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Guest: Dr. Judson Brandeis

Release Date: 6/20/2022

Welcome to Trulyfit the online fitness marketplace connecting pros and clients through unique fitness business software.

Steve Washuta: Welcome to Trulyfit. Welcome to the Trulyfit podcast where we interview experts in fitness and health to expand our wisdom and wealth. I am your host Steve Washuta, co-founder of truly fit and ultimate Fitness Business 101. In today’s episode, I speak with Dr. Judson Brandeis, you can find everything about him at Brandeis. md.com or Judson Brandeis MD on Instagram, Dr. Brandeis attended Brown University undergrad, he received his MD at Vanderbilt, and he received a Howard Hughes award for his research at Harvard Medical School. 

He completed his surgery urology residency at UCLA and along his journey, he had a hand in working with some of the most notable physicians in their fields. You’re gonna hear a lot about that in his intro, Dr. Brandeis is the author of the 21st-century man, which may be the most comprehensive and medically accurate Men’s Health book ever written. It is five National Book Awards for both nonfiction health and men’s health. 

In this episode, we discuss his book, obviously, reasons men don’t take their health seriously testosterone, his philosophy behind diet and exercise, the latest and greatest in research and equipment, and a host of other topics related to men’s health. My absolute favorite interviews are those where I get to read the book first, and explain what I took from it personally to see if that matches the author’s intent. It was an absolute pleasure to do this interview. With no further ado, Dr. Judson Brandeis. 

Dr. Brandeis, thanks so much for joining the Trulyfit podcast. Why don’t you give my listeners a background, a bio on you your credentials, your intellectual pursuits, what you do in the medical field, and then also a little bit of background on your book and sort of the impetus to write this book? 

Dr. Judson Brandeis: Awesome, Steve, first of all, thank you so much for having me. I really appreciate it. You know, I’ve been blessed with an incredible education. So I went to Brown University as an undergraduate I was history major. Then after Brown, I left and did a year of research at American Red Cross where I worked with Harold T Merryman, the guy who figured out how to freeze the blood. 

Dr. Judson Brandeis: Then I went off to Vanderbilt for medical school. During medical school, I got to Howard Hughes Institute Research Fellowship at Harvard Medical School at the transplantation immunology lab where they did the first living-related kidney transplant and won the Nobel Prize for that. 

Dr. Judson Brandeis: Then after graduating from medical school, I went off to UCLA and trained in surgery and then urology and did research with Dr. Mark Litwin, who’s kind of the father of quality of life outcomes research in urology, and then off to Walnut Creek, California up in Northern California, where I joined a urology group, and had the pleasure of starting the surgical robotics revolution. We had the second DaVinci surgical robot in the country. 

Dr. Judson Brandeis: I was a super early adopter of that I built a kidney stone center, I built the MRI-guided prostate biopsy center. About three years ago, I became really interested in regenerative urology, so the ability to improve erectile function in men who were past the ages of 50, or 60, or 70, when things didn’t seem to work anymore, and I was able to regenerate blood flow in a way that men who weren’t previously able to have erections, were now able to have erections. Then that led to an interest in hormonal therapy, and then muscular rejuvenation, and then total kind of male wellness and health. 

Dr. Judson Brandeis: That led to that, and the time created by COVID led to me writing the 21st-century man, which is the most comprehensive and medically accurate Men’s Health book ever written. It’s not just me, it’s 60 of my close friends and colleagues, who are writing about chapters on things that they know about that I’m not necessarily an expert about. So I try to stay in my lane, I know what I know. I know what I don’t know. So the 21st-century man really is packed with a high information density, kind of the cliff notes of everything you need to know both physically, mentally, emotionally, relationship-wise and sexually, to, to succeed in life after 40.

Steve Washuta: I really enjoyed the book. I think it was a good terminology, you use a good word to describe it cliff notes, it reads like a journal in some parts, but not these sort of high-level esoteric journals that the average person couldn’t read. But then you mix subjective and objective so well, where you have the hero’s journey, and then you sort of cap it off with relationships. 

It’s not just about the objective. In addition to that, as you said, you have all these experts coming in that pick out why all of these sorts of interwoven topics mean a lot to men’s health, right? People typically just think, okay, it’s hormones, and it’s exercise. Now, there are so many other things. It was a very comprehensive, but still an easy and fun read.

Dr. Judson Brandeis: Yeah, Steve, you totally get it. I mean, you really do. It’s, you know, so many of these things are interwoven. But there are a number of themes that go through the book and you hit the nail right on the head in terms of the hero’s journey. You know the first and the last chapters of the book are all about the hero’s journey, because, I mean, let’s be perfectly honest, we all know, don’t eat too much. 

Dr. Judson Brandeis: Don’t drink, don’t smoke, don’t do drugs, and exercise every day. Get some good sleep. Be nice to people. or do some stretching, do some meditation, right? Like, who doesn’t know that? But at the end of the day, most of us don’t do all those things. 

Dr. Judson Brandeis: So what, you know, the question is, why is that and that’s a lot of the time that I spend with my patients really is unpacking, you know, what are the roadblocks that are getting in the way of you doing the things that you need to know, you know, to do? Once you get through those roadblocks, then the second part of it is, okay, here’s the data, here’s the science about what you should be doing. But if you don’t unpack that roadblock of, you know, why are you eating too much? 

Dr. Judson Brandeis: Why at 1030 at night, are you eating ice cream, you know, or potato chips or whatever, then it doesn’t really matter what you know, you have to, to motivate your client or your patient to do the things that you’re telling them to do. Otherwise, you’re you know, you’re both wasting your time.

Steve Washuta: Well, let’s start at the beginning. Because in order for you to do that, they actually have to walk through the door, right? You can’t book appointments for them. Maybe you can, but they don’t have to show up. So why is it that it seems like I don’t know if it’s just Americans or it’s the Western culture is more likely to go to a dentist appointment than they are to book their PCP to get a checkup? 

Dr. Judson Brandeis: Yeah, absolutely. Well, I mean, first of all, the thing to know is 100 years ago, women live one year longer than men. Guess what, now women live five years longer than men. Okay? Men are actually living less long than we did 1520 years ago. That’s even before COVID. That’s because of alcohol, opioids and suicide, right diseases of despair, and men are 50% is likely to go to primary care as they’re their spouses. 

Dr. Judson Brandeis: Right? There’s this ethos of, you know, I’m tough, I can take care of myself, I’m the guy that takes care of other people. I don’t need any help. I can, you know, I’m, I’m tough. But you know what, with that attitude now is its passe. It’s stupid, right? You have to the same way that you take care of your car, right? What if you said shit on my car doesn’t need oil, I’ll drive it 100,000 miles, it doesn’t need oil. 

Dr. Judson Brandeis: Right, your car’s not gonna last that long. Your 20s and 30s kind of trick you because you have the capacity to tough it through it. Right? You know, like, when I was in my 20s, or 30s, I did stuff, you know, go out all night or whatever, and then go to work the next day. But I’m 54. Now, you can’t do that anymore. The damage that you do to your body in your 20s and 30s comes back to haunt you in your 40s and 50s and 60s and 70s. 

Steve Washuta: Yeah, as a personal trainer, I have to sort of convince a lot of my clients, a lot of whom have a lot of money to say you if you treat your body like a treat at your bank account, you’d be much better off and you’re going to have the most amount of money when you’re the least capable of using it. Why would anybody want that right? You’re going to be you want to take that trip to Italy when you’re retired? Well, if you’re in a wheelchair, or if you got your toes cut off because you have type two diabetes, who really cares? You can’t walk around Rome. I wish people would look at it that way. 

Dr. Judson Brandeis: What if one of my roommates in medical school he called up his father his father’s a famous neurosurgeon? He said, Dad, you know, can you buy me a BMW? His father’s like, no, Aw, I’m not gonna buy you a BMW. You have to work hard and you know, earn it. This. Yeah. But by that time, I’ll be old and bald like you. What are we the purpose of having the BMW? 

Steve Washuta: There you go. Oh, that’s Yeah. 

Dr. Judson Brandeis: Yeah. You know, so one of the things that really helps me motivate men is numbers. Guys love 

Steve Washuta: because we’re competitive, we want to beat our labs. Is that what you’re saying? We want to come out. 

Dr. Judson Brandeis: I think we’re, I think in general, we’re pretty analytical. Right? So you know, you can look at yourself in the mirror, but I think most guys look at themselves in the mirror, kind of pull their chest up, suck their gut in and say, you know, I look as great as I did when I was 20. But I put people on a body composition scale when they first walked into the office, right, and that the body composition scale doesn’t lie. 

Dr. Judson Brandeis: It gives you a percentage of body fat, left arm, right arm, you know, trunk, left leg, right leg. Visceral fat is Yeah, visceral fat versus, you know, superficial fat. So, it really is an eye-opening experience for people that think that they’re still 20 years old, but then they look and you know, their legs are 90% of the norm. 

Dr. Judson Brandeis: They have 40 pounds that they need to lose, and I looked guys in the eye and said, Listen, if I put a 40-pound backpack on my back all day, I’d be exhausted by the end of the day. My knees would hurt, my hips would hurt. my feet would hurt I’d be pissed off. I said that’s what you’re doing every day. 

Dr. Judson Brandeis: Then on top of that, a lot of guys walk in the right because everyone loves working out beach muscles, right? Everyone loves beach muscles, biceps, and triceps, but when you get older and I deal with a lot of guys who are in their 50s 60s 70s, I show them the world record for the 100-yard dash. From 20 to 60, it’s pretty stable from 60 to 80, the slope dramatically increases. 

Dr. Judson Brandeis: From 80 up, you know, it’s pretty close to vertical. I tell them, you know, the quality of your life, the ability to travel, your ability to go upstairs, your ability to keep your balance and not fall is going to be dependent on how much weight you’re carrying, and the strength of your legs. If your legs are weak, and you’re fat, guess what you’re going to fall and when you fall 50% of guys die within five years. 

Steve Washuta: Yeah, I’ve heard that statistic before, I’ve had a lot of clients who’ve we’ve had that issue, unfortunately, and have, you know, fractured or shattered femurs or tibias or something. Then again, they get in a wheelchair, and they get what we call deconditioned, right? Because they can’t do anything. 

Then it just spirals out of control. Exactly, I’ve told the story a lot in this podcast, I had a client come to me who was in the early 60s. They said, my only goal is to get down on the floor to play with my grandchild and to get back up. To me, it was so disheartening to hear that you’re in your early 60s. That is your that’s sort of your athletic prowess at this point. 

it’s because we let ourselves deteriorate, we don’t go to the PCP and we don’t do these things. You know, I think what, what are the other motivating factors that you use outside of numbers? Do you try to use scare tactics in sort of a positive way?

Dr. Judson Brandeis: You know, I’m very, I’ve been doing this for a long time, and I deal almost exclusively with men. My office is very unique. You know, I have Eric Clapton guitar up on the wall, and Peyton Manning, Eli Manning football and Muhammad Ali boxing glove, you know, my patients like to give me this kind of cool things. It’s a very masculine, but not the hyper-masculine environment. Very nonjudgmental. I look guys in the eye, and I don’t take insurance, right? 

Dr. Judson Brandeis: So I can spend a lot more time with my patients than regular Doc’s do. I tell them like this, and I can create the path to health, like nobody else in this country almost. But I’m not going to follow you home, I’m not your mother, I’m not going to tell you what to do. It’s entirely up to you what you do, and the results that you get. 

Dr. Judson Brandeis: You can come in anytime you want, and you get, you can get a body comp, you can get this, you can get that. But in the end, it really has to come from you. Sometimes I have to wake people up, you know, I have to really tell them, things that they don’t want to hear. But I do it in a way that’s it’s, it’s sort of non-judgmental. 

Dr. Judson Brandeis: Sometimes you have to be a little harsh with people because you accept that they need it. You know, one time I said something really not. I used some colorful language with a guy. He was the CEO of a big company, I really was taken aback. Then the next week he came in, and he hugged me. He said You know what, that’s what I needed. Going to make a change. 

Steve Washuta: Yeah, much like a good coach or a good leader, you have to kind of assess each person individually, and then adjust accordingly. Right, you might have a client where you have to be pushy with them, because you know, their personality and another client were you don’t have to be patient, excuse me. 

But let’s jump into some of the science here. Low tea, that’s a reason why men start gaining weight into old age, as far as I know, can you explain sort of the ranges of testosterone when it starts to dip down? Why exactly? It’s maybe overlooked by the general population to not look at these numbers more closely. 

Dr. Judson Brandeis: Yeah, so you know, I always start with my son who’s 15 and a half years old. So two, or three years ago testosterone was probably around two or 300. Right. Now he’s almost 16, as testosterone is probably close to 1000. He turned from this scrawny kid into this big muscular kid in two, three years. Then testosterone peaks at about 20 years old. Every year after that, it’ll go down one or 2%. 

Dr. Judson Brandeis: You know, on top of that, you know, you have IGF one, you have human growth hormone. So there are a number of other hormones that decline testosterone being really the most important. It’s almost like a dimmer switch. You know, if you if you’re in a room and someone every hour turns the dimmer switch down one or 2%, you’re not going to notice, right and from 20 to 40, you’re kind of cruising through life, and then you hit 40 and, and testosterone is really starting to drop a little bit more. 

Dr. Judson Brandeis: The other thing is we live sedentary lifestyles, right? So if you’re a hunter and you’re out on the plains trying to kill deer or wildebeest or wall or water buffalo, whatever your testosterone is, got to be super high because you have to kill something a big animal to eat. If you’re a farmer, I mean, farmers are tough too. But, you know, sowing seeds is a little bit different. 

Dr. Judson Brandeis: If you’re an office worker who’s just sitting in an office chair all day, your body’s not incentivized to make that much testosterone because your body is smart, right? Why would your body make something you don’t really need? Then a lot of men are obese or fat, right? So 40% of men are fat or obese, the estimates are by 2030, half of the men will either be obese or fat, right? Fat actually converts testosterone into estrogen. Right? It’s called aromatization. So everyone thinks, you know, men are from Mars, Women are from Venus, and testosterone and estrogen are vastly different hormones. 

Dr. Judson Brandeis: But if you look at the chemical structure, the only difference between testosterone and estrogen is one single hydrogen molecule atom, right? The smallest unit of matter is the difference between a male hormone and a female hormone. So it’s, it’s easy for your body to flip testosterone into estrogen. Most people think men have testosterone, and women have estrogen. But no, we have both hormones just to different ratios. 

Dr. Judson Brandeis: Right. So the star storm begins to creep down faster, and some people are less fast than other people. Then you get to a point where you’re in your 50s, or 60s or 70s. You develop what’s called hypogonadism, or low testosterone, right? Testosterone gives us muscular strength. So you lose muscle, it gives us the ability to burn fat, so you start to put on fat, you lose libido, you lose motivation, you lose focus, you lose drive, it’s hard to sleep, you start to get aches and pains because your muscles aren’t as strong. 

Dr. Judson Brandeis: So your bones and joints and ligaments need to work a lot harder. That’s clinically when men get low testosterone. There’s a difference. I have guys who have the testosterone of 200. They’re happy as a clam, and they’re having sex with their wives, and they look reasonably physically fit, and I wouldn’t touch their testosterone. I have guys that have the testosterone of four or 500. 

Dr. Judson Brandeis: That, you know, once you rule out other stuff. So the reason you actually go to a doctor is because if you go to one of these online services, they’re just going to put you on testosterone. But if you have obstructive sleep apnea, guess what those symptoms are the same as low testosterone, if you have hypothyroid, you have the same symptoms. So you have to make sure that you rule out some of those other things before you put someone on testosterone.

Steve Washuta: You talk about some of those variables, maybe it is receptor sensitivity and things of that nature, why somebody at 200 could potentially feel great, and why somebody at 750 might feel like they have low tea.

Dr. Judson Brandeis: You know, humans are complex first. So there are physiologic reasons. So for example, there’s something called sex hormone binding globulin so only one or 2% of testosterone actually is active, it floats free in the blood system. The rest of it is bound to either albumin, which is the type of protein, or more tightly at blind binds to what’s called sex hormone binding globulin. 

Dr. Judson Brandeis: So even if your testosterone is high, as you age, you make more sh, pg. So you have a lower percentage of, of free testosterone, which is the more active form of testosterone. The other thing is, you know, we’re all motivated differently, some people sort of their engines a little bit more wound up and other people are a little bit less motivated. You know, people’s personality types play into it. 

Dr. Judson Brandeis: The other thing is, you know, there are other hormones like thyroid hormone, so some people’s metabolisms are higher, and some people’s metabolism is lower. There are sleep factors, right, I had a patient the other day, 42 years old, who came into my office look reasonably healthy, but he had obstructive sleep apnea for 20 years. 

Dr. Judson Brandeis: Guess what, he’s not getting REM sleep. So he’s not getting erections. He’s tired all day. So he doesn’t feel like working out. There are so many other factors that come into play. What you eat your family history, and so it’s humans are complex. You really have to unpack everything in somebody’s life before you make some of these big treatment recommendations. 

Steve Washuta: If you believe this question, for some reason is out of your area of expertise, you can pass on this, but is the normal recommended? Is it still hCG? Why somebody is on testosterone therapy? Or is it some sort of other AI or depend on who you are specifically and what your levels are?

Dr. Judson Brandeis: You know, so I can only speak for myself. Yeah. I have very long discussions with my patients about putting them on testosterone because there are negative effects of being on testosterone. First of all, it’ll grow your prostate. Second of all, if you have aggressive prostate cancer, you know, it’ll make that worse. It will shrink your testicles unless you put someone on something like Clomid. 

Dr. Judson Brandeis: You’ll, some people will lose their hair, you know, for you, and it doesn’t really matter. But the other thing is, you know after you’ve put someone on testosterone for three, four, or five years, your body will really lose its ability to make testosterone. So you’re basically committing that person for it to testosterone for life. 

Dr. Judson Brandeis: Other thing is, I always have patients talk to their partners or spouses because there’s an equilibrium in relationships that occurs. If you’re upsetting that equilibrium because you know, all of a sudden, you’re going to be on testosterone, it may upset you know, a lot of us in the medical community forget about relationships. 

Dr. Judson Brandeis: But wait, if you look at the Harvard longevity study, which is the longest study of men, their health, and not just physical health, but psychological health, emotional health, relationship, health, etc, etc. The single most important finding of the largest study, and probably the best-done study ever, in the history of men, is the quality of your relationships is the most important factor in your health.

Steve Washuta: For anybody who might not understand exactly what you’re saying, I’m going to try to unpack it. You can, you can jump in at any time. But let’s say somebody is on decides to go on testosterone, because their numbers are low, and they’re feeling sluggish. Doctor Brandeis says, Okay, I think this is right for you. Then their sex drive goes up. 

But there used to be sort of equivalent to their wives. Now it’s not. Now that could throw a wrench in your sort of relationship. Right? I think that’s, these are things that I would hope that physicians sit down with their patients and say, Listen, this could change your personality slightly. Things like your sex drive, or maybe your urge to work out, and all of these other things, can in turn, almost be like building a new relationship, and your partner has to be ready for that.

Dr. Judson Brandeis: Yeah, absolutely. Well, I’ll give you a great example. So I was at UCLA when Viagra came out. Some of my professors actually won the Nobel Prize, and published the original research on nitric oxide and also how PDE five inhibitors like sildenafil or Viagra actually worked. So we were one of the first places in the country in the world to get Viagra. There were people streaming into UCLA to get Viagra.

 Dr. Judson Brandeis: Guess what happened some people, six months later, were deliriously happy, because they were able to have physical intimacy, I, once again with their partners, and the other half of the people were really pissed off, right? Because their wife just accepted, you know, like, this is not going to be part of our life anymore. I’m gonna go drink wine with my friends and play tennis or something like that. 

Dr. Judson Brandeis: The guy’s like, Well, I’m just gonna go play golf. Then all of a sudden, he’s coming into the bedroom with an erection but the wife’s like, you know, who the hell are you? So, anytime I make an intervention with my patients, I talk to them about the effects on the spouse. In fact, I had a patient who got she was like 65 years old, he came in, was having a lot of difficulties getting an erection, we did a lot of work, you know, low-intensity shockwave therapy and PRP and nitric oxide boosting supplement PDE, five inhibitors, vacuum erection device, you know, the whole nine yards. 

Dr. Judson Brandeis: Three months later, you know, he’s raring to go. I love getting stories back from patients that to me, that’s like the most rewarding that’s like how patients pay me back as they bring me great stories. That’s kind of what keeps me going. Right. So I’m waiting for my good story, and I don’t get a good story. It’s two, or three weeks go by, and finally, I see him come back. 

Dr. Judson Brandeis: His head’s kind of hung low. I was like, Joe, what’s going on? He’s like, you know, I was, you know, I was all ready to go and I had penetrative intercourse with my wife. She said it hurt a lot. She had some bleeding and she never wants to have sex again. Right. 

Dr. Judson Brandeis: I didn’t ask, you know, is your spouse on estrogen? You know, is she postmenopausal? What do you guys use for lubricant? So now, that’s part of what I talk to patients about and the average physician visit is 16 minutes and 14 seconds, there was a huge study on 100 million charts done by Cerner, one of the largest electronic medical record companies in the world, you got 16 minutes and 14 seconds. So if you’re talking to a guy about a million different things, you’re probably not going to have time to ask him about what lubricant he uses.

Steve Washuta: But guess what, it’s important. Yeah. That’s an advantage to you of not having to deal with that. I know my wife’s a pediatrician. I talked about this a lot. You know, a kid will come in supposed to be just your regular checkup, well, child checkup and he goes, Well, my teacher thinks I’ve added, my mom thinks I have depression, and I’m starting to have sex and I sprained my ankle. Well, now I got 11 minutes left. I have to deal with 40. Which one do I pick? That’s why it’s great that you have a different business model. You’re able to help patients out and not be so structured and limited.

Dr. Judson Brandeis: Yeah, but I help doctors out too. I’ll tell you why. Okay, so I wrote a chapter in the book on how to make the most of your doctor visit, right? Because I was, you know, I had insurance-based practice for 20 years. So I understand all this stuff, right? So if you go to the 21st, century man.com, so all written out in letters, you can get it as like a free ebook. 

Dr. Judson Brandeis: As there’s also a video, so this is, you know, this is really important because we all go to the doctor, we all should go to the doctor, and it’s essential to get the most out of your doctor’s visit the same way. Like my lawyer, he’s 750 bucks an hour, right? Lawyers are expensive in the Bay Area, right? So every minute, I’m there for $11. 

Dr. Judson Brandeis: That’s like lunch for me, right? Every minute is lunch. I want to kind of make the most of the time I have at my attorney, right, you got to make the most of the time you have in your doctor’s office. So don’t talk about the weather. Don’t talk about sports, don’t talk about your pet cat. Okay, first of all, come in there with your whole medical history, typed and printed out. Second of all a list of your medications with their doses and maybe even medicines that you’ve been on in the past that didn’t work, right? 

Dr. Judson Brandeis: Why should a doctor put you on a medication you already tried? But if you don’t tell them that you’ve been on that medication, and it didn’t work or get side effects from it? How would they no Third of all, all imaging studies you’ve had, maybe ever or at least in the last two years, right? So why if he’s going to order an MRI, and you had one, three or four years ago, first of all, maybe it’s normal. Second of all, it’s something you can compare? What was it like three, four years ago? 

Dr. Judson Brandeis: To what, what is it now? Any other diagnostic studies? Have you had an EKG an E, G, or any of that kind of stuff, right? Then write up your history of present illness. Right? So my I heard my back three, three weeks ago, you know, it started out 10 Out of 10. I heard it lifting a sack of concrete, right? It was just like it happened five years ago. I ended up needing an epidural. Then it got better. But I had an MRI back in those days. So as much detail as you possibly can put in there.

Dr. Judson Brandeis: Then make a list of questions. Right, sit before you come to the office, write down, type up a list of questions you want to answer, and hand that packet to the doctor, I guarantee you, you’ll have a big smile on the doctor’s face. Like I have a voice dictation system, I dictate all the pertinent positives, everything that I need, that’ll take me about three or four minutes. Guess what, you got 13 minutes and 14 seconds of my time to go to the next level with you.

Steve Washuta: That’s great information. Knowing you know, my wife’s some struggles, a patient may assume that fax came through for one particular thing or another. But it doesn’t always happen. Right. So then that could wait two or three minutes, the patient assumes that they have the facts of let’s say the EKG, but we don’t know what that is. Then that changes the whole conversation and dialogue. So to have that information, I’ll also say, from to expedite anything to kind of have the sounds bad. But to have the questions there leaves the sort of emotions aside. 

That expedites things because people will come in very emotional to the doctor, they want to explain all the little details. This is what happened, like with this whole scenario, before, you know what you’ve had seven minutes discussing, basically what the question is, is my ankle broken? You’ve wasted all that time. So I think having those questions in advance takes a little bit of the emotions out of it and gets quickly to the point.

Dr. Judson Brandeis: Absolutely. You know, the thing is, there’s it’s a different relationship now between doctors and patients, right? So 20 3040 years ago, the doctor sat on the top of a tall mountain and controlled all medical information. But now, you know, I’ll give you an example. When I was doing research at Harvard Medical School, Harvard Medical School Library was the biggest medical library in the world that had a million volumes, right journals, books, and all that stuff. 

Dr. Judson Brandeis: People from around the world would fly to Harvard Medical School, and pay a lot of money to be in the library. Because that was the that was the place to be now on your little cell phone. It says it’s the equivalent of, you know, 10 Harvard libraries. Ao patients I love actually when patients come in with like, well, this is what I think it is, or, you know, Can I try this supplement? Or what do you think about this, my third cousin was on this and it worked really well. Then I go, and I unpack that with them. 

Dr. Judson Brandeis: Let me take a look at the list of ingredients. So let’s go, you know, I’ll do routinely I’ll do PubMed searches with my patients in the office and say, you know, does testosterone improve diabetes? I didn’t, you know, I don’t know. Oh, you know, look, there was a study in the Journal of Sexual Medicine a couple of months ago that showed that putting someone on testosterone actually improved diabetes.

Steve Washuta: Let’s talk a little bit about prostate numbers. We mentioned that before. I am 37. So I haven’t really had those numbers checked on a regular basis. I do it twice a year, just because I get my labs done twice a year and myself but it’s not something I’m hyper-concerned with. But as I get over 40, I’m going to have to be prostate numbers associated correlated or sort of a causational? Like the mechanistic thing with high or low tea? This means if I have low tea, am I more likely to have prostate cancer or high tea? Or is there no correlation?

Dr. Judson Brandeis: So there’s the really short answer is really there’s, there’s a correlation between testosterone and prostate cancer. But just because you have normal testosterone doesn’t mean you have prostate cancer, right? So your testosterone is highest when you’re 20 years old, and no one gets prostate cancer when you’re 20. You know, the incidence of prostate cancer is peaks as you get older, right? At that same time, testosterone is declining. 

Dr. Judson Brandeis: Now dihydrotestosterone, right? So testosterone converts into dihydrotestosterone, which has a higher affinity for the testosterone receptor, meaning it fits tighter into the testosterone receptor and will cause male secondary sex characteristics, right? So it’ll cause the prostate to grow, it’ll cause you to lose hair, you know, you get all that wonderful hair on your back and your ears and your nose, etc, etc. 

Dr. Judson Brandeis: Right? So that’s all kinds of Dihydrotestosterone kicking in. So there is definitely a relationship between prostate growth and also prostate cancer because one of them, the main treatments for metastatic prostate cancer, prostate cancer that spread outside the prostate, say into the bone is medical castration. That was discovered in 1934, the only urologist ever to win the Nobel Prize, Dr. Huggins. So we’ve known that for almost 100 years, but still, it’s to tease out the exact relationship is somewhat complex.

Steve Washuta: Is prostate cancer almost inevitable, if you live long enough? Is the reason why people weren’t getting it, let’s say 100 years ago because they were dying of something else beforehand?

Dr. Judson Brandeis: Yeah, I mean, 100 years ago, people didn’t live really much more than 4045 years, you know, in the number one cause of death back in those days were accidents and infectious disease. Now, you know, cars are safer, and people don’t die in horse accidents and those kinds of things. We don’t die of pneumonia and diarrhea. You know, we die of old people’s diseases like cancer and heart disease and stroke and Cetera, et cetera. So yeah, I mean, to a certain extent, that is definitely the case. 

Dr. Judson Brandeis: I guess, if you live to 150, you’re gonna get prostate cancer. But the most, you know, prostate cancers, then the second leading cause of cancer-related death in men, but only causes death and a couple of percent of men. Really, the big ones you really have to focus on are heart disease. Some of the more preventable cancers, you know, colon cancer, you know, avoiding smoking. 

Dr. Judson Brandeis: The 21st-century man really is about prevention and early intervention of diseases, right? If you have prostate cancer, go to the doctor, you know, go to your urologist or your medical oncologist. At that point, the information in the book is useful. But you should be spending your time at the doctor really the time to read the 21st-century man is, before you need the doctor,

Steve Washuta: is your recommendation or let’s say the general recommendation to start looking at those prostate numbers in your mid-30s?

Dr. Judson Brandeis: Mid 30s is too young. So if you have a family history, or if you’re African American, I would check your PSA at one time maybe at 41 times at 45. Then really, the general population should begin at the age of 50. Now there’s a PSA is a very controversial thing. 

Dr. Judson Brandeis: In fact, the guy that even discovered PSA came out maybe 1015 years ago and said, You know that you know, he regretted actually, what happened with PSA? Because a lot of people and a lot of doctors saw cancer and said, Oh, you know, we got to cure cancer, cure cancer. But a lot of prostate cancer is relatively slow growing now that the paradigm is shifting again, in my mind, right, because we have genetic tests now. Right? We’re not just looking at cells, but we’re actually looking at the genome. 

We also have tools like prostate MRI, and so we’re able to much better determine aggressive prostate cancer versus non-aggressive prostate cancer, we’re much much better able to advise patients when they should just keep an eye on prostate cancer versus when it needs to be treated aggressively. 

So for a long time, I think it was right to be very, very conservative about PSA and about prostate cancer. But you know what we’ve seen since PSA got a derating from the US Preventive Task Force and since COVID, right because a lot of people weren’t going to their doctors is now all of a sudden we’re picking up prostate cancer at a much later stage when it’s really, really hard to do something about it. 

So here again, it’s important to be proactive. But at the same time, it’s also important to be educated and the chapter I wrote in 21st-century men on prostate, both BPH and prostate cancer is super valuable, packed with really, really, really good information to help you make an informed decision about getting your PSA checked. Then if you do have prostate cancer or if you do have an elevated PSA, what is the next step is, and then if you do take the next step, and you have prostate cancer, what are the things to consider? Before you consider treatment?

Steven Washuta: Let’s go into some health and fitness here. I am a patient of Dr. Brandeis, I’m 62 years old, I’m a male, I walk in, look at all my numbers, they look okay, maybe I’m on medication or two that you’ve prescribed, but I am 15 to 20 pounds overweight, and I want to start exercising and becoming healthier. What is sort of your process in that?

Dr. Judson Brandeis: So everyone that comes into my office gets a body composition scan, right, because it’s not enough to stand on a scale. The scale doesn’t tell you all that much, right? Even, you know, a body mass index doesn’t tell you that much you need body composition, right, you need to know how much muscle you have in each arm, each leg in the trunk, you need to know what your basal metabolic rate is, you need to know what your percentage of body fat is. 

Dr. Judson Brandeis: That’s where the that’s where you really start. That’s where the analytics start, of course, you check testosterone, and I explain to men about the aging process, right? Because I explain it as you know, you’re going on a long journey. The first 60 years of your life, you’re traveling through the prairies, right? It’s all flat, right? Traveling is pretty easy, right? You know, slight grade when you’re getting into your 40s and 50s. 

Dr. Judson Brandeis: But not too bad, right? When you hit your 60s, all of a sudden, you’re in the foothills, right and it gets harder, right? Then when you hit 80, you know you’re on the mountain, each foot you’re sort of fighting for. The thing is, when you’re 59 and you’re ready to head into the foothills, you’ve been walking through the prairie all your life, you think it’s you know that that slight grade that I’m been walking up, that’s what the aging process is going to look like in the 60s. But it’s not right. The reason it’s not is that first of all, your nerves don’t work as well as they used to. 

Dr. Judson Brandeis: Second of all, your mitochondria aren’t kicking out ATP, like they used to third of all the DNA is getting damaged. Fourth of all, the Golgi apparatus in the endoplasmic reticulum aren’t making protein the way that it should be making it. Second, you’re we live in a world of plastics and all sorts of toxic crap. So you get chronic inflammation that chronic inflammation prevents you from absorbing protein as you should. 

Dr. Judson Brandeis: A lot of us don’t eat as much protein as we did when we were younger, because we were building muscle that that time, the food that we’re eating is packed with too much fat and too Much Bad Fat and too many carbs. So there are so many things that work against us, that accelerate as we age. You have to understand, you know, that was really interesting, there was a study I read the other day at tufts, they compared a 20-year-old to a 50-year old was really hurt because I’m 54, right? They looked at the gene expression in muscle after someone worked out. 

Dr. Judson Brandeis: So a 20-year-old expressed 150 genes and a 50-year-old expressed 50 genes, right and a gene expression and muscle are basically building protein, protein builds muscle. Right? So the 20-year-old, doing the same workout is expressing three times are building three times as much muscle as a 50-year-old. This means you got to work three times as hard or be three times as intelligent.

Dr. Judson Brandeis: You know, at our age, or my age anyway, and older. This is you know, this is the background that I work with my patients on is, you know, even though you think you are, you ain’t 20 anymore. So let’s now all of a sudden change your whole way of thinking about things and then the next thing we do is unpack testosterone. Right? If your testosterone is 200 or 250 or 300 I don’t care how many hours a day you go to the gym, you’re not going to build muscle. 

Dr. Judson Brandeis: Testosterone is the number one growth factor by far for men. They did a really interesting study 20 years ago that was published in the New England Journal of Medicine. Took a control group over three months to build one pound of muscle. The exercise group, right and sent them to the gym for three months giving them an exercise routine. Built two kilograms or two pounds of muscle right then they had a high testosterone group, no gym, just testosterone, and they built four pounds of muscle. 

Dr. Judson Brandeis: Right, so twice as much muscle as the gym group. Then they had the gym and testosterone, those guys built eight pounds of muscle. Right? So it’s, I say, Listen, you know, you’re over 50, you’re going to have to have a very reasonable if not elevated testosterone, and you’re going to have to exercise and then I explain, exercise is different now than it was when you were 21st of all don’t get injured.

Dr. Judson Brandeis: The most important thing is consistency, right, you can’t do something stupid, you know, like, when I was 20, I’d go into the gym, and I’d overdo it and whatever. The next day you recovered, you go back to the gym or play basketball the next day, after 50, that, that doesn’t happen anymore. You can’t get injured, it’s really, really hard to recover. So I have a three-day cycle that I recommend to patients, cardio, a cardio B, and circuit training, right? 

Dr. Judson Brandeis: So choose cardio a like an elliptical or running or treadmill or, okay cardio be biking or swimming or rowing, right. Circuit training, choose multiple different body parts, find exercises, and then repeat. Do it quick enough so that your heart rate gets up. So you’re getting cardio pretty much every day, but you don’t overdo the cardio. So a lot of guys love cardio, cardio is easy, you know, you sit on one of those machines, you spin it around, you watch the news or your watch, you know, a TV show or a sporting game. 

Dr. Judson Brandeis: But cardio is not so good for you, as you get older, you got to understand that right? Because at a certain point, it becomes a zero-sum game. Right? So if you’re I see these guys that come in, and their upper body is strong and their legs are weak. Reason is they’re overdoing their upper body.

Dr. Judson Brandeis: They don’t take in enough protein. Right? You’ve seen this all the time. Yeah. So what their body does is say, Well, you know, you’re not using your legs. So let’s just take protein from the legs and use it for the body parts that you’re building. Yeah. That’s, that’s the zero-sum game. So that’s the other part of it that I go into is nutrition. I’m talking a lot so interrupt me if I’m Bill this

Steve Washuta: or not, I just echo your thoughts, you know, there’s a cost to everything and fitness, there’s a metabolic cost, which is a positive cost, right? If I go run four miles, let’s say burn 300 calories, great. But there’s also a structural cost, if I’m 50 pounds overweight, and I run those four miles. Now I’ve potentially put undue stress on my ligaments and tendons and my knees and my hips, right? So we have to weigh out those costs. As we get older, I say, I always told my younger trainers. 

So I mentor, that we should start training our clients in their 30s. Like they’re going to like they’re in their 40s and 50s and 60s and get them ready for that. What I mean by that is moving all ranges of motion, start swimming, start doing low impact exercises, start using various modalities and don’t do this 80s and 90s Arnold Schwarzenegger prescription where you’re just lifting heavy weights in this 10 684 repetition range because that’s not helping you into old age. We have to make sure that injury prevention as you said, Dr. Brandeis is the most important thing, availability is your best ability.

Dr. Judson Brandeis: Yeah, I mean, if 50 you’re not going to win an Olympic gold medal, you’re not going to get a contract from Nike, you know, you want to be able to roll around with their grandkids and get up. You want to be able to, I had a patient that fell, you know, they, they took his dream vacation to Greece, and then fell on the cobblestone streets and broke his hip. Right? You don’t want to do that, right? You want to be trained well enough that you can enjoy the rest of life.

Dr. Judson Brandeis: You know, just getting back to nutrition. I’m not a nutritionist. I’m not a dietician, I know I’ve never had, fortunately, never really had to lose weight. So I don’t know that much about it. But I do know this, the simple there are three things that you have to know to lose weight, right? It’s amazing that people really don’t know them. 

Dr. Judson Brandeis: First of all, you have to know how much food you’re taking in how many calories, right? I tell people this and don’t tell me you’re trying to lose weight if you’re not counting calories. If you’re not counting calories, it’s all bets are off. Right? If you’re trying to save money, and you don’t know what your salary is, how are you going to try to save money? Yeah, right, then you have to know how much you’re spending. Right? You have to know what your basal metabolic rate is. 

Dr. Judson Brandeis: If you don’t know what your true BMR is not like computed off the computer, but a true one because it varies tremendously with how much muscle like I’ve put on three pounds of new muscle over the past six months, right and my BMR went up 4045 points. Right, and I pretty much look the same. So you have to know what your BMR is.

Dr. Judson Brandeis: Then the other thing is and it’s amazing how many people go through these fancy weight loss programs where they give you like little doggie bags of food every day. They don’t know that one pound of human fat is 3500 calories. Like, if anyone that’s training people or teaching people to lose weight if your client doesn’t know those three simple facts, you failed, you really have, you know, that’s just the basics.

Steve Washuta: Yeah, that’s great information. There’s a lot of people who are so dyed in the wool one team, whether it’s keto, or it’s, it’s the opposite of keto, or it’s a carnivore, whatever it is, is typically as long as you stick to a diet, and you understand like you talked about, there are calories in calories out the law of thermodynamics, right, the energy and energy out we need to take into this account, you can be on the path to losing weight. I’ll also add in there, I think people will underestimate two things. 

Number one, sleep and stress when my clients struggle, a lot of times, you know, they’re not sleeping or they’re super stressed in other areas, which causes certain things. Again, I’m not a registered dietician, I don’t write out diets. But as somebody who has to help them in the weight loss journey, as a personal trainer, I have to, I have to ask those questions.

Then the other one is that people lie to themselves and they don’t actually write down all the things. They go, Yeah, this is what I ate Monday through Friday. But on Saturday, I had six whiskies and from four slices of pizza, I’m like, Okay, well, you didn’t write that down. Like you can’t, like Saturday matters, too.

Dr. Judson Brandeis: So we want to so that brings me to alcohol, right? You know, I used to drink I don’t drink anymore. I never had a drinking problem. But I know three things about alcohol. Really, actually four things. So the first thing really is, that it’s totally ingrained in American society. Right. When you’re young, you drink beer, you go to the game, you drink beer, then you get older, you drink wine, you know, it’s like, you’re, you’re classy, and everyone thinks, oh, red wine, you know, you extend your life. Look at the fringe people in the Blue Zones and all that crap. 

Dr. Judson Brandeis: Then, you know, as you get older, you know, it’s cool to drink whiskey or scotch or whatever. Okay. So that’s fact number one. Fact number two is, Alcohol is a depressant. Right? That’s the class of drug alcohol is a drug. The drug is the drug of class. It’s in is depressant, right? it depresses your mood, it depresses your energy, seven calories per gram, as well. Yeah, well, I’ll get there. Okay. 

Dr. Judson Brandeis: The third thing is it dis inhibits you. Right? Most of the stupid things that humans do are done under the influence of alcohol. I was having this discussion about it with one of my patients. He just looked at me and tears started running down his face. Then I looked at his face, and he had this giant scar.

Dr. Judson Brandeis: All across the face. He was African American, uh, you know, it wasn’t fully obvious until, you know, tears started trickling over it and I could see, I was like, yeah, man, you know, I mean, driving while drunk, spousal abuse, you know, stupid financial decisions, hooking up with the wrong girl, whatever, or hooking up with the wrong guy. 

Dr. Judson Brandeis: The stupidest decisions we make are made under the influence of alcohol. I, I’d love to debate anyone on that. Okay. Then the last thing, as you said, is it’s empty calories. It’s calories. But not only is it calories, but it’s also empty calories, you can take a bottle of vodka, light it on, on fire, throw it at a tank in Ukraine, and blow something up, right? It’s just pure energy with no nutritional value. I had a patient who was trying to convince to lose 25 pounds, and he was drinking two glasses of wine every night. 

Dr. Judson Brandeis: I said, let’s do some math. Right? So said, let’s figure out how many calories are in a glass of wine. So when on the internet, how many calories are the glass of wine? 140 calories? Okay? Take that, multiply it times two. So that’s 280. Multiply that times 365 divided by 3500. Guess what? That’s 28 pounds.

Dr. Judson Brandeis: So I said, Listen, if you stop drinking two glasses of wine every night for the rest of the year, first of all, you have a lot more money in your pocket. Second of all, you’ll have lost 28 pounds if you don’t replace that with anything. He just looked at me like, like, you know, I just split the atom or something like that. But it’s it’s simple math.

Steven Washuta: You know, they’ve also done these studies where you basically can’t get into REM sleep, when you’ve had too much to drink, right? So then you’re not sleeping well. You’re not sleeping well. Your body’s tired when your body’s tired. energies are energy and calories are synonymous right nutrition world so your body thinks, oh, I need some dense foods because I’m tired. So then you wake up. 

That’s why when you’re hungover people go I need like a bacon egg and cheese on a bagel. It’s like okay because your body thinks you’re tired because you never hit Run sleep and there’s just sort of a snowball effect of negative things.

Dr. Judson Brandeis: Yeah, absolutely. Or, you know, when I was in college, and we’d go out drinking. Taco maker was the only thing that was open at one o’clock in the morn. mean? Yeah. So you know you, not only you drinking extra alcohol, but then all of a sudden you’re hitting the taco truck at two o’clock in the morning. The other thing is, you know, I’m not an expert at sleep either. But Dr. Mike Murphy from Stanford is an expert in sleep. His chapter is fantastic in the 21st century, man. 

Dr. Judson Brandeis: But that’s when you do your psychological repair, your emotional repair, you know, that’s what dreaming is all about. That’s where you do your physical repair. Right? So if you’re injured, or, you know, that’s the other thing that that’s why I do this three-day cycle. Right? I play basketball with my son for 30 minutes. On Saturday, and then the next day, he’s like, Dad, that was so fun. Let’s do it again. 

Dr. Judson Brandeis: I can barely get out of bed, right? At after the age of 50, you need two or three days to recover. Right? Because when you’re working out, most people don’t really know this or don’t, it never really occurred to them, that when you’re working out, you’re not building muscle, you’re tearing muscle down. 

Dr. Judson Brandeis: Yeah, if you don’t give that muscle a chance to recover and rebuild, and adapt, then you won’t build muscle, you’ll just keep tearing it down carrying a diary. Every time it goes to rebuild, you’re carrying it down. Why I think I’ve one of the reasons I’ve been so successful with my patients over 60 building muscles because I give them a program and I don’t tell them what to do. You know, I’m not a personal trainer, you guys know, a ton more about this kind of stuff that I do. 

Dr. Judson Brandeis: I just know how to create guidelines. For example, I don’t give anyone a diet, I say high protein, low carbs, high micronutrients, high fiber, healthy fats, and I give them a handout, you know, a nice color handout with all those things. It’s up to you to eat what you want to eat, you want to meet what you want to eat, not meat, vegan, Paleo, keto, whatever. That’s, that’s not my thing. You know, someone came up to me the other day, and they’re like, is buffalo meat better than beef? I have no idea. Right? I’m the last guy you want to ask.

Steve Washuta: Yeah, well, you know, just to add to what we were talking about before, I think a big portion of that is sort of this macro concept that you keep hitting on is that we can’t train the same or eat the same or do the same things in our 50s and 60s, as we did in our 20s. In your 20s. You don’t need to rest as much, the body recovers quicker. Rest is still important, but you don’t need to rest as much. 

Different when you’re in your 50s and 60s. We need to have that sort of ingrained into our head that we’re not training like we were in our 20s and 30s anymore. This is a whole new game. We have to implement both the food and the exercise choices and the rest choices and all of these other things. Like it’s a totally different sport for lack of a better term.

Dr. Judson Brandeis: Yeah. Now there are two supplements that I recommend in people over 51 is one that I produced called to affirm, which is a nitric oxide booster. Right? So nitric oxide, when I was at UCLA, my professors won the Nobel Prize for discovering how nitric oxide works and its importance in improving circulation. It’s really a, it’s there. There are 1000s and 1000s of articles written on the benefits of nitric oxide. 

Dr. Judson Brandeis: What nitric oxide does, is it’s released from nerves onto blood vessels and helps blood vessels open so it improves circulation. It naturally decreases blood pressure. You know, my blood pressure this year at my primary care doctor’s office was 10 points lower than it usually is because I take four affirm tablets a day, right so my circulatory system is naturally more open, more pliable. My heart doesn’t have to work as hard. Okay, and it improves circulation to the brain. A lot of elite endurance athletes boost nitric oxide. 

Dr. Judson Brandeis: Before and during and after workouts. It improves circulation to the penis, which is why, you know, I’m a sexual medicine expert. It’s essential it works synergistically with PDE five inhibitors like Viagra and Cialis. It’s excellent even for COVID. You know, they were using inhaled nitric oxide to treat COVID patients early on with great success because COVID is a vasculitis that destroys the endothelial of blood vessels. So nitric oxide boosters, especially after the age of 50, have a massive number of benefits and really zero side effects. 

Dr. Judson Brandeis: The other thing that I put people on when they’re trying to build muscle and they’re exercising is creatine, right? Creatine monohydrate, the cheapest creatine out there is all you need. You only need 2345 grams if you’re younger, two or three grams if you’re older, right and what that does is it helps restore ATP. So ATP is adenosine triphosphate it holds the phosphates in orbit using energy. When you’re burning energy that mitochondria make ATP when you’re burning energy, it releases says a phosphate, that energy that it used to hold the phosphate gets used by your body, right? 

Dr. Judson Brandeis: Then, but now you have an ADP and a phosphate kind of floating out there, and creatine is what grabs onto the phosphate and puts it back on the ADP to make ATP because your body recycles everything. So, you know, there’s like a million, not a million, but you know, 1000s of articles on creatine, there’s very little negative side effects from that. If you’re trying to build muscle, and you’re trying to maintain energy, and guess what uses 20 to 50% of energy at any given time in your body, your brain, right, so not only to help workouts but it’s been shown to improve brain function.

Steve Washuta: Yeah, and creatine is very cheap. As you said, it’s been well studied, there haven’t been a lot of negative side effects. In addition, when you’re building muscle, a lot of times you do have to sort of work out in those higher weight lower rep ranges. When you do that you are using that phosphate system, right? So it’s not like running a marathon where we’re sort of an anaerobic, this is where this kind of four to 12-second push, where we need that extra rep in that heavyweight, that’s where we’re using that system. 

That’s why it’s important to have that creatine because that extra rep matters when we’re building muscle and sort of pushing our muscles past that line of what they’re supposed to do. So we tear them down. Then we rest like Dr. Brandeis says, and we eat properly, and we build them back up.

Dr. Judson Brandeis: Yeah, you know, the one other sort of secret weapon that I have is this thing called emsculpt. I don’t know if you’ve ever tried emsculpt before, but it’s like remembering rocky to where he fought Dolph Lundgren. Drago,

Steve Washuta: I think that’s Rocky IV but yeah,

Dr. Judson Brandeis: maybe it’s Rocky V.

Steve Washuta: Yeah, you’re and he’s hooked up to the draft?

Dr. Judson Brandeis: Yeah, so like Rocky is, you know, in the woods with the carrying rocks and carrying logs and running through the snow. Drago is like, hooked up to all these monitors and stuff like that. So this is straight out of rocky four. Yeah, right. So it uses high-intensity focused electromagnetic waves. So it creates an electrical field. 

Dr. Judson Brandeis: So think of it like a 10s unit, right? So a 10s unit uses direct current. So direct current, if you remember from your like, your high school physics class is kind of like a racetrack. It takes the path of least resistance. So you can’t really build muscle that well with the 10s unit. Because it doesn’t go deep into the muscle and it goes through the skin where it creates heat. 

Dr. Judson Brandeis: So what these folks at BTL did has they created a machine that uses electromagnetic fields, to contract muscle. Wow. So, you know, you watch the Oscars last night, anyone with six-pack abs was using emsculpt. Right, a lot of professional athletes now are starting to use emsculpt, I have a bunch of 40 Niners that come to the office, I talked to the head trainer for the Philadelphia Eagles a couple of months ago. This is really remarkable technology. In my, in my experience, and I’m doing some studies on my office to prove this. It builds muscle 10 to 15 times faster than you can build it in the gym.

Steve Washuta: Are you doing any work whatsoever? Or much like

Dr. Judson Brandeis: you’re just lying down?

Steve Washuta: Just lying down? Yeah,

Dr. Judson Brandeis: I mean, if you go to my YouTube channel, which is Brandeis MD, I have a bunch of videos of myself doing emsculpt, I have a 25-minute video that explains really the science behind it, I have a video with some of the 40 Niners using it. You know, these guys are remarkable, in remarkable physical condition, and they’re not using emsculpt to get into physical condition. 

Dr. Judson Brandeis: But you know, if you’re six foot two with 120 pounds of muscle, and you’re competing against guys that are six foot two with 120 pounds of muscle, you know, every last little bit helps, you know, to win Super Bowls and stuff like that, you know, you’re looking for that, that tiny little bit of extra help.

Steve Washuta: Sure. You know, I’d love to wrap this up with how your book wraps up talking about relationships. We already talked about that a little bit. But if there’s anything else you want to say whether it is the four temperaments, or why it’s so important to understand the relationships because I do feel like there might be this is just me playing devil’s advocate, but sort of a philosophical side that says, Well, why would I want to go on testosterone?

 Or why would I want to try to be different than what I am isn’t it like evolution, like purposely making me become less aggressive and less sexual, and desirable, and shouldn’t I just sort of go into old age that way, but talk about why you believe that’s maybe not the case and why understanding relationships will get you to still avoid that. But also being physically capable to do what you want to do day to day.

Dr. Judson Brandeis: Yeah, so you know, first of all, evolution has made it so that we would get eaten by tigers at the age of 35. So you know, We live a whole lot longer than we used to. There’s something called lifespan and there’s something called healthspan. So lifespan is how long you live healthspan is how long you live well how long you’re healthy. 

Dr. Judson Brandeis: Really what I’m focused on with my patients is, what is their best health span? How can I help them live? Well, like good happy lives into old age, and then, you know, relationships. You could be, you know, in great shape, you know, have all the money in the world. eating right, and working out and whatever. But if you come home and your wife’s pissed off at you, you’re not going to have a good day, and you’re not gonna have a good night. 

Dr. Judson Brandeis: So there are amazing chapters written by Brett Beaver, who’s a family therapist on different types of therapy, and reasons to go into therapy. How to listen better. There’s a great chapter written by a divorce attorney on how to avoid divorce. There are chapters on depression, and anxiety, there’s a great chapter on work-life balance, written by Robert Bonfiglio, who’s the president of the California Psychological Association, and there are chapters on vitality. 

Dr. Judson Brandeis: So, you know, even if you have the physical plant altogether, and even if you’re a smart guy, you still have to master the EQ the emotional aspect, and the relationship aspect of life if you want to be truly happy. You know, it’s something, there’s something in the book. I mean, there’s not just one thing, and there are tons of things in the book that every man struggles with, you know, the book isn’t meant to be read cover to cover, I would suggest that you read the 21st-century man, read the introduction, read the first chapter, go through the table of contents and find things that interest you that are relevant to you that pique your interest. 

Dr. Judson Brandeis: The last bit of the book is a chapter on inspiration written by Bart Bryan Ben Miller, who’s the national news correspondent chapter on gratitude Written by Bernie Churchill, who is my favorite surgical professor, and a chapter on leaving a legacy written by my business advisor, Larry via naughty so you know, inspiration, gratitude, and legacy should all be things that we have at the end of life.

Steve Washuta: Yeah, that’s a great point too that there’s probably something going on in that book that is relevant now. But what I will say is, there’s going to be something relevant later to, it’s a book you can go back to, right, because as we age, and as our relationships change, and as our bodies change, those things are going to be inevitably coming up, 

whether it’s you having a prostate issue, whether it’s you having sleep issues, whatever that is, and it’s a good book to say, Okay, I remember this was a chapter in here, let me go back and see what the experts said to make sure that this is all want. Well, awesome, let’s let everyone know, where can we find this book and find more about you, your website? What’s the easiest way to get the book?

Dr. Judson Brandeis: Sure. So if you go to the 21st century, man, all written out in letters 21st-century man.com. That’s where the book is, you can read the bios for the authors, you can read some sample chapters, and you can download, the things that you need to know to make the most of your doctor’s visit. We have an e-book, we have a hardcover book, and we’re very soon going to be having an audiobook. 

Dr. Judson Brandeis: Then if you’re interested in me just go to Brandeis MD, b, r a n d i s md.com, brand as md.com, and learn about all the things we do at Brandeis MD, and then my supplement company is affirmed science, a FF IRM science.com. Then I post almost all of my I do a lot of physician teaching and a lot of patient lecturing. I post all that stuff on my YouTube channel, which is Brandeis.

Steve Washuta: I will put all the links in the description. My guest today has been Dr. Brandeis. Thanks for joining The Trulyfit Podcast.

Dr. Judson Brandeis: Thank you so much. It’s really been a pleasure.

Steve Washuta: Thanks for joining us on the Trulyfit podcast. Please subscribe, rate, and review on your listening platform. Feel free to email us as we’d love to hear from you.

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