Weird Medicine: The Podcast - 647 - Oops! Sorry, Tim!

Episode Date: November 27, 2025

Dr Steve and Dr Scott Discuss: Dr Steve was WRONG about Tim Sabean! Questions from the Fluid Family on youtube.com/@weirdmedicine how not to die from colon polyps why does a UTI make dementia worse? fatty liver: Sugar vs drugs vs genetics and more! Please visit: ⁠⁠STUFF.DOCTORSTEVE.COM⁠⁠ (for dabblegames at cost and more!) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠simplyherbals.net/cbd-sinus-rinse⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the best he's ever made. Seriously.) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠instagram.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠x.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠fightthedabbler.com⁠⁠ (help Karl and Shuli win their LOLsuit) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/@weirdmedicine ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠(click JOIN and ACCEPT GIFTED MEMBERSHIPS. Join the "Fluid Family" for live recordings!) CHECK OUT THE ROADIE COACH stringed instrument trainer! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠roadie.doctorsteve.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠stuff.doctorsteve.com/#roadie⁠⁠⁠⁠⁠⁠ GET YOUR COPY OF "WET BRAIN: THE GAME OF TROLLS AND LOSERS!" get it here: ⁠⁠⁠⁠⁠⁠ dabblegames.myshopify.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (a most-fun party game!) DABBLEDICE: Second Edition available NOW! Only $3.50 plus shipping! each shipment comes with some awful tchotchke! we're getting out of the dabbleverse business so everything is sold at COST Also don't forget: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cameo.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Book your old pal right now because he's cheap! "FLUID!") Most importantly! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠CHECK US OUT ON PATREON! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ALL NEW CONTENT! Robert Kelly, Mark Normand, Jim Norton, Gregg Hughes, Anthony Cumia, Joe DeRosa, Pete Davidson, Geno Bisconte, Cassie Black ("Safe Slut"). Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

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Dr. Steve, I hope you're better at prostate screenings than you are at radio screenings, the son of a bitch. 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 diphtheria crushing my esophagus. I've got Tobolivide stripping from my nose. I've got the leprosy of the heartbound, exacerbating my incredible woes.

I want to take my brain out and plastic 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 to requiem. for my disease. So I'm Beijing, Dr. Steve. Yo, de, yo, de, yo, ho, ho, de ho, y'o. From the world famous Cardiff Electric Network Studios in beautiful downtown OJ City, it's weird medicine, the first and still only uncensored. Medical show and the history of broadcast radio, now a podcast. I'm Dr. Steve with my little pal.

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Pooh-head? Dip poo-head. Dip poo-head. The only word I could come up with for 347 was dip. It's stupid. Follow us on Twitter at Facebook. weird medicine. But if you're ever, listen, if you're ever forgetting the prefix, you can remember poo head, but you can't, because people say 866 poo head. Oh, gotcha. So now you can figure it out.

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Always drink responsibly, unlike certain people. So this is, you don't have to have any dabble verse. Lour, as a matter of fact, it has absolutely nothing to do with the dabble verse, except it says dabble dice. because the name of our company is Dabble Games. And it's a party game and it's loads of fun and I'm selling it at cost

because I don't want to make any money off of it. So it's $3.50. Go to stuff.doctorsteve.com and you can click the link there and it will take you straight to our store. We have a new game coming out probably after the first of the year. A pig knuckle, penknuckle there, Dr. Scott.

Oh, my gosh. They'll have all your favorite characters in there, old Myrtle. and Gladys and Dammer, Dammer Vilar, too, and Norman. Love it. Yep, they're all there in Pig Knuckle, Peanuckle, a game of, I don't know what it is a game of, tricks and trumps or something like that.

Did you invent? Did you invent? Did you invent this one of them? Did you? Yeah. My grandpa used to make us play Peanuckle when we were kids. Yeah, it's a horrible game. Terrible game.

You have to bid and all this, you know, it's like poor, poor man's bridge well this one there won't be any of this bidding bullshit you just flip the card over and that's what the Trump card is or the Trump suit and then it's not going to be diamonds and stuff it'll be hogs and I don't know

corn maish there you go I haven't figured that part out yet so I'm working with Troy Smith on some cards and doing some things so we'll see it's going to be

It's completely unrelated to all this stuff. And by the way, dabble dice, any, is a completely fictional game. Any, any, what's the wording, Dr. Scott? Any resemblance to persons living or dead is completely coincidental. And if you see yourself in this, that talk says more about you than does anybody else. All right. It's wishful thinking. Yeah.

Well, or whatever. Okay, doke, check out Dr. Scott's website at simplyerbils.net. They're on a little bit of a hiatus right now, but we want them to come back because that CBD nasal spray, I can't live without it, to be honest with me. It is good stuff. So you are, you're coming back, right? Why are you thinking about it? What's the deal? Are you not making any money off of it?

You keep selling out. You're not selling for less than you paid for it, right? No. Because that would be stupid. Yeah. You know, the stupid, you know, shopkeeper says, oh, I sell everything under cost. You go, well, how do you make any money? And he goes, volume.

Volume, yeah. Makes no sense. No, I think, I think it's just effort. Yeah. Just effort. You know, having people get things done for you. Yeah. That is a problem.

I'm easing into the sunset of my career, I believe. Well, just sell it to somebody then. Well, hell, I would. how much you want for it for the whole business lock stock and barrel because it's really just a website storefront and some and some uh proprietary intellectual property intellectual yeah IP yes so what do you want for i'll come up with a number well we got somebody listening might you know you know anyway a dollar and then and then and then 10% for uh after province forever that might be something we'll talk 10% forever Check us out on Patreon. Patreon's still quite active, posting classic shows there that you can't get anywhere else, plus other content you can't get anywhere else. They were getting all the normal world stuff first, but I'm going to just dump everything

on there that I've got, and it's also going to go on our YouTube channel eventually, too. And then if you want me to say fluid to your mama, cameo.com slash weird medicine. And by the way, dabbled dice is fitted just perfectly. I put it in four different stockings today. And it fit perfectly. So I'm sure my children and my daughter and will all be thrilled. Oh, my gosh. When they get their copy of Dabledice, the game of beer disequilibrium and cirrhosis.

All right. Yeah, if you get cirrhosis before you collect your 13 beers, you lose all your beers. rats that's right just for that round bad way to go just for that round okay good all right i do i i have a statement on my final serious xm show i said f you to tim sabian and it was kind of a joke i was like i was thanking all these people that had helped us over the years and i said but you know least and certainly not in in any way saying thank you to tim sabian who tried to have my, this show taken off Sirius XM because, and what I was told was that he was irritated with me because when I met him in New York when I went to do an Opian

Anthony appearance, he said, oh, yeah, I started that Harry Fish medical show over in Howard Stern's channel. And I was like, yeah, that shit's really boring, Tim. And at the time, we were a little wilder than we were. But the problem with Harry Fish was he didn't think scientifically. He had a porn star who squirted in his office, which was pretty cool. And then he tested it for urea and said, see, it's just piss. And it's like, you can't do that.

You have to also test it for prostate specific antigen. Because if you do that, then it can't be just piss, right? So that was the first thing. He had a – it was an anti-scientific bias because he had a bias. that it's just urine, so that's all he tested for. All his test could show him was that it was urine. Couldn't show anything else. Right.

So that, and also he was a urologist, so he didn't know shit from Chinola about all this other stuff that we do because we're generalists or, you know. And so he couldn't answer a lot of just sort of basic medical questions, and it devolved into life, you know, love link type questions. And the last person I'm taking love advice from is Shulie and Tim Say, or not Tim Sabian, and Harry Fish. Let me say that again for the Clippers. The last people I would take love advice from would be Shulie and Harry Fish.

So there you go. There you go. So, and so I, you know, I just was like, oh, really? Oh, that was your show? You know, congratulations. And he took it in good stride, but then I was told afterward that it pissed him off. And he tried to have me removed from the channel with the excuse of saying, we just want only Opian Anthony content.

But one of the hosts went to bat for this show with the administration over there, the offices upstairs. That would be Steve Blatter and a couple of other people and saved our show. So I've been thankful for that for a long time and pissed off at, Tim Sabian. Well, I have started hearing from people like Eric Nagel that the same scenario had played out multiple times in that environment where somebody would say, you know, your job's in danger, but I saved it for you. And they'd be very thankful. And so I called Tim Sabian. I said, did this really happen? He was like, hell no.

no it never happened your show was perfect for that channel and I always supported you on there now he could be blowing smoke up my ass now but we talked for about 90 minutes oh wow and I really

enjoyed my conversation with him and I believe him that it never happened so I'm going to say I'm very sorry that I've been motherfucking poor old Tim Sabian for how long has it been since all that happened. God, they were still on the air, so it was probably up in, you know, MF and him for 10 years.

And, of course, I wasn't on his radar, so he never heard about it. But he took my call and we talked for 90 minutes and we're cool and I will never MF him again because I believe that it didn't happen. Cool. And that's something. Good old Tim. So that's that sort of intra-corporate, you know, corporate politics kind of thing that happens and you got to go to the horse's mouth on these things y'all so the reason i'm telling you this before first off i owe tim an apology publicly but um i'm telling you this because this stuff happens all the time in corporate america and corporate probably everywhere else and when you hear someone said something about you or someone was going to do something go straight to them that's the only decent way to live the problem was i was i was

there so I didn't really have a connection with him. I only met him once. If I knew what I knew now, right, what I knew now, I would have emailed him or gone to him and say, hey, is this true and let him clear it up? So, so anyway, yeah, and don't fall for intra-office gossip either. Okay? All right. Thanks, everybody. Thank you. And thank you, Tim. And hopefully we will work together again someday. Anyway, it was Funny, when I said it on stage, it just wasn't true, and it wasn't fair to him to shit on him like that. All right. You got anything?

Yeah, we did have a good question from Shroom. Shroom. My dad is fighting colon polyps for years. Yeah. Soon to have a second surgery. Okay. What can we do to prevent that? Well, okay.

So the question is, does he have familial? colonic polyposis, because this is a genetic thing. Right. And the polyps themselves aren't the problem. It's when they're left alone and they turn into cancer that they become the problem. So people, I have a friend who has familial polyposis and his colon's full of polyps, and they go in every year and do a colonoscopy, looking for cancer. And he is at risk of getting colon cancer, but he's at decreased risk of dying from it because he knows about it and he gets his colonoscopy done every year. Same thing with your dad.

Now, aspirin, and I'm not saying he should take aspirin, but acetyl salicylic acid is known to decrease the risk for colon cancer. So, but it increases risk for gastrointestinal bleeding too and other kinds of bleeding. So he would have to talk to his primary or to his, he has a gastroenterologist because he can colonoscopies for it. They've got to talk to them about it. But the good news is, yes, dad is at increased risk of getting colon cancer, but he is at decreased risk of dying from it because he's aware of it and he's getting the preventative treatment that he needs, which is colonoscopy.

If you catch colon cancer in the polyp stage, a lot of times you can remove the polyp right then and there, and that's the end of it. If you catch it, but if you don't, and you catch it in stage one or stage two, it's curable. Yeah. You know, absolutely curable disease.

Just catch it early. And then there's lifestyle. Okay. Things he can do, yeah. Well, increased fiber and decreased inflammation in the gut. Other things. Go ahead. If it's not, if it's not a familial deal in it's more of a lifestyle, I think, smoking, if he smokes, you know, smoking cessation.

I'll always quit smoking. We say that about everybody. Just don't just don't smoke. Just don't. That's what the thing you can't do. You got some fat cat at RJL are going, who we got them to buy another pack. But, you know, it's the same thing with all of the lifestyle. Exercising and healthy weight.

Yeah, yeah, yeah. hydrations, but lots of fibers and things of that nature can help to reduce the incidence of polyps. Yeah. But if they're there, surgically removing them is a pretty good idea. Look at this. McRibbs is a ham radio operator. Did we know that? Well, they're doing a fox hunt.

Okay, so. Oh, no. So what a fox hunt is, is somebody goes and hides and they start transmitting. place a transmitter that will broadcast for 30 seconds every two minutes or something like that. And then you get people out there with directional antennas trying to find it. It's a good practice. And he said we had a fox hunt at a local wooded park. You can imagine how I was trying to find the fox by sound because my one eye is loaded with fluid.

Not too well. Yeah, he's he had a vitreous hemorrhage. is that what it was yeah what are they doing about it McRibs it should be taken care of my it says my vitreous hemorrhage is still around and I'm told I needed cataract out before they took the blood out okay I know why they because they can't see through your cataract they want to be able to see what the hell they're doing well now it's out I feeling like forever to get the hemorrhage out super depressed I'm sorry buddy what can I do you can call them on the phone say listen put me on the wait list if somebody is so what's probably

happened is they've got all these people stacked up to have surgery and they don't want to rush you. But just call them and say, if you have a cancellation, I want, you know, I'll, I want you to call me. Just do that. That's what you can do. And your depression right now is reactive. Sounds like, sure. Sorry. And you can talk to your primary butt, you know, if you need treatment for it. But it sounds like you're depressed because you can only see out of one out. and they need to fix that. Yeah. So call them Monday, say, is there any updates on this?

And can I get on a waiting list? Right on. Okay. All right. Anything else? I did find a great one from our wonderful Kentucky. James Weston says, I got a huge crack in my butt. What do I do?

You shit out of a hit. That's what you do. All right. Our favorite Kentucky Hick, Amy, does have a good question. Okay. Why do urinary tract infections make? dementia patients even more bad shit crazy. Now say that again?

Why do urinary tract infections make dementia patients even crazy? That's a great one. Do you want to take some of it? It looks like you've got something to say about it. I see this every day, so. No, I was going to, no. Oh, okay. No, go ahead.

Yeah, I don't know it. And so the inflammation. Yeah, okay. The brain is one of the most sensitive organs in the body to changes in the body. So, for example, if I punch you in the kidney, it might bleed, but it'll still work. If I punch you in the head, I'm going to knock you out. The brain's still functioning, but the conscious part shuts off. And when you have someone with a little bit of dementia and they get inflammation,

it doesn't have to be a urinary tract, could be pneumonia. Okay. Could be a urinary tract infection. Could be, I don't know, you know, skin infection like cellulitis. Or they break a hip. And the inflammation from the body trying to repair that will send their dementia into, outer space. So there's seven stages of dementia with seven being, you know, being divided into ABCD and F, but, you know, like 7C is someone that can't walk and can't talk. Okay. They're just

kind of laying in bed, it curled up, making noises all day. Stage one is sort of like my professor I've talked about that couldn't remember what a deck of cards were, but described it as a concentric stack of thin laminates. Okay. So they're kind of accent. They're losing some of their executive functioning, but they can still do things. And so that's the extreme. So it goes through seven levels, and people with Alzheimer's tend to march through those levels pretty steadily.

People with vascular dementia will march through stepwise. You know, they'll be okay for a while, then they'll just drop. Then they'll just drop. Well, okay. And then they'll be there for a while and they'll drop. So that's because they're having, you know, mini strokes. strokes, and each mini stroke drops a level or two. So someone that's a stage one or two can come in with a urinary tract infection.

All of a sudden, they're all the way in stage six where they're just, well, you know, just out of their minds. Okay, okay, that makes sense. Yeah, there's some factor that's released that causes the brain to misfire. And the older you get, the more likely it is, I remember I had a friend, whose mother just started acting, you know, wild and paranoid and thinking there were people outside and that, you know, she would call the police because there were people in her backyard, and they had to finally put her number on a special, you know, flag that this person, you know, call this other person to make sure that this is really real and all that. because sometimes there might actually be somebody in your backyard. Well, anyway, one of the cops told him, get your mom checked for a urinary tract infection.

That's, in fact, exactly what was going on because they see it all the time. All the time. And I think my confusion was, I wasn't thinking, UTI was thinking cirrhosis. I was thinking ammonia building up in this. Oh, yeah, yeah. Nope, nope, no. Yeah. All right.

Not even close. The bags on you says, I'm having general itchiness. I'm assuming it's because I'm developing liver disease for my drinking. My pancreas seems to be failing because my stool looks pale and loose. I'm 31. Am I going to die? Bro, we're all going to die. Okay, so that's not the question.

The question is, do you have something that's reversible? And when you have clay-colored pale stool, it generally means that you're not secreting Billy Rubin into your bowel from the gallbladder and that comes from the liver. So yeah, there may be something going on with your liver. That is a reason to go get

seen immediately. Do you need to go today? I would. But it sounds like it's been going on for a while so Monday is good enough. Call and get it taken care of. The itchiness could be general

what we call pruritis because we have have a different word for everything, but it's, it's, you know, means itchiness. And it comes from Billy Rubin that's gotten into the blood stimulating mu-opioid receptors in the skin. And every once in while, we'll put people, particularly if they're drinking, we'll put them on naltrexone. Right. It helps prevent the drinking, and it also stops the itching from the Billy Rubin. And the liver, I'm going to tell you the bags on you. I don't know you, but I want to hear from you again.

The liver is one of the most regenerative organs that there are. If you damage your heart, there will be a scar tissue there, and that's the end of it. If I take out two-thirds of your liver and leave you a third of a liver, it will very often, it will grow back, or it will at least resume the full function of the liver over time. so if you stop now and get on treatment you may be able to turn this thing around so you know please please do that okay it's not the alcohol is not doing you any good it's your enemy so at this point go to a meeting go right now that you can do they have meetings seven days a week and and but then get some this you can't do but this by yourself

you're going to need medical help. But talk to them about the naltrexone. It really does help people stop drinking, and it will absolutely put a stop to that itching if that's what it is. Okay? Got any other questions out there? I was looking back through that's help.

Well, Kai Brancaccio says low-dose naltrexone has been used in pain as well as stroke patients. Yep, that's right. I use low-dose naltrexone every day. If you have someone that's not on, so naltrexone, let's talk about that. It is previously used as a medication that will block opioids at the level of the receptor. So if you had somebody who was overdosing, you could give them naloxone, IV, which is, you know, an analog of naltrexone, and it will wake them up because it competitively interacts with those receptors and knocks the

narcotic off there, but it doesn't have the respiratory or, you know, sedative effects. But it has more affinity for the receptor, so it'll just knock the opioid off and then just you excrete it out of the urine. So, this low-dose naltrexone, we use it for pain, which sounds weird because we were using naltrexone to block opioids. And now they're using it for alcohol abuse. Why? Because there are opioid receptors in the brain, pain and pleasure receptors, being fed by endorphins that are released when you drink alcohol. And that's what it gives it that pleasurable effect.

And so that will stop that sort of craving for that, that form of pleasure by taking the naltrexone. At least that's the hypothesis behind it. Low-dose naltrexone will use for pain because what it seems to do is it blocks endorphins, which are narcotics that your body makes, temporarily. and then when the naltrexone washes out those endorphins that have built up in your system will then hit the receptors and it's really good for things like fibromyalgia people who have tried everything for fibromyalgia do great on low dose naltrexone and you know and he's right that he or she is right they use it for you know stroke patients as well and i'm not sure what the hypothesis is there on how that's benefited. But anyway, all right. Okay,

Krispy Biscuit says Naltrexone worked very well for helping me quit drinking. Barely any side of, yes, there should be no side effects whatsoever. Although if you try to take a percassette while you're on that, it's not going to do very much for you. All right. Who says, Krisby Biscuit says I was developing fatty liver at 33. My cholesterol, AST, and ALT. Those were liver enzymes were way elevated they're all normal now at 35 now um luke says naltrexone is in buprenorphine so yes and no it's in suboxone so suboxone is buprenorphine and uh is it naloxone uh is it naloxone let me see i think it is naloxone i thought it was naloxone uh do to do yeah naloxone so it's an analog of naltrexone.

But the reason that they put that in there is, okay, so buprenorphine is used for pain, but it's also used for opioid use disorder. And what you do is you get the patient to come in just in the beginning of withdrawal, and you give them their first suboxone. And this is buprenorphine and naloxone. It comes in a little film thing that dissolves on their tongue. and all of a sudden they feel better. So now they see the value in it.

And it's very hard to overdose on this medication. Don't try, I'm just saying. You know, it's got a good safety profile. And it does have some competitive effects with other opioids. In other words, when it's in your system, you may have to take more standard, what we call full agonist opioids, to get anything. So it's a good drug for,

medication-assisted treatment for opioid use disorder. They put naloxone in it in the Suboxone, because if someone were to put this in alcohol and, you know, take out all the buprenorphin, you know, from the film, and try to shoot it up. Oh, okay. Then it won't work. Gotcha.

Because then the naloxone will kick in. Because when you take naloxone orally, unlike naltrexone, it is not absorbed orally. go straight through the GI tract. But if you try to shoot it up, then it won't work. Wow. Same thing with Talwin NX. Tallwin had pentazocene, which was an opioid,

and it had naltrexone in it. No, it was naloxone. Naloxone in it. And that was another one where if they tried to crush it and put it in water and shoot it up, then the naloxone would kick in and it wouldn't work. Gotcha. So it was abuse, it was a way to,

Less than abuse, yeah. Abuse deterrence, exactly. Okay. Wow. All right. So, Luke, excellent question. Great question. Yes.

Luke also says, well done. Crispy, absolutely. Well done. Yes. Let's give him one of these. Let's see. There you go. All right.

Etypus, Oediposaurus rex. Eiposaurus wreck. 9-01 says I've been on Suboxone for three years. I'm down to one a day and hopefully be fully off soon. Yes, thank you for that. Some people get on Suboxone and they stay on it forever. There are other people who say you get people on the Suboxone and then you keep them there for a while,

let them get out of the habit of going downtown to cop and all that stuff and then wean them off. I like that approach I think total sobriety is the key but there are addictionologists out there that just say look there are some people The recidivism is too high Yeah So

Yeah All right So king of the diffs Wait why is he king of the diffs Now didn't he used to be king of all Diffs? Oh no Am I having a senior moment again

What's the best thing to take To stop drinking Well the best thing first is you got to commit to stopping drinking because you can't just go I want to stop drinking I'm going to take a pill yeah so and define best thing for some people the best thing is just to go to a meeting and stop and just stop drinking that way so we know it knows the best thing to do is go to an addictionologist work out what's going to work best for you because everything's different so yeah and I was going to say and again one of the great things about those about the meetings is you get

support and people and but the other thing is It changes your daily habits too. Yeah. Because you know as well as I do a lot of this stuff is habitual. Yep. As soon as you take someone out of this, and it's the same thing, going back to the opiates. Yep. And you take someone out of that daily habit, and I don't care what it is.

I don't care if it's, you know, a work addiction or a sex addiction or a drug addiction or alcohol, but changing that daily habit will make them change or help them change the addiction. And, you know, the Oedipus, Oediposaurus Rex had another question about a papillary. thyroid cancer. Okay. That was removed and is now having trouble with calcium absorption. Oh, ha ha. And as taking calcitral, just wondering if there were any other thoughts for calcium. They probably took out one of their parathyroid glands at the same time. Yeah, one would assume. You know, I'm sure. Post-surgical hypocalcemia is a big thing with this because of the damage to the parathyroid glands.

The parathyroid glands are in charge of that. Yep. Without going into too much detail. Yeah. A lot of green leafy vegetables do have calcium, you know, and depending on, I mean, because, you know, you hear dairy products, certainly. You can take calcium supplements, but sometimes they're hard to absorb. Vitamin D.

Vitamin D can help kind of with your absorption, but. Well, they usually have people take calcium and vitamin D together. because it improves these things. And, you know, if your calcium just remains low, there are things that you can do. Just see your oncologist about it. Because they can do them in the infusion center if they have to.

But if you have low calcium, you're going to have fatigue and, you know, some really severe health issues if things, you know, get really low. So you don't want to get that, let that get out of control. all right well all right

anything else I think I get to the most of them okay well McRibs says meetings in my area are always people who start off

with I want to cop with my kids in the car or something that has to do with CPS what it's never about

casual users and of course no cross time what is he talking about I don't know what he's talking about anyway Yeah, okay, Oedipus, if it's working for you, great.

If you know what you need at the time, don't beat yourself up. Right. Don't beat yourself up. It's, this is a disease, it's an illness, it affects behavior, so we look at it a little bit differently than we do things like cancer, but I just want you to get the help that you need. And you're not going to be judged by whatever addictionologist you go to. That's the whole thing that they deal with.

And Don Jr. says, withdrawing from opiates is hell on earth. Absolutely. Absolutely, it is. So don't. You don't have to do that. You can get help. If you go through full-blown withdrawal, you're at risk for a thing called post-acute withdrawal syndrome that can last two years, can cause anxiety, depression, you know, flashbacks, all kinds of malays, muscle pain. So we counsel people

don't do that. You can go do it through medication-assisted treatment. And, you know, I got into a discussion. It was actually an argument with somebody at one of these CBD places that sell cratim. They're on, whoa, you know, Suboxone. They just get them addicted to it. And it's like, okay, they're already addicted to opioids. This way they're not copping. They're getting it in a clinical situation. And then we can wean them off of it. You know, Kratum is similarly addictive.

It affects the mu-opioid receptor. I've had patients, and we've had listeners to this show, that used Kratom to get off of their opioid, and then they got addicted to the Kratom because they still were having that mu-opioid receptor stimulated. So there are downsides to everything. I'm not saying anything about Kratum for the Kratum lovers out there other than it is a medication that has real pharmacologic effects, and it does affect the mu-opioid receptor on top of other things.

Having said that, I think it's a fascinating molecule that needs to be further studied. We have a lot of things to learn about Kratom, and we've got a lot of things. things to learn from Gratim. Yeah. Because it may be the thing. It might be good. But, you know, we need to be studying psilocybin for medication-assisted treatment and other things like that, too.

All right. Anything else from the fluid family? I don't think so. Okay. All right. Well, I see lots of things on there. You feel free to throw in on any of those. Here we go.

we were talking about fatty liver there was a question about fatty liver quick question I need some help yeah not long ago I had some pre-admission testing I'm getting a shoulder replacement

done here next week my liver enzymes are elevated um they think it's because of the perkinset that I'm taking I don't know I think

it's because of diet so I've been hardcore keto for the last two years In March, my wife passed away. I'm sorry. And since then, with the in-law drama, I haven't been able to stick to keto. So do you think it's the extra sugar that I'm eating that is causing a fatty liver?

It could be that, and I'm sorry to hear about your wife, man. fatty liver can be genetic but it can definitely be from diet and carbohydrates are a big part of that more so than fat which is weird you would think fat would cause fatty liver but no it's its processing of carbohydrates that tends to cause this

but if you're taking percocet it also has a lot of Tylenol in it acetamin and acetaminophen can affect the liver as well So you want to talk to your prescriber about this and see. And there are treatments and workups for fatty liver. And the main treatment is getting your insulin levels down, getting your glucose levels under control, so you need testing for all of that,

and getting you off medications that can irritate your liver further, which could be things like acetaminophan. Okay. So get to your primary. If they're not comfortable with it, they can send you to a gastroenterologist. that deals with liver disease called a hepatologist, but all gastroenterologists are, you know, at least partially hepatologists.

Some only do hepatology. But most of them just like doing scopes, but they can deal with liver issues as well. Okay? So get that taken care of it, let us know how it's going, okay? All right. Let's see what else we got. Yeah, McRibbs.

If I were to call in, but I have to wait seven years to get my question, and we're like, no, yes, it would be on your, on the next show. We are actually have run out of new questions. And it's just because we haven't been on people, haven't been calling in. So call in 347-766-4-3-23. We will get your question on unless it's just grossly inappropriate, in which case I'll send you a text saying,

I'm not playing this shit. Well, other than that, yes, absolutely. No, yeah, McRibbs, I know you're being a smart ass. It's fine. Oedipusosaurus rex says my friend was horribly addicted to cratim having horrible bowel movements, yeah. It causes constipation just like Percocet or anything else.

And he says, yes, you're getting medicine that's being measured. You have group therapy. There's so much fentanyl out right now, yes. Fentanyl is the real problem right now when it comes to street drugs. It looks like next week we have a call from the lovely and delightful Chad Zumach, and we've got some calls coming in. Thank you all for sending in phone calls. So that's a teaser for next time. All right. 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, hopefully, probably 10 days, for the next edition of Weird Medicine. Thanks, Dr. Scott. Thanks, everybody. You know, Oh,