[00:00:00] Carl Lanore: [00:00:00] welcome back to a another episode of superhuman radio. We have a pep talk today. This is by far the most favorite episode we do when we do it people love the pep talk and today is September 6 2019 and my returning guest is also a favorite with the listeners of soupy and radio and that's dr.

[00:00:21] Elizabeth your how you doing? Dr. Yurt.

[00:00:24] Dr. Elizabeth Yurth: [00:00:24] Great Carl. Thank you for having me again. Yeah,

[00:00:26] Carl Lanore: [00:00:26] it's always great to have you on so we're going to talk about something that really is a big issue in our population. And that is osteoarthritis. I didn't I failed to look up the numbers but I believe that most people will have some form of osteoarthritis at some point in their lives as they age, isn't it?

[00:00:49] That's a broad statement, but it's pretty accurate as.

[00:00:52] Dr. Elizabeth Yurth: [00:00:52] Somewhere around 90 percent of us and probably if you're living in to your 90s, it's probably more than that and you know and don't downplay [00:01:00] really it's actually probably the number one debilitating disease as people get older. It's why they can't do things so they don't go out walking.

[00:01:07] They don't go out and exercise and then they begin getting diabetes cardiac dysfunction. So it really I think we sort of think of we think of the disease Spectrum. We sort of leave arthritis out and it's probably often times one of the pieces that is the downhill turn for people as they get older.

[00:01:25] So my background is in Orthopedics functional medicine came later in my life. But the the population I see very many of them even as young as in their 50s stop doing things and they say I can't do anymore cuz my knees hurt that's sort of your downhill spiral right if you and I want to be. Doing things more 120 and we're seeing these people who have 50 of now said I like I can't run anymore.

[00:01:46] I can't do this anymore. I can't do that anymore. I can't lift weights anymore. And so we have to focus on this as a probably a little bit more of a priority. I think it gets really downplayed

[00:01:55] Carl Lanore: [00:01:55] well and when we talk about osteoarthritis, we're really talking about a chronic pain [00:02:00] disease. We're talking about a disease.

[00:02:02] So I lived with chronic pain when I had to have I put off having foot surgery for two years. And little things like my laptop was running out of battery power and the charger was upstairs and I literally would think to myself. Oh, I got to go up the stairs. My foot is going to hurt really bad. I think I'll just close the laptop and stop working now and people don't realize that living with chronic pain saps all of the joy out of life.

[00:02:31] Dr. Elizabeth Yurth: [00:02:31] Yeah, definitely me and even mild and you talk about you know, anything, you know, it's foot arthritis. I should be able to function with it even mild little things people with with, you know hand arthritis knees and hips are markedly debilitating be exactly right people just start getting sedentary.

[00:02:47] They want to do nothing. I think about that how that influences not only. Your your life with the people around you. I see a lot of couples who one can still travel and do things. The other is like, oh I can't do that anymore. And that [00:03:00] actually becomes sometimes as people get older the detriment to our relationship as well

[00:03:04] Carl Lanore: [00:03:04] though.

[00:03:04] So I never want to be the wet blanket. Like I'm one of these guys who like no, we're going to do this not I'm not going to keep everybody else from having fun. So when we went to Ireland with another couple a lot of what we wanted to do was go walking around and seeing castles and stuff. And so I had these two metatarsals literally protruding through the sole of my foot and but I walked, you know, I walked 28 between the 26,000 steps one day and I took my shoe off and my sock was wet with blood.

[00:03:36] Lisa went oh my God, like, you know doesn't that hurt I say, yeah, it hurts but I don't want to be the one that no one can do what they want to do because I'm the wet blanket,

[00:03:45] Dr. Elizabeth Yurth: [00:03:45] right? Yeah. I'm the same way. I push through pain and you know, and unfortunately that's not necessarily a good thing.

[00:03:51] Right? No,

[00:03:52] Carl Lanore: [00:03:52] I know

[00:03:53] Dr. Elizabeth Yurth: [00:03:53] no more problems. But but sort of the way we've you know, if you've been training for lie years, that's what you do. You just push through pain. [00:04:00] But also think about how yeah, yeah, I mean exactly that how does affect your socialization with people so if I have severe knee arthritis and all my friends are going out walking or hiking and I can't do it.

[00:04:09] I'm no longer hanging out with my friends. So people become more isolated they become more ill and if you go to your primary care doctor and you ask for something their choice is to really probably put you on an anti-inflammatory medicine, you know, and that's that's not going to get you very far and has its own set of complications.

[00:04:26] And beyond that they sort of go. Well, you know when you're ready you can have your knee. Well the studies actually there's a recent study came out to you can't years ago that actually fall people because we sort of think joint placement is going to fix everything and really most it was only about 10% of people that really got back to a high functional level after joint replacement.

[00:04:46] So even after knee replacement where we think? Okay. Well your pains better people did not get back to their level that why

[00:04:52] Carl Lanore: [00:04:52] do you why do you think that is do you think I mean because my brother-in-law suffered the same outcome, so he played basketball all his life. He's in [00:05:00] his 70s now and a couple years ago.

[00:05:02] He had knee replacement and then. The idea was that once he recovered from knee replacement. He get right back into playing basketball and he doesn't play basketball anymore. And I I never asked him why I know it doesn't hurt. But do you think that they become apprehensive like to you know, I'd I really there's no proprioception in this fake joint.

[00:05:20] I really don't know if I'm pushing too hard and why do you think that is

[00:05:23] Dr. Elizabeth Yurth: [00:05:23] I think that it's I think the apprehension is a big piece of people are really nervous. They just went through a big surgery. New placements are rough the younger you are the rough of the RC means simulates recover from and so it's not an easy recovery.

[00:05:36] You've been through this and your your thought is I am not going to have to go through this again. And so you're apprehensive to wear that knee out. You've been cautioned by your orthopedic surgeon that listen this has a limited life on it. And so I think that's a big part of it a big part of his you just by the time you get to the door replacement.

[00:05:51] You've given up a lot of those activities and you survived. I'm just not going to go back to doing that. I'm not going to be as good anymore as other people. So I think there's all those [00:06:00] pieces. In fact, the only group that really seemed to do really well with the direct Replacements in terms of returning to activity where the elderly Senate it sedentary people, you know?

[00:06:08] Carl Lanore: [00:06:08] Yeah, because they didn't change their Lifestyles after the surgery, but it's really

[00:06:14] Dr. Elizabeth Yurth: [00:06:14] not a good answer especially in people at our age group were you know, We have is all these things we still want to do. It might be a reasonable Choice as people get older but probably not a reasonable Choice when people in their 50s and 60s and maybe even the 70s so we have to have some other options and that's where you know, the things we're going to talk about which are these kind of Next Generation?

[00:06:33] What can we do that sort of fixes this

[00:06:35] Carl Lanore: [00:06:35] problem? So what do they what do they do now? I know that I've talked about the the use of corticosteroids being a damning choice to alleviate pain. What what do they do now for osteoarthritis and what really causes from from your perspective? What's the real culprit in causing this problem?

[00:06:54] Dr. Elizabeth Yurth: [00:06:54] If we can't go to The Cars first this is interesting to me that we sort of erase thinks. You know, what is [00:07:00] arthritis he we're out of joint and and that's part of it. But why can some people be super super active and you know run marathons and never get arthritis and other people even a little injury or small amount of trauma.

[00:07:12] Causes degenerate changes in their joint so we know there's more to the story than just the number of miles you're putting on your joints and the big thing that's come to light more recently is that there's probably two other factors and one is just levels of overall inflammation in your body because we know that inflammation in general is damaging to every organ system including your musculoskeletal system.

[00:07:36] And when you have is high inflammatory mediators things like interleukin-1 and and tumor necrosis Factor Alpha when those are high. Generally they're going to be high in your joint and they're very destructive. So that's a big part of it is just overall inflammation you and I have talked before about well if somebody's overweight is their joint worn out just because they're overweight because you can have huge overweight people who don't.

[00:07:59] Have [00:08:00] arthritis in the joints and so probably is because that person's eating a high sugar high carb diet. Their their inflammation levels are high there. If you were to look at inflammation, it's through the roof. And so you have to treat inflammation to treat your arthritis. The other piece is we know there is a big genetic component.

[00:08:17] To arthritis. We now have a lot more. Where's our genetics we know there's a lot of defects or won't say defects but

[00:08:24] Carl Lanore: [00:08:24] propensities

[00:08:26] Dr. Elizabeth Yurth: [00:08:26] in genes that affect collagen and so collagen if it's not formed as well from square one is going to wear out more earlier than somebody who has really nice normal collagen.

[00:08:38] And then we think that probably there is an maybe almost an autoimmune type of osteoarthritis

[00:08:44] Carl Lanore: [00:08:44] anytime. We know II try to drill this into my audience anytime. The word inflammation is used to describe a pathway to a disorder or disease. You have to think about the immune system because inflammation is the [00:09:00] army of the immune system.

[00:09:02] Dr. Elizabeth Yurth: [00:09:02] Right? Right, and so if. I think you are seeing about autoimmune arthritis as things like rheumatoid arthritis. And we do know there's an autoimmune based osteoarthritis to these for wearing out old or joints. Not just one joint at a very rapid pace and we know that those people we need to be treating there and probably everybody we need to be making their immune systems healthy.

[00:09:24] And so some of the things we'll talk about today will actually be working on those factors. So in the past well, I'll stay in the present because I don't think it's changed much. I mean I have to practice I've longevity clinic and I'm an orthopedic practice where I'm with 14 other orthopedic doctors and most of what there have been they're doing is the same of what we've been doing for a long time.

[00:09:43] And that is you come your primary care docs as well go see the orthopedist and you go into your orthopedic surgeon and they x-ray your knee and has arthritis and they say, okay, here's your options if the anti-inflammatory medications aren't working. Let's try a steroid injection. Well, we now know that even one [00:10:00] steroid injection will offer temporary benefit.

[00:10:03] They definitely have temporary benefit. You will feel better for about six weeks. The downside is that that same drug that you just suck in your knee is modulating some of those immune factors and you're actually causing a pro degradation process. So we know that even one injection. Much less people were having one.

[00:10:22] Every three months is causing a progressive degradation. So if you're in your 50s and you're doing that you really doing yourself harm. So then we have hyaluronic acid injections. So there's a lot of companies that make these now there's about five different brands. They all have a little subtle differences, but they're basically taking what we consider some artificial synovial fluid.

[00:10:40] We know that some of the fluid is nourishing to cartilage it helps to lubricate joints you feel better when you have more joint fluid as you get older and as a joint becomes arthritic two things happen one is the joint fluid becomes very thin and watery number to make less. And so that's part of the problems while you're doings are creaky and enki and you get up and you can move [00:11:00] them is this less lubrication so you can inject this lubricant is hyaluronic acid into the joint and you do a series of injections and it does help and it helps for a longer period of time and we know that it actually does not have a decorative effect.

[00:11:13] So I was about to study years ago where we follow people with x-rays after hyaluronic acid injections. In fact, they did it was progression arthritis. So that's something. The insurance pays for and it does work. It's not a long-term solution. You're not going to get significant change in cartilage, but it does help with pain to a certain level.

[00:11:33] And then your next choice is our and I hear this all the time for my part as well. Let's just go in there and clean the joint up. Let's just, you know, clean clean it up. Well, you know, does that really make any sense? It's a lot like if you had a you know, you came to be out of your car door tires were completely worn out.

[00:11:49] And I just said well, it's just go smooth those tires down a little bit was that

[00:11:52] Carl Lanore: [00:11:52] well, let's just change the air in them. Right?

[00:11:56] Dr. Elizabeth Yurth: [00:11:56] It doesn't really doesn't do anything. And in fact [00:12:00] that shaving down that I just did to make your tires flatter as is detrimental

[00:12:05] Carl Lanore: [00:12:05] and the way I decided I need to stop there for a second because I spent I dropped out of high school and I went to work at the racetrack and now you know looking back at what they we did with horses back then in the 70s.

[00:12:18] I look at the flawed logic. So if a horse had had fluid in its name, you know, you felt the need it wasn't nice and flat. It was warm. It was bulging that would come with a needle usually like a 19 gauge needle and they would tap the knee. They just stick it out and they press it a little bit they let that synovial fluid out and the theory was reducing the pressure in the knee would allow the horse to run but what they were really doing was reducing the viscosity of the knee and then sending that horse out to run.

[00:12:48] It's personal best which was probably doing further damage to the knee. Right

[00:12:54] Dr. Elizabeth Yurth: [00:12:54] right mean. But if you have a temporary take food off your knee you are going to feel better. You know, there's [00:13:00] less pressure on the knee will feel better. It's a very temporary influence and it's not going to be any long-term benefit and we now know long-term bad effects the same thing true about arthroscopic debridement of an e so go in there and clean it up.

[00:13:10] Well, it's short term you will feel better that'll last for about two to three months in general and then we now know that you have a significant and the sides are pretty compelling significant degradation that occurs after you've stuck us. That me and cleaned up the joint so, you know, in fact in Europe and England now, you cannot do nice copes.

[00:13:33] It's not paid for by the government to doing these group over the age of 50 because there's the outcome is not good and in our Hippocratic Do no harm oath, we're not doing good by scoping these and yet we continue to do it

[00:13:47] Carl Lanore: [00:13:47] is that is that just a result of disrupting the synovial capsule exclusively like once you go in there and you.

[00:13:54] Whether you just go in and come right back out, once you kind of go in there you've disrupted the [00:14:00] environment and nothing good can come from it.

[00:14:02] Dr. Elizabeth Yurth: [00:14:02] I think it's more than that because I think you've created traumatic influence. So one thing that happens when you have trauma is you get all these enzymes that are produced.

[00:14:10] Well some of those are degradation of enzymes so you can increase in what are called mmps Mattel Matrix proteins and and you get an increase in in the interleukins. And so you actually accelerated ever dated process now our body tries to control that. But some of us aren't as good at controlling it you talk about those auto immune factors.

[00:14:28] If I don't have the necessary components to stop that degree of process. It's going to continue. It's why some people will do okay and some people won't we all have different environments? So I think it's not just going in there and smoothing out the already to smooth tire, but it's also the change in the debate of process that you've that you've created because you accelerated some enzymatic reactions.

[00:14:53] Doctors even young people, you know you when you do an ACL reconstruction you actually in some people will started sort of a downhill slide then and there's [00:15:00] there's talk in that sort of read more regenerative Orthopedic Community about should we even in somebody who's 20 and tear their ACL be doing something to start protecting the joint at that stage because we probably have already set off some processes and.

[00:15:12] But yeah, I think that in the u.s. We are the only people who are doing this kind of procedure. So that should tell tell you something. I mean it's and it's the number one procedure for orthopedic surgeons. They they scoped your knee. So, you know, those are your options you bet you bet and I'm fond of her medications activity modification hyaluronic acid, which is probably the best of that Bunch Scopes and then replacing the joint none of which are good options right way.

[00:15:38] It's our blue them all, you know out of the course because we really don't have anything to offer you. That's really good. So I think that then we start to say well how about all this cool new stuff. We've got platelets and stem cells and and I love platelets and I love stem cells, you know use people's own stem cells [00:16:00] and you know now things called exosomes.

[00:16:03] Those I think are better. Those are definitely better options. The problem is if I take your platelets and and I do this kind of fancy procedure where I make a little little Matrix out of your platelets place it back into the joint and it releases all these growth factors, right? It starts beginning the regenerator process.

[00:16:21] Well, the problem is if I haven't changed your ultimate environment you guys so

[00:16:25] Carl Lanore: [00:16:25] you still use your still planting new seeds in the same crappy soil.

[00:16:30] Dr. Elizabeth Yurth: [00:16:30] That's why when you look at the. Come data on these regenerative therapies people are saying or they seem to work but you know, we're not so certain.

[00:16:41] Well, that's because not most people gotten to that point have some reason they got to that point. So now I just put platelets back into them and now they're going to start degrading. This is the same cartilage. I'm trying to reform so I think you have to you know, so we do a regenerative program.

[00:16:56] We don't just stick platelets into a knee if I'm going to put platelets into I me [00:17:00] I'm going to tag that on with also. Fixing their immune Health we recommend diet programs with them. We do all of these things, but then we have the options that you and I will talk about here now with with using

[00:17:09] Carl Lanore: [00:17:09] af after the break I want to ask you this this it since you invoke the magic word that most Physicians never invoke diet be caught because you are the type of physician you are that you bridge both anti-aging and and Orthopedics and also your your you are a well trained athlete yourself.

[00:17:31] Understand the outcomes that can be caused by diet. So when you see people come into your clinic. And they have worn out knees one out hips and you start to talk to them about nutrition. What do you see most often in these diets that clearly are pro inflammatory mediators that could be maybe not causing but definitely not changing the landscape or the quality of the soil.

[00:17:58] Is it like grains and stuff like [00:18:00] that? You look at right away. No.

[00:18:01] Dr. Elizabeth Yurth: [00:18:01] So grains are interesting because I think we've sort of though there are people who shouldn't be grains and people grains are fine for and we do a lot of genetic analysis of diets and we sort of help people figure out. What is the kind of best diet for them?

[00:18:13] It is really all across the board. I mean the big thing is you nobody's fares well on anything that's a high sugar diet. So a very high carb high sugar diet in general. There are people who do well with a motto some moderate carbohydrates better than others, but you've got to get rid of all of refined sugar these people's diet, you know, and.

[00:18:32] People have all been sort of taught this, you know, well one drink a day is good, but most people wondering is half a bottle of wine, you know, and. That's a massive sugar intake right? So we try and really cancel people get what is sugar. What where's the ginger is active all the time was a I don't really refined sugar and then you go through their diet and they are eating, you know Breads and things that are basically refined sugars.

[00:18:55] So we really try and first thing is easy thing is try and get rid of all the refined sugar in the diet that's [00:19:00] horribly inflammatory, you know alcohol when we talk about a little bit of alcohol. It's a little bit it's good for you

[00:19:05] Carl Lanore: [00:19:05] couple ounces a couple ounces. Most people don't drink a couple of it.

[00:19:09] I had high literally. We'll have an ounce and a half of red wine, which is not enough to satisfy a red wine drinkers desire, but it's just it's like a little shot glass of water. I just want to taste it. That's it.

[00:19:22] Dr. Elizabeth Yurth: [00:19:22] Yeah, and that's it. So it's so funny because people have all been. Oh, I'll drink a day is really good for you and we've turned our drink a day and he had 12 ounces eight ounces enough to houses, which is really what it's meant to be.

[00:19:34] So that's how kind of our first go to on people.

[00:19:38] Carl Lanore: [00:19:38] The sugar one is really interesting to me and I'm actually going to email you because I'm working on. A multi-pronged protocol, you know anybody who's been paying attention to the microbiome has asked this question. Why can't I just Scorch it and reseed it like I do to my lawn and we can't because we don't even have a grasp on the the [00:20:00] diversity of a healthy microbiome, but what if we could reset it and I actually think I've discovered a multi-prong approach which includes.

[00:20:09] peptides and it also includes a unique antibiotic calls. I vaccine which just is utilized in the small intestine, but also a protocol of using enzymes. Not with meals, but when the gun is empty interestingly enough your gut will up regulate mucosal barrier production when the pH is lowered in the stomach and there's more acid in the stomach.

[00:20:34] So it's all these things that I'm working with and and I wonder when you see people. Who tend to seem to have the worst degradation of their joints and they seem to have the the the the highest level of what you can in the find of like pro-inflammatory environment. Do they also tend to have distended stomachs and gut [00:21:00] problems?

[00:21:02] Dr. Elizabeth Yurth: [00:21:02] I think you know you and I know got problems gut microbiome has a basis of most inflammation right and autoimmunity. So it has to come back to certainly that I think that most people are going to have alter gut microbiome way and we now can almost put every disease. Every autoimmune disease every arthritic process into the gut microbiome.

[00:21:22] I think we're finding quickly finding almost everything into the gut microbiome and I think inside accent approaches interesting we use that Axe and a lot and people who have you know, sibo and and. And the downside is it's a super expensive drug and hard to get

[00:21:36] Carl Lanore: [00:21:36] I felt so so I'm going to I'm going to compile videos of what I'm about to Embark.

[00:21:41] I've already started to I've already started to prune and and and and feed the soil. So to speak using high levels of betaine hydrochloride in between meals before bed. And first thing in the morning, I'm using glutamine to. Faust and bpc [00:22:00] 157 at this point in time. This is all about the soil right now getting the soil ready for what I'm about to embark on but what I'm going to embark on.

[00:22:08] Is an attempt to reset my gut back to before it became infested with bad things and the elimination of both sugar and artificial sweeteners is part of this protocol because I can directly link how my gut feels too. When I consume more sugar or artificial sweeteners now

[00:22:26] Dr. Elizabeth Yurth: [00:22:26] has had a beneficial effect in history on gut microbiome.

[00:22:30] What

[00:22:30] Carl Lanore: [00:22:30] does stevia. Yeah, I thought so interestingly enough. I really believe that sibo. The Domino one and sibo is the change in pH of the gut that enables the microbes to start to take root in the small intestine. If your if your acid levels are high enough of your pH is low enough. You don't get you won't get sibo because you nothing can live in that environment and make it to a seeding mode.

[00:22:59] I [00:23:00] really believe the number one Domino. And sibo is a change in gut pH and I have found two artificial sweeteners that are used a lot that research shows can actually reduce the acidity of the stomach. And then when you think that you eat six or seven things a day with this week in and week out you drink a drink with it week in and week out.

[00:23:20] It's like you're constantly making the environment except the implantation of microbes in areas where they don't belong. So this is going to be exciting. I'm either gonna kill myself or I'm going to come up with a way to help a lot of people one of the other I don't know but here's what I do want to take a break when we come back.

[00:23:39] I want to stop to talk about peptides and how they fit into the treatment of osteoarthritis were talking with. Dr. Elizabeth the Earth her Clinic is bolder longevity.com. Correct. So and and she sees patients from all over the world literally and so if you want to reach out to her, please do so at the website will be right back.

[00:23:59] Welcome [00:24:00] back.  We're talking with dr. Elizabeth York, we're gonna get into the peptide side, which is the reason everybody came the show today because clearly. When you look at the things that PRP does and the things that stem cells do they are potentiated when you create a fertile environment for them to do their job and peptides clearly have to play a role in that.

[00:24:23] Right?

[00:24:24] Dr. Elizabeth Yurth: [00:24:24] Right, and it was impossible that all your listeners are not familiar you already mentioned PPC 157 even doing something as simple as. Put in BBC on board on somebody who's undergoing any of these processes is really going to be helpful because you're you're potentially I all these growth factors and you know, you buys gets his nice modulation.

[00:24:45] So even something as simple as that, we can't forget that those kind of things are super helpful and that's a pretty simple approach to do to do that. So I take V PC around this time of of a stem cell or platelet procedure on a joint, so that's when the [00:25:00] simple but again, What BBC doesn't attack is the other pieces you and I have mentioned and that is the the stopping that degradation of process that's already ongoing from either the genetic the inflammatory side, but the increase in David of enzymes and so one of the things we're using a lot of now is a peptide called a OD 9604.

[00:25:23] It's an it's an injection into the knee and it's usually mix. With the viscose supplement the hyaluronic acid. So you talked about how do I guess and I know you said you've done hyaluronic acid you need with the fact. So what that is is basically a synthetic joint food. It's a it's a thick dense lubricant put into the joint.

[00:25:43] Which is great. But again, how do you address the other piece of now, how do you restore cartilage? So everything nice and slow for actually and some of your listeners may be familiar with it more for sort of fat loss because that's really what it was initially investigated for was as a fat loss peptide.

[00:25:58] It works in some [00:26:00] people in that realm and some people not so well. It seems to be a pretty genetic part of whoever did works with well for fat loss. But but what they found there was a Japanese. It's a rabbit study that was done done quick 2015 where they used to say, they destroyed the cartilage and the rabbits the rabbits knees and then they used a OD 9604 injections into the joint and rabbits.

[00:26:25] They were able to almost completely regenerate. So after four weeks of injections think waiting for seven weeks. They were able to completely regenerate the cartilage and these rabbits knees and it maintains that follow-up it maintained for for. About 12 months afterwards. They still saw these changes.

[00:26:43] So it looked like we were actually preparing a regenerating cartilage with a OD and you're the sort or filter they would be as in from it's more growth hormones fat loss perspective. Well, It's exactly what it's doing is acting a little bit like a growth hormone. So it D is a fragment of growth [00:27:00] hormone.

[00:27:00] So it's a piece of the growth hormone. It's like

[00:27:01] Carl Lanore: [00:27:01] well, it's like 171 to 191 or something like that

[00:27:05] Dr. Elizabeth Yurth: [00:27:05] bacteria seen tagged onto the n-terminal of it. And so it makes it have some of the really good properties of growth hormone and not some of the other properties we don't want and it works very nicely to help in regeneration in the joint.

[00:27:23] Add with that the lubricant and you do this injection, what a week for four weeks and then we usually do one monthly for another four months and we see Improvement first couple injections and a little bit but as time goes on they get incremental Improvement and it appears to sustain so we have a lot of people who just come back in now every three months or so and get a little touch-up up.

[00:27:46] Because they're starting to either get a little more degradation or they just felt like it helped so much but we have just some remarkable stories with a OD then you have this guy who was really really a because in a 60s really advertise player and had developed enough arthritis. He could no longer play [00:28:00] tennis was kind of his life and you know, and he was sorely need knee replacement and he was 63 and one knee replacement.

[00:28:06] So we did a OD injections on him and he has great three to four fried is so pretty severe weren't really sure it will help that much and he came back after. After four weeks and he was playing tennis after after another four months. So if you complete a few huge serious the guys running stairs, he's playing chess.

[00:28:24] He has no pain in his knee. He's now added on a lot of peptide therapies because he's learned that okay. I have to do this as well. I have to get my body to a healthier state or this is all going to go downhill again. So we have these stories are just amazing with a OD and what's the advantage of that over everything else?

[00:28:39] We've talked about well everything else we talked about does not address. The pieces of we've got to repair the cartilage right we've got to nourish the Carla's with good synovial fluid and once we're there now we have to sort of keep the environment good and so that's where we have to counsel people on other things how can you use systemic peptides like bpc

[00:28:59] Carl Lanore: [00:28:59] well I'm so [00:29:00] let me let me ask you a question before we go further so I understand the value of intra-articular injection is especially when you use a medium that kind of keeps these peptides localized.

[00:29:12] Longer from the highly concentrated and they're just working in this area. Right? This was especially true of intra-articular growth hormone injection where you really didn't want the 20 I use of growth hormone. You just injected in the need to literally get out into the body. That's a really high dose.

[00:29:29] But at the same time we know. From bodybuilders using 10 I use of growth hormone a day for months and months that the card of the meniscus in the knee and all throughout the body is stimulated. In fact, a lot of these bodybuilders end up with joint crowding because it's so profound. Yeah, so is it possible that somebody who's using a OD 96044 fat loss and keep in mind the people have success with ald 96040 doing 426 injections a [00:30:00] day.

[00:30:00] It's a big commitment. Most people want to do one or two and they go it doesn't work for me. But if you think somebody who's using a OD 96044 fat loss is going to see some residual benefits in their joints.

[00:30:10] Dr. Elizabeth Yurth: [00:30:10] Yes. In fact in some of the animal studies. They did show that there was some systemic effect, you know, so use in assembly worked.

[00:30:18] Well, what would that quite as well, but I think you're definitely gonna see some effect. Okay, that's it. I didn't actually know that the Bell going to afford Junction today maybe with we've underdose our patients. So

[00:30:29] Carl Lanore: [00:30:29] so so, okay so aod 9604 is one of the one of the great things that you can use what are the peptide seem to serve well in the treatment of the actual causes and the Regeneration of osteoarthritis in Newman.

[00:30:46] Dr. Elizabeth Yurth: [00:30:46] So we talked about using a PC and then obviously just keeping growth high with things like CJC and if Moreland so those things kind of go your your listeners are all really familiar with all those [00:31:00] things but one of our favorite things that's actually not a peptide, but probably your your doctor who knows about peptides will know.

[00:31:08] What axis is the something called pens and poly sulfate this applies to all fate is used everywhere in Australia and all the the foot rugby for players and football players are on peasant bisulfate for joint arthritis. So actually just gotta prove their as a drug for arthritis. There's a puzzle that is actually a synthetic molecules made from Beech wood trees some particular Beechwood tree.

[00:31:32] And so it's this kind of cellulose molecule has been around a long time was first invented actually as a Heparin like molecules a blood thinner and says 50 plus year history of safety is a blood thinning molecule and what they and then they sort of found that people were on it actually had less arthritis.

[00:31:50] And so they started doing some animal studies and it can vary widely. Dogs and horses back in the early 90s there was and still is widely used in Veterinary [00:32:00] population for for joint arthritis. So they began to see they have these other effects that were Beyond its blood thinning effects and and.

[00:32:09] They've done now some pretty compelling studies both on animals and humans to show it actually reverses arthritis and long-term. We're seeing benefit. The mechanism is interesting in that we talked about those pieces. So if I've used my aod and my hyaluronic acid, right well now I've restored the cartilage to some degree.

[00:32:32] If we don't get rid of the degradation of enzymes, then we're going to destroy it again, and maybe you can do that with diet and maybe you can do that with lifestyle change. But a lot of people you probably can't they have some genetic abnormality. So what is peasant really works on is the interleukins tnf-alpha and then three these decorative enzymes these enzymes that we see very high concentrations in arthritic.

[00:32:55] That shouldn't be in high concentrations in these joints. The other thing it does measure 2 molecule [00:33:00] called C to C, which is a breakdown particle of type 2 collagen if you will have very high sea to sea levels, we know are breaking their collagen down at a very rapid pace and when you treat with that Supply sulfate, you'll see marked reduction of that cgc.

[00:33:16] And so we know that we've actually stopped degradation of the joint. So if we can now build up and stop degradation, That's going to be the key

[00:33:24] Carl Lanore: [00:33:24] rather than that. The net gains are going to be remarkable exactly.

[00:33:28] Dr. Elizabeth Yurth: [00:33:28] The other thing is we know it has these fibrinolytic properties. That's what it was initially developed for.

[00:33:32] So the peasant Polly sulfate acts as a fibrinolytic agent. So we think it's also increasing blood flow to the Joint so that we now have increased blood flow to both the synovium and the bone. In fact, it's been the only agent that they've been in really able to find that if you have like a young people get this actually older people too, but.

[00:33:50] We got his bone contusions and the bone then dies off. So you actually have this area of avascular necrosis with bone is actually dead and his last blood supply. And [00:34:00] that has imposed sulfates only compound has been shown and we don't use it here in the US, but they do other countries to restore blood flow to the Bone.

[00:34:07] So we know that the fiber node properties will restore blood flow to both the bonus. Novian. So now we've increased blood flow. We've stopped degradation of enzymes. We've we've also increased your own synthesis of hydronic acid. So we just talked about hyaluronic acid it it's important and that's looking well two things happen with peniston poly sulfate you increase your own.

[00:34:30] Yeah, you increase the density of it. Remember we said when Joyce become arthritic. Yeah, you make less and it's thinner cistern water eat foods

[00:34:38] Carl Lanore: [00:34:38] that

[00:34:38] Dr. Elizabeth Yurth: [00:34:38] what special

[00:34:38] Carl Lanore: [00:34:38] vest less viscous right less viscous more friction. Right

[00:34:43] Dr. Elizabeth Yurth: [00:34:43] sopes apply self is an injection. You don't have to get it in the joint you so patients give it to themselves just like you do your peptides and you do it usually once or twice a week for about a six-week course.

[00:34:54] And then you can kind of do it on a little maintenance level after that.

[00:34:58] Carl Lanore: [00:34:58] Wow. It's that strong that you just can you [00:35:00] just have to use it for a short period of

[00:35:01] Dr. Elizabeth Yurth: [00:35:01] time is huge regeneration that will last for a long time and hopefully now right we've put all the stuff that we stop the degradation process.

[00:35:09] And now we've gotten them on these good health regimes we've rebuilt with either platelets or a OD or maybe both and now we have a joint that potentially we're getting we're reversing time on the other really cool thing about peasant parcel phase there is. No, it's a blood thinner but a minimal blood thinner and minimal blood thinners are good it when we haven't seen anybody who's had had events.

[00:35:32] And again, we have a 50-year profile. This drugs actually is actually we do use it here in the US as a drug called Elmer on is actually used orally for people with Interstitial cystitis. So X. Wind the bladder so the bladder feels better. So it's so it has a good safety profile is actually available here as an oral drug.

[00:35:49] So it's really easy for us to get it because it's an FDA-approved drug and we teach patients how to do these injections. We used to say you had to do my it looks like the recent research is supporting that you can do SUB Q, which is much [00:36:00] less uncomfortable. It's a pretty big volume, but I've got myself a couple of courses and it's it also here's another nice thing about Carl's it has a huge anti-inflammatory benefit.

[00:36:10] So people feel better after one or two injections. They're like wow, this is really working. So they keep adding

[00:36:15] Carl Lanore: [00:36:15] their they have they have information in parts of their bodies that are not bringing them to the doctor that go away all the sudden exactly. So so have you ever pondered? You know, I do this all the time.

[00:36:26] What is the relationship between things that thin the blood and things that affect inflammation either as resolve ins or things that actually modulate inflammation there's a relationship between blood-thinning effects and inflammatory response. It's fascinating to me.

[00:36:42] Dr. Elizabeth Yurth: [00:36:42] That is interesting. Yeah, they hadn't really thought about it, but you are right that there is no I

[00:36:47] Carl Lanore: [00:36:47] mean, I mean Ginger Ginger thins the blood tumeric thins the blood these are both profound early have affect fish oil thins the blood vitamin E thins the blood and effect, but you know [00:37:00] asked Priscilla silac acid or even.

[00:37:02] The the natural route. I can't think of the name of the tree bark that I take once in a while, you know, these all these things then the blood and they're all taken as anti-inflammatory or inflammatory mediators.

[00:37:13] Dr. Elizabeth Yurth: [00:37:13] Yeah, and what if it has to do just that fibrinolytic effect, you know, and you're just increasing vascular flow to things.

[00:37:18] Yeah. But there's definitely a we want to look into that further because certainly does seem a compelling coincident in the way. Those things are working.

[00:37:26] Carl Lanore: [00:37:26] Yeah. So

[00:37:30] Dr. Elizabeth Yurth: [00:37:30] now we have the opportunity. If you put all the stuff together right give her your steroids get rid of your scope in your knee. Let's do instead, you know, if your doc loves platelets if they love stem cells, but you've got to follow that with using.

[00:37:46] Think systemically so

[00:37:47] Carl Lanore: [00:37:47] you're saying follow that's my that was one of my questions the timing so wouldn't it make sense to kind of prepare the soil wouldn't it make sense to start using these peptides? And and the the [00:38:00] what's the acronym for the poly sorbate? Yeah what

[00:38:03] Dr. Elizabeth Yurth: [00:38:03] you know

[00:38:04] Carl Lanore: [00:38:04] wouldn't it make sense like okay next week.

[00:38:08] We're going to spin your platelets. We're going to do all this stuff. So this week we want to start doing this first.

[00:38:13] Dr. Elizabeth Yurth: [00:38:13] Yes we so. So it might look like I don't do that as much because it's much more difficult to get people in do that. But are we gender Clinic? We put them through a whole regenerate plan, right?

[00:38:22] We basically meet with them. We talk to them about the diet. We get them on systemically things are going to be beneficial including some systemic peptides, right and then we plan to, you know, take these platelets and some I was going to be a little bit different but in the course of their disease their desires their financial situations, so we.

[00:38:43] Then put something into the joint right and then we follow that with like stopping the degradation process or everything. We just did doesn't undo itself which is why you know why we have these failures, but you know when you say all stem cells don't work the stem cells work, but you're not in an environment where most people are getting stem [00:39:00] cells.

[00:39:00] You got a big fat. Inflamed person who has a shitty knee. I'm sorry bad knee

[00:39:04] Carl Lanore: [00:39:04] your throat, right? It's got a kill those stem cells the way it kills its own stem cells.

[00:39:09] Dr. Elizabeth Yurth: [00:39:09] So I'm done inexpensive people say $10,000 and they're not having good outcomes and they're angry at their doctors and people say, oh the stuff doesn't work.

[00:39:16] It's all hogwash because it's not been done appropriately. So we've tried to put together this whole program and there's not very many clinics for doing this right, you know, so we have this whole regenerative program and we see tremendous amazing results mean it's I have a guy flying. You're from England to see me because you can't get this, you know, you can't get anybody to do this kind of thing.

[00:39:36] So. Well, I think we have the answers. You know, the problem is most people don't know

[00:39:41] Carl Lanore: [00:39:41] right and obviously you trained Physicians if they join IPS right you get you get these lectures to to physician so that they can go home and do this as well

[00:39:50] Dr. Elizabeth Yurth: [00:39:50] you can use so you can understand that. This is how you make these things work.

[00:39:54] And this is you don't have to be an orthopedist to do this mean even you're not comfortable [00:40:00] injecting Annie will again we just talked about things that pain Supply sulfate works very well, even if you don't have during the injection, right? Because systemic arthritis, every joint is pretty bad right their knees and their hips and their elbows all hurt.

[00:40:12] Well past apply sulfates going to have a systemic effect suppose things. You can do that are not going to evolve if you feel uncomfortable injecting tissues that are not going to evolve injections. And so, you know, and people don't know about this stuff and it just it frightens me every time I see these people who are you're my old partners are telling listen, let's just go clean it up and then, you know I left for a while and then we'll do a joint.

[00:40:36] That's still used as can't

[00:40:37] Carl Lanore: [00:40:37] can't can't somebody just use the oral form of the pentane polysorbate. Do they have to use the injectable.

[00:40:42] Dr. Elizabeth Yurth: [00:40:42] There is a recent study that showed that the oral form did listen animal model. It did help cartilage. It does have a bigger blood thinning effect, orally. So it has a little bit more

[00:40:52] Carl Lanore: [00:40:52] of a mix it a little

[00:40:53] Dr. Elizabeth Yurth: [00:40:53] bit more conscious with it, orally and that's probably the tricky thing is dosing to high enough that you [00:41:00] don't get too much of a blood effect and still get the this aesthetic enough except for the joints pain.

[00:41:05] But it does seem to have some benefit.

[00:41:08] Carl Lanore: [00:41:08] What about just the use of collagen in general, you know, because I and I know that everybody likes call collagen peptides collagen hydrolysate hydroxylate. I can't I forget which one it is some but the study that we talked about on this show a couple years ago.

[00:41:24] He was just using knocks gelatin and vitamin C before workout and it was like this this stuff is Magic.

[00:41:30] Dr. Elizabeth Yurth: [00:41:30] The collagen peptides are absolutely amazing. They really really are and it's such a simple thing to do. It's oral. It's an oral powder, you know that and there was a there was a study that just came out of I think Germany where they looked at improvements in walking distance and people would had joint Replacements and knee Replacements versus just start taking collagen peptides on a really consistent basis.

[00:41:54] The collagen peptide group was able to walk farther without pain then the new placement. So these [00:42:00] things work and that was a double-blind study people didn't know if they were taking the peptide that you know, so they really work and you could use them for tendon protection to your taking a collagen peptide, especially with vitamin C before workout really have a protective effect on tendons.

[00:42:15] We've seen improvements and those about Germany where they use these collagen peptides a lot Germany Australia use them a lot in orthopedic medicine and and they took people with severe Achilles tendon. Pain and injuries tendonitis is not complete tears and had complete resolution within six weeks, which is really hard to do with these people.

[00:42:34] So I love collagen peptides. We one that's had the most research behind and I know there's everybody has their own opinion on the best collagen peptides. We like somebody has four to gel which is painted product of Australia, but there are some companies that put into their product here. It has actually 15 independent.

[00:42:52] Conceivable controlled studies on it and it's only what I've really found. We start trying base everything on Research that really has as that kind of backing [00:43:00] behind it. But from my own experience collagen peptides have been amazing and they're so simple to do that and then, you know, not expensive and using them, you know, like before you can do before you work as protected you can use it after workout to help recovery.

[00:43:15] But every all of your listeners should be taking collagen peptides.

[00:43:19] Carl Lanore: [00:43:19] Yeah and take them before your workout. And take him with a small amount of vitamin C 1600 milligrams. Nothing that's going to impair mitochondrial. You know, I'd that patient. Yeah, that's perfect

[00:43:31] Dr. Elizabeth Yurth: [00:43:31] combination of vitamin C seems to have a better protective effect.

[00:43:33] Carl Lanore: [00:43:33] Yeah. I want to take a less commercial break when we come back. I want to talk about something that is. Rarely discussed in these types of issues because we talked about all this amazing science and people go man. I need this but then insurance doesn't cover this kind of stuff. But the reality is when you look at what it cost to do this.

[00:43:51] Versus meeting me most deductibles today in the way the other health care. I mean, it's really a push. It really is. So we're going to do that when we come back stay tuned. We'll be right [00:44:00] back. I was looking up pentos and Polly sulfate and I found a couple veterinarian websites that I used to buy.

[00:44:08] Fina pellets from that have it. I don't know if I want to go that route anymore. Anyway, the real issue here is like this is all wonderful stuff, right, but for a lot of people at that they're going to think it's Out Of Reach because of the cost but you made a pretty sound argument in the video that I watched where when you look at meeting your deductible and having stuff done that actually is going to.

[00:44:34] Make you regress and make these problems worse over time. It's a no-brainer, isn't it?

[00:44:42] Dr. Elizabeth Yurth: [00:44:42] It really most people now have about $5,000 deductible. I have a $10,000 dish works. I take care of most of my have more of a catastrophic plan. But most people now even if you've got pretty decent Insurance have three thousand five thousand dollar deductible then I remember.

[00:44:57] Every time you go see your doctor, there's a copay so [00:45:00] pretty much that copay is anywhere from usually 32. I've seen 80 $90. So every time you walk in my door, you're paying me 50 bucks just to walk in before your insurance covers it and then if you have a procedure done usually responsible for about 20% of that so we add a lot $5,000 to before your church even kicks in and then 20% of everything after that and then these co-pays of 50 average of fifty dollars every time.

[00:45:23] It's pretty rapid that people have spent six $7000 sometimes 10 out of pocket

[00:45:27] Carl Lanore: [00:45:27] to pocket

[00:45:28] Dr. Elizabeth Yurth: [00:45:28] and these things that we're talking about don't cause newly that much

[00:45:32] Carl Lanore: [00:45:32] and if you have an HSA, right it's even better because you just pay for things with your HSA and insurance company doesn't debate it with you

[00:45:40] Dr. Elizabeth Yurth: [00:45:40] exactly I max out my flexible spending account.

[00:45:42] My health savings account. Once the FSA is done then I use my HSN. I rarely use my insurance because I will never meet my deductible. It's always less expensive to pay out of pocket for something you go get your typical labs. And you say well building insurance. You have the panel I would get on myself [00:46:00] cuss about $1,200 if I run through the insurance because about three hundred dollars if I just sell it right about MRI scans you pay.

[00:46:07] If your number is again, you have to pay a

[00:46:09] Carl Lanore: [00:46:09] hundred and fifty dollars if I pay for an MRI if the insurance company pays for it. It's like $1,000.

[00:46:14] Dr. Elizabeth Yurth: [00:46:14] Yeah, exactly. So knowing that they don't know these prices are jacked up. So if you have to pay for so if you decide you're going to use your insurance, but you have a five thousand dollar deductible then.

[00:46:26] They're going to charge the insurance fee of 15 hundred dollars that MRI scan. That's your responsibility now, right? That's true. But maybe you're never gonna meet your deductible versus just going in pain. You can find you at $300 even less for an MRI scan has a mr. Bell Labs. So I think you have to start to get out of this mindset because Insurance based medicine, you know, I hope Insurance eventually comes around and does this stuff.

[00:46:48] Insurance business is really not doing you any

[00:46:52] Carl Lanore: [00:46:52] favors.

[00:46:53] Dr. Elizabeth Yurth: [00:46:53] Yeah, you need it for catastrophic issues, you know, you develop cancer something like that, but you know. You need to [00:47:00] realize that max out your health savings account have put Accounting in that you can spend an account that you can use for this stuff.

[00:47:06] But we were you will almost guaranteed Lee spend more coming to going in and getting your steroid injections followed by your your knee scoped followed by your knee replacement. Now, you've talked about 550 thousand dollars out of your pocket, right

[00:47:21] Carl Lanore: [00:47:21] and and and if you're interested in. What I like to call optimistic medicine, which is medicine that's tied to a sense of hope that not only will you get better but you'll be better than you were even before as opposed to what I call allopathic medicine.

[00:47:39] Is this pessimistic medicine we wait for you to get sick and we manage your illness if you're someone who believes in optimistic medicine and you need to get yourself set up with a health savings account now because she compared, you know, I mean if I had a submit. My testosterone to my insurance company they make me jump through all these hoops.

[00:47:58] They'll only give me a one [00:48:00] one one week at a time. It's like all this nonsense, but because I go to my compounding pharmacy and I pay with my HSA card. It's I'm done that no one scrutinizing me then they then I asked what was that? Wait a minute. No, cuz I'm paying that money upfront out of my own pocket.

[00:48:16] They're like, okay, we don't care how you get to your limit. We as long as you

[00:48:20] Dr. Elizabeth Yurth: [00:48:20] get and you don't need it with your HSA doing this to me. Your receipts or anything you can do use it for anything. Yeah, they have to at least have the Reese's but yeah, I max out my FSA first and then my HSA and I don't touch my insurance.

[00:48:33] Carl Lanore: [00:48:33] So now let's talk about somebody else is somebody listening to the show right now. It's not practical for them to come to you in Colorado, but they have a doctor who is forward-leaning and is open to learning. So how does that doctor get trained?

[00:48:50] Dr. Elizabeth Yurth: [00:48:50] So I think that the IPS International peptide Society Bill see to started IPS and is is absolutely brilliant us above most of our heads.

[00:48:59] He's an orthopedic [00:49:00] surgeon and and he has put together the Society of Physicians like-minded. It's growing exponentially and it's a great yoga certification through there. I'm a faculty there. We lecture we have actually a site that we all. Go to and we converse with each other. So if Physicians have a question, they can talk to other Physicians doing these things and get answers.

[00:49:21] There's weekly conferences that that doctor sees puts on. It's a great way for your doctor to learn this stuff and learn. How do they get these things? How do they find Pettis and poly sulfate because you're right. Mostly you're going to find on the veterinary sites. So you have to know where to get these things where to get them safely.

[00:49:36] So you physician can learn all these things and I encourage you to have to look around to find doctors who are willing to do this. And it won a lot of doctors who tell you it's hogwash and you never have patients who come to me and say my doctor told me. This is hogwash. I said, okay. Well here is 18 papers that show it's not can you give that to them Moses?

[00:49:54] I don't read them, but they

[00:49:55] Carl Lanore: [00:49:55] don't read I was gonna say they're going to throw them aside because their confirmation Ali [00:50:00] bias they they do they are just not going to read anything that differs in their opinion. Even if you they have to sacrifice your health. Oh, wow. I just disappeared. Hold on a second.

[00:50:10] Hold on. Hold on. Hold on. Hold on. I'm coming back coming back cold on here. I go here I go here I go. Hold on.  Okay, I am back. Yeah, sorry about that. I don't know what. You got ghosts in the system. Let me because I was talking bad about doctors just now. And so so the AMA disconnected my connector.

[00:50:33] So doctors a conformational biased they only believe in what they believe they don't want to learn anything new unless it comes through a pharmaceutical rep who comes in the door and buys lunch for the office. So don't don't be don't feel bad if they don't agree with your questions and find another doctor.

[00:50:51] There are the if they are open-minded if they're like, wow, this is interesting. They can go to peptide society-dot- org, and they can [00:51:00] sign up to become a member. They can be trained by people like, dr. Yurt and others who have special areas of Interest next weekend. We have who's the doctors who talked about autoimmunity and and Lyme disease?

[00:51:15] Dr. Elizabeth Yurth: [00:51:15] I'm Turner's. Yeah.

[00:51:16] Carl Lanore: [00:51:16] She's I mean she's amazing. I mean and she's going to come on next week, but those of. Who want to hear wheel things that work and treating autoimmunity and Lyme disease from with peptides? We have a clinician who's doing stuff? So not this guesswork will I tried this and it didn't work for me and I because that's mostly what you see right now out on the board.

[00:51:36] You can Facebook that's next week, but also. There's a pharmacy called Taylor Made in Nicholasville, Kentucky that you can prescribe get your prescriptions filled through and you know that the peptides are real and all the drugs. They have a compounded on the premises. So there's there's a lot of opportunity.

[00:51:56] Oh listen to this I got to put [00:52:00] this up. Mike Bear you've been listening to show for a long time. He says that after last show with dockyards. She helped my wife tremendously by the peptides and the question. She started asking of her own doctor. So thank you. We're always learning and blessings. So obviously.

[00:52:18] He would like his wife went to her doctor and said what about this and you know that takes an amazing amount of courage and I've said this on the show before you must be courageous because doctors want you to shut up. And take advice and not ask questions because they just don't have the time to answer questions quite frankly and they don't want to be challenged and it takes courage on your part.

[00:52:44] A lot of patients are just afraid to say well what about this? You know, I've had I've had people tell me that their doctor yelled at them, you know,

[00:52:54] Dr. Elizabeth Yurth: [00:52:54] yeah.  Yeah. Someone Partners. Will it roll? Tell him I mean almost the rate my [00:53:00] patients your patients and say well, I love the US. Why would you do that?

[00:53:03] That's just stupid and you know, and I always I was don't my personal you make the decision for yourself ask for the research. Ask them to give you the research to support their their line of thinking I'll give you the research to support my line of thinking. Most of us who are practices messing around.

[00:53:17] I'm not doing it just based on anecdotal evidence. We do a lot of experimentation mostly on ourselves and and we use a lot of literature that's out there. So this stuff is not is not just Fly by Night magical things. There's literature to support it.

[00:53:32] Carl Lanore: [00:53:32] Yeah. Most doctors don't have the time to really be updated unless.

[00:53:36] Interested most of them who are private practice. They're Rats on a wheel doctor your thanks so much for being here. This is a fascinating discussion. And I know a lot of people suffer from osteoarthritis and will be helped by this discussion. Thank.

[00:53:49] Dr. Elizabeth Yurth: [00:53:49] Thanks, girl.

[00:53:50] Carl Lanore: [00:53:50] Okay, and we will talk to everybody Monday.

[00:53:52] Oh Monday, wait, wait. Wait, I put that up too soon. Hold on a second Monday. We have a fascinating show Jose [00:54:00] Antonio who is the founder of issn is coming on to dispel this stupid myth that continues to go around the internet that eating more than 30 grams of protein in a sitting is a waste of time because you can't digest it.

[00:54:13] You can't assimilate it you can and it's just. I want to just bang my head against the wall when people say stupid stuff like this. So we're going to have the guy who writes a lot of good studies on high protein diets. Come on and discover

[00:54:26] Dr. Elizabeth Yurth: [00:54:26] people didn't hear this whole podcast and want to I have a talk.

[00:54:31] I've given that similar to this if they go to Boulder longevity. Dot-com forward slash arthritis. Does it talk about aod and it shows some of the studies so there's some grass of the study. So that's a useful resource for for your your people your listeners to go and look at who didn't hear all this or want to see the studies because we post some of the studies on there

[00:54:51] Carl Lanore: [00:54:51] or send your doctor there.

[00:54:53] How about that? One? Send your doctor that tell the spend the weekend watch it. I've seen already Monday. Thank you for watching and [00:55:00] by listening today, where's my music? There? It is.