Full Transcript Introduction and Guest Welcome 0:02 Hey everybody, welcome to the E Pray Faith podcast with Dr. Tracy. That's me. 0:07 And with me is my very special guest, Dr. Richard Silva. And I am so excited 0:11 because I consider him one of the most brilliant mans in functional health. Uh 0:15 he's a mentor of mine. He's a friend, and I'm just so honored to have him 0:19 here. Our topic today is the little signs that men miss, the blood work they 0:25 should be doing, and other testing. And Dr. Dr. Silva is going to tell us some 0:28 easy steps to get going today. So, Dr. Silva, welcome. Thanks for being here. 0:33 Give us a little bit of background on who you are and what you do. Hi, Dr. 0:38 Tracy. Thanks for inviting me. It's a pleasure to finally make it. We had to 0:41 reschedule because of our traveling and everything. We had to reschedule a 0:44 couple times, so I apologize for that. But, uh, yeah, anytime we can talk about 0:49 getting healthy and what people can do to get healthy, I mean, doctor actually 0:54 means teacher in Latin. It doesn't mean healer because healer is God. So, you 0:58 know, um I believe that it's our job not only to talk about this stuff but sort 1:04 of evangelize health and spread the word. Um you know I would say eat, pray, 1:11 faith and teach because uh you know uh teaching is really important. So for 1:16 example, a lot of people they men let's talk about men today because men are the 1:21 most 85% of my patients are female only 15% of my patients are male and when I 1:26 ask the guys what brings you in here today they say my wife right so it's 1:30 really important to have a wife they kind of save your butt and get you to 1:34 the doctor and make sure you get tested. So um a lot of the top 10 thou if you 1:40 look at the top 10,000 diseases chronic diseases we're talking about right then 1:46 the cause of all those diseases in 99% of the cases is inflammation. So what
Inflammation, Gut Health, and Hidden Signs in Men 1:51 we're talking about is inflammation. So, we're talking about heart disease, 1:55 stroke, cancer, you know, any of the um connective tissue diseases, arthritis, 2:01 you know, psoriasis, a lot of the derm stuff, uh which, you know, they're good 2:06 at giving creams and stuff, they don't really treat the inside, although that's 2:10 changing now. So, the gut, we have 30 feet of gut. So, most of the time, the 2:16 problem is in the gut because your arms are not 30 feet long and your legs are 2:19 not 30t long. So, think about it. If you have about 30 feet of intestine and your 2:24 food is in there and all the absorption, everything takes place in the intestine, 2:28 that's probably where the inflammation is. And unfortunately, there's 30,000 2:32 different foods that you can eat, which by the way, in America, 60% of us eat 2:38 only three types of food out of 30,000. But there's 50,000 chemicals in the 2:43 30,000 foods, which is bizarre. It's almost double the amount of chemicals. 2:48 So if you drink water, if you're alive and you have skin exposed and you do 2:54 things and you paint your house and you have chemicals and you treat things in 2:57 your house, you're going to get toxic. You're going to get So what are the 3:01 symptoms that people get that you should be looking for to see if this 3:07 inflammation is taking part in your body because you will get disease from that. 3:11 So a lot of things that guys miss, number one, walking. So walking. If you 3:16 lose your ability to walk, which is why we we care so much about amputations and 3:21 things like that, and you're wheelchair bound, you definitely just decreased 3:25 your lifespan. So, walking equals life. And if you look at all the blue zones, 3:30 most of the blue zones, I would say 9.9 out of 10, the people in those blue 3:34 zones, one thing they have in common, they walk a lot. So, walking is really 3:38 important. For our listeners, for our listeners, what are blue zones? What 3:42 does that mean? So blue zones are areas in the world where people live over a 3:46 hundred years old. They have the most centinarians, right? So like sardinia, 3:51 they eat a lot of goat cheese. So um you know, phytonutrients play a big role and 3:57 nutrition plays a big role. Um and unfortunately, you know, the United 4:02 States has one, used to have one in in San Francisco area, but that's it. A lot 4:06 of them are, you know, in the mountains also. They're high up like Tibet because 4:11 the air is thinner. So they have to do more uh stuff in in order to get oxygen. 4:16 They're kind of have less stress over there in the mountains and they eat more 4:20 vegetables. They eat more local food. Um but walking is probably the number one. 4:25 So, for example, if you wake up in the morning and your feet hurt, and this 4:30 happens to a lot of my patients, and you cannot walk to the bathroom, you're kind 4:33 of hobbling around and your legs are all tight and your hamstrings and your your 4:37 calves are tight and you have plantar fasciitis, which is inflammation of the 4:41 bottom of the feet or you have diabetes or pre-diabetes and your feet are 4:45 burning, that's a sign. But a lot of people just 4:49 kind of disregard it as something important. And if they have blood in 4:54 their feet, they go to the doctor right away. But if their feet hurt, they're 4:59 like, "Well, I'm just working a lot and or I'm just getting older, right?" 5:03 Getting older. Yeah. And they go to the doctor and the doctor tells them that, 5:05 "Oh, that's normal. You know, I can't play soccer anymore." So that it's not 5:09 normal. So aging is not normal. Aging is a disease. Aging is not normal. Okay? So 5:14 if you're aging rapidly, that's not normal. You know, you you of course 5:19 everybody's going to age. I'm not saying that aging itself, but people that are 5:23 aging rapidly, which means you have inflammation that is not normal. That is 5:27 a disease in itself. And now we can measure things which we're going to talk 5:31 about later um in terms of seeing how fast you're aging. So definitely walking 5:35 would be one. The other one would be um uh very common is neurological like 5:41 brain activity. You're forgetful. You leave your keys in your car. You lose 5:46 things all the time. You misplace things. you forget people's names when 5:50 you meet them. Now, any one of those by itself is probably not a problem. But if 5:58 you have a lot of these issues going on, and remember Alzheimer's is a metabolic 6:03 disease. It's inflammation. We call it now type three diabetes, right, in the 6:07 brain. So, a lot of things that we learned from cancer and Alzheimer's in 6:11 terms of genetic stuff, it's really a very small percentage. I would say 2 to 6:15 3%. 97% it's environmental and it's gut and it's we're poisoned basically with 6:22 chemicals. So you have to do detox, you have to do elimination, um you have to 6:27 do a lot of work to get rid of these chemicals in our bodies and there are 6:30 lots of them plastics. They said the average American has one plastic spoon 6:36 in their brain already. So we have the equivalent of one plastic spoon in our 6:41 brain. So I think I have a spork. Yeah. And uh you know, plastic is made from 6:46 petroleum. If you guys didn't know, it's a petroleum product. I just heard on the 6:51 news uh yay for RFK Jr. Um he's removing by next year, you know, it makes sense. 6:57 He's giving them time to reformulate their products, but Craft and Hines, 7:02 they're removing uh I forget how many. It's a lot of a lot of additives. All 7:07 the additives they're removing are petroleum based. So imagine we have 7:11 Vaseline in our food. We have petroleum products. People don't know this, but 7:15 soap is I use goat milk soap. So, we can talk about that uh and and give you guys 7:22 suggestions. You can buy it on Amazon. I'm not promoting any specific brand, 7:27 but I use goat milk soap. I don't have that many wrinkles for a 56 year old 7:31 doctor, but most soap, people don't realize this, is made of petroleum. And 7:36 they have to put fragrance in the show in the soap to cover up the petroleum 7:40 smell because the petroleum has a certain odor. So when you're bathing, 7:45 which is supposed to be cleaning yourself, you're actually applying 7:48 petroleum to your skin, you know, and Vaseline is petroleum based. So there's 7:53 a lot of things that we consider healthy and normal which are not normal. So 7:58 number one would be walking and number two would be brain dysfunction, mild 8:03 slight dysfunction. Go ahead, Trace. I was gonna say you had mentioned and and 8:08 I totally agree because I say that too that neurological issues are based in 8:12 metabolic dysfunction. Can you just go into that a little bit? What does that 8:15 mean? Sure. So in my opinion, this is my opinion. In my opinion, the gut is our 8:23 actual brain. Okay? And the brain is our router or secondary computer. So why do 8:31 I say that? Most of the neurotransmitters are made in your gut. 8:35 So like serotonin, right? Um your immune system is mainly in your gut, especially 8:41 gut associated lymphatic tissue. And your gut regulates all your absorption 8:46 properties of all your nutrients going to your brain. So most of the crap that 8:51 we eat goes to our brain eventually, right? And that causes inflammation in 8:56 the brain. Now, the brain is 60% fat and has about 30 25 to 30% of all the 9:03 cholesterol in the body. So, number one, cholesterol is not bad for you. That's a 9:07 myth. And number two, that's not what causes heart disease. And number two, 9:12 fat is good for you. In fact, if you research this, I was shocked. I have a 9:16 friend who's a uh really good functional medicine cardiologist, and he told me 9:21 something that I almost fell off. every day in in our job, we we learn things
Brain Fog, Gut-Brain Connection, and Metabolic Dysfunction 9:25 that make me like almost fall off my chair. And he told me that the heart 9:28 actually likes fat. So the heart actually fat is actually healthy for the 9:34 heart because it's a fat is the only macronutrient that doesn't trigger 9:37 insulin and insulin is one of the things like cortisol that causes inflammation, 9:42 right? You have gluten, you have sugar, you have insulin. So insulin by itself 9:47 when it's high, when you have insulin spikes, every time your blood sugar goes 9:51 above 140, you get mild brain damage. So think about that. That's crazy to hear 9:56 about that. Every we know that seizures cause brain damage, but so does sugar. 10:01 So when you have that sugar spike, if you're monitoring your blood uh sugar on 10:05 your arm on one of those machines, every time your blood sugar is over 140, 10:10 you're having brain damage. pregnant women are having damage to to their, you 10:14 know, they're going over 140. And that's very common. Most women fail their first 10:19 test. It's 140, they they fail. I know this because I'm a primary care doctor 10:23 and they always call me crying saying that she they're diabetic. I said, 10:26 "Well, you're not necessarily diabetic, but you know, we have to address that." 10:30 So, sugar, gluten, and insulin spikes are very, very bad. And the intestine, 10:36 the the gut has all to do with that. your pancreas. Of course, we're also 10:41 talking about the liver, the pancreas, and diabetes by itself means you have a 10:46 clogged liver. Yeah. So, how do you lose weight? Let's talk about that. Everybody 10:50 needs to lose weight in America. How do we lose weight? Where do you lose the 10:53 weight? In your liver. Your liver makes you lose weight. If your liver is 10:58 clogged and nonfunctioning, you are not going to lose weight. So if you have 11:03 fatty liver, you have pre-diabetes, you have high triglycerides, which is what 11:07 we use as our criteria for heart disease risk is high triglycerides, low HDL, or 11:13 this other test that we're going to talk about in the future, which is called 11:15 APOB. Um, these new tests that we use and inflammation markers, which we're 11:20 going to get into. Um, that's how you monitor your liver. And it's very simple 11:25 to clean the liver out. I mean, it's not hard to do. It's not like you have to do 11:29 chemotherapy. We're talking about basic things like fish oil and, you know, ALA 11:35 and CoQ10 and, you know, cutting uh processed foods and chemicals. Uh how do 11:42 you know a food's processed? If it comes in a box, in a bag, it's processed. 11:45 Period. Yeah. I always say if it has a label, it's been processed in some way. 11:50 I mean, you can put a potato in a bag, but it doesn't come in a bag, right? 11:53 It's not natural. Exactly. Grows from the ground. So walking the inability or 11:58 if you have some sort of issue with that neurological memory etc. You could 12:03 probably also go into things like migraines and anything like that, 12:07 anything neurological symptoms of inflammation, right? So joint pain, 12:11 migraines, you know, any kind of headaches, abdominal pain, gird, stomach 12:16 pain, irregular bowel movements, they're all symptoms of the same thing that your 12:20 gut is not working properly, right? And there's different things that can be 12:24 happening. You can have overgrowth of bacteria. You can have parasites. You 12:29 can have um gluten problems. You can have inflammation problems. You can have 12:35 damage to your gut. Uh where we see the tissues actually damaged. Uh one 12:39 interesting thing is like butter got its name from butyric acid which is the main 12:43 ingredient in butter and that's one of the things that helps repair your gut. 12:47 Um uh we tell people not to not me but uh the modern uh medical people tell 12:53 people not to eat meat and not to drink milk and not to you know eat butter and 12:59 then we we get things like margarine which is you know loaded with uh it's a 13:04 really bad oil. So all the seed oils are really bad for you. They cause cancer, 13:08 they cause heart disease, they cause um diabetes, they cause obesity. Obesity 13:13 and diabetes are linked. So, obesity is probably 80 to 90% pre-diabetes. And, 13:20 you know, there are some genetic forms of obesity, but they're rare. Most 13:24 people that are have obesity around the midsection, they have some sort of, you 13:30 know, insulin resistance, which is another word for inflammation. And of 13:33 course, stress has a lot to do with it. But like I had I was 14. I had allergies 13:38 for years. I went to I didn't know I went to medical school. I I lived on 13:42 Claritin and all that stuff. And then I realized it's the gut, stupid. I cleaned 13:47 out my gut. I no longer have allergies. So allergies, so sinus problems, how 13:51 many people suffer with that? That is not a disease. That's a symptom of 13:54 toxicity. So like you said, so are migraines. So when you have these 13:58 things, even though the medical community makes it a separate disease so 14:02 they can give you a separate medicine to treat that, it's really all symptoms of 14:06 the same disease. And the the core of the disease, the functional medicine, we 14:11 get to the root cause of the problem is the gut. Yep. So third, so you're saying 14:18 walking, neurological, and any type of gut issues. Are those your three? Th 14:23 that could be that could be. And uh also um for males I think uh it's really 14:28 important um see how your because it's kind of like a predictor of future 14:35 problems. How are your erections? And I don't mean you have to have a rip 14:40 roaring erection like you're 20 years old. Yes. 14:45 Yeah. But in the morning when you wake up, I always say the amigo should wake 14:49 up before you, you know, it should be kind of waking up when you wake up, you 14:54 know, and uh, you know, depending what you're doing during the day. It's normal 14:58 to have, you know, like a partial erections during the day. Um, doesn't 15:02 mean you're a pervert or anything. Women women have erections as well as men. Um, 15:06 they're just smaller. They're less noticeable. But that's a really good 15:10 indication of health. Why? Because when you don't have erections, that means 15:16 you're already having some inflammation in the small arteries, right? So in 15:20 there's two kinds of damages to your body. There's small vessel disease and 15:25 large vessel disease. So small vessel disease is like your nerves, your eyes, 15:31 and your uh your erections. Large vessel disease would be like your heart, you 15:36 know, your your large arteries in your legs and your kidneys, things like that. 15:40 Although nephropathy can be microvascular as well. Um, so if you're 15:46 not having good erections and you're under 50, for example, right, you're 15:51 under 55, then your hormones are probably screwed 15:55 up. And unfortunately, I have to say this, Tracy, is that in our society 16:00 today with all the plastics and all the chemicals, we're seeing 30 year olds 16:05 with the blood work of 60 year olds. You know, wow. When I worked in the VA, I I 16:11 was a doctor in the VA when I first started and we used to do World War I 16:16 vets, believe it or not. We had World War I vets and World War II vets and 16:21 they're at the end of, you know, in their 80s and they still had great 16:25 testosterone and they still had erections. They still had sex once a 16:28 week with their wives. I was shocked by that, you know. And then I started 16:33 seeing like in Vietnam vets, they started having problems in their 50s, 16:37 which is kind of like the norm now, right? Um it's pretty prevalent in 50-y 16:42 olds. And then now I'm seeing 30 year olds with erectile dysfunction and 28 16:48 year olds and 25 year olds and they can't get people pregnant and their FSH 16:52 and LH is all screwed up, which we can get into that later, the test and 16:56 everything. But that's a real So I'm not worried about pregnancy. I always tell 17:00 people in my office, I'm not a gynecologist, so I'm not really worried 17:03 about pregnancy in my office. We don't really do that. But what I'm worried 17:07 about is if you're not healthy enough to get somebody pregnant, that means your 17:10 health is bad and you're aging rapidly and you're probably not going to live as 17:16 long. You're probably cutting 10 years off your life because you're not going 17:20 to make it into your 70s and 80s, right? And we saw that with COVID, with 17:26 increased inflammation of COVID, people were dying like flies. You know, people
Erectile Health and Early Hormone Warning Signs 17:31 that we didn't think would die in their 40s were having strokes and heart 17:34 attacks. And we were thinking, whoa, what's going on here? It must be COVID. 17:38 It wasn't COVID. It was our bodies were toxic and then, you know, a small 17:43 inflammation in your body and you die. Yeah. Most guys though, they brush off 17:49 these symptoms like fatigue or loss of strength. And it's funny, you're you're 17:53 talking and I'm hearing words that have come out of my husband's mouth, you 17:57 know, just about like he's not as strong as he used to be. Um, you know, just 18:01 general fatigue. He used to snore really bad with sleep apnnea and we kind of 18:06 remedied that. So, and it's just about, you know, fixing those little things 18:11 like you were talking about. It's not always the big things like guys look for 18:14 like blood pressure and, you know, and unfortunately cholesterol gets thrown on 18:19 them. They don't normally look at like, hey, I'm just generally more tired than 18:24 I was, and then they get chalk it up to being old or their doctor says that to 18:28 them. So, I appreciate you even just starting with something as simple as 18:32 walking. If you can't walk well, you don't have you have pain when you walk. 18:37 You can't I mean, my gosh, when's the last time most of these guys ran? Yeah. 18:42 And you know, the wife will say, "Stop shuffling your feet. Pick up your feet 18:45 when you walk in the morning." you know, and then we should be asking, why is 18:49 this guy shuffling his feet? He doesn't have Parkinson's, right? Why shuffling 18:53 his feet? You know, or you're so forgetful. You leave everything. You 18:57 leave, you know, we go to the friend's house, you leave your jacket, your 18:59 wallet there, your keys, and you got into the wrong side of the car. You 19:03 know, we we laugh at these things. And, you know, we call them brain farts. And 19:08 uh, you know, I'm from New Jersey. That's the way we talk. And, uh, that 19:12 can be it can be an isolated thing. I'm not saying all these symptoms by 19:16 themselves are are pathonommonic for disease are anything serious but we need 19:22 to pay attention to those things. So if we start dropping things all the time 19:26 we're forgetful. We lose things. Um you know you go to Target and you leave 19:31 everything that you bought. But this happened to one of my patients. He came 19:34 to my office. I have a Target right next to my office and Target called me and uh 19:40 cuz the pharmacist knows me over there and she's like, "Dr. Silva," I'm like, 19:44 "You're calling me?" Like, "Target called me?" Like, "What? What is this?" 19:48 Right? And they're like, "Yeah, your patient so and so is there with you cuz 19:51 he said that he was going to come see you after he picked up his meds." And 19:54 I'm like, "Yeah, he's here. Why? He left his whole shopping cart and his meds 19:58 here." Poor guy. You were probably like, "So, 20:02 we're going to talk about the gut brain connection today." 20:06 So $40 worth of stuff he left at Target and just 20:11 Well, it's better than working out and not paying for it, you know? I mean, 20:14 jail, so there's the flip side. So, we had a big conversation, you and I, last 20:20 week, a three-hour conversation on Saturday morning. It was supposed to 20:23 just be a five minute call, but that never happens between us. So, anytime I 20:28 can captivate your brain, I'm like, let's just stay on the phone forever. 20:31 Um, we talked about blood markers, cholesterol in general, and I know that 20:35 you teach on a wide variety of of different markers. Cholesterol seems to 20:41 be the mainstream industry marker for health for men because it's this 20:46 cardiovascular risk and we just heard you say it's not, but there are some 20:50 numbers that you think are more important and some testing. So, if you 20:54 can give just a highlight for our listeners because this whole month is 20:57 about men. We started off with understanding hormones and testosterone 21:01 as that secondary hormone that kind of develops all your traits. We brought in 21:05 Jamie Dorley last week. We talked about supplementation, natural ways. We also 21:10 talked about neurological impact, mood, uh, and you know, I mean, we were we had 21:16 statistics that of the 500,000 people that unalive themselves, 80% are men. 21:23 Yep. So, there's a big push now for men to be aware of what's going on in your 21:30 day-to-day health. So, what are some of the testing that they can do or ask 21:34 their functional practitioner or come see you and say, "Hey, I I want to get 21:38 these tests done." Dr. Silva said, "Those are the things I need to be 21:41 looking for." Yes. So, thank you. So, uh Dr. Tracy, uh the things you mentioned, 21:46 I just want to reiterate two things real quick. is that being cranky or having 21:51 mood changes and also people that are snoring a lot that didn't snore before. 21:56 Those are telltale signs that you're needing hormone replacement or testing 22:00 of the hormones because remember the hormones are there to function to make 22:04 us function properly. And of course, there's a lot of vitamins like vitamin 22:08 D3, magnesium that go with the hormones to support the hormones. Uh, like people 22:13 don't realize this, but your thyroid hormone is only made 20% of T3 is only 22:17 made in the thyroid. So if you give somebody thyroid medication, they can 22:20 only make 20%. So you're like, "Wait a minute, where's the 80%." The 80% is 22:25 made in the periphery of the body, not in the thyroid. And you need things like 22:29 magnesium and D3 and K2. You're going to hear this me saying this a hundred 22:32 times. They do a lot of things. And those make your body make more T3, which 22:39 is the active form of the or convert T4 to T3 as we should say. And uh a lot of 22:45 people can't do that. And then we give them thyroid hormone and the doctors say 22:49 they're resistant to the thyroid. They're not resistant. It's just that 22:52 80% is made outside the thyroid. You could only beat the thyroid up to make 22:57 20%. It won't make more. you know so a lot of things we have to explain to 23:01 patients the way the body functions and that way they can treat themselves 23:04 appropriately. Now, cholesterol, I was fortunate in my training, um, I went to 23:09 medical school, um, in the in the 90s, late 80s, early 90s, and I was fortunate 23:15 to meet a lot of this, believe it or not, like all these drugs came out 23:18 during my medical school training. When I went to medical school, HIV was still 23:23 treated in the hospital as a dying terminal disease. We didn't have, we had 23:28 two medicines to treat it. That's it. So, the cholesterol was a new kid on the 23:32 block. I met Dr. Castelli, one of the most famous scientists at Harvard that 23:37 studied this stuff. And what he told me personally was that in the studies, the 23:44 total cholesterol and the LDL were not the most significant to predict heart 23:49 disease. And that's the ones we use the most, right? And total cholesterol is 23:53 very variable. And when we measure that, it's calculated
Better Blood Markers: Cholesterol, APOB, and CRP 23:58 and measured. It's not an So, if you do three cholesterol tests in the same day, 24:03 depending the time of the day and everything, you can get three different 24:07 results. So, that's not good. What we found out, what they told me, these were 24:11 the researchers that did the research, is that HDL, the, you know, so-called 24:16 good cholesterol and the triglyceride level and the ratio, which should be 2:1 24:23 or ideally one one, but up to 2:1 is normal, your triglycerides over your 24:28 HDL. So for example, if you have a triglyceride level of 100, which is the 24:32 ideal, 100 or less, and your HDL is 50, you would have a ratio of 2:1, which is 24:38 good, or less. But instead, we focus on LDL when LDL is not even a causer of 24:45 disease. Now, what we should say to be correct is um oxidized LDL or inflamed 24:52 LDL. But when you take a statin, the re what what one of the things the statins 24:56 does is that it increases the receptors on the liver to recycle the LDL. But the 25:02 problem is it doesn't recycle oxidized LDL. So it doesn't work like that. And 25:07 it's anti-inflammatory. And you get the maximum dose at the 70 to 85% of the 25:12 dose with the lowest dose you can get an anti-inflammatory. And of course we use 25:16 CoQ10 and other things that are and turmeric things that curcumin that you 25:21 even get a better lowering without the side effects. There's a lot of side 25:24 effects to statins that we're not going to go into but many um so I focus more 25:31 on triglycerides. I focus more on um HDL the ratio and also we do something 25:39 called hom IR which is your fasting glucose times your fasting insulin which 25:45 most doctors don't even measure divided by 405 which is a constant and you're 25:50 going to get a level like around 1 to 1.5. Mine was 4.3 when I started which 25:54 is horrible. Now it's one and um that's going to predict your level of insulin 26:00 resistance. you get a score and you can follow the patient with or the you know 26:04 the patients themselves can follow their score and see if they're improving or 26:09 and and sort of keep tabs on how their doctor is doing and it's okay to 26:13 challenge your doctor and talk to your doctor about these things and ask them 26:16 questions. I mean they should be able to answer your questions. That's what we're 26:19 here for. But those are really good tests. Now the newest test that I want 26:23 to talk about today um kind of new to a lot of cardiologists and doctors that 26:27 we've been using is APOB. So APOB is a type of carrier of cholesterol. It 26:34 stands for a apo lipoprotein and it's basically your body is made of water. So 26:40 it needs this layer. It's one cell layer thick to carry your cholesterol which is 26:45 made of fat um around your blood and deliver it to where it has to go. 26:49 Remember all the cells in your body are made of cholesterol. Your brain has 30% 26:54 of all the cholesterol in your body. Uh the cholesterol of your brain is about 26:58 240. The cholesterol of an egg is about 240. So this cholesterol being under 200 27:03 is not correct. And in fact, if your cholesterol is under 180 with 27:07 medication, you actually shorten your lifespan. So it's not good for you to 27:10 have a low cholesterol unless it's naturally low. In some women, they have 27:14 such high HDL like in 130 HDL that their cholesterol is normally and then 27:19 everything will be low. Um um their total everything will be low. But uh LDL 27:25 is not the bad cholesterol. It's one type of LDL which we do a uh Dr. Tracy 27:30 and I were talking about this uh the other day on the phone. We do like a 27:33 Berkeley panel which will tell you the particle number, the particle size, and 27:37 then you could see if you have healthy LDL or unhealthy. And believe it or not, 27:41 there's even a type of HDL that's not healthy. So, you have to do it on all 27:45 the different kinds. It's more complicated than what we're saying. But 27:48 basically, the take-home message is cholesterol is not the bad guy. Oxidized 27:52 cholesterol, which is caused by sugar consumption in the liver. when you eat 27:56 fructose. So glucose is an electrolyte. It goes through the liver, every cell in 28:01 your body. Fructose is not used by any cell in your body and it's metabolized 28:05 in the liver like whiskey, like alcohol. So if you give your kids fruit juice 28:10 from a bottle, you're giving them basically a type of alcohol, which is 28:15 fructose. The only thing is it doesn't really go uh to the brain like alcohol 28:20 and make you although I think kids get drunk when they eat too much sugar. If 28:23 you look at little kids eating sugar, they act drunk. So, in a way, they do 28:27 get um intoxicated and basically their little livers are working overtime and 28:34 can cause a lot of problems with fatty liver and obesity and joint pains and 28:39 rashes and eczema and all these things that we think are normal for little kids 28:43 to have when really their digestive system is not optimized, not working 28:48 properly, and they're having all kinds of problems. And then we're giving them 28:51 creams and lotions and steroids when we should just be treating their guts and 28:55 their livers and their pancreas and all that stuff. So really important. Um the 29:00 thing that made me question all this I'll tell you real quick in 10 seconds 29:05 they started doing uh beriatric surgery in my hospital where I was a resident 29:10 and one of the surgeons I worked with him very good surgeon and uh I noticed 29:16 these people would have surgery and within two days two two weeks they were 29:21 off all their diabetes medication and I'm like what? Yeah, they're off the 29:26 insulin, they're off the metformin, uh they came off two or three of their 29:31 blood pressure medications, they don't have high blood pressure anymore, they 29:34 don't have uh I'm like, that's impossible. There's no way that that 29:38 works. And then it was another patient and another patient and another P. I'm 29:42 like, okay, now it's not. This is a real thing. I got to investigate this. It 29:46 turns out when you fix their insulin resistance, everything got better within 29:53 weeks. These are people that had been diabetic for 10 or 20 years. And then I 29:56 don't know if you remember this, Dr. Tracy, but back in the day, the doctors 30:00 would tell the patients to gain weight. So, they weren't fat enough. So, they 30:04 had to gain like 80 pounds so they would qualify for the surgery to have the 30:08 bypass surgery. You know, I was never in that club, but I know a lot of doctors 30:12 were doing that. And as soon as they did the surgery, even though it's not a 30:15 great surgery because you can't absorb a lot of stuff after the the initial 30:19 surgeries that they were doing back in those times were more severe, they do 30:22 much better uh procedures now. Um like gastric sleeves, but back then it was 30:28 the oldfashioned cut the stomach out and the dadum out and and reso everything. 30:33 They would be cured. Okay, they had poop all the time and you know they had other 30:38 issues but they didn't have diabetes or hypertension anymore. And I thought that 30:42 was so and nobody was talking about it. And I'm saying to myself, hello. Oh, 30:46 hey, doesn't anybody see this and and everybody kind of blew it off, but 30:51 that's what got me interested in function. So I said, you know what? 30:54 Instead of cutting somebody's stomach out, why don't we just change their diet 30:57 and fix their gut? We don't have to cut their stomach out. Well, that's where 31:02 all the research came from. GLP1s and GIPS was the gastric bypass success and 31:06 exactly what you're saying. They realized that by resectioning and taking 31:11 out the first part of the small intestine, they they took the GLP-1 and 31:15 directed it right into the second level of the small intestine. And it fixed 31:20 everything. It helped activate GLP-1 because most of the disease was in that 31:25 first part of the small intestine. The LS cells that you know that were 31:28 releasing it were damaged. So, long story short, that's where all this all 31:33 of this research came for GLP1s and why they were successful. And the 31:38 interesting thing was two weeks into gastric bypass, most people didn't 31:42 really lose a ton of weight. So, it wasn't the weight reduction, it was the 31:46 resectioning and building a new pathway. Now, as hard as that was, and yes, 31:54 there's long-term problems because, right, their microbiota got messed up. 31:57 Their ability to absorb B12 and other nutrients long term was dangerous. But 32:03 it really launched the idea that if we can change a pathway of communication 32:09 for us, it's through good nutrition and detox, you can fix the underlying cause. 32:15 So that's super fascinating. I didn't know that. It's funny because I that's 32:18 the first thing I teach in my peptides for weight loss course is where did this 32:22 research come from? It's from gastric bypass. So I I teach the whole thing on 32:26 it. Um, so blood markers for men, you know, obviously the the Berkeley 32:33 uh cholesterol panel uh as well as knowing your homir, which is just simple 32:38 math, but you do have to know your fasting glucose and your fasting 32:41 insulin. And then any other markers that you feel are like CRP, the high 32:46 sensitivity CRP. So we use that a lot in my office. That's a great predictor of 32:51 endothelial damage and inflammation. Of course, there's some false if you we had 32:56 a guy the other day, the nurse called me, "Oh my god, his, you know, CRP is 33:00 15. The guy has pneumonia or had a upper respiratory infection. So, there's some 33:04 false positives. All these tests, the main thing is you have to go to your 33:08 doctor. They have to know how to read the test and interpret them. Every test 33:11 has a potential to be done incorrectly or fail or so always be, you know, if 33:17 you get a real weird test result, I always repeat it or question it. I don't 33:21 just go with every test result that I get. if it doesn't match the clinical 33:25 picture of the patient, I'll reorder the test or, you know, do something 33:29 different. But CRP is a really good u measure of and we use a lot of um 33:35 curcumin in my office. Um I love it. You know, Dr. Len, one of our our our
Lifestyle Foundations for Longevity 33:40 teacher doctors, always says you put your arms out and as many as you can fit 33:44 in your hands without falling on the floor. That's how many you take in in 33:48 one time. I take about four twice a day because I have a little bit of uh 33:53 rheumatoid arthritis um from my uh past and which I'm working on through my gut 34:00 and uh yeah uh we and we also noticed that uh GLP1s because of that also work 34:07 for alcoholism and we use it for bulimia. You can use it for anxiety and 34:12 depression. Um it it does kidney protection in diabetics. It does brain 34:17 protection and people at risk for stroke, uh cardiovascular protection. 34:22 So, there's a lot of benefits um with those medications besides just the 34:28 weight loss. And we're learning more and more every day, more uses. We're micro 34:31 doing it now and in patients that need those other protections, but may not 34:36 necessarily need to lose weight. So, you can micro dose it and uh spread it out. 34:40 Um, and you know, the blood work is an ally, but I always say you have to use 34:45 the blood work in a clinical picture of the patient. Blood work. I always tell 34:49 patients, I don't treat labs, I treat patients. So, you got to always use the 34:53 blood work. But people think that you need this million-doll blood work. You 34:57 can order an APOB by itself. It's a very good test. You can order a CRP, a high 35:02 sensitivity CRP, or even a regular CRP. You can order um you know a a fasting 35:09 insulin and a fasting glucose. You can even do those in the office some of 35:12 those things and you can get a really good idea. You can do a basic uh lipid 35:16 panel fasting. And by the way, the lipid panel you should do 12 hours fasting if 35:21 you can. Uh the more fasting it is, the more since it's calculated, it's not 35:25 measured, right? So the difference between like a Berkeley panel, they're 35:29 measured so it's more accurate. The other ones are calculated. That's why if 35:33 the triglycerides are too high, they always tell you they cannot calculate 35:36 the LDL. Um, so those things are are are calculated and the other ones are 35:41 measured. So, it's more accurate, but you can get an idea. You know, if 35:44 somebody comes over with a triglycerides of 500, they're still going to be high. 35:49 There's no way they it went over 400 points over the normal. You know what I 35:52 mean? So, my patient the other day, his blood sugar was like 270. He's like, 35:57 "Yeah, I had a cup of coffee this morning." I'm like, "No, nice try." No. 36:02 Right. Right. That must have been a hell of a coffee. 36:06 That's right. Did I mention the 42 scoops of sugar in the flavored? Yeah. 36:11 So, you know, take that with it. I had a patient that told me they only drank one 36:14 beer a day. And then I went on his Instagram and it was like a five liter 36:19 bottle of molasses. I It was like a keg. It was like a What are those over in 36:24 Germany when you have the big like yards attached to your neck? Yeah. So, so we 36:29 went through some, you know, signs to look for that most men miss. We went 36:34 through some more important testing that they should be asking for versus like, 36:37 hey, just do a cholesterol panel so you can put me on a statin. So, what are 36:41 some things that men should be doing for their longevity and health every day? 36:46 They're going to, you know, look at these signs and symptoms and saying, 36:49 "Well, I I can't walk. I my feet hurt." You know, what what should they start 36:53 doing? What's an everyday supplement, an everyday lifestyle practice? in an 36:57 everyday nutrition plan that you would be like one, two, three, here's what you 37:00 do. So there's pillars of health. We call them pillars of health, which means 37:05 that if you don't eat right, you can't exercise more to compensate for not 37:10 eating right. So number one would be a diet that's high in good fats, moderate, 37:16 medium proteins because proteins activate insulin as well and 37:20 inflammation. So, medium protein, high good fats like avocados, olive oil, 37:25 nuts, um even butter and um low in processed sugars, right? You can eat 37:34 fruits but not at midnight because it has fructose. But if you eat the real 37:37 fruit and avoid all those crappy boiled pasteurized juices that they shouldn't 37:42 be they shouldn't be allowed to call it juice. They should just be able they 37:45 should call it sugar water in my opinion. But um yeah, so adding 37:50 nutrition, drink coconut water and healthy water with a good pH. So water, 37:55 healthy diet, which I just talked about. Uh sleeping regularly every night, 38:00 turning the iPad off. Don't stay up till 2 in the morning unless you're talking 38:03 to Dr. Tracy. And uh um you know uh exercising could be walking. Just start 38:11 walking. Get some good shoes. And you know what I tell people? You can bring 38:14 the whole family. Your kids can walk, your mom can walk, your dad can walk, 38:18 your dog can walk. I guess you can't put your fish in a maybe if you carried a 38:22 fish tank. But, uh, the dog can walk, the kids can walk, the the parents can 38:27 walk. Walking is really important. All the blue zones that people that live 38:31 over 100, they have in common, they walk a lot. They walk all over. Okinawa, 38:36 Japan is another blue zone. Lots of walking, right? And they eat a lot of 38:40 plants. They eat a lot of plant-based food, which is has a lot of 38:43 phytonutrients. But olive oil is the food that has the most phytonutrients. 38:47 So add olive oil to all your food. That's one way to increase. And u the 38:52 other thing is deal with stress. So um whether it's you know I use prayer. I'm 38:57 Christian. I like to pray. I know a lot of people say they want to meditate. I 39:01 would consider that creative praying. And uh you know um but uh some kind of 39:08 removal from life and going somewhere and either laying down or or sitting in 39:13 a a nice uh dim room with natural light, not under these fluorescent lights that 39:18 we have and maybe going to the beach barefoot, walking barefoot. I know that 39:23 sounds like I should be arrested for saying that, but yes, you should walk 39:27 barefoot in the proper ground. Make sure it's clean and no needles and stuff like 39:32 that, but walk on dirt or grass or sand. I like the beach. Breathe in negative 39:38 ions from the water and ground yourself in the earth. That is a thing. And the 39:44 so that's things you can do. Now what you should take this is almost 99.9% of 39:51 the population. Vitamin D3 with K2, magnesium. Uh depending on what you 39:57 have, you may there's different forms. I like uh magnesium blycinate, but you may 40:02 have to have a mixture depending if you have more brain issues or constipation, 40:06 you can have a mixture of those. Um I like um Celtic salt in my water. Has 91 40:12 minerals. So you do a pinch or two of Celtic salt in your water. And uh I like 40:18 an omega-3 um fatty acids uh DHA and EPA. And of 40:24 course we can we can give you all the dosages and all the brands that we like 40:28 and all that but those are those are the basic ones and a chelated uh 40:32 multivitamin. Um one of the other tests that you can do that we kind of missed 40:37 was doing a methylation test. You probably only need to do that once in 40:41 your life. It's not something you need to do every year but doing a genetic 40:45 methylation test. But one way around that is just make sure whatever vitamin 40:49 multivitamins you take they're methylated. But that's so that's why 40:54 pregnant women take prenatal vitamins and sometimes they still have problems 40:57 is because they probably have some kind of genetic block in the methylation 41:01 process and they can't absorb the folic acid or or some of the other B6 or B12 41:06 and then they have issues especially if they're a little bit older like we tend 41:09 to be these days. So um that's a really important point. But if you do those 41:13 simple things, it's not expensive and uh you know you tweak your diet a little 41:18 bit. I'm not saying you have to be 100% perfect, you know. Um, but just add all 41:23 those healthy things in your diet. Watch your processed foods and sugars. Walk, 41:28 drink clean water, get outside. You know, uh, I read this thing that we were 41:32 supposed to spend 85% of our time outside. So, for example, when you go 41:37 out, today's the beginning of summer, perfect day to say this. So, the pineal 41:41 gland gets um, activated by sunlight, a natural sunlight, right? And that's 41:47 helps you in night and day and melatonin and all that, but it also helps with 41:52 stress relief and uh um increasing cortisol and all that, but just being 41:58 outside. We only spend 2% of our time outside now, Dr. Tracy, instead of 85%. 42:04 2%. Okay, maybe in Florida we're a little bit better, you know, because 42:08 it's easier. But, um, still, I mean, our kids are are are not being raised 42:14 correctly in house in computers, um, on screens all day long, and that 42:20 definitely has a negative impact of health, you know. 42:24 Well, let me ask you that. It sounds like inflammation is key, having the 42:28 right testing is key, making some simple lifestyle changes is key. You know, 42:32 since this whole month is dedicated to men, I really think our metabolic 42:38 dysfunction is really one of the root causes. Like, it really does start with 42:43 the simplicity of what is at the end of our fork. Uh, and it's the easiest thing 42:49 that I think we can control, but we don't because we're just inundated with 42:54 misinformation. Can you just make the connection for men 42:58 listening between the entire insulin resistance that you're kind of looking 43:03 for on their markers, how it impacts their hormones, and then what are some 43:09 simple things would applying what you said here with the highfat diet, the 43:13 supplements, will that help them fix that? Yes. So, yes, you can fix this. 43:19 It's easily fixed. And there's lots of good books out there we can recommend to 43:23 you as well um to get a more specific diet. But basically it's like this. When 43:29 you eat processed foods which are chemicals, they're not natural. So the 43:32 difference between a natural food like a potato and a processed food like a 43:38 potato chip is it's altered. And now unfortunately we even have natural foods 43:43 that are GMO that are altered that they look like tomatoes but they're not 43:48 really tomatoes anymore. we don't know what to call them, you know, they're not 43:50 tomatoes or tomatoes. They're something else, right? And um so basically, you're 43:56 eating these foods, they have pesticides on them, chemicals in them. Um orange 44:01 juice, when you buy orange juice in the store, it has corn syrup in it. And what 44:05 they did was they took all these crappy ingredients and named them natural 44:09 flavors. That's beautiful. So now you look in the back, it says 100% natural 44:14 juice. And you look, what's this ingredient, natural flavors? Well, it's 44:18 a bunch of, you know, what t that they were able to um make a name, call 44:24 them natural flavors, and put them in your food. So, when you drink orange 44:27 juice, it doesn't look like orange juice. If you go to Brazil, where my 44:30 family's from, even though I was born in exotic New Jersey, um, and you ask for 44:34 orange juice, they fresh squeeze it. It looks like dirty water. It looks like
How Insulin Resistance Affects Hormones and Aging 44:38 fuzzy water with orange pieces in it. If you get the orange juice from the 44:43 supermarket, it looks like orange milk. So, we know that that's wrong. It 44:47 doesn't look like that regular orange juice, right? And um so you're getting a 44:52 bunch of crap in our food that we didn't bargain for. So that goes to your brain. 44:56 It causes it goes to your gut first. Then from your gut, it goes to your 45:00 brain. It clogs your liver. It clogs your pancreas. Causes diabetes and 45:05 insulin resistant. Makes your blood pressure go up. Damages the inside of 45:09 your arteries. Causes cracks in your arteries, which is why the cholesterol 45:13 has to go there. The cholesterol they use as glue to heal the cracks in your 45:17 arteries. So the co the cholesterol is not the bad guy. And then you get a a 45:20 cap on there that's made of calcium. That's why they use calcium score. And 45:24 then um this goes to your hormones. Unfortunately, it affects your FSH. So 45:30 women cannot have babies, men cannot make sperm. It damages your testicles. 45:35 It damages your pituitary. It damage your secretion of hormones like FSH 45:41 which make your testicles and ovaries produce eggs and sperm and it blocks 45:45 testosterone. We see things like uh SHBG and different hormones being out of 45:50 control. It makes your um uh one of the hormones that we look at is um for 45:56 example your estrogen ratio. So people are estrogen dominant right? They have 46:00 high and this is men too not just females. We call them man boobs in men. 46:05 And estrogen increases your risk of cancer, right? Um prolactin levels go 46:10 up. Uh usually prolactin is due to a lack of vitamin D and other uh important 46:15 uh nutrients and then you get stressed. So we live in high stress lives. We have 46:20 cell phones. We have to answer the phone all day long, all night long and we 46:24 don't have any time off. And then what happens is all these chemicals go into 46:29 your genes into your through epigenetics. They go in through your 46:33 sperm into your egg and then you have a baby at age 40 and the baby's autistic. 46:38 That was something unheard of when we were a little kid. So autism is 46:41 pollution, genetic pollution from your parents to the baby. And plus all the 46:46 nutrient deficiencies that the pregnant woman probably has. And imagine how many 46:49 chemicals she's getting from all her food that are going to the baby. Um, so 46:55 you know, it's all connected. Um, and now we're seeing 30-year-olds that 46:59 cannot get people pregnant, that are not getting erections, that are not 47:03 developing properly, that are aging super rapidly. We can check uh telomeres 47:08 and aging uh statistics. In my office, we don't go by chronological age 47:12 anymore. We go by biological age. So, every patient that comes in, I assign a 47:16 biological age. Sometimes it's good, sometimes it's bad, it's worse. And then 47:21 you know I tell them look we can fix this but you have to starts with the 47:25 fork just like you said starts with what you put in your body. You uh literally 47:30 you are what you eat. And I would even go one step further. You are what you 47:33 absorb. So some people eat correctly but they don't absorb any of the food 47:38 because they're damaged. And that's another issue that we you know we can go 47:41 into another time. But it's very very simple to just make basic changes. Not 47:47 expensive. You don't have to spend $1,000 on food. You don't have to get 47:51 any expensive drugs. Uh you just take some simple supplements, walk, drink 47:57 plenty of water, switch over to fruits and veggies and lean uh meats like your 48:02 mama and your grandma told you, and you're going to start improving your 48:06 life. Yeah. Amen. Well, thank you, Dr. Silva, for being here and sharing all 48:10 your knowledge. I know that guys are probably sitting back like, "It can't be 48:15 that simple." But it is. It really is. Uh, and I know that you're a big 48:19 advocate for, you know, higher fat, exercise, so you do all the right 48:24 things. So, you're very special doctor. Tell us about your practice and where 48:28 you're located so people can reach out to you. Sure. So, we're down in 48:32 Deerfield Beach next to Fort Lauderdale. Um, right next to Fort Lauderdale 48:36 Airport. Uh, we're right on Federal Highway, which is a main road there. We 48:41 do functional medicine, regenerative medicine, and we do nutritional 48:45 counseling. We do IVs and all kinds of IV therapies and uh we basically get you 48:52 back to where you need to be. We see how far you've strayed off course and we 48:57 kind of get you back. And it reminds me, you know, I'm Christian. It reminds me 49:00 the story of Jesus where he had a hundred sheep and one got lost and he 49:06 went after the one instead of saying, "Well, I have 99. I'll just make sure 49:09 these 99 are safe and I'll let that one see if he wanders back or we'll let one 49:14 go." Nope. He went over there and put that noose that that that hook around 49:20 them and hooked him and brought him back on his shoulders. And I feel like, you 49:24 know, that's what we need to do to each other. We need to use Jesus as an 49:27 example. Not necessarily a religious thing, but I'm just saying we need to 49:31 look out for one another and help one another, encourage one another. So one 49:35 of the things that makes my patients successful is we make networks with the 49:39 patients and friends and one kind of encourages the other and they call each 49:43 other and you know talk about these things with each other and uh kind of 49:48 see where once you see that the problem is in everybody and everybody's kind of 49:51 the same it kind of demystifies the problem and makes people think like oh 49:56 this is a normal thing that we have to fix. This is a a normal thing in our 49:59 society and we need to address it and and all be healthy. And think about it. 50:04 Don't you want to live in the world where the kids are healthy and the 50:07 adults are healthy and you can go out and have fun and travel? We don't want 50:11 to live in a world where everybody's sick and polluted and aging rapidly and 50:16 dying and being on chemo and getting that's another thing. I've seen 30 year 50:19 olds now getting stage four colon cancer in 30 year olds, you know, 28. So, we're 50:25 seeing the cancers are growing in young people and and aggressive cancers, not 50:29 benign cancers. And that's a it's all the same cause. it's inflammation and 50:34 you know uh I'm getting into cancer treatment more and more almost not by 50:40 choice just because it's so prevalent now and basically what I what I was 50:44 shocked to learn when I started looking into it basically it's the same
Practice Information and Closing Advice 50:48 mechanism as heart disease and diabetes and all these people dying of heart 50:53 attacks at age 35 and 40 they all have some kind of insulin resistance or 50:57 metabolic disorder so it's really the number one problem in the world in our 51:02 country definitely To me, it's a medical emergency that we 51:05 need to address as a society. Sounds like RFK is trying to do a good job. 51:09 He's cleaning house and he's, you know, holding the food companies accountable 51:14 to that. But I think every citizen of the United States, every adult, you 51:19 know, you're over, let's say, 21 years of age, you have the responsibility as 51:25 an adult to take care of your body. God gave you a temple, a body, and you 51:30 should learn about it. There's people like Dr. Tracy, a lot of people out 51:34 there that have good information, good podcast. Learn about what's going on. Uh 51:39 don't necessarily listen to what everybody's saying, but learn for 51:41 yourself what you need to do to be healthy. It's a lot The message that I 51:45 always tell my patients, it's a lot easier and cheaper than you think to get 51:50 healthy. It doesn't have to be a $10,000 thing to get healthy. Start with little 51:55 things and change little things. Make little changes. It takes 21 days to make 52:00 a habit and start increasing how much water you drink. Start increasing how 52:04 much you walk. Park your car far away and walk far away. You know, uh go to a 52:09 park after work instead of going home and walk for 15 20 minutes. Um read a 52:14 book. Get rid of read trace Dr. Tracy's book and uh and uh you know and and her 52:20 podcast uh read up on everything and and see there listen and see what's going 52:26 on. Uh my my teacher was Dr. Dr. Mark Heyman. Uh that's how I started learning 52:30 about in integrative and functional medicine. Uh what I like about him is 52:35 that um he has a nice mix between regular medicine and um you know 52:41 functional medicine. So a lot of docs are scared to do what I do because they 52:44 feel like they have to hang up their their their their sneakers and they 52:48 can't be doctors anymore. No, on the contrary, you're going to be a better 52:51 doctor. You're going to understand your patients better and you're going to get 52:54 better results. So you can do both. You just have to start with the things that 52:57 are broken like the gut which is I I I learned a statistic Dr. Tracy that 94% 53:04 of the world has a nonfunctioning gut. Wow. Healthy gut. So only 6% of the 53:09 world has a gut that works. Yep. That's unbelievable. And if we know that's 53:14 where it all begins, right, that means those people are generally unhealthy, 53:20 which is probably you and I sitting here too. So we need to take care of our 53:24 guts. So no judgment on anyone listening. This is more of information 53:27 of things that we all struggle with cuz we live in this world. And you know, I 53:32 love everything they brought to the table today. So thank you so much for 53:35 being here. And if you guys feel this podcast was informational, please share 53:40 it with someone who can benefit. Also, make sure you subscribe to the channel 53:44 and don't forget to look up Dr. Silva and go see his staff. They're amazing. 53:48 Thanks for being here, Dr. Silva. God bless you, Dr. Al. Always a pleasure 53:52 talking.
Comments