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Speaker 1: The following is a paid podcast. iHeartRadio's hosting of this

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Speaker 1: podcast constitutes neither an endorsement of the products offered or

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Speaker 1: the ideas expressed.

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Speaker 2: Well Doctor Arthur Perry, he's one of the top plastic surgeons.

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Speaker 2: He's got offices in Manhattan, New Jersey. You know what,

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Speaker 2: He's been doing the show here on w R for

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Speaker 2: years and years and years. Very popular show and a

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Speaker 2: great plastic surgeon. Everybody has questions on this subject, so

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Speaker 2: he's the guy to ask.

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Speaker 3: Doctor Arthur Perry, and the public wants to know the

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Speaker 3: public doesn't get a damn.

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Speaker 2: And I went to his office and I said, I said,

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Speaker 2: look at my face. And he goes, yeah, look at

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Speaker 2: your face. We're going to do with your fan What

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Speaker 2: can you do with his face?

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Speaker 4: I go like that, I s what I got.

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Speaker 1: I go, look at this, I'm getting old.

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Speaker 2: I said, I'm gonna maybe you get fix it up

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Speaker 2: a little bit.

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Speaker 4: Doctor Oz, are you there, I'm here Ark, and I

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Speaker 4: want to get a plagued you. Having worked with you

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Speaker 4: on a book and numerous other activity, you want to talk.

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Speaker 3: To Arthur Perry, the best in plastic.

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Speaker 4: Surgery, workable knowledge, but also your grace at delivery content,

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Speaker 4: which is why it's been a blessing to have you

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Speaker 4: on my show so many times.

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Speaker 3: When I was a resident at the University of Chicago,

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Speaker 3: we had a.

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Speaker 4: Smart as I really really gift his position. I want

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Speaker 4: to pay you the highest truth I can give to

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Speaker 4: a surgeon, which is when people come to you, they

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Speaker 4: don't come for an operation, they come for the opinion.

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Speaker 4: And that's why I trust you with my friends and relaivis.

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Speaker 4: I didn't realize we were going to get the Michael

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Speaker 4: Jordan of Plastic Surgeon nine two and zero bows to

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Speaker 4: this guide.

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Speaker 3: And welcome. This is Board certified plastic surgeon, doctor Arthur Perry,

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Speaker 3: and you are listening to What's Your Wrinkle right here

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Speaker 3: on WOR and if you're listening to the podcast on

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Speaker 3: a Wednesday morning, this is straight talk about cosmetic surgery.

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Speaker 3: That is what I talk about. I'm a Board certified

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Speaker 3: plastic surgeon, host of this show. Coming up our anniversary

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Speaker 3: next week. Noah, this is the last show of our

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Speaker 3: twentieth season. I suppose it's twenty years on war and

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Speaker 3: I'm happy to bring you news and information about cosmetic surgery.

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Speaker 3: That is what I do during the week and on Saturdays.

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Speaker 3: It is this show, and I'm broadcasting live from the

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Speaker 3: Hamptons during this Thanksgiving season here at WOR. You can

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Speaker 3: become part of the show by giving me a call

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Speaker 3: eight hundred three two one zero seven ten. That's the

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Speaker 3: phone number here at wo R eight hundred three two

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Speaker 3: one zero seven ten, and we're giving away bottles of

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Speaker 3: Nighttime Tonight. Nighttime is that one stop shopping for skincare,

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Speaker 3: and that means it's got everything that really is scientifically

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Speaker 3: proven to make a difference. And I left out all

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Speaker 3: the garbage, all the things that don't work, the buzzwords

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Speaker 3: in skincare that are ridiculous, you know. I mean these

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Speaker 3: these big molecules, things that can penetrate the skin, things

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Speaker 3: that are put on your skin the wrong time of

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Speaker 3: the day. It really does make a difference. But we've

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Speaker 3: got vitamin C and vitamin A and fruit acids, antioxidants,

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Speaker 3: skin brighteners. Yes, nighttime is what works. And by the way,

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Speaker 3: since it's still the Thanksgiving season, the Black Friday season,

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Speaker 3: the Cyber Sunday season Monday, right, I guess it's Cyber

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Speaker 3: Sunday also now it's kind of an extended period in

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Speaker 3: the retail market and on Amazon, well, you can take

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Speaker 3: advantage of the twenty five percent off every one of

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Speaker 3: my products. If you order on Amazon, you have to

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Speaker 3: order by midnight on Monday, it expires, and they really

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Speaker 3: mean it. If it's you know, a minute after midnight,

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Speaker 3: you don't get that Black Friday Cyber Monday special. So

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Speaker 3: if you're interested in my products, the soap which is

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Speaker 3: called clean Time, which has three different patterns, it is

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Speaker 3: a perfect soap. It's the right pH the same as

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Speaker 3: your skin cleans, without sulfates and without those things called plates.

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Speaker 3: It's got lemon and lavender. It's a very nice scent.

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Speaker 3: Those are the only two proven aromatherapy scents. By the way,

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Speaker 3: they actually can lower your blood pressure. I mean not

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Speaker 3: a lot, but there are scientific studies that show that

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Speaker 3: that people that wreathe in those aromas actually get some

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Speaker 3: improved blood pressure readings. They can sleep better. You know,

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Speaker 3: I can't guarantee you that's gonna happen with my product,

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Speaker 3: but it is a very nice soap. We've got Nighttime,

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Speaker 3: which has all those great ingredients. The nutrition for your skin.

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Speaker 3: Daytime is the protector of your skin. It's got vitamin

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Speaker 3: B three, which is nice cinamide and vitamin B five,

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Speaker 3: as well as zinc oxide sunscreen and if you like

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Speaker 3: a moisturizer. Not everyone needs one, although this time of year, boy,

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Speaker 3: moisturizer comes in really handy with the chapped hands. You're

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Speaker 3: getting them already, aren't you, and chapped lips because it's

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Speaker 3: so cold. It was freezing last night, wasn't it. Well,

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Speaker 3: the moisturizer called soft Time is very helpful this time

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Speaker 3: of year. So all those products twenty five percent off

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Speaker 3: stock up on Amazon dot com and for my listeners

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Speaker 3: in New York, just to let you know, they're running low.

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Speaker 3: We sold so much Nighttime this year, they're running low

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Speaker 3: on Amazon. If there's a problem, You know what, did

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Speaker 3: you call my office on Monday or Tuesday and Ellen

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Speaker 3: will be there answering your call two on two seven,

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Speaker 3: five three, eighteen twenty and tell them that you want

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Speaker 3: the cybersun the Cyber Monday Special, the Black Friday Special,

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Speaker 3: and she will give you the twenty five percent off

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Speaker 3: on Monday and maybe for New York listeners will extend

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Speaker 3: it to Tuesday. All right, enough of that. Oh, by

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Speaker 3: the way, before I get into the show, I'm going

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Speaker 3: to be on the Larry Minty Show this Friday. I'm

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Speaker 3: sure all of you listen to Larry in the morning,

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Speaker 3: and he's got a great show. I love listening. You

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Speaker 3: learn everything about the news of the day, the weather,

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Speaker 3: the sports, traffic, everything on Larry Menti show. Well, I'm

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Speaker 3: going to be on at about nine o'clock. And those

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Speaker 3: of you have listened to me on the Mark Simone Show.

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Speaker 3: I've been trying to botox more for years now and

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Speaker 3: Mark has not let me. Sooner or later he will

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Speaker 3: live on the air. But we're gonna give it a

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Speaker 3: try with Larry this week. What do you think you

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Speaker 3: think Larry will let me botox them live on the air.

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Speaker 3: I don't know, but listening at nine o'clock on Friday

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Speaker 3: and it should be very interesting. All right, Today we

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Speaker 3: are going to talk about America's favorite topic, liposuction. You

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Speaker 3: thought it was sports or sex right now, it's liposuction.

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Speaker 3: It's fat removal and I do a lot of that.

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Speaker 3: We're gonna talk all about the most common procedure and

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Speaker 3: all the cosmetic surgery that is liposuction, and then if

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Speaker 3: we have some time, we will also talk about scars.

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Speaker 3: Everybody has them. You can get scars from trauma or

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Speaker 3: you get scars from surgery. There are bad scars, there

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Speaker 3: are good scars, and I spend a lot of time

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Speaker 3: making scars better if you have a not so good

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Speaker 3: looking scar. So when we come back from our break,

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Speaker 3: we're going to talk about fat removal, the great procedure

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Speaker 3: of liposuction. The phone number here at WR is eight

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Speaker 3: hundred three two one zero seven ten. Eight hundred three

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Speaker 3: two one zero seven ten. We'll be back after these words.

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Speaker 3: Everyone should have a skin cancer check yearly. It's as

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Speaker 3: important as a colonoscopy or a mammogram. It's tough to

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Speaker 3: find a dermatologist that does a thorough check, but there

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Speaker 3: is a breakthrough in skin detection and monitoring. At Eleitra

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Speaker 3: Health in Manhattan, they have a new AI driven computerized

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Speaker 3: camera system that takes a three D photograph of your

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Speaker 3: entire body in just seconds. It'll analyze your moles and

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Speaker 3: tell you if any are suspicious, and they can even

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Speaker 3: do a quick biopsy if it's necessary. I had the

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Speaker 3: scan myself at Eleitra Health, and I've already sent my

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Speaker 3: family members to have the scan. To schedule your scan,

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Speaker 3: called Jennifer at six four six three six two forty

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Speaker 3: five forty two. That's six three six two forty five

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Speaker 3: forty two. Or go to www. Dot eleitrahealth dot com

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Speaker 3: slash dermatology. There's only a few of these machines in

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Speaker 3: the country, but Eleitra can schedule you right away, and

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Speaker 3: if you mentioned the pery ten code, that's pery ten,

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Speaker 3: they'll take ten percent off of your fee. That's Eletra

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Speaker 3: Health six four six three six two forty five forty two.

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Speaker 3: Did you know that your skincare may be hurting you

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Speaker 3: more than helping you. I'm Board certified plastic surgeon, doctor

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Speaker 3: Arthur Perry. The foundation for looking good is clean, healthy skin.

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Speaker 3: So I've created a program that is so simple that

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Speaker 3: everyone can stay on it long enough to see real results.

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Speaker 3: It starts with an incredible skin cleaner called clean Time.

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Speaker 3: It's actually good for your skin. Protect your skin with

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Speaker 3: my Daytime SPF twenty cream in the evening, feed your

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Speaker 3: skin with my Powerhouse Nighttime serum. Nighttime has vitamin CNA

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Speaker 3: antioxidants and skin brighteners. And if you like moisturizers, well,

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Speaker 3: I've created Soft Time with saramides and vitamin D. Throw

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Speaker 3: away the bags of useless products and try doctor Perry's

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Speaker 3: Skincare join the thousands of people whose skin is healthier.

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Speaker 3: That's doctor Perry's Skincare on Amazon dot com. And don't

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Speaker 3: forget to listen to my radio show right here on

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Speaker 3: WOR every Saturday evening at six pm. You're listening to

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Speaker 3: What's Your Wrinkle with Doctor Arthur Perry.

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Speaker 1: What's Your Wrinkle?

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Speaker 3: And we are back. I'm board certified plastic surchon Doctor

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Speaker 3: Arthur Perry. And during a break, Noah and I were

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Speaker 3: talking about what happened. It was actually December third, two

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Speaker 3: thousand and five, my very first show on WOR. Noah

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Speaker 3: and I were in the studio, my wife was in

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Speaker 3: the studio, and if you remember, Noah, there was a

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Speaker 3: failure of the system, and what do you do when

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Speaker 3: you're the first it's your first show, and we had issues,

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Speaker 3: but we pulled it off and Noah said he'll be

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Speaker 3: a one time guy here at WOR twenty years December third,

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Speaker 3: twenty twenty five. So it's been a good run and

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Speaker 3: we're back next year. We are signed on and ready

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Speaker 3: to go. All right. So LiPo suction, I call it liposuction.

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Speaker 3: You call it liposuction. You call it tomato. I call

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Speaker 3: it to model. It was the word was lipid. That's

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Speaker 3: where it came from. In the first year in nineteen

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Speaker 3: eighty three, everyone called it LiPo suction, that's right, and

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Speaker 3: you know at the University of Chicago, that's how they

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Speaker 3: pronounced it. But then those guys from Texas started calling

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Speaker 3: that lapo suction lap and everybody in the country followed it.

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Speaker 3: But I still I'm a purist. It's the word is lipid.

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Speaker 3: Lipids are fat. So how many last year in the

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Speaker 3: United States almost three hundred and fifty thousand lippos suctions.

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Speaker 3: It became and was the most popular procedure in all

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Speaker 3: of cosmetic surgery. Now we're not talking about those non

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Speaker 3: invasive procedures like botox and fillers. They dwarf liposuction and

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Speaker 3: breast augmentations. But we're talking about the real cosmetic surgery

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Speaker 3: procedures where we go to the operating room and make

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Speaker 3: an incision and perform a surgical procedure, and it is liposuction.

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Speaker 3: At about three hundred and fifty thousand for the body

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Speaker 3: and about twenty five thousand for the face, and even

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Speaker 3: more during that don't get counted in our statistics because

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Speaker 3: every time I do a facelift, I do suction. Every

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Speaker 3: time I do a breast reduction, I use LiPo suction.

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Speaker 3: Every time I do a tummy tuck, I use liposuction.

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Speaker 3: So suction is a procedure, but it's also a technique.

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Speaker 3: We'll use that just like a knife for a scissors,

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Speaker 3: to help us get a result in all these other procedures.

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Speaker 3: So it's a very popular procedure, and it is a

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Speaker 3: great procedure. You know. One of the interesting things is

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Speaker 3: about three thousand people under the age of nineteen had

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Speaker 3: liposuction last year. I find that interesting. I rarely do

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Speaker 3: suction on someone young. The most common people are in

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Speaker 3: their twenties and thirties and forties, but there have been about,

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Speaker 3: i guess the statistics over seventy seven thousand people. But

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Speaker 3: the majority of people, you know, are kind of middle

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Speaker 3: aged twenties. Is that middle aged twenties, thirties, forties, fifties.

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Speaker 3: Most common area for women, Yeah, it's the hips and

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Speaker 3: the thighs. The men, it's the belly, and both sexes

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Speaker 3: have fat suctioned out of their neck very very frequently.

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Speaker 3: The reason it is such a popular procedure is because

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Speaker 3: it is safe and it is effective. You know, in

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Speaker 3: the beginning in the nineteen eighties and nineteen nineties, we

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Speaker 3: really didn't understand the limitations of liposuction, and there were

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Speaker 3: a lot of deaths a long long time ago. It's

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Speaker 3: a very rare thing to have a problem now. In fact,

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Speaker 3: most of my patients that I remove two, three, four

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Speaker 3: five pounds of fat from their thighs, or their hips,

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Speaker 3: or their knees, and their bellies, all those their backs,

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Speaker 3: I can suction, their arms, their calves, their ankles, they're

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Speaker 3: called cankles, all those areas. Most of those patients are

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Speaker 3: back in action literally two days later. So if you

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Speaker 3: have the surgery, it's under general anesthesia, and you know,

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Speaker 3: I prefer to do it under general There are some

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Speaker 3: people that do it under local anesthesia, but I don't

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Speaker 3: think that's a good idea because you have to use

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Speaker 3: such enormous amounts of local anesthetic that every antithesiologist will

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Speaker 3: tell you that a general anesthetic by a board certified

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Speaker 3: antithesiologist is a far better way to go than using

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Speaker 3: enormous amounts of lightocine. I actually wrote a paper on

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Speaker 3: this topic, and I wrote a chapter and a book

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Speaker 3: on this topic, so I'm an expert on the use

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Speaker 3: of safe liposuction. And so anyway, the way it's done

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Speaker 3: is it's actually not a method of weight loss. We

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Speaker 3: don't want to do it if you're thirty or forty

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Speaker 3: pounds overweight. There you want to do the GLP one

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Speaker 3: drugs or lap band or whatever your bariatric doctor or

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Speaker 3: anochronologist says is the best way to lose weight. But

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Speaker 3: once you're at or close to your ideal weight, then

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Speaker 3: you know you might have forcalcitren fat pads. And what

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Speaker 3: does that mean. That's the fat that's left behind. You

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Speaker 3: know who you are, you know where you have it.

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Speaker 3: Maybe it's on your hips, maybe it's on your thighs

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Speaker 3: or your knees. You're at ideal body weight. If you

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Speaker 3: push it any further, you're gonna get malnourished. You don't

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Speaker 3: want to get too thin, but you can't lose that

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Speaker 3: last bit of weight. Well, that is where lippa suction

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Speaker 3: comes in. So we bring it to the operating room.

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Speaker 3: We paint your body with betadine and then we go

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Speaker 3: under general anesesia and make little tiny incisions and a

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Speaker 3: lot of them. So if it's in your thighs. We

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Speaker 3: might make three, four or five little tiny incisions on

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Speaker 3: each side. They're generally smaller than a quarter inch in length.

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Speaker 3: And during inside those decisions, I infuse a large amount

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Speaker 3: of a saltwater solution that contains epinephrine otherwise known as adrenaline,

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Speaker 3: and that cuts way down on the bleeding. And that

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Speaker 3: was one of the big things that we found out

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Speaker 3: early on in the liposuction era. We want to use

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Speaker 3: this chemical to cut way down on bleeding and that

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Speaker 3: way we can safely remove greater amounts of fat. So

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Speaker 3: I typically will infuse almost a gallon, yeah, it's true,

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Speaker 3: almost a gallon of this solution, you know, half gallon

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Speaker 3: to a gallon of this solution that contains epinephrin into

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Speaker 3: your thighs hips, belly, wherever we're suctioning. And then I

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Speaker 3: use these tubes that we call canula. They're blunt tip

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Speaker 3: tubes with little holes in them, and I oscillate them

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Speaker 3: back and forth. Now, there are techniques of liposuction where

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Speaker 3: the machine does the oscillation, you know, and that's actually

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Speaker 3: no better than the manual technique that most of us do.

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Speaker 3: There are techniques that use ultrasound that actually has a

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Speaker 3: higher complication rate. There are techniques that use lasers much

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Speaker 3: higher complication rate. The safe and proven technique of traditional

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Speaker 3: now it's called two messent liposuction, that's the name of it.

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Speaker 3: Two messent means we infuse a large amount of this

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Speaker 3: dilute epinephrin solution into the tissue where we suction out fat.

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Speaker 3: And I can easily suction two pounds, four pounds, five pounds,

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Speaker 3: that's kind of the average. If we go up near

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Speaker 3: ten pounds, that gets a little diceier. We have to

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Speaker 3: do a little bit more monitoring, and we don't want

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Speaker 3: to go above that. If we do, you need to

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Speaker 3: stay in the hospital overnight. Don't let anyone do that

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Speaker 3: to you and go home the same day. That's not safe.

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Speaker 3: But usually we don't get anywhere near that amount because,

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Speaker 3: as I said earlier, it's a method of body contouring

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Speaker 3: after weight loss. It's a method of getting rid of

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Speaker 3: those recalcitrant fat pads. And then you know, most people,

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Speaker 3: as I said, they go back to work or you're

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Speaker 3: back in action in two days. Now, you're not gonna

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Speaker 3: go to the gym for a few weeks. You're not

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Speaker 3: gonna look perfect for a few weeks, and in fact,

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Speaker 3: there's so much bruising you'll look like an eggplant. You

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Speaker 3: really will. In the beginning for about two weeks, maybe

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Speaker 3: three weeks. There's a lot of bruising. But it doesn't hurt.

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Speaker 3: It surprisingly doesn't hurt, and it should not hurt. And

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Speaker 3: in fact, I published this study that looked at pain

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Speaker 3: after liposuction, and the average patient on a scale of

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Speaker 3: one to ten has about a one and a half.

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Speaker 3: On a scale, it's maybe two. It should not hurt.

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Speaker 3: If it hurts, that means the doctor probably banged into

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Speaker 3: your underlying muscle and bones. That shouldn't be done. It

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Speaker 3: should be a relatively painless procedure. Afterwards. The great majority

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Speaker 3: of my patients simply use tile and all after liposuction.

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Speaker 3: Now you're gonna be bruised for a few weeks. You're

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Speaker 3: not gonna get into a bathing suit for maybe a month,

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Speaker 3: two months, sometimes even three. So this is why it's

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Speaker 3: done this time of year. You know, yes, if it's

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Speaker 3: a small liposuction, you'll be ready for Christmas in Florida.

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Speaker 3: But if you wait more than another week or two,

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Speaker 3: then you're gonna miss that season, but you'll be ready

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Speaker 3: for the spring in the summer and the bathing suit season.

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Speaker 3: And that's why liposuction is most popular this time of year.

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Speaker 3: The phones are off the hook this time of year

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Speaker 3: to have fat suctioning surgery. I'm Board certified plastic surgeon,

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Speaker 3: Doctor Arthur Perry, host of What's Your Wrinkle. Let's take

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Speaker 3: a short break, Noah, we'll be back after these words,

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Speaker 3: and we'll talk about scars. They say that sixty is

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Speaker 3: the new fifty, but while you may feel and act fifty,

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Speaker 3: the mirror doesn't lie. But that's where plastic surgery comes in.

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Speaker 3: I'm board certified plastic surgeon, doctor Arthur Perry, and I

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Speaker 3: love helping patients look younger and better. If you've got

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Speaker 3: sagging cheeks, jowls, and that dreaded turkey gobbler, it might

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00:19:05,119 --> 00:19:07,000
Speaker 3: be time for a little nip and a tuck. You

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Speaker 3: look more rested and yes, younger. With my short scar

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Speaker 3: facelift and the artistic injection of wrinkle filler or a

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00:19:13,760 --> 00:19:16,040
Speaker 3: laser peel well, that might be just what it takes

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00:19:16,080 --> 00:19:18,440
Speaker 3: to get you looking as good as you feel. Let's

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Speaker 3: sit down for an hour consultation in my new park

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Speaker 3: Avenue office. Together, we'll come up with a plan to

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Speaker 3: help you look your best. Give me a call at

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Speaker 3: eight three three Perry MD. That's a three three p

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Speaker 3: e R R Y M D. Check me out on

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Speaker 3: the web at Perryplastic Surgery dot com. And don't forget

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Speaker 3: to listen to me doctor Arthur Perry. Every Saturday evening

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Speaker 3: at six pm. Right here on wo R you're listening

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Speaker 3: to What's Your Wrinkle with doctor Arthur Perry.

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Speaker 2: What's your Wrinkle?

348
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Speaker 3: And what is your Wrinkle? I'm more certified plastic search

349
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Speaker 3: doctor Arthur Perry, host of What's Your Wrinkle for a

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Speaker 3: long time, and Noah and I have been through so

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Speaker 3: many of these Saturday evenings. You know, I like to

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Speaker 3: do my show live, and you know, of the fifty

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Speaker 3: two weeks a year, I probably do it live forty

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Speaker 3: eight weeks a year. A lot of people like to

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Speaker 3: tape their show. I like it live, and Noah likes

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Speaker 3: to do these live shows. We've been through a lot together,

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Speaker 3: haven't we know. You know, With the first number of years,

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Speaker 3: my wife always in the studio audience coming in, and

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Speaker 3: then they got these devices that allowed us to do

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Speaker 3: the show remotely. They didn't have that in the beginning,

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Speaker 3: and then we had the Mike roys In years. Six

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Speaker 3: years of Mike Roysen changed the name of the show.

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Speaker 3: You the Owner's Manual Radio show was this show for

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Speaker 3: a while those of you who stayed with me, Mike

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Speaker 3: was a great co host. He's on as a guest

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Speaker 3: a couple times a year. And then we had the

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Speaker 3: Susan Warner years. Susan, you know, I wish I could

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Speaker 3: get her back as a co host, but she was

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Speaker 3: a great co host also. But now it's just me.

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Speaker 3: You have to listen to me. Noah and I left talking.

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Speaker 3: You know, this show at times had it has been

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Speaker 3: a half an hour. It's been an hour for a

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Speaker 3: bunch of years. We were two hours nationally. So we've

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Speaker 3: gone through all these changes over twenty years. I love

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Speaker 3: doing radio. Done it since high school at James Roneil

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Speaker 3: High School in Highland Falls, New York, and then at

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Speaker 3: Rutgers on WRSU. So that is my twenty year retrospective.

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Speaker 3: But let's get back to what we talk about on

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Speaker 3: the show. Plastic surgery scars. Fifty five thousand people last

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Speaker 3: year had their scars revised. Have you ever heard of

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Speaker 3: a scar revision. Why would anyone revise a scar? Well,

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Speaker 3: everybody's got scars, right. You know, how many of you

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Speaker 3: have little kids. Well remember your kids falling when they

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Speaker 3: were running and they fall right on their chin, And

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Speaker 3: almost every kid has a scar on his or her chin.

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Speaker 3: And a lot of these little kids, you know, they

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Speaker 3: run and they hit the fireplace right, and they fall

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Speaker 3: on that and they have the the scar on their eyelids.

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Speaker 3: You know, so many So I used to sew up

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Speaker 3: so many children, and I spent many many evenings. I

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Speaker 3: usually don't do that now. I do mostly cosmetic surgery,

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Speaker 3: but every now and then, if a friend or family

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Speaker 3: member has someone, I'll show up a child. But many

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Speaker 3: of you have scars from when you were a kid,

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Speaker 3: And almost everybody by the time you hit thirty or forty,

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Speaker 3: you've had one surgical procedure, right, whether it's an orthopedic

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Speaker 3: procedure or your appendix or your hernia or whatever. Or

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Speaker 3: when you get older, heart surgery or lung surgery or whatever.

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Speaker 3: Everybody's got scars now, and we heal by scars. You know,

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Speaker 3: if you were an amphibian, you know you had a

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Speaker 3: leg cut off, you'd regenerate a leg. We can't do that.

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Speaker 3: We have to do the best we can, and that's

403
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Speaker 3: by healing with scars. So the body takes this substance

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00:22:57,359 --> 00:23:02,399
Speaker 3: called collagen, and and it's there's a biologic glue called fiber.

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Speaker 3: And I won't bore you with the details, but if

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Speaker 3: we didn't have doctors, you would heal wounds by the

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00:23:09,680 --> 00:23:12,240
Speaker 3: wound edge is sticking together and you get this scab

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Speaker 3: of blood and fibrin and collagen and things like that.

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Speaker 3: And eventually, with all this stuff these proteins, you healed

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Speaker 3: the scar and you're almost as good as new, except

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Speaker 3: for the fact that it looks like a scar, right will.

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Speaker 3: Plastic surgeons try and make your scars look as good

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Speaker 3: as possible, and many surgeons also do. But a lot

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Speaker 3: of surgeons, you know, it's kind of an afterthought. If

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Speaker 3: you've had a long cardiac procedure or orthopedic procedure or

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Speaker 3: gynecologic procedure, often you know the scar is sort of

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Speaker 3: the last priority. You know, the operation, the meat of

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00:23:48,520 --> 00:23:52,880
Speaker 3: the operation is inside your body, and then often someone

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00:23:53,040 --> 00:23:55,920
Speaker 3: like a medical student or a resident or a PA

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Speaker 3: will be the one to close your incision. By the way,

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00:23:59,240 --> 00:24:03,840
Speaker 3: also in the room. So many wounds are now taken

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Speaker 3: care of by very junior people and even physicians, assistants

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Speaker 3: or nurse practitioners. You know, is that a good thing? Well,

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Speaker 3: we will leave the social commentary to another day, but

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Speaker 3: it's a fact of life. And a lot of people

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Speaker 3: then call me up on Monday mornings and they say,

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00:24:20,280 --> 00:24:23,280
Speaker 3: you know, Doctor Perry, I had this wound repaired in

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00:24:23,320 --> 00:24:26,600
Speaker 3: the emergency room up in Connecticut by a physician's assistant.

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Speaker 3: Can you take a look at it? Sometimes they're okay,

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Speaker 3: But sometimes I will numb the wound up and take

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00:24:32,440 --> 00:24:35,720
Speaker 3: it down and redo it because the you know, people

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00:24:35,760 --> 00:24:38,639
Speaker 3: who are not plastic surgeons just don't know how to

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00:24:39,000 --> 00:24:43,399
Speaker 3: remove tissue that's badly damaged or reorient the wound. So

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Speaker 3: with scars, plastic surgeons are. They're the best. They really are.

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Speaker 3: This is what we do. We make scars look as

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Speaker 3: good as possible, whether it's a new scar from trauma

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00:24:53,920 --> 00:24:56,040
Speaker 3: or a scar from surgery. But if you come in

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00:24:56,119 --> 00:24:59,200
Speaker 3: with a bad scar from let's say, a kind of

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00:24:59,200 --> 00:25:02,080
Speaker 3: an amateur doctor removed a skin cancer and you come

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00:25:02,119 --> 00:25:05,320
Speaker 3: in and it's just not a good scar. The edges

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00:25:05,320 --> 00:25:08,040
Speaker 3: are uneven, or it's a red scar or it's a

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Speaker 3: depressed scar. Yes, plastic surgeons can fix those two in

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00:25:12,480 --> 00:25:15,720
Speaker 3: most cases, and that's called a scar revision. And that's

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Speaker 3: why there were fifty five thousand of those in the

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Speaker 3: United States last year. I think, actually that number that

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Speaker 3: the American Society of Plastic Surgeons has is probably a

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00:25:24,160 --> 00:25:26,520
Speaker 3: low number because I think there's a lot more people.

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00:25:26,720 --> 00:25:29,960
Speaker 3: I think it's an underreported procedure that plastic surgeons do

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00:25:30,320 --> 00:25:32,760
Speaker 3: and consider it to be relatively minor because we don't

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00:25:32,760 --> 00:25:35,320
Speaker 3: have to go into the operating room, all right, We

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Speaker 3: do it in the office most of the time. I

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Speaker 3: want to thank Noah for twenty years of great engineering.

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Speaker 3: Thank you so much, Noah, And I want to thank

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Speaker 3: all my past co hosts, my wife who is no

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00:25:47,480 --> 00:25:52,320
Speaker 3: longer with us, and also Mike Roysen and Susan Warner,

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Speaker 3: thank you so much. And to you the listeners for

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Speaker 3: keeping me on the year on the air for all

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Speaker 3: these years. You can contact me in the office at

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Speaker 3: two point two seven five three eighteen twenty, check me

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00:26:04,840 --> 00:26:07,840
Speaker 3: out on the Webperyplastic Surgery dot com, and don't forget

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00:26:08,160 --> 00:26:11,639
Speaker 3: Black Friday special still on Amazon dot com. All the

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00:26:11,680 --> 00:26:14,680
Speaker 3: products that you know and love. Thank you. We'll see

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00:26:14,720 --> 00:26:18,560
Speaker 3: everybody in the twenty first season, starting next Saturday, right here,

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Speaker 3: six o'clock. Thanks Noah, by buy Now.

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Speaker 1: The proceeding was a paid podcast. iHeartRadio's hosting of this

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Speaker 1: podcast constitutes neither an endorsement of the products offered or

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Speaker 1: the ideas expressed