Reimagining Patient-Centered Healthcare with Keith Bozeman! 1034

0:00Hello, and welcome to another episode of Foundless Body Radio. I'm your host, Casey Ruff, and today we have another amazing guest introducing now. Keith Bozeman didn't set out to start a healthcare company. He set out to take control of his own health. After decades of building and scaling, a successful IT company, Keith became a patient, looking for a more proactive strategic approach to longevity. In Maryland, he experienced what healthcare actually could be, a physician who looked at the full picture, focused on prevention, and helped him think long-term. However, when he moved, that experience disappeared. Instead, he found himself navigating the same fragmented system most people face.

1:04Brief insurance driven visits, disconnected providers, and no clear strategy tying to get a fitness, nutrition, and labs. That frustration became the insight. Keith realized the problem wasn't a lack of information, it was a lack of integration and science-back guidance. So as a patient first, he built what he couldn't find, a physician-led multi-disciplinary model, where experts collaborate around the individual, not in silos. That model became megevity. Keith Bozeman would now be so honored to welcome you to Balanced Body Radio. Yeah, thanks for having me, I appreciate it. Of course, how does it feel to hear your company name and know that you created it? It's pretty cool. Yeah, yeah. It feels great. It's been about a year, but it was about a year or two before that working on it, so yeah, it's exciting and challenging, but yeah, it sounds great when I hear that. That's awesome. Before we got on and started recording today, you told me you're heading out to spend a little bit of time in Colorado. We love advertising in Colorado around here in Utah. We're so happy you're going to Colorado on that side of the hill.

2:06We're getting way too busy on this site, so go enjoy yourself, have an amazing time in Colorado. It's absolutely beautiful. That's right here. I was in Salt Lake about 15, 20 years ago in my previous career, beautiful state, but I haven't been back since, but I hear the mountains are beautiful, I love to do it. At some point, I'm just going to call out of this trip, maybe I'll do Utah next time. No, no, no, no, you're fine. Colorado is great. You're in the tech world. Utah has become really well known for having tons of startups here in the Salt Lake Valley. We've got a lot of tech here, so I'm sure that's boomed quite a bit since you were here last 15, 20 years ago. Yeah, yeah. That's cool. Well, that's awesome. Like we said, just now you had started this company about a year ago. It wasn't something you were intending to start, but I think the, what we mentioned in the introduction about being frustrated about the medical system is pretty common. And people are starting to get really fed up with the system. We talk about, we're not trying to blame individual doctors or people to get in the profession

3:07because they want to help people. It's just that the overall system has become so mucked up and mired with the insurance model and how you can get care. It's just ridiculous out there. I'm sure that, I mean, like we mentioned in the introduction, that's kind of what led you to create your own company to try to break through and find a different model. Yeah, it's one of the few systems. Usually, there's at least there's winners and losers in every system. Even if it's a bad system, somebody's winning. It feels like our healthcare systems are, there's really no winners, especially the doctors and especially the patients. It's like the patient and the doctor both don't like the system, but it's kind of tough to get out of the system. People, very, very intelligent people spend a lot of time trying to change the system and fix the system, but it just hasn't been fixed. And it's just a challenge. It's a challenge for everybody. So whenever the provider is not happy and the patient's not happy, it's usually going to be mediocre to bad outcomes.

4:09Yeah, absolutely. That's a great way to say it. We talked about, and again, in the introduction, you got into tech. Can you tell us a little bit about your professional career and how that merged with your health journey as well? Yeah, sure. So first, I went to college. I'm from the Midwest. Went to Ball State University and interviewed. I got my first job out of college and it was a small technology services firm. And I was with it my whole career. So I started there and that's the only company I worked for before me. And just it was a company that really grew. So it was one of those stories where technology grew, our company grew. I ended up running the company for the last 12 years of my career. We ended up being a large global company. So all over the world, all over America, a lot of travel, a lot of demand. So 12 years of a long time to run a large company. And my kids were like middle school going into high school age. So I quit working slash retired. And that was in Maryland, like you said in the intro.

5:12During that time, I had a phenomenal doctor for about a dozen years. And I just kind of thought most people had doctors like this. Now he was concierge. So I had a lot of time with him. But we would go and my checkups would be about 30 minutes going over my labs and any testing and then one to two hours about what's going on life, stress, sleep, kids, marriage. And also nutrition and fitness, he really understood nutrition and fitness. To the point where he understood it even better than my personal trainer, was certain things. We had a lot of conversations about fitness and nutrition. And he was practicing lifestyle medicine really before the term was coined. So I just kind of thought that's what everyone practiced. I think he wrote me one prescription in the 12 years. But the thing I loved is even though I didn't need any prescriptions, I knew if I ever did, I never really got sick knock on wood. I never really needed a prescription. But I knew if I ever did, he was my security blanket that I had a great,

6:14poor certified, I would be trained doctor to treat me if I got sick. But most of our time is doing different things to keep you from getting sick and to getting my healthiest. So that was my experience. Most people will never experience great health care. That's why they started because they want to experience it. Then I moved and cove it was a cove with them. We were in Florida for COVID. And I had two in college, one in high school. They sent everybody home with them back to school. We were down here, we have a small house in Florida. And we were here for like five months and kind of looked at each other and said, hey, we could live here. One we kind of prefer to live in here. So we moved to Florida and we loved Maryland. We moved to Florida. And I had to find a doctor and met with some doctors. And I had an expectation level of my doctor and I'm the last one I met with. And in between all this and I quit working, I started really focused. And as a hobby, what I enjoyed, I don't like watching the stock market.

7:15I don't watch the NBC. I don't research it. I liked reading about nutrition, reading about fitness. And then I started getting attracted to like, I had to realize there's a different opinion and science. So then I started reading scientific articles, started watching. This is right when a Tia was coming out and these PhD podcast were coming out. Rhonda Patrick wasn't early once. So I started watching these podcasts and I went from opinion to, I wanted to watch PhDs. I wanted to listen to medical doctors and look at scientific articles and scientific studies about certain things. And there's a lot out there about nutrition, a lot out there about exercise. So kind of this is a little long one to how it ended up with me. Geoity is that last doctor visit. I just watched a podcast. The person was a PhD so he was credible. And it was about like your circadian rhythm does, you know, there's studies saying we have a 12 hour circadian rhythm that our metabolism is designed to function for 12 hours.

8:18And I just wanted to know just coffee kick off my circadian rhythm. So I'm asking my doctor to sit at the end of the visit and he throws up his hands. He goes, I don't pay attention to any of that stuff. And that's the first I heard the term evidence based medicine. If it's not evidence based medicine, I don't pay attention to it. So he's frustrated. I'm frustrated and I walk out and I remember I was in the parking lot. I just like, I just wish there was one place I could go to get all of my health care needs met. I'm not sick. I want to make sure I'm doing everything to keep him getting sick. So I want someone to focus on helping me not get sick. If I get sick, I want to highlight if I doctor who can treat me if I am sick. And that was kind of the genesis of my jelly. Oh, that's awesome. Amazing story. I'm not surprised to hear about a frustrating medical visit back in the conventional system after you moved. And it's cool that you decided to set out and do your own research. Oftentimes we trust our doctors to do all of that for us. And like you said, when they get frustrated, we get frustrated. We don't walk away with those answers, but you're doing your own research.

9:19The topics of things like nutrition or like exercise are extremely broad. There's a lot of information out there, like you said. What were some of the main pillars you remember learning about either from your original doctor in Maryland or things that set you on a path to like learn more about certain things that you you still consider to be important pillars today and either exercise or nutrition. I have a couple great examples, some major paradigm shifts. So this was let's say seven years ago, it was back when intermittent fasting was kind of becoming popular, but there was this paradigm of if you intermittent fast, your body stops burning fast and starts burning muscle. So you're going to burn muscle if you fast. And my doctor and I would go back and forth on it. And then I read this article again, the science, it was they did a study on Muslim soccer players during Ramadan. And what it is, they measured their muscle mass. I think Ramadan 30 days or 40 days, I think it's 30, how many days it was, well, they

10:20have to fast from dust sold on. So they were only eat or don't all dust. They were only eating a fast scene. And during these 12 hour fast, they made measure their muscle mass. And this is in season. So they are pushing themselves in a show they lost no muscle mass. So that's again about science behind it. There's opinion and people and there's convincing opinion on both sides. But this was like one of those studies, I'm not interested in my doctor and saying, hey, now what do you think? Because he was like, you shouldn't do it, but then I saw this study. So that was like a paradigm about how science can apply to nutrition. And I fastened for five years. I ate one meal a day. I ate breakfast lunch. It was dinner, fastened for five years. There was another one when I first quit working. So I had like a demanding career, travel, stress, didn't have time to exercise as much I wanted to eat as well. All those things, I'm like, all right, I'm going to get in great shape. A lot of people say that. I'm going to get in great shape. Had a great trainer. I'm still friends with her.

11:21She's still great. But we were working out two hours a day. And it was like dripping sweat working out. Like what I would do is I do a spin class for an hour and then go meet with her. And it was like, you know, the TRX, therapies, burping, gosh, all kinds of stuff. Just like dripping. And I remember I only lost like eight pounds. So I was like sleeping better, less travel, eating better and probably working out four times as much. Let's say I worked out three days a week for 30 minutes. I was working out five days a week for two hours. So I went over that equation a lot more. And I remember with my doctor and sit down and I couldn't. I was so excited to tell him all I've been doing and how any system goes, what the heck have you been doing? Your labs are a mess. And I'm like, what do you mean? I go through what I'm doing. And again, this is where great healthcare, when you can get great healthcare, there's nothing better. He's like, all right, Keith, here's the deal.

12:22You can't professional athletes can push your bodies for two hours. You can't push your body for two hours like that. He goes after about 45 minutes to maybe an hour of high intensity, your body goes into fighter flight mode, then once in fighter flight mode, it's releasing adrenaline, it's releasing cortisol, it's releasing all kinds of things. And he's like, all right, here's what you need to do. 45 minutes max, high intensity, stress for 15 minutes at your hour. And I was like, okay, make sense. I go out to my trainer, can she be a great trainer? I explain this to her and she's looking at me like I have free eyes. She couldn't like process that less could be better than more. So even I told her, all right, let's cut this down to 45 minutes and then just like listen to some mobility, let's do some phone rolling, you stretch me, she couldn't do it. She couldn't help herself. She still pushed me to 55 minutes for 58 minutes. So the point being is there are people that are out there.

13:23I was motivated. I was dedicated. I was trying to do the wrong thing, the right things, but I had the wrong plan. So when you have the wrong plan, no matter how hard you work, you're not going to get results. So there's people out there with the wrong plan. They don't have access to the right plan. So just a couple of those things, that's a passion of mine is there's motivated people. They doesn't need the right plan. So that's what we want to try to do is build the right plan for them. And you try a lot of experience with this as well, but yeah, those are a couple things that happen. Just poor people out there think they lack willpower. And they think they're doing all the right things. Like you said, you would never decide. You never think that doing like less frequent or less time workouts are going to be better for you. Like I tell everybody, all of my clients, I tell them you are far, far, far, far less healthy, leaving the gym than you are when you stepped into the gym. You would be a mess. If I look to your blood right now, after a workout, you'd be terrible. As you were describing some of those workouts, you kind of almost like, made me sore actually.

14:24I think I got a little sore from that description. And by reducing the amount of time or the frequency that you're doing, now your intensity can be much higher. And that's really what your body cares about. And it's amazing what you kind of learned about intermittent fasting. It's one of the things that absolutely changed my career and blew my mind because I was using actual metabolic heart. So I was measuring metabolism on people as fasting was becoming more popular. And we knew that if somebody did the diet, they would reduce their metabolic rate. They would burn less calories doing what they were doing before. But people doing fasting would not drop their metabolism. It would actually increase their metabolism. They would burn not only more total calories, but more of those total calories would come from like you said, fat. They would teach their body that they didn't need to eat as many like food calories. They had calories, hundreds of thousands of calories in the form of fat already on their body. And so, I wanted the fat gone. Fasting allows you access to that fat and plugs you into that energy source so that you

15:25can do exactly what you said, like doing one meal a day. And it becomes really easy. And you save a bunch of money and you save a bunch of time. And it's a great tool to be able to use. It's amazing that you learn that stuff, actually. Yeah. And it's just something that I'd like to try to me. It's something that I said I enjoyed reading about. And you know, there's no like right now I don't fast. I eat like three to five meals a day. But it doesn't have to be the one size fits all for all people. And that's where you need a good assessment and good for you measuring metabolic function during this. Because again, 95% of the people out there don't get a measure. They are just like going by what they feel or what they hear or what they see. So good for you for doing that. But yeah, it's amazing how the body adapts. I think about this before let's say I had an hour hit class, I would never dream of going to it without trying to get like, you know, some carbs, some fruit, some protein as a base, but the body of that I would just I would be able to go to a 50 minute

16:28class on an empty stomach. I had me some since the night before. It's amazing how our body can adapt to that stuff. Yeah. Absolutely. No, absolutely love that. In conjunction with using the metabolic hearts, I can confirm that we were using also really good, reliable body fat scales and also measure muscle mass. I never, ever, ever, ever saw anybody lose muscle mass when they did intermittent fasting. And it's cool. Like you said, like you're not doing fasting now, but I'm assuming if you went to Colorado and you guys wanted to do a fun hike and it might be four or five hours, you could fast if you wanted to because you built it. Yeah. I know. Yeah. And sometimes it's physical. Yes, your body's like craving the food. But most of it's mental, but I know mentally, if I have to skip a breakfast, skip a meal, a lunch, I can do it because I've done it. And you hear about metabolic flexibility. I don't know how much science has around that, but it is good. I'm feeling to know. Would you can be metabolic, but flexible. If you want to skip a meal or two, you can. If you want to eat three meals plus two snacks, you can and your body can metabolically

17:30adapt to it. Yep. Absolutely. No, that's absolutely wonderful. Fasting metabolism has been studied for 40, 50 years. They have amazing, like really amazing data that was taken in the 60s and 70s and not one part of that ever made it into like a 600 page nutrition textbooks that I needed to get certified. I know. People are just missing an entire way that the body uses energy for fuel and nobody knows about it. It's been suppressed. Crazy. Yeah. Great. To lay great. That's awesome. Anything that you learned also in that same vein about like blood markers and labs, it's something we also mentioned in the introduction. But did you learn by seeing those doctors in Maryland, like some of the more important kind of blood lab markers that were really important to you? And maybe some that people talk about that maybe are less important? Well, back then, the main thing you were just, I'm going to go into, do you mind if I tied labs into testing? Yeah, that would be awesome. Yeah. So we have our labs. And back then it was just more of like your cholesterol.

18:32I'm on lifelong high cholesterol. Again, going back to having great health care. Lifelong high cholesterol, 35 years old high cholesterol, start having a conversation about a statin. But I didn't. I'm not anti pharmaceutical, but I didn't want to go on a statin at that age. And again, think about that, that's 15 years ago. So the statin wound is proven back then. So anyway, 40 same thing, high cholesterol. My HDL was good, but my LDL was bad. I've always been around 250. Even I'm here, I got in like the great shape and lost like 15, 20 pounds, I was 235. So I just have high cholesterol. And we went through everything and my doctors like are let's do a calcium score. So do a calcium score, zero calcium. So again, just another piece of information of, should I go on this stat or not? I still wrestle with it. I'm wrestling with it today. I'm not the point with my doctor tomorrow. And we're still going to talk about it. And I have this calcium score, zero, but high cholesterol. And these like, he goes just 50, 50, because this is, he goes 15 years ago.

19:36It's 50, 50, what you want to do. And he goes, but you know what? I had this patient who had a zero calcium score and ended up having a heart attack because they had soft plaque. So the calcium measures your heart plaque. But before it turns hard, it's soft. You're going to have to pick out a pocket, but I would like you to consider a CT angiogram. And that's going to measure the soft plaque. And for those who may have done it or haven't done it, that's when they put die through your heart and they can measure or anything soft in there. So it was a thousand dollars. I remember this. And I went and got the CT angiogram come back zero. So even though I have high cholesterol, I had zero heart and zero salt. So I had multiple data points to make a decision. And that to me is what it's all about. It's us feeling to make our own decisions about our health care, but having as many scientific data points as possible. So then again, paradigm shift of what grade I just think I just figure every patient is

20:40getting that from their doctor, but they're not. And there's a lot of we can talk more about the system while they're not doing that. But so I have those three data points. High cholesterol, zero heart, zero soft, no calcium or no, no statin. And every five years, I've gotten done those same tests. And I'm still, I'm 55. I still have high cholesterol, not going wood. I still have zero heart, zero soft. I did a crotted ultrasound that could show it up there. I still don't think it should. I do the satin to keep it from coming on, but I have a decision to make, but I have all the data points to make a decision. And I think a lot of people are out there with the health care provider making a decision on one data point. Maybe to maybe they'll get a calcium score, but they're just making these decisions. And on the type I want all the information. And then let's make the best decision together. Don't you make it for me? I'm not going to make it on my own necessarily. Let's make this decision together. We're a partnership of my health. And let's get all the data points we can. And as a partnership, let's make the decision together.

21:41Informed consent. That's all anybody's asking. Informed consent. Educate me about what my options are. So you can take it. If a satin were super effective for a lot of people and didn't have side effects, it would absolutely kind of be like a no brainer. But what you're describing, like there are side effects. It can affect your mental health and your muscles and your bones on all kinds of different things. And it may not even be that effective treating people. I'm just curious since you brought this up. I'm so glad you mentioned CT and G gram. Are you familiar at all with the term lean mass hyper responder or the keto CTA trial at all? No. So there is a subset of people who go on very low carbohydrate, very high fat diets. And they're like everything improves, but their LDL cholesterol shoots way up. I'm not saying like it's up by a little bit. It goes up by like two times, three times, four times, like massive, massive total cholesterol and massive LDL cholesterol. And there's a study ongoing now for these people.

22:41Again, eating these particular diets, very low carbohydrate, very high fat. They're doing CT and G grams on all of these people. And their overall plaque load of including soft plaque is extremely low. And they're not doing any kind of treatment. And it's absolutely fascinating to get the one year of the two year and eventually hopefully the five year data to see what the plaque progression is. But so far, it's been proven in several different data sets, AI driven and doctor analyzed by cardiologists to be an extremely low level of plaque progression for these people. So I hope that's at least encouraging to say that I would not a medical professional, but I would hope you'd kind of lean a little bit more towards not taking the stat and then taking the stat and trying to worry about getting that cholesterol down. Yeah. And I think we're learning. It seems like every few years there's something else coming out about the relationship between cholesterol and heart disease. There's definitely a relationship, but it's changing. The goal posts are moving on a regular basis.

23:43But yeah, it's like as many data points as you can get to make the decision. Now if my heart was full of plaque, then I would probably go on a stat. And if you know what it means, it just kind of pans, but it's good. It's good. There's testing out there that's scientifically backed. Most people don't know about it unfortunately. Yeah, very, very true. Yeah, super cool. I would say also just like common sense wise, I've been going to, you know, keto low carb conferences for almost a decade now. Like the body should have been building up right now. Where are the bodies of all these people that have super high cholesterol and are just like falling down dead? We just don't ever see it. So anyway, interesting aside, we'll get back to the topic. So how does one set out to change the medical system and create something that they didn't see? Like how did you, in that parking lot, start to envision like what you wanted to set up? You know, you are farting against insurance companies and all this stuff. Like what components did you think was really important? How did you think you were going to go out and create something that you didn't find?

24:45So at first it was going to be, I call the super center. I wanted to open up a super center because everything I've always thought of like you have a gym. Why isn't the doctor's office in the gym? Like why don't I go to my doctor and then he or she prescribed right here's one of the two exercise wise and then I go there and then if I'm in the gym and I want to stop by the doctor's office, I can't. So I wanted to build like a super center where you would have the doctor, the dietician, the exercise person, the exercise equipment, the imaging equipment, everything would be there. You get your lab gone there. If you needed a CT and GM, you got that done there. You got to work out there. If you needed a dextasy and you got that there, if you wanted to do a VO2 max and then I started looking at it. One of my background, like I said, it's an IT service. It's not in real estate. What if you picked the wrong corner? What if I picked the wrong, I'm in a new city in Miami area. I only know Miami. So then I started thinking, all right, we can do 90% of this virtually. So when I go to my doctor's office, he sends me to get lab somewhere else.

25:50He sends me to get imaging somewhere else and I got that CT and GM, it was somewhere else. So I'm like, we can do majority of this virtually and we can reach more people. So it went from this Rick and Mortar Super Center to, all right, why don't we do it virtually? And then a friend of a friend introduced me to someone who worked for a Medicare Advantage Company for a lot of years and they do something similar because they have incentives. If people are familiar with Medicare Advantage, they build a flat amount to the insurance company and if people utilize it, go over that. They're on the hook for it. If they utilize less hospitalizations, they make the difference in that. So they're focused on getting people healthy, but it was for seniors. And then I'm thinking of doing it for everybody. Healthy people want to get healthier. So we started there and then hired a first stock. First part of the hour was a dietician. A friend of a friend was an NCAA football coach and that a former dietician.

26:51So just started building out the team and launched a year ago, were virtual. And then as I'm going through it, exercise and nutrition are the number one lifestyle factors how we can affect our health, right? There's other things we can do. And so people had the right, it was like that personal trainer giving me the wrong plan for the right reasons. But I was on, what if I'd been on the scene of my doctor that year and I did it for another 12 months? So it was, it was hamming that coordinated team where everyone's speaking on the same page and making sure they had the best flame possible. That was kind of the root of it. Got it. Yeah. And you landed on Jeviti in the name, it obviously refers to longevity. And we know this is a really popular term these days. You mentioned some of the doctors who are famous for making it a big deal and creating books around it. But tell us like with all of your research and everything you've done, what you learned about the longevity field and what things are kind of like snake oil and what things have

27:51been really legit like nutrition and exercise. And it's so you kind of, let me just, it's like the health spectrum. Let's just start with our health care system, which is designed really to diagnose and treat people who are sick. And that's where medical doctors are trained and they're trained to do it extremely well. And the system's kind of built for that. So if you're sick and you need diagnosis, our doctor is going to do the best job, our system is going to do the best job in the world. But then you have people in the middle, then the middle spectrum would be, I'm not sick, but I don't feel great. Or I feel good, but I want to feel great. So there's a lot of people, I think majority people are there. And then on the other side of this spectrum is, I am very healthy, I'm adoptable health. So our health care system is kind of built for the diagnosing treat the sick people, but there's this middle people.

28:52And our doctors don't have the time to focus on those people, either just to have the time to spend with them to get to know them. They haven't really been trained. That's not their training, fitness and nutrition. Most of them will take one class each and med school. So then you have the longevity space. If people want to live better, they want to live longer, you know? So there are some medical doctors who are in that field and they do a phenomenal job with it. And there's health care professionals that aren't medical doctors that are in that field. A lot of them, they're filled on that gap. And they do a good job, they're passionate about it. They do the same thing I do. They read these studies and they're focused on it. But why I put the med in megevity is I still think medicine is an important part of your longevity. Have you live in longer medicine is an important part. Now there's a lot of people who when I say that are like disgusted because they're just thinking of that doctor they saw who was just diagnosing and treating them. And if there's nothing wrong, they say, your final see you next year. But when you have a great doctor who's given you proactive strategies and preventative

29:55strategies and using the scientific testing, that's when that's when it's powerful. So what I would say, there's a lot of stuff, especially cardiovascular, I described some of the things, the scientific test you can use. There's a lot of metabolic tests you can use out there that's scientific. There's some dementia stuff you can do that's scientific, some neurodegenerative assessments. Other exercise assessments you probably do them all the time. But there's a lot out there that's not scientific. And where it's confusing for the consumer is some of these people are the most articulate. And they're getting clicks or they're making money on the stuff they're selling. And these consumers aren't getting it from their doctor because the doctor doesn't have time and we can go and get into the healthcare system. It's not that they don't want to do it. It's not that they're bad people. They're the smartest people in the world in my opinion. But the way they reimburse the way they make money, the way they have a career, the way they put food on the table for their family, they don't have time to focus on these other

30:56things. So some people are feeling the gap. Good intentions, but maybe they're not trained. Some people are trained. And they have the good intentions. And some people are just kind of economically just making money off these things and it may not be the best thing out there for the consumer. Got it. I don't know if you have metrics around this, but just based on general observation, do you find that the doctors that work for you and the longevity are prescribing less medications than a general doctor would in the medical system? We're trying to measure this because we're kind of relatively new. But yes, I mean, our first prescription is lifestyle. Now we have some patients who are like, I don't want to change my lifestyle, but we're lucky because they're probably not going to sign up for us if they have that mentality. But the first prescription is, what can we do from a lifestyle perspective to change? And let's try that first. There could be supplements. Our dietitians, we have tremendous dietitians.

31:56Two of them worked in one's in professional sports now, the ones in college sports. So they're used to understanding supplements and providing supplements to elite athletes. So supplements is an option. But sometimes you need a prescription. And I tell people my son, he lives in Dallas. He got this bad staff infection. And he's calling me and it's like in my neck, I was not looking for lifestyle interventions. I was not looking for supplements. It was like, find a great doctor who can get you on the right antibody. So if you need it, you need it. But our first interventions are, let's focus on the lifestyle. Let's focus on your nutrition and exercise. And that's why we want great nutrition professionals and exercise professionals to give the right right advice. Telling somebody to go take a enormous amount of vitamin C, for example, wouldn't really help. And that's great. She went with yourself. No. But to your original point is, again, because the system, a lot of times doctors don't have time to dig into the other stuff. And they're just kind of like, this returational fixture.

32:58I know this prescription will fix this sickness. So it is over prescribing. To the point where it's gotten so bad or some people are just anti-pharmaceutical, 100%. And maybe we shouldn't be 100%. We should be pharmaceutical, skeptical maybe on everything. But there's a role form in certain situations. Absolutely. Yeah. Just like we said, informed consent will give you a few options and you, the patient, can choose how you want to approach this. Who is your demographic? Who are the people that are signing up for this? Is it across the board? Is it general population? Is it people like myself who don't have health insurance? And I'm generally healthy, I would say. Who is your normal demographic if you have one? The typical demographic right now is middle age. So I would say around 56 years old. Most, and they have like an ownership of their health, like their focus on their health. They are coming to us with questions.

33:59They're sending us articles or they're asking us things. So they have, they focus on their health and they're that middle age. I think what happens is kind of happened to me is, you know, when you're 30, you're thinking, if I live to 75, I'll be happy as heck. But once you get to like 50, you're thinking, well 75's around the corner. I wouldn't mind being 80. I wouldn't mind being 85. So they're focused on living longer. And then they're focused on actually like living a fulfilled life. So even if they live longer, they want to go to move around. They want to be able to carry their log DJ. They want to go to carry on above their, in the overhead compartment, they fly, grab brain kids, etc. So they're generally leaning towards at least being interested and being more healthy. It would be a good way to say that. And we have some people with some chronic conditions, but for the most part, they're already healthy and they want to get healthier. And then there's some who want to get their healthiest. So that's kind of semi healthy. They want to get healthier. They want to get their healthiest would be the prime demographic. But we kind of have, we do have some people with some chronic conditions that we're helping

35:02them with as well. Got it. And are you completely outside of the insurance model? We are. Yeah. Unfortunately. Yeah. I wish we could say I hate it, that not everyone can do it. But you, you, even taking insurance for one thing leads to so many regulations that you can't even practice medicine the way you'd want to. It's kind of crazy. Yeah, we are outside the insurance model. It's ridiculous. Yeah, tell us about the concierge model and how that works. Like what are the pros and cons compared to insurance, the insurance model? Well, first off is time. You just have time with your, with your, with your doctor or initial intake to 75 minutes long. So it's an hour to an hour and a half. It just, just to get to know you and spend time with you and understand what your needs are, what you don't like, what you do like and building up relationship. It's relationship based. Like I said, we kind of look at as a partnership where we're partnering together on your health to get you healthier and get you, get you your healthiest.

36:04And then having the diagnostic test. So I think some doctors go through a moral dilemma. So let's say I'm insurance based and you come in and you, I have these tests that you could run. So let's just say this CT angiogram that may cost $750. But I know you can't, you don't have $750. And this one behind you comes in and they can do it. And they don't tell the person who can afford it because they feel morally like, if I didn't tell the patient who didn't put an afford it, why should I tell the person who could afford it? So your, your, your, our goal is to say, here's what's available. Here's the science behind it. You make the decision whether you want to do it or not. So you have access. You have more conversations than you would generally just about the different diagnostics that's out there for, for your health. That's a big one. Got it. And it's all included in say like a monthly fee, right? You've got like different tiers of like a membership system that somebody could pay monthly

37:06and they have access to all of that stuff. Yes. Yes. So it depends on that. So the initial tier is you have everyone gets a dexascane twice a year. So you have your, your, your doctor's visits, your physiology, your nutrition. We do a dexascane. Then you have different tiers where we include the other, the other testing and then you have one tier where you get, you know, everything included. So yeah, there's different tiers. And all the testing's available, Alacart. Something that's is important to us is we don't make any margin on any of the testing or any of the supplements that we offer. So we pass any discount on select the gallery, grail gallery, cancer liquid biopsy tests, retails of 1000. We get it as a practitioner for 750. So we just, we just charge our patients at 750 if they choose to do that. Wow. Gotcha. And we mentioned longevity and you already mentioned VO2 testing. Is that something you guys also offer as well? Yeah, for sure. For sure. Yeah. So the kind of the core basis would be dexa and VO2.

38:11Some people aren't ready for a VO2. So our physiologists have other things that can do estimated VO2, sub optimal VO2. But yeah, dexa and VO2 is kind of a core of what we'd like everyone to have some sort of body composition and some sort of cardio respiratory fitness. And we can talk more about that just why respiratory fitness is so important. But yeah, yeah, VO2 for sure. Got it. When we're looking at cost and we go into the website and we see the different tiers and they cost this much and, you know, people must be thinking like, wow, that's a lot for a month of all of these different things. And they fail to consider what insurance actually truly costs us these high deductible plans. Don't even kick in until you spend like 10,000 or 15,000 dollars. They're still paying a monthly fee when you add that up. Like what I see that you guys are offering is actually like a bargain. It's way better. Yeah. So you can and you can use your rates, I say funds to pay for it. Well, not pay any deductibles, won't pay any co-pays. So it's just like whatever you pay that monthly, that monthly cost, that's what you pay

39:13for your care. So you're not paying anything else out of pocket unless you have to go to a specialist or something else like that. But yeah, it's totally true, totally true. And then again, talking about blood labs, what labs are people typically doing and what are the most important markers that people could see? We're very thorough labs. So the cardiovascular, we do the expanded cardiovascular labs, APOB is a very important one. Most of you are doing APOB. We do inflammation labs. We do hormonal labs. So we do probably, it depends because what we do is we see our patients first before we order labs and like most times. So we see the patient. And then if there's any labs outside of our basic panel, then we will prescribe them those labs. So 100 labs, you know, the 100 markers, what people want to hear are doctors are saying we don't really need 100, but it's around 100, 100 biomarkers that we do for every patient. Gotcha. Okay. And I also understand that you guys offer very individualized type coaching as far as things like exercise or nutrition.

40:16Is it vastly different on an individual level? Like is it as different as one person comes in and we're going to put them on like a vegan type plan and another person comes in, we're going to put them on an animal based or carnivore plan. So that much variance, same with exercises, there are tons of variants like this person wants to do the psych and classes all the time. The other person wants to strength train and do it that way or are there certain like really common pillars that you try to get for everybody? Yeah. So great, great question. I would say there are common pillars for exercise. There's common, there's common pillars for both nutrition and exercise. So the exercise we have like based on the recommendations of all right, here's how much aerobic exercise you want. Here's much strength training we want. Here's how much mobility and flexibility we want and we start there. Here's the baseline of what's recommended. But it's like what's the best diet that anyone can choose is the one they'll stick to. What's the best exercise plan anyone can choose is the one they enjoy and they'll stick to.

41:16So a lot of it depends on individualized goals. What are the personal goals? If you want to add a lot of muscle mass, then we may recommend more strength training. If you want to lose weight, we may recommend more cardio, but it's never an either or. It's still even if you're adding mass, if you're number one goals to add muscle mass, we still want to do in the cardio and so want to do in the mobility. Even if you want to lose weight, we still want to do in the strength training. We made it emphasize the cardio. So a lot of it depends on what a person's goals are. And then the nutrition is going to match. So that's where the team is so important. So the nutrition is going to match what the exercise program is. And then the exercise and nutrition programs are going to match what the medical is saying. Here's what I think is going on them medically. Lab-wise and our dietitians and physiologists are all trained to relapse. So it's all tied in together. So it's it could be something we're reacting to that could change or create the strategy for nutrition or the strategy for exercise or could be something that's a proactive goal.

42:17But it's very personalized. Some people love keto. Some people don't love keto. Some people would say I would do keto, but I like to have drinks on the weekend. Well, you can't do keto necessarily. So we're going to do something else. Some people want to do fasting. For me, fasting started because I don't have a lot of impulse control when it comes to eating. It's like I had like I had sweets Sunday night. Before that, I think it's been three months before I had a sweet, but when I had the sweet Sunday night, I had a whole bag of these chocolate covered hazelnuts. And then I got a chocolate, I found another chocolate bar in the fridge. I ate that. So for me, it was more impulse control. Once I eat a little, I want a lot. So fasting worked for me that way. It was a form of chloric restriction for me versus the little meals aren't as easy. So again, it's very personalized to what we may need to react to or what some ones goals are. But very, very individualized. I love that. Did you feel terrible after doing that, by the way? I felt so guilty. But I would eat, and I've gotten better before I would eat like sweet sweets or my downfall.

43:22Like I would eat sweets to like sick at my stomach. Like I just, I could enjoy them. I was just sick to my stomach. I've gotten better. But my wife will take like a piece of cheesecake, one piece of the fork and eat like one bite where I want to eat the whole cheesecake. I literally eat this person cheesecake. I know is that person. She was, let me just have a bite of this. Let me just show like, break a cookie in half. Like, there is no way I could do that. I'm going to eat a dozen cookies if I have like a piece of a cookie show. Yeah. And so the whole reason why I have to be carnivores, I can't stop when I get it. And then I spin around and anxiety and can't sleep anymore. My cravings go through the roof and I feel terrible for like 36 hours. That's so funny. Yeah. Wow. Okay. Tell us a little bit about the workout kind of programs. Are they just like recommendations? Are the people working one-on-one with individual trainers that are coaching them? Are they working virtually and personally? How does that look? Yeah. Some people come in and they don't have a trainer and they want a weekly exercise program built for them. All right.

44:22And again, so we're building, we're rolling out our app and some of it is build it for me. Give me the framework. I'll build it myself. So it depends on what they want. But some people come in and they're like, all right, what machine do you want me doing? How many reps? How many sets? How many days a week? How many exactly what to do? Some people come in and say, just give me an idea of how many days upper body, lower body string training, how many days cardio, how many days of high intensity. Those are the ones that don't have trainers. A lot of times we work directly with someone's trainers. So from physiology standpoint, we would make recommendations to the trainer and what we're trying to do now is even bring in their personal trainers if we get the consent to say, all right, here's what, here's the whole picture we're rolling out to the person. So they're kind of in the loop too. We've been partnering with gyms who want to offer this to their clients and we bring them in and build the plan with them in place.

45:24But our physiologists will work with the trainers because they can be a good support mechanism for the trainers. Totally. Yeah. So the trainers ask them questions and get ideas from them. That's awesome. I saw a whole page on your website that was really directed towards trainers. And here's some of the benefits and why a trainer like myself would want to work with a company like you to be able to provide all these things. If we're all communicating with each other and everybody's on the same page, the level of care would just be off the charts. Yes. But I intended. Yes. Yes. Exactly. Okay. So I want to know success stories kind of on the patient end. They don't have to be huge things, but does anything come to mind as far as like really cool success stories where somebody, again, increased the amount of care they got. They reversed a metabolic disease, anything along those lines of things that like pop into your head. Yeah. Oh, thank you. So one good one is from a weight standpoint. Sometimes I think scales can be an enemy. And so we had a patient and they came in and they lost.

46:29They've been working hard and they did a dexter stand. And then I think about six months later, they had lost five pounds. And they were happy about it. But when they did their other dexter stand, it came back. Is they lost five pounds, but they lost nine pounds of fat and gained four pounds of muscle. Amazing. So if they just were going off the scale, progress is good. But how much healthier was that patient losing nine pounds of fat and gaining, losing nine pounds of fat made them healthier. Being four pounds of muscle on your own makes you healthier. But doing the boat, doing the combination. So it kind of goes where, and again, the system's not set up for doctors to do this. Insurance doesn't reimburse for dexascans, unfortunately. But just feeling able to do, again, another diagnostic test, another piece of information about our health, another piece of information to help us make decisions. I mean, that was a big one because the patient was blown away.

47:30We've definitely going to reverse pre-diabetes, like H1C pushing on that diabetic standpoint and just using nutrition strategies along with the fitness strategies to reverse that pre-diabetes. You can't block pressure. There's so many things you can do. But there hasn't been someone had this disease and we've totally reversed the disease. We're really just focused on preventing them from getting it. And doing the assessments to say, you're on this track for it, you're not on this track for it, you're on the track, we need to do to change that trajectory. Yeah, got it. And then I also wanted to know success stories on the other side. Like, I'm assuming that the doctors and the providers that you have have practiced somewhat in the medical system and now they're somewhat out of it. What can you say about job satisfaction for the people that are on your staff? Yeah. I'll say so the first doctor we hired, she's awesome, she was an academic medicine role career.

48:34It took a while like they didn't want to order all the labs and they kept saying, hey, these labs are going to be more expensive. We're like, just order the labs. And then the Dexascan, they kept forgetting to order a Dexascan because they're like not used to it. So somewhat was just that shift of, all right, I'm out of this system. I'm in a system where I can have access to all this testing. I have access to all this time. So there's a paradigm shift for that at first. And now from a satisfaction standpoint, it's just so much better. Just having the time to get to know the patients, just having the time to provide the care they can provide. We recently just brought in as our clinical leader, she was at Prettykin Long Jevite, which was one of the early pioneers of longevity. So she's practiced longevity medicine for 20 years. So that's great for her to share all of her experiences. But yeah, from a quality of life, I think most people to understand, we get frustrated when we go to that doctor's office and you're in like waiting room one,

49:38and there's someone in waiting room two, three, four, five, and they have five patients, and they're 45 minutes behind. And you go in and they say, hey, all right, nothing's wrong. And every time you ask a question, you feel like they just are trying to get you out of the room. Well, it's because on average, a doctor sees a primary care doctor sees 20 plus patients a day. So they're seeing their thinking, I'm already behind schedule. I don't really have, they want to answer those questions. They want to sit and have a conversation. They want to sit and ask about your spouse and about work and about stress. But they're literally have like four of the people in those rooms, those individual rooms. So their quality of life is not great. And then the way they get reimbursed for insurance is difficult too. So coming here, it's much better all around. They provide better care. They're happier. So they're happier, which usually the patients being happier. So it's just a win-win overall. That's amazing. Just to offload the percentage of time they have to spend dealing with insurance companies is massively insane. Yeah, I didn't talk about like the notes and

50:40everything they have to send in and the pre-authorizations to get a certain test. I mean, we spend so much time just getting pre-authorizations for people's insurance. If they do go get like an MRI, if they do go get a certain test, that takes so much time just doing that for the doctors. It's crazy. Wow. Yeah. Oh, man. What a cool thing you have come up with. I love anybody who's out there trying to innovate in this space and get better care to people because, again, these doctors care. They care a lot. And they probably just do realize what they were going to get themselves into as far as the medical system and insurance. So for you to have the experience that you had and to be able to innovate and think outside the box and find a different system, I think is absolutely wonderful. And I really hope that it is a great success because it deserves to be people need the care. They need the time and attention. And they're just, again, in a system that can't give them those things. It just can't. If I can say so, I've spent so much time with doctors over the past three years. And again, I know I've been frustrated with the system.

51:42So one reason we started this, I know those patients listening here who are frustrated with their doctor, they care so much. And when they take that hypocriticals, they take that thing so serious. They want that they are in this business because they want to help. But sometimes they are stuck in a system where they just can't do it. And it's not their fault. And they would do anything to get out of it. It's just tough for them to get out of it. So yeah, just know you're, no matter how frustrated you give your doctor, they care and they want the best for you. But you through training or time or the system or insurance or pay, they just can't do it. Wow. Well, I'm sure blue, any of their minds coming over to a side where you're actually talking about things like prevention versus, you know, trying to be a sick care system is absolutely wonderful. Keith, this has been great. I've really enjoyed getting to know you and getting to know your journey and everything that you're creating. Like I said, I'm sure it's going to be wildly successful and we'll continue to expand and grow. For now, where can people go to find you and connect with you in your work? Great. Go to medgevityhealth.com,

52:44medggevit.com, and you can see your website, everything self-explanatory, again, it's virtual, we're licensed in all 50 states. So we can provide the chair, which is great. And it's kind of like one of our gym partners said, Hey, I asked my patients or my clients, when's the last time you had a team of a doctor, a physiologist and a nutritionist working for you because the answer's probably never. So it's just a great opportunity. I say it's the people who are like NFL athletes, professional athletes get this type of care. Sometimes when you're really sick and in oncology, where do you get this type of care? But in the middle, people just don't have that collaborative team. That's what we want to be able to provide. Yeah. Absolutely. It doesn't exist outside of medgevity. So again, we're so grateful for your work and very, very grateful for what you've created and grateful for you to come on our show today and share all that with us as an option. We really, really appreciate it. Thank you. Thanks for having me, Casey. I really appreciate it. Absolutely. It was an honor. And this has been another episode of Balmospotty Radio.

53:57Thank you so much for listening to and supporting Balmospotty Radio. We are approaching another massive milestone as we are set to publish episode number 1000. Oh my goodness. When I started the podcast in 2020, I never imagined that we would record so many amazing episodes. Thank you to all of our incredible guests for sharing their time in wisdom and of course a big thank you to you, the listener, for joining us along the way. At the top of the show notes of every episode, you will find a link that says, send us fan mail. The issue was that if you didn't include your contact information, we had no way to get back to you. Well, that issue has been fixed and we can now respond to any comment we get and you can even choose to leave us either of text message or a voice message. Sometimes podcasting can feel like talking into the void, so we absolutely love getting feedback from you. We will be sure to respond to any note that we get and your comment might just get shared on future episodes as well. Our YouTube channel is another great place to connect

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