Horror Stories of Women's Testosterone

Instagram, you can start talking. There may be some people jumping on already. You read the title, but I'll start talking. Hey, it's Dr. Dan Perer. Danpersermd.com. Today, we're going to talk about testosterone. Jackson is going to read our long elaborate very cool I don't know if it's cool title and um and then

I'll take it from there. All right. Title for today. this fun little Facebook live we're doing testosterone for women 10 things 10 plus things women should know about testosterone cream from an MD master

educator researcher and author your favorite Dr. D pressure. Hey, isn't it weird we always say NMD? I do the same thing. It's really AMD. It's because think about it. Yeah. Yeah. Just we all It's just an American thing we

do. Yeah. Um Yeah. What current Okay, I'm going to talk about what research current medical studies [clears throat] in my I don't know 25 plus years of prescribing testosterone for women has taught me. So, uh hang on to your hats. Hang on to

a lot of things. Um, here we go. Okay. Oh, real Can we do a little intro real quick? Oh, yeah. Do the intro. Play it.

And back over to you. Okay. [gasps] [sighs] Okay. A couple things. One, uh, I'm coming out with a ton of books, three textbooks, um, a some spin-offs. It's going to be about I'm going to horrify you. 19 books I'm coming out with this year. I've been

working on them for the last four or five years. It's why I've kind of grown quiet because I need to get these projects done. I'm getting on in years. I'm thought if I'm going to leave more marks, I better leave them now. So, so you can email us at at dan at danpirstmd.com if you want to be in our

launch team list. That means you get the books early. You might get um you might get advanced copies to review. uh you certainly will get them massively discounted uh in the beginning because we're trying to increase sales up front. Um and um and there's going to be a

plethora of really good books. As you know, I'm a number one author. I was the number one MD author on Amazon for a while. Here I come again. Get ready. Um so, um watch for all that. Real quick, can you pull your microphone just down a little bit? It's almost blocking you.

Yeah, that works better. Yeah. Okay. So, also if you email us at info@danpersermd.com and you you can download our free downloadable handout on 30 plus benefits of optimizing testosterone levels in

women. It's all heavily referenced all supported by the literature and my 43 years experience with female patients that matters. Um, one other thing we had a really cool meeting with uh who were they? What was

the name of that? Which one? We had two cool meetings. I know. But the ones with the pharmacy. Uh the first meeting. Yeah. They're called Elva MD, I believe. Ela MD. Yeah. They have a national chain of doctors in every state, every group that

prescribe these hormones under hopefully under someone under my guidance. So, um I'm sure and uh otherwise we won't be doing it. But um yeah. So, under my guidance, um, so you don't have to fly

in to see me. They can deal with it. They It's all legal. It's meets FDA, sorry, DEA requirements. They use the same stuff I use. Um, and uh, it just allows you more freedom without having to come and see me for it, but I can

still help monitor it and and still help you with your care. Um, just to help clarify a little bit real quick with that, this is a new service that we'll be offering in addition to everything else we do where you can work one-on-one telemed with a doctor in your state and get hormones prescribed and other

peptides and other things. So, super super cool. That's coming soon. Uh, watch out for emails or other posts that we'll do about it real soon. Right. We got to evolve it. Yeah. So, um, okay, Jackson, your turn. All right. So getting right back into

testosterone for women, right? Have you ever educated doctors about HRTs or testosterone? Yeah, lots. I mean I So I've spoken at I can't remember three or 400 conferences. Um I've talked about testosterone, talked about progesterone, talked about

estradile, had bestselling books on progesterone and estradile. I we've got this great handout. Someone else did a book called testosterone. Works really good. She's from Arizona MD down there. I cannot recall her name right at the moment, but I did want to step on her toes because the book is really good.

Uh, it's just called testosterone. Like my number one bestselling book is called Progesterone. Um, and it's kind of the Bible for women's progesterone issues. Uh, we just updated that, by the way. You might want to grab it if you're not familiar with it. You'll use it. It's a

short read, 40 pages, I think. Um, shows you how we deal with it. You're going to see a lot of that in this little conversation we're going to have today. So, yeah, I've educated tons. That's great. I've done the more advanced courses here in Utah, stuff like that. So, um yeah.

And so, you've educated for both men and women's testosterone specifically. All the above. My book on men's testosterone, which will also be updated, uh will is but you can grab it now. it's not going to change that much but we can't under under Amazon rules

because of different book all the reviews get wiped out um so u yeah I educate for men too so for women what is a healthy testosterone level uh above 50 nanogs per deciliter so I'm not I don't care if you're

postmenopausal premenopausal 45 to 50 you want to be above that okay not a lot above it but above it some women like well above it. Some women don't. So, it's according. Yeah. And you often say doctors think

magically about testosterone. Why can't they afford to think this way? Where' that question come from? Um so, um yeah, because they they're like, you're you're 38, you're sitting there in front of them, you're you have clearly have a low testosterone is

picked up on. He's like, we should give you something a shot. We'll get to that. A pellet. We'll get to that. a uh a capsule, a tablet, a trophy to swallow. We'll get to that. Uh we're going to talk about all this stuff and and but he

skipped a major step of the process. The thing you need to ask him is and demand the answer is why is it so low? Answer that or why am I paying you? Are you just a prescriber? Are you are you going to evaluate me for why my testosterone is low? We're going to get into all that

today. I'll educate you on those, too. Why is testosterone low in a a premenopausal woman? Or why is it super high? That'd be PCOS, of course, but um we may not get into that very much, but um yeah, you want to know. You got to get that answered.

And there's a reason your um your testosterone is low, and you should know what that is. Low testosterone causes really bad things. Just taking testosterone may not be the answer and may hurt you, but why? Um this gets really complicated. It

could be pituitary damage, so you're covering that. It could be that you're covering vitamin deficiencies, which would be a more appropriate treatment or therapy to bring your own testosterone production up. Um, and um, it just could be a lot of other things. You could have a pituitary tumor. Who knows? Usually,

it's just low vitamins. By far and away, it's usually just low vitamins causing them. And low testosterone causes um, diabetes. Great. It causes insulin resistance.

What it really causes affects the insulin receptor. Think of testosterone like oil for the insulin receptor. So, low testosterone causes depression. Definitely fatigue. Um, and low testosterone causes osteoporosis. Low testosterone causes muscle wasting. Low

testosterone makes your voice scratchy. Oh, good. What are you doing? You know, makes you sound like a grandma or grandpa in my case. it. Um and um and the fatigue and chronic fatigue is really bothersome. Um and this is just a few of the things that low testosterone causes.

So, [clears throat] but can't vitamin deficiencies also cause low testosterone and low fatigue? Yeah, like I just said, yeah, that causes both. You better you better [clears throat] check into that. I mean, that's what we do. I won't prescribe testosterone in a younger

woman unless I know what her vitamin panel is. We use that intraceter panel from Cell Science Systems. It's so cool. We used it at US USC where I did pituitary endocrinology cardiology research for 10 years with a US assistant surgeon general. Jackson was alive then. They were down there a lot

with us. So um yeah and uh and so if you want to know where my knowledge base comes from comes from a lot of years of research a lot of patients seen and a lot of books written a lot of articles read

lots of research and uh you need to know the difference but vitamin deficiency are the second most common cause of low testosterone. What's the number one cause of low testosterone? Menopause. Okay. Menopause. Yeah. Sorry. Um, yeah, it's obviously the

number one cause. It's funny. I when I'd go out and do those Dr. Dan Perer hormone health events, at the end of every eight hour day of talking, my voice was shot by the end of the day. I was freaking exhausted. But because I answered questions in the in the

ballroom with the 500 women that had to be there or wouldn't do the conference. Um and uh and I would um come out and there'd always be a little little cvy of women on the [laughter] on the right as I did the rainbow thing, you know, answering questions from left

to right and there they are there like eight of them usually or seven or eight of them usually standing there. They were embarrassed to say it in the in the ballroom or the the lecture room, but they would all they all nodded their head because they all had low testosterone and vaginal dryness. Mhm. We'll get to that later because that's a

big deal. Yeah. Do pain meds decrease testosterone levels? You know, Rich Rosenthal is one of the nation's top pain experts. He and I have talked about that a lot. I think I I I've definitely convinced him otherwise that it's not it's not the pain meds

that decreases the low testosterone. It's the low testosterone that causes the pain meds. Causes pain and discomfort. Yeah. It's the other way around. Doctors have it wrong. Um, so, um, it's interesting. Pain often increases with low testosterone muscle pain, bone pain,

back pain. Um, you got to figure it out. Or if you're postmenopausal, you got to figure it out. What about pituitary damage? And I did 10 years of pituitary endocrinology research at USC, as you

know. But like I said before, pituitary damage or dysfunction is a rare cause of low testosterone. gonad gonad damage like ovarian damage like someone hit you in the in the ovaries with a baseball bat or you got a car wrecket hit at the bottom of the uh the steering wheel and

that could damage your ovaries or you you were kick fighting. Does anyone do that? Yeah, more than we know. If someone kicked you in the ovaries Yeah, that do it. So, um but those are still rare. You would know if your ovaries got whacked just like men

would know if their testicles got whacked badly. Yeah. So again, menopause is the most common cause of low testosterone in women. What's the the number one worst complaint from women with low testosterone? Yeah, I just kind of gave that away,

didn't I? Vaginal dryness. I mean, it can be awful. I've seen them cracked, bleeding down there. Just so inflamed and sore. It's horrible. Takes me months to get that. It takes them months to get that healed. Well, do they use like a cream topically or?

You would want to use testosterone vaginal cream. It's a common misconception that among physicians, let's say 99.9% of them believe that you need estradile cream for that situation. It helps a little, maybe 1% or 2%, but it's almost

always lack of testosterone cream for that condition. If you're going to take anything away from this today, estradile cream won't help that. For all you out there tried that, you know it. It's like waste of money, time, effort. Maybe a little and so yeah, one or two

percent of you go, "Oh yeah, work great." It's really rare in my experience, but um and I'll usually add a little not usually, but often add a little to it if need be to the but usually testosterone cream you go you give and you got to be really careful um

and um be really careful when they apply the testosterone early on because it can burn, it can hurt, it can itch um because it's starting to heal that area. So you got got to go like once a week, twice a week, three times a week, you know, just kind of grow into it, get

heal your vagina. So yeah, that's quite the process. What are the top three reasons women need to optimize their testosterone levels? [sighs] Uh cardiovascular benefits.

Uh weirdly enough, yeah, not Yeah. Yeah. And to get rid of the vaginal dryness obviously from a physiological standpoint. Um there are three big cardiovascular benefits. It improves your muscular value of your heart. So it pumps more

effectively prevents congestive heart failure. It can prove you sorry can improve your your cardiac status at least to New York New York New York uh uh um cardiology exchange. I can't remember what it's called, but the New York uh system of rating that we used to

use, they can improve at least two levels. Testosterone can. So, um then their top their top three those are the top three um physiological benefits for women, not mental benefits as others.

Okay. So, what are your thoughts on injectable testosterone for women? When a doctor does that, number one, I give him three points for for knowing and recognize the woman has low testosterone to fix it. I'm going to take away two of those

because you shouldn't give testosterone sipate or an antate to a woman. It's it causes liver problems and it doesn't address the vagina. And God, I hope they're not injecting the vagina. That'd be horrible. Um but yeah, it just doesn't um it just

doesn't address it properly. It's just a bad mistake. Um if you have that, if your doctor's doing that, go to a compounding pharmacy in your community and say, "How can I get testosterone cream? Can you write me a fake script so I can example so I can show it to my

doctor so I can get me testosterone cream?" That's what you do. Go to a knowledgeable compounding pharmacist or call us. Yeah. What are your thoughts on testosterone pills for women?

The first pest effect through the liver. Bad news for women. Don't [clears throat] do it. Do not take testosterone pills or troies or triters. Now, I've seen all that tried. If it's a vaginal triter or troi, maybe there's better ways to do it. That's a messy gooey yucky mess.

So, yeah, shove that big troy 300 milligrams in half. Um, so what' you say it was liver? Yeah, first pass effect of the liver. When you take it orally, it's going to go through your liver and it caus causes havoc. It's inappropriate for women. It's they're just not built for it. Okay. And men aren't either. I never use that

in men. So, um um also pellets are a big problem because they don't get in the vagina. Yeah. And so, um and the vagina is where the testosterone is mostly needed. So um and also the surge with pellets you this

high really high level your level may go to 300 or whatever and then over a number of months slowly drop um it's just it's it's a it's in my opinion it's a failed approach that they meant well but it just just use the cream.

Yeah. So much easier and that way women can adjust the dosage too. If they got a date night with hubby or you know their significant other plan, they could add a little more that week, get their libido up, all that and you know get more moist everything else. So also vaginal

testosterone decreases urinary tract infections post menopausally. So that's great. Got to put that in there. Yeah. Um so how do women generally apply testosterone cream? It come it comes in at 30 milligrams by DEA ruling. I think you can double that

occasionally. I do with some patients who need higher doses and do it twice a day. Women vary. They're they're just a broad spectrum. Some like a little like once or twice a week. Some like it twice a week and double dose. Um and they're

all different. So if you you want to properly treat that woman, you got to be adaptable. There's no oneizefits-all. And um and women will tell you you got to appreciate that feedback and want it as a physician if you want to give good

care. So sorry [clears throat] I'm sound like grandpa, aren't I? I want to give good care. What are you doing? Getting a little grally. Sorry. That's all good. All good. And my testosterone levels really good. So it's good. Um so you do a four a fourth of a gram.

It's literally the size of a baby chocolate chip. and you just put it in the opening around the opening or in the opening and um if you're super dry like I said go slow you're going to hate it to begin with then in a week or two

you'll love it so I just got to be patient to burning all that when you get to daily use of it you'll be used to it if you're burning daily I'd back off take a few months to get there so um but it will get rid of that vaginal dryness the crack the bleeding all that will

heal I I know some of you out there going, "There's no way. I've been suffering with this for 5 years or eight years." Yeah. Yeah. Find a compounding pharmacist in your community or call us or whatever. And um and you know, the best option in your community is

probably going to be a nurse practitioner. So, they are a lot more open-minded. Most of them have taken the courses like that I teach. I've taught through MedQuest. That MedQuest is the big educator. What's the name of their education arm? World Link. World Link. Yeah, look for

their um conferences. If you're MD or nurse practitioner listening this, they are good. I think I hope they're still running those because I they have four levels of of conferences and I've taught some of their super advanced stuff just because of my background in endocrinology and

everything. Yeah. So, um what are the side effects for these? It won't hurt. By the way, rubbing it in your vagina will not hurt your partner. It's such a minuscule amount for a guy. Yeah. I mean, it's like, yeah, no, he'll

probably enjoy that you're you're sexier. Um, but yeah, it won't affect him any. So, people are always worried about that. Well, it gets on my husband like um not worry about it. Hope he gets more excited. I don't know. It's a tiny bit.

So, any side effects though? Anything to be worried about? Yeah. Um, well, if you This isn't really a side effect. First, have you ever problems with libido or orgasmine postmenopausally or or premenopausally and you have low testosterone from um so

they're postmenopausally means you've either been through surgery, a surgical remover of your ovaries um or even one ovary can throw you into menopause. Um don't let them tell you otherwise. Um but also um if you're if you're

post-menopausal also s okay surgery can do it, trauma can do it, ovarian damage can do it or you can just be going through natural menopause. Um then um libido orgasm becomes a big problem. So

I mix oxytocin, have the pharmacist mix oxytocin in. So the usual dosage I use is 20 milligrams of testosterone in a post-menopausal woman. 20 milligrams 20 milligrams per gram of testosterone.

Uh so for every gram of testosterone, they use a fourth of a gram, they're going to get five milligrams. But you also want to put start with 40 units of oxytocin. the woman has problems with orgasming or libido. Uh and she'll know after she's done it, used the regular

testosterone for a week or two or month or three. Um and um you got to just kind of educate her on the use of oxytocin. I've gone as high as 200 milligram 200 units of oxytocin per um per gram. Uh so

either 40 units to 200. 200's kind of maxed out. Um, I suppose I'd go higher, but I 200 I've only got one patient who does that. So, um, helps her libido, helps her sexuality, and really does good things. So, uh, and

you're not making it if you're postmenopausal. It's just another hormone you no one knows about, but oxytocin is cool. It's the love hormone. So, if you use it and you apply some, you you got to be careful. If you look in the mailman's eyes or like the guy at the gas station, he you might fall in

love with him because it's a love hormone. Be careful with it. It's [snorts] powerful. I'm kidding. Well, not really. Okay. [snorts] Oh, more side effect answer. Oh, sure. Yeah. If you have any other side effects. Yeah. And it causes no cancer ever. Ever.

Doesn't do it. Safe to use after breast cancer. God, this is ridiculous because doctors no hormones. They're they're ignorant. They're not they're not stupid or dumb by any means. They're smart people. I love my fellow physicians. I

don't know about oncology and they don't know about hormones. They don't know about HRT. They don't know about endocrinology. Back off. Stay in your lane and let someone who knows what they're doing talk to you about it. Um but so but it can cause ac if your dose

is too high. It can cause acne. Hair on your back. We call it back and acne on your back. call it backne or you get furry hair on your back. You don't want that male pattern baldness in the woman. Deepening of the voice, but the these just mean you're using too much. Back it

off. Go to once or twice a week for a while. Um add more oxytocin instead of testosterone. There's ways around all that. Yeah. So, yeah. Yeah. [snorts] So, should we I think we're kind of We got some questions.

Yeah. Let's Do we have questions? Yeah, we got a couple questions. Oh my gosh. U Isabelle asks, "How do you take it at and what test can we take? Can we ask our doctor?" And they kind of covered that a little bit. Three and total testosterone. Yeah. And if it's below if it's like 20

or 18 or 12 or zero, you in trouble. You already know it. You're you're in trouble. So if it's like 30, 35, you know, it could be a vitamin deficiency. premenopausal and you don't have any other reason, it's probably a vitamin deficiency. What is the

average age of menopause in the US for women? 51. So if you're 38 or 42 or whatever or 45 even probably not premenopause, probably not not postmenopause for sure.

Um, yeah, you got a vitamin deficiency which will cause other problems, fatigue, osteoporosis, um, because you, of course, you're not taking enough calcium or D and other things, but it'll show, they'll all show up. Get it fixed so you don't end up

with osteoporosis later, fracturing your hip when you're 68. Yeah. Yeah. Which will So, when you when someone fractures your hip, that's postmenopausal or elderly. Yeah, I'm elderly. Um, you have a get

this statistic. No matter what the orthopedists do, no, and I've tried to step in too and help, no matter what we do, even the really knowledgeable doctors, I'm think I'm one of them. I'm not completely sure on that, but um there's a 75% incidence of death within

a year after you fracture hip. Like, you can't stop that train. Just don't fracture your hip. Good God. Um yeah, they get you like we almost got you there and then two weeks before they get to the year they get pneumonia and die. It's like what [laughter]

I see just 43 years experience is like wow. Yeah. What happened? It's like preventing those things preventing osteoporosis. It's like you got to prevent the osteoporosis. It's too hard to prevent you dying after you get a hip fracture. I've tried everything. Like should we

put them on antibiotics for the next year? What they'll get pneumonia? What do we do? And no, the numovax does not work. So there it is. I'm not antivaxing. Just the studies just haven't shown it works. It causes more problems. Yeah. Yeah. So yeah. Um so okay, let's answer your

question. Yeah. One thing I just wanted to mention real quick just with with Dr. Perser's background in hormones, you you talked about it, the endocrinology research and everything you've done literally since the 90s. Yeah. You were on the forefront of HRTS, hormone replacement therapy, especially here in Utah. And that's exactly why you

went on to educate all over the world. All different kinds of practice. Japan, Australia. Yeah. Yeah. Singapore. Yeah. Europe. Just Yeah. I'm not local. Definitely. Definitely. And that's why I just wanted to mention too, we mentioned it right at the very beginning. We have

a new service up and coming. We're still a couple weeks out from being able to offer it, but where you can get HRTs, you can do a tele medicine visit with a practitioner in your state and get prescription compounded uh hormones and peptides uh right from wherever you're

at. And so, look for more information from us in the future. I want to get a little better grip on all that because I'm really freaking particular and I don't need some resident fresh out of school trying to wing it because they have this protocol.

Yeah. What's great with this company, they're they're up and coming and so I do think we're actually going to be able to help them kind of Yeah, I already found that out. I was telling them yesterday about oxytocin. Yeah, exactly. And help them develop their protocols. So they'll be doing the perser method or whatever the purser

protocols for different hormone replacement therapies. It's just me being 10 years of pituitary endocrinology cardiology research at USC um cedar si all that um in my my books I've written and that you got to get

that handout. Make sure you get the handout and while you're at it get on my launch team list that's so that's dan danpermd.com for the launch team list so you can get my books cheap. um and um cheaper just but you're not special. We're gonna offer them to everyone like

that. But if you leave a review, I'd really appreciate that if you get one of our books, please please leave a review. That's why we do all this. Um and because that's a new that's a really big deal to Amazon. So, and my books become number one fairly quickly. So, help me

do that. Um and um also um I was going to say something else, but forgetful Joe here. I just think all my patients I got to see today. Um yeah, that Oh yeah, you can email us at info@danpampermd.com

to uh get that request that um that um that handout that it's a PDF 30 plus amazing benefits of don't you love it? We really jacked up the name on that. Made it really sound cool. 30 plus amazing benefits of optimizing

testosterone levels in women. Um, and we talk about all this and more in there. It's free. Um, but you can say if you want to be on our email list, too, or or while you're at it, because we do put some stuff out. Yeah. When we substack,

we're going to be substacking a lot. Plus, um, also, if you're on LinkedIn, would you please connect with me on LinkedIn? Um, because I'm putting articles up all the time. I It's amaz It's like a myriad of stuff I put up every day. like if they overwhelm

everyone around me, they just walk away their head spinning. But that's just me. I'm a researcher. I've written art so many articles and books and text textbooks and here we go. We're going for another ride. Yeah. So, I might as well do it as I sail off into the into the ancient years,

right? To keep it simple for everyone, let's just have them email Dan danpanermd.com. Simple. Yeah. For the list and to sign up for the homeless or for the the book launches. Yeah. Yeah, that'll be perfect. Yeah. Okay, we got a few more questions if you want to go for a little bit. I know we

both have to get going in just a minute. Okay, we kind of talked about this before, but how about sublingual? I take a tablet that I put under my tongue and let it dissolve. No, no, shove it in your vagina. That'd be a lot smarter. Mhm. I mean, sorry, but they're completely off base. It will not affect vaginal

dryness. That's your big concern. You'll also start getting your UTI just a mess down there. It needs testosterone. So, I don't use those. But, and if you got a bunch and want to use them up, put them in your vagina or one. Well, put

apple one or talk to your doctor about it. Sorry, I can't tell you to do that, but I definitely talk to your doctor about how you're going to put it in your vagina or the pharmacist. So, all right. Uh, Carol says, "I tried testosterone a few weeks ago and my blood pressure went way up. Any ideas on why and does this eventually settle

down?" Yeah, that's weird. Um, sorry. I mean, that's really unusual. I don't think out of the 3,000 4,000 women I prescribe testosterone, I've heard that one before. Um, did it have extra dial mixed in with

it? I'm not sure. Uh, that'd be alarming if it did. Um. Huh. I don't know. That's I'd use a smaller dose, but she did she say she you had it vaginally or did she Oh, we don't know. Okay. We're making a

lot of assumptions. A lot of assumptions. Yeah. Yeah. Use a badge. Use just a tiny bit. Um we red we do that. So keep us informed. Okay. Next. Yep. Um BHRT versus HRT. Is that I

assume bio same thing. Okay. Yeah. Sorry. BHRT. I should have said bioidentical hormone replacement therapy. I assume that's what they're meaning. So what USC we're always mixing bio identical hormones. I was with nine Patel and Cintron. N Patel run citro

drug in La Habra. If you're in California, holy crap, that's the pharmacy you want to use. They are they are the gods of I mean they do a really good job. Nine and I and Chin developed that first glutathione. They were on our pituitary endocrinology team at USC. Um

and they teach at KEK at the medical school. So they teach pharmarmacology students, PhDs, and they teach MDs. And so Nyan is so well respected. Look at his interviews with uh Joe Rogan and Gary Brea. So yeah,

I don't want to be on those shows. Gary Brea would never interview me at all ever. But I love [clears throat] all the bounce offs we get from him. So if you know what I mean. But patient bounce offs. Um Julie was asking how often do we test for vitamin deficiency?

If you're tired and can't explain it, nothing's helping, you've tried a bunch of different vitamins, stuff like that and your hormones are all down, get the vitamin panel. Yeah. CMA with Red Do Science Systems or But I

have done so many patients. I've done because we use Spectr before that because we used it at USC. Um, I probably treated I don't know 30,000 plus vitamin deficiencies patients. Um, and um, yeah, you'd want to go to

someone who knows what they're doing. Or you could see Jackson or Justice, they still use my system and they're a lot less expensive than I am. And the one day Jackson, well, he he's one of the he owns one of these companies we have, too. So, it helps. But, um, but because

he worked it, he did it. But um yeah, and he's my stepson whether you know it or not. Um I know he's so good-looking. He didn't get that from me. [laughter] So anyway, I'll shut up. Um okay. Okay. Teresa asks, "If I'm

postmenopausal, age 60, what are my steps to avoid breaking a hip? Do I get hormones at age 60 or what are my first steps?" Vitamin panel first. Okay. Yeah. Yeah. We don't know. I We flip using vitamin panels and hormones. We flip

osteoporosis cases all the time. They they're like 18 months, maybe three years at most. They're back to normal strength on their bones. Yeah. So, and you got to kind of ride it and watch it, but it works every time. Well, the one time it didn't work, and she's getting better now is a lady who had a

tumor in her in her in her um in her spine in her bones. Yeah. Yeah. And so they they didn't see it on an X-ray or anything else. Finally, she fell and fractured her back and then they found it.

So the operating took that out and now her osteosis has gotten better. I couldn't figure out why it wasn't getting better. It's weird. Yeah, she did everything. So I This may be kind of off topic here, but I happen to see with a lot of the patients strontium deficiencies.

Yeah, strronium deficiency affects bone. Don't go taking strronium willy-nilly. It's kind of a heavy metal, but yeah, estranium is really critical for bone bone hardness. So is testosterone. So is progesterone. So is estradile. The one

big secret is the 10ear window. We'll do an estradile. The next one of these we do, we'll do an estradile one. Get my book on estradile because it covers it all. Uh god, I don't know how I'm going to update that monster, but um that was so good when I wrote it. Um so

everything's still true in it. Um, I love that they that all that's being forgotten or rewritten. No, it's still true. Um, so, um, yeah, and find out because oral estradile is so much more better than estradile cream just with so

many more benefits and I go through that in that book and I'll go through that in my video too what we're going to do. Okay, carry on, Jackson. Just a couple more because we got to keep going. Uh, so Audra Audra says, "Taking testo taking compound testosterone cream first thing in the

morning. Still having trouble sleeping. Should I lower the dose?" Well, that may not be the trouble sleeping. You could have a melatonin deficiency. You could have vitamin deficiencies affecting your sleep. Um, it's testosterone usually doesn't help or hurt sleep either way.

Yeah, totally. I guess if you Yeah, I tried lowering the dose first. Good question. If that doesn't work, go back up and and um and keep your bones hard. Um Yeah. Yeah. And I don't know how old you are, Audra. Yeah. Okay. Um how do we get a consult with you if

we don't live in Arizona? I don't live in Arizona. No, [laughter] I don't practice in Arizona. Yeah. I'm in Utah. Um but [clears throat] most of this we can handle telead through with me. Um, I can't prescribe testosterone without you flying in to see me, but this new system we're tying

into will allow that. A lot cheaper than flying in to see me every year. So, um, yeah, I'm also booked out through June. I don't know if you guys know it, I'm the number one I've been ranked as the number one top MD in the USA for those

of you watching, which is probably shocking. I guess I should announce that up front. I usually do. I brag about it all the time. That was about three three or four months ago. Um, 1300 plus five star reviews across all social media. Ask Rock. So, um, ask Gemini. Um, I am

considered the top MD in the USA. So, when that happened, oh my god, it's gotten crazy. Um, everyone wants an appointment with me. Dubai, uh, Saudi Arabia, Morocco, Spain, um, uh, Norway,

uh, Fiji. Not I don't know about Fiji but uh Japan everywhere. So crazy. Yeah. People are asking the name of that pharmacy. Uh Central Drugs. Yeah. Central Drugs in La Habra. They're the bomb.

Yep. I put up on the screen too. All his brothers work there. Kind of family own pharmacy. Chin works there. They are they So they just developed the only NADH that works in the country. Yeah. It's a nasal spray. It's a nasal spray. And so if anyone I just Yeah. big deal because the nine of

them developed the first glut well I helped them. We developed the first glutathione that actually worked gluter which is crazy. Yeah. And I got my patents on the oral forms of glutathione. So um that work. Yeah. Patents are a big deal. That means

you're validated. I love all these glutathions out there that are like we're awesome. We're liposomaal. We're this and that. We work. No you don't. No more. Yeah, just to kind of reiterate a little shout out to Nyan. That's Nan Patel. He's a farm D. He's the owner of

Aura Wellness and Central Drugs. Uh we love him. He is a good good guy. He wrote a book called The Glutathione Revolution. I believe that's that's kind of where he's going on podcast talking about that. And so glutaril it's definitely that's one of the glutathions

we carry in our practice. Yeah, we're allowed because we're we're involved involved in the development of it. Yeah. Four years of my lifeblood on that thing. Yep. And then so that one's topical topical spray and then that's why we went off and made our supplement versions of actual functional glutathione.

We have patents on that. Yeah. It's not quite the same process, different technologies, but we don't know if there's any other way to do it now. We accidentally think we closed the door on anyone else making it. Well, the first IV glutathione that works. That's a

project for this year. Yeah, totally. Um, going back to Audra's question about testosterone and sleep. She said she slept fine before adding testosterone. She's 57. I would probably go to once or twice a week. Yeah, try it. Or maybe cut your dose way down. Hard to cut down that little bitty.

Yeah. Like just touch it. Touch it. Rub it on. Yeah. Yeah. Yeah. Um Judy also asked if there's going to be a replay. Just to make sure everyone always knows, we keep all these videos up and they get posted

on all the podcast sites as well. So, wherever you want to watch this, it's on YouTube. Literally, these videos go up everywhere. So, definitely the replays are available for everyone everywhere. Hopefully, they won't call it porn. They talk about testosterone sexuality. Yeah. Yeah. Hopefully not. Yeah. Yeah.

I know they've all we've got all kinds of weird rulings. I'm an MD. Hello. I can talk about medical stuff. Yeah. The normally we want to get back into the habit of doing our kind of Sunday evening live streams. Yeah. And so this week is Easter, so

we're just jumping on now. We had time this morning, so that's why we're here. Hey, if you like this, I don't What do we say? Give it a thumbs up. What? I don't know what to do. Yeah, give it a like. Give a thumbs up. Go leave a review anywhere. I don't know. [laughter] I've never done that before. Yeah, I've never asked for those reviews I got either, but hey, I'll take them. I don't know

what it means, but I don't know what it means to be the top MD in the USA. I think I'm barely passable most days. Yeah. No, I think one of the best things is to go follow us on all the different platforms. whatever socials you're on, just make sure to go follow Dan Pererd or Perser Wellness. Those are usually our names everywhere and we're on

everything. We're on everywhere. So, [snorts] yeah, we're not I'm not going to say that bad dad joke. Okay, [laughter] look at that right there. Okay, I guess we better sign off. I got a gazillion patients to see and they've been waiting

for like four months. Definitely. We got a busy day today. So, glad we could jump on for a long I'm going to get four or five 10 more five star reviews today. So, I got to got to go out there and amaze people. That's the grind. So, my big push right now is

inflammation, like nasty bad inflammation. I'm really getting into cytoines. Um, you're going to see a lot more of that. I've got a textbook coming out on homocyine. I will see like say, let's say I say 15

patients in a day for genetics. Weirdly enough, so I don't see anyone with like three arms. That'd be so cool. Is that an arm? Look at that. What is that? I hear people tell me that you say this all the time talking about mutations and you're always talking about a third arm or something. It's like

or like three eyeballs. Why don't I ever get to see something cool like that? [laughter] No. Or some X factor. That'd be really cool. Um, no. I see inflammation. I see 15 cases of homoyes every day.

Yeah. No, I can't think of the last time that someone didn't have a homoyine problem. It's crazy. It's really crazy. And that's doing Let's do a little plug real quick here. We're about to come out with a couple versions of your homoyine textbook and a couple other easier to read versions. All complicated book that I spent four

years and 600 pages writing. No, it's fantastic. gets every study about why glutathione should be working to address homoyine issues. That's an amazing reference and so I can't wait to get that out to people. And someone had a quick question while we're on this topic real quick. She's

been taking vars twice daily. The homoyine still in the nines. I don't care about your homoyine. I care about your ILA. Yeah, homoyine stimulates your monocytes to produce cytoines. Here we go. This is why I got no cytoines. Guess what? There are a ton of other cytoines. Do you want me to put

up the transpheration pathway? I have that image ready. Oh jeez. Yeah, I'll put it up. Okay. Okay. So, so if you have a homoy bra, your transformation pathway is broken. Look at my other videos on this as I was figuring all this out. So, that is bad.

That means you can't detox and your homoyine's up. I don't care where it goes. I don't care if it's 32. I care where your IL8 is, ma'am. And and you got to probably four glutathione minimum according to your body weight. You may need aid, but it won't affect your homoysteine level.

It just that's the whole point of the whole textbook. Yeah. Is that everyone's treating the wrong thing. Yep. So, and they're knuckleheads. But, um, so I'm going to de knucklehead eyes them. Knucklehead them.

Yeah. She says her eye was normal. Good. You're excellent. Stay right there. Don't worry about Don't worry about your homoyine. You're good. But if you still have inflammation, it could be another cytoine. We had that big 35 cytoine panel, genetic panel coming out

in probably around May, we think. Yeah. Uh we've already developed it. Um with MaxGen, they loved it. They're like, "Oh yeah, I want to do that." Um so yeah. Um so in the meantime, maybe vars trio try again. I would try the triad and bump it up if

you feel inflammation. Yeah. Because it's not your 8 doing it. Yeah. So, it's got to be something worse. And there are worse. The fixed homoyine level. That's what you talk about all the time. I don't care where it is. Genetically, it just that's a big mistake doctors made. Well, they didn't know. They made so many

mistakes with homoyines. It's just 94 years we've known about it. Now, they won't even test it. It's like the problem is there, but we don't want to know about it. Yep. What? All right. Okay. We got to jump off. Seriously. Okay. Got patience to see. I love you guys. Thanks for watching. Much

appreciated. Uh, and uh, and leave me a review if you love this. If you didn't love it, go away. Okay. [laughter] Okay. See you everyone. Okay.