[00:00:00] [00:00:00] Carl Lanore: [00:00:00] welcome back to another episode of superhuman radio.  How to clear my throat I was literally eating right up to the moment that the show started today is August 29th 2019. It's Thursday and. We have a special episode of the ReNew Life RX show. I'm not going to delay any further. We're just going to roll it bring on Milo the first step to changing your life starts with the ReNew Life Show

[00:00:26] Ronnie Milo: [00:00:26] with

[00:00:27] Carl Lanore: [00:00:27] Adam

[00:00:27] Ronnie Milo: [00:00:27] Lamb.

[00:00:28] Carl Lanore: [00:00:28] We have

[00:00:33] to change that intro Milo because you're coming on more more

[00:00:37] Ronnie Milo: [00:00:37] and I got to talk to Adam about that. 

[00:00:40] Carl Lanore: [00:00:40] You probably saw me eating just now.

[00:00:42] Ronnie Milo: [00:00:42] Absolutely. Absolutely.

[00:00:44] Carl Lanore: [00:00:44] Right right, right up. The music was rolling and I was still stuffing my face,

[00:00:48] Ronnie Milo: [00:00:48] right aren't you increase in calories this week,

[00:00:51] Carl Lanore: [00:00:51] so I cleaned it up.

[00:00:53] I increased it last.  Last week I ate 5,000 calories a day of but I [00:01:00] didn't pay attention to what I was eating. I just wanted to get the food

[00:01:04] Ronnie Milo: [00:01:04] in.

[00:01:05] Carl Lanore: [00:01:05] You know those Power Crunch bars.

[00:01:08] Ronnie Milo: [00:01:08] Yeah, so wait

[00:01:09] Carl Lanore: [00:01:09] wait for bards, you know. The good right?

[00:01:12] Ronnie Milo: [00:01:12] Oh, yeah. So yeah.

[00:01:13] Carl Lanore: [00:01:13] So every day I bought a box of them. There's five toolbox.

[00:01:16] That was a thousand calories. I ate five of them every single day and I ate like an animal every single day and I definitely got bigger but I couldn't sustain that type of food because my stomach started to really get funky.

[00:01:30] Ronnie Milo: [00:01:30] Yeah. I'm trying the best bar ever yet.

[00:01:34] Carl Lanore: [00:01:34] No, I so but I know somebody who makes that bar to I'm trying to think who it is.

[00:01:38] Isn't that Adams partner? Like Adam has a yeah. Yeah. Yeah. I did. Try it. I tried it at the Arnold this year. Yes. I did. Very good.

[00:01:46] Ronnie Milo: [00:01:46] We launched a couple different flavors like a good friend of mine. Yeah,

[00:01:49] Carl Lanore: [00:01:49] very very good barn. But yeah, I have up my calories and I haven't been training fast that I meeting first thing in the morning now going back to old ways.

[00:02:00] [00:02:00] Ronnie Milo: [00:02:00] Use any peptides that help with the appetite or just being able to get five hours.

[00:02:03] Carl Lanore: [00:02:03] No. No. I mean, I know I'm not using ghr P6 like every throughout the day. I do take my shot in the morning and I usually have one shot later on in the day. But yeah, you're right if I was having trouble with my appetite.

[00:02:16] I would definitely turn to more frequent usage of some of The ghrelin Agonist for sure.

[00:02:23] Ronnie Milo: [00:02:23] Yeah, but I'm trying to push the calories. I need to add in the GH rp6 or maybe MK 677 because it's very hard to do.

[00:02:30] Carl Lanore: [00:02:30] The only problem with them case 6772. I played with it this past week before and it makes me hold water terribly.

[00:02:37] Ronnie Milo: [00:02:37] Yeah, well how much the dosage on that? I was taking

[00:02:39] Carl Lanore: [00:02:39] 25 milligrams a day.

[00:02:41] Ronnie Milo: [00:02:41] Yeah. I try to break it up 12.5 twice a day. I think that that helps me with the letter G and then also the water retention as well.

[00:02:49] Carl Lanore: [00:02:49] Well, I got to tell you so as long as we're talking shop. I went back up to a gram a week of test.

[00:02:58] I spent the better part of a [00:03:00] decade at a grandma more a week and then you know, I started to become a little bit more sensible. And so I went down to 250 then 350 then for and I was doing Sub-Q. I've been doing Sub-Q on and off since 2010. I've told this story before. And I hate even saying it because Chrysler isn't here anymore.

[00:03:22] But I had dropped a crystal on my show in 2010 and I told him I was doing Sub-Q before anybody talked about it and it was a natural progression for me. I just got tired, you know, when you're doing a 3 grams of oils or more a week. You have to do a lot of injecting.

[00:03:42] Ronnie Milo: [00:03:42] No, yeah, all

[00:03:43] Carl Lanore: [00:03:43] three three all three CC's.

[00:03:46] You know, what was that all three? CC's, you know this hip that hip this quad that quad and I was just sore after years of that. I was like, oh God. I hate this it's like, you know, so I thought you know, I'm gonna go [00:04:00] down and I'm going to start injecting in my in my skin. Well, why wouldn't it work?

[00:04:05] I'm thinking right and it did work but. The slow rise of a subcu injection is nothing like that. First three day Peak that you get when it's intramuscular,

[00:04:18] Ronnie Milo: [00:04:18] right?

[00:04:18] Carl Lanore: [00:04:18] Yeah, so I went I went up to excuse me to 500 milligram shots a week.  Quad quad right now and and by the way using high doses of bpc I have no soreness I can shoot again next week in that same area.

[00:04:33] It's really remarkable. I mean not if that that alone is a reason for bodybuilders to use bpc 157.

[00:04:39] Ronnie Milo: [00:04:39] Yeah, I use it on a daily basis.

[00:04:41] Carl Lanore: [00:04:41] Yeah. Well, so do I and I music so okay. Let's talk a little bit shop and then we'll get into the discussion about HRT. I think people like this kind of banter anyway,

[00:04:49] Ronnie Milo: [00:04:49] right

[00:04:49] Carl Lanore: [00:04:49] so a gram of week I feel so effing good again.

[00:04:55] I just think that I became so accustomed to that place [00:05:00] that going back to a gram a week. Intramuscular, I mean just I'm so much stronger in the gym. It is ridiculous, but I'm going down to 750 a week because of logistics. If I do three CC's once a week, then then my most the injection areas are going to get a little bit more time off.

[00:05:22] So it's just easier to do three CCs in one leg the next week 3 3 c 3 C C's in the other. So each leg gets it a full week, you know, almost two weeks before another injection. So I'm probably going to go down to 7 750 a week, but it is there's no there's no comparison to using using testosterone intramuscularly compared to Sub-Q.

[00:05:46] There's no comparison. I'm sorry. No.

[00:05:47] Ronnie Milo: [00:05:47] Yeah. I'm triangle. I tried both and I'm more of an intramuscular kind of guy myself,

[00:05:53] Carl Lanore: [00:05:53] but it just becomes so yesterday. I'm training my legs more [00:06:00] harder. I'm just no no squats yet. No dead lifts leg presses leg curls leg extensions and hip adductor abductor work and calf work.

[00:06:08] That's all I'm doing right now. And so.  the weight has gotten so much lighter as I just said and so yes there an and I'm training I'm training every day. I'm doing push-pull legs Push Pull legs. I never trained my arms, but I'm going to start training arms every Shore. Because we got a new sponsor coming on board that has these their actual the real bfr stuff that you pump up.

[00:06:33] It comes with a hygrometer and everything so you can actually see how much pressure is. It's very cool stuff. So I'm training like every day.  And I'm feeling great. Well yesterday I was training legs and I was doing seated leg curls and I pull myself all the way up. So I'm just sitting on the balls of my ass.

[00:06:52] So the entire hamstring. On both ends can contract and son of a gun. [00:07:00] I my last set was the whole stack. I don't even know what that is. And about the third or fourth rep. I felt this burn in my hamstring immediately like the weight off immediately exited the gym and it hurt me all day all day yesterday.

[00:07:17] It hurt bad. I did five milligrams of bpc site injection. I just stuck it in the muscle right in that area didn't worry about aspirating and just pushed it all in. I woke up this morning. It's like 95% better. It's amazing. It's amazing be piece of what the design is amazing.

[00:07:37] Ronnie Milo: [00:07:37] Yeah, no bruising or anything.

[00:07:39] Carl Lanore: [00:07:39] Not yet. I haven't I got him have a Lisa take a look. I don't know. It felt like it could have been a belly tear it really did because it burns so bad. So I will say well say

[00:07:48] Ronnie Milo: [00:07:48] all right. Yeah. Well, good luck.

[00:07:51] Carl Lanore: [00:07:51] So let's see here. Let's see what let's just get these up here first greetings from Colombia from Danny Geraldo Kendo.

[00:07:58] How you doing, Dan? He he never [00:08:00] misses the show anymore. Thank you. John Peaks. What's up La this afternoon and off to Valdosta, Georgia. Wow, talk about traversing the United States brother. They you know, I think this is going to be a good discussion. A lot of people don't even pick up the phone and inquire about HRT because they're just not sure what to expect and they don't even want to get involved in the phone call.

[00:08:28] They're afraid they're going to get sucked into a deal. So this was a good idea on your part to talk about.  Is HRT even right for you what to expect and some of the myths surrounding HRT. Where do you want to start with this discussion want to start with his HRT even right for you?

[00:08:46] Ronnie Milo: [00:08:46] Well, yeah, I mean so basically my job on a day-to-day basis as to have consult with a lot of the potential clients that are interested in the stuff and knowing the first thing that they do is to get online and they go on Google and they write HRT and then [00:09:00] all the War Stories and all the horror stories are like the first couple pages of Google.

[00:09:05] So they're already on a defensive mode when I get on the phone with. So basically, we just want to educate them and let them understand that HRT is a safe alternative. There's many many studies out there. Now that showing that HRT benefits and that also the process for it and then also the the, you know, the I guess guidance through the whole process because they think that we're going to you know recommend them, you know, testosterone therapy or HRT therapy and then just forget about them, but it's a very intriguing.

[00:09:38] Conversation that we have because you know, they always ask the negatives and that is great and we want to we want to identify the negatives but then we always out, you know Outsource them with the positives, you know. So, you know in the what our Clinic to it is like we're not a clinic that that is sailed based right?

[00:09:57] It's more of a performance base. It's more of a you [00:10:00] know, we're not going to recommend or sell you anything if we don't think in see it's optimal for them. Right

[00:10:05] Carl Lanore: [00:10:05] right because I let's stay with that for a second. There's a lot of clinics out there.  that really are kind of they really nothing more than steroid MILF and what I say by that.

[00:10:20] Oh, yeah, you go to them and they automatically write you a prescription testosterone deck adorable and and anastas all and if your 12 x 12 weeks they give you they sell your 12 weeks like nobody does that in the medical profession? Nobody? No doctor does that no doctor you walk in and he says okay, here's 12 weeks of this go away now.

[00:10:39] So, you know, this is an important discussion to distinguish how ReNew Life RX Works versus a lot of these other places.

[00:10:46] Ronnie Milo: [00:10:46] Right and a lot of clinics out. There are either a med spa that additionally provides HRT hormone optimization, but they do other things like IV therapy to do medical esthetic the facial Aesthetics.

[00:10:59] They [00:11:00] do Botox resident and stuff like that. So they're not a hundred percent dedicated to HRT. Now you have the medical doctors, whether it's urologist or endocrinologist that you know, I asked them all the time. So, how many hours did you allocate med school on hormones are like zero like well, how are you proficient in it?

[00:11:16] So basically what we do is we ran online Premier Health and Wellness Clinic that specializes in hormone optimization peptide Optimus optimization overall health and wellness and anti-aging right? And the in the detail process that we do is, you know, they inquire with us, you know, we don't advertise or anything of that nature.

[00:11:38] It's more of a word of mouth kind of Clinic we sell to pretty high-end clientele, you know that are looking for to just to feel better. Right? They're not necessarily looking for HRT. They're looking just to feel better because whether the 35 45 55 years old, they just feel like you know, poo. And at the end of the day, it's one of those things that okay.

[00:11:58] Let's do a deep dive [00:12:00] and figure out why you're doing that and with our process like I said before is I get on the phone with them and have a conversation with them and just see if they're a candidate for it because possibly they couldn't be you know, whether it's age whether it's you know, they just had a baby and they're breastfeeding whether it's any other kind of issues that got good they have going on.

[00:12:20] So I do a kind of a you know, an extensive background history with them and if they decide they want to go forward with it and I decide they want to go forward with it we go ahead and send them some information for them to do. The first part is a health history questionnaire, which is about 20 pages and it's in a deep and depth questionnaire that kind of just you know brings to light what's going on with the person, you know, whether it's they feel bad they feel Moody lethargy lethargic low sex drive, you know, no motivation.

[00:12:50] You know depression anxiety those things. So then what we do is we go ahead and we partnered up with LabCorp. And what we do is we send them a [00:13:00] requisition form and then they can go to any left for to get the blood work done will get the blood work back about the way between 24 and 48 hours and the portal system.

[00:13:09] And then the third step for them is to go ahead and get a physical form either the primary care physician or they can go to a Walgreens or a BS that provide those services and they have to fill out a form that says it's a medically cleared so, you know to go for the process now once we get the blood work back and once we get the physical then we go ahead and we send off all the information to the doctor.

[00:13:31] We have a chief medical officer on staff. He oversees the entire program. And then I or Adam will get on the phone with the doctor and we'll review the health issue questionnaire will review the physical form and we'll view their labs and then we'll create an overview. Okay, and then typically what I'll do is I'll go ahead and schedule another consultation with the with the client on the phone and go over what the doctor recommends now.

[00:13:55] I always tell them not a physician. I did go to medical school. So I [00:14:00] can't make any diagnosis or writing prescriptions, but I can make recommendations based off what the doctor provides? Okay. So then we go through the consultation. I you take about an hour because I like to go through and deep in depth, you know coverage of the blood work because sometimes they get it back.

[00:14:14] It's confusing right? Some numbers are off. Some numbers are low there. Hi, you know they get confused. So I Dura deep in debt and. Overview with them on until I'm like what's going on? Like why are glucose is high? Why your alt AST could be high shbg. It's a testosterone is low. Testosterone is high any kind of other, you know indications that will see on that blower and then we'll discuss with them.

[00:14:39] You know, these are just recommendations nine times out of ten. They might not qualify for HRT, but they might qualify for other therapies where there's low igf-1. We recommend peptide therapy. And then we have a vast majority of peptides that we. You know you go through whether it's liver. A lot of people have a lot of liver damage, you know looking at [00:15:00] different factors like estrogen we look at him at occurred hemoglobin red blood cell Cal white blood cell count shbg.

[00:15:07] So we take all these and account for to make the proper recommendation and then we give them the opportunity to make the decision. We don't push anybody to anything, right? A lot of people will do is to say okay. Let me take a couple days and talk to my doctor or do some research on it. And I said we're fully we fully cooperate with them because you know, we don't we don't take our word for it.

[00:15:28] You always want to do the research because you need to understand why you're doing this. We're help you through the process, right?  So if they come back and they say that yes, they want to go through the process then we always highlight what that we recommend doing. Then we go ahead and send prescriptions with dr.

[00:15:47] Signature over to the pharmacies and the pharmacy send it out to the patient's address and it's all self-administered. Right what we do with that is well is that doesn't stop the process. Okay. What I [00:16:00] do is I when I get the tracking info I make sure I communicate that with the patient so they know when the medication would arrive when they get the medication.

[00:16:06] I always make them have them, you know, either call me or email me to go over the directions from the doctor on the prescription bottles. Because sometimes you're confusing especially peptides. We all know that so then we'll go through that will go through the protocol whether it's time a day to take the prescriptions, whether it's with with food without food or any other kind of situation that would call for and then what I do is I have a pretty in-depth program that kind of is an accountability for us because we have about over 300 HRT clients and it's very hard to.

[00:16:40] Manage them if you don't have accountability system in there. So what we do is we created in the system that sends us tasks if you will and then it prompts us to check on the patients. So we do a two-week follow-up. We do a follow-up see if they did get the medications because sometimes they don't get the medications then we do a one [00:17:00] month follow-up.

[00:17:01] We do a one and a half month follow-up would do a two month follow-up and then obviously the time before the prescription is due for a refill will do another follow. And with that we always check in when I do the follow up when I'm eating as I asked to list of questions on how you doing on the therapy whether it's mood increase.

[00:17:18] Is it sex drive increase is it depression decrease? Is it anxiety decreasing quality of sleep recovery in the gym body composition changes. Nine times out of ten. I'll be able to identify what else could be going on with them. Right? And like I said, we don't just cover HRT and peptide therapy. We look at other different factors, whether it's stress combating stress levels because we all know that you know, a hundred percent of people are under a lot of stress and and they really feel that the HRT is going to be there fix.

[00:17:52] But HRT is a fix of is a fix of the problem. But there you have to look at other issues. Right and what happened?

[00:17:59] Carl Lanore: [00:17:59] In [00:18:00] fact high stress Lifestyles actually could crash the results of HRT because receptors are not sensitive to the hormones being administered. So getting getting getting stress on the controller's is critical to the success of this.

[00:18:16] Ronnie Milo: [00:18:16] Absolutely, you know and then we go through diet, you know has a diet. How's the you know, the the training, you know lifestyle assessment kind of what's going on lifestyle, you know, some people moves, you know, some people go through divorces, you know some just life so we try to help them out and all aspects not just HRT, you know, whether it's recommending some kind of supplementation to help with the stress, you know managing the Press.

[00:18:41] Or it's just what we know communicating with them is they're not feeling it then we communicate with the doctor to see if we need to up the dosage or lower the dosage and basically what everybody gets is a plan that I follow as Wellness by Design, right? It's not a cookie cutter approach right? Not everybody's going to get the same [00:19:00] medications for well examine occasions.

[00:19:02] So I do you know Wellness by Design and some people could come back and you know, they don't qualify for like I said HRT. You know and the reference range numbers are low, but they feel good. Right? So, you know, we don't automatically push, you know

[00:19:16] Carl Lanore: [00:19:16] HIV if they're asymptomatic John Peaks. I want to put this up there while you're talking about this.

[00:19:21] He said after three different HRT providers. I was most impressed with renew life's transparency. I've provided with a copy of the blood work. This is important. I'm going to talk about this and Adam went through it line by line with me and completely explain. The treatment protocol very professional so I have a childhood friend.

[00:19:41] He's like a brother to me and his daughter recently started to have severe anxiety debilitating anxiety. In fact, she felt like she couldn't manage her own life. He's only 47 years old and he conveyed to me [00:20:00] anxiety poor sleep some some hot flashes. Well flushes, depending on what camp you come from and and shaking, you know Tremor I said sounds like she's going to early menopause.

[00:20:16] Well her primary care doctor who is just a GP.  He I guess he thought I told her what test she needed to have run.  She brought them to him. He said oh, no, I can't run all those tests. Your insurance will never approve it and this is not true because. Eliza gets the same test run every single year and Anthem never turns it down because she is she symptomatic but.

[00:20:46] Your comment about how doctors really don't know when it comes to hormones. So I he wants to start out with our that she had a thyroid panel done in the hospital the other day. All they looked at was TSH can't tell anything. So I texted [00:21:00] her total and free T4 total and free T3. TSH TPO, which is thyroid antibodies and reverse T3 at a minimum these need to be tested and so he is willing to test those but nothing else at this point in time and I told her if he comes back and says which this with your thyroid is fine don't accept that.

[00:21:22] Tell him you want a copy of the labs they belong to you. They belong to you you have every right to interpret those yourself bring them to a third party a fourth party a fifth party and say what do you think about my thyroid here? And this is a big deal because today if you're going to a GP for hormone replacement therapy, you are not going to be treated maybe 10% of those people will be okay 90% won't because the average doctor first of all, Doesn't know how to interpret and take into account symptoms.

[00:21:57] He told her to go see a therapist psychologist. [00:22:00] I said you did nothing wrong with your brain. Your symptoms are real. They're from hormones. It says you don't need to go talk to somebody that's not the problem. But imagine women today going to a doctor with these types of symptoms and being told go talk to a psychologist how insulting is that how insulting is?

[00:22:21] Ronnie Milo: [00:22:21] Yeah, well, they want to pawn you off to the next position and the next position next position, right? They don't worry

[00:22:26] Carl Lanore: [00:22:26] and what are they going to do for my low they're going to give her antidepressants are going to give her anxiety latex. And then and she's not going to I said you'll just be a zombie for the next 10 years,

[00:22:35] Ronnie Milo: [00:22:35] right?

[00:22:35] They're gonna put a bandaid on the issue. They're not going to they're not going to understand what's going on. And what I like to do is I tell my clients is I treat you like an iceberg right? I want to look at the top of the iceberg, right? And I understand but I want to go under the water. Look how deep the iceberg goes and how big the iceberg is.

[00:22:51] That's going to make me understand and make a determination of what we needed to go move forward with you know, so

[00:22:58] Carl Lanore: [00:22:58] and and and I want to [00:23:00] also mention one other thing.  if you're considering HRT go out and get a health savings account go to your bank and say I want to open up a health savings account go to your insurance company and say I want to become I want to transfer my my plan to a health savings account because now.

[00:23:19] You have control on what you pay for see right now. If you go to your average insurance company and say I want to get on HRT they tell you know, what if you have a health savings account, you just write the check to the pharmacy for the for the medication and you submitted to the insurance company.

[00:23:37] They don't deny it because it comes in you took part of your out-of-pocket in the health savings account manage your own insurance with a health savings. And you won't have to worry about going for a hormone replacement therapy and having an insurance company block you from getting better, right?

[00:23:55] Ronnie Milo: [00:23:55] Yeah, and what the medical agenda now these days they want to keep the health care from you. [00:24:00] Well, we do want to put the health care back in your hands your it's your health you're responsible for it. We want to help you through the process. We don't want to keep you in the dark and that's why you get a copy of the overview from the.

[00:24:10] That's why you get a copy from the blood work for your records. We keep them as well so we can reference them, you know in the future because what we typically like to do is a lot of these clinics will do one blood work a year. What I like to do is if you're on HRT, if you're on any kind of you know programs that we have is to do a three-month evaluation six-month evaluation the 12-month evaluations and see if these numbers increased in conjunction with symptoms.

[00:24:35] Right because somebody could be on testosterone or HRT or peptide therapy for six months. They don't feel nothing and then some doctors might go ahead and increase the dosage, you know, because they don't know much I want to go to redo the blood work again and see what kind of things have changed now Drive.

[00:24:50] Yes, we could have got an increase in testosterone, but we also could have got an increase in shbg right? So that's what we have to identify. So more is not always better. [00:25:00] So

[00:25:00] Carl Lanore: [00:25:00] and obviously symptoms tell a lot of the story and most Physicians today most general practitioners who are trying to wade into hormone replacement therapy completely ignore symptoms.

[00:25:13] If they give you what they are what they think is right if you don't respond something's wrong with you. No, you didn't fix the problem. That's what it is

[00:25:22] Ronnie Milo: [00:25:22] right. Now. We

[00:25:23] Carl Lanore: [00:25:23] have to

[00:25:24] Ronnie Milo: [00:25:24] wear a detective hat right because you know, The phone calls that I have for the consultation is I asked the guy to ask the right questions, right?

[00:25:31] And it's more like I said symptoms based and what how do you think that they got to this situation now why they're feeling bad how long they've been feeling God, you know, I mean, so yeah, it's a it's a pretty in-depth process. And like I said, you know regular doctors aren't set up for the monitoring process right you go on they give you testosterone to go to the pharmacy to get it done.

[00:25:51] And I know you don't hear from him for 12 months.

[00:25:53] Carl Lanore: [00:25:53] No.

[00:25:54] Ronnie Milo: [00:25:54] And if you have a question, you try to call him. He can't get a hold of the doctor, you know with us. I mean, you know, we're [00:26:00] readily available whether it's email, whether it's they call my cell phone. They can text me they can send me messages on Facebook and on Instagram know we're readily available

[00:26:09] Carl Lanore: [00:26:09] and what's even worse is for women because they are more complex because they actually have the Machinery to make another human being, you know, and doctors will put a woman on unopposed estrogen.

[00:26:22] And what's worse they'll use a conjugated equine estrogen that's methylated that increases thrombotic index and clotting. It causes hepatic stress tough to tough on the liver which changes enzymes in the liver and it's not even human estrogen. It's a horse estrogen and they'll put her on that and forget about it for a year because her symptoms have gotten better.

[00:26:50] And then they go back and she has her gyno and they go. Oh my God, your end-to-end. Your endometrium is is five millimeters thick now, something's wrong. You know you now we [00:27:00] have to go in and we have to biopsy to make sure you know, they don't realize that you can't just replace one hormone. You have to replace estrogen most cases a stroll and estradiol Estrella Estrella.

[00:27:13] You don't want more of that the old lady hormone. That is actually the war. More associated with uterine cancer, but they just focus on estradiol you have to replace progesterone you have to replace testosterone and sometimes you may even have to replace DHEA to back load. So everything because if DHEA stops being produced because you're giving a woman a multi hormone protocol.

[00:27:39] Then you need to replace the AHA because DHA in its parent state is an important hormone. You can't just go. Oh, but she's got plenty of progesterone and estrogen and testosterone. We don't need DHA know if the body that need DHA wouldn't have made it in the first place,

[00:27:53] Ronnie Milo: [00:27:53] right? Absolutely and we have a lot of patients on DHA as well because we test that in our blood panel and nine times out of ten.

[00:27:59] They [00:28:00] come back in their low sure, you know sure

[00:28:03] Carl Lanore: [00:28:03] I want to I want to take a commercial break and when we come back. Maybe we can cover some of the myths of HRT to dispel some of those myths we're talking with Ronnie Milo. He is a practitioner over at ReNew Life RX. They respond sir, and we're very proud that they're our sponsor because I have sponsors all the time where I get somebody email me and say.

[00:28:29] That company let me down. I've never had those emails come from anybody all the emails. I get about ReNew Life RX are all positive positive experiences. People got what they expected check him out. The website is ReNew Life RX.com and you can get started with them. Just call for a consultation.

[00:28:47] Just talk to them. You don't have to do business with. Just let them talk to you and ask you some questions. You'll learn something. If nothing else for free stay tuned. We'll be right back. Welcome back were talking with Ronnie Milo. He just goes by the name Milo. [00:29:00] He he's with ReNew Life are x.com.

[00:29:05] Bill Schultz has a question. Let's answer his question before we start talking about myths.  What's a typical summer Ellen dose standard or do you treat based on igf-1 levels?

[00:29:18] Ronnie Milo: [00:29:18] I mean the typical Summerlin dose is it all depends on weight? Obviously and then yes, we do look at the igf levels because we don't want igf levels too high.

[00:29:29] You know Summerlin is a good product. I'm not a big fan of Summer Island moreover the modified GRS or the CJC. I think that's a kind of a more in-depth peptide. But we do offer Summerlin at the clinic if you if you want to you want to use it. Just give us a call. 

[00:29:48] Carl Lanore: [00:29:48] Why don't you like some Ramen? It was one of the earlier ghrelin agonists out there and it did and it didn't it didn't appear to work.

[00:29:56] Well, especially in older adults. Is that why you [00:30:00] don't like it?

[00:30:01] Ronnie Milo: [00:30:01] I mean I've used it. I haven't really seen a lot of results, right and then obviously we've used it and a couple clinics that I've worked for and we really didn't see any elevation igf levels plus the half life in the system. So, you know only 15 to 20 minutes, you know, so it's in and out of the system, but there's no really increase of Basil igf levels that we've seen, you know, indicating through blood work and symptoms.

[00:30:22] Carl Lanore: [00:30:22] And I guess his next question is he's asking so you write prescription for peptides. You not only write the prescriptions but the the peptides come from the only source Pharmacy in America that you should consider and that's Tailor-Made in Nicholasville, Kentucky. Right?

[00:30:39] Ronnie Milo: [00:30:39] Right. Yeah, so I don't write prescriptions.

[00:30:41] Like I said, I'm not a medical doctor. I'm not a physician so I can't write prescriptions, but the doctor does write prescriptions and you need a prescription to order through challenge. And that'll that brings me to another you know, you know topic that you definitely want to discuss is we use pharmacies throughout the country that are 503 a [00:31:00] pharmacies.

[00:31:00] And if anybody knows anything about the 503 a regulation, it's controlled and regulated by the FDA and DEA and what that means is there are third-party tested for compliance and efficacy and their compounded on-site right they do offer. You know being brand products, but we typically don't refer the braid the brand name stuff.

[00:31:22] We usually use Vaio denti-cal hormone replacement. Okay, what that is is they take you know, the the biochemistry from the body and then they replicate that into a product. So it's. That's going on to the next you know conversation will have about the myths and the safety and this in the crazy stories that we hear about the hormones.

[00:31:43] Carl Lanore: [00:31:43] Okay. So let's go ahead and talk about that. So I mean when you go to a regular GP chances are the hormones he is going to prescribe you are methylated. First of all, which is a process of adding a side chain. [00:32:00] Okay, so let me back up. If you were to take just base testosterone powder.  And for every hundred milligrams, you swallowed you get about two and a half milligrams actually into your bloodstream because the rest of it would be removed by the liver even so methylation is a process.

[00:32:20] That makes it harder for the liver to break it down and remove. But by doing that you make the liver still tries to tries really hard. It's like why isn't this working? I'm going to keep trying and it doesn't work. So the liver actually work so much harder to try and get the methylated drugs out of your bloodstream that it causes stress to the liver that leads to thickening of the blood or what's called an increase in thrombotic index.

[00:32:50] It could also lead to. It's been shown to have certain effects on certain liver type Cancers and we all know this doctors all know this and the irony [00:33:00] is they'll give you prednisone and say oh you can only take it for 21 days. And the reason you're going to take it for 21 days because it's a methylated.

[00:33:07] It's methylprednisolone, but then they'll give women methylated birth control pills to say stay on him for seven years and then women end up with blood clots in their lungs and they don't know why it will it's that drug. Well, the same is true. Of what doctors prescribe for their female patients as HRT, they're almost always methylated and and 90% of the time they are from horses conjugated equine estrogens and progesterones.

[00:33:37] But also they use synthetic progestin 's which have their own series of problems. So when you go to the average doctor, He's not going to give you something that your body will enjoy having again and it will have its own set of negative effects. I just want to put that out there for people who think they can just go to their GP and say put me on [00:34:00] hormones, right?

[00:34:02] Ronnie Milo: [00:34:02] Yeah, so I mean we I get a lot of the questions. Like I said, you know when we do the consultation and the first one's always like, you know, I heard that testosterone or HRT gives you cancer. Bye. And I tell them I said no that's not the truth. I've seen studies multiple studies actually and they are online and on the web.

[00:34:21] You have just got to find the right areas that they done a couple testing that they had a breast that was fully encapsulated with cancer cells and they inject they did an MRI and a CAT scan and showed the increase of the cancer cells in the breast. They went ahead an injected a testosterone bioidentical hormone testosterone pellet into the breast tissue about six to eight weeks later.

[00:34:46] They did a re-evaluation of the breast tissue and they showed that the cancer cells have decreased significantly almost or were non-existent. So, you know testosterone to be shown, you know it to be anti [00:35:00] cancer is one also too is they asked the question is go testosterone can give me a heart attack.

[00:35:07] And that's another myth that I think that a lot of people think it's no I will not give you a heart attack. It's actually cardioprotective through angiogenesis and you've talked about that on your show multiple times. So those are the two questions that we get all the time and then obviously, you know, it's do I get is there any Roid Rage kind of symptoms, you know, is it going to make me a worse person and I tell them typically it doesn't change the brain chemicals in your brain.

[00:35:36] And actually it's anti-anxiety and it's absolute elevator, you know, I mean, so you'll feel you know, a better mood more motivation decreased anxiety. And then also, you know the overall health and well-being the more clarity less brain fog.

[00:35:54] Carl Lanore: [00:35:54] So so my experience with roid rages.

[00:36:00] [00:36:00] The types of there are two types of people who turn to anabolic steroids those who are using them specifically for sports and performance enhancement. And those who feel that they will make up for their own sense of inadequacy very very different people. The the former is the same person who got to get to pit bull because they want people to be afraid of them vicariously through their pit.

[00:36:27] And so my experience with Roid Rage and keep in mind I was in the throes of the most horrible divorce ever and I was injecting three grams of androgens a week plus a handful of orals. So if anyone would have had that whole Roid Rage thing, I was so battered emotionally, I would have been me and but my experience with roid rages if you are an a-hole.

[00:36:56] A beer will make you bigger a whole six beers will make you a [00:37:00] huge a-hole and you are just an a-hole and you are just looking to use something external to blame your a wholeness on well, I think because I was drunk last night, you know, I kind of lost could know you're an a-hole and those are the same people who take androgens.

[00:37:19] I knew a guy who was buying bunk orals and thought they were real. And he was taking him and he was like coming into the gym and acting like he was just he was raging and I happen to know that what he was buying with bunkers and who the guy that was selling it to him. It was a joke. Yeah. So anabolic steroids.

[00:37:41] Don't cause Roid Rage if you're an a-hole, you will be a bigger a hole on a beer and you will be a beggar a hole on fake androgens that you think are real, right? That's it. That's it. Yeah, I've

[00:37:54] Ronnie Milo: [00:37:54] actually run a study and I think you've actually covered this on your show many years ago is [00:38:00] they did a test with two two mice.

[00:38:02] Yeah, and they injected the one mice with the testosterone and the other one without and then provided food to the mice and every time the mice went to get the food they would shock the mouse, right? And they showed that the one that was on testosterone was more tolerant and less aggressive to get the food being shocked than the one without the testosterone.

[00:38:23] All right, so I learned that from your

[00:38:25] Carl Lanore: [00:38:25] show and and another another show that we did very similar discussion was where they took rodents and paired them up with females. And one group of rodents, they gave like a saline injection and the other group of rodents. They gave them the equivalent of like a thousand milligrams of testosterone sippy innate a day a day, right and then they created circumstances where they would antagonize the rodents and [00:39:00] what they found out was the rodents that had the highest testosterone.

[00:39:04] What not more aggressive but once they decided to become aggressive and it was rightfully so like they were being attacked the ferocity of their response was so much more than the non-treated rodents. But like they had they took the female. And put it on a side of the cage with the other male and that normally would start rodents to fight and the testosterone induced rodents did not engage immediately and fighting with an on testosterone induced rodents came around and wanted to fight immediately but.

[00:39:43] Once the testosterone induced rodent decided. Okay. I'm provoked now. He came down like King Kong.

[00:39:51] Ronnie Milo: [00:39:51] Yeah the Incredible

[00:39:52] Carl Lanore: [00:39:52] Hulk. Yeah, exactly. And you know, I think that's really great. So in other words, it doesn't provoke you to do [00:40:00] things, but when the the provocation is legitimate and the response is called for you just are much stronger at that response.

[00:40:09] That's a wonderful thing.

[00:40:11] Ronnie Milo: [00:40:11] Right. Yeah. I mean that's that's one of the side effects of testosterone is aggression, but it's not going to give you aggression. Right? What are aggressive stay in the gym, you're going to be able to focus that aggression towards the weights, you know, I mean, it's not like you're driving down the road.

[00:40:25] So I'm going to cut you off you're going to get out of the car and go bananas. I don't

[00:40:28] Carl Lanore: [00:40:28] know.

[00:40:29] Ronnie Milo: [00:40:29] Yeah, you're just gonna it's not provoked. It's more of your internal aggression that you Center and you use towards, you know weight training or sports right sport-specific. So

[00:40:39] Carl Lanore: [00:40:39] and actually it's been shown that higher estrogen to testosterone ratios in men cause them to be more Moody and more aggressive flies guys get older.

[00:40:50] They start putting on body fat. They aromatize more of their testosterone to estrogen they tend to be you know, like the old saying I could it's the old [00:41:00] animal is the dangerous one. The one that's actually kind of roaming the forest looking to it to kill somebody, but they're angry all the time.

[00:41:07] Well, there is evidence that in met and Youmans when men's testosterone and estrogen ratio gets out of whack with estrogen becomes Higher and Higher and testosterone lower and lower. That's when they become Moody. That's when they become undone with the word. I'm looking and they well they they become easily provoked when they shouldn't be so it's actually estrogen that men can blame for that as they age not testosterone.

[00:41:35] Ronnie Milo: [00:41:35] Yeah, and we have you know, we have a lot of people on more placement and you know, when I do the console with them and I'm going over their health issue question are they do you know click the box that they do have anxiety when I do the follow-up between you know, two months one month, whatever it is.

[00:41:48] I ask them. How's the anxiety? They're like, I don't have it anymore. It's gone. You know, I'm like, well, how's your lifestyle or still the same? You know what I mean? So then we know that it's shown to decrease the [00:42:00] anxiety because you know, everybody has anxiety these days,

[00:42:02] Carl Lanore: [00:42:02] of course,

[00:42:03] Ronnie Milo: [00:42:03] so. But

[00:42:05] Carl Lanore: [00:42:05] we live with it.

[00:42:05] If you have cable news, you become angst-ridden for the stupidest reasons,

[00:42:11] Ronnie Milo: [00:42:11] right? I mean, there's a lot of anxiety right now in South Florida. We're getting ready to hit by a hurricane. So I mean everybody's going haywire, you know, and I'm just like hey, it's another day.

[00:42:19] How

[00:42:19] Carl Lanore: [00:42:19] big how big of a hurricane are you guys playing looking at?

[00:42:22] Ronnie Milo: [00:42:22] Well this morning I was a 3 now, they're projecting it to be a category for

[00:42:26] Carl Lanore: [00:42:26] was this the one Damon or something like that? Yeah, well I hit that that dorina hit Puerto Rico first right in

[00:42:31] Ronnie Milo: [00:42:31] Puerto Rico and I was supposed to go to Central Florida but just made a left turn left turn is probably going to hit South Florida between West Palm Beach in Miami.

[00:42:39] Carl Lanore: [00:42:39] Oh, wow. What time do you think it's going to come Lynn hit in the head land?

[00:42:42] Ronnie Milo: [00:42:42] Yeah, they're projecting Monday night. I believe, you know Labor Day night, you know, so but yeah, there's a lot of lot of anxiety right now going on through the south, Florida area. You could

[00:42:53] Carl Lanore: [00:42:53] tell the people that have high testosterone.

[00:42:55] They're just like I'll get my car and drive out later. That's all.

[00:42:58] Ronnie Milo: [00:42:58] Yeah. I mean, that's the I'll be I'll be probably [00:43:00] putting up shutters this whole weekend, but it is what it is. Yeah.

[00:43:04] Carl Lanore: [00:43:04] Well, it's a beautiful place to live and it comes with you know, some some prices to pay. Let's say yeah.

[00:43:10] Absolutely. I want to take a last commercial break when we come back. I want to talk about it the length of time it takes from the time that they make the phone call and decide to use ReNew Life RX to the time that they actually. Are delivered with whatever medications are prescribed for them and they're on the program?

[00:43:26] Okay.

[00:43:27] Ronnie Milo: [00:43:27] Yes, sir.

[00:43:28] Carl Lanore: [00:43:28] I stay tuned for epic. Welcome back. We're talking with Milo Ronnie Milo from ReNew Life are x.com. So if somebody reaches out somebody sees the show says, okay. I'm going to give it a try. They go to the website. What's the explain the steps explain this?

[00:43:44] Ronnie Milo: [00:43:44] Yeah, so you go to a website and then you can actually click on the contact us form and then go ahead and fill a little bit of information and then I'll get the notification within seconds to my system.

[00:43:57] And then what I typically like to do is I try to [00:44:00] you know get on the phone with them, you know, obviously a lot of people can't get on the phone during the day because of work. I'm going to go ahead and send him an email and I set up a time and a day for kind of like a you know, pre-call right just to kind of understand what they need and what they want, you know do a little screening process with them after that.

[00:44:20] If they decide to go through the process I go ahead and send them another email with detailed information on the next step of the process has the first one's going to be the health history questionnaire. They'll go ahead and fill that out. Second is to pay for the blabs. Once they pay for the labs.

[00:44:35] I get the notification I go ahead and submit the requisition form for the doctor to sign and then send them the requisition form to take the lock core. And then the third one from there is the physical assessment form that they need to print out and take to their position or you know CVS or Walgreens

[00:44:53] Carl Lanore: [00:44:53] stop there for a second.

[00:44:54] So when they take that to their physician The Physician is going to go what's this about?

[00:45:00] [00:45:00] Ronnie Milo: [00:45:00] Right

[00:45:00] Carl Lanore: [00:45:00] there. This is kind of like that Seinfeld episode. Where is Jerry Gets a Haircut from a different Barber and like, you know, you're afraid to tell the barber that you're going to somebody else. Does your doctor become intimidated?

[00:45:11] Like why are you going to this group here?

[00:45:13] Ronnie Milo: [00:45:13] Right and they probably will ask but as a patient was always for selling that's it not to answer them because you know, a lot of the doctors are against HRT, but all they need to do is click the medically clear blocks on the bottom for us to move forward in the process.

[00:45:26] You

[00:45:26] Carl Lanore: [00:45:26] got it.

[00:45:28] Ronnie Milo: [00:45:28] So what's what's all that paperwork? It's back. You know, like I said, if you do the blood work and then you get your physical and the same day, you know, the blood work comes back within 24 hours. We can have the doctor do the overview in the labs within 24 to 48 hours and then I can get on the phone with you and the same timeframe to do the overview and if they agree upon the program that we select for them.

[00:45:48] Then we go ahead and we submit this prescriptions to the doctor. The doctor sends it to the pharmacy and then the pharmacy overnights the medication to the patient. And with that you can view could be on you know, by the time you take it. You [00:46:00] contact us the time you get your therapy could be, you know, three to four days.

[00:46:04] It all depends on how quick the the patient's want to move. Some people take some 2 to 3 months to get into with their position to get in to get a physical. Some people have to make time to go get the blood work. So it all depends on how fast they want to do it. You know, we have people that are on the program within 48 Hours some people for months.

[00:46:20] So

[00:46:21] Carl Lanore: [00:46:21] so theoretically if you're a physician is one of these Physicians where it's like, oh you got to get on a waiting list for three months to get a physical you could go to Walgreens like you said and just get.

[00:46:31] Ronnie Milo: [00:46:31] Yes, I in the email I provide where you can go get them right? There's a link for Walgreens.

[00:46:35] You can type in your ZIP code. They'll show you the nearest facility or CVS, or you can go into a walk-in clinic, you know, any kind of urgent care walk in clinic CentraCare, they'll be able to provide the physical evaluation to but that's very important for us to send to the doctor to do the blood work because a lot of people will do the blood work and then it takes about two to three weeks to get to the physical complete and that holds up the process.

[00:46:57] Yeah, so.

[00:46:58] Carl Lanore: [00:46:58] How many people turned down at the [00:47:00] physical how many people find out? I mean most people are getting a physical once a year so they really shouldn't be any surprises, right?

[00:47:06] Ronnie Milo: [00:47:06] Yeah. I mean that's you know, that's the thing too is you know, we don't take any third-party physicals or third-party blood work, you know, I mean because that's the standard for the doctor because a lot of people I can just got blood work done with my position.

[00:47:17] Well, we don't we don't know except that the doctor doesn't accept that. We need to get our blood work and our physical through LabCorp and the physician so he can make a determination for program. We don't use third-party blood work or physical. So we they have to go through our process.

[00:47:31] Carl Lanore: [00:47:31] Is that is that a technicality that I mean, so people would say well why if I just had it done a month ago?

[00:47:37] What's the difference? Is that a technicality that that keeps the clinic and the doctor and and everybody else kind of in a good place because obviously there are so many authorities having jurisdiction today within the medical field. Double like well, why didn't you pull your own blood work? Why did you why did you [00:48:00] depend on something some other doctor did a month ago?

[00:48:01] Is that the kind of thing that you're looking at?

[00:48:04] Ronnie Milo: [00:48:04] Yeah. Well, it's all about compliancy. Right because we cover a large range of the country. We cover about 48 states, except Alaska and Hawaii. So there's a lot of different legality due to that because we don't really like I said see patients, so it's more of a telemedicine sybase.

[00:48:19] So there's a lot of legality due to that. So we do need to know for the doctor. Our forms and our Labs filled out because you know anybody these days could you know Ford's that stuff? Yeah.

[00:48:31] Carl Lanore: [00:48:31] Yeah. Good point. I didn't think of that. Yeah because people can make something maybe they could that, you know, you could you could get a document you can get your lab work that you had done you could Photoshop it and change values and then send that off and you guys would never realize the values will change because you didn't get the transmittal directly from the.

[00:48:49] Ronnie Milo: [00:48:49] Right, and I know for a fact that the physician will call the physician that signed the medically clear form to check, you know, just to cover his you know

[00:48:57] Carl Lanore: [00:48:57] cya cya

[00:48:59] Ronnie Milo: [00:48:59] because [00:49:00] his medical license is on the line, you know, I

[00:49:02] Carl Lanore: [00:49:02] mean, you know, it's amazing medicine has become so litigious because of the pharmaceutical agenda

[00:49:08] Ronnie Milo: [00:49:08] really

[00:49:09] Carl Lanore: [00:49:09] primarily because of pharmaceutical drugs and and so doctors literally like they.

[00:49:16] An inordinate amount of time doing things that don't benefit the patient per se directly, but keep them protected from medical licensure boards and their state. It's really sad. It's really sad and

[00:49:30] Ronnie Milo: [00:49:30] here's another kind of not issue. But you know definitely want to address is if somebody comes on to work and they're already on HRT currently from another clinic and they want to continue with us because of the service.

[00:49:43] They will have to send us the previous blood work that they were low, you know low and the low reference range for their for their for their blood work

[00:49:50] Carl Lanore: [00:49:50] their original for their original diagnosis.

[00:49:53] Ronnie Milo: [00:49:53] Yeah, because we have to put that in their chart to show that to show that they did require, you know HRT, but then we [00:50:00] also make them get our blood work done.

[00:50:02] Carl Lanore: [00:50:02] Okay. So let's stay with that for a second. So some clinics require you to come off completely for 90 days. So that you literally tank and then they'll run your blood work then and say see he does need testosterone therapy. So what you're saying is is as long as they have their Doctor Who did the original diagnosis?

[00:50:26] Of hypogonadism send the original lab work and DX papers. So you have this point to say this doctor prescribed testosterone. Originally. We just pick them up later on right and that's you know, going back to our first conversation. It's

[00:50:39] Ronnie Milo: [00:50:39] important for you to have the blood work, right because I can't called another Physician's office to get your blood work because that's a hip of epi.

[00:50:49] Right, so it's always important for you to get the blood work and then you could send me the blood work so we can put it in your file and then do an additional blood work with LabCorp from our par doctors [00:51:00] and then that'll be able to show a history about you know, the nation just to cover this to cover the doctor

[00:51:08] Carl Lanore: [00:51:08] that would you would you in that particular case with that person onboarding coming from another facility where they've already been prescribed and then using.

[00:51:18] Testosterone for a period of time would you have them at least like Miss a couple weeks of shots and go get blood work done to show that there's a severe dip in there and their testosterone levels. Yeah. So what

[00:51:32] Ronnie Milo: [00:51:32] when I send the lab requisition form out on there, it's a there's a link on there. It says dosage in recommendations.

[00:51:38] So if you're on hormone replacement, it'll tell you. When to take the for moans before or after the blood work, so it doesn't give a false positive. Right?

[00:51:46] Carl Lanore: [00:51:46] Cause you don't want it. You don't want to take your shot on Wednesday and go get blood work done on Thursday because that first 12 hours that's when sip irritated and Anthony a peek.

[00:51:57] I mean I sick you're gonna [00:52:00] have, you know, 1500 nanogram testosterone for a day or two and then it comes down and it stabilizes so you don't want to do it the day after you've gotten. You've taken your injection

[00:52:11] Ronnie Milo: [00:52:11] and we always ask him, you know, what kind of administration of the HRT are using? Is that a cream?

[00:52:16] Carl Lanore: [00:52:16] That's another thing don't take the cream the morning of right

[00:52:18] Ronnie Milo: [00:52:18] Elliot. Are you on a pellet? You know, I mean, we have to be very specific to tell them, you know what to do for the blood work as well. And then also we ask them. How many milligrams are you currently prescribed? And then, you know, obviously, you know, there's different reference ranges some people on 50 milligrams of week a hundred milligrams a week.

[00:52:34] Some people are 250 milligrams a week. We need to know that to put it in their chart the doctor could do the review with them.

[00:52:40] Carl Lanore: [00:52:40] I'm laughing because I'm on a thousand milligrams a week, but my doctor my doctor didn't prescribe the other the other 750 he owns describe the first 250.

[00:52:50] Ronnie Milo: [00:52:50] Yeah. Exactly.

[00:52:51] Exactly. I'm

[00:52:51] Carl Lanore: [00:52:51] just not being a schmuck. I'm being a schmuck right now

[00:52:54] Ronnie Milo: [00:52:54] right now. Yeah, I'm losing I'm used to from the same neighborhood.

[00:52:57] Carl Lanore: [00:52:57] Yeah. What

[00:52:59] Ronnie Milo: [00:52:59] and it's always [00:53:00] very important for you know on that conversation is to be compliant with the meds that we prescribe because if you you know, if your as a patient, you run out your testosterone for weeks before you prescription, we can't refill that because it's just a little drug and it goes into a database and basically the pharmacy you'll deny the refill if it's too early

[00:53:18] Carl Lanore: [00:53:18] I had that happen.

[00:53:19] I had that happen because I traveled abroad and I left my testosterone in the room. And when I got home I realized I didn't have my testosterone and so I contacted this when I was getting Watson through wahlgren through Walgreens, which by the way Watson is horrible. I mean it comes out of it crystallizes at room temperature.

[00:53:44] It comes out of suspension. It's like you you're shooting shards of. Of glass it feels like but anyway, and I contacted the doctor and I said the Walgreens I says I lost my testosterone. They said we can't fill that prescription until it comes [00:54:00] back around. Luckily. It was just a week or so that I had to go.

[00:54:03] But yeah, they wouldn't refill it like thyroid hormone. Yeah. No problem. You had insurance won't cover, but you will refill the prescription you but not.

[00:54:12] Ronnie Milo: [00:54:12] Absolutely, and then you know, we are a lot of instances where somebody will drop the bottle and break it. You know what I mean? Hey, I just broke my bottom Ila.

[00:54:19] What can I do

[00:54:20] Carl Lanore: [00:54:20] get down on your hands and knees and suck that stuff up the

[00:54:25] Ronnie Milo: [00:54:25] glass out of there. Yeah, but work with the

[00:54:27] Carl Lanore: [00:54:27] patient. Obviously,

[00:54:28] Ronnie Milo: [00:54:28] we'll talk to the pharmacy will let them know the issue. You will always have them take photographs of you know, what happened obviously to show the pharmacy.

[00:54:38] And and just work with the pharmacy because some of the pharmacists or the chemists can make it in case by case basis write

[00:54:45] Carl Lanore: [00:54:45] the chemical

[00:54:46] Ronnie Milo: [00:54:46] and guaranteed, you know, because they have a file on you and they know when you prescribed when you know, if you if you're one of those guys that I drop my bottle every.

[00:54:55] That's in their system.

[00:54:59] Carl Lanore: [00:54:59] We're gonna nickname [00:55:00] you oops. This is

[00:55:01] Ronnie Milo: [00:55:01] a funny one. I had a guy take a hole is a hole 10 cc's of the vial draw it out and then and send me a picture saying hey, I just got this from the pharmacy and there was nothing in there

[00:55:12] Carl Lanore: [00:55:12] call

[00:55:13] Ronnie Milo: [00:55:13] the pharmacy and the pharmacy has it's pretty interesting.

[00:55:17] They have video surveillance of everything they do so they'll send me pictures. Of the pharmacist compounding it the pharmacy looking at

[00:55:24] Carl Lanore: [00:55:24] the bottle. Yeah, right being

[00:55:26] Ronnie Milo: [00:55:26] a picture of it and putting it in there and then obviously sealing the envelope so I will send those pictures to the patient and be like, hey, this is what the pharmacy came from then you don't hear from them anymore.

[00:55:35] Carl Lanore: [00:55:35] Yeah. Yeah, if your mailman is jacked, that's where it went. He he took it and shot it what about the pellet pellets have about a 90 day life. And so if you were taking a guy from a. Where he was being pelleted, would you wait for the 90-day point from when the pellet was implanted before you'd run?

[00:55:58] His blood work?

[00:55:59] Ronnie Milo: [00:55:59] Yeah. [00:56:00] Absolutely. We probably weighed about 90 days. I put that in there chart. So the doctor can review that as well and then we would obviously work that in conjunction with their lab values and I mean, you know, I should do tell it not to do personally telling injections in my other clinic but the physician did it and we just seen too many inconsistencies with the pellets, you know what I mean?

[00:56:17] Carl Lanore: [00:56:17] So and and the. Every time you go get it, you have a little incision. Okay granted. It's only four times a year, but it's still four times a year. Somebody is making this little incision. I know women who for whatever reason got double pelleted. So either the either the doctor forgot he put it in already and was like, oh, where's the pellets and double pelleted this one woman with biased and and another woman she for some reason.

[00:56:48] The you know, the pellet is it's fairly small. It's probably about maybe eight or nine millimeters long and it's barrel-shaped. Well

[00:57:00] [00:57:00] Ronnie Milo: [00:57:00] he fingernail. Yeah.

[00:57:01] Carl Lanore: [00:57:01] And so this one particular woman for some reason the Pella didn't dissolve completely in 90 days and they weren't running blood work on her every single time.

[00:57:10] She was due for a pellet which doctor to Tara back in the day who owns soda Pele. And brought the Peloton United States. I became close with him because I was living in Phoenix for a while. He came on the show a couple times. And so the his routine was we run blood work two weeks before the new pellet is supposed to be implanted.

[00:57:32] And and if we don't see that dip, you know, we may put progesterone which we may put testosterone in but not estrogen. We you know, we look to see what still Trail. Right. Yeah, that's some doctors. Don't do that. They just every three months you come in you get your pellets no matter what and this one woman for whatever reason her estrogen pellet was not completely dissolving.

[00:57:53] So by the time it like by the time of the end of the year, she literally had three pellets in her that will slowly trickling into her [00:58:00] blood endometrium got thick they couldn't take the pellets out. I was like, why can't they just cut her open and take no because once they've been in there for a while.

[00:58:10] I guess they I don't know they they dissolve or break down but they just stick that they stay there and they and she had to live with terrible hot flashes. And and he's that's the thing. I don't like about the pellet. Like that's one of those things like once you get on board that train you just can't get off until the pellet is gone.

[00:58:32] Ronnie Milo: [00:58:32] Absolutely. Yeah,

[00:58:33] Carl Lanore: [00:58:33] no cream is great. Next would be injections as far as I was concerned. Cream is great because you put her on everyday injections, you know, they're gone in 28 days completely. The Depo is gone. So, you know, if you don't feel good, you're not going to live with it for months and months,

[00:58:51] Ronnie Milo: [00:58:51] right?

[00:58:51] Yeah once yet once you go down that rabbit hole with a pellet is very hard to come out of yeah. It's very hard to handle it.

[00:58:58] Carl Lanore: [00:58:58] Did we miss anything Milo anything [00:59:00] that you wanted to bring up to the audience?

[00:59:02] Ronnie Milo: [00:59:02] No, I mean I think that we pretty much covered everything. We just kind of want to give an idea of you know, how we operate what our mission statement is, you know, the treatment of care you get obviously monitoring the blood work monitoring the patient, you know throughout the whole process and you know, we want them to be comfortable with us, you know, I mean, it's a partnership, you know, we always say it's a partnership on a journey deal, right?

[00:59:23] And obviously I want to know what's going on with them how they're feeling if they miss an injection if they miss a dosage if they're not feeling well. If they're having something on their life and we help with them to mitigate whatever is going on or to make adjustments as needed.

[00:59:35] Carl Lanore: [00:59:35] Very good. Very good.

[00:59:37] All right, look always wonderful to have you on the show Good discussion. Check out ReNew Life are x.com reach out. Ask some questions if you've been touring if you're if you're over 35 or 40 years old and whether you're a guy or a girl you need to recognize that HRT is something that must be investigated.

[00:59:57] You know you and the [01:00:00] women do best with HRT. If they get on while they're perimenopausal, once you go through menopause the body starts to change in ways that reintroducing the hormones becomes a balancing act of getting you back, you know moving again. Let's say the time to the time to look at HRT is when you start to develop symptoms before you lose your period.

[01:00:25] Because that's when the introduction of hormones snaps you back into it in a week or two. You're back to normal, right and guys, we're lucky you can you could you we don't have that blunt-force cessation. We have just lowering and lowering of testosterone the elevating and elevating of estrogen. So whenever you get on within a week or two, you will feel like you're 25 again, I guarantee.

[01:00:50] Ronnie Milo: [01:00:50] And that's our manager has begin to hormones back to learn 25. There

[01:00:53] Carl Lanore: [01:00:53] you go. There you go. Look, I'm 61 years old and I'm Still rocking it and somebody asked me one day. Well, how long you [01:01:00] going to do that? Testosterone? I said, well, I probably do a shot the morning. I die.

[01:01:06] Ronnie Milo: [01:01:06] I do it as long as I want to feel good.

[01:01:07] Carl Lanore: [01:01:07] Yeah. I why would I not want to feel strong and Youthful why why would I want? Oh, I guess I'm a certain age now. Oh time for me to start acting old F that.

[01:01:18] Ronnie Milo: [01:01:18] Right. Yeah, it's not it's not okay to feel bad. You know, I mean, yeah, thank you. Okay to feel bad. It's just the time and the you know the Aging but it's not okay to feel feel bad

[01:01:27] Carl Lanore: [01:01:27] Milo.

[01:01:27] Thanks for being here, bro.

[01:01:29] Ronnie Milo: [01:01:29] You got a man. Appreciate you Carl. Have a great day.

[01:01:31] Carl Lanore: [01:01:31] We are off tomorrow as but we have some really really amazing shows starting next week. I'm obviously off Monday also because it's a holiday, but we do have some fantastic shows that you'll be tuning in for. So everybody have a great.

[01:01:44] Safe holiday weekend and we'll see you next week [01:02:00] .