Archive FM

Dr. Shawn Baker Podcast

Healthcare Is Rigged, Here's Why | Dr. Shawn Baker & Rick Cohen

Duration:
48m
Broadcast on:
13 Jul 2024
Audio Format:
mp3

Rick is a Biomedical Engineer/MD with 25 years of functional medicine experience and a lifelong passion in performance and health. He founded the brand PureClean Performance in 2014 to provide high quality cellular performance nutrition. Two of their key products are FUNDAMINOS essential amino acids and PURECLEAN PROTEIN Hydrobeef collagen/full spectrum protein blend. He is a key medical advisor for a "healthspan" assessments company, a telehealth rapamycin and other "longevity" prescriptions and a nutritional company focused on addressing metabolic issues with lower carbohydrate/healthy fat nutrition. Personally, he is working on three key projects: 1. n=1 mTOR protocols utilizing rapamycin focused on individualized cyclical plans combining autophagy and anabolic phases 2. Advancing protocols for optimizing mitochondrial efficiency through iron regulation and copper availability in the electron transport chain. 3. The establishment of a physician-led consortium of like-minded individuals and companies focused on advancing current and future technologies for practical, human-centric longevity solutions. Their consortium will focus on translational human-centric multifaceted approaches that optimize youthfulness and anti-fragility to address both health and lifespan. Through their Life Current: Power Stream technology they will combine visionary minds and companies to tackle one of the greatest intellectual and scientific puzzles of our time, aging.

Find Rick:

https://www.linkedin.com/in/rick-cohen-m-d-a58b7015/

Website: www.purecleanperformance.com

Timestamps: 00:00 Trailer. 00:48 Introduction. 04:10 Understanding body's self-healing a game-changer. 07:35 Rigged game, racketeering, AI, health tracking. 11:55 Measuring health: serum values vs. functional tests. 14:51 Mitochondrial oxygenation, oxygen delivery, muscle, recovery, organ function. 15:47 Research focused on functional patterns for improvement. 19:12 Clinical human results are eagerly awaited. 22:22 Focus, measure, evaluate, make changes, seek guidance. 25:44 Competitive rower achieving impressive 500-meter time. 27:21 Skepticism about people aging well in future. 31:25 Training essential for energy production and health. 32:48 Trainer focuses on deuterium depletion for athletes. 37:47 Chemistry test and hypoxia recovery simulation. 39:25 Changing behavior is the secret sauce. 41:29 Discovering personal motivation for change, doctor's role. 44:08 Physician laments lack of funding for prevention. 46:52 Identifying and regulating toxins, particularly iron.

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If you look at racket cheering and it really needs to change, the point is sometimes you really need them all because it's just because we're sitting healthy. It doesn't mean that we're not missing something. And certainly if we look good, but we're not sitting healthy, then clearly we're missing something as well. We're looking at the wrong chemicals. It was the wrong words. If you don't mind, would you share your background just so we can get a perspective where you're coming from? I'm a physician, an MD trained as a biomedical engineer and an ancient mirror experimenter at a farm. So I've always been very much into physical fitness and health. And I actually go and wait back. I think it was my grandmother. Somehow I was sick when I was 13. I was just going through her newsletter a lot and she was at night, I was eating then. And there was something on the huns as a Soviet torture. But it actually the huns as aphasia. And then also the Soviet torture. And so it was quite prevalent for it to me. These people were actually living healthfully and long. And that just stuck with me. And yeah, throughout high school is after they saw Aki. And I went to undergrad. I was an engineer. I was very interested in buying that glengy hearing. And that premise of how we addressed health and how we understand the what we can do to take care of us. And I was completely shot. Actually, you go into med school, I'll link completely even in the e-sculpt. And I mentioned where it posed how what it was. Nothing was almost shammed in some ways. But I actually suggest that we talk about health. And especially coming as an engineer, we're understanding the electrophysiology of the farm. And you'd actually ask questions. When you went to medical school, you really did ask questions. It was more about memorizing the facts and answering multiple choice questions. And it was a great discipline. But that led me to a whole variety of different aspects from functional health practice and Massachusetts to formulation settlements, to getting involved in testosterone and athletic performance and training. And now that the longevity stages caught up, at least the technology. And we're being quite a lot of fun things were on the horizon. Yeah. And just your specialty of practice is what I was like. It was more functional medicine, but optimizing health and performance at the time when I had a full practice of Massachusetts was still, you know, I was more of the udlier than just doing nutritional care and IV therapies. Now what is considered longevity that like the structural medicine? So I think we've reached a point where we have this way of people who are practicing medicine in a different way. But also the time now, my work is consulting, in the long-term space and doing research. We are just four or five docs now that are forward to all of the source show to do translational work in humans. Not following bad and frequent 12 files, not doing work with rodents. So where below us, we'll have a clinic out of the United States, we'll be doing it. Do you want to consider just a sequence therapies to understand, elective top of this resiliency, we make our body more resilient as we get older and not health span. I'm not necessarily concerned with that, but if we know what we're doing, I'm not concerned about heart disease four years down the road. If we know how the body's working and the body can kill itself and it's doing the right things, we're gonna be able to improve the health and function. So all these catholic processes won't exist. They will be a game changer with the paradigm shifting of how we look at L. And it's not happening in the current world. We're stuck between this Western medical model, which is that, and we used to follow that, which has many issues. We'll just leave it at that. This new wave of long-term medicine, which is re-granted at the chamber by having learned what to alt, which is better in medicine. There's more cooperative that's more individualized, which is great. And maybe you have a Czech world and the frontal world, which really is looking for a feather, right? It's looking for a singular solution that can be economic, produced and sold, right? It's not interesting what's best for your child, it's not actually what's best for me, it's actually not what we can take and put it out to the market. And hopefully, if we give it to a million people, a top 100,000 will benefit from it. And it's just an exact way, it got me away. There was a new drug that was approved a few months ago for non-alcoholic fatty liver disease. And you see alcohol disease, right? And we talked about that a lot. The headlines about this medication were new breakthrough, game changer for liver disease, financially beneficial, changing the aspects of how you treat disease, right? And then when you clicked on the post, which were mainly in the economic, it was a wall street journal, it was forums, that were being released, so it's okay. Then the other was statistically significantly benefit. They left out statistically, they just said significantly beneficial. So you go to read the article, which you can't find by accepting the access to the actual journal article. And when you actually read the article, it says 20% of the people improved by scoring. They didn't do full IFCs, they didn't do MRIs to full, but they had particular bivosploid issues for fibrosis. The 20% improved, 35% improved with the medication. Of the frequency of medication, there were multiple side effects, not severe, and something that you probably won't want to take. So if you circle it in Melbourne, so what that means is that 15% of people, if you give it to affect a million people, higher 50,000 are going to get their Latin seven at the cost, you're yes, what costs per year for this? Do you mean financial dollar costs? Yeah, yeah, with the other notation, right? Oh, man, gosh, I don't know $20,000 a year, right? $20,000 a year, huge, statistically get a little bit better for liver disease. It's not changing, it's not dramatically. So I think a little bit better, they didn't get worse. And for the eye, I probably understand if it's 20,000 times seven. So for one person to get a little bit better, it costs them to be $150,000. So it's a weak game. It's a racket. If you look at racket hearing, and it really needs to change. And I'm always going out that strong. It's it's ridiculous. And even in the long jerry space, it's like family training AI to find out this molecule, but momentous, how you work together, here at this era, what we need to do. And people to aid and argue that ultimately, it's like, I will exact people's self, how we understand what's good for them. And I don't see that happening. Even now, I'm fortunate where I don't have a full practice, so I can be just five people together. But you have a really brand and part of a long dirty Doppers group. And they're messy. They're busy treating pathology. So even if we're doing things in a more sophisticated way, and in a foundational way, to have them bam with your tight pieces together, and to stay a taste, show them you have this in sight. I have this in sight. There's another doctor I'm working with who has some different insights, and how we find use together to actually sometimes think with symphony, right? We create this symphony therapy, then we can create this translational effect for humans. And if we can bring that and train what's coming, they lie in all sorts of ways, it will be able to put these things and start asking the questions, because we don't train it properly. There was a company that just got a billion dollars, it's called Sarah technologies, a billion dollars. Again, the headline was to improve the experience of disease. And it's all about finding the next model tool. So that's still where the tech world is going. It's still where the investments are going. It's to the same old models. And instead of completely differently, I can we shift this paradigm. So if that's my problem. Yeah, I think it's to flesh out what that model really is. This does I can't remember when the term disease management came into common parlance in medical, but I remember there's a shift where we're going to talk about disease management and the concept of curing disease, and that this kind of this doesn't exist anymore in any real way. And so it's you see all these blockbuster drugs, they're all basically really lifestyle drugs, and it's really what they are. They don't really go to cure anything, which would be cool. I think I think the resource we don't put into that is quite amazing. But when you mentioned not health span, which some people understand, I think a little more lifespan, obviously, most of the 100 year old people I met as an orthopedic surgeon where these demented old ladies in a urine soak diaper with a broken hip. And I was like, that doesn't sound good to me. I'm not interested in 100. That's what 100 is. So we understand health span. Can you explain upon what you mean by resilience a little bit more? I'm just trying to have an out perception when I think it might be. But yeah, so I think the most simple way to think about it is go back to is you're injured when you're 23, right? Or if you're injured when you're 15, how quick does it take to repair, right? If you get sick, something down a virus, how quick does it take to repair and recover? There's even a nuance of that where there's a little antifragility, a hormone. So every time you're exposed to some type of particular, we'll call threat, your body gets a little bit stronger. I got a virus. You know, we're, you know, the masterly, probably biothermically healthy, but we're not the stain that we were on stage as we were fun. We don't quite repair. You know, I've called a calf muscle and had this problem for a number of years and a couple of times and took the blade it took a month. This time it took three months to recover. Now maybe it's just gotten a little worse, but it definitely didn't seem I'd recover as quick as I would. Certainly better than someone else might have. When my father had an ammonia after a virus, it took him, he's in his head, he's taken six months to recover to what a 20-year-old would be better than next week. So that's what we're talking about, resilience. And you could overlay that with what is age-reversal and that's another piece to it. But kids finally do things. Can we be strong and recover to do things that I want to do? You mentioned, and one of the, I don't know if it's a frustration or just one of the things I disagree with is how we do measure health these days, because a lot of times there's a collection of serum values. I'm like, man, that stuff changes like every 20 minutes. How do we make these long-term decisions based on this? How should we be measuring health? Some of the problems I see with measure, I could look at functionally, what can I demonstrate? I had another physician send me his list of functional tests, which I think are a good way if it takes a while. It's expensive. Not everybody's going to want to do it. There's, how do we shift away from just drawing a light? Because the reason we take blood is because it's easy to get. It's not that it's the best information we can have. It's just so easy when we do it. It's been around before we've been able to do for years. So how do we get better at measuring maybe how healthy we are? That's a good question. I think it's multi-fold. I think we could do so much better with even the bloods that we do. There are similarities to look at patterns in bloods, but it's important. So the way I look at it, ultimately, is if we don't look, we can't function. Getting back to resiliency. What is our function? How can we move this world out of each sleep? How do we get the bloods or abilities or abuse energy? And how does that show in cardiovascular? How does that show in endurance? How does that show in reaction time? So those are the signs of health. Because ultimately, if we're doing something to our body and it's doing it correctly, we should be able to show that these markers of health or resiliency are improved. There are certain things that don't change, don't improve with age. Reaction time doesn't normally improve as we get older. Vision, auditory hearing. We could go through this and add a long list as well, like heart rate, recovery, or even max heart rate. When you do your rowing, what's your heart key to your heart when you're doing it? I haven't tested it in a year. The last time I saw it, I was running. I was running. And I think I hit into the 190s about 195. And I was probably at that time, some 57 now, it's probably 54-ish. So I don't know, I haven't really worn a heart rate monitor in a while. I guess I'm too lazy to follow it. But higher than I would have expected given the 220 minus an age. So I was hitting up into the 190s, which I was actually pretty lazy. That's for 50 something, but still I think I mass out like 175 or so for 64. So it's like, that's still pretty good. My wife is 60 years a cyclist. I'm about to climb through the fastest 99.99% in the upper 50s for a woman is in the 170s as well. So that's a simple marker. It's not handle markers, the same in his videos from that. It's a scinted mitochondrial oxygen tissue, bleuureal oxygen, muscle microchondereum, fibroblum. And they're all functioning out at good response. You can throw onto that heart rate recovery. So when you hit it, when not any fight, it's a bit of a training. It's also on an eye nervous system response. So each piece of these factors for me to start to build out a little bit of ability on a theoretical level. Back in the end, I looked at it as a triangle because we can look at how the body responds. Then you can look at orbit function. And then you come up at markers. And going back to what I said earlier, they're familiar with epigenetic clots. And there's a few companies that are looking at methylation patterns or proteomic noise patterns and trying to learn through machine learning and AGI with these patterns relate to and how they relate to organ function. The researchers really don't care as much about the end. They want to know what the patterns are. As a clinician, you have some of the really wanted to help her as an engineer. I'm going to know what the results are. It doesn't do any good. The little neighbor is rich. It can't hold up on her way, even if the molecules are quite right. So the understanding function is really in chromatography and looking at that in a variety of ways. Is there, is something I'm working on now, actually, this end of the clinic is this, there's things that I would like to know scientifically to continue to improve. And this stands that the client or customer or patient, whatever, production, right? What are people want to do? And if they want to be more energetic, they want to sleep, they want to be able to think quickly, react quickly, they want to do the things they like to do. And that's going to be different for each person. So that's going to know, guide them on how far or a world effort they want to proceed. And then there's the biochemical base, which then guide us into, because we can be misled, per se. You can be very fit in that little back to a story we're about 15 years ago. I built out this iPhone assessment company. It was just looking at different biological markers, testosterone, hormone markers, amino acids, physiological markers, such as omega-3, we're looking at vitamin D, and so forth and so on. We started testing a bunch of athletes, and this is my altitude, more endurance, the sprinters. And we found that a lot of these people were very physiologically fit. I'm sorry, physically fit, but very physiologically unfit. They were getting by and being younger. They were getting by on just, they still have this core resilience. But we looked underneath the hood, and there were issues. And the other analogy I use is right, I'm going to be more like a test blood product deal, fast and powerful, with very little exhaust, as opposed to a four by four, with a 600 horsepower engine spewing out exhaust. And I'll use my wife as example, her VO2 Max was 57, crazy for 120 viral limits. We didn't want her clinical testing on her, her density, like it was off the charts. Let her reactive options, these two was not good. It was the people that she was training properly. She was spinning off ROS. What we learned was, and it's better now, she was a few-way mire. She had thought it's a metal cause three to four years ago. We looked at our serum chemistry, looked at our saturation rate, iron was at 50%. So we had to actually dump iron, get copper, A, C, magnesium. And in that replacement, she's having her best year ever. She feels better. And the mitochondrial reactive options species doesn't prove. We have some other tests coming in that I'm looking forward to refine that. There's a way you can do through blood tests. Point of contact, ROS, it's a company out at Italy. It's called Frasfei. There's a few others that we'll be able to actually measure this, which is cool. But my point is, sometimes you really need them all, because just because we're sitting healthy, doesn't mean that we're not missing something. And certainly, if we'll likely look good, but we're not sitting healthy, then clearly, we're missing something as well. We're looking at the wrong chemicals. It was a wrong virus. Worked for every day in an inappropriate way. Yeah, I look forward to when we actually have clinical human results that I can say that actually work, because I see a lot of these sort of markers and blood tests and people say, project, we think this means this. And I'm saying we're the 120 year old fit, robust humans that I don't exist yet. So once we start seeing that, I'll be a little more optimistic regarding that. But we are seeing, I do see people that are like, I just saw a little video of a woman in her who is 80 jumping rope, which I think is pretty of a remarkable, you don't see most 80 year olds able to jump rope, certainly not for a minute. And she was doing that quite nicely. And I think to me, that's a display of function that clearly you can't hide that with a blood test, or you can't test that in a blood test, it's actually functionally meaningful. Because I know, like, for instance, most old ladies can't jump and many fall and they can't catch themselves, as you mentioned, reaction time. Like you said, you can't go back to being what you had in your 20s. But you certainly, as you mentioned, you can improve. Obviously, there's damage that occurs, there's disease that occurs, and you can reverse that in many ways. So you can act like a younger or relatively younger person, in comparison to your peer group, which I think is my peer group at 57 is a little bar. If I'm the average 57, you're like, yeah, right. So honestly, so what do you got to do to change that? And so, obviously, you're still exploring different metrics and stuff like that. But what do you consistently see is helps, because people want to action all things they can do. And obviously, you can test things, but you have to see some patterns. And I would assume some of the big get good sleep. Don't poison yourself with your food, a strength train. How many thousands of hours of podcasts and articles, right? And I think you and I have to probably sit down and in six sentences, tell people what they need to do. And you just sleep, get enough protein, donate crap, make, move, lift, fart, meth. I think Mark's assigned, but there's a visual final fit as they're a pretty good job at picking out the key ones. And I consult for a company and I see people like they're doing everything right, except for one thing. And what the one thing they're doing is awful. They may not sleep. They sit in four hours a night. They're doing all these other stuff. They sure wait late, so that people need to, sometimes it's what we're doing that's harmful is more important than what we're trying to do. You'll be nature, though, is just doing more of this. And that's another thing that gets lost. I consult for another company who works with people with right on license. I see you have a license for, and for, and that's another discussion. But so you might have somewhat four equalize to take right on license based on the way it's going to be good for them. And I think there's a place for it as you get older, but for taking right on license and or taking testosterone. It's like, you can't do both. You can't be anabolic, then you can't be nutrient preserving at the same time. You have to go back and forth. So people will take multiple things, and they won't trap anything. So I think you might probably throw on to that list, you don't have too many things and figure out what you want to measure, right? How do you know you're headed in the right direction? And whether, hey, I weren't done to all this. What is it you want to achieve? And if you're going that direction, then that's great. But if you go in the wrong way, you make a change. But if we do too many things, you do have multiple ideas working. And but as you said, that takes some effort. And it takes some time and it takes some guidance. Because I think part of the problem is this one pager, we really formed on this as like a 10 commandments of hell. We have so much noise out there, right? Oh, kind of we're a vegan. I'm telling you, oh, okay, we're just talking diet, right? And none of these are going to get us very far past that 100 year old, one in 100,000 men or 50,000 made it last longer. So if they look and not think, look, we can get there healthier, we can get there more functional. But at some point, there's changes in our oddity that are going to happen. And hopefully we'll have that figured out in this five to 10 years in a meaningful way. So I think that's a real quote was, yes, we all leave this planet at some point. We want to do the things we want to love to do. But I use some of the theory for years of doing things. I'm going mud. That obviously depends on the quality of those years. But like for my, I've got a number of goals when I turn 60 and that's arbitrary. But I know what I need to do to get there. And in order to do those things, I got to do a lot of the right, I got to sleep, I got to train, I got to not be fat, I got it just drives me in a healthy direction. And so that's why these arbitrary goals are out there. And I know when I look at when you say one is a human in its peak health, you think about some 20 something year old athlete that's doing all these phenomenal things that they can do. And I think the closer you can remain to that, just by definition, you're less likely to be dead. Less likely to knock you off, right? Less for sure. Yeah. And between still have a weakness. I mean, my son was credible athlete. Just his disconnected tissue couldn't hold up to his strength. He was 13 and doing our 425 pounds. He was a spherical child with 30, 60 for the all 98 miles an hour is all there. But the decision when all I have apologized is the thing we're going to do now, we're not in first setting detail, but we're going to better. We would have more focused on the same way, repair, recovery, tick time, you won't let your body come back and being five or two percent better. Now, maybe you won't be at the top of a cell that you'd be there, you know, a few more years perhaps. Didn't like it. My fan anyway, but that would end my wisdom for a younger me. Yeah, most I think about if I could go back and tell my younger self, I would probably ignore it anyway. That's whatever you do. Whatever old man, you know, what you're talking about. Where's the peak of the word? I thought we would let it ask that before we forget. It's a peak of time. I pulled I can hit a I've hit like a 103 split. I don't know if you what you that's something or 500 beer. That's I don't know, 1400 watts or something like that is what I've been able to do. I've done a 500 in 114, which was which was I did that when I was 50, and I literally that's I could beat a lot of Olympic Olympic rowers over the 500 now, they have 2000. So it's a little bit different that they trained for. I was just big and strong. My time was, I mean, Brian Shaw, who is a real strong man, pull a 114 500. So I was pulling the same time as him and considerably smaller. I'm a big guy, but I'm not 6, 8, 400. I think he can follow 150 and he's only five level 180. Yeah, yeah, just quick. Yeah. So there's different was that on the concept? Yeah, I think I can do very. Yeah, like I said, there's a certain level required a strength to do that. So that's that's a thing I can still I still probably can pull 150. I'm in fact, I'm over the next, I don't know month, I finally got a time where I'm not traveling. I'm going to focus on and try to break at least the American record of the world record on that for the age class, which would be sub 115, I would say. Do you want to ask you with the top separate, do you make particular pre loading or mitochondrial support? I don't know. No. Okay, thanks. So maybe indirectly, I eat, I eat well. I guess we can talk off. I'll send you some work here on that for AQT production. That to be pretty cool. Yeah. Okay. What do you think you mentioned not a lot of hundred years old around her? What do you I mean? I see people like Dave Asprey saying he's going to live to 100 because he takes 300 something today and I just laugh about that. I think it's pretty skeptical. What do you where do you think we're going to see in the next 20 years, 10 years, 20 years, we got to see people walking around at 120 that are that are not, you know, because even when I look at the master's level of Olympic, the master's track guys, which I think I can take some inspiration from those guys. But even whenever I see the 100 year old out there running, we're all, yeah, you look at this 100 year old running, but he's still really slow and he looks arthritic and they don't really, I've very rarely seen somebody who looks fluid and smooth at that age, not knocking these people. They're held near, not even dead by then. So, but are we going to see people that act like 50 year olds at 100 at some point? I say the potential is there for that to happen. Yes. That's my mother. The ability is there, especially with the coming computer capacity, if trained in the appropriate way to understand biology with the ability to use biologics, all these different modalities that they're going to do into a rec program to because how much there's nuances, right? So there's energy production, there's functionality, the functionality 50 loss due to time, right? If in working, it's funny you haven't been sitting in a chair for your to play out and about, right? So if you're standing on sitting, right? So now everything years of pattern, so if that is each thing, or is it a time thing? I think a lot of it is a time thing. So it will require effort to in some ways retrain the body to move in a more efficient way. That's going to take effort. That there's also an elasticity. Certainly there's tissue elasticity that's lost as we get older. Who's going to coordinate that working on that particular problem? There's the ability to generate energy. That one I believe is going to be an easier fix, like myrobondrel aspect. I think we'll figure out how this is already things we can do now. If we focus on myocondrel efficiency, reactive oxygen species replacing myophagy. We have the ingredients, and I don't think anyone's blade figured out how to put it together yet, but I'm confident that piece will be so the ability to produce energy to achieve these will definitely be around. And then there's an injury part, but we all have our life injury, so can we recarry those? So they don't limit us. So I have a knee injury that's okay. There's nothing bad, but it was a hockey injury when I was fifth and then I'll reverse the ball, reverse med ball throw, like internally it twists in my knee, and I fact see a bat in my toe, so I think I just get spirited if I'm really running on it, and I'll say, "Okay, stuff is starting to wear on it." If I want to get back to sprinting, I need to fix that. I'll have to get back to doing fifth diet. I don't have a lot of stuff, but I really enjoy running 50, 60 meters and just getting it to a flow. I'm not bringing that now. If I don't fix that in the next few years, I suspect at some point I will lose that ability to do that, because it will be too long. But I make up for doing sprints on a carol bike, 35 sprints in 20 seconds, so I do sprint R&F rules. I measure it however you accept if you don't measure, so if I can keep my power going, then at least I know I'm there as you production, there are lots of things we're going to write through action, so I love it. I love that you do this. The sport at first gives you a focus. It's for my wife, too. If she doesn't race, yes, she wouldn't have enough of motivation. Yes, she would do it, that it's just keeps her going, it's sad that you're a stick, that relationship to be doing with clearly effort, but not overdo it. So getting back to it, yes, I think so. Obviously, we've got the engine, the car de-respiratory side of things, and the energy production for the mitochondrial side, but then you have the chassis. If you compare it to a vehicle, if you've got broken wheels, I don't care how good of an engine you have, you're not going anywhere. I think it's hard to track, because I could see where you might supplement your way or nutrition your way into better energetics, but you need the training component in my view. I just don't think there's any way around it, and particularly when it comes to tissue remodeling, and you talked about tissue elastic, there's also tendon stiffness, which plays a big role in how bouncy we are, and I've been looking quite intently into that. I do a lot of platforming a lot of time. I do a lot of time doing that as much, so I need to get back to it. Yeah, because you're hurt. Well, yeah, I'm sure that I've been of the character. It's really not me, but it took me so long to recover from the last 10 it wants, and it just tapped it out of the Swiss. Yeah, I think, like I said, I think it's this high-volume, lower-intensity stuff to drive the tissue remodeling this required so that you can eventually progress. Even getting some of the little re-domber, this is a good thing, you know, right? Yeah, it's a start, although I think the rebounders don't have enough. There's not enough impact to drive the bony and tendon changes that you're going to get, but it gets a blood move, and it feels good. I like it's not fun. Yeah, I was speaking with our benefits. Trainer who works with a lot of the extradiators to brutal and physiology, and Victorian depletion, he's very big into determining depletion or measuring Victorian levels as a sign of if people are not eating tomato carbohydrates, it's thick. They're sleeping well, it's actually quite useful for them, and he sees a direct correlation between the high-level athletes and their levels, and the ones who aren't eating quite as much. So it's a quite interesting thing, but he was talking about doing loaded jumps, where he works with, if you're going to do jumps, do them with weight, and it's a rate she increased the power of it, not necessarily producing that strain. She's not having a chance to start on the body. So the catalyst, if I did. Yeah, that's the same thing like sprinting, doing loaded sprints, because it slows you down enough so you don't have enough speed to tear things. Like I get behind a sled and push a thing pretty hard, and even as hard as I can push, I just can't move fast enough to hurt myself. And if I go out there, and how many times you out there and run a sprint, you get, you just get a little too much adrenaline, you're like, I just want to push that time a little fast, and then you pull a hamstring and just, okay, no, I can't do anything for six weeks. Or running up the other consequences. Yeah, heels are good. Heels are good too. There's all kinds of way to do that. And I've got, like I said, all those things hopefully in place. Because I've got some, like I said, outside of dunking, I want to run a sub-1300, which is, that's pretty good. It's world records like 11, 7 at my age, but at 60, but I'm also 260. I got to lose what I get to get down about to 40 before I can realistically, I think have a chance at anything like that. But yeah, that's like I said, it's good. It keeps me. It keeps me, keeps me after. What do you, so obviously, anybody's in the longevity or the functional fitness or the optimisation space, and your clientele tends to be high achieving, probably wealthier people that do that. But how do we, to the masses? Because a lot of people, this is unattainable too. And if there are ways, if I imagine going to the physician's office, how many people are you going to go out there and do a max heart rate test and some seven-year-old-- Yeah, that is crazy. Oh, pretty diabetic. I can't do these things. It's like, how do we assess, how do we bring more meaningful evaluations? Because right now, like I said, is there all some blood? We'll check your CBC, your basic chemistry panel, your lipids, and go from there. And maybe your thyroid and a few other tests. But that seems to be it. And I think we're leaving so much behind. I guess you could like, don't but it means stress echo, but it costs so much money. I'm just wondering, how do you bring the more meaningful evaluation of health to the masses? Is that possible? I do think so. I think we're leaving, as I said earlier, so much on a table with a chemistry for a couple hundred bucks. Like, even sure you've talked about, like, most adopts don't even order an insulin, right? They don't have a little bit GGT or ALG/ASG ratios, or good with a uric acid, or seven. Like, you know, when I look at someone like, first office, I'm going to get it all out rate healthy. And I will tell you to admit it all like a healthy person for uric acid is three. GGT is 12. They're AST and ALG are under 20. They're insulin is four. They're R&W is 12. Iron saturation is like around 25%. Your human load in 10 yet other training isn't 17 for a man in a city around 15. They're either iron, serum iron is 100. Total pro creatine sits around one. So you need to optimize these methods. And when you start leaving, like, when you generate it, right? And we can get more statistics on the patterns. There's things that are always this. So that's one thing is making sure that you're not overlooking these very simple, easy markers that say, hey, you're metabolically unhealthy. And I start with that because that is our grand had to donate that we face in today's world is metabolic work. Oh, visceral fat, you know, like Sean, I'm sorry, Sean, a mirror theater. Yeah, I mean, his whole practice, his whole thing is federal effect. And it was just a spidey cannot and wrote in fake, cold out the visceral fat and guess what whole bunch of stuff that are actually surgically removed it. So Sean, to me, if the road of arms, today's world. And do you remember broad of arms? And they were exposed to bird arms was the physician in the 60s. That move, it was on the unsuspecting illness, hydrophyroidism. And he was so good as a family practitioner. He used blood if you would look at the classic markers of thyroid, dry hair, eyebrows, loss of hair in his shins, facial thickness of skin, not a classification, we went in for utility. So it was a very easy. And then you have a measure of their body temperature. And then he said, Oh, okay, you're clinically active with thyroid. Now, where they all truly have a thyroid problem, I gave them our thyroid and all large percentage got better. I wasn't the true root cause fix. But it made a difference by needing at these markers. We can do the same thing with chemistry. There's a cool test for metabolic health. You should can look at hypoxia recovery. So can it hits this? Let's put you in here. So that's it. But when you guess we get these options, our juice actually has an oxygen training system where it's quite raw. So we had a system right and get me 9% oxygen. We feel really I need to go through my industry percent, but you get these little outside lows that will simulate the loss of it. And you breathe those just sitting down to 85 or 80% which we said, and then you stop and you wait till you recover. A very healthy person. That'll be a ratio of four to five times one. If you're very fit, he could take you three minutes to get you 80% but you're going to recover in 30. A very unhealthy person. It's going to get to 80%. That they're not it's not uncomfortable that it's too big or you're going to want to stop within a minute and they could even take two minutes to recover. So to me, that's like the most simple thing we could do to test for people's cardiovascular mental health fitness. It can be done for everyone. Why are we doing it to max? Why are we risking someone who we know is unfit? Clearly, you know it. But now you have a metric. If we view a number as something to help people improve, you could teach them how to grade. You can get that moving. You could make changes in their lifestyles so they can bring the physical fact down. Yeah, it's the hardest part of the equation because you can measure everything you want, but how do you get the how do you change the behavior? And I think that's a secret sauce there. And it's an I've found because I have my company is basically as a surgeon, as an orthopedic surgeon, of course, I'm too damn busy to give a long lecture. So I'm handing people flyers and go watch this video type of stuff, which is really it's not very impactful, even if you want to. But now I've got teams of people that support these people because I think some of me so much hand holding so much education, so much motivation and accountability that I think that has to be part of the equation. For most people, yeah, there's some people that are like, I mean, I'm internally motivated, man, I'd buy chew through bricks if I thought it was going to give me whatever that thing, and I'm just willing to do that. But the majority of people are not. And the question is, is it do I even care if you're not willing to take care of yourself? What is what is my role? But I don't know. It's just we're in a funny place because we got so many people that are sick. The whole society is sick relatively. And it's just it's harming. It's harming the whole society. So I think we have to find a societal solution, not just a solution for the 1% is true. But if we work with the 1%ers, we'd be good if we don't stretch ourselves, but we don't in testing, we will not find out a one or two or three easier solutions. So we can take that information or like NASA going to the other day, how many every day discoveries we now use based on what they did to get the round ship of it out to the moon. We knew about we need educators. I think we need the envelope brochures and ultimately we need coaches, right? It's the health coach. But I think that my wife's a health coach and I'm saying it means for biggest thing is finding someone's why, right? You're why my why we're self-moderated who want to say that your form itself is you're also an educator, student. You want to walk the walk. I think that's part of that. What is it the why for each person? And it's not, I've already doubted to tell them what their why is and I think most doctors want to tell them what their why is and that doesn't work. But what's going to motivate someone to make a change? And if you can even go further, maybe their life is just such a shamble emotionally, stressfully, psychologically, that they don't care. So it's time to go on and do it. It's just not going to bother with it, which is that's a whole other piece to it. How do you believe there? Yeah, you get these people that are so far gone and I was doing amputations on people and they look, your legs are coming off and you need to change up. No, we're not going to do that. We're just we're so addicted to this stuff. So I think we have to start with the kids. We got to get these kids before they get so far beyond so far to where they're at the point where they can't be helped anymore. In many ways, it helped psychologically. I guess if you were to kidnap everybody and lock them in on a facility and dictate everything they did, you could probably force some people. I think there's some people that would actually want that because they don't have their own ability to do it. But I think we just got to we got to get these kids. Yeah, that's a good point. I think sometimes as well as like it's in anything we do with the change that's very hard to change. So if you can get people to feel something and oh my gosh, we would realize I think a lot of people can bloody and realize that it's under their control. And I think part of Western medicine is we will love to know that this is under your control. It will educate you to do that as the doctors don't really know what I hear. Yeah, I had it from with my mother. She had problems with issues and just wouldn't follow through. And part her and willingness, but part of she was just stuck with the her physician, he just rolled out of new medicine, I can't get away, give her another one. And yeah, it's just yeah, I didn't say town or it's just nothing I could do. After January, it's just even though she knew it. Yeah, yeah, there's this learn helplessness or this disempowerment many people have because once you get into the health care system, we're often told we have this disease or your condition, you don't really know why we don't have a good reason why. Yeah, somebody while I don't know bad luck genetics, who knows, it's usually the response to most of these are idiopathic is chronic disease. So it's like we can't figure it out. And then the answer is you're now dependent upon someone else to provide medications. And it really is disempowering and depressing when you think about it. There's so much you can do to improve your health condition outside of what sort of the allopathic medical system has to offer you. And that I get it as a physician. One, I wasn't trained on this stuff too. I didn't have any resources, even if I wanted to. I think about all the money, like for me to do an orthopedic surgical procedure, I have literally millions of dollars of resources in hospital OR rooms and support staff and imaging studies and labs and physical therapy and just the physical structure of the buildings. And yet if I wanted to do a lifestyle intervention, I got almost no money. There's zero money for that. So it's like, where are the alignment? Where are the incentives aligned at? And in my ways, it's almost a little bit perverse in my way where the incentives are. Clearly there's no money in it. It's down for a second. Just snuffling layers. I do think we've reached a point where a lot of people have become frustrated. And we're even seeing it because we've got the political elections. At least some of the candidates are now talking about why is everything so damn sick? Why do we have everybody say why are there so many other immunities? Why is everybody obese? Why is there so much diabetes? And maybe we can at least start to have that discussion. And because I just, anything you want to achieve as a company, you can't achieve it when you have your population is overweight, obese, diabetic, mentally ill. It's just one of those things we're going to change in area. And unfortunately, that's a problem for entry here. And you don't see that as much in other locations. And so, but there are a number of others. And it's going to be a thing that they're in advantage. Let you say I'm concerned with this next generation of the very same lifestyle. They've gone through a few, two or three generations of core food, injections, and all sorts of things and electromagnetic frequencies. It's concerning. What do you think the big, Rich, we've got a five minutes here. But just when you've evaluated all these various people with these different metrics, what do you think are the most deleterious things people do that when you fix, you get the biggest bang for your buck? Is it not sleeping? Is it just eating garbage? What do you think the things are that really are the big levers? You are rich. Eating your rich, I think would be first and foremost. If you're toxic, your blind is quite resilient. I think so. Even within the realm of carnivores, if people can survive a long time, they're not eating your rich. So, I would put that as a first and foremost list. We have a very resilient body with many systems. And while it could be deficiencies and certain things you do, while you can form yourself by overtraining, you start form toxins into the mix. Then it's just, you don't recover from that. And this stops us to be any number of things, from emotions to them. And it goes to me. Iron is very much tuned into me for the iron regulation. It is not nice. And that's a problem. So, I would put that number one for sure. It's a harder one to do. But I think, if you can figure that and just clean house, it makes everything else a lot easier. Yeah, there's a educator, what's easier to do at protein, it's easier to do sleep. You can sleep, right? That's some people. Yeah, there you are. Yeah. So, why aren't you going to sleep, mate? So, it's not if you're intentionally not a exception to it. Sure. It's a sleep. Dark in your room. Don't watch violent movies that night or two things that charge it, because we can take it and break it by it for clarity. Rick, I can't see you. And unfortunately, we're just right out of time. Appreciate our time together. We'll get this out soon. So, anyway, if you'll leave your browser open, make sure it uploads. Anyway, I do have to go and apologize. Thank you for being here. Thanks.