my patients, 2031 01:15:00.480 --> 01:15:05.040 but also practicing what I preach, taking care of myself 2032 01:15:05.040 --> 01:15:07.000 and prioritizing my own health. 2033 01:15:07.000 --> 01:15:07.840 I got evaluated. 2034 01:15:07.840 --> 01:15:10.120 I was diagnosed with low testosterone myself. 2035 01:15:10.120 --> 01:15:11.760 Turns out not eating or sleeping for five years 2036 01:15:11.760 --> 01:15:12.760 to do a number on you. 2037 01:15:12.760 --> 01:15:14.640 I can't lose his old stress. 2038 01:15:14.640 --> 01:15:16.720 Through the roof, 24-7. 2039 01:15:16.720 --> 01:15:19.480 I cannot even imagine what, you know, 2040 01:15:19.480 --> 01:15:22.120 there's a part in the brain called the hippocampus 2041 01:15:22.120 --> 01:15:25.560 that they, when they do MRIs on soldiers 2042 01:15:25.560 --> 01:15:26.640 that come back from war. 2043 01:15:26.680 --> 01:15:28.720 That'll be degenerated in them. 2044 01:15:28.720 --> 01:15:31.040 I wonder if we did that in surgical trainees, 2045 01:15:31.040 --> 01:15:32.360 what that would look like. 2046 01:15:32.360 --> 01:15:37.160 But I made a commitment to take care of my patients, 2047 01:15:37.160 --> 01:15:39.880 to take care of myself and make that a priority. 2048 01:15:39.880 --> 01:15:43.680 And to be simultaneously the best doctor 2049 01:15:43.680 --> 01:15:46.760 and the best father and husband that I could be. 2050 01:15:46.760 --> 01:15:49.120 Not perfect, made a lot of mistakes along the way. 2051 01:15:49.120 --> 01:15:51.760 But what you're seeing from five years ago 2052 01:15:51.760 --> 01:15:54.240 is where I was, I've been in training after seven years, 2053 01:15:54.240 --> 01:15:56.440 so it took a while to kind of recover from that. 2054 01:15:56.440 --> 01:15:58.520 What you're seeing is, you know, 2055 01:15:58.520 --> 01:15:59.920 what focusing on health and wellness 2056 01:15:59.920 --> 01:16:01.120 can potentially look like. 2057 01:16:02.680 --> 01:16:06.240 The emotion in you is palpable when you talk about this. 2058 01:16:06.240 --> 01:16:08.760 And I'm wondering where that comes from. 2059 01:16:08.760 --> 01:16:09.840 What is it, because you're looking off 2060 01:16:09.840 --> 01:16:11.520 into the distance at something. 2061 01:16:12.520 --> 01:16:13.720 And I don't know what you're looking at. 2062 01:16:13.720 --> 01:16:15.360 Yeah, I mean, 2063 01:16:20.320 --> 01:16:22.600 when I'm caring for my patients 2064 01:16:22.600 --> 01:16:26.320 and I see a young man that is struggling 2065 01:16:26.320 --> 01:16:27.400 with his fertility, 2066 01:16:27.400 --> 01:16:29.200 and he wants to be a father. 2067 01:16:30.720 --> 01:16:32.240 I was that guy. 2068 01:16:32.240 --> 01:16:35.000 Me and my wife couldn't get pregnant when we first tried. 2069 01:16:35.000 --> 01:16:35.880 We ended up having to do 2070 01:16:35.880 --> 01:16:38.120 in vitro fertilization at IVF. 2071 01:16:38.120 --> 01:16:40.280 I remember feeling like I wasn't a man 2072 01:16:40.280 --> 01:16:42.760 because I was sitting in that room holding her hand 2073 01:16:42.760 --> 01:16:45.520 and not having any answers to why things weren't working. 2074 01:16:46.560 --> 01:16:49.480 When I see my patients who come in that are, 2075 01:16:49.480 --> 01:16:52.120 you know, struggling because their hormones are out of whack 2076 01:16:52.120 --> 01:16:54.120 and no matter how they try to take care of themselves, 2077 01:16:54.120 --> 01:16:55.520 something just isn't clicking. 2078 01:16:56.440 --> 01:16:58.160 I've been that guy. 2079 01:16:58.160 --> 01:17:00.480 And then when I see my other patients 2080 01:17:00.480 --> 01:17:02.320 that are further on in life and struggling with things 2081 01:17:02.320 --> 01:17:05.400 like prostate cancer or rectal essential for the case, 2082 01:17:05.400 --> 01:17:09.720 maybe I see my father, my uncle, my grandfather, 2083 01:17:09.720 --> 01:17:11.400 like these, 2084 01:17:11.400 --> 01:17:14.600 but and they are someone's father, grandfather and uncle. 2085 01:17:14.600 --> 01:17:15.640 Like these are our brothers. 2086 01:17:15.640 --> 01:17:18.960 And this is who I have been called to care for. 2087 01:17:18.960 --> 01:17:21.520 And I care for my patients deeply. 2088 01:17:21.520 --> 01:17:24.200 And it's because I care for my patients. 2089 01:17:24.200 --> 01:17:26.840 And like this is a calling for me 2090 01:17:26.840 --> 01:17:28.560 that I care about stuff like this 2091 01:17:28.560 --> 01:17:32.440 because I want my patients to have every tool physically possible 2092 01:17:32.440 --> 01:17:34.080 to live their best quality alive 2093 01:17:34.080 --> 01:17:36.400 so that they can be whole and they can be happy 2094 01:17:36.400 --> 01:17:39.520 and so that they can be the best version of themselves 2095 01:17:39.520 --> 01:17:40.920 for their loved ones. 2096 01:17:47.440 --> 01:17:50.440 Well, thank you for caring because it matters. 2097 01:17:50.440 --> 01:17:53.360 And a lot of this stuff is quite opaque 2098 01:17:53.360 --> 01:17:55.200 and confusing to an average person like me. 2099 01:17:55.200 --> 01:17:57.000 But I'm so glad that we have people 2100 01:17:57.000 --> 01:17:58.080 there in the world like you 2101 01:17:58.080 --> 01:18:00.080 that are demystifying all of this for us 2102 01:18:00.080 --> 01:18:01.680 and explaining it in simple terms, 2103 01:18:01.680 --> 01:18:04.400 but also championing it because one of the things 2104 01:18:04.400 --> 01:18:05.400 I've learned from me in this podcast 2105 01:18:05.400 --> 01:18:08.160 is solutions to problems that a lot of people are suffering 2106 01:18:08.160 --> 01:18:09.800 where they're auctioned right in front of us, 2107 01:18:09.800 --> 01:18:11.440 but they need voices and educators 2108 01:18:11.440 --> 01:18:14.240 like yourself out there leading the charge 2109 01:18:14.240 --> 01:18:15.960 so that these types of things are available 2110 01:18:15.960 --> 01:18:17.760 to everyone, not just the few. 2111 01:18:17.760 --> 01:18:19.400 Absolutely, not just the billionaires 2112 01:18:19.400 --> 01:18:21.920 you can get whatever they want straight away any day. 2113 01:18:21.920 --> 01:18:26.920 Yeah, I mean, you know, it's a one thing I love is that 2114 01:18:27.600 --> 01:18:29.080 I've been very blessed in my practice 2115 01:18:29.080 --> 01:18:31.480 to take care of people that are much fancier than I am 2116 01:18:31.480 --> 01:18:33.440 and sit in boardrooms and that sort of thing. 2117 01:18:33.440 --> 01:18:34.760 But you know what? 2118 01:18:34.760 --> 01:18:38.480 I love taking care of my regular patients 2119 01:18:38.480 --> 01:18:41.760 who are, you know, farmers, iron workers, you know, 2120 01:18:41.760 --> 01:18:43.800 tradesmen, guys that, you know, 2121 01:18:43.800 --> 01:18:46.920 truthfully I have more in common with than anyone else. 2122 01:18:46.920 --> 01:18:47.960 You know, I joke with my patients, 2123 01:18:47.960 --> 01:18:49.320 I'm just an over educated plumber 2124 01:18:49.320 --> 01:18:51.160 at the end of the day, right, urologist. 2125 01:18:51.160 --> 01:18:55.440 And so it's a health is for everyone, 2126 01:18:55.440 --> 01:18:57.440 not just for the fortunate. 2127 01:18:57.440 --> 01:18:58.960 The last thing I wanted to talk to you about 2128 01:18:58.960 --> 01:19:00.440 is linked but random. 2129 01:19:00.440 --> 01:19:03.720 Yes, it's the enhanced games. 2130 01:19:03.720 --> 01:19:05.000 Let's do it. 2131 01:19:05.000 --> 01:19:07.920 I am so excited about these. 2132 01:19:07.920 --> 01:19:09.160 So do you know them? 2133 01:19:09.160 --> 01:19:10.280 I do very well. 2134 01:19:10.280 --> 01:19:14.480 So for those of you or for those who may not know, 2135 01:19:14.480 --> 01:19:17.240 the enhanced games is a project 2136 01:19:17.240 --> 01:19:20.840 based off of the world anti-doping agencies own data, 2137 01:19:20.840 --> 01:19:22.840 potentially up to 40% of athletes 2138 01:19:22.840 --> 01:19:24.600 that are competing at the Olympic level, 2139 01:19:24.600 --> 01:19:26.200 you have either are currently using 2140 01:19:26.200 --> 01:19:29.720 or have used band substances at some point in time, right? 2141 01:19:29.720 --> 01:19:32.200 And also, we know that a lot of the compounds 2142 01:19:32.200 --> 01:19:33.960 that are used for enhancement 2143 01:19:33.960 --> 01:19:35.800 maybe aren't quite so dangerous 2144 01:19:35.800 --> 01:19:37.080 if they're being administered 2145 01:19:37.080 --> 01:19:39.640 by a trained medical professional with proper oversight. 2146 01:19:39.640 --> 01:19:41.600 And as of right now, that's not happening. 2147 01:19:41.600 --> 01:19:45.440 Also, at the same time, we know that Olympic athletes 2148 01:19:45.440 --> 01:19:46.640 aren't paid enough, right? 2149 01:19:46.640 --> 01:19:48.280 These are the best of the best of the best 2150 01:19:48.280 --> 01:19:51.160 and they're not even making the poverty line a lot of years. 2151 01:19:51.160 --> 01:19:53.600 And so the idea is this, well, what if we go ahead 2152 01:19:53.600 --> 01:19:55.720 and we strip away those rules, okay? 2153 01:19:55.720 --> 01:19:57.640 We allow athletes to use medications 2154 01:19:57.640 --> 01:19:58.840 that can enhance performance. 2155 01:19:58.840 --> 01:20:00.440 We watch them very closely 2156 01:20:00.440 --> 01:20:01.800 and we have a team of doctors 2157 01:20:01.800 --> 01:20:03.960 and medical professionals watching them. 2158 01:20:03.960 --> 01:20:07.080 And then let's see what they can do 2159 01:20:07.080 --> 01:20:08.640 at these traditional Olympic events 2160 01:20:08.640 --> 01:20:10.640 and see if they smash world records. 2161 01:20:10.640 --> 01:20:12.800 Oh, and they're gonna give 250 grand 2162 01:20:12.800 --> 01:20:14.120 to any first place winners 2163 01:20:14.120 --> 01:20:17.520 and a million dollars to anyone that hits a world record. 2164 01:20:17.520 --> 01:20:19.240 And just for comparison, 2165 01:20:19.240 --> 01:20:21.200 how much are Olympic athletes getting paid? 2166 01:20:21.200 --> 01:20:23.320 They don't get paid to compete at all, okay? 2167 01:20:23.320 --> 01:20:25.520 So they don't get paid to be an Olympic athlete. 2168 01:20:25.520 --> 01:20:27.880 They end up getting sponsorship deals 2169 01:20:27.880 --> 01:20:30.240 and that's potentially the money that they can make. 2170 01:20:30.240 --> 01:20:31.640 So yeah. 2171 01:20:31.640 --> 01:20:32.640 Interesting. 2172 01:20:32.640 --> 01:20:34.200 So it's basically the doping Olympics 2173 01:20:34.200 --> 01:20:35.560 where everyone's allowed to dope. 2174 01:20:35.560 --> 01:20:36.400 That's the idea. 2175 01:20:36.400 --> 01:20:37.640 There are some caveats in there 2176 01:20:37.640 --> 01:20:40.440 they're trying to say that only FDA approved medications 2177 01:20:40.440 --> 01:20:41.280 can be used, okay? 2178 01:20:41.280 --> 01:20:43.000 So you couldn't use something like trend alone, 2179 01:20:43.000 --> 01:20:45.720 which is for veterinary use only 2180 01:20:45.720 --> 01:20:47.360 or theoretically any of the compounds 2181 01:20:47.360 --> 01:20:48.080 we've talked about today 2182 01:20:48.080 --> 01:20:49.400 because they're not FDA approved. 2183 01:20:49.400 --> 01:20:50.680 But also at the same time, 2184 01:20:50.680 --> 01:20:52.360 they've said that they're not gonna test for those things 2185 01:20:52.360 --> 01:20:54.600 and one of their athletes, 2186 01:20:54.600 --> 01:20:57.640 Magnuson has openly admitted taking BPC 157 2187 01:20:57.640 --> 01:20:58.480 and that's where things. 2188 01:20:58.480 --> 01:21:00.320 So I think we can kind of figure out 2189 01:21:00.320 --> 01:21:03.520 that it may just be a wide open playing field maybe. 2190 01:21:03.520 --> 01:21:06.440 So the International Olympic Committee 2191 01:21:06.440 --> 01:21:08.480 does not pay athletes a single cent 2192 01:21:08.480 --> 01:21:10.240 for winning a gold medal. 2193 01:21:10.240 --> 01:21:11.680 Yep, just crazy. 2194 01:21:11.680 --> 01:21:13.520 How many billions do you think they make off of those? 2195 01:21:13.520 --> 01:21:14.560 Well, they'll advertise them. 2196 01:21:14.560 --> 01:21:15.920 So much money. 2197 01:21:15.920 --> 01:21:17.000 Right. 2198 01:21:17.000 --> 01:21:17.840 Yeah. 2199 01:21:17.840 --> 01:21:20.040 And this is taking place in Las Vegas 2200 01:21:20.040 --> 01:21:22.640 May 21st through the 24th, I believe. 2201 01:21:22.640 --> 01:21:23.800 Are you gonna go? 2202 01:21:23.800 --> 01:21:25.600 I'm gonna be watching, that's for sure. 2203 01:21:25.600 --> 01:21:26.600 Do you wanna go? 2204 01:21:26.600 --> 01:21:27.720 I would love to go. 2205 01:21:27.720 --> 01:21:29.440 That would be incredible. 2206 01:21:29.440 --> 01:21:30.280 Well, if you wanna go, 2207 01:21:30.280 --> 01:21:32.760 I know a few people that are putting the event on 2208 01:21:32.760 --> 01:21:34.200 so do let me know. 2209 01:21:34.200 --> 01:21:35.720 I'm there, I'm already interested. 2210 01:21:35.720 --> 01:21:37.280 You got my attention. 2211 01:21:37.280 --> 01:21:39.000 Is there anything else we should have talked about 2212 01:21:39.000 --> 01:21:39.840 that we didn't talk about 2213 01:21:39.840 --> 01:21:42.200 as it relates to this subject we've discussed today? 2214 01:21:42.200 --> 01:21:44.480 I mean, honestly, I think that we've gone pretty deep 2215 01:21:44.480 --> 01:21:45.440 on peptides. 2216 01:21:45.440 --> 01:21:49.440 And so I think we've covered that. 2217 01:21:49.440 --> 01:21:53.760 But one thing that I did want to just leave with you 2218 01:21:53.760 --> 01:21:54.840 because I think it's pretty humorous. 2219 01:21:54.840 --> 01:21:56.440 And I think you've talked to some of my colleagues 2220 01:21:56.440 --> 01:21:57.560 about this before. 2221 01:21:57.560 --> 01:22:00.400 But one of the things that I deal with as a surgical specialist 2222 01:22:00.400 --> 01:22:02.200 is the end stage of Vascular disease, 2223 01:22:02.200 --> 01:22:03.560 the end stage of diabetes, 2224 01:22:03.560 --> 01:22:06.440 which is going to be erectile dysfunction, all right? 2225 01:22:06.440 --> 01:22:08.360 And believe it or not, 2226 01:22:08.360 --> 01:22:10.760 whenever we're dealing with that in male patients, 2227 01:22:10.760 --> 01:22:12.120 they eventually get to a point where things like 2228 01:22:12.120 --> 01:22:14.520 viagran, Cialis, do not work, all right? 2229 01:22:14.520 --> 01:22:17.080 And that is a dark place to be as a guy. 2230 01:22:17.080 --> 01:22:18.680 And so you're taking these medications, 2231 01:22:18.680 --> 01:22:20.720 all you're getting is a headache and nothing else. 2232 01:22:20.720 --> 01:22:22.880 And then maybe you have other options. 2233 01:22:22.880 --> 01:22:25.480 They're actually injections you can do in the penis, 2234 01:22:25.480 --> 01:22:27.800 which is about as appetizing as you might imagine. 2235 01:22:27.800 --> 01:22:29.800 But men want a better solution. 2236 01:22:29.800 --> 01:22:33.040 And they'll come to us as sexual medicine specialists 2237 01:22:33.040 --> 01:22:35.120 you know, seeking that and that's what I do. 2238 01:22:35.120 --> 01:22:37.120 So the bulk of my surgical practice 2239 01:22:37.120 --> 01:22:39.320 is actually fixing a erectile dysfunction 2240 01:22:39.320 --> 01:22:41.560 with a procedure called implant placement, okay? 2241 01:22:41.560 --> 01:22:42.400 Oh, no. 2242 01:22:42.400 --> 01:22:43.240 Absolutely. 2243 01:22:43.240 --> 01:22:46.800 So now, I think did Reena show you one of these last time? 2244 01:22:46.800 --> 01:22:48.440 She brought it and I didn't ask it. 2245 01:22:48.440 --> 01:22:49.280 You didn't. 2246 01:22:49.280 --> 01:22:51.480 It makes me like, I get full body shudders 2247 01:22:51.480 --> 01:22:52.320 when I talk about this stuff. 2248 01:22:52.320 --> 01:22:54.720 Yeah, the thought of putting that up my penis. 2249 01:22:54.720 --> 01:22:55.880 Well, so you couldn't show me. 2250 01:22:55.880 --> 01:22:56.720 No, you couldn't show me. 2251 01:22:56.720 --> 01:22:58.480 Well, I would tell you, the good news is you don't have to. 2252 01:22:58.480 --> 01:23:01.320 Okay, like that's what we have a job for, okay? 2253 01:23:01.320 --> 01:23:03.280 But the way I explain to patients is like this. 2254 01:23:03.280 --> 01:23:05.960 So take this out of the picture, okay? 2255 01:23:05.960 --> 01:23:07.720 Ultimately, like the male erection 2256 01:23:07.720 --> 01:23:10.400 is just two inflatable tubes that start in the pelvis 2257 01:23:10.400 --> 01:23:11.520 and go out the shaft of the penis. 2258 01:23:11.520 --> 01:23:12.720 It makes sense, right? 2259 01:23:12.720 --> 01:23:14.880 It is a hydraulic motion. 2260 01:23:14.880 --> 01:23:15.800 What happens is you get stimulated, 2261 01:23:15.800 --> 01:23:17.520 get a rush of blood into those tubes, 2262 01:23:17.520 --> 01:23:19.720 get a rigid erection, able to use that for intimacy. 2263 01:23:19.720 --> 01:23:20.680 And then when you climax, 2264 01:23:20.680 --> 01:23:23.320 pop off valve opens back up and everything drains out, all right? 2265 01:23:23.320 --> 01:23:24.640 So if you can understand brakes on a car, 2266 01:23:24.640 --> 01:23:25.880 you can understand erections. 2267 01:23:25.880 --> 01:23:28.560 But the problem is that when you have long-term metabolic 2268 01:23:28.560 --> 01:23:31.040 and vascular dysfunction, the brake lines, 2269 01:23:31.040 --> 01:23:33.320 the blood vessels that feed those erections, they fail. 2270 01:23:33.320 --> 01:23:35.560 And all of a sudden you can't get enough blood flow 2271 01:23:35.560 --> 01:23:37.480 for it to work and believe it or not, 2272 01:23:37.480 --> 01:23:39.560 you can actually get atrophy of the penis over time 2273 01:23:39.560 --> 01:23:41.320 and you actually lose size, all right? 2274 01:23:41.320 --> 01:23:44.200 Which no man is eager to see, all right? 2275 01:23:44.200 --> 01:23:47.480 But whenever the easy things, like oral medications, 2276 01:23:47.480 --> 01:23:49.520 viagrancy, I also don't work anymore, 2277 01:23:49.520 --> 01:23:51.280 the next best option if we're looking 2278 01:23:51.280 --> 01:23:54.120 at patient satisfaction, durability, concealability, 2279 01:23:54.120 --> 01:23:56.360 is this little thing that I do, 2280 01:23:56.360 --> 01:24:00.400 which is what if we took our own tubes, okay? 2281 01:24:00.400 --> 01:24:02.600 And we put them inside your body's natural ones. 2282 01:24:02.600 --> 01:24:04.600 It's invisible, nobody looking at you could ever tell 2283 01:24:04.640 --> 01:24:06.280 that you've ever had anything done. 2284 01:24:06.280 --> 01:24:08.120 But all of a sudden, when you want to get erections, 2285 01:24:08.120 --> 01:24:09.920 stemmed to rely on pills that don't work 2286 01:24:09.920 --> 01:24:11.680 or putting a needle in there, right? 2287 01:24:11.680 --> 01:24:13.800 You could reach down and there's a small pump 2288 01:24:13.800 --> 01:24:16.160 that we hide underneath the skin down in the scrotum. 2289 01:24:16.160 --> 01:24:17.880 Okay, so I joke, it's like a third testicle, 2290 01:24:17.880 --> 01:24:20.160 but again, nothing external, nothing you can see. 2291 01:24:20.160 --> 01:24:22.360 And all of a sudden, whenever you squeeze this, 2292 01:24:22.360 --> 01:24:24.760 what it does is it moves saline that we hide 2293 01:24:24.760 --> 01:24:26.760 and a little reservoir that goes in the belly. 2294 01:24:26.760 --> 01:24:29.040 You never feel that into the cylinders. 2295 01:24:29.040 --> 01:24:32.240 And all of a sudden, men are able to get a firm, 2296 01:24:32.240 --> 01:24:35.800 rigid erection that looks natural, feels natural. 2297 01:24:35.800 --> 01:24:37.280 And they can use it as long as they want 2298 01:24:37.280 --> 01:24:39.560 or until they're partner sick of them. 2299 01:24:39.560 --> 01:24:41.360 And then press the button and it goes back down. 2300 01:24:41.360 --> 01:24:43.320 Do they still feel the same pleasure? 2301 01:24:43.320 --> 01:24:45.440 Yeah, so it does not affect sensation. 2302 01:24:45.440 --> 01:24:47.760 And so the nerves that affect sensation 2303 01:24:47.760 --> 01:24:49.800 run along the top of the penis. 2304 01:24:49.800 --> 01:24:52.360 If you're looking at a clock at the 12 o'clock position, 2305 01:24:52.360 --> 01:24:54.960 and we stay totally away from those. 2306 01:24:54.960 --> 01:24:58.680 So this is surgically put inside the penis. 2307 01:24:58.680 --> 01:24:59.800 All internal. 2308 01:24:59.800 --> 01:25:02.680 And believe it or not, that takes me about 13 minutes to do. 2309 01:25:02.680 --> 01:25:04.200 How many people have these? 2310 01:25:04.200 --> 01:25:07.640 Well, I've put in about 11 or 1200 personally, 2311 01:25:07.640 --> 01:25:08.480 but... 2312 01:25:08.480 --> 01:25:09.320 I live in a 12 hundred. 2313 01:25:09.320 --> 01:25:10.160 Yeah, yeah. 2314 01:25:10.160 --> 01:25:11.000 This is quite a lot of people. 2315 01:25:11.000 --> 01:25:12.360 There'll be people listening now that have these. 2316 01:25:12.360 --> 01:25:13.760 Well, you know, this is what's interesting. 2317 01:25:13.760 --> 01:25:15.960 If you look at in the United States right now, 2318 01:25:15.960 --> 01:25:18.680 okay, there are 30 million men with erectile dysfunction 2319 01:25:18.680 --> 01:25:19.680 in the United States right now. 2320 01:25:19.680 --> 01:25:22.400 That's more than the population of Australia, all right? 2321 01:25:22.400 --> 01:25:23.240 Oh, wow. 2322 01:25:23.240 --> 01:25:25.840 And if you look at statistics, the oral medications 2323 01:25:25.840 --> 01:25:28.080 are gonna fail in 15 to 40% of those men, 2324 01:25:28.080 --> 01:25:29.560 the first time they fail that. 2325 01:25:29.560 --> 01:25:31.600 And so you're talking about millions and millions of men 2326 01:25:31.600 --> 01:25:33.720 who aren't responding to oral medications 2327 01:25:33.720 --> 01:25:35.120 and need a better option. 2328 01:25:35.120 --> 01:25:37.400 So what is the button to get rid of the erection? 2329 01:25:37.400 --> 01:25:38.640 You see those two little bars right there? 2330 01:25:38.640 --> 01:25:39.480 These two. 2331 01:25:39.480 --> 01:25:40.880 Yeah, go ahead and put your thumb on it. 2332 01:25:40.880 --> 01:25:42.120 I, yep, do that. 2333 01:25:42.120 --> 01:25:44.840 And then squeeze from the end of the device 2334 01:25:44.840 --> 01:25:46.480 back towards the pump. 2335 01:25:46.480 --> 01:25:47.400 So squeeze the squeeze. 2336 01:25:47.400 --> 01:25:48.840 Yep, right there. 2337 01:25:48.840 --> 01:25:49.680 There you go. 2338 01:25:49.680 --> 01:25:50.520 It's down. 2339 01:25:52.440 --> 01:25:54.240 And then you would have the weight of your natural tissue 2340 01:25:54.240 --> 01:25:55.880 push things down. 2341 01:25:55.880 --> 01:25:57.400 Okay, and then yeah, okay. 2342 01:25:57.400 --> 01:25:58.480 There you go. 2343 01:25:58.480 --> 01:25:59.320 Okay. 2344 01:25:59.720 --> 01:26:00.560 Okay. 2345 01:26:00.560 --> 01:26:02.360 Well, you know, I'm happy people have the options 2346 01:26:02.360 --> 01:26:04.640 because I can imagine what that would be like 2347 01:26:04.640 --> 01:26:05.640 to not be able to get an erection. 2348 01:26:05.640 --> 01:26:06.960 It would be devastating, frankly. 2349 01:26:06.960 --> 01:26:07.880 Well, I'll tell you this. 2350 01:26:07.880 --> 01:26:09.200 I get more hugs and high fives 2351 01:26:09.200 --> 01:26:10.680 than anybody else in my practice. 2352 01:26:10.680 --> 01:26:12.240 And that includes the guys that treat kidney stones 2353 01:26:12.240 --> 01:26:13.080 and cancer. 2354 01:26:13.080 --> 01:26:15.640 So I feel like doing some good work here 2355 01:26:15.640 --> 01:26:17.600 until peptides put me out of business. 2356 01:26:17.600 --> 01:26:19.960 I don't think that's gonna happen anytime soon. 2357 01:26:19.960 --> 01:26:21.400 And you have a great YouTube channel. 2358 01:26:21.400 --> 01:26:22.400 Thank you, I appreciate that. 2359 01:26:22.400 --> 01:26:23.800 Which I think everybody should go check out 2360 01:26:23.800 --> 01:26:25.520 because you really are great at explaining 2361 01:26:25.520 --> 01:26:26.520 all this stuff in simple terms. 2362 01:26:26.520 --> 01:26:30.280 So I'm gonna link Dr. Alex's YouTube channel down below. 2363 01:26:30.280 --> 01:26:31.120 We'll try and collab. 2364 01:26:31.120 --> 01:26:33.920 So if you just click on the Diodevisio icon now, 2365 01:26:33.920 --> 01:26:35.400 you'll see Alex's channel. 2366 01:26:35.400 --> 01:26:37.160 And I highly recommend you go check out his content 2367 01:26:37.160 --> 01:26:38.680 because he's really leading the charge 2368 01:26:38.680 --> 01:26:39.680 on the subject of peptides. 2369 01:26:39.680 --> 01:26:41.280 When I spoke to my team, 2370 01:26:41.280 --> 01:26:43.200 and said I wanna have a conversation about peptides, 2371 01:26:43.200 --> 01:26:44.200 they gave me lots of options 2372 01:26:44.200 --> 01:26:46.240 of lots of different types of doctors. 2373 01:26:46.240 --> 01:26:48.920 And you were by far and away our preference 2374 01:26:48.920 --> 01:26:50.720 because of the very fact that you're very, very good 2375 01:26:50.720 --> 01:26:51.960 at communicating, you understand people. 2376 01:26:51.960 --> 01:26:53.360 And as you've demonstrated today, 2377 01:26:53.360 --> 01:26:54.640 you have a very big heart. 2378 01:26:54.640 --> 01:26:55.480 I appreciate that. 2379 01:26:55.480 --> 01:26:58.720 Clearly it was wonderful to see what's actually driving you. 2380 01:26:58.720 --> 01:26:59.560 And you did that in a way, 2381 01:26:59.560 --> 01:27:02.400 which is irrefutably authentic. 2382 01:27:02.400 --> 01:27:05.000 So please go check out Alex's channel. 2383 01:27:05.000 --> 01:27:06.800 He's around your own 100,000 subscribers 2384 01:27:06.800 --> 01:27:08.120 on that channel now? 2385 01:27:08.120 --> 01:27:10.960 So close, we're at like 98.99, any minute now. 2386 01:27:10.960 --> 01:27:13.040 Okay, so hopefully we can help push you over 2387 01:27:14.280 --> 01:27:17.360 that milestone. 2388 01:27:17.360 --> 01:27:18.200 Yeah. 2389 01:27:18.200 --> 01:27:20.000 We have a closing traditional Alex on this podcast 2390 01:27:20.000 --> 01:27:21.480 where the last guest leaves a question for the next. 2391 01:27:21.480 --> 01:27:22.680 Not knowing who they're leaving it for. 2392 01:27:22.680 --> 01:27:23.520 Okay. 2393 01:27:23.520 --> 01:27:25.400 The question left for you is, 2394 01:27:25.400 --> 01:27:30.040 if you could give $1 billion to one person, 2395 01:27:30.040 --> 01:27:32.400 you don't know personally. 2396 01:27:32.400 --> 01:27:36.160 Who is it and what do they have to spend it on? 2397 01:27:40.720 --> 01:27:45.720 Honestly, I would give it to Elon Musk, okay? 2398 01:27:46.040 --> 01:27:49.560 And it's not because I think that he's hurting 2399 01:27:49.560 --> 01:27:51.160 for a billion dollars right now. 2400 01:27:51.200 --> 01:27:55.320 But if you look at what he is working on 2401 01:27:55.320 --> 01:27:58.960 to accomplish for us as a human race, right? 2402 01:27:58.960 --> 01:28:01.760 He, I truly believe from what I've seen 2403 01:28:01.760 --> 01:28:03.880 that he has a similar heart for humanity 2404 01:28:03.880 --> 01:28:05.680 that I've seen in a lot of physicians. 2405 01:28:05.680 --> 01:28:09.640 But on a macro scale as an engineer and an entrepreneur, 2406 01:28:09.640 --> 01:28:11.480 he's trying to solve some of the greatest problems 2407 01:28:11.480 --> 01:28:13.080 that are facing us today. 2408 01:28:13.080 --> 01:28:15.720 And I think that what we are going to see, 2409 01:28:15.720 --> 01:28:19.920 hopefully coming from the Terra Fab down in Austin 2410 01:28:19.920 --> 01:28:23.840 is going to be wild with recursive feedback and engineering 2411 01:28:23.840 --> 01:28:25.880 on AI chips that are going to get better 2412 01:28:25.880 --> 01:28:27.840 and better and better in a short period of time. 2413 01:28:27.840 --> 01:28:32.000 And increasing independence when it comes to chip foundries 2414 01:28:32.000 --> 01:28:34.920 for the United States, it's wild. 2415 01:28:34.920 --> 01:28:38.920 And I think that that billion dollars would go further 2416 01:28:38.920 --> 01:28:42.400 and do more for more people than anywhere else I could put it. 2417 01:28:42.400 --> 01:28:43.520 And he's also working on Neuralink, 2418 01:28:43.520 --> 01:28:44.480 which is a really interesting company, 2419 01:28:44.480 --> 01:28:47.200 which puts a sort of brain chip interfaces 2420 01:28:47.200 --> 01:28:51.120 with our people to here again, see again, 2421 01:28:51.120 --> 01:28:53.480 allow paraplegics to walk again, 2422 01:28:53.480 --> 01:28:55.640 which is really, really incredible. 2423 01:28:55.640 --> 01:28:57.240 Dr. Alex, thank you so much. 2424 01:28:57.240 --> 01:28:58.080 It's so limiting. 2425 01:28:58.080 --> 01:28:59.600 I can't wait to have you back again some time soon 2426 01:28:59.600 --> 01:29:01.880 to talk about all the other things we could have talked about today. 2427 01:29:01.880 --> 01:29:03.280 We focused on peptides predominantly, 2428 01:29:03.280 --> 01:29:04.800 but I know that over on YouTube channel 2429 01:29:04.800 --> 01:29:06.200 you talk about a lot more than that. 2430 01:29:06.200 --> 01:29:08.880 So highly recommend everybody go check out Dr. Alex's YouTube channel. 2431 01:29:08.880 --> 01:29:09.960 And it's been a pleasure. 2432 01:29:09.960 --> 01:29:10.800 Thank you. 2433 01:29:10.800 --> 01:29:11.800 Thank you, Stephen.