Good Guys - New Ozempic Builds Muscle Without Working Out

Episode Date: September 7, 2026

Mazel Morons! Today we welcome back Botched’s Dr. Terry Dubrow! We go over the quest to combat aging, Ben’s ulnar nerve entrapment, the pros and cons of full body MRI scans, and when men should be... getting a colonoscopy. Then, the problems with peptides, gaining muscle without the weights, blocking out food noise, and streaming in the gym with no headphones. What are ya nuts?! Love ya! Write us! Send your messages to goodguyspodcast1@gmail.com  Follow us on Instagram and TikTok!  Sponsors: Give them meals + snacks that are actually right for where kids are developmentally—balanced, intentional and made to support real growth. Go to littlespoon.com/GOODGUYS and enter code GOODGUYS for 30% off your first order. Go to ro.co/goodguys to see if you qualify and get started on Ro. Download the Bilt app and join the membership for where you live, at joinbilt.com/goodguys. Go to IM8HEALTH.com/goodguys RIGHT NOW or click on the link in the description and use code goodguys for a Free Welcome Kit, five free travel sachets, plus ten percent off your order. Once you try it on a first meeting, it's hard to go without. You can try it totally free—head to granola.ai/goodguys. Download Whatnot today and get $20 off your first purchase. Search Whatnot in the app store, sign up, and start finding the best deals on the products you love with $20 off your first purchase. Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode. Produced by Dear Media. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Starting point is 00:00:00 The following podcast is a dear media production. Two Jews, both big and tall, no subject, too small for the good guys. A mother's dream, premium podcast team, make it your weekly routine, it's a good guys. And if you don't give us five stars, what are you nuts? What are you nuts? Yeah, we're the good guys. We're not the great guys. We're just a good guy.
Starting point is 00:00:28 You know he doesn't know who Neil Siddaka is? You're kidding me. He doesn't know Captain and Toneil. You're kidding me. I know. But Richard March, you must know. Yes? No.
Starting point is 00:00:41 I know that song. That sounds familiar. Yeah. It sounds familiar. Anyway, he still looks the same. We're recording, right? Are we recording? We're good.
Starting point is 00:00:50 We're good on our side. We'll do a quick 80s music wrap up before we get into the show. I love it. This is good. really good friends with, you know, rock legends. Yeah. So you get to meet these rock legends, right? So he's touring right now with Rod Stewart.
Starting point is 00:01:11 Rod Stewart can sing. You can't, you close your eyes, you go, yep, that's Rod Stewart from the 70s. He can sing exactly the same way. He may not have the exact energy, but he is so preserving. You know, I'm so obsessed with this longevity preservation movement, you know, longevity escape velocity, and, you know, Tim Curry just died, right? Yes. Right?
Starting point is 00:01:31 the guy from Rocky Horpicture Picture Show and Dolly Parton, and they died at 80. And what strikes me about dying at 80, you go, whoa, whoa, whoa, whoa, whoa. 80 is the new, you know, 40 in terms of longevity. Why are you dying at 80? Right. Okay. Because you guys are, you know, I'm obviously a lot older than you, but you guys are, you will see, it's two seconds before you get to my age, and then I'm sure it's two seconds before I get to 80.
Starting point is 00:01:59 and we shouldn't be dying at 80. And there's many, many things you could do. And I was trying to do a deep dive on why they passed away and what happened and how it evolved. Because once you get to a certain age and this frailty thing kicks in, if you overlap a significant disease with that frailty gene that naturally kicks in, then you go down a path that's sort of slightly irreversible for now. but we're about to figure out in the next three years, maybe one year,
Starting point is 00:02:32 how to go away from frailty and how to figure out how to reverse that decline. That happens and it's unavoidable because, I mean, Dolly Parton, she stayed thin her whole life. You know she had the best medical care. I'm sure she did the greatest surveillance. Why did Dolly Parton die at 80? Sorry. I thought you were going to say, and you know, she had the best breast. Well, she died of a broken back.
Starting point is 00:03:01 You know, some die of a broken heart. But I mean, let's face it, some of my patients are more interested in preserving themselves so they can still have plastic surgery. Sure. And whatever the motivation is to preserve yourself, so you live past 80, because 80, we should now be living to 105. That's the new 80. So I'm obsessed with the peptides, the surveillance, doing all the new things, and all the anti-aging, the age reversal technology that we're about to get. You know, with this David Sinclair trying to put that drug through the FDA.
Starting point is 00:03:37 I don't know if you're aware of that, that Harvard researcher, who finally has the first drug that actually may reverse aging. Before we get into all of it, I want to do a quick intro in case anyone's wondering. And if you were wondering, what are you living under a rock, Muslim morons, welcome back to the good guys. podcast. We are here with the one of a kind. There's only one like Dr. Terry Dubrow. God bless. Star of botch. Star of my future plastic surgery journey, which we'll talk about more. It was such an honor to have you. Star of this show. Third time. Star of the show. Like if you're living under or if you've never listened to this podcast, then you don't know Dr. Dubrow. Like we love having you. Congratulations on your success. When I heard I was going to get to come back on. You know, I'm honored because you guys have the
Starting point is 00:04:23 and I love you guys, and you're so smart. So I always excited to see you guys because I know we're going to talk about leading edge important stuff, and we're going to goof around, and what's better than that? Nothing. So should we start with the goofing? Because I have an ulnar nerve entrapment, Terry, and I am wondering if Botox might help it. My hands are falling asleep at night. I'm waking up.
Starting point is 00:04:43 They're in pain. I was recommended a brace. I have an entrapped nerve here. Do you think Botox might be helpful? Is that what they're telling you, Botox? No, this was me. me on TikTok just trying to figure it out. No.
Starting point is 00:04:55 You have so owner nerve entrapment at the elbow. Yes. Okay. We don't know if it's at the elbow or if it's in the shoulder, but we know it's there. They're saying it's from chopping. Chopping. From mincing, from Mizonplas. Okay.
Starting point is 00:05:10 And maybe a little bit of golf. All right. The combo. Well, often you can do, you know, I'm sure your orthopedic surgeon is told. First of all, that's a pretty easy diagnosis to target. Is it in your shoulder or elbow? First thing you need to learn, right? I mean, one of the key things about going back too quickly to living longer,
Starting point is 00:05:28 but to making sure you're optimized is get a diagnosis as fast as you can. Because you have to find out what is it? Because the whole, it's either in my shoulder or elbow. I mean, those are like, they might as well be in Siberia or Calphil. Oh, it's in the elbow. It's in the elbow. It's definitely in the elbow. Well, there is an operation for that, but then there's lots of things you can do before that.
Starting point is 00:05:49 And, you know, it's what I find interesting. You know, you watch these shows like hard knocks, you know, these TV shows, or you watch a Netflix documentary on an NFL player. Have you noticed those guys get injured? They'll crack a rib, yet magically they're allowed to play in the hyperviolent world of the NFL within a few weeks. Their knee goes out, but they're back pretty quickly. That's because they have not only the best medical care,
Starting point is 00:06:16 but the most focused diagnostic equipment where they just go, Okay, our livelihood, this team's livelihood, depends upon this quarterback getting back in the game within a week. And they do. That's because they have an immediate MRI and immediate hyper treatments. And we actually can do those kinds of things. Rather than sit around and just, well, I'll make an appointment in three weeks. And what is my primary care? Oh, he's referring me to the orthopedic surgeon who says, okay, now you need an MRI.
Starting point is 00:06:44 Now we've got six weeks that's already gone by. And all this inflammation has persisted when you could have been doing. immediate anti-inflammatory things. I mean, they immediately go from that tent on the sideline. They get the MRI that day, and they immediately go into the ultrasounds and the hydrotherapies and shut down all the small. We actually can do have access to all that kind of stuff. The reason I'm obsessed about talking about this is because if you do have a thing that's going to prematurely shorten your life, if you focus on your health and figure out what that thing is super early, super early things are almost always reversible very easily, you know?
Starting point is 00:07:31 So then putting, what do you think of these pre-newvo scans? We'll put all in their nerve and trapment aside. We'll talk about that. I just had one, by the way. Okay, good. You want to hear my findings? I do. I do.
Starting point is 00:07:41 I'm obsessed. They say that there's major, moderate, and minor findings. Yes, they always do. They say there's no clean, everybody's got something that comes up. You get barnacles. You're a ship that's been in the ocean. Absolutely. They call me the SS Musuga.
Starting point is 00:07:56 You know, and the minor findings, they say, if you have no symptoms, forget we told you. Completely. Moderate is maybe you go to the doctor, get a baseline for this. Yep. And major, go to the doctor immediately. Yep. My two moderate findings were I have a broken back. I have a pars.
Starting point is 00:08:17 defect over, you know, they said it's 20 years probably. You've slowly been building this. They're like, go to rehab for as long as you can. Physical therapy, maybe one day when you're 60, you'll need a spinal fusion. Maybe. Or you can do things now to totally avoid. Great. Last thing you ever want is back surgery because most of it doesn't work very well.
Starting point is 00:08:39 No good. No good. And I got a little cyst on my bladder. Yeah, who cares? Yeah, that's it. That's it. clean bill and gynocomastia yeah well well when they put that I was like really you had to mention that I said it's not so glaring it's not like I can intervene you know I didn't need to know the radiologist
Starting point is 00:08:59 he's like did you see I put gyno chomassia said did I see I could have my eyes off of you fuck human nature we're going to be replaced my AI soon radiologist oh I know we're so messed up think about it he just told him you don't have a brain tumor there's nothing in your lungs Your pancreas is clear of any deadly disease in your life tomorrow. Oh, that's so wonderful. But you have got to come out of you. Oh, I'm devastated. Priorities, tear.
Starting point is 00:09:31 So at my stage of life, okay, I get a prenuvo scan, and it's like, okay, are you sitting down? This is going to take a while. So, you know, you look at the result, and it's, you've got this cyst here, that cyst here, you've got this here. And then it starts giving you the, which you'll, you'll, you'll get into in the next decade and a half when you do these per novos, you've got this thing, this question mark. That's where they're very funky. They find things that could either be,
Starting point is 00:09:58 they're called indeterminate, right? They could be indeterminate grade three, benign or indeterminate grade four on the way to malignancy. You go, oh, and they say, so now you have a thing that we have to follow. and 90% of the time, it would be better if you didn't know because now you're going to do a whole bunch of more invasive tests. Which they say can be almost dangerous. There's risks to all these tests. Yes, you can iatrogenicic. You ever heard this word called atrogenic iatrogenicize? So in medicine, we have treatments and we have diagnostic things that we do. Some of them have very significant, potentially dangerous side effects. Okay. So sometimes you will do a test to work up a problem.
Starting point is 00:10:44 problem and that test will give you a problem. Right. And that's medically induced problem that you didn't need to have, but you had to do it because you were worried about this thing that you were analyzing. So we call that iatrogenesis caused by the actual medical evaluation. So if you have, you know, an IV done and gadolinium and contrast put in to do a special kind of MRI, and all of a that caused an allergic reaction. You ended up in the emergency room, intubated, and now you've got all these other, you've just been, Iatrogenicized yourself into unnecessary problems and diseases because you were pursuing something that turned out to be, let me give you a terrible result. You may want to cut this one out. It's so bad, but I'll tell you anyway. There was this couple that,
Starting point is 00:11:37 for Christmas, they were very fit. Let's get that pernubo scan thing. They went, oh, okay, so they're doctors. One was an ER doc. One was a plastic surgeon. They get the MRI scan and on his wife's lung was this very small, questionable thing in sort of the periphery of the lung. And the radio just looked at and go, you know, we don't know what it is. It could be something. Let's rescan you in six months because that's always pretty much what you do. Rescad. She goes, nope, I want a biopsy. So they go, well, it's kind of peripheral. We may, you know, it's kind of hard to get because it's out there. Needles are not, you know, they're kind of big and then. Could it have been an artifact?
Starting point is 00:12:17 Like a... It could have been an artifact, but it could have been a cyst. It could have just been a barnacle. Sure. You know, because we get barnacles. I am all over in there. Yeah. So she goes, I insist.
Starting point is 00:12:26 So she goes to our major hospital down in Newport Beach. The radiologist takes her to the interventional radiology suite. And very carefully under ultrasonic guidance, tries to put a needle in this thing in her lung. Through the chest. Yeah. That's what you do. It's an ultrasonic guided. biopsies. Very typically very safe. Okay. The old ways you would have had to crack the chest open,
Starting point is 00:12:48 but they're very good at doing these things sort of non-invasively. All right. So he puts the needle in, puts the needle in. He's just about to get into this little mass to take a little tissue specimen and hits an artery unbeknownst to all of them. And she has cardiac arrest. Yikes. Then they take her right down to the cardiac surgery room, open up her chest, try to save her life, put her on bypass and she succumbs. She dies. Okay. On top she shows it was a benign nothing. Yikes. So that's I atrogenicized your way. So that's the problem, theoretical problem with frequent pernuvos. They're going to start to find things that you don't ever really need to know about. But they're concerning enough that if they were a thing, wow, you found it so early and you can completely get rid of it before it becomes a thing.
Starting point is 00:13:42 This episode of the Good Guys podcast is brought to you by our friends at Row. Folks, listen up, okay? Everybody's been lying to you. They've been telling you, oh, GLP ones, they cost an arm and a leg, they're a fortune. It's not true, okay? It's not true. Maybe they're getting ripped off, okay? But that doesn't mean that GLP ones cost a fortune.
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Starting point is 00:15:53 Dot co slash good guys to get started on row. Disclaimer, for side effects of GLP1 medications, including box warning, go to row.com slash safety. That's row. dot co slash safety this episode of the good guys podcast is brought to you by our friends at little spoon anyone who's a parent knows feeding decisions aren't a one-time thing you make them again and again stage after stage and my god picky eaters are you kidding me this summer i was in a house with my nieces my nephews my nephew he asked me for breakfast i make him eggs a nice bagel he says uncle ben
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Starting point is 00:19:58 Use our link so they know we sent you. There was a story in the post today of this actor, Busy Phillips, who got a pre-newvo scan. They found a brain tumor, you know, stage one, and it's a very slow-growing but malignant brain tumor. And they said it would have been, had they not caught it so early, it would have been really probably too big to have operated or, you know, it could have affected, you know, they would have touched language centers or other parts of her brain that would have really, you know, left her with a big deficit and thank God. So there's both sides of these scans, right? One of my previous scans, because I started doing it before it was even called Pernuvo. I just started doing my own MRIs. And they found this little shadow on the
Starting point is 00:20:43 tail of my pancreas. It's like, what? Well, it could be, but you know, let's let it grow a little more. And I'm going, let's let it grow a little more. Yeah, let's let it. I want to see how it grows up. Yeah, because once a pancreatic tumor, once it gets past a certain point, it's sort of not very fixed. Although there's now an MRI vaccine, have you seen this?
Starting point is 00:21:04 There's a new, this is where technology. Cut this out, any vaccine talk. No, this is a different kind of vaccine. Well, have you seen that new vaccine that Madurna stock just went through the roof? It actually can stop arrest very advanced stage. melanoma with one vaccine. It's almost like vaccines work. Yes.
Starting point is 00:21:24 Who knew? Wow. So I don't think anybody thinks that they don't work like that. That's, haven't gotten polio yet. Can't seem to get it. By the way, I don't care what your political orientation is. I think if someone said, you've got a pancreatic cancer and this thing will cure it,
Starting point is 00:21:47 or at least take care of it so you can live a long healthy life. No pun intended, it's worth a shot. I think even you said to RFK Jr., would you like this vaccine? He'd go, I'll take this one, yeah. I'll pass, I pass. So, I mean, you know, I think nobody's politics would stop taking that vaccine. But anyway, no, that's amazing. It's a very, so what did I do?
Starting point is 00:22:12 I had like seven more MRIs with contracts. because the one you're taking is not a very high-end MRI. It's an MRI without contrast. And it's much more difficult to see the specifics of anything that you have without contrast. So I did one with contrast. I did another one without. They wanted to prep my bowel to empty my intestines. Anyway, I literally did seven tests.
Starting point is 00:22:39 And the final test, they said, yeah, it's a piece of fat. Don't worry about it. Great. So, all right, well, you know, that's the problem with these. I've just never, I've just never done them because I'm definitely, and I think that we live in a very anxious generation. Josh, we just spoke about this. And so this idea that we are going to now have too much of a view into, most people can't afford, frankly, to get frequent pre-newvos. True. Let's let's talk about the regular person. Yeah, there's a huge barrier to entry. You're right.
Starting point is 00:23:12 It cost a tremendous amount of money for them to do it. They did it to do it once, even. Yeah, I'm saying one time. We're talking one time. They spend a shitload of money for them to do it one time. And then they're left anxious their whole life about something that frankly they can't afford to even check up on. Then you go on the polar opposite direction, somebody who can really afford it. At least for me, like, thankfully I can do that. It would just drive me insane.
Starting point is 00:23:39 I'm not saying that I don't want to know because of course I want to know. It's such a, do you, I'm sure that people talk about that all the time. They do. It's like, it's such a conundrum. Again, as a self-diagnosed hypocondriac, I think it would drive me insane. So you don't get them for that reason? I don't get. I've never got to.
Starting point is 00:23:56 Okay, well, if you're not going to do that, you've got to do the, I'm sure you do you do frequent colonoscopies, for example. I've never had a colonoscopy. I'm going to be 40 this year and I already told my doctor because have you seen this amazing documentary, Andre is an idiot? No. It's on Netflix. It's fabulous.
Starting point is 00:24:11 It's about this guy, Andre, who at 50 years old, put off his colonoscopy for two years. Everyone's like, Andre, you're an idiot. At 52, he goes in for it. They put him under and they go, we couldn't, there is a mass so large in your colon, we couldn't even get the camera in. Wow. And so it's sort of his-
Starting point is 00:24:28 So I'm 34, Terry. When do I need it? When do I need my first colonoscopy at 34? And do I really need to do pre-newvo? I think the big thing is we're all talking about, right? Unfortunately, the barrier to entry for people that are in us is so high. Like, is there, if you can't do an MRI scan, like, we're sponsored, but I'm also just a big fan of these function blood tests, right?
Starting point is 00:24:49 Like super in-depth blood tests, you're not going to get it. Is that a good? It's a few hundred dollars. Definitely. Is that a good starting point? You've got to start, is the whole point. You have to have a longevity detection surveillance plan somewhere. Now, if you're in, it depends.
Starting point is 00:25:07 Which group are you in? I have no family history of people with colon cancer, or I have a family history with people with colon cancer. cancer. So if you, if there's nothing that may suggest a genetic predisposition, right, you're in a different category. Okay. So if there's nothing in your background, your aunts, your uncles, your parents, grandparents that suggest maybe there's come some gene floating around in my DNA that could predispose me because the earlier you get one of these bad things, the more aggressive that bad thing is. Right. That's why you want to do, and this is really
Starting point is 00:25:45 the important message. Do one early. At least get a baseline. Now, does that mean you should have a prenova at 35? I think you should. Does that mean you should have a colonoscopy at, well, this is not even that early anymore to have a colonoscopy at 40, okay? I'm saying, is a colonoscopy at 34 too early? I've had, of course, like real blood work. Like we had the, Dr. Conover came on and function. Like, I've had my blood completely checked. I'm good. Thank God. But besides that, a pre-newvo or a colonoscopy? I mean, I believe, you know, it's like my peptide. You know, I'm into peptides, right? I'm like a peptide for the thing.
Starting point is 00:26:25 Yeah, let's get into it. I know, we will. You know Dr. Conover, right? Yeah. Yeah, we've had him on the pie. I'm into it. We're in. And it's very controversial. It's the Wild Well, West, and I talk all over the place about them. I love them. But this is one of those controversial areas where there's official medical recommendations and there's what you should do, right?
Starting point is 00:26:44 And what you should do, and this is not the official medical recommendation, because those are based on studies that the insurance companies sort of pay for that make sense. Because most people, you have an early study, and 90% is going to be a waste of time. So that means it's not a good study for the general population. But are you really worried about wasting money on the general population? Are you worried about finding that one rare thing that could affect and end your life when you're 35? Right. So one test, let their recommendations be for the other people. For you guys, anybody's listening. We're elite. One baseline. Now, not even for elite, for people who want to make it to the 105-115 range.
Starting point is 00:27:26 You really want to stick around that long? You will. If I had your life, I would. But right now, really at 80? Goodbye. Call it. I love my kids, but we're not already. I plan to be here when you're 80 doing this. And I'm going to sit here and talk to you because you're going to look the same. maybe even better because the age reversal technology that you're going to be exposed to. It's so exciting what's coming. But you want to do one surveillance study in your 30s, just one sort of, you know, whole body thing. Because if you do have something, okay, and the chances are you don't. But if you do, it's bad because if it's showed in your 30s, it's a super aggressive thing.
Starting point is 00:28:08 Sure. So if you have it, if you don't have you, fine. Then I'll do it when I'm 40, 45, 50. Fine. Now you can delay. But if you, you should just have one of these colonoscopies, one of these significant blood tests, one per newvo, just one in your 30s. So you know you caught any rare.
Starting point is 00:28:28 And by the way, you don't we say rare? In my world, I trained at UCLA. Okay, we were a tertiary referral center that got referrals from all over the country. And I'm the botched surgeon, right? So when I see weird stuff to me, it's not rare. This is common in eye world. So if it happens to you, it's common, right? So my point is you should all do one test in your 30s, just so you can go, okay, I know I don't have this funky brain tumor or colon cancer that, gosh, that killed me by 38.
Starting point is 00:29:00 Had I known, it would have been no big deal. Do one. So forget everyone. We're just talking me. I had my blood work. Do I need to get pre-newvo or a colonoscopy? Yes, Ben. Or am I good knowing that my blood work is good?
Starting point is 00:29:15 I need to do one of them. The blood work was looking for cancer? Blood work was outstanding. No, no, no. But which was it, though? Was it CBC electrolytes or was it that test for 5,000 kinds of cancer? It depends. He's checking now.
Starting point is 00:29:28 I will tell you. I will tell you, I will tell you, I'll tell you. I'm all in on getting a colonoscopy because it's two of my favorite things, anesthesia and ass play. I'm in green light. Woo! I'm telling you, and the prep is so much better now it used to be. You had to drink like, oh, it was horrible.
Starting point is 00:29:48 Oh, it's great. I'm going to feel so much lighter. Yeah, and the propofol. It's kind of fun. Heather and I do it. It's like a spa. I like propofoil. I like Lexa Pro.
Starting point is 00:29:58 I like them all. What I do is because my friends do it for me, the anesthesiologist, a guy who are working. for me and the guy who does my colonoscopy, his wife, his husband is my anesthesiologist. Anyway, they go in and they, I get prepped and they hand me the drug. They start the IV and they let me put me under anesthesia. Oh, great. Under anesthesia.
Starting point is 00:30:20 So I slowly give myself a hit of propofal and I go, oh. And they're looking to be like, all right, all right, come on. I go, hold on, hold on. Save it. Give myself a little more. I'm riding the snake. Great. And then they'll come by and squeeze.
Starting point is 00:30:36 I go out. Oh, I love it. I love it. Make it fun. I don't know how I tell you what this is. It was a cardiac health panel. It was hormones. It was CBC with differential and platelets.
Starting point is 00:30:49 Okay. It was CBC with differential and platelets. Enemia, cardiac health panel. Okay. Glycemic control, insulin resistance, beta cell function, comprehensive metabolic panel. SEMP. Thyroid hormones.
Starting point is 00:31:04 Okay. Okay. With all due respect, that's... No good? I mean, that's not going to tell you dilly about stuff that's dangerous. That's going to tell you, hey, you know, you probably should take some iron and maybe you need some vitamin D, you know. That's not the rule out disaster. If I would have known, I would have made it to 40 information. I mean, there's a test you can take blood test that can pretty well detect.
Starting point is 00:31:34 50 different kinds of cancer now. It's kind of expensive. Wow. But it's good. You might want to do it. Wow. What's it called? There's like four companies that make it.
Starting point is 00:31:46 I don't know. You can Google it and find it, but. All right. Cancer blood test. It's a cancer blood test. Yeah. So. Blood test.
Starting point is 00:31:54 I'm more of a fan of a per nuvo than that. I just did it. It was an easy, great experience. I have to say. Why'd you do it? Because you're so young. You know,
Starting point is 00:32:03 My wife is Mushuga. Okay. Good for her. She was a little nervous and just felt like, and I had spoke to them before because I just, I love it. I love, I've done as much sort of, I see the cardiologist twice here because I have high cholesterol. I'm getting my calcium score soon. Good.
Starting point is 00:32:20 I'm just trying to do all the things because it's not scary for me. Thank God. I like being proactive. Josh, prenuva was in my DMs. We're good. I'll be set up in no time. I'll let you know the results, Gary. I'll let you know the results.
Starting point is 00:32:32 I want to hear that. So your wife's right. She is. I'm glad you did that. And they found nothing so you can be comfortable. Totally. Yeah, the question is when do you do it again? Do I do it every year?
Starting point is 00:32:45 Do I do it every other year? I mean, I think for someone like you... I don't drink. I don't smoke. This is what I was what I think you should do. I think you should do it every year for a couple or three years in a row. And if zero has changed, then go every other year for a couple. couple sessions. And then you can go every five and then every 10. But, you know, ultimately,
Starting point is 00:33:09 you are going to get something. We all get something. The question is, did you get it early? Did you capture it early? Because right now all I have is flat feet and depression. So let's get into peptides. Obviously, it's hot, hot, hot, it's steaming hot. I have to, you know. Do you take them? I think I'm a little less bullish about peptides now five years later, but I'm still very open to it. So what's your thoughts? So the big answer, the real answer is we don't know. That's exactly right, because there's only animal tests, right?
Starting point is 00:33:41 There's only animal tests. And, you know, the problem with peptides, and you know this is they took it out of the doctor's hands and said, you know, we don't know enough about this. It's based on animal data. So they put it from category two to category one with the FDA, which means doctors can't prescribe it. Right. Unless you prescribe it for research purposes only, which is like, what? Okay, so we'll ask a pharmacy, hey, I want to do a study on this one patient. Will you make?
Starting point is 00:34:11 And then, you know, it's the bull BS loophole. Yeah. That's how we're able to do it. And then, you know, RF Jr. came by and said, I love him. You're wrong. And he's now trying to force through allowing the peptides. That's the one good thing I like about what he's doing. One, allow the peptides to come back to the doctors and go here, you guys can try it again.
Starting point is 00:34:34 Because to me, peptides are like surgical procedures, you know, they're not like drugs in that a drug you depend upon previously, the FDA spending, or a drug company spending $5 billion and going through the FDA approval process, phase one, two, three clinical trials. And you wait to see what's the data. Nobody's going to spend that money to get a peptide approved and figure out in humans how it was. works because a pharmaceutical drug company can't get a patent. Because it's an amino acid. It's an amino acid. So there's no barrier to have, okay, thank you, Eli, Lilly. Now we'll just make it. Right. Okay. So you've got to treat them like their surgical procedure. When I come up with a procedure, I don't ask the FDA, can I do this procedure? Because they don't really dictate the practice of medicine.
Starting point is 00:35:24 They're just about drugs and safety with drugs. So in surgery, what we do is we do a procedure. and then we do it again, and we present it at a conference, and then we write it up and put in our literature. Right. So that's how surgical procedures are advanced. Peptides need to be done exactly that way. We do peptides on 30 patients in our office. We say, wow, these 30 patients loved MOTC at this dose, but not that dose.
Starting point is 00:35:50 We put it in our literature, and that's how we communicate with the other doctors in the medical community, and that's how peptide science is advanced. But if you say to the doctors, yeah, you no longer can prescribe them. So now it's like a steroid and it's the back of the gym or it's on the internet or Jimbrough on TikTok. You ever seen these guys on TikTok? Oh, sure have. It's Josh. What do you mean to be seen them?
Starting point is 00:36:13 I follow them. By the way, what I do, I can't help patrol them in a nice way. But it's like 2 o'clock in the morning and this high school guy sitting here with a whole bunch of injectable drugs behind him. And I go, I go, hi. And they go, hi. And I go, I assume you're then a doctor, aren't you? Oh, no, I'm not a doctor. I go, oh, well, aren't these drugs?
Starting point is 00:36:34 I start to niggle that I'm irritated. Good, neg them. Yeah, yes, right? And then finally I'm going, well, isn't this the dangerous practice of prescribing drugs to people without any kind of data? And the guy, block that guy, you know? Yeah, and they're unregulated. So it's kind of from China and people getting put into the ICU, potentially. So we're hopefully about to get them back, the peptides.
Starting point is 00:37:00 And if they come from, like when I've gotten them from Dr. Conover, he's having a compound pharmacy send it. And that means that it's regulated, right? So to an extent? To an extent. He's having a real licensed 502A or B compounding pharmacy, which gives you some level of confidence that it's okay. But they, because it's still not regular,
Starting point is 00:37:21 they still have to get the ingredients somewhere. so they're getting them from China maybe. Really? Yeah. Sick. So the problem is who's checking the Chinese source? Right. So I'm sure you've heard of this drug, Reda Trutide.
Starting point is 00:37:36 Reda. Reda, babe, it's common. Yes, of course. If you haven't done Reda. I hear it makes it, maybe it gets the heart to speed up a little. It doesn't do that to me. And most people I know it doesn't. It's working.
Starting point is 00:37:47 Tell us everything. So you lose more weight and you preserve the muscle I do. That's hot. It's so good. And it's good for everything. it ails you. It's a GLP 3? It is. It contains the other two plus glucagon. So it burns fat directly, right? But what's happened is it's about to get FDA approval. From Eli Lilly? Yes. They've gone through all the phases and we're just waiting for them to release it. So in the meantime,
Starting point is 00:38:15 we all go, hey, would you, well, you say the compounding fire, would you make me some red and they're all, they've all been raking redda. So we're all on redda. And we love it. And finally, Eli Lilly said, you know, that's fully illegal. Because it's one thing to make a peptide that's on a doctor's list at the FDA. That's, it's unapproved, but it's on a list as possibility. This is just a drug. It's fully experimental. So it's fully, it's not on anybody's.
Starting point is 00:38:41 It's fully totally illegal for your compounding or my compounding pharmacy to make it. And they know it. So they call it GLP3. And they're hoping that the regulators don't come in arrest. them. So Eli Lilly just last month threw out lawsuits to giant telehealth companies that were selling reda. And now it's like scary illegal. Having said that, you could still sort of find some somewhere. Yeah. I know. My kind of doctor. But it's coming. The real reda is coming. And if you get your hands on the real reda, you want to get your hands on the real reda. It's the best. Are we getting to a point
Starting point is 00:39:22 where just obesity will be optional? It will be. Well, yes. I like to think, obesity should be gone because that's the thing that's causing cardiovascular disease, cancer, neurodegenerative disorders,
Starting point is 00:39:36 diabetes. We need to get rid of obesity. You know what the next drug is from Eli-Lillian they're testing? They've taken RETA, which is the three hormones, fat burns, and they've added myostatin C to it.
Starting point is 00:39:48 Myostatin C induces muscular hypertrophy. growth. So you're not only going to lose weight, you're going to gain muscle even without lifting weights. Think about this drug that's about to come up. God, that's my kind of drug. I'm going to book a big job. Yeah. This is it. This is what I needed. I'm going to be in the Marvel universe. I know it. This is what's interesting, if you look at myostatincy dogs, dogs and mice that have this drug, this immunoglobulin in them, and they are muscular and crazy. You go on your, I'll do it after the, and I'll show you a picture right on Google what
Starting point is 00:40:29 you look like. So the future is fantastic. I'm so excited about it. Oh man. I just want to see a, like a Cocker Spaniel that looks like he's fricking, like he's vascular. They have them. Yeah. Yeah. They have them. I mean, you see those, there are Cocker Spaniels born without the gene. So, this is the coolest time to be alive. The next thing, three years in humanity are the coolest time to be alive. Now, are you still micro-dosing GLPs? Are you taking the normal minimum dose? What talk dosages?
Starting point is 00:41:03 So, you know, I'm a glut, right? I'm a glutton. I can eat through anything. So I've learned how to take like a Reda or a Monjaro and get through it to overeat. Yeah, that's that because whoever ate because they were hungry, not me. Right, right. Because eating is awesome. It's awesome.
Starting point is 00:41:24 And, you know, for a while when you're first on them, it takes away the awesomeness of eating. So it really controls you. Yeah. Once you're on these drugs long enough, the side effects go away, the inability to pass to get through the dose and eat more just because you're enjoying it. So I'm more on a regular dose now to get controls. 2.5. 2.5 or 3 or 3.5 or 4. Sure.
Starting point is 00:41:51 I titrate it up. So I'm on, it depends how I feel, you know. I'm a pretty good responder. You know, when you take a group of people and you give them Monjaro or RETA or whatever GLP1, a certain percentage of them don't respond at all. Right. Some are limited responders. And those like me, the lucky ones, respond at super low doses.
Starting point is 00:42:13 Okay. So I'm a good responder, but, you know, I'll go on vacation. I'm going to Paris in two weeks to go see Celine Dionne. All right. Yeah, I know. My life with Heather Debrough, right? And lucky man. So she, so the other night, it's Sunday night. It's our inject our GLP1 drug night. It's Sunday, right? She doesn't do it. She injects peptides. And I go, and I bring up the dose. She goes, you know we're going to Paris in two weeks. And I go, oh, right. Okay. I'll let it wear off because I want to eat like a pig in Paris. Sure. So I go off it and as soon as I come on it, come back and I've gained the 14 pounds,
Starting point is 00:42:52 I go right back on it. That's the future of what we're going to do. We're going to titrate whatever feeling or physiologic state we want. Wow. Isn't that crazy? This episode of the Good Guys podcast is brought to you by our friends at I Am 8. Folks, you know I love a morning routine. Take a bottle of water, put in a gorgeous stick pack.
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Starting point is 00:44:50 Disclaimer, these statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. This episode of the Good Guys podcast is brought to you by our friends at Granola. You know that sinking feeling? The meeting ends. Everyone's nodding in agreement. And then two days later, you realize nobody actually wrote down who was doing what. Or worse, you're digging through your notes trying to piece together what actually happened.
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Starting point is 00:48:25 I started, as you know, I went on Ozempic. I lost like 60 pounds. I loved it. From there, I started eating through it a little bit. So I tried my hand with Zepbound. And? And I had horrific, horrific side effects. White, heartburn.
Starting point is 00:48:41 Mental. Mental. No, no, no. Mental. For example. I was moody. I was moody. I was a little sad.
Starting point is 00:48:49 Yeah. It was, and I'm a very happy person. It was so bizarre. I looked at my wife. I'm like, I am fucking done with this. And I then, I haven't been back on since because it kind of spooked me. Okay. So they call that.
Starting point is 00:49:03 Until, until recently I went back on Wagovi. But I took a real break. And Wagoe's better. But tell me about it. So Wagoe is like Ozempic, same. drug, right? It's just GLP1, you know, some of glutide. So that's called anhedonia. And a certain percentage of people will get anhadonia. I mean, you're not happy because it blocks the dopamine in your brain. That's why it seems to work on gamblers and alcohol addicts in general, because it
Starting point is 00:49:32 blocks that connection between that stimulus and the dopamine hit you get. So it's really effective for people who have impulse problems, right? But unfortunately, for some some small segment of the population, it blocks it for your generalized happiness. So you get unhappy, you get anhydonia. And you know, someone asked me at a conference that I was speaking at recently, they go, what do you do for your patients? A bunch of doctors talking about peptides I was on the panel. And they said, what do you do for your patients who are on the GLP1 drugs who say, I'm just
Starting point is 00:50:04 not happy? I've lost all this weight, but I'm now unhappy. And I say, I tell them, you have to choose. you can either be fat or happy, but you can't be both. By the way, that's a joke. I was like, wow. That's like weird asshole.
Starting point is 00:50:26 I tell them, if you have those kinds of things, most of the time, 98, I'm convinced all the time, if you stick with it, it'll wear off. That's sad, because I, you know, when I first started doing Monjaro, I had, I was on Tums. all day and on, you know, the anti-secret. I was on the anti-acids.
Starting point is 00:50:46 I had such terrible reflux. That stuff I didn't care about. Like, I had that, too. Like, people complain stomach problems. It's like, you were joking, but like, I would much rather have stomach problems and not be obese than be obese and not have stomach problems. It was once it started to affect my mental state that I was just like, I would much rather, especially because the GLP one worked, I would much rather.
Starting point is 00:51:11 beyond Wagovi, and maybe the weight loss is a little bit slower, but it's weight loss and I'm happy versus whatever the fuck happened to me with Zepa. By the way, I'm glad you said this because that's exactly what you're supposed to do. Find the one that works. Find the one that works. Find the dose that works for you. It doesn't mean just because Eli Lilly says, if you're got to be a migrator than 30 or you've got a comorbidity of X,
Starting point is 00:51:35 you should take it 2.5, then go to 5, then go to it. You know, that's based on the FDA studies. that's not based on real world use. So that's what we're learning from people like you. Hey, Monjarro in general, faster weight loss, maybe preserves muscle a little bit more, but for me, it gave me this unhappiness. So I went back to Wagobe and I did this way.
Starting point is 00:51:56 Great. So now we've learned from you what to do. You go to another drug and you find the dose that works for you because those FDA studies aren't done this way. They're just done for safety to make sure nobody gets cancer. or some terrible problem. So that's why the peptides need to be given to the doctor. So we can figure out who does it work for at what dose?
Starting point is 00:52:20 Who does it not work for? That's clinical medicine when we learn clinically in the real word how to do things. What you might try if you get used to a govi or you get too high a dose of this. As soon as RETA comes out, that's your drug. That is the greatest drug since I want to try. Reda. And it doesn't have that side effect of like the Zep bounds. It certainly could, no?
Starting point is 00:52:44 Well, it does. Okay, it tends not to because they lower the dose of the others when they add another one. So it tends not to have as many side effects that you got from the others because the others that are part of it are in a lower dose. You know, there's this fancy term called tachyphylaxis. Tachyphylaxis means the longer you're on a medication, the less reactive you are. to the side effects. So we always say they can just get past the point and go to tachy flaxis, all that other stuff. I agree.
Starting point is 00:53:18 No one wants us to be sit around for six months being depressed, right? That's maybe so unacceptable, whereas reflux heartburn was more acceptable for you. Exactly. Yeah, but that's what you do. If it's not acceptable, you go, yep, nope. And that's why it's great that there's so many options. You know, there's the Wagovi P. So many options.
Starting point is 00:53:38 There's Wagoe pill now. We have an amazing sponsor in Roe that is like they've, for me, they've been, I literally got to pick it. I went on Roe.co and I said that I wanted Wagovi and they gave me Wagovi. Injectable. You can literally pick. You want to try. Injectable. You want to try the pills?
Starting point is 00:53:54 They'll let you try the pills. Yeah. The pill. Like they really, it's. The pills may ultimately probably will be the way to go. The pills because they'll probably tend to have less. You know, when you inject it, it goes right up in your bloodstream. Yeah, I like it.
Starting point is 00:54:07 It's like hard rock. Yeah. It's like, you know, if you're going to listen, listen to metal, what are we listening to Smooth jazz? I want to feel it. But it's so true, right? Because when you inject it on a Sunday, it's peaking your blood by Tuesday night. That's when most people get whatever side effects, the nausea. So it's funny, because I'll go out to dinner on a Sunday and I can still eat like a pig because it's worn off a little bit from last week.
Starting point is 00:54:33 But by Tuesday, I'm going, I'm not going out to dinner tonight. I'll look at the menu and go, no, thank you. But these pills are much lower dose. They create what's called a steady state in your blood, which is where you want to be, where they're at the right concentration, much more slowly, and that tends to have way less side effects. The problem with the Wogovo pill, the Wagovi pill is you have to do it on a full empty stomach. You can't eat or drink anything for 30 minutes.
Starting point is 00:55:03 The new Orgalypron that's about to come out from Eli Lilly, which is their GLP1 pill, you can take it on a full stomach at any time during the day. And what about, so Wagovi is a GLP1 and then... It's basically a Zampic. Right, and then Tresepotide is a GLP2. That's right, two hormones.
Starting point is 00:55:25 And so what does the second hormone do? GIP. That's the slower, slower emptying of the stomach. Yeah, gastrointestinal polypeptide, GIP. What it does is it slows things, down even more. Yes. It does like GLP1, it does act on the satiety centers of your brain. That's the main thing that GLP1 is doing is the satiety centers. Among the main things. Among the main things. Some people, it's interesting what kind of responder you are. You know, I'm a kind of,
Starting point is 00:55:54 I was the kind of person. I have food. I'll bet you are too, Josh, maybe. You had the food noise a lot. Oh yeah, I call it Radio KFuck. You can have that one. It's horrible. It's good, right? Yeah, yeah, yeah. It wakes up before I do. And it goes. goes, everything's going to be bad. No, but yeah, of course, you know, we laugh. It's a Jewish thing at lunch. You're talking about what you're having for dinner. Right. Yeah. Yeah, it's the food noise. Like, I'm testifying in court this week, okay, so I'm studying as an expert. Yeah, what are you and Lindsay Clancy? No, no. I love to imagine Terry Dubrow walks in there. What's he the expert? I feel so sorry for that psychiatrist girl. She's one month out, just learning how to prescribe these
Starting point is 00:56:34 drugs. They put her on the stand and this amazingly good defense attorney is shreddington is shredding is questioning her about her medical records and about stuff like she said remember that one where she goes no some no this pressured speech or that he goes well you don't write no pressure speech you just write no whatever the thing was before it. Do you remember that? What are you saying? So she did have pressure speed. I meant no pressured speech. Well in medicine we write No fevers, chills, body aches. We don't write no, no, no, no, no. We write no, no, and then everything after that's a no.
Starting point is 00:57:12 And she knew that, but she couldn't say, well, the way we do it in medicine, we write no once and then everything after that's no, no. He goes, so then it was pressured anyway. I feel so bad for now. I've been on the stand for 30 years. I would have got, no, no, no, no, no. Sure. That's not the way it works, but it's hard to be on the stand for the jury and the judge.
Starting point is 00:57:31 I love it. But anyway. Yeah. I forgot we were talking about. We were talking about... You're going on the stand. Yeah. You're going on the stand for something.
Starting point is 00:57:40 Thank you. So I'm studying for going on the stand, the records. So as I sit down and I'm looking at all these doctor's records and reading these depositions, I immediately go, you know what, be fun right now while I'm reading this? Something, I'm feeling peckish. Yeah. No pun intended. A little snack.
Starting point is 00:57:58 Love. Wouldn't it be nice to have like Eminem's? Yeah. Annoche. A nash. And when I was in med school, we would go to Trader Joe's before we wanted to go to the library and go through the bins with the... Of course.
Starting point is 00:58:15 And then we get to the library and go, oh, the kidney is so interesting. Oh, look at the spleen. Wow, the spleen. And just eat. The food noise. It gets rid of the food noise. Man. It's the best.
Starting point is 00:58:29 But not everybody has food noise issues. The best. really good at the food noise. Bringing it back to the GIP. It's crazy to think that not everybody has food noise. Like, how is that, like, where does that even come from? Like, there are people that just walk around every day not thinking about food. I don't know.
Starting point is 00:58:47 I think it's in the Jewish gene to have food noise. It just comes with that, you know, with the desire for higher education and guilt or something. Yeah, no, it's a Jewish thing. Flat feet, you know, near-sightedness. Some people just once, they don't have the food noise, but once they start to eat, it's so enjoyable that they can't stop and they'll continue to eat, even if there's some background nausea because they're full, I can back, I can eat through nausea because I'm enjoying.
Starting point is 00:59:20 Thanks, you're a pro. I'm a pro. We take it seriously. Me too. I've gone home from dinner, okay, and God, I am so sick to my. stomach and then I'll go into the kitchen and open up the pantry and go, but there are potato chips. Yeah,
Starting point is 00:59:36 Twizzlers. Nothing like ending like a beautiful $500, gorgeous steak, fancy dinner with like a gas station treat. It's the best. Yes. The ultimate dessert after I've had dessert already. So for me, these drugs have really done a great job for that. I think the big pushback right of like,
Starting point is 00:59:57 especially these BPC 157, that are so popular, obviously GLPs are FDA approved and studied. And studied, the BBC 157 is the idea of angiogenesis. That's right. It's scary. Yeah, the fear that while speeding
Starting point is 01:00:14 up healing, you're also speeding up bad cells like possible cancer cells in your body. And what do we think about that? So, I have two thoughts on that. Number one, there is always that concern, but one of the things I've noticed in general about peptides is
Starting point is 01:00:29 okay, whether there are the 10 million people in the United States taking them out roughly estimated, maybe even more this month because more and more and more, how many big advanced tumors are seeing in young people or people who have been on for 10 years? It's just not really happening yet. So I think one of the reasons why this is such a gray area is because it's not like opioids where people are falling dead in the alley and we have to deal with this epidemic. Where's the epidemic of people getting sick from peptides? It's super small. It's not really there. They're kind of sort of they either work for some people, don't work for others, but they're not really making anybody sick. It doesn't seem. Well,
Starting point is 01:01:12 what about 30 years from now? Okay, if it doesn't happen in 10 years, we've been on for 10 years, I don't think it's going to happen 30 years from now. So I think they're pretty safe. So that's the one the one issue behind why I think, what I think about and I think it's probably okay. The The other issue is, do they even work? Do they even do anything? But you're so bullish. I'm bullet. Well, I can tell you I have, I have 5,000 patients who take them.
Starting point is 01:01:43 So I have my own little study. I don't prescribe them, but they're all on them. I work, I live in, work in Beverly Hills, everybody in Beverly Hills who would come into a plastic surgeon is on peptides. So you go, what do you take in the LSA, BPC 157, you know, the Wolverine? Why do you take it? I don't know, my doctor told me because it's good for inflammation and I have a sore thing and blah, blah, blah. You go, what do you think?
Starting point is 01:02:04 They go, some go, I love it. And then others go, I have no clue. Right. And look at you. You took them and now you're kind of going, did they really do anything? I felt like it helped. It was like a super creatine, the Ipamorelline, a Tetzmerallin's FDA approved drug. But like, I felt recovery was easier.
Starting point is 01:02:24 Yes. For sure. I was able to go out, work out harder, quicker. Okay, I was the other day, I was with arguably the biggest reality star in the world. Donald Trump? No, no. Okay, maybe not. Okay.
Starting point is 01:02:37 But. Terry, watch what you say. or family of any kind of cancers. And I go, you know, it's an angiogenesis. It's making more blood vessels, which is very good for inflammation and tissue healing. But if you have a tumor that's just sitting there quiescent, not doing anything, and you start feeding it blood and it increases its blood supply, that may make it grow. And she went, seriously, go, yeah, why don't you cycle off it for a while?
Starting point is 01:03:23 Isn't that crazy, though, that this is, God knows we don't know who you're talking about, but that like she doesn't, has access to amazing doctors and they weren't telling her this? Well, they would say, yeah, I've never heard of that, and I know that's theoretically possible, but show me that that's ever happened. I go, well, here's the problem. It's never been studied on humans. So I can't you show you that? That's why he's one of one, you know?
Starting point is 01:03:48 Right. Maybe, and then the second is Paul Nass if we guess. No, we love Paul. By the way, at this point right now, who is actually Paul Massif? Where is he? What is he? What is he? I'm not even sure, as Connor McGregor would say, fuck that guy.
Starting point is 01:04:07 Wow. Wow. Oh, God. I love Paul Massif. So, you know, they put, so we were about to start. I know, right? We were about to start botch 2.0, a new exciting version of botch. And they said, well, they put us on pause
Starting point is 01:04:24 because they're doing this golden girls housewives of the original New York. We went, you're putting botched on paws. We're saving lives to talk about trunk women over the age of 60 running around in Palm Beach. Seriously? That's what we're doing. That's where we're going with this.
Starting point is 01:04:43 That's unacceptable. Unacceptable. So Paul is doing, Paul is, you know, Paul does like the greatest nose, the greatest facelift. He's the greatest guy. He's got young kids that he's raising. Poor guy. Imagine you guys are young. How old's your youngest? His, my... 16 months. Yeah, mine's 14 months. Oh, you're... How old's yours? I have a 7, 3 and 14 months.
Starting point is 01:05:05 Oh, so you're too fully... I'm in it. I'll ask you 10 years from now. Hey, how'd you like to have a two-month-old? It'd be a lot. You'd be good. Yeah. But, you know, he's got a wonderful wife and he's got, what, a 3-year-old and a 1-year-old now? I mean, if you said to me, how would you like what I said? You can't. I'm trying to get my 15-year-old out of the house. Right.
Starting point is 01:05:27 It's, anyway, it's a, you know, I'm sort of on the emergency road to empty nesting, I hope. So, Dr. Terry, I'll make it personal because I'd love to hear your thoughts. Because we talk about all these amazing improvements and breakthroughs. So, like, personally, we talked about this in the last episode, but I think finally at 40, I'm going to do it. But when I lost all this weight when I was 21, right around like 19 years old, I'd lost a lot of weight. And so I did the typical thing where I had skin removed from my abdomen and I had skin around my chest. But I'd had a wonderfully conservative plastic surgeon where she said, look, if I make you completely flat, you're going to have these two hook scars. Yep.
Starting point is 01:06:13 That are, you're trading one thing for the other. And it'll be noticeable. And as we know kind of more now, she didn't say this then, but as we know more now, 20 years later, it'll look like a mastectomy or top surgery. That's right. And she said, so I'd rather go around the nipple and do something more minimal. And she did. And it was great, but it's, I'm still, you know, self-conscious taking my shirt off at the pool. The skin's still a little loose?
Starting point is 01:06:41 Yeah. And I can never wear it really a tight shirt. Right. And so at 39, I was like, well, times how much? my side. I'm sure 20 years later there'll be improvements. Turns out there's none. I know. And I realize that like, well, the tradeoff is I feel insecure now with my shirt off. At the very least, maybe I go and do this and get the hook scars and feel great in a t-shirt. Yes. Because I've worked hard to work out and, but I can't really enjoy it totally because.
Starting point is 01:07:09 Yeah. I mean, it's interesting. You know, I always tell this story. But if you would have told me in 1986 when I graduate UCLA Medical School that 40 years later, 2006 now, in order to get someone skin tight on their face, their abdomen, wherever, we're still going to take a scalpel, lift everything up, cut all the blood vessels,
Starting point is 01:07:29 pull it out, cut the skin off and stitch it. Now, 40 years now, it'll be zzz with some kind of device that you put inside or on top. And that's what you've been waiting for. You've been waiting for a device that tighten skin without having to lift it, dissect it, and cut it out.
Starting point is 01:07:46 Yeah. Right. So we're still not there, but it's getting a little bit better every year. So the question is, do you wait for one of these energy transmission devices, which will come in the next five years? Or do you just say, forget it, I'm just going to add the scar. Because the big tradeoff is the scar who. Wait.
Starting point is 01:08:11 Wait. Wait. You waited long enough. Right. I don't just wait how often are you how often are you at the beach wanting to take off your shirt that's the thing it's not the beach it's everyday clothes right like if if i if i could have told myself how often do you want to wear skin tight t-shirts it's not skin tight why i'm listen let me tell you it's not skin tight and you're lucky ben because you've while had some some weight on you you have i've
Starting point is 01:08:42 seen you with your shirt. If you have a beautiful flat chest, you've just carried it in your stomach. But as a man, to have skin around your chest, it's harder. And you see it through every shirt, even a looser shirt. It messes with your whole profile. And I'm not a dentist. It could be different. I'm just, I'm in the business.
Starting point is 01:08:59 I have a big right, I have a big right breast. No, you have a nice, you have a beautiful chest. So have you tried any of the body tights? This Morpheus. There's this truce. The Zerf, the, hold on. The Zerf, what's the thing on the face now that's so hot? The Zurf is the hot thing.
Starting point is 01:09:20 Zurf and is it true, not true scope. Oh, it's the soft wave. Softwave. Yeah, it's not going to work on the body, is it? I did this. And I literally, I said to Chat GPT, chat GPT said, stop it. Do the surgery. They were just like, you're going to, it literally was like, you're going to improve it 10%.
Starting point is 01:09:39 and it's still going to be noticeable with all of these. Did you try the body tight? Modalities. I'm sure you've heard of Renovion, the J Plasma. Maybe. You've heard of body tight. They just use different energy devices. One uses J-plasma technology.
Starting point is 01:09:55 Another one uses laser. Another one uses ultrasound. What you're trying to do is deliver some kind of energy on top of the skin or underneath the skin so that the collagen and the elastin go, right? Sure. And tighten. And it's getting.
Starting point is 01:10:09 better and better. And there will be one day when finally one of these $275,000 machines that plastic surgeons and dermatologists get actually do what they say they do. That'd be fun. Because everywhere you hear the new terminology and they show you the before and after and no one you know ever gets the after. Sure. Have you seen that? Yeah. Right. So, I mean, it really depends on how much loose skin you have. If you have so much loose skin that it's still going to be 10 years before it's tight, show it to me after. Oh, I will. I've shown it to you before. I know, but I don't remember. Good. I'm glad it didn't, you know, stick in your memory. You know, he's like, yikes, 10,000 surgeries later. I know. Because you know, you know, when Chris Jenner had her facelift, right?
Starting point is 01:10:59 She had a facelift? Yeah. That set made facelifts like, oh, Christianer did it and made it public. Now it's cool, let everybody get a facelift. So then you're seeing 38-year-old people in your office wanting a facelift. You go, okay, hold on a second. You don't even need a facelift. Yeah, you can use a little tightening. You need to wait because, you know, a facelift is incisions and scars and elevating up the skin and numbness and all sorts of potential things can go wrong. And if you have too many facelifts. When it starts to relax, it can relax in weird ways that doesn't look. You've all seen it. People who look pretty good, but there's something about the way their skin lies on their face that looks unnatural. And it ruins the whole look. Yeah. You know, it's like having a beautiful
Starting point is 01:11:46 cake and there's a bug on it. You go, oh, that case is beautiful? There's a bug on it, you know. God, does Anne Hathaway look good? Allegedly. She looks great. So does Lindsay Lohan. She does. She's preemptive. Sometimes it can be good. But they're not in their 30s. Sure, early 40s. Yeah, or maybe 50. I don't know how. But the point is that for those people in their 30s who want some skin tightening, that they need to wait because there will be the technology that will allow early facelifts without cutting.
Starting point is 01:12:17 But for you, if it's too loose, you know, bite the bullet. It's funny because I have a lot of people come in and they want me to tighten their. Because everybody, everyone I see now is either botched or they just lost all this weight. Sure. So they come in with loose arm skin. Arms are hard, right? Arms are easy and hard at the same time. Because if you're loose from the elbow, the armpit all the way down to your elbow, okay,
Starting point is 01:12:40 there's really only one procedure that tightens it. It's called a brachialplasty, but it's a scar from the inner armpit to the elbow. And you go, this is not worth it, you know, unless, of course, they've lost 300 pounds, and there's so much laxity. Yeah, my mother would call it the Hadassah Arms. That's what my mom calls it, too. That's what we call it. Hadassah.
Starting point is 01:13:04 Isn't that funny? Oh, my kids used to walk by me and go, oh, dad, Hadassah. But it seems to have gotten better since I've taken. We're all from the same. I know, since I've taken another approach to this. But if you have early laxie, don't go in for your Chris Jenner facelift.
Starting point is 01:13:21 Still wait because that technology is just around the corner. Should we get to what do you not spend? We should, but first, I didn't mean to be incentive about your beautiful chest, Josh. Oh, I love you. You look fantastic. I just don't want you to, like, be self-conscious. You look fantastic.
Starting point is 01:13:37 And I'm over here, significantly more overweight than you. I do have big breasts. You're telling me I don't. But I'm not, it is what it is. If you want to do it, you do it. But I think that if Terry is saying, again, that what you've been waiting for is right around the corner, maybe we wait to turn the corner.
Starting point is 01:13:54 But will it be, I like it. I like it. But will it be on Groupon? Because it's the only way I'm doing. No, I'm kidding. Terry's doing it for you for free. He already told me. Definitely.
Starting point is 01:14:02 My guy. Before we get into Woody and nuts, Terry, anything new that you want to talk about, anything going on with you? We've spoken, of course, about all of these new, wonderful things that are going on in the field, but anything specifically with you? With me? Yeah. Yes. Anything you want to promote? Anything.
Starting point is 01:14:21 Well, there's some rumor that I actually may start my own. Just sit and stare at the camera, talk to the camera and talk to the audience. take calls, podcast, maybe. Yeah. And I might do that, this amazing company. You know the company, maybe, okay? Fun. Yeah, which would be great honor.
Starting point is 01:14:40 I'd love to do that. The question is, they're an amazing company. Yeah, the question is me sitting there staring into a camera, taking calls. That may even bore me. Okay, I'm not. No, no, no, we'll be, I'll be your, I'll be like your, you're Robin. Yeah, I appreciate it. I'll be in the booth.
Starting point is 01:14:57 Okay. And we've got, you know, we got Joe from Cincinnati. He's and he wants to get a break. Pachialoplasty local. Yeah, because fucking nuts. The reason I'm thinking of doing that is because, you know, it's like AI in general, everything's changing every week. In health, wellness, and longevity, it is literally changing every week, okay?
Starting point is 01:15:15 So I'm doing a lot of that. I still do quite a bit of surgery. I'm trying to do less. I try to only operate two days a week. I used to operate seven days a week. I'm trying to defocus on the surgery and focus more on how do we stay alive. and what kinds of things can we talk about that prevent disease, treat disease,
Starting point is 01:15:36 and allow us to have longevity. So that's really where I'm focused on now. This is a really good time for any of us to be alive. I mean, I'm just so happy that we got to overlap human history right now. And you guys are even luckier, because you will get to take advantage of all the age reversal, longevity preserving, enhancing technology. You guys are so lucky being at your age.
Starting point is 01:16:00 You have no idea. This is what I've been saying, Josh. We're so lucky to be alive today. Folks, what are you nuts? Or what are you nuts a moment of the week is our gripes with people, places, and things, both big and small, Terry, whatever's sticking in your craw.
Starting point is 01:16:13 It's a problem. It's something that's been bugging you. I'll go first. It's very on trend. Considering we know that they work, Terry, these GLP ones, these GLP twos didn't work for me. They worked for other people to read it true. These people who are still judging the usage of the,
Starting point is 01:16:29 of these medications. The fact that I even had to have a conversation with you here saying not everybody has food noise means that people need to mind their own fucking business. Totally. And they don't know what's going on in the head of somebody else. If you maybe had the brain that said eat, eat, eat, but I'm full, eat, eat, but I'm full. Maybe you'd want to experiment with it too. But you were fortunate that you were born with a different brain that doesn't need that.
Starting point is 01:16:55 And so you don't need it, but don't judge people that do. it's classless and it's enough. So that's my Woody Units. I love that one. My Woody Units moment of the week is the other day I was on a Zoom meeting and it was based. The people on the meeting were based out of New Mexico and one of the guys speaking was like, oh, it's so nice to have our, you know, friends here from New Mexico. I've never been to New Mexico, but I've been Arizona.
Starting point is 01:17:22 What? Who cares? What are you nuts? That's nuts. That is good one. Great. That's nuts. That's nuts.
Starting point is 01:17:36 That's like when somebody says you say your birthday's April 3rd, they say, oh, mine's April 10th. Oh, I know. Who cares? That's true. It's not the same day. And even if it was, who gives a shit. Terry, what do you got?
Starting point is 01:17:50 I have two. One, you've heard over and over, and I'm sure you've all complained about it. And then another one, what are you nuts? There are some celebrities right now who I've seen pictures of who are obviously on the GLP1 drugs, fabulous, but they are way, way too skinny. Like way. Yeah, sure. Okay.
Starting point is 01:18:12 And it's kind of, you know, Karen Carpenter moment. It's like, you know, are you just stopped eating because of these drugs? You eating nothing? And, you know, after a certain age, if you're too skinny, I don't. care how many faces you have. It just looks older and it just doesn't look right. Plus, so too skinny. What are you nuts? Too skinny. And then the other one, of course, is the one you've heard a million times in various, you know, ways. I don't understand people who in the gym will talk on their phone or do the FaceTime while I'm in the gym with them.
Starting point is 01:18:50 And I'm next to them and they're talking on their phone or they're watching streaming you something without the headphones, without the AirPods. If you're in a public place or around anybody, and even my wife, she does this, put your AirPods in if you're going to listen to it. Yes. Because you're polluting my airspace with sound. What are you nuts? This goes for speakerphone calls to, by the way.
Starting point is 01:19:20 No more speaker phones outside. That's what I'm saying. That's exactly what I'm saying. Put the phone to your fucking ear. Okay. No speaker phones. Exactly. No. Good. No. No. No. It's terrible. Terry, it's always a pleasure. We love you. Always a pleasure. I love you. I love you guys. The greatest. We really do. You're at the, it's the perfect intersection of everything we love to talk about. And hopefully next time I come. It's wonderful. I'll be talking to you about a device that that tightens your skin without cutting and something that literally turns back your DNA and reverses your age. That's about to happen. I hope that happens next time I come.
Starting point is 01:19:56 Wow. Well, by the way, you're going to break that on our show. So, folks, this is episode's five stars. Otherwise, what are you nuts? Listen to us wherever you get your podcasts. Watch us on Spotify. The Spotify video, Terry. I'm just telling you, when you get your own show, you put it on Spotify. The video, it's 8K. You've never seen anything so crystal clear. Mondays and Thursdays, folks, we will see you next time.

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