[00:00:00] Carl Lanore: [00:00:00] Welcome back to another episode of super human radio. Today is a special show. It's a peptide pep talk, and everybody loves the pep talk, and we're going to be talking specifically about stroke. I'm literally like three quarters of a million people a year have a stroke, and most of them never recover. Two thirds of them never go back to work.

[00:00:21] Insurance companies put something called therapy caps on treating stroke because they feel like, eh, you're never going to get better. So we're not gonna have to spend a lot of money chasing dreams, but that may all be changing right now. My guest today is going to be dr Suzanne Turner. From vine medical.com and she's actually had some great success working with people, uh, who have had strokes using peptides and some other things in our protocol.

[00:00:47] We'll talk all about that. Today is February 21st, 2020 those of you listening to the show a hundred years from now, these protocols are probably commonplace by then. Everybody's doing this. You want to be like, Oh my God, [00:01:00] they, they talked about that all the way back in 2020 amazing. We have to thank our title sponsor, legendary foods makers of the tasty pastry.

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[00:01:54] If I can work the controls, my brain isn't working well today.  turn up because I [00:02:00] gave a, I donated a large amount of red blood yesterday. Red blood cells. I definitely feel something, but we'll see. Let's see how I get through the show. How are you? Stroke is a big problem. And there really is very little. I, in fact, I have a good friend, Curtis, who used to be at the gym all the time, who suffered a stroke a couple of years ago, and he's hardly at the gym anymore.

[00:02:24] I'm sure that he feels, I think when people have strokes, they lose all hope because very few people ever recover from strokes. Would you, would you agree with that statement?

[00:02:36] Dr. Suzanne Turner, MD: [00:02:36] That's true. And it's the hardest part is when they get to be about nine months in and they're not seeing improvement or progress.

[00:02:43] Now we're talking about there and they're getting less and less encouraged by the day, and it seems to take longer to get any progress or see anything improved. Um, that's the tough part is when they get to that nine months to a year and they're now at an anniversary where they're [00:03:00] saying, Oh gosh, I don't think things are going to get better.

[00:03:03] Carl Lanore: [00:03:03] It's very sad. So for those who don't understand what a stroke is, right, doctors call it a schemey of reperfusion. It's basically blood vessels bursting

[00:03:11] Dr. Suzanne Turner, MD: [00:03:11] right? So it can happen one of two ways. It can either be the, because of a blood flow increased or the blood, the blood vessel ruptures, or it can be because of a blood clot that occurs typically from the heart through the arteries to the brain.

[00:03:27] And they can cause problems, blockage of blood flow. And now you have an area of what we call a ski Mia.

[00:03:34] Carl Lanore: [00:03:34] So we're basically talking about a rapid acute cessation of oxygen. And then all of a sudden a bunch of oxygen coming in shortly thereafter. Isn't that what the whole ischemia reperfusion phenomenon means?

[00:03:50] Dr. Suzanne Turner, MD: [00:03:50] So there's the Q phase. The initial Carmen is we've lost our blood flow. And then the second part is now as the, as the blood comes back into the area [00:04:00] as we begin to recur fuse. Now agree. Create a second, uh,

[00:04:04] Carl Lanore: [00:04:04] injury. Exactly.

[00:04:06] Dr. Suzanne Turner, MD: [00:04:06] And even the laboratory process that occurs in attempt to heal the injury. The initial injury.

[00:04:13] Can create its own problems because the cells begin to produce inflammatory chemicals that signal other cells beside them to become so even if a tissue wasn't initially involved in the original insult, now all of a sudden the tissue around it can become involved because of the inflammatory chemicals that the.

[00:04:33] And you see cells that are trying to heal the injured tissue coming in there, begin to spew out immune chemicals that are toxic, inflammatory,

[00:04:44] Carl Lanore: [00:04:44] and in in the past. This area, like on the picture, that's a really great picture. I got lucky and found this in a Royal trickery. I know. So. So over time, that red spot will disappear because that's fresh blood, but also it will be [00:05:00] replaced by dark gray.

[00:05:02] Wizard tissue, which blows them up, which becomes the what is considered necrotic tissue in the brain. This is non-functioning, and the best you could hope for at that point in time is that re collateralization of nerves go around the damaged area and try to fix themselves. But that's a real hard thing for them to do without any nudging and help.

[00:05:26] Right.

[00:05:29] Dr. Suzanne Turner, MD: [00:05:29] Yeah, they, they, this will heal up and then it becomes a fibrotic scar. Gliosis the, um, again, the inflammatory cells come in there and create this scar because they can't really reproduce the cells that were there. And so they, they create this fibrosis or scarring that we call gliosis. Um, because it's in the brain and they get this, you know, the non-functioning tissue.

[00:05:54] Carl Lanore: [00:05:54] So the first question on most people's minds is the therapy that we're going to talk about today, [00:06:00] how long or how long after the stroke can we still see results? In other words, there may be people out there that, you know, they're nine months in, happened two years ago. Their doctor said two years ago, this is it.

[00:06:15] This is the best you're going to see is there hope for them? Two years later.

[00:06:20] Dr. Suzanne Turner, MD: [00:06:20] So we don't exactly know is the answer to the question. There aren't any large scale studies with this, but what I can tell you from my own experience is I've had patients have some response even as far out as as three years post-stroke.

[00:06:33] Carl Lanore: [00:06:33] So the ideal thing is to do this pretty quickly on that. What if, and really the best thing. Would be to perhaps add, is it wise to add this to the standard of care or should you just do this instead? What we're going to talk about today,

[00:06:50] Dr. Suzanne Turner, MD: [00:06:50] most of these patients will be in the hospital. So in a perfect world, you would have a great a doctor with a great working relationship with the hospitalist or an intensivist who [00:07:00] will allow you to make some do some interventions.

[00:07:03] With these patients, they don't often end up staying in the hospital very long because truly the standard of care is putting them on preventive future preventive therapies and then sending them out to see their primary care, which is why it tends to fall in the laps of people like me. Which is why we are interested or have ever learned about doing things like this.

[00:07:24] So then they come back in the office. We actually have an IB room in our office, and so we can do some of these things in the IB room here, treating people as soon as days out from their surgery, from their stroke,

[00:07:37] Carl Lanore: [00:07:37] from your incident. That's gotta be the best condition that that best situation. When you get them that quickly,

[00:07:43] Dr. Suzanne Turner, MD: [00:07:43] it's also better the younger the patient is because they tend to respond better.

[00:07:48] Not 100%. Obviously someone who's helping, like you probably would respond well or quicker. Someone who's already optimized their body in general, you know, hormonally or, or, um, physically, metabolically is [00:08:00] already optimized. They're going to respond better than somebody who's not. Um, all those circumstances apply.

[00:08:05] If you're, if you're already putting good fuel in your system, you're probably going to do better in general, if you're nutritionally. Ah, optimized so that you're not missing all the things that those things like peptides need to heal.

[00:08:19] Carl Lanore: [00:08:19] Could you imagine if the population, actually, if the majority of the population did do those things lifelong, you know, ate right, observed proper sleep hygiene and patterns trained, exercised, moved more, you know, could you imagine.

[00:08:35] Healthcare wouldn't be the burden that it's proving to be right now.

[00:08:40] Dr. Suzanne Turner, MD: [00:08:40] Truly. That's, that's, so, that's true. The tough part is, is even getting people to do, you know, I'm having so much success lately just with, with patients recommending them for simple things like weight Watchers. Yeah, because it's on your phone.

[00:08:53] It's right there. It's accountability and it alerts you when you're not paying attention to it. Even if I can get patients to to [00:09:00] just start moving, it makes such a difference. I'll give them, I'll drop on the floor and show them exercises they can do at home, in their, you know, in their living room without any equipment or

[00:09:10] Carl Lanore: [00:09:10] during, during the commercial.

[00:09:11] I used to say this, start where you are. Do what you can. If all you can do is stand during the commercials of your favorite shows, then start with that. Great.

[00:09:22] Dr. Suzanne Turner, MD: [00:09:22] That's it.

[00:09:24] Carl Lanore: [00:09:24] So talk about your protocol. So let's say if someone comes to you, they look at me. I just had a stroke last week. Someone told me about you.

[00:09:33] What's the protocol look like? What do you do first when they walk in?

[00:09:37] Dr. Suzanne Turner, MD: [00:09:37] Of course you have to explain that peptides are um, experimental. We've got lots of good research out there. Some human trials. You have to tell them what we're dealing with. You know, these are made in FDA approved facilities, at least the ones that I prescribed.

[00:09:50] They need to be prescribed by a trained physician who knows what they're doing and they need to be prescribed from a compounding pharmacy that knows what they're doing. That is FDA approved.

[00:09:59] Carl Lanore: [00:09:59] I [00:10:00] want to speak to that for a second. There's a wonderful phenomenon going on in the United States today, and it's called peptides, but there's also a very dangerous phenomenon going on in the United States today, and it's called peptides.

[00:10:14] And why I say that is this, I see people giving advice about peptides to people who have real disease States because they're repeating what they heard on a podcast like this and or other podcasts. And there was some very reckless ones out there. Yeah, there's this rush to try to get, be the first one to talk about something and, and we have to be careful today, even me, I'm very cautious not to recommend what people do for their therapeutic approaches.

[00:10:46] And I probably am endowed with enough information to get some of it right. So we have to be careful. Embrace peptides, be part of the joyous celebration of this new therapy that we have. But please, [00:11:00] please, please don't think because you've listened to these podcasts or even read studies. That you are equipped to tell people what doses to use and how often to use because they have to be supervised.

[00:11:13] peptides are new. We're finding out that some people. Don't respond well to LL three seven in fact, they're there. Rosie, Ola, rosacea, whatever you call it, gets worse. So, so send them to doctors like Dr. Turner so that they work with somebody who knows what to look for to identify whether this is the right path or not.

[00:11:33] I'm sorry to go off on that, but it's really exciting right now, but there's a lot of recklessness out there too.

[00:11:40] Dr. Suzanne Turner, MD: [00:11:40] Well. Even something that seems as benign as CJC up a Morlin can be problematic. If you're treating someone who has autoimmune disease, if you can trigger them to get their mitochondria functioning too rapidly and now you're creating a monster.

[00:11:55] Instead of, instead of making, improving their life and improving their, [00:12:00] their health, you're making everything worse. And so starting with lots of other things before you get to that, that's why you have to have somebody who, and even, you know, I'm learning and growing and reading every single day, and as much as I can get my hands on and calling people that are better at treating this then than that all, all the time.

[00:12:20] So to. So that you can give them lots of ways for you to learn. So go get the education. Go do the training courses. They're out there.

[00:12:30] Carl Lanore: [00:12:30] Yeah. That's why they call it practicing medicine, because we're perpetual students. If you're paying attention. Um, okay, so talk about the protocols. What, what, what do you do with these people?

[00:12:43] What kind of blood work do you do first and then where do you go.

[00:12:47] Dr. Suzanne Turner, MD: [00:12:47] Well, if there's a possibility we can, you know, if you, if there's a reason why the patient had this to begin with, obviously we're going to start, we're gonna if the PA, if we have a known some atrial fibrillation, [00:13:00] obviously you're going to try to look for why does this patient have atrial fibrillation?

[00:13:02] And that can be as simple as, as drinking too much alcohol or being, you know, too much sugar. So you're going to, if you have a known reason why this patient had the stroke, it's a little different. Um, then if you have no reason, no idea. So this patient that I, I talked to you about, his was 30, when, when he had his, or I think it was 27, he had his first stroke.

[00:13:24] His workup was really extensive, you know, antibodies, antibodies, and. Um, PAI and looking for why does this patient have a propensity cause this is now his third stroke when I saw him was three months after his third stroke. And so why does this patient have a propensity to having stroke symptoms. Or are having strokes and what's going on in him.

[00:13:46] So you're looking for, for any causes that they may have. Some you're looking for liver function, you're looking for Cyrillic plasma and specific specific looking for, um, calcium, calcium, um, problems you're looking [00:14:00] for. Um. Uh, I mean, copper problems, you're looking for the, what's their ferritin? Do they have hemochromatosis?

[00:14:06] Is this, you know, like, well, we were talking about earlier, you're looking for all these, is there anything that's underlying that might be the reason why this patient has this

[00:14:15] Carl Lanore: [00:14:15] disease? Let me ask you a question. We know that when women go through menopause, they stopped producing adequate amounts of estrogen, testosterone, and other hormones.

[00:14:27] It's not just all estrogen. There's a lot of women with a lot of body fat that actually have very high estrogen because of a romantization, but we also know that's when they start to develop some vascular issues that can be viewed visibly. We see spider veins, we see blood vessels bursting. This is this.

[00:14:42] If that's happening on your legs, then the potential for that to happen in your brain too, right. But I mean that that should make women go, Oh, wait a minute. This isn't like, I don't think I want to have saline shot in these either. The canaries in the mine that it's telling me I need to pay attention to my hormones.

[00:14:59] Hormones [00:15:00] must play a role in the aging effects of the vasculature.

[00:15:07] Dr. Suzanne Turner, MD: [00:15:07] Well, and don't forget about patients who are taking, uh, who are taking like, Prempro or, or, or, um, certainly we know that there's an increased risk with using not with using . Hormones that are not my identical. There's a risk with that. So obviously we're looking for, and we know that heart disease is more common in, in, um, uh, patients who have low testosterone, who have a low IGF one.

[00:15:30] And so we know that we're, that those things are at play. And so those are also gonna be things that we're going to look at. The penal, I've probably run. I dunno, 50 up. This guy had about 80 tests run on him, a couple of valves so that he wouldn't be too low, and we wouldn't take too much from moving at a time.

[00:15:49] But yeah, he had several episodes, so there's a huge. Um, vascular work. Uh, we actually, interestingly, he has had nothing really impressive come [00:16:00] back even in with an extensive autoimmune workup. Uh, and he's seen rheumatology and hematology, and we still don't have a clear reason why this is happening to this specific patient.

[00:16:11] Carl Lanore: [00:16:11] Okay. So he's young. I would imagine that a neuroplasticity is still on your side with someone who's younger. Got it. So where do you go with, what's the protocol look like?

[00:16:25] Dr. Suzanne Turner, MD: [00:16:25] And this patient is regularly exercising and he eats well in general. And so he came in and we started him with IB. Cerebral license.

[00:16:34] Of course, that has to be

[00:16:36] Carl Lanore: [00:16:36] I V not injected. So you're actually infusing longterm how many units a minute. How do you measure that? What? What is the flow light.

[00:16:45] Dr. Suzanne Turner, MD: [00:16:45] So you do it in milliliters and you do it per, we do it once a week. You do a test dose to begin with and then you do a a more treatment dose after that.

[00:16:54] Since he was so far out, I did it once a week because I knew,

[00:16:59] Carl Lanore: [00:16:59] you know how to really [00:17:00] give a good push to get things started.

[00:17:01] Dr. Suzanne Turner, MD: [00:17:01] We're three months out at this point. We're not going to get a huge big response like we would have gotten had he come in immediately following the event. Uh, you can get some pretty impressive results.

[00:17:14] I haven't had a patient come in that quickly after, but I do have, uh, colleagues who have reported to me that, and they will do daily infusions at the beginning for five to 10 days, depending on how the patient responds. Okay. And so we'll start with that. And then you would add in. Super license is a, um, you probably have talked about this on the show, but the history of the license is a complex of, uh, brain, uh, nerve growth factors that work to improve, uh, blood, not blood flow, but, um, the growth of nerves.

[00:17:48] Again, the re positioning of nerves through the brain. I'll look at gender sites. To begin to lay down Milan so that you're reforming nerve. And so we use sort of a license. There's some really great [00:18:00] studies in using cerebral license for all kinds of things, including stroke, um, in human trials. And so, uh, that's why it's.

[00:18:08] Uh, use. Then we also, you have to filter a civilized and it's one of the only peptides you have to filter if you're going to give it that way. And it's also one of the only ones we give IB. We don't give, give very many of them. Ivy. So all gave TB four, which is a, I like to call that the, um, the toy box that carries the, um, the, the pieces of train track to the cell to help the cell to be able to lay down.

[00:18:38] To get nutrients back and forth where it needs to go. So imagine a bomb goes off in a city and you have to get things to that area. Or a hurricane is probably easier for us to think of the, you have to get things into that city to begin to rebuild and you have to get. And so this is sort of holding the train tracks, pieces of train track to help you.

[00:18:56] It also has lots of signaling characteristics in the cell to help [00:19:00] reroute the cells. Um, plant whatever the cell is doing to try to, uh, help regenerate. And so that's the TD fours. The other thing we use, it also has some really good research in stroke patients in the fibrosis that occurs

[00:19:16] Carl Lanore: [00:19:16] and, and, and cardiac ischemia.

[00:19:18] Reperfusion well, I mean, the, the one study that fascinated me was with the heart. Was two milligrams within six hours a post ischemia reperfusion event, and there was no evidence that the person had a heart attack. There was no necrotic tissue, heart tissue re and what you said is really interesting because I've always thought of TB for, as the job superintendent, it gets on the job and has a blueprint.

[00:19:48] It's going to tell what to work and it seems to influence what. Growth factors are produced from growth hormone, like more fibroblasts, growth factors to improve new nerve [00:20:00] or more, more vascular endothelial growth factors if more blood flow is needed to the area. So I would imagine that stimulating, not crazy amounts, but adequate amounts of growth hormone are probably critical to this process too.

[00:20:14] Right.

[00:20:15] Dr. Suzanne Turner, MD: [00:20:15] Exactly. Exactly. Yeah, and I think that, again, I'm the big people hit me all the time. Say I'm the one who says, please make sure that you control the inflammation first and so T before, as one of the ways that you do that is controlling inflammation before you begin to send it all the troops to begin doing the cleanup.

[00:20:32] You've got to control the, you got to get the inflammation before you begin building buildings. You've got to control inflammation. And so. Yeah.

[00:20:40] Carl Lanore: [00:20:40] Okay. So, uh, so those, uh, what else would you prescribe for stroke?

[00:20:45] Dr. Suzanne Turner, MD: [00:20:45] So this guy we did do, uh, because he was so far out. We did do CJC at Memorial and I did in him.

[00:20:51] Um, he's pretty thin. So I did a, um, a twice a day dose on him cause I wanted to be sure he was getting adequate detail. Sleep, and we know that the [00:21:00] growth hormone improves the stage for a deep sleep. And, um, so we did that. He also is still exercising regularly, so there was benefits for him to have increased musculature for, um, which I hope would happen with the CJC of moron.

[00:21:16] And so that was the protocol. He was limited on funds. And because we started with cerebral license. We did that first day when he walked in the door in the office. We did that right away and then sent him home with the CJC and the on the TV for

[00:21:32] Carl Lanore: [00:21:32] now. What, what are we seeing with him as a patient? Are we seeing Mark progress?

[00:21:38] Dr. Suzanne Turner, MD: [00:21:38] Yes. So interestingly, he had a lot of left sided symptoms, uh, um, you know, weakness in his hand, inability to write, inability to write. And all of that. He said last time, I just saw him three weeks ago and he said he's 80% better. Wow. And that's after two months of therapy.

[00:21:58] Carl Lanore: [00:21:58] That's amazing. So he [00:22:00] could keep

[00:22:00] Dr. Suzanne Turner, MD: [00:22:00] it from destruction when he started therapy.

[00:22:04] Carl Lanore: [00:22:04] Right. So it's not like as though, well, he was just getting better and you're taking, you're taking credit for what was happening naturally. He stopped getting better. And then you can be like, yeah, okay. I have to think that, um. ARA two 90 will be a prime prime mover for this right

[00:22:24] Dr. Suzanne Turner, MD: [00:22:24] in the right patient.

[00:22:25] That FGL would

[00:22:26] Carl Lanore: [00:22:26] be a good choice. I just thought of playing with that. FGL L yeah. I just, I started taking a, I think three or 400 micrograms a day of that.

[00:22:34] Dr. Suzanne Turner, MD: [00:22:34] Those patients have probably not at his point so much, but you know, they have that, uh, that glutamate toxicity. And so that's why FTL would be so beneficial probably earlier in the disease, but, but it might even be helpful as far out as three months.

[00:22:50] And it's, especially in those patients who are really struggling with their diagnosis or with their disease, if they're really not. Doing well, you don't have a great support system. [00:23:00] So now we're talking about, this is a patient who has a lot of cortisol running around. Their DHA is coming down. I bet that patient would be a really good FTL.

[00:23:07] The downside is, I'm not sure exactly what dose you use yet.

[00:23:10] Carl Lanore: [00:23:10] Yeah. So, um, I read a study, and you may have seen it, uh, because it was peptide related. I read a study, well, it really wasn't peptide related. I read a study that showed that, uh, uh, F uh, ethanol. Toxicity of the brain, which causes mad inflammation is completely blunted.

[00:23:29] When you activate the melanocortin four receptor, which means folks only get really drunk at the beach with a sunny day because then your brain is protected. And ironically, I just started taking mulatto tan two again today. So keep watching folks. I'm going to get darker and darker by next week. Yeah, but, but you know.

[00:23:52] Um, he was,

[00:23:55] Dr. Suzanne Turner, MD: [00:23:55] uh, we would use BP, BBC one, five, seven, as well [00:24:00] as, um, and so I would probably choose over Melana tan two. I'd probably choose PPC one five, seven, because you get the blood flow increase the VEGF two receptor increase, like you get with the BBC one five, seven, as a person.

[00:24:14] Carl Lanore: [00:24:14] I'm sorry, I didn't mean to cut you off.

[00:24:15] That was bad. We have lots of questions piling up and we're going to get to all of them. So sit tight. Uh, everybody. But this one I want to throw up here early on, Len Moscowitz says, you know, is this also good fatigue?  I would imagine so. Right?

[00:24:30] Dr. Suzanne Turner, MD: [00:24:30] So I don't have a study, but I think that, I think that it should be.

[00:24:34] And so what I, what I can tell you from my experiences, I use this in patients who have, who I'm expecting might have that problem as a preventative. So I can only imagine it would be helpful in patients who have had a Tia. Um,

[00:24:51] Carl Lanore: [00:24:51] so, so you're not, you wouldn't use Velano tend to at this point in time, given that it suppresses brain inflammation or you would

[00:24:58] Dr. Suzanne Turner, MD: [00:24:58] definitely use  too.

[00:24:59] But [00:25:00] if I only have one, I might choose the BPC.

[00:25:05] Carl Lanore: [00:25:05] Okay. Cause I would say small doses of 25 to 35 micrograms. Uh, usually doesn't elicit nausea or even any tanning, uh, but it's a thousand times stronger than MSH Milana, melanocortin stimulating hormone that we produce. So that little bit would probably get the job done.

[00:25:24] Um, okay. Yes, there will be a transcript. There's a transcript of every single show. It goes up. When the show was posted, I typed so fast. Now I use a transcribing machine and it takes, it takes everything in, but it's 95% accurate. There's definitely some inaccuracy, so don't start emailing me and going, Hey, you use the wrong word and your transcript.

[00:25:46] Just be thankful that there's a transcript. How about that? We're going to take a quick commercial break. When we come back, you said there's two different types of stroke and you actually have one patient that falls into each of the categories, right? So we're going to talk about that next. So here's, here's what I'm going to tell [00:26:00] you.

[00:26:00] I'm going to tell you three things today. If you need help with stroke vine medical.com just go there. Don't start listening to the show and going, ah, I'll just start doing this myself. Can't do it that way. I'm telling you, you, you won't get the effects you want and you may actually hurt somebody, okay?

[00:26:16] Number one. Number two, if you're a physician listening to this and you're thinking, wow, I'd like to offer this to peptide society.org is the place to go. IPS will train you and certify you. You will have to put some time in because this is a lot to learn. This is medicine, but you will be able to prescribe and monitor your patients using peptides just like Dr.

[00:26:38] Turner does. And then lastly, where do I get my peptides? Once I stopped prescribing it, Oh, that's called made pharmacy right here in my home state of Kentucky in Nicholasville, Kentucky. You can get all these peptides we're talking about and they do not use recombinant. Technology, which is basically where you, you feed e-coli [00:27:00] certain amino acids and it poops out strands and you go, that's growth hormone.

[00:27:03] They actually use. Amino acid sequences. These are machines that assembled, assemble the peptides. Um, it's a much better process for your patients. So those are the three things you need to know. We're going to take a quick commercial break. We'll be right back with more with Dr. Turner state Stateville.

[00:27:18] This is the superhuman channel evolution. Just got kicked up a notch. Welcome back. We're talking with Dr. Susan Turner from vine medical.com. That's where you need to go to get help. I gotta say something to the guys out there and I'm 61 I'll be 62 this year and I'm going to die. I already know, I've never thought about it before, but I now I realize I'm going to die eventually.

[00:27:45] And if you don't have life insurance to help your family continue on, uh, you really being a selfish sob and these guys are great that I'm working with the 803, five two 92 39 they got the [00:28:00] funniest commercials about. Life insurance, but they are the easiest guys to do business with. You do it over the phone if you get Shane, he's a great guy.

[00:28:07] He's the guy who worked with me. They send the girl out to your house, they draw blood, they give you an EKG, they're out of there. Everything moves fast, fast, fast, boom, and you're covered. And it really, it's, some people go, Oh, I don't want to buy life insurance. I'm betting I'm betting against my own life.

[00:28:25] Dude, you're going to die just like the casinos in Las Vegas and go to win, then it's no mystery. You know what I mean? So get yourself some life insurance. And by the way, I'm still wearing my be strong bands after training back this morning. I probably shouldn't have trained back after all the red blood cells I gave away yesterday.

[00:28:40] But you know, I've never been very smart. So there you go. Anyway, so talk to, there are two different types of strokes. The first one is ischemia reperfusion, right? And then the other one is, what is it called? Okay. So what's the difference? And, and, and you also have a patient that falls into the [00:29:00] other category, right?

[00:29:01] Sort

[00:29:02] Dr. Suzanne Turner, MD: [00:29:02] of, yes. He, uh, so, so the hemorrhagic stroke usually is because of prolonged high blood pressure. And what we really think is it's because of our rapid rise in blood pressure, uh, maybe prolonged, uh, exposure to high blood pressure causes those vessel walls to weaken. And so then they're more susceptible to a high, quick rise in blood pressure.

[00:29:22] So it's less because of the one 40 more than it is because of the sudden rise from one 40 to 200 and so this bathroom that's already a little fragile, you know, can't handle it. And ruptures. Okay. This particular patient that, the problem was that he had a traumatic brain injury and had a bleed. So similar to a, um, to a bleeding stroke.

[00:29:46] He had, you know, injury to the tissues because of the, the rupture of blood vessels. Okay.

[00:29:52] Carl Lanore: [00:29:52] And so did you treat this individual pretty much the same way or do you go about it slightly different?

[00:30:00] [00:30:00] Dr. Suzanne Turner, MD: [00:30:00] So this one was a couple of years out from his event and it was actually a car wreck and he was in his eighties so this is a different patient altogether from the original one.

[00:30:11] And so we knew already that he had very mild cognitive impairment to begin before the event. And then following the event he had was, was somnolent wasn't even communicating with his family, was very quiet, um, was not really engaged. He re before the event he was doing his own. Finances online, things taking care of the checkbook.

[00:30:35] But he, after the event, couldn't do any of that himself. Couldn't shop for himself. Manages medications, became very caregiver dependent. And so, uh, in, in. Coming into contact with me through, um, with peptides. We started to treat him and we started him also with a cerebral ice. And we also did IB with him.

[00:30:57] But our next treatment, he, he actually [00:31:00] got a great response to the first I need. And then really. Great response, I mean, was awake, was interacting with his family and communicating well, and the second time we gave it to him, he didn't have any response that was obvious to the family. And so we decided to change course and put him on topical.

[00:31:18] The Hexa and the hex is fascinating, I think

[00:31:22] Carl Lanore: [00:31:22] because. I have 25 milligrams on my neck and I re, I rubbed it on the side of the neck, close to the, the jugglers and the carotid and all that sort of stuff, so I'd get more of it. I thought literally, you feel like you, you, you feel better. You feel awake, you feel just brighter, you know, it's very good stuff.

[00:31:43] Dr. Suzanne Turner, MD: [00:31:43] This. I've only used it once. I used it for about a week, and I did on my forearms. Uh, and I didn't have any event, so I need to try it on my neck next time. I had a patient who came in who needed it, so I said, I'll just give you mine.

[00:31:58] Carl Lanore: [00:31:58] That was nice of you.

[00:32:02] [00:32:00] Did that help him?

[00:32:04] Dr. Suzanne Turner, MD: [00:32:04] Yes. And so, so this patient now, and it's, it's sort of helped him, yes. In a great way, but not in a great way for his family, kind of, yeah. Um, so he, uh, started the dye Hexa and got to be so cognitively intact that he started going back and doing his own finances again, looking at the books, seeing what was going on, and then he said, Oh my gosh, what are we spending all this money?

[00:32:26] Who is tailor made?

[00:32:32] He's now very irritable. And you know how patients with mild cognitive impairment have a tendency to be a little

[00:32:39] Carl Lanore: [00:32:39] agitated, easily, easily agitated by got my dad got that. In fact, my father even got that phenomenon called sundowners where I at night, they just become so agitated.

[00:32:51] Dr. Suzanne Turner, MD: [00:32:51] Right? And this guy in particular is, he decided to fixate on the fact of how expensive the peptides were, despite the fact [00:33:00] that he is, you know, weeks before was unable to, to do this.

[00:33:04] And now he is able to, wasn't putting it all together, but still was able to see that there was a problem with his finances that were. Yeah, so this is our debate now, is do we take him off the diet Hexa or do we keep him on it and push through the aggravation? He also did a trial, I'm sorry, before we did the hex that we did see Lank on him and he did not tolerate the nasal spray.

[00:33:30] It gave him nightmares. So he did. We switched him over to the sub Q injections and he did get some maintenance of that initial response to cerebral license. From that. Then just wasn't quite getting as much as we were hoping for. So we added the

[00:33:45] Carl Lanore: [00:33:45] C so, so this, this reminds me of something I want to say earlier too.

[00:33:49] So in my experience, and I haven't, I have a anybody listed show, I don't have any accreditation, so you can't take anything away from me. I can say anything outlandish I want. [00:34:00] Uh, in my experience, when people tell me they've taken melatonin and they get nightmares, um, it's evidence of two things that are happening in my humble opinion.

[00:34:09] And I, I would ask you for your opinion. Number one, they're actually experiencing REM sleep. Again, number one. Number two, they're probably mildly insulin, insulin insensitive. Uh, and they're, and they're having, so I am of the thought that 90% of nightmares are the result of, of, uh, fluctuations in blood sugar because your brain doesn't have a brain.

[00:34:33] So the brain of your brain can't go, Oh, big brain. The only reason why you're getting worried is because blood sugar is dropping. There really is no emergency. That's because we have to fix, we have to fix symbolism and meaning to everything. That's what humans do. So in the dream. You're thinking, Oh my God, you know, my ex wife has taken me back to court for alimony again.

[00:34:55] And then you wake up and you realize, Oh, I had a bad dream because your, your brain got panicked, [00:35:00] blood sugar dropped. And as a result of that, it formulates and attaches thoughts to the fear, feelings so that you have a reason to feel afraid, but your body, your brain just wants you to wake up so that it will liberate some blood sugar and, and, and, and it'll feel happy again.

[00:35:15] And this also happens in people who start taking a growth hormone, secreted Gaga before bed in a small number of people, they'll say, Oh, my sleep got worse. Instead of got better. Here's the magic answer. Everybody. Three to five grams of glycine before bed. I promise you, if you're one of those people who wakes up at 2:00 AM in the morning for whatever reason, with nightmares, and you don't know why you're waking up like this, three to five grams of glycine before bed, glycine is non-nutritive.

[00:35:42] It's sweet. It's a highly, uh, Glucogenix amino acid. It can go through the liver and become glucose without having to wake the adrenals up. It will give you stable blood sugar levels for six to eight hours at night. So when you take your shot before bed, that wrecks your [00:36:00] sleep, take glycine with it, and people who are taking things that all of a sudden we know that they're starting to REM sleep again and they go, Oh, I have horrible nightmares.

[00:36:08] I can't take this anymore. Just get them to try glycine one or two nights along with it and see if they go, Oh yeah, I didn't have any nightmares last night.

[00:36:16] Dr. Suzanne Turner, MD: [00:36:16] Right. And we, we know that you can decrease the dose of melatonin for it to be, for it to be effective for, for ticket weight of those. But I think the, there's, you're saying a really good point about probably stimulating REM sleep that they're not used to getting.

[00:36:29] We use that glycine for hot flashes for our menopausal women who are unable to take hormones or unwilling to take hormones for whatever reason. We use it for hot flashes. So, cause we know. Oh, formulated.

[00:36:41] Carl Lanore: [00:36:41] Yes, because women get hot flashes because this is the onset of hypoglycemia. The first thing you do is get an anxiety attack.

[00:36:47] Then you start to sweat and shake, and then if it gets really bad, you pass out. But they usually just get into those two zones before the body starts to catch up, and it has a lot to do with estrogen and progesterone. Glycine, I could see, I never thought about it. Glycine worked for them as [00:37:00] well. That's amazing.

[00:37:01] That's fantastic. Great. Look, look at the things you people are learning right now. Oh my God. So the old guy now is trying to debate whether or not to spend the money so that he can be cognizant of his life, or maybe it's just not worth being in the know anymore. I'm going back to carefree. Well, what

[00:37:19] Dr. Suzanne Turner, MD: [00:37:19] is, I told her, what I think is interesting about  is it tends to wear off pretty quickly.

[00:37:27] A couple of patients I have on it that are doing well are continuing to take it. And, uh, if they miss it, for example, tailor-made occasionally can't get, you know, the batch isn't safe enough. So they, they scrap it and they have to do another one. And so, uh, they'll not be able to get it to the patient in time.

[00:37:45] And so they'll miss a couple of days. They notice a big dropoff in symptoms and symptom improvement when they stop taking it. And so they'll notice. So I told , this is a patient and my nurse practitioner, actually, so they told him the family [00:38:00] to stop using it for a few days to see if the symptoms, you know, the, it gets worse because then you'll know is the D, is the drug that cause of the irritability or is the irritability because he's more cognizant?

[00:38:14] Carl Lanore: [00:38:14] Yeah. He may just be angry cause old dudes get angry. We all do. We don't want to die. We're pissed.

[00:38:24] Dr. Suzanne Turner, MD: [00:38:24] You want to know how to take care of your family. I mean that you want to be able to provide for your family. And so if you're that age and you realize that you have this big stroke thing that happened was a traumatic brain injury that happened.

[00:38:35] You you want, the first thing he does is go to look at his finances so he can be sure he has the ability to continue to take care of roof's family. And now first concern is can I still do that? And so that's what's happened.

[00:38:49] Carl Lanore: [00:38:49] Do you use any non peptides? Like when my mom had a stroke, I, I gave her creatine monohydrate every single day because I had found a really good study that showed it helped resolve stroke faster.

[00:38:59] Anything else you [00:39:00] use?

[00:39:01] Dr. Suzanne Turner, MD: [00:39:01] I use ketones.

[00:39:02] Carl Lanore: [00:39:02] Yeah. Yeah.

[00:39:04] Dr. Suzanne Turner, MD: [00:39:04] And try to get them to stop using sugar.

[00:39:08] Carl Lanore: [00:39:08] Yes. Because, because here's the interesting thing about ketones, right. Um, glucose is, is everything we put in our body has a level of toxicity. Everything, everything we eat. Um, and, and sugar tends to be the most inflammatory of all the things we can eat.

[00:39:26] But ketones. Or not. And so by getting their brain to use ketones instead of sugar, you have a lot less friction, let's call it friction in the brain. And, and they, and they become, they become more cognizant. They become more alert. They become, and they feel better and mood changes and everything. I think that's brilliant.

[00:39:42] I didn't think of that. That's a great one. That's a great

[00:39:44] Dr. Suzanne Turner, MD: [00:39:44] one. Of course, the simple, simple, simple thing you can do is Alka seltzer gold twice a day before meals. You know, it's the change in pH from alkaline to acid, stimulates the Vegas nerve and causes those inflammatory macrophages that empty [00:40:00] macrophages to convert into that very calm, janitor cleanup

[00:40:03] Carl Lanore: [00:40:03] type.

[00:40:04] Interesting. So you are having success with these people. I'm sure that more people will want to reach out to you, uh, and, and work with you as a result of this show. I want to take our last commercial break and then we're going to answer questions. We've got a bunch of questions that have piled up and I didn't miss them, so stay tuned.

[00:40:21] We'll be right back with more. And we'll get to your questions. This is the superhuman channel where we use oxygen for the power of good. Welcome back. We're talking with dr Suzanne Turner,  vine medical.com. You can reach out to her if you won't have questions about this type of a treatment for someone you know, someone you love.

[00:40:47] Maybe for yourself. So let's start at the top. We're going to start with the oldest questions first.

[00:40:51] Dr. Suzanne Turner, MD: [00:40:51] Uh,

[00:40:53] Carl Lanore: [00:40:53] so Danny, Geraldo Oquendo, who listens and watches the show from Columbia is asking [00:41:00] about freezing reconstituting peptides and then freezing them and then unfreezing them. Is it, does it damage the, could it, could it damage the peptide?

[00:41:13] I have an opinion. What's your opinion?

[00:41:15] Dr. Suzanne Turner, MD: [00:41:15] I think it does. I think, I think you can freeze the, when they're still in the powder, you can freeze them. But I think once they reconstitute, you gotta keep them in the refrigerator.

[00:41:24] Carl Lanore: [00:41:24] Because what freezing them does is it literally causes the, the solution that they are solved with to crystallize.

[00:41:33] And those crystals are in case along peptide and crack it. So now you have fragments. Of what was originally in there. It's not a good idea. Not a good idea. Now, I can also tell you that the rumors about back in the day, 20 years ago when I first started using growth hormone, they were like, Oh, Oh, got to let the solution going so slow.

[00:41:53] Just swirl it, don't shake it. And I remember one day I dropped a vial on the floor and I thought, Oh great, I just ruined [00:42:00] that whole violent growth hormone. That's not, that's not true. The these peptides have strength, certain types of bonds. But they're not so fragile and they also have much longer shelf lives than most people think.

[00:42:14] There are some like Thomason, alpha one that really does go bad very quickly, but look at mulatto, tend to, I had a vile of mulatto tend to in my refrigerator for a year and it still made me 10 and nauseous when I use it. So I think we're still learning. About the durability of these 

[00:42:34] Dr. Suzanne Turner, MD: [00:42:34] to put that best use stayed on there because they only tested out for that wrong.

[00:42:38] Carl Lanore: [00:42:38] Yes. And that's an important thing. Uh, so Josh Bruner says, how would you recommend to do a basic artery flush, ah, uh, recommend anything that may help clear out or cleanse, especially if someone has had past blood clots and calcium buildup. Huh. I don't think it ought to, is what you want to do. [00:43:00] Right?

[00:43:00] Dr. Suzanne Turner, MD: [00:43:00] I think that's a lifestyle thing.

[00:43:02] I think that's, uh, increase your resistance training. Um, you know, change your, your diet, getting rid of trash, getting rid of sugar, and potentially gluten, dairy, maybe depending on how your body responds to it. And there are some, there's some research done by the, the company that makes it from Kyle, like age, garlic.

[00:43:26] Carl Lanore: [00:43:26] Each garlic extract,

[00:43:28] Dr. Suzanne Turner, MD: [00:43:28] which is done by the company. So, uh, it hasn't been my experience that it's been helpful for that, but there's some research out there about it. Um, there's some research about K2 MK seven, you know, I'm not sure if you actually have that, and that's, that's the way to go. Uh, there are certainly some providers out there that are doing things like, um, uh, it's, uh, a tough, uh, fat transfer.

[00:43:52] I'm sorry, I forget the exact term right now. The, the. Fat transfer. Um, not, not STEM cell fat transfer, but [00:44:00] they're, uh, plasmapheresis kind of thing. Again, there's not a whole lot out there to support that. It's certainly an option. There's, um, uh, phosphatidylcholine is available by injection by IB, but again, you have to have a provider who knows what they're doing and yup.

[00:44:18] Carl Lanore: [00:44:18] And if you're worried about plaque. Uh, get out in the sun a lot because, uh, again, the mulatto corn system has been shown to, uh, reduce intimal inflammation and plaque is actually reabsorbed. Uh, there was, there's a blog post of mine from like four or five years ago about a study that showed that in rodents that were given Malano tan too, so clearly his son would do the same thing.

[00:44:42] Ben Turner Dixon says, hello, my 72 year old uncle. Recently suffered, suffered a hemorrhage, hemorrhagic wham, doing good today, stroke in mid January. His first, his lesion was unusual and large at five by seven by three [00:45:00] and a half centimeters. Any specific recommendations in addition to the rest of the podcast are greatly appreciated and thank you for all you do and sharing valuable insights.

[00:45:14] Dr. Suzanne Turner, MD: [00:45:14] That's terrible. I'm sorry to hear that. Obviously he, he requires a team and these patients do require a team because they're going to need, he's going to need physical therapy. He's going to need people who are going to help get him active and moving. I don't know what kind of things he's had done so far, but he certainly is going to need a team of people to help him.

[00:45:31] Get things going. All the things I mentioned are, are things that I would, I would encourage you to find a physician who is trained to do what I do and what others like me do. Um, or get your doctor to go to, you know, the IPS things and go to the peptide fellowship.

[00:45:48] Carl Lanore: [00:45:48] That's, that's really the best thing.

[00:45:49] We'll find a doctor that's already in there or reach out to a vine, a medical, I'm

[00:45:54] Dr. Suzanne Turner, MD: [00:45:54] sorry about that.

[00:45:56] Carl Lanore: [00:45:56] Um. So Joshua also wants to know if [00:46:00] glycine is taken by itself. Does it have the same effect? Not only does it have the same effect, but there are people who use it instead of beta blockers that have a social anxiety, they'll take three grams of glycine.

[00:46:12] You put it in the buckle between the cheek and the gum. You just let it dissolve and you feel all of your stress just go away. So it's, it's really an amazing amino acid. I wrote a blog post about it because, um. The thing that ages us from high protein diets is high  and glycine blunts the aging effects of Mathias

[00:46:33] So I actually use glycine. Glycine is a sweetener and thrive protein that I designed, but I use glycine every morning in my coffee. I use it in my cream of rice. I sweeten everything. I probably get a good 30 or 40 grams of glycine a day because it is so important. That's my humble opinion. What do you think.

[00:46:52] Dr. Suzanne Turner, MD: [00:46:52] Yes. Especially because you're, you know, like me doing as eating a high protein diet.

[00:46:57] Carl Lanore: [00:46:57] Yeah. Glycine has good stuff, and that's where the magic is [00:47:00] in bone broth folks, collagen and bone broth, 30% glycine by weight. So think about that. Um, what about DSIP to help sleeping?

[00:47:09] Dr. Suzanne Turner, MD: [00:47:09] Absolutely. And one of the, there's actually some interesting cardiac research with DSIP.

[00:47:15] I'm helping patients with that, but the deep sleep inducing peptide, the nice thing about about that is it does increase deep sleep. And so these, that's the time when the brain does most of it clean up. We call it a topic. Geez. The, the, um, the actual. Lymphatic system of the brain opens up during deep sleep and gets you, is able to take out the trash, so to speak.

[00:47:39] So using DSIP for short, it's a little tricky to use because you have to take it a couple hours before bed. In fact, I have one patient who has to use it at 8:00 AM to help her sleep at night.

[00:47:51] Carl Lanore: [00:47:51] It doesn't exactly

[00:47:52] Dr. Suzanne Turner, MD: [00:47:52] work to make you fall asleep like Ambien or melatonin or those sorts of things. Do.

[00:47:57] Carl Lanore: [00:47:57] That's interesting cause I did not respond well [00:48:00] to DSI P I felt like it ruined my sleep.

[00:48:02] Maybe I need to take it earlier in the day. And um, dr Steve , who is a brilliant, uh, uh, surgeon in Texas who was the guy who created the blueprint for what needed to be done to my foot the second time. Oh yeah. Great. Great info today. As usual. Thank you very much, dr Steve. I will go hunting with you soon. I promise.

[00:48:28] I, I, we have pigs here. I'm going to go hunting here for pigs and a couple of weeks I want to get myself, I'm actually trying to work a deal out of Josh's, listening to this from Volare restaurant. If I shoot a pig, will you serve it at Valora? There you go. Um, the next question back again from Ben Turner.

[00:48:46] Oh, he's, I still talking about his uncle. He was a lifetime fitness enthusiast and gymnast. Also a career pilot with American airlines has lost a good deal of muscle in recent years, but still in great shape compared to the average guy his age.

[00:49:01] [00:49:00] Dr. Suzanne Turner, MD: [00:49:01] Yeah. He had the best chance of outcome because of that lifestyle.

[00:49:05] Change. Absolutely. He has the best chance of outcome and all of these things are available. He probably would do the best with a little bit of a growth home and secrete agog uh,

[00:49:15] Carl Lanore: [00:49:15] yeah. Uh, uh, info Maryellen and, uh, CJC without DAC or modified growth factor one through 29. Yeah. Yeah. Good stuff. Good stuff.

[00:49:24] Did we go

[00:49:25] Dr. Suzanne Turner, MD: [00:49:25] if he's a little low, if he's a little bit sarcopenia, um, that Tesmer Island can really help that too. Maybe just a short course. What

[00:49:34] Carl Lanore: [00:49:34] about giving older guys testosterone and their seventies.

[00:49:39] Dr. Suzanne Turner, MD: [00:49:39] Absolutely. And so it, you know, in this, if this patient has a low testosterone, that's certainly something you can do.

[00:49:48] We don't, we don't know what the right range is for those patients. With the right range of normal is for those patients. And if we had a, uh, a 25 year old testosterone level, we might be able to give them some kind [00:50:00] of. Information, but we sort of guess at that point and listen to their symptoms. I have patients who respond to tiny, tiny little doses of testosterone and they'll have a, have some benefit from.

[00:50:11] So it's probably worth doing. I can quickly do shots and I do them frequently, like tiny doses frequently rather than doing them. Um,

[00:50:21] Carl Lanore: [00:50:21] like the long term long acting libido, which is under Cohen eight, which you do it once every six months. That's got like a pellet. Those long term

[00:50:32] Dr. Suzanne Turner, MD: [00:50:32] have their place.

[00:50:33] Certainly I have patients who travel. I have patients who live away from me. It's easier for them to do a three or four month thing. Um, there's, they certainly have their place, but the, um, the patient, my patients do well when they, and it also gives them a little more control because I don't need such a high dose on a day when I'm not doing anything.

[00:50:57] Carl Lanore: [00:50:57] There you go. That's brilliant. Oh, I [00:51:00] love it. I love it. Ben. Turn a Dixon. Thank you. Share the show. We need more people to hear these shows and it's not because of my advertisers, it's because we could actually, we could literally, I know people say this all, I want to change the world. I never started this show because I wanted to change the world.

[00:51:18] I was really angry at the way. Uh, the medical system worked. The average people, I was angry and I'm still frigging angry. The truth of matter is, but you know, if we can get more people to listen to these shows, we could have people that have much better outcomes because we have to take responsibility for our own health.

[00:51:40] You can't just walk into any doctor and say, what do I do, doc? You better know what is viable and what is not.

[00:51:49] Dr. Suzanne Turner, MD: [00:51:49] And it's the tough part is you have to do your own research, but you also have to know who you're going to. You have to do your own research about the physician that you're seeing, so [00:52:00] that you know what, what are they providing?

[00:52:01] What do they offer? What's their ability? I think finding someone who at least has an open mind, you know, 12 years ago when all this started, for me, the pursuit of this kind of thing started for me. Uh, I w I was just open-minded, period. My patients came to me and said, Hey, I need so-and-so. And I said, okay, let's do some research and see if that would be a viable option.

[00:52:24] And so I was just open minded to hear about it and consider it as an option. So here I am, years later, fellowship trained in talking to Carl.

[00:52:34] Carl Lanore: [00:52:34] You know, being a perpetual student is the most important thing today when it comes to information you can't dig your heels in. And defend your position because your position may have changed and it may be wrong, but being open to learning something new is probably the most important thing for survival today because, yeah, because the terrain changes, the circumstances change.

[00:52:56] You have to be able to change with them. Did we miss anything [00:53:00] today, Dr. Turner? Oh, it was great having you. It's great having you, and hopefully we'll see you at a, an upcoming event, maybe at IPS or something like that. And, uh, to all of you, today is Friday. I'm done. We have a great show. Monday. Dr. Gabriel Lyons is coming on the show.

[00:53:18] As many of you remember, I used to do a series called mussel saves lives where circumstances and events occurred in people's lives. That clearly the accumulation. And maintenance of muscle. Save them. Well, we have a doctor that specializes just in that area, and we're going to be talking to her on Monday to talk about the fact that muscle really does save lives.

[00:53:42] So get into the gym and make a deposit today. So there you go. I see you later, Dr. Turner. See everybody Monday. Thanks for watching and listening today. [00:54:00] .