Botox, Longevity, and Healthy Skin: Dr. Gary Goldenberg Breaks It All Down

Summary

Podcast Summary: Stronger with Don Saladino

Episode: Botox, Longevity, and Healthy Skin: Dr. Gary Goldenberg Breaks It All Down

Date: November 25, 2025
Guest: Dr. Gary Goldenberg (Dermatologist, NYC)

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Overview

In this information-packed episode, fitness coach Don Saladino welcomes his longtime friend and dermatologist, Dr. Gary Goldenberg, to demystify skincare, Botox, skin longevity, and hair loss. Drawing on years of practical experience and genuine rapport, Don and Dr. Goldenberg discuss everything from simple, science-backed routines to cutting-edge cosmetic treatments. The conversation aims to empower listeners with straightforward advice for building "strength" in skin health, confidence, and daily habits.

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Key Discussion Points & Insights

1. The Don–Dr. Goldenberg Relationship (03:00 – 06:20)

• The two share their personal history, starting as podcast collaborators and evolving into a doctor–client and coach–trainee dynamic.
• Mutual appreciation for simplicity and practical approaches in both fitness and skincare.

Notable Quote:
"You became my dermatologist and I became your coach." – Don (05:13)

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2. Skincare Simplified: The Foundation of Healthy Skin (06:20 – 14:57)

• Skincare Doesn't Have to Be Complicated:

  • Dr. Goldenberg emphasizes that most people overcomplicate skin routines, often using 20 products with no real understanding.
  • Big message: Focus on effectiveness and simplicity.

• The Four Essentials for Daily Skincare (13:00 – 14:07):

  1. Cleanser: Wash your face morning and night.
  2. Sunscreen: SPF 30+ every morning.
  3. Retinol: Use at night to aid skin turnover.
  4. Moisturizer: Lock in moisture after retinol.
  • Optional: Add toner/astringent if needed for oily skin.

Notable Quotes:
"Skincare does not need to be complicated. Simple and basic gets you there probably 99%." – Dr. Goldenberg (06:55)
"The only wrong way is doing nothing." – Dr. Goldenberg (08:37)

• Hydration’s Critical Role:
  • Hydration is a true non-negotiable.
  • Dehydration is detrimental to skin (and overall) health.

Notable Quotes:
"If you're thirsty, you're already dehydrated. You should never feel thirsty." – Dr. Goldenberg (16:00)

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3. The Gender Gap in Skincare and Cosmetic Treatments (09:19 – 12:48)

• Increasing Equivalence:
  • Women typically use more products, but men are catching up as simplicity is linked to compliance.
• Trends in Cosmetic Procedures:
  • Gender lines are blurring: Women want chiseled jawlines (once a “male” trait), and men want higher cheekbones.
  • More women seeking treatment for hair loss, often related to hormones, nutrition, or rapid weight loss (GLP1s, see 11:18).

Notable Quote:
"Every celebrity now is a skincare expert... but skincare does not need to be complicated." – Dr. Goldenberg (06:35; 06:55)

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4. Skin Nutrition & Anti-inflammatory Diet (16:44 – 19:11)

• Key elements: No refined sugar or white flour, focus on whole foods, high-quality proteins, a colorful plate, avoid processed products.
• Obesity, inflammation, and certain skin conditions (like psoriasis) are closely linked.

Notable Quote:
"Nutrition is key for skin health, just like it's key to your general health. You are what you eat." – Dr. Goldenberg (17:46)

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5. Botox and Advanced Skin Treatments: Prevention, Not Just Vanity (21:03 – 26:20)

• Botox as Preservation:
  • Not just cosmetic—earlier, light use preserves natural expression and prevents deep lines.
  • Dr. Goldenberg has had Botox since 2003 for prevention.
  • Long-term safety and efficacy are well established; importance of provider experience stressed.

Notable Quotes:
"The lines you get from moving the muscles underneath are like a wrinkle in your shirt. The more you move, the deeper it gets." – Dr. Goldenberg (22:04)
"Botox doesn't only make you look better now, it also prevents you from looking worse down the road." – Dr. Goldenberg (22:32)
"You can still have a natural look—you're just slowing down the process of aging." – Dr. Goldenberg (23:08)

• Trends Toward Natural Results:

  • Cultural shifts: Understated, “quiet luxury” is now preferred over the “frozen” look, especially on the East Coast and globally (see 24:31).

• Safety Emphasis:

  • Bad outcomes are usually from unqualified providers. Always seek board-certified practitioners and referrals.

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6. Laser, Microdermabrasion, and Other In-Office Procedures (25:14 – 27:24)

• Effective adjuncts for skin preservation.
• Can be considered “luxury,” but for some, these are routine maintenance akin to dental cleanings.
• Caller Sophie’s Question about Lasers:
  • (50:10–52:36) Dr. Goldenberg breaks down that greater downtime generally means greater effect (e.g., Laser Genesis = no downtime/glow; CO2 resurfacing = big impact/5+ days downtime).

Notable Quote:
"The less downtime, the less effect—doesn't mean you shouldn't get it… you just have to have realistic expectations." – Dr. Goldenberg (50:26)

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7. Hair Loss: Science & Solutions (27:25 – 37:54)

• Rising Prevalence in Women: Often due to hormonal/nutritional changes, e.g., menopause or post-pregnancy, or side effects of rapid weight loss/GLP1 medications (see 11:18, revisited at 28:24).
• Treatment Spectrum:
  • Inside-out: Fix nutritional/hormonal issues first—collaborate with OB/GYN or endocrinologist.
  • Topicals: Minoxidil (Rogaine), biotin, DHT blockers.
  • Devices: Red light therapy.
  • In-office: Platelet-Rich Plasma (PRP), exosomes (stem cell derivatives), microneedling.
• Hair Transplants: Modern techniques relocate follicles from back of scalp; most successful for men. Results have improved, but it remains a surgical (and costly) route (36:30–37:54).

Notable Quote:
"Once those follicles are gone, that's it. They're not coming back. So, you wanna use every single modality to keep as many as you possibly can." – Dr. Goldenberg (36:02)

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8. Finding the Right Shampoo, Conditioner, and Product Choices (38:12 – 40:10)

• Shampoos/conditioners affect only the outside of hair, not the follicle (where loss starts).
• Use what you enjoy unless you have a medical scalp condition. Dietary and internal health are still paramount for hair.

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9. Sun Exposure and Sunscreen (40:10 – 45:05)

• Daily Use of Sunscreen: SPF 30+ (Dr. Goldenberg’s own product combines SPF + moisturizer for convenience).
• Sun Differences by Genetics:
  • Lighter skin (Fitzpatrick type 1) is more sensitive, but all are at risk.
  • Sun ages skin, creates pigmentation, and increases skin cancer risk—indisputable.
• Practical Sun Safety:
  • Early morning, moderate UV: 30 min exposure is safe with minimal protection; noon sun or high UV indices require full SPF and protection.
  • Annual skin-cancer screening is essential for everyone.

Notable Quotes:
"There's no such thing as a healthy tan." – Dr. Gary Goldenberg (42:56)
"Get somebody to look at your spots once a year—15 to 30 minutes can save your life." – Dr. Gary Goldenberg (44:24)

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10. Annual Skin Checkups and Skin Cancer Prevention (45:05 – 46:12)

• Dr. Goldenberg uses both dermatoscopes and AI-powered tools (e.g., Nevisense) for enhanced accuracy.
• Biopsies done proactively when any doubt exists.

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11. Deodorants: Aluminum vs. Natural, and Botox for Excessive Sweating (46:12 – 48:01)

• Most antiperspirants are safe in typical use; those who avoid aluminum can use natural products as long as they work for them.
• Allergies to deodorants are common; consult if you experience irritation.
• Botox can be injected under the arms to relieve hyperhidrosis (excess sweating) for 3–6 months.

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Notable Quotes & Memorable Moments

• On Simplicity in Skincare:
  "I like to keep it simple. Simple and basic gets you there probably 99%." – Dr. Goldenberg (06:55)
• On Prevention:
  "Botox doesn't only make you look better now, it prevents you from looking worse down the road." – Dr. Goldenberg (22:32)
• On Hydration:
  "If you're thirsty, you're already dehydrated. You should never feel thirsty." – Dr. Goldenberg (16:00)
• On Hair Loss:
  "Once those follicles are gone, that's it. They're not coming back." – Dr. Goldenberg (36:02)
• On Sun Protection:
  "There's no such thing as a healthy tan." – Dr. Gary Goldenberg (42:56)

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Caller Q&A Highlights

Sophie’s Questions (48:16 – 52:36)

• Masseter Botox for Teeth Grinding:
  • Lasts ~3 months; repeat when symptoms recur (48:49).
  • Additional cosmetic benefits: slims the jawline, reduces tension headaches (49:12).
• Best Lasers for Skin:
  • More downtime = greater effect; Laser Genesis offers a “lunchtime glow” with no downtime, while CO2 resurfaces but requires up to five days of home care (50:26–52:36).

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Timestamps for Major Segments

| Topic | Start–End (MM:SS) | |---------------------------------------------|-------------------| | Intro, Background, Relationship | 03:00 – 06:20 | | Skincare Routine and Simplicity | 06:20 – 14:57 | | Gender, Trends, Hair Loss | 09:19 – 14:57 | | Nutrition & Anti-inflammatory Diet | 16:44 – 19:11 | | Botox & Cosmetic Procedures | 21:03 – 26:20 | | Lasers, In-Office Maintenance | 25:14 – 27:24 | | Hair Loss Science & Treatments | 27:25 – 37:54 | | Shampoos, Conditioners, Personal Care | 38:12 – 40:10 | | Sun Exposure, Sunscreen, Annual Checks | 40:10 – 46:12 | | Deodorants, Hyperhidrosis, Botox | 46:12 – 48:01 | | Caller Sophie: Q&A | 48:12 – 52:36 |

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Tone & Takeaway

This episode is light, candid, and highly practical—from hardcore fitness analogies to relatable patient stories. The guest’s focus is always empowerment through facts and keeping health achievable—great for both newcomers and “skin care junkies.” Whether you’re anxious about aging, skincare, or hair loss, you’ll find real, science-backed, and immediately actionable advice here.

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For More Information

Dr. Gary Goldenberg practices on NYC’s Upper East Side (75th & Madison).
Don Saladino’s coaching app and challenges are available for those seeking accessible fitness routines. See podcast links for more.

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“Health is the foundation of strength—inside and out.”
– The Stronger Podcast

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Transcript

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[Podcast Host - Chris]

Welcome back to Stronger. On today's episode I'm introducing to you Dr. Gary Goldenberg. Now, Dr. Goldenberg is a friend that I met close to a decade ago on the muscle and fitness podcast. Since then I've become Dr. Goldenberg's client. I go to Dr. Goldenberg regularly for skin assessments and for my skin routine. In this episode we cover everything from peptides to burn Botox. I mean this is literally a master class on Skin Care. Dr. Goldenberg is located on the east side of Manhattan and I highly recommend everyone checking them out if they are in the city. But I think at the very least you're going to be able to leave this episode with some great takeaways that you could start implementing into your daily skin routine. Let's go. First off, the Stronger podcast wouldn't be possible if it wasn't for our amazing sponsors. And right now I want to thank Vori. I trust tried Vuori a few years ago started diving into their gear. I was wearing their workout shorts because I have more of an athletic build and now they have joggers, they have zip ups, they have a whole line of stuff that I really feel like kind of falls into a little bit more of this athleisure line where you know, you can wear it to the gym, but you could wear it out for, you know, a casual brunch or to go to the store and you actually feel fashionable. So for our listeners they are offering 20% off your first purchase. Pretty significant. Not only will you receive 20% off your first purchase, but enjoy free shipping on any US orders over $75 in free returns. Get yourself some of the most comfortable and versatile clothing on the [e-mail] backslash stronger, that's v u o r I.com/more. Exclusions apply. Visit the website for full terms and conditions.

[Don - Fitness Coach/Trainer]

Dr. Gary Goldenberg. You and I met through. You heard me on a podcast. I was on Willamed's podcast for, whoop, like eight years.

[Dr. Gary Goldenberg - Dermatologist]

A long time.

[Don - Fitness Coach/Trainer]

You reached out to me, you sent me a really friendly dm and then I think we had you on the Muscle and Fitness Reps podcast.

[Dr. Gary Goldenberg - Dermatologist]

That was amazing.

[Don - Fitness Coach/Trainer]

That was fun. That was.

[Dr. Gary Goldenberg - Dermatologist]

You know why? Because I remember growing up being a kid and having all those Arnold covers of Muscle and Fitness. We have a picture of. You mean, who is the guy? Zach?

[Don - Fitness Coach/Trainer]

Yeah, he's great.

[Dr. Gary Goldenberg - Dermatologist]

The three of us. I look like a midget. You guys were huge. Okay. In front of this Arnold cover of Muscle and Fitness that I used to idolize. That was amazing. That was such a great experience.

[Don - Fitness Coach/Trainer]

There's something so nostalgic about some of those magazines. Even though print now is, like, dead and everyone's. It's. You know, when I got asked to be on my first cover, it was like, I think it was at the point where the magazines were really dipping. I could care less. I was just like, just to have that, to be able to. Hey. In a frame on my wall.

[Dr. Gary Goldenberg - Dermatologist]

I remember. Remember Dorian Yates?

[Don - Fitness Coach/Trainer]

Of course I do. Yeah.

[Dr. Gary Goldenberg - Dermatologist]

I had his, like, that muscle and fitness magazine. I think I had it for maybe 10 years. And every now and again I would read it and I'm like, I can't do these exercises.

[Don - Fitness Coach/Trainer]

Like, no, he did super high intensity.

[Podcast Host - Chris]

He would do.

[Don - Fitness Coach/Trainer]

It would look like, it would look like lower volume sets. I saw him train at Bev Francis Powerhouse Gym. I mean, massive. Like one of the greatest bodybuilders ever.

[Dr. Gary Goldenberg - Dermatologist]

Slats were like a small country.

[Don - Fitness Coach/Trainer]

Massive, massive, massive. But, like, when you saw how he trained his feeler sets, when you started adding those up, he probably, like, if he would, yes, two really intense sets of incline, but he had to do like three, four, five sets to be able to do that. So I don't know. I think, you know, it became a little bit of a question mark on whether it was really that shorter volume.

[Dr. Gary Goldenberg - Dermatologist]

Right.

[Don - Fitness Coach/Trainer]

Higher intent. But he was, he was a beast. And he was the physique. I think that really changed bodybuilding. That's when things went a little extreme. Arai, Extreme.

[Podcast Host - Chris]

Call what you want, it was extreme.

[Don - Fitness Coach/Trainer]

Because you went from this Lee Haney era of like this beautiful thin waist. Aesthetically, I would say one of the greatest bodybuilders I've ever seen to like, a tank. Yeah, I Mean. And this wasn't to knock down Dorian, but he was just. It was just freakish.

[Dr. Gary Goldenberg - Dermatologist]

Yeah, he was not human.

[Don - Fitness Coach/Trainer]

Unbelievable. So we had that reps podcast, and then we became friends. We both Metallica lovers.

[Dr. Gary Goldenberg - Dermatologist]

Love metal still.

[Don - Fitness Coach/Trainer]

Okay. Love, love metal still. Listen to metal. You became my dermatologist and I became your coach.

[Dr. Gary Goldenberg - Dermatologist]

You know, I have to tell you, the app is amazing.

[Don - Fitness Coach/Trainer]

I'll take. I'll take the pr.

[Dr. Gary Goldenberg - Dermatologist]

I love the app.

[Don - Fitness Coach/Trainer]

It's fun.

[Dr. Gary Goldenberg - Dermatologist]

You know, I was doing your monthly challenges for a while. Like, I did four or five, and I said, let me see what else is in this app. And I started scrolling around. I found this muscle builder program. I think you put me on something similar maybe five, six years ago. So I started doing it. I love it. It's so easy.

[Don - Fitness Coach/Trainer]

I love the variability because for me designing programs, it's like a little bit of. It's an experience. Like, if I'm just training upper, lower splits all the time, I feel like I start getting really bored of that stagnation, right? So I don't see, like, okay, we can do push, pull legs. We can go up or lower. You know, we could do full bodies every day. We could do split training, whatever it is.

[Dr. Gary Goldenberg - Dermatologist]

You know what I love about the app is that the videos for the exercise are right there. So, like, you forget how to do something correctly, because it's not about just doing it. You got to do it right? Like, let me see how Don says it needs to be done. You know, like 30 second video. Like, okay, let me just tweak this a little bit.

[Don - Fitness Coach/Trainer]

It really.

[Dr. Gary Goldenberg - Dermatologist]

It really makes sense.

[Podcast Host - Chris]

It really is helpful.

[Don - Fitness Coach/Trainer]

And I tell people, don't go in there with the mindset of trying to. I guess it's the same in your. I mean, there's so many things being thrown at you in reference to your skin care, your health, your hair. It's like there's so many things you got to start somewhere, and you gotta start building on that.

[Dr. Gary Goldenberg - Dermatologist]

Well, you know, everybody, every celebrity now is a skincare expert. I don't know if you've seen this, but everyone has a skincare line.

[Don - Fitness Coach/Trainer]

It's crazy.

[Dr. Gary Goldenberg - Dermatologist]

A makeup line, a haircare line, you know, which is fine. You know, like, they use their platform to promote a brand, to promote a product, which is great. But, you know, we always talk about this. Skincare does not need to be complicated.

[Don - Fitness Coach/Trainer]

Right?

[Dr. Gary Goldenberg - Dermatologist]

I have patients that come in there in 20 different products, and you ask them what those products are doing. They have no idea.

[Don - Fitness Coach/Trainer]

They have no idea.

[Dr. Gary Goldenberg - Dermatologist]

They have no idea. So I like. I like to keep it simple. Simple and basic. Gets you there probably 99%. You know, it's like that Ron Burgundy thing. It work 60% of the time, Works all the time. It's kind of like that. I think for skin care, you basically have a few labs that are very good at formulating, and then they give you options of what it is that you want, right? And you put it together to. To what you think is appropriate. You know, for me, it was all about, can I care for all my patients with what I have to offer for them? That's how we kind of approached it. So I'll give you a perfect example. I used to make a neck cream, okay? And if you buy. Ever buy a neck cream or an eye cream, what you'll notice is you get about half to 25% of a regular tube for about double the price. But if you actually look at the ingredients, they're extremely similar.

[Don - Fitness Coach/Trainer]

Is it just a little thicker?

[Dr. Gary Goldenberg - Dermatologist]

It's maybe a little thicker. Maybe it has a little bit of a different scent to it. But all skincare, especially creams, they're either water based or they're oil based. Those are the two things.

[Don - Fitness Coach/Trainer]

It's amazing how the packaging you told me eye creams are like. It's like the same. I have one, I use it. It's just like. I just think of it as, like, different moisturizer, but it's almost. There's something about the little, tiny. It's like, here, here. I did it this morning. You feel like you're hydrating a little bit more.

[Dr. Gary Goldenberg - Dermatologist]

Look, this is what I tell patients. If using a product which is safe and effective makes you feel better about your skin, about yourself, you know, because it's all about the experience, by all means, go ahead and use it. But if you want to use your regular moisturizer, that's also okay.

[Don - Fitness Coach/Trainer]

Right?

[Dr. Gary Goldenberg - Dermatologist]

You know, there is no wrong way of doing it. The only wrong way is doing nothing. When somebody comes in and I ask them, what are you doing for skin care? And they're like, I don't know. I'm like, okay, nothing is not appropriate. We need to do something. And that's. And then you kind of build from there.

[Don - Fitness Coach/Trainer]

A lot of the principles of working with a male or a female in my business are very similar. I mean, for years and still now, there's a little bit of a tug of war. But now, suddenly, women are, like, embracing strength training. Where 15, 20 years ago, 25, 26 years ago, the first thing I would hear out of Most women's mouth is, I don't want to get bigger. I'm like, we're not going to get you bigger, we're going to get you stronger. Do you feel like in your industry that's very similar when it comes down to skin care?

[Dr. Gary Goldenberg - Dermatologist]

So I think women are more likely to use more products.

[Don - Fitness Coach/Trainer]

Sure.

[Dr. Gary Goldenberg - Dermatologist]

You know, it's like if you ask a guy, most guys say, you know, I wash my face with my shampoo. That's basically what they do. Okay, that's disgusting. And they might also use. Yeah, they might also use. Use shampoo as their body wash. You know, they just want to use one of those.

[Don - Fitness Coach/Trainer]

Three in one.

[Dr. Gary Goldenberg - Dermatologist]

Yeah, it's like they want to have one product has shampoo, conditioner, and a body wash all in one tube.

[Don - Fitness Coach/Trainer]

The only time I've ever done that is when I. And I'll tell you, I've gone to, like, hockey rinks in like, Montreal or Nashville, and you have to shower and you're like, oh, my God. And suddenly buddy pulls out a tube and you're like, all right, let's do it. Yeah, it's kind of gross, but.

[Dr. Gary Goldenberg - Dermatologist]

But, you know, so I think now things have changed. And I believe in simplicity because simplicity leads to higher compliance, because the more complicated something is probably the same with training, people are just not going to get started. So I think from that perspective, I think it's very similar for men and women. What's interesting, if you look at other cosmetic procedures like Botox and fillers, which is so popular, Right. It used to be that certain locations were taboo for men and certain locations were taboo for women. Like, women would never want a stronger jawline. Ten years ago, something flipped. Every single woman wants a stronger, more chiseled jawline. That was always considered a male kind of a procedure.

[Don - Fitness Coach/Trainer]

Women are saying that to you when they come.

[Dr. Gary Goldenberg - Dermatologist]

You know, if you look at magazines, you look at what's popular, you look at celebrities, you know, you see a chiseled jawline. Okay. Men used to never want to have a lift in their cheekbones. Now I'm doing it routinely to give him kind of that Clint Eastwood esque, strong cheekbone look. You know? And then the other crossover that I've seen is hair loss. You know, 10 years ago, 80% of my patients were men. You know, everyone knows guys lose their hair, they go bald. They want to do something to preserve it. You know, almost exclusively male patients now, I would say it's more women that are losing their hair. And I'm seeing more and more women in the office for hair loss than men.

[Don - Fitness Coach/Trainer]

Why is it suddenly now this is happening?

[Dr. Gary Goldenberg - Dermatologist]

So I think the, if you look at the percent of women that suffer from hair loss, it's been trending up, up, up, up, up. Whether it's nutrition, whether it's hormones, whether it's environmental. You know, you've heard of COVID hair loss. And now what I see a lot of is from GLP1S. There was just a study that came out that GLP1S can cause hair loss and it's because rapid weight loss can cause your hair to shed. We've known this forever. It's called telogen effluvium. That's usually temporary or sometimes it can be chronic. You have nutritional deficiencies because people are not eating.

[Don - Fitness Coach/Trainer]

Yeah, they're not eating.

[Dr. Gary Goldenberg - Dermatologist]

They're not absorbing what they're eating. So you got some nutritional deficiencies. And then there was a recent study that showed basically that GLPs can actually change your hormones, which makes sense because you're losing weight quite rapidly. So your hormones are going to change. And women are much more sensitive to hormonal hair loss than men are. So there is a little bit of crossover. And you know, that's what, that's one of the things that is interesting about medicine. It's never stagnant. There's always something new. So you always have to be thinking and thinking outside the box sometimes.

[Don - Fitness Coach/Trainer]

All right, so most women are going to have more or are going to take more products than men. And that's. This could be, this isn't. I think statistically it's probably pretty, pretty accurate.

[Dr. Gary Goldenberg - Dermatologist]

They'd like to try a different product products.

[Don - Fitness Coach/Trainer]

I, I still like to, I mean, your products are what I use all the time, but sometimes I'll run out. Right. And it's, you know, I don't want to bother you or, you know, I know I have to get some other spot. I mean I might go buy like some cheap cetaphil or something. But I definitely.

[Dr. Gary Goldenberg - Dermatologist]

It's good products. Yeah, it feels a good product.

[Don - Fitness Coach/Trainer]

Yeah, it's just like a very gentle cleanser. But like all in all, your enzyme cleanser, which is your one to two time a day cleanser that you, you would use.

[Dr. Gary Goldenberg - Dermatologist]

So if you think about skincare, you need four things. That's what I always talk about. You need a cleanser because you need to wash your face twice a day, morning and night. You should wash your face. Everyone should use sunscreen every morning. SPF 30 and higher is a must. Okay, so that's your morning routine. Can you wash your face and put on Sunscreen.

[Don - Fitness Coach/Trainer]

Easy.

[Dr. Gary Goldenberg - Dermatologist]

Takes 30 seconds. Okay? @ night, you wash your face again. All the pollution, dirt, everything. You're exposed to sweat, you got to wash your face before you go to bed. You want to use a retinol. Retinol has the most scientific data of any quote unquote, anti aging product that there is other than sunscreen. Sunscreen is the most anti aging, but retinol is the most. When it comes to a night cream, it's vitamin A derivative. It helps your skin to turn over better. It gets rid of the dead skin layer and your skin looks fresh. Helps with acne, pores, pigmentation. It's a wonderful product. So everyone should use a retinol at night and then lock it in with a moisturizer. Those are your four things. Now, if you want to add something else, if you want to add a toner or an astringent, another moisturizer is.

[Don - Fitness Coach/Trainer]

To mainly just, I think, is it like normalizing your skin? Is it like pulling out a lot of the oils?

[Dr. Gary Goldenberg - Dermatologist]

It's essentially to get rid of your oil. It's more alcohol based.

[Don - Fitness Coach/Trainer]

Right.

[Dr. Gary Goldenberg - Dermatologist]

So for those that have very oily skin, sometimes it's helpful. Here's what people don't understand. Just because you have oily skin, it doesn't mean that you don't need to moisturize. And it doesn't mean that your skin should be dry. Because what happens if you don't moisturize and you always try to dry your skin out? Your skin will naturally compensate by doing what? It's going to make more oil.

[Don - Fitness Coach/Trainer]

More oil, yeah.

[Dr. Gary Goldenberg - Dermatologist]

You know, so you have to normalize the skin barrier and you have to use a product or a combination of products that actually will help to normalize your skin. And the other thing that frustrates patients is like in the summer, you may need a different routine than in the winter in a temperate climate.

[Don - Fitness Coach/Trainer]

I've totally noticed that, you know, I told you.

[Dr. Gary Goldenberg - Dermatologist]

And then as you age, your skin's going to dry. That's a normal part of aging. And if, you know, if you're, if your skin is drying, you need to add more moisture to it. And then the other thing, which, you know, when I was a dermatology residence, people always thought it didn't make a difference. You got to drink water.

[Don - Fitness Coach/Trainer]

Oh my God.

[Dr. Gary Goldenberg - Dermatologist]

The people who don't hydrate. Like, I don't understand how hydration is not part of your normal skincare routine.

[Don - Fitness Coach/Trainer]

I get asked all the time, you know, is there, what's the Most important thing. And a lot of coaches don't like to answer that question. And I'm like, I think hydration is the one non negotiable. We're going to have a bad night's sleep here and there. You're going to go out late, you might go party. One night's not going to kill you. I don't think you should ever be dehydrated. I don't think it's something where even one day is like acceptable. Like so when these publications have been turning around lately, they're trying to empower people and they're saying, oh, nothing is not, no, hydration is not negotiable. Let me be very clear here. That's the one area where if someone's dehydrated, let's fix that first.

[Dr. Gary Goldenberg - Dermatologist]

You know, my kids make fun of me because I got all these like dad expressions like pain is weakness leaving your body. You know, one of those things. And I always say if you're thirsty, you're already dehydrated. Yeah, you should never feel thirsty.

[Don - Fitness Coach/Trainer]

You should never feel thirsty. And then getting into things about trace minerals and you know, I was listening to some interesting podcasts lately on salt. I mean we obviously the importance of that but you know, there was an era where low sodium diets, low sodium diets. I was listening to Dr. James D. Nicolantonio talking about, well, you gotta, he was recommending, I think 3,000 milligrams a day as like, as like the minimum. And when you sweat, you are losing so many trace minerals. So you work out. I sauna, you're on the street walking, winter, summer, it doesn't matter. You're still, you're burning it.

[Dr. Gary Goldenberg - Dermatologist]

Plus it tastes good. It does, you know, like salt your food. Yeah, salt your food. Yeah, it's not going to kill you. Look, unless you have super high blood pressure and your kidneys are not working because it's all about whether or not your kidneys can filter it out. If you have normal kidney function, which hydration is very important for, you know, you go out, you want to, you know, you want to eat a steak, you want to put some salt and pepper on it. You know, do it. It's the only way to do it. You know, when I talk to patients a lot of times I'll put them on what's called an anti inflammatory diet. And if you google or use grok or chat what an anti inflammatory diet is, it's not well defined. So what I tell my patients that have conditions like eczema or psoriasis or acne. Anything where there's inflammation is no refined sugar. Okay. If you're gonna have meat products, try to have organic, something that doesn't have hormones and dairy milk. It's clear now. It's better than, you know, some of the non dairy milks. And white flour is probably like the worst thing that you could have. Just anything that's refined.

[Don - Fitness Coach/Trainer]

Pretty simple though.

[Dr. Gary Goldenberg - Dermatologist]

Yeah, pretty simple, yeah. And just like make sure you get a lot of protein. Make sure your diet is colorful because if you're eating different vegetables and fruits, you're going to have a lot of color in your diet. You know, the red, the green, purple, whatever it is, and just eat food that's whole food, not whole foods, you know, not the store, but whole food. Steak, fish, chicken, rice, you know, things that are actually from nature and not refined or processed. Nutrition is key for skin health, just like it's key to your general health. You know, you are what you eat if you have a bad diet. And we see this, a good example is psoriasis, which is an inflammatory skin condition. Obesity is rampant in patients with psoriasis because we know that white fat, that's the fat around the abdomen, is pro inflammatory. That's why losing weight actually helps with some of the skin conditions. So, you know, the question always is, what came first? Is it the chicken or the egg?

[Don - Fitness Coach/Trainer]

Right.

[Dr. Gary Goldenberg - Dermatologist]

And the truth is probably they came together because they are both feeding that cycle of inflammation, because inflammation makes more inflammation and then you get more and more on top of it. So some of the medications help, but diet and lifestyle, you know, is the hardest thing for somebody to change. It's much easier to take a shot or a pill. What's really hard is to change behavior, but that's what really needs to happen.

[Podcast Host - Chris]

So the stronger podcast is not possible. If it weren't for our sponsors. I want to really thank Cozy Earth. They've been one of our really consistent ones. And to be honest, I've been using their bamboo sheets, my wife uses their pajamas, and my dog Sambuca has been using that big.

[Don - Fitness Coach/Trainer]

What is it?

[Podcast Host - Chris]

It's the big blanket. It's the bubble cudd blanket, which actually Sierra is the exact same fur color as my dog Sambuca. So I have this eight pound dog laying on this blanket because my wife is freezing cold because I like the room at 65 degrees. So she's underneath the blanket. And the other day I went to grab the blanket, I couldn't see on it, but he's literally camouflaged in there. So if My dog Sambuca likes it. This is very comfortable. And now my wife won't even let me use it because her and Sambuca are cuddling together on it. And I use the bamboo sheets which are nice because it's very cooling, which is what I want, but really has improved my sleep quality as well. According to my aura, I could tell.

[Don - Fitness Coach/Trainer]

My body temperature is at a normal.

[Podcast Host - Chris]

Sierra's just laughing right now. This is not like this is an ad, but this is real. You understand what I'm saying? So I'm a big fan. I'm a big fan of Cozy Earth. Black Friday has come early at Cozy Earth right now you can stack my code stronger on top of their site wide sale, giving you up to 40% off in savings. That's incredible. That's cozyearth.com code stronger for up to 40% off in savings. These deals won't last. So start your holiday shopping today. And if you get a post purchase survey, be sure to mention you heard about Cozy Earth right here from me. I truly use this product. So let me know what you guys think in the comments section of our post because we're always tagging Cozy Earth and our brand sponsors.

[Don - Fitness Coach/Trainer]

So I'd love to hear it.

[Podcast Host - Chris]

If you guys like it, let us know.

[Don - Fitness Coach/Trainer]

Now, pivoting from the skincare routine, which I love, the simplicity of what you do, I love your, your thank you. Your products, we're going to give information on where people can find that stuff. But skin maintenance. So you started introducing me to lasers, things that I started coming in and doing. I actually did try Botox with you once or twice. I was kind of really nervous about it. You pushed me to doing it probably a couple years ago and I was more impressed from what you said from a preventative standpoint. Preto. Right.

[Podcast Host - Chris]

So what I was.

[Don - Fitness Coach/Trainer]

And I actually haven't done it. I haven't done it in a while.

[Dr. Gary Goldenberg - Dermatologist]

It's been a while.

[Don - Fitness Coach/Trainer]

It's been a while.

[Dr. Gary Goldenberg - Dermatologist]

It's time.

[Don - Fitness Coach/Trainer]

It's time.

[Dr. Gary Goldenberg - Dermatologist]

I should have brought some with me.

[Don - Fitness Coach/Trainer]

Yeah, I would have loved it. You could have done it here. But I think what I initially I thought of it as more of a vanity thing, which is why I would stay, staying away from it. You presented to me as more of a preservation thing and I think that changed my way. Now I don't want my face frozen. I want my forehead to be able to move. I want you to see expressions on my face. But you presented more from a preserving standpoint. Can you explain that?

[Dr. Gary Goldenberg - Dermatologist]

Yeah, look, so you know I tell patients that my forehead has not moved since 2003. Okay? I've had no movement in my face since 2003. And, you know, basically, the lines of that you get on your skin for moving, the muscles underneath are like a wrinkle in your shirt. The more you move, you know, that particular area, the deeper that wrinkle is gonna get and the harder it's gonna be to iron it out.

[Don - Fitness Coach/Trainer]

Right?

[Dr. Gary Goldenberg - Dermatologist]

So when somebody says, oh, I'm 45 years old, I'm too young for Botox, it's not correct. If they're in. If they're gonna be interested in 55, some people are never gonna care. And that's fine. That's okay. But when you're 55 and you wanna. You know, you wanna look better, it's going to be much harder to get that line to be less visible if it's so deep. So Botox doesn't only make you look better now, it also prevents you from looking worse down the road. And that's why I think, you know, somebody asked me, should I get Botox? My answer is always yes.

[Podcast Host - Chris]

Right.

[Dr. Gary Goldenberg - Dermatologist]

You don't have to look like a crazy person.

[Don - Fitness Coach/Trainer]

Right?

[Dr. Gary Goldenberg - Dermatologist]

Okay. You can still have a natural look, and men and women do want a different look, especially when it comes to their eyebrows. And you can still look like a normal person. All you're doing is you're slowing down that process of aging on your skin, and it just becomes one of the parts of your normal routine. You know, it lasts about three months. And most people come in three to four times a year and they get a treatment.

[Don - Fitness Coach/Trainer]

It's super quick. It's super quick.

[Dr. Gary Goldenberg - Dermatologist]

It's completely painless.

[Don - Fitness Coach/Trainer]

Yeah, you don't feel anything.

[Dr. Gary Goldenberg - Dermatologist]

You don't feel it. And in two weeks, your skin looks much better. And we can dial it up or dial it down, depending on your aesthetic. Some people want to be frozen completely, and some people still want to have some mobility. And more and more people are moving towards that natural look. Yeah, because, you know, we all remember those, you know, quote unquote, those women from Fifth Avenue, which is not the case anymore.

[Don - Fitness Coach/Trainer]

They've ruined it for a lot of people.

[Dr. Gary Goldenberg - Dermatologist]

They've ruined it for a lot of people.

[Don - Fitness Coach/Trainer]

And you're seeing it in Hollywood now. You're starting to see more of that natural look come back.

[Dr. Gary Goldenberg - Dermatologist]

Exactly.

[Don - Fitness Coach/Trainer]

What's her. Pamela Anderson was one of them recently that I really kind of tipped my cap to because she came out no makeup. This was like, I think, woman in the. Was it late 90s, early 2000s? I mean, she was probably, I think, the sex symbol of the on the planet.

[Dr. Gary Goldenberg - Dermatologist]

Too much?

[Don - Fitness Coach/Trainer]

Yeah, it was too much. She was gorgeous. Right? Let's be very clear here and honest. But I, I think I really respected how she went back to this natural look. And you're starting to see red carpet.

[Dr. Gary Goldenberg - Dermatologist]

You know, activity going on, especially in New York City. Everything here is understated. It's that quiet luxury thing. You know, you want to get work done, but you don't want to look so overdone, which on the west coast is still very popular. You know, I was just in Dubai where I partner with a clinic there. I've gone there a few times a year to see patients. And there you starting to see people get less and less overdone. You know, they want to be a little bit more understated, they want to look more natural. So I think Botox is a part of that. You talked about laser. Laser is a great way to, for, you know, a great treatment. There are different modalities you can use to make your skin look good, so you don't need to wear a ton of makeup.

[Don - Fitness Coach/Trainer]

And there's no long term issues with doing any of these things.

[Dr. Gary Goldenberg - Dermatologist]

It only makes your skin look better.

[Don - Fitness Coach/Trainer]

Right.

[Dr. Gary Goldenberg - Dermatologist]

It doesn't make it look worse. So like Botox is the most popular and the most prevalent cosmetic procedure in the world. There have been literally like hundreds of millions of patients have been treated hundreds of millions of times. And in the right hands, you know, you gotta, you gotta do it the right way. It's very safe. And all the disasters people read about are usually from somebody who, you know, they try to go a cheaper route. Right. You get what you pay for and, you know, it's, you know, they get a side effect. The nice thing about it is, you know, it goes away. So if something happens, let's say, you know, somebody drops your eyebrows or whatever, it goes away. If they put too much in the forehead, the eyebrows can actually drop.

[Caller - Sophie]

Oh, wow.

[Dr. Gary Goldenberg - Dermatologist]

Yeah. So you have to go to somebody who's experienced and knows the anatomy and can do it the right way. So, you know, be careful who you choose to do your procedures because you want somebody who's board certified and somebody who's experienced and, you know, it's the best thing always is to get a referral from somebody, you know, always.

[Don - Fitness Coach/Trainer]

So Botox, you covered lasers, microdermabrasions, these are all those are, those are basic, basic, basic things that are more about long term health and long term preservation health. Right. How often now are these more. They sound More like luxuries.

[Podcast Host - Chris]

Do you.

[Don - Fitness Coach/Trainer]

Do you think it's going to come to a point where most people are going to be doing this as like, you know, going to the dentist and different, because obviously that's. That's hygiene and that's very.

[Dr. Gary Goldenberg - Dermatologist]

I mean, very different. A lot of these businesses are getting commoditized because you're seeing more and more people doing it. But it is a little bit of a pampering. Right. Because you're paying out of pocket. You want to have a nice experience. You want to go somewhere where you're going to be treated well. So, yes, it is a luxury for most. For most patients, and for a lot of people, it just becomes part of their routine regimen. Yeah, look, it's like. It's like going to a nice gym. You don't need to go to a nice gym, but it's nice to be there. You know, you could go to a cheaper gym where everything is rusted. It's a different experience.

[Podcast Host - Chris]

Much different.

[Don - Fitness Coach/Trainer]

So, all right, so we did skincare. We jumped into hair. That's one of the most important, I think that we have a huge hair is.

[Dr. Gary Goldenberg - Dermatologist]

Hair is huge. I mean, look, I think, you know, I think it's important to separate men and women. I think for some reason, our society has decided that it's acceptable for men to lose their hair, but it's not acceptable for women. So when a woman starts shedding excessively or losing their hair and they start seeing scalp and their hair's coming out in clumps, it's literally like an emergency because they're, you know, mentally and psychologically, they're very distraught. And there are things that you can do and you gotta work from the outside in and from the inside out, because a lot of times it'll be a nutritional deficiency. Like, they're very low in iron because they're not eating or not absorbing iron in their diet, or it's a hormonal imbalance because they just had a baby or they're perimenopausal or they're going through menopause. So you gotta fix the hormonal imbalance. Those are very important.

[Don - Fitness Coach/Trainer]

But those aren't always things that a general practitioner is going to be able to pick up on. I mean, very.

[Dr. Gary Goldenberg - Dermatologist]

Not always.

[Don - Fitness Coach/Trainer]

Right. I mean, now, now you're getting more into functional medicine.

[Dr. Gary Goldenberg - Dermatologist]

Well, you know, I, you know, I work with, you know, an ob GYN and endocrinologist who I trust, who I know are excellent at their craft. And if I. If I suspect that there is an issue. I usually refer them out for a complete workup because what I can do for screening labs is going to be different than somebody whose job really is just focus on hormones. Okay. So that's very important. And then there are treatments that you can do from the outside in. So things like red light, they actually help some. I know, we talked about that. I think that there's some supplements that can help. Taking, for example, biotin or some things that block dehydrotestosterone. This is both for men and women. There's some topicals like minoxidil that helps. These are all things you can do at home. And then there are procedures, regenerative procedures, which have very good data but are not necessarily FDA approved for treatment of hair loss. So the two that I use all the time are going to be PRP or plasma, which like every athlete knows about because a lot of them get an injection.

[Don - Fitness Coach/Trainer]

PRP stands for platelet rich plasma rich plasma.

[Dr. Gary Goldenberg - Dermatologist]

So what happens is we draw your blood, we separate the plasma from the red cells and the white cells and. And then we separate rich from poor plasma and then we actually inject it back into the scalp. It's a regenerative treatment. It's agnostic to the area that you're treating because we also use it for skin care and for making collagen. So it's like a pharmacy. So whatever the problem is, if you put it in that area where there's a problem, it helps the area heal and it does it naturally because we're using your own body's healing potential to help you with whatever problem you have.

[Don - Fitness Coach/Trainer]

Are there any. There's so many peptides now. Right. Is there anything for hair loss?

[Dr. Gary Goldenberg - Dermatologist]

So I did try using peptides. I don't, you know, I don't think the data is quite compelling enough right now. Okay. But I did see some, some, some efficacy in some patients. In my hands, I think what works really well is plasma or prp. And now I'm using mostly exosomes. So I'm using stem cells. I used to use stem cells from umbilical cords of. You know, like a woman would have a C section, they would take the umbilical cord, you know, purify stem cells and sell them. So I used to use that, and now we've moved down to exosomes, which are a product, a byproduct of stem cells, which are basically helpful in repairing damaged tissue.

[Don - Fitness Coach/Trainer]

The stem cells. You weren't able to do that in the States, right? I mean, you had.

[Dr. Gary Goldenberg - Dermatologist]

Well, there was A little pause. The FDA gave us a little PA to do it. And I know some people still do it, but I stopped using them when that pause ended. And actually now what I use is I use plant based exosomes. So it turns out if you look at evolution, we have some, some similarities with.

[Don - Fitness Coach/Trainer]

Can you explain that? Can you explain the example?

[Dr. Gary Goldenberg - Dermatologist]

Yeah. So exosomes are essentially a byproduct of stem cells. They are a package. They're like a plastic bag, if you wish, that has stuff inside. And the stuff that's inside varies, but usually it helps tissue repair. So if you have one cell next to a different cell, and one cell is damaged and the other cell is healthy, the healthy cell will actually send the damaged cell some stuff to repair itself in an exosome. Exosome is just an envelope.

[Don - Fitness Coach/Trainer]

Okay.

[Dr. Gary Goldenberg - Dermatologist]

Okay. It's like a container, if you wish. So I use these plant based exosomes, which are very safe because they're made in the lab, they're not from another human. So you're not going to get a disease. And what I do is I use them with a procedure called microneedling. Because microneedling your scalp actually puts your hair follicles in a growth phase.

[Don - Fitness Coach/Trainer]

So what is that exactly? It's ejecting. It's like a slope.

[Dr. Gary Goldenberg - Dermatologist]

So I'm like reneedling, which is like a Roto Rooter, if you wish, that literally at a very high rate, oscillates and makes little holes in your skin.

[Don - Fitness Coach/Trainer]

But like, so minuscule. Right.

[Dr. Gary Goldenberg - Dermatologist]

Half a millimeter, 2.75 millimeters, maybe 1 millimeter. So think about your ruler from like high school. Yeah, you could hardly see. Right. But that's enough to stimulate hair follicles to grow. And then we layer the exosomes on top so the, the skin just kind of sucks them up.

[Don - Fitness Coach/Trainer]

Absorbs it.

[Dr. Gary Goldenberg - Dermatologist]

Absorbs it.

[Don - Fitness Coach/Trainer]

How many treatments would you have to do on that?

[Dr. Gary Goldenberg - Dermatologist]

So then what most people do is they do a treatment once a month for three to four months. And then we usually wait two to three months because your hair is on a three to six month cycle. So it'll take six months, let's say, to see if it's working for you. And I would say that majority of the time, you know, nothing works 100% right. Majority of the time we'll either be able to stop or slow down the process of hair loss. And then I would say, depending on where somebody is when they come in, the later they are, the worse it works. Right. Earlier is always better. If they come in, it's early in the process, I would say 80% of the time we're seeing regrowth, meaning that we can bring some of the follicles back. So it's a pretty good treatment. It's, you know, it's less than a transplant.

[Don - Fitness Coach/Trainer]

Like, is there like a maintenance protocol that they have to follow with that.

[Dr. Gary Goldenberg - Dermatologist]

Two to four times a year? Huh. Because again, your hair, you know, cycles every three to six months and it's going to vary from patient to patient and it's going to vary within the same patient from year to year.

[Don - Fitness Coach/Trainer]

So what about more? I mean, we're trying to talk to young adults about skin care. You know, preventative, like just using moisturizers is very important. Are there things that, you know a young 30 year old who hasn't lost his hair yet that you know, you know, somebody, you know, his father, his grandfather, they have no hair. He knows it's coming, but he hasn't lost it. Are there things that he can do or she can do that's more preventative at a young age? That's safe.

[Dr. Gary Goldenberg - Dermatologist]

Yeah. So look, hair loss is definitely genetic, right? What I mean with by hair loss is androgenetic or male pattern or female pattern hair loss. And you could have siblings with the same DNA. And then some people that gene gets turned on. That's called epigenetics. That's what controls sort of what goes with your genes. So you got unlucky, that gene got turned on. You're going to know by 30 if you're receding, okay, you're going to see bi temporal around the temples. If you're receding, you might see it on the back of your scalp. So you're going to know the easiest thing to do is to go to the pharmacy and buy some Rogaine or Minoxidil. It's the generic, right. It's over the counter, it's very safe, it's effective, it keeps the hair growing and it kind of helps it not to fall out. Now some people are like, okay, I want to do everything because I don't want to lose my hair ever. And that's when they come in and we do those treatments that I talked about. And you know, I've treated patients as young as 16. Wow. Yeah. Because some people, you know, some people have bad genes and as old as in their 80s because they want to keep their hair.

[Don - Fitness Coach/Trainer]

I'm shocked at a 16 year old, but actually think that far ahead. At 16 years old, I was invincible. I didn't think I was going to ever.

[Dr. Gary Goldenberg - Dermatologist]

But if you were losing your hair at 16.

[Don - Fitness Coach/Trainer]

Yeah.

[Dr. Gary Goldenberg - Dermatologist]

You know, and you're. You're like, oh, my God. What is going on?

[Don - Fitness Coach/Trainer]

Is that the youngest age that you've seen someone lose their hair?

[Dr. Gary Goldenberg - Dermatologist]

I mean, for androgenetic. Yes. 16, 15 is probably. You know, I've seen a few cases where people were almost balding at that age, and that's just a function of their genetic, you know, makeup.

[Don - Fitness Coach/Trainer]

So now specific modalities like red light. Right. When you and I spoke about it last time, you were more of like, well, there's not enough research pointing in the direction. But I heard you bring it up today about.

[Dr. Gary Goldenberg - Dermatologist]

Yeah, about your hair for hair loss. There's actually some studies that show that red light decreases local dehydrotestosterone levels. Now, if you're losing your hair and all you're doing is red light, you're gonna. You're gonna lose your hair.

[Don - Fitness Coach/Trainer]

You're gonna lose it. Yeah.

[Dr. Gary Goldenberg - Dermatologist]

It's essentially a tool in your tool belt. So if you. If you. If you look at all the modalities together. You know, I always tell patients with hair loss, you gotta throw everything in the kitchen sink, because once those follicles are gone, that's it. They're not coming back. Okay. So you don't want to lose them, because if you lose them, you can't. You know, you can't bring them back. So you want to use every single modality at your disposal to try to keep as many of them as you possibly can.

[Don - Fitness Coach/Trainer]

What's going on with these surgeries now? So you're hearing people having, like, hair transplant surgeries now. I mean, it's been going on for a while, but that. That, to me, has always sounded scary. Where are they getting, like, where are they taking hair from to go? Like, how does this work?

[Dr. Gary Goldenberg - Dermatologist]

So, look, I think there's a lot of videos on social media about people going to Turkey with, like, no hair and coming back with, like, full head of hair.

[Don - Fitness Coach/Trainer]

It's crazy.

[Dr. Gary Goldenberg - Dermatologist]

So the truth is that hair transplant's been a thing for a long time, for decades. And it is getting better. So the hair on the back of your scalp does not have the same receptors to dehydrotestosterone as it does on the crown. So people who go bald usually keep the sides in the back. Right. So they. If they have enough follicles on the back of the scalp, they'll take some of those follicles and move them to the top. And it is getting better to where the results are better. But it is still surgery. It's very expensive if you do it here in US and you know, it still does not quite look as good as the original.

[Sponsor Narrator - American Express]

Right.

[Don - Fitness Coach/Trainer]

But is it like. Is your. But your hair is not growing, it's just. It's growing?

[Dr. Gary Goldenberg - Dermatologist]

No, it's growing.

[Don - Fitness Coach/Trainer]

Oh, it is. So it's not like a rug that's.

[Dr. Gary Goldenberg - Dermatologist]

No, no, no. They take a follicle that's growing from the back of the.

[Don - Fitness Coach/Trainer]

So they actually go get their hair cut at that point?

[Dr. Gary Goldenberg - Dermatologist]

Well, yeah, yeah, it looks. I mean, for sure there are people that, you know that probably have had a hair transplant that you wouldn't know about. Yeah, they just never told you. It's very, very prevalent.

[Don - Fitness Coach/Trainer]

Liars.

[Dr. Gary Goldenberg - Dermatologist]

It works better. It's still better for men because when men lose their hair, it's in a more defined pattern, so it's easier to fill in. Whereas with women it's more of a diffuse pattern. So it makes it a little bit more difficult. But, you know, both men and women can get a transplant.

[Don - Fitness Coach/Trainer]

Talk to me about something that no one really discusses much, but like shampoo and conditioners, we're, you know, using these cleaning agents in our hair. Certain people, you see them going more of this all natural. Like I saw some guy the other day, like rubbing bananas at his head. I'm like, that looks a little extreme. Don't really know if it's doing the same.

[Dr. Gary Goldenberg - Dermatologist]

Bananas are better for eating.

[Don - Fitness Coach/Trainer]

Yeah, exactly. But you get what I'm saying here. Like, what are we. I'm also a believer. Like, listen, we expose ourselves to soap and perfume and maybe non filtered water and you know, really crappy skin creams that maybe have other things in it. Not like yours. Right. And we're constantly exposing ourselves to toothpaste with. With specific ingredients in it that might not be healthy. Granted, we want to be clean.

[Dr. Gary Goldenberg - Dermatologist]

Sure.

[Don - Fitness Coach/Trainer]

We want to have fresh breath. Like, what are we, like, what's your thought process on this?

[Dr. Gary Goldenberg - Dermatologist]

I mean, look, I think shampoo and conditioner is very important. Now a lot of people think that that's what causes hair loss or can bring their hair back, and it's just not true because both shampoo and conditioner are for the outside of your hair. Hair loss is caused by a problem in the follicle, which is deep inside your skin. So, you know, for me, shampoo and condition, unless you have a condition like seborrhea or dandruff or psoriasis, some kind of a medical condition, you know, I tell patients, use what you like.

[Don - Fitness Coach/Trainer]

Right.

[Dr. Gary Goldenberg - Dermatologist]

You know, there's some shampoos and Conditioners that you love to smell or you don't want to smell, you love the way they lather or you don't like the way it lathers. I think most men end up washing their hair probably every day or every other day. And most women do it probably two to three times a week, especially if they have longer hair. And I think that's fine, you know, as long as you're not doing something excessive and you're not going crazy. You know, there's so much information now that you don't know what the truth is. And, you know, these are cosmetic products. So no one's going to do a medical study to show whether or not it's something that's valid. But if you have a real medical condition, you need a medicated shampoo. That's what I'll say.

[Don - Fitness Coach/Trainer]

Sun exposure, we have to jump in.

[Dr. Gary Goldenberg - Dermatologist]

Just don't do it.

[Don - Fitness Coach/Trainer]

I know. So you already jumped into the SPF 30 or more for your face. You've created a great product where the SPF is actually mixed into the moisturizer, which I use. I just don't. I don't like the idea of putting on a moisturizer then putting on an spf. It just. For some reason, I like it mixed in. I've heard certain people, oh, well, it's not going to be as strong as I think. That's all.

[Dr. Gary Goldenberg - Dermatologist]

It's okay for daily use.

[Don - Fitness Coach/Trainer]

Yeah.

[Dr. Gary Goldenberg - Dermatologist]

If you're going to the beach, yeah, you want to use a heavier sunscreen, but if you're just, you know, driving around, walking around, moisturizer with sunscreen is fine.

[Don - Fitness Coach/Trainer]

Now the sun, I mean, there's. I mean, Hawaiians, you know, they're out there surfing all the time, and people are exposed to the sun. And I see them live a long life. One of my close buddies, he's, you know, in his 50s. He's got perfect skin. He's in the sun all the time. Do we respond to it differently? Is it just something that you need to stay away from? Is a little bit of sunlight on your body a good thing? How do you so look?

[Dr. Gary Goldenberg - Dermatologist]

I think it depends on the person. Right. If you're from northern Europe and you're what's called Fitzpatrick skin type 1, which is as light as you can get, your skin is going to respond to the sun different than if you're from sub Saharan Africa. Okay. Just evolutionary. People in the Northern hemisphere were never exposed to as much sun.

[Don - Fitness Coach/Trainer]

Right.

[Dr. Gary Goldenberg - Dermatologist]

Because of where they live. So what's 100%? We know 100% that UV causes skin cancer, including melanoma, which is deadly and causes pigmentation on your skin and is one of the culprits for skin aging. Indisputable evidence proven over and over and over again. Where the debate gets a little kind of controversial is the vitamin D issue, because we know that so many people have vitamin D deficiency. So, you know, a few years ago, I checked my vitamin D and was very low. I started taking a supplement. I think you sent it to me. I started taking a supplement, and it went up to a very normal level. It doesn't mean that I have to go and get a sunburn. Okay. But I'm also not one of these, like, crazy people that say, like, you can never get any sun.

[Don - Fitness Coach/Trainer]

Right, Right.

[Dr. Gary Goldenberg - Dermatologist]

So what I always tell patients, look, if you're going to be out early, you know, check the UV index. If the UV index is not high, put on a thin layer of sunscreen. There's an app for that. Or your phone has.

[Don - Fitness Coach/Trainer]

What's a. What's a good range? I know. My kids showed me that.

[Podcast Host - Chris]

They were.

[Don - Fitness Coach/Trainer]

They were checking it out the other.

[Dr. Gary Goldenberg - Dermatologist]

Day, but I wanted to tell you. So if it's moderate or below, you can. In my mind, you can get 30 minutes of unopposed UV early in the morning. Okay. 7, 8am you want to go for a walk. You don't want to put on sunscreen, wear a hat. I'm okay with that.

[Don - Fitness Coach/Trainer]

Okay.

[Dr. Gary Goldenberg - Dermatologist]

But if it's noon, you don't want to go lie around and fry and, you know, and, you know, getting a tan, there's no such thing as a healthy tan. You probably. Like, we grew up in the same time. Everyone got a base tan. Do you remember that you had to get a sunburn before you went to the beach? You know, in retrospect, that's like the dumbest thing ever that you could ever do. You're going to the tanning beds with radiation. Before you went and got more radiation.

[Don - Fitness Coach/Trainer]

You would go to the tanning beds. Yeah. And you'd spend, like, not the full 15 or 20. You'd go in for like, five minutes.

[Podcast Host - Chris]

Just to kind of base.

[Dr. Gary Goldenberg - Dermatologist]

You don't want to fry the worst. Like, so stupid. Look, the American Academy of Dermatology, which is our largest national professional group. So I was. I chaired the skin cancer screening committee. Okay. And we actually, on Randall's island, we screened firefighters. Okay. And it was so cool. Like, I took my son with me. You know, he got a tour of a fire truck. It was like, the best thing. But the exposure to radiation, UV Radiation and firefighters actually at a higher risk because they're exposed to chemicals when there is a fire and actually increases the risk of skin cancer, even though it's not from the sun. But the number of things that we found on these men and women was just crazy, you know. So what I'll say about the sun and UV debate is that try to protect yourself as much as you can. Don't be crazy, but make sure that you're staying safe. And you know, everyone should have, should have a skin cancer screening once a year, get somebody to look at your spots once a year, because you know what, that 15, 20, 30 minute visit easily can save your life sometimes.

[Don - Fitness Coach/Trainer]

I think that's something that I started doing with you years ago. And we do it more than once a year because I'll come in to see you maybe two, three times a year. I'd say on average it's been a little bit longer.

[Dr. Gary Goldenberg - Dermatologist]

You haven't been in, in the last couple months.

[Don - Fitness Coach/Trainer]

We're gonna get them in maybe the next two weeks, if you're cool with it. But you will. There's a specific device. I've got some moles on my body. Can you explain that? And we've actually had to have some biopsy. Yeah. Really gives you some.

[Dr. Gary Goldenberg - Dermatologist]

I use two devices. One is called a dermatoscope, which is, you know, people call it a magnifier, but it's not truly a magnifier. It just gets you a closer look at the spots in a different way. And there's a specific training that one has to have. And then I use another device called Nevisense, which uses essentially current. It's an AI device. It uses current to predict and it does it with about a 99% accuracy whether a spot is more likely to be benign or malignant. So if I'm not sure, you know, if it doesn't look totally normal, but maybe not so bad that I need to remove it sometimes I'll use it to get that extra information. You know, information is key here. So you want to try to get as much info as possible. And look, if something looks atypical, you know, we do a biopsy, we send it off to the lab, and then a week or two later you get a diagnosis that says, okay, yes, it needs to go, or it's okay to just watch it.

[Don - Fitness Coach/Trainer]

It's fantastic. I think everyone, I think that's something that everyone should be doing. I don'.

[Dr. Gary Goldenberg - Dermatologist]

Part of your normal health, you know, health maintenance is that typically.

[Don - Fitness Coach/Trainer]

But that treatment there, even though that Would not be covered by insurance. Right.

[Dr. Gary Goldenberg - Dermatologist]

Some plans actually pay for it. Yeah, yeah, they've come around.

[Don - Fitness Coach/Trainer]

That's fantastic. I wanted to ask you also about deodorants. All right, so specific. I mean, aluminum free deodorants, like what is it? Is, does it really make a difference?

[Dr. Gary Goldenberg - Dermatologist]

Is this. It's another controversial topic.

[Don - Fitness Coach/Trainer]

Exactly. That's why I'm asking you. I mean, I want to get. This is my thing is this. I want to get your opinion. Like the people I'm bringing in, even if the research, like for instance, red, red light, I understand maybe all the Data is not 100% conclusive. I want to get your opinion. So when it comes to something like deodorants, what is, what's your thought?

[Dr. Gary Goldenberg - Dermatologist]

So look, I think that some people are okay with using aluminum. I certainly use a regular deodorant, antiperspirant. I think it's fine because you're not rubbing it all over your body 24 7. So I think probably only trace. If it enters your body, it's a trace amount. There's some people who say, look, I will never use an aluminum deodorant. And that's also okay with me as long as you find a product that you like, totally fine.

[Don - Fitness Coach/Trainer]

You don't smell.

[Dr. Gary Goldenberg - Dermatologist]

Where it becomes an issue is that some people become allergic to their deodorant. So very often they'll come in and their axilla, which is the medical term for armpits, are inflamed, have blisters, inflammation. It's very painful and uncomfortable. So that's actually quite common that people can become allergic. Now we talked about Botox earlier. You know what's great is Botox in your armpits. I heard this because it actually stops you from sweating for three to six months. It's a medical condition called hyperhidrosis, where people are basically like sitting around in a room like this where it's cool and they're just profusely sweating. That's a medical condition. And then there's some people who just don't want to schwitz. You know, they don't want to sweat so much. And for both of those, Botox in the armpits is like a life changer.

[Don - Fitness Coach/Trainer]

Interesting. Hey, Chris, how are we doing? Are we ready for the questions?

[Podcast Host - Chris]

Yep, I am here and we are ready. So Don and Dr. Goldenberg, we have a live caller today, and it's Sophie.

[Dr. Gary Goldenberg - Dermatologist]

So I'm going to go ahead and let her in.

[Don - Fitness Coach/Trainer]

Hey, Sophie, how you doing?

[Caller - Sophie]

Hi. So nice to meet you both.

[Podcast Host - Chris]

Nice to meet You. Where are you from originally?

[Caller - Sophie]

I'm from the east coast, outside D.C. but I live in Los Angeles. So I have a couple questions. Am I allowed to ask too, please? So my first question is pretty simple. I have teeth grinding issue, and so I got masseter Botox in my jaw. And I was curious. I've heard a lot of different things about how regularly you should get it. My dentist said one thing and my dermatologist said another thing. What do you think is the appropriate amount of time between sessions to get masseter Botox?

[Dr. Gary Goldenberg - Dermatologist]

So Botox lasts for about three months. It's agnostic to which muscle you're injecting. But what I'll say is that some patients don't need it every three months. So when you feel like you're starting to grind your teeth again, you go get another injection. Until that happens, I think you're good.

[Don - Fitness Coach/Trainer]

And it still takes two weeks, roughly, wherever you're injecting.

[Dr. Gary Goldenberg - Dermatologist]

Two weeks. Two weeks for maximum results.

[Don - Fitness Coach/Trainer]

Right.

[Dr. Gary Goldenberg - Dermatologist]

And I think that's a great treatment, not only for medical use like grinding or clenching. For a lot of people that have very strong muscles, the masseter muscles are the muscles you used to chew. They all actually bulge out, and it makes their face look more round as opposed to more sculpted. So sometimes I'll inject Botox into those muscles to make the face actually more sculpted, not necessarily for grinding. And then the patient will come back and say, you know, I don't get headaches anymore. I used to wake up with jaw pain. Could never place why it happened, because a lot of people, you know, are grinders and clenchers. Wow.

[Don - Fitness Coach/Trainer]

Interesting.

[Caller - Sophie]

That was me.

[Dr. Gary Goldenberg - Dermatologist]

There you go.

[Caller - Sophie]

It's really. It saved me so much physical pain.

[Dr. Gary Goldenberg - Dermatologist]

And it's bad for your teeth. It's horrible for your teeth.

[Caller - Sophie]

Yeah, I know. My dentist was like you, because I would always spit my mouth guard out. So I had to do something else.

[Podcast Host - Chris]

They gave me a mouth guard once. I hated it.

[Don - Fitness Coach/Trainer]

Oh, my God. Miserable.

[Caller - Sophie]

But masseter Botox really helped.

[Don - Fitness Coach/Trainer]

That's good.

[Caller - Sophie]

My second question is not Botox related, but I would love to get the lowdown on what the good lasers are so that I can. I'm 38 and I really do a lot to take care of my skin, but I know I could be doing more. So what are the. What should I know?

[Dr. Gary Goldenberg - Dermatologist]

So, you know, every company essentially makes very similar products. There are all these laser companies, and they all have, you know, the same technology or similar technology, just in different boxes. So the way you think about laser is that the less Downtime, the less effect doesn't mean you shouldn't get it. It just means you have to have realistic expectations. So if you have a laser, let's say like, I love this device I have called Laser Genesis. It's a 1064 nanometer laser. It's a lunchtime laser. I think that's the one we did.

[Don - Fitness Coach/Trainer]

Yeah.

[Dr. Gary Goldenberg - Dermatologist]

You know, it makes your skin glow. It's awesome. It refreshes it. It doesn't hurt. It's quick. And you don't, you know, you don't need downtime. There's no downtime. You walk out, you go right back to work. Now that's different than doing something like CO2 resurfacing, where I'm taking off half of your skin surface. And then it's highly effective. It's probably the best for making collagen. It's great for pigmentation and wrinkles and lines. But you can't leave your house for five days and then there's multiple procedures in between. So that's the way I would kind of think about it. You know, when you talk to your dermatologist to say, okay, the downtime is, is directly related to how much effect you're going to have. So, like, Laser Genesis is a great device, but you're not going to get the same level of result as you would from a CO2 resurfacing.

[Don - Fitness Coach/Trainer]

Just.

[Dr. Gary Goldenberg - Dermatologist]

Just impossible.

[Don - Fitness Coach/Trainer]

Do you ever do the CO2 research?

[Dr. Gary Goldenberg - Dermatologist]

All the time.

[Don - Fitness Coach/Trainer]

Really?

[Dr. Gary Goldenberg - Dermatologist]

Yeah.

[Don - Fitness Coach/Trainer]

Does it affect it. Does it affect you that much? You do literally feel like for five days.

[Dr. Gary Goldenberg - Dermatologist]

Yeah, for five days you're basically sitting at home, you're washing your skin five, six times, seven times a day. And you're putting aquaphor five, six, seven times a day. You know, you really want to, you know, make sure that your skin stays healthy. But then what happens is your skin gets tighter because you're making collagen. You get rid of a lot of the etched in wrinkles and lines pigmentation, it works great for, but you know, you gotta be able to take the time, you know, and that's basically it. So that's how you should think about lasers. So they're all effective in the right hands. Right. But it just depends on what your goals are.

[Caller - Sophie]

Perfect. That's very helpful. Thank you.

[Don - Fitness Coach/Trainer]

Awesome. Well, listen, it was great meeting you.

[Caller - Sophie]

Yeah, nice to meet you too. Thank you.

[Don - Fitness Coach/Trainer]

Take care. Bye.

[Dr. Gary Goldenberg - Dermatologist]

Bye.

[Don - Fitness Coach/Trainer]

All right, man, so that was a good. We could have kept going.

[Podcast Host - Chris]

I can't thank you enough.

[Don - Fitness Coach/Trainer]

I know you got a family. Impressive practice up on 75th between Madden and 5th.

[Dr. Gary Goldenberg - Dermatologist]

Is it 75th and 5th and Madison.

[Don - Fitness Coach/Trainer]

5Th and Madison. And I'm grateful and it's really awesome. I never expected that when you, when you slid into my DMs eight years.

[Podcast Host - Chris]

Ago, I didn't expect me and you.

[Don - Fitness Coach/Trainer]

To get so tight. But we keep in touch and it's, it's really a privilege to be able to come up and come into your practice and I appreciate everything that you.

[Dr. Gary Goldenberg - Dermatologist]

Do and I appreciate you very much and I love what you're doing. I think you're doing great things and it's great that you're spreading the word now with this Appreciate medium. So congratulations.

[Podcast Host - Chris]

Thank you. And we're going to have to get.

[Don - Fitness Coach/Trainer]

You back on soon to cover some more topics.

[Dr. Gary Goldenberg - Dermatologist]

Appreciate it.

[Don - Fitness Coach/Trainer]

Thanks. Awesome. Foreign.

[Dr. Gary Goldenberg - Dermatologist]

The views, information or opinions expressed in the series are solely those of the individuals involved and do not necessarily represent those of Chip and Joanna Gaines by Nail Audio nor Magnolia.

[Sponsor Narrator - American Express]

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