Peptide of the Week: Hair Restoration & Longevity Medicine – With Dr. Sam Borghei & Todd Padberg Peptide of the Week https://peptideoftheweekpod.com/episodes/peptide-of-the-week-hair-restoration-longevity-medicine-with-dr-sam-borghei-todd/transcript We are not doctors. The content on this site is for educational and informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Any compounds discussed may be intended for research purposes only. Use at your own risk. Amounts, timing and cycle lengths below are reported as the named speaker described them. Nothing here is a protocol to follow. --- 0:00 Speaker 2: I get so many headaches every month. It could be chronic migraine 15 or more headache days a month, each lasting 4 hours or more. Botox on a botulinum toxin A prevents headaches in adults with chronic migraine. It's not for those who have 14 or fewer headache days a month. Prescription Botox is injected by your doctor. Effects of Botox may spread hours to weeks after injection, causing serious symptoms. Alert your doctor right away as difficulty swallowing, speaking, breathing, eye problems, or muscle weakness can be signs of a life threatening condition. Patients with these conditions before injection are at highest risk. Side effects may include allergic reactions, neck and injection site pain, fatigue, and headache. Allergic reactions can include rash, welts, asthma symptoms, and dizziness. Don't receive Botox if there's a skin infection. Tell your doctor your medical history, muscle or nerve conditions, including ALS Lou Gehrig's disease, Myasthenia gravis or Lambert Eaton syndrome, and medications, including botulinum toxins, as these may increase the risk of serious side effects. Why wait? Ask your doctor. Visit botoxchronicmigraine.com 0:56 Speaker 1: or call one-eight hundred-44Botox 0:59 Speaker 1: to learn more. 1:02 Speaker 3: Late night bites with friends, 1:04 Speaker 3: already hard to beat. 1:06 Speaker 3: That 1st too hot bite of fries you couldn't wait for, followed by ice cold Pepsi. 1:11 Speaker 3: Now that hits different. Suddenly, 1:13 Speaker 3: the energy kicks back in, the night goes longer, and the laughs don't stop because Pepsi brings out more flavor, more fun, and more of the moment. Food deserves Pepsi. Grab a Pepsi 0 Sugar today. 1:36 Speaker 4: Welcome back to the Peptide of the Week podcast. 1:39 Speaker 4: I am your host JD Denham and not across the way from me for the 1st time sitting right next to me today. Actually, you've sat next to me a few times back today. 1st started. Though. We 1st started. My good friend and cohost, mister William T. Haas. What's up, man? It's good to be here. I'm like floating also against this back the black background with a black shirt. Yep. We got a lot of people in this room right now. It's a little hot. We gotta turn the AC off, so that's part of the game. But we got 2 gentlemen sitting across the way, 2:09 Speaker 4: Doctor. Sam, who is a 20 2:12 Speaker 4: year 2:13 Speaker 4: ER doctor. He 2:15 Speaker 4: has seen some stuff, so we wanna dig into that. That's gonna be a good conversation, 2:19 Speaker 4: but he's transitioning 2:21 Speaker 4: to 2:22 Speaker 4: hair restoration. He's the owner of My HairMD. Right next to him is the general manager of HairMD, 2:28 Speaker 4: who is Todd 2:30 Speaker 2: Padberg. Welcome guys. Nice. Thank you. You. Thank you. 2:33 Speaker 4: Is 2:34 Speaker 4: my introduction, 2:36 Speaker 4: but in your own words, 2:37 Speaker 5: who are you? Tell us a little bit about you. All right. Well, my name is Sam Borge. I'm a physician. 2:44 Speaker 5: I've 2:45 Speaker 5: trained in emergency medicine. 2:47 Speaker 5: I practiced emergency medicine for over 20 years, 2:51 Speaker 5: believe it or not. And 2:54 Speaker 5: recently, in the last few years, kind of had some life changes, got married, had 2:58 Speaker 5: twins, and kind of 3:01 Speaker 5: needed to change pace a little bit. So I've 3:04 Speaker 5: kind of 3:05 Speaker 5: shifted gears and got into 3:08 Speaker 5: hair transplant and been doing hair transplant surgery for the last few years and 3:13 Speaker 5: kind of 3:15 Speaker 5: been shifting the way I treat patients, I think. 3:20 Speaker 5: It's been it's So, been an interesting transition. 3:23 Speaker 2: And you're good at it. It's nice to 3:26 Speaker 2: you, I had the hair transplant by you. And 3:29 Speaker 2: I think it's and it's looked it looks incredible, and everybody tells me that. Like, damn, why does it look so good? Because I didn't go to Turkey and do it like everybody else. But 3:39 Speaker 2: you being a ER doc, which means you're doing surgery and have to have good hands, like, damn, that the hair transplant is a labor intensive process. It still blows my mind that you couldn't do it. My big ass dumb hands would like, 3:51 Speaker 2: would mess something up for sure. So, 3:55 Speaker 5: skills translate. Yeah, I mean, it's 3:58 Speaker 5: a different type of a surgery, you know, the kind of surgical procedure that I've been used to are 4:04 Speaker 5: things that have to happen immediately and generally not 4:10 Speaker 5: always something that you can 4:12 Speaker 5: kinda take time to 4:14 Speaker 2: do. Let's go. Yeah. Let's go. So Yeah. Was last. But it's 4:19 Speaker 5: kind of a 4:21 Speaker 4: much more relaxing process actually doing it. Yeah. Let's put it that way. You said though that it's time something's happened in your life and it's time to kind of change the pace. Now, is that coming from you? Is that coming from your bride? That's a good question. Yeah, man. I think 4:37 Speaker 5: I'm married. Both sides. We all are. Both sides are involved in that decision, I think. Yeah. But honestly, 4:43 Speaker 5: I think yeah, having twins, 4:45 Speaker 5: having children really changes your perspective. 4:47 Speaker 5: Yeah. You know, when I was young and younger and and single, it, you know, 4:53 Speaker 5: kind of I'd 4:55 Speaker 5: love that adrenaline rush of working in an ER. I still do, actually. 4:59 Speaker 5: But, you know, this is a different type of a rush, 5:03 Speaker 5: being able to take care of your family and spend time with your kids and watching them grow. And so think that really 5:11 Speaker 5: was the driving factor in all of this. And, yeah, my wife likes it too. I'm working less nights. I'm not working on the weekends and yeah. So But you still are working hard. Like, you just came here. You've been at work for 24 hours. That's true. I yeah. I've been working 24 hours. You drove straight here. Right? I mean- You're used to it. I 5:31 Speaker 5: do like working. 5:32 Speaker 5: I'm not afraid to work, but 5:35 Speaker 5: I'm changing the focus a little bit here. So 5:39 Speaker 4: let's talk a little bit about the ER because that's, 5:42 Speaker 4: is that 20 years? That's a very long time for any career. 5:46 Speaker 4: 20 years in an ER with what you see on a daily basis, which for most of us, we wouldn't want to see it for a day. 5:54 Speaker 4: Talked a little bit off camera about it affecting your psyche for 1 and 2, 5:58 Speaker 4: cortisol, 5:59 Speaker 4: things like that of just stress levels. So 6:02 Speaker 4: do you feel that 1, 6:06 Speaker 4: is 20 years on average or is that like longer than normal? 6:10 Speaker 4: Would imagine that would be a hard career to stay in for a long time. 6:14 Speaker 5: Those of us that do emergency medicine 6:17 Speaker 5: tend to burn out more than some of the other fields of medicine. 6:21 Speaker 5: Stress 6:22 Speaker 5: levels are high and basically, 6:25 Speaker 5: you you're running for the 8 hour shifts, 12 hour shifts, and 6:29 Speaker 5: medicine 6:32 Speaker 5: has sort of changed in those 20 years in a lot of ways. 6:36 Speaker 5: We we are seeing more patients. We are dealing with 6:41 Speaker 5: high acuity sick patients all the time. So, you know, and and you really have to be 6:47 Speaker 5: on point. 6:48 Speaker 5: Like, you have to be on top of your game. You cannot 6:51 Speaker 5: make mistakes. Life or death? Yeah. It's life or death. And and, you know, the 6:57 Speaker 5: that's those are those are high stakes. So it it does take a toll on you. 7:02 Speaker 5: You know, we are professionals when we are at work. Yeah, you're in the zone. We're in the zone. We're taking care of patients. 7:10 Speaker 5: You know, you don't let things 7:12 Speaker 5: that may not go as planned with 1 patient affect how you take care of them. Yeah, you stay emotionally detached from it. You have to. Yeah, you have to. You do. Right. You can't do this job otherwise. 7:21 Speaker 4: No. Is it, is it 7:24 Speaker 2: I don't know if this is gonna like be the right way to 7:26 Speaker 4: articulate this question, but 7:29 Speaker 4: like snipers, for example, are a certain breed. They're cut from a certain cloth. Is an ER doctor cut from a certain cloth? 7:36 Speaker 4: That's 1 of when you were in med school, 7:38 Speaker 4: that's what you chose. That's right. You're talking about like high pace. Like we've all been in an ER, like, holy shit. Woah. 7:44 Speaker 4: You deal with that every day, day in, day out, probably days at a time. 7:49 Speaker 5: Is it a certain cloth that you you all are Yeah. Think? I think I think I think there definitely is a certain type of personality that can thrive 7:57 Speaker 5: in 7:58 Speaker 5: that chaotic setting. 8:01 Speaker 5: Know, it's kind of an interesting thing when you go through med school, 8:05 Speaker 5: you're basically 8:06 Speaker 5: going to classes for 4 years with the same people. You get to know some of your classmates. 8:11 Speaker 5: And then at the end of med school, when everybody chose their specialties and sort of settled where they wanted to be, 8:18 Speaker 5: you kind of think yourself, oh, that makes sense. That's the kind of person that would do 8:23 Speaker 5: that kind of a specialty. The 8:27 Speaker 5: students that end up doing emergency medicine, 8:30 Speaker 5: tend to be kind of more social. We get along with people. Can communicate in general pretty 8:37 Speaker 5: well with all types of people, and that's something that we have to do on a day to day basis. 8:42 Speaker 5: I mean, I always say the ER is a great equalizer. 8:45 Speaker 5: You could be 8:47 Speaker 5: a homeless patient 8:49 Speaker 5: that's that's abusing drugs right next to the CEO Yeah. Of the Fortune 500 company Right. Yeah. Jason Gertes. And 8:56 Speaker 5: you 8:57 Speaker 5: have a few minutes to extract information 9:00 Speaker 5: from both patients. 9:03 Speaker 5: And it's important to be able to kind of establish that rapport with the patient in a very short time so I can get the information I need to best treat 9:11 Speaker 5: that patient. So, yeah. What about temperament? 9:15 Speaker 2: I mean, that's interesting. What's the personality traits? Like, my guess is that 9:19 Speaker 2: everybody who is super calm and laid back and not a is the 1 who does well in the yard. I I think you're right. You 9:26 Speaker 5: definitely have to roll with punches, 9:29 Speaker 5: and you can't really get too stressed out in in these situations because Right. Well, the patient's sensitive when you're like that. Oh, yeah. Yeah. Sure. Yeah. Yeah. And I mean, the nursing staff senses it. I mean, even even amongst emergency physicians, there's a little bit of varying temperament, but in general, yeah, we are more laid back. We can deal with the stress and we 9:50 Speaker 2: handle it a lot better than some of the other Yeah. Types of doctors out there. Does does every doctor have to start or at least do their internship or I know that I forget the word, but you'd know it, in an ER? 10:02 Speaker 2: Is that like the always the starting point? No, not necessary. Do you have to do any type of training like mandatory in an ER? So 10:10 Speaker 5: when you're in medical school, 10:12 Speaker 5: take the 1st couple years, it's basically book time. Okay. You're just, you're just learning and you take boards, 10:20 Speaker 5: which is, you know, USMLEs, 10:22 Speaker 5: which is a standardized test all across the board, and then you start the last 2 years rotations where you're actually working clinically. So you're no longer in that kind of school setting. You're out there. And some 10:34 Speaker 5: of those rotations 10:36 Speaker 5: may include emergency medicine. When 10:39 Speaker 5: I was in medical school, it wasn't a mandatory 10:43 Speaker 5: rotation, but, you know, you learn a lot about yourself as you do those rotations. You know, you do you kind of ask yourself, can I do this 10:52 Speaker 5: for the rest of my career? Can I can I work in this type of aesthetic? Is this something that's gonna make me happy? 10:59 Speaker 5: I think that helps differentiate 11:02 Speaker 2: kind of pathways for for students. It kinda strikes me as, because he's right. All these questions, that is absolutely true. It seems like that's a rough job for 20 years, and there's a way easier way to do it. Right? 11:12 Speaker 2: No. To Easy just be a family- 11:14 Speaker 2: It is rough for me. Family doctor. Yeah, it's satisfying. But satisfying. For 11:19 Speaker 5: the type of docs 11:21 Speaker 5: that we are. Same life? Yeah. Yeah. I mean, yes. It's good know. It doesn't always go, you know, like that. You know? For sure. You deal with things 11:29 Speaker 5: that don't work out the way you intend. And you always you're playing with fire all the time. Somebody's gonna get burst, you know, occasionally, and that's just 11:38 Speaker 4: an unfortunate part of doing the job. But, yeah, it is very fulfilling when it goes well. But do you I don't know if he answered it. If he did, I'm sorry, but I wanna ask it again because I'm curious. So is 20 years a general, or is that a long time? I would imagine most people fizzle out within what, maybe 10 most? Or do some of the practice? I yeah, 11:58 Speaker 5: I think I think emergency physicians, they 12:02 Speaker 5: they do branch out, but 20 years, yeah, it's a long time. I'm not sure, like, what the true average is, how many, like, how many people last that long, but 12:12 Speaker 5: people try 12:13 Speaker 5: to do it for 20 plus years. I mean, there's people out there that are doing it for 30 years, 35 years before they before they yeah. Yeah. 12:21 Speaker 5: Love 12:22 Speaker 5: it. I mean, I do love it. I really do. 12:25 Speaker 5: But it's 12:27 Speaker 5: difficult to do that 12:29 Speaker 5: and do it forever, and it's difficult to do it while 12:33 Speaker 5: giving the appropriate focus to family, 12:37 Speaker 5: you know. So it's, 12:39 Speaker 5: I think it's okay to sort of branch out and kind of 12:43 Speaker 5: do different things. Yeah. But, yeah, I do love it. And a lot of the ER docs I know, do love it. Trying something different, evolving. I mean, they were supposed to. Evolving. Exactly. Right? I 12:52 Speaker 4: do you feel you said that 12:55 Speaker 4: medicine 12:56 Speaker 4: has changed in those 20 years. What do you what like, kinda break that down a little bit. That's kind of intriguing. What did you mean? Yeah. 13:04 Speaker 5: There's 13:05 Speaker 5: been a lot of changes even from the time that I started. I mean, I think 1 of the things when you're 13:11 Speaker 5: training, you're working in an academic center often, and 13:15 Speaker 5: the focus is really taking care of patients. The economics of medicine is less of a factor. 13:21 Speaker 5: When 13:22 Speaker 5: you graduate and you're 13:24 Speaker 5: finished training, you're working out in a private hospital, 13:28 Speaker 5: there are different 13:29 Speaker 5: motivating factors and there are different forces that 13:33 Speaker 5: can sometimes influence 13:36 Speaker 5: from more 13:38 Speaker 5: powerful positions. So, yeah, 13:41 Speaker 5: I think that changes 13:44 Speaker 5: things a little bit, and I think that 13:46 Speaker 5: the economics of medicine has definitely changed 13:51 Speaker 5: in the last 20 years. 13:53 Speaker 2: I Let's get back to you, Todd. We want you to make your introduction of yourself. 13:58 Speaker 6: Before we get lost and forget about it. Yeah, that's all good, man. It's all good. So I've been in this business for 15 years. I'm the general manager here. I basically consider myself the utility man. I do everything. I can assist her in surgery, 14:12 Speaker 6: the equipment breaks, I can fix the equipment. I do the consultations, 14:15 Speaker 6: help with marketing, you name it. So 14:18 Speaker 2: do it all. And you did, 14:20 Speaker 6: when I went in there, you were the artistic 1, right? Correct. Yep. It helped us. If I ever heard of mine. Yep. Yep. We do it together, but I get it started. Yes. Keep it nice and natural looking. Yes. Yeah. And by the way, your hair is looking great. So 14:33 Speaker 6: everybody understands this. It's only 4 months. 14:36 Speaker 6: Yeah. So you're still in the infancy of it. It's just gonna keep getting better and better and better. Yeah. Well, thank you. That's exciting. Yeah. No. It looks great. And Blake, when you just you guys, you know, I went in there and 14:48 Speaker 2: you took a Sharpie to my head, right? Yep. And said, okay, here's this is how we're gonna make your hairline. And you said, you don't want 14:55 Speaker 2: each peak to be the same exact 14:58 Speaker 2: distance away, right? Because you walk in a room- You can draw his attention to it. Yep. And 15:03 Speaker 2: I thought it was really interesting, I guess, 1 was to 15:06 Speaker 2: make sure that we put some hair on the sides because that's what 15:10 Speaker 2: frames a person's face. Correct. And if you have no hair there, 15:14 Speaker 2: you got no frame. And now we just kind of look strange with some hair on the top. A little hair hat. But also you guys, when you drew it, it was a jagged line. Right? Correct. Up and down and up and down. Yep. 15:25 Speaker 6: And uneven on purpose. Right. And that's how it grows naturally. Right? So when you push it back, it's not a straight line. Right? You can't tell you had a hair transplant. Right. Whereas the opposite end goal. Right? In other countries, they may not do that or care. No. Yeah, you can just see in their advertising, not doing it, especially in Turkey. I'm 15:44 Speaker 6: not saying they don't do good work. They do, the hair grows, but it's not as natural looking. And 15:50 Speaker 2: also, 15:52 Speaker 2: so that okay. Explain to me this too. When you guys created the actual hairline, you 15:58 Speaker 6: told me that there were specific hairs that you implanted there. That's correct. Tell me about that. Remind me. Along the very front of the hairline, we actually use single hairs. Okay? For most of you, if you don't understand, a hair graft has 1 to 4 hairs in it. And if you stick 1 in the front that has 4 in it, you can see it a mile away, especially for guys like you and I with very soft hairs. That means 1 follicle, 16:19 Speaker 6: 4 hairs grow out of it. Right? That's the average thing. So is that average? I'm not what's the average 16:25 Speaker 6: hair? About 2.5 16:26 Speaker 6: per graft. That's right. So you and I have a lot of ones and twos. I can just tell by looking at have fine hair. Right? He has a lot of threes and fours wise. Hairset aren't thick. Lucky bastard. Right? 16:37 Speaker 6: Okay. Yep. So, anyway, we 16:40 Speaker 6: they have a petri dish that and then the quadrants. Right? It has ones, twos, threes, and fours. That way, know where to place them, but we always put little singles in the very front to keep it soft and natural looking. 16:50 Speaker 6: And in fact, too, we try to pull those hairs from the side because they're even softer than the hairs from the back. Nope. There's a lot of artistry involved in this. Put. 16:58 Speaker 2: The hair so it is pointing the right way as opposed to pointing like this way? Yeah. So when when you're making incisions to kind of create 17:06 Speaker 5: the outline Yeah. For where these grafts are gonna go, 17:10 Speaker 5: it's the angle is very important. The sort of the balance is very important, 17:16 Speaker 5: you know, and so 17:18 Speaker 5: you you you make everything 17:20 Speaker 5: to give you that natural look. That's kind of 17:23 Speaker 5: that takes time and it takes you know, you sort of have to be spatially oriented and kind of look at a big canvas and 17:31 Speaker 5: plot things out 17:33 Speaker 5: spread it evenly and give it 17:36 Speaker 2: balance. And that's important. Know, just like everything else in the medical and surgeries, like usually, well, in this whole world, everything is automated. 17:44 Speaker 2: Is there an automated hair transplant 17:47 Speaker 2: program? Is there 17:49 Speaker 2: a way to do that without humans? And I don't even know if it's possible. Sure, sounds like it's probably not a good idea. Yes, it's not So there are machines that Yes, are more 17:59 Speaker 2: we 18:00 Speaker 6: don't have it, but my understanding is a lot of the times the physician has to go back in and do a lot of the extraction and do a lot of the site making 18:07 Speaker 6: on top of the machine doing it to keep it looking natural. The human hand has to be involved. 18:12 Speaker 6: Seriously, that's what we found. I think also, 18:15 Speaker 5: know, there's definitely an art to it, but 18:18 Speaker 5: the feel of when you're doing the procedure, like, the machine can't always sense, like, how deep things have to go when the certain give 18:26 Speaker 5: in the needle occurs. 18:28 Speaker 5: And, you know, if you 18:30 Speaker 5: you go too deep, you can start injuring some of the blood vessels underneath and 18:36 Speaker 5: that will affect the 18:38 Speaker 5: quality of the transplant. So, these sort of things you pick up when you do 18:43 Speaker 2: the procedure and you kind of get that feel for it. Because I could hear it all. Mean, like as your I couldn't feel it, I think, because you guys numbed me up appropriately, but you can hear in your own ears 18:53 Speaker 2: the puncture going cutting through the skin. It's like a little crunch. Yeah, it's a little crunch and you have no way to stop. You can't just chisel it and make 19:04 Speaker 5: 1, right? The machine tends to 19:07 Speaker 2: Right, right. So I guess give us, so we are here, 19:11 Speaker 2: everybody, I've got my hair transplant and this podcast is about talking about peptides and 19:18 Speaker 2: getting, I don't know, getting healthy, everybody getting healthy, happy, living your life better, doing anything that makes us, if you look better, you feel better, you better, you play better. 19:27 Speaker 2: We're talking a little bit about this and this is what you guys do. Give us a quick or tell us how it goes. I'm a new patient, from start to finish, kind of how a hair transplant goes. 19:37 Speaker 2: We just talked about a little bit of it, but I don't know. Share the mic somehow. It's a process. I mean, you know, 19:44 Speaker 5: whole procedure itself will take somewhere between 6 to 8 hours, depending on how many grafts we're working on. So, if you take 3,000 19:54 Speaker 5: grafts and you're trying to transplant them from 19:57 Speaker 5: the area in the back of the head, which is the donor zone, 20:00 Speaker 5: the safe zone where 20:02 Speaker 5: some of the hormones, the DHT that can negatively affect the hair on the 20:08 Speaker 5: kind of the mid scalp, the frontal scalp, 20:11 Speaker 5: the crown, 20:13 Speaker 5: it doesn't have as much of an effect on the hairs in the back. Really? So that's why we take hairs from that area, but you essentially have to remove 20:21 Speaker 5: 3000 hairs. Geez. Make 3,000 20:24 Speaker 5: sides 20:25 Speaker 5: and then Replace them. Place 3,000. 20:27 Speaker 2: And we say reminisce. It's not plucking hairs. It's literally cutting out the entire circular It's 20:32 Speaker 2: very all same. 20:34 Speaker 2: Teenage. 20:35 Speaker 2: And you put it in 4 different 20:37 Speaker 6: compartments in the petri dish? Yeah, that way they can understand we got ones, twos, threes, and fours. Yeah, you wanna make sure you don't put any of those heavy ones up in the front because you can see them a mile away. Wow, interesting. 20:47 Speaker 5: It's a lot of it has to do with kind of the optical illusion. Right? Yeah. The artistry of it, you take 20:54 Speaker 5: some of the grafts, the the grafts that have 3 or 4 hairs, you basically get more coverage if you put those in the thinner areas in the back. And it's not as, 21:04 Speaker 5: you know, aesthetically important, 21:06 Speaker 5: but what you want is some density back there. And that's kind of what helps because you have a very limited you have a limited number of grafts that you can work with. And that number is what? I know we did something like 3,000 or something like that. Yeah. So, 21:19 Speaker 5: mean, 10 maybe. Yeah, it depends on on everybody's a little different, but it's somewhere between 21:26 Speaker 1: 6 to 10 thou I get so many headaches every month. It could be chronic migraine 15 or more headache days a month, each lasting 4 hours or more. Botox, Autobotulinum 21:36 Speaker 2: Toxin A, prevents headaches in adults with chronic migraine. It's not for those who have 14 or fewer headache days a month. Prescription Botox is injected by your doctor. Effects of Botox may spread hours to weeks after injection, causing serious symptoms. Alert your doctor right away as difficulty swallowing, speaking, breathing, eye problems, or muscle weakness can be signs of a life threatening condition. Patients with these conditions before injection are at highest risk. Side effects may include allergic reactions, neck and injection site pain, fatigue, and headache. Allergic reactions can include rash, welts, asthma symptoms, and dizziness. Don't receive Botox if there's a skin infection. Tell your doctor your medical history, muscle or nerve conditions, including ALS Lou Gehrig's disease, myasthenia 22:13 Speaker 2: gravis or Lambert Eaton syndrome, and medications, including botulinum toxins, as these may increase the risk of serious side effects. 22:20 Speaker 1: Why wait? Ask your doctor. Visit botoxchronicmigraine.com 22:24 Speaker 1: or call one-eight hundred-44Botox 22:26 Speaker 1: to learn more. 22:29 Speaker 3: The perfect lunch combo. 22:31 Speaker 3: That 1st bite of your favorite sub, followed by ice cold Pepsi. Add a couple of friends, and now that's next level. Suddenly, the laughs get louder, the stories keep flowing, and the food tastes better because Pepsi brings out more flavor, more fun, and more of the moment. 22:47 Speaker 3: Food deserves Pepsi. Grab a Pepsi 0 Sugar today. 22:52 Speaker 5: Possible 22:53 Speaker 2: grafts in the donor zone. Right. And that's why you can you can't obviously take all of them out because then you'll be bald in the back. And those will never be, those are not growing back. There is You're the follicle out. You're taking the whole follicle out. There is no recovery time. I was actually, I had it in my brain like, alright, I gotta wait, you know, 6 months and then those will replenish themselves back here. Yeah, they don't grow back, but 23:15 Speaker 5: certain treatments may help 23:17 Speaker 5: some of the follicles that don't have healthy hairs or are in a bad sort of part of the 23:25 Speaker 5: hair growth process, 23:27 Speaker 5: kind of convert them back into the healthier part of the process or, you know, and those 23:34 Speaker 5: hairs that are miniaturized 23:35 Speaker 5: may improve. So, 23:37 Speaker 5: you may get improvement in your donor, 23:41 Speaker 2: but you not get new follicles. They don't regenerate. Oh, yeah. Didn't know that. But so some people can be like halfway bald. They do it bad. 23:49 Speaker 6: Yeah. It looks like- You harvest. Yeah. You can see- Right. During the look scalped. 23:55 Speaker 6: When we're doing- Yeah. 23:57 Speaker 6: That's why when we do the FUE, we spread it over such a large area. Yeah. Because if you do too many too close together, you'll be able to see through your hair. It looks patchy. Yeah. Yeah. Yeah. So you've done it for 15 years, you said? Yes, sir. Yep. In the 15 years, has the process changed? 24:12 Speaker 6: Oh, it'll be pretty much been this way for It's similar. Some of the tools have changed. The artistry has definitely changed depending on where you are. 24:19 Speaker 6: I'm pretty anal about that stuff. It's, you know, my name's on it, so I wanna make sure that it looks very natural. Like, we've taken into consideration the age appropriate hairlines, etcetera. Yeah. Guys want these straight hairlines across the front. We're not gonna do that. Yeah. African American, yes, we'll do that or maybe Hispanic because they like to line it up nice and straight. 24:37 Speaker 6: But for a white boy like yourself, I'm not gonna do that. Yeah. Like, I'll argue in circles with these guys. They're like, oh, they're rounded off. No. Rounded hairlines are for females. That's right. Yeah. There's male hairlines and female hairlines. Now they draw this smile. 24:50 Speaker 4: We're not doing that. Sorry. Has there been a difference in like So in the last 15 years, has there been a difference in 24:56 Speaker 4: what you've seen come in like more men losing their hair maybe because diet or lack of nutrition or overweight. 25:03 Speaker 6: Plethora of stuff that we deal with. Would say it's the same, to be honest. I haven't really noticed much difference. We 25:10 Speaker 6: are getting a lot more patients coming in now that are concerned about eyebrows and we do facial hair as well, Right? So, 25:17 Speaker 2: yeah. Wow. 25:19 Speaker 5: See, that- So, I think 25:22 Speaker 5: people are attaching 25:25 Speaker 5: some of the emotions, 25:26 Speaker 5: that feeling 25:27 Speaker 5: good about yourself. 25:29 Speaker 5: They're they're more inclined to do that probably now than they have been in the past. And I think especially, like, men. I mean, you know, women, 25:37 Speaker 5: it's kind of have been Yeah. It's changed. More open to it. Right? But but men are becoming more open to to it because not only I mean, you look better, you feel better. And that's that's an important part of it. Having improved 25:49 Speaker 5: morale helps you in a lot of components of your life. That confidence will this a bit in regards to The stigma. Botox. Yeah. Maternity Botox, 25:57 Speaker 2: facials. Sure. Most people do like Yeah. The stigma of all of these- Yeah. 26:03 Speaker 4: Wasn't okay. It wasn't manly before. Yeah. Yeah. Where it's okay, you can age well. Yeah, you can age well. You can age well, you look good. You're losing your hair. I mean, I'm just gonna wear a hat. 26:14 Speaker 2: Well, 26:15 Speaker 2: rather have the hair transplant than anything with a dentist, but I would like to go under general anesthesia for my next dental- Especially the root canal. 26:23 Speaker 2: Just, when I was a little kid, they forgot to, they were giving me a filling and they, so that jagged needle that they put into well, they usually put the topical anesthetic on you 1st. They neglected 26:34 Speaker 2: that step, 26:35 Speaker 2: and I could just and I was little kid, I didn't wanna say anything. I knew it was coming. I was like, yep. But, well, 26:40 Speaker 2: oh my god. I can still just feel it in my bones. That 26:44 Speaker 5: hurt really bad. So I'm always Oh, there's different, yeah, there are different ways to do local anesthesia. I mean, sometimes they're doing nerve blocks. So you basically just do 1 injection, 26:52 Speaker 5: try to anesthesize the whole nerve, which may take out a part of the jaw or, I mean, a part of the scalp. Like, we can do nerve blocks as well to kinda make it a little bit easier. And I yeah. And, like, to be fair, I remember 27:06 Speaker 2: so I'm a big guy. I metabolize things very fast. I also, 27:10 Speaker 2: as we all know, it was sober because I had a drug problem. So I've 27:15 Speaker 2: my body is used to narcotics and 27:18 Speaker 2: and make meds, and I swear I get I flush them quick and I build tolerance 27:22 Speaker 2: real fast. I had my, was playing basketball several years ago and had my, I got an elbow to my 27:27 Speaker 2: lip and it was cutting like in 0.5, like down to down to the skin, right? And I went to the ER and they gave me a little injection, 27:35 Speaker 2: said, I'll be back in 15 minutes, tell me it'll be numb. 27:38 Speaker 2: Like, the doc had to come back 4 times. Yeah. I'm like, nope, still feel it. Another 1, still feel it. And then at the end of my, dude, it's just not gonna just do the stitches. They're definitely Feel everything. It's okay. 27:49 Speaker 2: Varying degrees metabolizing. 27:51 Speaker 6: Yeah, he knows that. Patients patients are different. So- I think when you work out and you're in shape, it makes a difference too. He knows I burned through it quick too. Towards the end, I'm like, feel that a little bit. I mean, it's not brutal. 28:04 Speaker 2: It's always at the end of the day, same thing- It is. It 28:08 Speaker 2: more. It doesn't hurt more. You just put color in at the end of the day. At the very end of the When you're just beat up and fragile, and that's why it hurts so much. And 28:20 Speaker 2: then, 28:21 Speaker 2: so I don't know, tell us about what are you guys doing about recovery? Like about 28:24 Speaker 2: do we either have a transplant? 28:26 Speaker 2: And then how do you help or advise? 28:30 Speaker 2: I know me personally and not from necessarily 28:33 Speaker 2: your 28:34 Speaker 2: medical advice, but I take peptides because I like them and I take them for all healing me everywhere else. And so I did, hell, I use words like GHK- shampoo 28:45 Speaker 2: after every day and still do. 28:47 Speaker 2: And I did, you know, BPC and TB, not directly like injecting into my head, but, 28:53 Speaker 2: and I have healed fast and apparently you're supposed to lose your hair too. 28:57 Speaker 2: And so I don't know if it's the peptides 29:00 Speaker 2: that has made it grow back so well and not ever like- Is that common? Falling out, but is that common or what you guys do for follicles? So, 29:06 Speaker 5: yeah, everybody's different. It's difficult 29:09 Speaker 5: to tell, you know, because there 29:11 Speaker 5: isn't great 29:13 Speaker 5: data, however, but, you know, there's definitely some potential 29:18 Speaker 5: likely in some of the peptides. We know that copper tends 29:22 Speaker 5: to help 29:23 Speaker 5: with collagen production, can help 29:26 Speaker 5: certain situations 29:28 Speaker 5: with some of that regeneration, 29:31 Speaker 5: stabilizing 29:34 Speaker 5: collagen itself, the scalp, 29:37 Speaker 5: BPC-157:TB-500probably, 29:41 Speaker 5: you know, with the angiogenesis 29:43 Speaker 5: helping with some of the blood flow. 29:46 Speaker 5: Know, those 29:48 Speaker 5: are good things when you're talking about recovery. 29:51 Speaker 2: I know you're not allowed to write, tell based on because of your You did not tell me to take these things, right? I know I'm asking you not that questions because you're not allowed to answer on air, but still. So, 30:02 Speaker 2: what do you guys do for follow-up treatments 30:05 Speaker 2: to help people with the full restoration process? Yeah, 30:09 Speaker 5: we're a full hair restoration clinic. You know, our bread and butter is hair transplant, but there are 30:15 Speaker 5: many different ways 30:17 Speaker 5: to kind of help with hair restoration. So, you know, some of the treatments that we offer, you know, with regards to 30:25 Speaker 5: PRP you can do 30:27 Speaker 5: that 30:27 Speaker 5: kind of helps with growth factors in the scalp, may help those follicles sort of 30:34 Speaker 5: wake up a little bit and kind of go into that healthy 30:38 Speaker 5: growth phase of the hair cycle. 30:42 Speaker 5: Some of the newer regenerative techniques 30:45 Speaker 5: we offer, 30:46 Speaker 5: laser 30:48 Speaker 5: light 30:49 Speaker 2: can help Yeah, so as 30:51 Speaker 2: we do more than just hair transplant. So I think there are options for people. What about medication? So I actually, because so like I probably lost some of my hair because I was doing testosterone. Yeah. 31:04 Speaker 2: Testosterone converts into estrogen. 31:07 Speaker 2: Yes, rapidly and readily, 31:09 Speaker 2: but also DHT. DHT, yeah. DHT 31:13 Speaker 2: closes up your pores. So 31:15 Speaker 2: I took 31:19 Speaker 2: dutasteride 31:20 Speaker 2: and 31:21 Speaker 2: what was the other? Minoxidil. 31:23 Speaker 6: That's the same 1 too. Yep. 31:25 Speaker 2: Why is that? Why would I take that? Why did I take that? You're taking it to block the conversion of DHT, 31:31 Speaker 6: basically from testosterone to DHT. DHT miniaturizes 31:34 Speaker 6: the hair follicles and then eventually won't come back. So this helps block the miniaturization. 31:38 Speaker 2: That's right. And what does minoxidil do? Minoxidil will help with vasodilation 31:43 Speaker 5: and some extra That blood 31:45 Speaker 5: also is helpful for the follicles. 31:48 Speaker 5: It takes some time for those medicines to really fully work. And 31:53 Speaker 5: a lot of times it's 31:55 Speaker 5: important to concomitantly do the medication 31:58 Speaker 5: after transplant. It gives you a better chance to have a 32:02 Speaker 2: successful transplant. Is Benoxidil like a weak form of Viagra or something? 32:08 Speaker 5: Yeah, no. Not necessarily. 32:11 Speaker 2: Why? Are you getting a good effect? No. 32:13 Speaker 2: Viagra is a 32:16 Speaker 2: vasodilator. 32:17 Speaker 2: It just helps blood flow. Yep. Your body wants to push blood somewhere. It opens 32:23 Speaker 5: it up to push blood. Yeah. Through nitric oxide, it'll help with blood flow vasodilator. Yeah. It it works a bit differently. I mean, as far as 32:32 Speaker 5: I guess, 32:34 Speaker 5: they're both vasodilators in certain places, but yeah, they work That's 32:38 Speaker 5: your connection. 32:39 Speaker 5: Mechanisms are different. 32:41 Speaker 2: Are we going talk about cost? 32:43 Speaker 6: What does it cost? We going talk Sure. About Yeah. So we average about $3 per graft basically. So normally FUE is $3.50 a graft and then FUT, which is the strip method, the older method is $3 per graft. It's great. It's real easy pricing 32:57 Speaker 6: based on graft numbers. Everything's included. All the medications included, you don't have to go pick it up at the pharmacy. 33:03 Speaker 6: There's no tax. People don't realize that a lot of times on medical procedures. 33:07 Speaker 6: So if I say it's $9, it's $9 out the door. There's no hidden cost. We don't charge you for some places charge you for, like, the gowns. They charge you for your aftercare meds, none of that stuff. So real simple pricing. Yeah, I mean, there's a lot of variability in pricing out there. I think 1 of the things that's important for us is 33:23 Speaker 5: we want to 33:26 Speaker 5: give people a fair price. And I 33:29 Speaker 5: think 33:30 Speaker 5: all too often, yes, it is labor intensive, but it's 33:34 Speaker 5: our 33:35 Speaker 5: model is to kind of make it more accessible. 33:37 Speaker 6: But there are lots out there charging $30. Well, I was gonna say the kind of work we do, we should be getting $5 a graph. The issue is it's very competitive. Like, I think we do some of the best work around, honestly. This guy's got it locked in. And what did your neighbor remember? 33:53 Speaker 4: Your neighbor? Well, I had no idea. I've never even looked into it and my neighbor had had it and I was like, I'm starting to leave my hair on top. 34:02 Speaker 4: I literally had no clue. I'd never looked into it, had no desire 34:06 Speaker 4: to do that. And then he's outside watering his lawn in the backyard. I'm in the backyard. I'm like, Hey, man. I said, so you know you had the hair transplant. I'm all, what does that cost? Like, you know, and he's like, 34:15 Speaker 4: what did he say? He said, oh, 25. 34:18 Speaker 4: And I'm like, oh, that's not bad. $2,500? 34:20 Speaker 2: That's not and he goes, no. $25. 34:22 Speaker 2: He's like, we took out a 2nd on my home. I'm like, oh, 34:25 Speaker 2: didn't 34:26 Speaker 4: wear a hat. Was he in Newport Beach? Most likely. I don't know where he got it done, but that's where we lived. But I had no clue that that was the cost of it, but his looked like crap. I don't know if he doesn't listen. Didn't spend that kind of money. Well, 34:40 Speaker 2: because he just didn't look like he really did anything. 34:44 Speaker 2: I'm like, I 34:45 Speaker 2: did the kind of cost analysis and like it sure made 34:48 Speaker 2: a lot more sense to go to you guys because even just straight price wise, like all of the money that I would spend and time off of work and hassle in travel, 34:59 Speaker 2: right, 35:01 Speaker 2: made up the difference of me just having to drive to San Diego. I did get a hotel room there 35:06 Speaker 2: because I didn't want to deal with the drive 35:09 Speaker 2: home. Right. Like 35:11 Speaker 2: brain injured a little bit. Probably 35:14 Speaker 5: wise to do that, but we don't let you drive after the procedure. That's right. 35:19 Speaker 4: You're talking to about- Okay, so maybe that's why. And they're curious because I've 35:23 Speaker 4: never looked into it. 35:25 Speaker 6: I'm assuming there's financing. There is financing available, yes. And you guys finance? We don't finance the house. Have several connections for 1 who finances. Yeah. 35:33 Speaker 2: Yeah. 35:36 Speaker 5: I mean, we try to make it easier for patients to do it. I mean, I think also that we talked about the difference between, you know, going to Turkey, a price, any part of it, but it's a different experience here. You know, I contact every single 1 of my patients. 35:49 Speaker 5: Have to check on. I mean, we take pride in what we're doing there. So I think, 35:55 Speaker 5: and 35:56 Speaker 5: our patients notice that. And 36:00 Speaker 5: not necessarily doesn't work like that when you use somebody on a continent far away has your money and 36:07 Speaker 5: has already given you a transplant and is pretty much done with you. Well, 36:11 Speaker 2: you were saying that you wanted to get into different type of not medicine, 36:16 Speaker 4: but 36:17 Speaker 4: bedside manner, I guess, is the way to say that. So is that what you're trying to do? Because you're talking about 36:23 Speaker 4: ER, 36:24 Speaker 4: woah, down to very probably slow pace and tedious, 36:27 Speaker 4: very different, like hard left onto 36:30 Speaker 5: slow. Yeah, I mean, the transplant is a 36:33 Speaker 5: part of like what I really wanna do. I mean, 36:36 Speaker 5: is a transition, yeah, from the ER to doing transplant, I think 36:40 Speaker 5: kind of my passion is what I'm looking at is sort of shifting 36:44 Speaker 5: where 36:45 Speaker 5: I'm treating patients, 36:47 Speaker 5: you know, and 36:48 Speaker 5: how I'm treating patients. For 36:50 Speaker 5: 20 years, I see patients at the of the tail end of their disease process and that emergency situation where something bad really happened to them, and you try to kind of pull them out of that situation. I think it's important to, 37:05 Speaker 5: all too often, as physicians, probably 37:08 Speaker 5: don't get a chance to focus on 37:10 Speaker 5: keeping people well and helping 37:13 Speaker 5: them sort of stay well and healthy 37:16 Speaker 5: and, you know, age well. Yeah. And that's that's hair is 1 component of it, but there's there's other things I like to be to do and I'm already kind of working on. Tell us about those things. So what's next? What are you doing now? What else is what other projects do you guys have? So, yeah, we're 37:33 Speaker 5: Well, 1 of the things I'm doing now, I'm working with another doctor, a buddy of mine, also an ER doc, and we're gonna be 37:40 Speaker 5: We've actually pretty much launched our telehealth site where we're gonna 37:45 Speaker 5: be physicians, 37:47 Speaker 5: MDs that are manning it, 37:50 Speaker 5: establishing 37:51 Speaker 5: a patient physician relationship, 37:55 Speaker 5: helping 37:56 Speaker 5: people with different 37:57 Speaker 5: types of longevity wellness 38:00 Speaker 5: treatments. 38:01 Speaker 5: And 38:02 Speaker 5: I think that's 38:04 Speaker 5: important. You know, we do that as physicians. 38:08 Speaker 5: Think a lot of times 38:10 Speaker 5: corporate medicine has sort of dissolved some of that patient physician relationship that really makes medicine 38:18 Speaker 5: special. So, you know, it's important for us to try to focus on that. And so we want to do something different in the telehealth world. Like what? What are some of those? Like being available? 38:30 Speaker 2: Making Being 38:33 Speaker 5: personalized 38:34 Speaker 5: treatment plans, listening to patients, 38:39 Speaker 5: kind of convey what's important to them, what's going to make them 38:43 Speaker 5: better, 38:43 Speaker 5: where they see themselves 38:46 Speaker 5: progressing to and kind of working 38:48 Speaker 5: with that as an outline to 38:51 Speaker 5: make a personalized plan for them, whether it's 38:54 Speaker 5: some of the 38:55 Speaker 5: weight loss treatments, 38:57 Speaker 5: optimizing hormones, 38:59 Speaker 5: even just like hair restoration is gonna be part of this, some of the more wellness longevity 39:04 Speaker 5: kind of treatment plans. We're getting started, we're gonna be definitely incorporating 39:10 Speaker 5: lab biomarkers, 39:11 Speaker 5: monitoring 39:12 Speaker 5: these, making adjustments to plans. And, you know, a lot of times, we don't see that in a lot of these bigger telehealth websites. You know, it's about Turn to burn. Yeah, exactly. Get get you on a subscription 39:25 Speaker 2: and- Well, right. They just want it's like Jimmy, his friend, 39:28 Speaker 2: usually, I guess, maybe a woman, but Joan, 39:31 Speaker 2: her friend telling her, Hey, this is what I do. They're like, All right, I just want to get that. And I just want to I'll just find the easiest way to get that. Right? Right. Even though that totally may not be right for her whatsoever 39:42 Speaker 2: and people are unique and just because her friend got good results doing 1 thing, and just told her all about the good highlights and not about anything bad. Right. She just goes, Oh, I just want this for cheap. 39:53 Speaker 2: Instead of actually speaking to somebody. So cool. 39:57 Speaker 4: So you get back to the basics. And 39:59 Speaker 4: it wouldn't be me if I didn't ask. 40:01 Speaker 4: People on the show know me. 40:03 Speaker 4: Western medicine, 40:05 Speaker 4: doctors have lost some steps and rightfully so, they prescribed stuff and they didn't know what was in it. So I would imagine that's affected 40:13 Speaker 4: how you're treated. I don't know if it would bleed on to maybe ER doctors as much as maybe certain doctors, 40:20 Speaker 4: but rightfully so. I mean, if you have doctors who we are supposed to trust, 40:25 Speaker 4: right? And they deserve that trust because you guys have worked for it. But if you're prescribing something to somebody you don't know what's in it, that's a problem. 40:31 Speaker 4: And like they shouldn't be doing that. And so lack of trust for doctors. 40:37 Speaker 4: And that's 1 of my 40:39 Speaker 4: problems with doctors is because of that. So if you just get back to, I think kind of the basics and doing what you just said, which is great, 40:46 Speaker 4: what's your objective? What's your sleep like? What 40:49 Speaker 4: do you do for work? And like ask questions 40:52 Speaker 4: that affect them, 40:53 Speaker 4: their lifestyle, their cortisol, and all those things. 40:57 Speaker 4: That's how doctors should get back to, I think. And if you do that, I mean, that's Sure. I mean, medicine is not a 1 size fits all And 41:04 Speaker 5: I think that's 41:06 Speaker 5: a lot of the time in some of these clinics that there's protocols, 41:11 Speaker 5: you fall into this category and you're gonna get this treatment. And that's not always the right move. I agree with you. I mean, 41:18 Speaker 5: we've strayed a little bit certain ways. You know, I think that 41:23 Speaker 5: we've also put in a lot of time and a lot of years and and we've we've studied a lot and it's Sure. 41:31 Speaker 5: 5 minute chat GPT conversation doesn't always cover, you know, what we know. So, you know, there is 41:38 Speaker 5: some value, 41:40 Speaker 5: you know, as kind of being, 41:42 Speaker 5: I won't say authority figure, but, you know, we have a 41:46 Speaker 5: bigger knowledge base to a certain degree. So, 41:49 Speaker 5: know, you're smart. 41:52 Speaker 5: Read a lot. Yeah, we were nerdy back in the day. We might still be nerdy. 41:58 Speaker 5: I think in general, like, you know, there should be some value. Have you noticed patients 42:05 Speaker 2: treating you differently 42:06 Speaker 2: over the years? 42:08 Speaker 2: And starting with COVID, I think was the 1st, well, maybe not 1st, but like, right, really opened a lot of people's eyes, made a lot of people skeptical 42:15 Speaker 2: of Western medicine and of the authority figures that we all had put our faith in. 42:21 Speaker 2: And I guess it's for everybody. But yeah, have you noticed a change in how people have 42:27 Speaker 5: dealt with Yeah, I think 42:29 Speaker 5: so 1st of all, COVID, 42:31 Speaker 5: that time was a very unique time. Right? So you're talking about a global pandemic Mhmm. With 42:38 Speaker 5: all sorts of unknowns. And 42:41 Speaker 5: guys like me were 42:43 Speaker 5: frontline docs. Like, 42:45 Speaker 5: I was also 42:47 Speaker 5: it was all unknown, like, how this is gonna turn out, but I showed up. Like, I went there every single I get so many headaches every month. 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Yeah, because 44:28 Speaker 5: there were doctors that were dying. So, but, you know, we felt it was important to take care of people and even 44:36 Speaker 5: not to hate all my 44:38 Speaker 5: the other docs out there, a lot of specialists, they closed up shop. They stayed at home. But, 44:44 Speaker 5: you know, us as the frontline docs, we were there every 44:48 Speaker 5: day, every shift. 44:50 Speaker 5: And then 44:51 Speaker 5: things started changing and where everybody is like, oh, you know, you're 44:57 Speaker 5: doing COVID tests and introducing COVID into us. Yeah, I Why why would I do that? Right. Right. You didn't think I'm gonna make what it's get. Right? So things were just coming out of left field. It didn't really make much sense. Sure. I think 45:12 Speaker 5: some of us 45:13 Speaker 5: probably took a little bit of like a 45:16 Speaker 5: moral blow, like when that was occurring. Yeah. Because, 45:20 Speaker 5: honestly, that's now I was thinking about it. I was like, listen, I'm needed right now. Like, I yeah. I'm I'm here. I saw plenty of people die. I mean, like, you saw people dying in the waiting room. Like, it was it was happening. Like, 45:32 Speaker 5: it was real deal. And then, you know, things kind of dust started settling a little bit. Know? Some of the vaccinations came out and 45:39 Speaker 5: also some of the treatments changed. There's more information. I mean, 45:43 Speaker 5: that's just how things work. HGHTS-2020. Yeah, hindsight is always 20 20. So, 45:47 Speaker 5: yeah, I think that's kind of changed a little bit, but 45:50 Speaker 5: it's important to gain the trust of patients back. 45:55 Speaker 4: Know, get But back to I think it's easy to do that because you've already said it. You have earned your right for the respect. You have done things that we don't want to do. I don't want to go to school for 20 years. Know it's 20 years, but you know what I mean? You've earned it. You're a 46:09 Speaker 2: doctor. 46:10 Speaker 4: I think it'd be very easy, which is just do what you were trying to do is spend some time with the people and learn about them and try to truly help them and That's see symptoms what 46:20 Speaker 4: what people don't want. 46:22 Speaker 4: That's why people are seeking peptides. 46:25 Speaker 4: The cool thing about COVID was 46:28 Speaker 4: it shifted 46:29 Speaker 4: people to 1 go, this is weird, something's off. And then 2, 46:34 Speaker 4: really start to want to get healthy. And that's amazing because the food we eat is shit, it's poison. There we breathe is shit, it's poison. 46:42 Speaker 4: Could go on and on and off. I mean, the food is fake and you know what I mean? And people finally know that. Now we can start to seek 46:50 Speaker 4: true health, which is why our peptide is amazing because they're chains of amino acids, you know? Mean, there's other things that you need to do. But that's what we're Yeah. Mean, focusing on 46:59 Speaker 5: kind of going 47:01 Speaker 5: into the cell and 47:03 Speaker 5: working on 47:05 Speaker 5: optimizing 47:06 Speaker 5: certain characteristics of how your body's already 47:10 Speaker 5: doing things, 47:12 Speaker 5: that's not that's not a problem. Like, that's medicine 47:16 Speaker 5: will always change. 47:18 Speaker 5: So if we are not looking at 47:21 Speaker 5: changes and looking at kind of different 47:23 Speaker 5: ways of treating 47:25 Speaker 5: disease processes or even keeping people healthy, mean, that's on us. We shouldn't be doing that. That's a problem. So, 47:33 Speaker 5: you know, guys talk about it. This is a gray area a lot of times, unfortunately, but it's going to change. It 47:38 Speaker 5: just needs more information, just like how it changed with COVID. 47:42 Speaker 2: We 47:43 Speaker 2: met you a while ago, several months ago, right? And you came in here and you were starting to like, okay, 47:49 Speaker 2: doctor, I want to learn more about peptides, right? You said, I hear nothing but good things, but 47:55 Speaker 2: I want to just talk to you guys about 47:58 Speaker 2: them. And you did tell us, you go, I guess when we were saying goodbye, you're like, okay, well, I need to go establish 48:06 Speaker 2: myself as an actual expert before 48:08 Speaker 2: I can even He get into the said, I got a lot of research to do, right? And that is the right attitude. It wasn't about money. Was about that's- We 48:18 Speaker 2: both talked about when you left. Physicians 48:21 Speaker 5: and 48:22 Speaker 5: doctors and a lot of people in medical industry, 48:25 Speaker 5: we consider ourselves lifelong learners. 48:28 Speaker 5: I don't want to stop learning. 48:30 Speaker 5: Things are going to evolve and 48:32 Speaker 5: I 48:33 Speaker 5: want to be there evolving 48:34 Speaker 5: too. I don't wanna be stagnant. Like, sure, I can save you. I can save your ass if I need to, like, in emergency. 48:42 Speaker 5: But, you know, I wanna, you know, save the people in other ways and help them kind of 48:49 Speaker 5: be happy with their day to day life and improve their day to day existence too. The science is there. Science is there. 48:57 Speaker 2: I'll play devil's advocate real quick though, Jay. You did say that, 49:01 Speaker 2: know, people were worried that doctors were giving the patients 49:05 Speaker 2: things that they didn't even know was in there. So my 1st ringing bell is OxyContin, 49:09 Speaker 2: right? Like OxyContin. 49:11 Speaker 2: That's the biggest 49:12 Speaker 2: that we personally know several friends who've died because of And 49:17 Speaker 2: doctors were just, Oh, medical rep, tell me what I should give them. Okay, I'll give them that. Right. 49:23 Speaker 2: But 49:24 Speaker 2: this is kind of the same argument why 49:27 Speaker 2: peptides as a doctor 49:29 Speaker 2: should be slow played because there isn't enough research and you don't want to be giving people something you don't know much about, right? 49:37 Speaker 2: Unfortunately, so there's a devil's advocate argument, right? Say, you don't want me to give people, you don't want me to give people things that I am not 100% 49:45 Speaker 2: sure 49:45 Speaker 2: what they do and what the long term repercussions are? Well, shit, that means I can't give people 49:51 Speaker 2: many better because we don't know what the long term we 49:54 Speaker 5: don't know much about them quite yet. Yeah. I mean, we all kind of know there's 49:59 Speaker 5: a lot of research that needs to still be done, 50:03 Speaker 5: but you can't really ignore, 50:05 Speaker 5: you know, some 50:08 Speaker 2: promising, like- Benefits. Benefits. 50:10 Speaker 5: You and you can't, like, close your eyes to them. Like, 50:14 Speaker 2: it 50:14 Speaker 5: They're coming about a week. Yeah, like, I mean, there's 50:18 Speaker 5: gonna be more information, there's gonna be more studies, there's gonna be well designed studies that 50:23 Speaker 5: are gonna potentially show the therapeutic benefit. 50:27 Speaker 5: And that's just science. I mean, it's gonna take time. Unfortunately, we lag sometimes behind it, and there's gonna be the early adopters, right? And those are the guys 50:37 Speaker 5: doing things. And like but we are always more conservative. Like, as 50:42 Speaker 5: physicians, 50:43 Speaker 5: as medicine. 50:45 Speaker 5: And it's gonna take time, but you know, like, 50:47 Speaker 5: I'm not 50:48 Speaker 5: close minded. I'm gonna be willing to change. I'm gonna do my research. I'm gonna learn. 50:54 Speaker 5: And 50:54 Speaker 5: I think that's 50:56 Speaker 5: all you can do in this situation and that's the best way to sort of handle it. Now, 51:00 Speaker 2: all that, with peptides, right, there's so 51:03 Speaker 2: it's 51:04 Speaker 2: tough to forecast long term ramifications, but with peptides and a lot of these 51:08 Speaker 2: short chain amino acid peptides, right? 51:10 Speaker 2: I wonder, is it possible to 51:14 Speaker 2: forecast all of just because they're so simple, some of them, KPV is lysine, proline, and valine. 51:20 Speaker 2: My guess is how hard is that really to 51:23 Speaker 2: see what just just looking at it and knowing what we know to know what the potential bad things this could possibly do even long term? Because it's so simple. Right? Shouldn't we be able to 51:33 Speaker 5: forecast that or so? There's a lot of factors. Right? You know, you talk about a lot of dosing 51:40 Speaker 5: is yeah, the the different parts of your body, how things kind of work together. 51:46 Speaker 5: Like, what happens if you change a balance of something within you know, So these kind of things, they take time. However Yeah. You know, there's 51:56 Speaker 5: the the 51:58 Speaker 5: it's it's gonna be it's gonna be something that we're gonna kind of 52:02 Speaker 5: learn about. And, yeah, so- Yeah, okay. Fine. Fine. 52:08 Speaker 4: People are doing me the way. People are learning me the way. Like 52:11 Speaker 4: literally be blind, like either the doctors like get on board or the trains are passing. Because people want to be healthy in peptides. I mean, the chains of amino acids. I'm not saying they don't have any type of risk, but compared to some of the medications that are prescribed to people on a daily basis, they have little to none. Yeah. I think we could. Even the government's kind of coming on board at this point, right? Didn't RFK- 52:32 Speaker 6: What happened Yeah, to 52:34 Speaker 5: there's 52:35 Speaker 5: some changes 52:37 Speaker 5: the 52:37 Speaker 5: kind of classifications 52:39 Speaker 5: It's through the 52:41 Speaker 5: gonna be positive. I mean, it's gonna lead to 52:43 Speaker 5: basically better research probably. It's going to lead to 52:48 Speaker 5: some of the early 52:50 Speaker 5: adopters, physicians kind of having a little bit more leeway. 52:54 Speaker 2: Greater availability all over. Yeah. 52:57 Speaker 5: Nevertheless, you still have to kind of do it in a conservative fashion. I 53:02 Speaker 5: don't think you're gonna throw 12 peptides a year back. 53:06 Speaker 2: And 53:08 Speaker 5: it's always about kind of 53:10 Speaker 5: slowly easing into things, And you know, 53:14 Speaker 5: everybody's gonna be probably affected differently. 53:16 Speaker 6: So, you know, that's gonna there's gonna be a learning curve there for sure. So, Todd, you're buff, leaching. You're ripped up when you see your veins. Like, what do you take? 53:25 Speaker 6: So What do you do for your physical health, basically? Like, everything. So it's interesting. I am now I'll be 57 53:31 Speaker 6: years old in September. K. Yeah. 57. Yep. Love it. Well, the hair helps. He did my hairline, so you know. I've 53:39 Speaker 6: been doing the same workout for 20 years, so it's consistency. I know it should probably change some things, but that's I've been doing the same thing for a very long time. What does the workout look like? Basically, 53:49 Speaker 6: just a, you know, chest workout, 53:52 Speaker 6: both bi tri workout, shoulders, and then legs again. Didn't I do my legs for like 20 years since I've had 6 knee surgeries. You know, we played ball. Okay. Yeah. But 54:01 Speaker 6: my kids are like, you have chicken legs. I get that all the time, So we're 54:06 Speaker 6: back in on the legs. Yeah. And that's definitely helpful. Now, I'm also taking Retta, 54:11 Speaker 6: right, Tesamorelin 54:12 Speaker 6: BP-one 54:14 Speaker 6: hundred 57, and then I take 1 cc a week of testosterone, which I started at 50. You know, I'm not a doctor. I can't give advice, but I would say for most men, you need to look into it. It's game changing. Changing. Yeah. Yeah. Yeah. Well, we talk about this all the time. Yeah. So we everybody knows where our stance is. And for those of you out there who think, oh, you're in shape because you're taking that, it's 54:33 Speaker 6: it's because it's not 1 54:35 Speaker 6: cc because that's all they'll give you. Right? They're not gonna give you 400 mg that we you know, right? Like bodybuilders 54:42 Speaker 6: take. Even then. Yeah. Right. Absolutely. Yeah. I'm just trying to stay lean and in shape. You said it's consistency. 54:48 Speaker 6: Absolutely. Consistency. Yes. And I have a 10 a wife who is 10 years younger, so that's motivating, and she works out harder than I do. So yeah. I think we all do, actually. She's all she's into fitness. Dude, she'll work out for an hour and 0.5, and I'm out of there in 45 minutes. Yeah. Right? Yeah. She'll shame me, I'm like, hey. I this is working for me. Yeah. Exactly. Later. 55:06 Speaker 6: And kids, you have some active kids? Yes. I have stepchildren. Yep. I got a 15 year old, a 13, and a 12. Boys. All boys. So it's been great. Yep. 55:15 Speaker 2: 13, 15, 12. Damn. Yeah. So it's in, like, full force. Yeah. Met him with some very young breaking stuff. Yeah. My wife and I have been together almost 9 years now. So, yeah, it's been good. Good for you. Stepfather's good stuff. She is, man. Yep. Yeah. I've, me too. Like, I have a 9 year old. I guess I'm not actually a stepfather, but basically I live with him and my girlfriend's a child and 55:35 Speaker 2: we love him and he's a boy. 55:37 Speaker 2: Yeah. Dude, but he's a full full figured boy who, wants to run around and 55:41 Speaker 6: causing trouble and but at least he wants to throw balls and- Yep. Wait till they get in the sports script. You'll end up coaching like I did. I had no idea I would be a coach, and I've turned out to love it. Yeah. Did coach you said that you're now coaching his tackle football team? Yeah. It looks like I got nominated to be the head coach of an 11 u Pop Warner team, so that'll be new. 56:01 Speaker 6: Done a lot of that flag football coaching in the past. And then last year, I coached a girls high school flag football team, which was awesome. That's actually the fastest growing sport in the country is girls flag football. I hear about that. I hear people who tell us that they have a daughter and playing flag football and just silly. It's something. I'm 56:18 Speaker 6: barely 5 10, and some of these girls are 6 feet tall that are on the team. It's crazy. And they're I went to last time I went to Hawaii, we were on the plane with the women's, 56:27 Speaker 2: they had the women's Hawaiian team. Okay. In flag football, they were just coming back from playing the, like, national championship game, and they had just won 56:37 Speaker 2: the national championship. 56:38 Speaker 2: Well, Sydney, it's all other girls their age playing football. And it'll be in the Olympics now too. Really? Which is great. Yeah. Oh, really? Really? Wow. Yep. Girls or bulls? Girls. I don't know about men. I know about women. For sure. Yeah. Awesome. That's interesting. Well, coaching football, so I when I graduated college and and I played college football, my my best friend was the 56:57 Speaker 2: head, was the athletic director of the junior high that I went to. Okay. Where I'm from, we do junior high 7th, 8th, and 9th grade, and only 8 and 9th graders can play football. So he called me up and said, hey, do you wanna be able to be a coach? So I was the head coach 57:11 Speaker 2: of the 8th grade, which is JV, right? The 8th graders, he was the head coach of the varsity, but as a D coordinator of the 57:18 Speaker 2: varsity team also. 57:20 Speaker 2: I will say that that was 57:22 Speaker 2: like 1 of the more, the most like fulfilling 57:25 Speaker 2: things I've ever done. And it was fun. 57:29 Speaker 2: Mean, just working with these kids, like telling them, 57:32 Speaker 2: you know, sitting with them before practice and say like, dude, you'd better do your homework. Like, it's not cool to not do your homework and smoke weed. And then not eligible and 57:41 Speaker 2: that sucks. And then put a helmet on. So we didn't have enough guys and some of these guys were the 1st time ever. Sure. And 57:47 Speaker 2: I mean, there were plenty of practices where I just put a helmet on. I'm like, right, you offense, scrimmage, we have like 6 guys on playing middle linebacker. 57:53 Speaker 2: And went to go and then accidentally thought I almost injured our star quarterback, but shoving them over. But it was a blasted. And I remember, 58:04 Speaker 2: yeah, we were good. Luckily, we had some major talent. 58:06 Speaker 2: Nice. But I spent a month with them pre pregame before the 1st game, practicing, practicing, practicing. And then 1st we kick off, great. They get the ball. And I got defense, get out there. Everybody knows their positions. We've been practicing that. They all run out and I have my D linemen are back where safeties 58:24 Speaker 2: are. My corners are like getting in the middle of the line of scrimmage 58:29 Speaker 2: and all the parents behind me are like, what's that coachman doing? Get to your positions, 58:34 Speaker 2: people. But they figured it out, luckily. And after a couple of weeks, I thought I had 1 of the mothers said, hey, can 58:41 Speaker 2: we talk to you after the game? And I was like, here we go. 58:46 Speaker 2: And 58:47 Speaker 2: she'd said nothing but positive stuff. Said like, the kids love you. Okay, good. And this is like the best they were worried about football. This is the best experience they've ever had. I 58:55 Speaker 2: guess I'm maybe saying good things about myself, but it really rewarding, and those kids remembered me forever. So, Well, no. Time consuming and it was fun, man. Selfless job. Right? It really is because it's a lot of time. Yeah. A lot of time. A lot of time. Especially football. Like, you have to plan every inch of practice. Yes. Right? Yep. Every day. They mean a mentor, 59:15 Speaker 5: like, to 59:16 Speaker 6: children. Mean, that's- And you are mentoring. You're giving a lot of life lessons while you're out there too. It's actually really good. Huge. It's a great experience. 59:24 Speaker 4: Love it, guys. Now you know how fast the hour goes. 59:28 Speaker 4: Oh, yeah. Everybody that sits here, it's been an hour? That's how fast the call in a podcast it goes. 59:33 Speaker 4: Where can people find you guys? They've 59:36 Speaker 6: been listening, they've been intrigued, they wanna reach out, how they get ahold of you? Yes, the best way to get ahold of us and come directly to me. Right? Don't call the office. I don't wanna go into the salespeople. You come directly to me. It's 59:48 Speaker 6: feel free to email me. Super simple. Just Todd@MyHairMD.com. 59:52 Speaker 6: Okay. Right? Easy. We'll put it on there too. That's perfect. Yeah. Yeah. And I'll get back to you really quickly. That's sweet. Yeah. Tell them maybe that they heard about you from this. Yeah. And if you're not in the state, that doesn't matter, right? We can do a 1:00:05 Speaker 2: online consultation. Sweet. Which is not a problem. And you get the fly, you get an excuse to go to San Diego. That's right. Nothing 1:00:12 Speaker 4: wrong with that. It was inside tonight. Nice, man. It was inside. It's great. I grew up going to that beach. Nice. Good stuff. Well, it's been a pleasure, gentlemen. I'm sure we'll be in touch, 1:00:22 Speaker 4: but other than that, anything before we 1:00:25 Speaker 2: end this? No, cool. Look forward to seeing what you guys are doing. I'm always interested, I guess every new doctor 1:00:32 Speaker 2: with their new take on alternative 1:00:35 Speaker 2: type medicines or emerging medicines and treatments. So I'm excited that to see what you can come up with and yeah, what the future holds. We're gonna be busy. 1:00:46 Speaker 4: We're hustling. Good. You're stuck. Other than that, make sure that you join 1:00:51 Speaker 4: our peptide of the week 1:00:53 Speaker 4: school platform. It's blowing up. We're about 8,000 people on that now. Will and I are gonna be dropping a lot of content that we don't put anywhere else, but we put on there to our channel so we can see what we want, do what we want. We got full 1:01:05 Speaker 4: liberation, baby. There's a lot of cool new info too that I just put up there. Yeah. Awesome. Nice. And if you didn't watch last what it dropped yesterday, the podcast 1:01:14 Speaker 4: with Paul back to here, that was a that was a great podcast, so make sure you listen to that 1. That was rad. Other than that, we will catch you on the next round. Take care. Good, folks. Appreciate you. Thank you, guys.