Habits and Hustle - Episode 395: Dr. Abe Malkin on Next-Gen Health: NAD Drip Therapy, Ketamine and Environmental Testing

Episode Date: November 5, 2024

Are you curious about the latest trends in longevity and wellness? In this episode of Habits and Hustle, I am joined by Dr. Abe Malkin, to discuss all of the latest health treatments and tests that can help you optimize your wellbeing.  We dive into the importance of comprehensive testing to identify root causes of health issues and the "total tox burden test.” We also discuss NAD IVs, ketamine therapy, and innovative social wellness clubs. This episode is packed with intriguing information and the latest biohacking trends so tune in today.  Dr. Abe Malkin is the CEO and Founder of Drip Hydration. He received his combined MD/MBA degree from Tufts University School of Medicine. He then completed his Family Medicine Residency training at Kaiser Permanente in Los Angeles. Dr. Malkin is Board Certified in Family Medicine and an active member of the American Board of Family Medicine. He is the Founder of Concierge MD Los Angeles, a full-service concierge medical practice in Los Angeles that focuses on medical house calls for primary and urgent care needs. What We Discuss: (00:00) NAD and NR IV Therapy (05:51) Effectiveness of NAD Supplementation Methods (10:59) Importance of Daily Exercise for Health (20:31) The Importance of Healthy Habits (26:43) Social Wellness Communities and Trends (37:28) Innovative Wellness Practices and Therapies (51:08) Importance of Regular Full Body Scans …and more! Thank you to our sponsors:  AquaTru: Get 20% off any purifier at aquatru.com with code HUSTLE Therasage: Head over to therasage.com and use code Be Bold for 15% off  TruNiagen: Head over to truniagen.com and use code HUSTLE20 to get $20 off any purchase over $100. Magic Mind: Head over to www.magicmind.com/jen and use code Jen at checkout. BiOptimizers: Want to try Magnesium Breakthrough? Go to https://bioptimizers.com/jennifercohen and use promo code JC10 at checkout to save 10% off your purchase. Timeline Nutrition: Get 10% off your first order at timeline.com/cohen Air Doctor: Go to airdoctorpro.com and use promo code HUSTLE for up to $300 off and a 3-year warranty on air purifiers.  Find more from Jen:  Website: https://www.jennifercohen.com/ Instagram: @therealjencohen   Books: https://www.jennifercohen.com/books Speaking: https://www.jennifercohen.com/speaking-engagement Find more from Dr. Abe Malkin: Website: https://driphydration.com/  Instagram: https://www.instagram.com/abemalkinmd/?hl=en

Hi guys, it's Tony Robbins. You're listening to Habits and Hustle. Crush it. You guys, this is a real treat because if you've been listening to Habits and Hustle from the beginning, then you may know who my guest is today. It is my dearest of dearest friends, Dr. Abe, otherwise known as Dr. Abe Malkin. Him and I actually started the podcast together five years ago. I think we had like three or four episodes, maybe more, but you never heard him talk because I talked the whole time. And he kind of was, you know, what would you say Abe? What happened to you?

Where can you go find those in the archives? Those archives? I think they would be very entertaining. Oh, it's hilarious. So Abe and I just full disclosure, used to be like super, super tight, we still are. He's like my little brother, I love him. But Abe went on to be bigger and better and just so crazy successful. I'm very proud of him. He has like five different big health and wellness companies. He covers everything. So he is like the guy in longevity. Like if I have a question I

always call Abe and then he's he's too big for me. So he passes me onto an underling, but, uh, that's okay. So Abe, anyway, thank you for being here. Pleasure. See, this is what happened. You put me on the podcast. I learned all your trade secrets and I just went on and started my own business. Yeah, I know.

See, that's exactly what you do. And now I'm back. Right, right. Now you're back after five years and crushing the world. By the way, for you guys who are watching this and not listening, Abe and I are actually doing an IV. It's called a Niagen IV. And it is supposed to be the next level game changing for your mitochondrial health, your cellular health. Abe, actually, you're the doctor. Can you talk about what we're doing?

Yeah. What's interesting is this is a new product, the Niogen IV that is basically a precursor to NAD. If we were getting an NAD IV right now, we would both be so uncomfortable. We wouldn't be able to do the podcast. I think they actually tried to do it at one point and we just couldn't do it. Oh, it was horrible. But by the way, we actually did the NAD. We did a couple of those NAD IVs with Dennis Rodman.

Do you remember? Yes. And you need to be like a professional athlete to like get through it quickly. And the NIDIN IV is much different. It gives you even more benefit than the NAD IV, but you can race through it in 75% faster than you can in NAD IV. So we're gonna get the IV done in 30 or so minutes.

Really helps with energy, with mood, with sleep, with brain health. So a lot of benefits of the IV in a very short amount of time. Okay, so let's talk about this. So for those of you who don't know, because we're talking as if everyone should know what an NAD IV is, right? So people do know what NAD is, I think. A lot of people who are, you know, know about NAD, but people take it in pill form. Can we just give a brief overview of what NAD is just overall, what the benefits are and of

different forms so people have an idea. So just some back backstory. You know, those in the biohacking community have known about NAD for a long time, but it's great that now it's becoming more mainstream. Makes my job a lot easier that I don't have to explain it to as many people because people are starting to hear about it now from their friends, their doctors and so forth.

But essentially NAD is an enzyme, a coenzyme that helps your body generate chemical reactions. So everything you do in the world requires your body to be generating chemical reactions and you burn through your NAD levels and as you age, you produce less and less NAD and which is one of the reasons that contributes to aging. So from an anti-aging perspective, NAD is really helpful for helping reverse the clock. So as you're performing these chemical reactions, your body is using up the NAD almost like

a blank check. So whether you need more energy or better sleep, you have addiction problems or whatnot, NAD is really giving your body what it needs through that chemical reaction process. It's powering your energy production in your mitochondria. So at a very basic level, as you age and your body requires more and more NAD, repleting it with IVs or orally can really help you give yourself the stuff it needs to help prepare itself. Okay. So NR, right? Is NR the same as NAD? Great question. So NAD is made up of two things, made up of NR and NMN. And so a lot of people are out there selling NR supplements, selling NMN supplements.

NAD is the combination of two. But the reason you hear about NAD specifically with IVs is that it's not bioavailable. So if you take it orally, you can't absorb it into the cells, which is why you have NR and NMN supplements. So with this IV in particular that we're getting right now, because it's NR, it can pass through directly into our cells without having to get broken down first, which is why when you get an NAD IV, it takes three hours because you have to infuse it, it gets broken down, it's uncomfortable, and then it's absorbed up into the cells.

Whereas the Niagen IV with NR is absorbed directly into the cells as you infuse it. Okay, so there's always these a million, I get a ton of questions just on the difference between NR and NMN. Can you talk about why is there such controversy between the two? And is there a big difference? So there's been studies on both sides, NR and NMN, about the bioavailability and effectiveness. I think there's studies on both sides, but it's clearly evident that NR is absorbed into the cell directly, whereas NAD has to be broken down into the two components. And that's why you see supplements selling oral NR or NMN, you won't see supplements selling oral NAD.

But, and okay, so, but right, so like if you're taking an oral, let's just say with oral, NR versus the oral NMN, which one is more effective? I would say that the literature at this point is pointing to NR being more effective and more absorbed, better absorbed into the cell and leading to higher levels of NAD. And really, ultimately, that's what you're trying to get. You're trying to get higher levels of NAD. So it's really important is to actually track your increase in NAD levels to get an objective measurement. And that's what's exciting right now. A lot of people have been talking about the subjective benefits of NAD for years, better energy, better sleep, better mood. But now there are tests coming out which can objectively measure your NAD levels after taking supplementation, either orally or VIV. So if you're taking in an IV form versus orally, it kind of goes right into your bloodstream. So is that why, A, does it work better?

Is it, what is the difference? Or you can also take those people I know are taking NAD shots. I would say the hierarchy in terms of effectiveness and absorption is the best way you can take any supplement for that matter is really IV because that gets completely absorbed into the cell, then intramuscular or subcutaneous and then oral. And so the amount of NAD gain you can generate from a treatment via IV is far greater than what you can gain via oral. If you had to take oral pills to equal the amount of NAD that you're getting from an IV infusion, you'd have to take many, many pills. And that which wouldn't be, wouldn't feel good

in your stomach. So for most people, the amount of NAD delivered via IV is far greater than an oral pill, which is why you generally see better absorption rates via IV. Can you OD? No, that's a great question. People ask, you asked me the other day, said, Hey, I just got an NIDGEN IV the other day, can I have another one today? It's like putting gasoline in your car or getting an oil change. You know, your car will run more efficiently if you get an oil change every day, but you

can't have too many oil changes. And so I say to people, your body will use up whatever you give it. You're constantly performing chemical reactions and using up NAD. So the more you give yourself, the better it will run. But does it store or do you just pee it out? It's a molecule that your body is constantly using it. So you will use NAD on a several day lag time. So if you get an IV today, you'll use it up over the next two or three days. You're not going to use it up all right away, but your body will use more of it the more you give it.

And so it is soluble. So if you do, you could essentially urinate it out. It's not going to overbuild in your body, but you really can't take too much of it. That's good to know. Cause also, cause like, I'm always concerned with supplements in general that your body will acclimate or you're giving it what it's not deficient in, so therefore it can be harmful. That was always my concern. It's a great question. So I like to think of supplements or any treatment for that matter in terms of precursors versus end products. So if you give your body an end product, like if you give your body testosterone, or if you give your body an end product like you give your testosterone or if you give your body growth hormone, it triggers your body's natural reaction to stop production because you're getting it exogenously. But any day because it's an it's it's an enzyme, it's a precursor, it's fueling your body's production even more. So your body knows what to do with it and to generate more of it.

So if you give your body an end product versus a precursor, your body would shut down its production, but if you give your body a precursor, it's actually stimulating it to produce more. So then, okay. Why is there so much talk though about NAD and anti-aging? So if it's about your cellular health or mitochondrial health, brain fog, how does that, they make this sound stupid, but how does it make you look younger? So think about your body is always trying to self-correct.

And as you age, part of what causes aging is your body's inability to self-correct. And studies have shown that NAD levels naturally over time decrease. So at the age of 30 or 35, your body starts slowing down its production of NAD. Therefore it can't self-correct as well. Additionally, toxins, stress, alcohol, other things that we encounter on a day-to-day basis reduce our levels. So in a perfect world, if we never reduced our production of NAD or plenty of other things that cause aging, we wouldn't age.

But the idea is to find out what is causing the harmful effects of aging and replace that in a safe way to slow the effects of aging. I'm just fascinated by all this because like how does anyone know it really works, right? Cause we're living in a time when like everyone's doing all these things, right? The cold plunging, the saunas, the IVs, you name it, right? Like red light, all the things.

And like a lot of times people are like, well, does it work? And you're like, I don't know. Like, how do you know? Like what are like, unless it's like, is it a placebo effect? Like if you think it works, it works. Like, is there a measurable test that people can take to see what's working, what's not working? It's a great question. There's a couple of things you can do. So first of all, subjective benefit is benefit. Whether or not you can measure it, there are still plenty of subjective benefits of treatments like this, as there are with cold plunge and with infrared sauna and other things you can do. And it's not that there's one silver bullet that accomplishes everything. I think they each incrementally help. That being said, you obviously want to have objective benefits as well. So you can check NAD levels. You can check your biological age.

That's a very popular test now that there's a couple of different companies that sell. That tests things like methylation on your DNA strands and essentially measures how close to being pure your DNA strands are from how they were when they were originally created. And that's why you can check your biological age versus your chronological age and see what the difference is. So there are definitely objective measures of aging that people can check. And, you know, guys like Brian Johnson have a large discrepancy between their biological age and their chronological age through all the things that they're doing. Well, it's so funny you brought up Brian. John, his name has come up now like four times to me in the last few days. Cause funnily enough, me and Ben Greenfield did one of these niogen IVs on Friday.

That's why I was like, well, is it okay if I do one again? And he, we talked about him because the guy's doing like, he makes Ben Greenfield look like a wallflower compared to it. Like I said to him, like, what has he done that you haven't done at this point? Because the guy's like all in. Is that, and I hate to be, and I'm not trying to say,

sound mean or anything like that, but like when I look at Brian, he doesn't look that much younger. And he's done so many things. So like, is there a point, a point like you pass of no return? Like, the truth is, like, I know a lot of people who don't do shit, like they just like that they do whatever, and they look a million times better than all these people are doing all of these crazy, like, you know, modalities and routines and like, is it, what part of it is just genetics?

Like you can't, can you fight gen, how much can you fight genetics and how much of it is actually genetics? So I think in addition to all the things we're talking about, NAD, Niagen IVs, infrared sauna, cold punch, there's a lot of other factors that you can control internally, which make a big difference, like sleep, like lack of stress, like exercise.

I know Peter Attia likes to talk about the things that are like non-negotiable and then things you can do that are to supplement your everyday routines. The non-negotiable stuff, you have to sleep, you have to eat, you have to have a, a live a life where we're stress free. That stuff is extremely impactful. So even people that aren't necessarily doing the infrared sauna and the cold plunge, if they have other good habits, they can look great. So I take that with a grain of salt.

I think if you had poor habits and then you did NAD and cold plunge and infrared sauna, perhaps you could balance the two out, but having those core habits at the beginning is really fundamental to having a healthy lifestyle. Right. I agree. So give me an example. Like, what do you do? What's your daily habits?

You're you do this all day long. I remember you used to start your podcast with this. I know I still, I still, I do incorporate the habits and the routines. I just mix and mix where I put it in the podcast. But here you are, you do this all day. And, you know, I know your client list and like, like the people that see you are like insane, like it's like all the biggest names in the world, literally in everything business and in Hollywood.

Now you tell me what you do daily. Like, I know you're very healthy. I see, I know your life, but like, tell me where you're a non-negotiable. Yeah. What are your absolute non-negotiables? And everyone's is different. My non-negotiable is exercise are your absolute non-negotiables? And everyone's is different. My non-negotiable is exercise. Like I exercise every single day.

If I go a day without exercising, I don't feel well. I know for other people, their non-negotiables is their morning routine or fasting or other types of habits they have. For me, I take a lot of pleasure from work. So work is something that I definitely plan my day around. But where it comes to staying healthy and staying productive, it's the daily exercise. So whether it's weightlifting or playing basketball or tennis or cardio, that's a non-negotiable for me and

something that I know that will enable me to operate at a high level. And I think to your question earlier about how come some people can look good without doing all the anti-aging treatments that other people do, it goes back to their ability to know themselves and to not miss things that they know will maintain their health. So for me, that's exercise. For other people, that might be a certain diet. For other people, it's getting seven or eight hours of sleep. I think everyone has to find what makes them unique, what uniquely helps them stay healthy and feel good. So exercise for me also is my absolute non-negotiable. Everything else can take a

backseat to me because that's great for my mental health. Like the brain, but talk about brain fog, the best way to counteract brain fog, in my opinion, is exercise. It makes you way more productive. It makes my brain work a thousand times faster. And I have energy, like energy begets energy. To me, it's like, I don't know how, like my, I'm unable to like function properly and well without it, but you, your schedule, like, are you still like, you travel, like you're like a jet set or you're never even in one place longer than four days, like seriously, like how often are you on a plane now?

Like every two days? I tried it. I had a period where I was traveling every other weekend. Although now to be honest, I, I'm traveling a little bit less and I'm focusing a little bit more on a better routine here in LA, but that, but again, you can live that kind of lifestyle, you can travel as long as you, while you're away, go to the gym, go for a run. I know you don't seem like someone who meditates.

I'm not someone who meditates, but for me, when I go for a run, I get that meditative experience. To me, what I think about run, I love running too. I feel like it's controlled meditation. Like it is, it's, it's forcing me to go into a state of flow that I would otherwise never do. And I always say to people like meditation doesn't have to just be you sitting in an om position, like on a cushion, you know, like everyone's different.

For me, my meditation practice is running. I get my best ideas also from running. But I was going to say, though, I find when I travel, it's very hard for me to stay on routine. It's very hard for me to keep my habits, even if they are non-negotiables, even if I know the importance of it because you get fatigued differently, like your circadian rhythm is off. How are you able to exercise daily like you do while you're...

And you're not going to like... You're not going an hour away, You're going all around the world. How are you doing that? Well, that's why I don't use an aura ring. I used to use an aura ring because some days it tells you not to work out. And I realized for me that doesn't exist. Yeah. Like I don't, if I didn't get a good night's sleep the night before, I'll still feel better

if I go to the gym. Me too. And luckily, you know, aerobics working out, I think used to be more of a US centric thing where in the US we were very big on it, but in Europe and other places they weren't. But now no matter where you go, hotels have gyms, there's places you can go running. To be honest, you're like just walking too. Like everyone says the same thing. They go to Europe, they eat pasta, they have wine and no one ever gains a pound because

they're walking every day. They're eating foods that aren't processed. So, I think in whatever extent you can, just being active, moving every day is something anyone can do. Does it make a difference what time you're working out though? Like morning versus night? I'm jealous of people that are morning workout people. I'm not.

To me, I have to get through my day of like business work. And then I go to the gym. It's also like a good departure for me for the day. Like, no, I get so much energy when I go after the work, after work. If I go in the morning, I'm like thinking about other things. I'm worrying about my meetings. I I'm on my phone while I'm at the gym. If I go after work, I can just block out two hours of time and not think about anything else.

You know why that is? I don't have kids. Exactly. You have no kids and no responsibilities. And that is why it is impossible because, you know, a certain time of day happens and like you're just, I feel the, I'm the opposite where I feel like if you don't knock it out first thing in the morning, it will never happen. I will be like, I'll think of every other, not because even I want to, but

something will come up inevitably that I would have to take care of or my kid or this or that. It will never happen. I will be like, I'll think of every other, not because even I want to, but something will come up inevitably that I will have to take care of or my kid or this or that. And then it's always in your head, like, oh, I have to work out, I got to work out, I got to do this. But if you just get it done, then you have the energy that you need for the day to work well. Like to me, if I'm doing it also at the end of the day, like doesn't that defeat the purpose of having the wherewithal and the brain focus and the alertness?

See, I find that if I know at the end of the day, I have a time set aside to go to the gym or to work out, I can focus on what I need to do, knowing I have that bonus at the end of the day. And I also do feel great when I work out in the morning, but most of the time, I just don't have the time to do it. But I think everyone knows what makes them tick and knows what works best for them.

It's just a matter of like holding yourself accountable and doing it. So whether you're a morning person or an afternoon person, if you say you're gonna do it, you gotta do it. Right, okay, so what are your habits though, besides exercise every day? That's a big one. I also like eat pretty healthy. I eat a lot, but I eat pretty healthy. I don't.

I've really recently cut out a lot of gluten from my diet and that's made a big difference. I don't eat a lot of snacks or refined sugars. I'll eat plenty of meals with high protein and other things like that, but I try to cut out like snacking throughout between meals. That's made a big difference for me. Sleep is also something that I've really tried to focus on recently. I don't understand people that can sleep four or five hours a night in function. I need seven or eight hours of sleep. And so I've started taking some sleep supplements before I go to bed. I started taking some cortisol blockers that helped me not wake up

during the middle of the night. Really? And that's helped me quite a bit. Yeah. I've never heard of that. What's a cortisol blocker? So the reason people often wake up at, you know, two, three, four in the morning is because their cortisol levels naturally spike in the middle of the night.

And so you wake up, you go to the bathroom or not, and then you sometimes go back to sleep. Sometimes you don't. Right. That was always my problem. I didn't have problems falling asleep really, it was waking up in the middle of the night and then not going back to sleep. So you can buy supplements online.

You know, they have a combination of things like ashwagandha and L-theanine that you can take to help blunt that cortisol spike and it helps you actually stay asleep in the middle of the night. And even if you do wake up, you'll go back to sleep more quickly. So it's the stuff before bed,

like magnesium and acetal and glycine, and then a cortisol blocker, which helps prevent the spike in the middle of the night. I've never heard of that before. These are great. These are like life-changing. That's something I've never heard of that before. These are great. These are like life changing. That's something I've never heard. You walk away from this podcast with two

things, Niagen IVs and those sleep supplements that I talked about. That's amazing. Magnesium, the magnesium I've heard a million times, never heard about the cortisol blocker ever. Is there danger towards that or like? No, they're all natural supplements.

And so you can take them individually. Like you can take Ashwagandha and L-theanine, but I like, there's a product called cortisol manager, which helps block cortisol spikes. We should probably stop our IVs by the way. Yeah. Let's take a quick break from this episode to discuss a very important habit we can all improve on. Do you know that three out of four homes in America have harmful contaminants in their

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And the one thing I actually love about AquaTru is that it's not complicated to install. You just plug it in and you're good to go. And they last between six months to two years. And one set of filters makes an equivalent of 4,500 bottles of water. So that's like less than 3% per bottle. It is really amazing. So if you're ready to upgrade your water, I hope you are, do it now.

Because Aqua True comes with a 30-day money-back guarantee and even makes a great gift. Today, you guys can receive 20% off any AquaTru Purifier. Just go to AquaTru.com that's A-Q-U-A-T-R-U.com and enter code HUSTLE at checkout. That's 20% off any AquaTru water purifier when you go to AquaTru.com and use the promo code HUSTLE. I find that the guys who are doing all this biohacking, either they look really old, they look like double their age, or they look exceptionally good. But with women,

I just find they look their age. I don't find that in terms of the aesthetic piece. Yeah. I find it makes a big difference sometimes with the man, but not with the women. I don't know. I think for me, at least, if I get a good night's sleep the night before, that's everything. I didn't sleep much Saturday night. Last night, I slept nine hours. Nine hours? I slept nine hours. I once got in bed at 8.30 PM. That never happens.

Never happens. Geez. That's I, I mean, when you have children, you'll never ever see that the light of day again, in terms of sleep like that. It's a whole different life when you have people who have kids versus who don't. And people who have kids, they age 20 years. So like, if you see someone who's like 40 with kids versus someone who's 40 without kids, I promised you the person that's 40 with kids

will look 10 years older. Do you think that's because of sleep? I think it's sleep deprivation. I think it's overall just stress. I think when you have more, just overall responsibility. I think it, over time, it does take a toll. Look at Obama. Remember, every president, by the way,

who goes into the office, right? Just the overall stress and toll of what that job is, they come out, they go in looking like JFK junior, and they come out looking like, you know, Ed Grimley, like every single time. But it's worth it. It's worth it. I mean, what, the kids or the presidency?

I guess so. Yes, it is worth it. They say it is, you know, but no, I mean, listen, yes, like everything in life, there's good things and bad things with them. So let's talk more about the longevity stuff. So- Don't have kids. Yeah, exactly. Don't have kids. You want to live forever? Don't have kids. Actually, that's not true. In fact, all the research has proven and show that what makes people the healthiest and live the longest is actually socialization and community and family, right? Or community. And when you

have people that you love and love you, that there's no better supplement on the planet to be happy over time, live longer, all those things than that. Like you can do all the supplements you want and all the supplements you want and all the saunas that you want. But if you don't have a sense of community or have people to share it with, you might as well have nothing. I think that's what's interesting now.

There's all these biohacking longevity communities. Yeah. Like I moved to the West side now and I'm everywhere in Venice and Santa Monica, run clubs, infrared sauna clubs, cold plunge groups, like all over the place. This didn't exist like five or 10 years ago. Hold on a second.

What do you mean? There's an infrared, there's actually sauna clubs? Yeah, so like, you know, Paws has a 20 person sauna in one of their locations where they have sauna days where you can go through. And there are these cold plunge parties where people come and drink coffee and go in cold plunges.

There's a place in Venice that just opened up that that's putting a 10 person cold plunge on their roof. So you can look at the ocean while you're in the cold plunge, like blending. And I think that's what's cool about these social wellness medical facilities now is they're starting to make wellness part of your lifestyle

and a way to interact socially. So it's not just you by yourself suffering in a cold plunge, you can also like get a date out of it too. That's amazing. So that's actually really interesting because I figured that like, you know, like people, like, like minds find each other, right? Like if you're someone who's into running, you'll

find someone who runs at a running club. And I know that you're into saunas and cold plunges, you'll find people who are interested, but that idea, I never heard that they actually, that they exist already where you're into saunas and cold plunges, you'll find people who are interested. But that idea, I never heard that they actually, that they exist already where you're merging the socialization with the actual modality. That is so smart. You know, Venice Run Club, they did it once

and they make you before you run, identify if you're single or not. So it becomes like a dating plus activity. And it becomes like a huge hit. Everyone wants to do it. It's so much better than going to the bar and getting a drink. So much better. Tired of drinking. Drinking is over. Like it's just not fun anymore. I feel like drinking has become passe. Like the new, you know, drinking is cold plunging or infrared, red light and cold plunging or

the hybrid, the hot cold. I mean, we live in LA, so it's easy for us to say that. I'm sure Nebraska and other places in the country, it's probably not the case, but hopefully eventually we'll extend. Like even for us, you know, I started my IV company, we were in LA and then we did New York and we did major cities. I never in a million years thought I would launch in St. Louis, Missouri, or Louisville, Kentucky, but there's a demand for this stuff everywhere now. Really?

Yeah, and even in Europe, there's places that you'd never think would want IV therapy, but it's starting to get more popular. So whatever we're doing, and I think a lot of it is podcasts like yours and other big podcasts that are espousing this stuff, it's getting the word out there. It's in the zeitgeist.

People are getting excited about it. They're talking about it with their friends, and there's this like social pressure in a sense, in a good way way to what are you doing for your wellness? What are you doing for your health outside of just working and going out? There's like a whole undercurrent now, which is pushing this stuff to the forefront. Yeah, no, it's okay.

So is there actually a place that you said already that you can cold plunge, you said, and have friends in there? And besides, you said the sauna one is the one that you said. Not to keep plugging places, but Hume is a place in Venice, which has a rooftop and they're building a 20% cold plunge up there. So you can work out and go up to the rooftop in the sun and be in a cold plunge with other people. There's a, there's a get together that every two or three weeks called coffee

and chill where you go and have a coffee and literally chill about 37 degrees. So if it's, if you're only in the cold plunge for three minutes, right? So that's not very, It's like speed dating. Yeah, I was going to say, is it like speed dating? Yeah. Oh my God, I love that so much. Okay, tell me other things like that. I'm so glad that you came on here.

Tell me other things like that that we haven't, like people don't know about. I mean, I'm in LA, so a lot of the stuff that I do is here. So, you know, maybe for those that aren't in LA, you'll have to come visit, but like Motion LA is another good one. Again, they have workout, they do these big groups where you work out, you do a cold plunge, they have a bunch of sponsors like MagicMind and other type of wellness oriented products and services. And you're meeting people in an environment which isn't

revolving around drinking. And it's wonderful. And you're meeting people that you have similar interests to because when you go to a bar, you know, who knows who's wonderful. And you're meeting people that you have similar interests to because when you go to a bar, you know, who knows who's there, but if you go to places that's oriented toward wellness, you're going to meet people with wellness focus. I know, you know, someone was on the podcast recently, I don't even think it's out yet, or

maybe by the time this is, it might be, but she was saying like, and then I looked into it and it was like the most popular thing is bird watching. They have clubs now for birdwatching. Is that good for longevity? No, it's not good. Well, maybe it is.

It's nature. You're out in nature, out in the fresh air and you are meeting people. It's a, she, there's like a bird, there's birdwatching clubs. And I'm not talking for people who are like 110 years old. I'm talking people who are in their thirties,

twenties, forties, whatever, who are going into these birdwatching groups and it's the hottest thing in the world. This is good because now that we're all going to live to 180 years old, we're going to need to find activities that aren't bad on our joints. Exactly. So bird watching would be perfect. Bird watching is perfect. Well, then tell me what you think about cryotherapy.

How is that different than cold plunging? It's just the amount of penetration into your body. So cryotherapy generally cools down the outer surface of your skin. And so isn't getting that deeper level of cooling that you get from a cold plunge. I personally have a really hard time with cold plunge. And that's probably because I don't meditate and I get in there and immediately the second I get in there, I say, I got to get out of here. This is insane. With breath work and coaching, I can stand a minute or two. I don't do

the six to 10 minutes like some people do, but that really does help reduce stress, reduce your inflammation. Because at the end of the day, like that's the key is reducing inflammation. All the stuff we're talking about is reducing cortisol levels, reducing inflammation, because that is what erodes your body's function over time. That's interesting because the cold plunge to me just, I feel, would increase my cortisol. I'm so nervous and so like, it's like the flight or fight thing. Like I don't want to be in there. How, like, unless your brain is in the right place, isn't it kind of cortisol producing? So I think there's a physiological benefit of it. And then also a psychological benefit, learning how to manage your emotion around, I need to get

out of this stressful situation right away, rather than dealing with it. I think is an entirely different benefit other than the physiological benefit. I'm certainly someone who like feels that way initially with tough situations, but learning how to manage that psychological pressure and overcome it and get through it is something that even if you have that initial cortisol spike, learning how to get through that and control your breathing and get through the experience, anyone can do it. It's just a matter of managing your emotions around it. That's a good, but I think that's true. I really, I agree with you. What is the newest, latest and greatest that maybe people haven't heard 700 times? I know everyone talks about peptides and everyone talks about the sauna and the cold

plantations like we just did at Nausium. Is there anything on the cutting edge or on the forefront that we can be, that you've seen has shown good results that maybe not everybody has talked about at Nausium? Yeah, well, I think just to catch people up, you mentioned peptides. Peptides are great. There's hundreds of different peptides for different functions. They're very targeted. There are peptides that can increase growth hormone, there are peptides

that can reduce inflammation. There's peptides for sleep, for weight loss, for libido. So for those who don't know a lot about peptides, you know, talk to your doctor and learn about the various different types of peptides that can be beneficial. We talked a lot about NAD and Niagen earlier on. That is something that is kind of a core component of a good longevity strategy to replace that. If you wanna go a little bit deeper down the rabbit hole,

there's things like exosomes and stem cells, which I'm sure people have heard about if they're interested in biohacking, but the way in which they're being used now are really amazing. So for years, people were doing intraarticular injections of stem cells and exosomes into the joints. So you hurt your knee, you hurt your ankle, you hurt your elbow, you get an injection into the joint from your orthopedic

surgeon. And that's great for tissue repair in a very local area. But for anti-aging purposes, you can get an IV of exosomes or stem cells, and the cells themselves won't just treat a particular joint, but they'll actually travel throughout your body and regenerate different areas of your body that need regeneration. For those who don't know the difference, stem cells are actual immature cells that are harvested from birth products at the time of birth

and haven't differentiated into muscle cells, liver cells, brain cells. So you're giving your body a blank check to then produce whatever cells it needs. So interestingly enough, you might find someone who has back pain and they get a stem cell infusion for their back pain, but those cells will actually travel also to their pancreas and potentially can help reverse some aspects of diabetes. So stem cells as a general category are really emerging as an incredible tool. Exosomes are the byproduct of stem cells. So

they're the milieu that a stem cell exists in. It's the growth factors, the RNA, the DNA that produce a very potent anti-inflammatory effect in the short term. So they don't grow tissue the way that stem cells do, but you use it very fokily to help treat inflammation in the short term. So I would say both of those, in addition to the NAD, the Niagen, the peptides, are some really helpful anti-aging treatments you can look into. Well, I've been talking more about stem cells recently. I had Dr. Adil Khan on the podcast.

I don't know if you know who he is. You do? He does them out of Cabo, Mexico, and Dubai, outside the US. Because from what I was, I was under the impression of what I was told and what I've read and researched is that, you know, the stem cells that are available in the US are not as, I guess, strong maybe or as potent as the ones that you can get out of the US. Is that true?

The difference is here in the US, you're not able to expand stem cells. So what you harvest at the time birth, that's what you can infuse into someone. Outside of the US, there aren't restrictions against expansion, so they can take a group of stem cells, put it in the petri dish, grow it by a thousand times or 10,000 times, and then use those to, so you might find an infusion outside the US with a factor of 10 times as many cells as you will get here, and so in that sense,

it could be more effective, but the actual cells themselves are the same cells. Oh, I understand. So that's why it's more potent. Right. Yeah. Okay. But there's also an argument to be made that expanding the cells, each time you expand, do you lose a little efficacy of that additional cell? So I haven't looked at the studies directly, but that's essentially the way to think about it. So I went, he did like the stem cell facial on me. And when I say the word facial, I use that word very lightly.

It was no spa facial, I'll tell you. Like I thought I was gonna be going and he's gonna do this like lovely like, you know, treatment and put some stem cells. No, he takes needles and injects all these stem cells in my face. Have you heard of this before? Well, micro-needling is very popular.

Is that not what you had or is it actual like injections? No, no, he put injected stem cells in my face like with a needle. That's pretty invasive. I would say that you get a lot of benefit from micro-needling with stem cells or axosomes. And that is micro punctures in the skin that if you put numbing cream on,

you can barely feel the needle. And then 30 minutes later, you can get a microneedling treatment done, and it's extremely effective. You can get a new glow on your skin afterwards. But you could do the stem cell, like, so then you're saying that you can just get microneedling, and then just put, like,

you just, like, wipe the stem cells on your face, versus inject them. Yeah, you massage them into the pores that you create when you're doing it. Oh, yeah, yeah, yeah. That's not as potent as, like, getting needle, needle, needle, needle. It's not as potent as like getting needle, needle, needle. It's also not as painful.

Yeah, it was pretty painful. It was really painful, but shout out to Dr. Adil Khan because his team was amazing and he's doing like some amazing things over there, but I find that that's become a big area that people are talking about. It's regenerative. I also think like mental health is super important to your longevity. And there's a lot of work being done now by using psychedelics in mental health, especially ketamine, which is now FDA approved for the treatment of depression

and anxiety and other mental health disorders. Can you talk about that? Talk about that. Cause I know that you work as an addiction detox person as well. And so can we talk about that and what it like, I thought ketamine was good for depression. It is. So basically just at a high level, the way that ketamine works is it's dissociative. So when given either orally through a lozenge or IV or intramuscularly, it causes a sort of self-limited 40, 45 minute experience that you can have someone go through. And it really helps them

break negative thought patterns in their brain and then rewire their neural pathways through neuroplasticity in a healthier way. So let's say for example you had someone with PTSD and they've never thought about a certain experience they had which obviously triggers them and causes them to have trauma. They can now access that thought in that controlled space and rewire their thinking about it. So you can imagine it's like having years of therapy to process something in one setting. And so when done properly with professional guidance,

it can be extremely impactful. Same thing with anxiety and depression. If you have these negative thought loops that you can't get out of, ketamine therapy can help break those thought loops and rewire your thinking in a more healthy way. Where do you get them? So there's different ways of taking ketamine.

You can do lozenge therapy, which is like self administered and usually do it at your home or, you know, another setting like that with or without therapeutic support. And then the more potent way of doing it is via IV or intramuscular therapy. And that's when you have a provider there, a doctor, nurse practitioner who's got, who's administering the treatment and kind of guiding you through it. How many sessions do you even need to be effective? It's cumulative.

You can have benefit from just one session, but a lot of the studies have shown it's between four to eight sessions over a two month period that really gets the most benefit, especially when combined with elements that help you improve your mindfulness. So journaling, meditation, breath work, to help you reframe your mindset in a more healthy way,

now that you've created that dissociative effect that allows you to recreate your neural pathways. Have you tried it before? I have, and it's wonderful. Really? Which way have you done it? Like IV? I've done several lozenge treatments,

and I've done one intramuscular treatment. Intramuscular treatment is a lot more potent, so it was really helpful for me to have a provider there with me to guide me through it. Aren't you a provider? Yeah, but I wasn't in the right state of mind to provide assistance myself at the time. So when you say intramuscular, you mean like a needle that goes,

like how does it work? Yeah, it's a gluteal injection in your buttock, and it's essentially the same thing about a 40, 45 minute experience. And how long does it last though, like in terms of- The effects. The effects. Yeah, it's a gluteal injection in your buttock. And it's essentially the same thing about a 40, 45 minute experience. Really? And how long does it last though? Like in terms of... The effects? The effects.

So you'll feel fine, you know, an hour later, you know, you can go about your day, but the effect can be life-changing. You know, if you get process, if you reprocess thoughts, if you have more clarity on events in your life, if you can reframe your thinking about things, you can have long lasting effects in the same way that you could from therapy, which helps you reframe your thinking about certain things. So again, all of this to say stress, anxiety, depression are one of the biggest contributing factors to aging and lack of longevity. So there are other ways to treat longevity other than the typical things

that are out there that people are talking about. Yeah, it makes sense to me. How about we were talking about addiction? Well, I've heard and we talked like, is any does any D really help addiction? So I think earlier in the podcast, we talked about some of the factors that cause reduced NAD levels, stress, anxiety, toxins, as you can imagine, people with addiction

issues are encountering encountering a higher level of toxins than the general public. So giving them NAD injections, niagen infusions can really help them replete those neurotransmitters that are lost and then the NAD that's lost in a way which is probably more impactful for them than someone in the general public who isn't encountering that level of toxin.

That's so interesting to me. What's the percentage of people that actually helps? So NAD can help anyone. And I think it would probably be more helpful for someone with addiction problems, just given their bodies, the harmful effects of toxins on the body. And so rather than just focusing on traditional pharmaceutical medications, which can be toxic in their own right, it's a nice adjunct treatment to pharmacological treatment for anxiety and for mental health issues.

Okay, tell us about something. Okay, so now we got that. So ketamine with all these, you know, wellness modalities. Anything else that you can talk about that's maybe a little bit more unique that we haven't heard of? Well, I mean, I think testing is a part of this too. We've talked a lot about treatment. So let's take a step back and think about making a customized treatment plan for yourself. So I'm a pretty healthy guy. I've been told for years I'm healthy. I actually just did an environmental toxin test

and found out that I have mold toxicity, heavy metals, microplastics. And so my treatment plan, it's not a complex treatment plan in the sense of like novel treatments, but it's treating the root cause of what's going on inside my body. So for me, I take a binder,

which helps bind the plastics, and then I go into a sauna three times a week to help get rid of the plastics. That's amazing. So I think rather than only thinking about what's the latest and greatest treatment that's out there, think about what can I do to actually treat what's going on inside my body and testing is important. So that environmental test that you take, who does it? There's a company out there, which has a, it's called a total tox burden test. You don't do it? We do it and I meant the test itself is produced by them. And so

we administer for patients at home, we get the results in a couple weeks and then we put together a specific treatment plan to treat those specific elements. So for me, it was the binders that I mentioned plus sauna. Because of the mold toxicity, I actually ended up moving offices because we found mold in my old office. I moved houses actually, not because of that, but it helped with the mold and really making sure to wash my fruits and vegetables carefully because a lot of times they have mold on them. There's a whole host of things you can do, air purifiers at home in the office. The heavy metals is another thing that I found. So making sure that the fish that you're eating, things like that is organic, fresh, wild caught. So for me, that was my specific treatment plan.

I'm sure for other people, they have, they'll find things that they may not have noticed from their normal primary care doctor. I really want to take that test. Yeah. That's us as a game changer for sure. Because for so many of us, you go to get the same lab work done every year.

The ranges are so large and they're like, Oh, you're low normal or high normal, but it's all, it's not getting to the actual cause of what's causing that. Yeah. And so for me, I had inflammation in my body and I'm super healthy. No one could explain it, but it was, it wasn't until I did this test that I actually figured out what was causing that. Yeah. And that was leading to a whole host of other things.

What was it leading to? Some reduced kidney function, some reduced, some elevated liver enzymes, you know, these micro traumas that I was having to my body from all the toxins that I was encountering. Right, that's an amazing test. Yeah. How much is it? It's a few hundred dollars.

You know, it's very affordable for people that really are making health their priority and wanna get to the root cause of their problems. I think coming at your health from a natural pathic perspective can be very helpful rather than just thinking about Western medicine which is focused on disease treatment, disease treatment. There's other ways of thinking about your health from a naturopathic perspective can be very helpful. Rather than just thinking about Western medicine, which is focused on disease treatment, disease treatment.

There's other ways of thinking about your health in terms of root cause problems, how to assess that. And then treatment is the last step. It's really identifying the root cause problem first before you even get to the treatment. I think that's such a great test. So it's called the environmental. The total tox burden test.

That's one of them. There's many other tests, you know, people have been talking about for years, but I So it's called the environmental. The total tox burden test. That's one of them. There's many other tests, you know, people have been talking about for years, but I think are important like got microbiome testing, food sensitivity testing. If you are lactose intolerant or lactose insensitive like I am, just having a little pizza or milk doesn't cause me to be violently sick, but it does cause micro inflammation in my gut. And things like that are important for people to get. And most people don't get that from their doctor.

That's a good tip, actually. Stool sense, stool, microbiome testing, food sensitivity, total tox burden. These are all the markers for inflammation that you will see far before you get to the actual disease process. Do you notice a difference between how you feel now after doing some solutions to what you found?

A lot of this reduces inflammation. So you feel more energy. Do you feel? You feel more clear-headed. You feel your lab values will certainly improve because you're taking out that inflammation from your body. You'll feel subjective benefits first and then over time, certainly objective benefits in your lab work. I want to get that test. That's a great test. I highly recommend it. I can't, why didn't you ever tell me about it? Well, we haven't talked in four years.

So. I know. Four years. Oh my God, come on. Four years is not, that's not true, but it is pretty close. Okay. That's a really good.

How about genetic testing? You know, there's a lot of talk about genetic testing. What do you think about that one? So genetic testing is on the cusp of really great things. At least in the outset now, it can be helpful for getting a phenotype for yourself. So you understand how your body reacts to certain things, but eventually treatments

will be geared toward your specific genetic phenotype or genotype. And that's really when I think it's going to be super impactful. So for now it's helpful just to understand where you are in the milieu of genetics and testing. But in the future, I think it's going to be targeted to therapies based on your specific gene type. I like that. Is there any other tests that we like that are on that we should be doing? The environmental tests, the genetic tests? Well, you're not so much on the genetic right now, but like, is there anything else? Well, there are genetic tests that can test you for cancer markers, like the gallery tests, which is incredibly important for people to take.

So as part of like, I think a comprehensive health plan, you obviously need your just basic blocking and tackling your cardiovascular health, your lipid panel, your blood sugars, your liver, kidney function, all of those things. I think some of the specialty tests like we talked about, gut microbiome, food sensitivity, environmental toxin, but then you go into your genetic testing, like the Gallery Cancer Test, epigenetic tests, the tests, your biological age and whatnot. And then for like prevention purposes, there's the Clearly Heart Scan, which I think is really helpful for most people. And that's getting more popular. What's it called?

The Clearly Heart Scan. So it's a cardiovascular test that tests your risk of having a cardiac event. And I think for a long time people, Western medicine was reluctant to have people do expensive testing proactively and we kind of waited till it was more of a disease stage before testing and treating. Now I think there's a movement toward, especially as these companies do direct consumer testing like CLEARLY and Pinuvo is another MRI scan, full body MRI scan that can be helpful for prevention. People are seeking these tests earlier and earlier

in their lives and finding out things about their body earlier than they have before. Do you like the full body scan? I think it's incredible. I think people should get it as part of their, not annual physical, but at least every five years, starting at the age of 40 or so, just to give yourself a baseline

to know what's going on in your body. It's a diagnostic test that can track changes over time. So even if you don't find something that is pinpoint disease, you'll find changes over time if you do it on a consistent basis. That's good information. I like that. Abe, thank you for being on the podcast.

This is great. I'll see you, what, like 2028 or something like that? Yeah, that works out. Well, we'll do an every four-year check-in. Well, the good news, we're going to be aging backwards now, so we'll actually get younger the next time we do this podcast. Good. You won't recognize me.

You'll probably think I'm Sydney. Perfect. Yeah, perfect. Where do people find more about you? You have like nine, so many companies. You have Concierge, MD, Drip Hydration, Dr. A. Malkin. Where else, like what else do you have? I think that's fine.

You said one more, Wellness something. Oh, Wellness MD. Yeah, that's an interesting company. Like I've learned a lot in growing the businesses that I run myself and I've kind of used that to help other people launch their health businesses and scale them across the country. So that's another way people can find me

through Wellness MD group. Where can't we find you? Or if you follow you on Instagram, you look like you're like a travel influencer because I swear, you're like jumping off a cliff in Fiji and then you're like jumping out of a plane and I don't know where and like, where were you? Columbia, I don't know, you're always like somewhere.

You want your doctor to do that? Of course, yes, I would. Yes, but then when I call him, he has to, like he's unavailable, it'd be kind of, thank God you have a great team of people who work here, I would. Yes, but then when I call him, he has to, like he's unavailable. It'd be kind of, thank God you have a great team of people who work here, like Neil. Yes, we should get Neil on the podcast. We should. Neil's the one with the real brains here, right?

You can ask him while you're burning cosmetic questions. I could. So by the way, guys, Neil is Abe's partner. He's a dermatologist. He's very nice. He's very knowledgeable and I like him a lot. Glad we got a plugin for Neil.

Yeah, Neil, there you go. Okay. Um, it's true. All right, Abe, thank you. And, um, don't be a stranger. I won't. Okay. Bye.