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Topics Discussed in the Journal Club Include the Following…
*Dr. Heather discusses peptides for hair, cosmetics, sex, and immune enhancement
*Research shows shock wave improves erection, but the P-Shot® combined with shock wave both improves erection and prolongs sex (more than twice as long).
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Dr. Heather’s Peptide Course<–
Outline of This Page
1. Transcript
2. Relevant Links
3. Relevant Research
1. Transcript
Charles Runels:
Hello and welcome to the Journal Club tonight. We have a very special guest, Dr. Heather Smith Fernandez, who has a lot of expertise in both providing and teaching peptides.
Peptides, I almost stumble on that word because, I mean, insulin is a peptide, right, and growth hormone is a peptide. Still, over the past five years or so, it’s become a really talked about idea using peptides that act like hormones but have not yet been shown up at your Rite-Aid or your local pharmacy. Of course, there’s been a lot of talk about what we can do and what we can’t do because as the science moves forward, of course, the FDA has to figure out how to catch up with us and how to make sure that things are done safely and thoughtfully. Heather’s been teaching about peptides for a number of years, and she’s going to jump on the call here shortly and talk to us about how she’s been combining those ideas with our PRP procedures.
Before she jumps on, it’s so exciting; we have a paper that shows that shock wave combined with PRP doubled intravaginal ejaculatory latency time.
Shock wave alone improved ED, but shock wave plus the P-Shot® improved ED AND prolonged sex! Here’s the research…
I don’t know how much longer it is going to take before the standard of care involves using platelet-rich plasma and/or shockwave therapy for male and female sexual function.
The research is stacking up. To me, double-blind sham control randomized, you’re hitting all the right words to make it legitimate, but really a sham-controlled shockwave therapy, I think you’re going to know whether you got the sham or the true shockwave or not. It’s like the sham or placebo-controlled studies of Botox for migraine that we went over a couple of weeks ago. I don’t think it takes a genius physician to know whether you got the placebo or not. In my opinion, we’re going through essentially the hoops that are needed to make others recognize what we’re recognizing almost daily in our clinics.
But here’s another one to add to your list of supportive papers regarding what we do. As you guys think about the research that you might do or what might be needed, I think more of this is going to come about because as we have these new therapies that have basically a whole new class of therapy. If you think about what medicine was 20 years ago, the classes of diseases and the classes of therapies. You had antibiotics for infection. You have mechanical treatments like a stent or a surgery for something that has a mechanical problem, like a tumor that’s blocking a lumen or an atherosclerotic lesion that’s blocking blood flow, so that’s involves usually some sort of surgical procedure. You have an autoimmune disease. So you only have a certain finite number of things you can do. You have vaccines to help prevent infection.
The exciting thing that’s happening right now is the idea that you could actually do something directly to tissue to improve the health of the tissue and therefore treat a disease or prevent a disease, as in shockwave or platelet-rich plasma, to directly improve tissue health. That’s a new idea. And so it’s a whole new class of therapies. Of course, the first step is proof of concept, but then there’s a need for infinite varieties within each treatment. For example, with platelet-rich plasma, you can cool it, you can wash the platelets, you can change how much blood you collect and how you centrifuge it, or pass it through a micropore filter, and whether you add calcium or thrombin or vacuum or nothing to activate it, and then some power of that in the variation on those themes. Then you have an algorithm for how you might combine it with something else.
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So in my opinion, this research is truly primary. If you go by the history of medicine, it’s 10 years to proof of concept, another 10 years before it’s widely adopted, and then the rest of time for working out the nuances to how to get the best effect. The first P-Phot was done, best I can tell, on my penis by me in 2010, and the O-Shot soon thereafter, so we’re about 12 years in. Now with amazing people in our group and these investigators worldwide, it’s just a matter of time until insurance is paying for it, and everyone who takes care of female or male genitalia will be doing some variation.
But this is a unique time. And so along those same lines, I see Heather’s on the call, along those same lines, we have this finite small number of hormones that most people think about. So you have Estratest, when I first came out of medical school, and then there became this interest in micromanaging hormones and looking at them more broadly, things like DHEA and IGF-1 and cortisol and free and total levels. Remember when we did free thyroid uptake and now we can actually measure levels and free thyroid, free T3, free T4. So we have these nuances. And then the next step has been, and this is what Heather’s going to talk with you about, is these other, technically they’re peptides. They’re messengers. I mean, they’re technically hormones because they’re peptide messengers, as is insulin or growth hormone. But the use of them is developing, the combination of using them with other methods like our platelet-rich plasma procedures is developing. And of course, the laws are changing rapidly.
Let me pull Heather on the call immediately and see if she can dissect out how peptides are working in her clinic and what she’s seeing across the horizon. I’m going to brag on her just a little bit. You’re unmuted now, Heather. She trained as anesthesiologist. I first met her at a meeting where she held great respect in regards to pain medicine and regenerative therapies, including some stem cell therapies and expertise to the degree that companies that you would recognize consult with her about how things might be done or be done better. So let’s see if I can get her microphone unmuted. Let’s see.
Heather Smith Fernandez:
Hello. You got me.
Charles:
Yay. So thanks for jumping on tonight. I get a lot of questions, and of course we have an FDA approved peptide now, hormone for female function. That’s something you were using for years before that. Just jump right in, if you don’t mind. Give the people that are new to the group a few minutes about your background in medicine and with our procedures. And then, if you could, teach us something about peptides.
Heather Smith Fernandez:
Oh, I would love that. And I will keep my background short because it’s a little bit like a big tree with lots of branches. But thank you so much for having me on. Hello to everybody in this amazing group. Good evening. So I’m Heather Smith Fernandez. I am a primarily trained board certified anesthesiologist and fellowship trained in interventional and regenerative medicine. I’ve been doing interventional pain and regenerative medicine since my fellowship. It’s been such a journey. It’s been learning one thing after another. The regenerative medicine field, as all of you know, is probably the most exciting thing we can be doing for our patients. I learned about Dr. Reynolds amazing procedures before I became a member of the group through my other colleagues. He actually spoke at our orthopedic and spine PRP and stem cell conferences. It was just at this refreshing and amazing way of looking at what we were already processing and how we could help people in a very different way.
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I thought it was fantastic. Anybody, especially who had a cash practice, it just touched me that why wouldn’t we learn how to do this? Then I met him and, of course, learned a little bit about what he had created and I thought, I’ve been wanting to use PRP in this way for a while, but I didn’t want to do it wrong. So I said, “Let me go and get trained by the best.” And I became a student and a group member, and then eventually went on to be a mastermind member. He had an amazing, for a short period of time, a small mastermind group and I had the joy of being part of that. It really advanced what I was trying to bring to not only my patients, but to the general public, because I didn’t know anything about marketing. I didn’t know anything about really about business when it came to how to protect your intellectual property and how to move forward with procedures and ideas that you wanted to offer and how to be safe about it and consistent and things like that. It was just an amazing education for me.
That was where I initiated and learned how to do my peptology trademark, which has been very important to protect my teachings, and in growing a brand and keeping the integrity of the brand, which Dr. Reynolds talks about quite a bit. It’s really, really important how he defends the integrity of his brand, and that becomes super important when you hear these random stories every once in a while of somebody doing something dramatically wrong with PRP. That’s why the important of protocols and branding, it’s there for patient safety and patient outcomes. Then I’ve been part of the group. I started with peptide medicine a long time ago. I was one of the early nerdy doctors of peptide medicine when it wasn’t really in vogue at all. But the ability of these small proteins and peptides to enhance the regenerative process on multiple different levels, both intracellular and extracellular, was just fascinating to me. And it really works.
It’s really quite amazing how peptide protocols work so well with the procedures that we do for patients, especially the Vampire procedures, the O-Shot, the P-Shot, but also in the orthopedic and spine world. But we have a whole protocol and a whole course that has been dedicated to aesthetic sexual health and hair restoration in the peptide spectrum. It’s just incredibly enhancing to the outcomes for the patients, but also as a means of keeping your patients connected to you and connected to your clinic and with ongoing improvement after the procedure.
Charles:
Let’s just take one thing at a time. I know you could take one of these topics and go for the rest of the evening into dawn most likely, but let’s start with hair loss. What’s your favorite peptides when it comes to combining PRP therapies with your peptide ideas for regrowing hair?
Heather Smith Fernandez:
So with regrowing hair, it’s fascinating because as some of you all might know, Minoxidil works to help hair growth. The problem with Minoxidil is the minute you stop it, all the hair starts falling out, and that’s a horrifying reality, especially for female patients. It’s not that they go to a worse state than they were before, but the new growth just has no sustenance. With peptides, it’s different. In my opinion, there’s nothing that replaces PRP, because PRP is actually putting the seeds for restoring follicles on a cellular and molecular level. But the combination of peptides that we have for hair growth actually work on the hair follicle in several different ways. One of the peptides actually improves blood flow to the hair follicle. So there’s a small arteriole that goes to every single hair follicle. One of the process of thinning of hair, one part of that process is that the blood supply becomes compromised for whatever reason. So if you can improve the blood flow in that arterial flow, you’ve got oxygenated blood going to the follicle, it’s going to stay alive longer.
Then there are other peptides that keep the follicle in the antigen phase, which is the growth phase, for a longer period of time and cut down on the time between the catagen phase and the antigen phase. So you’re basically allowing the hair to stay in the growth phase for a longer period of time, keeping the blood supply to the hair follicle improved, and the hair quality actually can improve as well with several different peptides that are just part of the topicals. But these are topical peptides that can be used as part of … So if you’re doing a Vampire hair procedure, you can have your patients using the peptides for the full six to eight weeks. I prefer to have patients using peptides for hair for a full three months before cycling off of them. Because remember, we want to catch every hair follicle in its phase. They’re not all going to be in the same phase at the same time. So allowing that 90 day cycle is going to give you benefit for every hair follicle, no matter what phase you actually catch it in during that three months.
They’re very well tolerated. They’re very easy to use. There’s usually two peptides in one combination product. Then there’s a couple of other peptides that you can add in as needed. Some people are willing to do some micro-needling. I don’t recommend that immediately after the Vampire hair procedure because the scalp is sore and you don’t want to do more trauma to it. But in very refractory cases, or in patients who are a little bit more robust about it, they can just buy a derma roller on Amazon and sterilize it at home and kind of derma roll in some of the peptides. It gets it a little bit of a deeper penetration.
Charles:
We have people on the call, Heather, mostly from the US, but other countries. I know there’s at least one Canadian I recognize here. Talk to us a little bit just the practicality of it. So you have this beautiful recipe of peptides for hair growth. You have a way for people to get to it? I’m sure your recipe is okay in the US or you wouldn’t be talking about it, but what’s the mechanics of getting it? Do you have a company that supplies the people that do your course or are they on their own to look out and talk with their compounding pharmacy? How does it work?
Heather Smith Fernandez:
I actually know all of the compounders in the US that are licensed and able to provide products to your patients. There are a few products in the facial aesthetics that you can stock in your office if you want to. That’s a little bit tough because most of these are coming from a compounding pharmacy, so they don’t have preservatives in them, and there’s going to be a shelf life. So it’s a little bit of a risk. Some of them are now the anti-wrinkle creams. There’s two peptides in the anti-wrinkle cream. They’re Botox, like peptides, they’re pretty cool. They have a shelf life of a year so if you wanted to sell them out of your practice, you certainly could, you know, with a year shelf life, not like three months. But for the most part, you’re ordering these peptides and they’re patient specific, other than those few examples. The hair peptides, you’re ordering them from the compounders and they have to be able to ship them to the patient.
So, that means that the compounder has to have a license in the state where the patient is. When it comes to Canada, there’s quite a bit of restriction. But Canada is changing. They’re changing that more rapidly than California is. California has been an uphill struggle to get peptides to be able to ship into California. It is getting better. It’s all getting better. You just have to know what peptides you’re allowed to ship into the country. I’m very, very skeptical about research only peptides, especially as a medical provider, because you’re putting your license on the line if you’re actually ordering a peptide from an internet company, that right on the bottle it says for research only, not for human consumption. I don’t think that’s a good move as a medical provider. I’ve seen some disastrous outcomes with people ordering their own peptides and having some horrific side effects that nobody could figure out, because they didn’t know what was in the bottle.
So I’m a pretty skeptical about that. I know a lot of people talk about it in online forums, but as a medical provider, there’s no reason for you to not be able to use vetted pharmacies that are inspected, that you know sterile … Everything is on the up and up. We have that available to us in the US with very few exceptions right now.
Charles:
So, I want to get to the sexual medicine and the peptides that involved with that. I saw a woman today who had tried Addyi, but her insurance didn’t cover it and it was too expensive and she didn’t like flibanserin. She’d been around to two or three doctors, as often happens, and showed up on my doorstep for an O-Shot. I know that you’ve been involved with peptides for sexual medicine. Before I get to that topic, though, just give us the name of one peptide you like for the hair and talk a little bit about, I know it is not just the peptide, it’s the carrier.
Heather Smith Fernandez:
Yes, it is.
Charles:
And you must have some sort of connection with … Can you talk to them about how you might, if someone does your class, is there some way that you’re connecting them with people that know how to put it all in the same bottle and make it work?
Heather Smith Fernandez:
Absolutely, yeah. So we have a network, if you take the course, we give you all the protocols that you would need and the dosages and everything exactly like it’s been tested, that we know that this is how it works. One of the big frustrations with hair and with sexual health especially is, “Oh, I tried this and it didn’t seem to work,” and they hadn’t done it exactly right, or they hadn’t used the right combination, or they hadn’t done it for long enough to be able to get the result that their patient was looking for. So all of those things are just experience based, and all of that is shared in the course because the whole point is success. Peptide without protocols are just wonderful substances, but if you don’t know what are the limits of where you should go, and this is a great leeway into the sexual health peptides because … So PT-141 is a pretty well known peptide. It’s also called bremelanotide, and it is available by brand name, I think it’s inaudible 00:22:22.
It is all the same substance. It is a melanocortin fragment. It is a piece of the melanotan molecule, and it works in the melanocortin system, which is a very complex system in the brain. It does not work on the sexual organs. It works in the brain, which makes it a perfect compliment to our procedures because we are doing procedures that are awakening tissue, regenerating nerve, increasing sensitivity, increasing the quality and integrity of the tissues themselves and improving blood flow to these vital tissues. Well, if you can turn all of that on in the desire centers of the brain and still have a responsiveness in the sexual tissues themselves, now you’re really cooking with, well, as we say in the South, cooking with peanut oil. I know that’s not healthy, so I won’t say that. But the point is that now you’re really coming at it from all those aspects. If you think about people who have had sexual dysfunction, especially for some period of time, how much emotional and psychological strain that places on them in their relationship.
We see this all the time. If we really start talking to our patients, it’s uncomfortable. It’s uncomfortable. They’ve got anxiety, They don’t know if the plumbing works. If they use Viagra or Tadalafil and they make the plumbing work, that’s just plumbing. That’s not changing their brain or their desire or their responsiveness mentally and psychologically and emotionally. But these peptides work there. They work centrally.
There’s a study about PT-141 in men, 80% of men who did not respond to Viagra and Tadalafil, had a response to PT-141 when it was dosed properly and used properly. That’s really powerful. And for women, they typically need a higher dose and you definitely need to mitigate side effects and know what your timing is, but that is a wonderful peptide. It’s not the only one. It’s not the only one in the sexual health realm. When you combine apomorphine and oxytocin and PT-141 at the right timing, you’re really changing what’s going on in the brain, and now you’ve done your O-Shot and your P-Shot as to how responsive can the tissues be, it is a game changer.
Charles:
Are you prescribing oxytocin intranasally or subcu for your patients?
Heather Smith Fernandez:
I’m doing it intranasally mostly. I like the subcutaneous better, but my patients don’t like injecting themselves.
Charles:
So back to a little bit about the mechanics of it. There’s some talk all of us want people with three letters not in our office, right, FDA and DEA and all those three letter people. So how does that work with having something compounded that might have a brand name in the pharmacy? Is that available and is it a profit center? How’s that working?
Heather Smith Fernandez:
Well, it can be a profit center, but you just have to be careful how you’re making it a profit center. Because you cannot upcharge for peptides. That’s actually illegal and a lot of people don’t know that. They’re ordering it for this amount and they’re charging the patient directly for the peptide at twice the price. Because you can do that for Botox, and there’s a lot of other things, nutraceuticals and everything else, they just apply that model to peptides. But you cannot do that with a peptide that is patient specific that you’re ordering from a compounding pharmacy. But there are ways of turning it into a profit model. We have a whole how to make peptides profitable aspect to the course that that is safe. It is completely bulletproof from an audit standpoint, which is really what you always want to think about when you feel like you’re kind of walking the edge of, well, a lot of other people may not understand this, so how can I make sure that this would surpass any scrutiny? How you actually label what your fee is? How do you charge for it?
That’s going to change a little bit. If you have patients who are out of state and you have to have the peptide shipped directly to them and they’re dealing directly with the compounding pharmacy rather than with your clinic, then you’re going to change your model a little bit. But there’s several different ways of making it profitable for you when it comes to offering peptide medicine in general. And we make sure we do that because if you’re doing all the work and the pharmacy is the only one making the money, that makes no sense at all.
Charles:
My memory, Heather, correct me if I’m wrong, but my memory of when you were taking your decade or more of experience and turning it into this course, is you spent a lot of money on legal counsel to make sure you stayed away from any questionable edges.
Heather Smith Fernandez:
Yes sir.
Charles:
I think it’s good for people to know that not only do you not claim to be an attorney, you spent a lot of money on attorneys to make sure this course keeps your people clean, which I think is one of the big selling points for it because a lot of times our colleagues, myself included, have been tangled up and not even know there was a trap I was getting tangled up in and you’ve done the homework and spent, I won’t say the number I remember, but it was-
Heather Smith Fernandez:
Oh it was horrible.
Charles:
… houses down here go for less than that. inaudible 00:28:11.
Heather Smith Fernandez:
Yes, you’re 100% right. I am not a person who takes chances with my license, so I would never take chances with my students license either. That’s really, really important to me. What I can share with the group is you probably know somebody who’s doing it in a way that could get them in trouble. Just because they’re doing it that way doesn’t mean that they can’t get in trouble on any given day. They probably just don’t know any better. For example, practicing across state lines, there’s a lot of legality about practicing across state lines, and most physicians just don’t know the ins and outs of that until somebody from a different state wants to cause trouble for you and sues you and then you find out you really had no legal right to be treating them in the first place.
So all of those things, I’ve spent all this money with my attorneys, because I have people coming from all over the country who want to do peptide medicine with me. So I kind of had to. I had to understand what am I allowed to do and what am I not allowed to do? And I share that obviously with all my students.
Charles:
So there is an answer. You figured it out, but you spent the price of a house to figure it out. Am I right about that?
Heather Smith Fernandez:
Yeah, and I feel so bad for doctors that get stuck because they didn’t know. Because as a profession, we’re not allowed to ever be ignorant about anything. We’re supposed to be experts on everything, which is of course nonsense. But we’re never given the benefit of the doubt about this kind of stuff. And yet nobody offers it up for us. Like a lot of the things that you’ve been so gracious with teaching about cash medicine, about keeping house when it comes to, if somebody were to do an audit, and that’s kind of the safety net that I always use. If somebody were to do an audit and come in and try to find something that looked like it was off, what could they find? My attorney has to have a yacht with my name on it by now, but I feel like I don’t feel badly about that. I sleep at night knowing that I’m not sitting there wondering, am I going to get in trouble and any of my students going to get in trouble?
When it came to the FDA changes … I don’t know if anyone out there is interested in knowing where does the FDA stand on peptides, but I’m happy to tell you if you’d like to know that.
Charles:
Yep, go for it.
Heather Smith Fernandez:
Okay. So how the FDA changes are affecting peptide availability in the US, I can’t speak to Canada or some other countries right now, but I’ll probably have to learn that law because I’ve had quite a few Canadian physicians want to know this, I just don’t know it right now. But, how to affects peptides for esthesic, sexual health and hair restoration, so the rumors have been just flying since the FDA first made us all aware that these changes were actually eminent back in May of 2020. So initially, a lot of folks thought that these changes were only going to affect one or two pharmacies, because those pharmacies were targeted in an investigation. But it’s evident that the regulation changes that the FDA made were just that, regulation changes which were not limited to one pharmacy.
So I’ve been asked, are peptides unsafe? Is that why the FDA started eliminating certain peptides? Peptides that are made in a legitimate registered inspected compounding facility are typically very safe. The FDA did not make any statements saying the peptides that are no longer allowed to be compounded here in the US, unless under an IRB were dangerous, that it had nothing to do with it. It actually had more to do with the number of amino acids in the peptide sequence. So the reasons why the FDA changed their mind on this are still pretty much in the dark. They’ve never clarified why we’re the only country that thinks a peptide is 40 amino acids or less when the rest of the world thinks a peptide is 50 amino acids or less. But when they change that from 50 to 40 and everything over 40 amino acids is considered a protein, which falls under different jurisdiction than a peptide, it eliminated quite a few peptides that were allowed to be made in the United States.
So the FDA is not shutting down all peptides. In fact, in the pharmaceutical industry, all these advertisements on TV, 90% of them are peptides, in metabolic medicine, in cancer medicine and cardiovascular medicine. It’s a massive research area with pharmaceutical companies. So the FDA has changed the definition of what constitutes a peptide, meaning it’s got to be 40 amino acids are less, and what processes will be permitted for compounders to make the peptide in the US. So there’s different ways of actually putting these amino acids together, using solvents, removing those solvents and checking for stability. It’s kind of a complicated process and it’s very expensive equipment that does this.
So they started regulating that a lot tighter, changing the processes to make it harder for compounders to make certain peptides. They’ve also changed the regulations surrounding the bulk raw materials required to make certain peptides. So that of course changes the ability for a compounder to make the peptide if they can’t get the raw materials or it becomes to expensive or it becomes a problem. But the FDA has never cited safety as a reason for making these changes. They never actually told us why they made the changes. There’s some suspicion that it was financially or political pressure or whatever, but there’s never been a statement as to why it happened.
A lot of the regulation is around injectable sterile peptides as well. So the good news for us is we do have some sterile injectable peptides that were initially affected. Some of them are back that are within our aesthetics, hair growth and sexual health protocol. But a lot of them are topical. A lot of the ones that we’re using for hair growth and aesthetics are topical. So the topicals have more flexibility when it comes to the facilities that are producing sterile injectable substances. But you do have to know what are your concentrations, what is the delivery mechanism that they’re in, are they stable? You want to make sure that whatever product you’re using, the ingredients that are combined with a peptide, the peptide doesn’t fall apart when it’s sitting in solution with something. Peptides are super fragile. Remember these are amino acids that are only held together by peptide bonds. So when they come in contact with solvents and other products, they can fall apart. So, the amino acids are still there, but they’re no longer the peptide.
Charles:
Yeah, it’s digested hamburger at that point, right?
Heather Smith Fernandez:
A hundred percent. So you may as well consume amino acids or put those on your face instead of an actual peptide. I mean, you think about glutathione is a three amino acid peptide that’s super, super amazing for mitochondrial detoxification and beautification of the skin. It’s only three amino acids, but it has to be intact.
Charles:
Crazy. Yeah, it’s like scrambling the word. I know you’ve given a lot of thought to, I mean everyone has, right, with COVID rampant and all the discussion that went on about infectious disease and pandemics, do you have a protocol or a tip that you could give us about just fighting viral illness in general?
Heather Smith Fernandez:
Yeah, I mean, well, besides vitamin D3, which is super important for the immune system, especially a T-cell mediated immune system, vitamin D3 level should be over 75, closer to 100, and zinc and selenium. But in the peptide world, we have a peptide that is no longer made in the United States. I do have an out of the country source that’s a vetted peptide manufacturer for human use that is a inaudible 00:36:27, I’ve known him for years, making thymus and alpha 1. Thymus and alpha 1 had five peer-reviewed studies that showed success in clearing COVID in very sick patients. And shortly after those studies were published, the FDA pulled the ability to make thymus and alpha 1. inaudible 00:36:46. Yeah.
Charles:
Any reason why? Do you know why?
Heather Smith Fernandez:
They wouldn’t say why, but thymus and alpha 1 was one of those magical peptides that was between 40 and 50 amino acids. Being able to really successfully help people that were very sick with COVID, with TA-1 didn’t really jive with what was going on at the time.
Charles:
Let me rephrase my question just a little bit. I’m a big fan and maybe that’s not the right … I have a more enormous respect for mothers of children born with cystic fibrosis. If you think about a mother sending a child to school with cystic fibrosis, it is exactly in no way no different than a mother sending a child to school during the height of the COVID pandemic. Maybe even worse because the mother knows the child is going to get respiratory illness and has a huge chance of dying at an early age from a respiratory infection. And so they don’t keep them home, they don’t mask them up, but they do everything they can possibly do to train the person, to train the child physically and to make them as healthy as possible so they can survive an ICU pneumonia visit.
Heather Smith Fernandez:
Yes.
Charles:
So thinking in terms of that, I’m not going to go political, but I just wish there would have been more discussion by our leaders about, just in general, how can you be healthier? I mean, I never heard saw Dr. inaudible 00:38:37 talk about obesity much being a risk factor for COVID. But I’m going to get back to your expertise. inaudible 00:38:46. Talk to me as if I were the mother of a child with, I guess the easier to imagine me the father, of a child with cystic fibrosis, what peptides would you tell me to use, or would it be mostly the D3 and the zinc? What would you tell me to do if I just said, “No, I want a peptide.” Would it be what we just talked about or is there something else you would throw to me?
Heather Smith Fernandez:
No, there’s inaudible 00:39:10 peptides that I would say for that, because where you really want to focus when it comes to protecting from foreign invaders and from our own immune system being weak, is really in the T-cell mediated immune system. Because the T-cell system is really where you’re generating all the surveillance. I mean, the B cell system is really important as well but if your T-cell system is not operating at its best, you’re going to have a lot of problems. And the thymosins, as a group of peptides, are known to enhance T-cell mediated immunity on every level. So thymus and alpha 1, thymus and beta 4, the thymus in fraction 5. The TB-500 is another name for thymus and beta 4. It was the kind of original name. These thymus and peptides that were discovered when they were studying. Why, when they had, well it’s a too long a story to go into tonight, but the research on it, they found that the thymosins were responsible for activating and maturing young T-cell and spitting out a lot more of them.
In immune dysfunction like dysregulation, where you have an autoimmune phenomenon, over-activation over here, too much suppression over here, like what happens in the presence of mold, and the presence of Lyme, is the immune system has one hand tied behind its back. So these thymosins can really raise the bar for allowing the immune system to just improve that threshold of function. It’s been proven to inaudible 00:40:54 cell. And BPC-157 is another pluripotent peptide that’s been shown to have tremendous effect in modulating inflammation and in immune support. So it’s really involved in the gut-brain access as well as repairing nerve, repairing fascial tissue, repairing ligament, tendon muscle. It’s really one of those amazing bioidentical peptides produced in human gastric juice. It’s one of those things that it’s like, wow, if you look at the research on BPC-157, it’ is copious. It’s animal and human research is really, really impressive.
We should be doing more research on thymosins, but we are dealing with a little bit of a political system. The FDA we have right now is fairly politically involved compared to FDAs of the past. And I’m hoping that that will not be the case in the future. But for now, that’s what we’re fighting with. There’s no reason for TA-1. It had orphan drug approval in the United States. It wasn’t like it was experimental or in any way not. It was approved and now it’s just gone.
Charles:
Wow. But you can get it legally from another country? You have a way to inaudible 00:42:16?
Heather Smith Fernandez:
I know how to do that. That’s been a process I’ve been working on for a couple of years, trying to kind of understand, and that was another part of the legal expenses, of how can we safely order outside the country? Because that’s another thing, how would you know if you didn’t ask lawyers, are you allowed to do that. And there’s ways that you can do it and there’s ways that you shouldn’t do it. But we had one pharmacy up until a month ago in the US that was still making TA-1 in small doses, but they’re just not allowed to do it under the current law. So we’re looking. We’re trying to change that. We lobby about it, but it’s tough. I’m not holding my breath that it’s going to change. We need to come up with alternative ways. The more things we can do with peptides that are not injectable, the easier it is to get those things made.
Because making sterile injectables is a really complex process that is only available to a few facilities that undergo pretty scrutinous inspection and things like that. Which I think they should, I’m not saying they shouldn’t. But if we can allow the body to protect us from anything by doing a topical and even intranasal. The problem with intranasal is the enzymes in the nose break down almost everything. So there’s only a few peptides that have been shown to be stable. Oxytocin is one of them. And I’ve definitely had results with my patients with oxytocin. It needs to be used at a little bit higher doses than most people are thinking, and that’s often true of things. But with experience and understanding that yes, it’s okay to do that, you know where the sweet spot is, you can get some really nice results. And they’re really nice because the side effect is a pleasant one. Like the side effect of oxytocin, so you may have increased intimacy and increased arousal, but the side effect of that is an increased bonding experience for both men and women. And that’s nice. That’s a positive thing.
Charles:
Yeah. I tell people it feels like the glow after a good massage without the time and money involved in a good massage. By the way, guys, we’re going to shut it down soon. So if you have questions just type them into the box there before Heather goes away.
Heather Smith Fernandez:
Yes, please do.
Charles:
Someone texted something about sublingual oxytocin troches, which I hear about. What’s your thinking about that versus the intranasal?
Heather Smith Fernandez:
I like the intranasal better. You can try both, but the one thing about intranasal application that you have to remind your patients is to rinse their nose first. They have to clean their nasal mucosa really well. They have to use the saline multiple times on each side before they put the peptide in there.
Charles:
The Neti Pot? Do you have your patients use the-
Heather Smith Fernandez:
Yeah, if you can get a Neti Pot, it’s even better. A lot of my patients are like, no, that’s a … They’re using oxytocin twice a day so they’re not going to Neti Pot twice a day. But I can get them to spray with saline and do a good rinse and blow before using the oxytocin spray. Troches are a little bit unreliable. Some things do well in a troche, and there’s oxytocin in the apomorphine troche, but oxytocin as a stand alone just does better nasally.
Charles:
Well, I think you guys can see, if you ask Heather a question, she has enough to lecture for a couple of hours for every one thing she knows. She’s telling you one thing for every 50 things she knows. But really, the depth of understanding about peptides is so impressive, Heather. So anyway, if you guys think this might be of use to you, I couldn’t recommend her course more highly. I know it’s well designed. We’ve had lots of feedback from people who’ve gone through it, that they’ve been able to implement. That’s really what it boils down to. If we were just about making money, we’d all be doing, I don’t know, real estate or the stock market or something. But we do need to be able to be, I’m just going to say the word, we need to make profit or we can’t pay taxes and send kids to school and buy groceries.
But we want to do it in such a way we’re better caring for our patients. I think that’s the key.
Heather Smith Fernandez:
100%.
Charles:
I think your course and your expertise is, I haven’t seen anything really to compare to it. So if you guys are thinking about implementing it, I put a link in the chat box. It’s going to go away when I shut down the webinar, so you might want to click on it. I also have a link to that paper about combining shockwave with our P-Shot. Do you have anything else you want to mention, Heather? inaudible 00:47:17. Then I think if not-
Heather Smith Fernandez:
I’m so grateful for the time. I just want to invite everybody to come to the webinar because I’m going to be answering questions live on our webinar, so
Charles:
Okay. I somehow missed that. Can you text me a link to that and I’ll throw it into the chat box now?
Heather Smith Fernandez:
It’s the drheather.net/cma-webinar. That’s the link to sign up for webinar. The webinar is free. So you just come and learn more about inaudible 00:47:44.
Charles:
You’re going to teach us some more stuff. Drheather.net/CMA. What?
Heather Smith Fernandez:
Dash webinar? It’s Drheather-
Charles:
Okay, -webinar
Heather Smith Fernandez:
Heather.net. Yep, you’ve got it up there. I can see it. Yep, there it is. Yeah, I’ll be answering specific questions. Everybody who comes to the webinar, or from this group, is getting a 26% discount on the course. We wanted to offer that to you guys. I mean, we’re sending the email invites to my list of providers, so there’ll be other folks there. But I feel so loyal and indebted to this group. It’s just been a game changer for me to learn from you, Charles, and from being part of this group has been an incredible asset to my library of knowledge. So we really wanted to do this. We’re going to do the on-demand training. You’re going to get the protocols. It’s turnkey, just like Dr. Reynolds’s courses. You go home and you know how to do it. We want you to go home, finish the course, and you’re going to know how to do it. You’re not going to wonder, how do I put this together?
A monetization plan, a copy of the peptide consents that I had to draft with my lawyer. You get that as part of the course. You’re going to get a month free in the provider network. We’re going to give you the immune boost protocol as part of the coming to the webinar for free. So please join us and get excited about peptides. If you’re even wondering, maybe could I add this? Come and join us and we’ll convince you that yes, you can.
Charles:
Okay. Thank you, Heather. It was always a pleasure to catch up with you. So thank you for being on the call and I’m glad you survived all that wind down there in Florida. It was crazy.
Heather Smith Fernandez:
It was awful.
Charles:
I’m glad you’re still around to teach us about peptides.
Heather Smith Fernandez:
Me too.
Charles:
You guys have a wonderful night. Thank you again, Heather. Bye-bye.
Heather Smith Fernandez:
Good night, Charles. Good night, everybody.
Charles:
Bye-bye.
Relevant Links
Shock wave improves erectile function, but shock wave plus PRP both improves erection and prolongs sex! (of course, we think that the P-Shot® alone can also prolong sex). Here’s the study (click to read)<–
More info about Dr. Heather’s Peptide Course here<–
Mind Mining (this class closes in 1 week)<–
–>Apply for Further Online Training for O-Shot®, P-Shot®, Vampire Facelift®, Vampire Breast Lift®, Vampire Wing Lift®, or Vampire Facial®<–
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Relevant Research
Shock wave improves erectile function, but shock wave plus PRP both improves erection and prolongs sex! (of course, we think that the P-Shot® alone can also prolong sex). Here’s the study (click to read)<–
Cellular Medicine Association
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