Men’s health is at the forefront of our conversation today! Paul Seguin and Ron Bramson from Men’s Complete Health join Lara Jaye discussing the mens health crisis in America including men’s hormone replacement and erectile dysfunction.


Intro:Welcome to The Zen Leader with Lara Jaye. Whether you’re a leader at home or in the boardroom, Lara provides the tools to help you get unstuck in different areas of your life. Now, here’s your host, Lara Jaye.

Lara Jaye:I’m Lara Jaye with The Zen Leader. Welcome. I hope you’re having a great weekend. With me, here in the studio, are a couple of amazing men and we are going to talk about a topic that is actually dear to my heart, believe it or not. We are going to talk about men’s health because we need our men to be healthy. Here, with me, are Paul Seguin and Ron Bramson from Men’s Complete Health. Welcome, Paul.

Paul Seguin: Thank you.

Lara: And Ron. How are you guys?

Ron: Thank you. It’s a pleasure being here.

Lara: Yes. Thank you for stopping by the studio. You’re with Men’s Complete Health here, in Sarasota, Florida. Paul, tell me a little bit about the business and why you started it.

Paul: Well, personally, when I turned 50, I had a real lack of energy and couldn’t concentrate, so I had my hormones checked. When they were balanced out, I just felt “right.”

Lara: So, it was a personal…

Paul: It was a personal quest, for me, yeah. That was 17 years ago. I have enjoyed a very high quality of life since getting my hormones balanced.

Lara: Wow. We talk a lot on my show about women’s health because I’m a woman, and I bring it from my perspective. I really was excited to have the men’s side on because, for our listeners, these people are working… everyone works really, really hard, as we all do here in America, and they’re exhausted. That’s one of the first things you said was energy levels just plummet as we age. But do they have to?

Paul: No. They certainly don’t. What happens is it’s a crisis. It’s a health crisis for me in the U.S. now, mostly brought on by chemicals and toxins our forefathers didn’t have to put up with. In fact, in 1950, the average male had a testosterone level of 1,200. Almost everybody.

Lara: What year was that?

Paul: That was 1950.

Lara: 1,200. So, what are we at?

Paul: Now, we have young guys — 35 and 40 — coming in at 250 and 300. So a third of the level, or less, than our forefathers.

Lara: And that’s from toxins?

Paul: Yes.

Ron: We are actually seeing young men in their 20s, believe it or not, with levels 250 to 300.

Lara: Unbelievable.

Ron: We had a patient just a couple weeks ago that was below 200, which is concerning.

Lara: So, for a late-20-year-old coming in, what are his symptoms?

Ron: Usually they are complaining of things they are embarrassed to talk about, actually. They are complaining about loss of libido, sexual dysfunction problems, irritability, tired feeling all the time, and they’re saying, “Hey, I’m only 27 years old. Why is this happening to me?”

Lara: Oh, absolutely. That young of age. Lack of focus. Is that one of the symptoms?

Ron: Oh, absolutely.

Lara: Okay.

Ron: Inability to concentrate, easily destructed, nodding off and doing what we normally associate with grandpa after Thanksgiving dinner, falling asleep in a chair.

Lara: So this is happening to the young ones as well?

Ron: Young men. Absolutely.

Lara: That’s amazing. So, they come in to see you and really you do a whole hormone panel?

Ron: Well, we start by just talking to them, getting a feel. I like to get a feel for what brought them in and what are they hoping to accomplish. Are they concerned about anything? Are they looking just to get big, muscular? Because testosterone, it’s a lot more than just about muscles and sex, which people don’t seem to realize. I mean, that’s at the bottom of the list. By the time a male loses his libido, that’s the last thing to go, by the way. There’s everything else before that.

Lara: So, all of those symptoms we just mentioned… and, a lot of times, I think that, in our stressful lives, we just think that that’s how it’s got to be. We don’t even realize it’s from a hormone imbalance.

Ron: Exactly. It’s an insidious process. It starts very gradually and you don’t even pay attention to it until sometimes someone close to them — a significant other or family member — says… that hasn’t seen them, perhaps, for a while… being down in Florida, a lot of them go back home and they say, “What’s happened to you lately? You’re not the same person that you used to be. You used to want to go out and do things. Now? You kind of just want to lay around or watch T.V. or play video games.” A lot of times, they’re told that they’re lazy or not motivated.

Lara: And that’s from low testosterone, a lot of times.

Ron: That’s one of them. It could be other things, too, but that’s certainly at the top of the list, for sure.

Lara: So, tell me. I’ve always heard that if men have a big tummy — maybe they don’t drink beer, perhaps — that might be from a hormone imbalance. Is that possibly true?

Paul: Yes. What happens is the chemicals — Bisphenol A — that plastics are made from and pesticides, they mimic estrogen in the male body. So, we have so much more estrogen than we…

Lara: So men and women, but we’re talking about men today, getting too much estrogen.

Paul: Right. And from outside sources plus, when they get about 45, a male starts aromatizing his testosterone into estrogen.

Lara: What does that mean?

Paul: Aromatizing would be like converting. In our body fat, there is an Aromatase enzyme. A simple way would say that a man in his late 40s starts to convert his own testosterone into estrogen, which is very dangerous. Estrogen causes us to not only hold that belly fat around the middle, it aggravates our prostate and causes prostate enlargement. Then, if it’s high enough for long enough, it could contribute to prostate cancer.

Ron:I think the misconception is a lot of men just naturally assume that they don’t have estrogen because that’s what women have.

Lara: Sure.

Ron: But, actually — and I was surprised when I found this out when I got started in this — men need a little bit of estrogen or you can’t function sexually, or a lot of other ways. But not very much. Conversely, women need a little bit of testosterone, but certainly not as much as men.

So, I think there’s a perception among most men that they don’t even consider estrogen as being the cause of some of these problems because that’s what women have; men don’t have estrogen. Well, men certainly do get high estrogen levels. The belly fat…

Lara: Is one of them…

Ron: The breast fat.

Lara: Oh, and men, if they’re developing breasts.

Ron: Absolutely. Yeah. Loss of muscle tone is the first thing that starts to go. We see this in young men, too; not just middle-aged or older.

Lara: Tell me, Ron, what’s your story? What got you in to this?

Ron: Well, actually, my background was in orthopedics. I’ve been an orthopedist for most of my life.

Lara: This is a switch. [CHUCKLE]

Ron: I came here, I was with the Army in Hawaii, doing orthopedics as a Physician’s Assistant, and I came here about almost 4 years now. I knew my testosterone levels were low. I was having a lot of the symptoms. I had it tested there and I was referred to a doctor here, in town, and I met with them and they started going over everything, and he said, “Well, you’re within the range.” Now, “the range” for my lab went from 250 to 900-something.”

Lara: Okay. Big difference.

Ron: That’s what they consider… I think I was barely, by my fingertips, clinging on to the lowest level. I was at 252, I think. It’s the old bell-shaped curve that we were familiar with from high school. If you fell under that bell-shaped curve, you were considered “normal,” within the range. Just intuitively, I knew there’s someone at 250 is going to feel the same as a male who is at 950. There’s no way.

But he said, “Well, you seem very depressed.” I said, “Hey, of course I’m depressed. Look at all these symptoms I have. No energy, tired all the time.” Getting out of bed in the morning was a major problem for me. It would take me sometimes 10, 15 minutes to just get out of bed. He said, “Well, I think maybe you need an antidepressant.” I said, “An antidepressant? Wait a second. Of course, I’m depressed, but I don’t need an antidepressant; I need testosterone.”

Lara: So, you told the doctor that? Yeah.

Ron: I was telling him that. The more I asked, the more he said, “No. You’re within the range.”

Lara: Because you’re within the range by 2 points.

Ron: Unfortunately, there’s a lot of doctors, if you’re within the range — exactly, even by 2 points — you’re within the range and they’re scared to prescribe something if you’re within the “normal” range, which is unfortunate.

Lara: Very unfortunate. Very unfortunate.

Ron: I finally did find a doctor who prescribed the pellets. They’re inserted subcutaneously in the gluteal area. I don’t consider that to be the most ideal delivery system, but for me, it was better than something. The first thing I noticed the next day is I woke up and I got out of bed. You might say, “Well, what’s the big deal?” You can wake up and get out… [00:10:00]

Lara: It’s huge.

Ron: Well, for me. I didn’t notice it until halfway walking towards the bathroom. I stopped and I said, “I just got out of bed.”Before, it was because I would roll over or I would look at the clock, I would look at the window, I would look at the ceiling. I would force myself on one elbow. I mean, that’s how it was.

Lara: Sure.

Ron: I got out of bed like I did in high school.

Lara: Ah, you felt amazing.

Ron: And I just suddenly realized… the very first thing I noticed. Then, of course, as the days and weeks went on, I noticed other improvements in everything – concentration, ability to get things done during the day. I had started having checklists, like I used to do, and checking things off as I got them accomplished.

Lara: And you actually got to check them off.

Ron: And I actually got to check them off.

Lara: And feel amazing.

Ron: And I was actually able to throw the list away at the end of the day, then start the new one the next day.

Lara: Even better. And start the new one.

Ron: That was the first thing. Then, of course, then I became more involved, and then met Paul and we got started with this.

Lara: That is an amazing story. We’re going to take a quick break and we’ll be right back, here on WSRQ.


Lara: Welcome back. I’m Lara Jaye from The Zen Leaderand for more information, you can find me at www.wsrqradio.comor I’ve got Ron and Paul in here from Men’s Complete Health. Paul, what website can they find you at?

Paul: We are at

Lara: So just spelled out,

Paul: Right.

Lara: Super. Right before break we were talking about, Ron, your story and estrogen. One of the other things that I have always heard — and tell me if this is true as well — is that alcohol sometimes, in men, actually converts to estrogen, which causes even more problems. Is that true?

Paul: In several ways. But the main way it does is the estrogen is excreted by the liver. That’s how you get it out of your body. Both men and women. So, when you drink, your liver is overtaxed, along with all of these chemicals we’ve been talking about.

What the estrogen does, and this is both in men and women, but it’s insidious. As it goes to the liver, the liver — preferentially — is getting all the poison out. It lets the estrogen take another loop through the body, if you will, so the estrogen levels continue to go up, with disastrous results for really, again, both men and women. But we’re mainly concerned about men.

The obvious thing that happens is these men carry a lot of weight right around their middle. They’re not fat anyplace else. Then they have or they develop a little gyno. That’s the same reason, by the way, these young boys… you see young boys with “man boobs,” if you will, if I can say that on the radio, but you see it all the time.

Lara: It’s from too much estrogen?

Paul: It’s too much estrogen.

Ron: The technical medical term is gynecomastia.

Paul: Yes.

Lara: Okay.


Paul: Yes. Gynecomastia.

Lara: I won’t ask you to spell that.

Paul: It’s usually pronounced “gyno” for short. But it is a serious, debilitating condition as far as the look of it. That is why our doctors, Ron, is very cautious and careful about monitoring the blood levels. That’s one thing that the primary doctors are just too busy to do.

Lara: That’s how you’re different than if a man just went to his primary doctor and asked for some testosterone.

Ron: Yes.

Lara: You do a whole different…

Ron: Yeah.

Lara: Tell me how you guys do it differently.

Paul: First of all, they usually don’t even track many levels in the body. For example, prolactin contributes to prostate cancer. Rarely does your primary ever check for prolactin. Even some of the other hormone clinics don’t check for prolactin. That not only hurts your sexual function, it’s dangerous too. It contributes to a much higher incidence of prostate cancer.

Lara: Tell me about the prostate cancer. Do you see a lot of that come through or issues that could contribute to that?

Paul: There are. In fact, we give a seminar on prostate cancer prevention. There are so many things you can do that, of course, your doctor doesn’t tell you because they’re not in to vitamins and minerals. But just one little mineral alone, boron, if you take it at 8 mg to 12 mg daily — which is a tiny amount — can reduce your prostate cancer risk by 64%. Just that one little mineral.

There are five or six vitamins and minerals that you can take to keep your prostate healthy. Usually — even though 28,000 men a year die from prostate cancer and last year there was over 200,000 men diagnosed with it — a BPH or benign prostate hyperplasia. So it’s just an enlarged prostate is what most men get. It can affect your life – frequent urination.

Lara: Yeah. What are the symptoms? Frequent urination. Okay.

Paul: And getting up in the middle of the night, two or three times.

Lara: Which that could also be a sign of diabetes and other things, too. Yeah.

Paul: Again, nothing happens in a vacuum and that’s why we like to do a very comprehensive lab.

Ron: When the patients first come…

Lara: Yeah, tell me about the very first… yeah.

Ron: A thorough history, the patients’. Again, we don’t take the place of their urologist; we don’t take the place of their internal medicine doctors. I like to think that we try to work in conjunction with them. There are many doctors in this town that are very much attuned and on the same page with us, but unfortunately, many that — like the doctor I saw — if you fall within that range, you’re fine.

Lara: And I love, Ron, that you took control and you knew that your body needed more. You kept going until you found…

Ron: Well, I have the medical training.

Lara: Right. Many people don’t.

Ron: Many don’t.

Lara: They just go, “Okay. I’ll continue to feel miserable.”

Ron: Yes. I encourage patients, that they… it’s important that they get the digital rectal exam. We do the PSA levels. If they do decide to go that route of starting exogenous testosterone, every 6 months we get a PSA reading. We look to see if there’s any significant change in that number. If there is — and we’ve had a couple patients, obviously — we stop and we refer them to the urologist for further workup. We are not taking them away from their conventional medicine, but we’re kind of trying to augment what they’re getting from their primary care, from the urologist, from their internal medicine doctor.

Lara: You work with them. So, when they first come in, you sit and talk with them, find out their goals, and then you do the bloodwork.

Ron: We get a very thorough history. We have a few pages that they have to fill out. I want to know what medications they’re on, if they have any history of prostate problems, any history of any kinds of cancers. These are all important things that we need to get from the patients. Then we do extensive lab work. Patients complain that they feel their entire body’s being drained of blood because of the number, but actually it is not that much, if you were to measure it. But it is fairly extensive. We test thyroid. We do a complete metabolic panel. We do prolactin, progesterone levels. A lot of… estradiol.

Lara: Even on men?

Ron: Even on men because these are all important. A lot of men are very surprised that we’re testing these things. They say, “My doctors never tested this before.”

Lara: Right. You guys are unique in that. You want to look at the overall picture and see how everything is working together.

Ron: Well, that’s very important because nothing is in a vacuum. It all interacts. The interesting thing about hormones is the symptoms of too little of a hormone mimics the symptoms of excess.

Lara: Oh. That’s fascinating. How are we going to know? We have to test it.

Ron: Paul has a saying that you can’t fix what you can’t measure. That’s why we do this lab work.

Lara: Wonderful. So, they come in and you work with them. You get the blood test and the blood tests come back, and then you decide, based on the bloodwork, what kind of vitamins?

Ron: Well, we get the lab work back. Usually within 7 days, everything comes in. We contact the patient, have him come in, we meet with them, go over their lab work with them, and we come up with a treatment plan – what we think would be beneficial to them. Not every patient, automatically, is put on testosterone. Sometimes patients… we’ve had some men, believe it or not, in their 70s, they have natural levels over 1,000.

Lara: Wow.

Ron: We’re sitting there, scratching our heads, and they swear they don’t do a thing; they just eat right and exercise.

Lara: What did those men need if they didn’t need testosterone? [00:20:00]

Ron: Well, sometimes they need Vitamin B. It might be low on their Vitamin B. They need zinc and some other types of vitamins or minerals.

Lara: And you can tell that by the bloodwork and what they…

Ron: We go over all their lab work and we can kind of get an idea if there’s anything that stands out. So, it’s not automatic that every single man needs to be put on testosterone. Not every single man has low T. But the majority do.

Lara: But the majority do.

Ron: And that’s the way it is.

Lara: For those that you put on testosterone, because of low T, you’ve mentioned that you felt better the next day. Is that the norm that people might feel better the next day?

Ron: It is because they feel so crummy before. The difference is noticeable immediately. Yes, usually within 24 to 48 hours, they notice changes. It’s that quick.

Lara: That’s fascinating to me. Then, eventually over what? Four to six months the body might actually change?

Ron: Oh, not even that long. Usually within a month, they start noticing loss of belly fat, loss of fat elsewhere, increased muscle mass, increased strength. Sleeping better is the big thing we hear from a lot of patients – that they actually sleep better through the night. And, of course, enhancement in the bedroom.

A lot of times, and this is the most fascinating to me, these gentlemen, they’re partners bring them in, which was really unheard of.

Lara: Oh, really?

Ron: When I started at the school 30 years ago, you would never see that.

Lara: Oh, really?

Ron: Their wives and girlfriends, their significant others, and partners actually come in and bring them in and force them to come in.


Lara: I like that. Take control.

Ron: And they do. Absolutely.

Lara: That’s awesome. We’re going to take a break right now and we’ll be right back, here on WSRQ.


Lara: Welcome back. I’m Lara Jaye with The Zen Leader. In the studio with me are Paul and Ron from Men’s Complete Health and you can find them at You can find me at www.wsrqrradio.comor Right before break, we were talking about when you have people in, when you have men come in. Tell me what is the initial cost?

Paul: Usually, the patient uses his health insurance for the lab work. Now, if they don’t have health insurance, we have a very great rate with one of the lab companies and the bloodwork can range from $99 to as much as $400 or $500, depending on what the person needs.

Lara: Their insurance?

Paul: Yeah. After that, when the bloodwork comes in, there’s the initial consultation, which we charge $100 for and that’s when Dr. Ron or Dr. Hodge go over all of the bloodwork. We take our time to go over each line item on the lab work so the patient understands what those numbers mean. We don’t try to rush the guy out the door. We want him to be educated and learn what everything on the bloodwork means to him.

Then we present… the doctor prepares a Treatment Plan and the Treatment Plan addresses everything that was off in the bloodwork. At that point, the patient talks over with the doctor on what fits them and then we get started on the program.

Lara: And then we get started from there.

Ron: Now, the money for the consultation, the $100, gets applied towards any medications that…

Lara: Oh, wonderful. So, really, it ends up being a free consultation.

Ron: Exactly. Exactly.

Lara: Which is amazing and unheard-of.

Ron: Yeah.

Lara: And it’s not like a 10-minute… you’re spending well beyond 10 minutes that a normal physician would spend with you. You’re spending half an hour to an hour.

Ron: Absolutely.

Lara: And a couple different times, which is just amazing.

Ron: Yes.

Lara: Low T has been in the news lately. Is it really safe?

Paul: Yes. It’s very safe. Through the years, there was always a controversy. But a famous Harvard urologist, Dr. Abraham Morgentaler, wrote a book called “Testosterone for Life.” I urge every male to buy it. He dispels all the myths that testosterone caused cancer and all the other myths that have been propagated through the years. A qualified doctor does it and it’s monitored closely. The way we do it, it’s very, very safe. In fact, it’s unsafe when the levels are too low.

Lara: Why would you say that?

Paul: Well, when the testosterone level gets below about 220, there is a major increase in cardiac events. So, your heart. Not only does your brain need testosterone, but your heart muscle needs it to function. People always ask me, “Well, what’s the side effects?”

Well, we first say the side effects of being too low is a heart attack issue. So, when it’s done to the proper level, one thing we do is physiological doses. What does that mean? Our doctors only do what the normal male has. We don’t do steroids or high doses beyond what the normal male body should have.

Lara: Wonderful.

Ron: One thing about Dr. Morgentaler, by the way, he still teaches urology at Harvard University. In his book, he mentions when he was younger and started investigating this, he said, “If high testosterone levels cause prostate cancer, then why is there not more prostate cancer among young men, who have the highest levels they’re ever going to have in their life?” It didn’t make sense to him and that’s how he started investigating and found out that there really wasn’t a correlation between that.

Now, as a caveat, if a patient has prostate cancer, a pre-existing, then testosterone, yes, indeed, could exacerbate it. So, no, we would never put a patient on testosterone if they are diagnosed with any of the stages of prostate cancer, which usually, by the way, is a very slow-growing, which is why it’s rare for a patient to die from prostate cancer.

Lara: Because it’s slow-growing. Can you tell that from bloodwork? Is that something you can tell from bloodwork?

Ron: And clinical exam and the patient’s history of symptoms. Then, of course, the gold standard is having a biopsy done, where they actually look at the cells.

Lara: Amazing. We were talking at the beginning of our show about… I personally feel like we have a men’s health crisis. You were talking you even have 20-year-olds coming in. Talk to me about the loss of self-esteem for these men who are 20s, 30s, 40s, 50s. It’s devastating, I think, for them to have all of these symptoms and then the loss of libido, and then all of those things. It just pulls them, in my opinion, down even into more depression because of all of the symptoms, and they really may not even know it’s because of their hormones. It’s just a hormone imbalance.

Ron: And it causes a lot of stress in relationships because they’re embarrassed to talk about it or don’t wish to talk about it. Of course, their partner feels there’s something wrong with them; that they’re no longer desirable, that they’re not attractive anymore or, worse yet, that perhaps they’re not being faithful, and it causes a lot of strain in relationships, which is unfortunate.

Lara: Really, I would encourage our men listeners, if you have any of these symptoms, and I’ll have you list them again, to give you guys a call. Get in there. Just get a blood panel. Just talk to you guys just to see what is really the issue. Go ahead and give the symptoms out again and some of the different things that you see that come in the office.

Ron: Loss of energy, feeling of tired no matter how much you sleep; the more sleep, more tired you feel. The inability to do simple tasks that were easy before, loss of concentration, loss of libido, sexual drive, and energy. Loss of interest.

Lara:Sure. [00:30:00]

Paul: I think the overwhelming feedback that I’ve gotten over the 17 years that I’ve… for the first 15 years, I was just a passionate advocate and didn’t get a free toast or anything. I just urged every man to go do this. The single biggest comment that I would get, the feedback I would get back, is these guys would call me up after about 6 weeks and invariably they would say, “I forgot how I used to feel.” What they meant was this doesn’t drop overnight. Okay? You’re 1,200 when you’re a teenager and it goes down ever so slightly every year.

Ron: After age 30, it’s about 1% a year that it drops.

Paul: It drops a tiny bit. So, the Type A personalities — the guys that tough it out — they are the last to come in because they just get out of bed in the morning and they just push themselves.

Lara: Push, push, push.

Paul: Right. But then even those guys crash. It makes me feel so good when these guys call up and say that. There is a term called “feeling of well-being.” What does that mean? It’s just kind of a little bit of confidence, a little bit of self-worth, and respect. What happens is that that’s what they get back – the feeling of well-being. They just feel good. It’s as simple as that. They just feel good.

Lara: And they feel like they used to.

Paul: They feel like they used to. Yes. The biggest thing is they forgot because it went down ever so little bit each year.

Lara: Right. We forget. We forget.

Paul: Yeah.

Lara: Tell me what’s your oldest patient? How old can someone take testosterone?

Paul: We have patients from 21 years old to, I think, 84. But we have many at about 78. For some reason, there’s a lot of 78. Today, especially, maybe in Sarasota, there’s a lot of 78-year-olds married to 50-year-old women and so they have a little bit special issue. But, really, a lot of my – I don’t know why I have so many at 78 that are athletes. They are either avid golfers or amateur competitive tennis players. In sports, as far as healing from injuries, we’ve got one pretty solid, amateur, competitive tennis player that, in his last set, he would fade. He would do real good, he was strong, everything. In the end, he would fade. He was just very, very happy that he got through the whole tennis match, all three sets, with energy.

Lara: So the added testosterone.

Paul: Yes. Absolutely. Yeah.

Lara: That’s amazing. We are going to take a quick break and we’ll be right back with our last segment, here on The Zen Leader.


Lara: I’m Lara Jaye with The Zen Leader. Welcome back. You can find me at www.wsrqradio.comor With me, in the studio, are Paul and Ron from Ron, what’s a phone number if we wanted to call today and get an appointment? What phone number would we call?

Ron: It’s 941-203-8944.

Lara: Can you say that again? One more time?

Ron: 941-203-8944.

Lara: Great. Again, if not, go to Paul, in our last segment here I want to talk about diet and supplements. I talk a lot about nutrition here on The Zen Leaderover the weeks and how important nutrition is in our bodies to keep our fuel and our energy up. What would you say for me?

Paul: Absolutely a large part of what we do is nutrition and supplementation. Not pharmaceuticals right off. A lot of guys would like to be natural or like to say, “Look, what can I do naturally, before I do any prescriptions?” We do that. It’s not always successful because of so many chemicals we’re fighting against, but we will — especially with our young guys — we don’t put them directly on testosterone right away. We do some natural ways to increase their own testosterone level, which we work hard at taking diet, supplementation, and doing a lot of things naturally.

Diet is so important. You can literally change your life. We’ve had so many Type II diabetics out there and we get more and more men in that have… the test for diabetes is Hemoglobin A1C, and that’s a look at your blood sugar level over a 3-month period. It’s a number where the primary doctors don’t look at. We look at it and start working on it early.

Ron: A lot of patients will get their primary care doctor to do a fasting glucose level and it’s normal, so the patient mistakenly thinks, “Oh, I don’t have diabetes. My fasting glucose was…”

Lara: In that one, particular instance.

Ron: But it’s almost like an EKG. An EKG does not show that your heart is healthy; it takes a picture of your heart at that particular moment in time. Now, most likely, it is fine. But it doesn’t give the picture over the last 3 or 4 months. It’s just at that moment. The same with the fasting glucose. A Hemoglobin A1C gives us the picture for the preceding 3 or 4 months. It gives an idea of how your glucose level has been running and also what they call a 2-Hour postprandial, taking a blood test 2 hours after a meal. Does your glucose level actually return to normal at that time?

Lara: So, you guys look at this as well, if they’re diabetic or not, and then can help prescribe the proper…

Ron: Yes. Yes, many patients are very surprised to find out that they are what we call pre-diabetic. They say, “My doctor never mentioned it,” and it’s because they’ve always had normal fasting levels. But, again, that doesn’t give the whole picture and that affects a lot of their energy level and weight gain, and other things we’ve been talking about.

Paul: It’s also a crisis out there in the Type II diabetes. It’s growing at an enormous rate. It’s costing billions of dollars a year to treat these people with Type II. It’s really a lifestyle disease. They call it that because if we put these borderline Type II diabetics on the right diet, cut that sugar down, and give them a few supplements, it’s amazing.

Lara: What’s the right diet? That’s what everyone…

Paul: Yeah.

Lara: I hear a different diet every day. What’s the reality?

Paul: Isn’t it funny? Diets, yet, for the last 40 years, they say, “Oh, this is the absolute one,” and it changes all the time. The main thing is to stay away from fast carbohydrates meaning, of course, chocolate and sugar. Sugar is the number one…

Lara: Carbs, pasta.

Paul: Just high carbs. And do more fibrous carbs.

Lara: What’s a fibrous carb? Like a sweet potato?

Paul: No. Not even potatoes. More like broccoli, cauliflower, that kind of thing. Or, really good, spinach and kale. All the things that most people don’t like. For some people, it’s life-threatening to get one less number and they get in to full-blown Type II diabetic. We really work a lot on that. A lot on diet and supplementation. So, it doesn’t always have to be about hormones.

Lara: Would you say when you… let’s say they come in and their hormones are out of balance and they are maybe pre-diabetic. Is balancing their hormones… would that actually help?

Paul: Oh, absolutely. It does. Yeah.

Lara: It does? And how does it help?

Paul: Well, one reason, of course, testosterone alone helps with blood sugar quite significantly. But there’s other things they do, but mainly, it’s diet. It really is. We try to work with people. We understand they like certain things. You don’t have to become a monk.

Ron: Yeah. I don’t want your listeners, the male listeners, think there’s no sense coming in because they like their bagel once in a while on weekend mornings. The nice thing about getting your hormones balanced, you start getting more energy, you start exercising more, and you can enjoy those things and still maintain a fairly good health level. I mean, my weakness is I love chocolate cake [00:40:00]with that creamy stuff inside.

Lara: Who doesn’t?

Ron: I mean, you know, I’m not going to give that up. But I go to the gym, I exercise. I’m in fairly decent shape. They shouldn’t think that, “No sense trying to get these. I’m not willing to give up all of those things.”

Lara: Yeah. Because when we start feeling you were taking everything away from them, it’s already… “I’m already not feeling good and now you’re going to take away my yummy chocolate.”

Ron: Yeah.

Lara: What I say is, if you want to do it gradually, stay doing what you’re doing and then maybe start adding in a bunch of the spinach and kale, the really good high-energy foods. More protein. Start adding that in and I feel like when people do that, the other stuff naturally, gradually, falls away because your body just eats it up, that nutrition.

Ron: Absolutely.

Paul: We see it all the time. A lot of times, just a little exercise. We don’t want people to think that you have to go to the gym for an hour a day because just a little exercise will bring your blood sugar down. It will bring your blood pressure down.

Lara: What’s “a little?” I say a little is 4 minutes.

Paul: Fifteen to 20 minutes of cardio. Of course, weight training is the best. It doesn’t have to be long – 15 or 20 minutes of that.

Ron: I think there was a study just recently, 15 minutes of cardio, of getting your heart rate up to approximately 70% of maximum. Two or 3 days a week is all you need to do, which is really not very much.

Lara: So, that was good enough and we don’t have to beat ourselves into the gym all the time.

Ron: No. You don’t have to beat yourself up over this. With getting your hormones balanced and a little bit of exercise, it’s amazing at how people will feel like so much has been done to them.

Lara: Amazing. If there is one thing that you could tell our listeners, that you would like to remind them, what is it that you really want them to take away from this show?

Paul: I think, for me, it’s just like your car or taking care of your boat or anything. You check the levels. We just urge people to come in, check your levels, see where it’s at. Maybe they’re okay. But if they aren’t, then we can at least know that. At least know where your levels are at.

Lara: Okay. That’s awesome.

Ron: And I would say ask questions. Don’t take one answer. If I had listened to that doctor that wanted to put me on an antidepressant, God knows what would have happened. Just keep asking questions. If something doesn’t make sense or something doesn’t seem right to you, keep asking because, most likely, it’s not.

Lara: Right. I love that we are encouraging listeners to… first of all, they have to notice that they have these symptoms and they don’t have to have them. They can feel good again, which I love.

Paul: Absolutely.

Lara: That encouraging them and they can call you. Tell me, Ron, the phone number one more time.

Ron: 941-203-8944. We are located right here in Sarasota, 2100 South Tamiami Trail, on the corner of 41 and Datura Street.

Lara: Great. And it is Any last words, Paul? Anything else you really want our listeners to know?

Paul: Again, I think just like you say, they don’t have to suffer with this low energy and lack of concentration. It’s very simple and very cost-effective to feel great.

Ron: And you don’t have to join a fancy gym. We’re so fortunate to live here, in Sarasota, where there’s so many outdoor parks and areas to exercise in and recreation. Just get out and start moving.

Lara: Absolutely. Thank you Ron and Paul. Thank you for joining me today.

Paul: Thank you.

Ron: Thank you very much for having us.

Lara: It’s been great having you. I’m Lara Jaye on The Zen Leader. Have a great weekend.