I Looked Up Every Doctor's Big Pharma Payment. Here's What Shocked Me — Transcript
Full transcript
- 0:00do doctors get paid by big Pharma so I
- 0:03can't tell you how often I hear this
- 0:05literally every single day on social
- 0:07media somebody post oh my God you're a
- 0:10shield for big Pharma how much are they
- 0:11paying you so first of all it's super
- 0:14easy to look up you go to the government
- 0:16website I think it's open payments. CMS
- 0:18CMS stands for like centers for Medicare
- 0:20and something. goov openpayments.cms.gov
- 0:24and you can actually look up any doctor
- 0:27you want to see if they are getting paid
- 0:30by big Pharma the regulations are super
- 0:33strict it's just about as strict as the
- 0:35SEC the financial markets if you try to
- 0:37do any insider trading you're selling
- 0:39this buying that they are watching you
- 0:41like a hawk everything has to be
- 0:43reported this I believe started back in
- 0:462005 they can't even drop off like a pen
- 0:49or a reprinted article from like the New
- 0:51England Journal of medic of of medicine
- 0:53without putting it on your record that
- 0:55they handed you a reprinted article or a
- 0:57pen or a notebook or a sandwich from
- 0:59Panera whatever it might be all of that
- 1:01is recorded So this was a super fun
- 1:03interview I interviewed a gentleman
- 1:05named Andrew who's been in my community
- 1:07for about a year now and if you don't
- 1:10know what the community is it's Dr
- 1:11al.net community d.net community this is
- 1:14our community of Health and longev
- 1:16Longevity gurus me and my friends that
- 1:18want to live to over a 100 we talk about
- 1:21lipids we talk about your how to live
- 1:23longer exercise diet nutrition you know
- 1:27everything for you you get a app where
- 1:29where you can text and talk to your to
- 1:31me and my friends pretty much every day
- 1:33we meet on Zoom once a week every week
- 1:37for it's been going on for over a year
- 1:39now and we answer questions like this so
- 1:41this was a super fun interview we talked
- 1:43everything from regulations how hard it
- 1:45is to you know report this stuff and how
- 1:49hard it is to get away with it it used
- 1:50to be you know back in the 80s and 90s
- 1:53maybe that farm reps could take you on a
- 1:55golf trip or take you to Hawaii for some
- 1:57training and take you to this and take
- 1:58you to that you cannot do that 2005 they
- 2:01banned all that none of that is allowed
- 2:03the sunshine act came a little bit later
- 2:06where now everything has to be reported
- 2:09so there's no doctor anywhere getting
- 2:11even a Penny from Big Pharma without it
- 2:14being reported this is easily easily
- 2:17verified you can easily do this there's
- 2:20literally no reason to guess the other
- 2:23thing that people think is like we get a
- 2:24check at the end of the month well how
- 2:25much how much statins did you prescribe
- 2:27this month did you get a check yet stens
- 2:30are generic nobody's getting checks for
- 2:33medications that cost 2 pennies a day
- 2:35you could argue well what about in the
- 2:36back in the day when lipor was not
- 2:39generic they they probably came out to
- 2:41doctor's offices and gave them lunches
- 2:43and took some doctors out but that it's
- 2:45illegal now none of that happens if they
- 2:47come to your office and bring you a
- 2:49lunch you get charged that $10 you it
- 2:51get it goes on your
- 2:53record it's all open knowledge it's all
- 2:56public knowledge I think if you guys
- 2:57want to take a really deep dive into how
- 2:59big Pharma and medicine is connected
- 3:01this is the interview for you I'll stop
- 3:04blabbering you guys can listen to it
- 3:06this is myself and Andrew all right so
- 3:10welcome to the uh show I really wanted
- 3:13to bring Andrew on because Andrew works
- 3:17you know quote unquote for big Pharma
- 3:19and one of the biggest things that I see
- 3:21that you know people on my comments
- 3:23section and you know various you know
- 3:25under almost every video I post
- 3:27everyone's like you're a big shield for
- 3:28Pharma you're a shield for Pharma and
- 3:30Pharma this and Pharma that so I wanted
- 3:32to bring someone on who is actually big
- 3:36Pharma and just to talk to us about
- 3:39maybe the rules and regulations they
- 3:41have because I know the rules changed in
- 3:422005 and I know you've been doing this
- 3:44for a very long time and you know I want
- 3:48to talk about maybe first how drugs come
- 3:51to Market and then what you guys are
- 3:54allowed to say or do with doctors
- 3:56because a lot of people think you guys
- 3:57take us on these lavish vacations to
- 3:59Hawai or pay us under the table or even
- 4:03just straight up pay us like you know
- 4:04some people think that doctors get paid
- 4:07at the end of the month for how much you
- 4:09know Statin they prescribed here or
- 4:12whatever medication they prescribed and
- 4:13I don't know why this is but I figured
- 4:15one of the best ways to dispel these uh
- 4:18theories and and and you know conspiracy
- 4:21theories is to have someone on actually
- 4:23who works with big Pharma represents
- 4:25medications to doctors um shows up to
- 4:28conferences you know does whatever you
- 4:30know brings doc uh you know medications
- 4:34to Market I think that's a great place
- 4:36to start now still probably some people
- 4:38are GNA think we're just lying and you
- 4:40know making it up you know but hey we
- 4:42still got to do it you know right so why
- 4:45don't why don't you introduce yourself
- 4:47first tell us a little bit about
- 4:48yourself and then we'll maybe kind of go
- 4:49from there Al so my name is Andrew um
- 4:52I'm a personal friend of Dr Alo and I've
- 4:54uh I've been in the pharmaceutical
- 4:56industry for um the last 10 years years
- 5:00I have absolutely for a off the bat I
- 5:02have absolutely no business relationship
- 5:04whatsoever with Dr Alo I be honest with
- 5:08you I don't even know where his office
- 5:09is um I know he's somewhere in Ohio
- 5:11that's all I know I'm about seven states
- 5:13away in Florida so um you know we became
- 5:17friends on Instagram one of the things I
- 5:18kept noticing was all the all the
- 5:20rhetoric out there about uh big him
- 5:23being a you know a shill for big Pharma
- 5:26and so forth and you know I think what
- 5:28really motivated me to discuss this was
- 5:31because I feel that because of that that
- 5:33stigma people are making the wrong
- 5:35decisions in terms of their overall care
- 5:39um so for one you know we I wanted to
- 5:43discuss I don't think people really
- 5:45understand how a drug actually comes to
- 5:46Market okay it is a very very long and
- 5:50extremely expensive process here's the
- 5:53process number one there's Discovery and
- 5:56development they discover a compound
- 5:59single molecule usually let's say single
- 6:01molecule usually the easiest if you want
- 6:03to say easiest then there's the
- 6:05preclinical research okay where it goes
- 6:07into investigations then there's
- 6:09clinical research that's where we have
- 6:11phase one phase two phase three there's
- 6:14FDA drug review and F and then there's
- 6:17step five would be the FDA has market
- 6:19drug drug safety monitoring what I just
- 6:22explained is a very long process and on
- 6:25average for a single molecule could
- 6:27probably usually comes to about 900 $85
- 6:30million in cost up to I mean more
- 6:34complicated medications could be several
- 6:35billion dollars so it's a very very long
- 6:38and expensive process and here's the
- 6:40thing there's a lot of medications that
- 6:43have been uh that don't make it that
- 6:45fail in phase two fail in phase three
- 6:48and it's a lot of money that they're
- 6:50investing in making sure that a drug
- 6:52actually works it's a lot of rigorous
- 6:55testing to make sure that these
- 6:57medications actually work they improve
- 6:59patient outcomes and they essentially
- 7:02save lives um so right off the bat I
- 7:06wanted to talk about how you know
- 7:08expensive of a process it is and what
- 7:12all the work goes into actually when
- 7:15that medication you know gets from a
- 7:18theory to you picking it up at the
- 7:21pharmacy it's very long very very
- 7:24expensive and I guess in terms of time
- 7:28Horizon because a lot of people don't
- 7:29understand saying like a drug may have
- 7:30been discovered in in you know a
- 7:32molecule let's say a may have been
- 7:34discovered in
- 7:351970 but it didn't never came to Market
- 7:38till 1986 for example why why is that
- 7:42the case I know you understand it and I
- 7:44understand it but maybe explain to us
- 7:45maybe the the process that things have
- 7:48to go through well one you got to get
- 7:49somebody to fund it you have to have um
- 7:52you have to have you have to have
- 7:54somebody to fund this like for example a
- 7:56lot of your third generation beta
- 7:58blockers
- 8:00um that are the cardio selected ones
- 8:01they were actually they they were known
- 8:03about back in the late 90s but they
- 8:05didn't actually come to Market till you
- 8:07know probably around 2010 2011 and so
- 8:11forth so one you have to have somebody
- 8:13who's going to fund these studies who's
- 8:15going to actually discover the molecule
- 8:16fund the studies and they're really
- 8:19going to uh in invest um invest a lot
- 8:21into it and it has to go through all the
- 8:23regulatory approval it's a very long
- 8:25again it's a very long process and you
- 8:27have to have have people that um a
- 8:30company that's really uh has the
- 8:32financial means to put it through that
- 8:35rigorous testing and I think that as
- 8:39difficult as that is I think that's also
- 8:41the good thing it's good that you could
- 8:44be almost rest assured when you
- 8:45prescribe it to a patient and you know
- 8:47when I talk about it with you that these
- 8:49drugs have been rigorously studied okay
- 8:55and you know to ensure the most amount
- 8:57of safety and anything that is deemed to
- 9:00be unsafe um in clinical trials they
- 9:03they act it right away so I think that's
- 9:05one of the things that people don't
- 9:06realize the difference between a
- 9:08supplement versus a
- 9:10pharmaceutical they both go through
- 9:12almost the same kind of process except
- 9:15that to become an actual pharmaceutical
- 9:17they have to prove efficacy they have to
- 9:20prove that it beat Placebo by you know
- 9:22large margins they have to prove that it
- 9:24was reproducible you know that not just
- 9:27one lab one place tried it and it work
- 9:29you know you have to have tons of
- 9:30studies to show that this thing works
- 9:32and we can purify it we can make it
- 9:34easily whether it's an injection or a
- 9:37pill or you know I don't know all kinds
- 9:39of different ways eye drops whatever you
- 9:41have to prove that whereas in the case
- 9:43of a supplement you really don't you
- 9:45just tou on something big right there
- 9:47because
- 9:48nowadays there's a lot of supplements
- 9:51out there that we could mention
- 9:52especially in the cardiovascular space
- 9:54that people ask me about they ask you
- 9:57about because they hear they see
- 10:00something where a study showed that
- 10:01using natoc canes cleared somebody's
- 10:03arteries okay for example I would love
- 10:06to believe that okay I would love for
- 10:09that to be I'm serious I'd love for that
- 10:10to be true it sounds great okay but
- 10:13really they haven't been tested it
- 10:15hasn't really been shown in a multitude
- 10:18of patient cohorts the studies are
- 10:20extremely horribly designed um and it's
- 10:24not really well monitored not really
- 10:25well regulated you don't really know
- 10:27what's in it um you know but but for but
- 10:31most most supplements or most
- 10:34pharmaceutical drugs one time were
- 10:36supplements is something you really good
- 10:37um extrapolating on like we talk about
- 10:40statins are derivatives derivatives of
- 10:42um meore was derivative of red yeast
- 10:44rice we talk about that the otens
- 10:47converting enzymes are derivatives of
- 10:50Venom um how metformin is derivative of
- 10:54the French lilac plant in France and how
- 10:57aspirin's oil of winter green so a lot
- 10:58of pharmaceutical drugs they did have
- 11:01natural Origins that in the discovery
- 11:04process we did see that they had promise
- 11:06and that they did work what the
- 11:08pharmaceutical companies do is the what
- 11:11we do is we understand how to dose it
- 11:14because that's great that these drugs
- 11:15but we don't know how to dose it we know
- 11:17how to dose it we know how to tweak it
- 11:19so it can be better absorbable like for
- 11:21example it's like I know um a lot of the
- 11:23a lot of these supplements but one of
- 11:25the big ones now is kirkin which might
- 11:28show a little promise the problem is it
- 11:30has really bad absorption for example so
- 11:33therefore nobody really knows how much
- 11:34you even need how much you would you
- 11:36even need to take to get a therapeutic
- 11:37effect so that's where you know we would
- 11:41we would research it and we would
- 11:42determine if this actually works and how
- 11:45to dose it for example so you know
- 11:48that's that's and the thing is the
- 11:50dietary supplement again you don't
- 11:51really know what all you're getting they
- 11:53could say anything they want because
- 11:55there is no governing body that holds
- 11:57them accountable they could say I mean
- 12:00some of the claims on like for example
- 12:01talks about like the beetroot or
- 12:04something like that where it talks about
- 12:05lowering blood pressure nitric oxide and
- 12:08I'm like well I know what stimulates
- 12:10endothelial nitric oxide you know and
- 12:13I'm like that stuff Dam sure Ain bolic
- 12:15you know so like anyhow so yeah that's
- 12:18um that's one of the big uh issues we
- 12:20have going on yeah I always tell the
- 12:22story I have a friend who in the mid to
- 12:26late 2000s you know owned a supplement
- 12:28company
- 12:29I think this is one of the big problems
- 12:31with the supplement industry I mean it's
- 12:33a problem and it's not a problem in in a
- 12:34certain way it's nice that you can just
- 12:36bring things to the market to test it
- 12:37out on people but also it's unregulated
- 12:39and it's crazy to be able to make up
- 12:41stuff and test on people but this guy he
- 12:44you order these from China or India or
- 12:46wherever it might be he got these
- 12:47specifically from China you basically
- 12:49send him a graphic of your label they
- 12:51print your label put it on these bottles
- 12:52and they were really just sugar pills
- 12:55and you you could put anything on the
- 12:57label you wanted you could put
- 12:59testosterone booster you could put
- 13:02French lilac you know you can just make
- 13:03up whatever you want you know horse hoof
- 13:06shaving extract whatever I mean you know
- 13:08there's all kinds of nutty stuff
- 13:09nowadays but you could literally put
- 13:11almost anything you want on the bottle
- 13:13on the wrapper they chip him 5,000 of
- 13:16these things with you know 30 tablets in
- 13:18each one or whatever it might be and
- 13:19he'd sell them on Amazon and I remember
- 13:21one month he was struggling to sell them
- 13:23so he just relabeled the
- 13:26bottles he would just switch it he would
- 13:28just switch it from like testosterone
- 13:30booster to G Boba to whatever you just
- 13:32kept switching it until finally started
- 13:34selling the funny thing is people would
- 13:36leave reviews and comments I'm like yeah
- 13:38as soon as I got this I felt so much
- 13:39better you know the problem is people
- 13:42will feel better if they are taking
- 13:43something that they think will make them
- 13:45feel better because the placebo effect
- 13:47is so potent that even if you are
- 13:49getting the placebo and even if you know
- 13:51you're getting the placebo you will
- 13:53still report improved outcomes which
- 13:55people don't understand how potent that
- 13:57is when you believe in something you
- 13:59believe it's going to help you and you
- 14:00start taking it you notice that you feel
- 14:03better so you were going to say
- 14:04something no there was a there was a
- 14:06study I forget the exact statistic where
- 14:09it showed that I think four out of five
- 14:12um fish oil supplements did not contain
- 14:16any fish oil or there were there was
- 14:18some fish oil but it had really
- 14:20contaminate it was a lot of like other
- 14:22ingredients and contaminants in it too
- 14:24that's another thing that we got to
- 14:25bring up there you know a lot of this
- 14:27stuff is not being made in an da
- 14:29approved facility and you don't really
- 14:31you don't know what other kind of
- 14:32fillers they're putting in there and
- 14:34there's one thing there's two things
- 14:36that you brought up that were really
- 14:37good points um is that they could say
- 14:39whatever they want when a drug gets to
- 14:42Market okay the only thing you can say
- 14:44about it is what its indication is okay
- 14:49for example if your drug is for kidney
- 14:52disease the only thing you could say is
- 14:54that yes this is for kidney disease or
- 14:56the only thing this you this is for
- 14:57hypertension this is for cholesterol
- 14:59whatever you know in the dietary
- 15:02supplement world it's like the wild west
- 15:04they can say whatever the hell they want
- 15:06so to me what is more unethical you I
- 15:10mean what is more shady you know in my
- 15:13in my opinion now granted there are
- 15:15supplements that worked and we talked
- 15:16about this yesterday creatin monohydrate
- 15:19absolutely Works
- 15:21absolutely absolutely Works um you know
- 15:25but a lot a lot of what we see you know
- 15:28some of them have promise but again it's
- 15:31a really unregulated um yeah and
- 15:34contamination even happens in you know
- 15:37prescription drugs we've had a lot of
- 15:38recalls you know I remember one year
- 15:40like we can't you know they recalled all
- 15:42the lartin you know because it was came
- 15:44from a factory that was contaminated
- 15:46with whatever it was some carcinogenic
- 15:48stuff and they had to pull it so even if
- 15:50you are fully regulated and whatnot
- 15:53there are still chances that something
- 15:55makes it through that isn't or is toxic
- 15:57or whatever or doesn't have enough like
- 15:59one year it was like oh there it was
- 16:00only 18 milligrams instead of 32 or
- 16:02whatever it might be I'm just making
- 16:04that up but even in FDA regulated stuff
- 16:08sometimes things can happen so just
- 16:10imagine in a completely unregulated
- 16:12market like it like let's say we didn't
- 16:14have FDA rules and regulations I could
- 16:16literally put the word testosterone on
- 16:20pills and sell them and scam everybody
- 16:22and make billions of dollars cuz there's
- 16:24no rules or regulations the supplements
- 16:26don't work but like what I mean people
- 16:29buy it you know yeah they will buy it
- 16:31and and they will obviously not get
- 16:33better obviously you got any idea how
- 16:35many people bought the liver King
- 16:36protein powder or something oh well he
- 16:39stated in an interview before he even
- 16:41became popular that he made $100 million
- 16:42do a year selling supplements and he
- 16:45owned 20 sub companies and they're
- 16:47bringing to Market this guy stuff and
- 16:49this guy stuff Paul saladino you know
- 16:51carnivore MD who's no longer carnivore
- 16:54uh he he's the you know we I debated him
- 16:57he uh he was one of his subsidary
- 17:00companies that he sells I forgot the
- 17:02name of his company soil and earth or
- 17:05something like that but he sells he
- 17:07sells liver extract supplements or
- 17:10testicle goat liver whatever it is but
- 17:14they sell the stuff to to people
- 17:17claiming all these benefits and they got
- 17:19a huge following and people buy it and
- 17:22they don't realize that you might be
- 17:23getting something that's contaminated
- 17:25something that contains nothing or
- 17:27something that even if it contains liver
- 17:29extract what is it actually doing for
- 17:31you you know what what is the point you
- 17:33know it may or may not have any benefits
- 17:36and another thing that people don't
- 17:37realize is all of these supplement
- 17:39companies are owned by Pharmaceuticals
- 17:43like how hard is it to make fake sugar
- 17:45pills and label them fish oil omega-3
- 17:48you know whatever you want whatever it
- 17:49might be you know it's very easy for you
- 17:51you already own a company you already
- 17:52bottle of you know pills and whatever
- 17:54you could easily throw labels on there
- 17:56and and they there are third party
- 17:58tested ones I get all that you know
- 17:59we're not you know going down the rabbit
- 18:02hole just saying it's all fake you could
- 18:03be buy buying a b complex you know P
- 18:06hole it contains everything it says it
- 18:08contains but those are still owned by
- 18:10pharmaceutical companies so people are
- 18:12like well yeah I don't want to support
- 18:13big Pharma I'm just gonna buy
- 18:16supplements instead well you are
- 18:17supporting big Pharma who do you think
- 18:19makes Nature's made just I just it kills
- 18:22me because it's like the amount of
- 18:24people probably you know what probably
- 18:26in your practice probably 90% here I'm
- 18:29going to say something that's pretty
- 18:30bold I would say 90% of your patients
- 18:32would be dead if it wasn't for
- 18:33pharmaceutical drugs oh I would say the
- 18:36reason that many Americans and people
- 18:39all across the world are still alive
- 18:40today is because of Medical Therapeutics
- 18:43whether it's the the big Pharma drugs or
- 18:46the stent technology the MRI Mach
- 18:49scanners the Phillips whatever cameras I
- 18:52mean all of that the anti-cancer yeah
- 18:55say not just in cardiology but in the
- 18:57field of onology and so I mean the
- 18:59amount of people that I mean look how
- 19:01long people are living look how how
- 19:03obese they are unfortunate look at the
- 19:04amount of metabolic syndrome we see and
- 19:07people are still walking around the
- 19:09problem is that they they don't realize
- 19:13until it's too late they have already
- 19:15graduated to a
- 19:16Cardiologist and that when I say
- 19:18graduated to a Cardiologist they didn't
- 19:20listen to their PCP primary care
- 19:22position and you know now they're in a
- 19:24position where they have to take the
- 19:26medications and so forth and next thing
- 19:28you know it's like realized oh they work
- 19:29I should have done this I should have
- 19:30done this a lot sooner rather than
- 19:32taking beetroot or you know cinnamon or
- 19:36whatever whatever you want to whatever
- 19:38you know another thing people don't
- 19:39realize is like some of these far netral
- 19:42you know the the supplements actually
- 19:44increase inflammation and increase there
- 19:46like you know cinnamon in one of the
- 19:48studies actually increased CRP you know
- 19:51an inflammatory markers so I think
- 19:52people think these things are benign oh
- 19:54it comes from nature it must be healthy
- 19:57not always you try drinking arsenic or
- 20:00whatever it might be you will be dead
- 20:03right and a lot of these from nauticals
- 20:06you know supplements unfortunately have
- 20:08adverse effects and outcomes that people
- 20:10don't realize like oh I take you I had a
- 20:12patient once they're on they're on like
- 20:1415 different things like vitamin this
- 20:17and vitamin that and you know cinnamon
- 20:19and turmeric and garlic I'm like dud how
- 20:21much does this cost you a month there's
- 20:23like 600 bucks a month of stuff that
- 20:26could be going towards healthier better
- 20:28food
- 20:29could be going towards their actual
- 20:30medications at work you know although
- 20:32like their insurance probably covers
- 20:33most of it but still you're spending six
- 20:36700 a month on something that is
- 20:38unproven you don't even know if it is in
- 20:40what you're taking and may have harmful
- 20:43effects or may be interacting together
- 20:45because there's nobody checking like you
- 20:46know when you go to the pharmacy at
- 20:47least you pick up a prescription the
- 20:50computer system automatically checks
- 20:52interactions right they're taking kumin
- 20:54with the am odone with sistan with
- 20:56whatever the uh the computer already
- 21:00checks to see if there's interactions
- 21:01but if you're taking all this
- 21:03nonsense the computer has no idea
- 21:06because and and and you have no idea
- 21:07you're buying a bottle of vitamin this
- 21:09and vitamin that and you know whatever
- 21:11and they all don't play well together
- 21:13you you could be causing more harm than
- 21:16than good to yourself um so so you
- 21:19brought up a really good point you said
- 21:20most of the drugs are covered anyway
- 21:23which is true because most of the
- 21:25medications and this is going to tie
- 21:26into what I really want get into about
- 21:29do Physicians get paid by big Pharma
- 21:31because that's one of the things I see
- 21:32people harass me about um so um most of
- 21:36the medications I would argue that most
- 21:38of the medications you prescribe are
- 21:40generic yeah absolutely yeah almost
- 21:43everything we prescribe is a $3 to $20
- 21:47co-pay for a 90day supply depending on
- 21:50what your insurance is and what plan you
- 21:51even even with generic medications even
- 21:54if you don't have insurance they're like
- 21:5620 bucks yeah so
- 21:59most of them most of them
- 22:02doc if they're generic most of them are
- 22:04really cheap that if you're a cashpaid
- 22:06patient it should be
- 22:08affordable absolutely they're like
- 22:11almost every cardiac medication with the
- 22:13exception of maybe I'd say the newer
- 22:16like weight loss drugs the newer
- 22:18diabetes drugs
- 22:20maybe the heart the newer heart failure
- 22:22drugs the majority like there's a few
- 22:25there's a handful that that we kind of
- 22:26need that are not generic but the vast
- 22:28majority I'd say 90% are generic and
- 22:31there's no money in generic drugs I mean
- 22:34no there's no money drugs at all because
- 22:38they're no longer being marketed there's
- 22:40no more Representatives out there
- 22:42discussing their e efficacy and their
- 22:45efficiency there's yeah there's there's
- 22:47none more and there's a bunch of there's
- 22:48a lot of companies now have the rights
- 22:50to them and so that's why it's so cheap
- 22:52a lot of generic manufacturers yeah so
- 22:55they're very their pennies in the dollar
- 22:57and U now we talk about
- 22:59doctors being being paid so there's one
- 23:01thing that everything due to Stark law
- 23:04and sunshine act that requires a physici
- 23:06to report any kind of monies they
- 23:09receive from any kind of entity so
- 23:12there's a website you could go on to
- 23:14called open payments.com
- 23:16now you can go to open payments.com and
- 23:20you could look and see how much money he
- 23:22has received okay it's not much so
- 23:25you're going to be disappointed if you
- 23:26go check it out he ain't getting rich
- 23:27off of big Pharma
- 23:29okay it's not at all so and and that's
- 23:32the thing that people don't realize it's
- 23:34actually public information you can go
- 23:36to like you said I think it's
- 23:37openpayments.cms.gov
- 23:39or or something like that I'll put the
- 23:41link you know down below but people can
- 23:43go and look you can type in your family
- 23:45doctor your oncologist you could type in
- 23:47any doctor in the country let's say
- 23:48there's this famous doctor on YouTube
- 23:51that's always talking about cancer drugs
- 23:52or treatments or whatever you can
- 23:54actually type their name in and see how
- 23:55much research grants they've received
- 23:58you you know from from pharmaceutical
- 23:59companies how much how many lunches
- 24:02they've received how many whatever and
- 24:04it's all listed there and it's split up
- 24:05even by the type of payments let say
- 24:07they received 53 payments of $10 you
- 24:11know those are and they're listed as
- 24:13like you know the lunches that the farm
- 24:15reps bring you you know if they received
- 24:17a research grant for $180,000 you know
- 24:19it could be they're working on the next
- 24:20big CT scanner or something I don't know
- 24:22you I'm kind of making that up but it is
- 24:24broken down by different you know ways
- 24:28that that funding got there whether it's
- 24:29research grants or educational programs
- 24:32like you know these lunches and dinners
- 24:34and whatever so it's it's public it's
- 24:36public knowledge it's super regulated
- 24:38why don't you explain to us maybe the
- 24:41process that you have to go through as a
- 24:42farm rep now you you are a farm rep
- 24:44right and you bring food to doctor's
- 24:47offices you do educational programs
- 24:49whether it's dinners or you drop off
- 24:52samples and you bring lunch for the
- 24:54office explain to us how complicated
- 24:56that is and what you have to do on your
- 24:58end to report things like that so
- 25:01lunches can't for one they can't go over
- 25:02a certain dollar amount I mean what
- 25:05would that be like how what does that
- 25:07mean so for example let's say you have
- 25:11usually it can't go usually it can't go
- 25:12over $5 $20 a head so in other words
- 25:16what you're buy it's called modest meals
- 25:18the meals have to be very very modest so
- 25:21it's you know it can't be like a $1,000
- 25:24bottle of wine or caviar or something
- 25:27has ordinary no no none of that so for a
- 25:30for an educational lunch what is called
- 25:32an educational lunch has to be has to be
- 25:34a modest meal for example it can't go
- 25:37over 10 usually $5 $20 ahead um and you
- 25:41could only do that twice a month per
- 25:44physician so it's not you can go there
- 25:46every day and you know bring fim and Yan
- 25:49and all that stuff I didn't even know
- 25:51that I didn't I didn't know that part
- 25:53that it was limited to twice a month
- 25:55that's good to know yeah it's limited to
- 25:56twice a month that's actually I don't
- 25:57know how recent that was but when I back
- 26:00in the day I don't know if it was like
- 26:01that but now it's now it's like they're
- 26:03limited to twice a month and um yeah you
- 26:06don't now you could it's two meals in a
- 26:08month and one snack I believe and a
- 26:11snack is like Starbucks or something
- 26:13like that's one time it's not every time
- 26:14it's not every time I'm seeing you and
- 26:17because there's there's there's laws now
- 26:19that state that we can't do anything
- 26:20that's going to influence a physician it
- 26:23has to be very everything has to be very
- 26:25modest everything has to be very um
- 26:28there's nothing you can do that can
- 26:30influence that doctor into prescribing
- 26:32your medication and how what does that
- 26:34mean what does that mean it can't be you
- 26:37can't influence a doctor like what does
- 26:39that mean it means you can't bring you
- 26:42can't I mean you can't bring items of
- 26:45monetary value you know I can't you
- 26:47can't walk into a doctor's office with
- 26:49hey I got front row seats the Broncos
- 26:51doc all right you know there you he
- 26:54already wants it so you know
- 26:58so so it can't be exorbitant obviously
- 27:02right can't be anything I mean the best
- 27:04I can give you is a sandwich from Subway
- 27:06because a lot of people so a lot of
- 27:08people you know when I tell them this
- 27:10you know I'll comment on one of my
- 27:11comments somebody like you're just
- 27:12getting paid by big farm and I'm like no
- 27:14I'm not you can actually not in the
- 27:16because you know in all fairness in all
- 27:17fairness is why we're doing this videos
- 27:19Because unless you're in the no how
- 27:21would you know how would you know that
- 27:23and that's what we're trying to
- 27:24demystify right there I get that part
- 27:27and I tell them I respond I say listen
- 27:30it's all public knowledge it's all pump
- 27:32public info it's tightly regulated you
- 27:34can actually go look it up on the
- 27:35government's website it's like no you're
- 27:37getting paid under the table because
- 27:39it's easier for somebody to believe that
- 27:41it's all a big conspiracy rather than to
- 27:43actual look at the actual facts look at
- 27:47the look at the look at the public
- 27:49record look at look at the laws research
- 27:51the laws it's more it's easier for me to
- 27:54just say ah he's getting paid by big
- 27:56Pharma and all that stuff you know I
- 27:58think that's that may be part of it but
- 28:00some people say well you're getting paid
- 28:02under the table I have family members
- 28:03that work in medicine and they tell me
- 28:05everything like how is it possible that
- 28:08somebody gets paid under the table what
- 28:09does that even mean I don't even know
- 28:12what what that means or how would that
- 28:14even work is there any way that a
- 28:17pharmaceutical company can pay a
- 28:18physician for example to prescribe meds
- 28:21or anything in a way that is quote
- 28:23unquote under the table or whatever it
- 28:25might be I can't see any way absolutely
- 28:29that is 100% inaccurate no there is a
- 28:33very big culture of
- 28:35compliance talk to me I remember one
- 28:37time you were explaining to me that you
- 28:39were at a conference you know your your
- 28:41company or somebody I forget what it was
- 28:43they they sponsored like a table at a
- 28:45conference maybe right you know I was
- 28:47about to bring that up yeah good point
- 28:49talk to me about that like what is the
- 28:50rules and regulations because I know
- 28:51it's super strict of what you can do
- 28:54what you can't do the amount of form
- 28:56because because I think old days you
- 28:58used to be able to bring doctors like
- 29:00pens and notebooks and a clock you know
- 29:03I remember what one of the doctor's
- 29:04officers had like a lipor clock or
- 29:06something like that but like you could
- 29:08in the past do stuff where you bring
- 29:10like non nonf food items and
- 29:12non-educational items but you you can't
- 29:15even give us a pen anymore you used to
- 29:16have all these like medical pens that
- 29:18had drug names on them but I remember my
- 29:20dad used to bring us those when we were
- 29:21kids but you're not even allowed to do
- 29:22that anymore right no because that that
- 29:24would be an item of monetary value the
- 29:26pen has value to it the only thing that
- 29:28I could give you is I can give you
- 29:31educational marketing material now
- 29:33certain educational marketing material
- 29:34like if I were to give you a jamama
- 29:36article um that would show up I forget
- 29:40how much that is that would show up on
- 29:41your open payments it was like $20 or
- 29:44something like that so even if you gave
- 29:45me a printed out article right you just
- 29:48photocopied an article out of a magazine
- 29:50or you know ordered the reprint whatever
- 29:52might be and you handed me an article I
- 29:55I would get that on my record even just
- 29:58photo copying out of a
- 30:01magazine yeah yeah essentially yes that
- 30:03would come on your record there's
- 30:05certain articles I could get I could
- 30:06give you that would come up on your
- 30:08record everything is accountable is
- 30:11accountable for now here's a way that
- 30:14doctors do get paid okay show me tell me
- 30:18yeah there are ways doctors do get paid
- 30:20and that is for doing educational
- 30:22programs so we do have doctors who are
- 30:25trained speakers that um
- 30:28they now how much it is I don't know
- 30:31they educate other physicians in the air
- 30:33we have dinner programs so where they
- 30:35you would educate your colleagues and so
- 30:37forth on you know um a certain
- 30:40medication notes within your field that
- 30:41you are um an advocate for now um it's
- 30:45got to be at an approved venue it there
- 30:48can be no alcohol
- 30:50involved um so they can be very boring
- 30:53um there's a specific menu you can order
- 30:56from uh the you can't bring anybody
- 30:59that's not involved in the prescribing
- 31:01process in other words you can't bring
- 31:03you can't bring your family with you you
- 31:06can't bring your kids with you it's a
- 31:08very lock and
- 31:10key uh meeting a very very very very
- 31:14very strict and the burden is on me to
- 31:17make sure that everything is
- 31:19compliant um and most of the time
- 31:22everything is but it's very there's a
- 31:23lot of rules and regulations you got to
- 31:25follow so what is the you have to fill
- 31:28out forms or how does that work I don't
- 31:30understand the back end of that I mean I
- 31:32just let's say like I did one that
- 31:33everybody's got to fill out a form like
- 31:35who they are you put your license number
- 31:37NPI number and so forth and you know you
- 31:40just you know you just State your you
- 31:42know who you are essentially so it would
- 31:45be like Dr Alo Muhammad Alo and then you
- 31:47put your your your your specialty
- 31:49Cardiology okay you're approved does the
- 31:52drug pertain to Cardiology if it does
- 31:53then he belongs here if it's a drug that
- 31:56pertains to Pediatrics then get the hell
- 31:58out you know so they're very strict so
- 32:01they're even strict with if I if I show
- 32:03up to one of these meetings it's for
- 32:04kidneys and not hearts that goes against
- 32:08you
- 32:10right I it's not GNA I mean maybe kidney
- 32:12and heart are too related right because
- 32:15cardal syndrome and all that yeah but
- 32:17let's say I show to a Podiatry
- 32:19meeting Tona fungus or something no no
- 32:23you know yeah so that would be very
- 32:26problematic and and how intense is the I
- 32:29remember one time you were explaining to
- 32:31me the amount of paperwork that you have
- 32:34to file in in these situations where
- 32:37let's say you dropped off an article I
- 32:39forget what it was you were explaining
- 32:40that the amount of like forms you have
- 32:42to fill out is um insane I forgot what
- 32:44it was um but but the the whole I guess
- 32:47the whole point is that it's it's very
- 32:50very regular it's everything has to be
- 32:52accountable for so if you leave if you
- 32:55leave an article of importance you know
- 32:58um of clinical value you have to account
- 33:01for who actually you gave that article
- 33:03for to what purpose it what what purpose
- 33:06you gave it to them for um so it's very
- 33:09it's very uh yeah it's it's more so it's
- 33:12a lot of accountability it's a lot of
- 33:14accountability it's a lot of Regulation
- 33:17you can't just walk in and hand anybody
- 33:19so those folders that they you know like
- 33:20those little folders or pamphlets they
- 33:23bring you does that count against you
- 33:25like if you drop off like a those little
- 33:28things like how to prescribe whatever
- 33:29medication might be do are those
- 33:32marketing materials technically that
- 33:33those are marketing materials but those
- 33:35aren't yeah those aren't like they're
- 33:37not monetary though they're not like
- 33:39monetary no like it was it's an article
- 33:42reprint that's different story an
- 33:44article reprint is different so yeah but
- 33:46if it was just like here's how to
- 33:49prescribe it here's a copay card or
- 33:51something like that that's that's
- 33:53different yeah that's I know I remember
- 33:55in in the in the past somebody would
- 33:57sometimes I get these Farm reps and
- 33:59they're like hey you know have you heard
- 34:00of our new drug it cures blah blah blah
- 34:02heart disease I'm like okay sure you
- 34:05know show me the studies I want to I
- 34:06want to read the studies so and then
- 34:08they next time they'll bring you a study
- 34:09so that actually counts against me if
- 34:11they bring me that reprinted New York
- 34:13Journal or whatever they have to tell
- 34:15you
- 34:17that they have to tell you that like if
- 34:19I were to bring you there specific
- 34:22article I could bring you let's say a
- 34:23jamama article I have to tell you hey
- 34:25Doc just let you know this is going
- 34:27against your
- 34:28uh your this is going to be on payments
- 34:30and so forth now if I don't tell you
- 34:32that and that comes up and the doctor
- 34:34sees it that that rep is not in
- 34:36compliance oh so I don't know that I've
- 34:39ever had anybody tell me that so uh
- 34:42maybe they assume you know I mean that's
- 34:44how ignorant I guess some of us are with
- 34:45this stuff um but yeah I don't know that
- 34:48anybody's ever said that to me and I I
- 34:50do if I'm very skeptical I usually am
- 34:53very skeptical about new medications
- 34:55right I mean we no way you
- 34:59yeah I'm even skeptical about
- 35:01medications are already approved for
- 35:02stuff yeah but but say somebody comes up
- 35:06with this new medication and they're
- 35:07like this stuff causes creates fixes
- 35:09everything right and I'm very skeptical
- 35:11I'm like okay well you know show me the
- 35:13studies and like you know I don't have
- 35:15it with me but I can bring it to you
- 35:16next week you know whatever it might be
- 35:18then next week they bring you a reprint
- 35:20and I look at it and read it over I can
- 35:22decide for myself if I think the
- 35:23medication's worthwhile or not but they
- 35:26generally at least in the past May did I
- 35:29don't recall them ever saying to me by
- 35:31the way if I hand you this this is going
- 35:33to show up on your open payments or your
- 35:35sun be because it might not have been an
- 35:37article that would qualify for that but
- 35:39if it's an article that qualifies for
- 35:41that you are supposed to let that doctor
- 35:43know so if it's one that required a
- 35:46reprint you know requests and rights and
- 35:49all that then then sure but if not then
- 35:51that like if it's an old one know the
- 35:53old New England Journal stuff is free
- 35:55like that stuff you don't have to pay
- 35:56for yeah after the first six months you
- 35:59can just access everything it's pretty
- 36:00much free so maybe right right right
- 36:02right right right so so yeah that's
- 36:06that's where that's where a lot of that
- 36:07a lot of that regulation and such and
- 36:09such comes in in terms of like yeah what
- 36:11you leave for a doctor but pens
- 36:14clocks um which they don't do anymore by
- 36:17the way that's illegal now that is
- 36:19that's yeah because
- 36:20that's value 2004 maybe or 2005 I think
- 36:24the rules changed around that like I
- 36:26remember back in the day
- 36:28they could bring you all that stuff like
- 36:30the the Levitra pen it would be like it
- 36:31would like go up no
- 36:33way you know the Calis you know erectile
- 36:36dysfunction pens one of them was called
- 36:38Levitra yeah I think that's of it I
- 36:40don't remember but it you you like to
- 36:42write with it you'd have to like press a
- 36:44button and it goes it like sticks up
- 36:46like that it was oh my God that's
- 36:48awesome they all had like super creative
- 36:49stuff some of the pens once like you
- 36:52know phones and tablets came out they
- 36:54had like the back end was a funny rubber
- 36:56thing that you could used to write on
- 36:58your iPhone or whatever and some of them
- 37:01had like laser pointers and all kinds of
- 37:02neat stuff but you know obviously they
- 37:04don't do that now some of the pens even
- 37:05had like a bright light you know you
- 37:07could look down somebody's throat with a
- 37:09lipor pen or whatever it was I don't I'm
- 37:10just making that part up but it was like
- 37:12they had some really creative stuff but
- 37:15all of a sudden I think right around
- 37:162005 all of that was banned you could
- 37:19have bring pens you couldn't bring
- 37:20notebooks you couldn't bring clocks you
- 37:22know all the display models like all
- 37:24those like you know cool little like
- 37:25like even just a display like this
- 37:28you know something simple that's
- 37:30educational they're not allowed to even
- 37:32bring stuff like that um anymore now you
- 37:34can order these online yourself and this
- 37:37one has a name on it of some company but
- 37:40they're not even allowed to bring you
- 37:41any of that stuff anymore so even like
- 37:43the littlest things they're not allowed
- 37:44to do was there ever a time I'll ask you
- 37:47because you've been doing this longer
- 37:49than I have was there ever a time where
- 37:51you could take doctors out to like
- 37:53Hawaii or Florida not in my not in my
- 37:55tenure no your because a lot of people
- 37:58also think that they think well yeah who
- 38:00took you to Hawaii last week I'm like
- 38:03nobody has ever taken me to Hawaii I
- 38:06would actually if if they were doing
- 38:07that I would sign
- 38:10up I mean I'm kidding I've never been to
- 38:12Hawaii but last I checked to take a
- 38:14family of six to Hawaii is like 40 50
- 38:17Grand or some ridiculous number like
- 38:19that oh oh easily yeah that that is uh
- 38:23that's off my list that's that's not
- 38:26that can't that is yeah that doesn't
- 38:28happen ever that is I think that's I
- 38:30think I think the problem is this I
- 38:31think people see stuff like the new
- 38:34Netflix documentaries where it was like
- 38:36that that that that uh document not
- 38:39documentary that that that series on the
- 38:42oxycodone um that I think it was Purdue
- 38:46made oh that series that series I know
- 38:50people see that and they think that
- 38:54that's oh that's got to be how the
- 38:55industry is and no that's that's that's
- 38:57not how the it's not one for all that's
- 38:59um you know because there have there
- 39:01have been outliers out there and um you
- 39:05know I think people see that and they're
- 39:06like Ah that's how the industry is
- 39:08that's like their aha that's like their
- 39:09gotcha moment when in reality it's like
- 39:12um you know that's that's not that's not
- 39:15really how it is at all so explain to me
- 39:18the process like let's say you show up
- 39:19to a doctor's office to talk about
- 39:22whatever medication and you bring
- 39:24everybody in the office lunch does does
- 39:26the whole ticket go on the doctor's
- 39:29record or does it also go on like the
- 39:31nursing staff's records or do those not
- 39:33I mean obviously they don't have open
- 39:34Sunshine laws for like the staff no that
- 39:36doesn't hit that do how does that that
- 39:38doesn't hit you so you only you only get
- 39:41hit for the $5 sandwich or $10 Panera
- 39:45you know soup or whatever it
- 39:47is what do what you let's say I have a
- 39:50staff of five people and you bring you
- 39:52bring everybody a Panera sandwich the
- 39:54total amount was like $56 but I ate a $5
- 39:57sandwich I only get the $5 sandwich on
- 40:00my sunshine a no none of that would go
- 40:03on none of that would go on your
- 40:04Sunshine so so the sandwich wouldn't go
- 40:06on my sunshine act no none of that none
- 40:08of that would none of that would get
- 40:10none of that would get reported I don't
- 40:12think I don't think an educational meal
- 40:13would get reported that way no I'm
- 40:16pretty sure it does you know I've seen
- 40:18those show up but I mean like it it's
- 40:20it's not your staff meal like you know
- 40:23like let's have nurse and oh I I see I
- 40:25see what your question is no it would be
- 40:27um it would be for example you had five
- 40:30people it would be 56 $56 and you would
- 40:32divide so it's why we have a signin
- 40:34sheet so everybody who's there has to
- 40:37write down I've we've done that yeah so
- 40:41we have a lot of offices right and I
- 40:43think one thing people to understand is
- 40:44like we have some offices in some pretty
- 40:46depressing parts of the city where you
- 40:49know some of these expensive non-generic
- 40:52medications that are lifes saving our
- 40:53patients need like elquist Toto and I
- 40:56know you're not you know in any of these
- 40:57medications so um you know it's not
- 41:01related but you know they need these
- 41:02medications let's say for heart failure
- 41:04even right and they can't afford them
- 41:06they're in the dnut hole like the
- 41:08elderly we have you know some offices in
- 41:09very poor areas some of our patients we
- 41:11see like completely for free they're
- 41:13like look doc I know I need to see you
- 41:14guys I I don't have insurance I don't
- 41:16have any like listen don't worry about
- 41:17the insurance we'll just charge you like
- 41:1810 bucks a month for the next few months
- 41:20or something no big deal like you know
- 41:21we don't we take care of patients
- 41:23regardless but when when the farmer
- 41:25brings us samples if they bring lunch
- 41:28for everybody you know let's say it's 10
- 41:30people and everybody it's like a $10
- 41:32sandwich for 10 people that's a 100
- 41:34bucks whatever it might be does that
- 41:35entire 100 bucks count against everybody
- 41:38in the office staff or that doctor or do
- 41:40you just get the 10 Buck sandwich or
- 41:43whatever it might be a good question I
- 41:45don't want to give you a definite answer
- 41:46because I'm not 100% sure on that one
- 41:48because I I had asked another Farm rep
- 41:50that same question and they said no you
- 41:52only get charged for that the one
- 41:54sandwich that you ate whether it's a $5
- 41:56to $10 sandwich or whatever it might be
- 41:58at least that's my understanding I don't
- 42:00really know and I have looked at my open
- 42:02payments um and and others I've
- 42:04researched it because I want to know
- 42:06what it is and what's reported man they
- 42:09got everything on
- 42:10there if somebody brings you even like a
- 42:14bag of chips you know or even a little
- 42:16Starbucks Coffee which I don't ever ask
- 42:18for and and and even if they they did
- 42:20which sometimes they'll do like hey dog
- 42:22I got you some coffee what did you like
- 42:23I'm like I just like black coffee like
- 42:26oh I got you a mocha like what is that
- 42:28like a big cup of sugar but they bring
- 42:30you this whole thing like coffee for
- 42:32everyone in the office but you know you
- 42:34get the $5 thing shows up on your
- 42:36whatever so I'm thinking you know I
- 42:38don't understand it fully um but from a
- 42:41reporting standpoint do you know how
- 42:43that part works on the back end or not
- 42:44really oh that part Works uh I I'm not
- 42:48exactly sure how that works on the back
- 42:50end all I know on R is we have to we
- 42:52have to record we have to record
- 42:55everybody who attended a educational
- 42:57lunch you know with a signin sheet and
- 42:59so forth make sure that they have that
- 43:01they have that they should be there uh
- 43:03there and and so forth but actually how
- 43:06that would be recorded on your back end
- 43:08how that would hit you I don't want to
- 43:10give a definite answer because I I'm not
- 43:12I'm not entirely sure maybe we'll do a
- 43:14followup and discuss follow I know is
- 43:17the meals have to be very modest they
- 43:18have to fit within a dollar specific
- 43:20dollar amount otherwise I you know
- 43:22otherwise the representative would get
- 43:24flagged for
- 43:25it gotcha yeah and then you guys would
- 43:28get in trouble and now is there like FDA
- 43:30oversight obviously I mean I'm assuming
- 43:33because it it is the CMS government's
- 43:35website is the government's website so
- 43:37like oh absolutely if like for example
- 43:39like somebody came to your office for
- 43:41lunch and they spent $1,000 on Fame
- 43:43minons and it was with three people uh
- 43:46there would be there would be one the
- 43:47expense report would never be approved
- 43:50um and you that person would get in a
- 43:52lot of trouble okay you'd have a lot of
- 43:54explaining to do you'd better have one
- 43:56damn good Reon why you did that I can't
- 43:58think of that would make sense right
- 44:01yeah and then the other question I have
- 44:03and this is maybe just what is your
- 44:06theory why do you think that people in
- 44:10the general public now obviously they
- 44:12don't know all of this we're doing this
- 44:14video to help educate people on this
- 44:15topic why do you think people in the
- 44:17general public think that at the end of
- 44:20the month you know some pharmaceutical
- 44:23company looks up how many lipor for
- 44:26example it is a medicine now but how
- 44:28many Statin you know because people post
- 44:31this a lot of my videos like oh yeah the
- 44:32Statin companies are paying you how how
- 44:34big is your check at the end of the
- 44:36month I don't why do people think that
- 44:39at the end of the month somebody
- 44:40somewhere in some magical company looks
- 44:43up how many statins I prescribed which
- 44:46pretty much all of them are generic
- 44:47except one and that's the one I never
- 44:48prescrib how many times you prescrib to
- 44:52medicine and you get some big fat check
- 44:55at the end of the month why do people
- 44:56think that do you have any idea I know
- 44:58just hypothesizing it's just like you
- 45:01know I was at my mother's the other day
- 45:02and she tells me um you know she
- 45:05recently got she got put on um some
- 45:07medications and she's like oh you know I
- 45:09don't really want to be on it because
- 45:10they falsify studies I'm like really and
- 45:13I I'm like my mind like Mom do you know
- 45:15what I do and like I'm thinking to
- 45:18myself like how do they how do they let
- 45:19me uncover this as to why oh well you
- 45:23know I was talking to my herbalist
- 45:26naturopath natural aath whatever at the
- 45:28health food store and they said they
- 45:29falsify studies and I'm like how does
- 45:32that person know that I think that you
- 45:34know it's something that it's a
- 45:37conspiracy theory that people just
- 45:39believe and if you're somebody who's
- 45:40trying to sell dietary supplements it
- 45:42makes perfect sense to paint these
- 45:45pharmaceutical companies as the bad guy
- 45:46if you're trying to sell dietary
- 45:48supplements and it creates a very
- 45:51emotional argument if I were to say
- 45:54something as cunning as oh that Dr Alo
- 45:58guy he's being funded by big Pharma and
- 46:01it's all a big conspiracy and so forth
- 46:03it kind of gets somebody it creates an
- 46:06emotional response in somebody oh yeah
- 46:08that's got to be it that's got to be it
- 46:10you know and you know and and it's so
- 46:13it's it's just easy it's the perception
- 46:15it's the public perception it's easy to
- 46:17believe you know when in reality it's
- 46:20the furthest thing from the truth and
- 46:21people suffer because of it do you think
- 46:24that people and I I kind of noticed this
- 46:27in a lot of things not just this exact
- 46:29topic but I feel like people sometimes
- 46:33are looking
- 46:34for something that's out of their
- 46:37control to blame for something like
- 46:40let's say we think that you know we're
- 46:44sicker as a country right you know all
- 46:45these Med fluenc and health fluenc keep
- 46:47telling everyone that we're sicker as a
- 46:49country 93% of the public is not
- 46:51metabolically healthy and you know they
- 46:53go off on all these things which all may
- 46:55be true but they want to almost blame
- 47:00big food big agriculture big Pharma seed
- 47:03oils you know the saturated fat you know
- 47:05whatever it might be they they want to
- 47:07blame some superpower that they have no
- 47:10control over I think part of that is
- 47:13people's need to feel safe maybe in a
- 47:16way that they just want to feel like oh
- 47:18you know I can't control that it's these
- 47:20super natural superpowers conspiring
- 47:23against me to keep us unhealthy as a
- 47:26person people can't stay consistent on
- 47:29it and you know I thought I think uh in
- 47:32one podcast Lane Norton brought up a
- 47:35really good point where he said that
- 47:36like people they it's like right when
- 47:39somebody gets on board with one thing a
- 47:41new thing comes out they're like oh
- 47:42shoot got to divert to that now so it's
- 47:44like you can never stay on one thing
- 47:47because it's always like first it's
- 47:48going to be like oh you got to do keto
- 47:50up now you got to stay away from this
- 47:51got to stay away from that stay away
- 47:52from that and the problem is like these
- 47:55these I guess Med fluenc who have it
- 47:57shouldn't even be called influencer
- 47:58because they have no medical training
- 48:00you know the problem is they purport
- 48:02that they do they call themselves doct
- 48:04Berg let's say for example Dr Berg is
- 48:06actually a chiropractor that's a really
- 48:08good point they call another person will
- 48:10call himself Dr Jones and he's actually
- 48:12a doctor of physical therapy or you know
- 48:14doctor of dentistry I mean they are
- 48:17technically doctors and and I wish it
- 48:21was like they were a PhD they're not
- 48:22they're not like they're doctors of
- 48:24something random but even let's say
- 48:26medical doctors and phds and actually
- 48:28know what they're talking about you look
- 48:31them up and you try to figure why is
- 48:32this doctor saying this and it's like oh
- 48:34look at you know click their links they
- 48:36sell supplements and have a discount
- 48:38code for that and a discount code for
- 48:39this thing and and I don't mind people
- 48:42selling supplements I'm not like an
- 48:44anti- salesperson I I'm a free market
- 48:47capitalist I tell people sell whatever
- 48:48you want but just be honest about it
- 48:50like if you want to S own card that
- 48:52sells like olive oil they supposedly
- 48:54went across to Italy to like get the
- 48:56olive
- 48:57any research I forget which card it was
- 49:01um it's a specific olive oil that
- 49:03cleanses your arteries this is an actual
- 49:05cardiologist is actually saying it
- 49:09and I was just saying to myself when I
- 49:11looked at it it would got me like oh
- 49:12he's a he's a cardiologist let me see
- 49:14what he's got to say and I was like man
- 49:15that's I have never seen any kind of
- 49:19anything that could do something like
- 49:20that then I saw okay he owns the company
- 49:22it's it's and if he was if this was in
- 49:25the actual medical Community though
- 49:28that's Stark CLW because he directly
- 49:30benefits from it and you can't do that
- 49:33you know problem is it's unregulated
- 49:34because it's olive oil it's a food
- 49:36that's the thing supplements are
- 49:38classified as a food and you can't
- 49:40regulate it you can say whatever you
- 49:42want and a physician has to use people
- 49:45say why doesn't a physician you know
- 49:48when you have high cholesterol why don't
- 49:49they prescribe you red yeast rice and N
- 49:51can believe it or not there's some that
- 49:52do but a good physician knows that they
- 49:55have to use evidenced based medicine
- 49:58that have proven
- 50:00outcomes data to treat their
- 50:04patient otherwise you're not you're not
- 50:07treating you're just yeah passing the
- 50:09buck along until they have another heart
- 50:11attack or another stroke and I see that
- 50:13all the time I've had patients that have
- 50:15had one heart attack and like hey you
- 50:17know they come in again like hey why is
- 50:19your cholesterol back up what happened
- 50:20oh you know my friend told me not to
- 50:22take the stens or this like d you've
- 50:24already had a heart attack like you know
- 50:26do you think I would lie to you do you
- 50:28think like I would make things up and
- 50:29tell you that's I said before once
- 50:31they've already graduated to seeing you
- 50:34which like I mean let's be real nobody
- 50:37wants to see you
- 50:39involuntarily you know like I like
- 50:41seeing you like this voluntarily you I
- 50:44mean So like um but it leads it leads to
- 50:48um it leads it leads to another thing
- 50:50too is why are pharmaceutical drugs why
- 50:54are they considered to be there's a
- 50:56stigma that they are expensive here's
- 50:58the thing and this ties back to the
- 51:00first thing that we
- 51:02discussed is long five-step process to
- 51:06get approved 985 million to a couple to
- 51:09maybe in the billions okay if somebody
- 51:13didn't obtain it for free they can't
- 51:16sell it for free then they got to do
- 51:18marketing which you know they have to do
- 51:21direct to to physician education and so
- 51:24forth It's like it's like your car okay
- 51:28if I was a car salesman I can't give you
- 51:30your car for give you the car for free
- 51:33because somebody had to build it
- 51:34somebody had to buy the part and so
- 51:36forth but here's the good part that
- 51:40people don't
- 51:41realize cost prices on a pharmaceutical
- 51:43drug is like the sticker price on a car
- 51:46there's rebates there's discounts
- 51:49there's buy down cards there's the co-
- 51:54card mon 30 days free yeah yeah those
- 51:58are huge people don't realize how much
- 52:00pharmaceutical companies give away for
- 52:02example our elderly patients if they're
- 52:04in the donnut hole or some of our poor
- 52:05patients you know in various parts of
- 52:07town they don't have money to get a
- 52:10prescription drug that they need we have
- 52:11them fill out the you know assistance
- 52:13program and they send it to them for
- 52:15free so right people don't realize that
- 52:17pharmaceutical companies you know are
- 52:18not these big huge evil evil
- 52:21corporations and I get it everybody
- 52:22wants to make money if I invented
- 52:24something sweet and I made a billion
- 52:25dollars great you know you do do the
- 52:26same thing that's fantastic so I'm not
- 52:28against that but also these companies
- 52:31are very gracious and benevolent and I
- 52:34would say like 10 to 20% of our patients
- 52:36maybe get their medications almost
- 52:38completely paid for and free because the
- 52:41companies have these Assistance programs
- 52:43that you fill out this form you send it
- 52:45in you qualify for the free medication
- 52:47they just send it to you for free so I
- 52:49think that's something people don't
- 52:51realize either is that these
- 52:53pharmaceutical companies will send the
- 52:55medications for free to people who can't
- 52:58afford it don't meet you know certain
- 52:59criteria and I feel like that's a huge
- 53:02help to to our patients another uh
- 53:06question I wanted to ask you is
- 53:08obviously the the medications in the US
- 53:11cost way more than they do you know in
- 53:13in other countries part of that is the
- 53:16broken overall system that we pay for
- 53:18the research and development and then
- 53:19the rest of the world benefits obviously
- 53:21we're the richest country in the world
- 53:23and we have the best scientists and the
- 53:24best data so I get some of that
- 53:27do you have any do you get do you know
- 53:28anything about that or maybe why that
- 53:30happens or what what are your thoughts
- 53:32on
- 53:33that why why is the cost for medications
- 53:36greater here than in the rest of the
- 53:38world like why are we paying As
- 53:40Americans for the research and
- 53:42development so that everyone else in the
- 53:43world can
- 53:46benefit um well that's a that's a that's
- 53:49a loaded question I know it's not it's
- 53:52not uh we're not going to solve this
- 53:54problem today but do you like a quick
- 53:57thought on it maybe I know that we could
- 53:58do a whole podcast on
- 54:00that that's probably that's a that's a
- 54:03that's a whole another podcast on why
- 54:05are prescription why why why does the US
- 54:08have a higher that's a that's a whole
- 54:10that's where you get into a lot of
- 54:11emotions and a lot of people's opinions
- 54:13um but yeah the US US does carry a
- 54:17significant burden of the cost um but
- 54:20you know overseas I mean overseas there
- 54:23are the
- 54:25way the way the ministries of medicine
- 54:27operate in Europe are completely the way
- 54:30the European uh medical agencies operate
- 54:33in Europe is completely different than
- 54:35the way the United States does a lot of
- 54:38their guidelines are even different than
- 54:40than ours too um a lot of the studies
- 54:43are aren't just aren't just done in the
- 54:45US a lot of them are done all over the
- 54:47globe essentially um but you know for
- 54:51example in Europe a um they don't really
- 54:56have how do I put
- 54:57it a representative of a company can
- 55:00only go see a doctor in certain places
- 55:02in Europe once a year um because that's
- 55:04the laws that they have over there which
- 55:06are very very very very strict now why
- 55:09are costs more what you're saying why
- 55:11are costs in the US more expensive than
- 55:13Europe um they have a completely
- 55:16different structure that's that they
- 55:18have a completely different structure
- 55:20that's a whole another yeah I think it I
- 55:21think it depends on the country because
- 55:22some of the countries their government
- 55:24pays for everything so I mean I guess
- 55:26guess it depends but I guess like I feel
- 55:28sometimes we as Americans are paying the
- 55:30costs for research and development I
- 55:33know this has nothing to do with you
- 55:35cost for the research and development
- 55:37and then the rest of the world kind of
- 55:39benefits but I guess that's not a uh
- 55:41topic that NE either of
- 55:44us that's that's a loaded one that's
- 55:47above my pay rate yeah me too I don't
- 55:50know you know if I was a public policy
- 55:52maker had a masters in public health or
- 55:53something maybe um one other thing that
- 55:56I wanted to ask um that that seems to
- 56:00come up a lot is every time people don't
- 56:03realize this but every time you guys do
- 56:06anything um in terms of like approaching
- 56:09a doctor talking to a doctor that's all
- 56:11recorded right you know yeah maybe talk
- 56:15about that a little bit what what what
- 56:16exactly interaction doctor gets recorded
- 56:20yeah I mean it gets recorded in our you
- 56:22have to turn that in at the end of the
- 56:24day because they they track you guys I
- 56:25mean like of the guys I was talking to
- 56:27tells me like they keep a thing on our
- 56:30car and they see where we're going and
- 56:32how long we stopped there and stayed
- 56:33there I don't know if they do that um no
- 56:36maybe maybe they do I don't know I don't
- 56:38know if they actually do that that's a
- 56:39little that might be a little too
- 56:41aggressive but um I know that if I were
- 56:44to have a conversation with an actual
- 56:46conversation with you about uh you know
- 56:49a certain uh medication or whatnot I
- 56:52have to log or if you for example
- 56:54samples I leave I leave you with some
- 56:55samples
- 56:57that's called sample accountability
- 56:59those are actually FDA approved
- 57:01medications that are highly regulated so
- 57:04that has to have I have to put how many
- 57:07samples the lot number has to have your
- 57:09autograph on it and it and also the
- 57:12location you just said you had multiple
- 57:14locations I have to make sure that I'm
- 57:15at the right location so I can't sample
- 57:18you in your office
- 57:19in Toledo and you got another office in
- 57:22I don't know any other towns in Ohio
- 57:23like another town in Ohio so um I got to
- 57:26make sure the location is accurate I got
- 57:28to make sure it's actually you um so yes
- 57:32everything has to be recorded it's not
- 57:33just like hey here's your samples see
- 57:35you later you know so even if we have a
- 57:37conversation where samples are not admin
- 57:40are not left I still have to record what
- 57:43I what we uh what we discussed and then
- 57:47on our end we have to have everything
- 57:49locked so it cannot be sitting out in a
- 57:52cabinet that is not locked with a key
- 57:54like because they are ated substances
- 57:57like you know these are these are
- 57:58controlled substances you know to a
- 58:00certain degree it's not like somebody's
- 58:01going to steal some aspirin but you know
- 58:04these are regulated substances anything
- 58:06that that is brought over that is a
- 58:07medication that must be given out with a
- 58:10prescription has to be locked up in you
- 58:12know with a lock and a key or some of
- 58:14them need to be even refrigerated you
- 58:15know it just kind of depends on the
- 58:16medicine but no I think this has been
- 58:19definitely very very uh educational
- 58:22hopefully people that watch us Come Away
- 58:24with a little bit more of an
- 58:26understanding of how regulated this is
- 58:30because I think people think it's almost
- 58:32like the Wild Wild West and I'm sure
- 58:34maybe in the beginning it was more like
- 58:35the wild wild west where they're you
- 58:37know maybe back in the 70s and 80s you
- 58:39could take people to Hawaii and Florida
- 58:42and boat trips long before my time long
- 58:44before your time yeah golf trips people
- 58:46like yeah they take you golfing all the
- 58:48time don't they I'm like no that is a
- 58:51anything like something comes out and
- 58:53they realize okay this isn't this isn't
- 58:55the way to do it have to be more
- 58:56protective of you know everything that's
- 58:59happened over the last I want to say 10
- 59:03years in the industry has done nothing
- 59:06but benefit the patient and they don't
- 59:09realize it yeah AG thing that the
- 59:12dietary supplement industry has done has
- 59:14done nothing to not benefit the patient
- 59:17okay but to enrich their own pockets for
- 59:20sure unfortunately look hold on there's
- 59:23there's a lot of people that we know
- 59:25that make diet s is there are good
- 59:27people I believe that really do like see
- 59:30like to it that like the right stuff
- 59:32actually goes into it and so forth you
- 59:35know there's a lot of guys that do make
- 59:37quality protein powders and so I'm not
- 59:40I'm not talking about the yeah
- 59:43absolutely there's definitely yeah
- 59:45benefits and proven benefits to certain
- 59:47things protein creatine C you know if
- 59:51you need Vitamin D you know that's you
- 59:53know proven you know we're not I don't
- 59:54think we're talking about that but we're
- 59:56talking about these people that come up
- 59:58with some nonsense that are like you
- 1:00:01know buy
- 1:00:02my testosterone support Blend or
- 1:00:06whatever it is you know like that kind
- 1:00:07of stuff is I think what we're getting
- 1:00:09as like people buy somebody once told me
- 1:00:11that their cayenne pepper supplement
- 1:00:14Arjuna supp was able to improve
- 1:00:15somebody's ejection
- 1:00:17fraction it's true story you know and
- 1:00:21I'm like I don't even know they that
- 1:00:22they actually know what left ventricular
- 1:00:24uh dysfunction really is you know to
- 1:00:26even say something like that but what
- 1:00:28what's really really scary about that is
- 1:00:32that you would or somebody that said
- 1:00:34like oh this helps somebody breathe
- 1:00:37breathe better and what's really scary
- 1:00:39about that is that person gets convinced
- 1:00:41by that person and they will decide to
- 1:00:44stop taking whatever medication their
- 1:00:47doctor put them on for that and they
- 1:00:48will use that here's a good example I
- 1:00:51was in an
- 1:00:53elevator and this young lady walks in
- 1:00:55she was leaving in the endocrinology
- 1:00:57clinic that I was I was I was in and
- 1:01:01she's talking to herself saying you know
- 1:01:04that doctor doesn't know anything I'm
- 1:01:05just going to go on Tik Tok and I'm
- 1:01:07going to research this I thought it was
- 1:01:09a joke it really wasn't a joke and then
- 1:01:11when you look at that and this is really
- 1:01:15unfortunate I've had to do this but we
- 1:01:17and I've told you we've labeled this in
- 1:01:19like stages okay and you wanted to dive
- 1:01:22into this there's stage one there's
- 1:01:23stage two there's stage three there's
- 1:01:25stage four tell me okay there's stage
- 1:01:28one where I look at that patient and I
- 1:01:30don't mean to use the Simpson grading
- 1:01:32scale okay um you're not talking about
- 1:01:34cancer but stage one is like that
- 1:01:38person is reasonable they will say they
- 1:01:41will come to you and say these are these
- 1:01:43are stages of like conspiratorial Theory
- 1:01:46be believing like people who believe in
- 1:01:48conspiracy theories yes and what level
- 1:01:51and what level of reachability that they
- 1:01:54have okay the
- 1:01:56the stage less likely everything's going
- 1:01:59to happen the most of the people you're
- 1:02:00dealing with is unfortunately stage four
- 1:02:03okay that's why I look at it I'm just
- 1:02:05like God why is he even why is he even
- 1:02:06like doing this you know stage one is I
- 1:02:10look at it as like okay that person you
- 1:02:12could probably get through to them
- 1:02:14because they did hear something but
- 1:02:16they're saying to you Doctor I did hear
- 1:02:19something like this online what is your
- 1:02:22medical opinion on this and should I do
- 1:02:24it that's a state one person because you
- 1:02:27know that person is they're not a doctor
- 1:02:29how would they not know you know um and
- 1:02:31you could more than likely convince that
- 1:02:32person there's a stage two person that
- 1:02:35is pretty convinced okay but with a
- 1:02:38decent amount of you know talking to
- 1:02:41that
- 1:02:42person that stage two would be like my
- 1:02:44mother okay my mother is big into herbs
- 1:02:46and all that stuff but my mother's on a
- 1:02:50medication for her cholesterol yes she
- 1:02:53had high cholesterol go figure um and I
- 1:02:57I didn't inherit the gene from her um
- 1:03:00and she's on a medication for her blood
- 1:03:02pressure okay now her herbalist was
- 1:03:05telling her not to use those medications
- 1:03:07okay her blood pressure was really high
- 1:03:10her um LDL was in was like 115 or
- 1:03:12something like that she got on a stattin
- 1:03:15she got on Crestor and she got on uh
- 1:03:17Talma sartan and next thing you know
- 1:03:19everything is perfect okay the point
- 1:03:22being was I was able to convince her
- 1:03:24even though she was very very s on not
- 1:03:26using that okay in other words she was
- 1:03:30she was resistant but it wasn't
- 1:03:32impossible to get through to her stage
- 1:03:34three man that's difficult stage three
- 1:03:36is the person that there's that inkling
- 1:03:39of them that wants to know what you have
- 1:03:43to say Doc but they're still they can't
- 1:03:47get over this hump in their mind that oh
- 1:03:50I could just take Natok canes okay can't
- 1:03:52tell you how many people have me asking
- 1:03:54me about Natok canes right uh it's this
- 1:03:57true St we've got you you've had people
- 1:03:59uh on your show talk about Nat Cades for
- 1:04:02having sake and now stage four is the
- 1:04:04person that that's the person that's
- 1:04:05going to be argumentative with you
- 1:04:07that's the person that's GNA say oh
- 1:04:08doctor you feel happy now oh doctor
- 1:04:11you're just that's complete
- 1:04:12CoQ10 will raise an ejection for I saw
- 1:04:15that and one of your things you I
- 1:04:18was I just like why why is he
- 1:04:20entertaining this you know that's
- 1:04:22somebody that there's no way you could
- 1:04:24have been the guy that invented the EKG
- 1:04:28and they still would not believe you and
- 1:04:31it's
- 1:04:33unfortunate it's unfortunate that those
- 1:04:36are going to be the ones that will see
- 1:04:38you once they hope if they end up
- 1:04:42graduating to a
- 1:04:43Cardiologist they will see because they
- 1:04:45used unproven methods that never worked
- 1:04:48so the stage four people are too far
- 1:04:51gone to even get through basically
- 1:04:54everybody you talk to on Instagram
- 1:04:57I think those I think those are just the
- 1:04:59loud like I'm hoping and the reason I
- 1:05:02went online and started teaching all the
- 1:05:03stuff is maybe to reach to the masses
- 1:05:05because I saw so much craziness out
- 1:05:07there you know there's a lot of nonsense
- 1:05:09around cholesterol and heart disease and
- 1:05:11all these people just create these
- 1:05:13accounts and say a bunch of nonsense to
- 1:05:15sell their supplements right so I wanted
- 1:05:17to get out there and be like Listen
- 1:05:18People here's how all this stuff really
- 1:05:21works if these supplements worked we
- 1:05:23would turn them into the next billion
- 1:05:25dollar drug like it's really not that
- 1:05:26complicated like you know red yeast rice
- 1:05:28worked at least one little molecule and
- 1:05:30it did and that's how we discovered STS
- 1:05:33oil of Wintergreen at least the
- 1:05:34salicylic acid in it works and that's
- 1:05:36how we came up with Aspirin same thing
- 1:05:38with Sweet Clover French lilac you know
- 1:05:40all the stuff you name even uh rap ayin
- 1:05:42which is used in anti-aging circles um
- 1:05:46which I uh from
- 1:05:48yeast no rap of myosin is from um a
- 1:05:51fungus in Polynesia well fungus is yeast
- 1:05:56okay I'm sorry yeah so I think that's
- 1:05:58what I that's what I meant but I get
- 1:06:00that so I think a lot of people at least
- 1:06:02when I first started going on but I also
- 1:06:03think that these people are like the
- 1:06:04loud people like I think most people
- 1:06:06watch a video and they're like oh yeah
- 1:06:07cardiologist you know that makes sense
- 1:06:08you know eat a healthy diet you know
- 1:06:10exercise all that if you need
- 1:06:12medications you need medications but I
- 1:06:13think the people in the comment section
- 1:06:15are like this guy's a shill for big
- 1:06:16Pharma don't ever take medications take
- 1:06:18some lemon and mint tea and you'll get
- 1:06:21the same results I think those are the
- 1:06:23loud
- 1:06:26uh obnoxious ones that that just think
- 1:06:28they know everything and they are stuck
- 1:06:30in this conspiratorial Loop this
- 1:06:32feedback loop because they the the
- 1:06:34algorithms are really good at feeding
- 1:06:36you what you like to hear the algorithm
- 1:06:38knows what videos you're watching the
- 1:06:40most what kind of comments you're making
- 1:06:42what you're watching and they feed you
- 1:06:44this stuff to like almost brainwash you
- 1:06:47into being more conspirator like
- 1:06:49thinking doctors are really trying to
- 1:06:51kill you thing is they will never they
- 1:06:53will never change their ways I I really
- 1:06:55like people that can change their
- 1:06:57viewpoints Based on data for example I
- 1:07:00remember years ago maybe God man maybe
- 1:07:042018 L do Dr laye Norton was doing a uh
- 1:07:09I think I think his doctor was analyzing
- 1:07:10his blood work and the first thing his
- 1:07:13doctor said was that Lane's lbll was
- 1:07:15like in the 130s or something like that
- 1:07:16I forget the exact number and the do and
- 1:07:19L was like well I don't have a history
- 1:07:20of cardiovascular disease and my C
- 1:07:22reactive protein is good it's it's zero
- 1:07:24or whatever so that should be fine the
- 1:07:26doctor actually agreed with him and me
- 1:07:29you know being in this field I was
- 1:07:32saying in my mind oh that's not a good
- 1:07:34idea then years later when it happened
- 1:07:37when he did his Labs again or when he
- 1:07:40actually looked at research he was like
- 1:07:42okay this is something that I was wrong
- 1:07:43on he admitted this something I was
- 1:07:45wrong on LDL is not good for you I'm on
- 1:07:49Crestor now I don't know if he is but
- 1:07:50like I'm on Crestor now or something
- 1:07:52like that he actually admitted it and
- 1:07:55that was with the people that I like
- 1:07:56listening to you know there's the people
- 1:07:59that will despite seeing all the data
- 1:08:02they like no it's a conspiracy having L
- 1:08:04high LDL is fine and so forth I think um
- 1:08:08you you've come after a lot of guys like
- 1:08:09that you had a debate with Paul saladino
- 1:08:11about
- 1:08:12LDL um and I'm I'm saying to myself like
- 1:08:15like the fact that this is debatable at
- 1:08:17this point you know is scary it's
- 1:08:232024 yeah and this stuff was figured out
- 1:08:26literally in like
- 1:08:281914 that's what's really sad about the
- 1:08:31the simplest experiment the simplest
- 1:08:33experiment they and they fed rabbits
- 1:08:37extra saturated fat and they developed
- 1:08:39atherosclerosis yeah the easiest test in
- 1:08:42the world um you know or and then other
- 1:08:44ones you know later they infused people
- 1:08:47with with lipoproteins you know
- 1:08:48cholesterol and they developed fatty
- 1:08:51streaks almost within hours so you this
- 1:08:53has been known for over a hundred years
- 1:08:55and the fact that in
- 1:08:572024 people are still questioning this
- 1:09:00is very disingenuous I think these
- 1:09:02people some of these people are just
- 1:09:04literally just trying to sell you
- 1:09:05supplements I mean they're like these
- 1:09:07Wellness Way chiropractors and some of
- 1:09:09these people like ah your doctor will
- 1:09:11immediately but you on a understand but
- 1:09:12I figured out this magical thing where
- 1:09:14your ldo cholesterol is Fluffy and large
- 1:09:16and it's okay and blah blah blah and
- 1:09:18they come up with all these crazy ratios
- 1:09:19and this crazy testing that's completely
- 1:09:21unnecessary at this point you know in
- 1:09:23the world of Cardiology they run nmrs
- 1:09:26and vaps and ion mobility and they do
- 1:09:28all this stuff that ended up you know
- 1:09:30turning out to be a bunch of nonsense
- 1:09:31that's not necessary for
- 1:09:3399.99% of people and now but if you come
- 1:09:38to them they got this little b bottle of
- 1:09:40cholesterol off or whatever it's called
- 1:09:43oh yeah yeah all these supplements all
- 1:09:46these crazy supplements or we can crack
- 1:09:47your neck a certain way or your back and
- 1:09:49you know and and your cholesterol will
- 1:09:51go down and you'll be okay well then why
- 1:09:53are you telling us that being high
- 1:09:54cholesterol is okay then if you want to
- 1:09:55bring it down too like you know I don't
- 1:09:57really get that we have things that are
- 1:09:58proven well I've seen Primary Care guys
- 1:10:00tell their tell their patients that have
- 1:10:03had have really high apob really high
- 1:10:05LDL and they'll also take red yeast rice
- 1:10:07take Citrus bergon take
- 1:10:08nin yeah and all of those things are
- 1:10:11unproven in treating and some of them
- 1:10:13are actually harmful like n absolutely
- 1:10:15absolutely NY has failed failed three
- 1:10:18major outcome trials it actually is
- 1:10:21toxic to your liver causes acanthosis
- 1:10:23nigran which is you that means you have
- 1:10:26diabetes it makes your HDL particles
- 1:10:28more
- 1:10:30atherogenic and and the metabolites of
- 1:10:33niin they've recently found and I put
- 1:10:35that in the cholesterol book that's
- 1:10:37coming up here soon yeah yeah they have
- 1:10:39found that the metabolites of nin are
- 1:10:41actually toxic and inflammatory and
- 1:10:44cause your lipoproteins to be even more
- 1:10:45toxic to you so and this is a medication
- 1:10:48that we approved and started using for a
- 1:10:51little while until we that yeah that was
- 1:10:53a medication for a while cu were able to
- 1:10:55see that it raised HDL but they did not
- 1:10:57improve outcomes at all so the whole the
- 1:11:00whole myth not myth behind HDL being
- 1:11:02protective is not as protective as we
- 1:11:04once St because I think a lot of people
- 1:11:06still have the old Dogma that well if
- 1:11:07your HDL is high it doesn't matter if
- 1:11:09your LDL is through the roof because the
- 1:11:10hdl's like the scrubber like that's
- 1:11:12already been that was so 15 years ago
- 1:11:16you know all that stuff with the nias B
- 1:11:19yeah you know you know what I mean um so
- 1:11:22and then and then people don't realize
- 1:11:24like when a when a pharmaceutical
- 1:11:26company pays for a large study and they
- 1:11:28do the study with like 177,000 people
- 1:11:30and they do the study and it didn't work
- 1:11:34you still publish the study like people
- 1:11:36like in the New England still gets
- 1:11:37published yeah still a few weeks ago
- 1:11:39they published a study I forget if it
- 1:11:41was jardians or fora I don't know which
- 1:11:44one it was it one of the medications
- 1:11:45that they started they wanted to know
- 1:11:47because people with heart failure do
- 1:11:49benefit from this medication so they
- 1:11:51wanted to test what if it was heart
- 1:11:53failure right after an acute Mii if they
- 1:11:55had a heart attack and that gave them
- 1:11:57the heart failure what if we gave them
- 1:11:58this medicine right afterwards and it
- 1:12:00was a negative study it actually showed
- 1:12:02no improvement uh at all and the placebo
- 1:12:06and the treatment group had similar
- 1:12:09outcomes it made no difference and you
- 1:12:11have to still publish it so people like
- 1:12:12yeah they don't publish the studies that
- 1:12:13don't work they they they just show you
- 1:12:15the stuff that works like no first of
- 1:12:17all we're not stupid there was a long
- 1:12:20long list of experimental compounds it's
- 1:12:23longer than the ones that get approv
- 1:12:25that never made it for every for
- 1:12:29everyone medication that is approved and
- 1:12:31is working there's like 30 absolutely
- 1:12:35absolutely and people think we're hiding
- 1:12:37these magical substances from them it's
- 1:12:39all it's all is very transparent it's
- 1:12:42all right out in the open the only thing
- 1:12:43I would encourage people to do is to
- 1:12:45actually do the do actual research on
- 1:12:48that go on to open payments and look
- 1:12:51actually try to look at these studies
- 1:12:52you know get on your get on your your
- 1:12:55show and so forth ask these questions
- 1:12:57and whatnot and the thing is though I
- 1:12:59guarantee you the level of transparency
- 1:13:02that you have in the realm that we're in
- 1:13:05you do not have in the dietary
- 1:13:06supplement Market okay not at all you
- 1:13:09can't call a dietary supplement company
- 1:13:11they're going to answer these questions
- 1:13:12I guarantee if there's something wrong
- 1:13:14with one of their there's not going to
- 1:13:15be a big recall that will be hidden from
- 1:13:17the public guarantee you okay well like
- 1:13:20hydroxy cut my friend in medical school
- 1:13:23was like the face of hydro Roxy cut this
- 1:13:26is oh God back in like the early 2000 he
- 1:13:30really yeah he was he was I'm not going
- 1:13:32to say his name but he was a fam hockey
- 1:13:34player turned doctor you know big buff
- 1:13:37huge guy ripped six-pack abs everything
- 1:13:41he was the face of hydroxy cut and
- 1:13:42people thought because it's a natural
- 1:13:44substance this is back when it contained
- 1:13:45aedra because it's a natural substance
- 1:13:48and you can just buy it over the counter
- 1:13:50that it's harmless people were taking
- 1:13:52like three four five six pills three
- 1:13:55four times a day and just T killed their
- 1:13:57livers like three people died of liver
- 1:13:59failure and people think that this stuff
- 1:14:01is harmless because it's natural how
- 1:14:03could it be dangerous if it's natural
- 1:14:05like what do you
- 1:14:06mean yeah that'll get you going yeah I
- 1:14:10mean even water can kill you and it's
- 1:14:12natural and necessary for life but if
- 1:14:14you drink too much too quickly you'll
- 1:14:16actually die you know same thing with
- 1:14:18word natural is thrown around there a
- 1:14:19little bit too Loosely I think there is
- 1:14:23an association if somebody feels
- 1:14:24something is natural it's automatically
- 1:14:26going to be quote unquote healthy for
- 1:14:29you and that's just or or safe they
- 1:14:31think it's safe because it's natural or
- 1:14:34safe you know yeah so I think that's a
- 1:14:36that's a big misconception that people
- 1:14:38have and um you know but yeah I mean
- 1:14:41it's hopefully people get something out
- 1:14:43of this and you know we're we're always
- 1:14:46happy to talk about it yeah and if you
- 1:14:49guys that end up watching this have
- 1:14:50questions drop them in the comments
- 1:14:52myself and Andrew will be more than
- 1:14:54happy to answer them if you think we
- 1:14:56missed something or need to elaborate on
- 1:14:59a certain point we'll be more than happy
- 1:15:00to to to uh jump in the comments section
- 1:15:03on YouTube and do that one last thing I
- 1:15:05did want to mention a lot of times
- 1:15:07people will cling on to this one
- 1:15:09cardiologist I'm not going to name names
- 1:15:11but you know there's this
- 1:15:12anti-establishment cardiologist that's
- 1:15:14online and he's anti- this and antix and
- 1:15:18he's provax and he's this and he's doing
- 1:15:20all this stuff you know he's like Mr
- 1:15:23Superhero to the masses of iracy
- 1:15:25theorist then you go look up his open
- 1:15:27payments and he makes like $2.9 million
- 1:15:29a year damn or no cumulative I'm sorry
- 1:15:32not per year but cumulatively this
- 1:15:34person's made $2.9
- 1:15:36million over their lifespan from Big
- 1:15:39Pharma payments and now they sell some
- 1:15:41weird supplements I'm not going to name
- 1:15:42them because I don't want to give them
- 1:15:44more attention than they need uh but
- 1:15:46they sell these bizarre supplements like
- 1:15:48imagine the craziest thing you can
- 1:15:50imagine they sell this for
- 1:15:52$22,000 um it's just for for for a like
- 1:15:56a like a 30-day Supply $2,000 to reverse
- 1:16:01you know the vaccine just nutty stuff oh
- 1:16:04oh that that is a good marketing idea it
- 1:16:07is it's 2500 genius he he he goes online
- 1:16:12and starts telling people how
- 1:16:14antivaccine he is even though he was Pro
- 1:16:16vaccines before he's Mr anti vaccine and
- 1:16:19anti-is and he sells this supplement
- 1:16:21stack that will reverse the vaccine in
- 1:16:23case you gave it to your children
- 1:16:24children and your mom and your dad and
- 1:16:26yourself now reverse the vaccine it's
- 1:16:29$2,500 for this thing like so there's a
- 1:16:32big myth out there that natoc canes
- 1:16:34reverses the spiked proteins from the
- 1:16:36vaccine or some like that maybe I
- 1:16:39don't know part of the cocktail but I gu
- 1:16:42is not
- 1:16:44$2,000 there's people that are actually
- 1:16:46paying that much money for it you know I
- 1:16:49mean almost
- 1:16:51all all of the ingredients list sure
- 1:16:55they don't tell you everything but if
- 1:16:57you look at the ingredients list for a
- 1:16:58lot of these you know supplement stacks
- 1:17:01that are $2 $3,000 they're actually
- 1:17:04cheap generic stuff that you can buy
- 1:17:05over the counter for like a couple of
- 1:17:07pennies you know and there's this other
- 1:17:09cardiologist that sells like supposedly
- 1:17:11all this cardiac health stuff that's
- 1:17:13like $400 a month like you know you
- 1:17:15could just take some in tresto to
- 1:17:18actually really help your heart you
- 1:17:20won't pay the the $40 co-pay for Ino but
- 1:17:23you'll pay the $400 for some nonsense
- 1:17:25that that doesn't do anything that's
- 1:17:26never been proven that some idiot is
- 1:17:28making tons of money on I think I think
- 1:17:31what Paul saladino said the other day
- 1:17:34you know the carnivore MD on that one
- 1:17:37podcast I think kind of sums this all up
- 1:17:40this guy went from being Mr carnivore MD
- 1:17:43Mr keto Mr don't eat anything but red
- 1:17:46meat don't eat fruits and vegetables to
- 1:17:48now eating tons of fruit and carbs and
- 1:17:52even simple carbs honey and maple syrup
- 1:17:54like stack of it you know like just
- 1:17:56guzzling it down and now he goes on this
- 1:17:58podcast you know a few weeks ago saying
- 1:18:01he doesn't do keto anymore you know
- 1:18:03carnivore anymore because it's just
- 1:18:04unhealthy and he just felt like garbage
- 1:18:07all of his testosterone markers Health
- 1:18:09markers went up or were out of whack and
- 1:18:11his you know his LDL obviously was
- 1:18:12through the roof too it's better is he a
- 1:18:15PCP he's a psychiatrist this is that
- 1:18:17carnivore MD guy yeah so about him like
- 1:18:21I got but wait let me just finish this
- 1:18:22point the point the point I was trying
- 1:18:25to to say is that he went through this
- 1:18:27whole process of discovering how
- 1:18:29carnivore is better and then he comes
- 1:18:31back Loops all the way around to well a
- 1:18:34more balanced diet is actually healthier
- 1:18:36for you so I think like all of these
- 1:18:37people that go through these phases they
- 1:18:40make a ton of money on this they don't
- 1:18:41really need money anymore they sold some
- 1:18:43extreme crazy diet extreme crazy
- 1:18:46supplement extreme crazy pill they come
- 1:18:48around eventually and they like you know
- 1:18:50what what I was doing was whack and
- 1:18:51wrong and it was not healthy and I felt
- 1:18:53like garbage and you know everybody else
- 1:18:55was right a Mediterranean style balanced
- 1:18:58diet was right and I feel like a lot of
- 1:19:01these people they make a killing they
- 1:19:03make their money they make this crazy uh
- 1:19:06social media profile to attract tons of
- 1:19:09you know users visitors views whatever
- 1:19:10they're called followers they go on and
- 1:19:12sell some crazy stuff make a ton of
- 1:19:14money and then they're like you know
- 1:19:16what medit Tran diet is still the best
- 1:19:18you know eat a Balan diet exercise and
- 1:19:21to sort of stay in their Lane like for
- 1:19:23example like I didn't know I didn't know
- 1:19:25who Paul saladino was or what not all I
- 1:19:27know is like I heard him say that LDL
- 1:19:30was good for you and I was like okay
- 1:19:32next I didn't know he was a psychiatrist
- 1:19:34I thought guy's probably a primary care
- 1:19:37physician and I was he saying LDL is LDL
- 1:19:40is good for you and I'm just like okay
- 1:19:42not even gonna bother no further
- 1:19:43questions you're on um and I never even
- 1:19:45really every time I saw video I just I
- 1:19:47just skipped it because you're G tell me
- 1:19:48LDL is good you're not somebody I really
- 1:19:51think is a
- 1:19:52gice but you're also educ ated in this
- 1:19:55topic because you've worked in
- 1:19:56cardiology for so long as opposed to
- 1:19:58like the general public who isn't they
- 1:19:59see a guy who's a board certified doctor
- 1:20:02and even though it's Psychiatry they
- 1:20:04think oh he's a doctor he's got to know
- 1:20:05what he's talking about yeah but that's
- 1:20:08the problem they don't realize
- 1:20:09Psychiatry is a completely different
- 1:20:11you're dealing with uh mental mental
- 1:20:14health disorders not coronary plaque I
- 1:20:17don't think he's ever even practiced as
- 1:20:20a psychiatrist he just became he just
- 1:20:22did it to get the MD behind his name to
- 1:20:24sell books supplements whatever so and I
- 1:20:28don't know that for certain but that's
- 1:20:30what it seems like that's what people
- 1:20:31say so you know I don't want to like
- 1:20:34accuse the guy if that's not true but
- 1:20:36it's say in your lane if you're a
- 1:20:38psychiatrist have a podcast talking
- 1:20:41about stuff with psychiatric disorders
- 1:20:44you're a cardiologist you talk about all
- 1:20:46things
- 1:20:47Cardiology you know like for example one
- 1:20:50time I I asked I I'll keep going back to
- 1:20:53one time I asked Lane Norton about one
- 1:20:56time I said what's your opinion on the
- 1:20:57vaccine his response was not my field of
- 1:20:58study that's it that's it that's perfect
- 1:21:02that's how it should this long list of
- 1:21:04well this that this he's like not my
- 1:21:07field of study done I get that in the
- 1:21:09questions a lot in the comments a lot
- 1:21:11people be like I bet you push the VX and
- 1:21:14I'm
- 1:21:16like what does this have to do with what
- 1:21:18I just said in the video you know and
- 1:21:21it's like almost like a litmus test like
- 1:21:23if if I push the then I'm a bad guy but
- 1:21:26if they're they're pushing some nonsense
- 1:21:28some conspiratorial crazy stuff then
- 1:21:31they're the good guys you know if you if
- 1:21:33you buy $400 worth of supplements every
- 1:21:35month to to enrich the pockets of some
- 1:21:37corporate you know person that's okay
- 1:21:41but heaven forbid you support things
- 1:21:43that are actually proven by science to
- 1:21:44actually work that cost two cents a day
- 1:21:47somebody would say probably in the
- 1:21:48comments somebody might say in the
- 1:21:50comments oh you said the drugs take all
- 1:21:52these years to get put to Market with
- 1:21:54the vaccine was like a much shorter time
- 1:21:58they don't realize that it was started
- 1:22:00in the 1980s with with the HIV epidemic
- 1:22:03when HIV came out it's an RNA virus
- 1:22:06that's when all of the studies on mRNA
- 1:22:09viruses came out but the problem is the
- 1:22:12HIV mutates so quickly that almost no
- 1:22:15vaccine no no mRNA vaccine could work
- 1:22:17against it because literally the second
- 1:22:19it gets into it's mutated a billion
- 1:22:21times so there's no way to to kill it
- 1:22:23with a vaccine yeah but these these the
- 1:22:26cids and I didn't mean to get into this
- 1:22:27topic but don't they don't really mutate
- 1:22:31and so it's easy to make a vacine uh
- 1:22:33against it so that's neither here nor
- 1:22:35there like I I'm not a vaccine or
- 1:22:37Immunology expert yeah you know people
- 1:22:40are like oh my God you guys just pushed
- 1:22:41this thing that's never been proven well
- 1:22:431981 is when they kind of started doing
- 1:22:46this but no I'm glad we had this
- 1:22:48conversation hopefully people uh will
- 1:22:50learn from this and can ask us questions
- 1:22:52we're always you know we'll be available
- 1:22:54in comments obviously any closing
- 1:22:57remarks closing remarks I hope just uh
- 1:23:00people U take some good things away from
- 1:23:02this and hopefully they can make more
- 1:23:04you know informed uh decisions we're
- 1:23:06definitely not you know pushing
- 1:23:08medications on people but we're also
- 1:23:10pushing people to you know it's it's
- 1:23:14hear the other side of the story you
- 1:23:16know like it's like there's a lot of
- 1:23:17chatter about you know things being bad
- 1:23:21but there's also um you know there's his
- 1:23:24side there's her side and there's the
- 1:23:25truth that makes sense and I'm I'm
- 1:23:29assuming the you're going to send me a
- 1:23:31check at the end of the month for all
- 1:23:32this don't even joke around like don't
- 1:23:34even don't even he was totally kidding
- 1:23:36don't even mess around with that I'm
- 1:23:38kidding apparently apparently I get paid
- 1:23:41by a big Pharma so yeah we're going to
- 1:23:43Hawaii yeah actually I shouldn't even
- 1:23:45joke around no we're not going to
- 1:23:47Hawaii um but no hopefully people
- 1:23:50realize now how tightly regulated it's
- 1:23:52like the SEC and the financial mark
- 1:23:54markets it's super tightly regulated and
- 1:23:58you know food like you can't even bring
- 1:23:59foods from certain countries because
- 1:24:00it's so tightly regulated I mean there's
- 1:24:02there's rules in place to keep the BL
- 1:24:05bad players out of the the game um and
- 1:24:08it's super super well regulat very
- 1:24:11strict I mean I'm sure we yeah and and
- 1:24:13let me let me add a final comment here I
- 1:24:15was like I will reiterate like I said in
- 1:24:17the front in in the first part of this
- 1:24:19uh podcast um I have absolutely zero
- 1:24:22working relationship with Dr Al I've
- 1:24:25never been to his office don't know
- 1:24:26where it is don't know how many offices
- 1:24:27he has I don't even know where the hell
- 1:24:29he is right now I know we're just
- 1:24:31personal friends we live in separate
- 1:24:33states that's it all right very good so
- 1:24:37yeah so hopefully people learn from this
- 1:24:39obviously if you guys enjoyed it drop
- 1:24:41some comments below even good ones so if
- 1:24:43you even just drop a comment that helps
- 1:24:45the algorithm push these videos out to
- 1:24:47more people because I feel like not
- 1:24:48enough people are getting the actual
- 1:24:49truth but they're being fed this
- 1:24:52conspiratorial algorithmic nonsense that
- 1:24:54feeds into this spiral of like going
- 1:24:57down the rabbit hole of all these weird
- 1:24:58conspiracy theories if you want real
- 1:25:00actual advice from people who are not
- 1:25:03trying to scam you not trying to sell
- 1:25:04you anything highly recommend you drop
- 1:25:07some comments share these with your
- 1:25:08friends and hopefully more people can
- 1:25:10learn from this thanks for being on I
- 1:25:13really appreciate I know you didn't have
- 1:25:15to do this but I really appreciate it oh
- 1:25:17it's a lot of fun always love uh always
- 1:25:19like hanging out with you all right all
- 1:25:21right take care sounds good yep
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