← Biohack-it
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- [00:00]
A
We've taken a patient from ferritin of 5 to a functional ferritin of 90 within the three IVs. That's how bioavailable it is when it's in an IV.
- [00:09]
B
But how long did she stay at the 90?
- [00:11]
A
That's a great question.
- [00:12]
B
If it's gloomy outside, should you still wear spf?
- [00:16]
A
If you're working inside of a dark room with a computer on, yes. If you don't leave the house, yes. Because of the uv, the visible rays, they're still there. They're there in our screens, in these studio lights. And photo sensitivity and photo damage again. 80% of our aging. That's insane. You can block 80% of your aging. Fatigue. Fatigue can be coming from your mitochondria. Fatigue could be coming from iron. Fatigue could be coming from your vitamin D. It could be coming from testosterone. I can't touch it. Without the data, I'm guessing I'm shooting blind. I am a freak about my spf. In the airplane.
- [00:48]
B
In the plane.
- [00:48]
A
In the plane. I use my compact.
- [00:50]
B
You wear SPF on the plane, but you're closer to the sun in the plane. It's a capsule. It's closed. Do you know what I want to do? I have my phone here. I'm actually going to go pull up my last diagnostic testing, and I want to get your feedback. Let's see what we got. What is a red flag? Was a green flag.
- [01:05]
A
How are you, my friend, in your ferritin's 13.
- [01:18]
B
Mj. I'm excited to get my skin ready for summer with you.
- [01:22]
A
Yes. We're back.
- [01:24]
B
We're back. So your episode did so well last time, and I know that my community is big on beauty. Want to look beautiful, they want to look effortless. And the show is obviously called biohacket. So how do we biohack it? Our skin for summer.
- [01:38]
A
Let's biohack our skin for summer. So it definitely starts in the inside, right? Protecting the cells, working on the mitochondria, but then protecting from melasma, melanocytes, and that hyperpigmentation that comes from all that photo damage. I would say the number one hack is SPF with titanium oxide and protecting yourself from those UV lights.
- [01:59]
B
So let's dive into spf. Was going to come up later, but let's just go for it. Okay, so spf, which ones do you love? Which ones do you not love? And what strength does it matter? Depending on how much hyperpigmentation, melasma, somebody naturally gets the strength of their spf.
- [02:15]
A
Yes. Well, I think a big thing with SPF is reapplying, but the number one. Well, I just mentioned it is the titanium oxide.
- [02:24]
B
Okay, what is that? Tell me about it.
- [02:25]
A
Titanium oxide is an ingredient we put in SPFs in medical grade good SPFs. So you always want to look for that because that protects you from uva. UVA is the most photo damaging type of UV light. UVB does do damage, but we are more photosensitive to uva and most of SPF are actually geared towards uvb. So we want to be protected from UVA because of how deep it can penetrate and all the damage that it does.
- [02:55]
B
So for anybody listening if they want to do. What is the top three brands that should go out and purchase right now to get summer ready for spf?
- [03:02]
A
The top three for me is Skin Better, Skin Better and Skin Better. I do love their tinted spf. It's smart tone, it matches almost everyone. It can be a little trickier for my darker Fitzpatrick patients, but then we do put them on a clear because of the titanium oxide in it. I really, really love that brand and their spf.
- [03:22]
B
And what's the strength of is.
- [03:24]
A
It's different in the compact. I want to say it's a 68 and in the pump 75, but it doesn't matter. All SPF should be reapplied every hour and a half, two hours. Yeah.
- [03:36]
B
Tinted, not tinted.
- [03:38]
A
They have both. They have tinted, not tinted. They have sticks. I like.
- [03:42]
B
I'm all.
- [03:42]
A
I have it all.
- [03:43]
B
So I want to talk to you about skin better really quickly. So you put me on two products for skin better that I love. We did. So what are the products and why do I love them? I mean, I obviously love them because my melasma is staying at baby. How do they work?
- [03:56]
A
Okay, we put you on even tone. Intense, even tone. I love it doesn't have hydroquinone. Hydroquinone. We know you have to come on and off of it. So I love this for maintenance. And now that they made this intense formula, which I believe has a little more tranexemic, but I have to fact check that now that they made this intense formula, it's working really well to help maintain melasma, not heal it, not stop it. We love their Alto. Alto Advanced is the other product I put you on. Alto is an incredible antioxidant. At any time we are talking about damaging. We need to stop the oxidation that's having. That's. We need to stop the oxidation that's happening in the mitochondria and the Nuclear DNA. Right. Because that's where all of this comes from. When you see wrinkles and skin, your 80% of that comes from photo damage. I just read this article. 80% of our aging in our face from skin and wrinkles comes from photo damage.
- [04:53]
B
This lighting is.
- [04:54]
A
Oh, I have SPF on right now.
- [04:55]
B
Yeah, this lighting is not going to do you any good. What's your hot take on? If it's gloomy outside, should you still wear spf?
- [05:01]
A
Yes. If you're working inside of a dark room with a computer on. Yes. If you don't leave the house. Yes. Because of the uv, the visible rays, they're still there. They're there in our screens. They're there in our. In these. These studio lights. They're there. And photosensitivity and photo damage. Again, 80% of our aging. That's insane. You can block 80 of your aging.
- [05:24]
B
Do you think those blue light blocking screens work on phones?
- [05:28]
A
There's a new one that I think I'm getting.
- [05:31]
B
Which one is it? It's.
- [05:32]
A
I don't know what it's called. It just keeps marketing to me. It's like blocks all the UVs. Turns into red. I'm like obsessed with this thing.
- [05:40]
B
You please send it.
- [05:41]
A
I will. The next time it pops up on my Instagram.
- [05:43]
B
Tell us. We want to put into the show notes in case somebody wants to purchase it as well. Because we spend so much time on our devices and we're looking at them all the time. And I have a 17 Pro Max, which is literally like a mini iPad. I'm like, do you know how much stuff I'm getting all day just from this device?
- [05:59]
A
Besides arthritis?
- [06:00]
B
Yeah, exactly.
- [06:00]
A
Besides killing me.
- [06:02]
B
I also want to get a little bit of a hot take. You posted about this the other day. You're not a fan of Korean skincare.
- [06:09]
A
I'm not. I know everyone's going to hate me.
- [06:12]
B
Why are you not a fan of Korean skincare?
- [06:14]
A
Okay. To my ultimate. To all my Korean skincare lovers. Knock yourself out. Like, put all the water men and glow. All the hydration, rice water, everything on top of your medical grade products. The medical grade still has to be there. The retinols. I always say you want to think about protecting and repairing your skin. And this is your. Your rounds. But especially in summer when you're more prone to damage. Protect and repair. Protect and repair. So for med. For Korean skincare, it's all ha based things that fill the skin, right? Making them plumpy hydrated. And those things are incredible, but they're not anti aging and they're not regenerative. So what are we really doing? Plumping. Great. How did that work for us with fillers? Didn't work out well after 10 years. How is it going to work in your skincare? It's not. You need the retinols, you need to turn the skin over, you need to protect from photo damage.
- [07:08]
B
One of the number one things I'll say when it comes to looking youthful and young is obviously having volume. Yes, I love my fat, but the other big thing is having an even tone complexion.
- [07:17]
A
Yes, yes, that's number one.
- [07:19]
B
I think the even tone complexion is just as important as being youthful with your fat pads being in place.
- [07:24]
A
Yes, absolutely. So many times patients come in for aesthetic treatments and then we work on them a little and they're like, well, what's next? And I'm like, that skin, I would have worked on that first. I love skin first. I think when you can have an even fresh tone, you're all tight, that the skin alone just is glowing.
- [07:42]
B
That's such a big piece of it.
- [07:43]
A
Vital.
- [07:44]
B
So if you had to, I know you're not a fan, but if you did have to pick a couple of Korean skincare brands that you like, Friends of use, patients have used, clients of use. What do we have to work?
- [07:56]
A
Okay, I'm, I'm, I'm not a fan of Korean skincare as far as a regenerative, but I do have Korean skincare and I use it here and there. I use, which I'm not a fan of their peel pads because I don't think they're strong enough. But I do use the Medicube like collagen overnight mask. If I'm flying and I feel like I need a little hydration, I will use that now I will put it on top of all the medical grade skincare that I applied and the CO2 Mousse Lift Pro mousse which does oxygen exchange. So I, I still use it just on top the. What is that little purple bottle?
- [08:34]
B
Allies of skin.
- [08:35]
A
No, I know you love them. You love them.
- [08:39]
B
I gotta market it through Instagram.
- [08:40]
A
Oh, okay.
- [08:41]
B
Bought into the. I hope it's not. I actually like the brand. It's freaking expensive.
- [08:45]
A
You're buying, you're, you're into that topical copper. Topical copper work.
- [08:48]
B
Yeah. But you can also inject copper through peptides, right?
- [08:50]
A
Yeah.
- [08:51]
B
So.
- [08:52]
A
So you can do both.
- [08:53]
B
Yeah. So if we went into your bathroom right now and you were getting ready for a summer trip, how are you preparing your skin? Because you don't get the hyperpigmentation melasma I'm suffering from. Or some of our friends are suffering from. So how are you preparing your skin for the summer? And what are you traveling with in your vanity case?
- [09:12]
A
Okay. How I protect my skin is always an antioxidant. And I actually put mine on day and night. I'm like, why am I putting on vitamin C at night? I don't know. Just in case.
- [09:21]
B
Yeah. What's your favorite vitamin C right now?
- [09:23]
A
It's the alto that I have you on. Yeah, I'm obsessed with that one. I do use my even tone day and night again, trying to coat the melanocytes, keep them at bay for people who already have melasma. Someone like you, we like the eraser cream. We love our compounded hydroquinone.
- [09:41]
B
In the one that you haven't sent me.
- [09:42]
A
Yes, that one.
- [09:43]
B
That one. The one still in the disappear.
- [09:45]
A
I thought we shift. I thought my office shifted to.
- [09:47]
B
You shipped me shit all.
- [09:49]
A
No, no.
- [09:50]
B
And I'm like, derek, where is my cream?
- [09:53]
A
That. And we'll get. Derek will get that shipped to you today. That and my tablets. Yes. I thought we sent them to capsule for you. Okay. We do have a whole.
- [10:05]
B
She's very good at customer care, guys, but she cares about friends the same way she cares about real customers. I'm like, hello, mj, you're still a patient.
- [10:13]
A
I love you. No, we gotta. We gotta get that sent to you. And I thought she did it, but.
- [10:18]
B
Yeah, and I want to talk about that Hydrocanone Queen, because I keep. If I even pronounce it correctly, I butchered that name. Because I came to you and I said, mj, my biggest thing for summer is to keep my melasma at bay. Stay. Stay hydrated and have an even tone. You know, skin. Even during the summer, which most of us go and we get this really patchy T zone, our melasma flares up, we get a really nice tan. But at the expense of, you know, long term skin damage.
- [10:42]
A
Right. So the hydroquinone cream is going to basically coat the melanocyte to help you get rid of that pigment. We also love the tablets, tranexamic acid tablets working systemically on the inside to help break down that melan. Did you know, by the way, that melena is actually protecting your DNA?
- [11:01]
B
What do you mean?
- [11:02]
A
Okay, tell me about this.
- [11:03]
B
What do you mean?
- [11:04]
A
So when a melanocyte releases melena, it's actually to protect. Because of the weakness from past photo damage, it's actually to protect the mitochondria and the nuclear DNA.
- [11:15]
B
So wait, then does that mean like a sunspot? Yeah. But then does that mean all the stuff where they're doing to counteract that is not good.
- [11:22]
A
I know. I. I'm diving into that theory too. I'm like, so here is our body.
- [11:26]
B
We're trying to keep it away.
- [11:28]
A
Here's our body releasing menelite to protect from uv. And then we're erasing that. But we'll just keep working on cellular health because even tone is important.
- [11:39]
B
We just want to look.
- [11:40]
A
Beauty is beauty. Yeah.
- [11:41]
B
Beauty is beauty. I know the show is called Biohacket, but does it balance? Beauty?
- [11:44]
A
Yeah. Beauty and balance. Yeah.
- [11:47]
B
So wait, so you would take the vitamin C we talked about. You take the tablets, the hydroquinone queen cream that we talked about?
- [11:53]
A
Yes. The 12% is what we call.
- [11:55]
B
Why 12%?
- [11:56]
A
12% is. Is high. And we compound that with other yummy things like. And other pigment things like colgic acid and niacinamide. And. And it doesn't take. Make our patients red. But 12% is because, like, let's get the job done. It's a little bit of a higher concentration. We monitor the patient. We don't let them pass two to three months on such a high percentage. And then anything else we need to work on, we do with the oral tranexamic acid. But our patients stay clear from melasma. If. If the patient puts in the work, their skin stays clear.
- [12:28]
B
And then what else are you traveling with besides these core products? Is there anything else that you would add to the mix that you're doing for plumping or hydration or.
- [12:36]
A
You know, I am a freak about my SPF in the airplanes.
- [12:40]
B
Oh, really? Yes, in the plane.
- [12:41]
A
In the plane, I use my compact.
- [12:43]
B
You wear SPF on the plane, but
- [12:45]
A
you're closer to the sun in the plane.
- [12:47]
B
It's a capsule. It's closed.
- [12:49]
A
Well, are you sitting by the window? Are you in the island?
- [12:51]
B
I mean, I tend to sleep on the flight. You're telling me even on a plane you're wearing spf?
- [12:58]
A
Oh, yeah. I have this whole ridiculous pain routine. I have to get up after, wear compression socks.
- [13:05]
B
I understand.
- [13:06]
A
Like every two hours.
- [13:07]
B
What are the pumps?
- [13:08]
A
You know, the calf pump. So you don't get like a dvt, Like a blood flash.
- [13:12]
B
So what about if it's in, you know.
- [13:14]
A
Oh, my God, my international flights, like when we went to Dubai.
- [13:17]
B
Exactly.
- [13:18]
A
Yeah. I was pumping hours.
- [13:20]
B
You would get it.
- [13:22]
A
I put an alarm even if I'm
- [13:23]
B
sleeping mj what do you mean?
- [13:26]
A
We're biohacking.
- [13:27]
B
I'm being safe. You're disrupting your sleep cycle because of the pressure.
- [13:37]
A
I'm literally crazy. I know. My friends are like, oh, you're doing your laps.
- [13:41]
B
Yeah.
- [13:41]
A
Walking around.
- [13:42]
B
I would just like to give full disclosure. I do not do all of this. I'm obsessed with compression socks. I sleep with them every night.
- [13:48]
A
I'm like a freak. Better than me.
- [13:50]
B
I'm a freak. I sleep with compression socks. I'm the most non sexy person to sleep next to. I wear like PJs. I'm saying. I'll be saying this on a show. The eye mask, the compression socks and I sleep like a zombie. However.
- [14:04]
A
But only flights.
- [14:07]
B
No, I do.
- [14:07]
A
I do the two hour alarm.
- [14:08]
B
Yeah, obviously.
- [14:09]
A
Yeah.
- [14:09]
B
But for me, I get on my home. What I. What I don't. Circling the bed. Yeah. So on a flight, I just make sure. I try to kind of cycle my circadian rhythm. So I try to either eat before and then not eat on the flight and eat when I land. Especially if I'm flying like all across. All across. Like going to the Middle east or whatever it is. So that helps me a lot with jet lag. I hydrate a lot. I take like hydrogen water tablets. I take creatine. So that stuff really helps me.
- [14:38]
A
I'm. By the way, I bought the hydrogen tablets and I'm into them.
- [14:41]
B
They're amazing, right?
- [14:44]
A
Whatever he's putting in them, rather it's hydrated. I don't know what. It does give me this little boost of energy. I'm into the hydrogen tablets and I
- [14:53]
B
travel with my own coffee. So I do that. But I do not get up and pump every two hours. I get on the plane and my biggest goal is like, thank God nobody on my team can reach me right now. I can sleep for 12 freaking hours. They'll just say, she's on a flight. Sorry, David, but that's the two, I think. I think. Hopefully the Internet's not working.
- [15:10]
A
I understand that.
- [15:12]
B
I sleep. I do not get up. I. I go lateral and that's it.
- [15:16]
A
And you're done.
- [15:16]
B
I'm done.
- [15:17]
A
No, I am really into. And I do reapply my spf because I'm on the plane. Closer. Yes, you truly are closer to the sun. The rays are more intense and 80% of photo damage is our aging. No, I'm. I'm going to be protected.
- [15:32]
B
So you're definitely going to get me ready for the summer. However, I will not be applying SPF on the plane. And I will not be doing ankle pumps.
- [15:39]
A
Okay, so we'll just have to keep you really protected.
- [15:41]
B
Yeah, 100%.
- [15:42]
A
Okay, deal.
- [15:43]
B
Okay, so I also want to talk about this crazy thing. I don't know how these influencers do it, but there's like 10, 12, 15 step skincare routine. I don't have the patience for it. What is bullshit? What is actually real? How. How much should you be changing your a.m. and p.m. skincare routine? Can you just not use the same products? Like, what's the deal? Give us.
- [16:00]
A
I know. So this is something we struggle in my practice all the time. Most people come in and they're like, I will. My esthetician sold me this, that, the other. And I'm like, I just want you to use one product. Usually I start them with one product. I'm like, can you be consistent on this? It's usually Alpharet Overnight. Retinol. Double Bonded goes deeper in the dermis. No shedding. You can use every day.
- [16:24]
B
Skin Better. Should I seen that one coming?
- [16:27]
A
It's from Skin Better.
- [16:29]
B
There's a retinol that I'm been using recently from a European brand. It's spelled auteur or something.
- [16:35]
A
Okay.
- [16:35]
B
I need to pull it up. I need to send it to you. And I really like their retinol because you don't peel from it and it's lighter.
- [16:40]
A
Oh, so it's probably also double bonded.
- [16:41]
B
Yeah. I'm going to scrunch you when I get home. And it's a brand that I on Instagram once and then I. Where I go for my facial is flawless by Melissa. She sells it and she's like, my clients are having amazing results from it. You're not having all the peeling and the dryness. And then I tried and I quite like it.
- [16:56]
A
Oh, okay. It must have the same technology because vitamin A, retinol. Right. The molecule can't penetrate the dermis that deep. That's why we have all this superficial turnover. On the. On the surface, when it's double bonded, it can penetrate deeper layers. Usually when people start that if they haven't been skincare. Skincare Skin. If they haven't been into skincare, they purge a little because now they have a deeper layer of the dermis. Getting retinol that they've never cleaned out before. But after the first or second skin cycle, my patients that have been on it, when I see before and after is five years.
- [17:32]
B
Wow.
- [17:32]
A
It's. I have to send you a picture. It's incredible.
- [17:35]
B
We want pictures for the shows. The kind of the visuals. I definitely want to see people who've been on these treatments how their before and afters are. How. Yeah. And so, okay, so the 10 step skincare routine is a no go. So you're like, use the same products
- [17:48]
A
a.m. and p.m. so I'm like, repair at night, which I hate to be so repetitive, but repair at night and protect in the day. If I can't get you to do anything, I'm sending you home with Alto in the daytime and an spf. Okay. Find two products, Alton and SPF with titanium oxide because of the uva. And I'm sending you home with the Alpha red to start you on. On a retinol. Then when you get your foot in the door and you're like, I see the difference in my skin, then I put you on peel pads. Then we get a little bit more aggressive and can add to that. And then I just tell you, okay, whatever. Moisturizer on top. But then we get a little more detailed.
- [18:24]
B
What can you use peel pads even in the summer?
- [18:27]
A
I use peel pads at night. I just wash my face off in the morning. I'm not trying to go into the sun in the morning with glycolic and lactic acid, obviously, but just washing your face. Yes, you can use peel pads.
- [18:37]
B
And then for people whose skin like mine gets really dry from doing all this stuff, what do you do for hydration?
- [18:43]
A
Oh, okay.
- [18:44]
B
Should we go Korean or non Korean?
- [18:45]
A
You can go Korean. To me, hydration, it's like, I kind of. I'm. I'm like, I tell the patients, use what you love. If it's Neutrogena and it's just a chain, knock yourself out. Because for me, it's like not doing anything. It's just not regenerating. It's not doing anything besides filling the skin with a little water. Use the h. Use the ha. That smells the best, that you love, that you like how it feels on the derm.
- [19:10]
B
It's endocrine disrupting.
- [19:12]
A
Yeah. Well, if they have a bunch of scents and all that, the same brand
- [19:16]
B
ator that I am using the retinol from, they also have a really great moisturizer that I've liked because I tend to get really dry in the summer kind of from using all these products as well and kind of repairing my skin from the retinols and everything. So it's worked well for me.
- [19:30]
A
Okay. I love the Epicutus lipid serum. Have you ever tried it?
- [19:35]
B
I might have.
- [19:35]
A
Okay. I have a sample when I traveled with it. So that's for you. I'm gonna give it to you.
- [19:40]
B
Hand it over.
- [19:41]
A
It's a great ha. I love it.
- [19:43]
B
What trend on tick tock do you wish would go away when it comes to skin care?
- [19:49]
A
Should we go back to the topic of the 12 steps and the Korean and all these skincare influencers and what
- [19:58]
B
is it that you see and it annoys you?
- [20:00]
A
I think the most is the Korean skincare because I just want to like
- [20:05]
B
it's very expensive as well guys. By the way, it's the same price as medical grade, right?
- [20:08]
A
No, honestly I just want to shake everyone and be like I know you look so plumpy and great but you're not anti aging. You're not like it's just not it. It's not it. And then you then women are spending so much money on lasers, on microneedle treatments. I want to look younger. You're not. But then your everyday. You're not supporting or you're not protecting your investment. Makes no sense to me.
- [20:35]
B
You also talked a little bit about lasers. I want to go into microneedling of lasers. So I've been recently doing would you hacks that Brian's. I've been doing some microneedling with exosomes because they have this patented technology through Johexa because this is what they broke down for me, which I then researched and found out. Most exosomes, when you use them through micro needling they actually. The molecule breaks down. It doesn't actually go into the skin. So the effect that you're having that you love the glow, all of that is not because of the exosomes, it's because of the micro needling.
- [21:03]
A
Right, the micro injury.
- [21:05]
B
The mic. Exactly, the micro injury. So it's not until you actually patent exomes to use for the process of microneedling so the molecule does not break down. Do you see the benefits?
- [21:15]
A
Yes.
- [21:16]
B
And so I did, I've done. No, I've done three sessions with them and it has really helped in terms of like just skin tightening and you know, kind of like skin laxity and stuff. And I was really impressed with what you are able to do with exosomes. I know you and I have done stem cells under the eyes and that was incredible as well. So how do these things kind of work from a, from a scientific aspect?
- [21:35]
A
Yeah, exosomes are great. Cell to cell communication. I almost it. It's cellular communication, repairing, regenerating. I hate that I always sound like a broken record. Repair, regenerate, repair, protect, regen. But that's what regenerate but that is the key. It really is the. It's. It's how you stop aging from a cellular level. And then we'll even get into IV exosomes.
- [22:01]
B
Right.
- [22:01]
A
Like, how incredible are those?
- [22:02]
B
I mean, I've done. I did an exosome IV with them recently, and it was just incredible, like, in terms of, like, looking hydrated, you know, My hair was also thinning, by the way, so I'm also doing microneedling with exosomes for my hair. It's not. It was not top, but there it's breaking. It was just getting thinner. And I think a lot of women 35 onwards, we have a lot more shedding because our hormones change so drastically. We're purging out. You know, the. Our. Our sleep cycle breaks. So I think a lot of women have the same concerns. Getting hyperpigmentation, melasma, skin tone is not even low energy. And what do I do about my hair?
- [22:36]
A
Hr. It's, like, also linked. I wish. I wish everyone would understand, but hrt, vitamin D. Vitamin D doesn't come from tanning beds.
- [22:45]
B
Correct.
- [22:48]
A
When you see. When you see someone struggling, usually fatigue. I mean, and even. Did you know that, like, because the melanin protects us, people who are higher, Fitzpatricks, usually just by glancing at them, I'm like, oh, this person's gonna have a lower vitamin D. How could you tell? It's harder for the sunlight and the melanocyte to actually convert because of their skin color.
- [23:10]
B
Really.
- [23:11]
A
To convert it into vitamin D. That's
- [23:13]
B
so weird, because last summer, I was so tanned. So tanned. However, I was so vitamin D depleted, my body was not absorbing it from the sun. Even though every single day in Europe, I'd spend time in the sun, and I got a wonderful tan. But I came back and did my testing, and I was exhausted and body wasn't absorbing any vitamin D. Yeah.
- [23:32]
A
The melanocyte, the color is actually stopping the conversion into vitamin D
- [23:40]
B
on a medical level. Why does that happen within some people? Is it stress, high cortisol? What else could be going on in the body that you're not absorbing it?
- [23:49]
A
Oh, why the conversion?
- [23:51]
B
Yeah.
- [23:51]
A
Oh, my God. I feel like the thyroid interrupts it all the time. The thyroid. For me and lab panels, anytime anything's off, it's like, there goes that thyroid conversion. There goes that T4 to T3. Oh. I'm like, why? But it's anytime anything's off. So then we go and we fix whatever's off, rather, that can be iron, ferritin, vitamin D hormone signaling.
- [24:13]
B
People who have depleted iron or ferritin. Because that's again very common.
- [24:17]
A
Yes. Most people are not very good at the iron supplements because of the constipation. It makes you feel.
- [24:23]
B
Yeah.
- [24:23]
A
The patients are not compliant. So we do three IV treatments. Which?
- [24:27]
B
Iron, IVs, iron.
- [24:28]
A
IVs, iron and micronutrients. Okay, so iron, very high dose vitamin C, glutamine, glutathione push. We do all of these micronutrients that help absorb that iron. And we've taken a patient from, I think my lowest was a 5, a ferritin of 5 to a functional ferritin of 90 within the three IVs. That's how bioavailable it is when it's in an IV.
- [24:52]
B
But how long did she stay at the 90?
- [24:55]
A
Okay, that's a great question. She did stay at the 90. She stayed. By the time we replaced her again I think was three, four months. That's what we usually do when patients are not taking supplementation and she was still 70 something.
- [25:09]
B
And then when younger women, like let's say in their 30s and 40s are having anemia or iron issues like as I was showing anemia and I have to kind of get on it recently. What is the baseline issue? Why is that happening?
- [25:22]
A
Oh, that's a great question.
- [25:23]
B
It's true. It's different reasons. But what is the most common reason that a lot of women are iron deficient?
- [25:29]
A
I think it start well 1, menstrual cycle, 2 not no support. Anytime someone has had a past medical history of what's that surgery is slipping my mind right now. Bypass.
- [25:43]
B
Okay.
- [25:43]
A
That you can always count that that patient is not going to have it because of the stomach lining. But yes, it's something we see all the time. Diet, Diet. They don't want to eat red meat.
- [25:54]
B
I mean I eat a lot of red meat.
- [25:55]
A
Yeah.
- [25:56]
B
You know I could live on red meat.
- [25:58]
A
I know, me too. But we actually put patients on organ supplements a lot. Which ones are your favorites? Oh, it's that. It's the blue. It's like a blue packaging.
- [26:09]
B
Ancestral supplements by. What's the guy's name? Paul Saladino.
- [26:14]
A
I'm not sure right now. It's slipping my mind. There's only. There's only two cups.
- [26:18]
B
That's what I'm taking. I'm taking Paul Saladino's ancestral supplements because they're grass fed. Grass finished regenerative organ color is.
- [26:26]
A
Is the bot.
- [26:27]
B
So they have multiple bottles. They have like the. Her package which is like essentially Purple. And then you have the liver and stuff. And so it's all different.
- [26:34]
A
Oh, okay. Maybe. So I'm not sure the brand. Yeah, we use full script.
- [26:38]
B
Yeah. I think it might be in my protocol.
- [26:40]
A
So I just send.
- [26:41]
B
I think that's what I'm taking. So in terms of also going to supplements for the summer, should people be switching up their supplement routine in the summer versus the winter?
- [26:52]
A
My patients switch their supplement routine every three months when we do labs. Three, four months, we do labs, we reassess. Is it iron? Is it vitamin D? How are you doing now? Is it vitamin C? Do you need zinc? Are you sleeping? Is it mag. Glycine? We're, like, constantly switching up a patient's supplement. Supplements, really? Based off of their labs. Coming back isn't vitamin. If you're out there and you're watching this, you can use vitamin D. Like, unless you.
- [27:20]
B
Everybody should.
- [27:21]
A
Everybody should be on vitamin D. I
- [27:22]
B
think I read a statistic which is 70 or 75% of people are vitamin D deficient.
- [27:28]
A
I want to say that 98% of my patients are vitamin D. So 90 of your patients.
- [27:33]
B
And what's crazy is people. You would think the brown folks would have it, but no. People from the Middle east and Southeast Asia, even lower. The melanin that really struggle absorbing vitamins,
- [27:46]
A
they have it even lower.
- [27:48]
B
You also touched upon really quickly about lasers. I want to talk to you about lasers. I went. When I was in Dubai last, I went to this woman. I'm going back. She did six different lasers on me on the same day. Her name is Rebecca Trust, and she's amazing. I was like, are you sure we can do five or six different lasers in one go? And she goes, yeah, that's what I do. And it was the most insane experience I had. My skin was, like, as soft as a baby's bottom.
- [28:10]
A
My friend just went to Korea and did the same thing. I was like, I did nine years. I had nine lasers. I don't have the pain tolerance for that. But you also are really good with pain tolerance.
- [28:18]
B
I mean, not really. We have to numb me to kingdom come.
- [28:22]
A
Trust me, you're good.
- [28:23]
B
Really?
- [28:24]
A
Well, compared to me. Yeah.
- [28:25]
B
You're like, no, they numb. They numb you so much. But what is your theory with this layering of different lasers all at once?
- [28:32]
A
Yeah, of course there's different layers of the dermis. Right. There's different things you're treating. Like, are you treating soft tissue? Are you going ultrasound like an ultherapy, and then doing something on the top dermis? So of Course, layering lasers. If you're using the right lasers, like how we're saying different layers, then of course that makes sense. Incredible.
- [28:50]
B
What is one laser you love and what is one laser you absolutely hate?
- [28:55]
A
I don't know if I hate it. I've done it once. I just think it didn't move the needle for me. I'm very mindful when of my patients and their money spending, to be honest with you. I'm like, I don't want you to waste your money. I want things to move the needle. I want you to look in the mirror and be like this.
- [29:09]
B
I look amazing.
- [29:10]
A
Yeah. So for me, BBL Moxie is just. I've just never seen the results. Yeah. I've just never had a patient like the BBL Moxie changed my life. So.
- [29:22]
B
Right.
- [29:22]
A
They always ask me, will you bring the laser? And I'm like, probably not. I'm into CO2.
- [29:28]
B
Yeah.
- [29:29]
A
I'm really into it. I do it on higher Fitzpatrick patients. You can do it in a higher Fitzpatrick patient if you pre treat your patient for two, for one to two
- [29:37]
B
months and pre treat.
- [29:39]
A
How tranexemic. The creams, the high dose hydroquinone, sleeping the melanocyte so that we can go ahead and put energy and then. We've never had a problem. We've never had a problem. Thank God.
- [29:50]
B
And they haven't had more melasma?
- [29:53]
A
No.
- [29:54]
B
And what is the downtime for CO2 again?
- [29:57]
A
That's the problem no one wants to commit. It could be a week. Depends. Right. Are we doing a cool pill? Are we doing something deep? Are we doing a fully ablative? Ablative? It can be two weeks.
- [30:07]
B
It can be two weeks in two weeks. And I'm surprised that melasma doesn't get more activated because melasma is now linked to heat itself. Right. So when you have heat exposure, that's when you can have more melasma come up. So they're even telling us like, red light could be a problem. A really hot kitchen could be a problem. Saunas are definitely a problem because it gets triggers in. So I'm surprised with CO2, it's not getting triggered.
- [30:27]
A
So it's all about the pre treatment and the post treatment.
- [30:30]
B
Right.
- [30:30]
A
Anytime I consult with a patient, if they are Fitzpatrick, 3, 4, 5, they're being pre treated because why risk it? So now we have the patient on a hydroquinone blended compounded cream, which hopefully I'm gonna get. Yes, that Derek shipping. My God, that. It basically puts the melanocyte to sleep.
- [30:49]
B
Right.
- [30:49]
A
So now when we put that heat, it's sleeping. It's not a way, it's not going to expose, it's not going to let out melanin.
- [30:56]
B
What do you think is the number one thing women are doing to sabotage their skin and making their melasma worse?
- [31:02]
A
Oof.
- [31:04]
B
And you're like, I wish you knew that basic thing.
- [31:06]
A
Yeah. I think if you have true melasma, you have to be very mindful of heat. True. That, that hormonal, that butterfly effect melasma. Because a lot of people are like, well, I only have it here if you have that hormonal butterfly melasma, like exactly the same on both sides.
- [31:25]
B
And when we say butterfly melasma, it's basically the forehead, the T zone here.
- [31:28]
A
Yeah, that butterfly melasma. And then I have a patient. Her, her face is in my, in my head. She can't stand her melasma, but will not stop sauna.
- [31:40]
B
What do you mean?
- [31:40]
A
She hates her melasma, but she knows
- [31:42]
B
that that's causing worse.
- [31:43]
A
I'm like, you do understand that your 30 minutes every day that you spent in the sauna five times a week is the reason why we're doing everything and this is not going away.
- [31:52]
B
And why does she love the sauna so much?
- [31:54]
A
She loves it. She says it detoxes her after her workout. She loves the extra sweat.
- [31:59]
B
Does she have implants, I wonder?
- [32:02]
A
I don't know.
- [32:02]
B
This is. She has implants, she should 100 not be doing sweat.
- [32:05]
A
Oh, yeah, right.
- [32:07]
B
Microplastics. So maybe that's the way you're going to convince her.
- [32:09]
A
Yeah, we got to talk about that.
- [32:11]
B
So essentially it's. You're saying that the number one thing you see with people who have melasma is that they're sabotaging themselves by overheat exposure.
- [32:19]
A
Overheat exposure, not reapplying, not protecting. Because when, when I have a melasma patient who is like, it drives them crazy. So they're actually dedicated. They're like, what do I have to do, MJ to keep this at bay? And I'm like, step one, step two, step three. And they're doing the protocol we don't have. But when the patient is like, I didn't reapply my spf, I'm too busy. I'm like, set an alarm. If I can wake up in the middle of my first class flight to
- [32:46]
B
pump my, to pump my calves so
- [32:49]
A
I don't get a blood clot. You can set a two hour alarm,
- [32:52]
B
take like a baby aspirin.
- [32:54]
A
Instead, you can also do that. Yes. And sleep better, don't you.
- [32:57]
B
Why did you not take the baby aspirin to the Middle East?
- [33:00]
A
I don't know.
- [33:00]
B
Pumping yourself?
- [33:01]
A
No, I was pumping. Who knows?
- [33:03]
B
I mean, if you just call me next time, I'll be like, take a Xanax and take a baby aspirin and
- [33:08]
A
I'll see you there.
- [33:08]
B
Yeah, I'll see you there. And wear like compression bodysuit if you want. Yeah, but that might be the way to do it.
- [33:13]
A
That might be my next trip to the middle.
- [33:15]
B
Because I'm just like shocked that you basically on a 16 hour flight, woke
- [33:19]
A
up every two hours and just took a lap. Yeah. And pumps. And pumps.
- [33:23]
B
People must have looked at you like.
- [33:25]
A
Like I'm crazy, right?
- [33:26]
B
Wild. That.
- [33:27]
A
The red light, the silk bonnet, you
- [33:29]
B
know, all of it.
- [33:32]
A
Yeah. If it's a long. If it's 20 hours, 16 hours.
- [33:36]
B
You're very committed.
- [33:37]
A
You take it all in a duffel.
- [33:40]
B
I also want to talk to you about. When you go to Europe in the summer, there's this whole thing about European skincare brands. Europe. Europe has the best skin care, you know, kind of like. So what are some of the things that you must get from European pharmacies for your skin and your body?
- [33:53]
A
Okay.
- [33:53]
B
Like for your face and your body. Not skin for your face and your body.
- [33:56]
A
You have no idea how many retinal tubes I bought in Dubai.
- [33:59]
B
From where?
- [34:00]
A
From the pharmacies.
- [34:01]
B
Retinol tubes for the pharmacies in the
- [34:03]
A
vitamin A that I tell the patients not to put on their skin. I love it for the body.
- [34:08]
B
Which one is this?
- [34:09]
A
Real retinol that, you know, she makes everybody shed like two retinol, like vitamins
- [34:15]
B
at the pharmacies in Dubai.
- [34:17]
A
Oh, yeah. I brought home like multiple bottles for.
- [34:22]
B
And it doesn't matter if you should
- [34:23]
A
put it on my. No, you won't. This skin is thicker. You won't. So I get pure retinol. I put it on my chest, my. I put it from here to my toes every day. That's not even every other. That's not even a joke. When I go to Europe, I love the A313.
- [34:40]
B
A313?
- [34:42]
A
Yeah, the micro retinol. Same thing. I'll put it on my whole body. I love that one too. Why do people not put retinol in their body?
- [34:50]
B
You know, I recently got. When I started doing it, I haven't fully seen the effects yet. How long does it take for it to kick in for retinol on your body again?
- [34:59]
A
If you're using it every day, a couple cell cycles.
- [35:02]
B
And how long is each cell cycle?
- [35:04]
A
Oh, it could be. Depending if you're using retinol, it's quicker.
- [35:08]
B
Okay.
- [35:09]
A
If you're not a retinol user, you're not speeding up that cellular turnover. It could be 60 days. But I have a question.
- [35:15]
B
When you're in the summer and you're going in, you're traveling for the summer and you're going in the sun and you might be getting a tan, isn't that going to leave you with more hyperpigmentation on your body?
- [35:24]
A
But I wash off everything. Anything that I put on that's an active, that is photosensitive hydroquinone. All these things that I will use at night will all come off in the morning.
- [35:35]
B
100%. But what about the fact that you're doing more skin turnover? So when your sun get, when you get that sun exposure, won't it make it worse?
- [35:42]
A
Oh, like if you're more like, what's it called? If you're more sensitive to the sun? Yes, I guess in theory it could make it worse. But you know you're talking to the girl who swims in a long sleeve swimsuit.
- [35:55]
B
No, mj, seriously.
- [35:57]
A
What do you mean you swim in a long sleeve? No, no, no, no. I always wear my bikinis. I do. But if I'm going to be in the sun for a long time, I'll do half my zipper shirt. It's on my Amazon link. I'll share it.
- [36:07]
B
You should just get one of those. Hijab full coverage. Yeah, just be like, that's it. I'm going full Middle Eastern. I'm getting a hijab.
- [36:16]
A
Yeah.
- [36:17]
B
Bodysuit. I forget it. That's what I'm gonna do.
- [36:19]
A
If I can live in Dubai and do that, it's done. It's a done deal.
- [36:22]
B
It's done. That's how I'm gonna. Now I know what to get you for your birthday.
- [36:24]
A
Yes.
- [36:25]
B
I also want to get into HRT because you're so pro HRT for your patients. So what is a good time for somebody to start? And what are the benefits when you need it?
- [36:36]
A
Stop waiting.
- [36:36]
B
And how do they know when they
- [36:37]
A
need it at 60. Come do blood work. That's how you know when you need it. Me, who's on top of my blood work. And I do it every 12 months. Recently I've been so fatigued and the office was like, draw your blood, draw your blood. Something's wrong. Draw the blood. And I'm like, no. And I was at week eight. Like, I'm gonna wait. They're like, this is a dire emergency. You're been off for two weeks. I drew the blood. They could not find testosterone in your body at all. Yeah. Under five. When it's under five, the lab can't pick it up.
- [37:06]
B
And so what was the reason that it was so low all of a sudden?
- [37:10]
A
I don't know. Well, my vitamin. I had stopped injecting my. My weekly vitamin D, which does hormone signaling. Right. I stopped taking my DHEA supplement. That's a building block for testosterone. That level dropped to about 120something. I like it between 250 and 300. So I think all those. When I felt so great, I kind of let go of my routine.
- [37:31]
B
Yeah.
- [37:32]
A
As we all do. I felt common. Yeah. And then guess what? The testosterone dropped. And then I had no energy again. My vitamin D dropped again. So then we just went back on replacement. But you don't have to wait to feel that depletion. Right. It's about keeping. The more estradiol we can keep, the more testosterone we can keep. Are we supporting DHEA and prevent alone the building blocks for the testosterone? There's so much. Even people who don't want to go on hrt. Where's your vitamin D? Where's your hormone signaler? Where's your dhea? Where are your building blocks? Where's your prenolone? What are those levels?
- [38:07]
B
And I was going to ask you, talking about dhea, who is a candidate for DHEA versus not and what is. Can we explain to the audience what dhea?
- [38:14]
A
Yes. Dhea, progran alone, they come from the adrenal gland. And the way I like to explain it to patients is how can you. How can you build anything? How can you build a Lego without Legos?
- [38:26]
B
Right.
- [38:27]
A
Right. You need the building blocks. So if you don't have DHEA and you don't have Progren alone, which helps convert into. To basically make the testosterone, how can you even expect to maintain testosterone and energy? Right. So we. For us, it's always labs. I need to see the levels. Where are you at? We see the levels. DHA is very easily replaced. It's a supplement that you can buy. We like pure encapsulation. I really like them. I like thorn.
- [38:54]
B
What if you have really high testosterone levels? Then do not take the wait.
- [38:58]
A
Yeah. So, well, there's inhibitors. We have a whole natural supplementation protocol. It's a little intense between the spearmint teas and the zincs.
- [39:08]
B
And if you have high testosterone yeah.
- [39:11]
A
So if you're a woman, too much androgen, you're breaking out like crazy. We have a whole supplementation protocol that brings it down.
- [39:18]
B
And you essentially. So for you in your practice, and obviously I know this, but for the audience, everything starts with diagnostics.
- [39:24]
A
Everything.
- [39:25]
B
Everything starts with blood work.
- [39:26]
A
I can't touch it without the data. Yeah, I'm guessing I'm shooting blind. It's to me that it's like there's no purpose here. What are we doing? Fatigue. Fatigue can be coming from your mitochondria. Fatigue could be coming from iron. Fatigue could be coming from your vitamin D, it could be coming from testosterone. So fatigue is not.
- [39:43]
B
And you think blood testing alone gives you enough data or do you run additional tests as well?
- [39:47]
A
So that's a great question. Blood work is a screenshot in time.
- [39:50]
B
Yep.
- [39:51]
A
So sometimes we do have to run additional blood work. A great example I have in my mind is a patient who had like elevated prolactin and we were like, this is so off. There's a medication we'll give to bring it down. And we did. And it corrected. But then couple. You know how I do blood work every three, four months, prolactin through the roof again. Now we're doing brain imaging. Now we're looking at the pituitary gland. So it's without that blood work and without that diagnostic. But sometimes that diagnostic takes me to imaging. Right, right. Cardiovascular levels. Oh, I've hit this like 10 times. Cardiovascular levels are something that I like to do imaging a lot clearly. Hard scans. You know how I feel about those. Because besides the stress test, like we don't know if someone is going to just drop down of a heart attack. We need to visualize. So diagnostics are step one, blood work. And then we'll see if we need other things like imaging.
- [40:43]
B
What are the other most common tests patients of yours are taking?
- [40:46]
A
So I have a full panel. We have two full panels in the office. One is about 100 and something markers. The other one is 300 and something biomarkers.
- [40:57]
B
Okay.
- [40:57]
A
When you're my patient, I am looking at everything. I am looking at your brain. I am look biomarker. I'm looking at your autoimmune. I, I want to see everything so that we can correct and what I call the, the foundational step is correcting anything that's wrong, like the vitamin Ds and those little corrections. And then we can go into longevity. When the terrain, when the cells are ready and the body is functioning like a, like a working machine. Then we can optimize, correct everything. Right.
- [41:28]
B
Do you know what I want to do? I have my phone here. I'm actually going to go pull up my last diagnostic testing longevity. And I want to get your feedback on what could be causing me maybe not to sleep better. All of this stuff. So let me. Oh, shit.
- [41:41]
A
What's your progesterone? Ooh. For a woman, step one. I think that also patients forget what looks normal in the lab. Is not my same normal.
- [41:51]
B
That's what I want to get for. I'm actually going to text.
- [41:54]
A
The lab will tell you that a normal range is 30 to 100. Functional medicine will tell you that that gap is 60 to 80.
- [42:00]
B
So it's. I wanted to talk about this. So, guys, it's so important to run functional blood work versus generic. Going to your, you know, kind of doctor and kind of doing it generically. And the difference is functional labs are so much tighter because they're done on an optimized group of people.
- [42:16]
A
Right.
- [42:16]
B
Versus generic lab testing. So when you're going to your general practitioner, your GP and getting your lab work and they're like, you're in range, that is a bad indicator.
- [42:24]
A
The range is this big.
- [42:25]
B
Yeah. Versus di. Functionalities are this big.
- [42:28]
A
Optimal range. That's this big.
- [42:29]
B
I want to try to log in. I have to get the password from these people to log in.
- [42:33]
A
Yeah, of course.
- [42:33]
B
But I want to know.
- [42:35]
A
Progesterone is the number one thing I look at women. Anxiety. What's going on with the progesterone? When a woman's like, I can't sleep, I have anxiety. I'm like, are you waking up at 3am? They're like, how did you know? I'm like, it's your progesterone. Let's run some labs. Time and time again, what is your take?
- [42:49]
B
Also on things like. So we talked about dhea, but we're going to read my labs right now. I'm just trying to get access to them.
- [42:54]
A
Can't wait.
- [42:55]
B
And we can see what's going on there. We talked about HRT and why it's so important. I am.
- [43:01]
A
Okay.
- [43:01]
B
So I. Okay. So last summer, basically what happened is I came back, obviously had a lot of stress in my life, was going through a divorce, had no vitamin D in my body, had zero testosterone.
- [43:12]
A
And I was just there.
- [43:13]
B
Yeah. You would say boo to me and I start crying. He would just look at me and be like. And I was like, what is going on with me? Like, why am I being so. I had no testosterone. So I got on HRT properly at that time. So I got. I take progesterone.
- [43:28]
A
Okay. How? Oral. Okay.
- [43:30]
B
Oral progesterone tablets. And I'm taking. I was taking. I mean, I had no testosterone in my body, so I started with injectable testosterone, and now I moved on to the cream.
- [43:38]
A
Okay.
- [43:41]
B
Too high.
- [43:42]
A
Oh, yeah. That's why you have to monitor.
- [43:43]
B
So I was monitoring, and then my testosterone was off the charts, which, by the way, made me feel amazing. I was unstoppable.
- [43:49]
A
Yes.
- [43:49]
B
I was like. I had something that happened to me. Energy. But it came down to. It was really great, but then it was just too high. And then I started getting the breakouts. My hair started falling out. So I was like, okay, this is too much testosterone in the system.
- [44:03]
A
Yeah, that. That. That happened to me.
- [44:05]
B
But what is your take? Also an estradiol creams. You know, like, there's this brand, Inner Balance. I've worked with them.
- [44:10]
A
I really like.
- [44:11]
B
I personally like the cream a lot. And there's another one called aloe, and they are kind of. They compound. The creams I saw recently. Yes.
- [44:19]
A
I am into topical estradiol, vaginal estradiol for women who are struggling with lubrication. Okay. I'm into it.
- [44:27]
B
Okay.
- [44:28]
A
It's a. Yeah.
- [44:28]
B
What do you think some of the benefits people can see by doing it?
- [44:31]
A
The face.
- [44:31]
B
Yeah, I forgot to talk on the face.
- [44:33]
A
Yes. Because when the skin loses the estradiol, it gets so thin.
- [44:36]
B
Right.
- [44:37]
A
So why are we waiting? It's the same thing. Why are we waiting to replace it? I just had a patient. She's like, everything I touched, I'm. You know, everything I touch and banging and I. And she's scared of taking. Like, she's scared of hrt, but I'm like, okay, fine, let's negotiate. Put it on topically.
- [44:52]
B
Right?
- [44:53]
A
Put it on where you feel your skin. She's like, my whole body. I'm like, so put it on your whole body at night after showering.
- [44:57]
B
So how young Is your youngest HRT patient?
- [45:02]
A
Okay, I would say my youngest HRT patient is a 20. I want to say 28 or 29. What? Yes.
- [45:08]
B
28.
- [45:09]
A
Yes. She had a. Had to have, like, an emergency total hysterectomy and.
- [45:14]
B
Oh, my God.
- [45:15]
A
I know. It's so sad, but she started having such bad anxiety, so she came to me and. And she was on hrt. Yeah. With her, I guess, surgeon or. I don't know, maybe her obgyn. I'm not sure who, but it was not the right.
- [45:31]
B
Did they Just stick her on anything.
- [45:33]
A
I'm seeing it wasn't the right hrt. I'm trying. Oh, I forgot exactly right now what it was. But the form it was. I remember the way that she was taking the estradiol was shooting up her sex binding globulin.
- [45:46]
B
I believe for that before they put
- [45:48]
A
her on, they really don't look at the sex hormone binding globulin, but her. So her HRT was like her. I'm sorry, her hormone panel was like crazy. And I'm like, well, we have a lot to work on. We just reassess. And now I can't remember how she was on it. But anyways, the patch is what worked better for her.
- [46:08]
B
Patches for what?
- [46:10]
A
Okay.
- [46:10]
B
Yeah.
- [46:10]
A
So we changed how she was actually receiving same hormone, different absorption.
- [46:15]
B
So what I was. What was really interesting when I kind of went through it. I have. I was estrogen dominant, very low testosterone, needed progesterone. And you obviously a lot of people here might have heard of the Dutch test is a very targeted.
- [46:29]
A
Yeah, we do the hormone test.
- [46:31]
B
What was so crazy was based on your childhood traumas and exposures, certain patterns show up on your Dutch test.
- [46:38]
A
Oh, patterns itself.
- [46:40]
B
Patterns itself with how you're metabolizing hormones or creating hormones.
- [46:43]
A
Yeah, the metabolites show up. Yeah.
- [46:45]
B
Yeah. And that is linked to childhood trauma. Oh, I didn't know what you've experienced. Are you hypervigilant? This that. So it kind of shows up in your lab. So I also think lab work and diagnostic testing is really incredible for also being able to give you a bit of a picture of the overall system that is your body in chronic fight or flight or interest in digestion. Where is the signals coming from and what these patterns correlate to.
- [47:10]
A
Yep. Correct.
- [47:12]
B
So it's interesting to me to like have thought through that layer as well.
- [47:15]
A
Yeah. And even, I mean talking about accesses and how things cross over, even something people forget is there is a gut to skin access.
- [47:23]
B
Right.
- [47:23]
A
You can't just eat shitty and think your face is going to be glowing. Right. People forget it's not just gut brain.
- [47:31]
B
What do you recommend for people besides the Mediterranean diet, which is a common answer. What do you recommend for people to really eat? To have beautiful skin? Top three foods or tips.
- [47:39]
A
I wish I can eat them. Sardines.
- [47:42]
B
I love sardines. I wish sardines.
- [47:44]
A
I wish I could eat them so bad I can't. But everyone knows how great sardines are for this day. Let me see, what else can we
- [47:52]
B
explain why it's so good. Omega 3s.
- [47:55]
A
Yeah, the Omega 3s. The beats for the nitric oxide. Right. I'm. I'm constantly preaching in my practice that oxygen is vitality. So anything you can do to increase that oxygen uptake. That's why we love things like the CO2 lift pro mask. We like the CO2 moves every day. We like hyperbaric treatments. We do ozone. We do blood ozone. We're like so into oxygen. So I would have to say the beets are great.
- [48:20]
B
Right?
- [48:21]
A
Let me see another food three that
- [48:24]
B
you're like, a patient should be on it. They. They definitely should be taking it.
- [48:27]
A
Oh, okay. I have a patient who has made this for me. But I. I truthfully, I haven't been able to swallow it yet. But it's when they make the collagen from the chicken feet. Yeah. Have you seen them make that. That broth? But, oh, she's like, I'll make it for you. I'm like, I'm not ready.
- [48:44]
B
Is she Cuban?
- [48:45]
A
I'm not ready. No, she's not. She's Asian.
- [48:48]
B
Oh, yeah.
- [48:48]
A
An Asian patient. She's like, I'll make this for you. This is the highest concentration of collagen. You get the chicken feed. And I think it is, like, amazing. I know it's true. So she swears by this on the highest collagen. I'm not gonna lie. It's like the sardines. I personally can't.
- [49:05]
B
You can't just try. You just can't convince yourself to just chug it.
- [49:09]
A
No. It's like crazy. How do you convince yourself to wake up every two hours but you can't chug a cup?
- [49:13]
B
Yeah, I was gonna say of collagen. They say, choose your suffering. Clearly you've chosen it.
- [49:18]
A
I've chosen the wrong one.
- [49:20]
B
I really want to get my freaking lab so we can do these in real time. He's looking them up for me because I can't log into the platform here. They're. Got it.
- [49:27]
A
Yay.
- [49:27]
B
Because we got my labs, we're going to go through. Let me pull it up. Here you go. Let's see what we're working with, guys. Let's see in real time.
- [49:35]
A
Watching.
- [49:36]
B
This is my most recent blood work, I think. When was it? A month ago.
- [49:40]
A
April 1st.
- [49:41]
B
Okay, let's see what we got.
- [49:44]
A
Oh, I love that. This says it's a functional blood chemistry analysis. This. This is great.
- [49:50]
B
And I was crazy. That MG just told me, I will not give you guys a name. But she said to me, a very well known diagnostic Company that we all think does functional blood work. Their parameters are not functional.
- [50:04]
A
I was blown away.
- [50:06]
B
Scandal. Scandal. Are spending so much money on these. How did you find out?
- [50:11]
A
Wait, wait, can we know where does it say?
- [50:15]
B
How did you find out?
- [50:16]
A
I looked at the patient's labs.
- [50:19]
B
Yeah, but.
- [50:19]
A
And I was like, oh, vitamin D range is not 30 to 100.
- [50:22]
B
So wait, how did you discover it? Let's talk about it for one second
- [50:24]
A
while we dive into my patients. Like, my vitamin D is great. Everything's great. I was like, well, pull it up, right? And they're like, okay, look at my app, right? I was like, let me see. And then they're like, you see, my vitamin D is fine. And I clicked. And I'm like, it's 31 optimal. 60 to 80. I'm like, actually, you need to double this. And. Oh, shoot. Can you. And did you.
- [50:43]
B
And did you write too to.
- [50:46]
A
No.
- [50:46]
B
The company? No. And so, guys, just to tell you, for the scandal, this is one of the most popular at home. You are not at home. It's not at home. Whatever. This is one of the most popular current diagnostic companies. So how do you know the rest of their ranges are also not functional?
- [51:02]
A
Well, I started looking through. Through hers, and I'm like, well, that's
- [51:05]
B
not my functional press. So Crest doesn't run functional ranges.
- [51:09]
A
Well, I didn't know. But I will tell you, they don't claim to give you functional.
- [51:13]
B
This is functional. Guys, I do my blood work, and I don't mean to plug them in, but I love this company. I use gojevity. I had the founder on my podcast. I love this brand and this company. And so I want this to be a major plug because I adore them and they run functional ranges. And what I also love about them is that they come to your house.
- [51:33]
A
Absolutely.
- [51:33]
B
So you don't need to go somewhere. Okay, so tell us what we got
- [51:38]
A
based off of your blood work. Although their ranges are closer to a.
- [51:42]
B
Just be straight up.
- [51:43]
A
If this was a fasting insulin of 7.9, that's too high. Optimal range is 2 to 6.
- [51:48]
B
I've. I have a metabolic disorder. I understand.
- [51:51]
A
Well, there it is.
- [51:52]
B
Would you think I'm a candidate for low, low dose renatrutide? Keep looking. We're gonna go through it all.
- [52:01]
A
Yeah. Let me see. What is up with your liver? Then I'll answer you.
- [52:06]
B
Liver and kidneys. See, guys, you can know all the biohacking in the world, and you still can't always be in perfect health.
- [52:13]
A
No, for me, what is what is
- [52:16]
B
a red flag and what's a green flag?
- [52:18]
A
How is your. How are you, my friend? In your ferritin's 13, huh? How are you, my friend? And your ferritin level is 13.
- [52:27]
B
So where do you explain the three
- [52:29]
A
iron infusions to Iman?
- [52:31]
B
MJ? Explain to people what ferritin is and what it does.
- [52:35]
A
Okay. Ferritin is part of iron. So what I always tell. And there's a whole iron binding and everything else that we have to look at, but what I tell patients is iron. Red blood cells through the body, carries oxygen, carries vitality. Kind of how we just discussed it.
- [52:49]
B
Yeah.
- [52:50]
A
You cannot be my friend with a ferritin of thirteen. So you're getting an iron infusion tomorrow when you come into the house.
- [52:56]
B
100. You better hook me up.
- [52:57]
A
I can't believe that. Yep. Your HDL of 57 below optimal. We like to see it over 65. What do you think of cholesterol? You can just take some omegas, my friend. Are you taking omegas? Oh, we're gonna three. What. What dose? I bet you're taking one gram.
- [53:16]
B
No, I have to go and check. But I take body Buyers Resolving, which is, by the way, you know, most omegas on the market are rancid and theirs is made by cold press caviar. So I'm gonna go home and send you the dose.
- [53:26]
A
Should have EPA as well. Okay. And I like patients on two to three grams a day.
- [53:32]
B
Okay.
- [53:33]
A
So we're gonna go through my people on 1,000 milligrams. One gram. We're gonna go through your protocol.
- [53:39]
B
We talked about ferritin. Thank God my vitamin D is okay.
- [53:42]
A
You're. I was gonna say your vitamin D is optimal. We're signaling. I'm so proud of you. Your DHA is low.
- [53:49]
B
But I have really high testosterone right now.
- [53:52]
A
Yeah, but you can still optimize a little bit. Let me see. Yeah, but the testosterone you're. You're replacing. That's why the testosterone is high. It's not really high.
- [54:02]
B
So we would get on dhea. For me, that we talked about. We educated you guys on dhea. She's going to give me an iron infusion. What else we got?
- [54:10]
A
Your prolactin is a little high.
- [54:12]
B
And what causes that to be high?
- [54:14]
A
28. The prolactin. The prolactin, it's being stimulated. Are you taking any peptide? Cjc, Epimora? Are you taking.
- [54:25]
B
I was on epimoreline and tussamoreline. I've taken a bit of a break. Right now I cannot take CJC because it pushes my insulin resistance.
- [54:32]
A
Oh, okay.
- [54:33]
B
Because that's a. For anybody who doesn't know about peptides, CGC is a really popular peptide. A lot of people get on it. But if you tend to be insulin resistant and you take cgc, you get more insulin resistance.
- [54:43]
A
Now you're on hrt.
- [54:44]
B
Yeah.
- [54:45]
A
So if you want to start making some of your own testosterone, you can fix your dhea.
- [54:49]
B
Okay.
- [54:50]
A
I don't have your progren alone level here. I'm so happy and well. And you need to fix your ferritin.
- [54:56]
B
Yes. Which is going to iron infusion coming
- [54:59]
A
up Monday for your birthday. Correct. And I'm very proud of your vitamin D. You do have tiny bit maybe insulin resistance, but your fasting insulin was slightly too high. Your liver levels are perfect. So yes, you can micro dose hereditary.
- [55:14]
B
Okay. Because otherwise if you. Yeah, because if you microdose or renatide and your liver is not good, what happens?
- [55:20]
A
Well, you can have an opposite effect. You're damaging now. You're pushing the liver and the liver's like sensitive. Honestly, sometimes. I had a patient come back from a bachelor weekend.
- [55:31]
B
Yeah.
- [55:32]
A
And we did some blood work and I'm like, I need you in my office immediately because one, you have liver cirrhosis, or two, you're like a raging alcoholic and have never told me. So we need to talk. There's something crazy. His liver enzymes were like in the hundreds and they were like, oh, I forgot to tell you, I was two days back from like this trip before
- [55:51]
B
I did my diagnostic testing.
- [55:53]
A
And I was like. So this like quadrupled your liver enzymes? But it's true. Once I pulled them, can you believe the interim? And if I'm.
- [55:59]
B
Things were normal. So I love the fact that I got functional diagnostic blood work and gave it to you. So we're definitely gonna. The instance. This is it, guys.
- [56:06]
A
I need to connect with that comp. I did. They're.
- [56:08]
B
They're amazing. Go. Jevity is incredible.
- [56:10]
A
You did connect me already. I need to reconnect because I didn't know they actually. Functional range.
- [56:15]
B
Functional ranges. I love the company. The founder is amazing. They come to your house. It makes it so much easier for you. So they're definitely the diagnostic company I recommend and they turn results around pretty quickly. We actually did an episode with the founder last season. So for me, we saw my blood work again. I'm in this space and I know so much, but, you know, we're not perfect. So you're gonna put me on dhea
- [56:36]
A
you're gonna start DHA every morning.
- [56:37]
B
Give me ferritin.
- [56:38]
A
We're gonna give you ferritin. And then the DHA is to make your own testosterone. Replacing bioidentical is fine, too, but let's try to get your body to actually work. Right. Right. Correctly.
- [56:49]
B
And anything else that concerns you.
- [56:51]
A
Yeah, that iron. I mean, the ferritin. We're. No, we're replacing that. Well, because how do you even have energy?
- [57:00]
B
I don't know.
- [57:00]
A
The number one complaint, when the patients come in, no energy, and we replace the ferritin, they're like. I feel.
- [57:06]
B
I think I'm just running on, like, fumes these days. That's where I am. It's a cortisol that's driving everything in my body right now. That's what it is.
- [57:13]
A
That's what it is. As a business owner, I can promise,
- [57:15]
B
being an entrepreneur of two companies and scaling them, I'm running on cortisol, and that's not a good thing.
- [57:20]
A
Cortisone coffee, 100%. Okay.
- [57:23]
B
We're going to do a quick fire round as well.
- [57:25]
A
Okay.
- [57:25]
B
So botox in your 20s. Yes or no or. It depends.
- [57:30]
A
Depends. Some patients, I mean. Oh, my God. Some patients at 18. Like, I have a front desk. She's been my ner. She's a nurse now. We're so happy. But she has been my nurse, and I've known her for years. And I tell her that she has forehead boobs.
- [57:48]
B
Forehead boobs.
- [57:49]
A
Because her muscle here is so strong, it creates this, like, this, like, perfect little boobs right here. And so a patient like that, who her whole life has had such a strong glybella. Like, whenever she's ready, I'm ready for her forehead. Right. But then there's patients that you see that are 30, and they're like, look, I've never done Botox, and they can't move their face, and they look fabulous.
- [58:09]
B
And I'm like, I have this friend, she's also an influencer. Beautiful girl, Giselle. She records out of the studio as well. And she has. She's 41, never done Botox in her life. And I'm like, I wish that was my case.
- [58:19]
A
And she can't. And it's just natural.
- [58:21]
B
Beautiful.
- [58:22]
A
Yeah. Genetics, important.
- [58:24]
B
Most overrated treatment everyone's asking for right now.
- [58:28]
A
Most over. Okay, I think it's Zurf.
- [58:32]
B
Is what Zurf.
- [58:33]
A
You know, that laser? I tried it and I wish I loved it, but I'm like, I'm waiting for my results.
- [58:37]
B
What is it?
- [58:38]
A
It Zerf is It's a radio frequency device. It's new from Korea. It is a l. No.
- [58:44]
B
You don't like the Korean?
- [58:46]
A
No.
- [58:46]
B
Oh, my God.
- [58:48]
A
I do. I do. I. I do. I use some Korean skincare. Well, it's a new laser. We won't talk about where it's from.
- [58:54]
B
Take you on a girls trip to Korea, I think. Get it?
- [58:56]
A
You can sit that one out, and you're not coming to that trip. And it sends radio frequency in different layers, so 2 and 6 in hertz. So it's needleless. I wouldn't say it's pain. They're advertising it as painless, but, you know, I have no. I have no pain tolerance. So it wasn't painless. It was a little difficult. But it's supposed to do this lift and this snatch. I have another patient who did it hurt. Her results were okay, but mine, I'm like, I'm waiting out there, just waiting, just waiting.
- [59:31]
B
How long does it take to see results?
- [59:33]
A
It says 8 to 12 weeks.
- [59:35]
B
Okay.
- [59:35]
A
For one, I'm like, do I spend the money on a second one because I don't see anything. I am. For my patient's sake, because I want to be able to say, I did this two to three times. Look at my before and after. Like, this is why we're not bringing it to the practice.
- [59:48]
B
One supplement, every woman over 35 should be on for skin.
- [59:52]
A
One supplement, every woman over 35 should
- [59:55]
B
be on for a skin.
- [59:56]
A
Okay. It's not a supplement, but if I can convince the whole world it's the tripeptide. It's copper.
- [60:01]
B
The copper.
- [60:02]
A
Yeah. So injectable.
- [60:05]
B
Oh, maybe skin. All of it.
- [60:07]
A
Yeah.
- [60:08]
B
Okay. The one tool worth its weight at home. Red light. Microneedling. Gua sha or LED mask.
- [60:15]
A
Red light, Micro needling.
- [60:17]
B
Gua sha or LED mask.
- [60:18]
A
Okay. Red light. You have to be extremely consistent.
- [60:22]
B
Okay.
- [60:22]
A
And I think red light is great for things like that. Like. Like correcting derm. Dermis. And things like, you have to be so consistent to get that mitochondria to repair. Oh, and then micro needling. Like, anytime you're micro injuring, you're causing collagen. So I would. I would do once a week. You know how I feel about micronailing.
- [60:41]
B
You love it.
- [60:42]
A
Yeah.
- [60:43]
B
If you could even do it on
- [60:44]
A
your knees, your chest. I mean, don't.
- [60:46]
B
Don't pitch that to me. I'll be sitting there, like, everywhere. I'm like, mj, let's go. If you could use only three products for the rest of your life, what would they be? And why.
- [60:56]
A
So let's start with skin Better. I promise.
- [61:00]
B
They just make you an ambassador. I don't know.
- [61:02]
A
Are you skin better? Are you watching?
- [61:03]
B
Yeah. I think we should reach out to them for you for a brand deal.
- [61:06]
A
Really? It would be Alpharette. It would be Alto and their spf. Smart tone. I missed a plane in Paris because they made. This is my only flight I've ever missed. And I missed it because they were making me throw away all my skincare and I couldn't decide. I was like calculating like which skin. Which skin better product cost the most, so I don't throw that one away. And I was calculating the plane left
- [61:33]
B
and you had in your carry on the little ones. But why were they making you throw it away?
- [61:38]
A
So this has always happened to me in Paris. I don't know why they only allow you to travel like a Ziploc sized
- [61:43]
B
bag and you just obviously had everything.
- [61:45]
A
Well, you know, he. The hydroquinone, we need the even tone, we need the alto, we need the SPF. It didn't fit. So now I have three products here and 27 here. And they're like, I'll never forget. She opens my bag, she goes, oh, we, we too much.
- [62:03]
B
You know, that happened to me last summer in cuz Spain is really strict about supplements.
- [62:07]
A
Oh.
- [62:08]
B
And but what happened is I was coming from Ibiza to Madrid and these guys opened up my suitcase and I had all my supplements packed in these little packets and they're all, I know how you are, your supplements, all these colorful things. And they thought I was a drug dealer. And they stopped me. They called over the security. No, they copped. They called over the dogs. I'm like, guys, it's supplements. And they were like, no, no. Like, how do you have so many supplements? I'm like, there's supplements, I swear. And they literally thought I was seeing, did think, taking. Like, I was like, I'm traveling for two and a half months. These are my supplements. And they're like, what is wrong with this girl? She must be lying. These are, this is drugs and all these different pills and different colors and stuff and obviously let me go. But it was like a sight to see. It was a sight. I was literally, I thought my skincare. I love you. Thank you for coming back on the show and allowing my community to get their skin ready for the summer.
- [63:00]
A
Yes, I love you. I hope if your community takes anything, it's that skin.
- [63:04]
B
Better.
- [63:04]
A
It's getting better. Spf. Stop using Korean skincare. It's not doing anything. No, I'm just kidding. I hope that they look for things like titanium oxide and whatever skin SPF they feel like.
- [63:16]
B
The things that MJ has not given to me.
- [63:18]
A
Yes, Derek.
- [63:20]
B
Things that MJ might not give to me.
- [63:22]
A
Watching. Please ship and call in her tranexamic acid for summer.
- [63:26]
B
I need to buy the sunblock.
- [63:28]
A
We're sending you the sunblock and the cream. Hydroquinone. Yep.
- [63:32]
B
All the things that I've yet to receive see coming today. And this show will make your skin better and your biohack your skin and look beautiful. And that's it. You got it?
- [63:42]
A
We got it. Thank you, my friend, for having me. Thank you.