WEBVTT
1
00:00:00.031 --> 00:00:28.988
What is a digital twin? Yeah, that's a great question. So a digital twin basically first is created by having enough of your data. So we understand what is the current state of your biology. And then the second step of digital twin is programming it with the data of what happens with specific interventions, okay, to the general population. And then what we can do is now we can extrapolate what did that population data show us?
2
00:00:29.107 --> 00:00:59.009
pick out the 40-year-old women in that data set and see what happened to them. And then we can make a prediction on how would that intervention affect you in your digital twin, okay? So I can give you an example real quick. Like say there's a study out there on 5,000 women on sauna use and how that affects their HRV. And then you're like, huh, I wonder how my digital twin would be affected by HRV. And so it would go into that study, find all the women that...
3
00:00:59.009 --> 00:01:24.828
are close to you based on the data that it has and say, okay, all the women that are close to your age range, maybe they have your resting heart rate in there, sauna use for 18 minutes improve their HIV by 20%. So then we'd be like, okay, you're a digital twin. JJ is going to improve your HIV by 20%. And could you imagine that with all so many interventions, right? It's amazing. So you can just go, okay, put me on this exercise program.
4
00:01:24.828 --> 00:01:34.683
Let's see what happens. And these are the things that should happen. Yes. Yeah, that's fantastic. How close are we to being able to all have a digital twin? We're very close. I mean, it's basically...
5
00:01:35.172 --> 00:01:57.127
I think it's definitely available now to a certain degree. But I think as time goes on and we have more and more data, it's going to get more and more precise. So how on, like, just that piece of it then, someone going through menopause with all the hormones and everything else, and there's so much variation. I mean, is this something that this could actually work for?
6
00:01:57.127 --> 00:02:21.022
Absolutely. I mean, I think this is something that will be a game changer for menopause, for example. So say you're having symptoms, and you want to try a particular intervention, hot flashes, and you want to try a new medication out for hot flashes, how's it going to affect you? Like, you don't know, until you try it, or you can have your digital twin try it, and see what the data tells us. This is wild. Yeah. Wild. Like, would it be able to have a surgery?
7
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Would it be able to have a surgery? Yes. I mean, I think you can look at surgical data and see what were the outcomes after a particular surgery and see what your outcome would be after the surgery. Yeah. This is amazing. I'm thinking of all of this because it seems like AI is, you know, making things less human, but actually it could save you a lot of time, pain, money, being able to see if this would work for you or not. What is that? It sounds like you would know what the percentage likelihood that this would be an appropriate treatment for you. Exactly. Exactly.
8
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It's going to be an incredible new world that we're in in the next five years for sure. What do you see the risks with all of this? I mean, like I'm seeing all this value, but I'm sure there's on the other side, there's some other issues. What could those be?
9
00:03:02.163 --> 00:03:24.877
One of the biggest risks would probably be the people out there that fully transfer all of their medical care to an AI model. And they just say, I'm never going to see a doctor. I'm just going to do the AI, manage my health. And I think it can definitely help with the lifestyle. It can definitely help with helping you figure out what's going on with your blood work, et cetera, et cetera. But...
10
00:03:24.877 --> 00:03:42.376
that human interaction with someone that's there to figure out like how you see things, what's your overall situation, et cetera, I think, you know, is definitely needed. And so to me, the best model for healthcare is going to be a very good, empathetic,
11
00:03:42.376 --> 00:04:07.587
physician or practitioner that then uses AI to give him or her the data that they need in a way that they can really utilize it at a very high level for your care. I think when you put those two things together, you have the maximum benefit of the technology and also what humans can bring to the data. Right. Well, here's the reality. If all we needed was the data,
12
00:04:07.807 --> 00:04:33.068
then we would just be able to read a book and get all the results. And we all know that that doesn't happen, that the most important part is that accountability and implementation. I think you're still going to have that gap with those things, but it also leads me to think that the skill set of the physician is going to shift a little bit. They become more of a coach implementer. Yeah, absolutely, which I think as a physician,
13
00:04:33.068 --> 00:04:52.778
That sounds great to me. Like, I want to help people, you know, change their health journey and hold their hand through the process. Yeah. Oh, you're definitely doing that over there at Next Health. And I would love just for everybody listening, because you have this amazing company and clinics and their franchise clinics throughout the country called Next Health.
14
00:04:52.778 --> 00:05:14.024
And these are now what we do is whenever we're traveling, we know where we're going and we go jump over to Next Health to be able to get a tune up. What is Next Health? What led you to start it? And explain it for someone who is looking for that place to go, because I feel like it really gives someone a home who's looking for the perfect place to go for their health care, longevity, personalized medicine.
15
00:05:14.024 --> 00:05:30.342
For me, I've been a physician now for 30 years, and I always felt like the minute people go into a doctor's office, the first thing you want to do is get out of there, right? It's not a real place you want to be or go or hang out. I think dentists more than doctors. Yeah, maybe. Not too, right? Exactly. Exactly.
16
00:05:30.342 --> 00:05:49.647
in my own personal health journey, because that was even my feeling being a doctor, like I don't want to go to the doctor's office. I let my health slide to the point where I became very, very sick with autoimmune diseases, diabetes, high blood pressure, all the bad stuff, multiple chronic diseases. And then when I
17
00:05:49.647 --> 00:06:08.564
was trying to get healthy, I realized that I had to go to a lot of different places to get the care I needed. So what Nexcel basically did, what Nexcel does right now, is it provides all of the care that you are looking for under one roof. And what I mean by that is we focus on lifestyle, we focus on functional medicine,
18
00:06:08.564 --> 00:06:25.118
longevity medicine, all of it under one roof. So you can go and have a place to go to really feel like you're getting taken care of and you're reversing chronic disease. And it's a fun place to be. We have lots of fun stuff on site. It is a fun place to be.
19
00:06:25.118 --> 00:06:44.592
Nothing like getting an IV and a massage chair. Yeah, yeah. And hyperbaric oxygen treatments and sauna and cryotherapy. And we bring all the cool biohacking technology under one roof. And that's really because a lot of people can't afford to buy this stuff and put it in their homes. I mean, it costs hundreds of thousands of dollars. Yeah, plus you have to have the space. Exactly.
20
00:06:44.592 --> 00:07:11.103
But you also have a process that I think is important, because what I see out there in the world of biohacking is a lot of people going for those fun, sexy things, but they've missed the foundation. It feels like they missed the plot. Like, I feel that those things are great when you have the right foundation. So I'd love to have the process, because I just watched you do this talk at A4M where you showed this great progression. Yes, yes. We know, as clinicians, like,
21
00:07:11.103 --> 00:07:29.024
how this all works. Like me know that you're gonna get an outsized result by getting your foundational aspects of your health in line first. So that includes your sleep, your exercise and movement routines, and your nutrition, and your metabolic health. Like you have to start there, right? Exercise was included in that, right?
22
00:07:29.024 --> 00:07:51.755
Yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah
23
00:07:51.755 --> 00:08:10.165
And so first, we always focus on the foundations of lifestyle medicine. Then we build up from there into functional medicine. So looking at the root causes of why you could get sick, things like inflammation, poor gut health, heavy levels of toxin exposure. And we can measure for all this now. So then we want to build that level of the pyramid.
24
00:08:10.165 --> 00:08:27.985
Then the third level of the pyramid is what I call hyperpreventative medicine. So how do we make sure that you don't die from one of the top 10 causes of death? Cardiovascular disease, cancer, liver disease, kidney disease, neurodegenerative diseases, right? And so we can be extremely preventative now with the technology that we have.
25
00:08:27.985 --> 00:08:53.534
And then lastly, the tip of the pyramid is now we start adding in, once we have all that kind of solidified for you, chances are you're going to feel pretty good, right? You're going to start, you know, you're going to be the weight you want by the time you solidify all that. We're going to give you a sense of peace that you know that we've done everything we could to make sure that you're not going to die of a chronic disease and your lifestyle is great. Now we can start adding in the tip of the pyramid, which is longevity medicine, which is all these, you know, fun things. Yeah.
26
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stem cells and peptides. Now, stem cells and peptides and these technologies, they do have a role when you're trying to, for some illnesses, right? But I think when you do them just for like, you know, advancing your longevity, if you don't have that base of the pyramid down, they're not going to work. I tell the story of being at a party sitting next to a guy who'd gone to Mark Hyman's retreat and Dave's conference and blah, blah, blah, blah, blah, blah. And I'm like, that's amazing. What do you do for exercise? Yeah.
27
00:09:23.167 --> 00:09:29.123
What'd he do? Nothing. He goes, last week, I did some yoga for 10 minutes. I'm like, gosh.
28
00:09:29.360 --> 00:09:54.487
Buddy. Yeah. So, and it's interesting when you have that foundation, first of all, those are the least expensive interventions that make the biggest impact that then when you go to the next level up, you probably need less things and you really know how well your body's working, what really needs to be accomplished. Right. Fantastic. Yep. And the other thing I talk about with my patients all the time is like health is a habit. This is something you have to do every single day. And if you're not doing something every day, nothing else is going to work.
29
00:09:54.487 --> 00:10:20.828
Which is crazy that you would even have to say this. Yeah, why not? Like your friend that did yoga once in a while. Yeah, that did yoga but was doing all the other things, spending so much time and money on the biohacking. I was like, maybe we just have to earn the biohacking. Right, exactly. What do you think is the most exciting thing coming on board now for health, especially for a woman in 40 plus? Like, what are the things she should be watching for?
30
00:10:20.828 --> 00:10:38.800
Yeah, so I definitely think, you know, this AI intersection with your health data is going to transform the game in the next six months to a year for sure for most people. I also think that for women particularly is that, you know, hormone replacement therapy has now become...
31
00:10:38.800 --> 00:11:06.965
Like literally now, like physicians are finally like, it's not causing cancer. Right. You heard some talks about that today. And so now hormone replacement therapy is coming back into the mix in a big way. And thank goodness. Yes. I also think, you know, and this is the simple things like stuff you talked about, creatine, building muscle. All of these things are just they have such an outside effect. Like I love the Pareto principle. What are the 20% of the actions that we can do that give you 80% of the result?
32
00:11:06.965 --> 00:11:32.783
All that is now accepted and it's there for you to now take advantage of. And you can just super accelerate your health destiny. Right. But then, you know, obviously, like once you get into the tip of the pyramid, there's going to be more things that you can do. I do think peptides are going to transform the way we think about medicine. What are some of the ones you're seeing right now? Because it's so early and, you know, you hear the no clinical trials. I'm like, how is it going to be clinical trials on these things when...
33
00:11:32.783 --> 00:11:53.877
You know, it doesn't make any sense. It's just like when they say that with supplements. So what are the ones that you're seeing? Are you using any? Yeah, so I'm a big believer in the GLP-1s being very useful beyond weight loss. And so I think, you know, keeping metabolic health under control, inflammation under control, I think could be extremely helpful. Yeah.
1
00:00:00.031 --> 00:00:28.988
What is a digital twin? Yeah, that's a great question. So a digital twin basically first is created by having enough of your data. So we understand what is the current state of your biology. And then the second step of digital twin is programming it with the data of what happens with specific interventions, okay, to the general population. And then what we can do is now we can extrapolate what did that population data show us?
2
00:00:29.107 --> 00:00:59.009
pick out the 40-year-old women in that data set and see what happened to them. And then we can make a prediction on how would that intervention affect you in your digital twin, okay? So I can give you an example real quick. Like say there's a study out there on 5,000 women on sauna use and how that affects their HRV. And then you're like, huh, I wonder how my digital twin would be affected by HRV. And so it would go into that study, find all the women that...
3
00:00:59.009 --> 00:01:24.828
are close to you based on the data that it has and say, okay, all the women that are close to your age range, maybe they have your resting heart rate in there, sauna use for 18 minutes improve their HIV by 20%. So then we'd be like, okay, you're a digital twin. JJ is going to improve your HIV by 20%. And could you imagine that with all so many interventions, right? It's amazing. So you can just go, okay, put me on this exercise program.
4
00:01:24.828 --> 00:01:34.683
Let's see what happens. And these are the things that should happen. Yes. Yeah, that's fantastic. How close are we to being able to all have a digital twin? We're very close. I mean, it's basically...
5
00:01:35.172 --> 00:01:57.127
I think it's definitely available now to a certain degree. But I think as time goes on and we have more and more data, it's going to get more and more precise. So how on, like, just that piece of it then, someone going through menopause with all the hormones and everything else, and there's so much variation. I mean, is this something that this could actually work for?
6
00:01:57.127 --> 00:02:21.022
Absolutely. I mean, I think this is something that will be a game changer for menopause, for example. So say you're having symptoms, and you want to try a particular intervention, hot flashes, and you want to try a new medication out for hot flashes, how's it going to affect you? Like, you don't know, until you try it, or you can have your digital twin try it, and see what the data tells us. This is wild. Yeah. Wild. Like, would it be able to have a surgery?
7
00:02:21.022 --> 00:02:49.658
Would it be able to have a surgery? Yes. I mean, I think you can look at surgical data and see what were the outcomes after a particular surgery and see what your outcome would be after the surgery. Yeah. This is amazing. I'm thinking of all of this because it seems like AI is, you know, making things less human, but actually it could save you a lot of time, pain, money, being able to see if this would work for you or not. What is that? It sounds like you would know what the percentage likelihood that this would be an appropriate treatment for you. Exactly. Exactly.
8
00:02:49.658 --> 00:03:02.095
It's going to be an incredible new world that we're in in the next five years for sure. What do you see the risks with all of this? I mean, like I'm seeing all this value, but I'm sure there's on the other side, there's some other issues. What could those be?
9
00:03:02.163 --> 00:03:24.877
One of the biggest risks would probably be the people out there that fully transfer all of their medical care to an AI model. And they just say, I'm never going to see a doctor. I'm just going to do the AI, manage my health. And I think it can definitely help with the lifestyle. It can definitely help with helping you figure out what's going on with your blood work, et cetera, et cetera. But...
10
00:03:24.877 --> 00:03:42.376
that human interaction with someone that's there to figure out like how you see things, what's your overall situation, et cetera, I think, you know, is definitely needed. And so to me, the best model for healthcare is going to be a very good, empathetic,
11
00:03:42.376 --> 00:04:07.587
physician or practitioner that then uses AI to give him or her the data that they need in a way that they can really utilize it at a very high level for your care. I think when you put those two things together, you have the maximum benefit of the technology and also what humans can bring to the data. Right. Well, here's the reality. If all we needed was the data,
12
00:04:07.807 --> 00:04:33.068
then we would just be able to read a book and get all the results. And we all know that that doesn't happen, that the most important part is that accountability and implementation. I think you're still going to have that gap with those things, but it also leads me to think that the skill set of the physician is going to shift a little bit. They become more of a coach implementer. Yeah, absolutely, which I think as a physician,
13
00:04:33.068 --> 00:04:52.778
That sounds great to me. Like, I want to help people, you know, change their health journey and hold their hand through the process. Yeah. Oh, you're definitely doing that over there at Next Health. And I would love just for everybody listening, because you have this amazing company and clinics and their franchise clinics throughout the country called Next Health.
14
00:04:52.778 --> 00:05:14.024
And these are now what we do is whenever we're traveling, we know where we're going and we go jump over to Next Health to be able to get a tune up. What is Next Health? What led you to start it? And explain it for someone who is looking for that place to go, because I feel like it really gives someone a home who's looking for the perfect place to go for their health care, longevity, personalized medicine.
15
00:05:14.024 --> 00:05:30.342
For me, I've been a physician now for 30 years, and I always felt like the minute people go into a doctor's office, the first thing you want to do is get out of there, right? It's not a real place you want to be or go or hang out. I think dentists more than doctors. Yeah, maybe. Not too, right? Exactly. Exactly.
16
00:05:30.342 --> 00:05:49.647
in my own personal health journey, because that was even my feeling being a doctor, like I don't want to go to the doctor's office. I let my health slide to the point where I became very, very sick with autoimmune diseases, diabetes, high blood pressure, all the bad stuff, multiple chronic diseases. And then when I
17
00:05:49.647 --> 00:06:08.564
was trying to get healthy, I realized that I had to go to a lot of different places to get the care I needed. So what Nexcel basically did, what Nexcel does right now, is it provides all of the care that you are looking for under one roof. And what I mean by that is we focus on lifestyle, we focus on functional medicine,
18
00:06:08.564 --> 00:06:25.118
longevity medicine, all of it under one roof. So you can go and have a place to go to really feel like you're getting taken care of and you're reversing chronic disease. And it's a fun place to be. We have lots of fun stuff on site. It is a fun place to be.
19
00:06:25.118 --> 00:06:44.592
Nothing like getting an IV and a massage chair. Yeah, yeah. And hyperbaric oxygen treatments and sauna and cryotherapy. And we bring all the cool biohacking technology under one roof. And that's really because a lot of people can't afford to buy this stuff and put it in their homes. I mean, it costs hundreds of thousands of dollars. Yeah, plus you have to have the space. Exactly.
20
00:06:44.592 --> 00:07:11.103
But you also have a process that I think is important, because what I see out there in the world of biohacking is a lot of people going for those fun, sexy things, but they've missed the foundation. It feels like they missed the plot. Like, I feel that those things are great when you have the right foundation. So I'd love to have the process, because I just watched you do this talk at A4M where you showed this great progression. Yes, yes. We know, as clinicians, like,
21
00:07:11.103 --> 00:07:29.024
how this all works. Like me know that you're gonna get an outsized result by getting your foundational aspects of your health in line first. So that includes your sleep, your exercise and movement routines, and your nutrition, and your metabolic health. Like you have to start there, right? Exercise was included in that, right?
22
00:07:29.024 --> 00:07:51.755
Yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah
23
00:07:51.755 --> 00:08:10.165
And so first, we always focus on the foundations of lifestyle medicine. Then we build up from there into functional medicine. So looking at the root causes of why you could get sick, things like inflammation, poor gut health, heavy levels of toxin exposure. And we can measure for all this now. So then we want to build that level of the pyramid.
24
00:08:10.165 --> 00:08:27.985
Then the third level of the pyramid is what I call hyperpreventative medicine. So how do we make sure that you don't die from one of the top 10 causes of death? Cardiovascular disease, cancer, liver disease, kidney disease, neurodegenerative diseases, right? And so we can be extremely preventative now with the technology that we have.
25
00:08:27.985 --> 00:08:53.534
And then lastly, the tip of the pyramid is now we start adding in, once we have all that kind of solidified for you, chances are you're going to feel pretty good, right? You're going to start, you know, you're going to be the weight you want by the time you solidify all that. We're going to give you a sense of peace that you know that we've done everything we could to make sure that you're not going to die of a chronic disease and your lifestyle is great. Now we can start adding in the tip of the pyramid, which is longevity medicine, which is all these, you know, fun things. Yeah.
26
00:08:53.534 --> 00:09:22.913
stem cells and peptides. Now, stem cells and peptides and these technologies, they do have a role when you're trying to, for some illnesses, right? But I think when you do them just for like, you know, advancing your longevity, if you don't have that base of the pyramid down, they're not going to work. I tell the story of being at a party sitting next to a guy who'd gone to Mark Hyman's retreat and Dave's conference and blah, blah, blah, blah, blah, blah. And I'm like, that's amazing. What do you do for exercise? Yeah.
27
00:09:23.167 --> 00:09:29.123
What'd he do? Nothing. He goes, last week, I did some yoga for 10 minutes. I'm like, gosh.
28
00:09:29.360 --> 00:09:54.487
Buddy. Yeah. So, and it's interesting when you have that foundation, first of all, those are the least expensive interventions that make the biggest impact that then when you go to the next level up, you probably need less things and you really know how well your body's working, what really needs to be accomplished. Right. Fantastic. Yep. And the other thing I talk about with my patients all the time is like health is a habit. This is something you have to do every single day. And if you're not doing something every day, nothing else is going to work.
29
00:09:54.487 --> 00:10:20.828
Which is crazy that you would even have to say this. Yeah, why not? Like your friend that did yoga once in a while. Yeah, that did yoga but was doing all the other things, spending so much time and money on the biohacking. I was like, maybe we just have to earn the biohacking. Right, exactly. What do you think is the most exciting thing coming on board now for health, especially for a woman in 40 plus? Like, what are the things she should be watching for?
30
00:10:20.828 --> 00:10:38.800
Yeah, so I definitely think, you know, this AI intersection with your health data is going to transform the game in the next six months to a year for sure for most people. I also think that for women particularly is that, you know, hormone replacement therapy has now become...
31
00:10:38.800 --> 00:11:06.965
Like literally now, like physicians are finally like, it's not causing cancer. Right. You heard some talks about that today. And so now hormone replacement therapy is coming back into the mix in a big way. And thank goodness. Yes. I also think, you know, and this is the simple things like stuff you talked about, creatine, building muscle. All of these things are just they have such an outside effect. Like I love the Pareto principle. What are the 20% of the actions that we can do that give you 80% of the result?
32
00:11:06.965 --> 00:11:32.783
All that is now accepted and it's there for you to now take advantage of. And you can just super accelerate your health destiny. Right. But then, you know, obviously, like once you get into the tip of the pyramid, there's going to be more things that you can do. I do think peptides are going to transform the way we think about medicine. What are some of the ones you're seeing right now? Because it's so early and, you know, you hear the no clinical trials. I'm like, how is it going to be clinical trials on these things when...
33
00:11:32.783 --> 00:11:53.877
You know, it doesn't make any sense. It's just like when they say that with supplements. So what are the ones that you're seeing? Are you using any? Yeah, so I'm a big believer in the GLP-1s being very useful beyond weight loss. And so I think, you know, keeping metabolic health under control, inflammation under control, I think could be extremely helpful. Yeah.
