Ask Dr. Drew - Ask Dr. Drew - Vinnie Tortorich & Dr. Cate Shanahan & Anna Vocino - Episode 10

Episode Date: February 19, 2020

Ask Dr. Drew returns with fitness and health experts Vinnie Tortorich, Dr. Cate Shanahan, and Anna Vocino. Missed the live show? Get an alert next time Dr. Drew is taking calls: http://drdrew.tv Ask Dr. Drew is produced by Kaleb Nation (@KalebNation) and Susan Pinsky (@FirstLadyOfLove). The Fatburn Fix by Dr. Cate Shanahan - https://go.drdrew.com/fatburn  Fitness Confidential by Vinnie Tortorich - https://go.drdrew.com/vinnie  Eat Happy, Too by Anna Vocino - https://go.drdrew.com/eathappy  Order books from this episode's guests with the links above, and a portion of your purchase goes to support our shows! THE SHOW: For over 30 years, Dr. Drew Pinsky has taken calls from all corners of the globe, answering thousands of questions from teens and young adults. To millions, he is a beacon of truth, integrity, fairness, and common sense. Now, after decades of hosting Loveline and multiple hit TV shows – including Celebrity Rehab, Teen Mom OG, Lifechangers, and more – Dr. Drew is opening his phone lines to the world by streaming LIVE from his home studio in California. On Ask Dr. Drew, no question is too extreme or embarrassing because the Dr. has heard it all. Don’t hold in your deepest, darkest questions any longer. Ask Dr. Drew and get real answers today. Learn more about your ad choices. Visit megaphone.fm/adchoices

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please contact Connex Ontario at 1-866-531-2600 to speak to an advisor free of charge. BetMGM operates pursuant to an operating agreement with iGaming Ontario. Our laws as it pertains to substances are draconian and bizarre. Psychopaths start this way. He was an alcoholic because of social media and pornography, PTSD, love addiction, fentanyl and heroin. Ridiculous. I'm a doctor for f*** sake.

Where the hell do you think I learned that? I'm just saying, you go to treatment before you kill people. I am a clinician. I observe things about these chemicals. Let's just deal with what's real. We used to get these calls on Loveline all the time. Educate adolescents and to prevent and to treat. You have trouble, you can't stop, and you want to help stop it.

I can help. I got a lot to say. I got a lot more to say. Well, thank you guys for hanging in. Third time is a charm. We had a couple of technical problems here. Probably because of the rain, we were absolutely deluged here in Southern California, which happens once in a great while.

And something happened with our interface, and now I think we're good. Please let me know on any of your comments. I'm watching on Restream if indeed we got a problem here. I see your calls lined up. I will get to you guys. I've got a lineup of great guests. We're going to have a little conversation before we get to your calls, although I do want to get to some of these calls as quickly as possible.

Our friends at Social CBD are giving us support so we can do these shows, as well as the needle destruction device that is something I'm very excited about, which is this device that will eliminate needle sticks. I'll tell you more about that later, but that thing is I'm delighted to be a part of that organization. My first guest here, my co-host is the one and only Anna Vocino. Her new books, well, her old book is Eat Happy. Her new book is Eat Happy 2, right? Here they are. I'm holding them up. New book, same as the old book. Well, it's two. It's two. It's two. It's also. It's many hundreds of recipes. There we go. And producer Susan Pinsky lives by these recipes. She loves them, right? Is that me? I barely hear you.

Which one is yours? Nope. Nope. There you are. There she is. There you are. Sorry, I'm all flustered from the rain. Yes. It's California.

It's raining. I don't know what to do. Right. I love your books. Thank you. I love your recipes. My kids love the recipes. Yeah, she's very discerning about recipes.

It's like Christina Ferrari, Anna Vocino. That's high praise. Yeah, she's very discerning about recipes. It's like Christina Ferrari, Anna Vecino. That's high praise. Wait, wait. Mario Batali. Mario Batali. Mario Batali. That's it. That's really, really high praise.

I appreciate that very much. Yeah. And also, just so you know, full disclosure, Susan will text me and be like, can you figure out how to make this highest carb Czechoslovakian creation, but make it with no carbs. Right, right. So that's the request that I get.

Dumplings with no carbs. Yeah, that's pretty much it. Make these Czech pancakes. Sauerkraut potato caraway pancake. I'm going to work on it. They're amazing. I'm sure. It's gluten-free.

It's just- Potato pancake, hello. But it's fried potatoes. But she puts a bunch of sauerkraut in it, so there's a lot of vegetable mixed in there. There's probiotics. Sauerkraut's good, yeah. It's probiotic. We're all good.

Got health. We're going to do a bit of a focus on diet today, though we will take all your other calls as well. And our other guests, can we get to our other two guests, none other than the great Vinny Tortorich. And, of course, I've got Kate Shanahan, two-armed rick. There you guys are. Yay. Everybody's here. Hey, guys. Hi. How's it going, Drew? two-armed bricks. There you guys are. Everybody's here. Hey, guys.

Hi. It's a miracle. Thank you for joining us, guys. Lots of questions for everybody. Kate, let's put Kate's new book up here, too. I want to get the name of that. It is The Fat Burn Fix. Tell me what's in that book, Kate, before we go

further. That is a book where I tell people how to burn fat. Shocking. The one thing people really have wanted all these years was help with weight loss, not like fancy highfalutin stuff about how food connects you to nature. So that's what deep nutrition was, what a human diet was. This is how to just burn your body fat. And what we talk about is the fact that our body fat

has actually been hijacked by the food industry and it's totally changed its behavior. So it blocks our body's natural ability to burn it. It sure seems like it, my God. When you look at just the body, just look at sort of commercials and television snippets from across the last 50 years, we've really, our body type has changed predominantly. And certainly the onset of corn syrups and stuff like that, I'm sure has a lot to do with it. And the switch in fats, which Kate, you alerted me to. Tell us about that.

Well, about 100 years ago, our total intake of polyunsaturated fatty acids was about 2% to 5%. And it came from whole foods. And now our total intake of these vegetable oils that didn't exist 100 years ago, like soy and corn, is about 80% of our entire fat calories, and somewhere between 30 and 40% of your total daily calories. And these are polyunsaturated fatty acids which is a long word it just means that the kind of fatty acid it is is not as stable as the kind of fatty acids that our bodies like to have in a much greater quantity in our diet and

in our own body fat and it's destabilizing our body fat and completely changing it determines whether or not your body fat is basically your friend and something that can provide you with energy or your enemy. And something that's going to make you crave sugar and make it inevitable that you get overweight and develop diabetes. And, Kate, Vinny insists that he's the reason that I met you. I'm not sure, Vinny. I'm not sure. I feel like I found Kate. Well, first, Drew, I have to tell you, you know, I just moved out of L.A. a couple of months ago.

And now it's funny to hear that just a little rainfall can kick your ass. You know that, right? Oh, my gosh. Your house in North Hollywood is now presently underwater. Trust me. We're underwater. You know, it's been raining since I got to Virginia. Guess what?

Nothing stops. Everyone goes to work. Everything is fine. And California is like, hey, we couldn't even get the computer started because it fucking rained an inch. Okay, we're underwater here. We're done. They shut the whole state down. It's really funny.

And, you know, let me tell you guys what Drew is going to be yelling about tomorrow. We're done. Shut the whole state down. Let me tell you guys what Drew is going to be yelling about tomorrow. Come on now. Half of all the raw sewage is going to now land up in the bay. Mother's Beach. Hey, listen, all you kids that like to go to Mother's Beach and get yourself

a little swim, you're going to be in raw sewage. I'm telling you what Drew is going to be talking about tomorrow. Listen, man. Yes, thank you, Vinny, for reading my mind. We have 60,000 people defecating on the streets. When it rains, it all goes directly into the LA River, out to the ocean, bypasses sewage treatment.

So it's a city the size of Pasadena, essentially. Multiple days of sewage accumulated and washed into the ocean. I don't know. I honestly tuned it out after you said defecating in the streets. Well, that's the problem. Because it was very disturbing. Everyone is tuning it out. That's the ocean. I don't know. I honestly tuned it out after you said defecating in the streets. Well, that's the problem. Because it was very disturbing. Everyone is tuning it out. That's the problem.

I know. It is a problem. I got a couple things I want to get to Kate on very quickly. Kate, I was noticing earlier I had a caller here. I think he's gone, but I'm going to address his problem. He was a resident. I don't know in what area of medicine. But he was asking about the new hours, the restricted hours that residents have.

And I have a couple times, I'm not sure how I feel about it. I'm concerned about it because in my experience when I was training, working 16 hours a day was what I needed to do for two things, to see enough pathology to really get expertise and also to learn how to prioritize the patient care over everything else in my life. And I don't feel like, you know, we're doing that right now with our current residents. Am I wrong? Well, I feel like I totally agree with everything you just said, because you, you need that continuity of time, actually, very early in your training to see how does the whole story of something play out and in medical school and in residency really like uh you know that's that's seven years where

you just need to absorb everything that you can because it's really the bulk of your high intensity experience. Right. You know, when you, you do get to graduate and then there are other people who can, you know, you don't have to have that 36 hour continuous care. But at the very beginning of your training, it's just really helpful to understand, you know, the start to finish of the story. And not just start to finish, but you literally,

and I agree with you again, where I think you and I see eye to eye on this, but it's not just the, for people that don't understand what Kate's talking about, it's not just the continuous arc of the evolution of treatment and a disease state. It's you literally are missing huge chunks of the story. If you go out for 12 hours, you come back, patient's gone. They've either gone home or they've died or whatever. And you miss a big part of the story. Well, and as somebody who's not a doctor and you've been with people in the hospital, that's why you need somebody there advocating on behalf of the patient so you can explain the gaps. Another story. That's another part of the story.

Well, good. You and I feel the same about that, Kate. I just, I don't know. I don't know how they get enough experience. I mean, lately I've just been feeling like I want to give back some of what I have, you know, on social media and stuff. And by the way, a reminder, everybody, we're doing a, I do a daily streaming show by myself where I just interact with the stream, with the questions on the restream and answer your questions. And I just want to give back because I don't, I don't see a lot of young physicians with the kind of experience I've had

in medicine and psychiatry. I mean, it's, it takes years and years and years and ridiculous hours to really see it, to see what you're, all this pathology, so you get an instinct with it. And I don't know. I just, I got concerns. That's all. You know, Kate, you agree. Yeah. I mean, hopefully the technology will somehow help people make up for it.

But the thing is when they come back, you know, say they haven't seen the whole story, the patient's gone, they're probably too busy with the next round of patients to ever really follow up and talk. Like there used to be this thing that called sign out, right? So like when the covering doctor would come in for the night, you'd have plenty of time to sit down and talk about the patients that were actually there. So you know their story at least a little bit so that if you do get a call in the middle of the night, you, you are familiar with them and you know, like,

what are the active issues, but you don't do that once the patients are gone. It's just the story, a mystery. It's funny. It's funny. You bring up the handoff. I had a really vivid experience with of all people, Ben Carson the other day. Isn't that interesting? I was talking, I'll tell you why. I think you just dropped something. I was having, I was discussing with him the homeless thing and I felt like I was describing him the cases that I was seeing in the street and I felt like I was in a handoff. He was like, yep, yep, got it, got it, got it, got it.. Of course he's a pediatric neurosurgeon. Right. And I could speak to him in the shorthand. I'm used to speaking with my peers, but he was, he was on top of it. He gets it. And, uh, so whatever you think about Ben Carson, I'm here to tell you that as a smart dude

who is, uh, gonna, gonna take care of business one way or another, I can feel it coming. So that's why Vinny, I won't be complaining about it so much going forward because you know it's interesting what you and kate were both agreeing on just now because when you think about it you know it seems like we have this kind of turn and burn medicine you know and you're right it seems like you go see one doctor and they just hand you off to another doctor and then they hand you off to a third doctor. I don't remember that being that way 20 years ago, even 25 years ago. And don't both of you feel like sometimes you're you're defending bad science?

You know, Kate, you just mentioned seed oils and what's going on in that world. You know, my entire lifetime, it was like, hey, have Crisco, you know, Mazzola, you know, there's an Indian running Crisco you know Mazzola you know there's an Indian running down the street Mazzola it's corn oil it's natural yeah it's not it's good for you and you know do you feel like we're just trying you got not we you guys Drew and Kate are you guys just defending bad science or are trying to do what happens? I'll let Kate answer first. I think they keep primary care doctors busy so that we can't think about what's really going on with our patients or in our own lives. That's right. As the primary doctor, you're supposed to just take one encounter, like the common physical exam. There's about 50 different topics that we're supposed to be able

to bring up and ask about and give counseling on. And that we're supposed to be able to bring up and ask about and give counseling on. And how are we supposed to do that in the space that we get, which is like 20 minutes or half an hour if we're lucky for a physical, and then, you know, document everything. So I think, you know, really what it is, is that the primary care doctors are, we were hired by hospital systems, starting at about 15 years ago, because we get the patients in. And then because they keep us too busy, we just make as many referrals as we possibly can, instead of actually talking to our patient and getting the to the bottom of any problem that they have. So it's great for the hospital system and it's great for the drug companies

because specialists do a lot of prescribing and it's also great for the medical device industry because specialists are the ones that use those devices more than primary care doctors. So again, that's where we're both telling you that we're sort of in a mess here. And what Kate is framing here, which I would totally agree with her,

is that we need to re-empower primary care to do their job. And that would save immense amounts. For instance, one piece of tort reform, if the doctor could practice medicine and if something came up and he or she were just able to say, that was my judgment at the time, and that's a sufficient defense for what you did, that would change everything. We would do so much less prescribing, so much less

radiographic procedures and blood tests. We would do so much less. We would be able to use our judgment again, which would be very accurate, I promise. What stopped that, Drew? Will Ben Carson do something? I mean, you have the guy's ear. Nah. That's a different thing. That's housing. That's HUD. That's trying to get people off the street.

That's a different thing. Okay. We're going down a rabbit hole, guys. We got way down a rabbit hole. That's what I did, Drew. Sorry. I know. I know.

I came to play. I wore Ask Dr. Drew blue today. That's the color. Yeah. So I'm ready to go. I'm focused. Anna's just a floating head because of the way we put her. It is the color. Yeah. So I'm ready to go. I'm focused. Anna's just a floating head because of the way we put her. I'm quite pale, so that's serving me right now.

Hey, Drew. Also, do you know Dr. Sabine? She's a doctor that worked with Michael Jackson, and she's a – sorry. Hold on a second she's a she worked on the she's a microbiome and fecal transplant expert but I think she got a notification when we went live and thought maybe we were calling her to call in do you know her I think we had her on a show once okay but did we maybe she signed up for for the the automated texts but I just want to let you know that we got her number just in case you want to talk to her. All right, the fecal transplant thing is a whole other matter.

I know, but. I blame Vinny for all this. We're going down a big road with multiple rabbit holes. I think she got an automated text and thought we were colleagues. Listen, that proves that we can do anything. When we can tell people to eat shit and mean it, then we have a different problem. A little different, Vinny. But Vinny, talk to us about the documentary fat. First off, I wish I could

have had Kate Shanahan in it. I'm not sure. I don't know if I introduced Kate to you, but Kate and me, we go way back to the beginning of the podcast. Me and Anna and Kate. Kate used to come on. Her husband, Luke Luke would show up. And, you know, the documentary was this phenomenal thing that happened that I didn't want to have happen. I am not a documentarian. I'm just a guy who had all these fabulous doctors that would come on my podcast and they had so much more to tell. And the fans came around you know i

came up with the craziest number i could come up with i said 150 000 if you guys can give me that i can do a movie well they came up with a quarter of a million dollars wow so i was stuck with all this money and i felt like i had to go and do a movie so what did i tell you, Vinny? $150,000 is not going to finish that movie. Yeah. And 250 didn't finish it either. Yeah. I had to put my own money in it to finish it. But you know, it's, it's a funny thing because the truth really does prevail. You know, we, we got these incredible doctors on Ian Felt and Eric Westman and Dr. Drew Penske and all of these people came together. And we put this information out. And it's funny because the vegans don't really come after us because when you just tell the truth, when you don't lie and say, hey, eating an egg is going to be like smoking five cigarettes and you don't make up this kind of minutia.

And you just put the truth out there. No one come after you and that's what we did the movie drew you know this anna knows this kate doesn't the movie had no budget as far as advertising with zero advertising budget we went to number one on itunes and stayed there forever we beat out free solo which was there it stayed at the top of the charts on amazon for so long that amazon put it into their prime program which is impossible to do and then that steiner international group picked it up and now it's on airlines it's on malaysian airlines it's on alaska airlines it's on i want to say delta but i could be lying about that But it's on several different airlines all over the world. And, you know, unlike something like What the Health or more recently, The Game Changers, that's just on one network. That's on Netflix. And I know everybody thinks the world is Netflix, but it's not. We're getting more people

to watch this movie because it's everywhere and uh if you would have told me that this was going to happen with this film well i just have to say i would have tried a lot harder well i have to tell you that one of my patients already like like they i was trying to convince the patient okay yeah so keto style diet is pretty good and you know i think we can uh really help you out and she had to think about. And then she saw your documentary and came back to me and said, oh, that convinced me. Wow. Good work. Very powerful. That's interesting. That's been my experience. Think about that. When you came on the show, that was probably seven years ago, at least Anna's house. That was back when we did it at Anna's. Back in the studio. And we were all considered kooks back then.

We were all just flat earthers, basically. Everyone thought that oh my God, these people are going to kill people. But you were one of the early adopters coming in and talking about that. And I can't thank you enough. And let me just stroke Kate a little more. She's not just a physician. She's a biochemist. and she's a real scientist. And what really got my attention is I heard her say one time, look, nutrition is so infinitely complex from a biological standpoint, which is something I know to be true,

that there are only a few things that I can really say something about and know it's true. And you started with the tallow and the vegetable oil and all that, and of course that was quite true. But back to Vinny and fat. Kate, I want to ask you a question. It may be not a good, and that's something that could be easily answered.

But I am clear for me that carbohydrates are a problem. They're an enemy. And I'm wondering if I have a certain genetic subtype of, say, one of the apolipoproteins. I mean, I know the apolipoproteins are, to some extent, what take oxidated lipids and put them in the cell walls. That's really the enemy, and that's what causes coronary disease and whatnot. I will just say, on Vinny's diet, no starch, no grain, I guess everyone's diet, right? We're pretty much all in the same zone. My HDL has never been higher. My triglycerides have never been lower. I'm on Vitorin, so my LDL has always been pegged. And my calcium score last

week was 0.0. And so I'm wondering, and I've not taken the position that, oh my God, everybody should be on this diet. I'm wondering if people with certain subtypes of apolipoproteins are really the ones that should be on this thing for sure. And I have a suspicion that's me. What do you say to that? I don't know how carbohydrates would really make that. I would tell you a couple of the apolipoproteins vary with insulin. Their levels go with insulin. And again, particularly the ones that put the oxidated lipids into the cell wall. That's what I've read. I think the biggest important thing to realize is that our insulin levels are supposed to be under five when we're fasting and the normal values on the lab, they started around five and they go up to like 20 or 25, depending on the lab. that's because so many people are insulin resistant that it's skewed the entire range

of normal in our understanding of this whole process of what insulin resistance is and the relationship between insulin and lipoprotein levels. So it's really hard to, you know, even begin to guess. But what I can tell you is that insulin resistance does mean your insulin levels are high and higher than normal, right? Higher than they should be. And, you know, even people who are considered metabolically healthy, if they're overweight, their insulin level on average in a couple of studies I just recently read was 16. And this is a their insulin level is, which is not supposed to go over 60. But if someone's insulin resistant, it can go as high as like 300.

So that is an extremely exaggerated amount of insulin. So how can we really know what's going on with any of these subtypes when the population being studied is so skewed so metabolically unhealthy and so it would be a reasonable uh position to take uh i'm going to try to say this as accurately as possible that insulin insulin resistance is endemic carbohydrates are a major contributor and therefore it's a good idea to limit or exclude carbohydrates generally speaking would that be accurate? I would rather put the emphasis, honestly, on the vegetable oils and the seed oils, because we talk about carbs driving up insulin because, of course, they do. to the root of what is insulin resistance caused by it that's where the the polyunsaturated fatty acids from the seed oils just keep coming up and study after study after study you can have

somebody on a low carb diet and give them high amount of polyunsaturated fatty acids and well actually in animal studies got, then you get that. You see every single sign of insulin resistance from fatty liver to the low HDL to the high triglycerides to actual, you know, insulin levels going up and reduced testing, reduced markers of insulin sensitivity. And this is on a low carb diet. It's just that they're getting the wrong kinds of fat. So I feel like we,

the language that we use colors, the way we think about things in ways that needs to be questioned, we call it a low carb diet, or we call the keto diet, like it's also about ketones. But what they really do is they drive people to eat natural, healthy fats from things like butter and sour cream and eggs and cheese and you know so on and so that i think is what all successful diets have in common and whether or not you can tolerate a whole bunch of carbs i think really has a lot to do with your age as well because it seems as though something complicated happens in the brain with regard to your your body's idea of what a fasting blood sugar level should be and this is all like stuff that i get into a lot of to like i kind of unpack it slowly and gradually and gently in my next book the fat burn fix because these are all super important concepts that help us

understand why people have a hard time gaining weight, burning their body fat, and why they can't stop regaining. Got it. So to me, it's a great example of causation versus association. So we cut the carbs out, but we got a lot of feedback. Yeah. Hello. Is that our stream again? No, it's Dr. Kate. She needs just headphones. It's just echoing. All right, listen, guys. I want to get to a couple calls here real quick, and then I want the people out in our streaming world. Call us.

We've got an all-star diet team here. We have someone who has wonderful diet suggestions. They tell me what to eat, and then I put it in recipe format. We have a biochemist. We have Vinnynie who has enormous amounts of experience over many decades advising people about this particular diet and why he got to this diet let me take a quick series of calls if i can give me a second here uh very quick this is uh uh pat let's see if i get pat on line pat what's going on hey dr drew uh i was just curious about what your feeling is uh about tramadol um the treatment of arthritis yeah uh let me just say tramadol is a weak opiate it has some serotonin effects as well it's a good pain medication it shouldn't like every opioid of any type, shouldn't be taken for long periods of time.

If you're not an addict, not an alcoholic, it can be taken intermittently for long periods of time, but not continuously for a long period of time. Unfortunately, the optimal effect of the drug is when you take it on a regular basis. I have had some people be on it for long periods of time with good results. It always makes me nervous. Kate, you agree? Especially older folks. I've had too many of them start falling and start getting memory problems that were 100% reversible.

Tylenol worked better for them. There you go. Perfect. Again, I'm barreling on through. This is Katie. Katie, go ahead. Hello? Hi, Katie. Hi. My name is Ty. Katie, go ahead. Hello? Hi, Katie.

Hi. My name is... Hi. I'm 23. I'm from California. I haven't been able to come for most of my life. I came once six years ago. And I've been sexually active since I was 14. Okay.

Okay. I was wondering why I couldn't come. I was raped when I was 14, and i had childhood trauma from the ages of five until now that doesn't um i've tried therapy i'm in therapy now um says you're doing the ios user too right yes yeah but i've been sober for two years and are you on any medication right now? I am on three different medications. I'm on Xanax, I am on buprenorphine, and I'm on mirtazapine. The mirtazapine can block the orgasm, so you can talk to your doctor about that.

Xanax is a treacherous drug for a heroin addict, and it's undoubtedly all the substances you've been exposed to all these years that have prevented you from figuring this out. Kate, do you have any other suggestions? Do you agree, disagree? I took one of the most popular courses in my medical school was an elective that lasted two weeks about sex education. And we learned actually how to take a sex history and one of the things that we would ask is you know can you have an orgasm if you manual if you uh masturbate and um so that would

be my question no she can't she once she did right katie um once i once i came um but that was during sex i can't i don't find it find it, like I'm not able to masturbate. I just started trying to get vibrators and try to masturbate more often, but it makes me uncomfortable. I get really in my head. It's a common thing. I don't know. That sounds like that's got a lot to do with it, that getting in your head and not being able to get uncomfortable. Yeah, and the mirtazapine and the heroin and the trauma. So there's a lot of stuff going on here.

I think a first order business will be discussed with your doctor, whether or not the mirtazapine can be adjusted to something else. It's a good medicine. You're welcome. You certainly, it's safe for you to take, and I hope it's working. It'll help with your sleep too, even. And I agree with Kate, you know, working on safe for you to take, and I hope it's working. It'll help with your sleep, too, even. And I agree with Kate. Working on this, trying to figure it out, but we have to get your biology lined up. The other thing about heroin is it shuts down your hormonal cycling. It can have real effects on your estrogen system. And I'm wondering, let me just try to get her back real quick.

I'm wondering if you are presently menstruating normally. Are you? Yes, I am. Okay. And no other things. So it's Xanax, Mirtazapine, and what was the third? Buspirone? Buspirone, yeah. Yeah, which all in higher doses can get in the way of all this too. So you got to chat with your doctor and then get trauma-informed therapy, which I know you discussed being in sexual abuse for many, many years years it can make this all that much more intense and difficult and trying to find ways to as kate said what did you call it get out of your own way or what did you say get on uncomfortable uncomfortable get uncomfortable i think

that's a good way to say it it's case next book yeah i like that that's a good way to say it. It's case next book. Yeah. Get uncomfortable. I like that. That's a good menu. Let's see. Okay. This is Jim has a question for all you guys. I'll give it to Vinny first. Go ahead, Jim. Hey, Big Bad Drew and the gang.

Thanks for taking my call. Was that you that I blocked? Me? I blocked somebody. Somebody on the stream called me Big Bad Drew, and I was trying to give you a like sign or something, and I ended up blocking it. Don't mess with Drew.

He'll block you. I was very upset. But, yes, maybe it was you. But, anyway, welcome. Yeah, welcome. You guys are great. But yes, maybe it was you. But anyway, welcome. Yeah, welcome. You guys are great. You're some of my favorite people. Hey, I got a question.

Okay, everybody, when you get into your mid-40s, late-40s, all you hear about is no energy, testosterone replacement, yada, yada. What is the best way to find out what your body's deficient of? How do I go by doing that? Boy. So I'll start with Vinny. We'll just go across the panel. I'm not a doctor, but the first thing you need to do is take a blood test. You know, you know, there's no way you can't guess at it. The first thing I would tell you not to do is go to google and and google it because if you put testosterone into google everyone's going to try to sell you a pill or a shot or something else and that is not the way to go bro science is never the way to go start with

a blood test and don't just have them check testosterone free, you have to get everything checked. And I think both Kate and Drew is going to agree with this. And by the way, when you get into your 40s and you hear all this stuff, you know, everyone's pushing this. Hey, you have low T. Come see us. I've been walking around with less than 200 testosterone. I never see 200 when I go see a doctor. And I think Drew and I talked about this on a different Drew show. I'm never over 200. I can build muscle just as well. Sex is, I never have any problem in bed. You know, just nothing. As a matter of fact, if there's any problem,

it's Serena saying we need to do less of that? So just that number doesn't mean anything. I don't know what the doctors are going to say about this, but the number is almost meaningless. Well, that's the problem. And I want to ask Kate this. So when you say check for everything, boy, these days we can check for everything, but we don't always know what we're looking at. Go ahead, Kate. So when I went to medical school, it was 95% of the diagnosis is made by the history and the exam, that thing. Remember what that doctor actually kept me. My dad, it was an old time family practitioner. He kept yelling at me,

your most important diagnostic instrument is your ear. Meaning you you listen right but that takes time you know fatigue is one of those things that has a differential diagnosis which is what doctors mean then okay what could possibly cause it that's our fancy words for that but uh it's of like about 200 things i mean what disease doesn't cause fatigue right so if if it's a chronic problem, it deserves possibly multiple visits to at least a doctor that you can trust to allow that doctor the time to go through whatever their normal way of establishing a cause for chronic fatigue. And the reason has to do with what Vinny just said, right? Because the lab, you can do a bazillion lab tests, but what do the numbers really mean? You don't, you know, you just don't know unless you know more of the backstory.

But Kate, I think what Jim, and Jim, you can chime in if you want. He's talking about a sort of the middle age, you know, I get what he's talking about. You're tired, you're overworked. You've got kids when you get home. Sleep doesn't seem to be restorative. Something biologically doesn't seem like what it used to be. And he's on to something because at 40, guess what? It isn't like it used to be. And the question is, should we be doing something about that?

Because we've now gotten more aggressive again with female hormone replacement. Is there anything about the male we should be considering? I'm going to sound like a broken record here. Go ahead, Vinny. Go ahead, Jim. Yeah, well, like Vinny said, my testosterone levels levels are low and they have been for the last couple of years, but my sex drive is fine. Um, I feel like I'm strong, you know, of course I've got a little weight that I need to get rid of about 20 pounds, 25 maybe. But the thing is that like,

sometimes I will just feel this, this, uh, this fatigue that comes over me. And I wonder, is it a food, not an allergy, but an intolerance? And should I send in, should I spend the $200 and just send in for the blood work online instead of spending a bunch of time at a doctor or an endocrinologist? I'm going to interrupt you because Kate, I want Kate to, I'll let Vinny talk in a second, but Kate, repeat what you said because I don't think he heard you. Or if he did, he didn't take you seriously. Right. So yeah, I mean, of course, these kinds of symptoms as we get older, we like to look for like a single cause or something that's really easy, but often the problem is the very basics.

Number one being we've neglected sleep for a long time and now it's catching up to us. And number two being if our metabolism is screwed up and, you know, it is statistically speaking, when we have 90% of adults who are at least insulin resistant and half having either diabetes or prediabetes, chances are really good that you're not able to burn your own body fat. And this is why I just keep needing to bring up this topic. If our cells are not capable of burning our body fat, and like I say, when you're insulin resistant, it doesn't happen as easily as it should, your body fat is supposed to be giving you energy. So when we talk about fatigue, we really should not, we should start the conversation with the basics, sleep and where does energy come from? If you're getting your

energy mostly from sugar, and there's a few simple questions that you can ask yourself, like, how do you feel when you're hungry? Can you skip a lunch? If you say you had your breakfast at 8 and you didn't get lunch and now it's 4 in the afternoon, are you feeling hangry? Are you feeling like you're going to crash? That's because you can't burn your body fat. And that is so fundamentally important to health that it really needs to be one of the first things we consider before we start talking about things that if you had a food allergy and you would probably know it because you know most food allergies you feel something immediately like when you have the food right like

you you have hives or you get an asthma attack or you get an upset stomach so uh that and then this other idea of well, should we supplement with hormones? These things seem like nice quick fixes, but we get lost in the technology and it seems like we're doing something really important by sending out for a blood test. You're not going to get any, you know, real blood tests done for $200. If it's only that expensive, you're just going to get the very basic test that any doctor would do during a physical. And in order to get the, you know, food allergy testing that you really should, which by the way, shouldn't even be done without taking a history. These tests were not validated in it, like to be standalone. They were designed.

Screening tests, screening tests. Yeah. Right. Exactly. So, so there's a lot of folks selling these things because you can make an easy buck doing it, but it doesn't mean it's a good idea. Vinny? Yeah. Piggybacking on Kate, you know, number one, you have to get your diet straight. If you're eating, you know, seed oils, you know, we're talking about seed oils here, you know, not good. If you're eating a lot of sugar, a lot of grains, that's one thing. She mentioned

rest and sleep. No one is getting enough rest and sleep. The main reason for that is, yes, I get it. You may have kids, you may have a wife, you might have two or three jobs. But the bottom line is, if you're being honest with yourself, you have two and three screens in your face every night. And those strobes from a cell phone or a pad or a laptop, those strobes, think about it. You can look at that cell phone and then close your eyes and you can still see the strobing going on. You can't see it when you're looking at it. But that's affecting your brain. And you're not getting the proper amount of sleep.

And sleep is not a wimpy thing. You know, that whole thing, you can sleep when you're dead and you're not getting the proper amount of sleep. And sleep is not a wimpy thing. You know, that whole thing, you can sleep when you're dead and blah, blah, blah, blah, blah. I'm going to live life. We need rest. We really do. And if you get the proper amount of sleep, you can operate at a high level. You look at people like Tom Brady and Drew Brees, these guys are in their forties and they're still kicking butt on the football field. Look, Brady might be banging a supermodel, but I bet you he's getting some sleep, too. You know, these people are not, they're not rock and roll lifestyle. Look what happens to rock and rollers.

Look at any friend you have that might be a trucker that drives all night or a bartender that works until two or three in the morning these people never look healthy ever there's a reason for that we're not nocturnal animals you need the rest i'm and wait i was just going to save in to try to piggyback on that like don't and you guys can totally shoot me down but it would it make sense to address the diet and sleep thing for 30 to 60 days first and then go take the blood test or take the blood test, but fine. And then in four months after you've really troubleshoot, I think, I think if I had to summarize what I'm hearing here, it would be exactly that, that get, get your sleep under control, get your stress under control,

get your structure of your day under control, get your stress under control, get your structure of your day under control, get your diet under control, which means no seed oil, limit carbohydrates. Maybe you guys, I'm going to have Annie give maybe some specific ideas to that. Give that a while. Should I just like stand next to this and just keep it casual? And then get a thorough physical examination if you're still feeling fatigued. Let me just tell you, Vinny and Kate, I have a story I always tell, which is I used to work in an Alzheimer's nursing home. And when I first got there, I was sort of fishing around, looking at the patients, trying to figure out

what the common antecedents were. I'm trying to figure out what causes Alzheimer's just casually. And I noticed on the side of all the men, not the women, but all the men's bedsides were pictures of them during their careers. And they were, I mean, all of them, admirals of the Navy, gigantic captains of industry. And so I went to the families and I said, wow, they must be stressed. They must have been so stressed out. And every family said the same thing. No, no, he had no stress. He had no stress he had no stress

he loved what he did he never slept he never slept yeah they all said the same thing no sleep and so i thought i'm gonna get some sleep honestly i know i i try to get sleep now um all right so you go ahead give me some stuff oh okay so here's the thing and and through kate's work i've learned so much and vinny's learned so much that even in the first, the first printing of Eat Happy, the first one that came out in 2016 had grapeseed oil in a few of the recipes. Now it doesn't. I have the luxury of being able to revise stuff because I learned from Kate. So I always tell folks to stick to the, um, stick to olive oil, avocado oil, beef, tallow, butter. If you can tolerate the dairies,

get in there. And I also wanted to address Jim's thing about, and I'm not a dude, so I don't know, but I am a woman and I am 46 years old and having to manage your hormones when you get to a certain age, if you're eating the standard American diet, it's not going to work. And I will say, if you need any inspiration at all, you can actually Google, you know, keto or NSNG and male hormones. And you will see a lot of people's success stories with cutting stuff out of the diet and improving their virility. Um, and with women as well, like it, it, for me, it was a game changer. Yeah. It made a big difference for me too. I, and I, I sort of moved towards the carnivore end of it just because it was easier for me that way. I could just sort of focus on the eggs and meat and cheese and not be, I don't know, it didn't bother me.

And it was the easiest diet I've ever done. I've been on it for years now. Guys, I think we need to take a little break. Caleb, is that correct? Is that okay? And we will pick up right here. We will also get your calls going back again as quickly as I possibly can. One of the frustrations of call-in shows

is trying to get to everybody's calls and so I apologize if anybody is left on hold or I don't get to them. And I am watching the restream. There's a lot of interesting stuff here. We're going to get more towards, more into the weeds a little bit. Vinny, I hope you'll help me

when we come back on carnivore and keto and just let's do a little primer for people on what these dietary issues are and then when we come back on carnivore and keto. Let's do a little primer for people on what these dietary issues are, and then Kate can kind of get into the weeds with us. All right? All right. We'll do that. We'll be right back. Absolutely. Okay. The CBD industry is still pretty much the Wild West. When it comes to claims and criticisms, the science is catching up with the industry. We will have clinical science soon enough, and there seems to be an overwhelmingly positive response these days to CBD's efficacy. We've all heard the reports. And luckily, our good friends at Social CBD are raising the industry testing standards.

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you can save 20% at checkout with the code drdrew. Now let's get back to the show. Needles have increasingly become a part of everyday life. Proper disposal is both difficult and expensive. We have the solution. Simpler, safer, affordable, and fulfills the obligation to protect our environment. A single stick with something like this means tracking down the user, it means blood tests for the person's stock, it means possibly medication for extended period of time. Needle sticks are devastating. No more. Incinerate the needle. Needle goes in this port. It's over. Done. Needle gone. We all have loved ones who use needles. Keep their home safe. Medical offices are loaded with sharps. We are using ancient technology to protect our patients, our staff, ourselves.

You know what needle sticks do. You know the cost and the devastation psychologically and physically potentially from a needle stick. Eliminate that completely. Stop using ancient technology. SandMidi, it will solve your problems. Find out more at NeedleDestructionDevice.com. I am here with Kate Shanahan, Vinny Tordrich, and of course, Anna Vocino. Anna's book is Eat Happy Too, and also Eat Happy. Kate's new book, Fat Burn Fix. Let's show those books if we can. And Vinny Tortorich, of course, the documentary is Fat. So Vinny, we talked before the break about some advice, some basic parameters of what it is we're talking about here in SNG. Yeah, I was still busy writing down gas station dick pills from that last ad you ran.

I know, right? I'm fascinated. If you have any questions, I can answer them. Don't do it, Vinny. Don't do it. Look what happened to Lamar Odom with that stuff. Oh, boy. Look, if I can end up in the chicken ranch or wherever it's called over in Vegas, if I take some gas station dick pills, I think I would be okay. Yeah, you know, we have all these terms now, Drew. uh keto we have carnivore we have um nsng we have atkins we call it low carb we call it all of these things and people want to know what the differences are uh the differences are very very few uh the problem is depending on

what you're calling it it it can have a problem. So one of the first names that came up, well, Atkins was the first to come out with a name. And what Dr. Atkins was talking about was great. And if we could have stuck with that, we would have been fine. But he slipped on a cube of ice and died. And whoever sold the brand to, you know, big whatever. But he slipped on a cube of ice and died. And whoever sold the brand to, you know, big whatever. And all of a sudden there were Atkins bars and Atkins shakes and nothing but crappy.

Keto did the same thing. Well, no one owned keto. So anyone could put keto in any product. I see keto products that are 100% carbohydrate now. It's crazy. So now we have the same problem. Paleo started off as a good thing. Eat whatever was around in the Paleolithic era. And then people started bastardizing that. That's why I actually own the NSNG trademark. And people you know, people come to me. I don't want to exaggerate and say on a daily basis, but definitely on a weekly basis.

And I could have been a very wealthy man by now just by giving that NSNG, those four letters to a product to get it printed on a product. And the reason I haven't done that yet is because I can't guarantee what this company is going to do with the product down the road. Right. They can't give my attorneys that guarantee. I won't let what I have become the next keto or paleo or Atkins or whatever the brand may be. It causes, you know, everyone it becomes conflated and everyone is just running scared going well this is a product i can have it says keto i tell everyone the same thing if it's got one ingredient if it says butter you can eat it if it says meat you can eat it if it says broccoli you can eat it if it says you know you name it one ingredient and if and if you if your packaging

sounds like anything when you're opening it you're not eating it except for maybe bacon you know you shouldn't be opening a package to eat your food right there's no bars out there that you can eat even bacon can be confusing to people because bacon is oftentimes cured with salt and sugar put onto it. And extra, yeah. And so people get, that's one of the most common questions that we get is like, what about this bacon? It has sugar, but it says zero carbs on the nutritional label. And just so you guys know, when you cure stuff, you're literally packing it in the sugar and the salt.

And then hopefully they've wiped it off. If it's maple bacon, please don't eat the maple bacon because that's just sugar bacon. Right. But oftentimes you will see sugar in the ingredients because they're disclosing what they cure it in. Okay, great. And you want to make sure to avoid nitrates too.

There's a little delay. It's not him being passive aggressive. No, it usually is. He's quite capable of that, yes. Oh, me? Passive aggressive? Never. No, Anna's correct. passive aggressive though he's usually he's quite capable of that yes oh me passive aggressive never no and it's correct and you know ann and i sitting side by side doing that show we've done over 1500 shows now on the fitness the fitness confidential podcast and we've heard it all we've seen it all you know at one time there's an an NSNG ladies group on Facebook.

And years and years ago, I was the only guy in it. These women were trying to figure out carbohydrates. So one of them started by saying, hey, my doctor told me I need carbohydrates. And I saw this discussion going on. Well, maybe I should eat pizza twice a week or maybe I should have pasta once a day or whatever so i let it go on for a day or two and then i jumped in there and said yeah you should have carbohydrates eat some broccoli eat some cauliflower eat some kale they didn't want to hear that the answer they were looking for right yeah they they were trying to find a different way and everyone if i feel like jeff foxworthy when i do this but if you start looking for a way

to to beat your diet you're not going to lose weight i should come up with about a hundred of those probably go on the road with that vinnie taught me really early on that this that he identified this phenomenon that happened in my brain i'm sure a lot of people who've been on perpetual diets that thing where you kind of eat around the food. Like I would do a program, an online famous program, right? I don't know if I can say brand names, so I don't want to like out anybody, but I would do, and you would basically eat a trough of spinach so that you could have the tiny brownie. You know what I mean? Like you eat around the foods and then you're always just thinking like, when can I have that thing? And one of the most freeing things about NSNG is that when you get, you know, fat adapted, you're not thinking about, oh, can I just have that one little bite of brownie?

It doesn't torture you. Well, I'm okay to address that, that fat adapted idea. Because I feel very different in my relationship with with appetite well then you hit the nail on the head when you said that people you know find a way to eat around the diet because i've seen it so many times people start a diet like even whether it's gluten or keto or whatever and they don't know what to eat so they hardly eat anything and they're like wow this diet works great because i'm losing weight and and then they do start to burn you know their body fat right so that that's that's always good whatever uh is the cause but then they start to feel like oh well the maybe the diet's not working for me anymore because after a couple months they've learned all these they found all

these like snack products so they start snacking and even just snacking between meals i try to tell people that there's no such thing as a healthy snack, because how often do you get to burn your body fat? Even if you eat three meals a day, right, you just have maybe a few hours at the most, but if you're eating and snacking between meals, so part of fat adaptation is, is, you know, not only that you are burning your fat adaptation really means that you are successfully burning your body fat. But when you start out with an insulin level of 16, and you actually your, your body tissue doesn't even release fat to be burned until your insulin level drops down to five. And it then it's optimal at 2.5. You are almost never going to easily be burning your body fat unless you're really seriously calorie restricting. And it's going to feel terrible because you're going to get hungry

between meals. So part of fat adaptation is just you lose your hunger, your energy improves. And that's like the simplest test there is to know how healthy your metabolism is. Do you feel more energetic when you go six, seven, eight, ten hours between meals or less? Because the answer really is supposed to be more. To jump on top of that, Kate, you know, it's funny. I do these consults and people always say, why do you still do the consults? And so it's the only time I get to be in touch with people. And I often hear, you know, everybody's into the new thing for the past year has been I am intermittent fasting.

And they'll be very proud to tell me, hey, man, I intermittent fast. I'm on 16, eight, man, you know, the whole thing. And then the conversation will start with. So what do I eat when I get on an airplane? And I'll say, well, how long are your flights? And I'll say anywhere from three to four hours. And I'll say, well, wait a minute. Why don't you just intermittent fast when you're on the plane? Why do you have to have, what is it about getting on an airplane

where people feel like they have to eat the crappiest food in the world? Because that's exactly, even when the food was good back in the seventies, it was crappy food. Again, full of seed oils and everything else. So it all drives me nuts because everyone's looking for that out. Yeah, Amanda's, I'm watching the restream, says goodbye to my keto brownies. I know. We're not trusting keto brownies.

By the way, the keto brownie is made with usually what I like to call butt sugar, which is a mixture of monk fruit and erythritol that tastes not that great, if we're being honest. Let's be honest, keto brownies have this aftertaste. You're like, what is that? That should not be consumed. And then it'll make you shit your pants or have something untoward happen. To be fair, to be fair, Vinny, I bet you'd say eat your damn keto brownie, but that's, that's carbohydrates. Yeah, no, actually, that's not.

I'm always telling people, look, your friend Adam Carolla always puts me on the spot with that. And he'll go, yeah, just tell me what I have. I just want to have something. I just want a casserole. If you want to have something, just have what it is you want to have. Don't eat around what you want to have. Right. He always said, don't get the yogurt, get the ice cream. Right. Yeah, just have the ice cream and call it a day. And get the best

ice cream you can get. Get the ice cream that's got cream and sugar in it. Again, going back to what Kate says, if it's got 20 ingredients in it, it's not ice cream. We all made it as a kid. We all churned that big thing. I don't know if they even have that anymore. There was cream and sugar in there and some strawberries. And that was it. But a lot of us are prone to excess.

And I was having a little bit of a struggle with this diet. Vinny and I were face-to-face about a month ago. And he went, how much of that cream are you drinking? I went, I don't know, all day. The heavy cream is what gets people every time. What's the big deal? And I have cut back and that was the problem. Although- That did it, huh? 90%. Although I'm learning from Kate now, the last 10% are the nuts that I eat as a snack.

The nuts and the cream are what the number one thing, and it might not make you necessarily gain a bunch of weight, but it will certainly prevent. It just does. I know what you got, what Kate was just talking about, that thing of feeling better when you're fasting and feeling great all the time. I know that feeling now, and I crave it all the time. Yeah. And when I'm not getting it, I feel off. I feel like, huh, what am I doing wrong?

Mrs. Pinsky is getting me some coffee right now. What that comes from is ketones i mean i think you know i i that what it's coming from is the the keto diet one thing that a lot of people talk about is that you're producing ketones because you're eating fat but that's not true you're producing ketones when you burn your own body fat and that's it you don't produce ketones out of dietary fat that you just ate you only produce your liver only makes it because your hormones are only arrayed such that they can even produce these ketones you don't fat doesn't contain ketones right like the fat that we eat right

it's our liver has to make it from scratch and and that only happens when we when we burn our own body fat and it's like our brains favorite. Are you guys hearing me? We're hearing you. Yeah. Yeah. I can hear you fine. I want to coffee. Yeah.

We're literally getting coffee. So we're with you. Oh, great. Um, so yeah. So anyway, so your brain loves ketones more than it even loves sugar.

I know. So I'm aware of it. I can tell, man, I was blown away day three when I went to this diet. I'm like, what the hell is going on here? This is phenomenal. And Drew, I don't know if you, Kate, you probably know this because your ear is to the ground more than most.

Dr. Veach just passed away a couple of days ago. The godfather of ketones and what ketones can do for you. As a matter of fact, Drew, you'll be interested to know that he learned from Dr. Krebs, the Krebs cycle guy, the guy who figured out how the Krebs cycle actually worked. Vig passed away at 84. And I just had Dominic D'Agostino on the podcast again, it's going to be coming up in about two weeks on a Friday. And we were talking about that very thing. You know, everyone wants to take, you know, the exogenous ketones.

Now on the market, there's ketone salts and there's ketone esters. And we were getting into the weeds about that and how that works. And as I always tell everyone on Twitter on a daily basis, you can go buy some ketones, but if you're doing 20 things wrong and you think you're going to take a few ketone salts or a ketone ester at 30 bucks a pop, good luck with any of this working. You can't outrun a bad diet. You can't- Hold on, Vin. It's marketed because I'm the one, I'm the lay person here and I'm the one that that kind of stuff is marketed to. And I remember when they became super hot a few years ago, and I know they keep cycling back around, but they say, if you can't get into ketosis, you take one of these and then boom, you're in ketosis. But that's how they market them. And we don't know.

With food products, you got to remember, over-the-counter supplements are considered foods and therefore they can say just about anything they want. Kate? That's a whole podcast. That's a whole different show for a different day.

But Kate will be the first to tell you, you can't just take a ketone and start, you know, look, Anna, when you first started doing an SNG and you were peeing on a stick, you didn't even have a meal, a molar scale, you know, a blood scale, right? You were like, Oh my God, I'm deep purples, deep purples. And then when it started clearing up a

bit, you're like, wait, I'm falling out of ketosis. And I said, no, you're not. Your body is just learning to use those ketone bodies as energy. So good on you. Well, now I know I have the thing that says if I'm at between 1.5 and three, but I can still pee and it's like pink on the stick. So, you know. Right. And I don't, by the way, I don't test a lot because for me, it's crazy making.

It's like, I like to get the information, but not like constantly. I don't like that kind of stuff. I can't have time for that time for that okay you can some people have uh kidneys that will start reabsorbing their ketones more efficiently right so when you first start burning your body fat and producing ketones they're kind of a new thing to the kidneys they don't have the receptors to reabsorb it. And some people get disappointed because they feel like, oh, I'm not, I'm not producing ketones because my P-strip doesn't turn the right color anymore. But actually, um, your body may be just hanging onto them more efficiently, right? Cause they're

valuable. So that's what the kidneys are supposed to do is get rid of the bad stuff and hang onto the good stuff. So after a few weeks, a lot of people just don't peek the ketones out anymore. And then the other thing that can happen is that we don't even really have a way of measuring is so forget about producing ketones, your brain actually can run fine on fat. So there's some evidence that the brain actually can use fat and doesn't even need for your liver to produce ketones. And so that's why I said that the real test isn't a blood test. It's not a P test. It's how do you feel? Can you go for a long time without getting hungry? Do you feel more energized, you know, as you get to that 12 hour mark, that's really the real test because when it comes down to it with diet and health,

we, we have to be able to have the energy to not want a snack, right? Because if you want, if you are getting tired and you know that snacks going to make you feel better, all the willpower in the world is going to give out eventually. The real issue is how do you feel? That's the most important thing to be asking ourselves. It's hungry. In the book, actually, I have workshops. You have workshops? Tell us about that. Tell us about the workshops. I misspoke. I meant to say I have worksheets in the book that help you gauge your progress towards having less hunger and less hypoglycemia

symptoms. So the symptoms are, there's a name for all the symptoms. I cannot wait for this book. Caleb, show the book again. Is it out yet? It's going to be out March 24th. Right. Pre-order it, people. Okay. You guys, I've got some very, very challenging calls I really want to get to. They're not diet calls, but I feel like I need to get to people. Susan, you may have to follow up on what I'm about to say here. Okay. That sounds intense. Do I need a pen?

Well, no, there's a couple of callers I'm not going to get to, but I want to give them some advice right now. One is Sean. And, Sean, what you're describing, I don't want to get into it because it's a rather serious symptom you're talking about. It's about ringing in the ears, but that could be a sign of what's called an acoustic neuroma, which is a tumor on the nerve to the ear from the brain. And that has to be taken care of. That has to be taken care of. So please see somebody about that neurologist. Sean. Yeah. Tinnitus. Yeah. Sean. He's a young man. And trust me, this is a very treatable deal, but you got to get to it. You got to get to it. Let's put

it this way. You got to make sure if somebody's got to look at your ear, examine your, just like Kate said, examine everything. But based on what you're describing, you may need to see a neurologist also. Brian asked a question. I will have Kate answer, and then I'm going to go to some really challenging calls also. Brian asked, what is the true number of calories one should have in a day? Kate, is there such a thing? Well, yes. Actually, calories do matter quite a bit. And the answer depends on how active you are, your height, and your age. And the online calculators, I think there's a bazillion of them. You can Google them. And that gives you kind of a starting point.

So just to give you an example, for me, for myself, I'm a 50-something female, and I'm around 5'5", and I do almost no exercise. So the only I only get like 1400 calories per day. And if I don't exercise and I eat more than that, I noticed that I start gaining weight. And when I do these kinds of things with these kinds of exercises with my patients and I go through about how much they're eating, I feel like the online calculators really are a good, they're pretty good in terms of giving you a ballpark of the number of calories.

So Brian should go to one of the online calculators. And just to wrap it up, if he's 30 years old, let's say he's a 70-kilogram man, give me a number. I'd be totally guessing because, I mean, the average person is around 2,000 and a 70-kilogram man is somewhere, the average person is around 2000 and a 70 kilogram man is somewhere around, you know, the average person. So that would be about 500, something like that. Okay. That's, that makes sense to me. And an 1800 would be restrictive, right? Yeah. And you know, the funny thing is they say, unless you're restricting by, you know, three to 400 calories, you don't really notice weight loss in the time frame that you want like which i think is around two you know two weeks

right after two weeks most people kind of start giving up oh yeah they haven't seen results all right now i'm gonna get some i'm gonna take some calls here directly myself and joel hang on i see that's an interesting question there you've got about diet sodas. So Kate and Vinny get wind up. Bring it on. Right now I'm going to go to Becky. Becky, go ahead. Hi, can you hear me okay? I do hear you, Caleb. I think this is just me. So let me look directly to Becky. Go ahead, Becky. Okay, so I'm currently 42. I am married, been married 20 years. I have a 12-year-old daughter. I was

arrested when I was 11. And I would hide in my friend's bedroom and lock myself in there after the molester occurred. And I decided I just had to take care of it myself because my parents were making the signs

such as I would wear several pairs of pants. I'm sorry? Well, I'm here. I'm here. We're still here. Vinny and Katie. Go ahead. Several pairs of pants in the summer. My mom wouldn't notice. I would burn myself with biters. Nobody was noticing. So I just decided I got to take care of it myself. I ended up becoming a DA

and I specialized in prostituting child molester rates and porn cases in my head thinking, and by the way, I never told anybody about my molester. I was thinking

that this was kind of therapeutic for me and I'm going to make a difference. Well, when I turned 40, I was watching a series of porn that was extremely aggressive. I call it diaper porn. I just started crying. I've never cried before in any of my trials or in anything.

I'm very good at disassociating. I continued to drink more. I began drinking. I began disappearing. I started using cocaine. Hang on, Becky. We have a general problem here with our stream very quickly. Can people hear me now?

Hold on a second. Okay. So Becky was telling us this story about having been sexually abused at age 11, waking up to some of this, thinking that she was managing it by by prosecuting other child molesters and then suddenly had an emotional rush and i imagine breakdown after that becky as well yes i did yeah i uh yes i began drinking extremely i have used cocaine met new friends disappeared from my family for days realized wow this is not a midlife crisis there's something very wrong with me right um file for fma to my psychiatrist my working at firing me which added to my ptsd of

trusting others and no one's going to take care of me um i'm unable to work can't can't do the dishes this is my issue my aunt and my grandma both died this week. They were the two people that were nonjudgmental. My mother is a lot about appearances. So I'm weird to her right now. I'm kind of embarrassing. And I'm scared of my own self. Right. Okay.

I'm scared of my brain. Okay. So, Becky, let's think about it. Hang on now. So the way to think about it is the part you're afraid of is a part that you don't have access to right now, right? Which is the traumatized self. It's way off there. It was driving all the drinking, driving the using, driving the behaviors.

You know it's there now. You're acknowledging it. It needs to get attention and then integrate it into the rest of your central nervous system. So you said you had a psychiatrist, you have a trauma specialist working with you. I've been in EMDR for a year now. Okay. And it just doesn't seem like it's moving fast enough.

I don't know if I wanted to do DMC, Skylar Stone had tried to get me into Mexico, but my bar light seems to be an issue. Okay. Don't go that far. Wait, wait, wait, wait. I have a... Where are you calling from?

California? I'm calling from California. You're obviously willing to travel for this. You were going to go to Mexico and that kind of thing. Let me, Susan, let's get her in touch with... We have a psychiatrist that uses hallucinogens for trauma therapy who's

extremely cautious and extremely careful. She's a psychiatrist and a psychoanalyst. I trust her. Susan, are you with me? I'm going to put you on hold, Becky. We're going to try to get you... I have her phone number. Give it to Becky. Go back in the

screening area and give it to Becky. Your phone number? Your email? Which doctor are you talking about? The one we talked to during the hallucinogen. Yes. Ketamine and MDMA. She's in New York.

Yes, that's her. And she may know people out here that she can refer to Becky. But if you wouldn't mind, either give it to... Can you go in the screening room? Yeah, I'll give it to her. Okay, good. Now, thank you guys. We have another tough one coming up here, so let me deal with that.

This is why I love Drew. He helps people. It's awesome. I love it. I love it. I try. I try. Cheryl, go ahead.

Hi. Okay, so I'm calling because my ex-husband told me that his son killed his mother. And he feels that the reason why is because he had been taking care of his son for quite a while. And he told his son, I can't do this anymore. You have to find a way to take care of yourself, get a job, yada, yada. So the son told him, if you don't send me my money today, there will be consequences. And the young man went and the next day he checked his grandmother,

which is that ex-husband's mother. My question to you guys is, this happened back on June 15th of last year, but this guy, my ex-husband is traumatized by this, this is one of the families, and he's not willing to go and get help.

I don't know what to do. Okay, so Cheryl, this is your ex-husband? Yes. Okay. First of all, I am horrible. I'm so sorry. What a mess. So this was sort of a stepson of yours?

Would that be accurate? No, it wasn't that stuff. He and I haven't been married since like 2000 or something. No, I mean since, I'm sorry, since the 90s. He and I divorced and he remarried someone else

had a child and I didn't. Okay, got it. So this son is this young man is not related to you in any way. He's a criminal. No. He's not a criminal.

He's not a criminal? You say, is he a criminal? Yeah. I'm sorry, what was your question? Well, I said this young man is... I didn't hear you, Dr. Gist. I hear you. This young man, unfortunately, is a criminal.

You didn't know that, but he's not an okay person he killed his grandmother now i don't know if he did it in some sort of drug whatever or if he was in a psychotic state i don't know but it seemed premeditated he told your ex-husband it's going to happen and then it happened and that to me is as about as egregious as somebody can be of course your ex-husband is going to be traumatized. Does he have any close friends? Is there any way we could get him like to a 12-step meeting or anything sort of that doesn't seem like medical care to him? Well, he's a truck driver and he refuses to get help. That's why I'm calling because I don't know what to do. He thinks that he's okay when he's drinking more. Yeah. You know, he's why I'm calling because I don't know what to do. He thinks that he's okay when he's drinking more.

He's isolating himself from people. He doesn't have friends. He does have a family. He goes back to the house where they found his mom when he's not on the road. He stays there in the same house. I don't even know if that's good to be there. Are you living near

him or is he far away from you? I don't live near him. I live in Virginia. He lives in Alabama. All right. Okay. So, Cheryl, here, unfortunately, is the reality of what you're dealing with here. Especially at the distance that you're maintaining with him, there is not really much you can do.

The only thing you can ever do with somebody in a situation like this is use law enforcement to try to motivate him to go get care. At a distance, if you find out that he's driving his truck intoxicated or you even suspect it, call law enforcement. Have them pick him up before he kills himself and somebody else. That will motivate him eventually to do something. If he is distrusting of the medical system, which I understand why he might be, there are 12-step meetings available in every corner.

Now, you can help him get closer to doing that by going to a program called Al-Anon. And in fact, taking care of yourself is all you can do. That's why we have this program called Al-Anon. It's free. Look it up. Al-Anon, A-L-A-N-O-N, Al-Anon. Go get a sponsor. And they will be a group that then you can use as support in dealing with him. Just like you called me, you can call the people in your group and you can ask for advice and you can use them in your corner. This is a big thing you're fighting and you cannot do it alone. You must get other people in your corner. And with this program called Al-Anon, there are people there whom other people have helped and so they're willing to help you. They'll be there for you because somebody was there for

them and it's free and it works and has the highest potential of helping you get through to your ex-husband. Okay, let me get my panel back. Hi. How about that? Hi, Anna. I'm worried because has there been a sound issue? Are we back with the sound? Yep.

We've been in and out a little bit. I can hear everyone now. So sorry about that little, I had to do a little sidebar here to take care of some calls. That was awesome. And it was a little off topic, but I thank you guys for permitting me to do that. I saw those two sitting there. I was like, oh my goodness, we've got to deal with this. So before the break, we were getting into the weeds a bit.

Were we not? We were. And somebody asked some questions here that I want to get to. Go ahead. Oh, diet soda. Dr. Vaid from the ketamine training center. Yes. She doesn't take new patients, but would you recommend the ketamine training center? Would I be willing to? I would take her recommendations. I trust her. So if she's saying that's an adequate resource, then fine. I want a psychiatrist psychoanalyst doing trauma therapies. I mean, that's what I was looking for. So you want a recommendation from her?

From her for somebody that at her caliber. Okay. Kate, what about negative impacts of diet soda? I think the worst thing that it could possibly do is if it's sweet, it will just sustain your desire for sweetness and suppress your ability to taste the flavors of healthy food, especially vegetables. That's the worst thing I can say about it. Now, why do you say so? Wait, hold on. It affects your palate. And listen, I feel like I have the benefit of having a well-developed palate because it helps me write recipes. But one thing that also helps that is having an autoimmune called celiac, which makes me very sensitive to everything. And I will say that the diet sodas, which I feel like, you know,

I went to Emory in the 90s and what I drank diet sodas, had Camel Lights and ate Dunkin' Donuts as like my daily thing. Wow, the trifecta. The trifecta. And I got to say, then changing the diet over the years,

which by the way, then I was pregnant, not smoking, but still having diet sodas. Of course. You know, because that was just, that's what you drink. You drink Diet Coke or whatever. I was way into it. I know.

And then when you give it up and then your taste buds come alive. But I feel like over the years, Vinny and I have watched people quit diet sodas. And it's almost tougher than giving up like chips or chocolate or cookies. It's tough. Yeah, I agree with that. I had to stop because I developed the citric acid in carbonated drinks caused reflux. So I had really bad reflux. In fact, when I was on the mass singer, one of the things I had to treat was my reflux. The first thing to go was coffee and carbonated drinks. And that was when I stopped diet soda for reals, even though Vinny's been on me about that for years. It's the devil's juice. I started yelling about diet sodas.

I thought he said the devil's juice. And by the way, Vinny, there's a couple of calls here for some conch talk. I don't have the conch picture, unfortunately, handy. We're going to lose out today. We put it up. And by the way, I don't know if people know this about Drew, but if you walk through his house, he has conch shells everywhere, which is like, it's the den of iniquity for a guy like me to walk through that house. He instinctively just covers his junk with them.

I just did it to taunt him. I knew he'd come visit. I thought it was a joke when I went to Drew's house. I was like, do they have conch shells everywhere because I'm coming over? Because as you know, Drew, you just walk into his house. No one greets you. You walk in and you go upstairs. A couple of dogs might come out and say hi to you. No, diet sodas.

The first time someone told me back in 1981, it was a girl named Janie Friedland. I figured to get diet advice, why not go to a Jewish girl at Tulane? And I said, Janie, what do you girls do to lose weight? You know, I was trying to figure this whole thing out because I was going through exercise physiology and nutrition. And she goes, oh, we drink something called Tab and we take dexatrim and i'm like okay so um i tried a dab a tab and a dexatrim and i almost jumped out of my skin and that's when i started i started going down the rabbit hole right then but the one thing i said was even though this is zero calories is what they were calling tab and then the coca-cola company started calling it Diet Coke and then Coke Zero and all this different stuff,

is that when you remove an atom from a molecule, it's still the same thing. Our brains are not complex enough to tell the difference between sugar and equal or sugar and saccharin and sugar and sucralose or any of this stuff is just not good. It's not going to work out. And if you have a problem, look, I don't know a person on a daily basis that does not brag about the amount of diet soft drinks they drink. So, you know, look, it's like going to a fire and seeing a bunch of firemen rolling up the hoses and then blaming that every every time i see a fire there's a fireman there right blaming the fireman right every time i see a fat person i see a coke yeah it's got to go away it's got to

stop because you know you talk about carcinogens you talk about you know kate was talking earlier seed oils and this and that when you have 20 things in that 12 ounce can, you're not doing yourself any favors. Yeah. Right? Yeah. All I know is that I have this N equals one experiment that was my mother. And my mother is a Southern woman, was a Southern woman, brought up, you drank Coke or Diet Coke, no water. That's it.

That's all you drank. So she had Diet Coke forever and ever and ever. And she had kidney failure shortly before she passed away. And she said to me, I talked to her. She said, well, my mama said, stop drinking all those Diet Cokes. They're going to make your kidneys go. Now, again, this is like Southern woman folklore. This is not like medical stuff.

But she said that to me. And then I was like, well, maybe you should stop them. That didn't happen. But I just feel like so strongly against them. Obviously, I lost my mother. So I'm like, no, Diet Coke's. They're bad for you. Did she die of renal failure? No, she went in for a valve replacement surgery and did not wake up.

She got a MRSA infection, but like, honestly, her organ systems were not in good shape. She also had celiac. You know, it was one of those things where she was not prepared for what could go down at the hospital. How old was she? 71. Yeah. Drew, is this the photo you were talking about with the

shells? Oh, did you find it? Uh-oh. Yes! There it is! We have it! Look at those lats! I hate whoever found that. And he's holding up one of your seashells, Drew. He's got a, yeah, it's not even a conch, it's a volute.

That was a really long time ago. What is that tablecloth behind you? No, and he was here with the conch. We'll give you a conch on the way out, Anna. Oh, thank you. Just what I've always wanted. That's really funny.

That's awesome. All right. So let me get back to the callers here. One second here. I'm having all... Susan, again, people are asking about the name of that psychiatrist we worked with on the hallucinogen project. Dr. Gita Vaid.

Vaid. V-A-I-D. But she doesn't take new patients. I understand. V-A-I-D. But she's part of the Ketamine Training Institute. Wait, I think that's the name of it. And that was at Columbia, right?

She's in New York, yes. Well, don't say yes. Look it up. She's in New York. I don't know if she's part of Columbia. I can't remember off the top of my head. Ketamine Training Institute. Yeah, let me double check.

Go down the rabbit hole. Y'all find it. Because, I don't know if it's part of Columbia. I can't remember off the top of my head. Ketamine Training Institute. Yeah, let me double check. Go down the rabbit hole. Y'all find it. Because, I don't know. I've seen some friends and some people I'm married to have some very good results working with psychiatrists and doing... With trauma? Oh, with hallucinogenic therapy. I'm just trying to get the name of it.

It's called the ketamine-training-center.com. That's where she works. Or that's the part of the, she's a maps therapist. So she works private practice, but she's not taking, but she will know, but she knows there are people who can help. I just texted her.

Hopefully get a word back where to send back. Aaliyah wanted to comment on fountain house and clubhouse models. Yes, Aaliyah, lots of clubhouse bottle. In fact, the Trieste model is going to open in Hollywood. The problem in California is the people on the street won't go.

They won't go. And the laws in California prevent anyone from urging, motivating, coercing, anything to get people into treatment until they're dead. That's it. Or they say, I'm going to kill myself or someone else. And as soon as they decide that's not what they want to do anymore, they have to be let out again. It's a disaster. This is not lack of housing, not lack of money, not lack of these sort of clubhouse models. There's the Haven House model. We had a long podcast a couple weeks ago with Mr. Marbut from the Haven House model. We had a long podcast a couple weeks ago with Mr. Marbut from the Haven House. And that's not the problem. The problem is the ability to get people into treatment.

There's lots of facilities coming online. They're going to be empty if we don't do something with the laws. It's just my little sidebar about homelessness that I'm always free. Yeah, Drew, when you were still doing Midday Live, you had the guy on, the mayor of San Diego, and I might be making up that part of it. He's got a great program going on, right? He's the only city in California that has reduced homelessness. And guess how they're doing it? Treating mental health. But it's a very small percentage. It's like single digits if we want to have real change. But it works, right? The model works. Of course it works. Of course, treating people that are mentally ill works. Treatment works. Okay. All right, you guys, I'm overwhelmed by

all this stuff here. There's a lot. There's a lot going on. I'm looking over his shoulder. There's a lot. I'm sorry. My eyes are down a lot today because there's a lot going on on the stream. There's a lot going on with your guys' calls. You're going to need ketamine at the end of this. I'm going to need – what was that? How do you know we're not on it now? You can do some special K. Yeah. What was it?

The scent you – what was it? It's the stimulant that we used to use back in college. What did you say it was? Or Vinny used it first? Cigarette? Cocaine? Oh, Dexatrim. Dexatrim.

I need some Dexatrim. You know what? We used to snort no-dose. I used it one time, Drew. You see, Drew always conflates stuff. I tried it one day, one time. Don't gloss over that. Don't gloss over that.

Anna just said she snorted no-dos. I have snorted no-dos. They told me, by the way, no-dos for the young. Yes. Yes. What happened? I stayed up all night. It was not a comfortable feeling.

How was your nose? It was fine because I only did it one time. I'm sure if I did it a second time. You ever hear of coffee, Anna? There's something called coffee. Yeah, I know. Look down. There's one right in front of you.

But when the older kids are like, this is what we do. We grind up Vibrin and snort it. Then you go, okay. What? I'm the only dumbass kid out who was a dumbass when they were a kid? Okay. You remind me of the kid we got to eat brick when i was a kid we ground up some brick and said eat that i also ate brick when i

was a kid no i didn't but there's a name for that it's called pica syndrome pica that's right eating dirt right eating dirt you want it You want minerals, right? Yeah. Well, theoretically, you're looking for iron. It's iron sphere, iron deficiency. People will eat soap, but it can be other things too. It can be part of psychiatric syndromes too. It can be a separate thing. This is a whole My Strange Addiction topic now. Yes, it is.

And it's because I'm spiraling a little bit. I was trying to fill time with my dumb stories. No, let's do a little wrap-up. I'm going to give each of you about like a three minute or so wrap up to talk about really primarily what you're working on now and what your books are about and what you sort of, I don't, this sounds too glib, but hopes for the future, what you're trying to do right now. Anne, I'll start with you.

Okay, great. I am a NSNG cookbook author. I do the podcast Fitness Confidential with Vinny. I'm also, you can hear me on NBC all day, every day, because I am the comedy and reality show promo voice for that network. I am a standup comic and my husband and I do a dual act about marriage. We will be at the Virgil Theater on Tuesday night. If you're here in Hollywood, we will be in New York in April. We will be in Pittsburgh in July. I mean, in June. And, um, that's what I do information at Anna Vecino.com. So check it out. That's very fun. By the way, anybody isn't a long-term relationship

and want some relief. My husband and I stand on stage and put it all out there for you. So you can feel better about yourself. Look at, look at Susan. Like she's like, Susan's looking at you like, yeah, we, you love it. We got to hear this. Yeah. And the Fitness Confidential Podcast, where we find that? Fitness Confidential Podcast is at vinnytordrich.com. You can find it on iTunes, all the place where they have the podcasts. You know, the Stitcher.

The Stitcher stuff. The Stitcher stuff. All right, Kate, you're on. I just have to say, that sounds like better than than therapy doing stand-up comedy with your husband if you can do that then just what else do you need really uh so I work actually as an embedded physician in a company uh my job I actually I work for ABC Fine Wine and Spirits which is a wine company they're a retail company and they really care about their employees. So they hired me to take as much time as I need to get rid of people with diabetes. Yeah, it's a great job. It's

my dream job really. And it's the job I moved all over to about 50 different states before I found the state of Florida. And this job is enabling me to really do what I think every primary care doctor wants to do, which is get to know your patients and really get to change their lives. So, like, for example, we actually did a little mini documentary on one gentleman who had diabetes and we got him on a continuous glucose monitor and then we got him on a really good diet and we just watched his blood sugars plummet literally on the screen because the continuous glucose monitor tracks your blood sugars and they just went down down down day after day after day and he's now changed to the way his whole family eats and his wife even got uh her boss to come along so he's having this ripple effect throughout his own community. And it's just, I feel like it's just a great opportunity to, um, every, every company should have their

own doctor. And so I have my own website. I have drkate.com like you just got there and I write books and, uh, go on podcasts and talk about what I write in the books. Burning fat, burning fat. Um, the one quick follow on, uh, they have these amazing, uh, sort of, they're not really transdermal, but they're, they're, they're dermally applied continuous glucose monitors now that you can hook up to your iPhone. It's your, your, uh, Apple watch and stuff. Uh, should, should people be doing that kind of thing? Yeah. Absolutely. There's nothing more motivating than watching your blood sugars come down as you improve your diet and getting this immediate feedback of, okay, so I had a couple

slices of regular bread with a sandwich and boom, my blood sugar went up to 150 but then what i recommend is actually sprouted grain bread and it's there's such a difference people's blood sugar will come up a little bit but instead of like 150 or 180 it'll be maybe like 120 and normal blood sugar being somewhere between like 70 and 100 fasting goes up every time you eat interesting okay so that's i i know anna's gonna go do that now she likes you like that stuff right what like continuous monitoring oh continuous monitoring yes i don't like i don't care for sprouted grain bread but that's just because i'd rather eat what's inside the between the. You know what I mean? That's my preference. Got it. And Vinny. First, if I'm plugging myself, I have to tell anyone and everyone,

if you have not seen Anna Vocino and her husband on stage and you want to laugh and find something cringeworthy, go, go, go. I mean, it's the most amazing thing I've ever seen. It's fun. Where are you going to be again? We're going to be at the Virgil on Tuesday night, at the Pikey on February 23rd. I'm not prepared. Go to my website.

I'll figure it out. I'll post it. I'll post it on there. Thanks, Vin. She's everywhere. Go look for her. I do five shows a week. Fitness Confidential Podcast.

There's a book by the same name, The Fitness Confidential Book, which started the whole thing. Anna does the Monday show. She also pops in on other days. You guys may know Gina Graff from The Adam Carolla Show. She does the Sunday School with me on Sunday. Speaking of Adam Carolla, I'm also on his show once a month. This month, I think I'm going to be on, I tape on the 21st, so whatever that Monday is, 24th, I'll be on that show. I have a movie, Fat, a documentary that's everywhere. You can get it on iTunes, Amazon Prime, on your local airplane. You can find it everywhere.

So I have that. And I also have two companies. That's how I actually make a living. PureVitaminClub.com. It's an online vitamin company. And Pure Coffee Club. And I'm coming out with a new snortable coffee called the Animal Chino Blend. Thank you.

It's going to be a real fine snuff of a bean. And you just put it in your nose. I love that I snorted no notos once when i was 18 and now this is going to be my rep forever yeah pretty much i'm going to call it pure blow uh so you guys go check that out um so yeah go check out pure coffee club pure vitamin club and we have some interesting products coming out and i'm working on a brand new product that i'm not even talking about yet, but I'm excited about it. And hopefully it'll be out before the end of this year. Guys, it has been such a privilege to talk to you today.

I'm sorry that I was a little addled. But the good news is I was addled because there was so much interaction going on with our listeners and trying to keep up with that. People are very interested in what we all were saying here. And so I appreciate it. Kate, I haven't seen you in a long time. It's a privilege as always. I can't wait to read the new book. And I'm so excited for you

in this job in Florida that you got. That is, I'm deeply jealous. Thank you so much. I was just so thrilled to see you again and be here with all you guys. We're all in the same game. Thank you. And Anna, thank you as always. We live by your recipes. I appreciate that. And we're now going to go live by whatever it is you do with your husband on stage that will cause my wife

to have to kick my ass probably. I'm guessing that's what it's about. Am I close? It's cathartic. Okay. I wish everybody was here so you could buy them all a keto, wait, NSNG dinner. Oh, yeah, yeah. I know we would take you guys out. But Vinny, my buddy, no doubt I'll see you soon, man. Not a keto, right? And when you're out here, don't be a stranger, all right? Love it, Drew.

Just let me, I'll let you know, I'm coming in. I'll be in on the 20th, 21st. So if you're around, grab a piece of meat. Done, done, a done. I beg your pardon. Perfect. And for the people on hold that I could not getth, 21st. So if you're around, grab a piece of meat. Done and done and done. My bigger party. Perfect. And for the people on hold that I could not get to, I apologize. It is a source of deep frustration every week that people don't get to the air. We'll keep trying and look for the Daily Dose, which I will pick up again tomorrow, I imagine. I'm trying to do daily streaming shows where we interact with the stream, with the questions that you guys type in.

The Sunday is the call-in show. I think we're on Saturday next week, Susan. Is that correct? I'm not sure, but look for it Saturday or Sunday. We will give you the blast. Sign up at drdrew.tv. Please support the people that support the show, Social CBD. Don't forget this device, which I'm very excited about. If you are someone, a veterinarian, a medical clinic, or a diabetic yourself, or using needles, think about this. It is NeedleDestructionDevice.com. And at DrDrew.com, look for me and Adam, me by myself. After dark, I'm going to grab some of these things, which are, I've been advised to hold these up, these T-shirts.

Yes, merch, baby. Just to see the OK sign. That-shirts. Yes, merch, baby. Okay, sign. That's it. You shouldn't prolapse your anus. Is that what it's called? Anna, don't ask questions. Yes.

That's something you can do after dark. You have to be your mom's house. It's probably not a recommendation. That's common sense, right? Common sense. That's your mom's house thing. To understand the full spectrum of what that is all about, you've got to go to this after dark. But thanks for coming in on such last minute's notice.

I appreciate you guys for all jumping in here. And we like to book at the very last minute. So I'm due at the Oscars right now. We're going. We're going. No, I'm just kidding. I'm just kidding. They won't have me.

The t-shirts are at merchmethod.com slash TomSegura, right? Is that right, Susan? Yes. Merch method. And we also have Dr. Drew After Dark t-shirts for the more sane people. All right, you guys. Thank you very much to everyone for participating, for listening and calling in and being a part of this. We do appreciate it.

I've been watching you on Restream. I see all that great interaction there. And I appreciate all of it. And we'll see you hopefully tomorrow. Ask Dr. Drew is produced by Caleb Nation and Susan Pinsky. Today's call screener is Lindsay K. Floyd. Thanks for subscribing to the podcast. If you have a question, go to drdrew.tv, that is D-R-D-R-E-W dot TV,

and sign up to receive an alert next time I am taking calls. No spam, just quick alerts when I'm streaming live. Also, you can text your question to me right now at 984-237-3739, and I'll see if I can help you out on one of our future shows. Check out our other podcast and watch the full-length HD video versions anytime at drdrew.com. This is just a reminder that the discussions here are not a substitute for medical care or medical evaluation. This is purely for educational and entertainment purposes. I am a licensed physician with over 35 years of experience,

but this is not a replacement for your personal physician, nor is it medical care. If you or someone you know is in immediate danger, don't call me. Call 911. If you're feeling hopeless or suicidal, call the National Suicide Prevention Lifeline at 800-273-8255, anytime, 24-7, for free support and guidance. You can find more of my recommended organizations and helpful resources at drdrew.com slash help.