Weird Medicine: The Podcast - 539 - Dunk Yo Junk

Episode Date: January 22, 2023

Dr Steve, Dr Scott, and Tacie discuss Vaccine controversy (again) Oh, the FDA is "angry and disappointed" about transparency Fentanyl A strange story about a finger lesion The water method works! Gynecomastia STD testing The phimosis question we teased last week This episode is sponsored by BetterHelp. Give online therapy a try at: betterhelp.com/medicine and get on your way to being your best self. Please visit: stuff.doctorsteve.com (for all your online shopping needs!) simplyherbals.net  (now with NO !vermect!n!) (JUST KIDDING, Podcast app overlords! Sheesh!) roadie.doctorsteve.com (the greatest gift for a guitarist or bassist! The robotic tuner!) Also don't forget: Cameo.com/weirdmedicine (Book your old pal right now while he’s still cheap! "FLUID!") noom.doctorsteve.com (the link still works! Lose weight now before swimsuit season is over!) Most importantly! CHECK US OUT ON PATREON!  ALL NEW CONTENT! Robert Kelly, Mark Normand, the O&A Troika, Joe DeRosa, Pete Davidson, Geno Bisconte. Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

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It was a dung deal. Did you hear about the robot that went skinny dipping? It was quite shocking. If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103, and made popular by two really comedy shows, Opie and Anthony and Ron and Fez, you would have thought that this guy was a bit of, you know, a clown.

Why can't you give me the respect that I'm entitled to? I've got the period crushing my esophagus. I've got Tobolovir stripping from my nose I've got the leprosy of the heartbound exacerbating my incredible woes I want to take my brain out blast with the wave an ultrasonic, ecographic and a pulsating shave I want a magic pill

all my ailments, the health equivalent of citizen cane And if I don't get it now in the tablet I think I'm doomed then I'll have to go insane I want a requiem for my disease So I'm paging Dr. Steve From the world famous Cardiff Electric Network Studios, it's weird medicine, the first and still only uncensored medical show in the history broadcast radio, now a podcast. Why am I saying now a podcast after like 15 years of doing it as a podcast? I don't know.

I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medical practitioner. Oh boy, this is going to be a good one. It gives me street grad with the wacko alternative medicine assholes. Hello, Dr. Scott. Hey, Dr. Steve. And my wife, Tacey, who is my partner in this and all things. Hello, Tacey. Hello.

This is a show for people who would never listen to a medical show on the radio or the Internet. If you have a question, you're embarrassed to take your regular medical provider. If you can't find an answer anywhere else, give us a call at 347664323. That's 347. Poo-Head. Follow us on Twitter at Weird Medicine or at D.R. Scott, W.M. Visit our website at Dr.steve.com for podcast, Medical News, and Study. by most importantly we are not your medical providers take everything you're here with a grain of salt

don't act on anything you hear on this show without talking it over take it oh god talking it over with your health care provider really just too lazy to go back and do it over again and do it right sorry everybody uh check out stuff dot dr steve dot com stuff dot doctor steve dot com for all your shopping needs still working on um no dr steve dot com all the stuff is still there it's just in different places. So click around. If you see the three dots, click on that, all those menus will come back. And I'll have it up just as soon as I have five minutes

to work on it. And check out Dr. Scott's website at simply herbals.net. And then Tacey and I are doing Patreon at patreon.com slash weird medicine. The Gino Bisconti show will be edited today and up today.

So if you're hearing this, well, that's my plan anyway. I have to, it was an hour long It was supposed to be 15 minutes of him just yelling at us. And then I have to listen to the whole thing to cut out certain words that I even, you know, even on Patreon, I'm not putting on there. Because Patreon is leaky, too. People can post it, well, look at what Dr. Steve's allowing his guest to say. So anyway, all the stuff about the vaccine, that's fine.

Whatever he wants to say, that's his thing. But they're just, like I said, some naughty words that I can't. And I told Anthony about it when I was on last week, and he said, what a surprising thing to have happen. Gino said something inappropriate. And, yeah, if you want a cameo done in the studio, go to Weird Medicine.com slash, no, no, go to camio.com slash weird medicine. I'll say fluid to your mama. We're going to do one today here in the studio. Say you want to do it in the studio.

If you want me to do it from Rochester, February 3rd, get tickets at WATPLive.com. But if you can't come, send me a cameo request and I'll, you know, get some celebrity to do it with me. A Z-List celebrity, but a celebrity nonetheless. Have I made it to Z-List celebrity yet, do you think? No. I mean either. Maybe a AA. Maybe I'm a double A.

Well, like a Z and double A. Yeah, and that we might be triple A. Okay, yeah, that's close enough. Yeah, yeah, yeah. That's good for me. We're, yeah, if, if Pete, okay, so here's the difference or the distance. Our friend who was on our Patreon with us, Pete Davidson, he's probably our most famous friend. The difference between him and us is like Michael Jordan,

to basically me playing basketball. Either one of us, or both of us together. It's kind of the very, the scale is about the same too. So, I agree. Anyway, all right. And don't forget to check out Dr. Scott's website at simplyerbils.net. That's simply herbals. Oh, what did you bring?

What did you bring? I brought you at something good. Oh, what is this? That's the CBD nasal spray. Oh, now you're, you know, this is not an advertisement. No, no, no, it's just a gift for you. Oh, thank you, my friend. Thank you.

It's a good for you in. I'm very excited. Now, this looks like it's got the new and improved sprayer, too, am I correct? Oh, yeah. Okay, I'm going to do some right now. Special order for Dr.C. Yeah, so tell us what's in this stuff. So the peppermint oil or the vasodilator.

So the peppermint oil is for... Well, it's... You don't want a vasodilator. You mean a vaso constrictor? Basic constrictor. Yeah, he's all nervous. Oh, yeah. Oh, this is a thousand.

times better. It's got a nice little bit of CBD. It's got an earthy CBD kind of cannabis-y sort of smell. Not that I would know. No, sir. Tase, you want to try it? No, I'm just I'm good, thank you. Good for you. That is, now you've really done it right now. We're into

some things. So, you have buffered saline. Yep. A little honey. And honey. A little bit of salt. Hmm. Yeah. Sodium. Sodium. Chloride, right? Yes, sir. And just a little bit. Well, just put a little bit in. Well, you have it measured out properly, right?

No, of course not. And then just dump some CBD and a little math and some fentanyl in there and it'll be perfect. The witches, the bitches brew. Yeah, the bitches brew. I used to do, when I was in, you know, I got my undergraduate in television production or radio television motion pictures, University of North Carolina Chapel Hill. And I used to call it the Miles Davis technique. And if I ever made a mistake, I'd just say I meant to do it that way.

That's what we always said Miles did. You know, sometimes. Miles was amazing. There's no such thing as a wrong note. That's right. That's right. Correct. There's no such thing as a wrong tracking shot.

Anyway, all right. Well, I have a little something that I was going to talk about. And now I can't. Oh, here it is. Okay, I found it. I saw this article. I've been going back and forth with a couple of people ever since I was on Anthony's show this week

because, of course, we always have to talk about the vaccine. And so now I'm a shill for Pfizer. It's like, no, I'm absolutely anti-mandate. I don't think you should mandate something that hasn't been approved by the FDA. And even then, I'm not convinced. I mean, you have to make a pretty good argument to mandate something.

And I think it's people's choice, and you look at the evidence, and, you know, yeah, the vaccine absolutely causes myocarditis in some particularly young men. But, you know, what else does, too, the virus, and the virus does it. And if you look at it, you just, you know, it's not my data. You look at the data, it's 27 times more. Now, I don't want to fall victim to using that relative risk. We've been talking about relative versus absolute risk. The absolute risk is still very low. So you could have the absolute risk absolutist saying, well, the absolute risk, tiny.

The risk to the individual is very low. But then you would have the relative risk absolutist that would say, well, 27 percent, or, you know, or, I'm sorry, 27 times better, you know, suppression of myocarditis if you get the vaccine is. is important too, so I don't know. But the thing is now, the data I don't have, and if somebody asked me about this, I'd have to say you got a good point. So I'm just going to give it to you now. I am not aware

that we have data that shows if you have the vaccine and then you get COVID that there is a commensurate decrease in myocarditis. I don't know. I don't know that anybody has that data. Hmm. So we know that the vaccine causes 27 times less

myocarditis. Well, maybe it's just weaker antigenically make up a word. Yeah, I like it. It's just weaker as far as its immune response than the virus maybe, so the virus is more likely to cause myocarditis. But what if, you know, the vaccine in much good if it doesn't prevent it, if you then get the virus, you know, because we know that the vaccine is not, it's leaky,

it's not perfect for, not even close to perfect for preventing cases, it is pretty effective for preventing hospitalization and death, though, and the right people. But anyway, so I've been going back and forth about that. So now I'm a shill for Pfizer. And then one of them, I just said, you're aware that I'm anti-mandate, right? And they're like, no. And it's like, okay, then, you know, let's move on. They don't care.

Well, it's like, listen to the whole thing. And so anyway, this is a great article, though. And It says FDA vaccine advisors, quote, disappointed, unquote, and, quote, angry that early data about new COVID-19 booster shot wasn't present for review last year. And I just, I put this up as a tweet. I said, oh, they're angry and disappointed. It's good to know. You know, for the lack of transparency, that's what this article is about. This was about Moderna.

This is not a Pfizer thing. that showed the updated booster might not be any more effective at preventing COVID-19 infections than the original shots. Matter of fact, I think in their study, the people who did not get the vaccine in their placebo group, 1.9% of them, let me see if I can find the numbers in this article. 1.9% of them got COVID, and in the vaccine group it was 3.7%.

Now, there's lots of things. Okay, sorry, let me see. Okay, well, among subjects with no evidence of prior infection, as well as those with evidence of prior infection, disease incidence rates were 2.4% for the group that received the original vaccine and 2.5% for those that got the booster. So, let's see, I know that there was another. Now, and then they say, they go on to say that we're angry and disappointed, but it wouldn't have changed our opinion. Okay, then why are you angry and disappointed? But the truth is that, you know, they weren't transparent.

They didn't, they didn't reveal all of this stuff. It may not have made any difference, but you have to, you can't, it looks bad. Right. It already looks bad. You've got people who don't trust, now they don't trust scientific journals. They don't trust the New England Journal of Medicine, Journal of the American Medical Association, you know, really top-notch journals that have real peer review. People aren't trusting that. They're not trusting our institutions, the FDA.

They're not trusting the pharmaceutical companies, not trusting the WHO. I mean, people don't trust anybody. They don't trust the newspaper, but they do trust, you know, certain sources on Reddit and stuff like that. Neither here nor there. Sometimes those sources are more accurate. I would tell you this, Joe Rogan's take on Ivermecton was more accurate than CNN's for the longest time. and so how do you know and I mean who's vetting what Joe's saying

well you just have to you know we always say do your research well I've done my research so I know some things and that I disagree with certain people about but this is bullshit and for them to have gone ooh I don't know if they're going to pass this if we show I mean that's what it looks like

and it doesn't help with the trust of the pharmaceutical industry the FDA and everybody And so that's my hot take on that is that, you know, not presenting all your data in front of the FDA's bullshit. Yeah, it really is. It's like cherry picking what you want to tell them. Yeah, yeah, don't do that. And then because they're going to find out later.

Now, we've already paid them $2.5 billion or something. I don't know the right number of that. together, the updated boosters from Pfizer and Moderna cost $5 billion to the taxpayers. We paid for that. Now, I'm looking for, there was other data here between

the vaccinated and unvaccinated where it was surprising. I can't find the numbers now. Of course, I can't because my highlighted version of this disappeared between when I did show prep and now. But anyway, so that's, we're angry. disappointed too, Mr. and Ms.

Dr. and Professor FDA Vaccine Advisors. Glad to know that they're upset about it. All right. Tacey, you had something, right? Yes, I have. Well, wait a minute. We have a new theme song for you. This is this is Tacey's topic time. It's time for Tacey's topic time with Tacey. That's actually Carl from Who Are These Podcasts playing that.

And that is the Harrison Blake Young theme song done on guitar. Sounds like Emily in Paris. It does kind of sound like that because we're all about that right now. Yes. Oh, did I say that? Yes, you did. Uh-oh. Man, you are one pathetic loser.

So, yeah, but anyway, Harrison Young, I was on his show. It is on public access. in somewhere in Massachusetts near Boston and it was loads of fun to do it's not up right now Harrison is a different guy he's very different kind of dude and he was profiled on WATP

and he took it so well that now everybody loves him and Carl was on his show and I was trying to get on before Carl so just to kind of blow up his spot a little bit but of course he's always one step ahead of me got on the week before but it was fun half the time his Boston accent is so thick I could not understand the questions he was asking me so I just was going hey I don't know what you're saying but here's this other thing I could tell you so we'll see if he keeps all that stuff in there but it was funny but that's his theme song and Carl did it on guitar so that's your new theme song Daisy well I was I was going to say I hate to interrupt I was going to say but I miss just I was oh yeah you were supposed to be there I was supposed to come I had a

I have a 250 gallon saltwater tank. I mean, it's huge in my living room. Yeah. And when I called you, I thought I had a leak outside, which I did. Well, there was a day-loor that day. We had like a, almost like a tornado or a downdraft or something. And I'm like, oh, my God, his house is flooded. He said, I can't be on Harrison Young because my house is flooded.

And I'm thinking, oh, Lord. Oh, yeah, I didn't realize. You better go. I had two problems. I had one outside. But we had, that storm was so bad, it blew a bunch of debris in our gutter, and the water was pouring out like in, almost in our house. Oh, wow, that is very interesting.

Please tell me more. And then I got, but, but my, my, my fish tank was the problem. The only reason I'm letting you tell this story is because I was so concerned for you and your house. And I found out it's an effing fish tank. Well, but it was two things. You missed Harrison Young for a fish tank. I had to replumb this entire damn fish tank. It was awful.

And then I had to climb up on the roof because we had no. Another storm coming at night. Well, that's because you're an idiot. So thanks for the sympathy, Dr. Steve. In the dark, you climbed on your roof? No sympathy. You climbed on the roof? Yeah, last night.

In the dark after a deluge? Yes, correct. Well, that's because you're an idiot. That's not smart, too. It was awful. God. Well, I would have much forever been with you. I can promise to that.

Everything's okay now? Yeah, thank you. Okay, good. We were going to play, put me down a palette on your floor for Harrison Young and kill five minutes. Yep, yep. Instead, I had to talk about urethral meatus and try to say it in such a way that it was okay for cable access.

Oh, my God. Anyway, all right, Tase, what do you got? Okay. I have two little small stories. The first one is that kids under 14 are dying of fentanyl poisoning faster than any other age group, according to a new analysis from family. against fentanyl. And fentanyl poisoning occurs when people become in contact with or accidentally ingest

the synthetic opioid, which is about 50 to 100 times more potent than morphine. Yeah, 100 micrograms, 100 micrograms. That's 100, you know, millions of a gram, is equivalent to 30 milligrams of oral morphine. And they, you know, when you take a little spoon and go, well, let's take some fentanyl powder and put it in here. You're putting, you know, milligram to gram amounts in there. Yeah. And I wonder how much of this is accidental or these kids are like, hey, let's try this, you know. I mean, it sounds like some of it is accidental.

Well, it's all accidental. I mean, they're not killing themselves on purpose. No, good point. And between 2019 and 2021, the CDC said that deaths, 14 and under increased faster than among any other U.S. age groups. Well, they're smaller, so it might take less to kill them. And I'll tell you what I've been seeing. And I've had a bunch of people in my practice who have had positive THC,

and they're doing street pot in Tennessee. It's not medical marijuana and legal. So if you're a cancer patient, you want pot. You either have to do the drinabinol pill. which is synthetic Delta 9 THC, or you have to buy it on the street. And if you're buying it on the street, you know, just north of us in Virginia,

there... I was just across a couple state lines. Well, just one state line, there is medical marijuana. And if you go into a dispensary, you can say, I want something to sleep, I want something to wake me up,

I want to laugh, I want to eat, you know, I want to be hungry. And they can give you stuff. Well, if you go to your dealer, they just have a bale of pot. So if they want to compete with the dispensaries, they have to put a little fentanyl and, you know, lace that in the pot for the sleepy pot. And then they'll put methamphetamine in the other pot and say, this is the stuff, this is your wake-up pot. And we have seen tons and tons and tons of this.

Sometimes there's buprenorphine in it. but it's mostly fentanyl, well, it's mostly fentanyl, buprenorphine, and methamphetamine that is, you know, this adulterated marijuana. And we used to be pretty tolerant, but now it's gotten dangerous. So what we really need to do is if that's going to be the response to having legal marijuana up above us, the response isn't cracked down on it, our cancer patients need it, just legalize it. Just let's get it over with. Because if you get your pot from a dispensary, it is highly, highly unlikely to the point where it's vanishingly small odds that they're going to be lacing their product with methamphetamine because they'll just get shut down. Exactly. The first gummy that goes out of there that somebody finds out they've got meth and they're, you know, they'll shut down.

They're so screwed. Millions of dollars of investment to set up one of those places. In Virginia, I believe that they have to do the extraction and the manufacturing on site. So I'm not 100%. It's highly regulated. But it's highly regulated. It's profoundly. Yeah. It's good stuff.

You see, the quality you can trust, you know, like almost, it's regularly like a pharmacy. Yeah. No. Yeah. It really is. Up there, the person running the one that I know about is a pharmacist. It may be that you have to be. I never looked into it.

I don't know. You might be right. Yeah. It would make sense, though, because, I mean, and I'm with you and I've heard of another, well, let's just say, I heard a story the other day of someone who had. I thought they were getting a certain street drug and tested positive for fentanyl. Yeah.

Yeah. Well, yeah, we've seen... Cocaine was laced with fentanyl. Really? Why would they do that? Just another white powder. Yeah, and just to cut it. And I think to make it more addictive, I guess.

Maybe. Yeah, it's awful. There's terrible. Yeah, it's awful. We're seeing fentanyl pills that are stamped as if there's anax, all kinds of stuff like that. So, and I've said this from day one, 2007, I'm not a nambi, pambi, just say no type of person, but it is getting more dangerous out there to mess around with street drugs.

Even if you think you're getting a prescription drug that you're buying from somebody, you know, it's stamped right, and you look at it, you do a pill identifier, and it's correct, and it's still the wrong thing. And we've had, we had somebody on this show that was several years ago that bought, praise a lamb, or Xanax, from what they thought was a Canadian pharmacy. When the box came, it was stamped the Seychelles, which is, you know, off the Coast Africa. And what was really in it was Halloperidol, which is a major tranquilizer, also known as Haldol. We used to use it for psychotic people. We'll still use it for agitation, things like that.

It has a similar enough effect that some people might be fooled by it, but it can also cause some serious. of side effects. One in particular called dystonic tortacolus, where your head turned sideways. I had a, well, let's say I heard of a case once when I was in residency of a guy that came into the emergency room, and his head was turned like he, like the exorcist. You know, it was turned beyond where, and he couldn't, he couldn't unturn it. He couldn't look forward. It was just turned to the side. And I said, what have you been doing? He said, man, I've been. doing speed all day. I've been doing speed. I don't know. That's weird speed reaction. And he said, well, call my mom. She's got it. And so his mom had been giving him speed all day. And I got a hold of

the mom. And she said, can you read to me what's on? She said, well, I've got a bottle of this speed. And I said, can you read to me on it? And she said, sure, it's N-A-V-A-N-E. And it was Navane, which again is another antipsychotic. And so he was taking mega doses of antipsychotics thinking it was speed and wondering why he wasn't getting speedy, but then his head kept turning

to the side. Oh, that's terrible. So I went in and I gave him one dose of a medication called cogenten intravenously. And his head just went back to normally. He's like, whoa, hey, thanks. You know, he was shaking on. Yeah, see you later. And I'm like, no more speed, dude.

Jesus. Come on. So my concern is, so I'm not an ambi-pambi, just say no. None of us in here really are. But if you've ever had a pill that you got from the pharmacy, that wasn't what it was supposed to be, that happened to our friend not too long ago, who got Simbalta instead of her PPI. I don't say her name, but.

I wasn't going to. Okay, okay, I'm just, okay. Wasn't that what it was? Yes. She was supposed to get her stomach medicine. Yes. And they gave her an antidepressant instead. She wondered why her reflux was so bad.

Oh, good. Why she was feeling weird. And it happens. She was feeling really weird and just terrible. Especially she never taking it. And coming off of it was awful for her. Yeah. Yeah.

So she had problems with that too. So she had reflux and she had withdrawal from the Simbalta because she'd taken it for a long time. And my point is not to not trust your firm. is always obviously check. If you get something, you should always do that. You should check when you go to the grocery store, make sure that all the things that you thought were in there, were in there. But the thing is that that might happen one time out of, let's say, a million scripts,

100,000 scripts is very rare, but it happens. But if I can't 100% trust my farms, I can trust them 99.999% of the time. If I can't trust them 100%, why would I trust somebody? that's just selling me something off the street. I'm sorry. I just... Pulling it out of his back pocket. Particularly...

Yeah, or under their nuts like they did when I was in the Bahamas. Yeah. You know, yeah, they were... You witnessed somebody pulling stuff out of the earth. Yeah, no, they were trying to sell it to me. And they're like, you know, hey, you want some pot. And I'm like, I don't think so.

And then he reaches into his pants and pulls it out from under his scrotum, and he's got these dime bags of pot. And it's like, in the Bahamas, I think highly illegal. It's like, dude, put that away. I'm not giving you any money. I'll give you money to go away. I don't want your stuff.

But anyway, so yeah, why would I trust that? And particularly now, my message is a little bit more acidic because I've seen these things and it's getting more dangerous. In the age of fentanyl, street drugs have become a little bit more, well, shit, a lot more dangerous. Yeah. As the number of pills that are prescribed by physicians decreases, and listen, we've thrown out the baby with the bathwater on for some of our chronic pain patients, no question about it. Agreed. And actually, Tennessee's response to it was really good that they said, listen, if you've been on opioids for more than 90 days, we're going to leave you alone.

We're going to try to prevent future cases of people who are injured by being put on opioids as a normal prescription. So they're limiting the amount that you can give for post-surgical procedures and stuff. But if you've been on it 90 days, it doesn't apply to you. And when I first realized that, it was like this is a rule that has some common sense. And it's kind of like, okay, this is a bunch of people, we're going to deal with them later. where maybe if they need to get them into counseling, we now have two or three places here

where we used to have zero for drug counseling. And that's increased throughout the country to some degree, so we're doing something about the demand. But anyway, I don't remember what I was talking about. Anyway. But you are correct. They were making some good strides forward.

Shit. I had a point to me. Uh-oh. Yeah, and I got off on the rabbit. You were dreaming of the... Well, I was dreaming of the great point. Yeah, maybe that's what it was. What were we talking about? You could... We could be a planet on a...

A thumbnail of a giant... Because you're just getting weird. Okay, sorry. I was doing pod talk. Yeah. Go ahead, too. Okay, so a California woman contracts H.PV-related nail cancer following a visit to a salon.

Nail, what? Yes, it was a new salon. Her salon was booked, and her cuticle got nicked. It got nicked deep, and the wound didn't heal. After months and months and many doctor visits, her doctor sent her to a dermatologist. And she got a skin cancer diagnosis, glaumicell cell carcinoma. Okay, yes. Which was caused by high risk HPV stage one.

The doctor said almost. every skin cancer involving fingers or nails have been associated with high-risk HPV, and it's in younger patients. But the vaccine prevents it. Yeah, so the Gardasil will prevent cancer from HPV-16 and the other one, so get your kids vaccinated. Wow. We got ours vaccinated.

It doesn't stop them from getting HPV. It just stops them from dying from the bad kind of HPV. Yeah, I still wonder, though, I mean, if that's the case, I wonder. why they don't change the recommendations that they can't get to shots even if you're older than a teenager. I think you should be able to do a serologic test because they're saying, listen, if you've already been exposed to it,

it doesn't do any good. Okay. And maybe it does some harm in that case. I can't imagine that it does, but okay, so they're saying, yeah, but they increased it to 23. I think if you're, if, you know, if something God forbid happened to Tacey and I would go get a serologic test

say you've never been exposed to HPV-16, you know, it's like, hell, sign me. Give me a shot, baby. I'm cutting loose. That's right. But anyway, oh, I do remember what I was going to say. We were throwing the baby out with the bathwater with the chronic pain patients, but we have decreased the amount of opioids that are on the market that are prescription opioids.

And as you see that falling precipitously since 2010, you see. you see a number of overdoses from opioids rising at an almost exponential rate. Now, why is that? It's because when you're taking prescription drugs, you sort of know, hey, I'm 40 milligrams of oxycodone is sort of my jam. But when you get a little packet of powder and somebody's dumped fentanyl in it and there's no way to know how much is in there, then it's much more dangerous. So anyway, that was the point I was getting at. That was a good point. Good point.

That was well worth it. Anyway, yeah, and get your kids vaccinated for the Gardas Hill. That one is FDA approved. It's been demonstrated to work very well. And we are going to see continued decreases in deaths from cervical cancer because of that vaccine. We're already seeing significant decreases in pre-cancerous lesions and been out really long enough for women to get old enough to start. And you wouldn't think HPV on a fair. anger, right?

Yeah. You wouldn't think that. Sure. So if you've got a place that's not... Yeah, if you've got a place that's not healing, go to the dermatologist. Yeah, well, that's true. Good point, Tase. You know, yeah, HPV, where that one, wherever it goes, you could have problems if it ends up in your

nasopharynx, because I don't know, perhaps you put your mouth someplace, and it was quite delightful at the time, but you've got a little virus in there that can cause head and neck cancer. If secretions and fluids drip down and get in your anus, it can cause rectal cancer. I'll assume that's how that happens. And then, yeah, cervical cancer, for sure, and penile cancer. So it's all the places where that HPV can go. And it is unlikely for those human papillom viruses to end up on skin.

But if you get a neck like that, like that person did, and they've got the virus, and it's just a perfect storm of shitty events, then it could have happened. That's bad. That's bad look. But now the squamous cell skin cancer is usually very easy to treat. Oh, good. Yeah. Good so. All right.

Well, thank you, tasting. I did homework. You did. It's number one. Yay. Uh-oh. Oh, wrong pot. Sorry.

Give yourself a bill. There you go. Oh. And also. Suck it. Stab to the heart. Suck it. This has been Tacey's Topic Time

With Tacey Associate producer Dr. Scott Music by Carl Hamburger Topic Time theme used by permission by Harrison Yard I wish I had a script for that I would have done a little bit

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Get started today at LinkedIn.com slash results. Terms and conditions apply. Do you want to do some questions? Yeah, I think people like it. Number one thing. Don't take advice from some asshole on the radio. All right, we'll do it. Here we go. Thank you for your questions, everyone. 347-76-6-4-3-23, and your questions mostly get answered. We, I downloaded one from 2014 today that we never got to. I know. Anyway, we might get to do that one.

You, Dr. Scott, I called in a few weeks back about a need to urinate or urge to urinate after I jerk off. Oh, yeah. And I actually, dude, I talked about you on Harrison Young's show. That was one of our most requested questions is post-coital male, you know, urethral burning. You gave me the advice to soak my junk in warm water and wants to let you know that that actually looked quite well. Yay. The sensation subsides after just a couple minutes as opposed to, you know, half hour to an hour.

So really good tip to not keep me up at night. I also have a follow. Give yourself a bill. Give myself one. I have gyna comastia. I've had it. I developed it probably as a. young team when I was quite overweight.

Okay. But, you know, with a teenage history of eating disorders, I went from very overweight, obese, to anorexic and underweight. But even through all that, still had granicomastia. Now I'm healthy, fit, you know, 20-something, and still have them. You know, still have my pits. They're probably about an A cup, so fairly sizable for a male. Anyway, we're just curious if, as I get older, I should be concerned about a possible increased risk of breast cancer.

And if that's something I should talk to my doctor about getting screened for as I get older. Okay, yes. So let's talk about gynecomastia. It's just in enlarged male breast tissue. Right. And it can be caused in boys or men, usually caused by imbalance of hormones between estrogen and testosterone. And so when he was overweight, he was converting some of his precursors to estrogen instead of testosterone. And fat tissue plays a role in that.

and so he built up some glandular tissue. And when he lost weight, didn't go away because the glands are still there. Now, there is a thing called pseudoglycaumastia, and that's where people just get an increase in fat tissue, but not glandular tissue. And those people, when they lose the weight, the breast tissue goes away. Now, newborns can sometimes get nodules under the nipple, and moms will go crazy thinking that, oh, my newmorn. newborn has breast cancer, but a lot of times that's from estrogen transferred to the boy from the mother's bloodstream, you know, while they were attached together in the placenta. And older men can get it just because they're not making as much testosterone anymore.

And then boys going through puberty sometimes would come in and they would have, you know, this sort of firm nodule under the nipple. And moms would again be freaking out or the kid would be. and, you know, we could reassure them that that was going to go away. But if you have enlarged breast tissue, very often it will go away. If it's transient through puberty, but if you're an adult and it doesn't, then, you know, you can do stuff about it. So there are several things that can be done. Scott, you got any info on this from your standpoint before I go on to the Western Medicine Department?

Well, I was going to say, exactly. like you. Typically, it's just an imbalance of fat tissue. I've seen it in young males that have a really heavy diet full of chicken. Oh, because they're getting it from the hormones. Instead of hormone-free

chicken. So you want organic chicken, man. Have you seen some of these chicken breasts? And non-hormone fed. Sam, the cooking guy, had a chicken breast on the other day. I swear it came from a turkey. It's just not normal. No, no. Poor chickens were just you know

just ripping their chest muscles off and their legs and their legs and just eating their legs they are so good though they are so good you get four of them you get two wings and two legs

off each chicken it's pretty damn good thigh mate's all right that's yeah that's awful then we boil their carcass down and make stock out of it and you're fried the skin Yes, and then we're eating their skin.

Just imagine if it was gross. If chickens were sentient, they would be horrified. That would be awful. It's just chicken apocalypse. Oh, my word. There's chicken everywhere. Yes. Happy years ago, I mean, it's been 10 years ago.

Yeah, we were talking about Super Bowl. The chicken. I'll look at it. I'm just going to, you know, we've got a new friend on this show is Chat GPT. Oh, but, oh, of course, it's Saturday. ChatGPT is too busy to talk to us. I actually paid for one. We have an AI assistant now called Bright Sonic.

Go ahead. I just Googled us at 100, I'm sorry, 1.42 billion chicken wings. Just on Super Bowl. Just on Super Bowl Sunday. God. 1.42 billion chicken wings. So that's, so that would be, what, 55, 550 million chicken wings. Yeah, yeah, or something like that.

600 million, yeah. Yeah, poor chickens. 700 million chickens. And they're born and, you know, you come out of the, you peck your way out of the egg. I feel pretty good about themselves or eating some good food. And you look around and it's like, what the fuck is this? Where are all these other chickens come from? Why does it smell so bad in here?

An ice air conditioned area. Oh, they're loving. Their friends are running around. I do buy, I've fallen for it. I buy the free-range chicken shit whenever I can. I mean, they still kill them and eat them, but it just seems somehow less, just horrific. But anyway, but, you know, we're having chicken tonight, and it's awfully tasty, so sorry, chickens. Where were we?

Oh, we're talking about that. Oh, Gana Camascia, yes, thank you. Yeah, we have a couple things from the waiting room. Go ahead. So, treatment. If it's just transient hormonal changes, no treatment. required. Will it go away?

That's what I'm saying. The transient ones do. Oh, yeah. Transient ones that were, you know, the ones that are related to puberty or newborn and stuff like that. But if it doesn't go away and you're an adult and like in this guy doesn't go away, you can take medication. There's a, there is a medication called tamoxifen, which we use in, it's an aromatase

inhibitor and we use it in breast cancer to, to suppress estrogen at the level. of the cell, estrogen's effects on the cell. And Arimodex is another one. And they are not approved for use in gynecomastia, but they have been. Would I put a young male on tamoxifen or remodex or, you know, other aromatase inhibitors? I don't know if I would. They can also, the aromatase inhibitors can also cause aromatase inhibitor associated arthralgia.

In other words, they get, you know, pain in the joints from taking those. It's about 5%. But still, you've got to be aware of that. But the other thing is, it's liposuction. I mean, if you're in good shape now and you've got muscle tissue under there and you just can't see your massive pecks because you've got A-cups laying on top of them, doing liposuction could be the thing. I've seen males do liposuction before and done very well with it.

You want to find a place that does a lot of it that are well-versed. in doing this, there are some complications that can be had with liposuction. But that would be my preferred thing. You do have to screen for breast cancer, but all males do. One out of 100 cases of breast cancer is in a male. And I think there's only like maybe 2,000 cases of male breast cancer actually diagnosed annually and about 400 men die of it. So if that number is right, that means about one in five die from it.

So you want to catch it early. Early detection is the thing. So is this issue? It's a very, very small increase in risk. Are you more likely to get breast cancer if you have it? Very slight increase in risk. So instead of one in a hundred people, it might be one in 95, you know, something like that. Okay.

or one in a hundred cases is a male and of those maybe a few of those wouldn't have gotten it if they hadn't had gynecomastia put it that way it's probably a better way to state it all right good idea to do periodic self-exams if you've got really big gynecomastia then you're going to have to get a mammogram and removing that tissue of course will will decrease your risk back to normal for getting male breast cancer, but I don't know that I'd go so far as having a mastectomy unless I just had, you know, like, decups or something, you know. All right, but see a plastic surgeon, plastic surgeon is the ones that deal with that. Yeah, yeah. All right. Hey, look who just joined us. Who's that?

Stacey DeLoch. Oh, really? Oh, hello. Hello, my friend. We don't have any Stacey Deloge questions. I know it. We're having to make questions up. I know.

We're having to make up questions. Let's try this one. though. I think this is a good one. I have to add the dot MP3 though. Sorry. I apparently didn't do that when I put this in here. There we go. All right. Let's try this one. Hey, guys. Hey. So, by the way, Santa loved himself a woman that wasn't clean. Okay. That's a line from bad Santa. Oh. That's where that came from. Okay. He said that last week. This is the same guy. Okay. Okay. All right. Anyway, so I Never seen bad Santa. I don't like bad Santas. I like good Santas.

Except if it's, what did we watch? A Violent Night. Violent Night was awesome. It was a thing. I loved it. So stupid. My cycle of anti-biotics and whatnot. Yes.

Drippy meatus seem to. I'm going to give you a bell for the proper use of that word, my friend. Yes, the meatus, aka the cockhole. But back now, so I guess I'm going back. Anything I need to look out for, ask for? Well, okay, yeah, I want to know what they tested him for. I did get the two tests for gonorrhea and remedia. Okay.

Those both came back negative, so they had me pee in a cup. That's all I did, really. And they gave me any antibiotics and showed me the door. They had you pee in a cup. I think that is less sensitive test than sticking a swab up your meatus and letting it sit there for 20 seconds and then twisting it around. It's agony. I mean, it causes some significant discomfort, but it is a very small swab.

But when it's going up, you're reapeut. retryl meatus, it feels like it's 10 miles wide. It's a sensitive area. Slightly. Slightly. So, you know, there are other STDs. If they didn't look at it under the microscope, they couldn't diagnose trichomonas. They may have missed chlamydia and gonorrhea, and now the problem is they put you on antibiotic.

And so they're going to be less likely to detect it now, even though there might be something residual there. You may have a thing called non-specific urethritis. There is a treatment for this. There's a treatment protocol. A lot of times they'll give you a shot of rocephine or septreaxone and that give you doxycycline for 10 days or whatever. And there are some resistant strains too and those need to be treated differently. So they need to do the next level diagnosis. So please go do that. Let us know next week. This will be third week in a row what happened to you. if you got any relief. Just for everyone else's

edification, wrap that rascal and use something to prevent disease, okay? All right, thank you. End of... Hey, Dr. Steve. I'm calling from Pennsylvania. My name is Sandra. And I'm calling about my husband.

Boo. Yeah, right. She's hard to have it. Nice try. He has, he's not ever been circumcised, and he is now in his mid-50s, and is having issues with the skin not being able to pull back over his head. And we have some problems in the bedroom when we enjoy one another's company. It gets torn. What's that like?

And he's out of commission for a couple of weeks. So he really doesn't want to get a circumcision at this point in his life, but we're kind of scared that he might need that because it seems like he gets scarring on his forescan and it's not able to retract and it's going to cause more problems. So we're not really sure where to go with this. We have seen a urologist and really didn't get a lot of information at the time. So kind of just wanted to get your idea. I heard there are creams. that could possibly help. So just let us know what you think.

Thanks. There are, and thank you. And thank you for calling for your husband. Matter of fact, she sent me a message on the voicemail thing because I try to respond to the voicemails. And she said she appreciated Tacey being here to discuss, you know, female urologic things. Cool.

And then she said, you know, having a dick, well, I know what it was, was she said thanks for helping me with my husband having a dick sounds like it's you know really a pain in the ass

and I said well there's an obvious joke there but I said having a vaj also is no walk in the park according to my wife and she said

thank you for Tacey for being here to give the woman aside that there are actually actually women listeners other than Amanda and

her and the other one and Patty And the other one. Patty, you're now the other one. So anyway, and if you wonder who we're talking to, we're talking to people in the waiting room. Yes. Which you can join us on YouTube, Saturdays at 1pm, just follow my Twitter at Weird Medicine. And usually around 1 p.m., I'll tweet out the link, and then you can come just hang out in the room. We don't make a big deal out of the video presence.

If we have 10 people, I'm happy. We get all of our stuff from listens on our podcast and on Sirius XM. But anyway, okay, so creams. I think this guy's beyond creams. If they're having sex and his foreskin is ripping and then it's scarring down, I think really we're beyond cream. He could try it. They'll give them a hormone cream that will help to loosen up the foreskin and try to get it

to retract back. But this is what's going to happen. If it continues to scar, and this is called fymosis, by the way, if it continues to scar, one day he's going to retract it, and he won't be able to retract it back. And when that happens, that is a medical or surgical emergency. If he doesn't get surgical treatment stat, what will happen is the head of his penis will sluff off. He'll kill it, and it'll sluff off. Oh, yes. So not a lot of options, really.

No, I would, I mean, if he really just doesn't want to have a circumcision, go ahead and get the cream, but you're going to want to see a urologist, see them now, let them examine you. And they're not going to be knife happy on this. They know people don't want circumcisions. They don't exactly get a big kick out of doing adult circumcisions either. But our friend Jefferson the Scheister had one, and he showed it. to us here back before we had cameras in the studio and he was playing baseball the next day. So it used to be if you had a circumcision like Sam Roberts had one, this is what Sam Roberts had. Sam Roberts's fimosis was so tight that he couldn't retract it at all.

So he didn't have problems with it ripping. But when he would pee, it would fill up like a balloon and then he'd have to squeeze it, you know, to get the pressure up high enough to get the urine out. If you've gone that far, I mean, he was out. I think he was 18 or something. He was young. And he had an adult circumcision. Well, adult. I mean, is Sam even an adult now?

But he had a circumcision over the age of 18. And I think he was on the couch for a week or two. But they do it differently now. And the way Jefferson's was done was different than I've ever seen it, where he had a ring of stitches going all the way around where they had joined up the shaft. skin with the Roman War Helmet skin, yes. Yeah, you know, he had almost...

I'm just talking about Shaft. No, yeah, he had almost no pain. Yep, no, nothing. Yeah, he was, he did extreme. Literally playing baseball the next day. Yeah, I would say in lieu of tearing it anymore, I'd probably look at some. Yeah, just go see a urologist. Trimmy, trim, trim.

You could probably convince them to just give you the cream, but I'm, I really think. At this point, it's affecting their enjoyment. he doesn't want to do it because every time he does it, it hurts. I mean, you hear about women who have disperunia, which is pain during intercourse, they just don't want to have intercourse anymore. If you have pain when you eat, you don't want to eat. You know, when my feet hurt, I don't want to walk. I totally get it.

So if it's affecting your ability to, you know, dance the dance of the two-becked beast, then I would absolutely go get that fixed. Well, they did go to a urologist. Maybe go to a different one. Did she say they went to a urologist? Yeah, and she said they didn't get any much of any information, yeah. Oh, shit, I missed that. Somebody wasn't trying.

Too busy thinking about what I was. Oh, no, that's terrible. That's awful. Someone's trying. Come on, make an effort. If they just blew you off, I probably would not go back. Now, if, let me, but this is a good point to talk about in general. If you go to your primary care provider or anybody else and they give you something and it doesn't work,

Don't go, well, they don't know nothing. I'm going to go somewhere else because that person's going to have to start over from square one. Go back to that one, say, hey, this didn't work. Can we go to Plan B? What are your other suggestions? It tells them when the obvious thing isn't it, then it tells them that, okay, it's like you're doing an experiment whenever you treat somebody. And if it doesn't work, you are informing them that that hypothesis was incorrect. and now they'll have another hypothesis.

We have these things called differential diagnosis, and we start working our way down the list. So give them the opportunity to try to make good on that because a lot of times that first intervention that they're doing is just a test to see if they got it right the first time. So Dr. Scott, you got anything else for us? Yeah, we've got two from our fluid family. Oh, is that what it is now?

We have a new name. They name themselves that? You know if you name yourself a nickname, it doesn't stick. Well, technically, I suggested it. I suggested it. They agreed. They're the gender fluid. How about that?

I don't know. It's too late, Dr. Steve, but you've already been voted out. That's the fluid family. So, yeah, so Kevin 28 was just. Well, the fluid family. Oh, yeah. Hey, the fluids are in the waiting room. It's the fluid family.

Exactly. Okay, fair enough. So Dr. Steve's in now, guys. I'm into it. Yeah, so as an MD and a TCM practitioner, how do you guys feel about chiropractors? is it effective for neck and back issues or is it snake holes the history and founding of the field

seems a bit questionable you know well the history and founding of medicine medicine is really questionable so I wouldn't worry about that you know I think I think it's just like every every single profession

there are some chiropractors out there that are absolutely incredible yeah I mean healers you know brilliant people and then there's some not so cooce chiropractors as well. But I think many of the ones that we use are super. You know, they know their stuff.

They know when to do their medicine. They know when to refer out for help. And so I think it's just like anything else. If you find a right one, they're probably pretty special people. Yeah. If you go to, you know, a body shop and they start saying, well, I could, you know, make you I could make you a pretty new dress

you know that would be stupid right yeah and so if you go to a chiropractor and they tell you I'm going to cure your cancer with coffee animal that's outside their wheelhouse right

that particular treatment would be outside the wheelhouse for just about every provider so but chiropractic care is considered effective for various forms of neck and back pain and there are some research studies and not all of them are in chiropractic journals that say chiropractic adjustments

may be effective treatment for acute low back pain and neck pain and stuff like that. The problem is very hard to do a double-blind placebo-controlled study but if you go see one and they want to sign you up for 20 visits and they pay up front how about let's try let's do a couple and see how it goes yeah see where it's going yep and um i'm not saying they're unscrupulous i mean there are like scott said there's unscrupulous people everywhere

we used to have a chiropractor on the show all the time she's incredible sadly no longer with us but dr k was awesome she was fun to have on here and she knew some stuff and when it came to back and neck pain she'd pop in and uh but she was one of those as you said that knew their lane It's like I have got to know my lane in Madison. I shouldn't be trying to give people chemo because I have not been trained in that. And I tell my patients, coming to me for influenza at this point is like going to Lane Bryant for tires. Hey, Kevin had a follow-up question. Hey, why doesn't Dr. Steve has as bad of a hillbilly accent as Dr. Scott and Tacey?

Oh, that's a good question for that. I answered it. I mean, a good answer. Oh, you did? I told me you're the high fluton hillbill. Yeah, that's right. No, I do have that. You do, I know you do.

Mine's actually worse than this. You just don't hear it because I went to school to get rid of it. Yeah, yeah. And my original degree was in broadcasting, and to graduate from the radio television motion pictures program, you had to take Earl Wins' speech one and two. And what we didn't know was what he was doing was indoctrinating us. in a neutral accent, and we had no idea. We would go in there every day and go, why in the hell are we having to learn this international phonetic alphabet?

So they would give us this thing called the International Phonetic Alphabet has a symbol for every sound that the human vocal cords can make. And so if you learn all of those sounds, you can write a script in Cockney English, and if you know the sounds, when you read it, you'll sound like someone that is from wherever, you know, North London or where, I'm sorry to all my UK brothers and sisters. I don't know where the Cockney accent comes from. I should have just said Liverpool because I could have said then, you know, you sound like as if you were Liverpoolian.

And but what they would do is they made us, the first semester was just learning the international phonetic alphabet. And every day we'd go in there and we'd have to learn more symbols and then say them. And then the second semester, you had to read scripts that were written in international phonetic alphabet, but it was written with neutral accent in mind. And so a lot of my southern accent has creeped back, of course, because, you know, it's been 40 years since I went to college. But at the end of that class, none of us had our native accent anymore. And I used to, you know, when I lived back there in the hauler, I talked more like that. That's a little bit of a parody now, but it was, that's a lot closer to the way I used to talk than this is. I mean, I take out a lot of my redneck accent to do the radio show.

So, I mean, if you think this is bad, you should hear me in real life. You should hear it when she's... Especially if she had a drink. Oh, good Lord. And kicking somebody out of the house because they cried or something. She gets that, that Harold, about it. The backeronex stands up, you've got to look out. One time this guy, we had our kid in the car.

We were going to the beach for the first time with our kid. He was probably, what, six months old, eight months old at that time. And some guy, I pulled in. I didn't know he was pulling out. He started cussing at us and all this stuff. And he started yelling at Tacey. Well, she kept starting stuff to him. I'm like, hey, dude, you know, I have a great day.

And all that said, but he wouldn't stop. Oh, no. And then he's like, I'm going to kick your ass. Tacey was like, well, I'm going to kick your ice. And he said, oh, get the hell out of here, you fat, ugly cow or something like that. Now, listen, back then particularly, I mean, this was, what, 20 years ago, Tacey was quite the striking young lady. Was. Well, I mean, you know, shit happens, but thanks God.

All right. How do you say that? Tacey was hot just like she is now. There you go. Now, that's better. And, yeah, I kind of fucked that one up. It's true, Steve, it's all right. But, I mean, you were anything other than what he was calling you, and Tasey was like...

I had my phone and I said, look, the police station is across the street. I'm dialing 911 right now. Get the fuck out of here right now. And then he was like, you're ugly. And she's like, I'm hot. I'm hot. Sounded like Angela from 90-day fiancé. Now listen.

Oh, my. Dig. A little leap or a little deeper to well. It's going to be sad later on. I'm glad I'm out of here in about 10 minutes. You don't think so? I mean, you were just saying that your accent is worse. I was just giving an example of what might bring it out.

Just dig, dig, dig, dig. Oh, for fuck sake. Anyway, all right. So where were we talking about chiropractors? So anyway, yes. One last question. Yeah, there was a study in the Journal of the American Medical Association that found that chiropractic care combined with usual medical care for low back pain,

provided greater pain relief and greater reduction in disability than medical care alone. So that's good enough for me. If you think it helps you great, if you don't, then just move on. Don't sign up for 20 visits. All right? What else? Yeah, last one was from 89 Brooks. Just asking about if there were traditional Chinese herbs,

they can help with the gonacomassia. Yeah, that's a good one. Do you have any sort of estrogen blockers? I know you have all kinds of pro-estrogenic things. Well, we would, what I would do, first of, well, there are some, a class of, you know, herbs that help drain phlegm. So that's one thing I would use. The other thing I would use is a class of herbs. It might help to enhance the testosterone production and support the milk.

Well, why don't we just do a pub med? Just see if someone's ever done a study on that. So check out root, R-Song. How do you spell it? R-U-S-O-N-G. C-O-N-G? Yeah. Okay.

Rousong. R-S-W-A-N-G. Yeah. There'll be A-N-G. So you're going to Rousong your Wong. Well, you give you the Sontapia. Yeah, yeah, yeah, yeah, yeah. C-I-S-T-A-N-C-H-E.

C-I-S-A-T-U-U-Losa. C-A-Tubulosa. Oh, there it is. And, of course, you can always use the straggles. Straglis, right? Okay, Cestanci, tubulosa, and gynecomast. Yeah, let's look at that. Oh, no, I bet it's never been.

I'm just, you never know. You never know. Nope, nothing on that. Yeah. But that's what I would, I would do something like that. If they wanted me to try and help, that's what I would do first. Okay. Yeah.

And first take them off a chicken, hormone-fed chicken for sure. Or anything else that might be making. Yes, that might be exact. Yeah. Good one. Okay. That's what I'm doing. All right.

Hey, Carla's made it. Who? What's Carla? Carla. Carla. Oh, Carla. Yeah. Hello, Carla.

We were on her Bennington group chat one time. You remember that taste? That was fun. It was during COVID. And we got together downstairs. There were all those people on the thing, and we talked to them. Oh, yeah. Yeah, that was Carla.

I set that up. All right. Well, thanks, everyone. And appreciate everyone being here and everyone who's made this show happen over the years. Listen to our Sirius XM show on the Faction Talk channel, Sirius XM Channel 103, Saturdays at 7 p.m. Eastern. Sunday at 6 p.m. Eastern on demand. And other times at Jim McClure's pleasure.

Many thanks to our listeners whose voicemail and topic ideas. make this job very easy go to our website at dr steve.com for schedules podcasts and other crap and don't forget dr scott's website at simply herbals.net until next time check your stupid nuts for lumps quit smoking get off your asses get some exercise we'll see you in one week for the next edition of weird medicine thanks everybody goodbye everybody bye guys Thank you. Thank you.