Ask Dr. Drew - My Shoulder Pain Relief: Stem Cell Regenerative Treatments & Workout Methods w/ Dr. Gaurav Goswami & Vince Sant (V Shred) – Ask Dr. Drew – Episode 264

Episode Date: September 18, 2023

Dr. Drew is joined by Dr. Gaurav Goswami and Vince Sant (of V Shred) to discuss shoulder pain relief, stem cell regenerative treatments, and workout methods to reduce the likelihood of injury or joint problems. Dr. Gaurav Goswami, M.D., M.S., is a surgeon and minimally invasive specialist practicing in Newport Beach, California. He has spent the last decade developing protocols in advanced regenerative treatments. Dr. Goswami is an assistant professor at Western Health Sciences University in Southern California. He is the co-author of “The Stem Cell Cure: Remake Your Body and Mind.” Find out more at https://TheGoswamiClinic.com Vince Sant is a celebrity trainer and the co-founder of V Shred, one of the world’s fastest-growing fitness brands that recently partnered with Dr. Drew and Susan Pinsky. He is an ISSA certified trainer and fitness model. Find out more at https://drdrew.com/vshred 「 SPONSORED BY 」 Find out more about the companies that make this show possible and get special discounts on amazing products at https://drdrew.com/sponsors • GENUCEL - Using a proprietary base formulated by a pharmacist, Genucel has created skincare that can dramatically improve the appearance of facial redness and under-eye puffiness. Genucel uses clinical levels of botanical extracts in their cruelty-free, natural, made-in-the-USA line of products. Get an extra discount with promo code DREW at https://genucel.com/drew • PRIMAL LIFE - Dr. Drew recommends Primal Life's 100% natural dental products to improve your mouth. Get a sparkling smile by using natural teeth whitener without harsh chemicals. For a limited time, get 60% off at https://drdrew.com/primal • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew • BIRCH GOLD - Don’t let your savings lose value. You can own physical gold and silver in a tax-sheltered retirement account, and Birch Gold will help you do it. Claim your free, no obligation info kit from Birch Gold at https://birchgold.com/drew 「 MEDICAL NOTE 」 The CDC states that COVID-19 vaccines are safe, effective, and reduce your risk of severe illness. You should always consult your personal physician before making any decisions about your health.  「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. 「 ABOUT DR. DREW 」 Dr. Drew is a board-certified physician with over 35 years of national radio, NYT bestselling books, and countless TV shows bearing his name. He's known for Celebrity Rehab (VH1), Teen Mom OG (MTV), Dr. Drew After Dark (YMH), The Masked Singer (FOX), multiple hit podcasts, and the iconic Loveline radio show. Dr. Drew Pinsky received his undergraduate degree from Amherst College and his M.D. from the University of Southern California, School of Medicine. Read more at https://drdrew.com/about Learn more about your ad choices. Visit megaphone.fm/adchoices

That was the great Jay Bhattacharya. I hope you guys enjoyed that little snippet from a year ago, amazingly. Today, you're going to get a taste of my own personal journey. A couple of things we're going to get into. We're going to talk to a physician and surgeon, Dr. Gaurav Goswami, who is a minimally invasive specialist practicing in Newport Beach. He has spent over a decade developing protocols in advanced regenerative treatments. You'll find out what that is.

I will just headline it with, guess what, we're going to talk a little stem cell here, amongst other things. So he has a lengthy pedigree, including assistant professor at Western Health Services University in Southern California. He is co-author of the Stem Cell Cure, Remake Your Body and Mind.

Also, after I finish speaking with Dr. Koswami, we're going to bring in Vince Sant. He is a trainer and a co-founder of VShred, one of the world's fastest growing fitness brands, something that Susan and I have been working with and have benefited from greatly. We will tell our story in relation to VShred as well. So sit tight. A little bit different today. We'll get right into it after this our laws as it pertained to substances are draconian and bizarre the psychopath

started this he was an alcoholic because of social media and pornography btsd love addiction fentanyl and heroin ridiculous i'm a doctor for say where the hell 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, but 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.

If you have trouble, you can't stop and you want help stopping, I can help. I got a lot to say. I got a lot more to say. . say. I think everyone knows the next medical crisis could be just around the corner, whether it comes in the form of another pandemic or something much more routine, like a tick bite. You and your family need to be prepared. That's where the wellness company comes in. You know, the wellness company, we have their physicians on like Dr. McCullough frequently. The wellness company and their doctors are medical professionals you can trust.

And their new medical emergency kits are the gold standard when it comes to keeping you safe and healthy. It's really, it's a safety net. It's an insurance policy that you hope you're not going to need, but if you need it, you sure as heck are going to wish you had it if you need it. Be ready for anything. This medical emergency kit contains an assortment of life-saving medications, including ivermectin, Z-Pak. The medical emergency kit provides a guidebook to aid in the safe use of all these life-saving medications. From anthrax to tick bites to COVID-19, the Wellness Company's medical emergency kit is exactly what you need to have on hand to be prepared.

Rest assured, knowing that you have emergency antibiotics, antivirals, and ant you need to have on hand to be prepared. Rest assured, knowing that you have emergency antibiotics, antivirals, and antiparasitics on hand to help you and your family stay safe from whatever life throws at you next. Go to drdrew.com slash TWC. That is D-R-D-R-E-W.com forward slash TWC to get 10% off today. Just click click on that link there are three reasons the central banks are dumping the u.s dollar inflation deficit spending and our insurmountable national debt the fact is there is one asset that has withstood famine wars political and economic upheaval dating back to biblical times gold and you can own it in a tax shelter retirement account with the help of birch gold that's right birch gold will help you convert an existing IRA or 401k, maybe from a previous employer, into an IRA in gold. And the

best part, you don't pay a penny out of pocket. Just visit birchgold.com slash drew for your free info kit. They'll hold your hand through the entire process. Think about this. When currencies fail, gold is a safe haven. How much more time does the dollar have? Birch Gold has an A-plus rating with Better Business Bureau and thousands of happy customers. I do not give financial advice, and previous performance is no guarantee of future performance. Visit birchgold.com to get your free info kit on gold. That is B-I-R-C-H-D-O-L-D dot com slash D-R-E-W. Welcome, everyone.

Appreciate you all being here today. This is going to be an interesting program, I think. As I said, I've got Dr. Gaurav Goswami coming in in just a second. And then Vince Sant coming in after Dr. Goswami and I spent a little time together talking about, amongst other things, non-surgical interventions for joint pathology, of which I am a sufferer. So I will give you some of the specific links if you're interested in learning more. It's The Goswami Clinic, G-O-S-W-A-M-I. Also, Instagram.com slash Goswami Clinic. Let's see what else I can tell you.

It's The Goswami Clinic in Orange County's Regenerative Medicine. And you can also find more about Vincent at drdrew.com forward slash vshred. So let's bring Dr. Goswami in here right now. Dr. Goswami, thank you so much for joining us. Hi, Dr. Drew. Nice to be here. So you've told me this story, obviously, in your office, and I appreciate that. By the way, I give you full and complete permission to discuss anything about my case here publicly, so please feel free to go at it.

I think it would be an interesting example for other people who are—this is a common thing, although I've done a really good job of destroying my shoulders. These things are rather common. Talk to me first about your history in orthopedic surgery and how you got to this regenerative medicine practice. Right, so, you know, I was a surgeon by training and I came to this country about 30 years ago as a research scholar in surgery.

And, you know, one of the things that's always fascinated me was going towards more and more minimally invasive techniques in surgery so that we can get away from open surgery. What happens with open surgery a lot of time is the collateral damage that happens, you know, because of the nature of the open surgery. A lot of the conditions we deal with in orthopedics and sports medicine can be done minimally invasively. That was always an area of interest.

Then I supplemented that by doing a field called interventional radiology, which basically uses imaging equipment to guide doing these procedures very safely as part of the imaging equipment. Primary reason was also what happens is when you're a surgeon, you kind of rely on the report from a radiologist to tell you what may be wrong. Those reports sometimes do not accurately reflect the patient's condition because the radiologist never examines the patient. The surgeon examines the patient but relies on the report from the radiologist who hasn't

examined the patient. I felt like having a combination of extra knowledge on how to read those imaging studies and examine the patient would really help me perform better procedures and help my patients. Then around 2007, 2008, I really got interested in regenerative medicine, primarily because a lot of our top-tier athletes were traveling to Germany for certain treatments. I was very curious as to what is it that's happening. That introduced me to this whole world of regenerative medicine because for years we've just focused on symptom control and suppression of symptoms but we've

never thought about you know how can we actually heal the damaged cells so that we get to the root cause of the problem and also prevent ongoing degeneration and aging that is so natural, especially when it comes to our joints. That's how I got into the field of regenerative medicine. When I look back, it's like connecting the dots, my training in surgery, radiology, and now putting all of those skill sets together, you know, using regenerative medicine where we are away from using any drugs, anything foreign, and helping preserve the patient's joints has kind of been my main focus for the past 14 years. And talk a little bit about where you harvest the stem cells and why these mesenchymal origin stem cells are so suited and so different than some of the other notions that people have about stem cell therapies?

So the concept of stem cell, and I'm not a big fan of the word because stem cell means different things for different people. And we are certainly not in the era where we're using one stem cell and creating a whole human being or a body or an organ. But what is fundamental in our body is that we have stem cells that kind of regenerate and repair us on an ongoing daily basis. You know, each cell, like physically every seven to nine years, every cell, every every tissue every organ in our body has turned over and new cells have been formed that is the fundamental job of the stem cells so when we have damage in some area where the local stem cells are not able to heal it or it's crossed a certain threshold we try to put

additional stem cells to regenerate and repair. However, it's important to understand that as an adult we are already differentiated into different organ systems. So it's very important that the cells that are being used to heal an organ belong to the same family of cells where the damage has occurred. So sometimes you know we see so much of marketing about stem cell therapy for different conditions where we still haven't identified what stem cells need to be replaced and how are we going to create those stem cells. However, a lot of the orthopedic system, our bones, our muscles, our joints, our ligaments have developed from particular kind of cells called mesenchymal stem cells so mesenchym is one of the layers when we are being born

as when we are being formed as a baby and that is a layer responsible for forming these tissues luckily for us some of those cells are find in our fat tissue and bone marrow and which are easy to harvest because we've been harvesting those tissues for many years without any adverse consequence. So it was a natural that if we can find mesenchymal stem cells in these areas, it is easy to translate them into what we are trying to heal here,

which is primarily the bones, the cartilage, the muscles, ligaments, because they are of mesenchymal origin. Does that make sense? And you harvest from bone marrow and from fat both and inject both in sort of a different schedule in terms of the function of these different sources? Dr. Well, part of the reason is because we're still at the early stages of this treatment, let's be honest.

And even though in the last 10 years there has been a lot of knowledge about the field of stem cells, there is still that is largely unknown. So the reason to go to different organ systems is basically to maximize the number of cells that we can use. Again, we are very far from knowing the exact dosing. With drugs, we've come to a point where we know this medication requires a 10-milligram tablet and this requires a 50- tablet and twice a day or you know but with stem cells we are still not at that stage and we don't have so

so the goal here has been primarily the most important goal has been to work with the patient's own cells because you know as you know in the market lot of cells are being sold unfortunately they come from unknown unknown sources and how they have been collected, how they've been frozen, or how long they've been sitting frozen in a laboratory is largely unknown. My work has primarily focused on making sure that we're using patients' own cells so we're not introducing anything foreign into the patient because a manufactured cell is like a drug. That's the first part of it. And then the second part of it is how can we maximize

the number of cells the patient is getting and also kind of tailor it a little bit to the condition the patient has, how much help is needed, because otherwise we're not gonna see results, you know? So that is very, very important. Tell me a little bit about your co-author in the Stem Cell Cure. Yeah, so Kerry Johnson actually was a patient of mine. At one point, he was a WTA-ranked tennis player.

Over the years, just like all of us who love playing sports and being active, he had developed some wear and tear and you know some damage to his joints but he came to me with a very unique condition which was actually causing him a lot of problem which was back pain and his back pain was coming because our ribs come out of the spine and and that joint had really become very arthritic I guess from years of serving tennis and playing. He would experience severe pain in that joint. It's a very small joint, but it can cause a lot of pain and discomfort. He is lucky enough because he has since, obviously, after his tennis career, has since graduated in being a business author and a speaker around the world so he had had the fortune of consulting

with doctors right from LA to London to South America and and the primary recommendation was that they have to surgically go in and resect or remove that rib which which would again come with its own consequences because what sits under the rib is the lung and if you miss a part of the bone that protects your lung, then that does put you at risk for other things. Long story short, he was exploring options so that he can avoid surgery. I was about four or five years into doing stem cell treatments at that time, and most of my work was obviously on major joints.

So when we met, I told him, this is such a rare condition to begin with, and given the small nature of the small joint, I'm not sure how effective this treatment can be. But he was extremely motivated, and then we got some extensive imaging especially CT imaging off the area to look at in multiple planes on where the damage really was and we did his treatments he did end up needing two rounds of treatment and then but you know he noticed significant relief was able to return to playing tennis, and has since continued to do better and better and has not required surgery.

So about two years out from his treatment, he walked in and he said he just wants to spread this message. He wants to really talk about his own personal experience and also the science and what is coming up on the horizon. So together, we decided to write the book, The Stem Cell Cure, but he was really the driving force and the inspiration behind writing this book. His own chapter of patient's journey in the book is, I think, just worth a read. So speaking of a patient journey, I want now to transition to a mini, mini grand rounds and present a case. Moi. It's going to be I'm the case.

After we finish my case, I'm going to bring Vince in here to talk about how V-Shred has changed the way, the manner in which I work out, rather dramatically changed it, frankly. And so I come to Dr. Goswami with a shoulder pain. It's getting worse over the last 10 years. I have a history of working out since I was 15 and I was very much into the very heavy weightlifting, you know, 80 pound dumbbells, 90 pound dumbbells, heavy bench, all that nonsense. And I did it forever. I did it forever. And I noticed about three years ago i i was for sure in trouble and both it used to be in the left shoulder then the right and back and forth and now both shoulders and the other thing that started happening is i still kept pushing the weights even though i literally got to the point where i i couldn't do the kinds of weight i'm used to it just it just

my body wouldn't allow it but but I still was doing it until I switched over to V-Scribe, which was a much different kind of work. Yeah. It's good. It's actually the kind of training that trainers have told me to do forever. I finally was doing it, but I come to Dr. Frid, uh, Goswami and what did you find? You did an ultrasound.

So obviously, yeah. So, you know, wear and tear is natural part of is a natural part when we use our joints. It's like any other mechanical part. Just like our cars need service from time to time, anything that mechanically moves is also going to have some wear and tear with it. The problem is that we tend to ignore our bodies more than we ignore our cars. And so we get to a point where that has taken its toll. Especially men.

All of it is also medical community to blame because if you look at orthopedic medicine over the last 20, 30 years, the treatment options haven't changed. It starts with pain medications, then it goes on to cortisone or steroid injections you know which we again know are actually the number one killer for the joint if you want to save your joint steroids is not the way to go and then

you know at times arthroscopic surgery which you know being a surgeon you know I understand and I used to be part of my profession but basically we were taught just to go in and clean the joint and remove maybe even more cartilage and more tissue that was needed to keep it healthy. And then we would go down this natural path of continued deterioration of the joint until one day when the proposal was, okay, probably you should think about joint replacement. And even now it's a common lingo in orthopedic surgery where the surgeon will tell the patient, you know, come back when you're ready for joint replacement because they really want

you to go down to that level where the pain is so bad and unbearable and now you're coming and begging for surgery and joint replacement. So all of that left me very, very unsatisfied in terms of what actually we were doing for the patient, you know. So what we found in your case, obviously you already talked about your interest and your desire to stay physically active, which is extremely important because that's how our mind, our body, our cardiovascular system, the physical activity is the primary part of it.

It is what brings flavor and adventure to our life, which is what we are here for, to really have a nice time. And blood to our brains. Correct, absolutely. So what we found, obviously, as we discussed, was basically the muscles around the shoulder, virtually every part of the shoulder joint, and shoulder is, by essence, a complicated joint anyway

because it is heavily dependent on this group of muscles. We call them the rotator cuff muscles because they run from front to back to really attach our arm to our body. So it's not like a deep joint, like a hip joint. So it's very dependent on those muscles. And as you can imagine, every time you did one of those weightlifting exercises, those

muscles got stretched and pulled. Some of them were partially torn and then they tried to heal. So we found a lot of scarring, some active tears also because you're still continuing to be active, which is good because your pain tolerance is pretty high. A lot of us would have given up long back. which is good because pain tolerance is pretty high. A lot of us would have given up long back. And then, you know, once that happens, it puts extra stress on the joints. We talked about, you know, how the joint bones itself start developing bone spurs.

So hold on. Wait, wait, wait, wait, wait, wait. Don't reveal that yet because I'm going to tell a story on that, which is so, so he's doing my ultrasound and there's bicep tendon, torn, inflamed, scarred, uh, rotator cuff,

all elements, torn, torn and scarred and inflamed and AC joint in inflamed and everything going past the AC getting, getting inflamed and torn. So the whole shoulder, I didn't see anything that wasn't involved when you were doing the ultrasound, which I thought to myself, yeah, that's about what I thought was going on. And so at that point, Dr. Goswami goes, would you mind if I got an x-ray? I went,

the joint's going to be fine. Don't worry about that. I know this is the soft tissue. I can feel it. It hurts when I push on it. He goes, why don't we just take a look and he took the x-ray and i was like oh my god i had no idea all that was going on too so why don't you describe what you did with me then how you took the x-ray oh and by the way denial runs in his family how dare you all so it it listen to be fair to be fair to me it wasn't dial it's exactly what dr goswami was talking about i know the path you go i knew once i got the shoulder image the path i would be on for an orthopedic surgery standpoint i knew it i knew there'd be a path that i didn't want to go down until i absolutely had to and so when you came up as an option i ran to it because i i know where it goes

it's not good i'm not going to still be working out the way I want to in a traditional, in all likelihood, in a traditional surgical path. So go ahead and describe what you did with the radiographic imaging. So, you know, normally when I see patients in Europe, I say, you know, you're up for the 60,000 mile service. But in your case, I'll have to say it for the 60,000 mile service, but in your case, I'll have to say it's the 100,000 mile service. I know. This is where regenerative medicine is so fascinating because, you know, instead of letting you suffer

and watching that slow, painful decline of the joint even further, I mean, it's already gone, you know, this far, and then being left with the option of major surgery, which comes with its own risks and own set of complications, what if we were able to at least slow down and stop this degenerative process that's going on and try to actually rebuild? And where we really, as you mentioned, there are so many aspects to that shoulder that will need to be addressed so surgery by nature is a very targeted approach you know as a surgeon yeah okay if it's a rotator cuff tear our focus was on getting that rotator cuff tear healed right but we know at this point

there's loss of cartilage there's loss of bone structure the joints are inflamed the biceps tendon is inflamed. The rotator cuff muscles are torn. We need to have a treatment that actually addresses all of these components and then see where you are because each one of them is contributing to the present limitation. Unless each one of those are addressed, you're not going to see functional outcomes. Where regenerative medicine really distinguish itself is we are focused on results.

We're not focused on just doing a technique properly. And there's a bigger message in all of this is, sometimes patients come to me, have already had so-called stem cell injections, and then they come for a second opinion because it didn't work or something, they didn't see the results they were expecting. There is nothing in the title. The title of the procedure

tells us nothing today because there's such a lack of standardization in the field. So it's not having a stem cell injection. It's having the injection that is tailored to address your needs and then documenting results and outcomes, which is very, very important. So, and you had mentioned, you had mentioned you have excellent results. You have very high probability of positive outcome and that to get back to your issue about what are we even talking about, to do standardized testing, there aren't pharmaceutical companies interested in this sort of thing. There aren't ways to get

phase three trials funded. So there's no way to really do the research you need to do to finalize our understanding of these things. Yeah. That is a challenge in itself. But even to get to, you know, I do want to, you know, even for me, it was a learning process, you know, it's not like I started doing this and started getting excellent results. I tell people, if I look at 14 years and, you know, over 3000 cases, um, we see that in the first seven years, my success rate was not that great, you know, it was in the 70%, which is not the benchmark. I live by the first seven years, my success rate was not that great. You know, it was in the 70%, which is not the benchmark I live by.

The last seven years we are now into the 90% and what has changed is not so much my skillset. I mean, when I got into this field, I already had years of experience doing surgery and interventional radiology, but what has changed is patient selection. You know, because let's be honest. And I think Vince will also address this. You know, I've seen some of his work and diet and, you know, because let's be honest, and I think Vince will also address this, you know, I've seen some of his work and diet and, you know, exercise front, that you have to have your body ready to heal. You know, what we bring is certain tools that can help you heal. So my

patient selection criteria is such that because, you know, this procedure is new, it costs money out of pocket, although we worked very hard in my clinic to keep it reasonable and not the scary numbers people throw out there. But still, it's a lot when patients trust me with doing this procedure, and I want to make sure I take them to some level of improvement. So that's where it's important. And I think the second segment of this show will probably be even more interesting because if our bodies are not ready to heal,

if we are not performing the exercise properly, even if you have a stem cell treatment and go back to your old ways, it's like you're not coming back. No, no, I won't. I will not do that. I won't do that. Can you guys describe what you're gonna do to drew like how what the procedure is i will have him do that everybody wants to know

okay before you do that though just describe what you saw on the radiographic because i know what i saw i was shocked what did you see on the radiographs you know i mean part of you know being doing this now for 14 years it's it's short i mean the best way to put it is that it's it's bad but it's not the worst that i've seen so there is still hope he said that's what he said to me i thought that was funny it was bone spurs it was destruction of the cartilage and surfaces it was it was it looked like a it was a mess i hadn't absorbed the head of my humerus yet. That was the only thing I saw that was positive. You really goofed up.

You're training. OK, so describe what the procedure is going to be for me. And then after I get the procedure, I'm going to bring you back. We'll talk about what the outcomes have been and whatnot. But you tell them now what it is I'm going to get. So, you know, we obviously use a combination, and this is all on the spectrum of cell therapy that's available to us. As we mentioned, the primary sources are the bone marrow.

Primary sources is the fat, you know, so the main thing starts with harvesting these tissues and again, they can be done very, very safely with very less invasive techniques. You know, bone marrow certainly raises people's eyebrows because people think it's a painful procedure, but when done correctly, it is not. And, you know, people, so, but these are important places where we can harvest the tissue and then we break it down and filter out, you know, some of the stem cells. And along with that, there is also a combination of some other cells, which we have found over the years is very, very beneficial. Then on the spectrum of cell therapy, there's also a thing called PRP, which is a little bit more out there because you keep hearing about it on ESPN every other week, some athletes getting PRP.

PRP, the full form is platelet-rich plasma. It comes from the blood. Platelets are a kind of cells in the blood that have a lot of good growth factors and for some conditions PRP by itself is a good thing. It's definitely hundred times better than getting a cortisone injection but when there we are actually trying to repair tissue we need cells because PRP is not stem cells but it's a very good so I try to describe PRP as a good fertilizer and then the seeds, the stem cells come from these two sources.

And generally speaking, at some stage you will get a combination of all three of these, you know, and that would be the protocol. And then the follow-up is really, really important. You know, this treatment otherwise comes with a little bit, no real downside to it other than that we have to have you stop doing activities for at least a period of four to six weeks, because this is not an overnight cure, where our goal is to reduce the pain,

but our goal more importantly is to rebuild some of the worn out tissues, and then you will start seeing the improvement. So that's what it is, and that's why our patients are under a very strict follow up protocol. You know, I usually see my patients for six to eight months after the treatment,

just guiding them through different stages, you know, until they go back to the activity of their choice and they're feeling good about it. And then a lot of the interactions with their physical therapist and with the team, you know, that you're working out with, so we can focus on certain things. Because anytime a joint goes down, there is muscle weakness sets in, and there are certain muscles which become more weaker than the others because you're not putting them through the maximum work. So it's a very important part of, and that's why I tell patients, you know, this is not just an injection. This is not just a drive-by injection.

The follow-up is even more important than just doing the injection part of it. But yes, it's a very comprehensive injection. We borrow from all these different cells and we are best shocked. so i'm going to get four different injections in the four most destroyed regions inside the joint ac joint the bicep tendon and the rotator cuff so listen i i look forward to our journey together i thank you for what you looked really scared though me yeah you were like staring at the camera like oh no no uh you know well six to eight months sounded like a long time to me i guess but but and and six to eight months without you know doing what I want to do, but I have to do it. Yeah, you can still walk on the treadmill.

You start your activity long before that. That four to six weeks is the most crucial phase. And then you gradually start becoming active. But you also have to realize that you will be retraining how you do your workout, how you train those muscles. So six to eight months is usually when you're ready to go full steam. But yes, this is totally unique compared to anything else we've done, you know, where our focus is not just symptom control, but rebuild the joint as much as we can. Fantastic.

Dr. Kaswami, I look forward to healing. And I thank you for your efforts and for your techniques and for joining us today. Yeah, thank you. Thank you so much for having me over. And I will see you soon in person with my shirt off so you can go out there with your needles and liposuction tubes or whatever it is you need to do to get the stem cells. All right, we're going to take a little break, and we come back. Vince Sant from V-Show, we're going to talk about that. Before you go, I just want to give a shout-out to your daddy

and my condolences to you for falling off a jet ski and getting injured, and I hope that you have a speedy recovery. I saw some of what was going on there. He said he's still sleeping in a chair. Poor guy. Yeah, this and this. Orthopedic injuries are no BS. Well, I had a bad knee injury

and it took six months for me to be able to walk again. So I know how this feels, but I know you're going to come out of this okay. Well, part of it is exactly what Dr. Krasom is saying is training properly. And that's something I've never done until we got involved with V-Shred and I altered my behavior drastically

under the supervision i've been extremely uh movement you were able to get your arms up a little higher oh no it's everything's got a lot better and i'm extremely happy with the progress and sort of it's more age appropriate too so i we're going to talk with vince about the whole v-shred experience after we get back fall is right around the corner which means dry flaky red skin from allergy season is coming with it but the best way to take care of your skin is with our skincare secret genucell you don't need to worry about that puffy tired eye look or those annoying dark spots or even dry flaky skin because genucell skincare has you covered susan and i love our

genucell products so much, we want you to try our personally curated skincare bundles. It's risk-free at GenuCell.com slash Drew. GenuCell works so well, you can see the results in this unplanned live moment on our show, when the Redness Repair Cream repaired my skin in just minutes right before your eyes.

Their concentrated vitamin C serum helps keep your skin plump and hydrated. Plus, with their immediate effects, you can see astonishing results in under 12 hours. Quick, effective, and easy. Go to GenuCell.com slash Drew right now to try our bundles and save over 60% today. And remember to enroll in GenuCell's

world-class concierge program for additional savings and free shipping. Don't wait. It's GenuCel.com slash Drew, G-E-N-U-C-E-L.com slash D-R-E-W. I want to share with you a teeth whitening system that goes beyond merely enhancing your smile. Primal Life Organics real white teeth whitening system offers convenience and rapid results without harsh chemicals. Light. Blue light for whitening. Red light for gum and oral hygiene.

And you can just do both if you wish. Works naturally. Promoting gum healing, tooth remineralization. Gives you a brighter and a healthier smile. Again, no peroxide involved. Consistent usage yields remarkable results. Take this opportunity to transform your smile and at the same time optimize your oral health aim for five times a week for the best outcomes discover more about this remarkable teeth whitening system and other products at drdrew.com

slash primal today that again is drdrew.com slash p-r-i-m-aL. Be sure to use that link for 60% off. D-R-D-R-A-W dot com slash P-R-I-M-A-L. Do it today for 60% off. So we're going to talk about the, as Dr. Goswami said, the most important aspect of healing joints and our musculoskeletal system. And I listen, I just let me frame this by saying,

let me just say a couple things. If you want to find out more about these programs that we're going to be talking about today, go to drdrew.com slash vshred v-s-h-e-r-e-d v-s-h-e-r-e-d, that's it. vshred. Peter Attia has written a book, I think I've shown it here before, called Outlive.

It's about longevity. And he is an expert in this area. He's a former cancer surgeon. And we had dinner at his house a few months ago. And I was sort of bugging him about longevity interventions. I said, well, what about metformin? What about this? What about that?

And he finally kind of snapped and turned over to me and said, hey, vigorous exercise. Vigorous exercise is the most important thing, uh, in maintaining health and in longevity. So with that in mind, and my recent journey, uh, I will continue to tell you about with our friend, Vince Sant, again, a celebrity trainer, co-founder of V Shred. Uh, we have been, uh, involved with them. Uh, Vince is ISSA certified trainer. He's also been a fitness model, which Susan appreciates. And thank you for that, Vince, because she likes watching your videos. No, I love following his exercises.

There he is. Vince, welcome. Hey, thanks for having me. Very excited to be here. So I've got a lot I want to talk about. Let's just start with your journey with the whole VShred experience. I don't know anything about the history of how that happened for you. Let me just tell you something. Let me just frame it also this way. One of the things I was so attracted to working with you guys is I've always been sort of, look, how bad can it be to get people to work out, train their body, and watch their diet?

I mean, how can that be anything other than good? It's sort of being conscious about these things is about 80% of the problem. And I've always been distressed by how much people pay to go to gyms. And then once they go to the gym, they pay for classes. And once they pay for class, they're paying for a trainer. It's like average person, and then they don't go.

And I love the fact that you guys have created stuff where you're essentially, I experienced it as like a virtual trainer and a virtual diet coach. And it got me to do things I don't normally do. And I have a gym in my garage just, you know, where I'm doing all this stuff. So tell me about how this happened and what you were intending with it. Yeah. So it's funny. We never imagined that it would grow to the size that it has today, which is super cool to say, but we started back in 2015, started taking it serious,

probably 2016, 2017. It's me and there's three other founders. And basically one of the founders had an idea to just make a fitness program. And so we made a little fitness program and it kind of caught wind a little bit. And we decided that we needed to kind of open it up. We needed to, it was just like an ab program. It's actually our six pack shred program, which is a great program. But we realized that most people, we were talking to other guys, my age, we were talking to young guys who loved working out, who wanted to be shredded, have six pack abs. And we realized

that's not the majority of the population. And so we started opening up our, just our, our, our reach, I guess. And we started making other programs, full body programs for all different types of goals, um, all different age ranges. I heard you talking, um, about just, uh, age appropriate style workouts, um, which we'll get into later on this, but, um, no, we opened it up to full body programs, uh, specific muscle groups at home programs, gym programs, certain lengths of time. Uh, then we got, we have a bunch of coaches who do like our custom programming with our clients as well. Um, supplement line. And so, I mean, it's really seen some serious growth over the past couple of years. Um, and it's super exciting just to know the amount of the number of people that we've been

able to make an impact with, because it's cool to say big numbers, but then you actually, I meet some of these people in person. I've become more recognized, I guess, in the later years. And it's really cool just to hear people come forward with these stories because you really start connecting faces to these numbers that you see. And it makes it a lot more real and it makes it a lot more heartfelt, I guess. Yeah, there's something about, I have a family member of a patient who started doing it and he immediately lost 10 pounds

and he's feeling better. I mean, it's something about the way you guys have done this, it's very motivational. I don't know, I feel committed to it all the time. I feel like I'm gonna let, Susan, I know you have this kind of feeling too, like you're gonna let Vince down if you don't go to watch the videos and do it.

The other thing, the other thing that got me is I, um, used to look for YouTube videos when we traveled because if I didn't have access to a gym or something, I think I try to find a something to do without a gym. And so that was already in the zeitgeist. You know what I mean? That, that was something that was kind of out there, but it was very haphazard. It was really hard to find something. And what was the right thing for me? And so you guys sort of answer, at least at the time I've come to your programs, you got,

you have everything. It's all there. You can, it's a menu of things depending on your goals and circumstances. And you, and Susan, you've moved, I didn't realize you moved around amongst the different programs.

Home and gym training. So like we have some weights in our garage, so you can either do that or you can just do body weight training, and they give you different. I started out with the toned in 90 days because I was kind of weak and uncomfortable in my body, kind of achy and out of shape and I started with that and then I moved on to the female fat loss extreme because it became I realized I was losing weight and I was like hey I'll try that one and the exercises are a little different but then I moved into ripped in 90 days to get a little bit as I started progressing and getting stronger you know I moved over there and I tried out all those workouts there's so many different workouts for each area of your body. I had forgotten because I haven't been in a gym and doing a workout with a trainer in like four years or

whatever. But there's the big arms program and then there's the ripped, which is what Drew's doing. And I think now I'm going to move on over to the booty builder. So there's so many different things that you can focus on and they have, they have really great instructions that you can, I actually got a TV and I put it up on the TV and I follow them like I'm at a, you know, a gym with a trainer and yeah, it's, it's worked out. And then the food, the recipe guide is pretty close to what we eat anyway. So I learned some new recipes and I was able to add in some carbs into my diet. Yeah, that's something that we, I was, this is another part of my journey.

I was on carnivore for about four years. No carbs, zero. And the reason that happened. Four years, a long time. Is I was doing, yeah. And I had no problem with it. I hated it. I really liked it.

It suited me nicely. I gained a bunch of weight. I didn't realize that I gained a bunch of weight on it. Because I would eat a lot of. I had to buy him a scale when he started doing V-Shred. Yeah, she finally put me on the scale because of V-Shred. And I was like, oh my God, I didn't know. And I thought, well, we got to do something about this.

So I switched to your guys. I like you at any size, honey. I know. Thank you. You too. But I switched to your guys. I like you at any size, honey. I know. Thank you. You too. But I switched to your program and I immediately lost 13, not immediately, over. In a month. No, I lost weight quickly, but 13 pounds over about four months.

So just about right. No, it was 90 days. Yeah. No, but I really didn't get all the way down until more recently. And that's another month, I would say, into it. And. He looks great yeah i'm very super happy with it uh and and again it's sleeping better feeling better more stamina

that kind of stuff but but more importantly i want well so the reason the carnivore happened to me is i was doing i was doing a fitness podcast with a friend of mine is way into stuff and he's geeks out on every little thing like you said you know those young guys that you were speaking to at the beginning there's a whole world of those guys that geek out about different things depends what they're into whether it's crossfit or abs or they all have different categories and so i was always around this stuff you know i was around it as a kid that worked out in gyms you know back in the 70s uh you know i don't know if

I told you this, Bill Pearl, I was at Bill Pearl's gym, Bill Pearl set up my first program in person. He was sitting there across the table from me. Do you know who Bill Pearl is? Look at, look at Arnold's first, look at Arnold's first universe. The guy he's up there on the stage with is Bill Pearl and who just, who had just been dethroned had just been dethroned by Arnold Schwarzenegger. And that was that old school heavyweight, eight reps, four sets, that kind of stuff. And I did that my whole life. And thus, I have destroyed shoulders now. It's a cautionary tale.

And along the way, I had some excellent trainers who kept trying to get me to switch to what you guys recommend, frankly. And I just would never do it. I didn't like it. I would go, you know, it wasn't satisfying to me in the same way. By the same token, from a diet standpoint, my partner, Mike Catherwood on those podcasts back in those days was, you know, was way into the weeds on a million different dietary things.

And finally, a carnivore came up and I said, I can do that. He said, well, you got to do something. So do that. I just did it uh and it was easy uh but of course what i liked is i was never hungry because i was eating a lot of calories in the form of these these complex proteins fat and i got and fat right i was eating a lot of fat too and um and when i switched to your guys you know more reasonable obviously more vegetables, more calorie-contained, and equally as satisfying, frankly, maybe more so. Because I've found when I get my weight down, my hunger sort of settles a little bit.

Is that something you're finding with people too? Yes. Yeah, 100%. I mean, especially in the beginning, people struggle with it a lot. And so as they get used to the dieting and their metabolism slows a little bit long, a little bit more, they get less and less hungry. And so in the beginning, it's always a little bit harder and then it gets easier. Much so. And Susan, you wanted to ask a question about the metabolism issue. What was that you were asking? Well, I mean, I don't know. It it's confusing he i he needs to explain like what it means

you know what kind of everybody has different metabolism oh those issues okay so let's go let's walk through some of that and then we'll go back to training after we talk about diet metabolism i mean why is it working i want to know because i'm eating i ate garlic bread the other night and i'm i still lost weight like I don't know how it happened. So Vince, go ahead. Well, I mean, ultimately it comes down. And by the way, but before you do that, we, I know you guys focus on three body types. You missed my wife's, which is the fourth body type, which is flux capacitor. It's the flux capacitor body type.

You can throw anything into it and it does fine. It does well. You pay a little bit of attention and the weight goes down so go ahead i have that same one we'll put that one in there next but um no i mean ultimately it comes down to overall caloric intake um and so but i think the issue is like what you talked about going back to what you said about how when you were working out you were going to like if you you were traveling, you'd go to YouTube. The beauty of YouTube is that it has, you can learn anything on it, but that's also the downside of YouTube is you can learn anything on it.

There's so much information that there's so much good and there's so much bad and you can, you don't know what's going to necessarily be right for you. And that's kind of what we wanted to, that's what we wanted to specialize in people come with specific goals they come with specific struggles and so first for a fitness company like vShred to give one program out to everybody that's going to get some people results and it's going to not get some people results and so for us it's like okay what are your specific goals? What is your lifestyle like? And generally people are not wanting to give up all their favorite foods.

They're not wanting to live in the gym. And so our thing was let's, how can we find a sustainable method that still gets phenomenal results that people can actually stick to long-term. And Susan, you talk about eating garlic bread and still losing weight. That's the beauty of it. It's not that you can have garlic bread for every single meal every single day, but you're able to work those foods in in moderation

and it can actually help you because when you have those refeed days, those high carb days, because a lot of times when we're working with our clients, we go in the direction of carb cycling, which is, uh, I guess a basic, uh, explanation of it is one day you have a real, you have low carbs and you eat high fats. And then the next day you eat high carbs and you eat low fats. And the beauty of it is on the low carb day, you basically trick your body into burning fat. And then on the high carb day, you actually give your metabolism a boost

and therefore it helps to lose weight. It's this carb day, you actually give your metabolism a boost and therefore it helps to lose weight. It's this nice little cycle of speeding up your metabolism, losing fat, speeding up your metabolism, losing fat. So when you say that you eat garlic bread and you still lose weight from it, that's, that's what I believe is the beauty of our program is the sustainability factor and the fact that it works for pretty much every single person, unless you're wanting to go in the direction of carnivore keto or paleo. If you come to, if a client comes to us with a specific interest or they have a specific dietary restrictions or whatever, we can make those plans. But generally, if someone doesn't

have a preference, we're going in the direction of sustainability. And that's a balanced diet or something like carb cycling, where we still are including all of their favorite foods and they still do get phenomenal results. And you guys actually sort of structure these carb cycling based on sort of body type. That's an old notion that you guys have been relying on that works pretty well yes so it's like it's goal-based essentially and so like we all like when we were all growing up we all had the friends who were a little more heavyset and we all had the friends who were much skinnier and those kids who were much skinnier i was one of them i could eat whatever i want and i watched some of my friends who were not as skinny as me eat the same thing that i was but they were gaining weight so it really comes down to what are you struggling with right

now? If you are typically more heavy set and you struggle with gaining weight, or you should say, I should say you struggle with losing weight. And whenever you eat food, you gain weight. Generally, you're going to be on that endomorph side of things. If you are, um, a skinnier guy or a skinnier woman, and you can eat pretty much whatever you want and you struggle with muscle building, that's going to be falling in that ectomorph area. And so there's also the mesomorph, which is more in the middle, but it's really, it really comes down to goals and what you are struggling with because everybody struggles with different things, like I said. And so if somebody comes to us and they want to bulk, we're not going to give them a weight loss

plan if somebody what comes to us and they want to lose 50 pounds we're not going to give them a muscle building plan or if they have serious weight to lose hundred pounds we're not going to give them a plan that's going to help them maintain their same weight but change their body composition so it really comes down to what are you specifically struggling with right now and what are your end goals? And then there's different programs based on who that person is, what that body type is, and then we prescribe different routines for them. And you get a trainer. And yeah, and we have over 400 coaches. We have the best team of coaches of any fitness company in the world.

And I'm proud to say that. And I'll say that with confidence. We have people who are way, way smarter than I am, who have PhDs and written books and just know their stuff and specialize in all different things. And so the beauty of it is if somebody does come to us with a specific struggle or a specific interest or a specific, I don't know if they're diabetic or if they're pre or postnatal or whatever it is, we have coaches who specialize in those specific things. So no matter what you come to us with, whatever the complication may be, we have somebody who can help you. And that's the beauty of it.

It reminds me of the way I'm hoping general medicine goes, which is this sort of using technology and electronic media and videos and informational videos and telehealth. I mean, you guys have sort of gone ahead of where my profession is. Again, that's why I'm so attracted to this whole thing. It's a more efficient way, a more accessible way, and somehow more motivational. I don't know what's going on there i guess because you feel like it's always around you know it's just you know what i mean the the videos the calendars there are you guys maybe have set it up that way specifically to to remind us all the time get in the gym definitely no and and we're planning to add

more to it we want to add like we want to gamify all of our programs we want to get we're coming out with a really cool app soon where it's going to be like really intuitive and you're going to be able to like you're going to be able to run up scores and there's going to be a bunch of cool things that you can do that are going to make you want to stay in that in that app and stay just involved with it and also i think the other thing is like community. A lot of people take the community aspect of getting in shape for granted. I think when in reality, what you have around you is ultimately going to make or break you. Because if you are the only person in your family who's trying to get in shape and everybody else around you is eating like crap and they're kind of bringing you down with them and they're

not really supporting you, it's going to be a lot harder for you to say no to the bad food that they're eating or go to the gym when everybody else is trying to do something else versus if you have even just one workout partner, that would make a world of a difference. But with our, with our programs, we have really awesome Facebook groups. We have two of, I believe, the most powerful fitness Facebook groups on Facebook. Every time you go in there, you just see new testimonials, new transformations. And then you see someone post a before and after picture or not even a before and after picture. Maybe somebody who just signed up today and it's just a before picture and maybe they're

not in good shape and they're saying that I've never taken a picture and posted a picture like this. And then you just see thousands of comments that people just supporting them and motivating them. And that can be the difference between somebody sticking to it through the first, just the first week and then they're on and hopefully forever or just not getting started. And so we like to provide all the different areas of support that people need in order to stick to a plan. So it starts with, okay, what are your specific goals? How can we make this sustainable to you? How can we make this something that you enjoy? And then how can we give you the support at every touch point possible so that you stick to it long term.

So let me talk about my own particular workout journey here, which is I saw the videos and, you know, of course I'm familiar with all these different movements. These are all, you know, I've been around gyms my whole life. But I was always interested in pushing heavy weight. And so cables did not interest me very much. And some of the more complete movements didn't interest me very much. But obviously, a reality came in here where I had to really pay attention and find things that didn't cause extreme pain, frankly. And it meant taking the weights down and putting the reps up. And you guys sort of recommended that, and I was doing it.

And then I talked to one of your trainers, and he said, you know, time under tension is really important. And that got under my head. I thought, oh, yeah, that's sort of, again, more appropriate to the stage of life my joints are in. And I immediately started having more benefit uh and and i by the way had left out the hit cardio and i got the hit cardio back in i i kind of throughout the workout rather than doing it at the end and this all made huge differences in and how the workouts affected me so and it was and I was using the basic movements that were in the, um,

ripped in 90 days one. Uh, and I added some of the ab stuff in, but yeah, that stuff was all in there. That was all in, in that, uh, ripped in 90 days. I think I may have had something from, from the ab program per se, and, uh, just have gotten a ton out of it and been very excited about it. And with, and it's accelerated the weight loss a little bit and i've certainly not been fine with the strength that's not really gone anywhere to talk talk about that it's it's it really has been quite successful for me yeah i think with you i mean the most important thing for you right now is to be able to just work out the everything that you have going on with your your shoulder and your bicep and just everything it makes it so that most people would be dealing with that and they would just kind of

give up and they'd be like okay well i'm done now well that's with our program no it's not you i think i think that's what got you into this position but you know what's interesting is what's interesting is i i dug a swami just when i was talking to him, talked about my, I was the one emphasizing to him when I saw him the first time. I said, I don't, pain does not bother me. I'm not, I ignore it. I just, it's a nothing for me. And he just said, oh, your pain threshold's kind of crazy.

Because that was, he came to that conclusion after he'd seen my x-rays and ultrasound. That's when he said, oh, you really don't feel any pain. But I do feel it. I just can, I can just put it away. go ahead please please finish your thought well and i think that touching on that real quick i think that's i mean like i said that's probably what got you here because you would just kind of push through that pain but that's kind of what that's kind of what fitness and lifting used to be and it's especially what it is for young guys it It's the whole no pain, no gain, the whole no days off. And so guys,

they go and if they have a little ache going on, they just kind of push through it and they just don't, they say that no excuses or whatever. And when in reality, they're going to face the consequences of that later on in life as you are experiencing now. And so, yeah, I mean, it really comes down to a total body plan. It comes down to, like one of my favorite things and one of the things that helped me get in, I mean, I like to think that I'm in the best shape of my life right now is, like when I first started

working out, I was doing what every young guy does. Going to the gym, um, doing all the big exercises, going as heavy as I could, terrible form, not know what I was doing. And then once I actually learned what I was doing, I got certified and, and I actually like kind of took a step back and I was like, okay, I don't have to max out every single day. I can try out these other exercises that I just never did before the accessory style exercises. And then when I included mobility and flexibility and sort of focusing on rest and recovery as well, because I used to work, I just used to work out two hours a day, seven days a week. And I never

really gave my body, my nervous system, my skeletal system, I really never gave my body time to recover from what I was doing. And so once I started learning more about the total body and I guess wellness approach to getting in shape, that's when everything changed. And so, yeah, I mean, lifting heavy has its time in place. Progressive overload is a way to build muscle a hundred percent, but there's also a way to build muscle and to get in great shape and to feel healthier by going lighter. And that's what you said about time under tension, because there's been studies that have shown that that 40 to 60 seconds of total time under tension per set is a fantastic way to build muscle. So there's not just one way to build

muscle. There's multiple ways. It just ultimately comes down to what do you, and then the other thing is like, what do you enjoy doing? What are you able to do in your case? Lifting heavy isn't really in the cards now. So you just go to a different way. Or if there's like women, for example, women are generally more afraid to lift heavy because they don't want to get big and muscular, right? Well, you don't have to lift big and heavy to put on muscle tone. You can still lift light, but you have to, yes, you do stuff to push yourself. And so there's different ways. There's, there's a million ways to skin a cat. Um, and so it's just about figuring out what works best for you and what you enjoy doing. And I like that you guys are,

this is, this is needs to be a way of life your entire lifespan i ran it i was at a gym in chattanooga tennessee i ran to a gym uh there and met an 84 year old guy who was in there doing his thing and he was talking about how hard it is to maintain muscle mass and things you know at that age you have this cliff you fall off in your 80s and and i thought yeah but he's fighting it he's fighting it back and he looked he had great mobility and he was doing great. And cognitively, man, was he in it. Yeah. And so that, I think that needs to be a goal for everybody.

We should all be sort of, that should be our expectation, but you have to do a little something every day. I mean, you take a shower every day or you probably brush your teeth every day. You got to do something every day. Or most, you know, like you said, you need rest too. And Susan was just giving me a shit about that. You never rest. Well, I don't rest because I always worry my schedule is going to knock me out for a few days. So I

just try to get every day into my schedule does do that to me. And then I am out for a few days. So that's just my thing. It's just my, you know. Just to add on to that, the whole no days off thing, that can be a good message. If you are calling a rest day as not a day off, because you have, let's say you have a seven day plan and five of those days you were supposed to work out. And two of those are rest days. If you stick to those two rest days, that's technically no days off because that's part of the plan. And so you can do something every day that's going to help drive you forward. It just doesn't have to be a workout every single day. Yes, I get it. I get it. That's another good thing to keep in my head. Another thing I found for you with the diet, because everybody's concerned about you.

You have a lot of things. You have something called diverticulitis. That's true. And even when you were on the paleo diet, you would get flare-ups all the time. And I don't think you've had a flare-up since we started this program. We have not. I have not. And I had not had one since I started. I saw a surgeon and went on a certain kind of bulk and a stimulant and whatnot. And that made a huge difference. But I have felt more secure.

Like I'm always waiting for the next attack. I, in this diet, I feel as though I'm not going to have an attack. I don't, I can't explain why maybe it's just been the time since I've had my last one, but I feel like, Hey, we're, we're in a pretty good zone here. So that's true. Like April. Cause I started it earlier. I started, I. Yeah. And just because I heard about it and before you started doing it, about a month before you. It's true. And I just started making all the food

and I don't think you've had an outbreak. I've not. Not even close. Not even anything symptomatic. I mean, I had no symptoms. Because it's balanced. And you have bulk and you have protein. But that is the other thing I wanted to say to Vince

is that I appreciate that you guys are organizing this for the lifespan. We are in our mid-60s. Don't tell anybody. And we are still able to do all this stuff and look great and feel great. And that's extraordinary. And that needs to be everybody's goal. And you guys are not leaving that out in your in your presentations and your you know how you how you're organizing these things

uh and by the way not the videos are excellent they your trainers the guys in the video i i know susan's following mostly you but i i see a bunch i see a bunch of other guys cute but they all but they all really do a nice job of, I don't feel like I'm being, sometimes from trainers, I feel like I'm being sort of lectured at. You know what I mean? Just like, you know,

I feel like they're really encouraging the way they approach it. Yeah, yeah. You guys don't do that. Yeah. And I'm wondering, where did your passion for all this come from? Where did that start?

It came from an insecure little skinny kid. That's where it all really came from. I grew up struggling with, I guess, body image. I actually had to quit football in high school because I was just too skinny. I was just getting beat up. And my friends would all call me huge when I was not, because I would still go and work out. I started going to the gym at probably 14 years old. My neighbor across the street had a garage gym. And so my dad took me in the summer,

bought me this big bag of protein powder that I think I had two protein drinks, and then the rest of it just went to waste. But then that next year I got a membership to a gym down the street and I started going with my dad basically every single evening. And he would just tell me what to do and show me the workouts and show me just some of the basics. And then when I got my license, I started going to a different gym. And I just was in there and I was just learning as I went. And I wasted a lot of time. I wasted a lot of years, but I don't really believe in wasting time or years.

I learned a lot. And then I should say I learned what not to do, a lot of what not to do. And then I finally got a little bit older and I decided, hey, I've been doing this for a long time and I was in pretty good shape. But I was like, I want to take this to the next level. And that's when I actually started like diving into books and I actually started reading up on it, actually started looking at studies, what actually works. And then I started changing my routine, changing how I went about things, changing what I was eating.

And that's when my results really skyrocketed. Um, and I mean, at this point, I'm just super motivated by being able to inspire other people. And like you said, it's not just guys my age, like I thought it was going to be when we first started this company. I mean, we're, we're primarily talking to men and women who are 50 plus. Um, and, and I think that's beautiful because I think a lot of those people have are close to giving up on their fitness journey. Like my dad told me that he was probably about one more failed diet away from just accepting that he was never going to be in shape. And now he actually followed, we kind of talked about it. I think before we actually went on, we have our move program, which is our 30 day at home program. He started following that.

And then he followed it. I want to say like nine times in a row, he just started it over every month for nine months in a row. And now he weighs less than he weighed in high school and he's off his blood pressure medicine. And so him and my mom are both in best shape of their lives now. And so that's, that's the shape of their lives now and so that's that that's the beauty of it is we're helping all different types of people from all different types of background fantastic and and yeah and i mean i feel like we're still just getting started which is the beauty of it you look good in both pictures well i'm really young in that did we have one i'm really young did we have a son who looks like that too.

We have a what do you call it? Ectomorph. Ectomorph and endomorph. We have both sides of the family. I'm right in between. Yeah, but you know when we first

hooked up with you guys and we had a Zoom meeting and stuff, they were like, we first hooked up with you guys and we had a Zoom meeting and stuff, they were like, yeah, we want you to take pictures of yourself working out and, you know, making food for Drew and doing the program. I looked at Vince, I go, I'm not as cute as you, okay? I don't know if this is going to sell. So I was really nervous about taking a picture. I did a before picture and I got to say, I look better now and it's, it did work. So, and I feel a lot more comfortable in

front of the camera. And that's actually something that I'm pretty sure of it. We experienced that a lot. Actually, we get clients who were like, Hey, take before pictures. And, and because they, for the past, who knows how long, five, 10, 20 years of their life, they have not been taking pictures because they've just been kind of shying away when a camera gets brought out or they try to find their way to the back. And they're not super proud of the way they look. And they don't want to take those pictures. And then after they have lost the weight, they're like, man,

I wish I would have taken some pictures. And so now you have to show it. Yeah, it's funny. I actually had the same thought because I would love to see the difference because it is significant. Well, listen, did I, did I leave anything out? Is there anything else you'd like to cover? No, I mean, I think this was awesome. We'll have to, uh, after your shoulder, uh, actually the PRP was a quite interesting to listen to. I actually got PRP in my knee and my knees are significantly better now and so I'm wishing you all the luck with your with your well it's not a

surge is it a thank you I it's a procedure it's a procedure so but I am going to continue working out the way you're going to need a lower body workout with v shred yes I am yes that's going to be really important to me because i'm going to be freaking out a little bit i've i've not had a period of life where i've not worked out for i did have a couple years you'll have physical therapy and then you can but i think a lot of these exercises you can work into your routine yes not get no we'll have to get in touch with a physical therapist we'll figure out what you're cleared to do and And then we can create a custom. That's the beauty of this is that we can create custom plans around whatever your limitations are. Oh, you've just taken away a big chunk of anxiety.

Susan saw my look on my face when he was talking about six to eight months of recovery. And she goes, what's wrong with you? You look like a dead headlight. Like what he said, I think it's that first four to six weeks, you probably have to take off completely. Yes, correct. And then after that, slowly. That's right first four to six weeks, you probably have to take off completely. Yes, correct. And then after that, you slowly. That's right. Your arms, your upper body.

That's correct. He can lift a plate and that's it. For six weeks. That's right. And we won't travel. And I'll have to carry all his luggage and stuff. But listen, I think we're going to see you in person in a couple of weeks. So I'm looking forward to that.

Yeah. Yeah. So we'll see each other and we can talk about all this stuff. All right. And I think that about wraps us up. Susan, anything else before we'll, we'll see each other and we can talk about all this stuff. All right. And, uh, I'm, uh, I think that about wraps us up. Susan,

anything else before we get going here? Nope. That's it. Okay. Are we back again, Caleb on Tuesday? Is that correct? I'm going to always,

uh, have to reach out. It's such a pleasure to, to meet you. And I'm looking forward to seeing you. Yes. It's going to be great. I'm looking forward to a lot of things.

Thank you so much for all your help. I'll let you go now. We get thecom dr drew.com slash v shred check it out we've been impressed and pleased and we're happy working with these guys so thank you so much no thank you there we are and there's the upcoming ah candace owens on it's on tuesday and then dr cory's making a visit with us again on wednesday with dr victory and dr lois lee with johnny there's somebody else a a da candidate or something susan is that correct that we wanted to is making a visit with us again on Wednesday with Dr. Victory and Dr. Lois Lee with Johnny. There's somebody else, a DA candidate or something, Susan, is that correct? That we wanted to sort of talk about what's going on with DAs in the country. Is that correct? I'm sorry. Can you say that again?

Do we have a DA candidate, a district attorney? Oh yeah. Yeah. McKinney. Yes. John. Yeah. Just added to the calendar on that day. Yes. On Thursday, the 21st. To talk about what. That's with Lois Lee. What is going on with the district attorneys in this country? And what's going on with LA? We're trying to fight what's going on in LA.

That's a good question for year round. What the hell is going on in LA right now? As a person who lived in LA for 10 years still a good question it's a mess well we we want to know what's going on in alabama they banned uh drew's book in a oh yes library in your hometown oh yeah that's your hometown no that's that's like that's in our county so where i live it just so happens i guess susan didn't know that when you sent that to me yeah they they are trying to ban your book there down at the fair hope library it's it's about an hour away from us but in the same county yeah and uh the book i wrote with my daughter called it doesn't have to be uh doesn't have to be awkward and it is a we mentioned it's a book

about consent it is a book about concept we talk about trans issues a little bit there, and they must not like that there. Doesn't that be awkward? And, you know, listen, this is the silencing and cancellation sort of mob I've been used to my whole career. In other words, this is familiar territory for me. People have taken off after me for wanting to advocate for emergency contraceptive and things like that and treatment, God forbid for STDs. And so that, that, that group has been on my tail the whole time. The shock in the recent years has been that it's come from the other side of

the aisle in a more aggressive way to silence all speech that they don't like, which has been just sort of wild. So here we are. You got thrown in with a bunch of other things about trans. And I guess they were probably just trying to make a point in that library. But my whole take on this was it was a book for teenagers, but your parents had to pay for it. So, I mean,

it didn't set the world on file because not many teenagers can buy a book online. So it had to get to the library before the kids could look at it or, you know, check it out. And maybe, you know, some people just have, they just don't want their community to be dealing with that, you know? And we're not against that. Like if you want to take care of your own,

your kids in your own way, that's fine. I just find it hysterical that we're thrown in, that like if you want to take care of your own your kids in your own way that's fine no i listen i just find it hysterical that we're thrown it we were number five in the uh most hated book at that library something like number five guys it's cool i'm fine it's the dumbest thing for them to do would you rather your kids get this information from searching on the internet or would you rather them get it from dr drew i go with dr drew yeah and in the article they didn't call him dr drew they called him drew and paulina yeah yeah interesting good i i have zero zero it was paulina's book okay and it was you know drew was just giving his medical opinion and there were a lot of people

involved in the writing of it and it was before the pandemic, so it was complete, you know, things have changed a lot in the last five years. And so, I don't know. It's a good book. It's a good book to have your kids learn from, but some people just don't like it. I think they, we, Paulina went into a little detail about being a trans ally and how to support people that may be in that phase.

Which is not a bad thing. thing no it's not a bad thing and so i can see though if you don't want to you know go there fine don't go there okay well anyway we uh are gonna wrap up and dual extendo break we're back on tuesday three o'clock with candace owens don't miss it we'll see you then ask dr drew is produced by caleb nation and susan pinsky as a reminder the discussions here are not a substitute for medical care diagnosis or Ask Dr. Drew is produced by Caleb Nation and Susan Pinsky. As a reminder, the discussions here are not a substitute for medical care, diagnosis, or treatment. This show is intended for educational and informational purposes only. I am a licensed physician, but I am not a replacement for your personal doctor,

and I am not practicing medicine here. Always remember that our understanding of medicine and science is constantly evolving. Though my opinion is based on the information that is available to me today, some of the contents of this show could be outdated in the future. Be sure to check with trusted resources in case any of the information has been updated since this was published. 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. You can find more of my recommended organizations and helpful

resources at drdrew.com slash help.