From Athlete to Esthetician: Why Skin Matters?

In the pathway to peak performance. You've had some really bad injuries.

Yeah. Broke both legs. When you're faced with a challenge like that, if you've pushed yourself at one point in your life, I had that mindset of it's just another race.

Are facials and lasers going to help mitigate skin cancer? Yes, guys need facials, too. It's very important. It's skin to skin. All of this stuff plays into all health and well-being.

Women's health is we got hormones, we got perimenopause, pre, we've got menopause, we got post, all those hormones. This is huge for women. If we don't replace those hormones, we don't replace that estrogen, you're going to feel horrible.

Sherri Bihn, welcome to the pathway to peak performance. So great to have you in, my friend.

Oh my gosh.

Uh, long time coming. You are a hard person to track down and get in this studio. You are busy.

I am busy. Thanks for having me, Jock. Yeah, I'm happy to be here.

Yeah, super excited to talk to you about. We have a lot to cover. First things first, your charity is UCSF Cancer Center.

Yep.

Great. Fantastic work done there and uh so so important. I mean the advances that have been made UCSF with all the research advances that have been made uh would have a serious impact for uh many people that let's just say that it's it's a pretty significant uh organization. So

Yeah, they've come very far and they're doing genetic testing now. So it's a good cause.

Big stuff.

Yeah, big stuff.

Um all right, the show is sponsored by KetoneAid. Uh you as an athlete are well familiar with uh ketones. Um I know you've used some other ones. These are the ketone esters by KetoneAid. Um and so there's KE4 and KE2. There's two cups here. Um so which one would you like to try? KE2 or KE4?

Let's go for KE2.

Okay, KE2 it is. We will drink those and then we'll time it and take a look at where we are in about 30 minutes. There we go. Okay. Little cap.

And then typically, do you take this before you work out?

I so I take it preworkout uh for a reason that is not like normal. Essentially, I take it because it's anti-catabolic. So, I typically train fasted with just essential amino acids on board with a bunch of water. So, I super hydrate, then I go in and I have a hydration formula that I use. And so I'm training and I'm using this to kind of keep myself. It's kind of funny when you when it starts to kick in, you start to peak up and where where a workout would start to tail off. This is sparing glycogen. So it's making you so we feel like we can lift harder in the gym.

Yeah.

It's pretty incredible. So this one is um is the one that typically people say tastes better. Um so here here we go. Cheers.

Cheers.

Not bad, right?

That's not bad.

Yeah. I'm curious. What do you think that tastes like?

It's kind of um earthy, like green. Am I getting green apple or something?

You know, it's funny. So, to me, it tastes like maple syrup. Everybody has a different like taste profile on this.

Interesting.

You hear all these different people say different things about it, and it's sort of interesting to I'm always curious to hear what people think.

It's pretty tangy.

Yeah. So, in um in about a half an hour, we're going to check in and see how you feel.

Not stop talking in a half hour.

That's That's the plan. That's the plan.

We'll be able to deadlift 300.

Yeah. There we go. I like it. All right.

Spin around on the bike.

Yeah. Uh speaking of bikes.

Yes.

Let's talk about I mean, we're we're sitting in the heart of where mountain biking really started. I mean, I guess it's arguable that there was stuff happening in Colorado, but really when you take take a look at Joe Breeze, Gary Fisher, the list goes on. These are the guys that were taking the Schwinns and you know they're riding them up on Tam and doing all the stuff.

Yeah.

So, you were deep in the mountain biking world for a long time as a competitor. Take us through it.

Well, this is, you know, a very long time ago before my kids were born. Uh mountain biking. Actually, I started out m mountain biking just on Tam. I just got a Diamondback from my boyfriend and off we went. You know, I mean before that myself, I always been an athlete. I ran track in high school, college. Um didn't get into cycling until I came out here and um you know, passionate about the area. You know, Pine Mountain, as you were mentioning, is where actually we believe that mountain bike was mountain biking was born with. You know, Otis Guy, Gary Fisher, Joe Breeze, Mike Ritchey, you know, WTB Bikes, um, you know, all of that. It's just the Turkey Day ride, Pine Mountain. Um, anyway, and then I met some people and started road biking and road racing and got uh on the Anchor Anchor Steam uh California road club uh road racing team, which uh Joe Breeze is our big sponsor. So, you know, huge group of athletes. We're all in our 20s and uh you know, racing around the Bay Area, you know, good time.

Yeah. I mean, it that's, you know, people don't realize how serious cycling really is. And when you're in that community, this the real deal.

Yeah. Well, just being a part of that team and the community and uh staying healthy and fit, uh it's just, you know, it can't get any better than that.

Yeah. So true. And then when you sort of got into uh the CrossFit world.

Yes.

You get in the CrossFit world and you start competing.

Yes. Yeah. I mean I think you know all the repetitive cycling I felt like I needed to uh do something else else with the rest of my body. I was doing yoga and I just wanted to concentrate on all those little little tiny muscles that we have. So got into CrossFit with TJ's gym and um you know changed my life again. Taking that to a whole another level. I just loved it and I love the community. I love the people. I love how um you know you can do a CrossFit class and they'll be all ages, all shapes and sizes and we're all doing the same workout.

Yeah, I think the CrossFit thing is really interesting. Never never got into it myself, but I know that there, you know, I I had friends who were in it and really there is a real again, it's sort of that same sort of thing that you find in the cycling community. You have this group of people and I think it's really neat the way that you know you're working out together because typically you know I'm a gym guy and you know I train with a with a partner uh and it's just us going in and we get pretty serious on what we're doing and like we're just off to the races and we're not really talking to two well you talk to some people right because you see them every day but uh for the most part you're kind of in your own world focused on form and hey am I in line hey pull your pull your elbows you know, that sort of stuff.

Yeah.

So, so tell me about the competition stuff on the CrossFit.

I don't, you know, I just like with the gym, we just kind of got all wrapped up in, uh, you know, the NorCal Masters and then the Open, the CrossFit Open. So, um, you know, I'm like, why not? Competed in the Open and, you know, did fairly well. You know, I think it was like 300 in the in the nation or some crazy thing in my age group and placed pretty well in in in you know, in the region, but it was just fun. You know, it isn't about where you place or how, you know, it's just, you know, training from the beginning and having a goal. And I think that's what we all need in life. Whatever a positive goal in the end, whether it's CrossFit, whether it's cycling, you know, your work, you know, your day, you just want to have that positive goal. You want something to work towards. And I think that is what was attractive to me with, you know, with all of these challenges in life, whether it's athletic or, you know, your work, uh, you know, and just in and having that support system going through, uh, because we all deal with obstacles in life that that we need an outlet and, uh, it was fun. It was just a fun thing to do and challenging myself, you know.

I I think that's really true. And you know, everybody's pathway to peak performance. You know, it's sort of funny. I always say like it's not always a straight line, right? You know, people go all over the place to get there and and there are things that happen along the way. Some people get there early, some people get there later. Wherever you get there, as long as you've got that sort of goal and you're heading towards it, you're passionate about it, then it's going to be super interesting.

Yeah. Totally.

So, you know, the interesting thing is, uh I guess full disclosure, uh you you take care of my skin.

Yes.

Uh so and it's so cool to have you on the show because you know we actually have that time when we actually sit down and talk on a regular basis. Um and I I think skin is something that is just not understood by so many people just how important it actually is uh to take care of. Uh we saw a great presentation from Dr. Rankin about full uh you know laxity and um and how the skin actually you know can really be an indicator of how your overall body is performing or how healthy you are. So in let's go back and sort of like how did you get into the whole uh esthetician world? I know you started really young with this.

Well, it was just very interesting because, you know, as you're you're out in the sun as an athlete and you're using sunscreen, right? You just got this sunscreen from wherever, the drugstore. And um you know, it's you see, you know, you're out, you're in the sun, your skin is aging, it's getting a lot of sunburn. And I just became really interested in skin care and um working at spas and learning how we can um there's so many things that we can do now with skin, okay? Because like when I started uh you know 20 years ago, the sun wasn't as damaging quite honestly. And now with all the pollutants and the environmental toxins and the ozone layer being depleted, we're getting sun damage a lot more quickly. Right. So we you know we have now found ways that we can help uh heal the skin. Um we can really uh work on uh uh promoting collagen and uh using vitamin C and um you know proper sunscreens as well as you know seeing uh uh facials and seeing Dr. Rankin for laser uh resurfacing and whatnot. Um, and I think that if you're out, you're you're surfing, you're biking, you're running, and you're have your skin exposed to the elements, it's really important that you take care of it also from the inside and the outside.

Yeah, that is an interesting uh thing to think about too, the uh notion of the inside out.

Yeah.

Uh because often times people are putting in uh and glycation products and you know, into their systems that are affecting their skin. You know, just the food that you eat, the way that you eat it is going to have a massive impact on how your skin actually looks and um and how you age.

Yeah.

A lot of people haven't really talked a lot about that, which is kind of funny. It's sort of now emerging.

Well, we all we just take it for granted when we're younger that we're out and the sun feels good. We need sun. We need the vitamin D. It it's it's it feels good, but then you're in your 20s and you don't realize you're doing all this damage to your skin. And then, you know, you're in your 50s and you're like, "Oh, now I need to address all of this sun damage over the years."

So, uh, one of my close friends, uh, had melanoma.

Yeah.

And it, you know, he had to have a major surgery, lymph nodes taken out, all sorts of stuff.

Yeah.

Um, and he said to the doctor, "Hey, you know, Laird Hamilton is out in sun all the time." And the doctor said, "Yeah, and you're not Laird."

They're in helmet. We all want to be Laird.

Yeah.

For many reasons.

Yeah. He's pretty phenomenal. Uh the guy just runs on coffee and fat.

Some people just have that skin that just doesn't age, you know. Um but once again uh we all need sun protection and we all need you know to remind ourselves that there are ways that we can um you know heal or help our skin heal on its own.

So let's talk about that.

Yeah.

So let's start with that the inside working to then the application of protective layers. First things first, diets rich in help

Fat. Good good good fat. Good fat. Um and you know healthy whole foods. You know we need like the avocado. Avocado is a good fat, right? Um all the um you know the fruits, the vegetables, all that whole food, that healthy diet. Of course, no sugar. We all know sugar is bad. You know, alcohol, caffeine. I think caffeine has its place but you know too much of anything is everything in moderation including moderation right but we really want to uh nourish our body from within with the whole foods also taking collagen supplements uh we find really does help.

So are we talking about collagen peptides like taking like like hard to get that stuff but you know I put just like a couple scoops of that in every day.

Yeah.

And that seems to you know be like the hot topic right now.

Yeah. So, with collagen, it's really important that you take collagen with vitamin C. And usually, you can't buy a collagen powder that already has the vitamin C in it. And also, um, marine collagen and animal collagen together with the vitamin C is really the ticket

To combining the two cuz I' I've used marine collagen independent of the and no one's ever told me that before. So, marine collagen plus the bovine collagen and then uh some vitamin C.

Vitamin C because the vitamin C you need that to get it into your system. It helps it bind to get into your system.

Got it. So, when we talk about vitamin C, there's also a lot of like kind of junk vitamin C that's on the market.

Yeah. Um so, yeah, I mean I, you know, once again, um with the vitamin C independently, it's it's great. You know, obviously, you know, taking all your multivitamins, uh, keeping your your levels with your magnesium, your calcium, your your B's, your iron. Um, and and also, you know, going to the doctor and getting all of that checked to see where where you're low on any of those. Um, you know, we're doing a lot of IV therapy now. So, you can come in, you get a facial, you get your IV with all of that, all your B's, C's, calcium, uh, magnesium, and all of that, which helps absorb, you know, absorbs in your body much better than taking it in a pill form.

Yeah, I'm definitely doing an IV next time.

Yeah, do the IV. Yeah, that's awesome.

The interesting thing about that is I think the B vitamin from working out is the one that's easiest to depleted for me. Um it feels like you can get it but you have to get the right kind

The complex.

Yeah. It's otherwise it's like right you know you're kind of you can be sort of off.

Yeah.

So I think when you're taking it intravenously it's a way better way to actually get it into the blood and into the tissue.

And also liposomal form with any kind of vitamin is is much easier easy to for your body to digest.

Yeah. And then there's a lot of talk about methylation

Right. Yep. And um you know under the tongue.

Yeah. Yeah. When we think about our diets and how they've been depleted, like, you know, the food just doesn't have the same stuff in it that it once did.

Exactly.

We're blessed here and that we can get stuff that's coming out of soil that isn't depleted.

The eggs that we eat. Really topnotch. Pure, organic, healthy, all that.

Yeah. Which honestly, it makes a huge difference.

Yeah, it really does. You know, it's it's I can always tell like I have to go

You look at your nails and they're healthy and they're like growing.

Yeah. Then you go, "Okay, that's a good sign."

Yeah.

Um the diet, the clean eating piece is really interesting to me because, you know, I've gotten to a point in time in my diet where I just can't I mean, like seriously, I can't eat out anymore. Uh it just doesn't work.

You just don't know what's in the sauce and what you have butter or what. I don't know.

Yeah. Yeah. My my diet is so it's almost like a bodybuilder diet. To a lot of people would be so boring. A lot of protein.

You eat a lot of protein.

So, I I target uh a gram per pound of body weight, not lean mass, simply because, you know, we're training at a level that is just so intense all the time.

Yeah.

That we need that.

You probably need some carbs, too.

Yeah, carbs. Yeah. So, uh I target like about 235 on the uh protein and then uh about 275 on the carb side. There is some white rice in my diet.

Yeah. Don't eat too much of that. Uh you need a little something to bind.

Yeah. Right. It helps. Um and and I I do love the taste. So that and then sweet potato is obviously and then lots of greens. Lots of greens. And I've I'm really pulled back on the fruit just it's really only berries,

Right?

Um and that's where I find a lot of my vitamin C is coming from the berries, which I think is great. Then olive oil. Yeah. Just trying to take my olive oil that's coming really the highest quality stuff. You you know it when you taste it, it just tastes so different.

So good.

That's where I'm trying to pull most of my fats from. Of course, some of it's going to come from the protein sources, but uh trying to pull as much as I can out of that. And I think that again supplementation around uh you know the fish oils or krill oil,

All your omegas and coins and you know then we talk about gut health. Gut health as you I mean everybody's talking about that. It is so important uh to keep your gut healthy uh and the probiotics and you know all of that in there to just you know

Yeah the prebiotic post uh um probiotic and postbiotic kind of thought process now is so clear right to produce butyrate to get to where you want to be. You've got to really be thinking about it. I you know I put kimchi in just about every meal

Or the sauerkraut. Yeah. All that. Yeah. So good.

Yeah. Some people can't stand the smell of it, but you know, when you get used to it, it is what it is.

So, all of that on the inside is going to show up on our skin and how our skin can actually naturally regenerate itself. So, our skin, the exfoliating process as we're young is very quick. So, the epid there's two dermises, then the epidermis. Below the two dermises is collagen, peptides, and fat. So, we need all of that underneath those two dermises to really make healthy skin. And as we age, that process slows down to the point of stopping. So, if we're taking the inside and nourishing it, and then we go from the outside and we use, you know, good products, laser, facials, we're waking up that collagen. If the collagen is being like irritated and woken up, it's going to come in and want to heal, wake up that dermis, and then it's starting the exfoliation process. And once again, you know, now we're trying to get away from fillers, possibly do more fat injections to plump that skin back up again and help with that process, help your body just heal.

The filler stuff, the HA, uh, hyaluronic acid, right? To me I was always kind of like this seems strange right um yeah and then hearing Dr. Rankin talk about island. Um, that is fascinating to me in that so many people have had so much filler put in and though it starts to dissipate, it doesn't really go away. It's weird.

Where does it go? We don't know. I mean, I, you know, I there's a time and a place for a filler, you know, and that's great. And and if you know, if people like it and they want to do it, it you get instant results. You know, you just there you are. You get your cheeks back or your lips or you know whatever but where does it go over time you know that that's that's what we you know really don't know you know it it filters through your lymph nodes and I don't know so now you know I think the nanofat is a great way to um you know have a natural alternative it's your own fat

What's interesting about that is too 70% of it is going to live right make it through the process which is pretty dramatic when you think about it if you're going to go through that process of having it to get that kind of actual stay power or stick rate.

Yes.

Is pretty impressive. 70%.

Yeah.

You know, I wasn't expecting to hear that. I thought it'd be like 50 of me.

I know, right? And of course, everybody's different and um you know, it's your own fat. It's natural and it just won't go away. So, I love that.

Really cool. Um, okay. So, let's move on to like let let's just take me as a patient cuz you since it's so easy for us to have this conversation. You do stuff with me. You put stuff on and then you use these lights, right? You're using like blue light, red light, green light. You're doing all sorts of lights all the time. HydraFacial. Kind of run me through.

Yeah. So, what we do for for you, Jock, when you come in and and also, you know, guys need facials, too, right? You know, it's very important. It's skin to skin and uh so what we're doing is we're we're coming in with HydraFacial and we're extracting all the debris from your pores. Uh it's really cool machine that the water comes through this tool and we have little all all kinds of different serums and and uh tips that we put on there. And so we're extracting all that congestion from your pores. And this is really important to do because if you don't get your pores cleaned out properly, they enlarge. So, you're going to have very large pores and it's the texture of your skin is is not going to look like you want it to look.

We've all seen somebody that has those like where you

Huge pores.

Like, what is that?

Yeah. And it and it will happen over time. So, we're trying to, you know, get that all out, get it all over your pores. And then once those pores are open, I'm like, okay, now what what can we put in there? Try to get it into the skin. So, we've got, you know, derma builders, we've got collagen, we've got calming serums, uh, that we can customize for you. So, for you, Jock, um, you have a tendency to have a little bit of rosacea here. So, I use a Rosatrol serum on you, which gets into your pores and actually helps shrink those little capillaries that cause your, uh, cheeks to be, you know, red. Um, and then mask, you know, steam. We're trying to calm the skin down or we want to maybe do a peel on you. So that would be the time that we do a peel which is again that whole exfoliation process. So that's the whole thing that we're trying to replicate is helping your skin rejuvenate itself.

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What I think you said about men uh for so long. I mean, come on. Let's call it like it is like, right? You know, it's like, hey, I got a bottle of Neutrogena. There you go. It's got 15 sunscreen in it. That's probably good enough, right? And no, it's not. Come to find out, you know, there's that Environmental Working Group app, Think Dirty, and you I I mean, I was putting on uh I'm not going to name the product, but I was putting something on my body cuz I typically had dry skin, and somebody on my provider team was like, "Oh, that's that's a gut issue." And then we looked it up, that particular product,

See, isn't that cool?

Yeah. And it scored a four out of five on the bad scale. Right. So, this is stuff that you're putting on your body that's been, you know, touted as being great, but it's not. And so, the products that you use, uh, are super important. I'm curious, how do you go about selecting them? How do you go about really making sure that the stuff that you're using or recommending is is the right stuff?

Well, just being in industry for this long, you know what is good. You know what the reputable companies are and um you know you see their research which is really important and their testing and you know they check off all the boxes of being a legitimate product backed vetted you know we also it's medical it's a medical facility so um we won't have anything that isn't isn't up to par in our in our in our practice. Um, so we have a couple of lines that we use that, you know, they do what they they say that they do.

I think the products that you've put me on have had a pretty dramatic effect for me. I I mean,

They do work and it's pretty cool.

Well, the first thing is, yeah, there's certain parts of the facial that are are not super relaxing. Um, you know, but they have to be done,

Right?

There is a part that is really soothing and just really kind of calming and nice. And I was like your effect cuz it's sort of like, you know, I'm a tonality guy. I like to like just sort of chill out and take that time just have a couple minutes where the phone isn't going off and I'm just relax, right? Um, and I think what's really cool about what you guys are doing is you're creating this like ability to actually work together, being able to come in and get that uh broadband light laser uh or um the uh what is the one?

It's Halo.

The Halo.

Yeah. Yeah. Amazing results with with with the Halo and the BBL. He likes to do a combination of the BBL and the Halo, which is really nice. Um, and you mentioned earlier about the lights that I use during the facial. So, you know, again, the whole the red light therapy. Everybody's talking about the red light masks and they have the different settings, blue, green. Um, the red is collagen building. Once again, the blue is an antibacterial. It's a calming which is great for uh rosacea and um during the facial the whole package just you know finishes it off really nicely you know.

Yeah I mean that that is a nice thing. What are those little discs that you use? What are those?

That's another uh handheld uh red light blue light therapy uh device.

I see. Because you've got that dome that you put on.

We got the dome and then we have the the handhelds which we can get a little closer. Um and yeah, and then you know also I think what's really cool with Dr. with with this practice is estheticians are sometimes off to the side and now we're working together. So, we have a patient comes in and is going to get a a neck lift, a facelift, and we're going to do some uh pre-operative work on on them before they go in to get their skin ready for uh the surgical procedure, you know. And it's also really nice for the patient to come in and they lay down, they get a facial, and they're they're about to get surgery in a week or so, and they may have some last minute questions, and it just gives kind of puts them at ease a little bit, right? Gets them going in the right direction. Making sure you're using the right products on your skin, the right cleanser, not something from, you know, a drugstore, right? And getting them going so they're going to be all set up for after their uh surgery.

Then post surgery is also very important uh for lymphatic draining. So you're very swollen and we've got over 500 lymph nodes in our body. We've got quite a few in our face and our neck here. So when you get surgery, this is all very swollen, clogged. So we're going to go in and we're going to manually do a lymphatic massage and get the whole system going. And also, if you're not having surgery, it's important to get lymphatic drainage done also because as we age, our whole system starts slowing down.

Let me ask you this about this. Often times, I feel like since a lymph doesn't have an actual pump,

Right?

I view like a lot of the exercise that we do as really critical towards moving the lymph and cleaning it. So we'll we'll train super hard which is creating a bunch of you know obviously free radicals and all of that but then going into the sauna with heat shock protein

Nice cold plunge.

Yeah. You know, the funny thing about the cold plunge is there was something they came out that talked about four to 6 hours after heavy uh strength training that you want to stay away from the cold.

Interesting.

I've kind of cooled out on the cold stuff. Yeah. I think it's just a periodization thing.

Yeah. Yeah. I love, you know, like getting up to the lake and swimming in the lake, like hourlong just like cold swims. Cold exposure is something I think is great. I think you have to be careful with it.

Definitely. You don't want to just go be doing that.

Yeah.

Unless you, you know, cardiovascular system and, you know, we don't know what's going on.

Yeah.

But, but all of that, you know, is like you mentioned, exercising, you're getting your body moving. All your glands, all your organs are work are revved up and they're working on over time to cleanse your body, feel your muscles and everything's moving. And so again, once again, getting the lymph nodes manually moving again is really important.

So I want to ask you about something else that's a hormetic stressor. Uh and that is the sauna cuz I spent a lot of time there. But what happens is you come out of the sauna and no matter what you do, you know, I I found it's interesting if I just use a warm shower, I sweat less than I do if I do a cold shower. I don't know why that is. It's strange, right? But I come out of the sauna and you know I'm gonna It's like I'm I put on the product and I'm still like sweating for a long period of time, but I've got to get going.

Yeah.

So, it's almost like you take the shower, but then all of a sudden you're sweating. All the stuff is still coming out. I wonder kind of what's the impact of that?

Yeah. You probably just want to wait till you're done sweating before you put on that on on that product.

But my skin feels so dry. You still wait?

I would wait. I mean, you know, you could put on your like your peptide, something a little like your vitamin C, something a little less just a little lighter, and let that soak in since your pores are open.

Yep.

Uh just think of it as, you know, when you're in a facial and you're getting a steam and the pores are all open. We want all those products to get in. So, they will it's actually a good time for you to get that vitamin C or the hyaluronic acid onto your face and the vitamin C. And then once you're you're kind of calmed down a little bit, then you know, wherever you're going, then you're not sweating, you put the sunscreen on and then you're good to go.

Yeah. You think about it, guys. Now you see all these guys are starting to do it.

I love it.

Yeah. It's really cool. And I think it was like, you know, guys sort of figured out like, hey, massage is great. If you're really training, you know, that sort of portion of it, like you got to do the soft tissue work, otherwise you're not going to be able to maintain. Then the facial piece kind of comes into it. And everybody I talk to now is sort of like, "Yeah, that makes sense. Yeah, yeah, I want to do that."

No, I love it. And then of course, you know, we had the bro talks, too. Botox for bros. You know, we got, you know, I I I had my guy come in. He's like, "Really?" And and I'm like, "Yeah, why not? Just a little bit here and there. It's different than a filler."

Yeah.

And it's just it's just like a little Why not? Just a little here and there.

Yeah. I think I think I love that term when you called the brotox. Um I never heard that before. That's pretty funny. Um yeah, I think a lot of people are just guys who are just sort of like, "Hey, I want to look my best. I'm in the gym, you know, uh or training six days a week. I'm taking one day off. Every once in a while, I take another day off if I'm feeling completely depleted. I'm in a heavy heavy duty sort of track mode and a calibrate mode right now." Yeah, the DEXA I think is really amazing. What I love about that and and I've like worked that into uh these evolutions that I do um is that you can really see like exactly what you're working with and you know for certain body types you know you're dealing with the android portion of it's like that last little bit of belly fat that you're

Central body thickening.

Yeah.

The visceral fat.

Yeah. The visceral fat is amazing. Um, to think about how important it is to get as much of that off. I had a scan where I was like in a great range. Then I went back and I just crush that. So, I can't wait to see what's happening next. But like all this stuff plays into, you know, all health and well-being. And I think people that are probably getting facials are also thinking about all of those things.

All of the above.

Yeah. Yeah. And also, you know, skin cancer, right? Okay. So, are facials and lasers are is that going to help uh mitigate skin cancer?

Yes. Yes. Is is are we going to be able to uh you still want to see your dermatologist, but again, you're exfoliating, you're treating, and you're you're sunscreen, and it's very important to get all of that off, all that debris off your skin just, you know, moving forward.

So, there's been some recommendations around actually having um preemptive laser treatment to like, you know, if you have an AK for those that have never heard that term,

Yeah.

That are like the little little white little, you know, dry spots that kind of just keep persisting. Um, you know, I've had them burned off and they even show up too as a pigmented sometimes. Uh, I've had one here. Uh so they just cryo it off.

Yeah.

Um if you're doing that preemptively um that's pretty powerful. And there was actually a dermatologist who just recommended that recently. It's like you know you should just do it.

Yes.

So it's it's amazing to think about where the technology has has gone in such a short period of time. I mean when did HydraFacial come out?

Maybe around here. Maybe five six years ago. Under 10 for sure.

Yeah.

Yeah. It's pretty amazing.

Yeah.

Yeah. And it isn't just hydrating, right? There's so much that we can do. People think HydraFacial, I'm just going to get hydrated, but you know, as I said earlier, you know, we can do so much within that uh to treat the skin.

Yeah. I always thought of HydraFacial as just being sort of like the mechanism of action in terms of how you were moving everything through.

It's a water force,

Right?

That's cleanse, replace.

Yeah.

Um and serum.

Yeah. Yeah.

Right.

Yeah. You use all these different attachments and it's like it's pretty interesting. Yeah. I find I find that like the when I come out of a facial with you. Number one, I feel super relaxed, right? And my skin feels amazing. Like you feel that for like a good like a good five days of just like whoa,

You look like great. I mean what all everything that you're doing it shows. You take care of yourself and it shows, you know.

Thank you. Yeah, it's important to me and um and you know, I think the more the more I realize like how some of my lifestyle in the in the years of old uh probably didn't contribute to being the best. Um, you know, you can't live on airplanes and in hotel rooms eating crappy food, going non non-stop with massive amounts of cortisol in a sympathetic uh state, just stressed out all the time. And I think as I've sort of slowed down and spent less time in the air um and and focused more on the things that are most important to me, that's really really um really been important. So, I really I really enjoy it. And it's really cool. It's like I come out of it, I feel good. I'm like, "Oh, my skin feels great." You know? I'm excited to do this. I guess it's after Fleet Week. We're coming up on Fleet Week.

Yeah.

And so that's when Dr. Rankin said, "Hey, we're going to do this. We're going to do these lasers."

Uh Halo.

Yeah. Nice. Uh which I I'm excited cuz I'm I think I'm going to have to shave my beard for that. Which is going to be the first time in a while that I've done that.

Yeah. You might as well get the full effect.

Yeah.

Right. Why cheat yourself?

Yes, definitely. Do the full full deal. And um I'm I'm really interested to see what that actually does because

It be really cool for you.

Yeah. From a scientific standpoint, it makes perfect sense, right?

Absolutely. Yeah.

You're putting the the skin into a situation where it has to react respond in a way that's going to be promoting all of the stuff we talked about the collagen, etc.

Yeah.

All right. So, we ran a little over.

Okay.

So, I'm curious. Did you feel any effect from the ketones?

I'm not sure if it's from just like talking to you or the ketones. So, it's hard to know.

Well, that's a great compliment

Cuz I when I when I'm around you guys, I always get jazzed.

Yeah. So, is it the ketones or is it Jock and Zach? Who knows?

Who knows? Um, did I No, I feel No, I feel Yeah. Yeah. Do my eyes look bluer?

Uh, they look great. We'll give you some to take with you so that you can try it out with without us and then and let us know.

Yeah.

Yeah. They've been phenomenal sponsors of the show and they're just like really committed to doing it the right way which I think is like uh you know tremendous.

And are they are they local?

Uh so actually uh they're out of the east coast.

Okay.

Frank Llosa is the CEO. Um, and I learned about him through the prolific cellular medicine doctor, teaches peptide therapy all over uh, and then also has a practice in Beverly Hills.

Yeah, I see your post on that. Yeah, very interesting.

Yeah, he I learned a lot from him over the years. I mean, he really um had a huge impact on the way that I looked at things and um, you know, been a he's been a incredible doctor for a lot of people. Has made a huge difference for a lot of people and you know it's um it's an interesting time because now we see the FDA approving the expansion of peptides uh six of uh five of the six made it through in the last round uh for expansion into compounding so that we could take this you know the peptide world is going to exist right so people are going to use research chemical companies that where we don't know the certificate of authenticity is actually real or just photoshopped.

Dangerous for patients.

Yeah. And what can wind up happening, people have wound up hospitalized because they're taking peptides they're buying online and you don't know what's in it. Um, and so the the real danger to the consumer obviously is that they're not getting it from a GMP compliant uh compounding pharmacy that's then

Yeah.

Doing their third party testing uh by batch

Testing testing and testing before they put anything out.

So it's I think it's on a whole another level and it's a huge win uh for patients because I mean some of those peptides are just game changers.

Oh my god. Big time. Yeah. Seriously, that's amazing. Very interesting.

Yeah, the GLP-1 market has had a huge impact. And I'm I'm curious, that was one thing I wanted to ask you today is as you see people who have gone through when it's not managed properly, you see this massive weight loss and then you see a ton of laxity in the skin because it was just too rapid for the skin to respond. What do you do with people like that?

Try to get them, you know, back on a healthy nutrition level if you can. A lot of people, they're so happy with losing the weight, they they'll take the loss of skin elasticity with it and they just want to be, you know, thin. So, I think now we're finding that you need to go slower. When it first came out, the semaglutide and all the, you know, we we know more now. You have to go slow. You need a lot of protein. Um, creatine is is a nice supplement with the GLPs. And um, you need good, you need fat. You got to have good fat. Let's not be afraid of fat.

Amen.

We need fat in our body.

Amen. That creatine is so important.

Absolutely 100%. But, you know, it's again, what is the source? What creatine are you taking? Or do you know you're taking? Um, it can be, you know, you want to see a doctor. You don't want to stress your kidneys. You don't want to be bloated. But yes, I agree. Everyone needs to take creatine, especially if you're on the GLPs. I This is all my opinion. I I this is what I think, you know, but um for sure.

Well, I think there's plenty of scientific uh information out there that really indicates that hey, if you're going to take creatine, you know, so if you got electrolytes, as you mentioned before, the minerals and osmolytes, uh first things first, you're going to need to hydrate at a different level. Most people are you I'm sure you see it in your practice every day. People are dehydrated

Very much.

And so those IVs probably make them feel a lot better because they're getting hydration that they don't normally get. Um, and so, you know, when we're trying to push a lot of water, especially if you're thinking about training, you know, your cells, if they don't have water inside them, there's different buckets of hydration, as you know, you know, you mitochondria can't make ATP. So, you can't you, you know, you're going to be in actually in a catabolic state, which is just not good. Not good.

Yeah.

So, the interesting thing about GLP-1s are that they kill the thirst signal. Not only did they kill the hunger,

Yeah.

We know like, hey, if we sometimes we feel hungry, it's actually that we're just thirsty,

Right?

And it kills both. So, we see people that are not getting enough protein because protein so sad, right? So, uh satisfying or satiating. Um and then people aren't drinking enough water and it has like this double whammy impact on them.

Yeah. Yeah. And then if they're they're just uh having a great time and having alcohol on top of that with no food and it's just it's not good.

It's interesting to me the people that are drinking alcohol and taking GLP-1s.

That's not a good combination. I mean you see people doing it all the time.

Yeah. And now we've got there are some that have the GLP semaglutide GLP-1 and GLP-2 with the GIP.

Yes. And so you're getting all those hormones talking to your body saying we don't we're full on all levels, you know, but uh again pouring alcohol on top of that is I mean alcohol is just not good period for for any

Yeah. You get to a certain point in time. I mean if you're really training hard you go I that's just not going to work because it you know throws off your training muscle

Everything just throws everything off.

Yeah, we already like as you age, you already have anabolic resistance. So, you know, it's harder. You got to eat more protein to actually get

And it all starts with the liver. So, if your liver is not working properly, it's going to throw your cholesterol off. It's going to throw your thyroid off. It's going to throw your whole system off. And so, if you're depleting your liver's ability to do what it's going to do, it's just another perfect storm.

Yeah.

You know, once again, everything in moderation. Again, if you're on the GLPs and you're on it for a certain amount of time or or if you're if you're, you know, training, if you're training for a race, no alcohol, no alcohol. It's just going to take you backwards.

It became clear over time. I mean, like we're product of I always say that you're you were the original teen mom on MTV show, right? Um,

Right.

Good old MTV.

Our kids went to school together, right? So I think you were on the first episode of that show. Um so as we've looked back on those days, right?

Yeah.

Uh the when we were in high school, there was no awareness around that. You certainly certainly, you know, felt not great, but right, uh you get into past that, college, whatever it is, you know, early adulthood, you kind of know this stuff isn't good.

Yeah.

At some point in time, you really get a sense, hey, not good.

No. I mean, I just feel like personally for me, as my body is aging, I can't process that alcohol anymore. My my body's just like I can't anymore.

Yeah. So, let's talk about like trajectory for you in the pathway to peak performance. Um, you've had some some really bad injuries.

Yeah. Yeah.

I mean, you've had some challenges.

Yeah. Broke both legs.

Yeah. That's I mean, that's that's pretty hardcore.

Mhm. Yeah. In a wheelchair for a couple months, lots of surgeries and metal in there. But, um, I think that, you know, I thought I was in pretty good shape when I got injured. And I think that that has helped me. I mean, this happened, you know, five, six months ago, and I'm walking. I'm back on my bike. I'm hiking. Um, I haven't tried skiing yet again. But, um, staying healthy always because you never know what's going to happen. You know, you can crash on your bike or hit by a car or whatever, and if you're healthy, you're going to heal faster. And also, you know, when you're faced with a challenge like that, um if you've pushed yourself at one point in your life to uh get to another level of fitness or maybe you've done a race or competition, you know, once again, I'm talking about those goals. You have that goal. So in my mind and mind my my mindset was was getting out of the wheelchair and you know being able to walk upstairs to my bedroom was my goal, right? And that was a huge goal. Um and I had that mindset of it's just another race. Another thing to train for.

Yeah. It's interesting. I remember my first knee surgery. I was like

Yeah.

You you can't even fathom it, right? It's like you and I was pretty young and I was like whoa. Like this is a trip and like you start to realize like you know this is like a serious thing and um you know mobility is something that you want to train for. Now

You've been moving. Yeah. Even if you if you don't have time to do anything just go for a walk.

The data on walking is so solid especially post uh you know uh prandial walking. So after you eat getting out and just letting that kind of taking a quick walk I usually like to ride the bike a little bit. I feel like that kind of works well for me. But um yeah, it's uh it's it's super important.

So what do you think is going to happen in the next couple of years around uh aesthetics? And where is the industry going? How do you see yourself in it? What's the bigger picture?

I think we're going to see more uh light therapy, laser light therapy, uh more internal uh you know like IV liposome uh nutrition uh you know more like we see the red light therapy uh and just you know more of that moving forward um and and who knows I mean we we just discovered this you know uh nanofat you know fat transfers which I know we've been doing for a while, but uh you know more um more natural options. Um surgery is great there. You know, we see a lot of great results with surgery, but also there's things that we can do to maybe do less surgery moving forward if we can, you know, take care of our skin. And

Yeah, one of the things I really respect about you guys is that you're preemptive. That's one of the things that's really cool about Dr. Rankin and the two of you, the way that you work together. He said something the other day. I was like, most surgeons probably wouldn't say that. Um it was like I think they hold off for a while.

Yeah. Yeah. Right.

Right. Yeah. And I think people appreciate that because nobody wants to have surgery unless they that's the only option, right? I mean, why would we want to do that? He has kind of positioned himself in a way where he sort of like becomes this doctor in the community that everybody's like well who should I see for this or for that and with the addition of uh Dr. uh show

Right.

Uh Ma who's coming from UCSF and bringing that longevity component um to the practice that now adds another dimension into this where it all synergistically kind of works together to bring a totally different version of aesthetic wellness and wellness from the inside out.

Yes, the whole person is and and the function the functional medicine also is a very important piece too.

Yeah, absolutely.

Um so I'm hoping you know it'd be really nice if if uh you know we could get all these body scans covered by our insurance companies and you know it's it's unfortunate we have to pay for it out of pocket for all of this. But hopefully moving forward down the road and years ahead this will all all be kind of part of everybody's once a year checkup. Once your body scan your your all your blood work. We can find out exactly what's going on inside and outside and put it all together in one big package.

Yeah. I mean, I remember early on in my career, I was like, I don't understand why this is that why the system works the way that it does. It didn't register. I just didn't get it. I was like, I didn't understand that people were transient insides inside of their insurance plans. Insurance plans trying to kick it down the road as much as they possibly can.

Totally.

It's come to a head recently with these AI claims denials,

Right?

And now patients are had enough of this. And I think we're at this point in time where you see patients coming out of pocket. At some point in time, they start to look at this and they go, "Hey, wait a second. What am I actually getting from a primary, you know, like a a primary insurance uh versus a catastrophic insurance?" And I've had this conversation a lot recently. I actually wrote an entire plan that I'm about to release, which, you know, we'll see. Um, but people really are tapping into wellness. There's a point in time where people are going to just say, "Hey, I'm going to go into a membership plan. I'm going to work with a provider. I'm out of pocket. I'm going to use my HSA and I'm going to stay healthy."

Yeah. Yeah.

Because you see need a certain level of that for like anything catastrophic, right? But

And then I mean also then looking at women's health. Okay. Um, holy.

Okay. Well, we have we have men's health.

Yeah. Women's health is we got hormones, we got perimenopause, pre we've got menopause, we got post, all those hormones. This is huge for women. If we don't replace those hormones, we don't replace that estrogen, you're going to feel horrible. And there's different ways that you can replace all that. But just getting a handle on that and h and getting that checked is so important. And it used to be just he went through menopause and then you're done. Nobody had done anything about it. But there's before it's it's just like a whole thing.

The whole leadup to it.

Yes. And men too, guys. Like I mean your hormones are dropping and we don't know. They're up and down and you know the testosterone is here. You've all got all we all have all kinds of hormones that that is huge with your health and your mental health and and your skin. If you don't have estrogen, your skin and your hair is gonna be dry no matter what you do. So, that's a whole other piece that I I would really I guess I should have that should have been in looking to the future. I would love to be able to get involved with with the more of the hormone health for for people because I think that if we don't have that, we don't have we don't we're just we don't feel good.

I mean, I think the evidence is so clear now. And with the FDA taking the black box warning off of all of this, now what we're seeing is this complete swing, the pendulum swings all the way back.

Yeah.

And we're seeing this kind of awareness around perimenopause and how it's affecting people. As a matter of fact, so interesting because there was uh I watched a podcast and it was an attorney with an endocrinologist focused on women's health and she was saying uh it's like the the silver divorce, you know what I mean? Like women get to a certain point in time where their hormones are just like get away from me and I want to do something else. I need a new life. Right.

Uh there's a guy there's a guy

They're very powerful.

Yeah. There's a comedian um I actually talked to him uh via Instagram the other day and just think he's hilarious. Matt Hims uh and he's like talking about um he's like get used to blank you as your new love language. You know, I mean, frozen shoulder is like, you know, just go and chop off your shoulder. He goes, "Is it hot?" "Yes, it's hot." "Is it cold?" "Yes, it's cold." "Is it hot and cold?" "Yes." I've never been so hot and cold in my life.

Sleep and love and hate good all at once.

That guy's hilarious.

He is. Yeah. It's like, can can we find a way to channel those hormones because they're so powerful?

Yeah. I mean, that's the cool thing. Like, you think about it now. You have this opportunity where you can get people really dialed in.

Yeah.

And get them feeling great.

Yes.

And that can just head off so many issues.

Yeah. And all the bioidenticals now, right? Bioidenticals are so great and you test everything and then you make a little potion, you do the pellet. It's just game changer.

Yeah. It is really cool. It is really, really cool. So you guys have the trifecta happening at your practice, NorCal Plastic Surgery in Tiburon, California.

Yes.

Yeah. Dr. Rankin. Dr. Tim Rankin. You know what I love about him is he's so magnanimous, right? I mean, he can like really just talk to anybody in a way like so humble. That guy is his CV is incredible.

Absolutely. Just really has a great bedside manner with people. People love that guy. He cares about people. Um, you know, it was just so humbling to see him actually get choked up at the speaker series talking about patients coming in and saying to him, I look like myself again. I recognize myself. And he's like to to give that to somebody is is just the best. That's why he he does what he does. And it's just it's, you know, he's he's a great dad. He's a hands-on dad. Four kids. He's a good person. And he's an extremely talented surgeon. I'm so lucky to be around his presence. I always learn something every day from him. Um he's a walking medical encyclopedia. That man

Yeah, he so smart. He really knows his stuff. He's also got a phenomenal wife. Kenneka is like she's

Yeah, she's just great. She's amazing.

Yeah, that's a great family.

Family.

Yeah, they really are phenomenal people.

Yep. And doing great things in the community, which is always just so so cool.

Yeah.

All right, my friend. Anything left on the ketones? Do you feel anything? Do you feel any drop off or do you

No, I feel good.

Good.

These are It's great. I'm going to have to check this out.

Yeah, take whatever you like.

Definitely.

Uh enjoy it.

Thank you.

Yeah.

Thank you.

Well, it's been a pleasure to have you in before you go. Is there anything else that you want to get out to the world to say uh about skincare?

Come and see me and let's talk, okay? Because everybody is different. Everybody has custom needs and I'd love to see you and help you.

Well, I'll see you next week.

Well, and we'll see you next week for sure. You're not going anywhere.

That's all right. You got me. We're right across the street.