Mindfully Integrative Show

Mindful Chat with Dr. Yoho Author Surgeon,

April 29, 2022 Dr. Damaris Grossmann APRN FNP-C Season 2
Mindfully Integrative Show
Mindful Chat with Dr. Yoho Author Surgeon,
Show Notes Transcript

Dr. Rpbert Yoho
https://www.robertyohoauthor.com/
I was born in l953 in Richmond, Virginia, and grew up in Kent, Ohio, (known for the Kent State riots during the Vietnam war). I was an Eagle Scout and a Judo wrestler. 

Dr. Yoho is a healthcare whistleblower. He recently published two books about medical corruption, Butchered by “Healthcare” and Hormone Secrets. He had a surgical practice in the United States until retirement three years ago.

"LEGAL” DISCLAIMER: Use the information here at your own risk. It is not medical advice. Make your healthcare decisions with the help of a physician or other licensed provider. 

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Damaris Grossmann:

Hi, how are you? This is Damaris Maria Grossman and this is the mindfully integrative show. And today we have an amazing guest and mindful chat with Robert Jojo, and he is a retired medical doctor but he's still a doctor. So Dr. Robert JoJo he and he is a plastic surgeon and world world and well, as a large CBS he explained to me and an array of things that he can discuss and as well as an acclaimed author, I think it's three books or is it four books? Is that correct?

Dr. Robert Yoho:

It's three, three.

Damaris Grossmann:

So thank you so much for being on the podcast and show.

Dr. Robert Yoho:

Thank you, Damaris. A couple of things. Housekeeping. I am yo Whoa, not yo, yo, as you might imagine, I suffered with Yo yo, during my entire youth, I sometimes even more reasonably yo and a bottle of rum, right. So anyway, we have to make a disclaimer. This is not specific healthcare information for individuals. It's general informational purpose only and use it as at your own risk. I'd spent years researching all this but you know, I have to do that because the lawyer sorry.

Damaris Grossmann:

That's very important. Right. And you're welcome to call me, Robert on disclaimers.

Dr. Robert Yoho:

And you're welcome to call me, Robert. So I, I wrote my, my primary book about healthcare corruption. And if you it's called butchered by healthcare, and as you can see, there's a guy in a white coat there with a pile of gold it is. And so that's, that's what's happened. And unfortunately, as you have noted, during your career, the entire industry is based on money, and it's gotten away from patient ethics and patient first, ethics is what integrative medicine is all about. Absolutely. As I understand it. Yeah. I mean, it's the only important thing in healthcare. I mean, it's not do no harm because some of the therapies carry risks, but it's patient first, always make your

Damaris Grossmann:

patient centered. Yes, it's listening to what they have to say and not what I want in the algorithm that's been allotted for me,

Dr. Robert Yoho:

really. So just to give you an example of how healthcare has been corrupted, I want to talk briefly about the pharmaceutical companies. And so you're aware that as measured by their settlements with US federal prosecutors, this is the most criminal industry in history. Okay. So if your listeners want to search right now, as they're listening, there's a Wikipedia page, which shows their 22 largest settlements. I mean, these are billions of dollars a year at Pfizer, Johnson and Johnson GlaxoSmithKline are at the top of the list. And they've all given out settlements of over two $2 billion. Each one of them was over $3 billion. And Merck, another company, knowingly slaughtered 50,000 people. They knew the drug was caused heart attacks, you know, it was called Vioxx. I think that might have been before your time, but they made money even in the year that they settled the case for billions. And so here's a quote from a Pfizer marketing vice president, he said, It's scary how many similarities there are between this industry and the mob, obscene amounts of money, killings and deaths, bribing politicians and others. The difference is all these people in the drug industry look upon themselves as law abiding citizens. And another CEO of Parke Davis, named Harry Lloyd said, if we put horse manure in a capsule, we can sell it to 95% of these doctors. So that's the way they think about us. And he sold chloramphenicol, which was an antibiotic that killed many children. I'm sure you know that history. So the FDA is supposed to oversee these guys, but they half of their budget or more is paid directly by pharma during the patent application process. And this basically turns these agents, they think of the companies as clients rather than entities to be regulated. And if the FDA refuses to approve a drug, they might have trouble making their own payroll. So they become heavier ever heard of this term sock puppet? Have you ever put a sock and teased a little kid with a these these are supposed to be fun? Well, the FDA is supposed to is they are sock puppets of the industry. And they their managers have huge salaries waiting for them in the drug industry after they retire. So they work together and they fake the drug approval studies. The patent studies they use bad statistics they hide studies that don't promote the drugs a corrupt foreign research contractors and a whole lot more. And I'm just gonna hit you the one more quote this is Peter Gurkha, who is the founder of Cochrane Reviews, which you He said, the pervasive scientific misconduct has led to a research literature where one has to dig deeply to find the few gems among all the garbage. So I look I'm sorry,

Damaris Grossmann:

there are a lot of there is a lot of excess. And I know you'll say garbage, I'll say access.

Dr. Robert Yoho:

Well, here's a title of a BMJ British Medical Journal editorial in July 2021. It was time to assume that healthcare research is fraudulent until proven otherwise. It's not there's a lot, it's the vast majority of it is garbage. And so you've got to be very suspicious. And I'm sure that your colleagues are, you know, who are integrative are exceedingly suspicious of mainstream stuff that comes out of the mainstream journals. The BMJ actually is the best journal remaining, and it has some integrity, the other ones are have washed down the toilet.

Damaris Grossmann:

interesting that you say that? Yeah, I mean,

Dr. Robert Yoho:

when more than you already are dumb Harris. Yeah. I

Damaris Grossmann:

mean, the interesting part, I guess I put there is more of when you look at these studies, you know, someone's like, as long as they put in a study, they put in, you know, X amount of men, you hope that these high quality studies are high quality, but you don't always know.

Dr. Robert Yoho:

No, they're terrible. Our universities, academics and medical journals are prostitutes, to corporate money goes writers write 95% of those journal articles that you're looking at. And the authors get huge fees just to put their name on the study. And the companies openly pay the journal editors hundreds of 1000s of dollars a year in government or law, bribes like these could result in firing or criminal prosecution. But in healthcare, it's accepted practice, the payoffs are simply disclosed as CEOs, right conflicts of interest.

Damaris Grossmann:

Interest. Yeah, they are. Well, you help people are disclosing.

Dr. Robert Yoho:

Well, disclosure is not enough. They're still being bribed. I mean, it's crazy, they should basically be fired, they should be fired, the editors should be horse whipped for allowing this stuff into the editor is no more than anyone else in healthcare. They're enormously sophisticated. They know about the statistical frauds, you know about the relative and absolute risk. That's a routine statistical fraud. And I didn't understand it until a few years ago. I mean, I didn't when I Oh,

Damaris Grossmann:

well, I did my, you know, in your duty, my doctor paper doctorate work. So yeah, I mean, I definitely learned quite a bit.

Dr. Robert Yoho:

The doctors don't know much about this stuff.

Damaris Grossmann:

Um, I mean, it couldn't be swayed pretty well, you know, I'm an, I think, but I see where you're coming is it can have a sway or an outliers and and then the studies can be, it really just depends, like you said in the other changes when you're looking at a study is that has anyone reputed it? Or just because one thing says this way doesn't mean that there's not another study? That would be the opposite of that. It doesn't mean that just because it's science, there's no right or wrong like it. That's why it's science, right? It's a hypothesis.

Dr. Robert Yoho:

You know, about the study in Lancet a few months ago, about hydroxychloroquine that was found to be faked. From the start to the finish. It wasn't just outliers, or refuted or needed new studies to they faked it from the start to the finish. It was so obvious that the thing was jerked from the pate from Lancet. But as far as I'm concerned, Lancet is a formerly respected medical journal. I have no respect for him at all. Their editors let that slip through. They knew exactly what it was. Because it was obvious on the face of it, it was it was made of whole cloth from start to finish.

Damaris Grossmann:

That's unfortunate. Wow, so talk to me more about your I mean, you were a plastic plastic surgeon. Yeah, you're no, no, no, you're just you're a superhero. Or no, I mean, you really have done a lot. I mean, you have a very low but I mean, you've like you've come from being a cosmetic surgeon, you know, I say plastic cosmetic or plastic? No, I want to

Dr. Robert Yoho:

there is a distinction. There's a distinction to this. Yeah. There is a distinction. So I am er, but also emergency though. Yeah, I was originally emergency physician and I trained and became a cosmetic surgeon. And that's what I did the majority of my career I, I must have done that for 35 years. And I became as I matured, and as I aged, I got more and more interested in menopause. And because my patients were almost all women, and they were just miserable. And so I studied bioidentical hormones and which is

Damaris Grossmann:

great. Yes, that's how I initially found them.

Dr. Robert Yoho:

And, and I eventually became certified and I learned more and more about it and I eventually with the cooperation of my patients, and with the informed consent, I started prescribing estrogen progesterone, testosterone, DHEA melatonin And the whole lot of them. And I just saw miraculous improvements. I mean, these women just, and you know, I had, you know, I was in my early 60s, late 50s. And my majority of my patients are my own age. And that's what you'll find. I asked you about your patient profile, and they're, they're centered around your age. And because they, you know, there used to be an adage never trust anybody over 30. Well, that was when we were 25. Right? Well, when you're in your 30s, you tend to have your contacts and so so I ended up with a patient practice just full of menopausal women, and they were tough to deal with. And I found, I learned about this menopausal therapy, and I eventually learned that it was tremendously beneficial for health. And the mystery was, why was it all suppressed? You probably know that there are black box warnings on testosterone, estrogen, and progesterone is outrageous. These are the most single best drugs in all of medical care. Now, I know that sounds like a big claim. But I'll back that up. We've used these things. Well, thyroid for 120 years. testosterone, estrogen and progesterone for 50 6070 years, 80 years, you know, roughly we have our clinical experience with these things are enormous, is enormous. And one huge study, the probably the most expensive study ever performed it cost supposedly a billion dollars, called the Women's Health Initiative, through the whole thing out the window. And this was around 2003. And it'd be it for, you know, a huge uproar, just got everybody off of the bioidentical hormones. And it turns out when the analysts looked at this study, that was largely fraudulent, and it was directed by people that had an agenda. And you know, the agenda is always to make more money. And these things are inexpensive. Bioidentical hormones are cheap compared to, you know, patented drugs. I mean, there's no way to make $1,000 a month on any, you know, and you may think you're getting ripped off by the compounding pharmacy, but it's, it's a bargain compared to, you know, some prescription drug for Alzheimer's, which instantly, we could prevent. Now, here's a big claim, you're not going to believe this right off the bat. We could prevent 80% of our Alzheimers cases if all women got on estrogen at 50. Now, just think about that. Now that I know you're thinking this is not

Damaris Grossmann:

Yeah, I always think. No, no, no, no, I always think the sugar one I think I follow Dr. Kristen dirts to she's very big into the mental puzzle. You probably seen her.

Dr. Robert Yoho:

So so what I did was I put 75 references in an appendix in my hormone book that demonstrate what I just said is true. So you guys are going to have to read it to find out whether I'm full of baloney or not.

Damaris Grossmann:

I have not read it yet. And I apologize but I will read

Dr. Robert Yoho:

you it's perfect for you. It's it's a guide, guide post for an integrated doctor, and you should attend my mentors workshops. He's still around his name's Neil rosier or UCI er. And this you see this little Mexican shield on the started in the

Damaris Grossmann:

beginning the front and the front. On the front. Yes. Well,

Dr. Robert Yoho:

I found I found a four foot high shield in a restaurant in Houston see that thing and there's a picture. And I and then I changed it into a book cover. And I put the names of the hormones on it because this is not just women and men and women hormones dominate their thinking and their this is their just swirling around in everybody's brains, right? You just don't realize it until they they decline when you're 50 or maybe 45.

Damaris Grossmann:

I definitely want to go to that. I want to meet your mentor, or at least I want to read or at least I want to read about it. Because I don't know that I know and I know the basics, and I've definitely heard some wonderful things. Oh, it's Rosie, it's ru Z IR I think I just correct. Okay, I think I've I have heard wonderful things about hormone therapy. And I do talk more about to individuals, but I do not at this time treat for that. But I would like to at some point.

Dr. Robert Yoho:

Nice. So I'll set you up, I'll give you the links and so on and so forth. That's I mean a really changed your perception of medicine because it's the center in my opinion of alternate medicine universe. And it's it's, it's really as traditional medicine it's not what I always say hit pound. Alternative medicine is that just because there are flaws in aircraft design, it doesn't mean that magic carpets fly. So sorry, sorry, I don't that's not directed at you.

Damaris Grossmann:

I know what you're saying. You're I mean, you're you're alluding that, you know, the medications are good, even though if there is some, you know, Marcus, I think, also Could it be that because a lot of the negativity came with, obviously one pharmaceutical, you know, kind of aspect, but then also people are not looking at how much someone may need, you know, how much or looking at the, they're not getting labs on what people's levels are, so they're just incorrectly prescribing? Well, or giving

Dr. Robert Yoho:

the the, the overall perspective is that in America, we spend twice what other countries do per person on health care, we're at, we're at 20%, of the gross domestic product, in, you know, in Japan, Sweden, France, Italy, Canada, they spent 10% of the gross domestic product, and so it's twice and they're this, there is no academic controversy, that 50% of what we do either is harmful, or doesn't work at all, right? And that's why, you know, people like you are flourishing, because even if you're not more sophisticated, at least you pull everyone away away from traditional medicine, which is largely injurious. So I mean, it's, it's an outrageous if you

Damaris Grossmann:

want someone to think beyond the box, right? Good, but but safely. So I'm always as I want you to think outside of the box, but do it safely. And I guess I use the word integrative because I want you to see that there's it I don't use alternative anymore. I don't think of alternative because I think they both have a place. Right. So I think that's why that it's always

Dr. Robert Yoho:

I'm not attacking you or running you down. I'm no and totally. So my feeling is that to get back to the question is that at least half of the drugs that are taken are outrageously bad for people. And I think that we there's a whole specialty involved in taking people off these drugs. And I don't know whether you have any nursing home patients, but a lot of these people are in two zero 20. Medicaid

Damaris Grossmann:

are It shocked, like especially cardiac or or dementia patients,

Dr. Robert Yoho:

it's like a dystopian medication farm. And the only people benefiting are the people selling the medication, and maybe the doctors who go in there, but if you just even if you took these people off their medications randomly, they would probably benefit. And I mean, I I've told this to people, patients who are not patients of mine, but I've told it, and they repeat cardiac patients who just threw all their medications down the drain. Now I told them, that was a bad idea. They needed to go to their cardiologist and negotiate a little bit, but a lot of them felt better right away. Now, I'm not telling the people on this podcast to throw away all your medicines, do somebody like DiMera says, hell?

Damaris Grossmann:

No, you have to do everything, obviously, within within reason, right? My mother, I swear to she only takes one pill and because she actually listens to me. She really does. I mean, and she's in her 80s. And, but it took a long time for me to not just me, but for her to understand and learn. And, and further. I don't but that doesn't mean everybody is like that. Right? I mean, there are some patients that well, but you're correct about us. I bet you a lot of those nursing home patients don't need as many as they have.

Dr. Robert Yoho:

Oh, it's not a lot. I mean, it's it. There's a there's a guy in Israel that took his nursing home patients off half that drugs, and of course, they all did better. The death rates went down, the emergency room visits went down. I mean, this, we're just signing most overmedicated world, you know, system in the world in America. And I'm sure Israel's pretty bad too. But it's, it's crazy.

Damaris Grossmann:

Wow, I can I can only imagine the side effects and all medication. I mean, every medication has a side effect. So no matter

Dr. Robert Yoho:

we study medications individually, they're never studied in combination. And when you've got five of them, or 10 of them, or 20 of them, we the side effect interactions are completely unknown. And it's like it's like a new thing. Every time a doctor looks at one of these people and wonders what the heck is going on? It's probably medication related.

Damaris Grossmann:

That in itself is a whole other topic. Let me I have the topic of you know, here I talked about integrative health, but I'm just generally talking about the systems right or trying to integrate the body as a whole. And we haven't even gotten into a conversation about integrating of what people's polypharmacy is, I mean, and the side effects and I mean, there is some computerized help there that will give you warnings and blackbox warning like we've talked about, like you say the black box warnings, but

Dr. Robert Yoho:

warnings on the hormones are fraudulent, do you think

Damaris Grossmann:

I didn't know? No. How do you figure that you

Dr. Robert Yoho:

fake? How do I figure but I don't know go to Neil's courses and you'll kind of get it but the The blackbox warning, for example, on progesterone was extrapolated from that Women's Health Initiative study. And they, they used a information that was obtained by studying Provera, which is the chemical imitator of progesterone right? Not by. And so there, there were statistically a few more breast cancers in the I mean that we're talking about six and 10,000. But I don't even think they had more deaths due to breast cancer, which is the real key metric. And they took that and somehow the FDA which is entirely dominated by big pharma, their their revenues come straight from big pharma, they decided to eliminate a competitor in my in my spec, that's my speculation. And so they put a blackbox warning on on this now for testosterone. They there were a couple of studies where they looked through the wrong end of the telescope. In other words, they tried to find patients who were already who already had were already on testosterone, who were taking or who were who had heart disease. So that's the, that's the improper way to do a study, what you do to do a study is you put random people on testosterone and see if they get heart disease. But they took those studies which were completely ruin, and on applicable to the situation. And they use those as as excuse to use put a blackbox warning for stroke and heart disease on testosterone. Well, testosterone decreases stroke and heart disease. I mean, it's well known in the hormone community, and the studies are exhaustive, they're there, they're I mean, they're hundreds, if not 1000s, of studies about testosterone. And it's practically all good. I mean, the only warnings about testosterone include things like small testicles, getting it accidentally rubbed, rubbing the cream on kids and having premature, you know, growth cessation and premature, you know, maturation, and a few other things. But testosterone is super helpful. And when I treated my women patients, I would just offer them a pellet that lasted three months. Now, you may be aware that less than 50% of the prescribed medications in America get actually taken. Even kidney transplant patients throw away their anti rejection drugs all the time, right. But when you put a little bit, it's true. I mean, it's crazy. People don't now look, if you can get your mother listened to you, you have major influence abilities. demurrers you've got an interpersonal charm, and and some, you know, some abilities that most people don't have, because I can't get my kids to listen to me, let alone my wife.

Damaris Grossmann:

Now, just a different way. I think it's letting her kind of figure most of it out on her own. But in a roundabout way. She goes, Oh, yeah, that's right. You were talking about that?

Dr. Robert Yoho:

Well, you're trying to help. And of course, that's our mission, as you know, healthcare providers. But I lost my thread. Oh, no,

Damaris Grossmann:

your entire 16

Dr. Robert Yoho:

You lose your thread? No, no,

Damaris Grossmann:

you were talking about the, the hormonal for testosterone for women? Oh, yeah.

Dr. Robert Yoho:

So the great thing about delivering a pellet is they can't decide not to take it. They're stuck with it without, without doing a surgical procedure, they get three months of therapy. And these women, I would I didn't even charge them. i They were paying me 1000s of dollars for surgical procedures. And you know that that wasn't even all that profitable, because I gave them the money back in service, you know, service and all this crazy, owning a surgery center and all this stuff. But I would just offer them the testosterone pellet, which can be used as a single hormone replacement, because it breaks down to estrogen. Right, it's great. And so I would offer them if they had symptoms, and you are allowed to do hormone replacement without levels, right, if you get levels is better. But the ACOG american college of gynecology has come out saying that if women have symptoms, you can give them hormone replacement. Right. And so these women are horribly symptomatic. I

Damaris Grossmann:

mean, they will, you know, you know that their symptoms. I mean, their symptoms are their most probably their, their levels are off, but you know, yeah.

Dr. Robert Yoho:

And you could you can walk into a room with one of these women and you don't have to know anything about them to understand that they're in menopause. I mean, you just have a look. And an experienced clinician, like Damaris, can just have a look at him and say he's a menopause. Yeah. Well, I you're, you're, you've been you've been doing this stuff for a decade, right.

Damaris Grossmann:

Yeah, I mean, I think that the mental puzzle, I think there's just a common thread of perimenopausal menopausal women that you obviously see just tired, fatigued, bloated, thinning. What is it Oh, Wait, no sexuality not not not sleeping, waking up anxiety. Yeah, first Depression, depression. Yeah, first back and forth. So I don't I think that's part of it or sweating, not sweating.

Dr. Robert Yoho:

I worked with my wife and she interviewed 1000s of patients over the decades, and she was convinced that most of the divorces over 50 have to do with women's menopausal symptoms. Now

Damaris Grossmann:

the men Wow. Now talk about a study for that. Yeah,

Dr. Robert Yoho:

the men? Well, you're never going to prove it. But then the women will always deny it right? There'll be some excuse. My Sorry. It's funny. No, no. And so well, I apologize for that. But the men of course decline as well. Now, we were not immune. But what we do is we have the gradual, gradual dwindles over decades, right, the women fall off a cliff at 50. Because they use their last egg, you know that you guys have what 250 eggs or something like that. And each egg represents a cycle. And then your you come up to the last egg and you have had your last cycle, and then the hormones don't function as well. So you start having symptoms around 45. And progesterone is usually the replacement that's best, because you're you still have adequate estrogen, and you need progesterone opposition. And then at 50, you need ideally to get supplemented for all the hormones. But if you want to do it on the cheap, you can give the women just testosterone and that's fine. It's perfectly appropriate. It's accepted. There, there are no known problems with it virtually, with for the tiny doses that women need. And if you really want it inexpensively, if you want to do it inexpensively, injectable testosterone costs about $1 a week. For women. It's nothing. It's absolutely nothing. And so anyway,

Damaris Grossmann:

well, that's a whole other. I mean, I didn't even realize it was that cheap,

Dr. Robert Yoho:

these women would come back and just do backflips. I mean, they would feel so good. And it wasn't because they got a new set of boobs, you know, they'd be happy with that. Usually, they're not always happy with that but or that they got liposuction or a facelift or whatever. Those require, you know, convalescence, but they would feel so much better to have some of their menopause symptoms relieved. And it happens in two weeks a week or two.

Damaris Grossmann:

And when you saw these results, I mean two weeks. That's that's significant. I didn't know is that quickly, without bioidentical, we

Dr. Robert Yoho:

can happen shorter than that sometimes. And have

Damaris Grossmann:

you like, I mean, not at this time you you don't practice but like, but when you did practice with giving these you started doing that toward the end of your, with your patients that will realize the last decade, like okay, I need to change, I need to change something in these, because I see so many patients, and they're obviously complaining about the same thing, same thing, even though you've made them beautiful,

Dr. Robert Yoho:

the average plastic surgeon operates on a string of depressed and anxious and menopausal people, their whole careers and ignores the background for that. And I felt that it was unethical to do that. I felt that, you know, I should learn about this stuff. And I had been going to these courses with Dr. rosier for several decades. And I didn't do it much. But the last 10 years that I worked, I became very interested in and acquired a fairly decent experience prescribing borrowed, you know, I never made any money on it. You know, I never made any money on it. But it, it was it was one of the best things that I did my clinical practice and I,

Damaris Grossmann:

you satisfaction that you've helped your patients, it's very satisfying. I mean, there's money, obviously, in medicine, but as you have written a whole book on in its own entity, but the fact that you're able to, you know, care for them beyond just

Dr. Robert Yoho:

the so I, you know I was my experience is more limited than people that do this full time. And if you get into it, you're going to be this will colonize your practice. You'll do it all the time, because you'll see it, and you'll have a much bigger experience than, you know than I ever did. But I got so interested in it. I wrote my book about it, because it was so fascinating. And the thing that was most interesting was I couldn't figure out why these drugs were being run down so avidly, because I thought in my naivete that the patients come first. But that's, that's not the case at all anymore. I mean, we're being butchered by healthcare. And, you know, it almost takes physician level expertise to navigate our healthcare system. There are a couple of things that we have now that we didn't have two years ago, though. You know what those are? The first thing is, you can go anywhere you want and get a virtual consultation, Trump did an executive order and said, We can we can no longer be sitting by medical boards for doing first visit care over the phone. Right? And if you don't know about that you should you know, you it's,

Damaris Grossmann:

I'm a big telehealth providers. Yeah, I have about 10 I'm trying to get all 50 states in my in my licensing but I am a big proponent of telehealth. And because I, when I see patients online, and even on these zoom calls and such, I learned more about them than I did in my 10 minute call and an urgent or, you know, 60, patient 100 Patient clinic, you know,

Dr. Robert Yoho:

yeah. Well, I don't think you don't need a license to prescribe across state lines licensed in that other state unless it's a scheduled drug. Right. You can call in

Damaris Grossmann:

Oh, unless it's a scheduled drug. But if it's a basic, you know, right, if the supplements are in such then No, no, then those are not but if it's a scheduled Yeah.

Dr. Robert Yoho:

And strangely enough testosterone, which is almost harmless. That is a scheduled drug, it is that that's a political football that I described in, in my hormone secrets book.

Damaris Grossmann:

Yeah, that definitely is on the list button. So you're feel with a, you're happy with the way that it's changed with being able to see pain? Oh, yeah. That's one of the two. Yeah, cuz I mean, I'm a big benefit of that. Okay. Tell me the second. Yeah. The

Dr. Robert Yoho:

second one is the patient advocacy groups. And that, I mean, you can find patients that know as much about if you have an oddball disease, if you have a certain kind of cancer, you can network with these people online, and you can get advice, free advice from very bright patients that have been through the whole gamut of whatever chemo is available or anything else. And so those are two very positive trends in a basically a mud bath and negativity. I mean, it's, you know, healthcare is just a freakin mess. And if people like you are trying to drag, drag the narrative around in a positive direction, but I mean, it's

Damaris Grossmann:

yes, I'm trying to be as I try to keep the most positive. Middle, as I shall say, to keep but you know, there's plenty out there that you can see available.

Dr. Robert Yoho:

Yeah. Should you prescribe thyroid? To sometimes? Yeah, we, the

Damaris Grossmann:

patients need it. I mean, that's yeah, I mean, yeah, the

Dr. Robert Yoho:

integrative doctors, I know, prescribed thyroid, they think that a third to 40% of women over 40 benefit from thyroid and the

Damaris Grossmann:

other have Hashimotos. Or they needed T three T for like, I mean, I look at the whole, like the full panel. So I'm not just going to look at just the TSH changed it to 384 that you know that anybody so I look at the whole, I try to look at the larger panel of it. Well, that yeah, the TSH

Dr. Robert Yoho:

is a an imprecise and very difficult measure because it's the inverse of the blood levels. Right. And you of course, are very familiar with that. But it's, it's in the opinion of many of the integrative people I know, it's almost completely useless, unless it's a little bit high in which basically, it has to be completely suppressed or very low values for any utility to the patient to accrue. And the biggest, the biggest need for prescribing thyroid is not for people who have Hashimoto motos, or any other standard diagnosis, but it's a subclinical hypothyroid type

Damaris Grossmann:

of clinical Yeah, I've seen a few of those. Yeah, that and it's it's

Dr. Robert Yoho:

3% of the women over 40 You see, the marrows it's a huge number in the opinion of many people. Yeah. So you can do use porcine thyroid.

Damaris Grossmann:

So so it depends on the patient. So majority of the time I have not I mean, I haven't seen given it enough, but I have done both or the compounds but there's only a few pharmacies that do the compound or you know, but what do you recommend?

Dr. Robert Yoho:

Have you Oh, that's a good good answer, because it does depend on the circumstance. And I but I think most people do very well with a much more powerful porcine, because it has a T three. And you have those people who can't convert the T four into T three, there's a lot of them out there a lot more

Damaris Grossmann:

than one. Yeah, um, are you talking more like on the armor or like, well, we're, you know, specific, like, yes, or the

Dr. Robert Yoho:

these brands change

Damaris Grossmann:

and yeah, whatever brand but you're in the person's I know, interesting.

Dr. Robert Yoho:

Yeah. Armor is one of the one of the brands that used to be a standard, but there are questions about its potency, it was purchased by a a t t for company, you know, I mean, it's it's really crazy.

Damaris Grossmann:

If this stuff changes, you know, the compounds work very well. So

Dr. Robert Yoho:

the compounds are fine. Yeah.

Damaris Grossmann:

So what I'm, when I referenced that in addition to the serious you're saying, subclinical, you have these patients menopausal, you're doing this bio identical hormone replacement. And then you're saying in addition to that, you're also giving them thyroid medications,

Dr. Robert Yoho:

integrative physicians. are believing trials of therapy. Right? So this is very important concept when to and so if the patient has fatigue and so on, I mean, I, I'm sure that you as a routine attempt to get the labs and for thyroid, it's very tricky. It's unlike the other hormones. And it does help to get the labs as many labs as you can even a TSH if you believe in the religion of TSH, I know I didn't get th sh is because they give the endocrinologist something to be critical off, you know, in other words, they say, Well, you didn't rely on the TSH It was It wasn't wasn't as it wasn't that it's almost a useless test. But free T three alone is probably the best single test. And that tells you where the most potent of the thyroid hormones lives. So if you get a free T shirt, you push those up towards the top. And you watch the patient in as integrative doctors do. Other doctors just watch the labs. I mean, it's crazy, the endocrinologist or even

Damaris Grossmann:

ask, you're like, Well, how are you feeling today? And you obviously see it with with using your bio, even just the hormonal stuff? You if you've given them a pill and it's not working, then you have to see what you transition to something.

Dr. Robert Yoho:

Yeah, that's it. Watch the patient. Watch the

Damaris Grossmann:

patient. Wow. Isn't that interesting? You watched him talk with them?

Dr. Robert Yoho:

No, it's crazy. It's crazy.

Damaris Grossmann:

It's so different. So different. Um, well, I mean, you've already discussed so much with me. Is there anything additional? I mean, I've There's plenty for people to reach out to you. But you'd like to add in for today. Before we I cut you short, I know that we have plenty more to discuss. But I'd love for you to be back on the podcast because I think there's another I can put you in for another hour.

Dr. Robert Yoho:

Well, that's generous, Damaris, I'd love to come back. I want to emphasize that because I have realistic and so many negative opinions about health care. That doesn't mean that we don't do miracles every day. And you can't abandon Western healthcare. Because because it's been corrupted by money or the studies are ruined, we still have to look through the weeds and try to treat our patients and, and do the best job we possibly can to put their needs first.

Damaris Grossmann:

Beautifully said

Dr. Robert Yoho:

okay, well, that's generous of you. Thank you.

Damaris Grossmann:

That's that's that's a it's honest. It's an honest and truthful statement, shall I say? I call it one of those truth bombs. I'd love for them to reach out to you. And I'll put the information into the show notes. Would you like to tell them those listening and watching your books that you have written to audience Sure.

Dr. Robert Yoho:

Which are by healthcare, with that inflammatory cover that's on Amazon and other places. And you can get you can get the ebooks of these two for three bucks apiece. It's not this is not a profitable venture. And then hormone secrets. You got to get the one with the the strange cover there. There are books about hormone secrets out there. And then my website is Robert Yoho author.com. I am on absolutely no social media. I'm 68. What do I know about Facebook? Right?

Damaris Grossmann:

It's probably best for not to be with all of this nowadays. Let me do a little hectic. It's a lot. But it's

Dr. Robert Yoho:

Facebook shot stocks shares dropped 25% I wish they would drop 98% That was in the last two or three days.

Damaris Grossmann:

I can imagine I can imagine. Well, I appreciate you being on the show. I appreciate your time and all of your wealth of knowledge. Thank you. Again, I there's plenty more to talk here. We've only just scratched the surface. So I think we're gonna see an upcoming show in the next you know, few months down the road, and maybe even a part of our, you know, conference slash summit that I'm gonna do at some point. So I'll keep you posted. And thank you again for being on the mindfully integrative show and thanks, those that are listening today and whatever time it is for you. Make sure you find a mindful way each and every day.