Well with Arielle Lorre - 400: The New Era of Aging: Stem Cells, Peptides, Plasma, Fat Transfer & Beyond with Drs. Payman Danielpour and John Layke

Episode Date: July 9, 2025

Dr. Payman Danielpour and Dr. John Layke are board-certified plastic surgeons at Beverly Hills Plastic Surgery Group, hosts of the Forever Young podcast and physicians at Proactive Longevity in Cabo San Lucas, Mexico. They join the show to discuss the future of aging and beauty from the inside out, and the innovations that we currently have available to us including peptide therapy, stem cell treatments, therapeutic plasma exchange and more. We also discuss overrated and underrated procedures, neurotoxins, early facelifts, fat transfer & why skincare should be a priority for everyone.For more on The Beverly Hills Plastic Surgery Group:Follow them on Instagram and FacebookVisit their WebsitePlease note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.Go to tryarmra.com/WELL for 15% off your first order.Get 20% off your first Ned order by visiting foriawellness.com/BLONDE OR use BLONDE at checkout.Get 20% off your first 6 months at OpenPhone.com/BLONDE Visit fromourplace.com/blonde and use code BLONDE for 10% off sitewideVisit justthrivehealth.com/discount/well for 20% off your first 90 day bottle of Just Thrive with promo code WELL.Go to alliesofskin.com and use code WELL to claim your FREE deluxe Growth Factor Serum with orders of $130 or more.Produced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The following podcast is a dear media production. This is Well, a podcast about wellness in all its forms. I'm Ariel Lori, and each week I'm sharing unfiltered conversations with people shaping how we feel, live, and look. Come for the substance, stay for the honesty, and leave with the tools to be well, inside and out. Hi, everybody, welcome to the show. Such a great episode for you today, because we're really covering a lot of the things that

we all love. So we're covering beauty and aesthetics and aging, but really from the inside out. So we're not just talking about the things that you can do externally, but we are really delving into things like peptides and stem cell therapy and therapeutic plasma exchange, these kind of newer innovations that a lot of us are hearing about, but that we don't quite understand. So a little backstory on the episode, I met one of my guests a few months ago at a dinner party. And he knows my boyfriend, My boyfriend was hyping me up at this table where I didn't know anybody else as he does and brought up my podcast, which for me is sometimes embarrassing. But admittedly, to give credit where credit is due, I have made a lot of connections this way, including this one from today. So one of the guests at that dinner party was Dr. Payman Daniel Pore. He is a plastic surgeon.

And along with my other guest, Dr. John Lakey, he operates the Beverly Hills Plastic Surgery Group in Beverly Hills. And they also have the proactive longevity center. This is in Mexico. This is where they help to manage the trajectory of aging with some of those newer innovations. And they are the hosts of the Forever Young podcast and the founders of Beverly Hills MD, which is a skincare line. So, as I said, they are on the podcast today to talk about. all of these innovations to help us age well from the inside out. We talk about things like how to find a good surgeon. We talk about early facelifts. We talk about judgment in plastic surgery and whether there's still a taboo around it. We also talk about skin care, neurotoxins,

fat transfer, breast surgery. But we really get into a lot of the internal things that we can be doing for beauty and aging, including, like I said, peptides, therapeutic plasma exchange stem cells and so much more. It's such a fascinating episode and a really fun episode too. They have great energy. We have rapport. So I know you guys are really going to love this one. So please enjoy Dr. Payman Danielpour and Dr. John Lakey. Welcome. Thank you for having us. Thanks for being here. Why don't you just introduce yourself first to the audience And then we're going to be talking about things that might be a little unexpected today, since you guys are surgeons.

Okay. I guess we'll do age before beauty. So my name is Dr. Payman Danielpour. I'm a board certified plastic surgeon and co-founder of Beverly Hills Plastic Surgery Group with my buddy over here. We also own a skincare line called Beverly Hills MD, which we're very passionate about. And also a longevity clinic down in Cabo San Lucas called Proactive Longevity. Yeah, Dr. John Lee. And same thing, board certified plastic surgeon. And we've been friends and brothers for the past

20 years, 25 years. I don't know, something like that. Working together for 25 years? It's working together for 18. 18 years. Wow. What's the secret? You know, it's so funny. I think the two of us were very similar and then very different in certain ways. You know, like I operate neck up. He operates neck down. He's more of the business side. I like to spend all the money. You know, it's like I'm going to work. Yeah, exactly, exactly. My wife says it all the time. She's like, yeah, you're your work wife.

And so, yeah, I think it's, you know, there's no egos. We leave it at the door and we still sit at a double desk like nip tuck. Literally, it's just like this. Actually, I saw that on your Instagram today. It's fun for us. Yeah, it's all about humility, right? I think if, especially in our line of work, most plastic surgeons have massive egos. Yeah.

And they think they know more than anything. And most partnerships when it comes to plastic surgery practices don't work because of that. But John and I, it's completely the opposite. I actually look for his critique. I bring him into the operating room. He asks me, we put pictures up and we're like, what do you think of this? And when you're able to do that and take constructive criticism, it really helps. But also when you're with a guy like him that's a very humble man, makes it very easy.

So humility, I think, has been one of the driving forces. Yeah, when you said that, I was surprised. I was taken aback because it's not often that you've come across a lot of humility in that industry. And I've always said, like, I want my surgeon to have a little bit of a god complex, like, just the right amount. Like, I want you to be so cocky and think that you're the absolute best that there is. But I think that, you know, you can also mix that with a little humility as well, which is not. You see it so much now. It's actually, in a way, sickening because, again, confidence is wonderful.

We're very confident. but I don't need to scream it from the rooftops. I'd rather tell my patient. So, yeah, I agree with you. Yeah, well, I think we're also in this time of social media. And I know that the burden is often on the patient to try to navigate, like, okay, who's the best doctor? And how can they even tell when there are so many doctors that are out there that are really good marketers, but not necessarily good surgeons?

And I think it's becoming a huge problem. You guys probably have to do revisions all the time on people who get let astray. or fall for some kind of marketing scheme or somebody tells them no and then they find somebody who says yes. Like it's just becoming really overwhelming, I think, for the patient. And when it comes to surgery, it's such a massive decision. So I would love to hear like how you guys have noticed if there has been a shift. Yeah. It's more than anything. It's dangerous. And it's because now anyone and everyone, you know, everyone's doing stuff. Yeah. The scope of the provider is definitely, you know, what's termed a provider has broadened where it used to be, all right, you knew that you were going to

a well-trained, board-certified person. Now it's almost like the person with the loudest marketing campaign wins. It is dangerous. A lot of smoke and mirrors. So you really can't, and it's very hard to swift, kind of sift through all of it if you think about it. You hope that the person who's putting up a before and after is being honest about it. But you just don't know. anymore. And people, some of the best are being called out for doctoring pictures and using lighting and things like that. So it is. It's frustrating. So for people that are listening that are looking for them, I think it's the best way to find a surgeon, in my opinion, is word of mouth. I think if your friend calls you and says, hey, you know, I just had a upper

eyelid surgery and I really love this gal or this guy. And he was amazing and he's board certified. He's done four of my friends and everyone's so happy. I think that way you really are getting. And then you could check the credentials as well. But if you're doing everything through Instagram or TikTok, just be so by everywhere, I think. It took a while for us to actually get on social media because we were both kind of against it. I was the cramogen. I said, oh, man, because I saw so many of the docs that were out there and they were dancing in the operating room. Yeah.

So crazy. And that was definitely not us. And I fought against it for the longest time. Then I realized, oh, wait a sec, we're missing out on the potential to educate. And so now we're trying to pull through. Dan saying in the OR? No, definitely not. Not yet, but we are choreographic.

So just stay tuned. Only the macarena. Yeah, yeah, yeah. Yeah, recently I saw a before and after from somebody on Instagram and I sent it to a girlfriend of mine who's a nurse practitioner. And I was like, is this guy good? And she's like, oh, my God, he's not even a plastic surgeon. And I was like, what?

I mean, he's a dermatologist, but doing surgery, I don't know. What's the work around there? cosmetic surgeon but not plastic surgeon. Like, that is one. That's a very cheap. That's a loaded question. Look, technically after medical school, all you have to do is do a one year internship and you are a physician and surgeon. You do not need one year. Right. One year. You don't need a formal residency to claim anything. And you know, there are many family practice guys that are saying, all right, I'm a cosmetic dermatologist because that's their niche. But they're not actually trained in it. So when they say, all right, I'm board certified, you're board certified in what?

You know, and that's the difference. We can say, all right, I'm board certified in general surgery and plastic and reconstructive surgery. That at least lets you know or if someone is in facial plastic surgery. The moment you start, you know, there are OBs that are doing breast augmentation. There are, you know, family practice guys doing lipo and it's, that's where it starts to get a little crazy. And it gets dangerous. That's the biggest problem I find out about all this is danger, right?

Like you go in and have someone do lipisuction for you and if something goes wrong, they can perforate bowel. And then you're in the hospital. And then you can actually, like, it can lead to death. And you don't need to. It's an elective cosmetic procedure. Find someone that's credited by the American Board of Plastic Surgery. That's the key, not cosmetic surgery.

Because cosmetic surgeons, you can do any type of training and become a cosmetic surgeon, take a weekend course in lipisuction and then do it. And it gets scary. And then they wind up, you know, at our doorstep looking for revision surgery. in revision surgery is a lot more difficult. I did one yesterday. It was, it was tough. It was a young girl who was fully botched by someone. And it was a breast case and it was, it was tough. It was a tough case. I even told him after I said it was, you know, when you see a 22-year-old

girl with scars all over their breasts, like whoever did it, you were like, what are they doing? It happens. And unfortunately, you know, right now, there's no way to really vet other than go to the website, American Border Plastic Surgery and look them up. Mm-hmm. What trends have you seen in surgery lately? Like, what are people gravitating towards more now that they weren't before? I mean, are more people taking their implants out and opting for fat transfer? What are the trendy things in the face? Like, I know that we're in this era of undetectable surgery, right? Yeah, I think, look, the pendulum is definitely swinging back in the other direction. I mean, it used to be the Pam Anderson, everyone was going big. You know, we went with the Brazilian butt lift and everybody was jamming as much fat as you could in there. Now people are starting to go a little more natural. So for face, I think PRF, the rich fibern is great for under eyes and neck, things like that. And fat transferred to the face as opposed to filler because of filler fatigue and pillow face and all kinds of things that can happen.

And then believe it or not, earlier face and necklifts because we're realizing now, one, you can enjoy, you have more collagen now than you will tomorrow. And each year you lose another percent, starting at age 18. So now do the math once you're in your 40s, significant portion of college and loss. So we can fill, try to do skin tightening, all kinds of things. But in order to truly address the issue, sometimes face and necklifting become very powerful. And you see that in the media recently. And it also becomes a little more undetectable, right? because it's not such a drastic change or improvement.

And you just look more refreshed. So we're seeing a trend of that. Yeah. When you want to talk about breast and body surgery, breast surgery, I think the ballerina, the European, that I want to put a tank top on and really just look sexy, but not like I've had something done. So something I do a lot, which is doing a breast lift with no implants

and using your own tissue to create that augmentation. So it's called an auto augmentation. I think that's become like in vogue because people are trying not to put even fillers. I mean, people don't want to put foreign substances in their body. There are newer implants that I think are a little bit better than the older ones. They're not as reactive. But still, I do think that the trend towards implants has gone down and using your own fat or really making breasts look small and perky is like the way to go.

And I agree with John, the fat transfer of the buttocks, at least it was never a big part of our practice because we have more of like a natural look. But again, that's gone down significantly. I think people are looking to look better and healthier. The one thing that's become very popular is weight loss, right, with Ozmpic and Manjaro. And that's one thing that we're trying to keep up with in the sense that, you know, people are losing a lot of weight

and we're trying to make it so it's not too rapid. And when they're losing all that weight, keep up with the collagen production, whether it's with technology and doing things like Morpheus and radio frequency skin tightening and stuff like that, or having to cut skin out, that's become a lot more common than the last couple years. And I think that when it comes down to it,

like, I just know for myself, I would rather do small things along the way and keep it really natural than do one thing when it gets to that point where, like, you need a complete overhaul. And I think that that's where a lot of people are, but there's still so much judgment around it. Well, I think in the past, you know, plastic surgery itself,

It can have negative connotations for two reasons. One, because it looks unnatural. So that's where we get that negative out factor. The other is because I think it used to be attributed that only the wealthy could obtain this. And so maybe the lower middle class looked at it as, look, this is just a vanity thing. And you know, you're changing yourself for the wrong reasons, whatever it may be. But I think now it's becoming a little more normalized. I mean, I think there are options for everyone. And, you know, I think, there's nothing wrong with wanting to be the best version of yourself, right? And you would be surprised at the number of lives that we change based off of an insecurity that leads them from being a recluse to, you know, out and social and, you know, completely changing their life. So I think it's all a matter of perspective. Yeah, I mean, I think a simple thing like hair transplantation, right? For a young man, let's say in his 20s, it's losing hair, that's losing confidence, to go in and do a hair transplantation

for anyone to judge them in any way, I think is so ridiculous. Because it maintains a sense of confidence that that person really needs to go forward, whether it's in their job or with a man or a woman or whatever it is. I think that's where plastic surgery comes in. And whether or not a young lady wants a subtle tweak or somebody needs a much bigger one

because they've lost 200 pounds, I think to each his own, let them do whatever they want. The whole judgment part is, ridiculous to be honest. Yeah, I never thought I'd quote Taylor Swift, but, you know, people throw rocks at things that shine. And that's totally, look at that. I don't even know that one. It's pretty sad. Tell me that's violet. Yeah, it's violet. Okay. I have a seven-year-old, so that's a, uh, yeah. That tracks. But, yeah, just in case you were a little worried there. That's a good one. I like that. But yeah, I mean, look, it's just human nature. I think when someone has the guts to do

something you can't, yeah. The first instinct is to say, well, you know, I would never do that. Yeah. You know, and so I think consider the source. Right. Right. Yeah. Well, and I think there's another misconception that when it comes to surgery or getting any kind of procedure that somebody is trying to look younger and that's not always the case, right? Like you want to look like your best version of yourself. I'll speak for myself. The outside to match the inside. Right. You know, I mentioned before, there are so many other things now that people can be doing. And I think that, you know, it's not enough to just get surgery, right? And I know that you guys have a skincare line as well. And you have talked about this payment on another podcast that I heard where you're like,

you can only do so much with surgery. If you're not treating your body, right? If you're not treating your skin right, like it's only going to look so good. And this is the hill that I will die on because I talk about skin care so much on my social and I make videos and everyone knows that I've had procedures done and things like that. And I'm like, skin is the canvas. Like look at how many people in L.A. are walking around nipped and tucked and pulled and they have shitty skin and like it doesn't look good, right? So let's get into all of that.

See, that really is the key, though. You made a really good point. And he brings this up a lot because he does more facial surgery than I do. And he'll say, you know, this is a really tough case or this is an easier case because of the skin quality. Somebody that comes in young girl, I'm not even talking about an older woman with a fur rhinoplasties. They have very thick skin. Well, it doesn't matter what you do underneath. It's still going to look kind of thick, right? Whereas 75-year-old woman comes in is so wrinkly, neck is tight, but there's sunspots and the face is wrinkled. Well, you need to do some sort of resurfacing procedure.

And some of them will say, no, I don't want the laser. And you're like, fixing everything else. Yeah, you're going under. Yeah. It's a difference between an a minus and a plus result. Yeah. That's really it. And skin care is important and it needs to start at a very young age.

When I think about skin, I always think about my mom. My mom is in her mid-70s. She's got porcelain skin. Yeah. Porcelain. She's got the most incredible skin. She also have a tight neck and she's never had surgery. But she's taken care of her skin better than anyone I've ever met.

Never sits in the sun. Doesn't even think about it. Always a wide-brimmed hat. You have to do it. Now, it doesn't mean you can't be in the sun, but you have to put on sunscreen. If you're going to go out and reapply it, you have to have the appropriate skin care regimen.

And people think that's like hocus pocus, but it really isn't. And everyone has a day. skin care regimen, I'd love to hear yours. And how many steps it is? Because his is about 12 steps too. Really? Yeah.

I still use Irish spring soap. Oh my God. You and Chris. Yes. Really? And yeah. It's a real issue. I mean, Chris, no, he doesn't even wash his face.

Really? It's like gorgeous skin. He looks like he did 30 years ago. Yeah, I know. It's incredible. I know. But I think we have the same reason. It's because we got, or I got married later and children came much later.

So it didn't wear you down at the young age. For sure. Yeah, but I look at him sometimes and I'm like, God, he's got so much collagen. Like, it's just not fair. It's true. Not fair. Okay, what's your skincare routine? Look, you know, I always say the same.

You know, the funny part is it's actually not really long, but there are three things I always do. And I think it should be in everyone's skincare regimen. Outside of a good cleanser and a sunscreen, you need three things. So vitamin C serum. a really good moisturizer and you need a retinal.

I think those three things should be at everyone's skincare starting in your 30s. Then I'll add some fun things here or there

because it's every now and then it's like surprising your skin with some new nutrient or active or whatever it is. Perfall. Yeah.

Keep it on its toes. Yeah. And so you can't forget the body. Right? So, you know, even in our skincare line,

we have something that will hydrate the skin on your body because everybody, we apply skin, you know, all these products to

the face, we forget about the neck, we forget about the arms, elbows. And then when it's too late, you're like, oh my gosh, you know, it's so wrinkly. What am I going to do? Well, you should have been taken care of it earlier on. So my regimen is really just those three things. Every now and then I'll throw in some new product or new, because I always try new things, Korean products because they always seem to be ahead of the curve. And then the good part about being plastic surgeons and owing a skincare line is we see 100 lines. And then I hear patients say, oh my gosh, this is amazing.

And you go home and try it and you see why. And then you formulate it and make it even better. Which is great, because you could deconstruct anything, right? So I'll never forget when we first started our skincare line. I came in and I go,

this thing is selling for like $600. It was Natu B.Say. And the interesting part of NatuPi say was like the old Amway kind of way. They wouldn't sell it at its stores. They'd go door to door and sell it. It was a tiny little vial like this. So I give him, I go, let's deconstruct this.

And you learn what the actives are and you learn how to play with them. And now we've been doing it for so long that, you know, he's normally the guinea pig. Because they know that I won't use anything. I'll just give it to my wife. Yeah. If I was going to say there's one thing everyone or two things everyone should use, I'd say retinal is very important. Something for cellular turnover because you don't want to just exfoliate because that could be a little too harsh. And you should have something that's going to have new skin that's forming.

and then sunscreen, just sunscreen, sunscreen, sunscreen. Sometimes I regret that I didn't wear it at a younger age. I've been driving a convertible my whole life. But even on the hands, like I was just away in Costa Rica. And the one thing I did is I kept putting on my hands. And it's important because you forget those sunspots on the hands are a dead giveaway. Rinkly skin is a dead giveaway. I always say that's my one regret in life because I grew up on the East Coast

and we were like in the tanning beds daily. daily, sometimes twice a day. For sure. Well, because sun was such a commodity. You know, when you grew up in California or Florida, you know, I'm Wisconsin boy. So I mean, when it's 55 degrees and sun came out,

everybody was outside in shorts and shirt, because you're like, we haven't seen it for months. Yeah. But now you're never in the sun. I mean. Even in California. I mean, I diligently have protected my skin from the sun since I was like 28, 29, kind of late.

But also like I was a shirt. shit show in my 20s. You know this, right? I got sober at 28. And I looked at myself through sober eyes and I was like, whoa, what happened? I had deep set lines in my forehead. I had sun damage. I've since done all the lasers and stuff and it hasn't really come back. But now I'm approaching 40 and I'm like, I got to get a little more consistent with like the lasers and stuff. We talk a lot about wellness here. but when it comes to the biggest wellness secret, that's not so secret, it is that everything starts in your gut. But today, your gut is fighting a silent war against processed foods, work stress, pesticides in your food, and even toxins in the air that you breathe. And when

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zero risk. You guys know that I take my skin and my skincare seriously. I'm always on the lookout for longevity-powered skin care, and I truly think that nobody does it better than allies of skin. If you haven't listened to my episode with my friend Nicholas Travis, the founder of allies, definitely go back and listen to that one. It was so informative. And maybe made skincare and the science of formulation easy to digest. And you also hear the passion that Nicholas has for skincare that was born out of his own story after a devastating accident left him with facial injuries, infections, and necrosis. This was what inspired him to create allies of skin. And that moment reshaped his life, really deepening his connection with the universe and the

messages that it has to offer. And I really believe that one of the reasons he's so successful and allies is so successful is that it has a service mission. He is really out to improve people's skin and change their lives by making them feel better. So you guys know that I am so obsessed with my probiotic skin mist. I use it constantly, especially as I'm traveling. But it's usually what I use to set my makeup as well. And it gives me this insane, glassy, glow. So it is so great. I also love the copper tripeptides. And then they have the iconic growth factor serum. So if you buy one serum this year, make it the Allies of Skin multi-peptides growth factor serum. Okay. It has a cult following for a reason. It's clinically proven and backed by

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of morning and night use, plenty of time to see that firmer, fresher glow, allies of skin is known for. So go to allies of skin.com and use the code well and claim your free deluxe growth factor serum with orders of $130 or more. It's a single use code with no expiration date, but don't don't sleep on this because it will run out. So again, that's allies of skin.com. And the code is well, W-E-L-L-L. I will expect a gushing. Thank you when you see your skin within the week. What's your go-to skin care regimen? Like if I was going to say, like, every night before you go to sleep and then in the morning. So I use Jan Marini. Okay. I've been using it for two plus years. I went on it because I randomly out of nowhere two years ago got like cystic acne. And I tried everything.

I tried lifestyle changes, diet changes. I already eat very clean, didn't have anything in like blood work. Hormones were fine. I mean, it was like horrible. Just nothing helped it. And I went to my facialist. She put me on Janmarini and it went away. So I've been doing it for a long time.

We used that a long time. A lot of active. Everyone that comes on my show is like, how is your skin not like burnt off your face? Because I do a colic cleanser. I follow that with vitamin C morning and night. which a lot of people don't love, but the nighttime vitamin C. But follow that with a serum that has three acids.

I think it's mandelic, salicylic, and azaleic. Okay. Azalec acid is phenomenal, by the way, especially for dark spots. Yeah. I'm great for rosacea, too. Yeah. Well, and then I follow that with a serum for redness sometimes, but it's also very hydrating. And then at night, I follow that with a transretanol-benzo peroxide dual chamber product.

It's like for adult acne and anti-aging and then moisturize. Yeah. So do you have oily your skin or did you? I have combination. But when I started that regimen, it was dry. It was so sensitive. It was red. It was clogged.

It was like brittle. I mean, it was just not good. And I didn't think I'd be able to handle anything. Thank you. I just need some Botox. I know. That's it. But you see the pattern that she's doing.

I mean, the idea is with. those lighter acids you're taking off some of the top layers chemically, enzymatically, and then, you know, a lot of hydration over and over and over. The retinol causes that cellular turnover. So to me, it makes perfect sense. I love the fact that you use vitamin C twice a day because, again, that is a staple in the skincare line. So, you know, I see why it works. Yeah. So you just said you need Botox, but you haven't gotten Botox in a while. Not in two years. Why? Because I had a terrible reaction.

What happened? Terrible. It's very rare. You know this. I know this, are you, right? Yeah, I know. I don't know why. I'm like, I'm a good person. Why does this happen to me? Because I will say, when people ask me, what is your number one go to as a plastic surgeon

for the aging process? Yeah. I say there's nothing that's ever been made that's better than using a neurotoxin by far. Now you're just rubbing it in. So now, so have you tried all the different types of neurotoxone? Okay, so I'll give you like the very brief version of what happened. Oh, my God. Try it in somewhere.

I can get it for you. You want it? We'll talk after. So a few things were happening. I had implants for a year. Okay. Just a year. Yeah, I had had them for a year when this happened. Things were kind of happening, like just things that were strange. I was getting rashes here and there. I was getting sick more often, but I didn't make a connection to the implants because I didn't subscribe to that whole thing. But when I look back and I kind of retrace my steps and every that happened leading up to this because it was such a major event in my life. It was almost like there was a faucet dripping, you know? And then I went to get just sport, not Botox. I did. I don't remember how many units, nothing crazy. And then the next day, so like 12 hours later, I woke up and I

felt really dizzy and weak. And I had weakness in my arms and legs. I had this feeling of like physiological anxiety, not mental anxiety, but like almost like an electrical kind of anxiety in my body and I just went about my day and I remember I was at Sacks with a girlfriend who's a nurse practitioner and suddenly the floor started feeling like it was moving and I thought I was going to pass out. Everything started going gray and she took me home and then it just like escalated. So my neck was weak. I had a tremor in my left hand. I had muscle spasms all over my body. My eyes completely dried up. I went to so many different doctors. I went to first my E&T because the vertigo was so terrible. He sent me to get an MRI, sent me to neurology, neurology sent me to, I think maybe OBGYN to check my

hormones, who sent me to ophthalmology because my eyes were so dry. I couldn't open them. I couldn't work. I couldn't do anything. I had to lay there with compresses. They sent me to infectious disease. He sent me back to neurology. sent me to psychiatry. I mean, this is for months. And the company said that it sounded like pseudobotulism and that if it got better in a few months, then I would know that that's what it was. But everybody said to me at that time, no, it wouldn't be the Botox. Maybe it's your implants. And I was like, but it happened overnight. I was like, take the boobs. Don't take the Botox. So I got the implants out. And that was like three or four months after it had happened. And then I

started feeling a little bit better. So I was like, okay, great. That's the implants. That's what you're. thought, right? Yeah, but it's also the same time at the time. It's the same time as let's try a little more disport. We did like six units and everything started again. Oh, wow. Yeah. And then ever since then it's been, I got diagnosed with MCAS. You never tried any other type of neurotoxin. I tried like two units of Zaman just to see. Same thing. Same thing. Interesting. Juvo? No. Yeah, the thing is I would love to have you try it. The only problem is,

you're getting such constitutional symptoms. There's so many different ones. Sometimes you're like, it's not worth it. Since then I've been diagnosed with MCAS, secondary MCAS by an immunologist at Cedars. Okay. So I don't know if that whole thing triggered that in my body. Because when I have a flare, and then we can start talking about something else,

when I have a bad like mastel syndrome flare, it feels exactly like that. And so I'm like, okay. Do you take anything for it? You take like high dose Zyrtec or high dose? I mean, I'm on Pepsid and Allegra in the morning, cromelin sodium, Zyrtec, Pepsid at night, low dose naltrexone. And I might start Montalucan.

That's great. Montalukas is great. In my opinion, it's like less reactive. Yeah. Now, does anything trigger it? Is there something like that you? It's hard to. Other than the neurotoxin?

Yeah. The things that seem to trigger it the most now, now that I'm on, the meds, I'm pretty stable. Before it was like exercise. I couldn't work out for over a year. Yeah, it's very true. Exercise is big histamine releaseer. I didn't understand for a year. I'm like, why is it that every time I try to work out and get a massage the next day, I'm like back at day one from after the Botox. Like I feel like your favorite things ever. All of my favorite thing. Oh, let's not even talk about the histamine foods. Chocolate, avocado. Like, it's horrible. Yeah. Horrible.

Oh, no. And did you have like full allergy testing and all of that? Oh, boy. Yeah. You'd be perfect for therapeutic plasmic change. Yeah. Okay, so let's talk about that. Yeah, yeah. No, actually, that's a really good segue into it. Yeah. I think maybe there's a lot of immune complexes that are sitting in your plasma right now

that are causing some of these problems. I mean, what do you think? Yeah. Yeah. I mean, not that this was designed for it, but that's usually what we treat now, mean, any autoimmune condition, most autoimmune conditions, I'll say. But the idea behind therapeutic plasma shades is that you filter your blood. It's like an oil change.

You know, and over decades, you have accumulated not only viral particles and all kinds of toxins, but you have antibody and immune complexes that are untoward and you, you know, would love to get rid of it. We try keeping them at bay with medicines. Well, this is, you know, probably one of the most sophisticated machines on the planet, but you sit there for two hours and you have two IVs. One, your full blood volume goes out into the machine, goes through this filtration process. And then it pulls your plasma off.

Now, your plasma is about 55% of your blood volume. It removes all of that plasma and then replaces it with a clean, fresh protein called albumin. Body makes albumin. But imagine you have a complete reset in that part of your immune system. And then not only did we replace it, but all your red and white blouse says go back into your body. So there's no real fluid shifts or anything like that. It's not, you don't notice. But now all of a sudden, your brain fog.

clears a little bit, people who are on immune medications or have auto-antibodies. You know, this has been proven that these have been eliminated. Now, depending on the immune condition, how long does it take for it to come back and differs in everybody? But even to keep that load low, because it's your body's in a chronic inflammatory state is beneficial, right? And so, you know, we both done it. Yeah. That's how you did it recently. I just did it. And I have to tell you, you know, it's interesting because I'm a skeptic to a lot of things because I'm always just like, oh, you know, as an allopathic physician that's been taught that you make a diagnosis, you treat it always with medicine, right? It's never lifestyle modifications. I love the fact that

removing something can make you feel better. Yeah. Which is awesome, right? Because again, our theory of longevity and how to treat it is a little different. There's three steps. But removing offending agents, I think are great. But imagine if you just sit there for two hours, get this treatment done. I give blood a lot because I've got something called hemacromatosis. My iron levels are very high. So I have to go and donate blood. Iron Man. Yeah, they call me Iron Man. So it doesn't bother me to sit there. Yeah. This was so easy and it was so lovely. And I got a time, I felt really good. Like I felt like there was a weight taken off of me. Now, my mass cells weren't going crazy.

Yeah. But there's a good possibility. You may do it and be like, wow, that was good. Now, John said it perfectly. You may have to do it three times a year. It may not just be once a year. It may have to do it four times a year. But it's a great way to try to see if that'll help. Because you are, you're very clean. You don't put anything in your body that's not clean.

You've realized your triggers. Perhaps this is the way to go. The other good thing about therapeutic plasma exchange is we've been doing this in hospitals for four years. Really? Oh, most of the time for major immune problems and cancer. are people that have built up lots of cancer cells that they want to get rid of. It makes people feel better. We used to do it for sickle cell anemia.

There's a lot of different things. Hyperfiscosity syndrome. Anytime your blood was too thick. But now, I think with all the biohackers and all the people that are saying, hey, everyone's going to live to be that 120, 130. Even, what did you send me the other day? 150? What?

I'm like. In our lifetime? In our lifetime. Yeah, look, there's something called Lomé. You know, they say, tired. Oh, my mask around. Well, the idea is this. It's called longevity escape velocity.

Let's say your grandparents live till they were 70. So your parents live to their 80 and you're like, all right, I'm going to live till I'm 90. My grandparents are all 100. Oh, you're going to live to 200. Forget it. And I definitely need Botox. But the issue is that AI is rapidly opening our eyes on so many different levels with research and medicine that we're really close to determining the causes of aging and how to reverse it. I mean, right now, between gene

editing therapies, regenerative medicine, you know, those combinations are extremely powerful and we're really close. So they had predicted an AI model that we would potentially find out by 2029. There's a real possibility, we'll say. You know, we with our longevity center, you know, we have relationships with multiple institutes of aging and research centers and things like that. And some the projects that they're working on, I as a physician still am flabbergasted. Really? I'm not. It's everything you read in a sci-fi book or see in a movie, but it's happening real-time.

Can we grow new baby skin? That's what I've been asking. We're close. Yeah. It's interesting because we can grow skin. Mm-hmm. For example, really bad burns. Growing baby skin is, it's a great question.

I just don't think is it's important. So people aren't doing as much research on just using regular skin. But I do think they're going to be able to do it without a problem because you can grow just about anything. Yeah. And I see what you're saying, you know, to reverse aging. I think that's the holy grail, right? And I think that we are getting to a point where using exosome and stem cell therapies and some of the new peptides, GHK copper and other things that this will be a reality. Talk about the copper.

Is that something that you cycle? Yes. Okay. Yeah. I know a lot of people are taking that right now. Have you dabbled it all? I was dabbling right before the whole Botox thing happened. And now I'm like, I'm just nervous.

I think you should do therapeutic plasm exchange. Okay. And then we should give you Botox. Okay. Yep. Yep. Documented. Exactly.

Let's see. Let's see what can happen. I mean, I love that. Because I'm sure if we look at metabolomics and some of the inflammatory biomarkers that you have, they're elevated through the roof. And we can clearly show both before and after. plasma exchange that these rapidly decrease. So the goal would be if you don't have something that's constantly stoking the fire, that maybe you can get through the process. So, you know, I'm not saying

that you have to do plasma exchange in order to get Botox, but it might help. Yeah. And you took the peptides, then you stopped them because you wanted to eliminate everything. Yeah. I mean, because when that happened, all the variables. Everybody was like, no, no, not the Botox. What else are you doing? And I was like, oh, well, I have implants. Like, oh, well, I was doing these peptides. I don't know. Like, right. So in hindsight, do you think that the implants were okay? Yeah. Yeah, for sure. You know, it's interesting.

I do a ton of breast implant surgery. Yeah. Yesterday in the morning, I put implants in, for cosmetic reasons in the afternoon, I did a breast cancer reconstruction. And it's interesting. My whole thing about breast implant illness is two things. One is, you know, what's the average, this is a very interesting thing. What's the average age of breast augmentation for women?

It's about 28, 29 years old. How long does it take for breast implant illness to pop up normally about, they say anywhere between 12 and 15 years, about 12 years, puts you right around your mid-40s. Bam, there you go. And that's it. All of the symptoms that we get, which is fatigue, hair loss, dry skin, just that, and it all falls into that same category.

And it's sad because if you take those number of people that have breast implant illness, it's very rare to have it after breast cancer reconstruction. almost no one. They're so happy about having their implants because they've gotten their femininity back that they're like, you know, something, I don't care about anything else because you just took my breasts away.

I went through cancer. I'm reconstructed. I feel so much better about myself. And you never hear about it. I've been somebody who says, listen, I don't think it's a thing. All the studies don't show it is. But if it's something that'll make you feel better psychologically,

then you should have your implants taken up. Yeah, I mean, I think having gone through what I went through, everybody was like, no, it's impossible. And I'm like, but it happened to me. Like, I know how frustrating that can be. Right. And I know some people who have taken their implants out and they feel better.

Sure. But I think it's also kind of interesting that, you know, you don't necessarily see it happening in other cultures either. And there are other cultures that, you know, they have a lot of breast implants. And I don't know. I've always found that to be. Go to Brazil. No one's got breast implants.

Exactly. Yeah. I mean, it's crazy. I mean, it really is. And it's like breast implants, butt implants. They've got implants everywhere. Right. Yeah.

And it's like kind of a. a privileged thing as well. Like people can focus on it. So, no, I agree. Yeah. What peptides were you doing? I was doing GHK. Is that the copper?

GHK COP. BPC. And that was it. Yeah, I mean, look, those are, I mean, the PPC is great for, you know, a reduction in inflammation. I mean, that's, we use it for, you know, joint injuries and wounds and things like that all all the time. So I think that's a great peptide.

It's the most studied peptide. plenty of human data showing that it works and is beneficial. And just some of the new data coming out with copper and what it does for skin is phenomenal. So that's why even skincare lines, we have a serum even in a serum that, you know, help boost that in the skin. So I think those are great ones. Auto-hure with Sunny Cars feels as if the children not with me are kisel stramble

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another service, open phone, will port them over at no extra charge. Open phone, no missed calls, no missed customers. Let's talk stem cells as well. Let's do it. What's going on? Because that's like the future, right? Right. I think the whole idea behind our clinic, proactive longevity, and we talked about this in our podcast Forever Young because we were going to go through each one of these in detail. So, you know, the idea is your body is like an older car. And you've seen it No, I was like, yeah, I know. I was like, it is. That's exactly how I feel.

It is. Look, the more miles it gets on it, you see dings in the paint, you cracks in the windshield, and your tank's empty, right? And so what we're saying is that you can manage a trajectory of aging in 3D. We say detox, defend, and deliver vitality. The detox is the plasma exchange. The defend is something called natural killer cell therapy. We draw your blood.

We send it to a lab. You have natural killer cells which destroy viral infected cells and cancer cells. Then we grow them and now we re-inject them into the body. So imagine you've got, instead, you took 10 soldiers, multiply it to a million, and then you inject it into your system. So that is kind of the windshield wipers of the car because now you can focus on where you're going. Your immune system can focus on where it's going rather than looking at the bug that splatted on the windshield. And then stem cells is really filling the tank.

I mean, as we age, your stem cell capacity, and their number decreased rapidly. And so we're kind of filling the tank, but not just with any old stem cells. It's going to be the youngest potential version. You know, we're not doing embryonic stem cells, but day one. And so the idea is you're giving someone,

you know, stem cells are really, they do two things. They replicate themselves and they form any tissue in the body, a true stem cell. Now, there are different versions of these where we can get into, you know, whether they're fat derived or their bone marrow derived or blood derived and what they can form. The real idea behind stem cells and exosomes, exosomes are really the messengers, the tiny little vesicles that carry the information from cell to cell.

So it's kind of like the baton in a relay. The combination of these things we're doing is we're taking umbilical cord stem cells or a very young or strong resilient stem cell. And then you give the exosomes with it so it transfers all that data to your cells. without transferring DNA or anything, you know, that's going to be harmful to yourself. It's really just replenishing and giving new information. Because over time, you know, again, it's like the tread on your tires, it slowly burns. And if you can put brand new tires on there, why wouldn't you?

What is the ideal age if there is one or in an ideal world? When would somebody start doing all of this? If cost wasn't an issue? as early as possible. Yeah, I mean, I hate to say it. Look, there are certain things that we peak at early. You know, even looking at the male that peaks at 18 when you look at hormonal levels and activity and the ability to procreate things like that, you peak at 18.

It peaked at 32. That's very common. So for females, it's much later. Yeah. The idea is if here's the problem. The problem is that, you know, if you think about it, Like when the first plasma screen came in. Yeah.

When you think about the first plaza screen, it was $15,000, $20,000. Now you get a TV for $300. That's the limiting factor right now is that to make stem cells, good stem cells, ones that are, you know, they come from a very strong donor or the ones that have been screened for all potential diseases. And then isolated in a lab, it costs a lot of money. So, you know, really the costs may be the precluding factor. I think if you can do it in your 40s, phenomenal.

Okay. If you can do it earlier. That's later than I thought you were going to say. Well, if you can do it earlier, great, but I would say at least by your 40s. Because things don't really start breaking down until we start 40, right? And then all of a sudden you say, oh, you know what? That hurt when I went for a jog or this, you know, the recovery lasts longer. The idea is you want to fill that tank.

And not everybody comes in for longevity, right? The impetus for most people to get stem cells over the last. last 20 plus years. I mean, really, it's been in vogue started the last couple of years, but in last 20 plus years has been for injury. It's always been for injury. Or it's been a last ditch effort to try to fix something that has no other therapy. Everyone's heard of the trip. Kobe Brian took to Germany to inject his Achilles or how people get stem cells in their hips or their knees or their shoulders. 10 years ago, sure, people are doing it a lot more experimentally. Now we know it works. We inject people with either fluoroscopy, which is under like an x-ray guided or an

ultrasound, into joints with tears with something called muse stem cells, which are the best of the best, the fanciest stem cells out there. And we get phone calls from people saying, I'm totally fine. I feel okay. People that, and again, I've been the biggest skeptic out of all of our partners. I was like, you know, I like to call bullshit. But now I've changed my mind. a lot because you can actually see the difference or you can actually have people call you and feel the difference. We do stem cell facials, for example. So micronealing and PRP, for example, but imagine microneedling with stem cells. And when people get it, and you know this as well as I do, they'll be like, it really burned. It felt different than when I do the salmon sperm or when I do

the PRP or when I'm doing exosomes. When you do the stem cells, it's really different. So There's clear difference between doing it just for longevity versus doing it for treatment. I'm not a big fan of treating it for, using it for like neurodegenerative diseases like Alzheimer's or any type of spinal cord injuries and things like that. I don't think it's magic. Well, even though now, I mean, now, yeah, yeah, I mean, now there's so many clinical trials that are geared towards neurodegenerative disorders and showing that it's reversing or treating. Wow. And, you know, there was a recent clinical trial where they injected 10 patients who had spinal cord injuries

and five of them can walk again. So, I mean, this is the future of medicine. And again, you can take what's called a myocyte, okay, which is a muscle cell of the heart, let's say. And if you get the stem cells that are specific to that, somebody who's had a heart attack, that has had an area of the muscle that has died, you inject into that area,

and you can see that muscle regenerate. And that's what stem cells really are. So imagine if you can put it in as an IV, And then it goes to wherever the problem is. And that's the whole theory and it repairs it. And that's the theory of doing the 3Ds is to take stuff away, then take stuff away so you can treat later, and then fill your tank up with really good stem cells.

And unfortunately, you know, we can't do it here in our backyard. And that's the handcuffed that's happening right now. Stem cells, right? But you can do the other. You can do the other two things, yes. You can do natural. You're doing TPE next week. our TPE at our office.

I see the wheels churning. Oh, it's going like this right now. A little BPC over here. I got to look good before my Euro trip. Oh, yeah. For sure. When is the Euro trip starting? June 3rd.

They're gone for how long? Five and a half weeks. We've got less than a month. We've got two weeks to get you in the show. I hear I have the tiger playing in my head right now. We're going to play in the office. You do love it. Yeah.

Well, document all of it. Let's do it. Honestly, that'd be so cool if you actually did TPE and then all of a sudden did Botoxin. It was fine. Oh, my God. Are there risks to TPE? Let's start there. Is it how long?

Are there risks? Usually in a healthy individual especially. I mean, you have to imagine TPEs. For you? I don't know. Let's talk about it. I think redness at the site, you know, pain and discomfort at the IV site. I mean, you're using relatively large board needles.

There's no major fluid shifts. Some people afterwards, you know, you can. get headaches or, you know, we're worried more about filling you with enough calcium because sometimes the plasma and the binder takes away some of your calcium. So every now and then you can get little paristhesias or pins and needles on your hands and around the mouth. But usually we supply you with enough of that. But I don't see any major downside. You know, the idea. As long as you have good veins. You need, yes, you need good venous access. On this arm, yeah. We'll make you work on. Those are, that's perfect. You're good. Yeah. We'll have you do some push-ups.

Right before. Yeah. I'm back in my workout era. So we can do that before. We make sure people are well hydrated for the three days before and there's this whole protocol. We get labs so we can follow you before and after. But so far, the only negative we've seen is the people who do not have good venous access, they can't complete the therapy. I'd love to see your labs, especially your histamine profile, your mass cells, to see what would happen before and after. my doctor tomorrow. Perfect. Even the BPAs from, you know, heavy metals and the BPAs from plastics. I mean, it would be interesting to see how high yours were. Like do like a total talks. Absolutely. Well, this clears it. TPE clears all of that. It's one of the mainstays right now for long COVID.

So people that have long COVID, they couldn't do anything about it. And then they started doing this and said, wow, this really is. Because all the junk sits in our plasma. I had somebody on recently who was talking about the connection between long COVID and mass cell. And she said, it's appearing more likely that long COVID is some kind of mass cell dysfunction. They're very interrelated. There you go. Yeah, same portion of the immune system. And they're treating long COVID with Pepsid. I saw some study about that.

But success. And that's like something that you take for, you know, so it's all kind of tied together. So it really stabilizes the history release. Yeah. Yeah. Okay, we're done. We found it. We found your problem.

Thank you, everybody. Goodbye. Thank you. We're going to do. Keep you right now. I got lots of Botox. We're not going to use Botox. We'll use something else.

Yeah. What do you like to use? I love Juvo. Yeah. Juvaux. Why? I think Juvo is great. It's softer.

You know when you used to get Botox and sometimes you felt like you couldn't move at all? I love that. You like that? Yeah. Just fiending for it. I like it so it's a little bit softer. But again, you can put enough where you won't move at all. So that's kind of why I like it.

What about like myoblock? Isn't that botulinum B? Yes. Myoblock's hard to get. I hate to say it. Lativo's out. I think the... And Latibo is supposed to be, quote, unquote, cleaner.

Cleaner. Daxify. We tried. It is, but you saw those head-to-heads. I didn't like do. They do the non-inferiority study of Latibo, and it was underwhelming. Really? Yes.

Juvo, to me, has the strongest profile. We'll do a split-face study on you. Yeah. Oh, my God. I mean, if I ever did this, I'd have to start with, like, eight units. The smallest amount. No, for sure. But you don't really have...

You don't have any... 2.5, 2.5, 2.5, 2.5, 2. That's where I would start. Forehead I could do later. Are you sure you weren't a nurse injector or a plastic surgeon in the past? I love this stuff. But that's great though.

It's good to like that. Yeah. No, absolutely. Okay, let's finish. I would love to ask you what you think the most underrated procedure is and the most overrated procedure. Most underrated procedure,

I will always say the same thing. It's a lower blood for plastic. I think that lower eyelid surgery can completely change the way someone looks in the sense that those under-eye bags and the hollows can make a 25-year-old girl who has hereditary under-eye bags look like she's 45.

Or make a 50-year-old man or woman look significantly more tired, but a lot older. I'll tell you a quick story. We had a lady that we operated on head to toe. Everything you can imagine. She had massive weight loss. We did a thigh lift, arm lift.

break, I mean, everything you can imagine. Nicest lady in the world, love her to death. She came in one day, she stood across for me. She goes, listen, you've done everything for me. What is the one thing you think will make me look just more well-rested and better? And I said, do you under eyes? I show the pictures to people.

He did it. I show the pictures to people, and everyone's like, wow. I just think it's a huge difference. And we do the trifecta, which is take the bags under the eyes, do a little bit of fat transfer to fill the tear trough, and then a CO2 laser to tighten the skin. Nice.

So that's my go-to as the most overrated procedure. Underrated, sorry, sorry. And then the most overrated procedure, hmm, most overrated procedure in plastic surgery. Depends if you like it or not, but I'm not a huge fan of the BBL. I was going to say the same thing. I think fat transfer has its downsides.

And I think if you put a ton of fat in something, it's never going to come out good. There are some surgeons that are very good at it. I'm just not into that. look and to me it's more of a trend considering when we trained over 16, 17 years ago, we did zero VBLs. Yeah. Listen, I think the most underrated procedure is a brow because to me, look, lower eyes make you look tired, no doubt. Upper eyes make you feel tired and everybody goes right for the upper blufferoplasty where they're like, I'm just going to remove this, but it's

amazing how powerful just lifting the brow by four millimeters can make. make all the difference of the world. To me, the most overrated procedure, I think, honestly, is a non-surgical rhinoplasty. I do so much of both. And I really try at some point to dissuade people from doing the liquid rhinoplasty or minimally invasive rhinoplasty. Because to me, there's such a sub-select group of people who actually will benefit from it. And everyone comes in asking for it. And I've seen injectors try to do all of them. Right. And it just makes people look, you know, Greco-Roman or all kinds of different things. So I think that's probably my overrated procedure.

And risky. Yeah. Risky in the wrong hands. You're right. What are yours? Overrated and underrated. Wow. Overrated.

Because I think your knowledge based for this stuff is pretty good. I would say underrated would be a lip lift and the right doctor. I mean, I think that it can really balance the face. I also love a brow lift. I also love under. The funny part about it is you really don't need any of them. Thank you. Overrated.

I don't know. I would have to think about that one a little bit. I mean, I think filler, like excessive filler, but I think we're moving out of that anyway. Thank goodness. I was going to say filler, but I just went for the big booty. Yeah. You know, because again, sometimes it's also your aesthetic, right? I think huge implants are horrible.

And you can keep talking about or super, super overdone nose. And we can keep going and going and going. But again, some people would look at me and say, no, I don't like your aesthetic because I got a Yelp review about eight years ago saying the lady came to me and wanted a breast augmentation. I told her I wouldn't go that big. And she actually put it in Yelp. A negative review. I remember saying that he was a really nice guy, but he wouldn't go as big as I wanted.

I'm like, perfect. That's good for you. Yeah. Great PR. You can't pay for that. I know. I remember Dr. Talley said to me once, surgeons are like artists. Everyone is going to interpret it in their own style.

Or no, like designers, that's what he said. Yes, for sure. It's like clothing designers, you know? Sure. So you have to find somebody who matches your aesthetic, I think. But sometimes like no means no. Thank you guys so much. That was so fun.

Where can everybody find you? On the street with a little sandwich board. The longevity clinic is the proactive longevity.com. The skincare line is beverly hills m.d.com. And our plastic surgery group is Breville's plastic surgery group. We can find us on the internet or our website or on Instagram. Media is plastics, docs with an X. We'll link everything.

Yeah. And then we brought you some skincare stuff to play with. Thank you. So you give us some feedback. I will. I love testing. Because I know you try a lot of stuff. And honestly, it's great to hear honest feedback.

Be like, this really was awful. This was really good. Okay. So we'll tell them. I'm your girl. Amazing. I love that. We'll keep it coming.

Every time we come out with something new. Amazing. Thank you. Thank you. Thank you. I hope you enjoyed that episode. If you liked the episode, and if you like the show in general, please take a second to rate, review, and subscribe. It goes such a long way in supporting

the show. Follow the show over on Instagram at well.pod. You can also follow my personal Instagram at Ariel Lorry. I'm always sharing great clips from the episodes, and we also have full episodes on YouTube as well if you want to watch in entirety. Thanks for listening. Please note that this episode may contain paid endorsements and advertisements for products and services individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.