UDSKRIFT 🔗
WEBVTT
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Welcome back, folks.
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I'm Natalie Nidham, your host.
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Very excited about today's episode.
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It's a bit of a new topic for us, but it's very timely.
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November is Men's Health Month.
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So fellas, consider this your annual nudge.
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Ladies, consider this your annual reminder to nudge the men in your life, whether it's your dad, your brother, your partner, whoever, to have their annual check with their doctor.
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Today, we're talking about the gland nobody brings up at dinner, the prostate.
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Dr. Elizabeth Roy is a root cause physician focused on the prostate.
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She shares the early signs of prostate dysfunction that partners often spot first, how to bring it up without it sounding like criticism, and the daily habits that keep you both thriving.
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Remember, common does not always mean normal.
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Let's get into it.
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Dr. Elizabeth Roy, welcome to the show.
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Pleasure to have you here today.
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Thank you so much for having me.
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I've been looking forward to it.
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This is going to be a great and slightly different conversation than we normally have here, and yet connected to all the things that we talk about, just from a different lens, if you will.
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So let's start with the big question that I start with, with many of my doctor guests on this podcast is what made you decide that conventional medicine wasn't enough?
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And I'm going to fold my second question in there is you can answer at the same time in case this was the case is, was there one patient who completely changed how you thought about men's health?
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Like it's possible those two converge and they may not.
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So over to you.
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They do converge.
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They do converge.
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Okay, good.
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So I was a first year medical student when my 13 year old son started having seizures.
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And yep, it was very interesting.
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Very interesting.
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I'm going through all of what a medical student goes through and you're examining and of course you're examining your friends and your family and I'm realizing, wow, not as long.
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Not only is he having seizures, but he has all of these symptoms that are problematic, neurologic symptoms.
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And I'm seeing all of these abnormalities.
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Of course, everybody thinks I'm overreacting because that's what medical students do.
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But in this particular case, I wasn't overreacting.
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His body was changing in a very dramatic way.
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He went from starting as a freshman in high school, normal, healthy, high achiever, to having...
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We had to pull him out of high school actually in that first year because he couldn't find his way to the bathroom.
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He couldn't find his way home.
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So he developed early dementia.
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So here it is, a kid with a seizure disorder, hundreds of seizures every day, symptoms.
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And a body that was just failing with dementia, right?
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It was like having Alzheimer's, epilepsy, and even MS all in one kid.
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He lost his mobility.
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He lost his independence.
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It was a horrible experience, this disease.
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exposed me to the limitations of conventional medicine.
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Everybody was well-meaning, but nobody was really digging into root cause.
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Of course, I was a first-year medical student.
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I didn't understand root cause either, but I was a little older and a little wiser and dug into some of the literature and even found some studies, early studies, very early studies on fish oils and ratio of fish oils and how that affects...
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the stability of the nerve and so on and so forth.
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So we played around with, with that.
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And of course diet, we always had a very healthy diet, but we changed things up there.
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Anyway, very long journey.
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He was ill and declined over a 12 year period.
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And, and we lost him at, at, in his early twenties.
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And so that shaped, thank you.
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I appreciate that.
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That shaped everything for me, of course, as you can imagine, but,
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So he was my greatest teacher and it was, it was really, um,
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such a profound blessing, honestly, in many, many different ways.
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You know, we're all here for different reasons.
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And that was clearly his reason was to teach me so that I could move forward and become the best doctor I possibly could through a very different lens.
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Not only a root cause lens, but also what is it to not be well?
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What does that mean?
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How does that...
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translate into daily activity.
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And it's often little things that make such a big difference.
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And so that's a long answer to your short question.
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That's a big answer.
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That's a big answer.
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You've said that symptoms are messages.
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not problems that we need to solve or suppress.
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Where did, I'm guessing that philosophy kind of evolved out of your time with your son.
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Like, but maybe let's expand on that a little bit, like how you came to that.
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Cause you know, it's interesting as a first year medical student,
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who wasn't trained to think the way that you had to think to move through this.
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Right.
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So you, not only are you newly out, you know, freshly minted doctor out of, out of school, but you're now being forced to challenge a lot of what you've just learned without necessarily a whole lot of experience behind you.
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Yeah, absolutely.
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Well, since this happened in my first year, I really challenged the convention from day one, honestly.
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And yeah.
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Yeah.
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You know, it's interesting because my lack of training was the biggest gift because I was looking at it from, you know, I had no bias.
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I'm a mechanistic thinker anyway, very much.
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So if I can take it apart, I can figure out how it works.
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I have many stories throughout my life where that was the case.
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And so I did the same thing with my son and really went to biochemistry and said, okay, what could possibly be happening here?
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at a cellular level and why.
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So there's, there's what's happening at a cellular level.
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And then how did we get here?
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How did this happen?
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You know, was it a toxicity?
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Was it infection?
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Was it, what was it?
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And of course, all of those things play, play in.
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And if I had known then what I know now, perhaps we would have had a different course, but that's not how life works.
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Did you ever figure out what it was or what you think it might've been?
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Yeah.
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You know, it's interesting because again, a diagnosis is really a label, right?
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The unknown mechanism is often a common thread in a conventional approach.
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So we ended up calling it Lafora's disease, which is a metabolic storage disease where the regular metabolism of the cell leads to a buildup of metabolites that choke off the
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central nervous system.
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And so the nervous system dies.
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So you basically have very rapidly degenerating nervous system.
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And so there were only three other
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young men in the United States with that diagnosis.
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It was really a diagnosis of exclusion in his particular case, because by the time it was six years of just a crazy, crazy rollercoaster ride before there was even a diagnosis offered.
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And by that time, we would have had to have done a brain biopsy in order to identify if that was the real thing and there was nothing you could do about it.
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And he had been through so much at that point, it just didn't seem worth it.
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And so my question is always, okay, metabolic storage disease.
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Well, where did that come from?
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Neither his father or I had any of this in our sides of the family.
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And so we know that there can be a genetic predisposition, but there has to be a trigger.
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So what was the trigger, right?
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Was it mold?
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Was it...
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He had had a vaccination six months prior to, actually it was three months prior to his first seizure and then six months prior to the onset of the dementia, the cognitive changes.
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And so there's, you know, again, there's no judgment.
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There's toxins in our environment and there are toxins in vaccines as well as our homes and our food and everything else.
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And some of us are more genetically able to manage those toxins and reconcile at the end of the day.
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And some of us aren't.
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And when we're not, you know, that buildup can be a trigger.
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There's, you know, there's Lyme disease, there's Epstein-Barr, there's all kinds of viruses that play a role.
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So that started my understanding that, you know, these triggers are, are,
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to be taken seriously because they're the foundation of all epigenetic hits that then lead to the trigger of these genetic predisposed diseases and sometimes even non-genetically predisposed.
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Thank you.
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So that sets the stage for the type of medicine that you went on to practice.
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Really, because at this stage of the game now, the audience is thinking, okay, we're going to talk about vaccines.
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We're going to talk about metabolic storage disease and not at all.
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We're talking about something quite different.
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But really, this is the foundation of the type of medicine that you went on to practice from there.
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That's right.
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So at some point you got to a focus on prostates.
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So we're sticking with boys, but we're talking about prostates.
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So when did you realize your life's work?
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First of all, when did you move over to that area?
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And then when did you realize that your life's work now, even though it's kind of about prostates, it's really not just about
the prostate gland, but it's really about helping men reclaim who they are.
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That's right.
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And their, their wellness in general.
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Yeah.
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You can't separate the prostate from the man.
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It's a head to toe issue.
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And so, um, great, great question.
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You know, I, I never practiced conventional medicine.
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Um, as soon as I was licensed, I, I.
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hung a shingle and started learning how to treat people.
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It's learning every day, every day.
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And so, again, I used to think that my lack of a conventional training was a liability or a weakness.
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It turned out to be an incredible strength because I look at things from a completely naive perspective.
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and yet logical lens, which is how the body works anyway.
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So I was a generalist for quite a while, which means that whoever walked through the door who couldn't be fixed in a conventional setting, they'd find their way to me, I'd have to figure it out.
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And the same, you roll up your sleeves and you dig in at the cellular level and we're all the same at a cellular level.
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And how it is that we're affected is often similar.
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And so that was the beginning.
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I realized that, wow, you could make an impact on every patient who walks through the door, regardless of what they walk through the door.
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And so I'm also an entrepreneur.
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And I thought, all right, how do I, what's a big problem that needs to be solved that's impactful to the lives of the patients that I serve that use all of the tools that I have?
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And it became very obvious that prostate issues are a big problem where men are underserved in a very big way.
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And it's a devastating issue.
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It's connected to not only their quality of life, as you can imagine, it's connected to sexual function.
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It's connected to confidence, their ability to lead, their ability to be productive, the you know...
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Men who have these issues are often experienced shame.
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You know, there's trauma associated.
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Every level of potential is involved here.
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And so you have to come at this care from someone.
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a perspective where there's empathy, there's understanding.
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And then there's also that rolling up the sleeves and getting to work and getting this fixed because men are different from women.
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Of course, we're generalizing, but for the most part in the way that they want to approach their wellness.
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Women are often involved in men's care because men just sort of nose to the grind and push through.
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And suffer silently quite frequently.
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These are embarrassing problems.
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There's often erectile changes associated with these problems, as you can imagine.
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And so, you know, women suffer too with their men because their men are getting up to pee four or five times a night and the dog wakes up and everybody in the household wakes up.
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So I find this problem to be the right one to solve.
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When you take a man through the process of evaluation, you have to evaluate all of these hidden clinical dysfunctions that are really the root cause of not only their prostate issues, but many of the comorbidities that they're experiencing.
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Their elevated cholesterol, their hypertension, their blood sugar changes, their
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you know, their lack of energy, their hormone imbalances, all of these things are connected.
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And so it's a lot of fun to dig in and see what do we have to work with here.
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And then when you can meet him at that place where he is and then lead and guide him to his stated goals, it's, you know, it's exciting.
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It's very rewarding.
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Yeah, that's really cool.
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Well, you know, you mentioned earlier, you're a systems person, you're an engineer at heart.
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I know.
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And engineers make the best, I find, very often.
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Because you sit there and you approach every problem like a Rubik's cube.
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And it's like, oh, well, if that didn't work, maybe this will work.
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So it's a beautiful way to be.
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So let's talk about why men might be, the aging trajectory might be not optimal right now.
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So we're talking, especially now we're hearing about low testosterone and frankly, in younger and younger men.
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We're hearing about enlarged prostates, poor sleep, which may or may not be related to the first two.
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erectile dysfunction, and just fatigue.
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And just as women are
told in perimenopause, you're just getting older with their constellation of symptoms, men are also being told, look, it's part of getting older.
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So what the heck?
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When did we collectively accept that men are supposed to feel old by 50, which I think, if anything, in today's world...
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we can see over and over again, it just isn't the case.
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Right.
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Absolutely.
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Yeah.
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The symptoms tell a story.
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They really do.
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And it is like a Rubik's cube and, and you listen to the story.
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You often can understand what's, what's happening.
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And then you dig in for your objective evidence so that you can start to unwind the problem and then rebuild.
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Aging rapidly.
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Okay.
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I'm not afraid of aging, but I have 85 year olds in my practice who are running up the stairs and having sex when they want to have plenty of energies, you know, sleep like a baby.
218
00:16:45.547 --> 00:16:48.168
That is an appropriate aging.
219
00:16:48.689 --> 00:16:48.989
Yeah.
220
00:16:49.009 --> 00:16:51.370
And the question is, why aren't we all like that?
221
00:16:51.850 --> 00:16:52.230
Okay.
222
00:16:52.310 --> 00:16:53.531
And why is it such a...
223
00:16:54.531 --> 00:16:59.233
a rare thing now to see someone aging so beautifully and gracefully.
224
00:16:59.673 --> 00:17:02.234
And I think that it is, it's environment.
225
00:17:02.775 --> 00:17:03.715
It's, it's environment.
226
00:17:03.755 --> 00:17:05.756
It's what we, it's what we put in our mouth.
227
00:17:07.377 --> 00:17:19.742
It's our willingness to trade our wellness for things and, and other experiences perhaps it's our, our lack of understanding how,
228
00:17:21.628 --> 00:17:23.549
Cell phones are problematic.
229
00:17:23.609 --> 00:17:25.609
Sitting in front of a computer are problematic.
230
00:17:25.769 --> 00:17:32.071
You know, different toxins in our environment, like food, food quality.
231
00:17:32.771 --> 00:17:38.652
Conventionally raised animals are unfortunately pollution to the body.
232
00:17:38.692 --> 00:17:42.453
They cause inflammation, which we know is the precursor to all disease.
233
00:17:43.514 --> 00:17:45.854
So, you know, there's so many dyes.
234
00:17:46.354 --> 00:17:47.975
There's so many...
235
00:17:48.815 --> 00:17:55.379
We have synthetic things that we come in contact with, our cell phones in our pockets.
236
00:17:55.439 --> 00:17:57.621
For young men, that's a major issue.
237
00:17:57.641 --> 00:17:58.881
We have cell phones in the pockets.
238
00:17:58.962 --> 00:18:05.466
We have glyphosates, which is Roundup, as
you know, and pesticides being sprayed on everything.
239
00:18:06.326 --> 00:18:07.207
We have...
240
00:18:08.268 --> 00:18:10.891
aerosolized toxins in the air that we breathe.
241
00:18:11.231 --> 00:18:17.539
And so the question to me that I think about is, how are we so high functioning in this toxic environment?
242
00:18:17.639 --> 00:18:17.939
Really?
243
00:18:17.999 --> 00:18:20.322
I mean, it's like, oh my gosh, this is kind of crazy.
244
00:18:20.542 --> 00:18:21.403
Oh, we're resilient.
245
00:18:21.844 --> 00:18:22.905
You know, we are resilient.
246
00:18:22.945 --> 00:18:23.566
We are resilient.
247
00:18:24.086 --> 00:18:24.326
Yeah.
248
00:18:24.346 --> 00:18:25.906
Yeah.
249
00:18:26.306 --> 00:18:28.347
I think, and that's something that people forget.
250
00:18:28.547 --> 00:18:28.987
Yeah.
251
00:18:29.007 --> 00:18:29.447
You're right.
252
00:18:29.487 --> 00:18:33.268
You know, even with babies, like you learn that babies are super tough.
253
00:18:33.548 --> 00:18:35.488
You really have to mess up to mess them up.
254
00:18:36.048 --> 00:18:37.569
Right.
255
00:18:37.589 --> 00:18:38.009
That's right.
256
00:18:38.369 --> 00:18:38.889
That's right.
257
00:18:39.249 --> 00:18:39.749
That's right.
258
00:18:40.089 --> 00:18:45.570
And, and so, you know, when you can leverage that resilience, I'm an osteopath also.
259
00:18:45.650 --> 00:18:48.571
So, you know, our tenants are that, you know,
260
00:18:49.171 --> 00:18:50.532
form and function are interrelated.
261
00:18:50.572 --> 00:18:52.973
The body has an inherent ability to heal itself, right?
262
00:18:53.393 --> 00:18:56.215
And I have found that time and time again.
263
00:18:56.335 --> 00:18:59.256
If you can identify what's in the way, you get it out of the way.
264
00:18:59.857 --> 00:19:01.377
Sometimes it's just you in the way.
265
00:19:02.358 --> 00:19:06.160
The body is so resilient and it can turn around so beautifully.
266
00:19:07.020 --> 00:19:08.241
But that's what's happening.
267
00:19:08.261 --> 00:19:10.721
You know, the gut is central.
268
00:19:11.822 --> 00:19:13.202
Everything is related.
269
00:19:13.342 --> 00:19:20.045
Gut bacteria, gut balance, leaky gut, all of these things play a role in hormone imbalance.
270
00:19:20.085 --> 00:19:21.205
They play a role in sleep.
271
00:19:21.245 --> 00:19:22.566
They play a role in immunity.
272
00:19:22.906 --> 00:19:26.267
You're only ever as healthy as your immune system.
273
00:19:26.767 --> 00:19:32.009
That is something that I have really come to and seen lately in this last year.
274
00:19:32.389 --> 00:19:34.850
We do some labs, advanced labs,
275
00:19:35.630 --> 00:19:42.194
You know, you need to dig deep when you are assessing a man with prostate issues to really identify those clinical dysfunctions.
276
00:19:42.274 --> 00:19:46.197
Because if you don't fix them all, you're not going to get to the end goal.
277
00:19:46.217 --> 00:19:47.338
You can't dabble here.
278
00:19:47.718 --> 00:19:50.520
So we end up doing these panels, which are fabulous.
279
00:19:51.120 --> 00:19:53.122
And we're able to look at that human.
280
00:19:54.042 --> 00:19:58.425
at that cellular level and say, okay, here's where you are.
281
00:19:58.705 --> 00:20:01.367
And then it's a matter of, well, how did you get here?
282
00:20:01.527 --> 00:20:05.949
And so that's where some of the next level comes from, the toxicity, the stealth infections.
283
00:20:06.370 --> 00:20:13.394
But when you're assessing an immune system, we're finding these broken down immune systems in most of these men.
284
00:20:13.674 --> 00:20:15.756
And you say, well, that makes a lot of sense because...
285
00:20:17.277 --> 00:20:26.586
99.9% of the men that come through the door with prostate issues have hidden chronic bacterial infection in their prostate.
286
00:20:27.486 --> 00:20:29.909
They've been diagnosed with an enlarged prostate.
287
00:20:30.789 --> 00:20:33.052
Most of them don't even know the size of their prostate.
288
00:20:33.352 --> 00:20:36.535
So it's automatically assumed to be a structural problem.
289
00:20:36.575 --> 00:20:38.577
We know that structure and function are interrelated.
290
00:20:39.257 --> 00:20:39.998
What happened first?
291
00:20:40.018 --> 00:20:41.599
Well, the prostate didn't all of a sudden get big.
292
00:20:41.819 --> 00:20:46.162
There was a functional change that led to this hypertrophy of the tissue.
293
00:20:46.622 --> 00:20:53.627
And in many, many cases, even the most severe cases where the symptoms are just out of control, they have a tiny little prostate.
294
00:20:53.647 --> 00:20:54.488
It's not even large.
295
00:20:55.108 --> 00:20:57.550
So these are functional problems.
296
00:20:58.431 --> 00:21:04.358
In a conventional approach, we're always looking at the anatomy, like a colonoscopy, for instance.
297
00:21:04.618 --> 00:21:06.039
You're visualizing.
298
00:21:06.260 --> 00:21:10.825
Well, do you know how big that tumor has to be before it can actually be visualized?
299
00:21:11.506 --> 00:21:12.367
Or a mammography?
300
00:21:12.487 --> 00:21:13.288
I mean, these things...
301
00:21:13.468 --> 00:21:14.789
That's an end stage.
302
00:21:14.809 --> 00:21:17.551
That's been there for years and years.
303
00:21:17.691 --> 00:21:19.092
So these men are infected.
304
00:21:19.832 --> 00:21:23.554
And then you think, well, how does that infection actually happen and take hold?
305
00:21:23.874 --> 00:21:29.478
Well, most of the bacteria we grow out of the prostate is oral bacteria and gut bacteria.
306
00:21:29.838 --> 00:21:32.540
Oral from infection you don't even know you have.
307
00:21:33.060 --> 00:21:34.721
Tiny little pockets of infection.
308
00:21:35.201 --> 00:21:43.826
Even like gum disease for sure, but even in the case where there is no gum disease, a lot of us grind our teeth or we clench our jaws.
309
00:21:44.146 --> 00:21:46.628
And some of that is environmental as well.
310
00:21:47.288 -->
00:21:53.392
And that leads to slight loosening of the teeth, which makes space for bacteria to set up shop in there.
311
00:21:54.152 --> 00:21:57.753
cause little pockets where they're not, don't seem to be bothering anything.
312
00:21:58.333 --> 00:21:59.233
That's why they're stealth.
313
00:21:59.773 --> 00:22:01.794
But they're seeding into the bloodstream.
314
00:22:02.234 --> 00:22:12.336
And then they find their way to the prostate where it settles in because that immune system is dysfunctional enough where it tolerates that bacteria.
315
00:22:12.836 --> 00:22:18.157
Those bacteria, the one from the gut and the ones from the oral cavity, they cause biofilms.
316
00:22:19.218 --> 00:22:31.638
plaque on your teeth is a biofilm you're you're literally these bacteria forming these biofilms in the prostate so they protect themselves from your immune system and from antibiotics oral antibiotics
317
00:22:35.974 --> 00:22:43.296
I think that we can all agree that there is a big difference between being able to finish a workout and feeling like you still have a functioning human body afterwards.
318
00:22:43.856 --> 00:22:49.817
That is exactly why I've been looking at the combination of VO2 max and Creevolution from Level Up Health.
319
00:22:50.657 --> 00:22:55.259
For me, longevity training is not just about lifting heavier or collecting fancy wearable data.
320
00:22:55.519 --> 00:22:56.179
You guys know that.
321
00:22:56.759 --> 00:23:05.581
I want the muscle energy to train well, the recovery to come back for the next session, and the aerobic capacity to make everyday life feel easier.
322
00:23:06.301 --> 00:23:12.664
Now VO2 max supports healthy blood flow, oxygen use, respiratory function, and physical resilience during exercise.
323
00:23:13.345 --> 00:23:20.368
Prevolution supports the other side of the equation, muscle strength, rapid energy production, recovery, and even cognitive support.
324
00:23:21.028 --> 00:23:29.573
Prevolution paired with VO2 max is a super smart way to support both performance and the capacity you want to preserve as you age.
325
00:23:29.593 --> 00:23:30.173
Okay.
326
00:23:30.173 --> 00:23:38.425
If you want to get your hands on this stack or either end of it, head on over to leveluphhealth.com and use code NAT for 15% off your order.
327
00:23:38.905 --> 00:23:42.991
Now, Level Up Health is lvluphhealth.com.
328
00:23:43.231 --> 00:23:43.592
Enjoy.
329
00:23:44.125 --> 00:23:44.986
So let me ask you this.
330
00:23:45.106 --> 00:23:52.992
If you had two healthy 45 year old guys standing in front of you right now, what are the clues that would tell you who would be if nothing changed?
331
00:23:53.472 --> 00:23:53.633
Right.
332
00:23:53.653 --> 00:23:55.934
Because obviously you would you would set them straight.
333
00:23:56.054 --> 00:23:57.135
Whoever needs to be set straight.
334
00:23:57.175 --> 00:24:02.920
But before you did anything, what what are the early clues that would tell you who's going to be thriving at 75 and who won't be?
335
00:24:04.826 --> 00:24:05.206
Habits.
336
00:24:06.187 --> 00:24:06.447
Yeah.
337
00:24:06.467 --> 00:24:06.707
Okay.
338
00:24:06.747 --> 00:24:07.948
What their lifestyle is like.
339
00:24:08.188 --> 00:24:08.728
Absolutely.
340
00:24:09.749 --> 00:24:10.449
How they sleep.
341
00:24:11.750 --> 00:24:12.610
I'd ask them questions.
342
00:24:12.710 --> 00:24:17.012
If all I could do is ask them questions, I'd ask them questions about bowel movements.
343
00:24:18.633 --> 00:24:19.233
Digestion.
344
00:24:19.574 --> 00:24:19.774
Right.
345
00:24:19.814 --> 00:24:21.515
Yeah.
346
00:24:21.775 --> 00:24:23.956
I would ask them if they get sick.
347
00:24:24.716 --> 00:24:25.056
Okay.
348
00:24:25.176 --> 00:24:28.158
And this is going to sort of throw you a little wrench here.
349
00:24:29.225 --> 00:24:38.758
People who, if the flu rolls through the neighborhood and you get sick, it means your immune system's mounting a response.
350
00:24:40.441 --> 00:24:41.262
Oh, that's not a bad thing?
351
00:24:42.084 --> 00:24:44.345
that's not a bad thing, to clear the virus.
352
00:24:45.186 --> 00:24:51.109
If you're the only one in the neighborhood who doesn't get sick, you're beating your chest saying, I'm so healthy.
353
00:24:51.910 --> 00:24:53.210
That is not usually the case.
354
00:24:53.871 --> 00:24:57.733
Your immune system is not mounting a response.
355
00:24:58.433 --> 00:25:04.457
And if your immune system is not mounting a response, that virus goes intracellular,
356
00:25:06.067 --> 00:25:17.289
where it then is causing oxidation and degeneration of your cells at that level, causing inflammation that you didn't know you had, further draining the immune system.
357
00:25:18.669 --> 00:25:22.890
It's a very interesting paradox.
358
00:25:22.950 --> 00:25:30.031
Isn't there a world where your immune system is functioning well and it just nukes the virus before the virus gets a hold?
359
00:25:30.712 --> 00:25:31.492
How does it do that?
360
00:25:32.032 --> 00:25:32.932
What does that look like?
361
00:25:34.048 --> 00:25:41.031
it looks like a fever, it looks like a runny nose, it looks like a diarrhea, it looks like aches.
362
00:25:41.411 --> 00:25:45.493
When the immune system mobilizes, there's an effect.
363
00:25:45.953 --> 00:25:47.073
There's a physical effect.
364
00:25:47.513 --> 00:25:50.435
And it might be very, you know, it's interesting because in medical school,
365
00:25:52.375 --> 00:26:04.203
When I'm sitting in the lecture hall with 120 other coughing students, everybody's sick and tired and not eating well.
366
00:26:04.424 --> 00:26:04.984
Strung out.
367
00:26:05.144 --> 00:26:05.685
Yeah.
368
00:26:05.725 --> 00:26:06.245
Strung out.
369
00:26:06.825 --> 00:26:10.228
And I would feel a little tickle in my nose.
370
00:26:10.928 --> 00:26:11.649
Everybody laughed at me.
371
00:26:11.689 --> 00:26:18.634
I would immediately get up, go to the bathroom and just rinse out
my nose, wash my hands, rinse out my nose.
372
00:26:20.289 --> 00:26:25.454
And I wouldn't fully manifest whatever flu or cold was going around.
373
00:26:26.015 --> 00:26:27.256
But I had that symptom.
374
00:26:27.776 --> 00:26:28.557
I could tell.
375
00:26:28.837 --> 00:26:31.580
So having the system and kicking its butt is a good thing.
376
00:26:31.640 --> 00:26:31.840
100%.
377
00:26:31.880 --> 00:26:33.342
It's just not having any symptoms.
378
00:26:33.642 --> 00:26:33.902
Okay, cool.
379
00:26:33.922 --> 00:26:34.463
That's right.
380
00:26:34.723 --> 00:26:35.484
That makes sense.
381
00:26:35.904 --> 00:26:41.690
So every single person that I have diagnosed with cancer, and there's been a lot of
382
00:26:42.588 --> 00:26:44.850
They look at me and they're so perplexed.
383
00:26:45.110 --> 00:26:45.830
Now, you can imagine.
384
00:26:45.870 --> 00:26:46.471
Never get sick.
385
00:26:47.091 --> 00:26:48.532
Yeah, that's exactly what they say.
386
00:26:48.852 --> 00:26:50.013
You know, that's so crazy.
387
00:26:50.073 --> 00:26:50.834
I never get sick.
388
00:26:50.854 --> 00:26:52.035
I thought I was so healthy.
389
00:26:53.275 --> 00:26:54.596
But that's not what happens.
390
00:26:54.676 --> 00:26:55.597
And how do I know this?
391
00:26:56.057 --> 00:26:58.579
I know this because I'm looking at their immune systems.
392
00:26:58.999 --> 00:27:02.221
I use some testing that shows me, do they have memory T cells?
393
00:27:02.242 --> 00:27:03.442
Do they have memory B cells?
394
00:27:03.462 --> 00:27:05.984
Do they have antigen-presenting cells or dendritic cells?
395
00:27:06.384 --> 00:27:09.386
Is their immune system stuck in an inflammation?
396
00:27:09.707 --> 00:27:10.287
Is it confused?
397
00:27:10.367 --> 00:27:10.487
Yes.
398
00:27:12.769 --> 00:27:14.210
Is the immune brakes on?
399
00:27:14.510 --> 00:27:16.312
So there are literally biomarkers.
400
00:27:16.572 --> 00:27:23.157
CTLA4 is a biomarker that shows me when that is above zero, the immune brakes are on.
401
00:27:23.798 --> 00:27:25.259
So you have immune gas.
402
00:27:25.359 --> 00:27:29.222
The gas of the tank would be memory T cells, B cells, antigen presenting cells.
403
00:27:29.482 --> 00:27:31.404
So you have a potential to respond.
404
00:27:31.884 --> 00:27:32.965
But then there's the brakes.
405
00:27:33.666 --> 00:27:37.469
If the brakes are on, doesn't matter how much gas you have, you're not going anywhere.
406
00:27:37.489 --> 00:27:37.849
Right.
407
00:27:38.109 --> 00:27:39.330
How do the brakes get turned on?
408
00:27:39.730 --> 00:27:46.396
Mold toxicity, metal toxicity that upregulates that biomarker, the brakes.
409
00:27:47.277 --> 00:27:54.983
What I find is the brakes are on and most frequently with these men, there's no gas in the tank either.
410
00:27:55.403 --> 00:27:56.024
On top of that.
411
00:27:56.184 --> 00:27:56.384
Yeah.
412
00:27:56.525 --> 00:27:57.286
On top of that.
413
00:27:57.466 --> 00:27:57.666
Right.
414
00:27:57.726 --> 00:28:05.817
And so they're vulnerable to prostate cancer as well as other things because they have a chronic infection in their prostate.
415
00:28:06.197 --> 00:28:07.820
Their immune system is not working.
416
00:28:08.160 --> 00:28:11.224
If your immune system is working, you cannot have cancer.
417
00:28:12.045 --> 00:28:12.345
Period.
418
00:28:12.365 --> 00:28:15.507
It's like if the lights are on, it can't be dark in the room, right?
419
00:28:15.727 --> 00:28:23.913
When cancer starts, I think it's important to have this conversation because again, raising awareness so people understand, number one, they have control over a lot of this.
420
00:28:24.593 --> 00:28:29.436
And you can tell very early if you're vulnerable or a setup and you can reverse this.
421
00:28:31.863 --> 00:28:35.525
A normal healthy cell takes some kind of hit.
422
00:28:35.965 --> 00:28:45.390
It can be mold, it can be some toxin, can be in some kind of infection, that leads to a DNA mutation that makes that cell abnormal.
423
00:28:46.111 --> 00:28:47.772
Not cancer yet, but abnormal.
424
00:28:48.372 --> 00:28:56.263
In a healthy immune system, that cell is tagged by the antigen-presenting cells, the dendritic cells.
425
00:28:56.664 --> 00:28:59.468
Immune system finds it, chews it up, spits it out.
426
00:28:59.608 --> 00:29:00.329
Nothing develops.
427
00:29:01.010 --> 00:29:03.092
That's a healthy immune system.
428
00:29:03.213 --> 00:29:04.174
Okay.
429
00:29:04.434 --> 00:29:06.315
And this should be happening every single day.
430
00:29:06.836 --> 00:29:18.363
In an immune system where the immune brakes are on or there's no gas in the tank, that cell becomes abnormal and goes unchecked and reproduces and reproduces.
431
00:29:18.483 --> 00:29:22.405
And that's how a cancer develops over years quite frequently.
432
00:29:22.926 --> 00:29:32.852
And it evades the immune system because the immune system either can't see it because it doesn't have any antigen-presenting cell function or it can't respond to it because the brakes are on.
433
00:29:33.132 --> 00:29:38.854
So in the panels that I do, I can actually tell, is your immune system trying to respond to something and it can't?
434
00:29:39.214 --> 00:29:40.175
Are the brakes on?
435
00:29:40.535 --> 00:29:42.275
Is there any no gas in the gas tank?
436
00:29:42.596 --> 00:29:43.756
So you can evaluate that.
437
00:29:44.496 --> 00:29:48.037
I'm often asked if I could only do one test, it would be that test.
438
00:29:48.278 --> 00:29:48.718
What would it be?
439
00:29:48.738 --> 00:29:49.498
It would be that test.
440
00:29:49.538 --> 00:29:54.000
So I would take those healthy 45-year-olds and I would look at them and ask them a bunch of questions.
441
00:29:54.380 --> 00:30:00.382
And then if they said, okay, you can do one test, I would do that test and I would evaluate their immune system.
442
00:30:00.893 --> 00:30:01.093
Yeah.
443
00:30:01.693 --> 00:30:01.893
Yeah.
444
00:30:02.053 --> 00:30:05.034
And if they, you know, that's, that's going to dictate the outcome.
445
00:30:05.494 --> 00:30:05.694
Yeah.
446
00:30:05.754 --> 00:30:07.755
A massive determinant of aging for sure.
447
00:30:09.135 --> 00:30:09.436
All right.
448
00:30:09.536 --> 00:30:16.918
So when it comes to prostate issues, going back to our topic, most men are often medications that might improve symptoms.
449
00:30:17.538 --> 00:30:17.698
Yep.
450
00:30:18.183 --> 00:30:24.467
But rarely is the question asked, you know, as to your point, why those systems are appearing.
451
00:30:24.587 --> 00:30:30.671
So what typically happens when somebody walks into a urologist's office with prostate symptoms?
452
00:30:31.231 --> 00:30:36.134
Is it they basically just get a prescription or what's the... Yeah.
453
00:30:36.855 --> 00:30:37.075
Yes.
454
00:30:37.455 --> 00:30:38.115
If they get...
455
00:30:38.195 --> 00:30:38.656
If they are...
456
00:30:40.999 --> 00:30:45.041
Have frequent urination at night, frequent urination during the day or some urgency.
457
00:30:45.922 --> 00:30:50.204
The urologist typically will say, oh, you're just getting old.
458
00:30:50.605 --> 00:30:52.185
All the guys your age have this problem.
459
00:30:52.486 --> 00:30:57.789
You have BPH, benign prostatic hypertrophy, which I can tell you there's nothing benign about it.
460
00:30:57.869 --> 00:30:58.449
But that's it.
461
00:30:58.829 --> 00:30:59.650
Here's the label.
462
00:31:00.290 --> 00:31:01.251
Here's some Flomax.
463
00:31:02.131 --> 00:31:02.452
Okay.
464
00:31:03.212 --> 00:31:12.322
And that's going to help your symptoms because it's going to relax the urethra so that you can empty your bladder more readily and you'll be fine.
465
00:31:13.443 --> 00:31:14.525
They leave with the prescription.
466
00:31:15.285 --> 00:31:17.848
Most of the time there's an improvement in the symptom.
467
00:31:18.289 --> 00:31:18.649
Okay.
468
00:31:19.070 --> 00:31:19.290
Now,
469
00:31:20.991 --> 00:31:29.919
If he comes in with some discomfort, maybe pain with ejaculation, maybe pain with urination, the urologist says, aha, you have a prostatitis.
470
00:31:31.000 --> 00:31:32.602
Here's an antibiotic.
471
00:31:33.403 --> 00:31:33.743
Okay.
472
00:31:34.604 --> 00:31:37.466
And often the symptoms will resolve.
473
00:31:37.486 --> 00:31:38.047
Okay.
474
00:31:38.167 --> 00:31:38.527
Okay.
475
00:31:38.988 --> 00:31:40.249
At least for a while.
476
00:31:40.709 --> 00:31:41.570
Sometimes it's months.
477
00:31:42.110 --> 00:31:43.211
Sometimes it's years.
478
00:31:44.132 --> 00:31:46.854
That infection did not resolve.
479
00:31:47.595 --> 00:31:51.898
The free flowing bacteria that were causing some of those symptoms were wiped out.
480
00:31:52.519 --> 00:31:57.242
But then a resistance developed because these bacteria are very, very resilient, right?
481
00:31:57.323 --> 00:31:58.624
And very adaptive.
482
00:31:58.704 --> 00:32:01.126
And they'll drive themselves
deeper into the prostate.
483
00:32:01.146 --> 00:32:02.467
They've create these biofilms.
484
00:32:03.027 --> 00:32:07.792
It's the nature of the oral bacteria and the gut bacteria that cause these biofilms.
485
00:32:07.812 --> 00:32:12.497
So it's the type of bacteria that we're finding in the prostate that really is the problem.
486
00:32:12.577 --> 00:32:15.640
They are just incredible at evading treatment.
487
00:32:16.261 --> 00:32:19.785
So medications are tried first.
488
00:32:20.345 --> 00:32:23.949
Now we could ask the question, why doesn't the urologist test?
489
00:32:24.309 --> 00:32:24.490
Well,
490
00:32:26.122 --> 00:32:34.386
Some urologists will test the urine and see if they can grow a bacteria, not usually in a BPH case.
491
00:32:36.467 --> 00:32:41.929
Sometimes in a chronic prostatitis or in a prostatitis case, not usually, but sometimes.
492
00:32:42.549 --> 00:32:45.010
But most of the time, they don't grow anything.
493
00:32:45.410 --> 00:32:45.771
Why?
494
00:32:46.011 --> 00:32:49.572
Because a culture is 1800 technology.
495
00:32:50.012 --> 00:32:51.033
It's not sensitive.
496
00:32:51.053 --> 00:32:51.453
Right.
497
00:32:51.653 --> 00:32:52.594
This is not sensitive.
498
00:32:53.095 --> 00:32:54.997
And so they don't find anything.
499
00:32:55.177 --> 00:33:00.163
And so because they repeatedly did this and didn't find anything, now they realize, oh, what am I going to test for?
500
00:33:00.203 --> 00:33:01.024
Let's just treat.
501
00:33:01.504 --> 00:33:11.135
If you look at the urologic literature, they claim that there is no mention at all about BPH and infection.
502
00:33:11.415 --> 00:33:11.736
Zero.
503
00:33:12.316 --> 00:33:13.258
Zero acknowledgement.
504
00:33:13.278 --> 00:33:15.841
I've never been able to find even a discussion about it.
505
00:33:15.921 --> 00:33:18.505
And yet, like I told you, 99.9%.
506
00:33:18.665 --> 00:33:24.233
I can only think of one case where we didn't grow any bacteria, and there's lots of reasons for that.
507
00:33:24.253 --> 00:33:26.736
It doesn't necessarily mean it wasn't there.
508
00:33:27.217 --> 00:33:28.258
But anyway, only one case.
509
00:33:29.279 --> 00:33:30.700
But there's no discussion about that at all.
510
00:33:31.181 --> 00:33:41.427
In the chronic prostatitis, not just a one case of prostatitis, but in chronic prostatitis, the urologic literature says less than 10% are infectious.
511
00:33:43.708 --> 00:33:44.009
Okay.
512
00:33:44.369 --> 00:33:48.271
And so there is such a denial about what's actually going on here.
513
00:33:48.531 --> 00:33:48.812
Why?
514
00:33:49.232 --> 00:33:57.317
Because the testing that they're using is not sensitive enough to really give them the information that the patient deserves that would really help them to realize that.
515
00:33:57.710 --> 00:33:59.893
And are they maybe not growing the culture long enough?
516
00:34:00.453 --> 00:34:01.735
Is that a possibility too?
517
00:34:02.496 --> 00:34:03.657
It's a possibility.
518
00:34:04.058 --> 00:34:05.099
It's a possibility.
519
00:34:05.560 --> 00:34:15.011
I just remember, like my husband had a thing with his ear and one of the ENTs I spoke to said, this one bug that she was concerned about, she said, it won't grow for 30 days.
520
00:34:15.412 --> 00:34:17.154
So if they grew the culture for a week,
521
00:34:18.528 --> 00:34:19.048
They're going to miss it.
522
00:34:19.068 --> 00:34:19.708
Which is what they normally do.
523
00:34:19.808 --> 00:34:20.389
Yeah, that's right.
524
00:34:20.649 --> 00:34:24.310
So there are some bacteria where that is the case.
525
00:34:25.470 --> 00:34:28.391
But much of the time, the culture wouldn't catch it anyway.
526
00:34:28.591 --> 00:34:29.311
Anyway, yeah.
527
00:34:29.451 --> 00:34:31.232
So now they don't even do it.
528
00:34:31.252 --> 00:34:32.152
They don't bother.
529
00:34:32.472 --> 00:34:33.973
Most of the time, they don't even bother.
530
00:34:34.253 --> 00:34:40.115
The testing that we use actually identifies fragments of the bacteria, whether it's dead or alive.
531
00:34:41.235 --> 00:34:42.356
So it shows the presence.
532
00:34:42.376 --> 00:34:45.077
So it's a short sequence called next generation sequencing.
533
00:34:45.377 --> 00:34:46.618
And so it's very sensitive.
534
00:34:47.618 --> 00:34:55.403
And, you know, you need information, you need the right information, you need accurate information, if you're going to build the story of what happened and what do we need to do.
535
00:34:55.703 --> 00:34:57.964
So hidden infection is one big, big piece of it.
536
00:34:58.284 --> 00:35:03.630
Can we just recap the hidden drivers that you have found repeatedly that shocks both the patients and the physicians?
537
00:35:03.670 --> 00:35:06.533
Just to recap, because you've really talked about this for the last little while.
538
00:35:07.514 --> 00:35:09.996
Let's give people a little list that they could write down.
539
00:35:10.777 --> 00:35:11.197
You got it.
540
00:35:11.658 --> 00:35:13.440
So we identify seven.
541
00:35:13.520 --> 00:35:15.462
So one is hidden infection.
542
00:35:16.002 --> 00:35:18.445
The second is chronic systemic inflammation.
543
00:35:18.965 --> 00:35:19.125
Yeah.
544
00:35:19.145 --> 00:35:22.347
The third is hormonal dysregulation and balance.
545
00:35:22.607 --> 00:35:24.789
It's not all about just testosterone injections.
546
00:35:24.829 --> 00:35:27.571
You need to have appropriate ratios of, of these.
547
00:35:28.051 --> 00:35:31.353
The third is metabolic dysfunction and insulin resistance.
548
00:35:31.833 --> 00:35:32.073
Yeah.
549
00:35:32.854 --> 00:35:33.234
Okay.
550
00:35:33.374 --> 00:35:34.655
The fourth, I'm sorry.
551
00:35:34.675 --> 00:35:39.618
The fifth is toxicity and detoxification pathway dysfunction.
552
00:35:40.419 --> 00:35:45.122
So you can live in the same house, but metabolize your toxins very different from your partner.
553
00:35:45.142 --> 00:35:45.382
Yeah.
554
00:35:45.802 --> 00:35:50.246
The sixth is immune system dysregulation, which we discussed.
555
00:35:50.646 --> 00:35:54.749
And then the seventh is prostate cancer risk activation.
556
00:35:55.190 --> 00:36:01.595
We actually measure the epigenetics associated with prostate cancer risk.
557
00:36:01.995 --> 00:36:11.923
So there is a test that we do that is 94% predictive of whether you're going to go on to develop prostate cancer or not.
558
00:36:12.123 --> 00:36:12.804
Pretty cool.
559
00:36:12.824 --> 00:36:14.346
It's a simple blood test.
560
00:36:14.426 --> 00:36:22.395
Because it's looking at, there's five different genes that if they are activated from an epigenetic perspective, they're turned on.
561
00:36:22.455 --> 00:36:23.496
The genes are turned on.
562
00:36:23.596 --> 00:36:29.663
So if there's inflammation, then you're likely going to manifest down a prostate cancer pathway.
563
00:36:29.783 --> 00:36:31.605
And it's 94% predictive, which is...
564
00:36:31.905 --> 00:36:33.106
which is pretty impressive.
565
00:36:33.406 --> 00:36:33.546
Yeah.
566
00:36:33.846 --> 00:36:49.035
You know, it's, it's, it's interesting to note that the scientific literature, not the medical literature, but the scientific literature as of 2023 is talking about this gut prostate axis.
567
00:36:49.615 --> 00:36:53.678
And they're saying a new paradigm in prostate cancer.
568
00:36:54.138 --> 00:36:56.499
Well, it's not exactly new, but okay, I'm glad you're not.
569
00:36:56.519 --> 00:36:56.979
We'll give it to you.
570
00:36:56.999 --> 00:36:58.199
At least we're talking about it.
571
00:36:58.579 --> 00:36:59.239
That's important.
572
00:36:59.799 --> 00:37:11.142
The second thing to note is, again, you can find in the scientific literature that BPH, prostate cancer, are metabolic diseases.
573
00:37:11.662 --> 00:37:12.383
Both of them.
574
00:37:13.283 --> 00:37:14.023
Right.
575
00:37:14.543 --> 00:37:15.203
Exactly.
576
00:37:15.343 --> 00:37:16.724
So these are metabolic diseases.
577
00:37:16.764 --> 00:37:21.625
But again, that hasn't yet hit the urology office.
578
00:37:22.586 --> 00:37:33.380
Because to fix those things is so far outside of what can be done in a conventional medical consultation, right?
579
00:37:33.821 --> 00:37:35.022
And yet so simple.
580
00:37:36.064 --> 00:37:38.367
And yet it's not always so simple.
581
00:37:38.387 --> 00:37:38.487
Yeah.
582
00:37:38.607 --> 00:37:39.208
No, but it's not.
583
00:37:39.228 --> 00:37:40.870
Simple doesn't mean easy.
584
00:37:41.031 --> 00:37:41.251
Right.
585
00:37:41.271 --> 00:37:41.712
Simple doesn't.
586
00:37:41.732 --> 00:37:42.252
That's right.
587
00:37:42.333 --> 00:37:44.616
What I mean by simple is it's a solvable problem.
588
00:37:44.896 --> 00:37:45.818
I don't mean it's easy.
589
00:37:46.198 --> 00:37:49.082
I mean, it means you might have to give up the wine club subscription.
590
00:37:49.603 --> 00:37:52.087
But, you know, that's right.
591
00:37:52.127 --> 00:37:52.828
As one step.
592
00:37:53.289 --> 00:37:53.469
Yeah.
593
00:37:53.689 --> 00:37:55.289
But it's not just that, though.
594
00:37:55.369 --> 00:37:56.029
But you're right.
595
00:37:56.089 --> 00:37:57.150
That's a major part of it.
596
00:37:57.270 --> 00:38:00.630
And we start people with lifestyle changes right from the very beginning.
597
00:38:00.670 --> 00:38:04.731
But again, metabolic dysfunction can be associated with toxicity.
598
00:38:04.911 --> 00:38:09.712
Metabolic dysfunction can be associated with gut dysbiosis and a leaky gut.
599
00:38:10.232 --> 00:38:19.454
It can be associated, again, with all kinds of these things, stealth infections, reactivation, chronic, chronic, active, and reactivated symptoms.
600
00:38:19.934 --> 00:38:29.067
Bacteria, infections, the Lyme and tick, other tick-associated problems that are major issues, Epstein-Barr, all of these things.
601
00:38:29.527 --> 00:38:34.174
So you can imagine a urologist who's focused in this little area.
602
00:38:35.738 --> 00:38:44.142
who doesn't know the first thing about mold toxicity, metal toxicity, chemical toxicity, gut dysbiosis, or even hormone balance for that matter.
603
00:38:45.642 --> 00:38:51.405
How is he or she going to now approach this metabolic disease?
604
00:38:52.485 --> 00:38:55.726
in a five to 15 minute consultation.
605
00:38:55.746 --> 00:38:56.926
You know, it doesn't happen.
606
00:38:57.287 --> 00:38:59.107
You've got to be able to evaluate.
607
00:38:59.387 --> 00:39:06.189
The other problem is, you know, the insurance based model doesn't support that kind of testing.
608
00:39:06.409 --> 00:39:08.350
They will say, well, not medically necessary.
609
00:39:08.390 --> 00:39:11.450
You have BPH, we'll pay for your Flomax.
610
00:39:11.650 --> 00:39:12.111
That's it.
611
00:39:12.851 --> 00:39:17.052
You know, so yeah, so it's a tough problem for a lot of men.
612
00:39:17.596 --> 00:39:24.506
So tell me this, out of all the body parts, why is the prostate such a sensitive messenger for all this stuff?
613
00:39:24.787 --> 00:39:28.713
Like the toxins, the infections, the hormones, all the things you're talking about here.
614
00:39:29.554 --> 00:39:31.537
The prostate is very similar to the breast.
615
00:39:32.874 --> 00:39:39.139
Breast tissue and prostate tissue have very, very similar receptors and pathology.
616
00:39:40.140 --> 00:39:43.302
And so you can imagine that the prostate is sitting in the pelvis.
617
00:39:44.103 --> 00:39:45.944
We're sitting down a lot.
618
00:39:46.065 --> 00:39:46.945
We're not mobile.
619
00:39:47.626 --> 00:39:49.928
You know, we're not moving around like we used to be.
620
00:39:50.248 --> 00:39:52.430
So there's congestion that occurs.
621
00:39:52.470 --> 00:39:54.972
Again, remember, structure and function are interrelated.
622
00:39:55.472 --> 00:39:56.533
So there's pelvic congestion.
623
00:39:56.553 --> 00:39:57.474
There's congestion.
624
00:39:59.735 --> 00:40:01.796
Blood flow
is important, right?
625
00:40:02.377 --> 00:40:13.904
And so if you don't have good blood flow to a tissue and from a tissue, you don't have good lymphatics, then you're going to have a buildup of toxic metabolites, even if it's a regular...
626
00:40:14.704 --> 00:40:16.425
biochemical toxin, right?
627
00:40:16.525 --> 00:40:19.527
You've got to remove these, these waste products, if you will.
628
00:40:20.068 --> 00:40:35.217
And so you have a sponge in the middle of your pelvis where there's congestion, where you, a lot of these men have lower back issues, which leads to pelvic bowl dysfunction, or at least a compromise in blood flow to the area.
629
00:40:35.237 --> 00:40:36.918
It's the same reason why they have prostate issue.
630
00:40:37.079 --> 00:40:38.680
I mean, uh, erection issues.
631
00:40:38.780 --> 00:40:39.500
Okay.
632
00:40:39.540 --> 00:40:40.201
It's all the same.
633
00:40:40.461 --> 00:40:41.081
It's all the same.
634
00:40:41.141 --> 00:40:43.743
It's all part of that, that same, uh, problem.
635
00:40:44.083 --> 00:40:53.869
And you also have, when you have these structural problems and you have this constant irritation of the prostate, you'll have a reflux of some of the urine.
636
00:40:54.209 --> 00:41:01.253
So now you've got some urine that's refluxing and irritating that prostate as well.
637
00:41:01.273 --> 00:41:04.775
And there's a lot to it, but it's a very vulnerable area.
638
00:41:05.176 --> 00:41:12.400
You also have traumas that play a role, just like a lot of women will have pelvic issues based on traumas.
639
00:41:12.740 --> 00:41:15.801
Men have traumas too, and they show up in the pelvis.
640
00:41:16.321 --> 00:41:18.702
You have fascial plane problems.
641
00:41:19.623 --> 00:41:20.963
There's the osteopath talking.
642
00:41:21.143 --> 00:41:21.664
Yeah.
643
00:41:21.684 --> 00:41:27.306
I mean, you hurt your neck and all of a sudden your pelvic bowl doesn't work the way it's supposed to, and now your prostate's affected.
644
00:41:27.646 --> 00:41:29.307
So it's all connected.
645
00:41:29.847 --> 00:41:30.407
All right.
646
00:41:30.527 --> 00:41:31.508
Two more topics here.
647
00:41:31.608 --> 00:41:39.471
So talk to me about one of the big sports or activities that a lot of middle-aged men go to is road biking.
648
00:41:40.440 --> 00:41:42.621
They're on those bikes a lot.
649
00:41:42.741 --> 00:41:44.302
Does that contribute at all, do you think?
650
00:41:44.542 --> 00:41:45.762
Like the long distance stuff?
651
00:41:46.523 --> 00:41:48.343
I've always wondered about that.
652
00:41:48.403 --> 00:41:51.965
Like it just, it's got to exacerbate the problems.
653
00:41:52.485 --> 00:41:53.806
Yeah, it absolutely does.
654
00:41:53.826 --> 00:41:54.746
Again, it's lack of flow.
655
00:41:54.786 --> 00:41:56.707
I mean, it's, you know, it's sitting.
656
00:41:57.968 --> 00:42:00.469
Lack of blood flow, lack of lymphatic flow.
657
00:42:00.549 --> 00:42:03.470
Very concentrated pressure from
those little bitty seats.
658
00:42:03.977 --> 00:42:04.958
Yep, absolutely.
659
00:42:05.358 --> 00:42:11.582
And also just even the nature of moving the legs on the bicycle can lead to some pelvic bowl dysfunction.
660
00:42:11.622 --> 00:42:16.745
So it's the seat, it's the positioning, it's the duration of time on the bike.
661
00:42:17.125 --> 00:42:18.686
And you know that this is true because...
662
00:42:19.707 --> 00:42:20.328
PSA.
663
00:42:20.888 --> 00:42:24.511
PSA is not a great test, but it's a biomarker and it's an important biomarker.
664
00:42:24.631 --> 00:42:30.555
And what it tells us is that there's some destruction of the prostate tissue.
665
00:42:30.676 --> 00:42:37.981
When there's an elevated PSA, it means that that antigen is spilling into the blood from destruction of the prostate tissue.
666
00:42:38.401 --> 00:42:39.182
Destruction why?
667
00:42:39.382 --> 00:42:42.364
Well, certainly if there's a cancer growing in there, there'll be some destruction.
668
00:42:42.685 --> 00:42:44.846
If there's an infection, there'll be some destruction.
669
00:42:45.247 --> 00:42:46.728
You can have a large bowel movement.
670
00:42:48.024 --> 00:42:50.966
the morning of your blood draw and have your PSA elevated.
671
00:42:51.367 --> 00:42:55.110
You can ejaculate the morning of your blood draw and have the PSA elevated.
672
00:42:55.450 --> 00:43:00.154
You're sitting on a bicycle or riding a motorcycle or, you know, so yeah.
673
00:43:00.314 --> 00:43:06.659
So there's, there's a direct relationship to prostate and that tissue itself.
674
00:43:06.839 --> 00:43:07.259
So yeah.
675
00:43:07.479 --> 00:43:08.360
Mechanistically.
676
00:43:08.580 --> 00:43:08.880
Yeah.
677
00:43:08.940 --> 00:43:11.863
Very, very vulnerable situation when you're, yeah.
678
00:43:11.923 --> 00:43:12.083
Yeah.
679
00:43:12.403 --> 00:43:12.763
One more.
680
00:43:12.903 --> 00:43:22.966
What about the idea or the procedure of reduction, like literally physical reduction of an enlarged prostate as the solution to the problem?
681
00:43:24.206 --> 00:43:25.407
Where do you think that fits in?
682
00:43:25.427 --> 00:43:26.307
What are your thoughts there?
683
00:43:27.067 --> 00:43:27.287
Yeah.
684
00:43:27.647 --> 00:43:29.388
So that is symptom management only.
685
00:43:30.451 --> 00:43:30.631
Right.
686
00:43:31.271 --> 00:43:35.212
Any of the medications, any of the procedures are symptoms management only.
687
00:43:35.432 --> 00:43:35.592
Yeah.
688
00:43:35.892 --> 00:43:39.373
Sometimes you have to manage symptoms to get to get out of a crisis.
689
00:43:39.473 --> 00:43:40.074
Absolutely.
690
00:43:40.274 --> 00:43:41.834
So I'm not opposed to anything.
691
00:43:42.074 --> 00:43:44.115
I like to use all the tools in the toolbox.
692
00:43:44.395 --> 00:43:44.515
Right.
693
00:43:44.535 --> 00:43:46.675
But you can't just build a masterpiece with a screwdriver.
694
00:43:46.935 --> 00:43:52.297
You need more than one tool and you need to use
it in the right sequence and you need to use it appropriately and properly.
695
00:43:52.797 --> 00:43:56.858
So there are some men where there is a structural problem.
696
00:43:59.440 --> 00:44:03.705
abnormality that is interfering with normal healthy function.
697
00:44:04.206 --> 00:44:08.951
And a procedure is sometimes necessary to get them out of a crisis.
698
00:44:09.391 --> 00:44:12.295
The problem is much of the time, they're,
699
00:44:13.676 --> 00:44:15.256
It's not a structural problem.
700
00:44:15.557 --> 00:44:16.777
It's a functional problem.
701
00:44:16.977 --> 00:44:23.299
Like I said, we have some men with, so a normal healthy prostate is about 30 to 35 grams in size.
702
00:44:23.779 --> 00:44:24.079
Okay.
703
00:44:24.639 --> 00:44:32.041
We have some men with prostates over 200 grams and we're able to restore their function.
704
00:44:33.321 --> 00:44:35.002
Without doing a reduction surgery?
705
00:44:35.203 --> 00:44:36.544
Without doing reduction surgery.
706
00:44:36.844 --> 00:44:37.965
We're able to restore their function.
707
00:44:38.265 --> 00:44:45.951
We have some men with 32, 33 gram prostates that have horrible symptoms, right?
708
00:44:46.331 --> 00:44:49.214
So size doesn't necessarily matter.
709
00:44:49.874 --> 00:44:50.815
Structure does matter.
710
00:44:51.055 --> 00:45:03.241
And so if you find that there is a structural, an actual obstruction, then doing a procedure or reducing the size of the procedure can certainly be very helpful.
711
00:45:03.582 --> 00:45:06.163
A lot of men that come to us have had these procedures already.
712
00:45:06.583 --> 00:45:12.006
And yes, in many of them, there was a period of time where the symptoms did improve.
713
00:45:12.367 --> 00:45:16.349
But again, nobody fixed the reason why it happened to begin with.
714
00:45:16.689 --> 00:45:17.990
And so it's still happening.
715
00:45:18.010 --> 00:45:18.610
Yeah.
716
00:45:18.790 --> 00:45:21.091
And there are other consequences.
717
00:45:21.111 --> 00:45:25.692
But it would be an incredible opportunity to look at what you're dealing with.
718
00:45:26.152 --> 00:45:36.636
I mean, if you're going to go to the trouble of removing tissue, what an incredible opportunity to put it under a microscope and not just look for cancer, but look for all these other infectious agents that you're talking about.
719
00:45:37.296 --> 00:45:39.557
Would that be part of the process or not so much?
720
00:45:40.237 --> 00:45:42.619
Um, no, that's not part of the process.
721
00:45:42.639 --> 00:45:43.399
Not much.
722
00:45:43.600 --> 00:45:44.060
No, no.
723
00:45:44.180 --> 00:45:49.144
And I wish I wish at some point in time, it would be amazing to be able to do something like that.
724
00:45:53.987 --> 00:46:00.412
Now, if you're a regular listener to this podcast, you already know mitochondria are about a lot more than energy.
725
00:46:00.972 --> 00:46:08.457
They sit at the intersection of aging, metabolism, cardiovascular health, neurological function, and so much of what determines how well we age.
726
00:46:09.358 --> 00:46:13.483
And yet, mitochondrial research remains dramatically underfunded.
727
00:46:13.743 --> 00:46:14.925
Isn't that blow your mind?
728
00:46:15.085 --> 00:46:15.826
It blows my mind.
729
00:46:16.287 --> 00:46:17.428
So here's what's cool.
730
00:46:17.748 --> 00:46:19.851
Countdown is working to change that.
731
00:46:20.391 --> 00:46:26.859
It's the only nonprofit exclusively dedicated to funding broad mitochondrial research across human health.
732
00:46:27.500 --> 00:46:35.765
backing bold research, bringing together world-class scientific minds, and pushing the science towards the clinic where it can actually change lives.
733
00:46:36.366 --> 00:46:40.788
Remember that podcast that we aired earlier this year about mitochondrial transplants?
734
00:46:41.609 --> 00:46:44.091
Yeah, that with Dr. Natalie Yivka Ohana.
735
00:46:44.311 --> 00:46:44.871
That's right.
736
00:46:45.151 --> 00:46:48.093
Her work is funded by Countdown.
737
00:46:48.293 --> 00:46:49.634
That's how we found each other.
738
00:46:50.154 --> 00:46:55.498
Now, I believe in this mission so strongly that I serve on Countdown's board of directors.
739
00:46:55.518 --> 00:46:55.878
Okay.
740
00:46:56.018 --> 00:47:01.865
And now there's a really cool way for you to become part of it too, called Countdown Insiders.
741
00:47:02.225 --> 00:47:13.697
Now for just $21 a month, you're directly helping fund mitochondrial research while getting exclusive access to events, science briefings, partner perks, and a real voice in what Countdown does next.
742
00:47:14.378 --> 00:47:16.519
I would so love for you to see what we're doing.
743
00:47:16.719 --> 00:47:21.180
So longevity listeners will get their first month free with code Natalie.
744
00:47:21.460 --> 00:47:29.942
That's N-A-T-H-A-L-I-E. You can learn more at joincountdown.org forward slash membership.
745
00:47:30.422 --> 00:47:34.203
That's joincountdown.org forward slash membership.
746
00:47:34.543 --> 00:47:38.346
We've kind of dealt with the biology more than pretty much a whole lot.
747
00:47:38.466 --> 00:47:45.910
So let's get past the biology because that's one of the things that really separates your work from other people's work in this area is you don't just talk about the urinary symptoms.
748
00:47:45.930 --> 00:47:53.455
You really talk about, and you touched on this at the beginning of the podcast, you talk about the psychological effects on men.
749
00:47:54.656 --> 00:48:00.280
And I think that not only are they losing vitality, but they perceive it as a vitality loss.
750
00:48:00.300 --> 00:48:00.540
Yeah.
751
00:48:01.677 --> 00:48:03.378
Yes, it is a vitality loss.
752
00:48:03.598 --> 00:48:06.140
And yes, they perceive it as a vitality loss.
753
00:48:06.280 --> 00:48:06.841
Absolutely.
754
00:48:07.301 --> 00:48:13.466
You know, there's comics, there's cartoons, there's commercials, right?
755
00:48:13.526 --> 00:48:14.687
Memes.
756
00:48:14.867 --> 00:48:17.829
You've got a young guy, you know, peeing like a racehorse.
757
00:48:17.889 --> 00:48:21.572
And then the old guy is standing there just trying to get things going.
758
00:48:21.692 --> 00:48:24.654
And yeah, and he's more and more nervous and more and more embarrassed.
759
00:48:24.774 --> 00:48:26.215
And it's tough.
760
00:48:26.655 --> 00:48:31.219
Or he's driving with his family trying to have a vacation and he has to stop at every rest stop.
761
00:48:31.699 --> 00:48:32.900
You know, that's not manly.
762
00:48:33.200 --> 00:48:33.901
It's not manly.
763
00:48:33.921 --> 00:48:35.842
They don't feel manly when that happens.
764
00:48:35.882 --> 00:48:36.583
It's irritating.
765
00:48:36.743 --> 00:48:39.585
Oh, dad, how come you got to pee every time, all the time?
766
00:48:39.925 --> 00:48:44.648
You know, or they're in a board meeting or they're, I mean, it's a problem.
767
00:48:44.909 --> 00:48:45.469
It's a problem.
768
00:48:45.829 --> 00:48:51.413
Or they, all of the sudden, they're in the middle of something and, oh my gosh, I got to pee, that urgency.
769
00:48:52.114 --> 00:48:55.136
And if I don't go now, I'm going to wet my pants.
770
00:48:55.917 --> 00:48:57.538
And I mean, can you imagine?
771
00:48:58.670 --> 00:48:59.971
Well, it happens to women, right?
772
00:49:00.031 --> 00:49:00.992
I mean, you've got women.
773
00:49:01.012 --> 00:49:02.814
It's not good with women either, right?
774
00:49:02.854 --> 00:49:05.617
I mean, listen, my mom chronically dehydrated.
775
00:49:06.037 --> 00:49:06.378
Why?
776
00:49:06.398 --> 00:49:09.240
Oh, because then I'll have to go to the bathroom.
777
00:49:09.300 --> 00:49:11.382
Come on, that is the world's worst reason.
778
00:49:11.983 --> 00:49:14.506
Well, and can I just say that that's not hard to fix?
779
00:49:14.646 --> 00:49:16.708
And in a woman, it's actually much easier to fix.
780
00:49:17.368 --> 00:49:20.091
And, you know, I mean, I wish you could take care of everybody, right?
781
00:49:20.231 --> 00:49:21.733
And so it's not hard to fix.
782
00:49:22.213 --> 00:49:23.695
It's so much easier to fix.
783
00:49:24.115 --> 00:49:25.157
They don't have a prostate.
784
00:49:26.238 --> 00:49:38.193
And it's interesting, speaking about women, the number one reason why a woman is moved out of the home into a nursing home is incontinence.
785
00:49:38.693 --> 00:49:39.034
Come on.
786
00:49:40.219 --> 00:49:44.143
Number one reason, as soon as she becomes incontinent, it's a whole new game.
787
00:49:45.385 --> 00:49:46.326
And it's hard to handle.
788
00:49:46.646 --> 00:49:47.267
That's the reason.
789
00:49:47.687 --> 00:49:50.410
And again, these are not hard things to solve.
790
00:49:50.971 --> 00:49:51.852
And here's the thing.
791
00:49:51.952 --> 00:49:52.913
It's so crazy to me.
792
00:49:53.113 --> 00:49:59.320
About, I don't know, seven, eight years ago, you started to see diaper commercials happening.
793
00:50:00.159 --> 00:50:03.261
For women our age, we're like dancing around the streets.
794
00:50:03.881 --> 00:50:04.381
I know.
795
00:50:04.481 --> 00:50:05.402
Can you believe that?
796
00:50:05.702 --> 00:50:08.143
And I'm saying, who's okay with this?
797
00:50:08.664 --> 00:50:09.684
I'm not okay with this.
798
00:50:10.185 --> 00:50:11.225
This is insanity.
799
00:50:11.525 --> 00:50:13.006
And it's not necessary.
800
00:50:14.187 --> 00:50:15.107
It's not necessary.
801
00:50:15.267 --> 00:50:16.728
It's so easy to fix.
802
00:50:17.228 --> 00:50:23.852
I wrote a book years ago, and it's sexual potential using PRP as a regenerative thing.
803
00:50:24.372 --> 00:50:28.955
And platelet-rich plasma quite often in a woman will help with urge incontinence,
804
00:50:29.575 --> 00:50:30.836
Quick story, real quick story.
805
00:50:31.556 --> 00:50:36.820
66-year-old woman, I was training a doctor on how to do this probably eight or nine years ago.
806
00:50:37.900 --> 00:50:45.265
66-year-old woman had urinary urgency and incontinence so bad that if she just thought about urinating, she'd be standing in a puddle.
807
00:50:45.505 --> 00:50:46.666
It was really bad.
808
00:50:46.786 --> 00:50:49.828
She avoided having sex with her husband because she was so embarrassed.
809
00:50:50.168 --> 00:50:51.188
Of course, you can imagine.
810
00:50:51.228 --> 00:50:52.909
She's thinking, I might pee on him.
811
00:50:54.610 --> 00:50:55.951
Nobody had any answers for her.
812
00:50:55.991 --> 00:50:58.333
She tried all the medications, and it was...
813
00:50:58.893 --> 00:51:02.279
Terrible side effects with those medications, very dry, didn't help anyway.
814
00:51:02.759 --> 00:51:07.166
So this doctor I was training before I came up called me and said, you know, well, what do you think?
815
00:51:07.207 --> 00:51:07.747
And I said, well...
816
00:51:08.644 --> 00:51:08.844
Yeah.
817
00:51:08.984 --> 00:51:09.985
I mean, we can't hurt her.
818
00:51:10.286 --> 00:51:18.073
Actually, it was probably much more than eight years ago now, because it was at the beginning of this exploration and the discovery that I went through with some of these tools.
819
00:51:18.474 --> 00:51:20.256
So I said, well, I know we can't hurt her.
820
00:51:20.616 --> 00:51:21.317
Let's give it a try.
821
00:51:21.657 --> 00:51:23.379
So you're talking about an O-shot now, right?
822
00:51:24.039 --> 00:51:27.263
I'm talking about, yes, platelet-rich plasma put in the right place.
823
00:51:27.303 --> 00:51:28.444
You could call it an O-shot.
824
00:51:28.604 --> 00:51:29.405
I think that that's
825
00:51:30.157 --> 00:51:30.297
Yeah.
826
00:51:30.377 --> 00:51:32.078
It's like the commercial name for it as it were.
827
00:51:32.098 --> 00:51:32.218
Yeah.
828
00:51:32.238 --> 00:51:33.578
It's kind of like a Kleenex.
829
00:51:33.718 --> 00:51:34.378
Yeah.
830
00:51:34.978 --> 00:51:35.298
Anyway.
831
00:51:36.099 --> 00:51:36.279
Got it.
832
00:51:36.299 --> 00:51:36.839
Different story.
833
00:51:37.059 --> 00:51:38.079
But anyway, so yes.
834
00:51:38.279 --> 00:51:39.800
So I said, sure, we can't hurt her.
835
00:51:39.860 --> 00:51:40.600
Let's give it a try.
836
00:51:41.020 --> 00:51:41.640
She came in.
837
00:51:41.680 --> 00:51:42.360
We examined her.
838
00:51:42.460 --> 00:51:42.941
Sure enough.
839
00:51:42.961 --> 00:51:44.161
She had a lot going on down there.
840
00:51:44.221 --> 00:51:48.262
She had lichen sclerosis, which is an autoimmune process affecting the labia.
841
00:51:48.282 --> 00:51:49.382
She was very scarred.
842
00:51:49.703 --> 00:51:50.763
She's very dry.
843
00:51:51.083 --> 00:51:52.243
You know, it was really terrible.
844
00:51:52.583 --> 00:51:54.264
Anyway, we injected her on a Friday.
845
00:51:55.424 --> 00:52:02.232
She was scheduled for an implant to be placed, I don't know, four or five weeks from that time.
846
00:52:03.274 --> 00:52:05.416
So she had that as a last resort.
847
00:52:05.496 --> 00:52:07.098
We injected her on a Friday.
848
00:52:07.138 --> 00:52:11.203
She called him on Tuesday and said, I have no more urinary incontinence.
849
00:52:11.543 --> 00:52:13.244
Come on, five days?
850
00:52:13.484 --> 00:52:13.965
Seriously.
851
00:52:14.265 --> 00:52:18.127
And I scratched my head and said, wow, well, we're not regenerating any tissue here.
852
00:52:18.207 --> 00:52:18.828
What's going on?
853
00:52:19.128 --> 00:52:23.470
What's happening is the nervous system was firing in a very dysfunctional way.
854
00:52:23.791 --> 00:52:26.372
And the platelet-rich plasma turned that switch off.
855
00:52:26.853 --> 00:52:28.474
It got turned on, couldn't turn it off.
856
00:52:28.554 --> 00:52:29.334
This turned it off.
857
00:52:29.574 --> 00:52:35.318
And we see that with PRP where the pain or that type of nervous system
858
00:52:37.302 --> 00:52:38.423
facilitation, if you will.
859
00:52:38.443 --> 00:52:39.683
That's the osteopath in me.
860
00:52:40.244 --> 00:52:41.685
It happens very, very quickly.
861
00:52:41.985 --> 00:52:43.326
So sure enough, turned it off.
862
00:52:43.986 --> 00:52:45.767
I followed this case for quite a while.
863
00:52:46.528 --> 00:52:48.569
She had another one at about nine months later.
864
00:52:48.629 --> 00:52:48.929
Why?
865
00:52:48.989 --> 00:52:53.412
Because nine months later, now this woman had this, this was serious for years.
866
00:52:54.052 --> 00:52:57.537
Nine months later, she started having a little leaking and she thought, oh, I'm going to panic.
867
00:52:57.617 --> 00:52:58.358
She had another one.
868
00:52:58.958 --> 00:53:00.580
She was good for another two years.
869
00:53:01.321 --> 00:53:01.742
Wow.
870
00:53:02.082 --> 00:53:02.783
She had another one.
871
00:53:02.823 --> 00:53:03.944
She never had the implant.
872
00:53:04.004 --> 00:53:04.485
She had that.
873
00:53:06.788 --> 00:53:11.854
She canceled that and went on to have very healthy implants.
874
00:53:12.483 --> 00:53:17.425
future and regained her ability to be intimate with her husband.
875
00:53:18.566 --> 00:53:24.688
At the same time, now that we realized she had lichen sclerosis, then there was treatment for that as well.
876
00:53:24.728 --> 00:53:26.649
And again, it's all root cause oriented, right?
877
00:53:26.669 --> 00:53:29.510
It's not a medication or a steroid deficiency by any means.
878
00:53:29.530 --> 00:53:31.391
You have to fix the gut and everything else.
879
00:53:31.611 --> 00:53:33.372
But anyway, very, very powerful.
880
00:53:33.472 --> 00:53:33.992
So you're right.
881
00:53:34.052 --> 00:53:35.533
I mean, women have these problems too.
882
00:53:36.413 --> 00:53:36.493
And
883
00:53:37.907 --> 00:53:40.869
Women are much easier to fix, even the whole sexual dysfunction thing.
884
00:53:41.189 --> 00:53:42.830
Women are much easier to fix than men.
885
00:53:43.130 --> 00:53:49.054
For men to have an erection, I mean, that is a neuro, cardiovascular event.
886
00:53:49.394 --> 00:53:54.858
It's a huge deal to get an erection, keep an erection, and then climb.
887
00:53:54.878 --> 00:53:59.641
So women are much easier to fix, but they don't realize that this help is available either.
888
00:53:59.921 --> 00:54:04.185
So in talking about all this, obviously their relationships improve when their health improves.
889
00:54:04.205 --> 00:54:10.450
Like, you know, with all of this, men, you talked earlier about how men delay asking for help.
890
00:54:10.771 --> 00:54:12.012
A, for two reasons.
891
00:54:12.212 --> 00:54:17.036
One, the push through it mentality that they're brought up with or that they have.
892
00:54:17.356 --> 00:54:19.458
And secondly, would be embarrassment.
893
00:54:20.099 --> 00:54:20.739
Nobody wants to...
894
00:54:21.700 --> 00:54:22.381
talk about this.
895
00:54:22.862 --> 00:54:32.095
So what have your patients taught you about masculinity that medical school never could have taught you and probably to this day doesn't teach their students?
896
00:54:32.756 --> 00:54:32.996
Yeah.
897
00:54:33.176 --> 00:54:33.677
Yeah.
898
00:54:33.957 --> 00:54:35.580
It's my favorite part.
899
00:54:35.600 --> 00:54:36.741
I actually just got goosebumps.
900
00:54:37.823 --> 00:54:38.143
Men...
901
00:54:39.362 --> 00:54:42.243
are the more emotional of the two genders.
902
00:54:43.944 --> 00:54:59.412
All you have to do to see this for yourself is watch, you know, the voice, some kind of show where their kid or their brother or whatever is up on stage.
903
00:55:00.072 --> 00:55:00.653
Who's crying?
904
00:55:01.550 --> 00:55:04.411
The men are crying every time.
905
00:55:04.952 --> 00:55:05.752
So they both are.
906
00:55:06.372 --> 00:55:07.553
Women are very stoic.
907
00:55:07.913 --> 00:55:08.833
Women are very stoic.
908
00:55:08.853 --> 00:55:09.514
The men are crying.
909
00:55:09.894 --> 00:55:19.838
They need a safe place where they can be recognized as, you know, human beings, where they can feel
that it's okay for them to be vulnerable.
910
00:55:19.858 --> 00:55:25.340
I mean, there is nothing more vulnerable than having your pants off with your knees up, right?
911
00:55:25.400 --> 00:55:26.341
We know that as women.
912
00:55:26.901 --> 00:55:35.026
Men don't get to experience that very often, but when they have prostate issues, it's very tough for them.
913
00:55:35.386 --> 00:55:38.368
And so they're in a very compromised state.
914
00:55:38.808 --> 00:55:47.513
Now, if you go to any urologist's office right now in the United States, you will find a waiting room full of a bunch of guys.
915
00:55:49.034 --> 00:55:53.538
And your urologist is usually at least 30 to 90 minutes behind.
916
00:55:54.019 --> 00:55:57.042
So everybody's hanging out there trying to pretend they're not there.
917
00:55:57.062 --> 00:56:00.806
And, you know, and that's not a comfortable place.
918
00:56:00.906 --> 00:56:05.250
By the time you get into the room, you might like your urologist.
919
00:56:05.270 --> 00:56:07.072
I mean, these are good people.
920
00:56:07.292 --> 00:56:07.612
I don't...
921
00:56:08.577 --> 00:56:10.439
But there's not a lot for you there.
922
00:56:10.479 --> 00:56:11.660
You've waited all this time.
923
00:56:11.740 --> 00:56:14.543
It's the same thing over and over again.
924
00:56:14.563 --> 00:56:15.424
Okay.
925
00:56:15.725 --> 00:56:17.767
You're worried about prostate cancer.
926
00:56:18.548 --> 00:56:20.590
Every one of these guys has a fear of prostate cancer.
927
00:56:21.131 --> 00:56:22.252
Sure.
928
00:56:22.492 --> 00:56:24.634
And it's just another prescription.
929
00:56:25.175 --> 00:56:27.077
Another prescription or an invasive procedure.
930
00:56:27.157 --> 00:56:27.858
And here's the thing.
931
00:56:29.972 --> 00:56:32.533
We've normalized this in the United States.
932
00:56:32.753 --> 00:56:37.054
Any, any one of these guys will tell you all their friends have the same problems.
933
00:56:37.774 --> 00:56:38.555
So is it normal?
934
00:56:38.995 --> 00:56:39.855
No, it's common.
935
00:56:39.955 --> 00:56:40.815
Common's not normal.
936
00:56:40.915 --> 00:56:41.696
Okay.
937
00:56:41.716 --> 00:56:43.456
There's a very, very big distinction.
938
00:56:44.116 --> 00:56:44.316
Yeah.
939
00:56:44.376 --> 00:56:45.317
And they also know.
940
00:56:46.141 --> 00:56:51.084
Their father, their brother, their uncle, their friend, somebody's had prostate cancer and it didn't go well.
941
00:56:51.304 --> 00:56:53.466
Somebody's had a biopsy and it didn't go well.
942
00:56:53.766 --> 00:56:56.487
Somebody's had one of these procedures and it didn't go well.
943
00:56:56.908 --> 00:56:57.588
Okay.
944
00:56:57.788 --> 00:57:01.731
So they know, oh, my gosh, what's behind, you know, door number two.
945
00:57:02.431 --> 00:57:05.213
So they are avoiding it as much as they possibly can.
946
00:57:05.233 --> 00:57:08.275
So we've normalized it and we've scared the heck out of them.
947
00:57:08.615 --> 00:57:10.896
So they're avoiding it as long as they possibly can.
948
00:57:11.036 --> 00:57:11.677
And it goes on.
949
00:57:13.262 --> 00:57:14.323
And it becomes worse.
950
00:57:15.163 --> 00:57:21.366
And they end up in a situation where they have no other choice but to try to find a solution for this problem.
951
00:57:21.966 --> 00:57:23.087
And that's how they find us.
952
00:57:23.967 --> 00:57:25.668
And then we go to work and roll up our sleeves.
953
00:57:25.708 --> 00:57:27.529
We don't get any easy cases.
954
00:57:28.049 --> 00:57:29.330
These aren't easy cases.
955
00:57:29.350 --> 00:57:30.970
These are incredible men.
956
00:57:31.471 --> 00:57:35.092
And we love every single one of them.
957
00:57:35.252 --> 00:57:42.256
And that's really what this has taught me and going through this with my son at the very beginning.
958
00:57:43.117 --> 00:57:45.286
is love goes a very long way.
959
00:57:46.300 --> 00:57:50.962
I had a teacher in medical school who said he stood up in front of the class.
960
00:57:51.002 --> 00:57:54.964
It was one of these, you know, they bribe you with pizza at lunchtime.
961
00:57:55.004 --> 00:57:56.145
So you, you will listen.
962
00:57:56.625 --> 00:57:58.166
That's what medical school is all about.
963
00:57:58.546 --> 00:58:00.087
Who's going to bring in the best lunch.
964
00:58:00.687 --> 00:58:02.768
And so I've never heard that.
965
00:58:03.329 --> 00:58:08.171
Oh God, there's a lot of pizza in medical school, pizza and Indian food.
966
00:58:08.832 --> 00:58:13.174
He stood up and he said, he said, all you have to do is love your patient.
967
00:58:13.934 --> 00:58:15.135
Now he said lots of things.
968
00:58:16.402 --> 00:58:17.465
But that stood out to me.
969
00:58:17.525 --> 00:58:19.550
I said, wow, that's easy.
970
00:58:19.911 --> 00:58:20.553
I can do that.
971
00:58:21.495 --> 00:58:25.105
But I looked at my friends around me and they were horrified by that statement.
972
00:58:26.322 --> 00:58:27.763
They were horrified by that statement.
973
00:58:28.023 --> 00:58:33.825
Well, I can tell you right now that it is a very, very important part of the process.
974
00:58:34.005 --> 00:58:38.307
Let's go on to a whole other branch as we're gonna start winding down here.
975
00:58:39.268 --> 00:58:50.333
Where do you, let's talk about, we talked funnily enough off camera about AI earlier, but where do you think AI and advanced diagnostics could generally improve men's healthcare?
976
00:58:50.633 --> 00:58:52.914
And where do you think they might be getting overhyped right now?
977
00:58:54.058 --> 00:58:55.819
That's a great, great question.
978
00:58:56.180 --> 00:59:00.522
So AI is an incredible tool in the right hands.
979
00:59:01.743 --> 00:59:02.743
It's all about the question.
980
00:59:02.783 --> 00:59:04.684
It's always been about the question, right?
981
00:59:04.784 --> 00:59:07.866
And now with AI, it's 100% about the question.
982
00:59:07.946 --> 00:59:09.867
What is the
question that you're really asking?
983
00:59:10.448 --> 00:59:17.652
How is it that you can guide the AI to assimilate the data that you're putting in to get that answer?
984
00:59:18.072 --> 00:59:26.356
I think there's a huge risk right now because people are just loading up their labs and throwing it into AI.
985
00:59:26.416 --> 00:59:26.897
And guess what?
986
00:59:26.937 --> 00:59:27.897
You're more than your labs.
987
00:59:28.137 --> 00:59:28.458
Okay.
988
00:59:28.538 --> 00:59:32.800
Circumstances, connections, there's perspective.
989
00:59:33.120 --> 00:59:34.461
There's so much more to it.
990
00:59:34.501 --> 00:59:42.205
Now, I use AI every single day throughout my business, not just in the helping me to assimilate a lot of this information.
991
00:59:42.465 --> 00:59:43.305
I have to correct it.
992
00:59:43.445 --> 00:59:44.766
I have to give it perspective.
993
00:59:44.886 --> 00:59:45.687
I have to really...
994
00:59:46.767 --> 00:59:52.969
hear what it's saying, but filter it through who's standing in front of me, what the situations are.
995
00:59:53.169 --> 00:59:54.870
You know, it's just like a, it's just like a lab.
996
00:59:54.890 --> 01:00:04.174
Let's say you, you go and your, your, your glucose is 175 and your triglycerides are 250.
997
01:00:04.314 --> 01:00:10.656
Well, you need that you put that into AI and it wants you to take a, you know, statin medication.
998
01:00:11.726 --> 01:00:13.326
Well, what if you just had a cheeseburger?
999
01:00:14.827 --> 01:00:15.187
Okay.
1000
01:00:15.407 --> 01:00:16.687
I mean, that matters, right?
1001
01:00:17.227 --> 01:00:17.587
A lot.
1002
01:00:18.708 --> 01:00:19.508
A lot, right?
1003
01:00:19.888 --> 01:00:30.190
So again, I think it's very dangerous what's happening where everybody's selling labs now directly to the consumer, which I am not a gatekeeper.
1004
01:00:30.310 --> 01:00:34.171
So I think access is very, very important, but everybody's selling labs.
1005
01:00:34.591 --> 01:00:37.832
And then there's such a distrust now of the medical
1006
01:00:41.713 --> 01:00:41.953
Yeah.
1007
01:00:42.434 --> 01:00:42.634
Yeah.
1008
01:00:42.774 --> 01:00:44.715
So then you run your labs through your AI.
1009
01:00:45.215 --> 01:00:48.518
And then, you know, I mean, it's crazy.
1010
01:00:48.698 --> 01:00:49.198
It's crazy.
1011
01:00:49.218 --> 01:00:52.981
So it's a great tool in the right hands through the right interpretation.
1012
01:00:53.361 --> 01:00:57.744
And again, if you're not a systems thinker, you're not going to get a systems answer.
1013
01:00:58.565 --> 01:01:01.169
And, and, and, and it's never the right answer.
1014
01:01:01.209 --> 01:01:04.975
If you're not looking at things from a systems perspective, it's never the right answer.
1015
01:01:05.015 --> 01:01:06.177
People aren't systems thinkers.
1016
01:01:06.197 --> 01:01:12.187
They don't know enough to ask right questions or to pull some of these things together for the most part.
1017
01:01:12.227 --> 01:01:12.788
And it's tough.
1018
01:01:13.211 --> 01:01:18.734
Well, and in a world where we keep being told that physicians don't have enough time, it's a shortcut, right?
1019
01:01:18.775 --> 01:01:20.335
I mean, it's not a shortcut.
1020
01:01:20.536 --> 01:01:21.756
I don't mean that in a bad way.
1021
01:01:23.117 --> 01:01:26.259
It's perceived as, okay, now I can get more done in less time.
1022
01:01:26.299 --> 01:01:27.500
It's an efficiency tool.
1023
01:01:27.960 --> 01:01:28.541
And it is.
1024
01:01:29.021 --> 01:01:39.688
But to your point, if you don't bring your clinician's experience and mind and everything else to the party, you're not going to get a great result.
1025
01:01:39.708 --> 01:01:40.088
Yeah.
1026
01:01:40.989 --> 01:01:49.446
And, you know, physicians who are conventionally trained and who are sort of, you know, stuck in that system, they're not systems thinkers either.
1027
01:01:50.293 --> 01:01:51.474
They haven't been taught to be, right?
1028
01:01:51.554 --> 01:01:52.515
They don't know how, right.
1029
01:01:52.535 --> 01:01:53.435
They haven't been taught to be.
1030
01:01:53.456 --> 01:01:58.299
You're going to isolate a certain system or a gland or whatever.
1031
01:01:58.359 --> 01:02:03.223
I'm all about the heart, just about the prostate, whatever.
1032
01:02:03.583 --> 01:02:13.151
So it's a sad state of affairs, and I understand why people are running to AI for this, but I think that we're going to fall off a cliff in the not-so-distant future.
1033
01:02:13.171 --> 01:02:13.471
Mm-hmm.
1034
01:02:14.712 --> 01:02:14.992
All right.
1035
01:02:15.252 --> 01:02:19.174
And we have these corporations also that are just trying to do things really inexpensively, right?
1036
01:02:19.194 --> 01:02:23.256
So medicine has become so corporate and yeah, it's all part of the vertical.
1037
01:02:23.396 --> 01:02:37.461
All the telehealth where you never really speak to a physician is, especially with hormones, men's hormones and women's hormones too, but all these telehealth companies are, it's an interesting thing.
1038
01:02:39.002 --> 01:02:39.883
I think challenging.
1039
01:02:39.903 --> 01:02:40.643
We need more human.
1040
01:02:40.963 --> 01:02:41.904
We need more human.
1041
01:02:42.064 --> 01:02:43.504
We need human with the machine.
1042
01:02:43.544 --> 01:02:44.665
Like I just, right.
1043
01:02:44.705 --> 01:02:45.065
Yeah.
1044
01:02:45.245 --> 01:02:50.048
I feel like maybe we don't need as, maybe we'll get to a world where we don't need as many humans on the same thing.
1045
01:02:50.148 --> 01:03:01.513
But to me, I mean, I'm developing in my, in my business, we're bringing, we're weaving AI in, but I refuse not to have my AI supervised by human, by a human because that's right.
1046
01:03:01.854 --> 01:03:04.455
It's like, it, there has to be a human filter.
1047
01:03:05.035 --> 01:03:05.455
That's right.
1048
01:03:05.676 --> 01:03:08.397
And how this interview would be
very different if you were an AI.
1049
01:03:10.041 --> 01:03:13.322
I mean, this is the thing, you know, yes, you can create content.
1050
01:03:13.362 --> 01:03:15.642
And for me, you can assimilate things and you can have it.
1051
01:03:15.742 --> 01:03:29.026
I mean, we use it and have been users for a long time, very much an innovator in that way, even have created different protocols and algorithms so that I can help my other practitioners, you know, think and use my experience.
1052
01:03:29.786 --> 01:03:36.308
And so, so yeah, there's definitely, but there's certain things like the interface here is so important.
1053
01:03:36.708 --> 01:03:37.468
And you knowing.
1054
01:03:37.888 --> 01:03:40.890
What questions to ask and how is this going to impact my audience?
1055
01:03:41.010 --> 01:03:42.871
And that's not what an AI can do.
1056
01:03:42.951 --> 01:03:55.178
And same thing with me, feeling that patient, whether it's via video or it's in person, and then responding to that and knowing that, hey, you know, their brother is sick.
1057
01:03:55.278 --> 01:03:57.259
Their kid is, you know, having problems.
1058
01:03:57.339 --> 01:03:58.219
What that history is.
1059
01:03:58.460 --> 01:04:01.341
That relationship cannot be replaced.
1060
01:04:02.142 --> 01:04:03.903
And it's so important.
1061
01:04:04.123 --> 01:04:04.723
Yeah.
1062
01:04:04.923 --> 01:04:07.146
for the analysis and the outcome.
1063
01:04:07.406 --> 01:04:09.348
Yeah, 100%.
1064
01:04:10.730 --> 01:04:12.552
All right, let's talk about the little things.
1065
01:04:12.753 --> 01:04:17.458
One of your core messages is that longevity isn't built from one giant intervention.
1066
01:04:17.618 --> 01:04:22.905
It's the tiny daily decisions that really determine whether someone thrives or declines.
1067
01:04:24.270 --> 01:04:31.936
what are those tiny decisions or, you know, what are some of those tiny decisions you encourage your patients to take on like habits?
1068
01:04:32.636 --> 01:04:35.719
And let's talk specifically now about prostate health that people really
1069
01:04:37.446 --> 01:04:37.726
Okay.
1070
01:04:38.326 --> 01:04:39.827
Yeah, it's like compounding interest, right?
1071
01:04:39.847 --> 01:04:40.367
It's time.
1072
01:04:40.407 --> 01:04:41.468
It's a little bit over time.
1073
01:04:41.548 --> 01:04:43.228
So it's the same concept.
1074
01:04:44.669 --> 01:04:48.291
Like I had mentioned before, diet is really very, very important.
1075
01:04:48.311 --> 01:04:50.011
So whole fresh foods.
1076
01:04:50.371 --> 01:04:52.832
People often say, well, is it important to eat organic?
1077
01:04:52.892 --> 01:04:53.913
Well, yes, it is.
1078
01:04:54.513 --> 01:04:55.114
It really is.
1079
01:04:55.174 --> 01:04:58.776
And I need you to control as much of that quality as you possibly can.
1080
01:04:58.836 --> 01:05:03.058
It's important to eat grass-fed, grass-finished from a reliable source.
1081
01:05:03.619 --> 01:05:04.359
Absolutely.
1082
01:05:05.320 --> 01:05:09.863
If you're eating farmed fish, for instance, you're polluting your body.
1083
01:05:09.883 --> 01:05:11.264
You're creating an inflammation.
1084
01:05:11.284 --> 01:05:15.606
If you're eating a commercially raised beef, it's inflammation.
1085
01:05:15.626 --> 01:05:17.748
You're creating inflammation in your body.
1086
01:05:17.788 --> 01:05:19.549
You're loading yourself with toxins.
1087
01:05:20.009 --> 01:05:21.730
And so that's really important.
1088
01:05:21.890 --> 01:05:22.551
Super important.
1089
01:05:22.772 --> 01:05:28.282
Same thing with water, you know, clean, live water.
1090
01:05:29.841 --> 01:05:36.307
Not necessarily from a plastic bottle that's been sitting around in a hot truck and, you know, traipsing around the country.
1091
01:05:36.327 --> 01:05:39.490
I mean, that's, it's okay, it's better than tap water.
1092
01:05:40.070 --> 01:05:42.532
But so, you know, these are the things.
1093
01:05:42.912 --> 01:05:53.782
Sleep, going to bed at the right hour, having no screens for a period of time before you go to bed or having, you know, I have a screen alter.
1094
01:05:54.502 --> 01:05:54.642
Yeah.
1095
01:05:54.903 --> 01:05:56.164
It alters the frequency.
1096
01:05:56.184 --> 01:05:56.744
So, you know.
1097
01:05:58.005 --> 01:06:01.066
sleeping in, in, um, uninterrupted, right?
1098
01:06:01.166 --> 01:06:02.286
How many people do I talk to?
1099
01:06:02.626 --> 01:06:03.746
Oh, I don't sleep very well.
1100
01:06:03.986 --> 01:06:06.707
And I, and I don't just say, oh, okay, well, you know, here's this.
1101
01:06:06.747 --> 01:06:08.127
I say, who's in your bed?
1102
01:06:08.847 --> 01:06:14.848
Oh, well, you know, my Cocker Spaniel and my two great Danes and, and, you know, oh, and my wife.
1103
01:06:15.109 --> 01:06:17.169
And it's crazy.
1104
01:06:18.129 --> 01:06:20.010
I get woken up all the time by the dog.
1105
01:06:20.030 --> 01:06:21.870
I'm like, okay, well get the dog out of the bedroom.
1106
01:06:22.410 --> 01:06:23.650
That's easier said than done.
1107
01:06:23.690 --> 01:06:26.951
I will tell you having had an older dog, not simple.
1108
01:06:28.109 --> 01:06:30.811
You got to try not to sleep in your bed in the first place.
1109
01:06:31.992 --> 01:06:32.613
Right, right.
1110
01:06:32.813 --> 01:06:34.194
So sleep is really important.
1111
01:06:34.314 --> 01:06:37.957
And getting up at, you know, having a regimen is important.
1112
01:06:38.117 --> 01:06:38.998
Moving your body.
1113
01:06:39.478 --> 01:06:44.622
Walking is really a very impactful thing to do, right?
1114
01:06:45.003 --> 01:06:47.284
So it's all the stuff that your grandmother told you to do.
1115
01:06:48.205 --> 01:06:49.306
It's not hard.
1116
01:06:49.867 --> 01:06:50.587
It's not easy.
1117
01:06:50.707 --> 01:06:51.508
It's simple.
1118
01:06:52.129 --> 01:06:52.949
Not always easy.
1119
01:06:53.130 --> 01:06:53.330
Right.
1120
01:06:53.870 --> 01:06:57.633
But finding ways to work these
things into your lifestyle.
1121
01:06:57.693 --> 01:06:59.835
And again, sometimes it means giving things up.
1122
01:07:01.357 --> 01:07:06.922
And it may mean that, you know, you're not traveling around the world with your job.
1123
01:07:07.862 --> 01:07:12.967
If you can't sleep in hotels or you're subject to all this radiation, it may mean that you have
1124
01:07:13.587 --> 01:07:16.609
you know, less things or whatever.
1125
01:07:16.889 --> 01:07:17.449
You know what I mean?
1126
01:07:17.469 --> 01:07:19.250
There's definitely these decisions.
1127
01:07:19.470 --> 01:07:20.971
You might have to learn how to cook.
1128
01:07:21.732 --> 01:07:22.492
Oh, there's an idea.
1129
01:07:22.812 --> 01:07:23.032
Yeah.
1130
01:07:23.913 --> 01:07:24.413
Imagine that.
1131
01:07:24.793 --> 01:07:25.714
Yeah.
1132
01:07:25.934 --> 01:07:29.836
You might, you know, have to grow some things on your balcony.
1133
01:07:30.777 --> 01:07:31.037
Yeah.
1134
01:07:31.577 --> 01:07:36.020
You have to control what it is that your body interacts with.
1135
01:07:36.060 --> 01:07:36.360
People.
1136
01:07:36.600 --> 01:07:38.961
You might have to kick some people off your iceberg.
1137
01:07:39.301 --> 01:07:41.543
You know, I mean, that might have to happen too.
1138
01:07:43.143 --> 01:07:46.945
The thoughts we think, what we put in our mouth, what we bathe in.
1139
01:07:48.406 --> 01:07:50.389
Our environment is a big, big deal.
1140
01:07:51.030 --> 01:07:56.576
Sleeping with your cell phone next to you in your bedroom is a tough one.
1141
01:07:56.736 --> 01:07:57.197
Earbuds.
1142
01:07:57.737 --> 01:08:00.020
And again, this is not a judgment.
1143
01:08:00.561 --> 01:08:04.405
Nobody invites me to parties or out to dinner because they think I'm going to be watching what they're doing.
1144
01:08:04.605 --> 01:08:05.126
Judging you.
1145
01:08:05.146 --> 01:08:05.446
I'm not.
1146
01:08:06.387 --> 01:08:08.727
Yeah, and my mother will tell you, don't do what she does, okay?
1147
01:08:08.747 --> 01:08:09.868
Just do what she tells you to do.
1148
01:08:09.928 --> 01:08:16.109
So I'm not perfect either, and I don't know anybody who is, or that even has to be, as we started the conversation with.
1149
01:08:16.149 --> 01:08:17.269
We're really quite resilient.
1150
01:08:17.689 --> 01:08:18.909
So it's more good than bad.
1151
01:08:19.189 --> 01:08:31.972
But there's some things that are really, you know, a lot of people will live in moldy homes and look at all the flooding and things with water damage, and they either don't realize it or they don't recognize that it's a big problem.
1152
01:08:32.752 --> 01:08:36.893
Every person that I've diagnosed with cancer happens to have mold on board as well.
1153
01:08:37.573 --> 01:08:37.893
Wow.
1154
01:08:38.754 --> 01:08:38.974
Wow.
1155
01:08:39.114 --> 01:08:39.854
That's huge.
1156
01:08:40.214 --> 01:08:40.434
Yeah.
1157
01:08:40.494 --> 01:08:43.995
I think it's a major trigger and a major drain on the
immune system.
1158
01:08:44.015 --> 01:08:46.876
And it really engages that immune break quite frequently.
1159
01:08:46.956 --> 01:08:56.538
So are there any common, and if people can't see me, I'm holding my fingers up, healthy habits that you believe are actually giving people false confidence?
1160
01:08:58.095 --> 01:08:58.475
Hmm.
1161
01:08:58.696 --> 01:08:59.396
Yeah.
1162
01:08:59.556 --> 01:09:00.136
Peptides.
1163
01:09:00.717 --> 01:09:01.697
Yeah.
1164
01:09:01.737 --> 01:09:02.898
Peptides aren't healthy habits.
1165
01:09:02.918 --> 01:09:04.298
So sorry, but I had to say word.
1166
01:09:05.539 --> 01:09:05.879
Yeah.
1167
01:09:05.979 --> 01:09:06.960
And I love peptides.
1168
01:09:07.000 --> 01:09:08.020
Don't get, don't get me wrong.
1169
01:09:08.060 --> 01:09:09.121
Peptides are shortcuts.
1170
01:09:09.461 --> 01:09:09.861
Okay.
1171
01:09:10.041 --> 01:09:14.604
But you can't take a shortcut without the foundation dealing with the foundation.
1172
01:09:14.924 --> 01:09:17.145
If you do, you're going to, you're going to look good.
1173
01:09:17.365 --> 01:09:18.306
You're not going to be so good.
1174
01:09:18.866 --> 01:09:19.046
Yeah.
1175
01:09:19.066 --> 01:09:25.990
So that's kind of a pet peeve of mine these days with so many of these things popping up again, it's a tool and it's a great tool, but yeah.
1176
01:09:26.330 --> 01:09:26.570
Yeah.
1177
01:09:28.256 --> 01:09:34.519
I think some of the things are fasting and some of the long fasting that some people do.
1178
01:09:34.879 --> 01:09:36.040
We're not all built for that.
1179
01:09:36.620 --> 01:09:37.861
We're not.
1180
01:09:38.121 --> 01:09:42.943
I am built for fasting and intermittent fasting, but not everybody is.
1181
01:09:43.384 --> 01:09:45.705
Same thing with keto, keto diet, right?
1182
01:09:45.905 --> 01:09:50.807
It's not always the macro, just fat, protein, carbs.
1183
01:09:50.887 --> 01:09:51.748
It's the quality.
1184
01:09:52.168 --> 01:09:52.308
Yeah.
1185
01:09:52.328 --> 01:09:52.748
Number one.
1186
01:09:53.029 --> 01:09:56.991
And also not all of us are genetically built for keto.
1187
01:09:57.191 --> 01:09:58.332
And how do I know that?
1188
01:09:58.412 --> 01:10:04.675
Because I measure these biomarkers while you're going through keto and sometimes it's like, oh my gosh, this is not what we wanted.
1189
01:10:05.016 --> 01:10:06.156
Yeah, for sure.
1190
01:10:06.596 --> 01:10:06.877
Yeah.
1191
01:10:07.437 --> 01:10:09.198
Can't paint everybody with the same brush.
1192
01:10:09.518 --> 01:10:14.801
So what are the earliest warning signs wives or partners often notice before men recognize them?
1193
01:10:15.602 --> 01:10:15.782
Mm-hmm.
1194
01:10:18.893 --> 01:10:21.355
One is, I'm going to say erections.
1195
01:10:21.915 --> 01:10:22.135
Yeah.
1196
01:10:22.155 --> 01:10:22.495
Okay.
1197
01:10:22.956 --> 01:10:23.916
He's able to get one.
1198
01:10:23.956 --> 01:10:26.018
He's not as rigid as he was before.
1199
01:10:26.378 --> 01:10:32.362
That is a very often early sign of cardiovascular disease.
1200
01:10:32.382 --> 01:10:38.766
Doesn't mean he has coronary artery disease, but there's a change in the way his vasculature works.
1201
01:10:39.086 --> 01:10:40.467
And then the question would be why.
1202
01:10:41.167 --> 01:10:44.588
Does he have some of these seven hidden clinical dysfunctions?
1203
01:10:45.088 --> 01:10:46.208
He does, I promise you.
1204
01:10:46.668 --> 01:10:47.889
And so that's important.
1205
01:10:47.909 --> 01:10:52.790
The other is if he's getting up to urinate and it's taking him a while, right?
1206
01:10:53.290 --> 01:10:53.570
Right.
1207
01:10:53.730 --> 01:10:54.890
It's taking him a while.
1208
01:10:54.970 --> 01:10:56.871
And you're like, huh, isn't that interesting?
1209
01:10:57.571 --> 01:10:58.291
That's a change.
1210
01:10:58.551 --> 01:11:01.312
And he might not realize that that's not just...
1211
01:11:02.292 --> 01:11:06.796
All the guys you're hanging out with are having the same problem, but again, common is not normal.
1212
01:11:06.996 --> 01:11:07.777
That's the one.
1213
01:11:08.297 --> 01:11:10.138
Obviously, having to urinate frequently.
1214
01:11:10.719 --> 01:11:10.919
Sure.
1215
01:11:11.179 --> 01:11:15.342
If he's avoiding sex, avoiding sex is a big one.
1216
01:11:15.803 --> 01:11:16.003
Yeah.
1217
01:11:16.463 --> 01:11:17.024
Really big one.
1218
01:11:17.204 --> 01:11:18.925
Yeah, there's a reason he's avoiding it.
1219
01:11:19.726 --> 01:11:21.607
He's worried about performing, right?
1220
01:11:21.747 --> 01:11:21.947
Yeah.
1221
01:11:22.788 --> 01:11:23.008
Yeah.
1222
01:11:23.569 --> 01:11:24.409
Those kinds of things.
1223
01:11:25.230 --> 01:11:28.953
So how can women have this conversation with their men without –
1224
01:11:29.827 --> 01:11:31.188
making them feel criticized.
1225
01:11:31.528 --> 01:11:37.231
How, how do we, how do we encourage them to seek help without them feeling?
1226
01:11:40.373 --> 01:11:40.733
Yeah.
1227
01:11:40.813 --> 01:11:42.594
I mean, boy, that's the magic, right?
1228
01:11:42.714 --> 01:11:43.014
Isn't it?
1229
01:11:43.094 --> 01:11:45.816
How can women talk to men without men feeling criticized?
1230
01:11:46.096 --> 01:11:48.277
And that's a, that's a big challenge.
1231
01:11:48.618 --> 01:11:55.962
I would say that you make space for, for this and you sit down and, and your knee to knee, I think that's very, very important.
1232
01:11:56.042 --> 01:11:58.223
Your knee to knee and you say, Hey,
1233
01:11:59.976 --> 01:12:01.617
I'm noticing a few changes.
1234
01:12:03.238 --> 01:12:16.748
And I think that it's really important to identify these things as early as possible, because I always want you to be your best, not only for me, but for you.
1235
01:12:17.508 --> 01:12:19.470
And I think that's how you start the conversation.
1236
01:12:19.530 --> 01:12:20.691
It's not that there's something wrong.
1237
01:12:21.491 --> 01:12:22.411
I
want you to be your best.
1238
01:12:22.431 --> 01:12:31.255
There's a difference between, even when we do labs, there's a difference between standard ranges, you're like everybody else, and optimal ranges, right?
1239
01:12:31.575 --> 01:12:34.476
So if we talk about optimal, say, hey, look...
1240
01:12:35.464 --> 01:12:41.988
You any change from somebody will say, well, you know, I don't I don't I don't this or I don't that.
1241
01:12:42.008 --> 01:12:45.490
I say, OK, so have you always been that way or is that new?
1242
01:12:46.110 --> 01:12:47.351
Well, I guess I've always been that way.
1243
01:12:47.511 --> 01:12:49.272
OK, well, then it's not necessary.
1244
01:12:49.292 --> 01:12:52.834
So any change is is often.
1245
01:12:54.083 --> 01:12:57.605
a sign that we're no longer optimal and there's a reason.
1246
01:12:58.105 --> 01:13:02.627
And so just opening up space for the conversation, I think, is really very important.
1247
01:13:02.867 --> 01:13:08.570
But it's interesting because men and women don't talk about these things very often.
1248
01:13:08.730 --> 01:13:10.771
They don't talk about their sex lives.
1249
01:13:11.151 --> 01:13:15.213
I've had patients who, married couples, taking care of lots of married couples.
1250
01:13:15.733 --> 01:13:20.957
They've been married 40, 50 years and they're talking to me about things they should be talking to each other about.
1251
01:13:21.057 --> 01:13:25.300
And so I usually get us all together with permission and we start having the conversation.
1252
01:13:25.320 --> 01:13:27.722
And it's like, wow, what a game changer.
1253
01:13:28.222 --> 01:13:31.665
You know, I'll have parents who say, well, I need to take my kid to a psychologist.
1254
01:13:32.025 --> 01:13:34.167
I say, OK, so why?
1255
01:13:34.707 --> 01:13:36.308
Well, you know, we need to have this conversation.
1256
01:13:36.328 --> 01:13:39.290
It's like, OK, so sit your kid down and have the conversation.
1257
01:13:39.471 --> 01:13:42.073
You don't need a psychologist in the room to have a simple conversation.
1258
01:13:42.413 --> 01:13:45.135
Yeah, but we all open your heart and have a conversation.
1259
01:13:45.615 --> 01:13:47.537
Yeah, but not everybody's that equipped, right?
1260
01:13:47.577 --> 01:13:52.080
Or they're afraid or sometimes they need that neutral party in the room, I guess.
1261
01:13:52.540 --> 01:13:57.764
Well, I think sometimes it's appropriate, but often it's just opening your heart.
1262
01:13:58.524 --> 01:14:01.707
You know, this isn't about me and what you can do for me.
1263
01:14:01.967 --> 01:14:05.910
This is about my concern about you.
1264
01:14:05.930 --> 01:14:08.011
And this is the doctor-patient relationship too.
1265
01:14:08.071 --> 01:14:13.135
When the doctor's not leaning in with compassion, it's because she's worried about being inadequate.
1266
01:14:13.155 --> 01:14:13.495
Right.
1267
01:14:13.595 --> 01:14:13.815
Yeah.
1268
01:14:14.275 --> 01:14:14.455
Yeah.
1269
01:14:14.495 --> 01:14:15.396
That's the only reason why.
1270
01:14:15.496 --> 01:14:15.676
Right.
1271
01:14:15.916 --> 01:14:22.257
If she's not worried about being inadequate, she'll open up and lean in and she'll be OK about not even having the answer in that moment.
1272
01:14:22.778 --> 01:14:23.798
OK, let me think about it.
1273
01:14:23.818 --> 01:14:25.118
Let me see what I can come up with.
1274
01:14:25.178 --> 01:14:34.981
You know, so get over yourself and your own fear and what it is doing to you and get into your heart and say, hey, I love you and I care about you.
1275
01:14:35.001 --> 01:14:37.061
It's not impacting me.
1276
01:14:37.242 --> 01:14:39.562
I love you and I see that it's impacting you.
1277
01:14:39.582 --> 01:14:41.803
You know, let's let's see if we can do something about it.
1278
01:14:42.795 --> 01:14:43.015
Nice.
1279
01:14:43.035 --> 01:14:44.315
I think that's the solution.
1280
01:14:44.776 --> 01:14:52.237
Well, and I would imagine that one of the ways to pave the road to those easier conversations is maybe the conversations you have before there are symptoms.
1281
01:14:52.337 --> 01:14:53.057
Yeah, there you go.
1282
01:14:53.438 --> 01:14:54.298
Yeah, there you go.
1283
01:14:54.758 --> 01:14:56.918
And lifestyle choices together, right?
1284
01:14:57.018 --> 01:15:03.740
I love it when couples come in together because we can eat all the same good healthy food.
1285
01:15:04.200 --> 01:15:07.201
We can all go for a walk, even if you don't have a prostate.
1286
01:15:07.781 --> 01:15:10.022
You know, we can all do these things together.
1287
01:15:10.422 --> 01:15:13.202
And so that sort of support, I think that's a real key.
1288
01:15:13.262 --> 01:15:14.643
And you just you just hit on it.
1289
01:15:14.723 --> 01:15:16.863
And it's the same thing with how do you get your kids to eat well?
1290
01:15:17.003 --> 01:15:19.384
Well, you cook a decent dinner and that's what's on the table, right?
1291
01:15:19.404 --> 01:15:21.204
You show them how to do it.
1292
01:15:21.224 --> 01:15:26.345
You put good options in front of them and you can educate them along the way as you're getting educated.
1293
01:15:26.766 --> 01:15:32.307
So these really are family issues, just like sexual dysfunction, erectile dysfunction is a family issue.
1294
01:15:33.628 --> 01:15:33.888
It is.
1295
01:15:33.948 --> 01:15:36.750
It affects everybody when he's not feeling like himself.
1296
01:15:36.970 --> 01:15:37.190
Right.
1297
01:15:37.310 --> 01:15:37.891
Yeah.
1298
01:15:37.971 --> 01:15:41.013
Or when the relationship isn't as intimate and close as it used to be.
1299
01:15:41.053 --> 01:15:41.833
Everybody can tell.
1300
01:15:42.234 --> 01:15:45.716
Everybody can tell, you know, and you can't fake those things.
1301
01:15:45.976 --> 01:15:56.583
So having the conversation about what kind of being intentional with your lifestyle and being intentional with your wellness and saying, you know, wellness is not the absence of disease.
1302
01:15:56.603 --> 01:15:57.304
Right.
1303
01:15:57.484 --> 01:15:58.985
Wellness is a completely different thing.
1304
01:15:59.246 --> 01:16:00.647
And it's not a one day thing either.
1305
01:16:00.847 --> 01:16:02.368
It's an ongoing issue.
1306
01:16:03.189 --> 01:16:05.711
And it's easier to maintain than it is to try to get back.
1307
01:16:06.292 --> 01:16:08.174
And these are family decisions.
1308
01:16:08.234 --> 01:16:09.255
How are we going to live our life?
1309
01:16:09.335 --> 01:16:10.095
Where are we going to live?
1310
01:16:10.115 --> 01:16:10.876
What are we going to eat?
1311
01:16:10.956 --> 01:16:12.357
How are we going to source our food?
1312
01:16:13.618 --> 01:16:18.059
My family, we just moved out of South Florida into East Tennessee.
1313
01:16:18.279 --> 01:16:22.300
So we've got chickens and cows and goats and gardens.
1314
01:16:22.440 --> 01:16:23.480
And yeah.
1315
01:16:24.180 --> 01:16:26.260
And was it more fun in South Florida?
1316
01:16:26.461 --> 01:16:27.001
Probably.
1317
01:16:27.941 --> 01:16:32.562
But I think it's important to take some control sometimes.
1318
01:16:32.762 --> 01:16:34.442
And that's what needs to happen.
1319
01:16:34.662 --> 01:16:35.782
All right.
1320
01:16:35.922 --> 01:16:39.143
If you could redesign men's health care from scratch, what would it look like?
1321
01:16:41.117 --> 01:16:45.000
It would start with root cause assessment.
1322
01:16:45.881 --> 01:16:48.943
And that is before you're unhealthy even, right?
1323
01:16:49.103 --> 01:16:50.784
Looking at wellness.
1324
01:16:50.824 --> 01:16:53.306
Like I said, wellness is not an absence of disease.
1325
01:16:53.426 --> 01:16:56.248
Wellness is optimal cellular functioning.
1326
01:16:56.668 --> 01:16:58.069
And you have to look in...
1327
01:16:58.990 --> 01:17:01.312
to see if you're there or not.
1328
01:17:01.713 --> 01:17:02.393
Right?
1329
01:17:03.354 --> 01:17:04.756
Disease doesn't happen overnight.
1330
01:17:05.516 --> 01:17:07.438
Even these symptoms didn't happen overnight.
1331
01:17:07.638 --> 01:17:09.020
They developed.
1332
01:17:09.280 --> 01:17:18.429
So I think it is a preventative approach where you're looking at that cellular function long before there are any symptoms.
1333
01:17:18.629 --> 01:17:18.729
Yeah.
1334
01:17:19.019 --> 01:17:19.379
Beautiful.
1335
01:17:19.599 --> 01:17:22.541
And if there are symptoms, you're looking at that cellular function.
1336
01:17:23.002 --> 01:17:23.242
Yes.
1337
01:17:23.462 --> 01:17:24.223
Figuring out why.
1338
01:17:25.423 --> 01:17:25.844
Ask why.
1339
01:17:26.524 --> 01:17:27.005
Ask why.
1340
01:17:27.805 --> 01:17:33.469
What breakthroughs in regenerative and functional medicine genuinely excite you over the next decade or so?
1341
01:17:35.050 --> 01:17:35.611
Good question.
1342
01:17:36.291 --> 01:17:39.133
I love some of the labs that are available to us.
1343
01:17:39.313 --> 01:17:43.456
So, you know, more investigative
tools, which are very, very helpful.
1344
01:17:44.277 --> 01:17:45.558
I've been a very big...
1345
01:17:46.618 --> 01:17:49.960
stem cell and exosome user and platelet-rich plasma.
1346
01:17:49.980 --> 01:17:55.422
I picked up platelet-rich plasma probably 12, 13 years ago, very, very early in.
1347
01:17:55.462 --> 01:17:57.203
Again, because the mechanism made sense.
1348
01:17:57.263 --> 01:17:59.384
I don't care if there's no double-blind clinical trial.
1349
01:17:59.424 --> 01:18:00.044
It doesn't matter.
1350
01:18:00.384 --> 01:18:02.185
The mechanism makes sense.
1351
01:18:02.665 --> 01:18:06.326
And same thing with stem cells and exosomes and secretomes.
1352
01:18:07.907 --> 01:18:12.889
But again, shortcuts are shortcuts unless you have a solid foundation.
1353
01:18:13.069 --> 01:18:13.249
You're
1354
01:18:15.152 --> 01:18:17.715
you're not really doing what you think you're doing.
1355
01:18:17.755 --> 01:18:21.298
And that's one of the things I think is problematic.
1356
01:18:21.318 --> 01:18:31.348
I know a lot of people spending a lot of time and a lot of money with, with stem cells and things before they've even shored up the foundation.
1357
01:18:31.368 --> 01:18:33.350
It's like painting over wallpaper, you know what I mean?
1358
01:18:33.770 --> 01:18:37.735
Well, and I think that the stem cells are not going to work as well.
1359
01:18:37.975 --> 01:18:41.339
This is the instance where you spent thousands upon thousands on stem cells.
1360
01:18:41.540 --> 01:18:43.722
Nothing happens and you're scratching your head wondering why.
1361
01:18:43.742 --> 01:18:45.224
And there was an infection underneath.
1362
01:18:45.845 --> 01:18:49.049
Like if you have, like, I think that it makes so much sense.
1363
01:18:49.329 --> 01:18:52.092
And it's exactly, and it amazes me that,
1364
01:18:52.973 --> 01:19:02.936
Well, actually, I'm not going to say globally because I know that my husband right now is being assessed for stem cell procedure and you would love how deep these guys are going.
1365
01:19:03.876 --> 01:19:04.136
Right?
1366
01:19:04.176 --> 01:19:08.778
They want to understand what the terrain is that they're introducing these stem cells into before they go there.
1367
01:19:09.238 --> 01:19:09.518
All right.
1368
01:19:09.558 --> 01:19:11.579
I have a few quick fire questions for you and then we're off.
1369
01:19:12.379 --> 01:19:15.300
One longevity habit every man over 40 should start tomorrow.
1370
01:19:16.480 --> 01:19:16.820
Walking.
1371
01:19:17.841 --> 01:19:19.921
One blood marker you wish everyone understood.
1372
01:19:21.222 --> 01:19:21.702
CTLA4.
1373
01:19:23.491 --> 01:19:25.192
One health trend you're skeptical of.
1374
01:19:25.552 --> 01:19:26.473
Infrared saunas.
1375
01:19:26.993 --> 01:19:28.694
One book that changed your thinking.
1376
01:19:29.715 --> 01:19:30.155
Oh boy.
1377
01:19:31.336 --> 01:19:35.659
Oh boy.
1378
01:19:36.860 --> 01:19:37.820
Your money or your life.
1379
01:19:38.541 --> 01:19:38.901
Okay.
1380
01:19:39.441 --> 01:19:40.162
Last two questions.
1381
01:19:40.562 --> 01:19:43.184
One lesson your patients have taught you about living well.
1382
01:19:43.364 --> 01:19:44.905
You cannot buy back time.
1383
01:19:45.845 --> 01:19:46.246
Beautiful.
1384
01:19:47.106 --> 01:19:51.889
What's something you believe today that would have surprised the younger Elizabeth Roy, Dr. Elizabeth Roy?
1385
01:19:52.610 --> 01:19:52.930
Hmm.
1386
01:19:54.461 --> 01:19:55.562
That I'm not invincible.
1387
01:19:57.204 --> 01:19:57.584
Thank you.
1388
01:19:58.265 --> 01:19:58.725
Thank you.
1389
01:19:58.785 --> 01:19:59.166
Thank you.
1390
01:19:59.806 --> 01:20:03.690
Where can people find you and find out more about what you do, Dr. Lisbeth Roy?
1391
01:20:03.850 --> 01:20:04.691
Where can they find you?
1392
01:20:05.652 --> 01:20:09.476
My team and I are at drstudio.com.
1393
01:20:10.036 --> 01:20:15.001
And for men in particular who are interested in an assessment...
1394
01:20:15.682 --> 01:20:27.414
for root cause prostate issues, they can go to askdrroy.com, A-S-K-D-R-R-O-Y.com, and we'll have somebody get in touch with them.
1395
01:20:27.954 --> 01:20:28.334
Beautiful.
1396
01:20:29.015 --> 01:20:29.756
Thank you so much.
1397
01:20:29.816 --> 01:20:32.378
This has been a wonderful conversation.
1398
01:20:32.398 --> 01:20:34.761
I really appreciate your time today.
1399
01:20:34.821 --> 01:20:35.241
Thank you.
1400
01:20:35.521 --> 01:20:36.062
My pleasure.