[00:00:00] Carl Lanore: [00:00:00] Hey, Hey, welcome back to another episode of super human radio. Today's Friday, March 6th, 2020 and as usual, we'll be talking about some things that you won't hear anywhere else, and probably in a hundred years when somebody listens to this podcast, it'll be commonplace and they'll be like, wow. They were talking about that on superhuman radio a hundred years ago.

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[00:00:58] So my guest today is [00:01:00] none other than dr Elizabeth  and she's been on the show before, but it's usually been a episode of the pep talk and we're doing something different today. This is kind of continuing education. How are you doing, dr Yara? So, um, you have some really exciting news and before we talk about it, I want to say that right now there's a bunch of people out there who are positioning themselves to understand how to help you live longer.

[00:01:29] And the truth of the matter is a, they haven't lived longer. Most of them are younger than me. Uh, I love that when 30 year olds want to tell me about anti-aging, get to 60 and then tell me about it. Um, the other thing is. Uh, they only want to talk about sexy new stuff. Telomeres. Well, we know that telomeres are not a good indicator of longevity at all.

[00:01:48] They, that that ship has sailed. And every time we come around with something new, once we dig into it, we find out, Hey, it didn't work out the way we thought it would. But you have something really new [00:02:00] to talk about. And the reason it's new is because it's really quite old, isn't it?

[00:02:05] Dr. Elizabeth Yurth, MD: [00:02:05] Exactly. One of our, one of our frustrations in medicine has been that people walk in every year to their doctor and they get this lab work that is filled with valuable information.

[00:02:20] That their doctor really knows nothing about. And over the past couple of years, through a lot of research done out of Yale and Stanford in the anti-aging field, we've learned that there's right there and those labs that you get with your complete blood count and your metabolic panel is a slew of information that very highly correlates with how you are aging.

[00:02:45] So there's what's called the chronologic age, which is how old you are. And your biologic age, which is how old really your cells are or your body is. And that's really what we care about, right? Chronologic age doesn't matter to you and I, Carl, what matters is how old our [00:03:00] bodies are, because that ultimately is going to be the game of our health.

[00:03:04] How long we live. Hopefully we're, we're less concerned about lifespan, although lifespan probably is going to correlate as well. We're concerned to how long we're going to be living in this nice healthy age. So what we really, and so over the past couple of years, we've learned that there's all, there's all this information, and yet the patients go, yeah, my labs are fine.

[00:03:23] And I go back to them. I said, well, actually, let's look at your labs. Are they fine or are they not? So we were really, really excited to actually start teaching people how to understand this.

[00:03:33] Carl Lanore: [00:03:33] Well, and so let's talk about physicians today. And I'm not, I'm not trying to slam physicians today because they, they, they have so much to juggle.

[00:03:40] I wouldn't want to be a physician today. Seriously, I'm a police officer, a physician, those two jobs, thank God. There are people that want to do those things. So most doctors look at your labs and unless they see an H or an L. They don't even really read the labs and let's be honest, where are these, [00:04:00] these standards labs, assay standards of high and low coming from?

[00:04:05] They're coming from epidemiology. Epidemiology is looking at the population at large and 50% of the population at large is sick. Now do you want to be? The bottom line is sick people. The middle and up is healthy people, but anywhere in there your doctor goes, you're fine because there's no atria, there's no L doctors really don't read your labs.

[00:04:27] They just look for hits. H is an L's, and if they don't see an H and, L, they don't tell you anything. Oh, you're fine.

[00:04:34] Dr. Elizabeth Yurth, MD: [00:04:34] Right, exactly right. So. The little flags and those last, most doctors go right to that call. In fact, sometimes it's all those. See on some of the new electronic medical records, all the see is the abnormal labs you can screen right to here's the highs and lows.

[00:04:50] So remember that really, once that number's in a higher ALO, that's what we consider a disease state. So if you think about labs as this bell curve and everybody [00:05:00] in this part of the bell curve from here to here is normal, and those people are sick out here. Well. Are the people who are one notch away from the sick people normal.

[00:05:10] No. So our goal is to get people in an optimal health state, and there's a big difference. I know a lot of your listeners because they're very savvy, understand this, but there's a very big difference between optimal labs and disease state labs. But most of us don't really, you know, the doctors don't look at that.

[00:05:28] And I'm a physician. I, you know, I, I, I sympathize with it to some degree. But you know, and then that 15 minutes, they have pretty limited time to be able to go through every lab with you and tell you if you're in the optimal range or not. But every one of those 15 things, I know metabolic panel has an optimal, and you need to know that and you need to know what the optimal ranges are because that's what's going to predict your health span, not just your lifespan.

[00:05:55] Once you're in that disease state. That numbers that are red, you're already down that [00:06:00] road a bit. Not to say we can't help that, but you're already down that road. So one of my frustrations as a physician working, you know, and I have, I have dual hats. I have a busy orthopedic practice that is very, very traditional physicians that I work with, and I have a practice that's much more, you know, our longevity clinic, which is much more geared to try and to help those people who really want to increase lifespan and health span.

[00:06:25] But we sort of got frustrated that doctors don't have time, energy, maybe desire to learn all this. And one of our thoughts was that we could actually teach the patient, teach you guys how to understand all this, and you can take it back to your doctor if you want and work with them on it. But a lot of it you can take in, you're on your own initiatives, so you can now look at your labs yourself.

[00:06:46] You know, people like Carl order their own labs and they look at them themselves. We want to teach you how to do that. And maybe even do that to a state that the calls even know. Yeah, we'll see. Think he knows everything. But, um, but, but, but the, [00:07:00] you know, the, this is going to let you guys. Well, we, what we say is sort of become the, you know, the captain of your own ship and you will be able to now look at that CBC, which is just for numbers too.

[00:07:10] You understand what each of those values are. Understand what the ones are that mean the biggest, that had the biggest impact on your lifespan and health span and understand how to change it. So we're super excited because our, you know, I think the drug companies learned this a while ago, learned that, that, you know.

[00:07:27] Marketing to doctors wasn't working very well. It's market direct to consumer. So for better or worse, they started running all their ads direct to consumer, direct to consumer, and our patients now come in and go, Oh, what about this drug? Well, what we want to do is do that, except. In a healthy manner where you become you, you, you are direct to consumer teaching you medicine in a sense, teaching you to understand these values in a way that your physician doesn't,

[00:07:52] Carl Lanore: [00:07:52] I like you're saying, go from passenger to pilot and managing your own healthcare.

[00:07:56] That's really what you're doing here. You're going to teach people how to do things [00:08:00] their own doctors don't understand how to do. Now, there's a really important nuance here too. Everybody's looking for, Oh, I should, I have my telomeres measured very, very expensive. Should I do this? But meanwhile, as you pointed out, every party who gets lab work done, these are the base labs that they're getting run.

[00:08:20] Everybody has these love labs, and so what we have been doing as a community interested in healthy aging is we're looking for dot of a hundred dollar bills and we're throwing fives, tens and twenties out. We're like, Oh, you know, Oh no, telomeres. But what about all this other stuff? Aren't they data points?

[00:08:39] Can't we know? Don't we know anything about this? So explain that. That mean basically what we have is literally decades of information and nobody cares about it cause they all want the a hundred dollar bills.

[00:08:51] Dr. Elizabeth Yurth, MD: [00:08:51] That's a great analogy, right? That these tests are once every one of you who sees a physician gets every [00:09:00] single year, they're not big fancy, special tests that you read about and that you're, that you, you know, they have to ask your doctor and send you and say, I want my telomeres measured, or I want some.

[00:09:10] New enzyme measured. These are things that every one of you probably has sitting in your trash pile. Um, or if you saved your records records years and years. So these are labs that we have been running for years and years and years and years and years since the beginning of a really basic medicine.

[00:09:28] Since the traditional allopathic physician was trained. These are the labs that we've been looking at. Your kidney functions and liver functions and, and cell function. Those are the everything that we look at, so nothing fancy, but what we've learned is that you can now pull out little predictors and partial intelligence has been hugely helpful here, right?

[00:09:48] Because computers can take all this data and they can look at outcomes and they can look at data, they can put it all together. So we so, so through a lot of this anti-aging research, [00:10:00] they've been able to take all these algorithms and now come up with computer programs to say, what of these values that you have sitting in your little hand right now are really very, very predictive of your future health span.

[00:10:12] And it's stuff that, that, that you wouldn't even think you'll call out. We're talking about one of the very top predictors that's in that chemistry panel is something as simple as albumin. Okay. Has your doctor ever looked at your abdomen and said, in fact,

[00:10:27] Carl Lanore: [00:10:27] I ever even thought, I mean, I know what albumin is.

[00:10:29] I know that it's helpful when you want, uh, uh, um, CJC 1295 to stay in your body longer. They have a drug, uh, complex attached to it that attaches to albumin and short of that, I mean, who cares about albumin? It's not sexy.

[00:10:45] Dr. Elizabeth Yurth, MD: [00:10:45] And yet, you know what, it's, it's close to the number one of all those things. And your chemistry panel.

[00:10:52] It is right up there. The number one probably when it comes to being in a close second of a predictor of your health span, and nobody [00:11:00] ever discusses it and nobody looks at it,

[00:11:01] Carl Lanore: [00:11:01] and there's bill and literally there's millions and millions and millions of labs where we have albumin levels at different points in people's lives, and we can see how long they lived and we can see what these is, the diseases they got.

[00:11:13] And we go, Oh wow. Albumin does this. When that happens, and nobody's paying attention because they want to come up with the new fancy schmancy test to sell somebody.

[00:11:21] Dr. Elizabeth Yurth, MD: [00:11:21] Right? And this is where we have to, we have to thank our computer system bill to figure this out. But just looking at albumin as you age, if any of you have keep your labs, go back and look at your album and when you were 20 and look at it when you were 50 I will guarantee you that that number has gone.

[00:11:38] It just keeps changing that that augment level just keeps going to yo going, going up and up and up and up.

[00:11:44] Carl Lanore: [00:11:44] Do, do, do, do, do the, each of these water, can I, can I put the slide up where the different names of of markers are? W w we kind of put that up there real quick. Yes. Okay. So let me, I'm going to, I'm going to actually have you and I disappear and just have this up so we can talk behind it.

[00:12:00] [00:11:59] So albumin gives you a good snapshot of your liver function, right,

[00:12:05] Dr. Elizabeth Yurth, MD: [00:12:05] right. So that's where  comes from. So it's a good snapshot of liver function. Um, so if you look at things up here, each of these, so these are all the different variables and you know, um, and not in any particular order, right? These are all variables that are sort of used as very high predictors, are very high correlate to disease States.

[00:12:25] And interestingly, not only disease States, but actually risk of dying even accidents. Can be predicted by some of these. Um, so that's super interesting. These are correlated not just to different disease States. You know, in cancers and heart disease, um, your diabetes, but also to your risk of actually just, you know, getting in a bike accident and dying.

[00:12:50] So that's super interesting that they eat correlated accident related deaths to some of these, these numbers. Um, and there's a lot of hypothesis around that, [00:13:00] but, but for each of these numbers. There's values that are really good and there's, you know, the perfect optimal value. And it's really, there's one number for each of these.

[00:13:10] It's a perfect optimal value. We're gonna accept within a range, cause none of those are, very few of us are going to get perfect, but we'll accept a range. But for each of these, we know that there's a, a really good number. So. You know, for, for albumin is that, you know, we want to keep the albumin level and nice and high, and as we get older it just drops and drops and drops.

[00:13:26] How do we get it back up? And we'll give you some techniques to do that. You know, some of the dietetic, but there's some simple supplements in some people it works extremely well. So if you see that your albumin levels are very, very low, this one simple supplements, we know there's a lot of genetic factors that play a role here.

[00:13:40] And now

[00:13:40] Carl Lanore: [00:13:40] I gotta I gotta, I gotta enter, I'm sorry for interrupting you. I gotta ask you a question, right? So this albumin and eggs does aiding eggs more frequently up your own albumin.

[00:13:50] Dr. Elizabeth Yurth, MD: [00:13:50] Probably not. No. Because that, that album is not going to be incorporated into your liver and you know, and have the same function.

[00:13:58] It has certainly some benefits still. [00:14:00] So there's still some benefits to Alabama probably, but probably not going to up your same level. Now, if you ate a ton of eggs and then walked into the lab that next, you know, in the, in the next hour, then your AMI levels might be higher. So these are all numbers that we prefer to do fast and because they are going to be altered by.

[00:14:16] If you just  or exercise, you've talked about this, right? If I run out and exercise and then run straight to the lab, some of these values may be altered too. Like your creatinine levels will be higher if you've just gone out and lifted a whole bunch of weights. So we like to see these done baseline when people have not just run off and done a big exercise, you know, big workout and fast it.

[00:14:35] And by doing that, you're going to take away any factors of foods you ate or exercise you've done. And when we, when we, when we exercise. Are creating is always going to increase. We're breaking down muscles, so we get a bump and create any temporarily. It should go back down pretty rapidly. But if I, if I run a marathon or I go run 10 miles and then go right to the lab, I'm going to say, wow, this number is off, or my glucose is higher, or my celiac approaching my flat inflammation markers are higher.

[00:15:00] [00:14:59] Um, so you've got to sort of take those variables out. Uh, but the, you know, cause they will, they will temporarily elevate, but for a longterm, is eating more albumin, getting to your answer to getting your Avalon levels up? No, because that's more of a function of how your liver is working. Okay, fine. It's processing

[00:15:17] Carl Lanore: [00:15:17] and then obviously creatinine is, is cleared by the kidneys.

[00:15:20] That's why people don't rhabdo meiosis. If they trained too hard for too long. Glucose. Sharon, we know about glow blood sugar levels are indicative of advanced cellular aging. Cellular senescence. But if

[00:15:31] Dr. Elizabeth Yurth, MD: [00:15:31] you want to say things about blue, Carl, is that, you know, I've, and I, even in my practice, I've always, I say, Oh, you know, you, you, you know, lower is probably better.

[00:15:38] Well, in the research, it's very interesting that ideal levels were actually right between 80 and 90 which is a little higher than I tell my patients. And the reason is that less than 80. And this would make sense to me. If you said less than 50, but less than 80, there was a much higher correlation with car accidents, bike accidents, pedestrian accidents, um, you know, uh,

[00:16:00] [00:15:59] Carl Lanore: [00:15:59] injured.

[00:16:00] That makes sense. Hypoglycemia.

[00:16:02] Dr. Elizabeth Yurth, MD: [00:16:02] Yeah, I think I said with anything like, well, if you know fifties right, that makes sense to me. But less than 80 if will it very strongly that once it's dropped down below 80 you started to see an increase in accidents. So, so even, you know, and we, you know, I, so, so ideal levels is metabolically in the fastest rate.

[00:16:19] Somewhere between 80 90 which we always thought it was a little bit high. We also go about 81st Spock glucose is probably starting to suggest your metabolism is not as good. Maybe we're, we're airing a little bit wrong on that. So there's some interesting stuff here that, that we are finding as these, as these computer systems, that's artificial intelligence, is able to pull out the, all his labs with people who are, you know, who have trauma.

[00:16:41] So it is very cool to be able to, to, to go back and look at all this

[00:16:44] Carl Lanore: [00:16:44] information. I've always been, so I've always been so proud that my blood sugar runs around 76 to 82. Yeah, I had somebody, I had somebody post a study that showed that people with low blood sugar die sooner and it could, it could have been talking about this, what you're talking about.

[00:16:58] Dr. Elizabeth Yurth, MD: [00:16:58] Yeah, yeah, [00:17:00] yeah. So it wasn't one of the predictions, but it was look below 80. You know, again, these are looking at cause all causes of death. So it was one of the interesting predictors. Um, and so you're right, probably that 72 to 82 kind of range is probably the perfect, the perfect range to be in.

[00:17:14] Carl Lanore: [00:17:14] Lymphocyte lymphocyte, I'm sorry. C reactive protein is a big one, right? A lot of women are going to the doctor there. They have a autoimmunity. They have high CV active protein. Right?

[00:17:25] Dr. Elizabeth Yurth, MD: [00:17:25] Yeah, and I think a lot of your listeners are very familiar with C reactive protein. It's a marker of inflammation. So you know, you get inflamed and it's high.

[00:17:32] And I will tell you, your traditional lab will say less than 10 is a normal C reactive protein. So it doesn't really even get flagged. And, and you know, unless you have a more savvy lab at your doctor's using, well, less than 10 is  protein of 10 you're not doing very well on that number. Less than one.

[00:17:51] Right. So those are things people need to look at because their doctor's not going to say, Oh look, you see CX proteins three, there's something wrong with you. Well, there is your CX proteins. Three, there's [00:18:00] something wrong with you. Well, your doctor didn't tell you that because it wasn't flagged as an abnormal C reactive protein.

[00:18:05] But that's starting to show low chronic levels of inflammation, which we know are correlated to every disease state, including dementia, including cancers. So. So, so those are things that you're going to have to know on your own if you're going to take control of this health span because your doctor's not going to tell you, wow, your inflammation levels are a little high.

[00:18:25] Carl Lanore: [00:18:25] Yeah. Lymphocytes, a part of the immune system. But I want to, I want to go back right to, uh, the red blood cells. This is interesting. So mean. Red blood cell volume and red cell distribution with never, I never even heard of distribution with.

[00:18:43] Dr. Elizabeth Yurth, MD: [00:18:43] Yeah. I would ask, how many of you, has your doctor ever mentioned what your MCV is or your RDW?

[00:18:50] I think sometimes MCV gets mentioned by the doctor if it's super high because it's correlated with pernicious anemia. If it's super high, meaning B12 deficiency, so if your MCV [00:19:00] is running very, very high, your Dr. May have mentioned it. It was flagged. Okay, so this flag was very high and dr  mentioned that because they would say, Oh, we should check a B12 level, because that's one of the things you get taught in your freshman year of medical school is that B12 and high MCV, and we all remember that.

[00:19:16] But MCV, which is the size of your red cells when we're young, our red cells are all pretty uniform in size. And they're not that big. So we get older, they get bigger and bigger and bigger. They also get bigger with every disease state in the book, and we'll consider aging a disease because it really is a Z.

[00:19:33] So you'll see the exact same things happen to the blood in a disease state, as you see in the age state. Which correlates to our belief that aging is really a disease process in of itself, that we can slow down if not halt. So as those cells get bigger, as you see the MCV climb, and you know, I will tell any of you who save your labs, look back from 10 years to now, you'll see it's a bigger number.

[00:19:55] That's not a good sign. It's a sign that your cells are getting more stressed. [00:20:00] So you need to know what is the right number? How do you know are my cells getting bigger and how do I, how do I change that? RDW is the distribution between the different sizes of the cell. So when we're young, our cells are all a pretty uniform distribution.

[00:20:14] So the RDW is the, the, the, the, the vision between the smallest and the largest, right? It should be a very small number. They should all be very close together in size. If you have some really small red cells and some really big red cell, so then that's not good that that number gets higher, that RDW gets higher.

[00:20:32] Higher RD is associated with every single disease state, including aging. So you need to know that those are that already w is one of the biggest predictors of your health span. And your doctor. Guarantee you if have you. If you even ask your doctor what it means, they won't

[00:20:48] Carl Lanore: [00:20:48] know. Right.

[00:20:50] Dr. Elizabeth Yurth, MD: [00:20:50] You know? And those, although you know that's your red cells.

[00:20:55] You know, and, and, and, and yet, I'm telling you, it is maybe one of the number one [00:21:00] things you should be looking at on this lab test. So you guys have to understand this and you have to know it. If you're gonna make a change in your health, you can't any longer rely on your doctor, be telling you these things.

[00:21:09] They don't know it. They don't have the time to talk to you about it. And unless you take control of it, there's no way we're going to start changing people's health. So that's really, I mean, that's really cool stuff, right? That you've got these very, I

[00:21:21] Carl Lanore: [00:21:21] guess. I mean, I'm gonna. You know what the funny thing is, we all have lab work from the past 10 years.

[00:21:26] We can go back and look at some of these pages and just make notes and go and see what has happened to them. I'm going to, I'm going to drop the overlay for a second so we could see the rest of the list. Okay, so alkaline phosphatase, another liver indicator, correct.

[00:21:40] Dr. Elizabeth Yurth, MD: [00:21:40] Yep. So I'll cross. It's interesting in that, you know, yes, it's, it's a liver.

[00:21:44] Um, it's a liver enzyme and also comes from lung and from bone. Um, so independently is also a very, very big predictor. Um, and as that number starts to climb, we know that that's also correlate with a lot of disease States. And there's certain. You know, there's certain nutrients and [00:22:00] vitamins that have a big play there.

[00:22:01] I talked about, for instance, non methylate folate and people who have any kind of methylation defects, will they'll, you'll see elevations in ALK phos yet I'm not talking about I'll foster gets marked as red zone, but there's an ideal number there when I see that ideal number. Y'all starting to edge up, something's going wrong.

[00:22:19] Either my nutrient status is off. There's some low level inflammation. Outfought school is also very well with inflammation, so you will oftentimes see, see reactive protein and Auckland phosphatase both elevate at the same time. But I'll fossil some edge up first. That started to tell me, and that's why if we can follow people's labs that we can graph them out and we see, we start to see subtle changes.

[00:22:40] We can say something is happening and we can say something's happening very early, right. And we can stop it before it becomes a disease state. So, you know, so it's, it's loosely looking at liver, but more, uh, more generally. It's a big inflammatory marker.

[00:22:54] Carl Lanore: [00:22:54] What about white blood cell count? I mean, we know about white blood cells and relationship to infections when your body [00:23:00] is fighting hard against something.

[00:23:01] What about that?

[00:23:03] Dr. Elizabeth Yurth, MD: [00:23:03] So white blood cells are really cool. And when you look at that on your. Complete blood count that your doctor orders. It's going to have how many neutrophils you have, how many lymphocytes you have, how many monocytes, basophils instead of pills. Those are all in that white count, right?

[00:23:19] And rarely will. Your doctor will look through that whole differential to see if your ideal levels, but there's some really cool things there as well. For instance, the neutrophil lymphocyte ratio. As we get older, we get more neutrophils, less lymphocytes. So that ratio gets bigger and bigger and bigger, and that's not a good thing.

[00:23:38] That's also correlating with bone marrow dysfunction. Probably STEM cell dysfunction, right? And remember, this is all we're talking about aging or our STEM cells when we're talking about aging, so it's one, and when we start seeing that change in the differential, that nutritious neutrophil lymphocyte change, that's probably going back down to the STEM cell levels.

[00:23:55] Where do we get. STEM cells. I do orthopedic. We get STEM cells out of bone marrow [00:24:00] just at the bone marrow level. When you start to see that wakeup, meaning we're starting to see STEM cell changes, there's, there's other things like, you know, looking, nobody ever looks at the base of Phil's and Monticello and if it fills your, if you have bad allergies, your Dr.

[00:24:14] May go, wow, your eosinophils are high because they, they, they get very high. If you're having allergic reactions to things, is one of your allergic responses? What do you have? Zero eosinphils. Traditional medicine will tell you that's actually a really good thing. Have no eosinophils mentioned, but no allergic reactions, not a good thing.

[00:24:29] You need a little bit of eosinophils because that tells you your immune system is functioning well and right. And then there's things like looking at the monocyte lymphocyte ratio. So all these numbers have these very, very perfect ratios. Each one of those differentials is really, really key. It's not just

[00:24:48] That you have all these cells, they all are marked fine. We want to look at that neutrophil to lymphocyte ratio. We want to look at the monocyte lymphocyte ratio and the eosinophil lymphocyte ratio. Those are all really important basophils, for instance, when you [00:25:00] start to see basophils in one of these we'll do is we'll add together basophils, monocytes, that is in the Philz, and when you add those three together, if that number starts to starts to get a little high, we know there's something going on at a very, very early age.

[00:25:14] We know are very, very early stage. We know that there's something going awry with your immune system that you're starting to get. Some type of reaction, sometimes inflammatory reaction, maybe early cancer, maybe you know, early metabolic syndrome. We don't know what it is that way, that way we have to go back and and work on it, but that, that ratio of types of white cells is a really critical factor and we need to look at, if we're going to sort of haul aging at a STEM cell level.

[00:25:41] We have to understand what each of those cells mean. They have to be in perfect ratios and, and you know, again, it's fun stuff. It's fun to be able to look at these things and you know, and trend them and watch them interview engineer's out. They're going to dig out on you of wrapping all this stuff out and following it over time.

[00:25:56] Um. Yeah. And now with our computer stuff, it's easy to do. So [00:26:00] we encourage our people to do that. Right? Let's watch this. We will teach you how you put this all together and two, which of these is the most valuable? If we're going to focus on changing one little thing in you, where is that going to be to add the most bang for your buck?

[00:26:13] So,

[00:26:14] Carl Lanore: [00:26:14] and the last one is age. Does that really play in here? Does age matter really? I mean.

[00:26:19] Dr. Elizabeth Yurth, MD: [00:26:19] So, you know, I think even two are the best, you know, when we're looking at aging overall. So when we're coming up with this, what is your biologic age? You're really, age still is playing into that. So your chronological age, you know, even if I, all of these numbers are perfect.

[00:26:34] So if I'm 80 am, even if I, every one of these numbers perfect, which is going to put me into this nice low biologic age, my ears of life is still going to trend me up a little bit. So. Same exact numbers and a 50 year old and eight year old. The biologic age of the eight year old will still measure higher.

[00:26:52] So when we're trying to look at biologic age, your real age does still matter a little bit. You know, we can certainly bring it down 2030 years, but probably [00:27:00] you're, you know, you're going to do, you're an easier. Time getting to be a 30 year old. If you're 60 then if you're 80 you know, but, but you're 80 and we can get you to 50 then you're still doing well because ultimately the really nice thing about knowing all this stuff and fall and all this stuff is, you know, we are learning more and more how to make changes.

[00:27:17] How do, how will we change these STEM cells, these zombie STEM cells? How can we make, how can we make them better? So I think if you know these trends and you know what you need to sorta keep stable right now, time is your ally as well. Uh,

[00:27:30] Carl Lanore: [00:27:30] we're going to take a quick commercial break when we come back.

[00:27:32] Now that we have a picture of these markers, which everybody has this stuff, and your doctor will not know what we're about to talk about here. Well, we're talking about today. Your doctor won't know, like we said at the beginning of the show, if it's not low, it's not high. They don't even care about it.

[00:27:49] And they just read that column to see if it's low or high. They're not looking at any of this. They're not looking at ratios. They don't care because they've been taught [00:28:00] not to care. They, they've been taught that if you're, if you fall into the what is considered the normal range, which could be so vast that you're fine.

[00:28:08] So when we come back, we're gonna talk about how you can actually become the pilot instead of the passenger and take control of your own outcome, even though your doctor doesn't know how to. So stay tuned. We'll be right back with more. This is the superhuman channel evolution. Just got kicked up a notch.

[00:28:33] Welcome back.

[00:28:37] We're talking about how you can actually tell how well your agent, and obviously once you understand how to assess how well you're aging, you can take steps. To fix it, but you have to know this stuff. Your doctor doesn't know it. So what is, what is being done right now over at the Boulder longevity is a, you can actually [00:29:00] sign up for a full day course so that you are empowered with how to interpret your own lab work.

[00:29:08] This is a really important thing because like I said, your doctor can't do this for you. They're not going to be able to do it. They have no interest in doing it. They don't know how to do it, but you need to know how to do it. If you are going to be in charge of your own outcome. Nobody wants to die because the doctor didn't know.

[00:29:26] So it's, it's a really good idea. If you go to the website, human optimization academy.com you can learn about the upcoming seminar. Um, and also other upcoming seminars. These are full day events. Uh, you go there. Uh, and what happens is, uh, uh, Boulder longevity orders, your lab work ahead of time. You arrive with your labs.

[00:29:51] So a, you will be able to interpret your labs on the spot there and you'll learn how to keep doing [00:30:00] this as you're moving forward. Uh, talk about what, how long have you been, did this is the first one, right? This is the first one of these. Oh wait, go ahead and try to disconnect again and reconnect if you can hear me because you were able to, Oh, there you go.

[00:30:15] Okay. Now, can you hear me? Yes. Yes. Can you, you can hear me. Okay. I feel like we're doing one of those old cell phone commercials. Can you hear me now? Okay. Yeah, let's get, let's get back. Let's get right. And I'm going to erase that out of the podcast though.

[00:30:30] Dr. Elizabeth Yurth, MD: [00:30:30] Okay, thanks.

[00:30:32] Carl Lanore: [00:30:32] So let's talk about this. Um, people can actually show up.

[00:30:36] In Boulder,

[00:30:37] Dr. Elizabeth Yurth, MD: [00:30:37] right? Yes. Let me tell you about the course. So this is the first one we're doing.  we're going to turn this into really a whole Academy in a sense. We really want people to kind of come out of, you know, we're gonna start with the very basic labs, the CBC and CMP, the basic labs already gets. But then we want people to eventually learn how to, you know, look at their nutrients, look at their hormones.

[00:30:54] We want you to be able to just take control of everything. So it's almost like getting a little mini medical [00:31:00] education by the time you've done the whole series. But we're starting with this first one. Um, you know, and, and it's going to be come here and spend the entire day here. We will arrange for you to get your labs done wherever you are.

[00:31:09] So we have people coming in from all over the country. We will, we are contracted with different labs. We'll get that all set up so you guys will know exactly what to do. Go get the labs, you'll have them in your little hot hands when you come here with us. You'll spend the entire day, eight until five, we will have food and lunch and reception.

[00:31:27] Um, and it boulders amazing that time of year. So beautiful mountain view and hiking and every else you want to do is he can make a vacation out of it, feel, spend the entire day with us. And. Well go through, you know, just like you're getting a medical education. When I've given lectures, I try and teach the people who come to my lectures the same way I teach doctors.

[00:31:46] Cause I think you guys are just as savvy and want to know this stuff in the same way sometimes. Maybe more so. So we will be taking this to a high level. You'll get the research, you'll understand it, you'll get, you know, it's not going to just be your, it is. We'll show you. The research will show you where this comes [00:32:00] from.

[00:32:00] So you'll get this nice little lecture series, but the same time you'll have your labs in front of you. So it'll come. It'll hit a home. And what breakout sessions where you'll get to discuss them with myself and the other providers so that you can really understand it. And then you will also have, what can you do.

[00:32:15] To make these changes. So if, if you see these values not where you want them, what are some really take home things? We won't just tell you to eat better. We're going to give you some really nice take home things that you can do. You've got me thinking, Carl, when one of your, your was playing. That, you know, we do all these things for our health.

[00:32:34] We don't really know if what they're doing is doing anything right. We think maybe we feel better. We don't know. Um, one of the really fun things about having this understanding of these labs is now I can say, Oh, this is off, this is off. I'm going to implement this change and then reach us. My labs in three months.

[00:32:52] Did it make a change? If it didn't, then it wasn't the right answer. Right? Maybe that supplement wasn't the a good something that for me, maybe it made things [00:33:00] worse, not better. So it's also a really nice way to track if your peptides, your hormones working. Right. You know, because everybody's a little bit different.

[00:33:10] We argue diet all the time, right? Well, maybe that's because the right diet is not always the right diet for the . That person. This allows you to see that you'll see very big changes in ALK phos and albumin with the right diet. And so those are really cool things you can say, you know, wow, when I had this amount of protein, I really was much better, or, or this amount of carbs.

[00:33:33] So, so not only do we, you know, you will understand these. You'll have methods to implement a change, but then you'll be able to do some tracking on your own. You get to follow this stuff. You're now, you can just go, go get labs done and, and have this nice little graph. And, you know, what I do is I, you know, I put, okay, started taking.

[00:33:53] IGF, right? Or whatever. And then I see, I measured my last three months later and I say, wow, that really made this number [00:34:00] much better. And

[00:34:01] Carl Lanore: [00:34:01] you know what's really funny? Everybody out there wants to know about biohacking, but maybe you don't need that hacking. You don't need it. You know, I just had this exact conversation this morning with the Lisa and we were talking about diet.

[00:34:13] And so I said to Elisa. You and your siblings came from the same parents and you lived in the same house, but you had completely different lifestyles that left imprints on you. Epigenetic imprints that make you different than them. That when you, when you, when you went to a friend's house and had dinner and played with their pet, that changed your microbiota when you.

[00:34:36] You, you know, she gravitated to eating peanut butter as a kid. She loved peanut butter. I said, that changed you. So the things that work for you won't even work for your brother and sister even though you have the same genes. Because we are, we are each like snowflakes. There's no two snowflakes alike.

[00:34:52] There is no two people on this planet and alike. I don't care. Even even twins. We know that the outcome of their lives [00:35:00] is based on the journey of their lives. It's not because of their DNA. And so this, this is, this is, this is a way for you to, to actually do the work, to find out what is needed by you, for you.

[00:35:14] Instead of going, Oh, well, this biohacking guy that's still, you know, he's bio hack this and biotech guy. Maybe you don't need that biohacking.

[00:35:22] Dr. Elizabeth Yurth, MD: [00:35:22] Right. Or maybe that biohack is not the right choice,

[00:35:25] Carl Lanore: [00:35:25] right.

[00:35:26] Dr. Elizabeth Yurth, MD: [00:35:26] Yeah. Pretty new. Right. And so, so I mean, definitely, right. This is cause I think it's one of the frustrating things is that you know, that I, you know, I am.

[00:35:36] Placebo effect for me works amazingly well. And you know, I can put anything and say I feel better, but not in fact, I, I, I was taking a peptide that definitely, I felt like I was losing weight as getting muscle. I felt really good, but some of my labs were way off. I mean, way off. Obviously it was not a good choice for me.

[00:35:55] So, you know, so I think that this is a really cool way that you can actually follow things you do to [00:36:00] those of you who love. The biohacking piece of this. This is a really cool way to follow that. Um, you know, and that's that, you know, we talked about that the neutrophil lymphocyte ratio, what, you know that when that neutrophil, but the site ratio gets very, very high.

[00:36:13] You can't even build muscle. So that goes back to that, this whole sort of whole STEM cell. Function, you know? So these tests allow us to look pretty deep dive. I know there's, there's people out there who are doing biohacking who saved labs don't matter very much, right. Because it's really how you feel and how you look and muscle composition and all that kind of stuff in the labs don't really matter.

[00:36:32] Well, you know, the, they. They do matter because they do allow us to track how things are affecting us before, you know, before we're too far down the road. Um,

[00:36:43] Carl Lanore: [00:36:43] so I remember, I remember Billy crystal on Saturday night live when he used to do Ricardo Montalban and he used to do a, you look marvelous and looking marvelous is more important than feeling marvelous.

[00:36:55] And, and that that was an absurdity that we laughed at because it's so absurd because [00:37:00] being healthy is more important than looking good. But we have a whole community out there who say, now I'm, I look in the mirror, man, I'm shredded, I'm ripped. And then they die six months later. It's like real, right?

[00:37:11] Dr. Elizabeth Yurth, MD: [00:37:11] Right, right. Yeah. So, so I think that, you know, the, the course is going to allow you to come here and spend a day, um, with, you know, and unlike other lecturers, we pounded listening, you get to interact on this. You get to have your labs in front of you so that it's gonna make sense. We'll have these sessions where you will be able to, your as, as you look at your lab and you listen to me talk, you'll get your questions will arise.

[00:37:33] You'll be able to ask those questions. So, so you get this kind of semi personal cure. Well, it was small breakout sessions where my other providers will be, you don't have groups, all groups and, and w and then we'll toss around it. People can toss around ideas too. We always learn from our patients as well, you know, sometimes there's things that they throw out that are really helpful to everybody.

[00:37:50] So we'll have these small breakout sessions. It's gonna be really, actually, there's, there's been nothing like it in that, that I've seen in, in, you know, in the history of, of

[00:37:59] Carl Lanore: [00:37:59] medicine. [00:38:00] I've never heard of anything like this, and I gotta be honest with you. Nobody's paying attention to these markers. You're not your doctor and none of the quote unquote brilliant biohackers out there.

[00:38:09] None of the people who had taken Metformin and wrap a myosin to try to beat a beat aging. Nobody's talking about this stuff here. This is completely unique, which leads me to question something. What if doctors show, I mean the, I know this is to teach lay people how to become masters of their own health outcomes.

[00:38:28] What if a doctor wants to go to this? Would you let him in.

[00:38:31] Dr. Elizabeth Yurth, MD: [00:38:31] Sure. I think conditions, you know, all types of clinicians, you know, naturopathic doctors visit, you know, MDs, uh, dos. I love for them to learn this stuff as long as they have interests and really want to understand it and know it. Um, I don't want the physicians who are coming to be the naysayers and say that, you know, this is, this is not the way to practice medicine because, you know, there's, there's tons of, like I said, everything I present to you, just like when I present, when I do lecture series.

[00:39:00] [00:38:59] Uh, for physicians, everything I present is, is research based. Everything we tell you will be research based and you guys will walk away with the research because you may need to support it to your physician if you want to talk to them about this. So our goal is going to be to, to teach. You guys and then have you hopefully, maybe share it with your physicians.

[00:39:19] Uh, but I'm happy for clinicians who want to come learn some of this stuff to, to come and, and, and, and join us as well. Um, I think that it's, you know, it's going to be a really cool event and, you know, and we'll have really good healthy food and good, healthy fun. And, you know, if you guys have never been to Boulder.

[00:39:36] It's this incredible environment. As you know, your view from the lecture hall will be at the of our flat iron mountains. So it's just a fun place to come and hang out for in the spring anyway. Um,

[00:39:45] Carl Lanore: [00:39:45] do you, you, you foresee actually doing a certification program for clinicians so that they don't have to go to these, which are made for me and, and, and average people.

[00:39:56] Do you think that this will evolve into like a certification program?

[00:40:01] [00:40:00] Dr. Elizabeth Yurth, MD: [00:40:01] We're probably gonna that isn't kind of in the works is to develop, um, a type of certification maybe, you know, for maybe a, um, a more mid-level clinical provider to help learn this stuff. Because we sort of feel like, um, especially any physicians who are working with an insurance model, it's gonna it's a tough thing to implement because it takes time.

[00:40:20] But you know, if you look at the mid level providers, this is a great place for them to understand because they can sit down and kind of working under a physician, but you know, they can't sit down, you know? And, and I rely on my mid level providers a lot for that, where, you know, they will sit down and really go through the stuff in detail because they spend, they'll spend two hours, um, you know, with the patients.

[00:40:39] And so, uh, so I think we will, we are first seeing it become that this is going to be the first of the core series. We will, by the time you finish the whole series, I've what we call our human optimization and Academy kind of you. You'll complete the whole program. I can graduate with it. You'll understand how to read your CVC, your CMP, your hormones, your thyroid, your, you [00:41:00] know, your nutrient levels.

[00:41:01] You'll have a really good understanding of all that and that's going to empower you to feel like you can really take control of your health. Right now. You know, you, you can't, without this understanding, I can tell you, even if you're working with like a really good functional medicine doctor, I even don't see them actually taking it to the next step.

[00:41:19] I see a lot of functional medicine doctors falling into kind of Cannes treatment protocols now and you know, and not this individualized care. So you guys have to be able to take the initiative on your own and talk sensibly about it when you can go to your doctor, even if it's a doctor who. You know, doesn't understand what you're saying.

[00:41:35] That if you can go to them and say, listen, here's the evidence to support. Why support, why I need to maybe, you know, look for further my cardiac health. Because look at these numbers. These mean this, it allow you to go in with some kind of confidence talking to your physician. I think people get scared of talking to the physician, um, and they feel like, I don't understand this stuff.

[00:41:54] Maybe they're right. Maybe I'm wrong. By having this level of understanding, it allows you to talk [00:42:00] really at a level where you feel confident. Now taking this primary role. Any of you who think your doctor is going to really save your life in the long run, probably that's foolish. You're going to have to be the one who does that.

[00:42:11] Carl Lanore: [00:42:11] Absolutely. So the courses, 1995 that includes meals, reception afterwards. And all your labs, and keep in mind these labs, you're going to get these labs done every year for the rest of your life. Wouldn't you like to be able to actually triangulate your health better than your doctor? If you use the code SHR, you'll get a 10% discount.

[00:42:35] Uh, and that's not a small amount. So that, that's really meaningful. And again, this will pay you. Dividends for the rest of your life. If you're in your 50s you got at least another 40 years on this planet. If you do things right, maybe 50 years on this planet, if you do things right, understanding this knowledge, and again, you're going to learn the way a doctor learns this and these specific [00:43:00] silos of information, okay?

[00:43:02] You're not going to have an a and P one and two and a lots of stuff. You're going to go right to the meat and potatoes. Not all the foundation work, but you'll be able to converse with your doctor about this. You'll be able to know more about albumin, then your doctor, the, the, the difference in the blood, red blood cell, uh, ratios and size, then your doctor.

[00:43:21] And that's worth for me, knowing that kind of stuff. I love knowledge. Knowing that kind of stuff is so valuable to me.

[00:43:28] Dr. Elizabeth Yurth, MD: [00:43:28] So, yeah. It's huge. And again, I think just in when you look at, at all the money you spend on your supplements and hormones and peptides and things like that to understand which are the right ones for you, because this is really nice.

[00:43:41] You know Carl's exactly right. You know, you have epigenetic marks and you have your genome. We now sort of have downplay how important the genome is because now it's the epigenome and the IPG gnome is, you know how your genes are changed. Ultimately, it's the proteins that are expressed by those genes that matter, and these are, this is a small Snapchat of that, so it really [00:44:00] is the only way you can really say, is this something that's right for me?

[00:44:03] So I think it's good in the long run, enable you to now say, Oh, these are something that's, I need these. This is the diet I need. All this stuff is really going to help you get there.

[00:44:12] Carl Lanore: [00:44:12] All right, we're going to take a last commercial break and when we come back, we'll wrap up the show. Stay tuned.

[00:44:20] Human channel where we use

[00:44:22] Dr. Elizabeth Yurth, MD: [00:44:22] oxygen for the power of good.

[00:44:29] Carl Lanore: [00:44:29] Oh. Music didn't play. That's okay. We'll go right back into it. We have ghosts in the system today. It was, is this not a 13th now? It's a six. Okay. So let's, I, you know, I'm getting ready to do my taxes. I do my own taxes. I'm not smart either, but I do my own taxes. And, uh, I spent an average of $160 a month at any lab tests.

[00:44:48] Now, last year I go until anyway. In fact, the girl, Maria knows me, she, she knows, you know.

[00:44:53] Dr. Elizabeth Yurth, MD: [00:44:53] Yeah, I agree. You said,

[00:44:55] Carl Lanore: [00:44:55] I call her up and I say, Hey, Maria, do you have a test for this? How much is it? You know, I get my [00:45:00] testosterone tested when I'm changing, let's say protocols. You know, I, uh, I, uh, recently I've been on this deep dive again about iron also B six toxicity.

[00:45:10] Yeah. You know, I get my T TIBC done, I get all this stuff, and I, and I grant, you know, and, and people laugh at me and they're like, look, some people buy shoes. Some people buy, you know, uh, bottles of wine. I like lab work. I like to see what's going on inside my body,

[00:45:25] Dr. Elizabeth Yurth, MD: [00:45:25] so yeah. Yeah. And that's, and that's really, I mean, you, you understand all this stuff and it really allows you to then take control of your health.

[00:45:32] Right. And that's what we're trying to allow these, you know, everybody else to do is go do that same thing. You're right. You can't order these lab tests, you know, on yourself and then follow them. You'll have to understand how to follow them. Not trying to replace doctors. I think there's always going to be a need for doctors.

[00:45:44] But for your health, that's really not the word. Doctors were, were designed, right? They were designed for health. They were designed for disease. And you know, you break your leg or you have a horrible disease, you're gonna still need your doctor, but for your health, you guys have to be the one that's sort of that pilot of that, of that [00:46:00] plane, not your doctor.

[00:46:01] And if you're aligning your doctor to make you healthy, it's not going to happen. That's why it's called. Well, you know, I think sometimes some people, you think we're putting out these things to sell a bunch of supplements. We're not, we're not trying to sell anything. We're not going to be selling supplements or lab tests or anything like that.

[00:46:16] We're here really to kind of try and educate people because, uh, we've been very frustrated in our practice with people, you know, coming in healthy, and then we look at their labs and say, no, you're really not healthy. And they've now gotten 10 years with these very, very abnormal. Labs that could, something could be done about something very simple.

[00:46:37] Oftentimes they didn't even know it. And so we're really know our frustration was that we can't reach every person that's, we're trying to reach as many as we can. The, I mean, these, these group events which allow us to get a bunch of brains together, a bunch of minds together are so incredibly helpful. I think you guys will find it fun to be around people who think like you a, you know, a little bit too.

[00:46:56] And, and you know, hopefully some people like Carl show up and who know a lot [00:47:00] too. And can. She can chime in and you know, with control

[00:47:03] attribute,

[00:47:03] Carl Lanore: [00:47:03] you know what you're doing is the whole teach a man to fish thing, right? If you were selling, if you were doing a, if you created a lab and you said, uh, you know, uh, it costs $1,000, we do your labs and we'll tell you how you're aging, that's one thing.

[00:47:18] Then they'd have to pay that money every year. What you're doing is then teach them how to interpret it themselves. So you're teaching them to fish instead of giving them a fish. But more importantly. These labs, most of us are getting them done in the insurance company is covering most of it, all, all of it.

[00:47:33] So once you have the knowledge of how to interpret it going forward is going to be very cheap because you, your doctor orders these labs for you every year anyway.

[00:47:42] Dr. Elizabeth Yurth, MD: [00:47:42] Yeah, you're exactly right that you can use this stuff you learn and you know, and get a lot of six months. Just so you know, become a lab geek, like call and get this labs in six months and see what changes because that's really fun to do that.

[00:47:54] That's why he does gig out on us because it actually becomes very fun when you're actively. Participating in what you're [00:48:00] doing, see if it's making changes. Looking at the last becomes actually kind of an enjoyable piece. Even sometimes in, there's things on me that, that I really are frustrated. I can't get better, but I keep working on it and it's, it's, it becomes really fun to actually follow that stuff and don't be scared by it because most of these things you're gonna find are things that we can reverse.

[00:48:18] Carl Lanore: [00:48:18] You know? So I, I had been suffering from iron overload. For a very long time and giving, yeah. And giving blood every two months wasn't working for me because I'm still eating, you know, everything has frigging iron in it. And so it's like, unless I stop myself for two months and then give blood, I kept Rhea cumulating more iron, so I would have two steps down and one step back up.

[00:48:44] And so just by chance, I went to donate blood one day and they said, you know, we never need a positive. Blood, but we need it really badly right now. Are you willing to do a double red? I'm like, what's a double red? So when the girl explained it to me, we take twice as [00:49:00] much red blood cells out. We put your plasma back in, which by the way, she said.

[00:49:04] I had some of the best plasma she's ever seen. She said it was clear yellow. She says, when it has lots of murky and funk in it, and she said, she says, Oh my God. It says, she says, it looks like Apple juice. As she said, you have really good, good plasma. I says, Oh, thanks. But they took. Double the red blood cells out.

[00:49:22] They put plasma back in my plasma back in. They added just enough saline to make up the volume of the red that they took out. So I literally walked out with the same blood volume as I walked in. It was just less concentrated with red blood cells. The week and a half later, I went to Maria at any lab test.

[00:49:37] Now it says, let's see what's going on with my  and my, Oh my God, my iron is all so far down now. My B6 went from 69 which is high to 24 in that one session. I'm like, I love this, but you know, that's the joy of doing things and then let me go get my blood work and see if that works. Because once you understand that, you don't have to keep getting blood work for [00:50:00] that.

[00:50:00] Again, you know how to fix that, you know, off to something else. Yes, yes. This is,

[00:50:06] Dr. Elizabeth Yurth, MD: [00:50:06] I know that you guys had the same frustrations that I do. You read about a new supplement and you think, my gosh, that sounds really good. I'm going to try it. And you don't know. And so these are, this is a great way to fall stuff and cross exactly right.

[00:50:18] That this one day is going to enable you for years and years and years to come to be able to use this information. It, there'll be changes. Well, you know, and then we'll do more courses and we'll teach people and, uh, you know, things are gonna continue to develop, but right now, this looks pretty promising as a way to be able to follow your health span and you sort of biologic aging

[00:50:37] Carl Lanore: [00:50:37] and your children.

[00:50:39] And your wife or, and your mom, and once you endowed with this knowledge, you can teach other people. You can help other people interpret their labs. You go like, Oh no, you don't want to, that's getting kind of hot. You need to stop eating this. There'll be like, do you know that I, I took a course. I mean, right.

[00:50:55] This is more people that understand this. The more people that will be healthy out there. Oh, [00:51:00] that's

[00:51:00] Dr. Elizabeth Yurth, MD: [00:51:00] true. I have the references in hand to

[00:51:03] Carl Lanore: [00:51:03] look. This is a fantastic, uh, I am so excited about this. When I heard about this, I was like, Oh my God, this is bigger than bio hacking. There's a, there's a group right now that claimed to be biohackers.

[00:51:14] None of them have a very old. Um, and the reality is that none of them really look like, Oh my God, that's like the bastion of health. They're charging like $30,000 for some advanced bio

[00:51:26] Dr. Elizabeth Yurth, MD: [00:51:26] Biolabs. I'm like,

[00:51:28] Carl Lanore: [00:51:28] what a joke. You'll pay that person $30,000. He'll die before you. And what did you get? You didn't get anything and learn to interpret your own blood work.

[00:51:37] Learn to make the turns left and right that you need to make on your own. You don't have to pay somebody $30,000.

[00:51:44] Dr. Elizabeth Yurth, MD: [00:51:44] You don't. Yeah. No, you're an, I'll give, teach you to fish. It's exactly, we're trying to do, we're trying to teach you guys what you need to do. So, yeah, really, I'd love to have you guys come through us.

[00:51:54] It's going to be a really fun day. Um, good food and healthy food, human optimization, academy.com. If [00:52:00] you use Carl's SHR, superhuman and radio SHR and the little promo spot, you get a nice discount on it. Um, and, and you, you know, the people who watch Carl . Our perfect clientele cause you guys are very savvy and into this and understand so much already.

[00:52:14] So you know, which is when I approached Casa, please carve out a lot to talk about this. He was, he was the perfect person for me to just, because it's the guys who, you guys who watch him are, are the perfect people are going to love this.

[00:52:27] Carl Lanore: [00:52:27] They're intelligent. I every, every person that listens to my show could do this job.

[00:52:31] They could host the show. Okay, look, the weekend is over Monday. Kathy Smith will be on, do you remember Kathy Smith? She used to do the exercise tapes. She's coming on the show on Monday. She was supposed to be on this week, but she had problems with our camera. She's coming on this week to talk about women and missing out on a great opportunity to achieve fitness and health and performance faster.

[00:52:52] She's going to teach us that, and we have lots of great shows next week, so. Hang out with me next week. Everybody have a great weekend. Thank you for being here, [00:53:00] dr earth, and we'll see everybody

[00:53:01] Dr. Elizabeth Yurth, MD: [00:53:01] Monday. Hope to see you. Take care. Bye. .