Tue, 5/3 4:48PM • 1:45:07
SUMMARY KEYWORDS
aging, homeostasis, hypothalamus, fat, body, eat, gaba, hormones, increase, food, humans, glucose, major, growing, system, anti aging medicine, neuro endocrine system, called, berman, energy
SPEAKERS
Bill Clearfield
00:22
Hey there. How’s it I don’t see myself.
Bill Clearfield 00:27
I don’t see you either. Turn your video one
00:35
yeah
Bill Clearfield 00:38
you go here right is just as good looking as last night.
00:43
Now I can smile.
Bill Clearfield 00:46
Now you can
00:48
Hi Bill Clearfield.
Bill Clearfield 00:50
Hi there. How you doing? Good. You already for tonight?
00:55
While he is you’re not well, I’ll be cheering for him. Yes. Me too. Clearly if you want a quick question this semaglutide gua semaglutide Am I supposed to shoot it in the morning or at night?
Bill Clearfield 01:13
I find it better at night. Oh, okay.
01:16
All right. Thank you. Okay, have a good conference.
Bill Clearfield 01:22
You all set.
01:24
Let me just turn on the presentation.
Bill Clearfield 01:27
Okay. What’s it what are we calling it?
01:32
Not at all.
01:33
There’s a presentation. Now Yeah.
Bill Clearfield 01:39
I don’t see it yet. No. It’s loud, much louder than my desktop yet. So we need to change everybody. Just do what you did last night. I’m doing the presentation is all you have to share the screen. Make sure this presentation is on your desktop then. Share the screen. Here it is. Okay. I need to go to zoom right share screen there you go. Getting to be a pro with this. Yeah. Okay, so there you go. You’re all set. You’re already so they usually don’t straggle in until right at five. I have somebody who’s going to make a little announcement for about five minutes and then we’ll get to you. Okay. All right. Is there anything you want me to say as an introduction?
03:11
No, it’s just that I’m practicing anti aging and functional medicine and that from Russia? Oh, you can say that I’m from a family of distinguished physicians.
Bill Clearfield 03:27
Family of distinguished physicians. Yeah. As opposed to bum physicians.
03:33
Well, my father had 63 scientific publications, publication’s HD medicine twice. Mother is a PhD in medicine also in radiology. My father was a urologist, actually, Uncle urologist.
Bill Clearfield 03:50
Thank you told me that my father played Texas Hold’em his whole life. Teddy, Teddy Hello. Yeah, so alright. So like I said, it’s usually slow going right right right at five and then after and then they’ll they’ll straggle in sometimes they’ll 530 So we usually get started at around five but if somebody’s gonna talk for just less than five minutes, about some grants and things, so. Okay, okay. All right. So don’t be nervous.
04:39
I’m not nervous.
Bill Clearfield 04:40
I think you’re, I think you’re nervous.
04:44
Well, I’m a little bit nervous. It’s
Bill Clearfield 04:48
your blogging.
04:50
It’s gonna be okay. And
Bill Clearfield 04:53
you’re a little under blowgun.
04:56
Now it’s just a record. Just in the beginning, then you start presenting and you kind of forget
Bill Clearfield 05:03
about well, that’s why I’m getting you warmed up. Now. This is the trick I learned. get you warmed up. Now when your time to start. You’ll be all ready to go
05:11
by telling me that I’m nervous. No, it’s
Bill Clearfield 05:13
just you know, just just getting you to talk that’s all. Oh, then would you do anything
05:20
you know? Me it’s very easy to make me to talk. Stop.
Bill Clearfield 05:27
I know you’re like a little churchmouse right? Just sit in the corner. Don’t say a word. So, so. So what do you do today? Anything exciting.
05:40
I spend all day long at the dentist sticks in the students all day long with what was the dentist fixing this tooth?
Bill Clearfield 05:47
Oh, oh, you fix this. You fix the dentists too. Oh, he’s here too. Alright, dude. Okay. So you didn’t see any good cases today that
05:56
none. semaglutide you injected sub q Right,
Bill Clearfield 06:03
right. Yeah, yeah. Works pretty well. While working really someone can’t take that my third person couldn’t take it. So I get nauseous from it.
06:20
Yeah, that doesn’t make you nauseous.
Bill Clearfield 06:23
Yeah. So I didn’t have any problem with it didn’t bother me. So, but if you’re nauseous, you’re not going to eat.
06:33
Probably why you’re not eating. Right. So
Bill Clearfield 06:40
okay, so folks who are new on here, we started a little bit after five we do have somebody who is going to talk to us a little bit about some grants. And then Dr. Berman, who’s at the top of our screen will be discussing some aspects of anti aging medicine. So okay, so just sit tight for another five minutes or so. Okay, so your contact is Nick hurt Ebert. And we’ll have him once in a little bit. So, okay. So this is this is the first time you’ve been on with us, right? Dr. Berman? Yes. So you’re on our mailing list now. So you won’t be a stranger Hopefully. Hopefully I’m not. So so did you learn anything at 8am Am mg.
08:00
Me? Yeah, you? Yeah, I mean, Mark Gordon was very interesting the first day I mean, the workshop. And you were pretty interesting too.
Bill Clearfield 08:18
Of course, of course, but you know, so we have some new new folks here. Which is always nice. To make sure we So, so just, everybody sit tight. We usually start around a little bit after five and some new new faces on here. So thank you for coming. And if you have any questions or anything, yet the chat works, we do. We do record everything and we put it on our website, usually with a transcript also. And the board slash webinars. We’ve been doing this for if you’re new, we’ve been doing this for about a year and a half. And we want to go to where I put it on the in the chat there at aos, er d.org. You you can get all of our past presentations. And let’s see anybody in the waiting room yet? Everyone. So here it is, again. Sorry. I’m aware that when he was so D. Org, slash webinars, and there’s a lot of content there. There’s more than two years here and a half’s worth there’s, there’s transcripts there’s videos, and there’s everything from introduction to rheumatology to autoimmune issues to integrative oncology, integrative dentistry, introduction and some advanced hormone work. So we have quite a bit of content. I don’t see myself so there I see you. You’ll be up in a little corner in a box because you have your screen here.
10:24
I have some other people but not myself.
Bill Clearfield 10:29
Well, I see. I see. I see you so you’re fine. You’re fine. It’s all good. Okay, and so. Okay, so. So Dr. Nick. Nick Ebert. You’re the one who’s going to be speaking with it for us. A little intro?
11:03
Yeah, just a little blurb. When you’re ready, just let me know. I’ll take we have three minutes or so.
Bill Clearfield 11:08
Okay, we got a give us another three or four minutes. And then we’ll we’ll start with you. Okay. And I’m gonna let you introduce yourself. That another minute or two. And then we’ll start now we’ll go to that confirm. So Okay. Last, winter’s with us, okay. Hey, Sam, good to see you. Thanks, buddy. Good to see you, too. Where are you these days?
12:02
I’m over in Florida.
Bill Clearfield 12:04
You’re under Florida now. Yeah. Yeah. We’re in Florida. Let’s see here on the Panhandle. There’s a place called Panama City Beach.
12:18
Florida. Oh really is the best beach in Florida.
12:25
It’s so nice.
Bill Clearfield 12:26
It’s just a real blessing. Now how long have you been there? Since August
12:35
since August.
Bill Clearfield 12:37
All right. So I guess you’re not coming back to Reno.
12:40
In my heart and through zoom. Coming back arena.
Bill Clearfield 12:45
Okay. Okay, so let’s see. Good enough at least to get started. So. So tonight we have Dr. McHale Berman. He’s going to talk to us a little bit about his his taking philosophy on anti aging medicine. But first, we have Nick Ebert said that I get that right.
13:15
It’s crazy Cajun names. It’s a bear.
Bill Clearfield 13:17
A bear. Oh, quarterback for those New Orleans Saints right in the very, yes. Okay, well, this is a long lost relative Nick a bear and Nick’s going to talk to us a little bit about grants and things like that. Take it away. Yeah.
13:37
Thank you, Doc. So yeah. Nick Gaber. I’m the Executive Vice President from a company called quartermaster tax management. You may have seen this around some events if you attend things like a forum and such. We’re the only firm in the US who specializes in healthcare professionals and medical professionals. Help them get money from the government. You guys all make plenty of money and pay your fair share to the government and we help you get some of that back. Real quickly. I just want to tell you the one big special thing that we do. The whole reason I’m connecting with all of you in this group in particular, we specialize in something called the section 41 research and development credit. If you want some bathroom reading feel free to download the monstrosity that is the section 41 research and development credit but it’s been around since the 80s. It was made permanent under the Obama administration in 2015 and opened up to medical professionals. And since then we’ve made it our mission to help medical professionals take this credit and it’s more than a credit. Essentially the government is paying you money. For anything that you’re adding to your practices. That is promoting patient outcomes. So when I say research and development that can be formal research, it can be clinical research, etc. But it can also be simple things like adding modalities going to a see convention and learning a new technique and bringing it to your practice learning something from a webinar like this and utilizing it with your practice and trying it with certain patients trying to promote patient outcomes. There’s a credit that comes along with that that is absolutely amazing. Typically, it averages about eight to 14% of all the medical staff within your practice to salary and so if it’s just you, let’s say it’s $100,000 That’d be about $1,000 a year in Florida, you get an extra four to 5%. So maybe around 13% So $13,000. The cool thing with this credit is we can go back three years there’s a statute of limitation and allows us to go back three years and regain the money you didn’t qualify for that you should have. So the government repays you that money this is what we do day in and day out. 1000s of clients health care professionals, we go in and we help them get that money. Our fee is a piece of that. So you stay in the black as part of this group. What we will do if it’s something you’re interested in looking, if it looks like you’ll qualify, which chances are if you’re in this kind of call you absolutely well. We will do a feasibility study for you for free. My emails in the chat. I’ll put your scheduling link in the chat here. It’s about a 30 minute call. I just want to understand what you do within your practice. What kind of if you’re doing any form of research, if you’re not helped me understand what you’re doing with your patients, how you’re promoting patient outcomes, what kind of things are you seeing within your practice and challenges and we’ll see how much you qualify for from there. We’ll do all that for free for you. And then from there you can decide whether you want to engage with us to go get it or not. Not a lot of people say no, please don’t go get me my money, but we absolutely well, if that’s something you want to do. Again, it’s section 41 research and development. So if it’s something you’re interested in, hit me up, and we’ll be happy to talk with you with it. We’ll let you speak to one of our tax attorneys as well. And go through and see what’s there. If you have any questions, please shoot me an email, and we’ll see what’s there for you. So thank you so much for letting me jump on and talk about that architecture firm.
Bill Clearfield 16:57
Okay, thank you. So we have Nick’s email address in the chat if you’re interested in that I have to admit I only hit didn’t understand most of what he was saying. But maybe we can get some clarification for the group because, you know, I’m a little bit old and I think my faculties are starting to go. Anyway, thank you. So much for that. And I’ll talk to Dr. Lawson and get some more info. Also. Okay. So thank you so much, Nick. Okay, so now, front, front and center. Dr. McHale. Bert Berman is an anti aging and functional medicine doctor. We become friends through one of the anti aging groups. And he he has he is from St. Petersburg, is it? Yeah, Russia. And he’s from a distinguished family. of physicians, both as both his parents were physicians and they’re very well. Not only very well read, but they’re very well published and he’s going to give us a little bit different perspective than what we’re what we’re used to. So, with that I will give you Dr. McHale Berman.
18:20
Good evening. My name is Dr. Mikao burrow and I’m practicing functional and anti aging medicine, bondage Gardens, Florida. First of all, I would like to thank the organizers and personally Dr. Clearfield for inviting me to speak in front of such a distinguished audience. And today I’m gonna be talking about neuro endocrine system theory of aging and we’ll be more philosophical and practical. And I hope that after the end of this talk, you may have some maybe somewhat different angle from which you look on anti aging, something that you may kind of apply your ingenuity and apply to the frappe to your practice. So so first of all, we need to find out what is life and what are the properties that distinguish living organism from all the other major phenomena. and Friedrich Engels, who was a not only coworker of Karl Marx, the father of Marxism, he was also a philosopher and he defined life as a form of existence of protein bodies and we’ll look at that a little bit more medically. And from the point of view of biology, the three attributes of life and something that distinguishes it from nonliving nature is three major attributes first is an ability to procreate, ability to adapt to the external and external changes in external and internal environment and exchange of energy. Living beings procure energy from the outside of their bodies and use this energy to build his bodies and to run the chemical reactions inside the body. Now, as we know, practically almost all living beings die. But we can distinguish different causes of death. And there are two major causes of this. First of all, it’s external deaths, external causes of death, which is very common in nature. First of all, it’s a predators, then it’s infections, trauma, natural disasters. The animals in the wild do not know the phenomenon of aging because they die from this external causes. Well, you you’re in case of humans, you know, we’re very ingenious people so we can add such things as wars and homicides. But this is external causes of deaths. But somehow, we, we need to figure out is maybe there is some kind of a biological clock that determines our cycle of life and find maybe some common features in all animals. So let’s talk about one single cell organism the paramecium. It lives in a water in a paddles and lakes, ponds. And when the parent Nisha grows and develops to certain size and gain some material inside the cell, they start to divide. Here the dividing, dividing and here is two daughter cells. And you can talk and you can look at this sales from two different points of view. Number one point of view that the buyer museum actually disappears when it divides producing two new parameters and by itself, it ceases to exist actually,
23:06
as a single celled organism, from the other point of view, it’s a turtle. It’s immortal because it wouldn’t die. It would continue to divide and if not stopped, it would occupy all the water waters on Earth, but they die and they die from external causes. Now, we get a little bit more sophisticated organism like a butterfly. Usually butterflies we know live about one day, they as they are born, they lay eggs, and at the end of the day, they dead. The biological clock ran a circle and the butterfly dies producing progeny. We see this phenomenon in much more sophisticated organisms such as for example salad. The fish is born in the upper reaches of the rivers. It grows somewhat and develops and floats down the stream and leaves down the stream of the rivers until again some maturity and and growth and after that after a year or two or so, it goes to the ocean. leaves there again continuing growing and accumulating fat. And when time comes, when it reaches maturity, the Salmond starts the journey to the river from which it originated sometimes 1000s of miles and during this time, the settlement ages pretty rapidly the jaws become curved the I sunk the scale software’s sales, and during this time solving produces tremendous amount of cholesterol, which is necessary to build membranes of sperms. Not only member is to build sperms and a row and when this journey is completed with asylum and goes to exactly the same river from which it which originated and go upstream, the river and then when the fish reach the place where they were born, they release the sperms and roll and after that every single fish dies. They usually die from infarctions due to the tremendous level of cholesterol in their blood. They infarctions of the brain of the kidneys of the heart, of course, and so forth, but none of the fish survive. Again. Life Cycle completed fish produces progeny and they die. Now, we are going to look at two two parameters. One is the maximum life expectancy that is determined by the record I mean they just record the age of the oldest person known red sleeve approximately can live up to four years. Elephants can live up to 80 and humans approximately 120 and females is 122 in males is 116. When we need to look at the average life expectancy, which in France and 15th century was only 26 years of age for humans. As you see in 15th century France. We have human born, grown, developed matured have about what seven eight years to produce for military and a progeny and after that human used to die from external causes mostly. And then with a somewhat slowly the average life expectancy in Europe by the beginning of the 20th century grew to 39 years of age, due to the mostly progress of society, improved living conditions and food supply and due to some advances of medicine
28:07
starting in a 40s. Humans discovered antibiotics so they became much more successful in fighting one of the causes of death, which is infections and rapidly the average life expectancy grew to nowadays about 76 years of age on average in industrialist and industrial countries. So now we have much more time to develop the phenomenon of aging. And what are people over 65 years die from 70% of us die from heart disease, cancer, I mean not only heart disease, we combine heart disease and stroke with cardiovascular disease, cancer, and then we have dementia and respiratory problems. So 70% of people die from the same causes. If you take out the people who die, age people are 65 who die from accidents, you know, natural disasters whatever. It leaves very little people who get outside of this numbers. And we now see much more phenomenon of aging because after reaching their productive state about aging, we probably know that that’s 30 After 37 years of age of the mother the rate of birth defects starts to increase. So we have 3040 years to live after will, we practically completed our procreative age. So how aging is defined? It is a progressive physiological changes in an organism that lead to senescence or a decline of a biological functions and of the ability of organisms of organism to adapt to metabolic stress. But what is aging caused by the view of humanity that changed with the advancement of science when we do people develop knowledge of law of physics like Newtonian laws and mechanics? The understanding of aging was wear and tear. Just like every human body was looked at as a very sophisticated and complex mechanical machine so people thought that people age just due to the mechanical wear and tear. When as knowledge progressed. We started to know more about energy and thermodynamics we start to think of the aging as just like biological humans, in our case, just come to the entropy, which is always increasing according to the first law of thermodynamics. And increasing entropy imposes ban limiting in time, the existence of any system that was the theory. So we were thinking that it is due to this thermo dynamical cause, but this would not explain. Entropy is contracted in our bodies by the influx of energy because we eat and we procure energy from the outside of our body. So there are must be some other reasons that gradually disturb the properties that distinguished living organisms from the other natural phenomena. Then, with the development of genetics, we started to think about aging as a
32:46
mutational phenomenon. Under the influence of sub conditions, DNA, develop mutations and the mutations accumulate over time, and then the irregular gradually reproduced during cell division. But this theory also have a flaw because DNA have a capacity to repair itself. And somehow this DNA repair becomes insufficient to continue living, so it doesn’t explain why we lose an ability to repair our DNA. Then there is a programmed theory of aging, like the Hayflick limit, because he discovered that every species organism genetic have a genetically determined number of a possible cell divisions. And this is, of course, determined by the length of the telomeres, which become shorter with every division. So when the telomere becomes short enough cell commit suicide undergoes apoptosis, but this theory also does not explain why. The decline, why there is a decline to the sensitivity to the growth factors which actually increase the number of cells and should counteract the Hayflick limit. And so are common to the understanding of the body as the next stage as a very complicated cybernetic machine. And as you know, cybernetics is a science of control and signaling. And here we come to the role of neuro endocrine system is the system of control of our bodies. So this comes to the neuro endocrine heat theory of aging. As we know, the practically the we need to maintain the homeostasis. Claude Bernard in the middle of the 19th century postulated, it was his most important discovery, that stability of the internal environment is the condition for the free and independent life the mechanism that makes possible is that which assured the maintenance was an internal environment of all the conditions necessary for the life of the elements. And in reality, our environment that didn’t change too much. Even now, our blood actually is almost identical to the chemical composition of Precambrian ocean where life originated. Walter Cannon coined the term homeostasis combining two words homeo, the same and stasis condition. And he stated that homeostasis is is a constancy in an open system that requires mechanisms that act to maintain the system just like our bodies. Homeostasis does not occur by chance, but is a result of organized self government. And then reality the body can be thought of as a society of cells, with some citizens performing the role of a governor in short, Nura indifferent system. That’s the system that actually mostly responsible for maintaining the homeostasis. As we already know, paramecium die from external causes the change of salinity of the water, the temperature, maybe some kind of a chemical admixtures that is incompatible with Vibramycin life, but it is external causes and paramecium is in K. capabilities to adapt is very limited due to its simplicity. And in fact, all the illusion is a story of increasing an ability to maintain homeostasis.
37:44
The deaths come from internal causes in himself but from external causes only barmy soon, because otherwise it will divide definitely long but insolvent this follows completion of procreation. The goal of life is to produce project after procreation is completed, the animal becomes disposable Soma. And now we need to look at what is the disease and the disease is a stable disturbance of homeostasis, leading to loss of function and death. So if you have let’s say, elevated blood sugar which is a stable disturbance of homeostasis, it does lead to loss of function and death. So maintaining the homeostasis is one of the main
38:46
conditions to to continue living. Now, if you keep in mind that we have three major attributes of life which is procreation, adaptation, and energy exchange, we have a normal diseases that develop in any aging animal in animals that usually pass so domesticated animals and humans. We just live past the time of procreation. So, if you look at this diseases, like a menopause, it’s a disturbance of procreation or ability, obesity atherosclerosis diabetes, is the disturbance in homeostasis of energy, cornea stat. HyperAdapt dosis. It’s an interesting term. It’s a it’s a condition with the elevated cortisol that develops, you know, that cortisol raises with age. So it’s the condition under we live as if we’re constantly under stress, which also very much connected to hypertension. And then we have a depression in cancer, which also kind of have very close relationship to energy exchange, and hybrid of doses. So animals consists of cells and cells are regulated by the government which is a central nervous system. And I will say neuro endocrine system, and in short, a system of body regulation is following brain receives the signal from environment through the organs of senses, and from the inside the body with from the receptors by receptors, thermo receptors and so forth. Chemo receptors. brain sends the signal to the hypothalamus, and hypothalamus. Send the signal through the nerves or hormones to cells and cells change their chemistry in response to this signaling. So hypothalamus is the major organ where the which is responsible for maintaining the homeostasis that is where the nervous and endocrine system merge. It is definitely part of the brain because contae is consisting of neurons, but this of neurons have ability to secrete miniscule amount of hormones, which are releasing factors and it sounds this chemicals to pituitary, the hormones, which practically works as an amplifier of the signal and because it we need the pituitary because COVID hypothalamus is not a gland and besides it receiving millions of signals, it was the at any moment. So it just need to respond and go to another task. So that’s what’s happening. This is why we need a pituitary gland to have of course to produce some hormones by itself but also to act as an amplifier or people that want to signal to the glands. And it is the organ responsible for maintaining of homeostasis. And this is emigrants system is not interesting. But what we need to remember that HIPAA law must is the only place which regulates at the same time pro creational, adaptational, and energy homeostasis. So apparently, if all three homeostasis are being somewhat disturbed, that is maybe a place where the the aging practically the process of aging originates. So, how the hypothalamus and neuron endocrine system work it works on as a cybernetic principle of negative feedback loop. I would demonstrate the negative feedback loop on example of bathroom toilet and bathroom de which is invented to maintain certain amount of water in it and not not to overflow and actually, to be able to be used on its own.
43:44
So we have we flush the water the flow goes down, pulling the arm with it down, arm goes down and opens the water flow. Wow when water starts to rise, it raises the float the float reaches the certain probably horizontal position. The arm stops the flow of water so the system is regulated by itself. And this water actually is the agent of regulation. A signal of regulation. But if we think of how to increase the capacity of this system, because the human and animal body grows so here comes an interesting phenomenon. There is a in the current system, I’m not gonna repeat myself, this negative feedback so forth. So now we need to figure out we are growing our system become most most sophisticated and advanced. All the systems increase in capacity. But the stability on its own isn’t capacity with a development development is change. And stability is the absence of change. So how can this two phenomenons of stability and development can be combined and exist at the same time? And here comes? Dr. Vladimir Dieleman, who was my father’s friend and co worker, who I knew very well because he was visiting our house pretty often my father will do when my mother would go to visit him they were they had a pretty similar biographies. They were young 1819 year olds. And we’re called to fight in a world war two in Russia. They survived they came back they were actually they were about in their yeah in their 20s but they were already medical students they undergo they went into the special Army Medical School where they were studying 24 hours a day did the shortened course and became a physicians and served in RMS positions. And then when they returned, they both had an interest in oncology. So he was studying on ganda chronology and my father was studying and researching on urology, and he came up with this theory the newer endocrine theory of aging and he says that for example, we grow the fertilized egg turns into embryo through this baby child adolescent. And all this requires the increase in capacity of all three major homeostatic energetica, habitational and reproductive. So what’s happening what is where is the place where all the changes need to be in order to affect all three major homeless deaths? So let’s go back to the tank. Let’s imagine that the tank size slowly increases with age it was slowly increases in the size with time. At the same time maintaining the same level of the water when it’s full. So we need more water because the tank is larger in size. So actually this system with the growth of the tank, the system becomes less sensitive gradually less sensitive to the negative feedback from water level. The same thing happening in
48:07
hypothalamus. Dieleman postulated that at every single moment, our body is in a state of in a homeostatic state, the temperature the blood sugar, the minerals in our blood everything the temperature is maintained within a very tight range. But with growth with gross the hypothalamus loses the sensitivity to the negative feedback, negative mechanism and he thought that it is because the content of neurotransmitters in the hypothalamus gradually decreases allowing for the growth and development of the organism. And it can be easily demonstrated by DEXA mod methadone dexamethasone suppression test because in a younger individual at the age of 25, the DEXA methods on shots usually drops the cortisol approximately 50%. And if you take the 50 year old, the same dose of the dexamethasone would drop the cortisol levels 30% So that means that the DEXA zone the sensitivity to the DEXA methadone of the hypothalamus is lower in older person than any younger person. So the theory is at any given moment homeostasis is maintained. gradual decrease in sensitivity of the hypothalamus to hormonal feedback results in increased production of releasing factors. Decreasing sensitivity occurs due to decrease in neurotransmitters in the hypothalamus. However, the process does not stop when we reach the size and complexity of the reproductive organism. The goal of the existence of any animal is to create project after progeny is created an animal becomes disposable Soma, the beneficial process of development transforms to detrimental process of aging. It’s like wave. We go up and then we go down. There’s after procreation. Why do we need to die? Why don’t we actually continue to procreate why the processes in our body that is so beneficial in the beginning become so detrimental at with advancing age? Well, it’s very important for the older animals to die because first of all, it helps to maintain nutritional base for new generation. The availability of food increases the rate of exchange of genetic material. So that’s beneficial and then decreases number of birth defects that are becoming more common with advancing age. So actually, the stopping of procreation with age is actually very beneficial from the point of view of a population. So what I want to talk I don’t have time to talk in details about all three or four major steps and what kind of changes and how they’re happening. But what I want to talk to you about the energy home is that today and what happening with age with aging, so energy hormones that have four major factors, of course, it’s simplified, but it’s mainly four major factors, glucose, fatty acids, insulin and growth hormone. We need to remember that the acids do not require any assistance in getting inside the cells because they’re fat fed dissolves in fat and they can easily penetrate through the cell membrane that is also a fatty substance. Glucose on the other side requires insulin in order to be able to introduce inside the cell. So let’s see what’s happening with aging. When we are children, and you know, during the growth period, we grow, we play a lot. Children are nonstop. They constantly, you know, moving, spending a lot of energy, and also they’re eating a lot. We know how much children eat especially during the time of
53:08
puberty. So the food causes the rise in blood sugar and fatty acids. It follows with a release on insulin. Fatty acids are used to feed the muscles and when there is not enough energy for muscles. We use glucose that is burning in a fire of fats. excess glucose is converted to triglycerides and triglyceride deposited into into adipose tissue, creating the surplus of fat. And that’s why children actually always a little bit if they’re not starved. They always is a little fat cells. Now at night it’s a nighttime metabolism. The food is not common and drop in glucose sugar causes the relief or release of growth hormone growth hormone moves fatty acids from the fat cells into the bloodstream. The availability of food for the muscles which is not high requirement right, create the rise of the glucose level liver releases IGF one under the influence of growth hormone. And with the increased amount of fatty acids in a blood, we can build more new cells. So it’s a nighttime metabolism. That’s what happening when we are growing however, we reach the stage of young adulthood we stop growing and our energy requirements drop significantly. We’re not building any more tissues in us with a speed that we were doing when we were growing. We’re just maintaining the existing cells and just existing body we don’t not grow anymore. So what happens according to that our appetites supposed to drop after we reach the growing stage, but it doesn’t. It doesn’t drop. We do have the same appetite. We don’t we don’t consume less food. So what’s happening in the hypothalamus at that point we have two ways to control this fat content in our body and the energy flow. Do I have a strategic center it’s a long term center which regulates the fat mass by regulating insulin level, because the more insulin the more fat is in the body. And vice versa. And there is a short term appetite regulation. It’s a tactical Center, which consists of two centers Congress Center or and satiety center so hunger Sandro food center responds to low levels of glucose that induces us to be hungriest satiety center responds to rise of the glucose level and it inhibits hunger center. And that’s how the metabolism supposedly controlled in the hypothalamus. So sensation of growth and development leads to decreased need for energy. Appetite should decrease but it does not keep it alive. It centers appetite centers becoming less and less sensitive to the action of glucose. Rising glucose and insulin levels. Do not suppress do not suppress appetite as effectively as in childhood. And here we’ve got the development of age related obesity and obesity as we spoke about disease is a stable disturbance of homeostasis. So if you think about it, we supposed to have about 20% of fat in our body when we’re young, so let’s say 150 pounds pound man will have approximately 30 pounds of fat. Now just imagine that this 150 pound man gains let’s say 15 pounds of fat. There will be 50% increase in the amount of fat that ideally he has to have.
58:06
Compare it with blood pressure which normals blood pressure is 120 over 70 Increase it to 50% 50% you get 180 or 140 is a 50% increase. But for some reason, increase of that magnitude and fat would not do not concern us so much. But it is a stable disturbance of homeostasis How does it happen in adult again, we have high fatty acids due to increase level of fat and fat cells do not increase in birth they actually grow in size the membrane became becomes thinner and more permeable for fatty acids to just be leaked out in the bloodstream. We eat food, but we don’t use as much energy. So practically almost all glucose when it’s rising. Under the influence of insulin goes to the liver and triglycerides and fatty acids are produced and deposited in a fatty tissue. So we then fatty tissue releases fatty acids. because aside from the time when we actively physically working we don’t require so much glucose. So instead of having night and day to dabble is a we actually when we stopped growing we using only night metabolism and that is a stable disturbance of homeostasis we do not use burn glucose we actually turn glucose into fat and then using this fat according to our energetic needs. So this process going further and further increasing the fat content of the body and it’s known that the fat content cells of the older man or woman, all the humans would be higher than any young age. And here is age related change in postprandial glucose. The upper line is the older subjects at a lower light is a younger subjects and for some reason, insolent even high amount of insulin do not normalize the glucose levels. For some reason why because of the less sensitivity of pubertal students. Here is insulin sensitivity and insulin resistance charts insulin sensitivity goes down and insulin resistance goes up with age. So we growing and growing older middle age, elderly senescent so what does obesity really equals do? We know that obesity is a major cause of atherosclerosis and arterial sclerosis is a major cause of all the vascular cardiovascular diseases, strokes and heart attacks and so forth. It also is a big risk factor for diabetes, which is also as stable disturbance of the homeostasis. We have hypertension which obesity plays a big role immune to depression. The phagocytes at certain point start to consider fat as a harmful substance harmful agent and start to consume the fats. Fats incorporate in their bodies and turn into form cells which immunologically is inactive and of course obesity can is a big factor in development of cancer because of the increased amount of material for cancer cells, so to divide, so obesity equals aging. That’s a disease of diseases and the other homeo stats decrease in hematologic sensitivity to negative feedback from cortisol leads to gradual increase in this level, and thus HyperAdapt doses. rise in blood sugar blood pressure decrease in immune immune responses.
1:03:00
Decrease in hypothalamic sensitivity to negative feedback from sex hormones leads to menopause and andropause. I don’t have time right now to go mechanisms of this changes. But I know it is true. So now the major question philosophical question. Any stable disturbance of any parameter in the body constitutes a disease. Medicine knows 100 those diseases, but 80% of older people die from the normal diseases of aging, diabetes, hypertension, cardiovascular disease, hybrid of doses, depression, immune depression, cancer, so called so forth. So the list of nine diseases of aging before so we can conclude that aging is considered a normal process because everybody, everyone on the ghost and could we could we consider aging a disease by itself? Just like we do not. Like if we take diabetes, we do not separate diabetic nephropathy from dire berec retinopathy from diabetic neuropathy. We all know that the major cause of these conditions is the disease of diabetics. So maybe aging is a condition a stable disturbance in homeostasis that leads to development of all the normal diseases of aging and this normal diseases of aging is just manifestation manifestations of the other diseases of aging. They are the diseases of aging is a manifestations of one disease of aging. I’m sorry, Gary the way so it is possible to consider aging your disease because it is stable disturbance of homeostasis in all three major homeless deaths. The fact that changes occur simultaneously many systems and occur in everyone does not make it a norm. Because hypothalamus is the only organ in the body that controls homeostasis by influencing hormones. Aging can be considered a hormonal disease and of course the goal of anti aging medicine is boxing the curve what we need is we need to prolong as long as possible. The state of the organism of inhuman it is about 3035 year old humans with the highest level of activity mental physical pro creational. However, procreation is not that easy to achieve women with a hormone therapy but the physical and mental and spiritual state of peak should be continued as long as possible to the so we need to retain your way this curve making this slow decline of function steeper and steeper and steeper. And that’s it there is some kind of Bible studies there. This is the my book. Foremost for morals. It’s available on Amazon and everywhere. So now we can go to question and answers and anybody have questions? Questions. Thank you.
Bill Clearfield 1:07:05
Thank you. So in real life, how can we use what you’re what you were outlining, to, you know, help ourselves to help our patients help ourselves. Do you have any thoughts on that?
1:07:21
Bailey a very practical guy. Like practical things Yeah. Well, of course. We can look at the try. We can try to replenish neurotransmitters in the hypothalamus. That’s, of course. Number two, the major, major major goal is to you know, to fight obesity, because obesity is practical is the main cause of all of the it’s the starting point of developing of aging. Because obesity influences practically all endocrine glands. So, weight control and appetite control, after achieving Remember, an active state is extremely important. And, of course regulation of the hormone levels and achieving achieving the healthy levels of hormones, sex hormones, thyroid hormone stress control to control the level of cortisol which is rising, just normalizing hormones and avoiding obesity and supplementing with amino acids and hopefully, restoring some neurotransmitter levels using tyrosine you know the the tryptophan GABA is harder to do because GABA is actually does not penetrate the blood brain barrier. There was this supplement it was considered supplement here it was called FeNi boot which is some altered form of GABA that penetrates the brain into the brain but they I think they kind of outlawed it or something like that.
Bill Clearfield 1:09:34
But yeah, there was some there was some problem with that. I don’t know off the top of my head I don’t remember.
1:09:39
Well, because it was acting as GABA. It was actually acting as GABA it was GABA that would penetrate I think it’s a phenyl group there that make it able to penetrate the blood brain barrier. But because it was acting practically it’s a GABA. It was acting almost like identical to benzodiazepines.
Bill Clearfield 1:10:09
Right well the word makes a farmer GABA. I mean you can get that most supplement companies have something that have has GABA in it.
1:10:20
Yeah, but GABA doesn’t penetrate blood brain barrier so you can eat a kilogram of GABA it will not get into the brain Okay. At this funny bullet was actually derivative of GABA, it was a it was GABA with a female female female attachment which was which was cleaved when it gets into the brain and was actually GABA but it has all the qualities of benzodiazepines, people were getting somewhat dependent on it. But also also I mean you have you have such a such a foremost like pregnenolone and progesterone that are very GABA active. Right?
Bill Clearfield 1:11:06
Yeah, there’s a FDA approved medication called I think it’s brexanolone which is, which is a synthetic allopregnanolone which you know, stimulates GABA production. It’s FDA approved for postpartum depression. It’s a little bit not ready for primetime. It’s, it’s presently it’s only available as a, an intravenous form. And the protocol is for an intravenous 60 hour. Continuous intravenous infusion so it’s it’s an inpatient infusion. There’s a 5% incidence of sudden loss of consciousness. So it’s not good for if you’re driving, for instance. So it’s used, it’s used as an inpatient and it’s $34,000 for a treatment dose. So
1:11:58
that’s pretty successfully treated several patients with postpartum depression with progesterone and pregnenolone. They respond very well.
Bill Clearfield 1:12:12
Yeah, so so that I know from my research that pregnenolone at 400 milligrams will increase allopregnanolone levels by about 300% within six hours. So and I can find it a literature and the way you need that so
1:12:32
it’s not a badly
Bill Clearfield 1:12:35
it’s a high dose. Yeah. Okay. How about any types of protocols that you use from the information you presented? You know, somebody comes in and they’re they want I want to live longer, Dr. Berman, but what can you do for me?
1:12:54
Well, first of all, we do normalize the hormones that I say directly. dosterone deficiency, you know, in males, estrogen deficiency and progesterone deficiency. Treat menopause. In men and women. So I droid levels. I tried to date rate with the combination of T four and T three to the TSH of approximately one and a half to two and a half. So basing it on a temperature you know, Wilson syndrome
1:13:37
support the adrenal function with mostly with the adaptogens and very night alone, and, if needed, gifts, sub suppresses doses of cortisol if they are if their cortisol levels are low. And especially using the for probe cortisol, you can actually target the therapy. If they have some drops of cortisol, because cortisol levels actually increase. But due to the fact that we are after especially after severe stress will episode we develop cortisol deficiency adrenals cannot cover the needs of the body and sometimes you need to give themselves suppressive doses of cortisol, very low levels, low doses of cortef. I can use us as as low as 10. milligram cortisol levels, we produce males about 40 milligram females about 2025. So if you give them 10 milligram 15 milligram of cortisol, it wouldn’t suppress their own function but it will support their cortisol levels that treats depression very well. Many courses all deficient states. Not a therapeutic it’s purely suppress, supportive and the again, the supplements that support the reduction of the neurotransmitters mostly tryptophan, taurine. Tyrosine I came up with a new study something new recently. And fourth is the name of it. I forgot the name it’s done by ecological formulas which is supporting the enzymes which take part in the conversion of amino acids into the neurotransmitters such as dopamine and serotonin. I just didn’t it didn’t yet. really started yet. But I can send it to you. Okay.
Bill Clearfield 1:16:18
Here’s a question. Statement. From Marie Fogarty. It seems like this information should be learned as early as possible and incorporated into our educational system. Some of it was included in my education, but it’s but is that still happening? And if not, then it is the responsibility of our medical system to make it available each and every family. The current normal American diet is obviously contributing to early disease. Thank you for a great lecture. We’ll be getting your book. So there you go.
1:16:46
You know what my son who is a veterinarian, he read the book. And he said it was I was, frankly surprised. He said, You know what, it was a really, really good kind of refresher for the neuro endocrine system.
Bill Clearfield 1:17:05
You know, I can actually vouch for two I’ve also read the book and you know, I was I was quite quite intrigued with it. I read it all in two nights actually. I especially like that the end there, your your your take on what you called hormone a phobia. So all of us here, no, you know, the oh my god,
1:17:26
I lifted it from this Brazilian guy.
Bill Clearfield 1:17:30
So well, that’s okay.
1:17:32
I don’t know the author. I’m not I’m not claiming the authorship. I liked the book. You know which one I liked. My favorite chapter is the stress. The reaction of stress when the dog meets the cat.
Bill Clearfield 1:17:48
Well, we’re all in favor of being stressed, right? Yeah, we Steve we seem to go toward it. So. So Dr. Patel, this is kind of your little bit of your area to write any comments.
1:18:05
I yeah, I enjoyed his lecture and I so then he discussed about the neuro immune endo and neuro endocrine system. I also put the immune system and cardiovascular system. He indirectly Dr. Berman included and in in there, that when there are stable diseases, they were included in them. So my question is, with aging, I have seen that in the 40s. They start developing a problem with the weight gain. And do you contribute that to the the hormones or you contribute that to the insensitivity of the hypothalamus and forward mechanisms in which are dealing with the satiety because I see that patients don’t want to eat but they don’t feel satisfied and and if that is so then how would you interrupt that? Because hunger is something on a full stomach. They can get under an empty stomach, they can get under and not necessarily they’re hypoglycemic all the time.
1:19:28
Well, my take on it is kind of a two legged. One is that in America, people I think it was either in the 60s or the 70s. Usually when the baby is born and immediately taken to the mother’s breast and get the first portion of milk, I mean, the colostrum Of course. And this is the first impression first imprint of food that a normal newborn gets. Mammal right. And first imprint first food is always the first impression is the most important brush, right? So this imprint in the brain that imprints their milk is the most important through all our life. And I don’t remember 60s or 70s, I think it was in the 60s. When they came up with a theory that the baby needs hydration right away after the baby actually washed and delivered. So they would give the babies a little bit of the sugar water to drink. The sugar water was the imprint the first imprint in a brain connected with the food and if you see right now in America the other industrialized countries, or at least it was before but right now still in the lower social economic levels. People drink sugar. They don’t drink water. They don’t understand that they drinking sugar and they desensitize themselves. They need sugar, they’re addicted to sugar. I was surprised when I came to America. Everything was very sweet. Hotdogs were sweet and was sweet. You know? Salad dressing was sweet. Everything was sweet. Everything added sugar so that of course contributes to decrease in sensitivity to insulin but also the fact that the regulation of appetite also driven by neurotransmitters. There is some benefit to adding some tryptophan to the food because insulin also increases the supply of a tryptophan to the brain after food. And a tryptophan will give you a little bit of the feeling of the status of satiety by itself. If you had maybe 250 milligram of tryptophan with food at the time of the meal, but to increase sensitivity to food, I mean you need to put them I mean if I was if I was in Russia, we were just getting them too fast for 10 days. After fasting 10 days. You extend the diet and they’re very satisfied with much smaller diets and the sensitivity is somewhat restored. Just fasting is very beneficial. Especially prolonged fasting, they had the they had a how to call it this study when they put two to two groups of rats was one group was given the all in all what the all you can eat food and the other group was given 40% less and the rest that ate 40% Less they were leaving 30 to 40% longer. So it has to be some calorie depreciation as a intervention and aging intervention.
1:24:02
You mentioned about that. To give tryptophan with food, why was that? Pardon me? You mentioned something about that tryptophan should be given with food
1:24:17
Yes, yes suggest maybe a bill of tryptophan 250 milligram with with food it will actually or before food actually and it will increase the it will increase the satisfaction from food they eat less.
1:24:35
Okay, so how how long does it take to see that happen?
1:24:41
Oh, you will see. end To observe them because it’s not that they stop eating but the satisfaction from food is greater they generally less if they take tryptophan just at the beginning of the meal or even 1015 minutes before the meal
1:25:08
but it does not do anything to the appetite or it does some appetite
1:25:12
Oh is just that they feel satisfied with a boo food faster. A lot of times we food not because we hungry but because we just enjoy the taste and it improves it improves the mood. Good food improves the mood. So it definitely is the effect of amino acid salmonberry and sugar of course.
1:25:49
So short you think it is all nothing but the protein is very important for the for the living human body.
1:26:00
Well when you grow and you need to have a lot of fat and and carbs to cover the energy and the ability to of course protein is the most important but when you when people are growing and developing yes passage in carbohydrates is very important. But right after we finish growing and not right after we finished drawing by the early procreative time we should control the energy intake by cutting down on carbs mostly
1:26:44
because it is the Western diet has more more protein as compared to the other parts of the world. And and western part of the world has more more problems with the aging than the other part of the world. So my question is that the protein content meat eating is much higher in the western part of the world. So what what is what is there that to say that yeah, protein is there for the aging is compared to the the other parts of the world?
1:27:25
Well, first of all, we can afford protein. As you know, protein is a most valuable product for humans. So most of the other countries in the world they cannot afford as much protein. That is one of the reasons why they don’t eat protein they would have. The other thing is that westernized society limits physical activity tremendously. In the other countries. You know people physically more active if you need to go a mile to a nearest store. Or if you chop the wood for leaving while you are present who spend a lot of time in the field. Physically spending energy, of course, Bill, the obesity rate in America and is totally overwhelming. When I was studying in Russia, they were telling that for some reason in America, there is a tremendous amount of diabetes. In Russia. Diabetes was very, very rare. But we didn’t have cars we walked and people who are physically and we didn’t need to eat sugar was that amount of food was not sugary. But protein of course, everything in excess is not good. But protein you can always make into carbs with gluconeogenesis.
1:29:07
I’m strong believer in restriction of carbohydrates so green vegetables and meats, meet some drinks. Of course you cannot eat a two pound steak every day.
Bill Clearfield 1:29:36
I think some of that was was you know as genius doctors in the 80s told everybody to not eat fat, right? Oh yeah. So the food companies took every fat out of everything and put sugar in everything.
1:29:48
So yeah, but then they also put them on statins and now we have a epidemic of epidemic of the dementia.
Bill Clearfield 1:29:59
Well according to the lipid ologists. That doesn’t happen. That was disproven. Okay. I’m just telling you I had a big argument with the doctor lillo’s lipid ologists in our group and he will argue to you you’re blue in the face that that’s was disproven. And it doesn’t happen. So
1:30:18
well. I also read articles about the high fat diet, high fat, keto diet, which is very beneficial, slows down the development of dementia.
Bill Clearfield 1:30:33
I’ve read the same articles so I’m just I’m just passing along the information. So you know, if you follow the advent of the no fat diet, you remember back in the early, late 80s, early 90s You know, avocados were no good coconut was no good. No, no fat raspberry vinaigrette. That was the that was the salad dressing of choice. It was full of sugar.
1:30:57
McDonald, Matt McDonald and Dr. McDonald’s diet or something. Yeah. He was a high predominant in carbs award avoid fat increase carb. And
Bill Clearfield 1:31:13
yeah, and then there was the food pyramid in like 1992 with the base was carbohydrates. Six to 10 servings a day of carbohydrates and little to zero to 5% of fat
1:31:29
and well that didn’t clarify what kind of carbohydrates if it’s a long chain carbohydrates, let’s say cellulose.
Bill Clearfield 1:31:36
They were talking about what they were talking about white bread, even
1:31:41
the whole grains a whole grains and and the
Bill Clearfield 1:31:49
Yeah, they had pictures of it, you know to you know to
1:31:52
and even even now for vegetarians I think the vegetarians, whole grains and and also the process. The grains beans and whole grains are part of their diet with the nuts and seeds. So So according to your diet. How does that diet stand Dr. Berman?
1:32:20
Well, a lot of vegetarians. They do it for spiritual reasons and for moral reasons. It’s not that they feel that vegetarian diet is healthier is that they feel that they don’t want to kill animals. I have a friend who is like that. Who just doesn’t he doesn’t wear anything leather. He doesn’t wear silk because they kill the worms to make a silk. So for him it’s immoral and a lot of them are like that. Some of them I some of them feel like it’s a very beneficial. But if you if you think about the how the GI tract of the humans are build It’s most probably similar to the GI tract over big which is omnivorous. We don’t have a GI tract of the herbivorous animals. It’s just we started to eat meat more. And that as far as I understand, it’s not again it’s not my theory. But what started actually the rapid development of human brain is the invention of fire and cooking with fire that made actually the meat much more easily digestible and that have made capacity of the prehistoric make prehistoric humans capable of developing actually human brain from the pre human brain, the availability of capacity to digest meat better the meat that was cooked
1:34:34
so, sir, being you know the indoors they were not meant in over there they they were eating more of a vegetarian food and also it became a religious part. And that does not mean that they are not developing normally they don’t have but you know, the modernization has made them fat. It was not the original original diet that made it fair because the modern diet is refining and when you refine anything, it is easily digestible easily assimilated easily glucogenic response and as a result, higher insulin and then what ends up developing the insensitivity because there is too many have peaks and valleys. So, yeah, well, I
1:35:32
mean, insulin sensitivity is a very important issue. I mean, we need to think of how to maintain the insulin sensitivity. I’m not a I eat mostly. For example, I tend to be overweight. I eat greens and meats you know dr Clearfield knows we went to the we had a travel acquainting restaurant here in Miami.
Bill Clearfield 1:36:07
We didn’t have any problem. We didn’t have any problem Find him you took me to a Russian a Russian restaurant was a Russian or Uzbek restaurant and
1:36:14
what was it in Dallas? No, it wasn’t Dora. It wasn’t there. I remember we were looking at my wife said he needs a he needs a salad with a piece of chicken or meat or fish. And everywhere they have bread Bread, bread, bread rice, you know and I need my salad
Bill Clearfield 1:36:36
All right, well, she need to go down to the Piggly Wiggly and get a bag of salad and you’re all set. Okay, anybody else have any comments or questions? going once going twice. Anything in the chat here? That a lot of attaboys and very good to hear Dr. Berman. And lots of thank yous. Thank you for being with us. And we put you on our email list. So we’ll be inundating you with our events also. Thank you. So okay. Okay, thank you for thank you for sharing your information and your wonderfully titled book here. I think you should make it a series Thank you can sort of break it down you know thyroid for morons testosterone for morons. You get the you get the picture. So
1:37:41
I moved to Costa Rica because you know, I need to be living a hermits life you know, somewhere in the mountains without a car and the nearest shop one mile and a half.
Bill Clearfield 1:37:54
Okay. And anybody, anybody? Please get in touch with me if you’re interested in presenting on our Tuesday nights and next week, Dr. husel will be back with us. He’s going to give us part three of his immuno oncology integrative oncology series. Dr. Patel if you have anything else to add, you know, I’ll be in touch. Okay, I know there’s always something Yeah. There’s always something there’s always something anybody else anybody who’s who’s not, you know, not used to speaking and not used to presenting if you’re interested. This is a great forum. You know, you’re you’re in your own space and you’re talking to a machine we’re looking at you nobody’s gonna throw tomatoes at you. And so we sort of encourage encourage your participation. Dr. Burgess, do you have anything to say about omega? So omega, as you know, as the AOA scientific convention coming up in October, we have to get the scheduled prepared already. I haven’t recovered from the from the from our Las Vegas event yet. And oh, in case you missed it, we we were reevaluated by the AOA and we were we credentialed as a CME granting organization for five years. So and that’s for AOA and ama CME credits. So
1:39:28
now why don’t you get it for your webinars?
Bill Clearfield 1:39:32
The problem with the webinars is, is there’s quite a bit of paperwork that needs to be done and it’s me and I don’t have the I don’t have the capacity to do it. So I’ve been working with them for the AOA for months now to see if we there’s some other way that it can be streamlined.
1:39:54
You can give you the guidelines that what you would like
Bill Clearfield 1:39:58
now they want they want it they want a roster they want they want the speaker has to have certain things signed, you know, we can’t make we can’t mention brand names which you know, we we can win without the CME. There’s all sorts of paperwork that has to be filed. I mean for that for the Las Vegas. It took me a month to do it for the Las Vegas Convention. It took me a whole month to get all the paperwork, right that was and that had to be done 45 days before the the the the event and then I just about finished the post the post work on it. So that’s, you know, it’s it can be it can be quite quite onerous. And I mean, it’s just me, you know, I mean, I don’t
1:40:48
manage the October meeting. Where is it? It’s
Bill Clearfield 1:40:51
in Boston. What’s the dates? October 19, to the 23rd or I think it’s the 27th to the 30th. Right? Yes.
1:40:59
20/27 to the 30 is the last Friday, Saturday. Sunday, the last Friday, Saturday, Sunday?
Bill Clearfield 1:41:07
It is it’s the AOA scientific convention
1:41:12
you know we Bicycle Association,
Bill Clearfield 1:41:15
American Osteopathic Association, okay. I don’t but don’t don’t despair now. They actually are eligible for CME ama CME credits now, so you’re more than welcome to come.
1:41:29
Thank you guys. I need to go because it’s two times later here. Yes,
Bill Clearfield 1:41:34
we know that. Thank you so much, Dr. Berman.
1:41:40
It was fun. The questions.
Bill Clearfield 1:41:42
Are there recordings from Vegas available? The answer is not yet. I don’t know where they are. I call them at least twice a week that are not yet. The slides are available, but they’re password protected and I’m sorry, I forgot what the password was. So I’ll find out what it is. And I’ll send an email to everybody who you know who was part of the the groups that are you’ll be able to at least get the get the slides and I will I will press them. And John any have anything to outstand
1:42:21
No, everything’s in good shape. And Dr. Patel just as a note, one of the reasons we’ve done the webinars without CME as well, is because we’re allowed to speak more openly and honestly about situations when we are in other situations with omad. The national meeting, the CDC came in and told us to keep our mouth shut and get it out of the way, which is what we did. So we have to be very careful when we’re talking about bioidentical hormones and the other basic things, especially vaccinations and COVID. So when we had our own special meetings like we did in Vegas, Dr. McCulloch was able to speak when we were in the national meeting, the restrictions were a little bit tighter. So that’s one of the reasons we don’t do the CMA because they controls with rules.
1:43:11
Thank you. That is so true. Yeah. Being controlled directly or indirectly.
Bill Clearfield 1:43:19
Okay. Comments, questions? Okay. That case we’ll see you all next time. Same time, same station five o’clock next, next Tuesday with Dr. losses on is up next. And we’ll, we’ll see you then. So thank you everybody, as always, and if you have any, any suggestions for speakers if you’d like to speak yourself any topics that you’d like to hear about? Please let us know. And with that, John, tonight, Oh, good. Thank you. Dr. Renza. Dr. Rodriguez. Thank you Dr. Patel, Dr. Vasa doctor Dr. Vani. Dr. Cruz Chang. Dr. centric. Dr. Peterson. Thank you all for being here. Dr. Fogarty. I think I mentioned everybody.
1:44:12
I, I have a topic that I can discuss what dates you have? Are they open?
Bill Clearfield 1:44:23
Next one I have opens may 17.
1:44:25
May 17. Two weeks from today. Okay, probably I will do it.
Bill Clearfield 1:44:33
All right. I got you down. Okay. Thank you. Thank you so much. Okay. You’ll have you know what, we’ll talk about it later. Okay. Yeah, let me know what Okay, okay. I got you. I got you in the hall here. So once you’re in you can’t get out.
1:44:48
I have a 30 lectures, I can do anything. Okay,
Bill Clearfield 1:44:53
well, we’ll spread them out. So. Okay, thank you. Okay. Thank you. So much, Dr. Patel. Okay. All right, John. Anybody else? Okay.