Podcast Drop Date: 10/25/23
In this engaging podcast episode, host Amber Warren engages in a conversation with Karli Trudeau, a dedicated and compassionate registered nurse at FMI & FMI Center for Optimal Health. Together, they dive into the world of peptides and their pivotal role in promoting health and longevity. Their discussion revolves around the significance of sourcing peptides from reputable providers. Additionally, Karli sheds light on her crucial role in patient education, particularly in guiding individuals on the safe and effective administration of peptides. Amber and Karli underscore the importance of adopting a holistic approach to health. They emphasize that optimal well-being is achieved through a harmonious combination of diet, exercise, and expert guidance in the realm of peptide therapy.
Amber Warren, PA-C: Welcome to the Functional Medicine Foundations podcast, where we explore root cause medicine, engage in conversation with functional and integrative medicine experts, and build community with like minded health seekers. I'm your host, Amber Warren. Let's dig deeper. Come back everybody. I'm here with Karli Trudeau. Right. Trudeau. Trudeau. Trudeau. I was so close. Carly Trudeau, she's a registered nurse here with us now, thankfully, here at our new Eagle Center, she was only in Meridian before, and now we get to hang out every week in Eagle. So Karli Trudeau, yes, is a dedicated registered nurse who graduated with a nursing bachelor's degree from Lewis-clark State College. Karli gained early experience in a fast paced hospital setting, but motivated by her belief in functional medicine's transformative potential, she bravely shifted her career focus and we're so thankful. At the core of her nursing practice lies a commitment to helping people feel better. Karli values direct patient care and uses her expertise to educate and empower individuals to make informed health care decisions. Beyond her nursing career, she finds adventure in hiking, traveling, and cooking show, showcasing her true culinary passion. Karli's genuine compassion, desire for knowledge, and dedication to meaningful connections make her an exceptional health care practitioner, and I could not agree more. Now that we've had the honor of working with you. So Karli really manages, I mean, peptide Queen. Here we go. I actually want that title. I told Sammy I want the title of peptide Queen, but I feel like you're mine for now. It's yours. You deserve that title. So yeah, your role here, you do all of our IV therapy here at our Eagle Clinic Center for Optimal Health. And then you do kind of all the peptide training, ordering, education, all the processes and a lot of that. What's your favorite part of what you get to do here? Not a trick question, but.
Karli Trudeau, RN: My my passion has always been patient care. I love like face to face with patients, talking to them, hearing about how their course of treatment is going and just getting to see those, those little changes over time. And when you're following the same people for an extended period of time, it's it's the best part. Yeah. Feeling like you're helping.
Amber Warren, PA-C: Yeah, I know it's it's really an honor to kind of get to do what we do and be part of people's journey. So peptides are a huge buzzword. We've talked about this a ton, not only on this podcast, but we talk about it a ton. They're in the rooms educating, educating our patients. Um, I mean, you and I both kind of have this discussion, but I think our patients and the community really want to know that peptides not only are effective, I think we've proven that peptides are effective, but I think we're getting a lot of feedback that that our patients want to want to know that they're they're safe and they're clean, and we're getting them from trusted and vetted sources. So I guess we could just start with a quick intro on kind of what peptides are. I don't know if you want to speak to that. I'm happy to kind of speak to what peptides are just strings of amino acids. Yeah, right. Totally innate, natural to the body. How do you explain to the patients kind of what they are at a, at a base level.
Karli Trudeau, RN: Yeah. So I start with that. Obviously the strings of amino acids. And I think explaining that this is something our body recognizes. It's not a foreign medication, that our body has no idea what to do with. Our bodies are are trained to know how to utilize these different peptides. So and I think when people hear peptides, well, first of all, I have a lot of people say, oh is that an IV infusion. Oh really.
Amber Warren, PA-C: Do they.
Karli Trudeau, RN: Much easier than that. Yeah. But I think the first thing everyone thinks is ozempic like the scary ozempic that there's been so much controversy around. Yeah. So I think once people realize that there are so many like thousands of different peptides that can be used for different things, and that we have the ability to kind of figure out what type of peptide is going to help a specific patient the most. I think that definitely helps, knowing that it's not just a blanket term. Right?
Amber Warren, PA-C: Yeah. Yeah, absolutely. I think where I educate a lot of patients is like insulin is a peptide that our pancreas makes, that we give our diabetics like it's insulin is a peptide. It's just a different combination of these amino acids, these building blocks of proteins. So on the topic of making sure we're getting these ordering our peptides from, from, from vetted sources, tell us a little bit about the pharmacies that we order these peptides from. Yeah.
Karli Trudeau, RN: So we have two main pharmacies we use. One is called New Bio age, which is actually a network of pharmacies within itself. So they're a huge company. The other one is called Pharmaco and that is its own separate custom compounding pharmacy. So majority of our peptides we get from new bio age, which they've been an awesome company. They provide a ton of trainings for. Writers. Basically, any question I have like no wait time, I can talk to someone immediately or email whatever. So super responsive and that aspect. And also we've just had overall really good experiences with the different peptides they have. Yeah. And then Pharmaco has also been great. We have specific peptides we order from that pharmacy. Honestly like from shopping around and figuring out, okay, how can we get the best price for our patients with the best quality and kind of basing off of how patients have done with different peptides from different places? We've kind of narrowed it down, narrowed it down to, okay, we get certain ones from new Biolage, certain ones from Pharmaco. Right. So basically when a patient is interested in starting on peptide therapy, whether that's through one of our packages, through having a peptide consult with one of our providers, I will place that order specific to that patient based on the different dosing instructions recommended by the provider. And then the peptide will arrive to us. We'll call the patient in, and I or one of our medical assistants will do a sit down, step by step training from start to finish. How to store your peptide. When to inject, how to inject, how much. So really any detail regarding all of that. And then obviously any side effects things to look out for. So it really is start to finish us kind of holding the hand of the patient making sure questions are answered.
Amber Warren, PA-C: And yeah, yeah I think it's really appreciated. I think those patients really because I mean and most most peptides are injection, I think 90% of the ones that we prescribe here are injectables. And that can be a little daunting for patients. Yeah. Most people have.
Karli Trudeau, RN: Never injected themselves with any.
Amber Warren, PA-C: So tell us about what the injection is like.
Karli Trudeau, RN: So it's a subcutaneous injection, which in my opinion is the easiest kind of injection right under the skin.
Amber Warren, PA-C: Subcu.
Karli Trudeau, RN: Yep. So you want to just get so subcutaneous is your layer of fatty tissue. So we have that on our abdomen our sides back of your arms thighs and butt. Those are the the most common spots. And so when a patient comes in for their first education session I'll show all those different areas. Show a patient how they can access those areas. So typically you want to be able to to pinch that skin and then inject the needle in. It's it's super tiny needle. So it's a 31 gauge 5/8 inch insulin needle. So super small. Most people can't even feel it when it goes in. So a lot of times I'll offer to do the first injection for them so they can kind of get a feel for it. And I'll give a paper with step by step of the whole injection process that they can reference. But yeah, subcutaneous injection is is how you'll do all the different peptides. And some of those will be once a week injections. Some of those will be up to three times a day. So it just depends on on what peptide they're going to be doing.
Amber Warren, PA-C: What are you seeing. And I rely on you a lot for this. I know just in clinical practice because you the patients kind of know your your the peptide guru. So they call you a side effects or we'll send you a portal message on our online EMR about side effects. What are you seeing as far as side effects with most of these peptides? And is there a peptide that we prescribe more where you see more complaints or side effects from it?
Karli Trudeau, RN: Yeah, I would say Tirzepatide, which the name brand for that is Manjaro. It is targeted targeting weight loss. So when you're dealing with weight loss and you're dealing with the digestive system and that whole process in the body, most commonly you're going to have GI related side effects. So with the peptide, especially when patients first get started on it, it can be kind of a shock to the system. And some people can have some issues with nausea or constipation, occasionally some diarrhea, but not super common with this one. Yeah yeah. So GI side effects are are the biggest thing. But honestly it has been pretty rare I would say. And explaining to patients that this is something that might take a little bit of time for your GI system to get used to, maybe the first 1 or 2 injections, and then after that, most people are pretty smooth.
Amber Warren, PA-C: It's sailing. Do pretty well. Yeah, yeah, yeah. And I love tirzepatide. I mean, I view and I educate people, our patients on tirzepatide as like the new and improved Ozempic or semaglutide.
Karli Trudeau, RN: The side effects have been miraculously better.
Amber Warren, PA-C: Glad to hear you say that with.
Karli Trudeau, RN: Appetite than with semaglutide. Yeah.
Amber Warren, PA-C: So semaglutide was one of the first glucagon like polypeptides that came on the market weight loss polypeptide. And it's kind of all we had access to for really the six months of us doing this kind of cash pay peptide thing. And then Tirzepatide became available to us and it was like, oh, new and improved. And I even hesitate to call these glucagon like polypeptides weight loss peptides, because we're learning they do so much more than just weight loss. Like I'm seeing prediabetes completely reversed even after just 4 to 6 weeks on these these this tirzepatide high cholesterol.
Karli Trudeau, RN: Oh yeah. Yes.
Amber Warren, PA-C: And even the small sticky particles that are really big drivers of risk for atherosclerosis and heart disease, they they drop to complete optimal levels. We know what it does in the liver as far as just hepatic protection. Fatty liver. Yeah. Glucose storage in the liver. Even some of the benefits on brain nerve protection in the brain. Neuroinflammation. It decreases what's called NF kappa B which is an inflammatory marker in the body. Really. I mean, amazing stuff that that I think data continues to come out improving memory. I think that there's or I don't think I know there's been a lot of controversy on this peptide. And I know you've read about it and I'm sure you've had patients ask you about it. I think there's a lot of patients that will say yes to me as the PR that comes in the room and says, you need to do this, this and this based on your labs or based on your health goals, but then they probably go home and read about it or think about it. And then when they show up for their education, they're like, okay, Carly, I have hesitations. Yeah. Do you find that a lot? Yeah I'm.
Karli Trudeau, RN: Sure yeah. People will definitely go home and stew on it and yeah, do their own research and then and then come back with hesitations. A lot of it is relating to things that that we can help with along the process. Like there's going to be a huge difference between someone who's getting their appetite from a random website online and which is happening.
Amber Warren, PA-C: There's a lot.
Karli Trudeau, RN: Of those no instructions. No, like, you don't know anything about this pharmacy where they're getting their products and you just go for it at home with no supervision. Yeah, there's a good chance you're not going to know. You're not going to have all the tools you need to to try to feel your best. So like whether that's being on a fiber supplement to help prevent constipation or having access to a dietician like we have here to be on a good diet plan in order to not get constipated and not feel nauseous, and to make sure you're getting in the amount of calories you need in a day to keep your body in a healthy metabolic state.
Amber Warren, PA-C: Because besides an appetite suppressant, yes. So a lot of times we are tracking those patients very closely. And we work with Hayley, our nutritionist, to make sure they're getting the micronutrients they need because it can work and it's really random. Everybody responds so differently. Some people like at the lowest dose, they don't really notice too much appetite suppression. Other people are like I mean, I have patients that at the very lowest intro dose, they're like, this is all I need just to calm my cravings and calm the emotional relationship that I realized I had with food, and realizing how unhealthy their relationship with food is. And that's where I think I get. I get pretty fired up just reading some of the negative, the negative comments and, and some of the controversy that we're seeing answers, appetite, things like, oh, well, you just don't want to exercise. So let's just take a weight loss drug or, you know, take this peptide or you just don't want to eat well or you don't want to put forth the effort to lose the weight. And I, I'm like, I think those are individuals. It's easy to throw those stones because they haven't dealt with an eating addiction disorder. They haven't dealt with emotional eating issues. They haven't, you know, so I'm like, you don't if you don't know what that's like, you don't know that this peptide can really qualm the brain and qualm those, those, those food addictions. And even with.
Karli Trudeau, RN: Like hormonal imbalances, like people with PCOS, it can be really beneficial for that insulin regulation to help with weight loss that way. And yeah, I think a lot of people the stigma around it is, oh, let me inject myself with this once a week and sit around and just let it work when that might not work you there's it helps to be putting in the effort elsewhere as far as diet, exercise, just having that full, well-rounded approach to health. Because eventually this isn't something that you stay on forever. Like this is. We don't let our patients.
Amber Warren, PA-C: This is a yeah.
Karli Trudeau, RN: Ideally five month 5 to 7 month I would agree. Course I would agree. And the fear a lot of patients have is okay. What happens when I stop? Am I going to gain all this weight back and reverse all the progress I've made? And I think that's why the way we're doing it here is so beneficial, because we're trying to teach patients the full approach. So the exercise and the diet and how to use the appetite as a tool to help you on the journey, but not as like a quick fix. So it's just like any fad diet out there, it's not going to work if you're looking for the quick fix. So I think having it as a way to help a patient reach a goal, and it's an aid to help you. Right.
Amber Warren, PA-C: And it helps to jump start.
Karli Trudeau, RN: Yeah, it's a jump start. And then eventually it's like it's training your body to. To look at food differently, training your mind to not require as much as you might have at one point.
Amber Warren, PA-C: Resetting those cues, resetting those triggers. Because I think a lot of us carry things from childhood or habits that were in our home as a child, you know, whether it was you had to have a carb with every meal or there was a sweet with every meal, you know, like I have one patient, such a phenomenal guy. And he's had dramatic success with our weight loss program, which, of course, as you, it's all the things, right? It's comprehensive lab workup. It's working with nutrition and health coaching. And there's very specific exercise goals and looking at all the micronutrients he needs. But. He. What was his statement? He's like, I would finish a meal and realize I didn't need another serving of the carb, or I didn't need to go grab something sweet, like I was so satiated. And it was so empowering, realizing, like, I can have my balanced meal and be done. And he said to me, I was realizing I was underestimating how much I was living to eat and not viewing food as fuel and eating to live. And it was everything for him. And so I know he's going to have have long, life long success. And he's he had he came to me with about 100 pounds to lose. And he is really close to that goal. Yeah.
Karli Trudeau, RN: Yeah. There's been so many patients that have echoed that exact sentiment of good. Yeah. They just needed that that boost, that little push to help with that rewiring and that retraining. And yeah, it's huge. And then you can those are tools. And that's a mindset that you can take with you even once you're done with the program. So absolutely. Yeah it's it's been a I've had a lot of happy patients, which is great.
Amber Warren, PA-C: I'm so glad. So that's probably our most popular peptide that we prescribe here. I would agree with that. Okay. How about the other ones. What else are you seeing. What other peptides are patients really liking.
Karli Trudeau, RN: So the CJC 1295 in combination with Ipamorelin has been the second. Yeah. So I I'm a pretty big fan of that one. I haven't done it myself personally, but it so it's still helping with the weight loss goals for a lot of patients. But it's also so it's a growth hormone releasing peptide. So it is triggering muscle growth. So which a lot of patients worry with the peptide I'm going to lose all this weight. I'm going to have muscle wasting. Like I'm not only going to lose fat. So this is one that we can add in later in the process to help with muscle growth and exercise recovery.
Amber Warren, PA-C: Yes, a muscle recovery. That's what I'm also really impressed with.
Karli Trudeau, RN: Sleep the nice nice extra.
Amber Warren, PA-C: Are you having patients noticing benefits of sleep? Oh, people will say.
Karli Trudeau, RN: Yeah, I haven't noticed any change with my weight yet, but I'm having the most vivid dreams. It's like really interesting. So yeah, sleep is big with that one. I will say it's one that I feel like will work best if a patient is doing some sort of weight training. Yeah. And exercising. So if they're specifically looking for muscle.
Amber Warren, PA-C: Growth body composition.
Karli Trudeau, RN: Yeah. So for a lot of those patients that are like okay I've I've lost a ton of fat. And now I really want to tone up and and lean out. It seems to be really great for that one. Yeah.
Amber Warren, PA-C: That's awesome. I love the anti-aging benefits of that one. Yeah.
Karli Trudeau, RN: People call it the anti-aging peptide. Yeah, yeah.
Amber Warren, PA-C: Hair growth, nail growth skin I've been really impressed with I mean, it makes sense mechanistically because that's all things that growth hormone helps to to work on. But yeah, I think that's a really good one. I've just been putting patients on protocols. Hey, let's do three months off or three months on. Let's take a month off. Three months on. I've been using it a lot for my osteoporotic osteopenic patients. So with metabolic bone loss to help encourage bone growth in a very natural, just naturally boosting growth hormone. Yeah, because there's a lot of medications that are really hard on the kidney or side effects can actually be a femur fracture with some of these osteoporosis medications. So I have a lot of patients coming to me because they're hearing about some of the benefits with these peptides. Yeah. It's awesome. Um, on the anti-aging topic, one that I think is just starting to really make its mark out there. And it's unfortunate because there's I think there's so many awesome peptides, but I feel like the weight loss peptides kind of overshadow, yeah, a lot of the other peptides that are out there and available to us. And so darn safe up Italian. Have you had much experience with that battalion?
Karli Trudeau, RN: I honestly.
Amber Warren, PA-C: Know nothing. Okay, so a battalion is one and it's expensive, so it's probably why there's not a lot of patients that use it. But it's I've noticed it a lot of the med spa touting this battalion because it helps to. So it helps to increase and activate telomerase, which is the enzyme that helps with telomere lengthening, which is like one of the biomarkers that it's kind of all the rage right now to look at with accelerated aging. So if we can prove that we can help to elongate telomeres, then we halt and slow down. I mean, we don't know how to halt the aging process, but we can slow down the aging process. So that's when it's interesting. It's like a protocol of like a ten day protocol that you do every six months for two years. So it's like four sets of, of ten days. And I've, I've read a lot about and I've actually used it on a few patients because it also helps to reset circadian rhythms. So for sleep, for insomnia, for sleep issues. Yeah. So that's one that I'm really intrigued by. Again, I'm hoping kind of the price it's about like 7 or $800 per ten day course is what I'm seeing right now. So I think the price is a little bit of a detriment for some people, but really interested in that one. And then on the topic of sleep dsap delta sleep inducing peptide. I think when that one does work, there are definitely some patients that don't respond to it as well as I would have.
Karli Trudeau, RN: Like, but when it works, it works.
Amber Warren, PA-C: Okay, I agree, when it works, oh my goodness. I almost feel like I mean, we have so many amazing supplements for sleep, but I'm like, this peptide is magical. And again, just to help regulate those circadian rhythms and it works really well.
Karli Trudeau, RN: Yeah, I've had a lot, a lot of patients that have really liked that one because, I mean, when it comes to sleep, obviously people like you need your sleep. Yeah, yeah. And people will get so tired of being tired. And there are so many different sleep aids and things that you can take that either eventually your body is going to be too used to it. Like like with melatonin, eventually you're going to build up a tolerance to it and it's not always going to work. So yeah, for those patients, when the dcip works for them that well yeah, that's a game changer. Yeah.
FMI Center for Optimal Health: Are you tired of cookie cutter health that doesn't address your unique needs? It's time to discover functional medicine care designed to help you flourish. At FMI, you'll have access to a range of benefits tailored to support optimal health and longevity, experience the power of personalized care, and take control of your health. With an annual membership at FMI center for Optimal Health, visit FMI optimal.com/membership today to become your absolute best.
Amber Warren, PA-C: It's amazing. I feel like we use a lot of BPC. Bpc 157 body protecting compound. How are you seeing it being used or what kind of benefits are you seeing.
Karli Trudeau, RN: So that's one we can either do as an injectable or as a capsule. So to take it orally, the oral use for it is for gut healing. So we've had quite a few patients that have been on a resol, for example, for an extended period of time and are wanting to make the switch because I'm sure we've all heard of all the potential long term effects of taking a muffazal. So yeah, I've had patients take it for that and essentially say that any gastric reflux or heartburn that they would have after every meal has completely gone away. Yeah. So that's amazing. Yeah. And then the injectable oil is used for healing purposes. So we've had quite a few patients that have either had multiple surgeries in a certain area. Injuries. Et cetera. And you can actually inject the BPC 157 and it's going to help with ligament tendon healing, skin healing, muscle healing. So I think that's I mean that's fantastic for anyone that has gone through some sort of physical trauma. And they're not wanting to have to take some sort of pain relief the rest of their life and or, or even injury prevention.
Amber Warren, PA-C: Yeah. Like people who are trying to get on a new regimen in the gym or just trying to build muscle. I love using that one with the CJC 1295 and Maryland just for exercise recovery and muscle growth and regeneration. I think it's really, really huge. Yeah, I actually have a case where a patient came to me with a pretty significant gastric ulcer and wasn't having luck with anything else, and obviously didn't want to stay on the PPIs and eight months or, sorry, eight weeks, two months of BPC gastric ulcer. That's great. Yeah. Gone. All of her indigestion pain gone.
Karli Trudeau, RN: Well, there are people who will be on some sort of PPI for 20 years straight, like daily use, and no one ever tells them angry. I know no one ever intended.
Amber Warren, PA-C: For long term use. Yeah, it's so disheartening. Selank is one that comes as either an injectable or intranasal for anxiety and depression. Yeah, I was doing my research on it. I came across it. I think this was like 3 or 4 weeks ago. On what it does for Bdnf in the brain. Which brain derived neurotrophic factors are like I love Dr. House describes it as a miracle grow for the brain helps the brain grow. But for memory cognition, it increases serotonin and dopamine. And I mean mental health. That's such a that's such a big deal right now too. Right. And SSRIs I think, are becoming one of those top prescribed pharmaceuticals in our country. So if we have a natural approach to helping people with anxiety and depression and just calming themselves down. Yeah, I've, I've had success getting a few patients off SSRIs using using that peptide. And I love I love the option is like intranasal because there's not a lot of people want to inject, even if it's teeny tiny little insulin needle.
Karli Trudeau, RN: And a lot of the intranasal peptides are there's a range for how much you can use it. So it's one of those things that you can use as needed, which is fantastic for people that are struggling more with. Not necessarily around the clock anxiety or depression, but yeah, just at certain times. And that's a whole lot better than popping a Xanax.
Amber Warren, PA-C: Yeah, exactly. Yeah.
Karli Trudeau, RN: Like exactly. And just to have for patients that do struggle with that, to have that hope, like if this does work for you, it's something that you can be on that you can use for long term, a long period of time.
Amber Warren, PA-C: That is one that that we would definitely prescribe long term or maybe some of the the weight loss peptides or the growth hormone. Those are not necessarily ones that you want to take for for long periods of time. Kisspeptin is another one that I've had really good success with. Um, Kisspeptin is one that naturally increases luteinizing hormone, so really good at naturally increasing testosterone in men. Trt testosterone replacement therapy can decrease sperm count and fertility. So for a lot of these younger guys, and I know I talk to all of our providers here about this, but there we are seeing an epidemic of younger and younger men with low testosterone levels. And we always talk about why we think that is stress, sleep deprivation, environmental toxins all wreaking havoc on our endocrine glands. But so for men that want to preserve fertility but still need want to improve sleep, want to be able to get into the gym, have a decent libido. I love the kisspeptin just as a natural way to increase libido, energy and testosterone levels. Optimal. So I'm really. Yeah, I like using this kisspeptin as well. Um, I know we're having I know we're trying to problem solve because peptides have become so popular. We're having a lot of delayed shipping times. We have patients.
Karli Trudeau, RN: All the time.
Amber Warren, PA-C: Frustrated.
Karli Trudeau, RN: It's the most it's the most frustrating part of the process.
Amber Warren, PA-C: Job a lot harder for.
Karli Trudeau, RN: Me and for our patients.
Amber Warren, PA-C: So one of our Florida pharmacies used the hurricane excuse for a while. And I'm like, okay guys, that was a good month ago. I don't think there's still a hurricane down there in Florida.
Karli Trudeau, RN: Not anymore.
Amber Warren, PA-C: Get us our peptides.
Karli Trudeau, RN: Yes. Yeah. The popularity like it seems like it comes in waves where they'll the pharmacies will reach out saying we are so behind on orders right now. And when it's it's a custom compounding pharmacy. So everything they're sending us is, is being made. They don't just have all these peptides. No it's amazing. Yeah. One is in Florida, one is in Texas. And yeah, they don't just have shelves full of peptides that they can immediately throw in a bag and send to us. So it's all custom compounded. And and then they cold ship everything to us, which is nice. Most of these peptides are stored in a refrigerator. So yeah the shipping delays are are tough.
Amber Warren, PA-C: Yeah I know it's been brutal on all of us, but especially you we're trying to problem solve. I know.
Karli Trudeau, RN: We.
Amber Warren, PA-C: Are. I got in trouble because I made a promise to some patients. Oh, don't worry, it's okay. There won't be three weeks between your protocol. We've got some here in the back. We now we stock it here. And Carly's like. No, that was for emergencies only. Yes, we've run out of.
Karli Trudeau, RN: It like we're trying to keep an emergency stock for.
Amber Warren, PA-C: Well, so so we don't interrupt protocols because.
Karli Trudeau, RN: Yeah. Yeah. For a lot of these especially with the peptide you so with that one you you're doing typically four weeks at a low dose and then you're increasing. So every four weeks you're going to increase that dose. And yeah ideally we want we don't want any gaps during that time. So that's something we're really trying to stay on top of and making sure patients have what they need.
Amber Warren, PA-C: Yeah yeah it's great. There's one other one that I'm pretty excited about. I learned about using this combination at a peptide conference recently, GQ, GQ, copper learning that they actually make, they combine it with a compound or a peptide called arginine locks and for wrinkles at the skin. So like a natural Botox.
Karli Trudeau, RN: Botox.
Amber Warren, PA-C: Cream, I know Botox cream. So I know we've prescribed it for people like with scars. Have you seen good luck with it. Are people having beneficial benefits to their scars or skin with that?
Karli Trudeau, RN: I haven't seen specifically the scar patients. Okay, I feel like majority I've seen are more for like Botox cosmetic reasons. Yeah, cosmetic reasons, but I.
Amber Warren, PA-C: Learned for it to be most effective, you need to use the cream and the injectable. Yes at certain intervals. So that's what I think I'm going to start recommending okay. Yeah that's great.
Karli Trudeau, RN: Yeah. And I mean I think that's that's worth it to not put a neurotoxin in your mouth.
Amber Warren, PA-C: It's easy for you to say you're young and your forehead is beautiful.
Karli Trudeau, RN: So yeah.
Amber Warren, PA-C: Botox in ten years. Yeah. And we'll talk. We're so thankful to have you. Carly, you are such a wealth of knowledge. And you're so good with our patients, and you're just really helping us give such a good experience for our patients and making them feel really confident and comfortable and like they're in good hands as they kind of start this process. So. It's good to be here. Oh, we're so glad. You know, or maybe you don't know. Maybe you've never listened to our podcast before, but we like to end each conversation with if on this, on this or a similar topic of what we discussed tonight, what's one piece of advice you can give our patients related to peptides or peptide education that you feel like really moves the needle for them?
Karli Trudeau, RN: I would say remembering that peptides are not meant to be a quick fix, and that they are something to aid you in your journey, whether it's a journey to healing, a journey to better mental health, lower stress, weight loss, muscle building, whatever path you're going down, there is likely a peptide that can help you in that journey, and that you'll have a team of people here every step of the way to to help you with that. And and just to yeah, not think of it as such a scary thing. And if it's something you're interested in to, it's worth a try for a lot of people I think. Yeah, I.
Amber Warren, PA-C: Agree. Yeah. I remember when we first started learning about peptides here last year and started to kind of get into this world and become educated. It was I was worried that maybe we'd have a lot of patients coming to us just wanting that prescription, just wanting that peptide. Right. And we we liked them to do the whole the whole regamon raw, but we I don't see that they come to us because they, they want everything. They want the full comprehensive lab workup. They want us to cast that wide net, you know, to figure out all the reasons they're having weight loss resistance or figure out all the reasons their hormones are disrupted or all the reasons their bodies can't detox. So I thankfully haven't had to deal with that a lot. Like, I.
Karli Trudeau, RN: Know it really.
Amber Warren, PA-C: Seems to do the whole all the work.
Karli Trudeau, RN: The majority of the patients, they don't want the quick fix. Yeah, most people really want like they're ready to make that change and ready to start going in the right direction. So yeah, and yeah, we have we have the whole team to do it. So we're.
Amber Warren, PA-C: Pretty lucky. Our patients are great. Great. Yeah. It's awesome. Well thank you Carly. Thank you for your time.
Karli Trudeau, RN: Anytime.
Amber Warren, PA-C: Thank you for listening to the Functional Medicine Foundations Podcast. For more information on topics covered today, programs offered at FMI Center for Optimal Health and the highest quality of supplements and more go to fundmedfoundations.com.