#488: The Hidden TRIGGERS Behind Prostate Issues: Biofilms, Early Warning Signs, and Why “Normal” Isn’t Good Enough | With Dr. Lisbeth Roy의 전체 녹취록

00:04:19.070 --> 00:04:23.453 Not only a root cause lens, but also what is it to not be well? 62 00:04:23.954 --> 00:04:24.714 What does that mean? 63 00:04:24.734 --> 00:04:26.115 How does that... 64 00:04:27.877 --> 00:04:29.978 translate into daily activity. 65 00:04:30.359 --> 00:04:33.501 And it's often little things that make such a big difference. 66 00:04:33.621 --> 00:04:37.585 And so that's a long answer to your short question. 67 00:04:38.025 --> 00:04:38.806 That's a big answer. 68 00:04:39.787 --> 00:04:40.567 That's a big answer. 69 00:04:43.530 --> 00:04:45.671 You've said that symptoms are messages. 70 00:04:46.756 --> 00:04:49.757 not problems that we need to solve or suppress. 71 00:04:50.117 --> 00:04:54.059 Where did, I'm guessing that philosophy kind of evolved out of your time with your son. 72 00:04:54.559 --> 00:04:58.501 Like, but maybe let's expand on that a little bit, like how you came to that. 73 00:04:58.541 --> 00:05:00.962 Cause you know, it's interesting as a first year medical student, 74 00:05:01.922 --> 00:05:06.463 who wasn't trained to think the way that you had to think to move through this. 75 00:05:06.603 --> 00:05:06.883 Right. 76 00:05:06.943 --> 00:05:20.026 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. 77 00:05:20.686 --> 00:05:21.846 Yeah, absolutely. 78 00:05:22.306 --> 00:05:28.027 Well, since this happened in my first year, I really challenged the convention from day one, honestly. 79 00:05:28.167 --> 00:05:29.088 And yeah. 80 00:05:29.488 --> 00:05:29.888 Yeah. 81 00:05:31.488 --> 00:05:41.653 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. 82 00:05:42.454 --> 00:05:45.155 I'm a mechanistic thinker anyway, very much. 83 00:05:45.255 --> 00:05:48.296 So if I can take it apart, I can figure out how it works. 84 00:05:48.897 --> 00:05:52.839 I have many stories throughout my life where that was the case. 85 00:05:53.059 --> 00:05:59.302 And so I did the same thing with my son and really went to biochemistry and said, okay, what could possibly be happening here? 86 00:05:59.722 --> 00:06:01.684 at a cellular level and why. 87 00:06:02.224 --> 00:06:04.586 So there's, there's what's happening at a cellular level. 88 00:06:04.646 --> 00:06:05.907 And then how did we get here? 89 00:06:06.288 --> 00:06:07.328 How did this happen? 90 00:06:07.729 --> 00:06:09.090 You know, was it a toxicity? 91 00:06:09.130 --> 00:06:10.111 Was it infection? 92 00:06:10.211 --> 00:06:11.972 Was it, what was it? 93 00:06:12.172 --> 00:06:14.915 And of course, all of those things play, play in. 94 00:06:14.995 --> 00:06:21.240 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. 95 00:06:21.720 --> 00:06:24.482 Did you ever figure out what it was or what you think it might've been? 96 00:06:25.343 --> 00:06:25.583 Yeah. 97 00:06:25.623 --> 00:06:29.645 You know, it's interesting because again, a diagnosis is really a label, right? 98 00:06:30.085 --> 00:06:36.967 The unknown mechanism is often a common thread in a conventional approach. 99 00:06:37.448 --> 00:06:51.393 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 100 00:06:52.033 --> 00:06:52.994 central nervous system. 101 00:06:53.274 --> 00:06:55.115 And so the nervous system dies. 102 00:06:55.635 --> 00:07:00.277 So you basically have very rapidly degenerating nervous system. 103 00:07:00.917 --> 00:07:04.619 And so there were only three other 104 00:07:06.117 --> 00:07:10.519 young men in the United States with that diagnosis. 105 00:07:11.340 --> 00:07:23.746 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. 106 00:07:24.066 --> 00:07:31.750 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. 107 00:07:31.770 --> 00:07:34.892 And he had been through so much at that point, it just didn't seem worth it. 108 00:07:35.392 --> 00:07:39.774 And so my question is always, okay, metabolic storage disease. 109 00:07:40.775 --> 00:07:41.815 Well, where did that come from? 110 00:07:42.115 --> 00:07:46.077 Neither his father or I had any of this in our sides of the family. 111 00:07:46.397 --> 00:07:51.219 And so we know that there can be a genetic predisposition, but there has to be a trigger. 112 00:07:51.799 --> 00:07:53.240 So what was the trigger, right? 113 00:07:53.260 --> 00:07:54.401 Was it mold? 114 00:07:54.501 --> 00:07:54.881 Was it... 115 00:07:55.721 --> 00:08:07.389 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. 116 00:08:08.149 --> 00:08:11.512 And so there's, you know, again, there's no judgment. 117 00:08:11.552 --> 00:08:19.197 There's toxins in our environment and there are toxins in vaccines as well as our homes and our food and everything else. 118 00:08:19.837 --> 00:08:25.580 And some of us are more genetically able to manage those toxins and reconcile at the end of the day. 119 00:08:25.900 --> 00:08:26.700 And some of us aren't. 120 00:08:27.140 --> 00:08:30.842 And when we're not, you know, that buildup can be a trigger. 121 00:08:31.962 --> 00:08:36.884 There's, you know, there's Lyme disease, there's Epstein-Barr, there's all kinds of viruses that play a role. 122 00:08:37.485 --> 00:08:44.828 So that started my understanding that, you know, these triggers are, are, 123

00:08:45.588 --> 00:08:58.543 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. 124 00:08:58.804 --> 00:08:59.344 Thank you. 125 00:09:02.906 --> 00:09:10.088 When I'm going through one of those phases where I want something sweet after lunch or dinner, I save my MitoPure gummies for that very moment. 126 00:09:10.848 --> 00:09:16.370 It feels like a treat, satisfies the craving, and I have absolutely zero guilt about it. 127 00:09:17.250 --> 00:09:17.931 But here's the thing. 128 00:09:18.131 --> 00:09:21.792 These gummies are doing a lot more than making my inner child happy. 129 00:09:22.512 --> 00:09:30.303 MitoPure by Timeline contains a patented form of urolithin A, a longevity nutrient that's been clinically shown to help renew aging cells. 130 00:09:30.984 --> 00:09:38.474 It works by supporting mitophagy, the process your body uses to recycle old inefficient mitochondria and create healthier cellular energy. 131 00:09:39.315 --> 00:09:40.455 What does this translate into? 132 00:09:40.816 --> 00:09:44.177 Support for muscle strength, recovery, endurance, and healthy aging. 133 00:09:45.037 --> 00:09:47.558 I also love what's not in them. 134 00:09:47.878 --> 00:09:55.101 No artificial sweeteners, no artificial colors, no artificial flavors, and not another capsule filled with fillers and excipients. 135 00:09:55.521 --> 00:10:01.124 And look, sometimes those fillers and excipients are necessary, but let's try and avoid them when we can, shall we? 136 00:10:01.505 --> 00:10:09.810 So Timeline's clinically proven formula also is now available at a new lower price, starting at $99. 137 00:10:09.950 --> 00:10:17.194 And you can still save 20% by heading over to timeline.com forward slash nat 20. 138 00:10:17.634 --> 00:10:21.957 So that sets the stage for the type of medicine that you went on to practice. 139 00:10:22.437 --> 00:10:27.921 Really, because at this stage of the game now, the audience is thinking, okay, we're going to talk about vaccines. 140 00:10:27.961 --> 00:10:35.387 We're going to talk about metabolic storage disease and not at all. 141 00:10:35.427 --> 00:10:37.169 We're talking about something quite different. 142 00:10:37.189 --> 00:10:42.353 But really, this is the foundation of the type of medicine that you went on to practice from there. 143 00:10:42.373 --> 00:10:42.633 That's right. 144 00:10:42.993 --> 00:10:48.635 So at some point you got to a focus on prostates. 145 00:10:48.995 --> 00:10:51.476 So we're sticking with boys, but we're talking about prostates. 146 00:10:51.496 --> 00:10:53.457 So when did you realize your life's work? 147 00:10:53.998 --> 00:10:57.179 First of all, when did you move over to that area? 148 00:10:57.359 --> 00:11:07.003 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. 149 00:11:07.743 --> 00:11:08.144 That's right. 150 00:11:08.224 --> 00:11:09.686 And their, their wellness in general. 151 00:11:09.746 --> 00:11:09.867 Yeah. 152 00:11:09.887 --> 00:11:11.770 You can't separate the prostate from the man. 153 00:11:12.010 --> 00:11:13.092 It's a head to toe issue. 154 00:11:13.873 --> 00:11:15.616 And so, um, great, great question. 155 00:11:15.656 --> 00:11:18.981 You know, I, I never practiced conventional medicine. 156 00:11:19.702 --> 00:11:22.306 Um, as soon as I was licensed, I, I. 157 00:11:22.967 --> 00:11:27.008 hung a shingle and started learning how to treat people. 158 00:11:27.408 --> 00:11:29.008 It's learning every day, every day. 159 00:11:30.129 --> 00:11:38.450 And so, again, I used to think that my lack of a conventional training was a liability or a weakness. 160 00:11:38.490 --> 00:11:46.972 It turned out to be an incredible strength because I look at things from a completely naive perspective. 161 00:11:47.232 --> 00:11:51.034 and yet logical lens, which is how the body works anyway. 162 00:11:51.914 --> 00:12:00.937 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. 163 00:12:01.358 --> 00:12:07.080 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. 164 00:12:07.520 --> 00:12:11.023 And how it is that we're affected is often similar. 165 00:12:11.503 --> 00:12:13.785 And so that was the beginning. 166 00:12:14.226 --> 00:12:22.733 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. 167 00:12:24.353 --> 00:12:26.034 And so I'm also an entrepreneur. 168 00:12:26.734 --> 00:12:39.720 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? 169 00:12:41.338 --> 00:12:50.482 And it became very obvious that prostate issues are a big problem where men are underserved in a very big way. 170 00:12:50.562 --> 00:12:53.423 And it's a devastating issue. 171 00:12:53.883 --> 00:13:00.146 It's connected to not only their quality of life, as you can imagine, it's connected to sexual function. 172 00:13:00.186 --> 00:13:07.189 It's connected to confidence, their ability to lead, their ability to be productive, the you know... 173 00:13:07.689 --> 00:13:11.731 Men who have these issues are often experienced shame. 174 00:13:12.792 --> 00:13:14.493 You know, there's trauma associated. 175 00:13:14.933 --> 00:13:18.455 Every level of potential is involved here. 176 00:13:18.915 --> 00:13:22.877 And so you have to come at this care from someone. 177 00:13:25.319 --> 00:13:28.022 a perspective where there's empathy, there's understanding. 178 00:13:28.502 --> 00:13:33.947 And then there's also that rolling up the sleeves and getting to work and getting this fixed because men are different from women. 179 00:13:34.207 --> 00:13:39.031 Of course, we're generalizing, but for the most part in the way that they want to approach their wellness. 180 00:13:39.972 --> 00:13:45.998 Women are often involved in men's care because men just sort of nose to the grind and push through. 181 00:13:46.658 --> 00:13:49.000 And suffer silently quite frequently. 182 00:13:49.040 --> 00:13:50.340 These are embarrassing problems. 183 00:13:50.721 --> 00:13:54.983 There's often erectile changes associated with these problems, as you can imagine. 184 00:13:55.683 --> 00:14:04.909 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. 185 00:14:05.649 --> 00:14:11.412 So I find this problem to be the right one to solve. 186 00:14:11.932 --> 00:14:26.920 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. 187 00:14:26.940 --> 00:14:30.842 Their elevated cholesterol, their hypertension, their blood sugar changes, their 188 00:14:30.982 --> 00:14:35.543 you know, their lack of energy, their hormone imbalances, all of these things are connected. 189 00:14:36.183 --> 00:14:42.185 And so it's a lot of fun to dig in and see what do we have to work with here. 190 00:14:42.725 --> 00:14:53.207 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. 191 00:14:53.247 --> 00:14:54.048 It's very rewarding. 192 00:14:54.788 --> 00:14:55.888 Yeah, that's really cool. 193 00:14:55.908 --> 00:14:59.769 Well, you know, you mentioned earlier, you're a systems person, you're an engineer at heart. 194 00:15:00.538 --> 00:15:00.879 I know. 195 00:15:01.299 --> 00:15:04.644 And engineers make the best, I find, very often. 196 00:15:04.924 --> 00:15:07.488 Because you sit there and you approach every problem like a Rubik's cube. 197 00:15:07.749 --> 00:15:12.916 And it's like, oh, well, if that didn't work, maybe this will work. 198 00:15:13.297 --> 00:15:14.739 So it's a beautiful way to be. 199 00:15:15.840 --> 00:15:21.868 So let's talk about why men might be, the aging trajectory might be not optimal right now. 200 00:15:22.008 --> 00:15:27.135 So we're talking, especially now we're hearing about low testosterone and frankly, in younger and younger men. 201 00:15:27.856 --> 00:15:33.763 We're hearing about enlarged prostates, poor sleep, which may or may not be related to the first two. 202 00:15:34.624 --> 00:15:37.426 erectile dysfunction, and just fatigue. 203 00:15:38.367 --> 00:15:48.633 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. 204 00:15:49.174 --> 00:15:51.395 So what the heck? 205 00:15:51.435 --> 00:15:58.400 When did we collectively accept that men are supposed to feel old by 50, which I think, if anything, in today's world... 206 00:15:59.913 --> 00:16:02.354 we can see over and over again, it just isn't the case. 207 00:16:03.154 --> 00:16:03.354 Right. 208 00:16:03.594 --> 00:16:04.134 Absolutely. 209 00:16:04.614 --> 00:16:04.754 Yeah. 210 00:16:04.834 --> 00:16:06.295 The symptoms tell a story. 211 00:16:06.735 --> 00:16:07.475 They really do. 212 00:16:07.495 --> 00:16:11.556 And it is like a Rubik's cube and, and you listen to the story. 213 00:16:11.696 --> 00:16:14.556 You often can understand what's, what's happening. 214 00:16:14.977 --> 00:16:21.758 And then you dig in for your objective evidence so that you can start to unwind the problem and then rebuild. 215 00:16:29.980 --> 00:16:31.641 Aging rapidly. 216 00:16:31.861 --> 00:16:32.221 Okay. 217 00:16:32.281 --> 00:16:44.947 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.