WEBVTT
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Welcome to the Morning Formation health and performance.
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And today I'm joined with two special guests from Ultimate Male Matt Schaefer, a former Cal football standout with a deep understanding of athletic performance, and Ewan, the clinical manager over at Ultimate Male, who keeps the operation running smoothly and ensures every client experience is top tier.
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Together, they're helping men, especially those in high stress careers like the military and law enforcement optimize their health and regain vitality and stay in the fight even longer.
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So, gentlemen, thank you for joining me on the Morning Formation today.
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Let's jump into it.
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Sounds good, thank you.
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How was your day today, fellas?
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Did you enjoy the 100-degree weather out here in LA?
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Oh yeah, it's so hot.
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We got so many cancellations todayations today, actually because of the weather.
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People are just not standing in the weather, well.
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But I'd like to add that our clinic is actually really comfortable.
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It's beautiful and clean.
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It's an enjoyable experience for everyone.
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Yes, I can attest to that.
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They do have a really nice AC unit there, speaking of which.
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So, matt, since you're talking about the hot weather, let's talk about your days when you were on the gridiron.
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How does your background being a former D1 athlete play in the role of what you're currently doing with Ultimate Male?
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I don't think anyone's ever asked me that before.
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So I went to UC Berkeley and played football up there.
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I started off as an offensive lineman but then transitioned into a tight end.
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Just obviously.
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The physical requirements, the mental demands, I know exactly what it takes to, like you said, thrive under pressure, and being a D1 college athlete really helped me to understand the importance of team, the teamwork, and I've used that knowledge to kind of propel my career forward.
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Yeah, that's really interesting because I think that when it comes to different positions that you do growing up through life, I think the D1 athlete is probably the apex position, because you guys are literally top performers from all over the country.
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You're going against other top performers from all over the country, so I give a lot of the D1 athletes major kudos for managing the education side of it, but then also managing the side of staying on the field.
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So that's, that's huge.
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I think people can relate to that, the people that you serve today, wouldn't you agree?
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Yeah, I mean a hundred percent.
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You know just, you make it sound like this giant thing.
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I was just a big guy that was good at a sport.
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You're too.
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You know what I mean.
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Like you're, you're.
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You're too humble, bro, I mean cause I played football in high school and there's no way I would have been able to play at that level.
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Yeah, I mean I was pretty heavily recruited, for sure.
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I was long beach, press, press telegram, uh, like all American whatever got recruited heavily by schools all over the country, um, back in the day.
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So I graduated high school in 99.
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And back in the day the schools would fly you out there if they were recruiting you and you could go on like five official visits.
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I went to Oregon, texas, a&m, colorado, berkeley and Arizona State, right, and my parents basically told me that I would be an idiot for not going to Berkeley and that's how I ended up there.
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Yeah, so I was there from 99 to 04.
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Yeah, they were looking out for the academic side of everything, right, so not so much.
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They're not really known.
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I mean, I guess they are kind of known for football, but but yeah, man, we went one in 11, my first year.
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we were not known for football at the time.
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We beat Rutgers no-transcript.
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Yes, definitely.
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Basically made to help men in thriving, giving them hormone replacement therapy.
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Until it reaches this stage where it takes care of preventative health lab tests, weight loss and everything that we do for the men and the organs that specifically are for the men.
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I think it's evolved in a way where we can service more people and give them the best care that they deserve.
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Yeah, ultimate male, from what I've seen over the years, is really cutting edge.
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You guys seem to be like at the forefront of the latest and greatest.
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What would you say and either one of you can actually take this question what would you say would be the difference between ultimate male versus other men's clinics?
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Well, there's a couple of things actually, I think, having to deal with like real people that have lived real lives I'm not some nerdy doctor that, you know, just went through high school and got straight A's and then went to college and didn't have any friends and just studied and has never had a real job and then gotten to medical school and just studied and didn't have any real friends, they just had their little study groups.
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And then they go through residency and they get shit on, you know, and they come out and they're just completely out of touch with people.
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And not to say that there's not great doctors obviously there's wonderful doctors in the world, right but I mean we're just real people, you know, like we've real, we've lived real lives and had real experiences.
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And I think that's kind of what sets us apart is that we can relate to people.
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You know, like half of our clients, maybe three quarters of our clients, are military guys, firefighters, police officers and like blue collar guys plumbers, electricians, linemen, dock workers, all that kind of stuff.
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You know, that's kind of the first thing that sets us apart.
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Secondly, is our like comprehensive suite of services, right.
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So it's not just, you know, not just like hormone optimization and erectile dysfunction, but we also do like Botox filler and we do a lot of hormone optimization for women.
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We do microneedling, laser therapy, medically managed weight loss.
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We have a whole bunch of stuff that we do and that's really what sets us apart.
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You know, there's a ton of these TRT clinics around or these like online operations, where you don't know where you're getting your medication from.
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It's coming from some shady pharmacy in Florida and you don't know if you're ever going to get your medication on time.
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We're real people.
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You just come into the clinic, you say hello and we'll give you everything that you need and take care of you along the way.
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I'm so glad you said that, because that's really important to me, that I'm not getting my stuff through the mail but I'm actually walking in, I can ask the dumb questions and I can get answers right then and there, versus like having to email someone.
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I think that's that's huge when it comes, and then for folks being able to just relate.
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Like you said, matt, you're a former Division One athlete, so like you know what.
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And then also I didn't even mention that, but you would you mind covering a little bit about some of your experiences working as a medic as well?
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Yeah.
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So when I when I left um, I had no idea what I wanted to do.
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Um, one of my best friends is a fireman Uh, he's a couple of years older than me and uh, you know, I was working some job that I couldn't stand.
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And he asked um, you know what I was doing with my, my life?
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And at the time I had no idea.
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Um, he said why don't you go to EMT school?
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And so I was probably 22, 23 at the time and I said sure, why not?
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I actually followed up with him and went to EMT school and then graduated and was an EMT for a couple of years.
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I worked as a ER tech at UCLA Santa Monica Hospital for a few years and then went back to paramedic school.
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I went to paramedic school at UCLA and I was a paramedic for like 10 years before I went back to PA school.
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So I've kind of lived a whole bunch of different lives actually.
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That's super interesting, man, because, I mean, the fact is, is like your whole journey and your career track.
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It falls right in line with your customers being able to relate to you and probably feeling a little bit more comfortable about where you've been and what you've done before.
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And I think that's what makes Ultimate Male different than other TRT businesses out there, you know, and other you know, health services out there and things like that.
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But and either one of you guys can answer this question but what core services does Ultimate Mel offer specifically for men over 30 or 40 years old?
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Definitely our testosterone replacement therapy, definitely recommended for anyone over 35 years old to at least get checked out, see where their levels at what might be affecting their lives, like loss of sleep, loss of libido, getting no motivation easier to build fat instead of muscle.
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Testosterone could really help a lot of men and we've seen it with our own eyes.
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We've diagnosed, probably like hundreds of men now with low testosterone and them on their journey.
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We do frequent lab tests, though not unlike other clinics to get on our past topic, it's not like it's not.
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It's not like other online clinics or even clinics around los angeles that doesn't really care about their patients.
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We do regular and routine follow-up, lab works and the follow-up with the patients via message, have them come back to do consultations, discussions with us so they feel cared and we actually care about them.
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I think that's what set us apart from all the other clinics out there yeah, I can tell you like even I've been with ultimate male for a while now and I've always gotten that personal touch, like I've always been comfortable with walking in there and asking questions, no matter how dumb they are or whatever.
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And for folks out there that are concerned about the whole like TRT thing and like some of the disadvantages that come to it, you know, like with the red blood cells, all that stuff like that, what, how do you guys counter that?
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Like, what do you do to help out folks that want to stay balanced but are also looking to improve their lives?
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This is starting to sound like an infomercial for ultimate male.
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But yeah, no, it is.
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Yeah, totally no.
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I yeah, no, it is.
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Yeah, totally no.
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I mean testosterone it's a wonderful medicine, right, like, but it's a medicine and you know some.
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All medicines have potential side effects that you need to be aware of.
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And I also want to clarify like, testosterone is not a magic bullet.
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It's not going to solve everyone's problems.
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You know it will probably give you some more energy and allow you to sleep a little bit better, and you know regulate, you know brain, like neurotransmitters and and.
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But if you just sit on the couch and eat Doritos and inject testosterone, like, you might feel a little bit better, honestly, but you're not going to have any of those body composition changes that a lot of people are looking for.
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You might get a little increased sex drive, but you're probably not going to get laid all that often.
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But no, yeah.
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So testosterone is a, testosterone is a.
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You know it's a wonderful medicine.
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I think the the two big concerns that I really have with it is the decrease in testicular efficiency or functioning while you're on testosterone, and then the increase in red blood cell production, right, erythrocytosis, um, you know, the normal range for testosterone is 300 to a thousand milligrams per deciliter.
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All we do is we bring guys up to the top quarter of the um of the normal range, right?
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So when men are like 18, like 18, 19, 20 years old, we're kind of all functioning at a very high level.
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Our testicles are functioning at like a very high level and as we get older, just like anything, our testicles start to break down over time, right, they become less efficient.
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There's a threshold that every man will cross, whether that's 30 years old or 45 or 50 or 60, whatever, it doesn't really matter.
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There's this threshold that every man will cross and once they cross that, they become symptomatic to those low testosterone levels, right?
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So the things that we're looking for are going to be like decreased energy, decreased libido, you know.
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Increased fat retention, decreased muscle mass or inability to put on muscle at the gym, you know.
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Poor sleep quality, poor erections, less morning wood.
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I mean all those things are signs of, you know, of decreased testosterone levels.
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And if those are, you know, if you're experiencing those like, go get it checked out, because it really can make a difference, you know.
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Yeah, I mean, I guess at the end of the day we are, we are, we are trying to capture those, those clips that are going to make sure that we put ultimate melanin in a great light.
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But I'm just generally curious too about a lot of these stuff, because some of this stuff I haven't really asked before but I've kind of done my own research on and when it comes to getting getting tested, if somebody walks through your doors and they don't know, like where they're at, like with their own levels, what's that new first time experience going to be like for that person?
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so firsttime patients will get them in for a free consultation.
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Essentially, during that consultation, matt, our provider, will go through how exactly testosterone works, everything in detail, and what the side effect profiles are, what you can expect and some solutions for that, specifically for like lowering testicular function, we have stuff like HCG Pregnol to counter that, and so there are many solutions essentially for patients that wanted to get care.
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But to get to the topic, we get them in for consultations, draw their blood on site if they agree to it, and we do send our labs to a third party lab to get them tested to avoid conflict of interest.
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After that, we'll have them come back for a review.
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Labs Basically go over the lab test.
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We test it in detail, one by one.
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We test for testosterone, psa level, your CBC and estrogen level.
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So that's what we typically do for pre-screening testosterone.
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Essentially, matt will go over everything in detail and then decide with you if testosterone is a good option for you and if you are a good candidate as well.
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Yeah, absolutely.
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We'll just sit down and have a conversation, right, and I'll ask you about you know your history, what kind of symptoms are you experiencing?
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You know what medical problems you have, any allergies to medication, the basic stuff, right, and then kind of run through the spiel that I just told you.
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You know, like the normal range of testosterone is 300 to a thousand and like what, you know what we, what we're trying to do?
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We're just trying to make guys feel like they're 18, 19 years old again, within reason, right, like that's the whole idea behind this.
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You know it's.
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It's about, um, just functioning at a higher level.
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When our dads were our age, you know, in their 40s and 50s, they were getting fat and slow, you know, and they just looked older, right, and like we don't have to deal with that anymore.
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We've got a solution for that now and it's safe.
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I mean, testosterone has been around for 100 years, right, it's safe if done well, right, it's not that there's not potential you know downsides to it Obviously there are but it's a great solution for a lot of guys, especially like military guys, especially like first responders, firemen, anybody that uses their body for a living.
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You know, you can be functioning at a high level into your 60s and 70s.
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You know, that was never the case before.
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I'm so happy this has kind of gone mainstream, you know, and in reality too, it also helps you sleep, right, oh, 100%.
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Yeah, I mean, I'll tell you my story.
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I'm on testosterone.
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I've been on testosterone for like three years now.
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Um, the way that it kind of works is like after, if we decide collaboratively that it's a good idea to start testosterone, after we've had a conversation, we've done your blood work right, like we think it's a safe option for you, um, you know, a lot of times, um, if I don't think it's a safe option, I'll have you go get checked out by urology or cardiology or whatever the case may be your primary care provider, before you come back in.
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I'm not going to just put people on testosterone just because right, like that's just that's not good medicine.
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But my personal experience was I had, you know, really low testosterone levels.
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When I first tested, like three years ago, I was at like 250 or something like that, which, as a 40 year old dude, that's like that's pretty low, right, and.
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And so I was like shit, I need to hop on Right.
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So I hopped on and I didn't notice anything for like the first seven, eight, kind of nine weeks, and this is seems to be like the average experience is like people don't really notice much for the first like seven, eight, nine weeks, and then there's kind of this gradual on-ramping of where they start to feel better.
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For me it was my sleep.
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My sleep improved like drastically.
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I had I didn't even realize I was sleeping that poorly but, like my wife noticed, first she was like dude, are you sick or something, cause you're sleeping so much longer and so much deeper.
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And I was like, no, actually I feel great, you know, and it didn't dawn on me that that was the testosterone that was causing that.
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But then, you know, I noticed increased energy levels and I can't speak to like if that was because I was getting better sleep or if there's some other like physiologic mechanism that's occurring, like a cortisol suppression mechanism or some you know some other pathway, but but yeah, my energy was increased and my motivation.
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And then, like a week later, so like around the nine or 10 week mark, my libido went through the roof, right, and that's when I was like shit, I know what's going on here, right.
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And so this is the pretty pretty average story.
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I mean, everyone's a little bit different, but this is the pretty average story is that, like you know, around the 10 week mark is where it kind of really kicks on.
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You'll go through this like what we call a honeymoon period or a Superman period for three or four months where you feel great.
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You know it's not like a high, but you'll feel super confident.
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You'll be sleeping great, you'll feel strong at the gym.
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Your recovery is crazy.
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You'll have a great sex drive, you know, and that that whole thing lasts for like three or four months, right, and then, about like the four, four or five month mark, you kind of taper off, right.
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It like it becomes your body becomes tolerant to it.
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It just becomes like natural to you.
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The good thing is that you remember before how you felt and you realize now that you like feel way better.
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You know you're still getting the all the benefits of testosterone, you're still getting the recovery, you're still getting increased bone density, you're still getting the sex drive right.
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But it just feels normal to you.
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It's just your new um day-to-day life right, like when guys come in their baselines down here, right, and if at like the four or five month mark their, their baseline's not's not up here, like there's no reason to do this.
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You know it's, it's, it's just costing money for no reason, like you're not getting any benefit for you know for it.
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And so like that's why we, we, we talk all the time and we run labs.
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Have you?
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Have you turned people away before Because you're like you're fine?
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You're where you we have to follow.
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You know, and if people, you know, if people are coming in like I get a lot of, a lot of people that are coming in for like aesthetic reasons.
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Right Like, they just want to look good in the gym or look good naked or whatever.
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Right Like, and if you know they'll come in at six, 700 and it doesn't make sense to start them Like, it's just not safe, especially younger guys that don't have kids yet, that want kids in the future.
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You know that's a huge thing for me.
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I'm not going to start somebody like that.
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But you know, with response, with respect to, like, the first responders and the military guys, a ton of these guys we we've seen over the you know over the years that these guys are coming in with really low testosterone levels, which is kind of the opposite of what you'd expect.
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Right Like, you expect these like really masculine dudes to have high testosterone levels.
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But I mean, the reality is that, like, if you're doing shift work, right Like, if you've got brain, if you've got like brain injury, a TBI or anything like that, like your, your hypothalamus pituitary gonadal axis is going to be all fucked up.
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Right Like, your testosterone levels are going to be in the tank, right.
00:18:26.255 --> 00:18:27.526
You're probably on too much.
00:18:27.526 --> 00:18:33.080
You're probably drinking too much, right, or smoking too much weed, or whatever the case may be, your diet's probably shit, like.
00:18:33.080 --> 00:18:37.909
Your testosterone levels are going to be really low, and that's where this like really can help people.
00:18:37.909 --> 00:18:41.003
You know, I think that's a huge benefit to it.
00:18:41.144 --> 00:18:55.987
That's what I love about talking to you, because you you go in depth, on on, actually explaining the topics but then also bringing it down to a level where, like, I can understand what you're saying, cause I've had people talk over my head before about this kind of stuff and I'm like what, what did you just say?
00:18:55.987 --> 00:18:57.352
So it's it's.
00:18:57.352 --> 00:19:07.125
It's nice to actually hear and understand and acknowledge and keep up with the conversation, because when you get into medicine sometimes that's not my forte.
00:19:07.125 --> 00:19:16.211
Um, you mentioned earlier that if you get on trt and then you decide to just lay around and eat doritos, like, that's not really going to help you all that much.
00:19:16.211 --> 00:19:18.144
But is there?
00:19:18.144 --> 00:19:19.886
Do you guys offer any?
00:19:19.886 --> 00:19:24.444
Do you guys partner with anyone to help with nutrition as well, or do you guys do that too?
00:19:25.188 --> 00:19:25.990
Yes, actually we do.
00:19:25.990 --> 00:19:32.390
We do have a nutrition partner and a private trainer, the full gym in Monrovia and, I believe, Arcadia.
00:19:32.390 --> 00:19:39.450
So if patients want to get personalized training, personalized nutrition or even physical therapy, we have partners for that.
00:19:39.450 --> 00:19:44.425
So basically, we're a one-stop shop for anyone that comes in for physical therapy.
00:19:44.425 --> 00:19:51.193
Basically, we're a one-stop shop for anyone that comes in for physical therapy peptides, testosterone, men's health, ED treatments anything that would benefit their lives.
00:19:51.193 --> 00:19:52.675
We basically do it here.
00:19:56.140 --> 00:19:58.859
Yeah, I mean, I also work at an emergency department, right, so I have access to some of the top doctors in Los Angeles.
00:19:58.859 --> 00:20:01.585
I use urologists, cardiologists, all the time.
00:20:01.585 --> 00:20:13.688
So if guys come in and there is some like extenuating circumstance, like benign prosthetic hypertrophy, like bph or enlarged prostate, or you know they've got peyronie's disease, something that we can't handle in the clinic right then.
00:20:13.688 --> 00:20:22.269
Or or concern for like prostate cancer, for example, like I can give you the names and contact information of some incredible doctors you know, and that's a, that's a.
00:20:23.974 --> 00:20:31.623
You know I I'm glad that you guys are debunking a lot of the you know myths and you're handling a lot of the frequently asked questions right now.
00:20:31.623 --> 00:20:43.089
And one of the things that I know a lot of people are concerned about is, like their job, Like they have to have, they have to keep it legal, Like you can go buy steroids, TRT, all that stuff on the street if you want.
00:20:43.089 --> 00:20:52.988
But the thing is, if you got to keep this legal, you guys offer prescriptions, like actual written prescriptions, to where they can take it into their work and they can say, look, I'm on this prescription right now.
00:20:53.740 --> 00:20:55.868
Yeah, I mean you can travel with it anywhere in the world.
00:20:55.868 --> 00:20:58.067
It's just like high blood pressure medication or diabetes medication.
00:20:58.067 --> 00:21:04.781
It's a prescribed substance, MMPI, prescribed medicine, right, I prescribe medicine.
00:21:04.781 --> 00:21:06.109
Right, it's a controlled substance, schedule three controlled drugs.
00:21:06.109 --> 00:21:07.316
So you better have that prescription bottle with you, Right?
00:21:07.316 --> 00:21:19.585
I've talked to a bunch of cops, police officers that I work with or that you know are some, some of our patients, and you know, if they find a bottle of testosterone like if they pull you over and just instantly find a bottle of testosterone they're sure as shit going to look, you know, start looking a little closer, Right?
00:21:19.585 --> 00:21:22.388
So, but if you've got that prescription, it's just like any other medication.
00:21:22.388 --> 00:21:24.191
You can get on a plane and fly anywhere in the world with it.
00:21:24.932 --> 00:21:30.326
We always prescribe them with the orange pill bottle, so it looks it is prescribed medicine.
00:21:30.848 --> 00:21:31.329
Right yeah.
00:21:31.720 --> 00:21:33.386
So always keep that in the bottle.
00:21:34.180 --> 00:21:42.345
And you know you just mentioned law enforcement first responders, so might sound like a dumb question, but people out there are asking the question, like you know.
00:21:42.345 --> 00:21:53.915
Is TRT safe for guys who currently work or have been in high stress roles like combat or like changing shift work, like law enforcement or even military, if you've been deployed during war?
00:21:54.636 --> 00:21:56.202
Yeah, I mean, I don't think it.
00:21:56.202 --> 00:22:02.094
I don't think it's any question that it's like a huge benefit to guys like that.
00:22:02.119 --> 00:22:04.386
People hear like roid rage and things like that.
00:22:04.386 --> 00:22:05.410
Like, is that a real thing?
00:22:05.750 --> 00:22:13.479
No, what testosterone seems to do is increase risk taking behavior At least that's what the data shows.
00:22:13.479 --> 00:22:18.511
But, like in reality, like the clinical day to day experience is, it makes you more of who you already are.
00:22:18.511 --> 00:22:21.248
Right, If you're an asshole, it's going to make you a bigger asshole.
00:22:21.248 --> 00:22:22.823
If you're a happy person, it's going to make you a bigger asshole.
00:22:22.823 --> 00:22:24.006
If you're a happy person, it's going to make you happier.
00:22:24.006 --> 00:22:24.326
But it's subtle.
00:22:24.326 --> 00:22:30.940
It's not these things where you're going to just all of a sudden start beating you know people with a baseball bat because you know they cut you off in traffic or whatever.
00:22:30.940 --> 00:22:32.284
Right, it doesn't work like that.
00:22:32.284 --> 00:22:35.482
No, it doesn't change your personality, like fundamentally who you are.
00:22:35.482 --> 00:22:35.964
Yeah.
00:22:36.465 --> 00:22:38.250
The only thing that can really change that is therapy.
00:22:38.250 --> 00:22:40.711
The your inner demons and you handling those things.