1 00:00:00,125 --> 00:00:02,375 Welcome to the VP Life Podcast, the show 2 00:00:02,375 --> 00:00:03,833 where we bring you actionable health 3 00:00:03,833 --> 00:00:05,125 advice from leading minds. 4 00:00:06,041 --> 00:00:06,916 I'm your host Rob. 5 00:00:07,625 --> 00:00:10,291 My guest today is Adil Khan, a Canadian 6 00:00:10,291 --> 00:00:12,583 board certified physician and founder of 7 00:00:12,583 --> 00:00:14,833 Eterna Health, working at the forefront 8 00:00:14,833 --> 00:00:16,666 of regenerative medicine using stem 9 00:00:16,666 --> 00:00:19,833 cells, peptides and gene therapies to 10 00:00:19,833 --> 00:00:22,083 repair tissue, reduce inflammation and 11 00:00:22,083 --> 00:00:22,875 optimise human 12 00:00:22,875 --> 00:00:24,708 performance at a cellular level. 13 00:00:25,375 --> 00:00:27,833 Expect to learn how regenerative medicine 14 00:00:27,833 --> 00:00:29,750 is shifting healthcare from symptom 15 00:00:29,750 --> 00:00:32,000 management to true biological repair, 16 00:00:32,875 --> 00:00:35,000 what stem cells, peptides and emerging 17 00:00:35,000 --> 00:00:37,125 therapies are actually doing at a 18 00:00:37,125 --> 00:00:39,458 cellular level and how these therapies 19 00:00:39,458 --> 00:00:41,083 are being used to treat injury, chronic 20 00:00:41,083 --> 00:00:42,833 disease and even influence 21 00:00:42,833 --> 00:00:44,125 the aging process itself. 22 00:00:45,291 --> 00:00:47,125 Now, under the conversations, Dr. 23 00:00:47,125 --> 00:00:47,750 Adil Khan. 24 00:00:48,083 --> 00:00:48,708 Good morning, Dr. 25 00:00:48,791 --> 00:00:50,000 Khan and thank you so much for joining me 26 00:00:50,000 --> 00:00:51,083 on the podcast today. 27 00:00:51,083 --> 00:00:52,500 It's an honour to have you on to discuss 28 00:00:52,500 --> 00:00:53,625 all things longevity 29 00:00:53,625 --> 00:00:54,500 and regenerative medicine. 30 00:00:55,125 --> 00:00:57,458 Now, I can't imagine there are too many 31 00:00:57,458 --> 00:00:59,000 in this space who aren't familiar with 32 00:00:59,000 --> 00:01:01,625 you and your work, but for those who have 33 00:01:01,625 --> 00:01:03,500 been living under a rock, would you mind 34 00:01:03,500 --> 00:01:04,583 introducing yourself and 35 00:01:04,583 --> 00:01:05,708 how you got into this space? 36 00:01:06,125 --> 00:01:07,500 I know you've got quite the story there, 37 00:01:08,500 --> 00:01:09,833 everything from sort of sports medicine 38 00:01:09,833 --> 00:01:10,708 all the way to Tesla. 39 00:01:11,208 --> 00:01:13,000 We've got time, so yeah, if you could 40 00:01:13,000 --> 00:01:13,875 just run us through that. 41 00:01:14,083 --> 00:01:16,166 Yeah, the Tesla thing is I guess 42 00:01:16,166 --> 00:01:19,291 interesting, but because I was a regular 43 00:01:19,291 --> 00:01:22,291 doctor with like a GP, just doing family 44 00:01:22,291 --> 00:01:24,500 medicine and then I started doing sports 45 00:01:24,500 --> 00:01:27,416 medicine and in sports medicine, we are 46 00:01:27,416 --> 00:01:29,041 dealing with chronic injuries, people 47 00:01:29,041 --> 00:01:31,166 with shoulder and shoes, knee, elbow, 48 00:01:31,166 --> 00:01:32,291 whatever, the gamut. 49 00:01:32,791 --> 00:01:35,125 And so people typically do physiotherapy, 50 00:01:35,416 --> 00:01:37,125 they do cortisone injections, which are 51 00:01:37,125 --> 00:01:38,125 just steroid injections to 52 00:01:38,125 --> 00:01:39,041 help with pain and inflammation. 53 00:01:39,291 --> 00:01:40,750 And if that doesn't work, you're usually 54 00:01:40,750 --> 00:01:42,583 sent off to a surgeon or, you know, or 55 00:01:42,583 --> 00:01:44,208 tell or or to take some pain 56 00:01:44,208 --> 00:01:45,500 meds and just live with it. 57 00:01:45,833 --> 00:01:47,291 So I was obviously not 58 00:01:47,291 --> 00:01:48,333 satisfied with that approach. 59 00:01:48,333 --> 00:01:49,916 And so I was kind of like, okay, there 60 00:01:49,916 --> 00:01:50,375 has to be other 61 00:01:50,375 --> 00:01:51,416 options to help these people. 62 00:01:52,083 --> 00:01:54,458 And that's what led me to PRP, which is 63 00:01:54,458 --> 00:01:55,333 platelet rich plasma. 64 00:01:55,708 --> 00:01:57,000 And that's essentially where we just take 65 00:01:57,000 --> 00:01:59,000 your blood, we concentrate the platelets, 66 00:01:59,000 --> 00:02:00,708 which act like little molecules and 67 00:02:00,708 --> 00:02:01,708 signals to help with healing. 68 00:02:02,333 --> 00:02:03,625 And I worked with the guy 69 00:02:03,625 --> 00:02:05,291 who actually pioneered PRP, Dr. 70 00:02:05,291 --> 00:02:06,333 Gallia, he was kind of the first in the 71 00:02:06,333 --> 00:02:07,625 world to do it for like Tiger Woods, a 72 00:02:07,625 --> 00:02:08,291 bunch of other people. 73 00:02:08,291 --> 00:02:09,708 So I was very fortunate to have him as a 74 00:02:09,708 --> 00:02:11,708 mentor, and really learn, let's say the 75 00:02:11,708 --> 00:02:13,208 foundation of regenerative medicine, 76 00:02:13,208 --> 00:02:15,250 which is just the principles of how your 77 00:02:15,250 --> 00:02:16,291 body can heal and cell 78 00:02:16,291 --> 00:02:17,958 biology and all that stuff. 79 00:02:17,958 --> 00:02:19,000 And, then that kind of 80 00:02:19,000 --> 00:02:20,166 led me down this whole road. 81 00:02:20,166 --> 00:02:21,916 Eventually, I got involved in a clinical 82 00:02:21,916 --> 00:02:24,583 trial, using stem cells in 83 00:02:24,583 --> 00:02:29,000 osteoarthritis, and for using body 84 00:02:29,000 --> 00:02:30,125 people's own stem cells. 85 00:02:30,125 --> 00:02:31,375 And we'll obviously go into, you know, 86 00:02:31,375 --> 00:02:33,000 about what stem cells really are. 87 00:02:33,000 --> 00:02:34,250 But, but the point was, this was a 88 00:02:34,250 --> 00:02:35,416 clinical trial, and I was involved in 89 00:02:35,416 --> 00:02:36,541 research, and I kind of just went down 90 00:02:36,541 --> 00:02:38,333 the whole rabbit hole, of trying to find 91 00:02:38,333 --> 00:02:39,916 what's the best for my patient. 92 00:02:39,916 --> 00:02:40,958 And again, this was a lot of this was 93 00:02:40,958 --> 00:02:41,750 driven by curiosity. 94 00:02:42,500 --> 00:02:44,375 And, you know, just because you mentioned 95 00:02:44,375 --> 00:02:45,708 the Tesla thing, I guess I had a little 96 00:02:45,708 --> 00:02:47,375 bit of good fortune, and I 97 00:02:47,375 --> 00:02:48,625 was an early investor in Tesla. 98 00:02:48,875 --> 00:02:50,500 And so because of that, I had a little 99 00:02:50,500 --> 00:02:51,541 bit more, let's say, 100 00:02:51,541 --> 00:02:52,666 leeway and taking risk. 101 00:02:53,541 --> 00:02:54,708 You know, unfortunately, most doctors 102 00:02:54,708 --> 00:02:56,958 can't take much risk, because if they 103 00:02:56,958 --> 00:02:58,166 have to follow, they have to follow their 104 00:02:58,166 --> 00:02:58,958 college guidelines, they 105 00:02:58,958 --> 00:03:00,000 have to stay within the box. 106 00:03:00,583 --> 00:03:01,458 And you know, because 107 00:03:01,458 --> 00:03:02,083 they're scared, right? 108 00:03:02,083 --> 00:03:03,083 They're scared of their license, they're 109 00:03:03,083 --> 00:03:05,625 scared of getting medical legal stuff. 110 00:03:05,625 --> 00:03:07,791 And so I was kind of like, well, you 111 00:03:07,791 --> 00:03:10,000 know, I have some, I have a decent, 112 00:03:10,000 --> 00:03:12,916 decent foundation to kind of go lean back 113 00:03:12,916 --> 00:03:14,458 on if I can't practice 114 00:03:14,458 --> 00:03:15,250 medicine or whatever. 115 00:03:15,541 --> 00:03:17,125 But, but it all it worked out pretty 116 00:03:17,125 --> 00:03:18,750 well, obviously, in the sense that I was 117 00:03:18,750 --> 00:03:20,791 able to build something outside of Canada 118 00:03:20,791 --> 00:03:23,000 and get people coming to me from all over 119 00:03:23,000 --> 00:03:24,875 the world, because I was just very 120 00:03:24,875 --> 00:03:26,416 curious and trying to figure out what's 121 00:03:26,416 --> 00:03:27,500 the best for my patient. 122 00:03:27,708 --> 00:03:28,916 And that I think that's the kind of the 123 00:03:28,916 --> 00:03:30,500 take home message is when you're driven 124 00:03:30,500 --> 00:03:32,500 by curiosity and problem solving, then 125 00:03:32,500 --> 00:03:34,041 you're going to eventually come and do 126 00:03:34,041 --> 00:03:35,708 something that's meaningful, hopefully 127 00:03:35,708 --> 00:03:36,583 for a lot of people. 128 00:03:36,583 --> 00:03:37,791 And that's, that's what led me to the new 129 00:03:37,791 --> 00:03:39,708 cells, which ultimately is what I think 130 00:03:39,708 --> 00:03:41,375 got me a bit more well known in the last 131 00:03:41,375 --> 00:03:43,000 last year or two, because I was the first 132 00:03:43,000 --> 00:03:45,291 doctor in the world outside of Japan to 133 00:03:45,291 --> 00:03:46,458 really start using those cells and 134 00:03:46,458 --> 00:03:48,000 helping a lot of patients with that. 135 00:03:49,000 --> 00:03:49,583 Yeah, that's incredible. 136 00:03:50,416 --> 00:03:52,166 I just like to sort of dive into the sort 137 00:03:52,166 --> 00:03:53,750 of this idea of regenerative medicine a 138 00:03:53,750 --> 00:03:55,875 bit more, it sort of, it tends to fall 139 00:03:55,875 --> 00:03:58,291 under this whole sort of functional sort 140 00:03:58,291 --> 00:03:59,625 of integrated medicine sphere. 141 00:04:00,750 --> 00:04:02,958 And I sort of found that within this 142 00:04:02,958 --> 00:04:06,333 community of physicians, you have doctors 143 00:04:06,333 --> 00:04:08,041 who are who are functional integrated, 144 00:04:08,041 --> 00:04:10,333 but then they sort of tend to sort of 145 00:04:10,333 --> 00:04:12,166 appear one way or the other. 146 00:04:12,416 --> 00:04:13,875 Some of them tend to end up in this sort 147 00:04:13,875 --> 00:04:16,083 of the regenerative space where some of 148 00:04:16,083 --> 00:04:17,583 them tend to end up 149 00:04:17,583 --> 00:04:19,041 in the gut based space. 150 00:04:19,750 --> 00:04:21,541 Obviously, ultimately, of course, it all 151 00:04:21,541 --> 00:04:23,250 ultimately comes down to the same thing 152 00:04:23,250 --> 00:04:24,166 when you're dealing with something 153 00:04:24,166 --> 00:04:25,166 systemically or chronically. 154 00:04:26,458 --> 00:04:29,166 But how would you define regenerative 155 00:04:29,166 --> 00:04:31,833 medicine and sort of maybe differentiated 156 00:04:31,833 --> 00:04:33,958 from the rest of the sort of the 157 00:04:33,958 --> 00:04:34,750 integrated space 158 00:04:34,750 --> 00:04:36,333 because there is definitely, 159 00:04:37,916 --> 00:04:39,666 well, there's a lot of similarity, 160 00:04:39,958 --> 00:04:42,500 there's definitely a lot of differences 161 00:04:42,500 --> 00:04:44,208 there that I think a lot of people tend 162 00:04:44,208 --> 00:04:46,416 to get maybe just a bit confused over. 163 00:04:47,250 --> 00:04:47,958 So yeah, how would you 164 00:04:47,958 --> 00:04:49,791 define that space particular? 165 00:04:50,541 --> 00:04:51,958 Yeah, I mean, look, regenerative medicine 166 00:04:51,958 --> 00:04:53,375 is really about getting 167 00:04:53,375 --> 00:04:54,541 the body to heal itself. 168 00:04:54,916 --> 00:04:56,750 I know that it's a simple definition, but 169 00:04:56,750 --> 00:04:58,375 that's at the core, that's what it is. 170 00:04:58,583 --> 00:05:00,166 It's like, how do we give it the right 171 00:05:00,166 --> 00:05:02,583 signals, the right cells, the right 172 00:05:02,583 --> 00:05:05,583 scaffolds, and in this in the case, and 173 00:05:05,583 --> 00:05:08,000 then so signal cell scaffolds, that's the 174 00:05:08,000 --> 00:05:09,125 easy way to remember it. 175 00:05:09,125 --> 00:05:10,458 Those are the three kind of recipe 176 00:05:10,458 --> 00:05:12,500 ingredients that you need to help your 177 00:05:12,500 --> 00:05:13,541 body to heal itself. 178 00:05:13,541 --> 00:05:15,041 And it's really the biggest difference 179 00:05:15,041 --> 00:05:16,458 though, it's I don't really like the word 180 00:05:16,458 --> 00:05:17,000 functional medicine. 181 00:05:17,250 --> 00:05:18,250 I know some people may not like that. 182 00:05:18,250 --> 00:05:20,583 But I like I like systems biology. 183 00:05:21,083 --> 00:05:24,333 Systems biology is a medical framework in 184 00:05:24,333 --> 00:05:26,083 which we look at the body as a uniform 185 00:05:26,083 --> 00:05:28,750 system, which if one component breaks 186 00:05:28,750 --> 00:05:29,416 down, then it can 187 00:05:29,416 --> 00:05:30,291 affect another component. 188 00:05:30,708 --> 00:05:33,000 So for example, in Alzheimer's, we know 189 00:05:33,000 --> 00:05:35,916 now that there's gut dysbiosis can affect 190 00:05:35,916 --> 00:05:36,791 the brain from a new 191 00:05:36,791 --> 00:05:37,875 inflammatory component. 192 00:05:37,875 --> 00:05:38,916 That's just one example, but there's 193 00:05:38,916 --> 00:05:39,541 millions of examples. 194 00:05:39,791 --> 00:05:41,166 So the point is, the body is 195 00:05:41,166 --> 00:05:43,000 interconnected and treating it as a 196 00:05:43,000 --> 00:05:45,166 fragmented system as a fragmented 197 00:05:45,208 --> 00:05:47,291 specialty based, which is what we set up 198 00:05:47,291 --> 00:05:49,375 in modern medicine, doesn't work. 199 00:05:49,916 --> 00:05:51,291 So yeah, that solid approach. 200 00:05:51,916 --> 00:05:53,875 I suppose we're just going in on a rabbit 201 00:05:53,875 --> 00:05:55,166 hole here off the cuff. 202 00:05:55,375 --> 00:05:57,416 But why do you think I mean, you've been 203 00:05:57,416 --> 00:05:59,625 through the traditional medical training 204 00:05:59,625 --> 00:06:01,666 system, you didn't start off as a 205 00:06:01,666 --> 00:06:02,875 naturopath or anything like that? 206 00:06:03,208 --> 00:06:05,125 Why is medicine still so 207 00:06:05,125 --> 00:06:06,375 siloed in its approach? 208 00:06:07,583 --> 00:06:09,666 I mean, your systems 209 00:06:09,666 --> 00:06:12,125 biology approach just makes sense. 210 00:06:12,916 --> 00:06:14,750 Why do you feel the establishment such 211 00:06:14,750 --> 00:06:18,708 that it is, it's still sort of driving 212 00:06:18,708 --> 00:06:21,541 forward this idea that doctors should be 213 00:06:21,541 --> 00:06:24,416 educated under this sort of in this sort 214 00:06:24,416 --> 00:06:27,916 of very monocular, 215 00:06:27,916 --> 00:06:29,333 especially the one to the better word 216 00:06:31,041 --> 00:06:33,583 state where they just focus on one? 217 00:06:33,583 --> 00:06:35,250 I mean, medicine is slow moving in 218 00:06:35,250 --> 00:06:36,833 general, I think we're the only 219 00:06:36,833 --> 00:06:38,041 profession that probably 220 00:06:38,041 --> 00:06:39,208 still uses fax machines. 221 00:06:39,666 --> 00:06:41,458 So like, that just that just shows you 222 00:06:41,458 --> 00:06:43,541 how sad our profession is sometimes. 223 00:06:44,458 --> 00:06:47,958 And the, but what's happening is, you 224 00:06:47,958 --> 00:06:49,458 know, as an aside, just, you know, 225 00:06:49,458 --> 00:06:51,416 because of all this tech, people, let's 226 00:06:51,416 --> 00:06:52,958 call them tech bros going into the house 227 00:06:52,958 --> 00:06:55,166 space and longevity space, it's it's 228 00:06:55,166 --> 00:06:57,208 forcing doctors to help to either they're 229 00:06:57,208 --> 00:06:58,500 either just going to become outdated, you 230 00:06:58,500 --> 00:07:00,500 know what I mean, and AI and precision 231 00:07:00,500 --> 00:07:02,125 medicine and all this is going to happen. 232 00:07:02,500 --> 00:07:04,416 And then doctors all of a sudden realize 233 00:07:04,416 --> 00:07:06,041 that they don't have a place that 234 00:07:06,041 --> 00:07:08,458 ecosystem, if they don't keep up with 235 00:07:08,458 --> 00:07:09,333 what's happening, right. 236 00:07:09,333 --> 00:07:10,791 And so I think they're gonna a lot of 237 00:07:10,791 --> 00:07:12,000 doctors are gonna be forced to keep up. 238 00:07:12,000 --> 00:07:14,000 But the reason a lot of them are slow to 239 00:07:14,000 --> 00:07:15,291 change is because they can just get away 240 00:07:15,291 --> 00:07:16,041 with doing what 241 00:07:16,041 --> 00:07:16,916 they've always been doing. 242 00:07:16,916 --> 00:07:17,416 And there's no 243 00:07:17,416 --> 00:07:18,500 pressure on them to change. 244 00:07:19,416 --> 00:07:20,541 It's just like a guy is this is like 245 00:07:20,541 --> 00:07:22,166 having a giant government body, right? 246 00:07:22,166 --> 00:07:24,625 Why are governments so slow to get things 247 00:07:24,625 --> 00:07:25,875 done, at least in you know, at least in 248 00:07:25,875 --> 00:07:28,333 like Canada and UK, I think, and a lot of 249 00:07:28,333 --> 00:07:29,708 times it's just because it's like it's 250 00:07:29,708 --> 00:07:31,291 like turning a ship around like a giant 251 00:07:31,291 --> 00:07:33,083 ship, you know, they're not agile and 252 00:07:33,083 --> 00:07:33,916 flexible, they're just, 253 00:07:34,083 --> 00:07:35,708 they're set up inefficiently. 254 00:07:35,708 --> 00:07:38,916 And so even though the approach makes 255 00:07:38,916 --> 00:07:41,958 sense, and it's logical, they want to 256 00:07:41,958 --> 00:07:43,875 probably have like, you know, they 257 00:07:43,875 --> 00:07:45,666 probably want to have decades of clinical 258 00:07:45,666 --> 00:07:47,625 trials before they'll be like, okay, now 259 00:07:47,625 --> 00:07:49,083 we can put this into guidelines, even 260 00:07:49,083 --> 00:07:51,208 though if from a first principles, and 261 00:07:51,208 --> 00:07:52,041 real world evidence 262 00:07:52,041 --> 00:07:53,208 approach, it makes so much sense. 263 00:07:53,458 --> 00:07:54,291 And clearly, the modern 264 00:07:54,291 --> 00:07:55,458 system isn't working either. 265 00:07:55,666 --> 00:07:57,000 So it's like, why not try something else? 266 00:07:57,250 --> 00:07:58,916 But you know, and that's where I guess 267 00:07:58,916 --> 00:08:00,916 the part of the problem with the system 268 00:08:00,916 --> 00:08:03,083 is the way set up is, you know, to go 269 00:08:03,083 --> 00:08:04,833 through this long regulatory framework, 270 00:08:05,291 --> 00:08:06,708 you know, with phase one to phase two 271 00:08:06,708 --> 00:08:07,875 phase three trials and all that costs 272 00:08:07,875 --> 00:08:10,291 like $100 million in North America. 273 00:08:10,666 --> 00:08:12,833 And it just like, who's who which 274 00:08:12,833 --> 00:08:14,458 tactician, there's no one who can afford 275 00:08:14,458 --> 00:08:16,250 to do that with like systems biology, you 276 00:08:16,250 --> 00:08:17,333 know, I mean, because this is biology 277 00:08:17,333 --> 00:08:19,166 isn't like, it's not like a drug, you 278 00:08:19,166 --> 00:08:20,125 know, it's not like, 279 00:08:20,125 --> 00:08:21,500 it's, you can't pat it in it. 280 00:08:21,500 --> 00:08:23,041 And you can't, you can't make millions of 281 00:08:23,125 --> 00:08:24,416 billions of dollars off of it. 282 00:08:24,416 --> 00:08:25,833 So just, it doesn't it 283 00:08:25,833 --> 00:08:26,958 doesn't work with the system. 284 00:08:26,958 --> 00:08:28,791 And so the only other solution is this 285 00:08:28,791 --> 00:08:31,000 kind of grassroots movements, which is 286 00:08:31,000 --> 00:08:32,291 now what's happening, I think, with 287 00:08:32,291 --> 00:08:33,291 people just taking 288 00:08:33,291 --> 00:08:34,458 healthcare into their own hands. 289 00:08:35,500 --> 00:08:36,666 Yeah, no, it is it is 290 00:08:36,666 --> 00:08:37,791 definitely the way forwards. 291 00:08:38,041 --> 00:08:40,583 And I think there's definite, I mean, a 292 00:08:40,583 --> 00:08:42,125 little knowledge for the average person 293 00:08:42,125 --> 00:08:43,708 and little knowledge can definitely be a 294 00:08:43,708 --> 00:08:45,250 dangerous thing, that's sort of the whole 295 00:08:45,250 --> 00:08:47,125 idea of the Dunning Kruger effect. 296 00:08:48,083 --> 00:08:53,083 But yeah, I do think that it yeah, as you 297 00:08:53,083 --> 00:08:54,958 said, it is ultimately the way forwards 298 00:08:54,958 --> 00:08:56,916 and getting people to take ultimately 299 00:08:56,916 --> 00:08:58,458 responsibility for their own health and 300 00:08:58,458 --> 00:09:00,791 then to be to be more educated when 301 00:09:00,791 --> 00:09:02,166 speaking to someone such as yourself 302 00:09:02,166 --> 00:09:04,000 probably is at least 303 00:09:04,000 --> 00:09:06,166 establishes sort of a baseline. 304 00:09:06,875 --> 00:09:07,708 In any case, 305 00:09:08,708 --> 00:09:10,708 before we go on a complete tangent, I 306 00:09:10,708 --> 00:09:13,166 suppose you might as well get back to the 307 00:09:13,291 --> 00:09:14,000 longevity and 308 00:09:14,000 --> 00:09:15,000 regenerative side of things. 309 00:09:15,375 --> 00:09:18,416 But anyway, so obviously, 310 00:09:20,708 --> 00:09:22,041 longevity is a major is a 311 00:09:22,041 --> 00:09:22,791 major thing at the moment. 312 00:09:23,875 --> 00:09:25,333 Everybody's talking about longevity, 313 00:09:25,625 --> 00:09:26,541 everyone's talking about 314 00:09:26,541 --> 00:09:27,875 increasing their health span, etc. 315 00:09:28,166 --> 00:09:31,041 And I'm of course, it's something I'm 316 00:09:31,041 --> 00:09:32,375 interested in, but more so from the 317 00:09:32,375 --> 00:09:34,208 perspective of say, modulating the immune 318 00:09:34,208 --> 00:09:36,333 system in the inflammatory response and 319 00:09:36,333 --> 00:09:37,625 improving cell energetics. 320 00:09:39,000 --> 00:09:43,583 And then definitely restoring and 321 00:09:43,666 --> 00:09:45,458 maintaining hormonal function. 322 00:09:45,916 --> 00:09:48,458 Maybe more so than I am looking at a 323 00:09:48,458 --> 00:09:51,875 single mechanism, or a single sort of 324 00:09:51,875 --> 00:09:53,208 molecular target that 325 00:09:53,208 --> 00:09:54,625 would extend lifespan. 326 00:09:55,458 --> 00:09:56,916 Maybe it's because I'm not a geneticist 327 00:09:56,916 --> 00:09:59,208 or speak, I will speak some very bright, 328 00:09:59,416 --> 00:10:03,333 but I tend to try and focus on the big 329 00:10:03,333 --> 00:10:04,833 picture rather than the minutia. 330 00:10:05,375 --> 00:10:07,625 Now you're obviously in the trenches with 331 00:10:07,625 --> 00:10:09,791 work you do with regards to sort of 332 00:10:09,791 --> 00:10:12,083 helping the patients that you have who 333 00:10:12,083 --> 00:10:12,833 are looking to sort of 334 00:10:12,833 --> 00:10:13,791 improve their longevity. 335 00:10:14,666 --> 00:10:18,333 How do you define longevity? 336 00:10:18,916 --> 00:10:20,750 And then what do you find the biggest 337 00:10:20,750 --> 00:10:22,791 needle movers are in that respect? 338 00:10:23,500 --> 00:10:24,125 Yeah, I mean, I think 339 00:10:24,125 --> 00:10:25,500 you kind of hit on them. 340 00:10:25,750 --> 00:10:28,500 But my definition of longevity really is 341 00:10:28,500 --> 00:10:30,333 just being able to live your highest 342 00:10:30,333 --> 00:10:32,333 quality of life for as long as possible, 343 00:10:32,958 --> 00:10:33,833 which is very simple. 344 00:10:34,125 --> 00:10:35,916 But at the end of the day, what happens, 345 00:10:36,625 --> 00:10:39,666 and this is a real statistic over 90% of 346 00:10:39,666 --> 00:10:41,041 people over age 60 in 347 00:10:41,041 --> 00:10:42,583 America have a chronic disease. 348 00:10:43,375 --> 00:10:45,500 So meaning their quality of life gets 349 00:10:45,500 --> 00:10:47,208 affected, and they can't do the things 350 00:10:47,208 --> 00:10:48,333 that they want to because of their 351 00:10:48,333 --> 00:10:50,458 illnesses or diseases or pain or fatigue 352 00:10:50,458 --> 00:10:51,833 or whatever, maybe mood, depression, 353 00:10:52,291 --> 00:10:52,791 there's so many things 354 00:10:52,791 --> 00:10:54,000 that happen as you get older. 355 00:10:54,583 --> 00:10:56,791 And if you can maintain a high quality of 356 00:10:56,791 --> 00:10:58,916 life for that, as you get in, especially 357 00:10:58,916 --> 00:11:00,250 as you get older, that's really what 358 00:11:00,250 --> 00:11:01,375 longevity is, right? 359 00:11:01,416 --> 00:11:02,291 Being able to live to 360 00:11:02,291 --> 00:11:03,208 your fullest, so to speak. 361 00:11:03,208 --> 00:11:04,916 And that's, that's, that was the whole 362 00:11:04,916 --> 00:11:06,750 thing with my original kind of, let's 363 00:11:06,750 --> 00:11:08,208 say, profession, which was giving getting 364 00:11:08,208 --> 00:11:10,541 people out of chronic pain, because pain 365 00:11:10,541 --> 00:11:13,541 affects people's life a lot, not just 366 00:11:13,541 --> 00:11:16,375 from a purely mental health perspective, 367 00:11:16,375 --> 00:11:18,291 but it can affect their ability to stay 368 00:11:18,291 --> 00:11:20,750 active, which ultimately then affects 369 00:11:20,750 --> 00:11:22,250 their whole health, right? 370 00:11:22,250 --> 00:11:23,916 So because if you're in too much pain, 371 00:11:23,958 --> 00:11:25,750 and you can't stay active, then your 372 00:11:25,750 --> 00:11:27,333 whole body becomes the condition, right? 373 00:11:27,333 --> 00:11:28,708 So that's, that was one of the big things 374 00:11:28,708 --> 00:11:29,541 I realized is that 375 00:11:29,541 --> 00:11:30,333 it's all interconnected. 376 00:11:30,750 --> 00:11:32,583 So you can't just, and that's why you 377 00:11:32,583 --> 00:11:34,041 have to look at the body as a whole. 378 00:11:34,041 --> 00:11:36,833 And so when you're coming to the point of 379 00:11:36,833 --> 00:11:39,333 what moves the needle the most, you kind 380 00:11:39,333 --> 00:11:40,791 of hit them both, which is hormones and 381 00:11:40,791 --> 00:11:43,458 immune, immune system, and the immune 382 00:11:43,458 --> 00:11:46,958 system, the reason immune system is so, I 383 00:11:46,958 --> 00:11:47,708 mean, immunology is 384 00:11:47,708 --> 00:11:48,708 such an interesting topic. 385 00:11:48,708 --> 00:11:50,041 And there's so much, there's so much 386 00:11:50,041 --> 00:11:51,125 stuff going on in right now. 387 00:11:51,125 --> 00:11:53,791 And I'm, I spend most of my extra spare 388 00:11:53,791 --> 00:11:55,375 time reading about immunology these days, 389 00:11:55,375 --> 00:11:57,791 because it's just, that's the hot topic 390 00:11:57,791 --> 00:11:58,875 right now in medicine, I think. 391 00:11:59,458 --> 00:12:01,333 And the reason is because it turns out 392 00:12:01,333 --> 00:12:03,000 the immune system modulates or controls 393 00:12:03,000 --> 00:12:04,500 all these other cells, meaning they 394 00:12:04,500 --> 00:12:06,291 dictate, if the, if your immune cells 395 00:12:06,291 --> 00:12:07,625 send the right signal, you're going to 396 00:12:07,625 --> 00:12:09,416 have good regeneration and good healing, 397 00:12:09,416 --> 00:12:11,083 for example, versus if they send the 398 00:12:11,083 --> 00:12:12,083 wrong signals, and you're going to have 399 00:12:12,083 --> 00:12:13,083 scarring and fibrosis. 400 00:12:13,791 --> 00:12:15,125 So your immune cells, that's just one 401 00:12:15,125 --> 00:12:17,083 example of, but it turns out even with 402 00:12:17,125 --> 00:12:19,625 even cardiovascular disease, there's an 403 00:12:19,625 --> 00:12:20,833 inflammatory component with 404 00:12:20,833 --> 00:12:21,916 plaques and heart disease. 405 00:12:22,250 --> 00:12:23,375 And, and like we talked about 406 00:12:23,375 --> 00:12:25,000 Alzheimer's, neuroinflammation, and so 407 00:12:25,000 --> 00:12:26,000 many different things come 408 00:12:26,000 --> 00:12:27,083 back to the immune system. 409 00:12:27,083 --> 00:12:29,375 So if we can keep your immune health 410 00:12:29,375 --> 00:12:32,541 better in terms of slowing down the aging 411 00:12:32,541 --> 00:12:34,083 process, and that's going to have a huge 412 00:12:34,083 --> 00:12:34,958 impact on your aging. 413 00:12:34,958 --> 00:12:36,625 And that's not just me saying it again, 414 00:12:36,625 --> 00:12:38,083 there's, there's data to back this up. 415 00:12:38,083 --> 00:12:40,166 There's a study in Stanford, which is 416 00:12:40,166 --> 00:12:40,958 really interesting, is 417 00:12:40,958 --> 00:12:42,375 a 17 year long study. 418 00:12:42,375 --> 00:12:43,916 So they looked at seven, like, so almost 419 00:12:43,958 --> 00:12:46,166 two decades, and they track people's 420 00:12:46,166 --> 00:12:47,125 immune system health. 421 00:12:47,125 --> 00:12:48,833 And they found that the immune system 422 00:12:48,833 --> 00:12:50,750 metric that they were using out predicted 423 00:12:50,750 --> 00:12:53,791 their out predicted epigenetic clocks for 424 00:12:53,791 --> 00:12:55,083 predicting mortality or death. 425 00:12:55,333 --> 00:12:57,708 So by up to seven years, so they could 426 00:12:57,708 --> 00:13:00,000 predict more accurately by seven years 427 00:13:00,000 --> 00:13:02,416 more than those epigenetic clocks on, you 428 00:13:02,416 --> 00:13:03,666 know, how long someone's going to live, 429 00:13:03,666 --> 00:13:04,458 which is super interesting. 430 00:13:05,041 --> 00:13:07,125 So what that comes back to is if we can 431 00:13:07,125 --> 00:13:09,166 slow down your immune system aging, we 432 00:13:09,166 --> 00:13:10,541 can likely help you live a healthier, 433 00:13:10,541 --> 00:13:12,291 longer life and, and also 434 00:13:12,291 --> 00:13:13,250 prevent chronic diseases. 435 00:13:13,875 --> 00:13:15,041 And that's, and that's why people have 436 00:13:15,041 --> 00:13:16,916 heard of this whole inflammation concept, 437 00:13:16,916 --> 00:13:18,166 right, chronic inflammation being one of 438 00:13:18,166 --> 00:13:18,791 the biggest drivers. 439 00:13:19,333 --> 00:13:21,125 But so let's come back to why does your 440 00:13:21,125 --> 00:13:21,666 immune system get 441 00:13:21,666 --> 00:13:22,666 older in the first place. 442 00:13:23,166 --> 00:13:24,708 And a lot of this has to do with your 443 00:13:24,708 --> 00:13:26,666 bone marrow micro environment, because 444 00:13:26,666 --> 00:13:28,291 that's where the cells are made, right, 445 00:13:28,291 --> 00:13:29,416 the bone marrow micro environment is 446 00:13:29,416 --> 00:13:30,875 where the stem cells get made, and rest 447 00:13:30,875 --> 00:13:32,458 where your immune cells get made, too. 448 00:13:32,875 --> 00:13:34,125 And so what happens is there's something 449 00:13:34,125 --> 00:13:37,208 called a hematopoietic shift, which means 450 00:13:37,208 --> 00:13:39,416 that more of the, let's say, bad immune 451 00:13:39,416 --> 00:13:41,125 cells are being made, and less of the 452 00:13:41,125 --> 00:13:41,791 good immune cells are 453 00:13:41,791 --> 00:13:42,916 being made as you get older. 454 00:13:43,583 --> 00:13:44,750 And so there's a, there's a 455 00:13:44,750 --> 00:13:46,000 shift that happens with aging. 456 00:13:46,500 --> 00:13:48,375 And so, and then the other thing is your 457 00:13:48,375 --> 00:13:50,833 thymus gland, which is starts to shrink. 458 00:13:51,125 --> 00:13:51,750 Yeah, exactly. 459 00:13:51,750 --> 00:13:52,625 It starts to shrink, and 460 00:13:52,625 --> 00:13:53,708 that trains your T cells. 461 00:13:54,375 --> 00:13:55,541 And that that also doesn't 462 00:13:55,541 --> 00:13:56,750 work as well as you get older. 463 00:13:56,750 --> 00:13:58,166 So the bone marrow and the thymus gland 464 00:13:58,166 --> 00:14:00,583 are two hot areas of research right now, 465 00:14:00,583 --> 00:14:02,416 because if we can do thymus regeneration, 466 00:14:03,041 --> 00:14:04,375 and then if we can keep the bone marrow 467 00:14:04,375 --> 00:14:06,083 micro environment healthy, so that you 468 00:14:06,083 --> 00:14:07,791 can continue to produce a good immune 469 00:14:07,791 --> 00:14:09,708 cells, you can significantly slow down 470 00:14:09,708 --> 00:14:12,041 the aging process, and potentially even 471 00:14:12,083 --> 00:14:13,125 reverse aging, I think. 472 00:14:13,125 --> 00:14:14,250 So that's why there's because there's a 473 00:14:14,250 --> 00:14:16,375 research study that was done in mice, but 474 00:14:16,375 --> 00:14:18,166 it's super interesting, where they were 475 00:14:18,166 --> 00:14:21,083 able to use these engineered stem cells 476 00:14:21,083 --> 00:14:23,541 are called IPSC HSCs. 477 00:14:23,541 --> 00:14:25,541 So they're basically, you know, the 478 00:14:25,541 --> 00:14:27,166 Yamanaka stem cells with hematopoietic 479 00:14:27,166 --> 00:14:28,625 stem cells that were able to reprogram 480 00:14:28,625 --> 00:14:30,833 the bone marrow micro environment, and 481 00:14:30,833 --> 00:14:32,041 significantly slow down 482 00:14:32,041 --> 00:14:33,291 the aging process in mice. 483 00:14:34,083 --> 00:14:35,083 So that just that's just 484 00:14:35,083 --> 00:14:36,458 a very interesting study. 485 00:14:36,458 --> 00:14:39,416 But I think the real world application at 486 00:14:39,416 --> 00:14:41,750 the moment is we do have therapies that 487 00:14:41,750 --> 00:14:43,250 can slow down the immune system aging 488 00:14:43,250 --> 00:14:44,500 process, such as immune cells. 489 00:14:45,333 --> 00:14:47,250 But obviously, I think the I think, you 490 00:14:47,250 --> 00:14:49,791 know, the, the regeneration or repair of 491 00:14:49,791 --> 00:14:51,291 those micro environments and that tissue 492 00:14:51,291 --> 00:14:53,250 in the thymus is going to be a really 493 00:14:53,250 --> 00:14:54,625 interesting area for longevity. 494 00:14:55,041 --> 00:14:57,000 Yeah, no, it's fascinating, especially 495 00:14:57,000 --> 00:14:59,375 when you start looking at some of these, 496 00:14:59,375 --> 00:15:00,166 I don't know what you think of 497 00:15:00,166 --> 00:15:02,666 bioregulators that are supposedly have 498 00:15:02,666 --> 00:15:04,833 been shown to help regenerate the thymus. 499 00:15:05,791 --> 00:15:07,166 Specifically on the immune system, 500 00:15:07,166 --> 00:15:10,208 though, what do you feel about this idea 501 00:15:10,208 --> 00:15:12,583 of the fact that the immune system is 502 00:15:12,583 --> 00:15:14,458 going to for the most part is going to be 503 00:15:14,458 --> 00:15:16,750 triggered by a huge number of 504 00:15:16,750 --> 00:15:19,333 environmental factors, anything from 505 00:15:19,333 --> 00:15:21,791 mold, microplastics, etc, that are then 506 00:15:21,791 --> 00:15:23,291 sort of going to drive up this 507 00:15:23,291 --> 00:15:26,416 inflammatory response that was then going 508 00:15:26,416 --> 00:15:28,916 to result in the development of the 509 00:15:28,916 --> 00:15:30,041 inflammation specifically. 510 00:15:31,291 --> 00:15:34,083 Do you think that I suppose part of the 511 00:15:34,083 --> 00:15:36,208 picture here is looking at ways to sort 512 00:15:36,208 --> 00:15:39,333 of reduce that that load on the body so 513 00:15:39,333 --> 00:15:41,375 as to reduce the 100% 514 00:15:41,750 --> 00:15:44,166 in fact, there was a study the research 515 00:15:44,166 --> 00:15:45,500 on if you look at the research on 516 00:15:45,500 --> 00:15:47,083 multiple sclerosis, which is an 517 00:15:47,083 --> 00:15:49,375 autoimmune condition, it's almost it's 518 00:15:49,375 --> 00:15:51,541 every like they found like something like 519 00:15:51,541 --> 00:15:53,250 I can't remember the exact number, but 520 00:15:53,250 --> 00:15:55,000 it's really high, like 95% or something 521 00:15:55,000 --> 00:15:57,208 was linked to EBP, like so almost 522 00:15:57,208 --> 00:16:00,000 everyone who has MS has EBP, which what 523 00:16:00,000 --> 00:16:01,208 does that show you that shows you that's 524 00:16:01,208 --> 00:16:03,750 probably the actual cause of MS, you 525 00:16:03,750 --> 00:16:05,916 know, that's like like like likely the 526 00:16:05,916 --> 00:16:07,958 causative or most important risk factor. 527 00:16:08,416 --> 00:16:11,375 And so chronic infections and chronic 528 00:16:11,375 --> 00:16:13,916 toxins in the body, microplastics, 529 00:16:13,916 --> 00:16:15,958 pesticides, all these things play a role 530 00:16:15,958 --> 00:16:17,666 in kind of hijacking our immune system 531 00:16:17,666 --> 00:16:20,125 and making it in balance or dysregulated. 532 00:16:20,875 --> 00:16:22,708 So that's why we know this. 533 00:16:22,708 --> 00:16:23,916 I mean, the medicines know this for a 534 00:16:23,916 --> 00:16:24,333 while too, as they 535 00:16:24,333 --> 00:16:25,833 call it molecular mimicry. 536 00:16:26,208 --> 00:16:26,625 That's kind of like 537 00:16:26,625 --> 00:16:27,541 the medical term, right? 538 00:16:27,708 --> 00:16:29,125 And so essentially, just meaning like 539 00:16:29,125 --> 00:16:31,666 these toxins are kind of making your body 540 00:16:31,666 --> 00:16:34,000 think that the tissue that's healthy is 541 00:16:34,000 --> 00:16:35,250 actually unhealthy, and 542 00:16:35,250 --> 00:16:36,250 then they start attacking it. 543 00:16:36,875 --> 00:16:39,083 And so why is that tissue presenting as 544 00:16:39,083 --> 00:16:41,041 an unhealthy tissue in the first place is 545 00:16:41,041 --> 00:16:42,791 because there's intracellular pathogens 546 00:16:42,791 --> 00:16:44,208 inside of that tissue, or there's 547 00:16:44,208 --> 00:16:45,916 microplastics, or there's all this 548 00:16:45,916 --> 00:16:46,833 garbage that's 549 00:16:46,833 --> 00:16:48,166 building up inside the cell. 550 00:16:48,166 --> 00:16:48,791 And then your immune 551 00:16:48,791 --> 00:16:50,041 system's like, hey, what the heck? 552 00:16:50,041 --> 00:16:50,708 What's wrong with you? 553 00:16:51,000 --> 00:16:52,291 And then it starts attacking it. 554 00:16:52,666 --> 00:16:55,583 And so then the doctors are just 555 00:16:55,583 --> 00:16:56,916 suppressing the immune system. 556 00:16:56,916 --> 00:16:58,208 They're not going- Biologics. 557 00:16:58,541 --> 00:17:00,083 Yeah, which is biologics or 558 00:17:00,083 --> 00:17:02,500 immunosuppressants or f-prednisone or 559 00:17:02,500 --> 00:17:03,375 monoclonal antibodies. 560 00:17:03,833 --> 00:17:05,166 They're not really 561 00:17:05,166 --> 00:17:06,750 fixing the problem, right? 562 00:17:06,750 --> 00:17:07,166 Which is fine. 563 00:17:07,416 --> 00:17:09,083 We didn't really understand all the 564 00:17:09,083 --> 00:17:10,458 science before, but I think now it's 565 00:17:10,458 --> 00:17:11,458 becoming much more clearer. 566 00:17:12,125 --> 00:17:14,708 And so what we do is we 567 00:17:14,708 --> 00:17:16,083 try to remove the bad. 568 00:17:16,875 --> 00:17:18,041 And there's all these technologies out 569 00:17:18,041 --> 00:17:19,500 there that can do that pretty effectively 570 00:17:19,500 --> 00:17:21,791 now with, there's something called in-use 571 00:17:21,791 --> 00:17:23,541 phoresis, which is in Europe. 572 00:17:24,000 --> 00:17:25,083 It's been around for a while and they've 573 00:17:25,083 --> 00:17:26,500 had, they have data showing, they've 574 00:17:26,500 --> 00:17:28,291 helped autoimmune patients and they can 575 00:17:28,291 --> 00:17:29,083 remove microplastics 576 00:17:29,083 --> 00:17:29,791 and all these things. 577 00:17:29,791 --> 00:17:31,833 And you can combine that with other 578 00:17:31,833 --> 00:17:33,250 therapies to kind of 579 00:17:33,250 --> 00:17:34,333 reset the immune system. 580 00:17:34,958 --> 00:17:35,875 So that's the whole idea. 581 00:17:37,000 --> 00:17:37,208 Yeah. 582 00:17:37,333 --> 00:17:38,333 And where do stem cells 583 00:17:38,333 --> 00:17:39,708 start to fit in this picture? 584 00:17:39,708 --> 00:17:41,125 I suppose you might, it's a good sort of 585 00:17:41,125 --> 00:17:42,791 juncture to start talking about stem 586 00:17:42,791 --> 00:17:43,916 cells in particular with 587 00:17:43,916 --> 00:17:45,041 regards to immune system. 588 00:17:46,541 --> 00:17:48,500 Of course, I think most people view stem 589 00:17:48,500 --> 00:17:50,708 cells purely from the sort of tissue 590 00:17:50,708 --> 00:17:51,750 regenerative standpoint. 591 00:17:52,125 --> 00:17:53,750 I think that is what comes across in 592 00:17:53,750 --> 00:17:55,333 social media the most in any case. 593 00:17:56,166 --> 00:18:00,166 You take stem cells, whether it's, yeah, 594 00:18:00,833 --> 00:18:02,583 whatever form it is, whether it's an 595 00:18:02,583 --> 00:18:04,458 autologous stem cell, such as, I believe 596 00:18:04,458 --> 00:18:06,041 that's PRP, something like that, if I've 597 00:18:06,041 --> 00:18:08,083 got that right, or some sorts of 598 00:18:08,083 --> 00:18:09,125 harvested stem cell. 599 00:18:10,000 --> 00:18:12,416 And most people sort of associate that 600 00:18:12,416 --> 00:18:14,500 again, whether you've got some sort of 601 00:18:14,500 --> 00:18:16,708 cartilage degeneration on your knee or 602 00:18:16,708 --> 00:18:17,958 some sort of aesthetic procedure. 603 00:18:19,250 --> 00:18:22,041 But how are you utilizing these therapies 604 00:18:22,041 --> 00:18:24,333 in these cells to then sort of modulate 605 00:18:24,333 --> 00:18:26,583 the immune response in particular? 606 00:18:27,625 --> 00:18:27,833 Yeah. 607 00:18:27,875 --> 00:18:31,041 So the first problem is, I always have to 608 00:18:31,041 --> 00:18:32,083 get a little bit of a history lesson, 609 00:18:32,458 --> 00:18:35,041 unfortunately, because the first problem 610 00:18:35,041 --> 00:18:36,791 is the word stem cells, 611 00:18:37,458 --> 00:18:38,541 mesenchymal stem cells. 612 00:18:38,541 --> 00:18:40,125 And mesenchymal is kind of like an 613 00:18:40,125 --> 00:18:42,083 embryological term that all these stem 614 00:18:42,083 --> 00:18:43,833 cell clinics that are out there, they're 615 00:18:43,833 --> 00:18:44,958 using what are called mesenchymal stem 616 00:18:44,958 --> 00:18:46,500 cells, which are either derived from fat, 617 00:18:47,083 --> 00:18:48,750 bone marrow, or umbilical 618 00:18:48,750 --> 00:18:50,166 cord tissue or placenta tissue. 619 00:18:50,166 --> 00:18:52,125 Those are perinatal tissue, those are 620 00:18:52,125 --> 00:18:53,500 typically the three most common sources. 621 00:18:54,166 --> 00:18:56,333 And so the problem is the guy who coined 622 00:18:56,333 --> 00:18:59,916 that term in 1992 wrote a paper in 2017 623 00:18:59,916 --> 00:19:02,250 saying that we need to rename it to 624 00:19:02,250 --> 00:19:03,750 medicinal signaling cells. 625 00:19:04,416 --> 00:19:05,125 His name is Dr. 626 00:19:05,125 --> 00:19:05,500 Arnold Kaplan. 627 00:19:05,791 --> 00:19:08,083 And so essentially he was saying that he 628 00:19:08,083 --> 00:19:09,875 named them wrongly because 629 00:19:09,875 --> 00:19:11,333 they are not true stem cells. 630 00:19:11,333 --> 00:19:12,791 They're just not able to regenerate 631 00:19:12,791 --> 00:19:13,875 tissue, like you were saying. 632 00:19:14,333 --> 00:19:15,583 What they do is they do something called 633 00:19:15,583 --> 00:19:17,791 paracrine signaling, which is a signal 634 00:19:17,791 --> 00:19:19,291 and they modulate their environment, 635 00:19:19,291 --> 00:19:20,791 which can still reduce inflammation and 636 00:19:20,791 --> 00:19:22,750 still be helpful, but it's not true 637 00:19:22,750 --> 00:19:25,000 regenerative, which is what people are 638 00:19:25,000 --> 00:19:26,125 looking for and what people are hoping 639 00:19:26,125 --> 00:19:27,166 for with these treatments. 640 00:19:27,166 --> 00:19:28,583 And that was a problem with all these 641 00:19:28,583 --> 00:19:30,500 stem cell clinics and why most of these 642 00:19:30,500 --> 00:19:31,500 stem cell clinics, to be 643 00:19:31,500 --> 00:19:33,041 honest, are scam in a sense. 644 00:19:33,375 --> 00:19:33,875 And a lot of them are 645 00:19:33,875 --> 00:19:34,833 just marketing and hype. 646 00:19:34,833 --> 00:19:35,666 And there's just a lot of 647 00:19:35,666 --> 00:19:36,666 misinformation out there. 648 00:19:36,666 --> 00:19:38,416 And that's also why a lot of mainstream 649 00:19:38,416 --> 00:19:40,791 doctors don't like it because it's like 650 00:19:40,791 --> 00:19:42,500 these clinics are offering these things 651 00:19:42,500 --> 00:19:43,750 which aren't true stem cells. 652 00:19:43,750 --> 00:19:46,541 And that's still a problem because all 653 00:19:46,541 --> 00:19:48,000 these clinics are saying we do stem cell 654 00:19:48,000 --> 00:19:49,208 injections, but they're not 655 00:19:49,208 --> 00:19:50,166 doing stem cell injections. 656 00:19:50,416 --> 00:19:51,416 They're doing signaling molecule 657 00:19:51,416 --> 00:19:53,208 injections or what are, or the other, 658 00:19:53,208 --> 00:19:54,625 other technical name is what's called a 659 00:19:54,625 --> 00:19:56,958 committed progenitor cell, which means 660 00:19:56,958 --> 00:19:57,541 it's already committed 661 00:19:57,541 --> 00:19:58,750 to a certain cell lineage. 662 00:19:58,750 --> 00:20:00,333 It's not able to differentiate into all 663 00:20:00,333 --> 00:20:01,458 the different types of cell types. 664 00:20:02,083 --> 00:20:03,500 So what is a true stem cell? 665 00:20:03,500 --> 00:20:04,583 A true stem cell, it can 666 00:20:04,583 --> 00:20:06,333 turn into any cell in the body. 667 00:20:06,333 --> 00:20:08,000 What's called a pluripotent stem cell. 668 00:20:08,500 --> 00:20:10,541 And so that's, that's, but the issue with 669 00:20:10,541 --> 00:20:12,291 pluripotent stem cells has historically 670 00:20:12,291 --> 00:20:14,125 has been the risk of tumors or cancer 671 00:20:14,125 --> 00:20:15,250 because they could not 672 00:20:15,250 --> 00:20:16,708 turn into tumors as well. 673 00:20:16,708 --> 00:20:16,916 Right. 674 00:20:17,166 --> 00:20:19,000 And that, that's the kind of the big 675 00:20:19,000 --> 00:20:21,208 breakthrough with these new cells, which 676 00:20:21,208 --> 00:20:23,416 is what we're using because they're 677 00:20:23,416 --> 00:20:25,458 pluripotent, meaning they can turn into 678 00:20:25,458 --> 00:20:26,791 any cell in the body, but 679 00:20:26,791 --> 00:20:27,750 they're non-tumorogenic. 680 00:20:28,000 --> 00:20:29,666 So they have the best of both worlds. 681 00:20:29,666 --> 00:20:31,458 So they can not only differentiate into 682 00:20:31,458 --> 00:20:33,291 cartilage or heart or liver. 683 00:20:33,583 --> 00:20:35,125 They've been shown to generate into new 684 00:20:35,125 --> 00:20:36,083 bone, like new brain 685 00:20:36,083 --> 00:20:37,500 tissue to like neural neurons. 686 00:20:37,500 --> 00:20:38,958 So they can turn into anything you need 687 00:20:38,958 --> 00:20:40,750 them to, but there's no risk of cancer. 688 00:20:41,083 --> 00:20:42,250 And in fact, there's research suggests 689 00:20:42,250 --> 00:20:42,875 that they may even 690 00:20:42,875 --> 00:20:43,791 suppress cancer growth. 691 00:20:44,000 --> 00:20:46,208 So it's really, really promising in terms 692 00:20:46,208 --> 00:20:48,208 of their future of, for so 693 00:20:48,208 --> 00:20:49,083 many different applications. 694 00:20:49,416 --> 00:20:51,041 But to come back to your question, what 695 00:20:51,041 --> 00:20:53,250 the immune cells do more than anything is 696 00:20:53,250 --> 00:20:54,833 they help modulate your immune system. 697 00:20:55,333 --> 00:20:57,875 And this has been shown in, in clinical 698 00:20:57,875 --> 00:21:00,791 clinical research, but also with some of 699 00:21:00,791 --> 00:21:02,500 the evidence that we published, we just 700 00:21:02,500 --> 00:21:03,666 published some, we 701 00:21:03,666 --> 00:21:04,500 just published a paper. 702 00:21:04,500 --> 00:21:06,375 I mean, it's just a few cases, but we 703 00:21:06,375 --> 00:21:08,208 used, you know, we use this generation 704 00:21:08,208 --> 00:21:10,166 lab, which is like systems biology aging 705 00:21:10,166 --> 00:21:12,208 test, and essentially measures 19 706 00:21:12,208 --> 00:21:13,250 different organ systems. 707 00:21:13,541 --> 00:21:15,333 And we're able to show like, with just 708 00:21:15,333 --> 00:21:17,333 one or two infusions of the immune cells, 709 00:21:17,333 --> 00:21:19,875 you can see like 10, up to 10 years of 710 00:21:19,875 --> 00:21:20,916 reversal of biological 711 00:21:20,916 --> 00:21:22,125 age in the immune system. 712 00:21:22,875 --> 00:21:23,500 And then you can see 713 00:21:23,500 --> 00:21:24,916 significant slowing down of that. 714 00:21:24,916 --> 00:21:25,875 And then you see the inflammatory 715 00:21:26,000 --> 00:21:27,916 response completely become blunted. 716 00:21:28,541 --> 00:21:30,583 So there's a shift that happens after the 717 00:21:30,583 --> 00:21:31,041 immune cells, which 718 00:21:31,041 --> 00:21:31,833 is really interesting. 719 00:21:31,833 --> 00:21:34,625 And the whole idea is that we combine it 720 00:21:34,625 --> 00:21:36,583 with that blood cleaning technology. 721 00:21:36,583 --> 00:21:38,000 So for, let's say someone who has an 722 00:21:38,000 --> 00:21:39,625 autoimmune condition or dealing with 723 00:21:39,625 --> 00:21:41,583 chronic infections, you know, whether 724 00:21:41,583 --> 00:21:43,583 that's mold or lime or whatever, then one 725 00:21:43,583 --> 00:21:44,916 of the things you can do is you can 726 00:21:44,916 --> 00:21:46,791 remove all the bad stuff using that 727 00:21:46,791 --> 00:21:49,000 technology, like the endocerases, and 728 00:21:49,000 --> 00:21:50,625 then you can put in the new cells. 729 00:21:50,625 --> 00:21:52,166 So it's like you're, you're preparing the 730 00:21:52,166 --> 00:21:53,458 soil before you plant the seeds. 731 00:21:53,916 --> 00:21:55,625 And then you can also you can, of course, 732 00:21:55,625 --> 00:21:57,375 we touch on hormones a little bit, you 733 00:21:57,375 --> 00:22:00,000 can also optimize our hormones using, you 734 00:22:00,000 --> 00:22:01,500 know, functional genomics and blood work 735 00:22:01,500 --> 00:22:02,916 and all that stuff to really look at 736 00:22:02,916 --> 00:22:04,750 their hormone metabolism, and then figure 737 00:22:04,750 --> 00:22:05,583 out and make an 738 00:22:05,583 --> 00:22:06,833 individualized plan for them. 739 00:22:07,208 --> 00:22:08,208 So that way, you're kind of like 740 00:22:08,208 --> 00:22:09,458 optimizing the hormones, you're 741 00:22:09,458 --> 00:22:10,500 optimizing their body 742 00:22:10,500 --> 00:22:11,958 before you put in these cells. 743 00:22:12,416 --> 00:22:13,083 And that's really what 744 00:22:13,083 --> 00:22:14,000 leads to good results. 745 00:22:14,541 --> 00:22:15,041 Yeah, definitely. 746 00:22:15,041 --> 00:22:15,666 And I'd love to come 747 00:22:15,666 --> 00:22:16,583 back to homes in a moment. 748 00:22:17,083 --> 00:22:19,666 Mechanistically, what is going on, I 749 00:22:19,666 --> 00:22:21,916 suppose, at this, at the level of the 750 00:22:21,916 --> 00:22:23,125 immune system, when you're introducing 751 00:22:23,125 --> 00:22:24,916 these stem cells, is there sort of an 752 00:22:24,916 --> 00:22:26,750 increase in natural killer cell activity? 753 00:22:27,333 --> 00:22:30,458 No, it's actually a Treg and TH17. 754 00:22:30,458 --> 00:22:32,166 It's increasing the balance of that. 755 00:22:32,833 --> 00:22:33,833 And then so basically 756 00:22:33,833 --> 00:22:35,208 more T regulatory cells. 757 00:22:35,708 --> 00:22:38,041 And then the other thing is it's 758 00:22:38,041 --> 00:22:39,375 increasing macro, what's called 759 00:22:39,375 --> 00:22:40,416 macrophage polarization. 760 00:22:40,916 --> 00:22:42,125 So shifting the macrophage. 761 00:22:42,125 --> 00:22:43,125 And one to two. 762 00:22:43,125 --> 00:22:43,666 Yeah, exactly. 763 00:22:43,666 --> 00:22:43,958 Yeah. 764 00:22:44,291 --> 00:22:45,625 So those are two of the biggest ones. 765 00:22:45,625 --> 00:22:47,250 But then there's also the other thing is, 766 00:22:47,250 --> 00:22:49,666 is helping with what's called SASP, 767 00:22:49,958 --> 00:22:50,791 senescence associated 768 00:22:50,791 --> 00:22:51,791 secretinative phenotype. 769 00:22:52,375 --> 00:22:53,875 So which is essentially one of the 770 00:22:53,875 --> 00:22:56,500 hallmarks of aging, and it helps to 771 00:22:56,500 --> 00:22:58,791 reprogram those cells to have a different 772 00:22:58,791 --> 00:23:00,791 gene expression profile that's more anti 773 00:23:00,791 --> 00:23:02,500 inflammatory, as opposed to the pro 774 00:23:02,625 --> 00:23:04,250 inflammatory senescent profile. 775 00:23:04,666 --> 00:23:06,083 And it actually clears out this is the 776 00:23:06,083 --> 00:23:07,041 coolest thing about new cells. 777 00:23:07,541 --> 00:23:08,375 New cells have what's 778 00:23:08,375 --> 00:23:09,375 called phagocytosis. 779 00:23:09,833 --> 00:23:12,333 So they actually eat the day so let's say 780 00:23:12,333 --> 00:23:13,833 they go to your heart, and there's a 781 00:23:13,833 --> 00:23:15,291 damage, there's damaged heart cells in 782 00:23:15,291 --> 00:23:17,333 there that are senescent that are old and 783 00:23:17,333 --> 00:23:19,000 your body can't clear them out, the new 784 00:23:19,000 --> 00:23:20,041 cells will actually eat them. 785 00:23:20,041 --> 00:23:21,750 And then they'll use a cellular machinery 786 00:23:21,750 --> 00:23:23,250 to turn to a new heart cell that's 787 00:23:23,250 --> 00:23:25,125 functionally better and works better. 788 00:23:25,916 --> 00:23:26,083 Yeah. 789 00:23:26,250 --> 00:23:28,125 And for the audience, that whole process 790 00:23:28,125 --> 00:23:30,458 of phagocytosis forms into this what's 791 00:23:30,458 --> 00:23:32,666 been sort of popularized as this idea of 792 00:23:32,666 --> 00:23:35,625 autophagy upregulating the sort of the 793 00:23:35,625 --> 00:23:37,291 cell recycling process 794 00:23:37,291 --> 00:23:39,250 within a specific target tissue. 795 00:23:40,666 --> 00:23:42,250 That's fascinating, especially the 796 00:23:42,250 --> 00:23:44,583 ability for it to sort of help balance 797 00:23:44,583 --> 00:23:46,708 out that TH17 response as well. 798 00:23:46,708 --> 00:23:48,750 I mean, I know that's also mediated by 799 00:23:49,208 --> 00:23:50,708 Holman specifically, which we can talk 800 00:23:50,708 --> 00:23:51,833 about in a minute things 801 00:23:51,833 --> 00:23:53,583 like excess of estrogen, etc. 802 00:23:55,666 --> 00:23:55,875 Wow. 803 00:23:56,208 --> 00:23:58,791 And then, yeah, I apologize to everyone 804 00:23:58,791 --> 00:24:00,333 who's listening, I might get we might get 805 00:24:00,333 --> 00:24:01,166 a little technical here. 806 00:24:01,791 --> 00:24:03,958 What do you how are you then regulating 807 00:24:03,958 --> 00:24:06,000 the SASP on the back end of that with 808 00:24:06,000 --> 00:24:08,500 regards to looking at compounds like your 809 00:24:08,500 --> 00:24:10,541 your senolytics, everything from your 810 00:24:10,541 --> 00:24:13,958 natural phi-setins to your pharmaceutical 811 00:24:13,958 --> 00:24:15,541 candidates like dastinib. 812 00:24:15,541 --> 00:24:17,541 Are you utilizing any of those compounds 813 00:24:18,000 --> 00:24:21,333 to then sort of clean up the sort of the 814 00:24:21,333 --> 00:24:22,541 leftovers senescent cells? 815 00:24:23,000 --> 00:24:25,208 We use there's a couple there's a company 816 00:24:25,208 --> 00:24:26,250 called qualia, which 817 00:24:26,250 --> 00:24:27,583 makes a senolytic supplement. 818 00:24:27,583 --> 00:24:28,708 So we've been using that one. 819 00:24:29,291 --> 00:24:30,583 And I don't know if there's anything, you 820 00:24:30,583 --> 00:24:31,875 know, I'm not I'm not a super expert as 821 00:24:31,875 --> 00:24:32,666 you are on supplements. 822 00:24:32,666 --> 00:24:33,166 So there might be 823 00:24:33,166 --> 00:24:33,958 something better out there. 824 00:24:33,958 --> 00:24:35,125 But that's the one I've been using. 825 00:24:35,583 --> 00:24:37,083 And then the other other interesting 826 00:24:37,083 --> 00:24:38,791 intervention from a cellular therapy 827 00:24:38,791 --> 00:24:40,166 perspective are NK cells. 828 00:24:40,750 --> 00:24:42,875 So allogeneic natural natural killer 829 00:24:42,875 --> 00:24:43,791 cells act like a 830 00:24:43,791 --> 00:24:45,000 sponge for senescent cells. 831 00:24:45,333 --> 00:24:47,041 So that's another if you you know, for 832 00:24:47,041 --> 00:24:49,208 for older people, especially, excuse me, 833 00:24:49,208 --> 00:24:51,041 for older people, especially, you can do 834 00:24:51,041 --> 00:24:53,708 NK cells prior to the mucal infusion, 835 00:24:53,708 --> 00:24:56,208 because the NK cells help to reduce that 836 00:24:56,208 --> 00:24:58,208 SASP microenvironment and help to clear 837 00:24:58,208 --> 00:24:59,458 out some of the senescent cells before 838 00:24:59,458 --> 00:25:00,125 you put in the mucal. 839 00:25:00,791 --> 00:25:01,541 I did not know that. 840 00:25:01,833 --> 00:25:03,666 I believe that IP6 phosphate just doesn't 841 00:25:03,666 --> 00:25:05,416 offer you probably aware of this is also 842 00:25:05,416 --> 00:25:07,916 going to increase in activity within this 843 00:25:07,916 --> 00:25:09,625 within well within the 844 00:25:09,625 --> 00:25:10,375 immune system as well. 845 00:25:11,291 --> 00:25:12,958 That's anositol 6 phosphate. 846 00:25:13,375 --> 00:25:15,166 So that's also an interesting one that's 847 00:25:15,166 --> 00:25:16,208 been shown to increase. 848 00:25:16,666 --> 00:25:18,166 I assume it do you mean natural killer 849 00:25:18,166 --> 00:25:19,083 cell activity there? 850 00:25:19,833 --> 00:25:20,333 Yeah, okay. 851 00:25:20,333 --> 00:25:21,875 No, that's an that's one that's also got 852 00:25:21,875 --> 00:25:23,791 shown to be quite 853 00:25:23,791 --> 00:25:24,958 effective at helping to increase. 854 00:25:25,791 --> 00:25:27,083 Yeah, NK cell activity. 855 00:25:27,708 --> 00:25:29,500 In any case, I think we're getting a 856 00:25:29,500 --> 00:25:30,333 listen to the weeds here. 857 00:25:31,875 --> 00:25:32,250 Dr. 858 00:25:32,250 --> 00:25:34,000 Kahn, I'd love to maybe pivot and to talk 859 00:25:34,000 --> 00:25:35,000 about hormones a little 860 00:25:35,000 --> 00:25:35,875 bit now if that's okay. 861 00:25:36,250 --> 00:25:37,958 Specifically, as they again, as they 862 00:25:37,958 --> 00:25:39,500 pertain to these longevity outcomes. 863 00:25:39,500 --> 00:25:40,000 Now, like you, 864 00:25:41,083 --> 00:25:43,250 I follow bodybuilding quite closely. 865 00:25:43,541 --> 00:25:45,291 And, and to be honest, I think maybe 866 00:25:45,291 --> 00:25:47,500 outside of individual societies yourself, 867 00:25:47,750 --> 00:25:48,875 and a lot of these sort of 868 00:25:48,875 --> 00:25:51,791 institutionalized academics, their cohort 869 00:25:51,791 --> 00:25:54,125 of individuals that definitely I find 870 00:25:54,125 --> 00:25:55,083 fascinating because, 871 00:25:56,250 --> 00:25:57,166 for the most part, I think they 872 00:25:57,166 --> 00:25:59,000 understand human biology better than 873 00:25:59,000 --> 00:26:01,083 better than most, especially your sorts 874 00:26:01,083 --> 00:26:02,458 of your newer guys, 875 00:26:02,458 --> 00:26:04,083 like, like your Dean St. 876 00:26:04,083 --> 00:26:05,625 Marty, your vigorous Steve's, etc. 877 00:26:06,125 --> 00:26:09,416 I mean, they, it's in their best interest 878 00:26:10,083 --> 00:26:12,375 to understand the human biology because 879 00:26:12,375 --> 00:26:13,500 ultimately, that's the way 880 00:26:13,500 --> 00:26:14,875 you get the body thereafter. 881 00:26:15,583 --> 00:26:19,000 Now, I'm not saying that what these guys 882 00:26:19,000 --> 00:26:20,791 do is necessarily the 883 00:26:20,791 --> 00:26:22,625 best for longevity outcomes. 884 00:26:22,625 --> 00:26:24,750 I mean, yeah, yes, your tremolones, your 885 00:26:24,750 --> 00:26:26,916 methylated testosterone are great for 886 00:26:26,916 --> 00:26:28,208 throwing on slabs of tissue. 887 00:26:28,583 --> 00:26:30,583 But from a systemic standpoint, they're 888 00:26:30,583 --> 00:26:30,958 just going to 889 00:26:30,958 --> 00:26:32,291 increase oxidative stress and 890 00:26:33,583 --> 00:26:36,083 drive up androgenicity and create all 891 00:26:36,083 --> 00:26:37,375 manner of health 892 00:26:37,375 --> 00:26:38,416 issues related on the line. 893 00:26:39,500 --> 00:26:42,916 The proper use of HRT, however, I think 894 00:26:42,916 --> 00:26:44,958 does interest me as longevity aid, 895 00:26:45,208 --> 00:26:47,416 especially in the society we have today, 896 00:26:48,166 --> 00:26:51,166 where people's levels of hormones for a 897 00:26:51,166 --> 00:26:52,416 lot of the reasons we've already 898 00:26:52,416 --> 00:26:54,458 discussed are just lower than ever. 899 00:26:54,833 --> 00:26:55,750 Now, of course, 900 00:26:56,833 --> 00:26:58,416 yeah, endocrine disruptors 901 00:26:58,416 --> 00:27:00,208 lack of sleep, the list goes on. 902 00:27:00,541 --> 00:27:04,250 And again, as you said earlier, these 903 00:27:04,250 --> 00:27:06,000 environmental toxins, yeah, 904 00:27:06,083 --> 00:27:07,625 two times, so your molds, etc. 905 00:27:08,875 --> 00:27:11,458 Now, I'd love to discuss maybe some of 906 00:27:11,458 --> 00:27:16,083 the nuances of HRT and both men and women 907 00:27:16,083 --> 00:27:17,250 from a longevity perspective. 908 00:27:18,791 --> 00:27:20,500 But why do you think, but before we get 909 00:27:20,500 --> 00:27:22,875 there, why do you think it's often 910 00:27:22,875 --> 00:27:24,375 overlooked as a longevity 911 00:27:24,375 --> 00:27:26,125 candidate or a longevity aid? 912 00:27:26,375 --> 00:27:27,500 I mean, especially when you start looking 913 00:27:27,500 --> 00:27:30,208 at the ITP, most people are just again, 914 00:27:30,208 --> 00:27:32,708 looking at these single molecules to try 915 00:27:32,708 --> 00:27:35,291 and sort of, yeah, improve longevity 916 00:27:35,291 --> 00:27:36,791 outcomes, improve health span, whether 917 00:27:36,791 --> 00:27:39,750 it's astaxanthin, or the latest senolytic 918 00:27:39,750 --> 00:27:41,875 or whatever, but very few people are 919 00:27:41,875 --> 00:27:44,916 seemingly, again, we've discussed this 920 00:27:44,916 --> 00:27:46,500 already, the immune system, but focusing 921 00:27:46,500 --> 00:27:48,541 on the endocrine 922 00:27:48,541 --> 00:27:49,750 system, the hormone system. 923 00:27:50,375 --> 00:27:51,208 Do you have a feeling as 924 00:27:51,208 --> 00:27:52,833 to why that is specifically? 925 00:27:53,916 --> 00:27:55,250 Well, I think part of the problem is 926 00:27:55,291 --> 00:27:57,750 there wasn't personalization and 927 00:27:57,750 --> 00:27:59,083 understanding how to 928 00:27:59,083 --> 00:28:00,666 restore the whole access. 929 00:28:01,416 --> 00:28:03,291 Like, for example, it's kind of, it was 930 00:28:03,291 --> 00:28:05,208 very primitive, and it still is for a lot 931 00:28:05,208 --> 00:28:06,583 of people, which is basically like, oh, 932 00:28:07,000 --> 00:28:08,750 you have low testosterone, so take some 933 00:28:08,750 --> 00:28:11,125 testosterone, you have low estrogen, so 934 00:28:11,125 --> 00:28:13,208 take some estrogen, but there, but again, 935 00:28:13,208 --> 00:28:14,833 it's, it's kind of looking at the whole 936 00:28:14,833 --> 00:28:17,416 body and asking yourself, okay, does this 937 00:28:17,416 --> 00:28:18,458 make sense for this picture? 938 00:28:18,458 --> 00:28:20,208 Or why is it low in the first place? 939 00:28:20,208 --> 00:28:21,625 Or is there something we can do from a 940 00:28:21,625 --> 00:28:23,625 systems biology approach to get your own 941 00:28:23,625 --> 00:28:25,000 body to produce more of it? 942 00:28:25,500 --> 00:28:26,750 And especially for a young, like you 943 00:28:26,750 --> 00:28:28,583 said, younger and younger people are 944 00:28:28,583 --> 00:28:30,125 presenting with low testosterone. 945 00:28:30,125 --> 00:28:32,500 That's not normal, you know, and there's 946 00:28:32,500 --> 00:28:34,666 people in their 20s and 30s going on TRT. 947 00:28:35,250 --> 00:28:37,208 And that, that, that to me is a bit of a 948 00:28:37,208 --> 00:28:38,833 problem, because then you're not, you're 949 00:28:38,833 --> 00:28:40,416 not going to the root cause necessarily, 950 00:28:40,416 --> 00:28:42,666 which could be the adrenal access, and it 951 00:28:42,666 --> 00:28:44,125 could be because of microplastics and the 952 00:28:44,125 --> 00:28:45,291 endocrine, it could be so many different 953 00:28:45,291 --> 00:28:47,208 things that you want to look at and see 954 00:28:47,208 --> 00:28:50,125 if you can kind of restart or re jump the 955 00:28:50,125 --> 00:28:51,166 system, so to speak. 956 00:28:51,166 --> 00:28:52,833 And there's, and I think that's where 957 00:28:52,833 --> 00:28:53,458 kind of functional 958 00:28:53,458 --> 00:28:54,791 genomics was really interesting. 959 00:28:55,125 --> 00:28:56,708 We have a doctor, Dr. 960 00:28:56,875 --> 00:28:57,666 Mansoor Muhammad. 961 00:28:57,666 --> 00:28:59,541 He's a, he's kind of like the guy who 962 00:28:59,541 --> 00:29:01,541 pioneered, I would say he has, he's the 963 00:29:01,541 --> 00:29:02,750 only one I know, as far as I know, that 964 00:29:02,750 --> 00:29:06,458 has this insight into looking at your 965 00:29:06,458 --> 00:29:08,208 specific genes that 966 00:29:08,208 --> 00:29:09,500 affect hormone metabolism. 967 00:29:09,708 --> 00:29:11,000 Because obviously when you do these 968 00:29:11,000 --> 00:29:13,458 genetic tests, like, you know, from these 969 00:29:13,458 --> 00:29:15,041 DNA companies, they look at there's 970 00:29:15,041 --> 00:29:16,750 thousands of genes and it's not very, it 971 00:29:16,750 --> 00:29:18,041 just gives you a big report and it 972 00:29:18,041 --> 00:29:18,958 doesn't really give you 973 00:29:18,958 --> 00:29:20,083 a lot of good insight. 974 00:29:20,083 --> 00:29:20,625 You know what I mean? 975 00:29:20,625 --> 00:29:21,250 It's very generic. 976 00:29:21,833 --> 00:29:22,708 Whereas Dr. 977 00:29:22,708 --> 00:29:25,125 Mansoor, what he does is he says, no, I 978 00:29:25,125 --> 00:29:27,125 figured out which genes to look at 979 00:29:27,125 --> 00:29:29,166 specifically to optimize your health and 980 00:29:29,166 --> 00:29:32,333 longevity and not just hormonal ones, but 981 00:29:32,333 --> 00:29:33,708 then there's other important ones too, 982 00:29:33,708 --> 00:29:34,541 obviously like methylation 983 00:29:34,541 --> 00:29:35,583 and other things like that. 984 00:29:36,041 --> 00:29:37,791 But so he does a very tailored approach. 985 00:29:38,250 --> 00:29:40,083 And that's what we use personally to 986 00:29:40,083 --> 00:29:41,291 optimize people's hormones. 987 00:29:41,291 --> 00:29:43,166 Because then he can say, okay, look, your 988 00:29:43,166 --> 00:29:45,375 estrogen metabolism or your progesterone 989 00:29:45,375 --> 00:29:47,375 metabolism is faster than it should be. 990 00:29:47,625 --> 00:29:49,500 And therefore, this is like a deficiency 991 00:29:49,500 --> 00:29:50,625 that you're going to or you're going to 992 00:29:50,625 --> 00:29:52,500 have, you know, because of that you have 993 00:29:52,500 --> 00:29:53,666 this X deficiency and this 994 00:29:53,666 --> 00:29:54,458 is what you need to take. 995 00:29:54,666 --> 00:29:56,083 So he can give you a much more 996 00:29:56,083 --> 00:29:57,791 personalized and specific plan than just 997 00:29:57,791 --> 00:29:59,125 kind of being like looking at your blood 998 00:29:59,125 --> 00:30:00,916 work and telling you based off your 999 00:30:00,916 --> 00:30:03,416 genetics, maybe why your hormones, you 1000 00:30:03,416 --> 00:30:05,166 know, are presenting the way they are. 1001 00:30:05,166 --> 00:30:06,166 Yeah, definitely. 1002 00:30:06,583 --> 00:30:08,291 Is his company the DNA company? 1003 00:30:08,291 --> 00:30:08,958 Have I got that right? 1004 00:30:09,666 --> 00:30:11,458 He was, long story, he 1005 00:30:11,458 --> 00:30:12,666 was part of the DNA company. 1006 00:30:13,125 --> 00:30:14,333 He was the founder, he was actually the 1007 00:30:14,333 --> 00:30:14,916 founder of that company. 1008 00:30:15,500 --> 00:30:16,458 He was his chief scientific. 1009 00:30:16,458 --> 00:30:17,000 He was the one who 1010 00:30:17,000 --> 00:30:18,166 created all their products. 1011 00:30:18,916 --> 00:30:19,791 But then he ended up leaving 1012 00:30:19,791 --> 00:30:21,166 and started his own company. 1013 00:30:21,166 --> 00:30:21,708 And now his company is 1014 00:30:21,708 --> 00:30:22,666 called the PhD clinic. 1015 00:30:23,541 --> 00:30:24,833 Okay, no, I have to check that out. 1016 00:30:25,125 --> 00:30:27,083 No, it's another rabbit hole. 1017 00:30:27,083 --> 00:30:28,041 But yeah, no, I love the 1018 00:30:28,041 --> 00:30:29,208 fact that you brought that up. 1019 00:30:29,208 --> 00:30:32,291 I think, and in a minute, we will have to 1020 00:30:32,291 --> 00:30:33,250 talk about the importance 1021 00:30:33,250 --> 00:30:34,541 of hormones and longevity. 1022 00:30:36,375 --> 00:30:39,541 But yeah, I think people especially women 1023 00:30:39,541 --> 00:30:43,333 who put on to HRT, genes 1024 00:30:43,333 --> 00:30:44,458 aren't taken into account. 1025 00:30:44,750 --> 00:30:46,791 And I think another great test is, as 1026 00:30:46,791 --> 00:30:48,583 you're probably well aware of, is the 1027 00:30:48,583 --> 00:30:49,500 Dutch test in that respect. 1028 00:30:50,041 --> 00:30:52,000 And just being able to identify how 1029 00:30:52,000 --> 00:30:53,250 effectively someone is going to 1030 00:30:53,250 --> 00:30:54,916 metabolize a certain hormone before it's 1031 00:30:54,916 --> 00:30:56,500 introduced to their body, I think is very 1032 00:30:56,500 --> 00:30:58,708 important, especially for women sort of 1033 00:30:58,708 --> 00:31:00,500 transitioning or going into menopause, 1034 00:31:00,500 --> 00:31:02,625 where maybe they've not actually ever 1035 00:31:02,625 --> 00:31:04,500 done any sort of hormonal testing as a 1036 00:31:04,500 --> 00:31:04,875 baseline previously. 1037 00:31:04,875 --> 00:31:09,125 So you don't have an idea of how 1038 00:31:09,125 --> 00:31:11,333 effective of where that sort of estrogen 1039 00:31:11,333 --> 00:31:12,708 baseline necessarily is. 1040 00:31:13,416 --> 00:31:15,833 Now, of course, you can 1041 00:31:15,833 --> 00:31:17,166 give someone testosterone. 1042 00:31:17,583 --> 00:31:20,250 And for the most part, that's relatively 1043 00:31:20,250 --> 00:31:23,250 easy to control in terms of systemic 1044 00:31:23,250 --> 00:31:25,500 outcomes, but in terms 1045 00:31:25,500 --> 00:31:26,750 of a side effect, sorry. 1046 00:31:27,500 --> 00:31:29,000 But when you start looking at estrogen, 1047 00:31:29,250 --> 00:31:31,166 and giving it to someone specifically, 1048 00:31:31,791 --> 00:31:33,583 and you're not aware of how well they're 1049 00:31:33,583 --> 00:31:34,833 going to methylate or break it down, 1050 00:31:34,833 --> 00:31:37,791 you're not aware of sort of first and 1051 00:31:37,791 --> 00:31:39,750 second phase detoxification, in that 1052 00:31:39,750 --> 00:31:40,708 respect, I think it 1053 00:31:40,708 --> 00:31:41,916 starts to get quite messy. 1054 00:31:41,916 --> 00:31:44,916 And you can potentially start to trigger 1055 00:31:44,916 --> 00:31:47,166 the development of certain cancers, 1056 00:31:47,166 --> 00:31:50,041 especially where there's just a buildup 1057 00:31:50,041 --> 00:31:51,708 of estrogen in the body over time. 1058 00:31:52,541 --> 00:31:56,583 Obviously, your estrogen sensitive 1059 00:31:56,583 --> 00:31:58,416 cancers specifically. 1060 00:31:59,166 --> 00:32:02,208 So yeah, that's amazing. 1061 00:32:02,208 --> 00:32:03,500 I love the fact that you take that 1062 00:32:03,500 --> 00:32:05,000 approach and you're looking at it from 1063 00:32:05,000 --> 00:32:07,541 more than just a serum 1064 00:32:07,541 --> 00:32:09,125 blood work standpoint. 1065 00:32:10,208 --> 00:32:10,875 In any case, 1066 00:32:11,916 --> 00:32:13,083 off track again, this is... 1067 00:32:13,416 --> 00:32:14,041 That's interesting. 1068 00:32:14,375 --> 00:32:16,958 Yeah, because most people, I mean, that's 1069 00:32:16,958 --> 00:32:17,916 what's offered to 99% 1070 00:32:18,208 --> 00:32:19,125 of people still, right? 1071 00:32:19,125 --> 00:32:20,916 So people need to know that there's 1072 00:32:20,916 --> 00:32:22,791 something more sophisticated out there. 1073 00:32:22,791 --> 00:32:24,375 It's just educating the public. 1074 00:32:25,041 --> 00:32:25,708 Yeah, no, definitely. 1075 00:32:26,166 --> 00:32:29,291 And I think it just goes to the sort of 1076 00:32:29,291 --> 00:32:30,666 whole cookie cutter approach with hormone 1077 00:32:30,666 --> 00:32:33,041 therapy, and why it 1078 00:32:33,041 --> 00:32:34,291 fails to so many people. 1079 00:32:35,291 --> 00:32:38,458 Obviously, in the UK, I'm sure familiar 1080 00:32:38,458 --> 00:32:39,750 with the system we have here, everybody 1081 00:32:39,750 --> 00:32:42,000 just gets the overall patch, obviously, 1082 00:32:42,291 --> 00:32:43,875 women in this respect, and then all of a 1083 00:32:43,875 --> 00:32:45,458 sudden, they're bloated, depressed, and 1084 00:32:45,458 --> 00:32:46,666 they have no clue why, but they're on 1085 00:32:46,666 --> 00:32:48,291 HRT, why is it not working well? 1086 00:32:49,333 --> 00:32:51,166 You are now estrogen dominant, have no 1087 00:32:51,166 --> 00:32:53,458 progesterone or testosterone, and you 1088 00:32:53,458 --> 00:32:55,000 wonder why you feel miserable as hell. 1089 00:32:56,625 --> 00:32:57,250 In any case, 1090 00:32:58,666 --> 00:33:00,000 again, apologies to everyone listening, 1091 00:33:00,000 --> 00:33:00,916 we've got straight into the weeds. 1092 00:33:01,250 --> 00:33:01,833 But Dr. 1093 00:33:01,833 --> 00:33:03,625 Kahn, I think it would be great if we 1094 00:33:03,625 --> 00:33:05,125 could maybe just take a quick step back 1095 00:33:05,125 --> 00:33:07,875 and talk about some of the importance of 1096 00:33:07,875 --> 00:33:09,750 the importance of hormones in longevity. 1097 00:33:10,041 --> 00:33:12,125 Now, I think when people think of, again, 1098 00:33:12,125 --> 00:33:13,833 think of hormones, it's just the sex 1099 00:33:13,833 --> 00:33:15,500 hormones that they think about. 1100 00:33:16,166 --> 00:33:18,375 Of course, there are dozens of hormones. 1101 00:33:19,375 --> 00:33:20,291 But specifically, 1102 00:33:21,333 --> 00:33:22,708 your testosterone, your estrogen, your 1103 00:33:22,708 --> 00:33:24,791 progesterone, your sex hormones, why is 1104 00:33:24,791 --> 00:33:25,916 it important to maintain 1105 00:33:25,916 --> 00:33:28,000 levels of those hormones as we age? 1106 00:33:28,708 --> 00:33:30,708 What are their sort of fundamental roles 1107 00:33:30,708 --> 00:33:32,541 in helping someone to age, 1108 00:33:32,875 --> 00:33:33,833 quote unquote, gracefully? 1109 00:33:34,541 --> 00:33:36,791 Well, I think we know with obviously with 1110 00:33:36,791 --> 00:33:38,333 testosterone, but also estrogen and 1111 00:33:38,333 --> 00:33:39,666 progesterone having the right balance, 1112 00:33:39,666 --> 00:33:41,458 they all they relate to muscle mass, bone 1113 00:33:41,458 --> 00:33:43,958 density, heart health, brain health. 1114 00:33:44,791 --> 00:33:46,666 So meaning if you have low testosterone, 1115 00:33:46,916 --> 00:33:48,125 you're at increased risk of depression. 1116 00:33:48,958 --> 00:33:51,041 In fact, there was a talk I attended 1117 00:33:51,041 --> 00:33:53,000 once, where they said the most common 1118 00:33:53,000 --> 00:33:54,916 reason for a Prozac prescription in men 1119 00:33:54,916 --> 00:33:56,041 is low testosterone. 1120 00:33:56,916 --> 00:33:58,666 And because a lot of doctors, I mean, now 1121 00:33:58,666 --> 00:33:59,250 there's obviously 1122 00:33:59,250 --> 00:34:00,291 more awareness about it. 1123 00:34:00,291 --> 00:34:01,625 But 10 years ago, there wasn't that 1124 00:34:01,625 --> 00:34:02,458 awareness to check 1125 00:34:02,750 --> 00:34:03,416 testosterone routinely. 1126 00:34:04,166 --> 00:34:05,000 I mean, I don't think 1127 00:34:05,000 --> 00:34:05,791 it's still done routinely. 1128 00:34:05,791 --> 00:34:07,166 But you know, at least there's more 1129 00:34:07,166 --> 00:34:09,041 awareness to understand that, hey, maybe 1130 00:34:09,041 --> 00:34:10,791 you have low mood, and maybe you're not 1131 00:34:10,833 --> 00:34:11,583 feeling very good 1132 00:34:11,583 --> 00:34:13,083 because of your hormones. 1133 00:34:13,083 --> 00:34:13,583 So more people are at 1134 00:34:13,583 --> 00:34:15,166 least thinking about that. 1135 00:34:15,166 --> 00:34:16,958 And then I think, you know, with estrogen 1136 00:34:16,958 --> 00:34:18,250 and progesterone is kind of the same 1137 00:34:18,250 --> 00:34:18,916 thing, we know how 1138 00:34:18,916 --> 00:34:20,416 protected they are for the body. 1139 00:34:20,916 --> 00:34:23,000 And finding the right balance is the key. 1140 00:34:23,000 --> 00:34:24,333 It's not about like you said, it's not 1141 00:34:24,333 --> 00:34:25,916 about having high levels necessarily, 1142 00:34:26,208 --> 00:34:27,625 it's about achieving 1143 00:34:27,625 --> 00:34:28,750 balance of those hormones. 1144 00:34:29,500 --> 00:34:30,666 And that balance can be a little bit 1145 00:34:30,666 --> 00:34:31,958 different for everyone too, I think. 1146 00:34:32,208 --> 00:34:35,000 So that's really where, you know, I think 1147 00:34:35,000 --> 00:34:37,833 for musculoskeletal health, especially, 1148 00:34:38,041 --> 00:34:39,541 that's really, I think the important 1149 00:34:39,583 --> 00:34:41,333 thing when it comes to longevity because 1150 00:34:41,333 --> 00:34:44,458 sarcopenia and low bone density become, 1151 00:34:45,000 --> 00:34:47,166 which is osteoporosis, become a big 1152 00:34:47,166 --> 00:34:49,000 problem for women, especially as they get 1153 00:34:49,000 --> 00:34:50,500 into their 50s and 60s. 1154 00:34:50,833 --> 00:34:52,250 And it only accelerates and then becomes 1155 00:34:52,250 --> 00:34:53,625 a big problem for men too, as they get 1156 00:34:53,625 --> 00:34:55,125 into their 60s, and they 1157 00:34:55,125 --> 00:34:56,125 can't put on muscle mass. 1158 00:34:56,125 --> 00:34:57,500 So if there's something, you know, we can 1159 00:34:57,500 --> 00:34:58,916 do to combat that from a hormonal 1160 00:34:58,916 --> 00:35:00,833 environment, then that's going to be, you 1161 00:35:00,833 --> 00:35:02,166 know, obviously ideal. 1162 00:35:02,875 --> 00:35:04,250 And I think, I think, you know, 1163 00:35:04,250 --> 00:35:05,583 obviously, the thyroid, the thyroid 1164 00:35:05,583 --> 00:35:06,958 hormones are also important, those are 1165 00:35:06,958 --> 00:35:08,791 just the sex hormones, but thyroid, I'm 1166 00:35:08,791 --> 00:35:09,625 sure people know that's 1167 00:35:09,625 --> 00:35:10,625 related to metabolism. 1168 00:35:11,250 --> 00:35:13,000 And, you know, it can, if you have a 1169 00:35:13,000 --> 00:35:14,583 thyroid, it can make you sluggish and 1170 00:35:14,583 --> 00:35:16,291 weight gain and all this other stuff. 1171 00:35:16,541 --> 00:35:19,291 But it can also affect importantly for 1172 00:35:19,291 --> 00:35:21,458 us, it can, there's studies showing that 1173 00:35:21,458 --> 00:35:23,500 if the thyroid levels are low, it can 1174 00:35:23,500 --> 00:35:25,250 affect the micro environment of the stem 1175 00:35:25,250 --> 00:35:26,708 cells to do their job effectively. 1176 00:35:27,458 --> 00:35:28,916 So that's one of the 1177 00:35:28,916 --> 00:35:30,791 reasons we look at hormones too. 1178 00:35:30,791 --> 00:35:32,666 And we want them optimized because it can 1179 00:35:32,666 --> 00:35:33,458 affect the stem cells 1180 00:35:33,458 --> 00:35:34,583 ability to do their job. 1181 00:35:35,083 --> 00:35:36,375 Yeah, no, I'd love to get into the 1182 00:35:36,375 --> 00:35:37,791 thyroid the minute because again, 1183 00:35:37,791 --> 00:35:39,333 something that I think a lot of people 1184 00:35:39,333 --> 00:35:41,791 sort of overlook is that if you've got 1185 00:35:41,916 --> 00:35:44,208 poor circulating levels of T3, the active 1186 00:35:44,208 --> 00:35:46,125 thyroid hormone, it's going to alter, I 1187 00:35:46,125 --> 00:35:47,750 believe, its star expression within the 1188 00:35:47,750 --> 00:35:49,250 mitochondria and the ability for the 1189 00:35:49,250 --> 00:35:50,291 mitochondria to actually 1190 00:35:50,291 --> 00:35:52,000 produce energy as well. 1191 00:35:53,541 --> 00:35:57,416 In any case, how do you, as a physician, 1192 00:35:57,416 --> 00:36:00,875 of course, start to look to help people 1193 00:36:00,875 --> 00:36:03,291 optimize thyroid, not excuse me, this 1194 00:36:03,291 --> 00:36:06,000 hormone function off the bat, obviously, 1195 00:36:06,000 --> 00:36:07,041 you're taking a functional 1196 00:36:07,041 --> 00:36:09,208 sort of genomic view of it. 1197 00:36:09,458 --> 00:36:10,875 And you're obviously including a lot of 1198 00:36:10,875 --> 00:36:12,125 blood work and, and 1199 00:36:12,125 --> 00:36:14,458 other metrics in this regard. 1200 00:36:14,458 --> 00:36:16,416 But are you sort of starting off with 1201 00:36:16,416 --> 00:36:18,000 sort of prohormones, things like 1202 00:36:18,000 --> 00:36:20,208 Pringnelen and DHE to start off with just 1203 00:36:20,208 --> 00:36:21,541 to see if you can increase 1204 00:36:21,541 --> 00:36:24,416 someone's natural sort of 1205 00:36:24,416 --> 00:36:26,708 Yeah, that's my approach. 1206 00:36:26,708 --> 00:36:27,333 Obviously, everyone's 1207 00:36:27,333 --> 00:36:28,333 different with this stuff. 1208 00:36:28,333 --> 00:36:30,166 But I'm always of the 1209 00:36:31,458 --> 00:36:33,750 logic that if we can get your system to 1210 00:36:33,750 --> 00:36:34,916 work better on its own, 1211 00:36:34,916 --> 00:36:35,750 why don't we try that first. 1212 00:36:36,083 --> 00:36:38,750 And that's where peptides and you know, 1213 00:36:38,750 --> 00:36:40,750 you mentioned bioregulators, you know, my 1214 00:36:40,750 --> 00:36:42,625 regulators, I don't know how great the 1215 00:36:42,625 --> 00:36:44,500 evidence is on that, to be honest, and I, 1216 00:36:44,500 --> 00:36:46,166 you know, and I've heard mixed things, 1217 00:36:46,166 --> 00:36:48,041 but I have seen, I've seen it helpful in 1218 00:36:48,041 --> 00:36:49,541 certain cases, very, bioregulators are 1219 00:36:49,541 --> 00:36:50,708 very hit or miss in my experience. 1220 00:36:51,458 --> 00:36:52,750 But you know, peptides tend to be a bit 1221 00:36:52,750 --> 00:36:54,041 more consistent, for example, something 1222 00:36:54,041 --> 00:36:56,833 called kisspeptin, an ACG, which is, you 1223 00:36:56,833 --> 00:36:58,916 know, basically can stimulate your LH and 1224 00:36:58,916 --> 00:37:00,125 your own body to produce more 1225 00:37:00,125 --> 00:37:01,208 testosterone on its own. 1226 00:37:01,666 --> 00:37:03,041 And that you can, like you said, you can 1227 00:37:03,041 --> 00:37:04,208 combine that with precursors like 1228 00:37:04,208 --> 00:37:05,708 pregnant alone and DHEA. 1229 00:37:06,125 --> 00:37:07,541 And then, you know, you can really get 1230 00:37:07,541 --> 00:37:10,000 your own access going again and get your 1231 00:37:10,000 --> 00:37:11,458 own body to produce more testosterone. 1232 00:37:12,500 --> 00:37:13,833 But I think so to me, 1233 00:37:13,833 --> 00:37:15,458 that's always my first approach. 1234 00:37:15,458 --> 00:37:17,375 Same thing with, you know, even with 1235 00:37:17,375 --> 00:37:20,291 estrogen, estrogen metabolism, for 1236 00:37:20,291 --> 00:37:22,583 example, there's research showing that, 1237 00:37:22,583 --> 00:37:24,666 you know, the vaginal microbiome and the 1238 00:37:24,666 --> 00:37:25,625 gut microbiome can 1239 00:37:25,625 --> 00:37:27,041 affect estrogen metabolism. 1240 00:37:27,958 --> 00:37:29,458 So meaning your estrogen, you can become 1241 00:37:29,458 --> 00:37:30,791 estrogen dominant because of gut 1242 00:37:30,791 --> 00:37:31,791 dysbiosis and because 1243 00:37:31,791 --> 00:37:32,791 of vaginal dysbiosis. 1244 00:37:33,500 --> 00:37:35,375 And so there's these next generation 1245 00:37:35,375 --> 00:37:38,250 supplements now, probiotic supplements, 1246 00:37:38,250 --> 00:37:39,875 basically, which help to restore the 1247 00:37:39,875 --> 00:37:41,833 flora, which have been shown to help to 1248 00:37:41,833 --> 00:37:42,833 restore the balance in 1249 00:37:42,833 --> 00:37:43,541 the hormones as well. 1250 00:37:44,458 --> 00:37:44,958 Yeah, that's fascinating. 1251 00:37:45,166 --> 00:37:46,625 I'll have to do a bit of a deeper dive 1252 00:37:46,625 --> 00:37:47,833 into that, especially sort 1253 00:37:47,833 --> 00:37:49,166 of the vaginal microbiome. 1254 00:37:49,166 --> 00:37:49,791 Yeah, check it. 1255 00:37:49,791 --> 00:37:50,875 There's a supplement called Get Happy, 1256 00:37:51,250 --> 00:37:52,458 it's from Germany, you know, how to name 1257 00:37:52,458 --> 00:37:53,541 Get Happy, but it's from Germany. 1258 00:37:54,000 --> 00:37:56,000 And it's a vaginal microbiome supplement, 1259 00:37:56,000 --> 00:37:56,958 but it's been, that's 1260 00:37:56,958 --> 00:37:58,041 basically what it does. 1261 00:37:58,041 --> 00:37:59,750 And they have the research to kind of, 1262 00:37:59,750 --> 00:38:01,541 they have like, a lot of research to kind 1263 00:38:01,541 --> 00:38:02,333 of back up what they're saying. 1264 00:38:02,916 --> 00:38:04,875 Yeah, I'll definitely dig into that. 1265 00:38:04,875 --> 00:38:05,125 Thank you. 1266 00:38:05,500 --> 00:38:06,666 And then just to sort of, I suppose, 1267 00:38:06,666 --> 00:38:08,375 touch on the thyroid piece specifically. 1268 00:38:09,625 --> 00:38:11,833 Now, obviously, in aging populations, the 1269 00:38:11,833 --> 00:38:13,833 thyroid is naturally going to decline, 1270 00:38:13,833 --> 00:38:16,000 you sort of see that that transient rise 1271 00:38:16,000 --> 00:38:18,000 in TSH as an individual gets older, and 1272 00:38:18,000 --> 00:38:20,083 then I suppose, naturally, sort of lower 1273 00:38:20,083 --> 00:38:23,250 levels of the circulating thyroid 1274 00:38:23,250 --> 00:38:26,208 hormones, T3, T4, T3, T3, T4, etc. 1275 00:38:28,166 --> 00:38:30,458 Maybe, that might be a bit of a technical 1276 00:38:30,458 --> 00:38:32,250 question, I suppose, but where do you 1277 00:38:32,250 --> 00:38:34,500 sort of, how do you start to deal with 1278 00:38:34,500 --> 00:38:36,708 some of these hormones, again, from a 1279 00:38:36,708 --> 00:38:38,458 long, well, thyroid hormones from a 1280 00:38:38,458 --> 00:38:40,375 longevity perspective, especially taking 1281 00:38:40,375 --> 00:38:43,000 into account that as one ages, there's 1282 00:38:43,000 --> 00:38:44,833 going to be a sort of a decrease in these 1283 00:38:44,833 --> 00:38:45,666 three levels of 1284 00:38:45,666 --> 00:38:47,250 circulating thyroid, of course. 1285 00:38:48,083 --> 00:38:50,666 And I only mention that because I assume 1286 00:38:50,666 --> 00:38:53,541 when you look at it from a sort of a 1287 00:38:53,541 --> 00:38:56,291 physiology standpoint, there has to be a 1288 00:38:56,291 --> 00:38:59,333 reason for thyroid declining as one ages. 1289 00:38:59,791 --> 00:39:02,000 Now, obviously, if you ramp up thyroid 1290 00:39:02,000 --> 00:39:04,208 activity too much, you're going to 1291 00:39:04,208 --> 00:39:05,875 actually end up sort of burning through 1292 00:39:05,875 --> 00:39:07,041 that stem cell pull, I think 1293 00:39:07,041 --> 00:39:08,166 I'm correct in saying that. 1294 00:39:08,750 --> 00:39:10,250 So how do you find that sort of that 1295 00:39:10,250 --> 00:39:12,625 happy balance between helping somebody 1296 00:39:12,625 --> 00:39:14,916 sort of maintain optimal thyroid function 1297 00:39:14,916 --> 00:39:17,583 so that they aren't brain fog depressed, 1298 00:39:17,583 --> 00:39:21,666 overweight, and moody versus not in this 1299 00:39:21,666 --> 00:39:23,958 sort of hypercatabolic state where 1300 00:39:23,958 --> 00:39:26,041 they're burning through the excess 1301 00:39:26,041 --> 00:39:27,875 cortisol stem cells, etc. 1302 00:39:29,208 --> 00:39:31,625 Do you find that people generally need 1303 00:39:31,625 --> 00:39:33,208 replacement as they sort of get older? 1304 00:39:33,208 --> 00:39:35,625 Or is that sort of very individual? 1305 00:39:36,583 --> 00:39:37,791 Well, yeah, I mean, you're coming back to 1306 00:39:37,791 --> 00:39:38,500 the whole idea, right? 1307 00:39:38,500 --> 00:39:39,791 The thyroid is kind of like the metabolic 1308 00:39:39,791 --> 00:39:40,916 engine of the cells. 1309 00:39:40,916 --> 00:39:42,708 And if it's not functioning properly, 1310 00:39:42,708 --> 00:39:44,666 then your whole metabolic activity and 1311 00:39:44,666 --> 00:39:46,250 how your mitochondria work and everything 1312 00:39:46,250 --> 00:39:47,250 in the cells will be affected. 1313 00:39:47,500 --> 00:39:49,666 And so that's why it's such a crucial 1314 00:39:49,666 --> 00:39:51,291 hormone to have optimized. 1315 00:39:52,083 --> 00:39:55,125 But the way I look at it is there's, for 1316 00:39:55,125 --> 00:39:57,500 example, there's a lot of co factors such 1317 00:39:57,500 --> 00:40:00,666 as selenium, which is such an easy thing 1318 00:40:00,666 --> 00:40:02,583 to supplement with or eat Brazil nuts, 1319 00:40:02,958 --> 00:40:04,875 which can be an important factor to help 1320 00:40:04,875 --> 00:40:07,125 with increasing your own body's 1321 00:40:07,125 --> 00:40:08,250 production of thyroid and 1322 00:40:08,250 --> 00:40:09,291 making it work more efficiently. 1323 00:40:11,208 --> 00:40:13,041 And then there's something called reverse 1324 00:40:13,041 --> 00:40:16,083 T3, which is another way to kind of look 1325 00:40:16,083 --> 00:40:18,166 at and interpret that, hey, maybe your 1326 00:40:18,166 --> 00:40:19,875 body's under a lot of stress and then get 1327 00:40:19,875 --> 00:40:21,791 cortisol and adrenal dysregulation. 1328 00:40:22,500 --> 00:40:22,916 I don't really like 1329 00:40:22,916 --> 00:40:23,750 the word adrenal fatigue. 1330 00:40:24,375 --> 00:40:26,208 But dysregulation is the more appropriate 1331 00:40:26,208 --> 00:40:27,666 word, I think, which is, you know, when 1332 00:40:27,666 --> 00:40:29,208 your cortisol is low, it's high, and when 1333 00:40:29,208 --> 00:40:29,833 it's high, it's low. 1334 00:40:30,375 --> 00:40:31,041 And that's what 1335 00:40:31,041 --> 00:40:32,041 happens to a lot of people. 1336 00:40:32,041 --> 00:40:33,791 So they don't have that spike in cortisol 1337 00:40:33,791 --> 00:40:35,500 in the am and then they have that they 1338 00:40:35,500 --> 00:40:36,875 actually have high cortisol in the pm and 1339 00:40:36,875 --> 00:40:37,875 they can't do wired retired. 1340 00:40:38,083 --> 00:40:39,583 And that's that's that kind of 1341 00:40:39,583 --> 00:40:42,625 dysregulated rhythm, it can play a big 1342 00:40:42,625 --> 00:40:43,375 role in affecting 1343 00:40:43,375 --> 00:40:44,541 thyroid function as well. 1344 00:40:45,208 --> 00:40:46,833 So I think that's why you have to look at 1345 00:40:46,833 --> 00:40:48,166 the whole picture from that perspective. 1346 00:40:48,458 --> 00:40:50,791 But to answer your question, it's very 1347 00:40:50,791 --> 00:40:53,583 important for us because if at the end of 1348 00:40:53,583 --> 00:40:54,666 the day, if you're if you're thyroid 1349 00:40:54,666 --> 00:40:55,833 hormone, it's kind of like the one of the 1350 00:40:55,833 --> 00:40:58,000 lowest hanging fruit, you know, and if 1351 00:40:58,000 --> 00:40:59,500 that's not optimized, then it's going to 1352 00:40:59,500 --> 00:41:00,750 affect your whole body's health and 1353 00:41:00,750 --> 00:41:02,916 longevity and your metabolic health, 1354 00:41:02,916 --> 00:41:04,750 metabolic health is the foundation of how 1355 00:41:04,750 --> 00:41:06,791 longevity really that's why that's why 1356 00:41:06,791 --> 00:41:09,041 GLP ones, you know, as much as I don't as 1357 00:41:09,041 --> 00:41:10,208 much as they have side effects and other 1358 00:41:10,208 --> 00:41:11,666 things with them, they're probably net 1359 00:41:11,666 --> 00:41:13,500 positive for society, you know, because 1360 00:41:13,500 --> 00:41:14,708 at the end of the day, they're proving 1361 00:41:14,708 --> 00:41:15,916 people's metabolic health. 1362 00:41:16,416 --> 00:41:18,083 And I think if anything, that's going to 1363 00:41:18,083 --> 00:41:19,666 help your metabolic health as just from 1364 00:41:19,666 --> 00:41:21,666 like a first principles perspective for 1365 00:41:21,666 --> 00:41:23,458 health, I think that's going to be a good 1366 00:41:23,458 --> 00:41:25,333 thing for your for everyone really. 1367 00:41:26,125 --> 00:41:29,250 Yeah, no, I do appreciate that because I 1368 00:41:29,250 --> 00:41:33,666 think, I mean, again, I, I, I don't think 1369 00:41:33,666 --> 00:41:36,125 we need we should we should need GLP ones 1370 00:41:36,125 --> 00:41:37,791 and everybody's very quick to sort of 1371 00:41:37,791 --> 00:41:38,625 throw them under the bus. 1372 00:41:38,875 --> 00:41:41,416 But as a society, I think they're an 1373 00:41:41,416 --> 00:41:42,750 incredibly useful intervention. 1374 00:41:43,000 --> 00:41:45,458 And of course, just from the their 1375 00:41:45,458 --> 00:41:47,833 ability to, as you say, modulate 1376 00:41:49,208 --> 00:41:51,625 metabolic health by way of obviously 1377 00:41:51,625 --> 00:41:53,083 improving blood sugar, but the obvious, 1378 00:41:53,083 --> 00:41:55,083 of course, they are starting to show 1379 00:41:55,083 --> 00:41:57,291 quite a lot of efficacy for off off label 1380 00:41:57,291 --> 00:41:58,791 as well for helping to control 1381 00:41:59,041 --> 00:42:02,541 individuals with issues 1382 00:42:02,541 --> 00:42:04,208 with MCAS and histamine, etc. 1383 00:42:04,666 --> 00:42:06,958 So I do think that they're an incredibly 1384 00:42:06,958 --> 00:42:08,250 useful class of molecules. 1385 00:42:09,625 --> 00:42:09,750 Dr. 1386 00:42:09,750 --> 00:42:10,916 Kahn, I know we're sort of slowly 1387 00:42:10,916 --> 00:42:13,125 starting to run up in time, but I'd love 1388 00:42:13,125 --> 00:42:15,166 to ask you about mini circle and its 1389 00:42:15,166 --> 00:42:18,250 inability and its ability to help 1390 00:42:18,250 --> 00:42:20,041 regulate testosterone levels. 1391 00:42:20,500 --> 00:42:22,125 Now, the way I understand it, mini 1392 00:42:22,125 --> 00:42:24,708 circle, it's, it's, I suppose, 1393 00:42:24,708 --> 00:42:26,500 fundamentally, it's a 1394 00:42:26,500 --> 00:42:30,083 gene editing system. 1395 00:42:31,166 --> 00:42:33,500 And yeah, you're not directly editing the 1396 00:42:33,500 --> 00:42:35,250 genes, of course, but you're all 1397 00:42:35,250 --> 00:42:37,541 introducing a viral vector or you're 1398 00:42:37,541 --> 00:42:39,125 utilizing CRISPR or anything like that. 1399 00:42:39,458 --> 00:42:40,500 But from what I understand, you're 1400 00:42:40,500 --> 00:42:43,250 utilizing a sort of a plasma vector, a 1401 00:42:43,250 --> 00:42:45,333 plasmid vector, I think, to then alter 1402 00:42:45,333 --> 00:42:46,916 the expression of various genes. 1403 00:42:47,875 --> 00:42:49,833 I've bring this full circle, of course, 1404 00:42:50,375 --> 00:42:52,458 could you sort of explain that process to 1405 00:42:52,458 --> 00:42:55,791 us and how you're utilizing it to help 1406 00:42:55,791 --> 00:42:57,208 optimize testosterone 1407 00:42:57,208 --> 00:42:59,333 levels in individuals? 1408 00:43:00,416 --> 00:43:01,083 Yeah, so it's what's 1409 00:43:01,083 --> 00:43:02,625 called an additive gene therapy. 1410 00:43:03,208 --> 00:43:05,041 So we're adding a gene to your body, 1411 00:43:05,041 --> 00:43:06,416 we're not editing your genes. 1412 00:43:06,958 --> 00:43:08,625 So it's, it's obviously safer in that 1413 00:43:08,625 --> 00:43:10,208 sense, because it's not as complicated. 1414 00:43:10,916 --> 00:43:13,458 But and traditionally, the problem with 1415 00:43:13,458 --> 00:43:15,291 gene therapy, additive gene therapy was, 1416 00:43:15,666 --> 00:43:16,958 you know, finding the right vector that 1417 00:43:16,958 --> 00:43:18,333 could be both safe and effective. 1418 00:43:19,166 --> 00:43:20,958 Mini circle plasmids are definitely very 1419 00:43:20,958 --> 00:43:22,958 safe, because they're very inert. 1420 00:43:23,333 --> 00:43:24,333 So they're basically derived from 1421 00:43:24,333 --> 00:43:26,166 bacteria from E. coli is kind of just 1422 00:43:26,166 --> 00:43:28,083 imagine it just like the name says, it's 1423 00:43:28,083 --> 00:43:28,791 a mini circle, it's like 1424 00:43:28,791 --> 00:43:29,833 a little circle of DNA. 1425 00:43:30,625 --> 00:43:32,541 And then you can you can use it to what's 1426 00:43:32,541 --> 00:43:34,041 called transfect a cell. 1427 00:43:34,291 --> 00:43:35,708 So that cell becomes like a little 1428 00:43:35,708 --> 00:43:37,416 factory to produce more 1429 00:43:37,416 --> 00:43:38,333 of the gene of interest. 1430 00:43:38,666 --> 00:43:41,500 So that gene of interest could be could 1431 00:43:41,500 --> 00:43:42,958 be like something for helping with 1432 00:43:42,958 --> 00:43:44,208 muscle, it could be something to help 1433 00:43:44,208 --> 00:43:45,666 with brain could be there's so many 1434 00:43:45,666 --> 00:43:46,458 different genes, obviously. 1435 00:43:46,666 --> 00:43:48,708 And the one that became that we've been 1436 00:43:48,708 --> 00:43:50,583 doing is something called follow statin, 1437 00:43:50,833 --> 00:43:51,958 which is more to help 1438 00:43:51,958 --> 00:43:52,916 with muscle strength. 1439 00:43:53,750 --> 00:43:54,500 And interestingly, 1440 00:43:55,541 --> 00:43:57,458 just to share my experience with people, 1441 00:43:57,458 --> 00:43:59,333 the mini circle plasmid has kind of been 1442 00:43:59,333 --> 00:44:00,833 like hit or miss, you know, it works for 1443 00:44:00,833 --> 00:44:02,166 some people, it doesn't work for others. 1444 00:44:02,583 --> 00:44:03,500 So it's not consistent. 1445 00:44:03,750 --> 00:44:05,333 But there is something called, there's a 1446 00:44:05,333 --> 00:44:07,375 company called triple helix, which has 1447 00:44:07,375 --> 00:44:08,458 what's called a viral gene 1448 00:44:08,458 --> 00:44:11,333 therapy, a AV, adeno, socio virus. 1449 00:44:11,333 --> 00:44:13,916 And that one has, you know, a V's have 1450 00:44:13,916 --> 00:44:14,625 been studied for decades. 1451 00:44:14,625 --> 00:44:18,375 And the issue historically with viral 1452 00:44:18,375 --> 00:44:20,083 vectors was triggering some sort of 1453 00:44:20,083 --> 00:44:21,041 immune response, right? 1454 00:44:21,041 --> 00:44:21,541 Like you don't want your 1455 00:44:21,541 --> 00:44:22,750 immune system to attack the virus. 1456 00:44:23,208 --> 00:44:25,000 But now they can engineer the viruses, so 1457 00:44:25,000 --> 00:44:26,333 they're hypo immune, and they don't have 1458 00:44:26,333 --> 00:44:27,291 that risk with them. 1459 00:44:27,916 --> 00:44:30,000 So essentially, you can transfect the 1460 00:44:30,000 --> 00:44:32,125 cells with this viral vector. 1461 00:44:32,125 --> 00:44:33,166 And it does work more 1462 00:44:33,166 --> 00:44:34,416 effectively than the mini circle. 1463 00:44:35,083 --> 00:44:37,250 I you know, in terms of safety, it's also 1464 00:44:37,250 --> 00:44:39,541 it based off their data, it seems to 1465 00:44:39,541 --> 00:44:40,666 equally as safe too. 1466 00:44:40,666 --> 00:44:41,166 And it can last. 1467 00:44:41,583 --> 00:44:42,500 The interesting thing about the viral 1468 00:44:42,500 --> 00:44:44,208 vector is it can last for up to 10 years. 1469 00:44:44,208 --> 00:44:45,666 Whereas you know, the mini 1470 00:44:45,666 --> 00:44:46,875 circle only lasts for a year. 1471 00:44:46,875 --> 00:44:47,208 So there's some 1472 00:44:47,208 --> 00:44:48,625 interesting pros and cons of each. 1473 00:44:48,625 --> 00:44:51,291 But the point is, these vectors, whether 1474 00:44:51,291 --> 00:44:52,833 it's a viral vector or a mini circle 1475 00:44:52,833 --> 00:44:55,375 vector, they can eventually be used to 1476 00:44:55,375 --> 00:44:58,041 transfect your G your cells to perhaps 1477 00:44:58,041 --> 00:45:01,666 produce more kisspeptin or luteinizing 1478 00:45:01,666 --> 00:45:03,041 hormone or gene or H. 1479 00:45:03,458 --> 00:45:05,416 Yeah, yeah, something to help your body 1480 00:45:05,416 --> 00:45:06,000 produce more 1481 00:45:06,000 --> 00:45:07,500 testosterone for as an example. 1482 00:45:07,500 --> 00:45:09,375 So I think there's definitely going to be 1483 00:45:09,375 --> 00:45:10,333 interesting applications. 1484 00:45:10,500 --> 00:45:12,333 I know, I know mini circle, they were 1485 00:45:12,333 --> 00:45:15,208 trying to produce an LH gene therapy. 1486 00:45:15,458 --> 00:45:17,416 That was one of the things but they 1487 00:45:17,416 --> 00:45:19,541 couldn't get the levels high enough to 1488 00:45:19,541 --> 00:45:21,375 the test for the testosterone to actually 1489 00:45:21,375 --> 00:45:22,750 go high enough for it to be meaningful. 1490 00:45:23,416 --> 00:45:25,291 So it might not be a thing with mini 1491 00:45:25,291 --> 00:45:26,708 circle, maybe it'll be something with the 1492 00:45:26,708 --> 00:45:27,916 viral vector company. 1493 00:45:28,333 --> 00:45:29,458 But there's you know, this is obviously a 1494 00:45:29,458 --> 00:45:30,208 hot area and there's so 1495 00:45:30,208 --> 00:45:31,333 many companies in this space. 1496 00:45:31,750 --> 00:45:34,375 But I do think it's not that far distant 1497 00:45:34,375 --> 00:45:36,375 in the future, well, we'll have a gene 1498 00:45:36,375 --> 00:45:39,000 therapy product for hormone replacement 1499 00:45:39,000 --> 00:45:41,083 therapy as opposed to having to go on 1500 00:45:41,083 --> 00:45:42,041 like TRT or something. 1501 00:45:42,833 --> 00:45:46,500 Yeah, I suppose that is dependent on how 1502 00:45:46,541 --> 00:45:48,333 effectively the testicles or potentially 1503 00:45:48,333 --> 00:45:50,000 the theca cells and women, I think that's 1504 00:45:50,000 --> 00:45:51,458 where testosterone is produced in the 1505 00:45:51,458 --> 00:45:54,333 ovaries, are functioning as well. 1506 00:45:54,500 --> 00:45:56,000 I assume if somebody has 1507 00:45:57,208 --> 00:45:59,416 a secondary hypogonadism, something like 1508 00:45:59,416 --> 00:46:01,708 this would be effective if it's helping 1509 00:46:01,708 --> 00:46:03,541 to stimulate the HPT-8 to 1510 00:46:03,541 --> 00:46:04,708 then produce more testosterone. 1511 00:46:04,958 --> 00:46:09,083 But if there's a primary defect in the 1512 00:46:09,083 --> 00:46:10,833 tissue within the body, whether it's the 1513 00:46:10,833 --> 00:46:13,625 theca cells and women or I suppose 1514 00:46:13,625 --> 00:46:15,916 potentially the adrenal cells and women, 1515 00:46:15,916 --> 00:46:17,208 which obviously produces a certain amount 1516 00:46:17,208 --> 00:46:19,125 of androgens as well, or the testes and 1517 00:46:19,125 --> 00:46:21,791 men, that treatment like this is 1518 00:46:21,791 --> 00:46:24,000 assumedly not going to be as effective. 1519 00:46:24,000 --> 00:46:25,250 Would I be correct in my thinking there? 1520 00:46:25,583 --> 00:46:26,250 No, yeah, exactly. 1521 00:46:26,583 --> 00:46:27,750 It definitely will depend on the person 1522 00:46:27,833 --> 00:46:29,666 and their bodies, like let's say receptor 1523 00:46:29,666 --> 00:46:32,541 sensitivity and ability to kind of have 1524 00:46:32,541 --> 00:46:33,625 the signal because at the end of the day, 1525 00:46:33,625 --> 00:46:35,000 this is just introducing an additional 1526 00:46:35,000 --> 00:46:35,875 signal to your body, 1527 00:46:35,875 --> 00:46:37,041 which is this peptide, right? 1528 00:46:37,500 --> 00:46:39,125 And how receptive your body is to that 1529 00:46:39,125 --> 00:46:40,583 signal is going to really dictate whether 1530 00:46:40,583 --> 00:46:41,625 or not it functions well. 1531 00:46:42,583 --> 00:46:43,333 Yeah, no, definitely. 1532 00:46:45,125 --> 00:46:45,750 Again, Dr. 1533 00:46:45,750 --> 00:46:46,833 Kahn, I want to be 1534 00:46:46,833 --> 00:46:47,958 respectful of your time. 1535 00:46:47,958 --> 00:46:49,750 So I'd love to sort of end off with a few 1536 00:46:49,750 --> 00:46:50,875 rapid fire questions, 1537 00:46:50,875 --> 00:46:52,083 rapidish fire questions. 1538 00:46:52,083 --> 00:46:54,666 They're never rapid fire, but we can try. 1539 00:46:54,666 --> 00:46:54,958 We can try. 1540 00:46:55,166 --> 00:46:55,666 We can try. 1541 00:46:55,666 --> 00:46:59,250 In any case, okay, so yeah, and these are 1542 00:46:59,250 --> 00:47:00,375 going to be a bit all over the place. 1543 00:47:01,041 --> 00:47:02,541 Obviously, definitely with the focus on 1544 00:47:02,541 --> 00:47:03,791 the regenerative side of things. 1545 00:47:03,791 --> 00:47:05,708 But okay, so money, no object, and 1546 00:47:05,708 --> 00:47:07,166 someone comes to you and they're sort of 1547 00:47:07,166 --> 00:47:07,958 growth hormone deficient. 1548 00:47:08,541 --> 00:47:10,458 Are you sort of a fan of sort of Incrolex 1549 00:47:10,458 --> 00:47:13,875 or sort of HGH as sort of as a primary 1550 00:47:13,875 --> 00:47:15,125 replacement therapy there? 1551 00:47:15,875 --> 00:47:16,458 I guess it depends 1552 00:47:16,458 --> 00:47:17,416 how deficient they are. 1553 00:47:17,416 --> 00:47:18,958 But if they're on just like, let's say, 1554 00:47:18,958 --> 00:47:20,958 the low side of normal, which is like, I 1555 00:47:20,958 --> 00:47:22,916 would say, typical people as they get 1556 00:47:22,916 --> 00:47:24,458 older, then I'm 1557 00:47:24,458 --> 00:47:26,208 potentially a bit I'm a bigger fan. 1558 00:47:26,208 --> 00:47:27,541 I mean, maybe I'm a little bit biased of 1559 00:47:27,541 --> 00:47:28,708 growth hormone peptides. 1560 00:47:28,708 --> 00:47:31,250 So for example, like I from relevant and 1561 00:47:31,250 --> 00:47:32,958 test from rally and then, you know, the 1562 00:47:32,958 --> 00:47:34,625 growth hormone releasing hormones and 1563 00:47:34,625 --> 00:47:36,375 trying to get your own body to produce 1564 00:47:36,375 --> 00:47:37,583 more of the peptide of 1565 00:47:37,583 --> 00:47:38,666 the hormone on its own. 1566 00:47:39,250 --> 00:47:41,083 So that's that's personally my approach. 1567 00:47:41,083 --> 00:47:43,375 But I know there are very good 1568 00:47:43,375 --> 00:47:44,833 endocrinologists and very some very good 1569 00:47:44,833 --> 00:47:46,583 doctors who know how to cycle, you know, 1570 00:47:46,583 --> 00:47:48,750 who know how to dose the GH properly and 1571 00:47:48,750 --> 00:47:50,166 pulse it and everything so that it 1572 00:47:50,166 --> 00:47:51,958 doesn't cause your own body to shut down 1573 00:47:51,958 --> 00:47:52,875 or anything like that. 1574 00:47:53,541 --> 00:47:54,791 Yeah, no, I think that's 1575 00:47:54,791 --> 00:47:56,250 definitely the smart way forward. 1576 00:47:57,041 --> 00:47:59,750 And sadly, I think for a lot of people, 1577 00:47:59,750 --> 00:48:01,750 again, as the age, you're going to 1578 00:48:01,750 --> 00:48:04,208 struggle with the production, you're 1579 00:48:04,208 --> 00:48:05,750 going to struggle to get the maturity to 1580 00:48:05,750 --> 00:48:07,666 reduce enough GH, obviously, 1581 00:48:09,125 --> 00:48:11,041 which I think is maybe where those 1582 00:48:11,041 --> 00:48:12,625 peptides start to lose the efficacy. 1583 00:48:13,500 --> 00:48:14,500 As one gets older, would I 1584 00:48:14,500 --> 00:48:15,500 be correct my thinking there? 1585 00:48:16,375 --> 00:48:18,708 The your body's own the secret to dogs? 1586 00:48:19,166 --> 00:48:20,166 Yeah, you're yes. 1587 00:48:20,166 --> 00:48:21,500 Yeah, because you mean that because the 1588 00:48:21,500 --> 00:48:23,250 pituitary signal wouldn't be as good as 1589 00:48:23,250 --> 00:48:24,416 it was when you're younger? 1590 00:48:25,000 --> 00:48:25,791 Yeah, essentially. 1591 00:48:26,375 --> 00:48:28,291 Yeah, so so that yeah, so 1592 00:48:28,291 --> 00:48:29,750 they may not be as effective. 1593 00:48:29,750 --> 00:48:32,000 But then I mean, I've been able to use 1594 00:48:32,000 --> 00:48:33,791 those peptides and people in their 60s, 1595 00:48:33,791 --> 00:48:35,416 even, you know, to help them with their 1596 00:48:35,416 --> 00:48:36,791 growth hormone and fat loss 1597 00:48:36,791 --> 00:48:38,291 and recovery and all that stuff. 1598 00:48:38,666 --> 00:48:39,750 Okay, that's amazing. 1599 00:48:40,291 --> 00:48:42,750 Okay, next one, cloth or follow statin 1600 00:48:42,750 --> 00:48:44,208 just from a sort of a longevity 1601 00:48:44,666 --> 00:48:45,916 regenerate standpoint, 1602 00:48:46,166 --> 00:48:47,625 which sort of big stats you both 1603 00:48:47,625 --> 00:48:49,958 know is kind of the brain, let's say the 1604 00:48:49,958 --> 00:48:51,500 brain one, right helps it can help with 1605 00:48:51,500 --> 00:48:54,333 brain focus, like may help with IQ even 1606 00:48:54,333 --> 00:48:55,625 and has all these interesting benefits 1607 00:48:55,625 --> 00:48:57,333 for protect your body against dementia, 1608 00:48:57,916 --> 00:48:59,500 especially even if you have the apo E4 1609 00:48:59,500 --> 00:49:00,666 gene, it can protect your body. 1610 00:49:00,666 --> 00:49:01,375 So clotho is a really 1611 00:49:01,375 --> 00:49:02,250 interesting peptide. 1612 00:49:02,666 --> 00:49:04,875 And false data is kind of the physical 1613 00:49:04,875 --> 00:49:06,208 version of that, which it can help with 1614 00:49:06,208 --> 00:49:06,875 strength and muscle. 1615 00:49:07,166 --> 00:49:09,625 So I'm a little bit biased, I guess, 1616 00:49:09,625 --> 00:49:10,666 because I'm a bit of a gym guy. 1617 00:49:11,000 --> 00:49:13,750 And I think I think follow statin 1618 00:49:13,750 --> 00:49:16,833 probably has more applicability for the 1619 00:49:16,833 --> 00:49:19,375 wide, let's say the wider population 1620 00:49:19,375 --> 00:49:21,958 based intervention, because most people 1621 00:49:21,958 --> 00:49:23,625 don't have enough muscle, and most people 1622 00:49:23,625 --> 00:49:25,458 lose a lot of muscle as they get older. 1623 00:49:25,458 --> 00:49:26,750 So if you can do something to combat that 1624 00:49:26,750 --> 00:49:28,166 process, I think that's going to be a 1625 00:49:28,166 --> 00:49:29,375 more important public 1626 00:49:29,375 --> 00:49:30,333 health intervention. 1627 00:49:31,000 --> 00:49:31,333 Fair enough. 1628 00:49:32,291 --> 00:49:34,208 Okay, if you were to speculate, when do 1629 00:49:34,208 --> 00:49:37,125 you think gene therapy generally speaking 1630 00:49:37,125 --> 00:49:38,333 is going to go mainstream? 1631 00:49:38,916 --> 00:49:39,458 Do you think it's going to 1632 00:49:39,458 --> 00:49:40,458 be the next five 10 years? 1633 00:49:41,000 --> 00:49:43,375 Mainstream gene therapy is kind of I 1634 00:49:43,375 --> 00:49:45,250 think gene therapy is where like, you 1635 00:49:45,250 --> 00:49:46,958 know, stem cells were like 10 years ago, 1636 00:49:46,958 --> 00:49:48,500 maybe so like, yeah, 10 years probably 1637 00:49:48,500 --> 00:49:50,333 like stem cells, I mean, aren't 1638 00:49:50,333 --> 00:49:51,750 mainstream mainstream, but they kind of 1639 00:49:51,750 --> 00:49:53,500 are getting mainstream, you know, like, 1640 00:49:53,500 --> 00:49:55,041 obviously, like now with the big 1641 00:49:55,041 --> 00:49:56,333 celebrities and all these other people 1642 00:49:56,333 --> 00:49:57,458 doing it, there's a lot 1643 00:49:57,458 --> 00:49:58,625 of people interested in it. 1644 00:49:58,625 --> 00:50:00,250 And most people have heard about stem 1645 00:50:00,250 --> 00:50:01,541 cells, but most people have not heard 1646 00:50:01,541 --> 00:50:03,500 about gene therapy or like just have very 1647 00:50:03,500 --> 00:50:05,333 vague understanding of it. 1648 00:50:05,583 --> 00:50:05,833 Fair enough. 1649 00:50:06,500 --> 00:50:09,000 And last one, what is your longevity and 1650 00:50:09,000 --> 00:50:09,750 health optimization 1651 00:50:09,750 --> 00:50:11,208 routine currently look like? 1652 00:50:11,791 --> 00:50:13,750 Well, aside from just the basics of 1653 00:50:13,750 --> 00:50:16,000 weight training and cardiovascular, you 1654 00:50:16,000 --> 00:50:17,375 know, keeping the biggest thing I think 1655 00:50:17,375 --> 00:50:19,333 for that stuff is high intensity short 1656 00:50:19,333 --> 00:50:20,958 bursts of exercise, you don't have to 1657 00:50:20,958 --> 00:50:23,125 spend hours in the gym, you can even do 1658 00:50:23,125 --> 00:50:25,000 15 minutes of high intensity, like a full 1659 00:50:25,000 --> 00:50:26,541 body a few times a week, same thing with 1660 00:50:26,541 --> 00:50:27,791 high intensity interval training. 1661 00:50:28,166 --> 00:50:30,958 So I think being efficient and having 1662 00:50:30,958 --> 00:50:32,583 intelligent protocols is 1663 00:50:32,583 --> 00:50:33,541 kind of the way to do it. 1664 00:50:33,833 --> 00:50:36,125 And I think supplementation is also one 1665 00:50:36,125 --> 00:50:37,208 of those interesting areas, which we 1666 00:50:37,208 --> 00:50:37,833 could probably spend a 1667 00:50:37,833 --> 00:50:38,708 lot of time talking about. 1668 00:50:39,041 --> 00:50:41,500 But we were but I definitely like there's 1669 00:50:41,500 --> 00:50:42,875 certain supplements I definitely like 1670 00:50:42,875 --> 00:50:46,541 such as creatine, such as the collagen 1671 00:50:46,541 --> 00:50:48,083 peptide that you guys make, I really like 1672 00:50:48,083 --> 00:50:49,416 that one that we're talking about, 1673 00:50:49,416 --> 00:50:50,625 because that's, you know, something 1674 00:50:50,625 --> 00:50:51,791 that's hard to get through diet. 1675 00:50:52,375 --> 00:50:53,000 There's a really 1676 00:50:53,000 --> 00:50:54,750 interesting supplement called glitine. 1677 00:50:55,666 --> 00:50:57,208 Glitine is the only supplement I know 1678 00:50:57,208 --> 00:50:58,750 that can improve 1679 00:50:58,750 --> 00:51:00,916 intracellular glutathione. 1680 00:51:01,791 --> 00:51:03,583 So I like so that's a really interesting 1681 00:51:03,583 --> 00:51:05,208 supplement because glutathione is like 1682 00:51:05,208 --> 00:51:07,083 the master antioxidant in your body and 1683 00:51:07,458 --> 00:51:08,666 glitine can is 1684 00:51:08,666 --> 00:51:10,000 basically a precursor to that. 1685 00:51:10,666 --> 00:51:12,291 So those are some of like my favorite, 1686 00:51:12,291 --> 00:51:13,875 let's say, longevity supplements that I 1687 00:51:13,875 --> 00:51:17,000 take on a regular basis and then and then 1688 00:51:17,000 --> 00:51:18,958 just kind of doing the foundational stuff 1689 00:51:18,958 --> 00:51:21,333 with minimally processed foods and sleep 1690 00:51:21,333 --> 00:51:23,500 and mindfulness and all that good stuff. 1691 00:51:24,250 --> 00:51:25,000 That's amazing. 1692 00:51:25,708 --> 00:51:25,791 Dr. 1693 00:51:25,791 --> 00:51:27,333 Khan, you've been amazing. 1694 00:51:27,916 --> 00:51:29,375 Honestly, that was an 1695 00:51:29,375 --> 00:51:30,083 incredible conversation. 1696 00:51:30,416 --> 00:51:30,666 Thank you. 1697 00:51:31,541 --> 00:51:33,125 Where can we point people to find you 1698 00:51:33,125 --> 00:51:34,916 should they wish to sort of reach out 1699 00:51:34,916 --> 00:51:35,750 learn more about it and 1700 00:51:35,750 --> 00:51:36,708 what it is you do, etc. 1701 00:51:37,375 --> 00:51:39,000 Yeah, I mean, I think I'm most active on 1702 00:51:39,000 --> 00:51:41,666 Instagram at dr.acon aka jn. 1703 00:51:41,666 --> 00:51:43,250 And then we are web our company is called 1704 00:51:43,250 --> 00:51:45,916 Eterna, like eternal without L and our 1705 00:51:45,916 --> 00:51:47,750 website is Eterna.health if they want to 1706 00:51:47,750 --> 00:51:49,208 check it out for more information. 1707 00:51:50,083 --> 00:51:50,333 Perfect. 1708 00:51:50,875 --> 00:51:51,875 Thank you so much for your time. 1709 00:51:51,875 --> 00:51:53,500 I'm definitely going to have to sort of 1710 00:51:53,500 --> 00:51:55,416 try and get back into Mel's good books 1711 00:51:55,416 --> 00:51:56,208 and see if I can book 1712 00:51:56,208 --> 00:51:56,916 you again in the future. 1713 00:51:57,166 --> 00:51:58,041 But this has been amazing. 1714 00:51:58,333 --> 00:51:58,958 Thank you so much.