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Speaker 1: Misspelling with Tori Spelling and iHeartRadio Podcast. Hey guys, welcome

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Speaker 1: back to Misspelling. This is part two of our conversation

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Speaker 1: with doctor Jesse Mills.

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Speaker 2: So let's talk about GLP ones.

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Speaker 1: And what your thoughts are and is there really a

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Speaker 1: correlation when it comes to GLP ones and possibly helping

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Speaker 1: slow down the process when it comes to Alzheimer's.

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Speaker 2: Is there correlation?

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Speaker 3: Yes, yeah, so that is. You know, it's funny. I

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Speaker 3: don't want to come off sounding like I'm profarma anti supplement,

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Speaker 3: but I am kind of pro farm on anti supplum

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Speaker 3: because there's so much better data and glps I think,

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Speaker 3: in some ways might be one of these new miracle

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Speaker 3: drugs when prescribed and taken by the right people. And

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Speaker 3: it's right. I mean, the things that we've seen outside

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Speaker 3: of the weight loss is there may be a decrease

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Speaker 3: in cognitive decline. Is sugar metabolism is you know, people

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Speaker 3: that have high sugar diets bad for cardiovascular health, really

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Speaker 3: bad for cognitive health, and so blunting that effect through

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Speaker 3: even the old fashioned weight loss and anti sugar drugs

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Speaker 3: like met forman, which has been around forever. There's some

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Speaker 3: study met format is an old diabetic drug that's also

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Speaker 3: big kind of in this anti aging world that it

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Speaker 3: inhibits your bodies. I mean, it improves your body's ability

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Speaker 3: to process the insulin that you take in. So it's

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Speaker 3: what we call it an anti hypoglycemic. There is a hypoglycemic.

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Speaker 3: It just make sure that keeps your blood sugar is low.

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Speaker 3: That is good for cancer control, potentially good also for

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Speaker 3: long term cognitive client. So the golp is, I think

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Speaker 3: in general, what it does is it induces something called

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Speaker 3: a caloric restricted state or the CR state. And so

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Speaker 3: however you do it. The other thing is instead of

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Speaker 3: taking golp is, if you can put guys on a

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Speaker 3: restricted calorie diet or anybody, that also seems to slow

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Speaker 3: the aging process. So golps are a lot easier for

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Speaker 3: guys to tolerate, you know, taking an injection rather than

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Speaker 3: going on a seven hundred calorie a day diet. But

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Speaker 3: I think there's a lot of really fascinating evidence that's

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Speaker 3: going to come out in that sphere that it's not

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Speaker 3: just about the weight loss. It also it may be

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Speaker 3: helpful for addiction. You know a lot of people, that's

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Speaker 3: what I think. I mean, I think Oprah just said

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Speaker 3: that not she was public about the fact that that well, no, no,

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Speaker 3: I'm gonna I'm going to open it up. Actually an

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Speaker 3: alcohol addiction too. So Oprah came out a few days

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Speaker 3: ago and said, you know, her taste for alcohol went

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Speaker 3: dramatically down. And and so I think there is something

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Speaker 3: about no, you're right, You're right. So I think anybody

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Speaker 3: that just has any any addict is is often able

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Speaker 3: to overcome whatever breaks you put in the way. But

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Speaker 3: I think the normal people that that just you know,

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Speaker 3: indulged too much, there is that that checkpoint of where

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Speaker 3: the gops work. So so I don't know. I'm still

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Speaker 3: torn because I think, as a doctor that has just

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Speaker 3: spent all this time talking to you about the fundamentals

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Speaker 3: of eat, move, and sleep, and now there's this magical shortcut,

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Speaker 3: I'm still struggling.

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Speaker 2: It is stuff.

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Speaker 3: That's the thing we don't know, I mean, but but

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Speaker 3: it certainly seems like if you look at a lot

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Speaker 3: of the research coming out, there's there's gonna be a

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Speaker 3: lot of avenues that this may open up for people.

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Speaker 3: Because you're right, their food is certainly an addiction. Sugar

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Speaker 3: is an addiction.

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Speaker 2: There's no doubt, definitely I'm addicted to sugar.

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Speaker 3: Right, there's no doubt because it's the fastest way to

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Speaker 3: trigger a dopamine release. It's faster than cocaine, right, And

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Speaker 3: so it all works in this dopamine mechanism. So if

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Speaker 3: you can blunt whatever your trigger is for that addiction

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Speaker 3: by something else, then you're probably going to help improve

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Speaker 3: your addictive personality. But right first, I mean, whatever extreme

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Speaker 3: case you want to put in front of me about

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Speaker 3: an addiction, Yeah, gops are not going to cure that,

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Speaker 3: for sure.

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Speaker 1: No. I mean I do believe in it, you know,

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Speaker 1: being an addict myself, I do believe it.

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Speaker 2: It's a disease that you're born with.

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Speaker 3: Yeah, and for sure, that is just my belief.

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Speaker 1: I know a lot of people disagree, we'll disagree with this,

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Speaker 1: and that's totally fine. I also don't believe it's hereditary,

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Speaker 1: even though there is, Like my father was an addict.

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Speaker 2: Hees passed now. But you know, there's also a lot

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Speaker 2: of people I know.

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Speaker 1: Who have never dealt with in their family history, dealt

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Speaker 1: with addiction and their addicts themselves, you know. So there's

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Speaker 1: that whole debate which we don't have to get into.

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Speaker 1: But well, who so you don't you actually agree, do

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Speaker 1: you agree with anybody taking GLP ones, Like, what is

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Speaker 1: your take.

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Speaker 3: On Yes, well, you know, at least in my practice

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Speaker 3: at UCLA, we are looking at really strictly for people

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Speaker 3: that are severely overweight, you know. But again, I mean

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Speaker 3: my practice is very hormone optimization, surgical management of mail

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Speaker 3: with fertility issues, you know, sperm optimization. But a lot

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Speaker 3: of those things can be improved with the correct prescription

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Speaker 3: of those medications. And so the ideal patient for me

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Speaker 3: is somebody that is committed to a lifestyle change, because

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Speaker 3: it's not going to work if you just do just

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Speaker 3: take a pill because now their pill form or an injection,

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Speaker 3: but if you're not putting in that work to physically

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Speaker 3: reduce your portray control. And the other problem with these

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Speaker 3: drugs that they found is that they don't they almost

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Speaker 3: preferentially take you away from wanting to eat protein and

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Speaker 3: healthy fasts. Muscle mass and the muscle mass you got it,

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Speaker 3: So you lose that muscle mass, and I think that's

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Speaker 3: going to be the biggest limitation is that, yes, you're

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Speaker 3: going to look great on the scale, but if we're

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Speaker 3: decreasing muscle mass and bone density and not counteracting that

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Speaker 3: with something better nutrition, exercise, potential hormone optimization. Then you

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Speaker 3: may not be looking at a longevity drug at all.

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Speaker 3: You may be just looking at a skinny drug. And

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Speaker 3: there are plenty of skinny drugs we've had, and that's

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Speaker 3: short term obviously.

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Speaker 2: It just contradicts itself.

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Speaker 3: That's right. Yeah, So you have to change your lifestyle

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Speaker 3: and you have to change how you eat, there's no doubt.

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Speaker 3: So if you go on those drugs and then you're

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Speaker 3: just drinking smoothies all day long and getting your all

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Speaker 3: of your calories through sugar, you think you're being healthy. Right.

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Speaker 3: Smoothies are one of those there's drugs or there's things

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Speaker 3: that are like seems healthy, yeah, or sugar yogurt or

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Speaker 3: my favorite, my favorite is kombucha. I mean, but what

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Speaker 3: a great probatic. It's been around forever. But if you

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Speaker 3: look at most of this komba and our shells and

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Speaker 3: are it's got more sugar than a coke. Right, So

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Speaker 3: you're gonna you can't even go near Yeah, So just

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Speaker 3: take us take like a bite of sour crout and

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Speaker 3: drink a coke. You don't have the same health benefits.

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Speaker 3: Of cher that you get back in the.

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Speaker 1: Day is like coke and diet coke like us die

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Speaker 1: Coke's like I mean, I still drink dike wasn't a

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Speaker 1: while once in a while.

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Speaker 3: Well I'm not here to judge.

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Speaker 2: You come on now better than Badkaesa there?

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Speaker 3: Do you go much better? Alcohol tends to be not

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Speaker 3: so good for us. That's the that's the truth.

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Speaker 1: Curiosity about NAD plus or n A D plus or

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Speaker 1: is plus or plus?

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Speaker 3: Yeah, it's just it's a charged ion, right, So it's

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Speaker 3: just but you can say an n A D is fine?

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Speaker 2: So is does that help build muscle?

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Speaker 3: Or it may help a little bit with re cravery,

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Speaker 3: but it just it really the best way to look

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Speaker 3: at is it it slows cellular aging by increasing the

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Speaker 3: the energy center of the cell, right, and so yeah,

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Speaker 3: that's it.

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Speaker 1: How much how much would you have to take in

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Speaker 1: order for that to actually be effected?

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Speaker 3: Yeah, I mean the problem with dosing of these things

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Speaker 3: is there because it's not a pharmaceutical. The dosing really

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Speaker 3: depends on the formula. So if you're into it, as

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Speaker 3: I said, go to you know somebody. It's a really

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Speaker 3: good longevity specialist. It's able to offer you something other

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Speaker 3: than oral or the drops, but something actually that that

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Speaker 3: that meets you know, pharmaceutical grade injectables and then follow whatever.

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Speaker 3: But it's expensive, and again I think for most people,

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Speaker 3: it's not that much of a boost.

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Speaker 2: So you're not going to get it through your facial cream.

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Speaker 3: No, that's oh yeah, good, that's right. It's not going

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Speaker 3: to get into your facial cream. Yeah, the absorption rate.

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Speaker 3: Oh you what we should put there's our product, right,

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Speaker 3: I just I just killed our sales.

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Speaker 2: But you see that everywhere. Literally I just got this

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Speaker 2: like facial cerrum. It has an ad in it. Oh

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Speaker 2: oh god. Okay, but is.

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Speaker 3: That really plenty of things that you could do for you? Yeah,

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Speaker 3: the plenty of things you could do your phase of

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Speaker 3: the good dermatologists. That's way better track record.

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Speaker 2: Let's talk about testosterone.

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Speaker 3: Oh yeah, that's what I do.

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Speaker 2: How does that change with age?

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Speaker 1: Is there a common like is it different for every

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Speaker 1: person every male of the male species?

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Speaker 3: That's right, it is, Joe, Yeah, the uh yeah, there's

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Speaker 3: a there's a We kind of alluded to it a

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Speaker 3: little bit earlier, but there's a range of testosterone that

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Speaker 3: that our clinical guidelines, both the American Neurologic Association of

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Speaker 3: the Endocrine Guidelines that people that really do the majority

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Speaker 3: of testostrophe prescribing, and that is the low end is

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Speaker 3: three hundred nanograms for dest leader. I won't test you

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Speaker 3: on the units later, but three hundred and then a

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Speaker 3: thousand to maybe eleven hundred at the top end of

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Speaker 3: some lab. So there's just giant bookends of what's normal.

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Speaker 3: I've never really seen any pathway. Well that's not true.

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Speaker 3: There's very few cases of people that are pathologically above

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Speaker 3: that level naturally, so we'really clanking at yeah, well nothing.

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Speaker 3: That's the thing is that there is I see. I

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Speaker 3: love that you're bringing this up. Another myth. You can't

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Speaker 3: be the whole without putting it in six hours a

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Speaker 3: day in the gym. I could. I could load you

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Speaker 3: full of testoster and if you're not putting in the work,

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Speaker 3: those muscles ain't gonna get big in green, right, They're

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Speaker 3: not gonna get big and green. So so yeah, the

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Speaker 3: so the testostero does decline decade over decade. It's one

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Speaker 3: of the early signs of aging. You know, men and women,

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Speaker 3: we actually start aging when we're about twenty five or

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Speaker 3: twenty six. The neurologic truth is that at somewhere around

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Speaker 3: age twenty five to twenty eight is when we start

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Speaker 3: actually dropping off neurons and having our our decision making

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Speaker 3: our prefrontal cortex, which is where we decide stupid things

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Speaker 3: like you know, jumping off a cliff to drive, you know,

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Speaker 3: to go into a quarry, or driving without a seat

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Speaker 3: belt or.

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Speaker 2: Sit lots of other stupid things.

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Speaker 3: There are lots of other stupid things exactly all of

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Speaker 3: those things. Ten that those things tend to flare out

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Speaker 3: and we start to feely finally feel a little bit

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Speaker 3: of our mortality when we're in our late twenties early thirties.

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Speaker 3: But testosterone, yes, it's early. Then we think, yeah, and

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Speaker 3: so so testosterone is one of those early biomarkers. As

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Speaker 3: it declines, it is a showing of sort of your

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Speaker 3: overall health. And so one of the things we look

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Speaker 3: at is if a guy has normal testosterone in their

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Speaker 3: thirties and then by their forties it starts to decline.

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Speaker 3: Fifties it gets worse. There are reversible things we can do,

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Speaker 3: and in fact, the main part of our guidelines as

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Speaker 3: physicians is to find what the reversible cause is and

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Speaker 3: treat it. Whether it's nutrition, exercise, sleep, all of those

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Speaker 3: things have impacts on testosterone, but in general testosterone it

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Speaker 3: does decline when we age a.

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Speaker 1: Few questions that I know some our guests are going

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Speaker 1: to want to want to know about what are the

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Speaker 1: most common mistakes you think people make in their wellness

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Speaker 1: wellness routines.

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Speaker 3: They worry too much, they worry about wellness. I mean,

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Speaker 3: I think that's it. The second thing is that they're

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Speaker 3: doing something that is not authentic to them, and so

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Speaker 3: I think, you know, for example, let's just you know,

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Speaker 3: I was kind of kidding a little bit earlier about

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Speaker 3: lemon water. If you get up and you drink lemon

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Speaker 3: water before you have your coffee, and you have to

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Speaker 3: wait till eleven am to have your coffee because there's

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Speaker 3: some science study that says it great. You know, I

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Speaker 3: get up at five in the morning. I often have

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Speaker 3: to go to the hospital and make grounds on patients.

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Speaker 3: I am not waiting till eleven o'clock in the morning

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Speaker 3: to have my coffee. I'm getting up And in fact,

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Speaker 3: part of my wellness journey is it every morning I

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Speaker 3: get up and I make coffee for me and my wife.

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Speaker 3: I feed my dogs, I breathe, I think about the day.

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Speaker 3: That's wellness for me. But I'm drinking coffee, which you

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Speaker 3: know is still mildly controversial.

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Speaker 2: But it's authentic.

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Speaker 3: It's authentic to me because to me, that actually brings

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Speaker 3: me joy, it grounds me that I know. Every morning,

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Speaker 3: I get to get up and I have about six

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Speaker 3: minutes to take a cup of coffee so I can

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Speaker 3: feed the dogs, I can let them out, I can

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Speaker 3: feed my cat, who seems to be always hungry all

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Speaker 3: the time, and then at the end of those six minutes,

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Speaker 3: bring a steaming hot cup of coffee into my wife.

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Speaker 3: We talk about our day, and then I get out

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Speaker 3: of there and go do my thing. Doesn't matter if

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Speaker 3: it's six in the morning or seven in the morning.

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Speaker 3: That's how we do it. So I think, if you're

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Speaker 3: not authentic to yourself, then no wellness journey is gonna

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Speaker 3: make it. So don't do it just because you clicked

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Speaker 3: on it.

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Speaker 2: A few more questions, do you have time?

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Speaker 3: Of course?

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Speaker 1: Okay, what's the one food I guess people think is

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Speaker 1: maybe healthy but not other than power bars?

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Speaker 2: But then are not healthy?

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Speaker 3: Yeah, yeah, well I think it's any h I mean yogurt,

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Speaker 3: that's my that's my go to, my favorite. Yes, So

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Speaker 3: I mean if you're gonna eat yogurt or you're without sugar, yeah,

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Speaker 3: but even Greek, you don't look and just look for Greek,

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Speaker 3: look at how much added sugar is in it, right,

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Speaker 3: because it's so crazy, Like I love yogurt is a

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Speaker 3: great source of protein, the probiotic part of it. So

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Speaker 3: I mean my go to is yogurt with some fresh

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Speaker 3: not frozen yogurt. I don't understand. Okay, now you got me.

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Speaker 3: I frozen I have an issue with that. Right, If

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Speaker 3: you're gonna eat ice cream, eat ice cream, it's delicious, exactly,

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Speaker 3: Why eat frozen yogurt? Just work a little harder, run

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Speaker 3: a little farther, and enjoy your damn ice cream. Nake

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Speaker 3: it with milk and just do that. But but you're right,

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Speaker 3: yogurt and anything that adds sugar and says it's healthy

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Speaker 3: is not healthy. They're lying to you. Interesting, they're lying

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Speaker 3: to you. So right, nothing in America, whatever, if there's

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Speaker 3: any any health food, if there's added sugar, it's it's

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Speaker 3: it's it's a scam, and it's a terrible idea.

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Speaker 2: So like Stevia, Okay, yeah, so.

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Speaker 3: Right, So natural sweeteners okay, fine, you know and you

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Speaker 3: even mentioned natural TV is natural. Yeah, there are there

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Speaker 3: are oh yeah, sweet and low well saccarin yeah those

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Speaker 3: but again okay, but they got it that from a

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Speaker 3: scientific standpoint. You know, if you were rat eating saccarin,

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Speaker 3: you know tab remember tab cola, like that was like

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Speaker 3: the seventies eighties. Okay, well I'm enough older than you,

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Speaker 3: but there you go. Tab was like the seventies and

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Speaker 3: eighties dyeing coke, right, that was like but it was

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Speaker 3: all sacer basically, Oh my god. You know there's a

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Speaker 3: rat that dropped dead after having seventeen thousand cans of dia.

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Speaker 2: It's a rat.

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Speaker 3: Yeah, that's a rat. So the lethal dose of idiot

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Speaker 3: these artific sweeteners is so high. But again the problem

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Speaker 3: is is that why are you doing that? Right? So,

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Speaker 3: why why do you have to do.

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Speaker 2: Things than sugar better?

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Speaker 3: Yeah, but you know, look for your diet, look for

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Speaker 3: the nutrition that is as close to whole and unprocessed

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Speaker 3: as possible. But then allow yourself a treat. So allow

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Speaker 3: yourself with scoop ice cream every once like ones, once

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Speaker 3: a day? What time is it? That's right? Exactly right, yeah, yeah,

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Speaker 3: I got ten more minutes until I get my next

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Speaker 3: ice cream figs. Yeah. So yeah, I think that's it,

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Speaker 3: is that any health food that adds sugar is not

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Speaker 3: your friend. That's the take home message.

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Speaker 2: Microwaves fine, fine, really, yeah, I don't cook. I mean

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Speaker 2: I don't cook. I just choose not to.

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Speaker 1: So fair enough frozen remember those old like to myself,

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Speaker 1: Jenny Craig.

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Speaker 2: Remember those of course? Yeah, now those are not as

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Speaker 2: good they were process.

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Speaker 3: But again all of this is just processed foods that

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Speaker 3: it has a limited calorie portion. Jenny Craig was, I mean,

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Speaker 3: what are great business model is that they're going to

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Speaker 3: give you as little food as possible and tell you

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Speaker 3: as healthy for you. So that right, you can go,

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Speaker 3: you can go and get a hungry man dinner and

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Speaker 3: eat one of those or three of those and you know,

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Speaker 3: in three days successively or one Jenny Gregg, So yeah,

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Speaker 3: just eat a third of a honey hungry man and

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Speaker 3: it's the same as eating a Jeddie Craig. Right, So yeah,

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Speaker 3: not healthy. But the microwave itself, I think you know,

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Speaker 3: all it is is just agitating water molecules. Really have

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Speaker 3: been so many good studies that it has really no

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Speaker 3: major health.

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Speaker 1: Benefits, but doesn't have a microwave in our house because

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Speaker 1: they think that causes cancer.

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Speaker 3: Sure, that's true, it's not true. It's not true. But again,

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Speaker 3: I'm not going to if your sister is able to

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Speaker 3: if they don't have a micro.

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Speaker 2: I'm going to tell her it's not true.

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Speaker 3: If they don't have a microwave, that means that they're

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Speaker 3: probably doing a lot more whole cooking. And for that

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Speaker 3: I give her.

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Speaker 2: It's inconvenient.

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Speaker 3: I'm not saying it isn't. I have a microwave. I

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Speaker 3: can microwave my whole foods in a microwave. But I'm

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Speaker 3: saying for anybody that doesn't happen. If you're committed to

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Speaker 3: it and you have the time, God bless you for that,

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Speaker 3: but you know, don't give twelve hours to fifteen hours

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Speaker 3: a day. It's hard to not use some of these

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Speaker 3: conveniences that have pretty good data that they ain't going

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Speaker 3: to kill you.

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Speaker 1: Let's talk about regular screenings, because for women, at least,

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Speaker 1: I know it's changed recently, like from getting your PAP smear.

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Speaker 1: Let's say, you know, once every two years it was,

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Speaker 1: or now it's once a year, like why that's scary

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Speaker 1: for people like us to be like, why all of

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Speaker 1: a sudden do we need it yearly? But for men

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Speaker 1: obviously that's what you specialize in.

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Speaker 3: So right, well, but no, I mean pastmer is an

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Speaker 3: interesting example because you know that test has been around

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Speaker 3: since the nineteen twenties. Yeah, and and now now that

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Speaker 3: we have a pretty widely accepted vaccine against the HPV

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Speaker 3: that causes both cervical and penile cancer, you know, that's

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Speaker 3: a whole other thing. And cancer of the throat, most

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Speaker 3: throat cancers are caused by it. So right, so you

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Speaker 3: can the virus for HPV can live in your throat

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Speaker 3: and your larynx, and so if you've been exposed HPV

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Speaker 3: through some kind of oral sexual content, then you can

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Speaker 3: get cancer up here as well as in the penis,

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Speaker 3: although it's much rare because if you are if you

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Speaker 3: circumcise your kid, your boy is a neonate, then the

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Speaker 3: chance of developing peno cancer is almost zero. But in

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Speaker 3: countries where we don't perform routine circumcisions, peno cancer rats

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Speaker 3: is up there. In some countries it's it's really high.

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Speaker 3: And so it's all because of the HPV. So if

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Speaker 3: we if we have a vaccine against that cervical cancer

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Speaker 3: way more silent killer, because if a guy has a

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Speaker 3: genital worth that they see then it obviously can be

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Speaker 3: treated much faster than if there's something in the cervix.

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Speaker 3: So pasterers are critical part of screening. It also is

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Speaker 3: the why in general women do a better job of

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Speaker 3: going to the doctor because they have a screening test

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Speaker 3: that starts when they're in their adolescence. And for guys,

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Speaker 3: our first major screening for cancer related illness is at

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Speaker 3: forty five, with colon oscar also forty five, because there's

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Speaker 3: no other blood test, there's no other thing that we

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Speaker 3: have to worry about. We worry about, but that is

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Speaker 3: on a population basis that we would provide screening for

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Speaker 3: until we hit our colon cancer and then prostate cancer

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Speaker 3: we start screening for in our late forties early fifties

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Speaker 3: as well, unless we have a family history. Well, it

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Speaker 3: depends on the cancer. I mean, one of the things

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Speaker 3: that I'm really interested in, and I had again, I

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Speaker 3: had a podcast on with a guy named Josh Hoffman,

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Speaker 3: who is the CMO of a company that offers multiple

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Speaker 3: cancer screening devices in one test. In other words, you

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Speaker 3: get a blood test, and he screens for dozens of cancers,

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Speaker 3: because we do know that that cancer sheds molecules into

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Speaker 3: the bloodstream a long time before it becomes evident, and

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Speaker 3: so I'm very interested in that. From a population basis,

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Speaker 3: it might be a little expensive now to start screening

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Speaker 3: everybody in their early thirties, but for the individual that says,

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Speaker 3: look I got five hundred bucks, nine hundred bucks lying around,

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Speaker 3: and maybe that's the advanced cancer screening that you can do.

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Speaker 3: But the fundamentals, yeah, cervical cancer screening still critical. Amazing

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Speaker 3: public health initiative, amazing public health win to have vaccines

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Speaker 3: against HPV that can start so that boys and girls

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Speaker 3: when they become sexually active are far more protected against

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Speaker 3: developing throat, penile and cervical cancer.

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Speaker 2: So it's not just nail men, but the throat is

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Speaker 2: also both.

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Speaker 3: Sure, yes, anybody that has any sort of potential oral context.

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Speaker 3: That's much more common in men, but still still possible.

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Speaker 3: So yeah, get get screened, and get and certainly get vaccinated.

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Speaker 2: Yearly, yearly.

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Speaker 3: Yeah, the screening yearly, Yeah, that's right. Yeah, and breast

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Speaker 3: cancer screening while you're on it. Even though sentimentalist.

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Speaker 2: Breast cancer, we do, but not enough.

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Speaker 3: We absolutely, But but those guys, we don't screen for

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Speaker 3: it because usually it'll because you know, we mostly have

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Speaker 3: less breast tissue than women, it's obviously, you know, a

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Speaker 3: lot easier to find. So if a guy feels a

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Speaker 3: lump or a bump in the breast tissue, or if

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Speaker 3: they have discharge for the nipple, then you go in

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Speaker 3: and you get screened and treated. But yeah, for women,

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Speaker 3: mimography is still recommended population wise. They say it's very expensive,

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Speaker 3: and they kind of change the recommendations what we call

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Speaker 3: the US Presentative Task Force years ago. But I think

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Speaker 3: that's such a effort, yeah, and such a great lobbying

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Speaker 3: effort from women's health specialists to say, no, this is

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Speaker 3: incredible important and the last thing you want to see,

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Speaker 3: you know, is a young woman that gets breast cancer

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Speaker 3: because they weren't appropriately screened. And so, for sure, screening

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Speaker 3: saves lives. It's it's a pillar of longevity. You can

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Speaker 3: take all the na D you want, but if you're

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Speaker 3: not getting your annual screening, it ain't going to help you.

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Speaker 2: See. This is what I also have always believed.

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Speaker 1: Is like what you kind of touched on before is like,

435
00:20:57,200 --> 00:20:59,560
Speaker 1: when we have physicals, we should have the option to

436
00:20:59,600 --> 00:21:02,480
Speaker 1: do it and right like to really get a full

437
00:21:02,560 --> 00:21:06,040
Speaker 1: body scan because like you said, we don't even there

438
00:21:06,080 --> 00:21:09,199
Speaker 1: are no let's say lumps or whatever may happen, but

439
00:21:09,400 --> 00:21:12,520
Speaker 1: it could have already started developing five years ago.

440
00:21:12,760 --> 00:21:15,399
Speaker 3: Sure, and you have that option. The question is who's

441
00:21:15,400 --> 00:21:17,000
Speaker 3: going to pay for it? So do you have that?

442
00:21:17,400 --> 00:21:19,240
Speaker 2: We do have the option there is to go in

443
00:21:19,359 --> 00:21:20,200
Speaker 2: right now and say.

444
00:21:20,720 --> 00:21:23,080
Speaker 3: Right right down my office and not that I have

445
00:21:23,160 --> 00:21:25,440
Speaker 3: a paid consult I have no money or financial relationship,

446
00:21:25,480 --> 00:21:28,080
Speaker 3: but there's that Pernuvo is a company that offers full

447
00:21:28,160 --> 00:21:32,160
Speaker 3: body MRIs screening for maybe fifteen hundred to two thousand dollars,

448
00:21:32,840 --> 00:21:35,520
Speaker 3: gives you a lot of that information. It's controversial as

449
00:21:35,560 --> 00:21:39,160
Speaker 3: well because that's a really expensive test to offer from

450
00:21:39,160 --> 00:21:41,919
Speaker 3: at your health right. So if you want to be

451
00:21:41,960 --> 00:21:45,199
Speaker 3: super proactive and you're again at that level where you

452
00:21:45,240 --> 00:21:48,080
Speaker 3: can afford it, or you want to know, great. The

453
00:21:48,680 --> 00:21:50,840
Speaker 3: downside to that is I've seen guys that have come

454
00:21:50,840 --> 00:21:53,640
Speaker 3: to my office after they've had a Pernuvo with things

455
00:21:53,640 --> 00:21:56,159
Speaker 3: that are not dangerous at all, but that they have

456
00:21:56,240 --> 00:21:57,720
Speaker 3: to you know, then I have to kind of work

457
00:21:57,800 --> 00:21:59,800
Speaker 3: up I mean sometimes we pick up these little kidney

458
00:21:59,840 --> 00:22:02,520
Speaker 3: toos that are either benign or never gonna pass at

459
00:22:02,520 --> 00:22:06,880
Speaker 3: any problem. Now we're now we're obligated to Yeah, so

460
00:22:06,920 --> 00:22:09,200
Speaker 3: you have you know, do you want to know that information?

461
00:22:09,240 --> 00:22:11,760
Speaker 3: And some people just don't want to know you know something,

462
00:22:11,840 --> 00:22:14,119
Speaker 3: I know, they just you know, smoke.

463
00:22:15,119 --> 00:22:17,040
Speaker 2: I go back and forth. I don't want to know.

464
00:22:17,119 --> 00:22:18,480
Speaker 1: But then at the same time, it's like, if it

465
00:22:18,520 --> 00:22:20,280
Speaker 1: was preventative, you know, I do want to know.

466
00:22:20,520 --> 00:22:23,280
Speaker 3: I think if you have a family history of early cancers,

467
00:22:23,600 --> 00:22:25,560
Speaker 3: then it makes sense to screen with some of these

468
00:22:25,560 --> 00:22:27,879
Speaker 3: advanced molecular and imaging diagnostics.

469
00:22:28,000 --> 00:22:31,359
Speaker 1: I could talk to you literally all evening, but cool,

470
00:22:32,040 --> 00:22:34,200
Speaker 1: don't want to take all your time away from your

471
00:22:34,640 --> 00:22:35,280
Speaker 1: lovely wife.

472
00:22:35,480 --> 00:22:37,359
Speaker 2: I'm sure waiting for you to know.

473
00:22:37,640 --> 00:22:40,000
Speaker 3: But good. Yeah, so I think it is. You know,

474
00:22:40,200 --> 00:22:43,680
Speaker 3: just try to tune out the noise that's out there

475
00:22:43,840 --> 00:22:46,640
Speaker 3: in the health world. Partner with a really good physician

476
00:22:46,720 --> 00:22:49,280
Speaker 3: that you trust. If you don't find somebody, keep looking

477
00:22:49,960 --> 00:22:53,159
Speaker 3: because you can't do it alone. What you read, I mean,

478
00:22:53,200 --> 00:22:55,399
Speaker 3: it's a well you didn't even get into AI. But

479
00:22:55,400 --> 00:22:58,320
Speaker 3: but you know, well, when I see guys come in,

480
00:22:58,760 --> 00:23:03,240
Speaker 3: it's amazing. The medical information that they get where it's

481
00:23:03,400 --> 00:23:07,359
Speaker 3: reasonable chat GPT. I mean it's a crazy thing, but

482
00:23:07,400 --> 00:23:09,480
Speaker 3: I actually get referrals. I said, oh, had you find

483
00:23:09,480 --> 00:23:11,560
Speaker 3: me thinking, oh here, I'm all this reputable you know,

484
00:23:11,640 --> 00:23:14,080
Speaker 3: doctor and you know somebody referrings like, oh, I just

485
00:23:14,080 --> 00:23:16,399
Speaker 3: put it in chat GPT, find a urologist near me

486
00:23:16,480 --> 00:23:19,439
Speaker 3: and you came up, so thank you chat GPT. But

487
00:23:19,440 --> 00:23:21,399
Speaker 3: but they come in with a reasonably good plan, but

488
00:23:21,440 --> 00:23:23,800
Speaker 3: it's not one hundred percent, and so you need an interpreter.

489
00:23:24,040 --> 00:23:27,000
Speaker 3: You know, when I do any kind of personal finance

490
00:23:27,040 --> 00:23:29,440
Speaker 3: stuff and I'm trying to figure out something to invest in,

491
00:23:29,760 --> 00:23:32,080
Speaker 3: first place they go is chat GPT to explain it.

492
00:23:32,119 --> 00:23:34,440
Speaker 3: So then I reach out to somebody that actually does

493
00:23:34,480 --> 00:23:38,439
Speaker 3: this for a living. But also I could sound you know,

494
00:23:38,480 --> 00:23:42,800
Speaker 3: so I can understand the different acronyms. This same thing

495
00:23:42,880 --> 00:23:46,399
Speaker 3: with medicine. Partner with somebody really good tune out body

496
00:23:46,760 --> 00:23:50,320
Speaker 3: not aid, that's right, somebody that can interpret you know,

497
00:23:50,480 --> 00:23:53,600
Speaker 3: your AI feed. But yeah, I just think we're all

498
00:23:53,960 --> 00:23:56,679
Speaker 3: in this wellness world where you I mean, you you

499
00:23:56,800 --> 00:24:00,159
Speaker 3: did so much good today by just talking about you know,

500
00:24:00,200 --> 00:24:03,720
Speaker 3: this balance is probably is a myth. Happiness is kind

501
00:24:03,760 --> 00:24:05,800
Speaker 3: of a myth and if you look at everybody else's

502
00:24:06,000 --> 00:24:08,679
Speaker 3: reels about how happy they are, how do you have

503
00:24:08,720 --> 00:24:11,600
Speaker 3: time for yourself to be happy? So tone the noise.

504
00:24:12,200 --> 00:24:14,359
Speaker 3: Know that most of the time people are probably lying

505
00:24:14,359 --> 00:24:17,679
Speaker 3: about how happy they are. Absolutely, figure out who you

506
00:24:17,760 --> 00:24:21,199
Speaker 3: are and continue to live and eat, move, sleep, Just

507
00:24:21,320 --> 00:24:22,360
Speaker 3: keep it simple.

508
00:24:22,280 --> 00:24:24,800
Speaker 1: And are people like if people are listening to this episode,

509
00:24:24,800 --> 00:24:27,159
Speaker 1: which there's going to be tons of people, are you

510
00:24:27,240 --> 00:24:28,359
Speaker 1: taking more clients? Oh?

511
00:24:28,359 --> 00:24:29,800
Speaker 3: Of course, yeah, I mean so, I'm a I mean again,

512
00:24:29,840 --> 00:24:32,240
Speaker 3: I'm a professor at the University of California, Los Angeles.

513
00:24:32,240 --> 00:24:36,119
Speaker 3: So my clinical business is that's what I do. You know,

514
00:24:36,200 --> 00:24:39,760
Speaker 3: five days a week, that is though. Yeah, so we

515
00:24:39,960 --> 00:24:42,080
Speaker 3: have that's a good question. I mean so this you know,

516
00:24:42,359 --> 00:24:44,840
Speaker 3: the director founder of the Men's Clinic at UCLA Health.

517
00:24:44,880 --> 00:24:48,919
Speaker 3: So my main practice, which is right here in Santa Monica,

518
00:24:49,080 --> 00:24:52,440
Speaker 3: right between the two UCLA campuses in Westwood in Santa Monica.

519
00:24:53,680 --> 00:24:55,560
Speaker 3: This is what we do. We see about twenty thousand

520
00:24:55,600 --> 00:24:59,000
Speaker 3: guys a year to optimize formale management, improve their fertility,

521
00:24:59,080 --> 00:25:02,320
Speaker 3: improve their exercise. We have a sports medicine physician in

522
00:25:02,400 --> 00:25:05,400
Speaker 3: house now, doctor Jack Chen. He can help with any

523
00:25:05,480 --> 00:25:09,200
Speaker 3: sports joint related issues. Of aging and as I said, gops.

524
00:25:09,680 --> 00:25:12,040
Speaker 3: But right, so it's you know, it's a clinic for

525
00:25:12,800 --> 00:25:15,399
Speaker 3: men and the people that love those men, and just

526
00:25:15,440 --> 00:25:17,439
Speaker 3: like my podcast is a podcast for men and the

527
00:25:17,440 --> 00:25:20,600
Speaker 3: people that love those those men. And so yes, so

528
00:25:21,600 --> 00:25:24,560
Speaker 3: absolutely we try to increase our access to take care

529
00:25:24,560 --> 00:25:26,199
Speaker 3: of the good people in the state of California as

530
00:25:26,200 --> 00:25:28,119
Speaker 3: well as the rest of the country and world.

531
00:25:29,520 --> 00:25:29,879
Speaker 2: Wow.

532
00:25:30,040 --> 00:25:33,320
Speaker 1: And so tell me something more about your podcast, like

533
00:25:33,400 --> 00:25:35,919
Speaker 1: what has been what has been something I guess that

534
00:25:35,960 --> 00:25:39,240
Speaker 1: you've learned most while having a podcast, And what is

535
00:25:39,280 --> 00:25:40,600
Speaker 1: something that's a takeaway?

536
00:25:41,040 --> 00:25:43,080
Speaker 3: Yeah, I mean you can give us well, if I

537
00:25:43,119 --> 00:25:46,040
Speaker 3: can swear for a second, it's a it's a shit

538
00:25:46,119 --> 00:25:48,480
Speaker 3: ton of fun. Like yeah, so much. I'm not having

539
00:25:48,560 --> 00:25:50,600
Speaker 3: so much fun with you right now. And I think

540
00:25:50,760 --> 00:25:54,240
Speaker 3: I think it's because you get to have these conversations

541
00:25:54,359 --> 00:25:57,200
Speaker 3: with Most of the people I have on are either

542
00:25:57,200 --> 00:25:59,520
Speaker 3: people that have been through a journey so they're patients,

543
00:25:59,680 --> 00:26:01,840
Speaker 3: some of them are prominent people that are willing to

544
00:26:01,840 --> 00:26:04,639
Speaker 3: share their story and and they're experts in the field

545
00:26:04,640 --> 00:26:06,560
Speaker 3: of whatever we're doing. So I've had a sleep medicine guy,

546
00:26:06,560 --> 00:26:09,399
Speaker 3: I've had a therapist, I've had a sex therapist Natalie

547
00:26:09,400 --> 00:26:11,560
Speaker 3: finding a gold where she was fantastic, so we can

548
00:26:11,680 --> 00:26:14,320
Speaker 3: unpack a lot of the traumas that you were talking

549
00:26:14,359 --> 00:26:17,760
Speaker 3: about earlier. That how it relates to our sexual function on.

550
00:26:17,800 --> 00:26:21,600
Speaker 3: Our relationships are intimate relationships with people, and so I'm

551
00:26:21,600 --> 00:26:25,240
Speaker 3: constantly learning and constantly teaching, and I don't really know,

552
00:26:25,640 --> 00:26:27,159
Speaker 3: you know what's going to whether it's going to be

553
00:26:27,200 --> 00:26:30,679
Speaker 3: a learning podcast or a teaching podcast or both. But

554
00:26:30,720 --> 00:26:34,439
Speaker 3: the take home messages it's always about having a good time,

555
00:26:34,840 --> 00:26:37,639
Speaker 3: trying to figure out how to be better with what

556
00:26:37,640 --> 00:26:39,840
Speaker 3: we're doing. How do we be more intentional in our health,

557
00:26:39,840 --> 00:26:42,679
Speaker 3: how do we more intentional our relationships? And as you

558
00:26:42,720 --> 00:26:46,639
Speaker 3: said earlier, how do we be as men especially vulnerable.

559
00:26:46,720 --> 00:26:49,679
Speaker 3: So you have to open yourself up to feel that

560
00:26:49,880 --> 00:26:51,600
Speaker 3: energy or that vibe. I mean, I love the fact

561
00:26:51,640 --> 00:26:54,160
Speaker 3: you have an energy coach. If somebody is teaching how

562
00:26:54,160 --> 00:26:55,240
Speaker 3: to harness.

563
00:26:55,080 --> 00:26:56,639
Speaker 2: Sounds, I promise I'm not.

564
00:26:56,680 --> 00:26:58,920
Speaker 3: I don't know. Hey there ain't you know if it works,

565
00:26:58,920 --> 00:27:01,320
Speaker 3: it ain't. And I think that's the most important thing

566
00:27:01,400 --> 00:27:03,480
Speaker 3: is that it is. That's the other thing I learned

567
00:27:03,480 --> 00:27:06,040
Speaker 3: is that I bring on people that may have different

568
00:27:06,040 --> 00:27:09,240
Speaker 3: opinions about how we practice medicine. I had doctor Gerald

569
00:27:09,280 --> 00:27:12,440
Speaker 3: Joffrey fantastic, you know, kind of the celebrity nutrition is

570
00:27:12,520 --> 00:27:16,280
Speaker 3: chiropractice with Kelly and Mark, and he was amazing because

571
00:27:16,280 --> 00:27:19,000
Speaker 3: we have totally different training. I'm a urologist and board

572
00:27:19,040 --> 00:27:23,680
Speaker 3: certified surgeon, and he comes from an incredibly rich background

573
00:27:23,680 --> 00:27:26,199
Speaker 3: of taking care of people and applying the lens and

574
00:27:26,240 --> 00:27:30,040
Speaker 3: not only chiropractice but nutrition to optimize people's lives. And

575
00:27:30,119 --> 00:27:32,320
Speaker 3: so I think what I'm learning is it's in a

576
00:27:32,440 --> 00:27:36,280
Speaker 3: magical world out there where people are changing ideas in

577
00:27:36,320 --> 00:27:39,000
Speaker 3: a really fun way, and I hope bringing something to

578
00:27:39,080 --> 00:27:41,440
Speaker 3: listeners so that they can not only have fun. I say,

579
00:27:41,440 --> 00:27:44,560
Speaker 3: it's serious medicine, serious fun, but also what am I

580
00:27:44,560 --> 00:27:47,160
Speaker 3: going to do differently today that I learned on Mills's

581
00:27:47,200 --> 00:27:49,199
Speaker 3: podcast that I didn't do the day before? You know,

582
00:27:49,240 --> 00:27:51,080
Speaker 3: whether it's I'm going to try to get six hours

583
00:27:51,119 --> 00:27:52,879
Speaker 3: instead of five hours of sleep. Maybe I'm going to

584
00:27:52,920 --> 00:27:55,320
Speaker 3: cut back on my alcohol. Maybe I'm going to read more.

585
00:27:55,359 --> 00:27:57,000
Speaker 3: Maybe I'm going to be more purposeful. Maybe I'm going

586
00:27:57,040 --> 00:27:59,119
Speaker 3: to make a friend. What if I just made a

587
00:27:59,240 --> 00:27:59,879
Speaker 3: friend today?

588
00:28:00,000 --> 00:28:02,520
Speaker 1: You know, I have to say I listened to a

589
00:28:02,560 --> 00:28:05,440
Speaker 1: couple of episodes I learned so much. And I mean, obviously,

590
00:28:05,600 --> 00:28:09,160
Speaker 1: you know it's catered to men, but I learned a lot,

591
00:28:09,359 --> 00:28:11,520
Speaker 1: and I think it's important that we also are open

592
00:28:11,560 --> 00:28:13,880
Speaker 1: to listening to the other species.

593
00:28:14,119 --> 00:28:16,440
Speaker 3: I love that, of course. Yeah, and that's what it's

594
00:28:16,520 --> 00:28:19,199
Speaker 3: all about, right, We're all humans, we're all trying to

595
00:28:19,200 --> 00:28:21,000
Speaker 3: figure out all our time in this big blue marble

596
00:28:22,080 --> 00:28:22,560
Speaker 3: from Mars.

597
00:28:22,600 --> 00:28:24,560
Speaker 1: Women are from Venus, though, and I believe that, so

598
00:28:24,600 --> 00:28:26,240
Speaker 1: we need to figure out Mars a little.

599
00:28:26,440 --> 00:28:29,159
Speaker 3: There you go. That's right, yes, and I'm sure my

600
00:28:29,200 --> 00:28:31,439
Speaker 3: wife will agree, even after almost forty years, that I

601
00:28:31,480 --> 00:28:33,920
Speaker 3: need to figure out Venus as well. The beauty of it. Well,

602
00:28:34,000 --> 00:28:36,040
Speaker 3: we're doing all right, But thank you. And yeah, and

603
00:28:36,080 --> 00:28:39,160
Speaker 3: again the whole idea is just yeah, let's just talk

604
00:28:39,200 --> 00:28:39,800
Speaker 3: about it, you know.

605
00:28:40,040 --> 00:28:42,360
Speaker 2: Yeah, you know you're the best.

606
00:28:42,560 --> 00:28:46,600
Speaker 3: No, I had too much fun. This was great, so fun. Indeed, No,

607
00:28:46,720 --> 00:28:48,440
Speaker 3: this is awesome. Thanks, I got it was great to

608
00:28:48,440 --> 00:28:48,960
Speaker 3: get to know you.

609
00:28:48,960 --> 00:28:52,800
Speaker 1: It was really cool and feeling is mutual. Where can

610
00:28:52,840 --> 00:28:54,160
Speaker 1: everyone find you your podcast?

611
00:28:54,360 --> 00:28:56,800
Speaker 3: Yeah, so it's a mail room with doctor Jesse Mills

612
00:28:56,840 --> 00:28:59,720
Speaker 3: and Jordan Runta, my producer. On her personality, you were

613
00:28:59,720 --> 00:29:02,840
Speaker 3: on iHeart so basically wherever you get your podcasts, from

614
00:29:02,880 --> 00:29:06,760
Speaker 3: Spotify to Amazon to Apple Music and again. I direct

615
00:29:06,800 --> 00:29:09,120
Speaker 3: the Men's Clinic UCLA Health. So I'm a professor of

616
00:29:09,120 --> 00:29:11,640
Speaker 3: yourology the David Geffen School of Medicine at u C

617
00:29:11,800 --> 00:29:14,480
Speaker 3: l A. So come be my medical student, come be

618
00:29:14,640 --> 00:29:18,080
Speaker 3: my patient, Come on this journey together off making guys

619
00:29:18,120 --> 00:29:22,000
Speaker 3: better and living their best lives. And uh and that's it. Really,

620
00:29:22,080 --> 00:29:25,080
Speaker 3: I'm easy to find and happy to be part of

621
00:29:25,080 --> 00:29:28,040
Speaker 3: your team. Found you there you go, happy to be

622
00:29:28,120 --> 00:29:30,160
Speaker 3: part of your team. But no, this is good. Things

623
00:29:30,200 --> 00:29:33,640
Speaker 3: are just getting started. It's it's it's a fun, fun journey.

624
00:29:33,880 --> 00:29:36,120
Speaker 3: So thanks thanks for reaching out to me show this

625
00:29:36,240 --> 00:29:37,600
Speaker 3: is just wow too much.

626
00:29:37,760 --> 00:29:38,200
Speaker 2: So fun.

627
00:29:38,320 --> 00:29:39,800
Speaker 1: Thank you, and thank you for all the work that

628
00:29:39,840 --> 00:29:42,800
Speaker 1: you do. Doctor, So I appreciate you. Have a good night,

629
00:29:42,840 --> 00:29:43,640
Speaker 1: Thank you so much.

630
00:29:43,920 --> 00:29:45,840
Speaker 3: Thanks all right, be well you too.

631
00:29:45,920 --> 00:29:46,280
Speaker 2: Goodbye,