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Dr. Cook Roundtable Q&A Series: All About Peptides

July 22, 2020
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1h 21min
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On this Q&A Podcast series, Dr. Matt Cook answers a variety of questions from other doctors on topics such as peptide injections for shoulder pain, intranasal treatments with NAD+, methylene blue for treating interstitial cystitis and sphenopalatine ganglion injections.

 And I've treated random people that happened to be in the clinic and they were like, oh, I have a headache. And I was like, oh, I have a bag of 5% dextrose. And I took somebody back and had 'em lie down and did that, and the headache was coming. It's shockingly more effective than I would've ever thought.

You're listening to a Bio Reset medical podcast with Dr. Cook. If you have questions, we're gonna talk more about your symptoms and issues. You can always reach us at 6 5 0 8 8 8 7 9 5 0. The following is a q and a hosted by Dr. Koch, where he hosts weekly calls with doctors. Oh, does any, if anybody has any questions, they can step up.

Oh, I wanna know if you can nebulize. N A d. Oh, you asked me that on text. I've never heard of anybody. Nebulizing it have you? Or did you hear of somebody nebulizing it? No, but I'd like to do it cuz I have some, I wouldn't do that because I don't know how it acts and would like to, um, talk to somebody who's done that before.

You know, you can, in, in the vasculature you get this reaction. That's like a histamine type of reaction and it can be. Um, and obviously if you've done any d you know what I'm talking about. Um, yes. My, my thought of that is that I feel like it is related to the mechanism of the niacin flush. I think that they're similar and when you give people large doses of niacin right away, people will have these methylated.

Niacin metabolites that sort of show up in the urine. And when I heard about that and I heard, um, Dr. Sinclair was actually doing high dose TMG Trimethylglycine as a methyl donor, uh, when he takes his product, then I started realizing I wonder if a methyl donor will help. And so then we started giving people methyl donors and they have a lot less symptoms.

Now, the concentration of that methyl methyl donor is fairly easy to get into the bloodstream. Okay. Versus if, if you got it pulmonary wise and you started nebulizing, and then because of that nebulizing you started to get a histamine. Like spasm response. I am anticipating that you, someone could get bronchospasm and could have a hard time breathing and then that could become an emergency.

And so, uh, that's number one. Number two, I don't, um, the, the dosing ease of subq and, uh, IV and topical and nasal and those, the, the sublingual. And I like that sub. You can do sublingual, n a d, the real n a d, um, uh, that is made, um, by the same people that own archway. Mm-hmm. And, uh, the company, uh, that they have is called avr, A V I O R.

I like that. N e d. Um, and then there's uh, uh, n e d gold, uh, from Quicksilver, which is, uh, and a man, which is salvage cycle. So I just haven't done that and I wouldn't, I, I wouldn't particularly in anyone fragile start that without some experience. If you told me, oh, I talked to 10 people that did it, I'd, I, I would pay a little bit more attention in terms of being engaged.

But my number one thing on that is to do no harm. However, we do know that it work. The topical part works pretty good. Um, and so then, and then one other dosing thing that I figured out, I probably never told this one before, is that, um, do you guys know, uh, do you guys know how to do, uh, a topical spinola ganglion block?

Okay, this one's, this is actually a total 100% home run. And, uh, and so the, the sphenopalatine ganglion is like a parasympathetic ganglion that's kind of like the cell ganglion is a, a fight or flight ganglion for autonomic nervous system. And so it's kind of like the st eight ganglion. It's a, it's a, a, a parasympathetic ganglion that's basically right back here.

Uh, and it's, it basically is a ganglion for the sphenoid bone, which is straight back here. And the palette, the nasal nasopharyngeal. Uh, and, and interestingly I'll do the injection for that. The injection for that is actually one of the most difficult injections there is because you have to come in and the maxillary artery there as big.

And so you have to avoid that artery. And then people will do it under either ultrasound or fluoroscopy. So, uh, this comes a little bit from the liftoff world, is where I learned this John Liftoff, uh, aka perineural injection technique, a k a neuro prolo. And it, he's in the 5% dextrose world. And so then what they will do is they'll take someone and then have them lie in a bed, and then you put the bed into Trendelenburg.

And so the bed's in Trendelenburg, once that bed's in, um, Trendelenburg. So the person's lying there and their head's down here. So if, if the, the head is down at some point your nose is pointing straight up cuz you're kinda like almost hanging upside down. So then if your nose is like, Like that. Then what happens is your terminate bones are gonna be almost ho horizontal.

Horizontal like this. So then what you can do is you can take a catheter and thread it along the top of the nose. And so I get these one and a half inch or two inch catheters, and then I'll slowly, carefully thread that up past the middle turbinate. Okay? And so then what I'll do is then I'll, then I'll have a syringe connected to it, and then I'll slowly inject the solution.

And so then 5% dextrose is a fairly good analgesic. And the reason that, uh, people got into the idea of 5% dextrose is liftoff has a b uh, a theory. And I think that this is ultimately gonna be borne out that 5% dextrose. Is analgesic and it blocks what are called Trip B one receptors. So these are the, the, uh, the pain receptors of unmyelinated C fibers.

And what all of those pain fibers do is they manage and modulate blood flow in a tissue bed. And so then what happens is if they get stimulated and they can get stimulated by cold, they can get stimulated by light, they can get stimulated by, uh, capsaicin. And so that was why, uh, or block capsaicin was studied a lot for the trippi one receptors.

And it was thought that that was gonna be a, a pain home. Ron. Back when I did my residency and that didn't really ever play out, but there was a lot of talk about that. But 5% dextrose is really great and that's, and those receptors are spread out in all tissue beds. And so the, what LiftOp and those people will do is just do subcutaneous 5% dextrose injections over an area that hurts.

And the concept is, is that, uh, if you can treat that area subcutaneously, it'll reset the nerve there, and that may actually reset the nerve to the joint that's underneath where that topical injection was. And I can tell you, I've talked to hundreds of people that have had incredibly good results with that.

The downside is they're, they do all of their work by palpation. And so then when they do injections, they're always palpating for nerves, but then they often will hit nerves, or at least sometimes we'll hit nerves. And I've actually treated several cases of complex regional pain syndrome where someone actually injected into a nerve and then created worse pain, which is why my strong recommendation is to do all of those with ultrasound.

But, and actually, Dr. Loff came and spent a couple days with me, and I had had a great experience, and he's a genius and has lifted and driven the field in many amazing and positive ways. So I'm, I'm a fan. But, so then what happens is, is they started doing, uh, instead of using like ropivacaine. Or lidocaine or something like that.

They started positioning people head down, threading this catheter. And then when you thread that catheter up there, then slowly, um, injecting 5% dextrose. And basically since they're upside down, you end up filling up the top of the nose from the cribriform plate all the way up through the metal turbinate with, uh, with fluid.

And if you have 'em at a steep enough angle and you have them open their mouth and breathe, what will happen is you can fill that up and you fill it up with 5% dextrose. And when you do that, that dextrose is enough. Um, uh, to start to have a block of the unmyelinated C fibers, the trippy one fibers, which are controlling flow into that tissue bed.

And those go to the spinal palatine ganglion. Okay. That, that's, that's the, that's the ganglion that they go to. So it's actually kind of an amazing, um, treatment. And so as a, and, and interestingly as a headache treatment, that's the risk of that is like a zero. And I've probably treated like. Three or four or 500 headaches, just of like random people that happened to be in the clinic.

And they were like, oh, I have a headache. And I was like, oh, I have a bag of 5% dextrose. And I took somebody back and had 'em lie down and did that, and the headache was gone. It's shockingly more effective than I would've ever thought. Um, and uh, I, there's a guy who has done some research on it and has taught it and, and really has been a champion and a promoter of it, um, who may be one of the nicest guys in the entire world.

And his name is Greg Reer. Um, and I'll ask, uh, Chris, and if we we're gonna send a text to him and ask if we can give his email aloud, because he's got a lot of thoughts about it. What There's a, um, there's a catheter that's called the Sino cath. There's a re this all relates to N A D by the way. It's like a, this is a, a, a digression, but there's a catheter called the s pheno cath, and it basically has an outer part and then a soft, flexible inner part that bends.

And so then what you can do is you thread the sphen cal up and then thread the smaller, soft kind of rubber thing through it. And then you, it's threads up, um, right. Very close and a little bit posterior from the top of the nose so that you can aim, get your fluid by the vena palatine ganglion. The issue with this is that that's like 70 bucks.

And then so for, for me, I was doing this and I still do it, but I do it as, um, Just as like a favor for people because I feel like I don't wanna charge for it because it's just 5% dextrose and I'm just happen to be doing it for somebody in clinic. So I've probably, I mean, I've, I do it all the time and I almost never charge for it.

But, um, and so because I don't charge for it, I don't like paying $70 for that catheter, which is why I started using the, the two inch catheters. The one inch catheters also work, and when you use a one inch catheter, what I'll do is I'll put it up and then I'll slowly advance and I'll get the, the, the tip of the angiocath all the way into the nose.

And if you go easily and slowly, this works fine. Uh, sometimes I'll put a little bit of lidocaine jelly in the front of the nose if they have an issue. Now, uh, you can try this. Uh, this is on a scale from one to 10 of intensity, like a 10, but it is kind of amazing and that is that you can have someone lie down, thread that catheter up, and then you can put in actual n a d up there and you get a flushing that if the, a regular N A D I D was like a five, you get a flushing up here, that's like a 10, but that's palatine.

Ganglion is right. In front of where your pituitary gland, it's like a it's, and so I've done it. I used, I used to do it and I kind of forgot about it. Um, and then I just remembered it just now. But that's another way to do N A D and that's a way to do n a d nasally. That's like 10 times more than just doing a couple sprays like this.

Cuz when you do a couple sprays, it'll just go up and then it kind of comes, a little bit of it comes out. So it's not super efficient. So that's another way to do any d just, and, and I think the reason that I just remembered this, um, it was interesting. There's a, there's a great, um, There's a great, um, album.

There's a great song, you can look it up, uh, called Whiskey in the Jar and The Grateful Dead did it. And they were in studio, and then Jerry just remembered and they go, how did you remember the words and everything? He goes, I don't know, I just remembered. But what happened was, uh, last week, uh, and I, what happened is last week somebody accidentally pulled some exosomes from the freezer.

And so then they were just out and, um, and so I said, well, don't use 'em. And so then I actually did that technique on myself where I, and so then it was like the end of the day. So I said, I just put 'em in their refrigerator. So then I, I went in there and then I did it, and it's pretty easy to do. You just thread it up.

And the tips if so, you can put exosomes there. You can put peptides there. You can put, um, A d there, it's a great delivery mechanism. And when you do it, the key is you have them lie there. It's, it's a awesome headache thing. The other thing that you can do is even if you don't have an angiocath, if you're using 5% dextrose, and I've done this for a lot of patients at home that have headaches, and this is a total home run, which is that, uh, I just gave them a whole bunch of bags of 5% dextro.

And so then what happens is, is that I just had them fill up 10 ccs and then I had them get in that position upside down, open their mouth, and slowly inject and kind of fill up the nasal cavity. So now you're upside down. The key to remember with this stuff is you're up, you're breathing through your mouth and stuff like that.

Now then the key to remember is turn your head to the side. And start swallowing and then slowly come out of tr ellenberg and keep swallowing the whole time. Because the only thing that's ever gone bad for me, uh, I, I did to myself cuz I, I did it and I was like, I'm a genius. This is amazing. Uh, and then I promptly sat up and then all of that fluid just starts to go right down your throat because there's a whole bunch of fluid in there.

But as long as you very carefully roll to the side, then that's a, a, a way to do it. Um, and so I've had, I've used, there's a, there's a lot that you can do with intranasal techniques, but that is a cool one and that's a cool way to do N A D, but it's way more intense of a rush. Um, of course, back when I was doing that with N A d I wasn't using T M G.

So if I did that with t with n a d now I would do a rel, I think I'm gonna try it now just since I've talked about it. But, and report back. And report back. But when, if I did that, I would, I would take like a good amount of TMG and stuff like that beforehand. Is that helpful? That's great. Okay, good. I didn't, I answered everything but your question, but, but it was very interesting.

So you would take a 10 cc syringe and fill it with whatever solution, like N a D, what kind of concentration? So N A D what? When I did it before, I used the regular concentration because I think I was just maybe financially stressed and I was just trying to just get the most of it. And so I used straight N A D, which was like 50 milligrams per milliliter.

And, uh, which is what it comes in from, almost all the com compounding pharmacies. If I was to do that now, uh, I would probably do five to 10 rather than that. And so then I think it would be more dilute and then it would be an easier thing to go through. Uh, the, um, since we're talking about nasal delivery, I found a new compounding pharmacy that does nasal, um, thymosin alpha one.

Uh, and so I'm ordering that and I think that's gonna be an interesting, uh, alternative of, uh, dosing strategy for, uh, covid people, and especially people who can't do injections is 200 milligrams per ml and you do one spray in each nostril. I'm gonna be extremely interested in. How the responses of that compared to a patient told me that this morning.

Um, uh, and then remember, you know, we're doing a lot, we're seeing a lot of people with nasal biofilms who are mold patients. Mm-hmm. And their MARCoNS positive o obviously. And so then as you begin to think along these lines, then I think that may, some of these things we may be able to add in that will help make our, uh, uh, nasal reset stuff a little bit better.

And so what I've been having a lot of people do is we're getting, uh, glutathione. Glutathione that's preservative free for nebulizing. Um, yeah. It doesn't have to be glu, um, preservative free. Cause it's way more expensive. So it's insanely more expensive. And it's, and it's really, um, Much more difficult because it's way harder to get, and I've been getting it from Koshland and kind of like everything that I do, I, I started telling everybody about it and now I can't get it from Koshland anymore.

Like, cuz I think they got like 50 people sign up and so you can't get it from them. I've tested it. I had, I've had probably 30 or 40 people just do regular glutathione nebulizing and remember I've talked to Jan about it a bunch of times and I know we, we know some people who have had preservative free and some people who haven't.

Mm-hmm. I've personally just took the, the, the glutathione that we have here and took that home and nebulized it non preservative free myself and I had, I didn't have any problem. I felt great. So I think it's a reasonable. To, to do. If, if I had covid, I probably would nebulize it, um, and, and take my chances.

Um, but uh, and I think the probability that somebody would have a problem with that is really low, but, but it's not, uh, optimal. We're doing the hypertonic Quinton Minerals and what I'm having people do is they'll nebulize glutathione and then when that's empty, I'll have them pour in some of the hypertonic tinton minerals and nebulize that.

And then, uh, if they're really sick, I'll have them nebulize silver cell from Designs for Health. But there's other ones also. And so I have a lot of people doing silver cell and glutathione and hypertonic minerals all in one day. And I've had a lot of people that did really great and made strides with that.

I think adding in something like Thymosin Alpha One Nasal, you can do Nasal clan, um, uh, which is, has probably has some antimicrobial. Uh, antiviral effects you can do nasal exosomes. Um, and so then, uh, uh, and then you, and then the other thing that you can do is you can do the same strategy that I just said, where you take 10 ccs of Quinton hypertonic minerals mm-hmm.

And then you could do the same thing where you lie upside down and put that in your nose. And I've had a home run with that. I, I definitely have done good with that when I break those. Glass ampules, and I always had this in anesthesia because all of our, like fentanyl and stuff like that came in glass ampules.

And so I always have, if, if I'm doing an injection, I draw that up with a filter needle so there's no glass. I, somebody said there's no glass fragments. And so then I was like breaking 'em at home the other day and then a tiny little glass fragment came off. And so then what that, what I did, you're gonna love this, I guess this is a home run.

I have a little, it's like the size of half of a mask and it looks like a little bowl. And it's one of those things that you put tea in and then you pour hot water over. It's like it has a little mesh. And so what I do is I set that here and then I break my cantons and I pour it through that, and so that I don't get any glass, and then I drink like three of those a day because that's just a great source of minerals and use a hypertonic.

Yeah, I, so, so the, um, the, the theory and this comes from, um, Kenton and I think probably Robert Slovak, maybe one of the top two most intelligent, if not the most intelligent water person that I've ever met in my life. Um, I totally love him. He's super, super good and super smart. Um, and he argues that there's a logic for doing, um, uh, Isotonic.

And then there's logic for doing hypertonic. And then he says, uh, and I'm 99% sure that I've got this right, that hypertonic kind of stimulates the, uh, sympathetic nervous system and isotonic stimulates the parasympathetic nervous system. And the I, and I don't know where they got that, but this, this has been like, to some extent, a little bit of like a, uh, a fable that has gone down in Kenton was like a hero in France.

Um, and, uh, an early, uh, health pioneer, I would say. And so then the, the concept is, is that they would have people do hypertonic in the morning for sympathetic and then isotonic in the evening for Paris. Parasympathetic the idea, get going in the morning and then relax in the evening. Um, and so I, uh, I, and then we're just gonna send an email to him and then we're gonna ask him if we can send out his email to everybody and we'll confirm that.

And then I'll be super embarrassed if I'm wrong, but I don't think I am. But if I'm wrong, then we know exactly that I'm 50% exactly. A hundred percent wrong.

I have a question. Okay. Awesome. Um, since we're talking about sinuses, um, doing that, uh, gumline canine ozone injection for the ma maxillary sinus, is that a effective treatment for someone that has bacteria buildup in their, in their nasal? Oh, okay. So that's a great one. Uh, how did, tell me how you, how do you do it?

I don't do it. I'm just asking. I'm, I wanna learn how to do it. I haven't, I, I heard you go through the canine, through the gumline, right up to the maxillary sinus. Right. So, um, that, that I think is probably an incredibly good injection. Um, it's a little bit of an advanced injection. Uh, we teach it at Dr.

Shallenberger's course in the advance course. Um, and I've had some incredibly good experiences with that, especially with people with chronic sinus infections and stuff like that. Um, uh, the, there's a couple techniques that I've seen for doing that. Um, and the, so just to give you guys an idea, what's happening with that injection is, is that's an, uh, a, a field injection.

So it's a, it's, it's gonna come here, it's gonna come at the go line, and it's gonna point up. And, uh, there's a couple ways to do it, and I'll tell you how I do it and I'll tell you my thought process for this. Um, but, uh, what, uh, the way Dr. Shallenberger teaches that is, is that, um, uh, you'll have a syringe, hook that up to the ozone generator, build that syringe up, and so, uh, with 20 gamma ozone, so now I have a syringe, a five cc syringe with 20 gamma ozone.

I flip that. And so it's the, it's open on the top. Then, uh, what he'll do is have a syringe that has propane or lidocaine in it. Um, sometimes propane's hard to get. He strongly feels, and I would say the entire naturopathic community of the world strongly feels that propane's probably better because it breaks down into natural, uh, products.

And it was interesting, I did a consult with a friend of mine this afternoon, just like who I, I hadn't seen and or even heard from in like years. And then I was like, oh, they're on my schedule. What's going on? And then she was like, oh, hey, I got a propane injection. It worked perfect. So it was kind of interesting.

But, so then when you inject that either, whether you inject propane or lidocaine into that, it will turn yellow. So then it, it'll be surprising cuz you'll inject it in, it turns yellow. That is a reaction that happens between the ozone and either lidocaine or propane. And so that's a good sign. So don't worry about that.

So now you've got, you displaced one cc of ozone with your one cc of propane. Uh, you can also use half a cc of propane or lidocaine. So now you pop a, uh, one inch 30 gauge needle on. Then kind of same thing, you have the person lie down, put them in trendelenberg a little bit. I take, um, a, uh, I've got a lot of props today.

Um, I take a gauze, grab a hold of the gum and lift up then what you do. And I kind of basically go over the canine and then I go in and I make a skin wheel at the, basically the apex of the gum. So when, when you do that, uh, and then here's a great tip.

I put my needle real close and then I start to inject before I hit the skin. And back to LiftOp, who does all the subq injections, he does that and he taught me this. And I have to tell you, it is a total home run because what happens is as you start to inject, before you hit something, it immediately pushes everything out of the way.

So you're less likely to have some kind of nerve damage. And, and as far as even injuries from like left off technique, they have done like probably a hundred thousand injections, but an extremely low complication rate. And people can still have complications from ultrasound. And ultrasound is super long to learn and that's like a super easy technique to learn.

And so I don't wanna be disparaging in any way of that, but I still am promoting ultrasound. So then what happens is you, you hit that and by hitting that wheel that's, uh, making a little wheel there that just makes us it not hurt. And then you go in and continue to inject all the way up until you touch the bone.

And so you're gonna come up and if you put your finger up and press here and you're aiming towards like the eye, and so you're gonna feel your maxillary sinus is right here. And so if you have a one inch needle and you aim towards your eye, you're gonna go up and you're gonna hit the underside of the maxillary sinus.

So then as you, you're slowly injecting on your way up, but then once you hit it, then you deposit your fluid. When you're depositing your fluid, you're pressurizing the syringe cuz there's gas in the syringe. And so you're pressurizing the syringe syringe and you're gonna watch, and then all of a sudden the fluid is gonna come out.

That fluid is hitting the maxillary sinus. It's, it's your, your periosteal. There's two techniques. There's one technique where you go and touch the bone. There's another technique where you're in the subcutaneous tissue. The reason I don't do the one in the subcutaneous tissue you could, is that there's a lot of blood flow and hypothetically, that needle could be in a blood vessel and then you don't know where it is.

And if you're injecting gas, you could get. Embolism. So then what I do is I go, periosteal, I'll touch the bone, I'll inject my lidocaine there, and then I'll very slowly inject the gas. They will feel very full, and then their, uh, mouth from midline all the way back goes totally numb. And then like your, this lip is 100% numb from that.

And we use like 2% proto propane or 2% lidocaine. Um, so then, um, but then that ozone gas is spread in the connective tissues all the way through there. And, and those on gas spreads, and especially if you're periosteal, it's gonna spread all the way back through there. Um, as a, I'm kind of embarrassed by the question that I haven't been doing it more often because it's like one of the greatest things that I've ever learned.

And back when I didn't have a lot of techniques, I helped a lot of people with sinus stuff. And so then now thinking about covid and everything like that, that is kind of an amazing idea to just, to keep in the back of your mind as a as, as a thing to do. And I think that if you touch periosteal and you do it that way, I think it's very safe and I think it's a super home run.

And then by getting, interestingly, like I had a guy who was here today who had, uh, who said, uh, first of all, he, first of all, uh, he went to get p r P and then they, um, the, this is crazy, but they screwed up and they gave him somebody else's P r p. Which goes to show you I just totally o c d and about sterility all the time.

But it was like, and we label everything and we triple check and, but it was interesting cuz that it basically turned into affection and his entire body just left it out and they debrided it and he had to close by intention. So it's, it's, uh, it's catastrophically important to pay attention to sterility and stuff like that.

But interestingly, the, he had these areas where basically he kept chronically getting in infections in there and herpes outbreaks. And I have had a whole and pilonidal abscesses and stuff like that and I've had a whole bunch of people where I start injecting subcutaneous ozone in an area where they'll have like pilonidal abscesses and stuff like that.

And then eventually that ozone is forming lipid peroxides with the fat in that area. And then what will eventually happen is, They won't get abscesses anymore. And I have done this like a lot of times. Um, and I basically never had it not be like really helpful, which is kind of crazy cuz I always thought of that as like a problem that I had no, a ability to weigh in on.

And I used to do anesthesia all the time for people who would, um, uh, I used to do general anesthesia and we would do these huge surgeries with flaps and stuff like that. And now I just inject ozone in there. And most of the people that I see, almost everybody gets a lot better. Interestingly, derivative of that experience.

If you can inject ozone and get ozone into this connective tissue, then it might, it, it, it stands to reason that then, uh, they're less likely to be able to have an entrenched biofilm. You're not in the sinus, you're around the sinus because you're touching. The outside of the sinus, cuz the sinus is like, like this.

And you're on, you're touching here. Okay. But the, the ti the, there's an opening into that sinus and the ozone gas is gonna spread all the way around the tissues and around the tissue where that opening is. And so, I, I think that that's a, a fantastic question and a fantastic, uh, thing to learn. If you ever come here, I'll show you how to do it, or if you take the advanced course with Shellenberger and then you can learn how to do that as well.

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It's gonna be amazing. There was a question about methylene blue and um, the interstitial cystitis treatment, and it's interesting. Th that's like super off label, but we, we've, we got someone to count, compound some methylene blue for us, sterly, and then we were able to, to use that iv. I remember when I was.

In the working, in the operating room, we used to always do, uh, like a sentinel lymph node biopsy where they would, they would inject methylene blue and when they were doing like, uh, lymph node dissections and stuff like that for, uh, uh, breast cancer. So, um, I know that there are ways to get methylene blue.

Um, this pro I'm giving you this is just like grab bag, crazy sounding stuff. Um, and when somebody told me this, I did think that it was the craziest thing that I'd ever heard of. Um, but there's this protocol, um, uh, uh, that I learned at a meeting where basically you take methylene blue. Then you put it on an IV and it's, it's like a, if if, if you have a sterile version of it, it's okay.

You put the, you put it, and, and I'm gonna find the, the dose that we used and put it on here. But then what you do is you put an iv, it's gonna get filtered through your kidneys and go into your bladder. And then what you, we, we got this guy makes these lights and then the lights go over, um, the, um, the bladder.

And then you can also put it kind of a little bit like in between the legs. And, um, and, and so I figured this out and then I never do it because I always have my nurses do it because it's women. Um, and, and then interestingly, I had like, Three people in the and and then it is kinda like you'll get a little cycle.

So you'll get a, a group of people that come through. We, we were getting a bunch of people with interstitial cystitis, and then I just like randomly through talking to patients that were like patients in the practice and stuff like that. Talked to three people, uh, in the last week who were like, oh yeah, I used to have, uh, interstitial cystitis, but then I did that methylene blue thing with you and I don't have it anymore.

I was like, wow. So it, it does work. Um, interestingly, I've talked to people who think that Lyme disease can actually cause interstitial cystitis and that people can have bacterial infections. In the bladder. And then the, the theory that the people that develop this technique have is that when the methylene blue comes in and gets in the bladder and then you shine the light, the methylene blue absorbs the light and starts to vibrate and starts to kick bacteria that are in the wall of the bladder out.

Now another technique that we've done a fair bit of that also works greater social cystitis and also works in this, is that you can stick a catheter into the bladder and then insufflate ozone in when you do that, we always give some local anesthetic, uh, uh, we'll put protein in there before and then that can be helpful.

Uh, if I had a choice, I would do the methylene blue first, and then I would do the um, uh, and then I would do the ozone second. Cuz the ozone sometimes can flare people, but if you start to get people a little bit better sometimes that can help. And then, um, and so that's that.

Any other questions? I have a question about BPC Peptide. Oh yeah. BPC 1 57. Do, how do you use it for tendonitis? I have a patient who's been on a milligram, orally the sublingual trophies for two months and hasn't noticed any benefits. So we wanted to start injections. So I'm wondering if you inject it subcutaneously or into the tendon itself.

Oh, good. Where, where, uh, where is the tendonitis, the bicep tendon? Uh, is it, uh, at the top of the biceps in the bicep ital groove, or is it down at the far end of the biceps where it goes into the elbow? It's mostly into the, um, top of the bicep tendon in the shoulder. Okay.

This is, that's a good question. That's a good one. Um, and I've got a interesting, I think you'll like the answer to this one. It's kind of interesting. Um, the by means two. So then, uh, if I was looking at somebody, if I was, if somebody was facing me, there's a long head of the biceps that comes up and goes through the bicipital groove and then comes over and attaches at the top of the glenoid.

Um, and, uh, then there's a short head of the biceps that comes over and attaches to the cricoid process. Um, interestingly, a lot of people will, where the, um, go ahead. Awesome. Okay, perfect. Thanks all. Thank you. So then where, um, the long head of the biceps tendon comes up, it attaches basically to the labrum.

And then if you ever, if you google a long head of the biceps and shoulder arthroscopy, it looks kinda like, almost like a Mercedes sign where it comes up and where it attaches into the labrum. It very commonly starts to evolve and tear there. And so the biceps is actually a fairly significant pain generator, uh, and common pain generator for anterior shoulder pain.

And, uh, Heidi, what happens is as that starts to evolve, Then it'd be like if two hands that are holding on good and then all of a sudden it starts to tear and as force is going through there, I don't have a hundred, if a hundred pounds is applied, it may not be that a hundred pounds can go through there because the tendons partially torn.

And so then that creates dysfunctional movement and torque going through the joint that can cause pain. So then what do you do if you're a surgeon? A chance to cut the chance to cure. So then a lot of times what they'll do is they'll cut the biceps tendon, uh, and then they'll wrap, uh, some suture around it and then take an anchor, which is piece of metal and drill it in.

And then it'll be anchored into the proximal humus. So basically they'll still have a biceps tendon, but instead of going all the way up to the top, it's going down here. So that's called the biceps, uh, uh, tenodesis. Sometimes if they don't know how to do that, then what they'll do, or if they think it's just so torn beyond repair that there's no hope, then what they'll do is they'll just cut it.

And then that will be called a biceps tenotomy. Or, um, sometimes what happened is this, it tore it a hundred percent tore, and then it'll start to retract down and they, they don't have any chance. And then when they do their biceps curl, it will, um, it will, uh, look, look kinda like a Popeye sign. So, um, uh, That's, and then the, the nerve distribution of that is C 56.

And so C 56 sometimes can cause radicular pain that can radiate into the, and that's the upper part of the brachial plexus that can radiate into this area. That can look like biceps tendent pain, but it's not biceps tendent pain. It's, uh, referred from let's say cervical impingement or something like that.

So then, uh, the question is, so then what, what to do about that? And so then the idea is, okay, let's say we wanna use peptides. Um, this one is a good one. Uh, it was funny, my friend Jackie called us for dinner the other night and she goes, I got a good one. And I go, Jackie, you're talking like I do giving you credit.

Um, funny. But, um, so then I. I'm actually extremely positive about BPC 1 57 adds an oral medication for gastrointestinal problems. And I've actually talked to a lot of people about this. And the more that I'm talking to people about this, the more that I'm buying into what I'm saying, which is that I've seen.

And you know, BPC 1 57 is, is stands for body protection compound. And it's secreted in the um, stomach. And when it's secreted, it's secreted into the intestines and then it has anti-inflammatory effects there. But it may. Um, have some other effects. And the person who figured this out was Pavlov. And basically they took juices, Pavlov's juices were gastrointestinal juices that were kind of a cure-all.

And the idea was, is that it had BPC 1 57 in it. And so that's kind of, that's just an interesting kind of cool backstory. I've rarely seen great results with that, but I've seen really good results with oral BPC 1 57 for ulcerative colitis, Crohn's, um, uh, uh, irritable bowel syndrome, gastrointestinal problems.

I've, uh, I've given, uh, oral BPC 1 57 to probably 10, 15, 20, uh, people with, um, COVID who I'm just doing telemedicine for, uh, that are feeling better, uh, who had like explosive diarrhea. As an, as the presenting onset of their covid. Um, but people who didn't have any gastrointestinal symptoms at all, a lot of times I didn't do it.

So that being said, I think the oral and the trophies has a GI effect, but not much of an otherwise effect. Uh, in terms of, uh, an other effect, the, um, one option is to do subq and to do subq down in your belly fat. And you can definitely get a systemic effect from that. And, uh, often we'll start people at, uh, 500 micrograms a day, uh, 750 micrograms a day, and then some people will go up to one milligram a day subcutaneously.

The one thing that I'll tell you is if somebody has lime and mold, And complex illness, I would start them at like a hundred or 200 micrograms a day. And it's a little bit like n a d, you just wanna be careful with BPC 1 57 because, uh, B B C, uh, and CJC can both flare the Lyme mold people. And so, and I've seen that, uh, a, a fair bit now.

And so I never give BBC 1 57 to any of those people until they've done like a couple months of Thymosin Alpha one. And what I found is if you get them going on Thymosin Alpha one, and often they'll wanna come in and do two or three things and I'll just say, just do thymus if they're sick, I'll say just do Thymosin Alpha one as like I did another consult of, uh, a friend of mine who I like likes.

Really like, and then I was talking to him today and, uh, oh, shut the door, please. And so then he was like, God, ever since I started doing the Thymosin alpha one, he goes, I feel amazing. It was like the, he goes, the best thing that ever happened to me. And, um, I think it's, I think it's very helpful in resetting and modulating the immune system in these chronic illness people.

So I'm just for completeness, I'm mentioning this now. Part two is if you do a subcutaneous injection here, if I do a subcutaneous injection up in the shoulder, would I have a better effect? And the answer to that I think is yes. And I, I have no less than I would say a couple hundred patients who called me and were said, I.

Was blah, blah, blah this weekend, and I threw out my back or I threw out my shoulder, or I did whatever I did. And so I took some of the BPC one by seven that you gave me, and I injected into the subq wherever it hurt. And now it's better. Like I, I'm sure that I have got 150 stories if I have one. And so the, so we know that it works and, um, subq and I think it works by far better subq locally than if you just inject it in your belly.

And so then that became an extremely interesting data point for me. And so then I, I started, and this is going back for several years, and so I started thinking about this and. Uh, weighing in on it. And so then I started thinking about my whole experience with liftoff, you know, the subcutaneous injections.

And as great as I think liftoff is and as great as subcutaneous injections are, I fairly strongly feel that ultrasound guided procedures are a lot better. And so then the question is, what would happen if you did? And, and by the way, for the subcutaneous injections, just for completeness on, on this, what I found is if you do a series of injections along the course of a nerve or along the course of a tendon, and you start treating that it will, that's better than just one injection.

And so then I've had myself and a lot of patients start to tell me, oh, okay, yeah, I had pain and my CEUs muscle. And so then I would inject kind of along it. And so then doing these subcutaneous injections and amazing results with that. So then I said, oh, okay, what would happen if you start to hydros, dissect either nerves or tendons with BPC 1 57?

And outside of the who we talked about, like real sick people. I started doing that, uh, 18 months ago, and I've been consistently doing it on a weekly basis since then. And so, and I've had incredibly good results overall. Um, and so then, uh, I've actually done a whole bunch of bicep tendon, uh, kind of hydro dissections in people who with, um, BPC 1 57 and thymus and beta four.

I'm using much more Thymosin beta four for peptide injections for pain than BPC 1 57. And if you look in the literature, there's some literature that supports thymosin beta four, um, in peripheral neuropathy treatments and as well as in some other treatments. And so I'm, uh, I'm getting out there saying I like thymosin beta four for, for pain and for hydro dissection better than bpc.

Uh, I've done. A lot of injections at a two to one ratio of thymosin beta four to BPC 1 57. I've also done a whole bunch of injections at a four to one ratio of thymosin beta four to BPC 1 57. And I've also done a whole bunch of injections of just thymosin beta four. If you gave me a choice of BPC or thymosin beta four for injection for pain, I would do thymosin beta four.

The other thing is thymus and beta four, you can go up on a dose and to a higher dose, where a lot of times people will feel a little sketchy for a day or two if you give too much BPC 1 57. Um, when, when you go in, if, uh, I would definitely use ultrasound if you were gonna try to go down by the tendon.

And basically what happens is if you look at the tendon, if they tore their rotator cuff, they'll have a halo of fluid around. The biceps tendon. And that's just because there's fluid, this joint fluid that's leaking out where the tear is, like let's say in the supraspinatus, and then that fluid goes over and surrounds or just tracks out around the biceps tendon.

And they'll have a halo of fluid that comes all the way down and it'll stop where the pec major tendon comes over and attaches onto the humerus. And so what have I done? I've taken concentrated peptides and gone in in those patients and then just put peptides around the, um, in, into the effusion around the biceps descendant.

And I've actually had really good results with that and I've gotten a couple of those effusions just to go away. And gotten better range of motion and helped that tendon. I've also used, uh, P R P for the biceps tendon. I use exosomes. I've used placental matrix. Um, I'm ex, I'm deeply excited, uh, about the concept of using peptides.

And I'm also very interested in the synergy because they're working by different mechanisms. And so if you can start to stack therapies, then now we're talking about some less expensive teeth to, uh, to go back to your question of, oh, okay, I'm seeing people with kind of pain and chronic stuff. Uh, you start to do some peptide injections, I think you're gonna be able to do it.

And I'm actually really looking forward to this, to coming out with lower price points and that a, for initial treatment or then b, for follow up treatments. And I've been finding very synergistic, um, Results, uh, like the other, um, uh, the other, I went crazy in, uh, lifting weights. And then I, uh, I, uh, hurt my shoulder, uh, and I, I think I kind of pulled my Terry's minor attachment and at, at my shoulder and it killed me.

And I was in, like, I, it was, I, I couldn't move my arm and I had like a busy day and I was like, fuck, what am I gonna do? And so then, um, I injected peptides in blindly, uh, and because I didn't have anyone and, uh, it got like 50% better. And then, uh, I injected peptides again, and then it didn't get better at all.

So I was disappointed. And then, uh, the next day I had to go to work and I had a friend of mine visiting me who is a doctor but didn't know ultrasound at all. And so then we, um, tried to do an injection with me holding the ultrasound, and then I put a CC matrix in and it was the great, and I, we, we did it af after taking 10 minutes of trying to find the needle.

I was the, maybe one of the funniest things that I've ever done. And it was a great, and this shoulder is actually better than the other one now. I was actually totally impressed. And so I think that there's a, a synergy between, between the peptides and, and those things. So then my, the, to recap the answer to your question.

Definitely yes, oral, but primarily for oral stuff. Uh, uh, feel the groove and then just do subcutaneous injections along here. And you'll probably have an incredibly good experience with that because subcutaneous injections here are gonna be super low risk. And then they will also treat the supra, which means above the clavicle supraclavicular nerve, which is coming out and draping over here, following the different fascicle of the deltoid.

So you're gonna, you're gonna get a nerve treatment. That treatment is almost kind of peptide analogous to like perineural injection therapy, cuz it is perineural injection therapy just with a peptide. So that, uh, that's a home run. And then if you start to do the injection, then you can come in and put peptide around the tendon.

And you, uh, and what happens is, is there's an artery that's, uh, in a vein, but especially an artery that's running right next to the biceps tendon. And if you do that, you definitely don't wanna stick a needle through the bi. Just, I'll be just almost done. You don't wanna stick a needle through the biceps tendon, cuz that's gonna be incredibly painful.

And then you don't wanna hit that artery, uh, because you can get, uh, hematoma and then it's a little bit variable. Sometimes it's on one side and sometimes it's on the other. And so usually what I will do is I'll take my ultrasound, then I'll come from lateral to medial, but about 10 or 15% of the time I'll look and I'll have a super easy window to come in from this side.

And so I'll just stand cross table and then do the injection that way. And then what do you do for dosing of the subq? Subq injections? Okay, so subq injections. So then if somebody was super young and healthy, um, You could, you could do a milligram a day and I think you would do fine. And so you could do a milligram in one location or you could do, uh, 300 micrograms and 333 micrograms in three locations, or 502.

Um, I've, I've given myself like 10 milligrams of bpc 1 57 when I was just testing, doing injections in different places. And so if someone is super healthy, you could do higher. I wouldn't go more than a milligram cuz people are just gonna say, that's a little extreme. But I, I, you could, I would go in the milligram to 1.5 milligrams if somebody was super healthy and what they're gonna, they can do a series of injections.

And so if you're doing a milligram subq, you could do that. You know, every day. And so then what I would do is just choose different spots. So you could choose, align the biceps, you could come over the biceps, subcu, a little distally, come up a little bit above over the shoulder. And so then just start to work your way, uh, and, and do injections like that.

But in the ball and the typical starting dose and the typical dose that people usually put people on is like 500 to 750 mics a day, maybe up to a milligram. But you could go in the one to two milligram dose range for, for an acute self-limited, uh, injection. And then so do you just choose a different spot each day?

Well, I'm just rotating around. I'm not going exactly into the same spot. So that's why I'm saying you can treat down here and then slowly work your way up. So you could do two or three injections here one day, two or three injections here, right over the groove one day. And then what? What happens is somebody that has pain like that, Heidi is going to have a pattern and then they always have a reci.

They almost always will have a reciprocal pattern. And so you've got four rotator cuff muscles in the shoulder, subscap in the front, and then three in the back. Supraspinatus, infraspinatus, and then Terry's minor. And then you also have Terry's major. So this is like the orchestra that's conducting the movement of your shoulder.

So that's like fine level organization that's holding you in the ball and socket. And then you've got your big muscles peck and, um, lat that are, uh, also helping out and, and doing most of the movement and deltoid. So then th this person, I bet you that they have subscap pain, and then often I'll see people that will have a little pain in their subscap, and then they'll also have carrie's minor pain or carrie's major pain.

And sometimes they'll have pain at the insertion, and then sometimes they'll have pain over at the lateral edge of the scapula where the Terry's inserts. Hold on a second. Hey bud, I'm gonna, uh, get you in just a second. Um, uh, can, uh, just go tell, uh, tell Barb that they're there. Okay. And then just have her open the gate.

Okay. And so then, so then if you do your assessment and so palpate and figure that stuff out, one thing is, is then I bet you that they've got some pain in their subscap and they've got some posterior or superior rotator cuff pain. And often because there's spasm and dysfunction in those muscles, they'll have pain both in an internal and an external rotator.

And often one is the primary driver and one is a referral pattern. And so then, um, uh, what I'll do is you can do a subcutaneous injection over the front and back. So you're working on basically healing that reciprocal pair. And do you know this term reciprocal inhibition? I'll tell you what it is because it's super amazing.

Um, so then if I'm doing a biceps curl right now, I'm technically inhibiting my triceps. So that's recalled reciprocal inhibition. And so if you're, um, if you're straightening your quad, you, you have to relax your hamstrings. Oh. And so, um, and so then there are, there are a whole bunch of muscle pair combinations that are reciprocals.

And when you activate one, you, uh, inhibit the other one. And so this is, huh. So this is a, this is a, a big sports medicine concept and a lot of like the, the great cook FMS people and, and almost every good system that I've ever s studied of, like manual therapy will talk about this. And so then, uh, what happens is if you hurt one and that goes into spasm, and this is like my theory, then what will happen is the reciprocal pairs will also go into spasm.

And the idea is, is kind of cool because they both are in spasm and so that just locks the joint down so it doesn't move. So it teleologically kind of makes sense that now I'm gonna not move, lock my joint down and then wait for it to heal. And then once it does, then I get to get back into the game and everything's okay.

Um, uh, but what I see so much of the time is I'll see, um, patterns where people will have pain in one and then spas in the other, and then that leads to limited and dysfunctional movement and then that leads to a whole bunch of a cascade of other problems. And so then we're trying to fix that. And so then like in my world, how I'm thinking about that is, is then I would be thinking about doing a peptide or some form of hydro dissection of the nerve that goes through that muscle and then potentially, Uh, of the tendon of that muscle or, and then I'm looking at th that muscle and it's reciprocal and then working with them and then turning that on.

The interesting thing, and I think this is ultimately gonna be a home run for a lot of people, is if you start to do subcutaneous injections in those pairs, and what I've been doing is, uh, ordering peptides and then doing a, uh, hydro dissection and then just sending the people home with the peptides and then showing them where to inject.

But once you're starting to treat reciprocal pairs, Heidi, then now I'm treating the biceps tendon, and then I'm also treating subq over different muscle groups, but I'm all in the area, so I think I'm having a good result, and my experience with that has been real good. Is that helpful? Yeah, that's really helpful.

Do you think it's can, if he's still doing the oral peptide one milligram orally, should he stop that while we're doing the subq every day for a month, or continue it? It depends on if there's anything going on with the gut. I don't think the sub, the oral is probably having much of a systemic effect.

Okay. And so, uh, if he likes it and he's having a good gastrointestinal experience and then you did subq, I'd be fine to keep it going. And also if he was nervous about dosage and he wanted to stop it and then get back on it afterwards, then I'd be totally cool with that. Okay.

Okay. Well, someone just got to my house for dinner and I'm not there, which is kind of amazing, but I will be soon. So, um, It was awesome to see you guys. Any final thoughts?

No, just thank you very much for sharing your wisdom. Appreciate it. No, thank, thank you. John, hang on. Do you have any updates from Canada for us? Anything you've learned? No, just that we Awesome. Just that you're awesome. We are awesome. You are awesome. Yeah. I guess that's just gonna be like, you may be able to gloat about that for like an extended period of time now I'm worried about, no, just, just for the next week.

My, my home country of South Africa is exploding with Covid, so. Oh really? It's pretty, pretty, yeah, the number five in the world now, so it's pretty bad. So people started calling me this week from South Africa trying to get Thymosin Alpha one. Wow. So it comes, I told my, so I think I told you it's a pharmaceutical in, uh, Italy, so maybe they can source it from there.

Okay. Might be easier. I'm, uh, I'm telling you guys, I'm a, I'm, it's interesting. People called me. I gave, I did, I, I woke up early and spent like couple hours writing up some stuff for some people. Um, um, I'm, uh, I'm still a super believer in Thymosin Alpha one. Uh, subq, uh, I just started another patient on it last night.

Uh, and they're better today and they've been just dreadfully getting worse. Um, the way that I'm, do, we should go over this before I quit. The way that I'm doing that is when they get it, I'm depending on where they are in the sick, chronic illness spectrum. Everybody that I'm starting that is healthy, that got sick with Covid, Seems to be able to right away tolerate full dosage.

And so if they get it at like four in the afternoon, what I have 'em do is I have 'em take one half a cc, which is 1.5 milligrams, then I wait an hour and then I call 'em back and I see how they're doing. And if they say no worse and fine, and I've never had anybody say anything bad, then I'll have them do another half of a cc.

And so now I got them to three milligrams, which is twice what was the traditional normal dose for us. But one third of what came out on this article of the 10 milligram dosing strategy. And so then what I've done, everybody that I'm doing this for, I'm shipping it. So they're getting it sometime between three and six because it's getting shipped overnight to them from the compounding pharmacy.

And so then if they take three milligrams, but in that first two hours, then what I have 'em do, there's, it is like a two and a half hour, half-life. So then what I have 'em do is I, they'll wait till they go to bed, and then generally I'll talk to 'em at like 10 o'clock at night or 10 30 or 11. And then if they're feeling fine with that, then what I'll do is I'll give them, um, another three milligrams, give 'em, have 'em do a bunch of melatonin and then they'll go to bed and sleep.

And some of 'em are doing the rectal melatonin and some of 'em are doing the sublingual and we're using a whole bunch of different ones. And then we're bundling a bunch of other stuff with that. And we are doing telemedicine if people want, um, To help with that. Um, but, uh, and then what I'm doing is i'll, and so I've got a lot of people that will do six milligrams on the first day just because they're not starting until the afternoon.

And then what I'll have 'em do is do, uh, uh, one cc, which like three milligrams and just a little tiny bit more. And then they'll, they'll do that three times a day. So I'll have 'em do a breakfast in the early afternoon and then, and before they go to bed. And I've done really well, um, with that dosing strategy I've had.

Um, I've had, and then the other thing is, is that I've been doing some, go to people's houses and do ozone and stuff like that, which is logistic. I just done it for like some good friends. Um, That was a total home run and combined with ozone and everything like that, I've had, um, people start to relapse and I'm now talking to all kinds of people who were like, yeah, I was fine and then I was better.

And then all of a sudden it all came back and I started getting chest pain and I couldn't breathe. And, um, and so I am totally con, totally, totally convinced that this is much more like Lyme. And I talked to a bunch of people who are like, it is for sure gonna go until like June of next year. But based on just like the phone calls that I've had in the last week, I think it's gonna go longer.

And so I think that it's gonna be important that people get on dosing and then stay on dosing for, stay on some kind of dosing like that for. Stay, um, for a while, like two or three months. And I, my theory is, is that that's gonna minimize. And so then people are doing everything they can on an antiviral strategy to support them going through that.

What dose do you have them use daily? Is that just like the first week you have them do, but then what, what I've been doing is they're doing 10, uh, like somewhere between 1.5 to four or five milligrams of first day and then like five to 10 milligrams of second day. And then they're doing 10 milligrams for that period when they're sick.

If those people are treated with ozone and, um, all of that stuff, and glutathione and vitamin C, thymus, alpha, my experiences, those people get better like in three if you, and if, if they just got sick and they're totally healthy. Those people get basically, like totally better in a couple days and then they stay better.

Like, I had one person come in there, one person that I saw couldn't smell, and then by the time I was done doing ozone dialysis with them, they were like, I can smell totally fine. Um, the, um, the, and so then for people who have more going on, and interestingly, if people have sibo, people have GI problems, if they have all of the things that dysregulate the immune system that we know makes slim worse, that definitely makes covid worse.

And I think we just have not been aware of this because a traditional MD who's, I'm like a super traditional MD. Wouldn't think that like SIBO would be like a very significant immuno compromising factor, but I actually think that it isn't is something that we need to pay more attention to. But so then after they get through that period, then what I'll have them do is I'll have them come down to three milligrams and then I'll have 'em come down to 1.5 milligrams, and then I'll keep them at 1.5 milligrams for like a month.

And then I'll have 'em go to seven 50 and then I'll have 'em stay at seven 50 for like another month or two. Interestingly, I've had two or three people who did that, who started to have relapses in week two or three. Uh, a couple of those were so pumped that they got better, that they went out and started and drank and stuff and partied because they were like, I'm cured.

And then, then he got sick again. Um, and so I'm, uh, promoting like no alcohol for, uh, as much as I can, which I think is, has been good. Um, uh, but, um, n but all of those people just immediately get back up on their dosing and then felt better. So, uh, well I don't think that we, I, my, my bad answer for that is that I don't think that we have an answer for that and it's evolving, but basically titrate up the dose, stay at that dose while they have symptoms, titrate down as fast as you can, and then stay at a low level and be available to go back up and then titrate back down.

And then remember that LL 37 is a great peptide and works synergistically with Thymosin Alpha one. And I would, I would, I would do that at the same time while they're doing Thymosin Alpha one through the, at particularly. In, in that, in that initial sick two week period.

Okay. Here's our affirmation for the day. The world is gonna get rid of covid and we're all gonna heal. Let's say that

1, 2, 3. I, I see people unmuting themselves.

Can you repeat that please? Uh, let, let, let's, what's a better one? Let's say a couple. Uh, we're gonna figure out how to cure covid.

Let's try that. We're gonna figure out how to cure covid. We we're gonna figure out cure gonna go mainstream. Cool. And it's gonna go mainstream. Yeah. We're gonna figure it out and whatever, whatever the best solution for Covid will go mainstream because that's the big roadblock. You know, it's interesting, I'm, I would bet my life that I'm having a better experience than anyone that I've heard of.

Yeah. I think, and I can't, I still can't get anybody to talk to me. Like I would talk to anybody 24 hours a day about it because, um, I'm pretty sure that we're up to some good stuff and all of the stuff that we're talking about is actually pretty easy to do. So hon, honestly, I think what's gonna happen on the other side of this is that, um, People are gonna be super more motivated to take care of themselves and it's going to be an inspirational, there's a whole, there's gonna be positives that come out of this, that stay with us, with our friends, with our families, with culture, and with society for generations to come.

So I'm just watching for it.

Okay. I love you guys. Thank you for being here. Thank you. Thank you. Have a good dinner. Yep. Thank you. Bye Bye.

You can find this Bio Reset podcast and others on iTunes, Spotify, and all other top podcast directories, as well as on bio reset Make sure to subscribe and thanks for listening.

On this Q&A Podcast series, Dr. Matt Cook answers a variety of questions from other doctors on topics such as peptide injections for shoulder pain, intranasal treatments with NAD+, methylene blue for treating interstitial cystitis and sphenopalatine ganglion injections.

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