Ozempic, Peptides, and the Quiet Art of Aging Well
Shop With Caroline brings this conversation back to a practical question: what signal are we giving the body, and what adaptation are we asking it to build?
Shop With Caroline brings this conversation back to a practical question: what signal are we giving the body, and what adaptation are we asking it to build?
You guys, welcome to Coming in Hot with Caroline, obviously. We are so happy to have you here because this is not going to be your normal medical chit-chat. We are coming in very hot [laughter] with one of my absolute favorite doctors that you know from TV, but I am telling you we're going to be asking all the questions that you were dying to ask. Yes, Terry Dubrow is here and we have him live and we're going to ask him everything that you wanted to know. Terry, thank you for being here. I'm so excited to be here. We're so excited. I've been watching you for years. Thank you so much. And I've been watching you for years, you and your gorgeous wife. And you know what? It's fun for people to have that sit down in that conversation because I've got questions for you. Okay, I'm ready. Okay, so we're going to come in hot. I'm going to start with Ozempic. I just have Obsessed. I [laughter] have to ask you because every single person on Instagram asked me to ask you. What is your honest thoughts on Ozempic? My friends on it are feeling amazing on it, if I'm going to be honest with you. And there is this real question. People are like, "You don't need to lose weight. Why would you ever be on it?" And I'm like, "I feel like there's a lot of other really good things about it." Can you tell us what your thoughts are? So, I actually got so obsessed with the entire subject matter that I studied for over a year and took the American Board of Obesity Medicine Certification Exam. So, I'm board certified in obesity medicine. So, it's really an area of interest and actual expertise for me. I actually testify in court about it now. So. Ladies, this is what I'm here for. I'm giving you the answer from the horse's mouth. So, it's really goes far beyond what it does for obesity and body fat and weight
does for obesity and body fat and weight loss. It's about to be FDA approved, if the studies go through, which they are very quickly, for addiction. It's going to get an approval ultimately for Alzheimer's. It's already approved for osteoarthritis, already approved for if you've had a heart attack to prevent a recurrent heart attack. What? Even if you're not obese. It's already approved for these uses. It's all about sugar. It's all about the fact fact. Remember we used to think it was fat? Literally, we really did. And it's like people are saying that sugar is literally like a killer. It is. And so it's all about the fact that sugar clearly leads to an inflammatory process that wreaks havoc on your body. And if you use these drugs to increase insulin sensitivity, push the sugar into the cell and out of the bloodstream, and prevents all those free-flowing effects of sugar on the body, massive im - massive longevity. Right. Massive improvement. You know, I'm obsessed. I don't want to go down this road cuz my wife says, "Oh, here he goes." If she were here, next [laughter] time I would come maybe she'll I'll bring her, but Please. If she were here, she'd go, "Oh, here we go." But AI AI is about to change everything, artificial intelligence. Yes. And we are about to get to a point of longevity escape velocity, which means for every year you live, you get to live even more because of what AI is going to allow us to do to ourselves to extend our lives. Your hopefully I think
extend our lives. Your hopefully I think you're younger than me. I think you're going to be able to live to 120. Hopefully I will overlap these advancements, but right now it's all about what I call preservation longevity, meaning you have to be maximized as much as you can Mhm. for the next 5 years so that you can benefit from all of these things we're going to get in health, wellness, beauty, and medicine. And this is one of the major ways you can do that. You take these GLP-1 drugs to minimize inflammation, to minimize your body fat, to do all the things that it does to your brain and your body. And you're you're setting yourself up to benefit. 30-year - olds, 20-year - olds, they're going to benefit. They have plenty of time. Right. But we need to stay preserved so you don't go over the line or you won't be able to benefit from these early life extension changes. So, whatever you're doing, you have a new job, all of you. Your entire audience has a new job. Preserve yourself. Focus on your body and preserving yourself. Get better sleep, protein, all of the things, resistance training at least twice a week, and cardio. But if you don't, then when these things happen and they're happening very quickly, you will miss the boat. Oh my god. What? drug is one of those things to help you preserve yourself waiting for the cures to cancer, the cures to heart disease, the cures to everything. think that's coming?
think that's coming? Oh, it By the way, without question. No question about it. All of that stuff is going to be cured, fixed. Now, Elon Musk's saying there will be no more surgeons in 3 years because robots will be able to do what surgeons do. Okay, Elon. You know, 15 years ago you said in a month they're all going to be self-driving cars. Exactly. So, maybe he's right in 10 years. Maybe we won't need surgeons like me. But you need to stay ready because it's happening right Look, AI's already solved what they call math. Already has It's already figured out all of math, almost all of physics, and it's about to solve diseases. That is insane. And this is why you are obsessed with it, right? Cuz I think a lot of people fear AI. My husband's a huge proponent of it. He's like, you have to understand it. You have to learn it. You need to know it's the future. Do you agree with that for everyone who's scared out there about AI? You have to Yes, there are scary things about [laughter] it, you know, cuz it can go south. I don't know if you've heard of Multibook or Open Claw where the AI agents are all talking to each other and they're putting us down saying how dumb we are. It's terrifying, but it's happening. So, like it or not, you have to figure out how to use it to your advantage. Hopefully it goes in the right direction, but at least for disease, longevity, and beauty, some of the things we're going to talk about today, it's going to solve so many things. I am blown away. And with Ozempic, one last question, it's not the same dose for everyone, right? Cuz for a while I think a lot of people were dosing at that same
a lot of people were dosing at that same dose. A lot of people had like one doctor giving them, you know. That's right. But it really is microdosing. Is that what you recommend for people? okay, I have to be careful because I may be a working with one of the companies and talk and in in, you know, bracing the off-label uses of things, but so, just a very brief 411 on this. There's GLP-1, which is Ozempic, Wegovy, same drug. And then there's the better one made by Eli Lilly, which is Mounjaro and Zepbound. That's GLP-1 and GIP, two hormones, naturally occurring hormones. Then there's about to be retatrutide. Retatrutide is already being compounded and is already out there, Okay. but not approved yet by the FDA, but it's three. It's GLP-1, GIP, and it's glucagon, which is a fat burner. And so, I know So, it's gotten better. I Oh, I know about 100 people on Retatrutide right now. They call it Retatrutide. What? Tell me. Oh, and what it does is it And you If you microdose Retatrutide, and I am not advocating this. [laughter] I am not recommending this. Yes. This is not that kind of medical advice, but just go online and see how many people say anything negative about Retatrutide, zero. Retatrutide allows you to change your body composition. Retatrutide not only controls your sugar and all the things we were talking about, all the health benefits of that, but it helps you to preserve muscle and burn fat selectively. And that's about
burn fat selectively. And that's about to come out. The real one, the FDA-approved one, is about to come out from Eli Lilly, probably at end of this year 2026 or very beginning of 2027. They say it's going to be the first trillion-dollar drug. And then there's another one. No, wait. more There's many, by the way. There's probably 15 in the pipeline, but there's one that's really fascinating. And then I'll stop talking about this guy. I could talk about this for 2 hours. am so I see I'm somebody who again, I actually love this because I have so many I mean, my own doctor told me absolutely not. You're not allowed to be on it. Like she's like, "I will not give it to you." She's like, "You you don't know what's going to And it's so frustrating cuz I have friends who are so feeling so good on it and look amazing." And it's like no one's willing to give it to you. I just think Yeah, I think certainly here in Los Angeles don't do it online, but you can find plenty of doctors who will give you the microdose. for it. good. Yeah, who are board-certified physicians. You know, don't listen to the gym bros, their chiropractors online who are talking about these things or the personal trainers. But the next one that is it's early phase clinical trials at the FDA, but it's clearly going to get there is retatrutide, this triple agonist, this triple one and myostatin inhibitor. Now, we all on our skeletal muscle, all of us have a natural receptor on it called myostatin. We all have an inhibitory blocker on it. If you take the
blocker on it. If you take the inhibitory blocker off, and for your audience, anybody wants to see what happens when you do a myostatin stimulator, go put in myostatin dogs or myostatin rats in Google it, hit images. Oh god. And what happens is if you add a myostatin to this retatrutide, your muscles grow like you've been working out 5 days a week in the gym. I know. Wait. So, everyone Justin, we all need this. You guys, what? You've got to go look at myostatin dogs. These are dogs or rats who have or mice who have a genetic absence of the myostatin inhibitor on their skeletal muscle that we normally have, and they're like body it's crazy. And we're all in the future. I remember in the early' 80s when the or late' 70s when I was in high school, when a girl had a C-cup breast or a D, everybody go" Woah." That's what I have, C-cup. Yep. Everybody go" Woah." Now, you know, in the' 80s and' 90s and now, of course, you have a C-cup, anybody can have a C-cup. You just buy it, right? Everyone's going to be muscular. Everyone's going to have low body fat. And by the way, this is [laughter] a The only reason it's not being copied right now by compounding pharmacies the way Reata is available is because it's a what's called a monoclonal antibody, and it's super expensive, and pharmacies can't make it. Okay. So, that's all That's the only reason it's not out available. Reata is everywhere.
everywhere. I don't even know what to say Like, my mind is blown. I'm not joking. Like, I could talk about this for 3 hours with you because I actually I love all the medical stuff. I just find it Like, if pe - people just you hear people talking and you don't really do the research or understand it. I have my mother living with me, 87, and I can honestly tell you all I think about is I want to live as long as possible. I'm watching the demise cuz she did not benefit from any of these things. my dad passed away from Alzheimer's 2 years ago. Right, my mother has Alzheimer's. So, you I am watching it. She lives with me, and all it makes me want to do is live forever. I want to live as healthy and as happy for as long as possible. So, do you hear this? So, in terms of the microdosing, you know, there's a lot of early evidence that even if you do it now, even if you have the genetics that we may or may not have, I almost don't want to know, to be honest with you, that it could, if not stop, at least stave it off until AI figures out how to erase it, which it will. When we watch our parents suffer through things, there is a real understanding. Until you know, until you're in it, until you watch it, you don't understand that wanting to really solve it. And Yes. never wanting to go through that, to be honest. And selfishly, the am I next of it all. 100%. Yeah. So, the microdosing, going back to the original issue, I don't recommend it. I'm not an advocate of it. But if you want to do it, I think it's kind of you know, a health hack of the ages. I think I'm going to do a deep dive, and I really want to find a doctor that's willing [laughter] You you can. Just hit a
[laughter] You you can. Just hit a tennis ball down the street. It'll It'll hit one of those doctors. [laughter] Ladies, you know what we have to do, okay? All right, let's talk a little bit about beauty, about things, because again, we know you, you know, I loved watching Botched, because I think you do see how obsessive we can all get. And again, what when we're watching, now with social media, even more, right? The comparison game, the [__] wanting to look like celebrities. We've taken it over the top at this point. So, watching Botched was interesting coming in, and it actually I thought it scared me a little bit of like wanting to like purpose. Right. To like not want to do things. What is one thing women should stop spending money on? I mean, I think the the fillers. Really? To a certain degree. And if not stop, dial it back. Okay. Because fillers are turning out to be much more problematic than we thought. And the more filler you have, the more it can change the tissues and the distribution of the tissues and get into the blood vessels and make it more complicated for facelifts, which everybody's going to do by their late 50s and early 60s in places like LA and Miami and New York and everywhere else. And so, dial back on the fillers, and focus more on the energy transmission devices that induce skin tightening. The future, of course, will be I mean, you know, I always say this. I I graduated med school in 1986. If you would have told me when I graduated med school I
told me when I graduated med school I became a doctor that in 2025 plastic surgeons are still going to be using scalpels to elevate up big segments of skin disrupting all the blood vessels with with scissors, pulling it back, cutting off, and stitching the face. Yeah. I would have said 2025, besides flying cars, there'll be lasers that'll tighten your skin. Okay, we kind of do have about to have flying cars. Be honest, there's drones. I don't know if you're aware of this, but it's it's all there. But the lasers are still quite weak. They still, as you know, don't cause as much facial tightening as a facelift does. But it's about to. And so, the the key is to do a lot of these things, but not as extreme. The CO2 laser, okay, I'm going to go under anesthesia. I'm going to have the CO2 laser. I'm going to be red and swollen for 3 weeks. Yeah. And yes, it looks great. Maybe do one of those, but then do a lot of sort of lesser lasers, whether it's ultrasound, radio frequency, whatever your doctor likes that he's or she has had experience with that they find effective frequently. That's the way to go into this aging next aging phase. Yeah, like the 50 plus when you start you know, the little everything's like you you start focusing on here that your I I constantly am going just a little bit. Just want a little bit. Right. So really it's that. So even if you end up doing the facelift, this is where the future will be and and
this is where the future will be and and soon enough, hopefully, the scalpel will be replaced by the zzz cool. Yeah, I know. And it's getting way better. But clearly we're understanding maybe [clears throat] you do one of these things, these sort of light lasers or radio frequency microneedling things, every 6 weeks, maybe. Really? Yeah. So, just keeping it up, be consistent. They do build on themselves. Okay. So, maybe the first couple of times you go, "Meh." But, you know, you do it another 6 weeks later, all of a sudden it's actually really Okay. working. So, I think that's the thing to focus on, yeah. where you spend your money. I think that's where you spend your money. Yeah, it's good to get, you know, Kris Jenner with the amazing facelift. that's all anybody was talking about. You were just like, amazing. By the way, I don't think she had a deep plane facelift. So, that whole No, I don't think so. hell did she have? I know we I literally all of my friends I think she had a really good plastic surgeon who did his version of a Whatever Whatever your plastic surgeon does that works for them, let them do it, okay? But, I don't think necessarily running into, you know, deep plane or anything with a fancy name is probably [laughter] like When they use the word nano Oh god. before it, that [laughter] tells you, "Oh, it sounds like an advertisement for new high-tech beauty enhancement procedure that probably won't be around in 4 or 5 years." Right. So, I mean, if it your surgeon does a deep plane, great. Let them do a deep plane. But, you don't want to just
deep plane. But, you don't want to just have a deep plane because it's I mean, you know, I have a very specialized kind of plastic surgery practice where at this stage, 80% of what I see is when it's gone badly. It's more like reconstructive, right? reconstructive cosmetic surgery, right. So, I see all of the disasters. So, I'm now seeing a plethora, a huge abundance of disaster deep plane facelifts. god. Because they're more challenging, you're just above all of the nerves, the swelling is a lot longer, and if your surgeon hasn't gotten to that learning curve point where they're really sort of adept at it, you're going to be on their learning curve. And that's not a learning curve You want to be on. you want to be on because if if that goes south, it goes very south, a deep plane. Yeah. Definitely not doing that. Well, But what do you think age like I know my mom said that she had hers at like 45. She had like a mini facelift. I have a few friends now at 50 and 51 that have all done it and I have to tell you Okay. Yeah. you. I'm not going to lie to you. And I like you go like this. What really do you think is the right age? Cuz I feel like you wait too long, you're lifting an entire face up. I agree. I Truly, Terry, what is the good age? This is the answer to this question. If you look in the mirror and you take you your thumb below in the neck and you take your middle finger above on both sides and you pull it back and you look in the mirror and then you let it go
let it go and it looks significantly better, you Then it's time. then it could be time. Then you agree that a little earlier like where it's not as much of a I think right is the recovery a little bit easier? Is Yeah. Just depends on the person, right? Yeah, that depends on the person and if you have a deep plane, it's going to be a long, painful recovery. But I think that yes, I think it's better to do it earlier, but don't do it like 38. Come on. Unless you lost 200 lb and your face is really fallen. The problem you can get into is if you do it too early, you're going to then need another one relatively early again by the Let's say you do it 40. You're going to want one around 53, probably. Okay? And then once you start elevating and altering the position of structures, all it takes is one alteration in an angle of something in your face that looks weird. And you know what I'm talking about. If you see a person who's sitting in front of you or at a restaurant and even if they've had good work done but there's a thing that looks weird, that's all you see. It's so true. That's why it's so scary when you're going to get honest. And it's like the big lips thing with the filler. If the lips are too big, you go I can't I I Can't unsee it. think she's pretty? You go, I can't get past the lips. I can't I I don't know. It's all I see is the lips. Ladies, careful with the lips.
Ladies, careful with the lips. Right. So true. By the way, in that regard, going back one second for example. So, the the Ozempic panic that Cuz they say it changes your face. Remember? Everyone says the Ozempic thing. Ozempic face panic, that is perpetrated by dermatologists and plastic surgeons to get you in their office and give you a lot of filler. You heard it here. Yes. So, don't have Ozempic face panic because lower the dose. If you're losing the weight too quickly, lower the dose a little bit, wait a few more weeks, it's going to come off of you and you won't suffer that Ozempic face. Right. So, don't have lean into Ozempic face panic because and go in and have 10 syringes of Restylane in your face. That is a bad idea. Don't you feel like now, Terry, cuz I feel like what, you know, talking about your show Rewind, right? That people are starting to be a little bit more less is more. It used to be more I mean, listen, jewelry and fashion, you know me, more is more, okay, ladies? I'm never I I stand on that. But there is something about this more natural beauty, embracing aging, pro-aging. How do you feel about that? Why did this show come about? Why did you feel it was important? Are peo - What has the tide changed? Yeah, it is changing. It is a trend to either do less, which is great, or to absolutely rewind it. Reverse it. I mean, I think People are taking their breasts out. Yeah. And I think the celebrities that we follow, they move the needle. And you know, no one moves the needle more than a Jenner
one moves the needle more than a Jenner or a Kardashian. And And Kylie Jenner moved the needle 2 years ago when she said, "Boy, I regret having my breasts done. I regret doing that lip filler." And Yolanda on Housewives, remember she took them out cuz she said something about the Lyme disease. And all of a sudden I was like, "Wait, are people taking their boobs out?" Yeah. So, it's it's but it's not a joke, okay? Just taking implants out or just re-reversing filler, you trade potentially one problem for another. It's not as hard as botched surgery, but it's definitely in the revisional high-risk category of surgical procedures. So, I you know, I just did a show called Plastic Surgery Rewind that's on E and Peacock where we took celebrities, put them in a house, and they decided whether or not to rewind their surgery. And it's a scary proposition, particularly on celebrities, because Especially on celebrities. Especially, because if you think about it, if your Instagram profile is based in large part by having a huge rear end. Yeah. Or giant breasts, and that's what it's just pictures of your breasts, and that's my thing. Yep. And they come in and they've got, you know, 2. 4 million followers, and you take their breasts out and you do a lift, and you put a much smaller implant or no implant, and all of a sudden they go from triple D, your thing has just gone away. Your whole identity has changed. Right. And And then what if you have a Forget even having a complication, just
Forget even having a complication, just that is a complication of life that maybe you don't know what you're So, you have to be really careful in the decision-making process. That's why Plastic Surgery Rewind, we had a therapist, a big amazing therapist named Dr. Spirit, who said, "Do you really want to do this? Do you know what you're signing up for?" So, Mhm. But I The reason I was so excited about doing the show is cuz like Botched, I wanted to send a message out there that less is better. That's what I love about you, Terry. You do. You're always But it's true. You're not somebody who's always promoting getting more done. You're actually about looking and feeling your best. Yes. And so less filler is certainly better. And every it, you know, I think almost all of the contestant contestants the people the patients on Rewind wanted all their filler dissolved. They did. And most of them did dissolve their filler. Yeah. It was the other stuff that was like, "Do you really want to do this?" And I'm And of course in my own mind, I'm thinking, "Do I really want to do this?" [laughter] You're like, "I don't want to hear the backlash." I remember when I met Kim Zolciak. Oh. And she's actually lovely. I'd never met her before, so I knew only what was going on with her and her husband. yes. And you'd see, you know, paramedics or 911 called, and she comes in and I sat her down, and I look at her and I go, "So, let me ask you a question. If I operate on Kim Zolciak" We're talking about her like she's not there, but I'm saying to her, "and Kim Zolciak has a complication, is
"and Kim Zolciak has a complication, is Kim Zolciak an enemy to Dr. Terry Dubrow?" [laughter] Good question. Fair question. And she said, "No." And she told me a story about a previous thing that happened with another surgeon, and I went, "I think I I love Kim Zolciak." And Kim Zolciak is despite what I You may see on You know, again, guys, it's it's TV. Lovely human being. And a great patient. A really wonderful, easy patient. So was her daughter. Really? Yeah. So that was good. There were a couple that wanted to come on Rewind, and I sat them down. They go, "Well, just as long as it's perfect, I'm good." And I'm thinking, "Just as long as Have you not heard the theme song of Botched? [laughter] Fix me, make me beautiful. I want to be perfect." I'm thinking." That doesn't exist, but" That's that's our theme song. Right. That's like crazy. Kill me. So, I said, "No, I'm not operating on If I told you, you'd go,' Really?'"And I go, "No." I said, "I'm not operating on that. I not operating on the show."will protect yourself. I feel like you are a therapist when women come to see you. You have to I mean, unless the problem plastic surgeons get into, particularly early in their career when they have these fabulous offices and they want to get busy is you want to operate. And so, you see every patient as a potential pre-op. Yeah. And so, the patient will come in who you know has all the red flags of a patient that you should never operate on. You know, they clearly have, for example, body dysmorphia disorder where that 2 mm bump on their nose has destroyed their lives
on their nose has destroyed their lives and it's the reason they haven't been able to have a good relationship or get that job. You go, "Okay. Don't operate on that person." Because that two when you take that 2 mm and you erase it, they're still going to see 2 mm. They're Or they'll find something else. They'll find something else they don't like and that's when they're going to go to somebody else and then they end up on Botched. Right. And so, what makes Botched so tricky is So, there are patients with body dysmorphia that I would never operate on. But, if you have a patient with body dysmorphia who's destroyed What are you going to do? Let them run walk around destroyed? They can't even go outside. So, now we are Paul and me are forced to operate on patients with severe deformities with body dysmorphia. How do you deal with that? I feel like there has to be such an emotional component to all this, Harry, cuz I know you're an emotional guy. You've been married. You have four kids. Like, you get it. When you're trying to help someone and you're seeing them really vulnerable, like, does it take a toll for you guys? Like, how do you do that? I I'm very honest with them. I say, "Well, listen, you hate all your plastic surgeons. You have hated all the procedures that have been and now you've had all these complications. What happens if I make you worse? What's that going to be like? And so, I just say to him, I go, "You know, the complication risk in a botched patient is like as high as 40% potentially." Through the roof. Because this area of the body doesn't have good blood supply anymore. It's all scarred
blood supply anymore. It's all scarred up. It's been distorted. You know, it's like uh if you spill food on a sheet in your bed and trying to make the bed, it's you can make it all you want, but it's never going to lay out smooth and flat. at it, and it gets worse, right? It gets worse. Yeah. And so, the chances that Anyway, so it it's very, very difficult. But, you know, Paul and I when we take these patients on, and hopefully we're going to do some more botched, we take these patients on, we look at each other and I say to him, I go, "Are you really going to take that nose on? You know, no matter how much of a home run you hit, they are not going to be happy, and they may go nuts on you." He goes, "Really?" I go, "Yeah." So, we sort of really read people. You try to be, you know, a therapist, and you're also protecting yourself. Holy [__] Has there been one case that you and Paul, either you had to turn down or something that you you were in the middle of and you were like, "This is crazy"? So, on Any regrets? On the Oh, any regrets? Do both of those questions. Any regrets, and then is there something that you really stumped you guys or they you walked away saying it changed your life, honestly? Yeah. So, you know, every episode there's always one patient I operate on, one Paul operates on, and one we send away, Yeah. and there was a patient in the second season who had all of this concrete plumbing supply stuff injected into her face by an illegal person who actually went to prison for this. You know, did it in a hotel room. Ladies, don't do stuff
a hotel room. Ladies, don't do stuff like that. that like this. Yeah. I mean, this is By the way, if I don't know if we're going to talk peptides. We're going to talk about the Oh, we have to talk about peptides. I Okay. It's I don't know if we're going to sorry. Yeah. Very You know, I'm fascinated with this stuff, too. Yeah. So, she came in second season and she had these huge masses, like the elephant man, made of concrete, literal concrete. It was caulking material. god. From a plumbing supply store that she would this ma - madam, who's in prison, injected into her face. And every doctor turned her down, and then she wanted us to take it out and see if we could solve that problem. And of course, these are inflammatory, what are called granulomas, inflammatory body reaction to this foreign body, and the chances that if you take them out, the body goes berserk, and the tissue dies above and below it, that you could make them worse is maybe 80%. So, nobody would touch her. So, she came in, and we turned her down. And then I could I just couldn't sleep I just for the next 4 months, we finished the season, and then we had like 4 months between the new season, and I just kept thinking about this poor woman who couldn't go anywhere. I mean, she couldn't even go to a grocery store without people going, "Oh my gosh, what's wrong with She probably felt like a monster, honestly. [clears throat] That's so sad. Yeah. So, I had an epiphany at 4: 00 It
Yeah. So, I had an epiphany at 4: 00 It was 4: 12 a. m. I had an just like wake up? Did it just hit you? It hit me. I go, I thought, I know what to do. I said, "Instead of trying to remove the whole thing and potentially killing the blood supply above and having the skin die or the nerves below and having her look like she's paralyzed or stroke victim, why don't I take the central 2 / 3 out of each one of these things, lay it flat, and you might be able to feel it, but you can feel your bone. Yeah. You said, "Why I just started to look at it through a new approach. Don't take it all out. Just take enough so it looks good." And so I brought her in and I took one as an experiment on the show under her chin. I I took orthopedic saws and I sawed out the central 2 / 3 and I closed it up and I waited. Nothing happened. She healed. So I said, "Okay." And then I took her and took her to the operating room, put her under anesthesia, elevated the right side of the face, left side of the face and I sawed out the central 2 / 3 of every one of the concrete masses and I did a little bit of a lift on her and put it down and she healed perfectly. chills. I'm not joking. Like I know what that means to somebody. Like especially women like to feel not good enough or like you can't be seen. Like you basically literally changed her life. I mean, you did. great. And so she healed and to the she still sends me Christmas cards every year. Yeah, she's awesome. Is that just one of those like memory ones that you're like that was just a good one?
you're like that was just a good one? That's a good one. And I've you know, and then towards the later seasons of Botched we did what nine we did a what 10 or something 185 episodes. The cases got more and more of course difficult cuz we started to say oh we can do this and we can do that and we pushed the envelope a little bit and the the cases were were not more extreme but at least extreme as that. Holes in the face intestines that were outside of the abdominal wall. All of these things from previous Any regrets there on that? Like was there one that you were like god I wish we hadn't done that or is there anything that you were like I just I I had a patient who on Botched who I operated on and she got pretty light infection. A lot of them get wound healing complications. They know that and we're going to have to do dressing changes or antibiotics or whatever. And she had to manipulate her own dressing changes. She did it wrong at home and it got infected and then she ended up in the hospital and kind of blamed me for it. And I went, "Really?" And then she hired a lawyer and tried to extort me. It was a whole thing. It went away very quickly, but it was very painful. It was a long time ago. you want to avoid. And we only had I only had like one of those. Which is not bad in what 175 episodes. everything you've done. I mean, that's actually unheard of. Considering every single case. When Paul Paul actually sort of Paul and Alex Baskin, this
sort of Paul and Alex Baskin, this famous producer everyone knows here him here, sort of came up with this idea. When he called me and said, "Let's do this show about revisional plastic." I said, "Worst idea ever, Paul." [laughter] He goes, "Why?" I go, "Because five guys before us have done it, board certified guys. They all failed. It's a what makes what are we? Superheroes? And what makes us special?" And he goes, "It'll be fun." And I go, "Oh, yeah, the audience doesn't judge us on the before. They judge us on the after." I love that Paul's like, "This'll be fun. Like, we're just risking our careers. No big deal." It's like I don't know if you ever saw Die Hard and Bruce Willis comes down and he goes, "Come to LA. Have a good time." As he's climbing through that air shaft at LAX [laughter] airport. Literally. Yeah. Oh, let's do revisional surgery. thank god you guys did it. I really do think it's it's showing again, it's just having something out there. Everything is always about excess and change and doing more and looking like everyone else. And I think it was the first time that you were seeing plastic surgery in a different light of how bad it can go and how obsessive we all are and that maybe we can tone it down a little bit. Yes, cuz I don't think people realize that you take the top 10 plastic surgeons in Miami, Manhattan, Newport Beach, Beverly Hills, where I'm at now, and you take you just take a book of all of their complications that they've had in their career. It would fill up a book, okay? Cuz you know, we operate 700 times a year. We have complication rate of 5%. That's, you know, 35. Over 10 years,
That's, you know, 35. Over 10 years, that's 350, all right? So, you would never go to that plastic surgeon. You In fact, you'd never have plastic surgery. Right. We all have these complications that we go We try to forget them and we work through them, we fix them. But to to take on a entire practice of nothing but those cases that have an incredibly high risk. It's insanity and But they say you're insane, right? Everyone thinks they're insane until it's successful. It's true. And then everyone believes in it. And I think now you guys have really kicked off a trend, honestly, where I think it's really taking over now. Again, how incredible to see women actually embracing aging, maybe embracing a little bit more of their natural selves. I love that. Loving ourselves a little bit more. I'm all about looking in the mirror, right? And actually liking what you see. And maybe doing the other stuff. the protein, the resistance training, the sleep, and the light lasers, and and holding off for the big stuff that could have potential big complications. Now, I know you're incredible wife, right? You've got four kids, which again, hat tipped off to you. You have two boys and I hardly sleep. I mean, it is crazy. Two high schoolers, like Okay. beyond. But you've got your four kids, you got your wife. Now, I heard that she was the guinea pig for a lot of She is. She's the guinea pig, right? Can you tell us a little bit about it? Cuz I think people don't understand cuz I think everybody wants to be married to a plastic surgeon cuz you think you're going to get free [__] all the time. But what is the guinea pig?
what is the guinea pig? Well, you know story. So, we have a a new YouTube channel called Dr. and Mrs. Guinea Pig because there's so much nonsense and snake oil. And maybe some of it's good, maybe some of it's bad, but I mean, do anybody does anybody really know if these peptides work? To really know if high-dose creatine works? Does do you know, does wearing a weighted vest work? Does you know, so light therapy that everyone walks around with their the vibration plate. I'm on it every day for 10 but yes, there's so many questions that we're following what everybody else is doing, but we don't have real answers to. So, we took the top 10 of these and we subjected it to the scientific method on ourselves. Okay. So, we took drugs, we took we'd had procedures, we did things that people are doing that you know, online there people this is the greatest thing and we did blood tests and imaging studies and we did before and afters and we experimented on ourselves just to determine whether or not Like what are you debunking something, right? Yeah, that's basically what we're doing debunking something. So, like the first episode we did is there's I don't know if you're on creatine. I've been taking the gummies. I started these the Lemme. Good. The Courtney Kardashian like she sent me the creatine so I was taking two a day and everyone says it's really good for you. grams? Do you know? I don't know. Okay, so you we I think it's the most studied supplement it's the best supplement there is creatine and every every female
there is creatine and every every female should take at least 3 g and every male at least 5 g but there's a day every day without fail. Otherwise it really doesn't do anything. You have to get what's called a steady state in your blood to actually have it work because creatine creatine monohydrate don't get monophosphate it's more expensive and doesn't do anything. Monohydrate not only fills the muscle with energy and helps you to maximize skeletal muscle thickness but it crosses the blood brain barrier and it's amazing for brain function. It's amazing. Okay, so everybody I heard it was all about working out and that's it. No brain function for sure. So, I think when you look at all the big science influencers, the PhDs, the MDs, we all agree, yeah, creatine. That goes without saying. But, recently people are saying mega-dosing, like three times the like 20 g a day, Okay. might be amazing. It's being claimed out there Okay. for brain function, for brain health, and dementia prevention and all that. That's all we talk about is the brain. All we want to do is avoid dementia and Alzheimer's. And keep our brains going. Yeah. Particularly someone like you who's doing this, you know, intellectual type job. Yes. So you look at these podcasters, and they say, "Mega-dosing crea - Not podcasters, influencers. Personal trainer, whoever, gym bros. Mega-dosing creatine is amazing for the brain." Based on what? Sh - On what? Tell me. Oh, well, I don't know. It sounds good. No one can tell you. And so, or somebody even a sort of a
And so, or somebody even a sort of a high-end one, a female who's very bright, who's She's a PhD. She talks about this, and you go, "You're talking about rat studies." Rat studies don't translate to human studies very well. In fact, you know, there's like a a 90% non-transference rate from a rat study to a human. If it works in a rat, there's a 90% chance it's not going to work in a human. Really? Okay. Yes. So, don't you know, rat studies, I don't even And unfortunately, most of the peptides are based on rat studies, which I'm obsessed with the peptides. But, anyway, so Heather and I mega-dosed creatine. Okay. And we subjected it, you know, we had an Oura Ring for sleep, we took blood tests, we did brain function studies that you would take at major neurologic centers. And we did it for it it It's very clear you can test this in 2 weeks. Okay, like a 2-week period. Consistent. Okay. And you have to watch whether or not it's true. We came to a very, very significant conclusion. I will tell you that some people feel that megadosing creatine neutralizes sleep deprivation's effects on the brain. Meaning, you know when you're sleep deprived, you can't concentrate and you maybe make bad decisions and your brain doesn't work. out of body sometimes. Yes. There's some evidence and you have to watch our experiment, some evidence that it actually just neutralizes that and gives you your normal brain back even if you're totally sleepy. No way. Yeah.
you're totally sleepy. No way. Yeah. Possible way. So, you know, we did a So, we did 10 episodes. By the way, it was so much work. I'm not sure we'll do Depends on the response. I do think it's really cool. There is something about being able to watch not only a doctor, but again, someone else that's not a doctor doing it. The two of you doing it together I think is really cool to see again how it works on a woman, how it works on a man because I know we're different. Like sometimes what works for John is not doesn't really do anything for me, honestly. Right. And I'm like I don't feel that. Right. And for example, I've always wanted to know mouthwash, breath mints. Does it work? And Heather looked at me and goes, yeah, she goes, well, breath mints. I go, yeah, but do they really work? And does mouthwash work? Does brushing your teeth work? Does tongue scraping work? The tongue scraping. Who So, we tested this. And oil pulling. Yeah. [laughter] And we tested SPFs, we tested a lot of stuff. Can you tell me about the peptides though? What was like what was one Can you tell us I know we want to watch the episodes, 10 episodes out, but what would be one thing that you found that you were like, this is freaking amazing cuz I want to talk about the peptides. Is that something that was one of the things Will you tell us a little bit about your findings? it's hard to know whether it's working on you. And you know, what you're really supposed to do is do one peptide at a time. Okay. Well, this is what you're supposed to do. Do this one peptide and see how you feel in 2 months. But we all just go, yeah, I want the GHK-Cu, I want the carper for the hair, skin, and nails. And then while I'm at it, I want the NAD for the energy. And how about the MOTS-c? immediate gratification that we want.
immediate gratification that we want. Yeah. people are like eh [laughter] But they're all doing it. But people are I was with Caroline Stan - Sorry, Caroline, I'm throwing you under the bus. I I love you. I mean, we were literally laughing. She Her and Sergio First of all, Sergio walked up and he's like, "She's on fire." And I was like, "What are you and Tracy do Like, what are you two on?" Because they She has so much energy. She feels amazing. She's never looked better, obviously. But she's like, "You've got to do the NHC's peptides. There's patches." She told me She named four things that she was on. And I was like, "I got to talk to a doctor. I can't do this anymore." Yeah. So, here's the truth about that. us the truth. The truth is that none of us know. None of us really know because they're not FDA approved and they're never going to be FDA approved because why would a drug company spend a billion dollars on Some of these are three amino acids. Just three little amino acids that you're injecting that even if they went through the FDA approval process, which is one to two billion dollars to get it approved, that the compounding pharmacy is just going to make it and undercut you anyway. Right. There's no return of, you know, investment for them. Right. So, which is really a bummer because that means unless they make more complicated drugs that you can't just copy, they're not going to You really want to encourage drug companies to spend a billion dollars to cure diseases.
billion dollars to cure diseases. Yes. They want to get their investment back. And they're They're entitled to. Where it's really tricky right now, for example, so tirzepatide, which is Mounjaro and Zepbound, it's FDA approved. Eli Lilly has the patent, okay? And when you have a patent, when you have an FDA approval, you get 35 years of no one's allowed to make it generically. Oh. It's not allowed to, it's illegal. And the government does that cuz they say, "Yeah, we'll let only you sell it because you spent $ 2 billion." Right. Well, that makes sense. Yeah. Okay, because you know, eight out of 10 of the drugs don't get FDA approved. Right. So, they're allowed to get their investment back. But right now, giant companies that advertise in the Super Bowl are undercutting them, selling them generic versions of the drugs. And it's fully unfair and illegal. But more than that, it's dangerous because it's stopping the drug companies from making drugs that may be more simple to make, that may cure things, that they won't get patent protection on cuz people will make them. Exactly. So, you're shooting yourself in the foot, right? yourself. And so, they're never going to test these peptides. So, [__] [__] [__] So, I used to say, "Don't do the peptides." And I realized everybody's doing the peptides. Don't be an idiot. It just means you're you're No Everyone's going to Yeah, Terry, I'm doing peptides. So, now I say, "Okay, let's do the peptides. But let's see how to do them." Right. What would be the first step if somebody was interested? Like if I was really I did the NAD shot. What'd you think?
What'd you think? And I Can I be brutally honest with everyone? I have never felt better that day. Like I took this NAD shot and that week, I was like on fire. I actually felt clear brain. I had no foggy brain. I had energy. I didn't need to take an energy drink. I did not need extra coffee. For whatever reason, I just felt really good. Sub-Q or intravenously? Sub-Q? I did like a shot. Okay, Sub-Q. So, that's in the skin rather than people start IVs. So, do you still do it? I really want to make this something that I am consistently doing because I I feel really tired. I do feel like I get overwhelmed and I'm exhausted and it's like I feel like if I did something consistently, So, you did it for a week? I did it for a week. Okay. Yeah, so this is my advice that's not medical advice. Okay, my above the line advice is don't do it. They're not FDA approved. They're illegal. Wah all right. All wah all right. but if you must do it based on the extensive research and maybe a little self-experimentation myself, [laughter] I think you should cuz we don't know, all right? And so you what you don't want to do it 3 years straight and then all of a sudden you grow on a third head or something or tumors on your thyroid or whatever. So cycle on and off them. Okay. So if you're going to do for example NAD do it for 4 weeks and then give yourself a little break. If you're going to do MOTS-c which is another one of these kind of mitochondrial stimulators that people love. I mean the top
people love. I mean the top top like what are we what should people look at? These are the top five for sure, okay. Rada Okay, I'm looking into that right now. Rada, oh my gosh. Uh GHK-Cu, that's the copper peptide. People love that. peptide you really do think I mean people love it, you know. Okay. CPC 129 which is a growth hormone stimulator. Okay. People love that one. Wolverine which you probably heard of which is that name. BPC 157 and TB 500 which is like a if you got shoulder pain that's been nagging you do couple weeks of Wolverine cuz he after the X-Men character who heals himself. Yeah. And I must say that my best friend is a brilliant guy. I don't want to identify him. Amazing athlete, all American swimmer, and a super surgeon and he was having bilateral hip pain for 2 years. And was thinking about it. It's like I have two bulging discs that I've been Like that kind of vibe. Is it kind of annoying? Okay. Yeah. And he was going to have sign up for hip replacements and he still might do it, but he put himself on Wolverine and hasn't had hip pain for 2 weeks. Terry, I'm not joking. That would be honestly life-changing to me. Like I sit here paying at the PT three times a week and this I'm [clears throat] avoiding the cortisone shot. I'm avoiding the surgery cuz I'm scared. I'm a mom and I can't I I was
scared. I'm a mom and I can't I I was like I just don't want to do any of that. So I've been doing PT for 3 years and listen, I'm moving and I'm fine, but like I I'm like there's got to be something that helps you. Yeah. So the Retta, the MotS-c for, you know, some people love the NAD. I tried it. I have, you know, I'm a high end I'm never really tired. I have a sleep disorder that I've had as a little kid. I don't sleep very much, but I'm never really officially tired. And so I tried it. Yeah. I'm like it's okay. It was great for a general to be a general surgery resident. I was up all night. I could operate clear headed. But you know, you want to go to sleep at 11: 00, okay? I can't. So I took NAD and I just I felt flying out of my skin and you know, Heather went to a thing at Kathy Hilton's house and they were starting IV NAD drips on people. And three of the people like one of them I think they had to call the paramedics. So I'm not sure about that. But [laughter] there's you talk to paramedics in these big cities that we're in, how often do you get called for peptide reactions? A lot. It's a thing. So they're going to be Be really careful. Yeah. You know, everyone's just desperate for help, but again, you really don't have anywhere to turn. I think people aren't trusting as much. You do see a lot of influencers that I think people are starting to be like, do you even know what you're talking about? don't. and a lot of the times I even caught on to it. It's like, oh, everyone's selling the same thing. Is anyone using it? what's even scarier for your audience? So if you do the Retta thing, cuz that's the most popular, Yeah. Eli Lilly rightly has
Yeah. Eli Lilly rightly has tried to get the government to shut down these American compounding pharmacies from making their drug that they're about to release that's not after, you know, and so they're all scared. So they're not making as much anymore in America. So now it's all of it's coming from China. Oh, now that's scary. And so it gets on a boat from China. It's not the same Retatide as Eli Lilly's making. You can have heavy metals and all sorts of weird things. And then who knows if it's sterile? Who knows if it has Retatide in it? Who knows whether there's viruses, you know, it's just it's the Retatide that you know, you might have access to in the near future as it gets more shut down might be real black market dangerous Retatide. I mean, now with pills, anything you're scared with fentanyl, with everything. You honestly are terrified to take anything. The problem with your audience is if if they weren't familiar with Retatide, when they go online and, you know, your whatever Now that you By the way, is your phone in the room? Okay, your phone your phone's hearing me. You know how it's listening. No, it knows. So next time you do the scrolling, everything is going to everything fifth is going to be Retatide is the best. Retatide is the greatest. I love Retatide, you know, this is how you take Retatide, you know, there I've never seen anything negative about Retatide, but now that it's going all black market rather than compounding pharmacy, And no one wants to pay for the real thing. That's Well, the real thing is not even out. When is it coming out? It for sure by 20s 2027, but probably by
It for sure by 20s 2027, but probably by the end of this year. Okay, so we're going to look out for that. All right, Terry, two last questions I wanted to ask you. Number one, I'm all about getting up and getting dressed, right? Cuz I really think that it's something about the intention of it. Not just throwing on whatever's on the floor, but actually taking a minute to put your oxygen mask on first. I think especially for women, I think half the time with kids and everything we're running around and we forget to take care of ourselves. What is it for you? What do you do to get yourself ready for the day? Do you have any routines or anything that just if you're in a bad mood or you're exhausted or whatever it is that you're doing that just shifts your ready for work, ready for the day? So, I visualize. You do? Yeah. My little thing with surgery is before I operate on a really difficult case, I do the case in my head. I see myself doing every step. So, when I get up in the morning and I'm having a very stressful week or I've got a big horrible day of a lot of different things or a day that's got multiple different aspects to it like I'm doing two incredibly possible cases from 8: 00 to 2: 00 and then I've got a podcast then I'm shooting Real Housewives of Orange County and then, you know, Everyone want to talk about that. you know, and [laughter] so I I say, all right. I wake up. I go into my bathroom. I swallow my 500 pills. [laughter] And I visualize in a very positive way Oh, I like that. each step of the day. So, you're not
each step of the day. So, you're not making mistakes. You're in a positive way you just walk yourself through it. Yeah. And then I at the end of that visualization, I always do it in surgery while I'm scrubbing. When I'm scrubbing, I'm doing this whole thing. I'm operating. But so, it's like my version of scrubbing in for the day. pilots. They do they practice, right? scrubbing in for the day. I'm visualizing and at the end I don't recommend this for everybody, but I'm a bit of a Buddhist. And so, I say to myself at the end and it doesn't matter because you're not getting out of here alive. So, just relax, dude. Enjoy the moment. I [laughter] love that. I think I would need to tattoo that on to something. Right? It's so it's like what are you going to do? Right? Sometimes I I will literally say to myself like you get to. And just take away that have to. Just changing those words and I'm always like you're lucky to be awake, put that oxygen mask on and you get one more shot at this. Yeah. Right? know, I mean it's wonderful that we're here right now, but it's particularly wonderful for all of us who get to live during the fourth industrial revolution AI's going to change it. Oh, he's going there again. But it's so true. It's so you have the world's Better than our own Easter, right? I mean you can ask Anything. Anything and you know, it hallucinates a bit, but it's gotten better. You'd be surprised how many of your audience have heard of it, but don't really know what it is yet. know how to use it. Yeah, and learn Yes. how to use it. That's your biggest step, right? Learn. It's I mean it's so easy. And then Terry really quick just I get asked all the
really quick just I get asked all the time how the hell I work with my husband. We're together 24 / 7. We work together and we make it work because at the end of the day nobody watches my back more than he does. Nobody wants me to succeed more than he does. Having our boys see my husband support me and really want to see me win I think is an incredible lesson for them. And I get a lot of questions of how the hell do you guys make that work? Is it hard? And I say yes, it's really hard. There are days are really hard, but we know what we're working towards. How do you guys make it work? You and Heather together 24 / 7 obviously with Orange County and with all the shows what do you what's that secret for you guys? We we've learned how to fight really well. When we're in the middle of the fight we've been doing this for so long that we go or disagreement, don't do it. Don't say it. Don't push that button. Don't sweat this stupid thing and and then the other rules are don't even discuss tense or sensitive topics when you're drinking alcohol or right before going to bed or when you sleep deprived. We do that, too. Don't do it. Yeah, and this is harder because there's the Mars Venus thing. You know, I I let it go very easily. I don't know if you hang on to things. I hang on. John doesn't. Yeah. he's pretty easy going. Yeah, and so by the next sometimes in the middle of an argument I'm already over it. Really? Yeah, done. And you kind of tone it down, right? go and I go, "Hey, I'm really sorry." She knows I just want it to end. And I go, "Oh my gosh, now saying sorry didn't even work." Oh no, you know, you have to let her go through her process. Yeah, totally. She says, "You just don't you're I said I'm so sorry." I start to
you're I said I'm so sorry." I start to laugh [laughter] and I go and then I could go I actually don't remember what we're fighting about. And she goes, "Oh no, "And so you got to let the that person go through their process. But don't allow the process to go on too long. I was like communication is key and I just say choose happy. That's what John You have your rule, that's what we we just say like in the middle of the biggest arguments or disagreements, at the end of the day just choose happy. Whatever makes you just There's no reason, life's too short. Yeah, and then sometimes we try to remove the context so we go into another room and we text each other. [laughter] That was wrong. So at least it takes away the the whole nonverbal irritating roll which just pisses you off more. You're right. Sometimes the text it's like it just gets the point across and then you're done. Right. Agreed. Okay, we're going to do a quick rapid fire. First of all, I love that you wore jewelry for me. I really appreciate you. Can you show your bracelet to everyone? Yes, this is Men wear jewelry, too. Yes, I used to be a watch guy. Yeah. But I lost all interest in material things about 5 years ago. I was into cars, watches, clothes and all of a sudden when I got to a certain whatever level of to be honest success, I don't care anymore. I don't even own a car. statement ever made. Okay, good to know. Rapid fire. You ready, Terry? Yeah, rapid fire. Lab-grown diamonds or mined? Lab. Mined is dead. Don't [laughter] do it. They're not worth It was a conspiracy against men, [laughter] to be honest with you. Exactly. I love lab-grown, too. I think it's the same It's a diamond, guys.
it's the same It's a diamond, guys. Versus a baby born and you still love the baby, right? Despite what jewelers will tell you. Okay, the one jewelry piece a woman should never take off. Ooh. You know, their engagement ring, right? Biggest fashion ick when a woman walks into your office. There's too much cleavage exposed. Yeah, right. Like you don't need to show that off. I get it. Or or you know happy about your Or too much cleavage. Yeah, I actually don't love cleavage [laughter] and I had my boobs done and I still don't wear cleavage. I want to like have to look. I think it's much more interesting if you have to go is there is something happening there. It's kind of cool. I like that. Okay, neck cream total scam or liquid gold. I think some of them over a long period of time can be very good. Okay, great to know. That's good to know. Okay, silver or gold? Choose wisely, Terry. Choose wisely. Silver or gold? Well, that's good. I never really liked gold. I'm more of a silver guy. You like gold? Heather likes gold. Okay, Heather Heather me and you. Right, but [clears throat and laughter] Okay, one surgery you'd actually forbid Heather from ever getting. Many surgeries, but obviously a BBL. Yeah. A Brazilian butt lift where you take fat from one part of the body put it in the buttock to make the buttock bigger. It's too dangerous. And what's going to happen when you're you know 20 years from now when you're somebody's grand great grandparent and
somebody's grand great grandparent and you've got a huge butt. [laughter] Okay, high heels or high-end sneakers? What do you like to see Heather on? Heels or a flat sneaker? I probably like her in heels. right? Little sexy, yeah. The best city in the world for people watching bad plastic surgery. Where have you been that you're like I need to come here to do botched. Maybe Miami. Ooh, I'm going to agree with you on that. Yeah. And last one, in one word, what is the future of beauty? Scalpel-less. It's going to be more of the zapping, right? with the scalpels. What I mean, come on. Well, Terry, thank you for being here. Honestly, it was so fun. ever. I love you. I can't. Heather has to come back, too. I love everything you're doing and thank you for promoting pro-aging. Us women love you for it. We really do appreciate you. And thank you for being honest about all the stuff because I think a lot of women are just scared to try things. They're scared to do things. You know, you don't know who to believe, but there are so many things out there ready to help us feel our best and live as long as possible, correct? Preserve yourself as long as Preservation, longevity, because it's coming. And if you're not preserved, you won't take advantage of it. Thank you, Terry. You're the best. Bye, you guys. Thank you so much. Leave a comment. Leave a review. Leave a question. If you have any questions for Terry, leave them on there and we will get we'll I'll get back to you. I'll ask Terry myself. But I love you. Thank you for your love and support. We'll be back next week with another episode of Coming In Hot. Have a great week. Don't forget
In Hot. Have a great week. Don't forget to get up and get dressed.
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Dr. Terry Dubrow frames GLP-1 medications as more than cosmetic weight-loss tools. Appetite, blood sugar, inflammation, and cardiovascular risk all sit inside the same system. When metabolic health improves, the felt experience is steadier energy and a body that responds more predictably.
The beauty conversation is useful because it returns to proportion. Rapid body change can create fear around the face, skin, and aging. The calmer move is to resist overcorrection. Skin quality, muscle, sleep, and time often matter more than dramatic intervention.
Peptide interest is rising faster than the public evidence base. That does not make every peptide useless, but it does ask for discipline. FDA status, sourcing, purity, clinical context, and realistic outcomes all matter.
The through-line is preservation: avoid extremes, build strength, use technology carefully, and treat the body as a long-term project. Aging well is rarely one intervention. It is the quality of the pattern.
Longevity is less about chasing every new tool and more about preserving the systems that let you stay capable.
GLP-1 drugs belong in a broader metabolic conversation, not a narrow weight-loss story.
Dubrow’s strongest advice is restraint: avoid panic, avoid excess, and think in long timelines.
Unregulated peptide sourcing remains one of the clearest risks in the current longevity market.