Episodes

  • Understanding Transgender Surgeries: Education, Innovations, Benefits and Precautions with Dr. Heidi Wittenberg

    Understanding Transgender Surgeries: Education, Innovations, Benefits and Precautions with Dr. Heidi Wittenberg
    Jun 28 2023
    On this week's episode as part of Pride Month, join Dr. Peter Grossman as he welcomes Dr. Heidi Wittenberg, a leading expert in transgender surgery, who will unveil groundbreaking techniques and advancements that will transform the way you approach these procedures. Discover the key to achieving enhanced surgical results and patient satisfaction in transgender surgeries, as Dr. Wittenberg shares her extensive knowledge and expertise with our esteemed audience of medical professionals. Get ready to take your practice to new heights and provide the best possible care for transgender patients. In this episode, you will be able to: Uncover the life-enhancing mental health improvements and stronger self-esteem offered by transgender surgery. Grasp the complexities and repercussions of the financial and surgical considerations inseparable from transgender surgery. Stay updated with innovative strides in transgender surgical techniques empowering patients with improved aesthetic outcomes. Acknowledge the merits of in-depth counseling and proper preparation when considering gender affirmation surgery. My special guest is Dr. Heidi Wittenberg Dr. Heidi Wittenberg, a pioneering force in the realm of transgender surgeries. Leading MoZaic Care in San Francisco, Dr. Wittenberg has consistently pushed boundaries, specializing in minimally invasive uro gynecology, genital urinary, and pelvic reconstructive surgeries. Moreover, she played a crucial role as the founding surgeon and director of the first national and international hospital designated as a center of Excellence in Gender Affirmation surgery at St. Francis Hospital. Her profound expertise, backed by passion and an exceptional understanding of different surgical techniques, makes her an influential figure in this evolving field. The resources mentioned in this episode are: Visit MoZaic Care in the San Francisco area for gender confirmation surgery, uro-gynecology, genital urinary surgery, and pelvic reconstructive surgery. Explore the Green Bay Surgery Center, which is the first Center of Excellence in Gender Confirmation Surgery, co-directed by Dr. Heidi Wittenberg. Learn about the Gender Institute at St. Francis Memorial Hospital in San Francisco, where Dr. Wittenberg is the Medical Director. Consider undergoing gender affirmation surgery to align your physical appearance with your gender identity and improve your mental health and overall well-being. Research the benefits of transgender surgery, including lower rates of anxiety, depression, and suicidal ideation, and increased life satisfaction. Understand the potential risks of transgender surgery, such as infection, bleeding, scarring, and adverse reactions to anesthesia. Take into account the financial considerations of gender confirmation surgery, as it may be costly and not covered by insurance. Consider the irreversible nature of certain aspects of transgender surgery, such as the removal of reproductive organs, and how it may impact your future desires for biological children. Recognize the societal, cultural, and religious concerns surrounding transgender surgery, and how they may influence acceptance or rejection Episode Topic Sumarraries: Improved Surgical Techniques and Patient Outcomes in Transgender Surgeries Gender confirmation surgery has continuously evolved over the years, significantly improving patient outcomes. Technological advancements, enhanced surgical precision, and medical understanding have stimulated the development of refined surgical techniques tailored to fit every individual patient's needs. In addition, emphasis on mental health and the availability of comprehensive post-operative care contribute greatly to the successful alignment of physical characteristics with each patient's gender identity. Dr. Heidi Wittenberg, during her conversation with Dr. Peter Grossman, discussed the extensive preparation she undergoes to ensure successful surgical outcomes. While stating that these operations usually signify the endpoint of a patient’s transition journey, she underscores the importance of checking the surgeon's experience and their complication rates. The ultimate goal, she analyzed, lies not just in the surgical procedure's success but also in reducing patients' dysphoria and triggering post-operative euphoria. Utilizing Tissue in Neo Vagina Reconstruction Reconstructive surgery within gender affirmation procedures leverages the patient's existing tissue for neo-vagina formation. This is a specialized, delicate process involving several parts of the genital region, including the scrotum and erectile tissues. Innovative surgical techniques even allow surgeons to create a clitoris using the patient's urethra. In her conversation with Dr. Grossman, Dr. Wittenberg expounded on the meticulous process and technical expertise involved in neo-vagina reconstruction. She also outlined how each element - the scrotum, the urethra, and erectile tissues - ...
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    1 hr and 1 min
  • The Risks and Realities of Breast Implants with Dr. Christine Stiles & Darnah Mercieca

    The Risks and Realities of Breast Implants with Dr. Christine Stiles & Darnah Mercieca
    Jun 21 2023

    If you're feeling helpless and frustrated after trying countless remedies for your breast implant illness, only to find little to no relief, then you are not alone. Many women experience the same emotions when faced with the debilitating symptoms of breast implant illness, such as chronic fatigue, joint pain, and brain fog.

    Despite their efforts to alleviate the symptoms through medication, lifestyle changes, or explant surgery, they may still feel trapped in their own bodies. It's essential to understand that breast implant illness is a real and valid condition and that there are options available to help you make empowered decisions about your health.

    In this episode, you will be able to:

    • Unveil the truth behind breast implant illness and the necessity of explant surgery.

    • Understand the variety of symptoms and the process of diagnosing breast implant illness.

    • Recognize the significance of patient education and informed consent in medical procedures.

    • Delve into the possible dangers and repercussions of breast implant surgery.

    • Examine the contrasting views and discussions in the medical field regarding breast implant illness.

    Guests this Week:

    Dr. Christine Stiles 

    Darnah Mercieca

     

    About the Host:

    Dr. Peter Grossman
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    1 hr and 22 mins
  • Navigating Cosmetic Surgery with Manhattan's Top Plastic Surgeon Lara Devgan

    Navigating Cosmetic Surgery with Manhattan's Top Plastic Surgeon Lara Devgan
    Jun 7 2023

    From subtle enhancements to a shocking twist – board-certified plastic surgeon, Lara Devgan's story takes an unexpected turn. But what could have possibly happened to the master of natural transformations? Keep reading to find out.

    In this episode, you will be able to:

    • Discover Dr. Devgan's unique approach to achieving natural and balanced results in cosmetic surgery.

    • Delve into the role of social media in shaping the plastic surgery landscape.

    • Learn about cutting-edge minimally invasive techniques, such as non-surgical rhinoplasty and BOTOX.

    • Understand the vital role that proper skincare and hydration play in maintaining a healthy complexion.

    • Peek into the future of cosmetic surgery, with a focus on innovative non-invasive methods.
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    52 mins
  • Dr. Joubin Gabbay's Candid Take on Aesthetics: Exploring Body Contouring and Breast Implants

    Dr. Joubin Gabbay's Candid Take on Aesthetics: Exploring Body Contouring and Breast Implants
    May 31 2023
    Just when you thought you knew everything about plastic surgery, Dr. Joubin Gabbay reveals his unique perspective on aesthetics, body contouring technologies and breast implants.  In this episode of Beauty and the BS with Dr. Peter Grossman, you will: Appreciate the essential need for ethical principles concerning plastic surgery practices. Uncover the risks and restrictions linked to the use of body contouring systems and breast implant choices. Investigate the preference for subtle, natural appearance improvements and state-of-the-art advancements. Comprehend how social media contributes to the visibility and reach of cosmetic surgery services. Build trust and rapport with prospective clients through transparent and relatable social media engagement. Dr. Joubin Gabbay is a highly skilled plastic surgeon with a strong background in both art and science. Raised in Beverly Hills, Dr. Gabbay brings his passion for aesthetics and his expertise in cutting-edge microbiology to the table, resulting in a comprehensive approach to patient care. He is committed to providing natural, lasting, and beautiful results while understanding the risks and limitations of body contouring. Body Contouring Technologies Body contouring technologies have continually evolved, providing patients with numerous options to achieve their desired aesthetic outcomes. However, it is essential for individuals considering these procedures to be aware of the risks and limitations associated with these technologies. Some widely known technologies include CoolSculpting, BodyTight, and Renuvion, each with its own set of pros and cons. As a patient, it is crucial to research the different technologies and have a thorough consultation with a trusted practitioner to determine which option best fits their needs and preferences. Dr. Joubin Gabbay highlights some of the complications that may arise from popular contouring methods such as CoolSculpting, including nerve damage and adipose hyperplasia. Furthermore, Dr. Gabbay discusses the emergence of newer skin-tightening technologies like BodyTite and Renuvion. While these procedures show promise, their effectiveness can be variable and often require patience from the patient for visible results. The conversation underscores the importance of staying up-to-date with advancements in body contouring technologies and understanding their risks and limitations before undergoing any procedure. Social Media and Plastic Surgery Social media has become an integral part of the plastic surgery industry, allowing practitioners to showcase their work, engage with potential patients, and share information about various procedures. However, social media can also create a culture of competition and ego among practitioners, which may lead to a focus on followers rather than professional skill and patient care. Throughout the podcast, Dr. Gabbay emphasizes the importance of authenticity and integrity in the age of social media. He shares his experience with using social media platforms like Instagram to connect with patients and share insights into his practice while staying true to himself. Dr. Gabbay encourages other practitioners to be genuine in their online presence and let clients decide if they are the right fit for them. This conversation highlights the impact of social media on the plastic surgery industry and the need for balance between building an online presence and maintaining ethical standards and good patient care. Breast Implants and Aesthetics Breast implants and aesthetics have long been an area of interest for those seeking cosmetic surgery. Trends and preferences in breast size and appearance have shifted over time, and it is essential for individuals considering this procedure to understand the physical and aesthetic implications of breast augmentation. Oversized implants can result in stretched skin, thinned breast tissue, and a condition called implant cripple, leaving the patient with an undesirable outcome if the implant is removed. During the discussion, Dr. Gabbay emphasizes a preference for modest, natural-looking augmentations in both aesthetics and physical aspects. He and Dr. Peter Grossman discuss how social media has shaped patient preferences and created specialized communities around different aesthetics. While they observe a decrease in requests for large implants, they acknowledge that there are still communities that support this look. The episode highlights the need for informed decision-making and realistic expectations for patients considering breast implant procedures. About the Host, Dr. Peter Grossman  
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    56 mins
  • Unveiling the Truth Behind Genital Surgery: Expert Insights from Dr. Christine Hamori & Associate Professor Dr. Gemma Sharp

    Unveiling the Truth Behind Genital Surgery: Expert Insights from Dr. Christine Hamori & Associate Professor Dr. Gemma Sharp
    May 24 2023
    Are you tired of feeling pressure to conform to society's beauty standards? Have you been told to just accept your body as it is, but still feel unhappy with your appearance? It's time to take a deeper dive into the complex world of female self-image and the impact of labiaplasty.  This episode will empower young women to understand the psychological factors influencing their perception of their own vulva region and embrace a more holistic approach to self-evaluation. Join us as we explore the changing dynamics of beauty ideals and the critical role of empathy and communication in discussing sensitive topics. In this episode of Beauty and the BS with Dr. Peter Grossman, you will be able to: Investigate the influences of labiaplasty and societal expectations on a woman's self-image. * Learn about the mental components that play a role in how women view their vulva region. * Embrace a well-rounded perspective on analyzing the vulva region that goes beyond the surface. * Observe the evolving trends in women's perceptions of their own appearance and beauty ideals. * Recognize the critical role of empathy and effective communication in discussing delicate topics. This week's guests are Dr. Christine Hamori and Associate Professor at Monash University, Dr. Gemma Sharp. Dr. Christine Hamori is a board-certified plastic surgeon specializing in facial plastic surgery and body contouring surgery in the Boston area. She is also a leader in the area of vaginal rejuvenation and labiaplasty. Professor Sharp is a top researcher in body image and eating disorders, with an impressive academic background spanning multiple disciplines. At Monash University, she leads a research group focused on female genital self-image and cosmetic surgery. With numerous accolades to her name, Professor Sharp is committed to breaking down social taboos and promoting body positivity. The resources mentioned in this episode are: If you are considering genital modification, do your research and choose a reputable surgeon. * Seek out a multidisciplinary team, including mental health professionals, to ensure you are making an informed decision. * Consider the functional aspects of genital modification, such as reducing discomfort during physical activity or intercourse. * Be realistic about your expectations and understand that surgery may not solve all of your concerns. * Embrace diversity in genital appearance and challenge the societal ideal of what is considered normal. * If you are experiencing body dysmorphic disorder or other psychological concerns, seek professional help before considering surgery. * Be mindful of the language used when discussing genital modification, using accurate terminology like vulvar restoration instead of vaginal beautification. * Consider non-surgical options for vaginal rejuvenation, such as laser or radiofrequency treatments. * Practice good genital hygiene and avoid harsh soaps or chemicals that may cause irritation. * Embrace your body Addressing Sexual Education Proper sexual education plays a crucial role in shaping young people's self-image and understanding of their bodies. Parents need to have ongoing conversations with their children about their bodies, instilling the idea that there is a wide variety of normal when it comes to genital appearance. By doing so, they can counteract the influence of unrealistic portrayals in social media and pornography. Dr. Stone recommends that parents maintain an open dialogue with their children and act as their first educators, rather than relying on outside sources to impart information. Dr. Hamori echoes these sentiments, emphasizing that there is no cookie-cutter normal when it comes to genital appearance and that everyone's anatomy is different. Both experts believe that fostering such understanding and openness helps promote better self-image and a healthier approach to one's own body. Navigating Social Media and Self-Image Social media's influence on self-image and body perception cannot be understated. The portrayal of beauty standards across various platforms can increase the pressure on women to look a certain way, even from a young age. Navigating these influences and promoting healthier attitudes toward body image is crucial in combating unrealistic expectations. Professor Gemma Stone highlights the role of social media in shaping perceptions of beauty, pointing out the acceleration of aesthetic development that contrasts with slower mental development. In promoting positive body image and self-confidence, Dr. Stone mentions her work with young girls and educating them about genital diversity. Both she and Dr. Hamori stress the importance of addressing societal taboos and showcasing the diversity of normal genital appearances to help those considering such procedures make informed decisions. Societal Pressures Societal pressure can significantly influence people's decisions to undergo cosmetic procedures, including labiaplasty. With increasing ...
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    52 mins
  • Bridging the Gap: Dr. Samuel Lin's Impact on Plastic Surgery Advancements

    Bridging the Gap: Dr. Samuel Lin's Impact on Plastic Surgery Advancements
    May 17 2023

    Dr. Peter Grossman welcomes the esteemed plastic surgeon, Dr. Samuel Lin, to discuss the significance of caution and deep understanding in the field of plastic surgery. With his impressive background as the Associate Program Director of the Harvard Plastic Surgery Residency Program and Co-Director of the Harvard Aesthetic and Reconstructive Plastic Surgery Fellowship, Dr. Lin is a leading expert in the field.

    Have you been misled by these common myths about the importance of deep understanding and caution in plastic surgery? As a cautious plastic surgery patient, you know the value of being informed and careful. However, there are still many myths surrounding the process that can cause confusion and uncertainty.

    Myth #1: Plastic surgery is a quick fix

    Myth #2: All plastic surgeons are the same

    Myth #3: Plastic surgery is only for the rich and famous

    But fear not, Dr. Samuel Lin will share the truth and debunk these myths once and for all. So, sit back, relax, and prepare to be informed.

    In this episode, the conversation will allow you to:

    • Illuminate the advancements in plastic surgery technology, emphasizing the power of teamwork and ingenuity.

    • Recognize the promising impact of biologics and 3D printing in altering the landscape of plastic and reconstructive surgery.

    • Investigate preservation rhinoplasty and dive into various alternatives to surgical nose procedures.

    • Examine the effectiveness and potential dangers of energy-powered solutions for a youthful, vibrant complexion.

    • Grasp the critical importance of deep comprehension and prudence in the domain of plastic surgery.

    Takeaways in this episode include:

    • Dr. Samuel Lin's publications and medical textbooks, including Aesthetic Atlas of the Head and Neck, Atlas of Body Contouring Procedures, and Plastic and Reconstructive Surgery Pearls of Wisdom.

    • Learning more about the liquid bandage technology Dr. Lin is working on, which uses an iPhone application to understand perfusion in burns, skin grafts, and flaps.

    • Exploring the potential of thermal imaging and porphyrin-based molecules in medical applications, as discussed by Dr. Lin.

    • Considering the benefits and drawbacks of metal alloy plates and screws versus resorbable plates and screws for fracture fixation.

    • Staying informed about advancements in plastic surgery and related fields by reading Plastic and Reconstructive Surgery, the main journal for plastic surgery.

    The Future of Stem Cell Therapy in Aesthetics
    Stem cell therapy in aesthetics remains a promising avenue of research, frequently touted as a "miracle" solution for rejuvenation and regeneration. While stem cells have been used effectively in some contexts, such as softening scarring in breast reconstruction, the practicality of their use for facelifts or breast lifts lacks substantial scientific evidence. Dr. Samuel Lin expressed a cautious attitude toward the hype surrounding stem cell therapy in aesthetics. He expressed that stem cells present within fat cells hold potential in some areas of research, but their application for rejuvenation-related treatments remains unconvincing. His perspective underlines the importance of critically examining new treatment options and ensuring that innovation is grounded in reliable evidence. grounded in reliable evidence.

    Non-Surgical Rhinoplasty Using Fillers
    Non-surgical rhinoplasty using fillers is a popular trend among patients looking to improve the aesthetics of their nose without undergoing surgery. This minimally invasive approach may provide a temporary solution for certain cosmetic concerns, but it is essential to recognize that it cannot replace traditional rhinoplasty for more complex or functional issues. Dr. Lin mentioned that he primarily relies on dermatology colleagues who specialize in using fillers for non-surgical rhinoplasty, emphasizing the importance of a deep understanding of the procedure to avoid complications. Furthermore, he acknowledged the need for an open-minded approach with new techniques but prioritized safety and being well-informed.

    About the Host, Dr. Peter Grossman

    Beauty and the BS with Dr. Peter Grossman Podcast Page
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    36 mins
  • Getting Real About Living Forever with Dr. Charles Brenner

    Getting Real About Living Forever with Dr. Charles Brenner
    May 3 2023
    Are you tired of trying the same ineffective methods to increase your NAD levels and not seeing results? Discover how the latest longevity research and nicotinamide riboside supplementation can help you achieve better health outcomes and unlock a whole new level of healthspan in this episode! In this episode of Beauty and the BS with Dr. Peter Grossman, you will be able to: Discover cutting-edge longevity research and the significance of NAD coenzymes in metabolism. Explore the potential benefits of nicotinamide riboside (NR) supplementation for healthspan promotion. Uncover the anti-inflammatory properties of NR and its possible protective effects against COVID- Demystify common myths surrounding growth hormones and anti-aging drugs. Investigate the longevity industry leaders and learn how to distinguish evidence-based practices. My special guest is Dr. Charles Brenner As the Alfred E. Mann Chair of the Department of Diabetes and Cancer Metabolism at the City of Hope, Dr. Charles Brenner is a leading authority on metabolism and its role in aging. He is particularly interested in the NAD coenzymes and their ability to support healthspan and resiliency. Dr. Brenner's pioneering work on nicotinamide riboside (NR) has led to the development of True Niagen, a safety-tested supplement aimed at boosting NAD levels in the body. With a commitment to advancing the understanding of how metabolism impacts longevity, Dr. Brenner is dedicated to promoting health and well-being through targeted NAD support. The resources mentioned in this episode are: Learn more about Dr. Charles Brenner and his research on NAD coenzymes and metabolism at the City of Hope in California. Consider taking True Niagen, a safety tested NR (nicotinamide riboside) supplement, to boost and support your NAD system for improved metabolic function and resiliency against age-related diseases and conditions. Avoid NMN supplements, as they may not have the same safety profile and efficacy as NR supplements. Follow a healthy lifestyle with a balanced diet, regular exercise, adequate sleep, and social engagement to promote longevity and overall well-being. Be cautious of anti-aging products and therapies, focusing instead on evidence-based approaches to promote resiliency and protect against age-related diseases and conditions. Stay informed about ongoing clinical trials involving NR and its potential benefits in various health conditions, such as fatty liver, peripheral neurodegeneration, mild cognitive impairment, and Parkinson's disease. Discuss with your healthcare provider before starting any new supplement or therapy, including NR, to ensure it is appropriate for your individual health needs and goals. Anti-Inflammatory Properties Inflammation plays a significant role in overall health and is a contributing factor to many chronic diseases. Reducing inflammation is important for maintaining optimal health, and one potential avenue to achieve this is through boosting NAD levels within the body. Lower inflammation levels can contribute to better overall health, increased longevity, and improved quality of life. In the discussion between Dr. Peter Grossman and Dr. Charles Brenner, it is highlighted that NAD's anti-inflammatory properties make it an important target for health interventions. By supporting NAD systems and maintaining optimal levels, it may be possible to help the body reduce inflammatory markers, thus improving health outcomes and supporting an individual's metabolic functions. NR and Longevity Nicotinamide riboside (NR) is a chemical compound that can effectively boost NAD levels and has proven safety and efficacy in various studies. This increased accessibility to NAD makes NR an important player in ongoing research into longevity and overall health. By strengthening the body's NAD system, NR not only enhances energy metabolism but also supports DNA repair and gene expression regulation. Dr. Charles Brenner's work focuses on the safe and effective ways to support NAD systems, one of which is through NR supplementation. He emphasizes the importance of adopting healthy habits alongside NR supplementation, such as maintaining a balanced diet, regular exercise, and avoiding harmful habits like smoking. Following this approach enables individuals to enjoy better health and improved longevity. Longevity Longevity is an increasingly popular topic in health and wellness, with many people seeking ways to extend their lifespan and age healthily. Achieving a full, genetically-encoded lifespan is a realistic goal that is facilitated by adopting healthy habits and protecting against diseases and conditions that can target the body's metabolic systems. Longevity is a complex concept that requires promoting overall resiliency and prioritizing preventive measures rather than simply trying to delay the aging process itself. Dr. Charles Brenner suggests that focusing on factors like NAD levels, an essential molecule...
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    1 hr and 1 min
  • How 'Sick Care' is Preventing Us from Living Longer and Healthier! featuring Dr. Brian Kennedy

    How 'Sick Care' is Preventing Us from Living Longer and Healthier! featuring Dr. Brian Kennedy
    Apr 26 2023

    After spending his life studying the perplexities of aging, Dr. Brian Kennedy thought he had seen it all...until he moved to Singapore and discovered a unique opportunity to revolutionize the way we age. Could Brian's research mark a turning point in how long humans will live?

    In this episode of Beauty and the BS with Dr. Peter Grossman, you will be able to:

    • Discover the fascinating world of research focused on slowing aging and extending healthspan.

    • Explore various lifestyle factors that impact healthy longevity and aging.

    • Uncover the potential of alpha ketoglutarate in compressing morbidity.

    • Delve into the future of personalized medicine and the development of aging interventions.

    • Understand the challenges faced in funding and politics within the field of aging research.

    Dr. Brian Kennedy, is a renowned expert in the field of biology and aging, with a passion for finding ways to improve human health span. As a distinguished professor of biochemistry and physiology at the National University of Singapore, Brian leads the Center for Healthy Longevity at the National University Health System. His research focuses on investigating pathways that can be regulated to treat age-related diseases, such as cardiovascular disease and metabolic syndromes like type two diabetes. Brian's work has led to significant advancements in understanding the complex nature of aging, and he is committed to translating these discoveries into practical applications.

    The resources mentioned in this episode are:

    • Engage in sustained exercise and maintain a healthy diet to influence healthy longevity.

    • Manage stress and improve sleep quality to positively impact healthspan.

    • Learn about and stay updated on the latest research and discoveries in the field of aging.

    • Attend meetings and conventions related to aging research to network with professionals and stay informed about the latest developments.

    • Consider taking supplements that have been scientifically proven to have beneficial effects on aging and healthspan.

    Aging and Lifestyle Changes

    Aging, a complex and inevitable process, can be influenced by various lifestyle factors such as exercise, diet, stress management, and sleep quality. Emphasizing the importance of incorporating healthy practices into daily routines can significantly impact an individual's healthy longevity. While reversing aging completely may still be uncertain, making conscious choices that positively affect one's health can prevent and delay age-related diseases, extending the healthspan and improving overall quality of life. During the interview, Dr. Brian Kennedy stressed the importance of understanding that aging is malleable and that adopting a healthy lifestyle can have a profound effect on slowing down aging. He shared that current technologies can extend lifespan by 40% to 50%, provided we find the right interventions. By focusing on maintaining homeostasis and preserving our body's network integrity, we can potentially live a longer, healthier life.

    About the Host, Dr. Peter Grossman

    Podcast Website
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    1 hr and 1 min