The Better Yoo Project: Optimizing Health, Hormones and Aesthetics.

Alongside Shamika Mazyck and Wakaba Tessier, we’re examining the complex world of med spa and integrative medicine legalities in this episode. They both practice with Quarles & Brady LLP, a legal services provider, at their Indianapolis office. Furthermore, they both specialize in healthcare regulatory law. We’ll unpack the corporate practice of medicine, highlighting the crucial need for knowledgeable legal counsel to navigate the varied state regulations. We stress the importance of informed consent, particularly for IV and peptide therapies, using real-world examples to emphasize the need for thorough patient verification. We also explore telehealth regulations, the scope of practice in regenerative and aesthetic medicine, and the distinctions between 503A and 503B compounding pharmacies. Topics discussed in this episode include: • Why the corporate practice of medicine complicates non-clinical ownership of medical practices. • Why informed consent is crucial for IV and peptide therapies. • How a recent adverse event in Texas highlights the need for thorough patient verification. • What elements should be included in patient consent forms for med spas. • Why understanding the nuances of 503A and 503B compounding pharmacies is essential. • How telehealth regulations and state-specific guidelines affect practitioner-patient relationships. • Why legal consultation is vital for compliance in regenerative and aesthetic medicine. • Why limitations of hold harmless agreements (HHAs) need careful consideration. • How proper documentation ensures legal and medical accuracy in peptide therapy. • Why continuous education for staff and patients is essential in med spas. • How legal guidance can prevent issues in the evolving landscape of med spas. • Why the differences between 503A and 503B facilities matter in compounding pharmacy practices. • How informed consent varies by treatment and requires detailed patient education. • Why documenting patient interactions is crucial for legal protection in medical practices. • Why med spas must balance business decisions with clinical expertise to ensure patient safety. Follow our Instagram https://www.instagram.com/lexiyoonp or visit us at https://www.yoodirecthealth.com/ Shamika Mazyck on LinkedIn: https://www.linkedin.com/in/shamikamazyck Email Shamika Mazyck: Shamika.Mazyck@quarles.com Wakaba Tessier on LinkedIn: https://www.linkedin.com/in/wakaba-tessier-81b71a2/ Email Wakaba Tessier: Wakaba.Tessier@quarles.com

Cat is a Registered Dietitian Nutritionist (RDN) and has spent most of her career in the functional laboratory diagnostic space. Her educational background has a dual appointment in exercise physiology and dietetics with a master’s degree in metabolic physiology. She has a decade of experience in advanced laboratory interpretation, education, and counseling in addition to clinical practice. She takes a functional and integrative approach to health with a firm belief that “all disease begins in the gut”. Her research interests and passions include insulin signaling, nutrient metabolism, and weight loss physiology. Cat also is a certified diabetes care and education specialist. In clinical practice, Cat specializes in cardiovascular prevention, sport performance nutrition; gluten sensitivity, celiac and autoimmune nutrition; the gut-brain connection, and of course all things related to the digestion, the microbiome and intestinal health where she has chosen to “niche down”. Cat is a member of the Medical Education team at Diagnostic Solutions Laboratory, but also the interdepartmental team coordinator playing a pivotal role in education program design. Cat is a graduate from the University of Florida. In this episode of our podcast, we’re discussing the connection between gut health and weight loss with. We explore the vital role of the gut microbiome in metabolic health and uncover how the GI map test can provide critical insights into your gut ecosystem. Cat explains the significance of microbial diversity and highlights the powerhouse bacteria Akkermansia for its anti-inflammatory benefits and its role in strengthening the gut barrier. We also get into practical dietary adjustments, the impact of medications like proton pump inhibitors and GLP-1, and the necessity of personalized treatment plans to optimize gut and metabolic health. Topics discussed in this episode include: • How understanding the gut microbiome can unlock secrets to weight loss and metabolic health. • Why the GI map test is essential for analyzing the gut ecosystem. • How low microbial diversity is linked to metabolic syndrome and cardiometabolic health issues. • The role of Akkermansia in strengthening the gut barrier and reducing inflammation. • Benefits of Akkermansia probiotics and dietary adjustments like increasing fiber and polyphenols. • Importance of amino acids like glutamine in maintaining the mucin layer. • Using berberine when weaning off GLP-1 medications for gut health. • Necessity of personalized treatment plans considering factors like affordability and willingness. • Implications of proton pump inhibitors (PPIs) on gut microbiome balance. • Varying effects of GLP-1 medications on gastric motility and bowel regularity. • Importance of practitioner collaboration for ongoing learning and improved patient care. • Patterns of low microbial diversity in gut health related to metabolic syndrome. • Akkermansia’s role in preventing bacterial translocation and serving as an anti-inflammatory agent. • How GLP-1 medications can impact gut health and weight management. • The future potential of gut modulation to assist with drug efficacy and tapering off medications. • Emphasizing colorful polyphenols from foods like pomegranate and cranberry for gut health. Follow our Instagram https://www.instagram.com/lexiyoonp or visit us at https://www.yoodirecthealth.com/ Diagnostic Solutions Laboratory: https://www.diagnosticsolutionslab.com/ Cat on LinkedIn: https://www.linkedin.com/in/cat-simmons-ms-rd-cdces-9328b01b/

Dr. Mark Hamilton specializes solely in facial plastic and reconstructive surgery. As a recognized leader in his field, Dr. Hamilton has authored multiple publications and lectured widely to his colleagues on all aspects of facial plastic surgery. He has been selected by his peers as one of Indianapolis Monthly Magazine’s “Top Docs” and has been recognized by Castle Connolly Top Doctors® in America for his work in Facial Plastic and Reconstructive Surgery. He is actively involved at the IU School of Medicine in resident teaching and is a clinical assistant professor there. Dr. Hamilton is board certified by both the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery. Dr. Hamilton graduated Phi Beta Kappa from Indiana University where he also received his MD degree. He received a merit-based scholarship while in medical school and was recognized nationally for his research. He completed his residency in Otolaryngology-Head and Neck Surgery at St. Louis University, and followed this by completing a Facial Plastic Surgery fellowship through Indiana University. Dr. Hamilton has served in a variety of leadership positions in the American Academy of Facial Plastic Surgery, including Chairman of the Emerging Technologies Committee, Young Physicians Committee, Credentials Committee and Public Information Committee. In 2009 he was awarded the 1887 Award, nationally recognizing his commitment to the AAFPRS Foundation. He is also on the board of directors for the American Board of Facial Plastic and Reconstructive Surgery and has been selected to author questions for the exam and serve as an oral examiner. He is a previous President of the Indianapolis Medical Society. Today, Dr. Hamilton will unveil the secrets to achieving graceful aging and radiant skin when it comes to facial rejuvenation. He takes us through different procedures such as facelifts, rhinoplasty, and laser resurfacing while providing info on the impacts of genetics, sun exposure, smoking, and hormonal optimization. We also explore the intriguing concept of "Ozempic face," the pros and cons of fillers and PDO threads, and offer advice on post-surgery recovery. Topics discussed in this episode include: • What "Ozempic face" is and its relation to significant weight loss and integrative medicine. • Why genetics, sun exposure, smoking, and alcohol are major factors contributing to aging. • How hormonal optimization and weight stability impact facial rejuvenation outcomes. • Why overall facial volume is essential, particularly post-significant weight loss. • How targeted treatments address fat loss in the temples, cheeks, and orbital region. • Why certain individuals, like smokers, may not be suitable candidates for facelifts. • How fillers like Sculptra and hyaluronic acid affect facelift procedures. • PDO threads and why they might not be the best long-term solution for facial rejuvenation. • Why post-surgery recovery guidelines include nutritional needs and medication management. • Why medications like Ozempic and Wegovy can still be beneficial despite affecting facial volume. • Choosing the best facial rejuvenation procedure. • Why understanding facial fat loss is crucial in aesthetic medicine, particularly with peptides. • How fat grafting and other volume restoration techniques play a role in facial rejuvenation. • Why post-surgery protein intake and proper medication management are essential for recovery. Follow our Instagram https://www.instagram.com/lexiyoonp or visit us at https://www.yoodirecthealth.com/ Hamilton Facial Plastic Surgery: https://www.hamiltonfps.com/ Dr. Hamilton on Instagram: https://www.instagram.com/hamiltonfps/

Dr. Jared Pelo trained and worked in emergency medicine before founding iScribes, an early ambient AI health tech company now owned by Microsoft. He started Bionic Health after a family tragedy, and being inspired by the power of AI in medicine. Passionate about AI in medicine, preventive medicine and muscle-centric health, Dr. Pelo advocates using advanced testing, AI tools and compassion to enhance patient care. With Dr. Pelo in this episode, we discover how he transitioned from the emergency room to becoming an AI innovator at Microsoft. He explains how Bionic Health leverages advanced AI tools to enhance patient outcomes and streamline clinician workflows, particularly in functional and precision medicine. We hear about the cutting-edge applications of AI such as GPT-4 in clinical settings, and discuss practical insights for healthcare practitioners new to AI. Later, Dr. Pelo addresses the importance of maintaining strong patient-caregiver relationships and ensuring data privacy. Topics discussed in this episode include: How AI is revolutionizing functional and precision medicine. Why Dr. Pelo transitioned from the ER to AI innovations, motivated by a personal tragedy. How Bionic Health integrates AI to enhance patient outcomes and streamline clinician workflows. The role of AI in improving electronic health records (EHRs) and clinical decision-making. Why GPT-4, Microsoft, and Nuance are superior tools for AI-driven healthcare solutions. How AI aids in unbiased research and pattern recognition from clinical data. The future impact of AI on precision, efficiency, and clinician experience in healthcare. Practical insights for healthcare practitioners new to AI, including experimenting with chatbots. How AI addresses specific pain points like documentation and patient intake. The importance of maintaining high training levels for medical professionals using AI. The critical need for data privacy and HIPAA compliance in AI applications. How AI could strengthen patient-caregiver relationships by reducing administrative burdens. The potential for patients to monitor and guide their health continuously with the help of AI. Why clinicians must engage actively in shaping the future of healthcare technology. The risk of administrative layers overshadowing clinical work without proactive clinician involvement. The importance of clinicians taking a proactive stance to improve efficiency and patient care. Follow our Instagram https://www.instagram.com/lexiyoonp or visit us at https://www.yoodirecthealth.com/ Bionic Health: https://www.bionichealth.com/ Dr. Jared Pelo on LinkedIn: https://www.linkedin.com/in/jared-pelo-b849026/

Dr Drew Eliszewski is a board-certified Doctor of Chiropractic graduating Palmer Chiropractic in 2017. He has a passion for sports medicine with special interests in soft tissue Rehab and has worked with many professional and collegiate athletes throughout his career. He has studied functional medicine and integrative nutrition since graduating chiropractic school with his biggest passions for blood sugar regulation, weight loss and fatty liver disease. Together he and his Nurse Practitioner wife, Traci operate Forum Health in Madison WI as well as their own clinic, True Health and Performance in Edgerton, WI. They also started their own supplement company focused on a clean performance line for athletes called Patriot Performance Supplement Co. They have their own podcast called The Vitality Blueprint. We’re going into the world of mold toxicity and advanced functional medicine with Dr. Eliszewski in today’s episode. He shares his enlightening journey from initial skepticism to becoming an expert in diagnosing and treating mold-related health issues. We check out the complex interplay between mold exposure and chronic diseases, innovative diagnostic tools like the VCS test, and effective treatments including peptide therapy and methylene blue. There’s also a discussion about a dramatic case where a patient's mold-related health flare-up was mitigated through innovative treatments. Topics discussed in this episode include: How Dr. Eliszewski overcame his reluctance towards addressing mold toxicity. Why he started focusing on mold toxicity after experiencing patient cases with severe symptoms. How identifying symptoms and understanding the impact of head trauma can relate to mold toxicity. The importance of a comprehensive approach to diagnosing and treating mold-related health issues. How mold exposure can contribute to conditions like Crohn's disease via high secretory IgA and inflammatory markers. The successful management of a mold flare-up with ozone therapy and peptides. The use of the VCS (visual contrast sensitivity) test for detecting mold re-exposure. Innovative diagnostics for mold exposure, including urine tests from RealTime Lab, Mosaic, and Vibrant Labs. The role of Cyrex Labs’ Array 12 in detecting immune reactivity to pathogens, including mold. The potential of peptide therapy with BPC 157 and synapsin for treating neuroinflammation. Methylene blue’s usage for mitochondrial support and its antifungal properties. Insights into the nutritional strategies and specific dietary modifications for mold patients. Dr. Eliszewski's approach to periodic retesting to monitor and ensure the effectiveness of mold detoxification protocols. Follow our Instagram https://instagram.com/yoodirecthealth_aesthetics or visit us at https://www.yoodirecthealth.com/ Dr. Eliszewski's Website: https://www.truehealthandperformancewi.com/

Dr. Kovac is a board-certified Urologist in both Canada, and the United States. He has an MD and a PhD from Western University in London, Ontario, Canada as well as a focused, 5-year Urology program at McMaster University in Hamilton, Ontario. His surgical expertise, training and continued excellence is certified by the prestigious Fellowship of the Royal College of Physicians and Surgeons of Canada (FRCSC) as well the American College of Surgeons (FACS). Dr. Kovac is further sub-specialized in the field of Men’s Health, Male Fertility and Sexual Medicine having trained at the world-renowned Baylor College of Medicine in Houston, TX with the originator of the modern vasectomy reversal, Dr. Larry Lipshultz, as well as the pioneer of male-fertility research, Dr. Dolores Lamb. Dr. Kovac has published over 100 manuscripts in scientific journals as well as numerous textbook chapters. He has presented award-winning research in both national and international meetings. He is currently on the editorial board of several high-profile medical journals including the Asian Journal of Andrology and the American Journal of Men’s Health. Dr. Kovac has led multiple clinical trials in male fertility, scrotal pain and hormone management techniques. In the second of two parts with Dr. Kovac, we start by addressing common fears and misconceptions about vasectomies, emphasizing their simplicity, minimal discomfort, and quick recovery. Dr. Kovac provides a detailed walkthrough of the procedure, all the way from consultation to surgery. We also explore fertility options post-vasectomy, such as reversals and IVF, and the importance of skilled practitioners. Additionally, we discuss the impact of social media on men's sexual health awareness. Topics discussed in this episode include: Why vasectomies are simple, minimally uncomfortable, and have a quick recovery. Dr. Kovac’s use of a “cord block” when performing vasectomies and how effective it is. The importance of informed consent and addressing potential risks in vasectomies. Why vasectomies are considered a safe and effective sterilization method. Misconceptions about success rates of vasectomy reversals. The potential for recanalization and unexpected pregnancies post-vasectomy. Scenarios of unexpected pregnancies post-vasectomy and the role of follow-up consultations. Dr. Kovac's insights on the importance of community and expertise. The influence of various social media platforms on spreading information about men's health. Factors influencing the choice between vasectomy reversal and IVF for men wanting children. How vasectomy reversals and IVF are conducted and their associated costs. The false belief of men on testosterone therapy being infertile. Follow our Instagram https://instagram.com/yoodirecthealth_aesthetics or visit us at https://www.yoodirecthealth.com/ Dr. Kovac’s Website: https://www.dockovac.com/

Dr. Kovac is a board-certified Urologist in both Canada, and the United States. He has an MD and a PhD from Western University in London, Ontario, Canada as well as a focused, 5-year Urology program at McMaster University in Hamilton, Ontario. His surgical expertise, training and continued excellence is certified by the prestigious Fellowship of the Royal College of Physicians and Surgeons of Canada (FRCSC) as well the American College of Surgeons (FACS). Dr. Kovac is further sub-specialized in the field of Men’s Health, Male Fertility and Sexual Medicine having trained at the world-renowned Baylor College of Medicine in Houston, TX with the originator of the modern vasectomy reversal, Dr. Larry Lipshultz, as well as the pioneer of male-fertility research, Dr. Dolores Lamb. Dr. Kovac has published over 100 manuscripts in scientific journals as well as numerous textbook chapters. He has presented award-winning research in both national and international meetings. He is currently on the editorial board of several high-profile medical journals including the Asian Journal of Andrology and the American Journal of Men’s Health. Dr. Kovac has led multiple clinical trials in male fertility, scrotal pain and hormone management techniques. In the first of two parts, we’re talking with Dr. Kovac about the multifaceted issue of male infertility. We’ll explore how lifestyle choices like drug use, caffeine, and alcohol consumption can significantly impact sperm quality. Dr. Kovach also discusses the complications that can arise from testosterone therapy and the importance of managing it properly. Additionally, we look at hormonal treatments, including the use of HCG and Clomid, and the nuanced considerations of testosterone therapy for men with localized and resected prostate cancer. Topics discussed in this episode include: Why Dr. Kovac transitioned from aspiring physical education teacher to board-certified urologist. Insights from Dr. Kovac's training at Western University and Baylor College of Medicine. Dr. Kovac's early work with erectile dysfunction and vasectomy reversals. How lifestyle factors like drug use, caffeine, and alcohol impact sperm quality. Why testosterone therapy can suppress sperm production, plus the need for proper management. Common causes of male infertility, including anatomical issues like varicoceles and genetic conditions. Strategies for addressing idiopathic infertility cases where no clear cause is identified. How medications like HCG and Clomid are used to maintain optimal testosterone levels. The delicate balance required for treating men with localized and resected prostate cancer. Safety and risks of testosterone therapy versus alternatives like Clomid for prostate cancer patients. Dr. Kovac's commitment to advancing men's health within the traditional medical model. How Dr. Kovac manages male hormonal treatments. When HCG might be preferred over Clomid, including challenges and cost considerations. How combining HCG with testosterone can maintain testicular function and size. The importance of discussing fertility desires regardless of age for optimal treatment. Follow our Instagram https://instagram.com/yoodirecthealth_aesthetics or visit us at https://www.yoodirecthealth.com/ Dr. Kovac’s Website: https://www.dockovac.com/

Melissa, a Functional Medicine expert, discusses the power of neural therapy in treating various health issues like IBS and PCOS. She shares patient success stories and highlights the balance of the nervous systems. Melissa also talks about an upcoming workshop for practitioners to learn hands-on skills in neural therapy.

Dr. Neil Paulvin, DO, is a multiple board-certified physician with certifications in Family Medicine, Osteopathic Manipulation, and Anti-Aging and Regenerative Medicine. His practice in Manhattan combines traditional and alternative medicine to help patients live a healthy lifestyle and perform at their best. He has helped Fortune 500 executives, Olympic athletes, top trainers, and A-list celebrities optimize their health, recover faster from injury, and improve their sports performance. Dr. Paulvin is an expert in peptide therapy, sports medicine, mitochondrial health, Bioidentical Hormone therapy, Longevity Medicine, and the brain-gut connection. As a leading expert in biohacking and human optimization, Dr. Paulvin is recognized for his exceptional work applying a hyper-personal approach to help his patients move beyond the baseline. He has spoken on the Peptide Summit, The Biohacking Congress, and on top health podcasts about how to improve brain health, regulate hormones and boost sports performance. Dr. Paulvin has been featured in the NY Post, Nutritious Life, Fasting MD, SHAPE.com, Bustle.com and many other national publications and podcasts. In this episode, we’ll learn the secrets of longevity and optimal health from Dr. Paulvin. He shares his expertise on the evolution of longevity medicine, the significance of preventative care, and the role of peptides like BPC 157. We also discuss genetic testing for Alzheimer's, with insights into the APOE gene variants and the impact of lifestyle changes. Additionally, we cover the multifaceted benefits of methylene blue, GLP-1s, and brain health supplements. Topics discussed in this episode include: • How Dr. Paulvin's expertise in regenerative medicine aids in unlocking longevity and optimal health outcomes. • YDH Academy's comprehensive courses covering thyroid optimization, gut microbiome health, and peptide therapy. • Why preventative care plays a crucial role in health optimization and longevity medicine. • How peptides like BPC 157 are effective with minimal side effects and can aid in reducing inflammation. • Why Alzheimer's is linked to insulin resistance and brain metabolism. • How genetic testing for Alzheimer's, focusing on APOE gene variants, helps in risk stratification. • How methylene blue can treat conditions like Lyme disease and enhance brain health. • Why GLP-1s are beneficial for cognitive health and may help patients with APOE4 gene variants. • How various brain health supplements like ketone monoesters, urolithin A, and MitoQ are utilized. • Why hormetic practices such as exercise, optimal sleep hygiene, and dietary adjustments are important. • How individualized treatment plans can significantly enhance brain and overall health. • Why peptides, such as cerebrolysin, are effective for treating traumatic brain injuries and neurodegenerative diseases. • How advancements in AI are revolutionizing health optimization and functional medicine. • Why patient education and proper dosing protocols are essential for the safe use of treatments. • How cold plunging and other affordable practices can benefit brain health. Follow our Instagram https://instagram.com/yoodirecthealth_aesthetics or visit us at https://www.yoodirecthealth.com/ Dr. Paulvin’s Website: https://doctorpaulvin.com Dr. Paulvin on Instagram: https://www.instagram.com/drpaulvin/?hl=en Life Optimized with Dr. Neil Paulvin: https://open.spotify.com/show/1ALn1uX7iNkwvd9faHKJsB

This time we’re welcoming Dr. Steven Sorr, a naturopathic doctor out of Arizona who does a great job of marrying aesthetics with regenerative medicine. Dr. Sorr explains the power of testosterone replacement therapy (TRT), which promises more than a boost in muscle—it can also sharpen your mind and stabilize your mood. We tackle countless myths surrounding TRT, discuss alternatives like enclomiphene and HCG for those concerned about fertility, and emphasize the importance of patient education and involvement in their treatment plans. Topics discussed in this episode include: How Dr. Sorr's back injury propelled him into naturopathic medicine and regenerative therapies. Why prolotherapy is a game changer in orthopedic recovery and patient care. What makes testosterone replacement therapy a critical factor for men's fitness and mental clarity. How Dr. Sorr's approach integrates aesthetic procedures with functional medicine. Why patient participation is crucial in the healing process, especially in orthopedic cases. Addressing the myths surrounding soy intake and estrogen when it comes to men's health. Why alternatives like enclomiphene and HCG are useful for men concerned about fertility. How the Traverse trial redefines the safety and efficacy of TRT in men with cardiovascular issues. Why stable hormone levels through proper TRT dosing and administration can minimize side effects. What to consider when choosing between subcutaneous and intramuscular injections for TRT. Why debunking common fears about TRT, prostate cancer, and heart attacks is important for informed patient care. How lifestyle changes, like weightlifting, can naturally stimulate testosterone production. Why personalization of care is key in hormone therapy for both patients and providers. Looking at total testosterone levels versus free testosterone levels. Follow our Instagram https://instagram.com/yoodirecthealth_aesthetics or visit us at https://www.yoodirecthealth.com/ Dr. Steven Sorr: https://mysourceofhealth.com/ Dr. Steven Sorr on Instagram: https://www.instagram.com/drstevensorr Dr. Steven Sorr on TikTok: https://www.tiktok.com/@drstevensorr