March 10, 2025 • 22 mins
Dr. Jake and PA-C Jenni Berman take on the corporate medical system that values profit over patient outcomes in this eye-opening episode. They boldly state that pharmaceutical companies and insurance providers often prioritize "client retention over curation" — a disturbing reality when you realize "if we cure a patient, that's a customer lost."
Through personal stories about their three children's health challenges, the Bermans demonstrate how even medical professionals can find themselves giving their eight-week-old multiple medications before recognizing the cascade of problems this creates. Walker's reflux medication led to severe constipation, while their daughter Vera's painful constipation resolved simply with proper hydration rather than the recommended daily Miralax. These experiences perfectly illustrate their philosophy: treat the problem, not the symptom.
The episode also tackles common questions about protein powder versus collagen supplements and the truth about PRP (Platelet-Rich Plasma) treatments. While collagen offers tremendous benefits for hair, skin, joints, and more, it shouldn't constitute more than 20% of your daily protein intake. And despite the popularity and high cost of PRP injections for joint problems, the Bermans explain why they rarely work without addressing the underlying biomechanical issues — with one remarkable exception that's producing "night and day" results for knee replacement patients.
If you're tired of band-aid solutions that create more problems than they solve, subscribe to the Berman Method podcast. Visit bermanpt.com or bermanpt.com/wellness for more information and free resources to begin your journey toward true healing rather than symptom management.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
This is the Berman Method podcast, featuring Dr
Jake Berman and physicianassistant Jenny Berman.
We are here to treat problemsand not symptoms.
Disclaimer this podcast is forentertainment purposes only and
not to treat anyone or to givemedical advice.
If you are interested in anyinformation that we are giving
(00:21):
and would like to use this foryourself, we recommend that you
contact your primary carephysician or reach out to us and
ask us questions about yourselfspecifically.
Enjoy.
Speaker 2 (00:34):
Here we go with the Berman Method Podcast.
Dr Jake Berman here with mybeautiful co-host, jenny Berman,
physician assistant with mybeautiful co-host, Jenny Berman,
physician assistant WithoutWalker this morning.
He's downstairs snoozing and wedidn't want to risk waking the
baby.
Speaker 1 (00:51):
He's just taking a little nap.
We can still be there in a hop,a skip and a jump if he cries.
Speaker 2 (00:57):
He is cracking me up.
These past couple of days hewent from no facial expressions
to every once in a while youmight get a half a smile, to now
he is the smiling baby smilestbaby I've ever seen.
Speaker 1 (01:12):
We kept hearing yesterday he smiles with his
whole face, like his wholeentire face smiles.
When he smiles, it's really,it's really cute.
Yeah, he is.
He's becoming more of a happy,happy baby.
Yes, and it's really cute.
Yeah, he is.
He's becoming more of a happy,happy baby yes, and it's been a
lot of fun.
He's getting a littlepersonality on him now he's
(01:33):
rolling from his tummy to hisback consistently yeah, a lot of
rolling going on.
Speaker 2 (01:38):
Took him offshore for his first trip offshore what,
what?
Speaker 1 (01:41):
40 miles out offshore ?
Yep, took him 40 miles offshoreout of 40 miles out offshore.
Speaker 2 (01:45):
Yep Took them 40 miles offshore, out of the East
Coast, out of Port Canaveral,and the weatherman lied it was
not three-foot seas withsix-foot intervals.
Any of you fishermen out thereknow that that's a pretty doable
.
Speaker 1 (02:00):
Six-second intervals.
Six-second, yeah.
Speaker 2 (02:02):
Three-foot seas with six-second intervals, that's a
pretty doable fishing condition,especially we're on a 42 foot
yellowfin, so it's not likewe're on a small boat.
We get halfway out there andthe wind was not coming out of
the direction it was supposed toand it was fighting the Gulf
Stream and it got snotty fast.
Speaker 1 (02:21):
It was wet, a lot of water in the boat, windy rough.
Speaker 2 (02:28):
Yeah.
Speaker 1 (02:29):
Maybe five to seven foot waves.
Speaker 2 (02:33):
That's what I like to exaggerate.
I don't know that it was quiteseven.
It was every bit of five though.
Speaker 1 (02:39):
Every bit of five for sure.
Speaker 2 (02:40):
Every bit of five.
Speaker 1 (02:42):
And it was like a washing machine.
The waves weren't all going inthe same direction, they were
smashing into each other, whichis, I think, why we were so wet.
Speaker 2 (02:52):
It wasn't a washing machine, it was just the wind
and the waves were fighting eachother.
So the waves were going onedirection, the wind was going
the other, which made it very,very wet.
Speaker 1 (03:01):
Yes.
Speaker 2 (03:02):
Anyways, he survived his first trip offshore.
He didn't quite beat his oldersister, the middle one, vera.
We had her 60 miles offshore atsix weeks old.
So Walker was 12 weeks.
12 weeks at 40 miles, yeah, buteither neither here nor there
he's been Christian.
Speaker 1 (03:22):
And on one of the toughest days at sea.
So it's just gonna be a breezefrom here on out yeah, the rest
are gonna be easy from here onout needless to say, we took
quite a long nap, him and I onthe boat, lying supine, waited
for the seas to calm down alittle bit so it was good and we
caught a fish we didn't getskunked.
Speaker 2 (03:43):
We did not get skunked, so shout out to our
captain john, thanks for notallowing us to get skunked
that's right, that's right sohere we are.
We are david, going againstgoliath, going goliath being the
corporate medical system,health insurances,
pharmaceutical companies.
They don't have your bestinterests in minds.
They are choosing profits overpatient outcomes every single
(04:05):
time.
It's a business, you have togenerate profit and you have to
fill the pockets of yourinvestors.
And it's a shame because we'retalking about the lives of
Americans, the lives of yourfamily members, your friends,
and they're choosing patientlongevity or client retention
(04:27):
over curation.
How are we going to retain thisclient?
Well, we can't cure them.
If we cure a patient, that's acustomer lost.
I mean, think about that,really think about that.
There's some deep things goingon here.
If you literally cure somebodyof their chronic condition
versus saying you have tochronically take this medication
(04:50):
for the rest of your life, youlose a customer Right.
Speaker 1 (04:55):
We actually just went through this on a personal
basis.
You know we're very much let'streat the problem and not just
the symptom.
However, all three of ourchildren have had awful reflux
when they're born and I I creditcredit is probably not the
right word I put a lot of thattowards the fact that they were
(05:15):
all C-section babies.
C-section babies naturallydon't have the best gut
microbiome because they don't gothrough the vaginal vault of
the mother so naturally theirmicrobiomes take a little bit
longer to develop and tonormalize.
So all three of our babies hadhorrible, horrible reflux and we
did medicate them because itwas medicate them and make us
(05:37):
all a little happier or make usall crazy by just listening to
them cry, considering I amalready 1000% gluten-free,
dairy-free in my diet.
So they were already on a verynaturally anti-inflammatory diet
through my breast milk, withbeing totally gluten-free,
dairy-free.
So we did start them onmedication and we just went
through this with Walker wherehe ended up.
(05:59):
He was on famotidine, which isan H2 blocker for his reflux and
maybe a month into taking themedicine got severely
constipated, to the point thatwe were having to give him a
suppository every seven to 10days because he wasn't having a
bowel movement at all in 10 days.
And so finally, I said you knowwhat?
(06:20):
We got to do somethingdifferent, and I truly felt that
the constipation was a resultof taking this H2 blocker.
So here we are treating hisreflux with a medication and now
I'm having to give him anothermedication to help with his
constipation until we just saidyou know what?
We're going to stop it.
We're going to wean him off ofit and make some transitions.
(06:43):
If I have to give up egg,peanut and soy for the next
couple months to get his refluxunder control, it's what we have
to do, but thankfully I didn'thave to.
His reflux has been much better.
Speaker 2 (06:54):
Yeah, and we're talking eight weeks old.
We've already got aneight-week-old human being baby
on two pharmaceuticalmedications.
Like this is nuts, and we don'teven think about it because
it's just three milliliters ofthis medication, or what was it.
Speaker 1 (07:11):
Yeah, 0.25.
Speaker 2 (07:14):
Yeah not even a whole milliliteriliter, 0.25
milliliters of this little tinypharmaceutical medication that
was made up in a chemistry labsomewhere right you just have to
give it to him every day twicea day.
Twice a day oh yeah, six weekslater he's not pooping for 10
days.
So now take this otherchemically composed medication
(07:34):
and stick it up his ass.
It's like are you freaking,kidding me?
Right, right.
And then how long does that goif you don't know what the
problem is?
How long do people justcontinue doing that Because they
don't know any better?
Their doctor doesn't know anybetter.
Speaker 1 (07:50):
Well, there's tons of kids that we've seen and helped
families with who have chronicconstipation and their doctor
just tells them oh it's fine,Just use Miralax every day, it's
no big deal, Just use Miralax.
We went through that with Vera.
She was constipated before wepotty trained her and they were
just recommending to use Miralax.
I'm like no, there's somethinghere.
(08:11):
Again, she's totallygluten-free, dairy-free.
But a lot of times for kids theconstipation is coming from a
dairy sensitivity, an eggsensitivity, a nut sensitivity
of some kind Doesn't meanthey're allergic, but actually
sensitivity causing thisconstipation, or just simply
they're not drinking enoughwater.
Speaker 2 (08:30):
Which was Vera's case .
As soon as you started puttinga little bit of flavoring, a
little electrolytes, into thewater, she started chugging
water and the craziest thingresulted.
Speaker 1 (08:42):
She was no longer constipated.
No longer constipated.
Speaker 2 (08:45):
Believe you and me, she is the opposite of
constipated.
Speaker 1 (08:49):
But not diarrhea.
She just is very normal now.
I mean a couple, one or two aday, very normal, like pretty
bowel movements.
It's kind of weird to say aboutsomebody, but it just came down
to she needed a little bit ofelectrolytes and she
significantly increased theamount of water that she was
(09:09):
drinking with utilizing thisvery clean product and this is a
two-year-old that drinks morewater a day than most adults.
Speaker 2 (09:18):
Correct, yes, and she's got the best bowel
movements ever.
Now she's happy.
Yeah, think about that one.
She used to scream, literallyscream and cry when she had to
go poop, and she wouldn't do it.
She would stand and just clenchher butt, cheeks together and
just scream and cry.
There was nothing we could doto make her feel better or stop
(09:41):
crying.
She hated it.
It was excruciating to her.
Speaker 1 (09:44):
Right right.
Speaker 2 (09:45):
And we battled this for how many weeks before we
said, okay, something's got tochange.
Speaker 1 (09:50):
Right, yeah, yeah, for sure.
And of course I'm like, do Ireally give her Miralax?
Like it just seems so crazy attwo years old.
There has to be something elsethat's going on.
And again I went down therabbit hole with her, like
should I be cutting out peanutor almond or egg?
And I was like you know what?
Let's just increase a littlefluid, just like I tell my
patients if you're constipated,you're probably not drinking
(10:12):
enough, you probably have anelectrolyte imbalance, You're
probably low in magnesium, andthat's the route we went.
Speaker 2 (10:19):
Orcham's razor.
When you're trying to solve aproblem, always start off with
the simplest solution first, andmost of the time that is the
right one.
Speaker 1 (10:27):
Right, right.
Speaker 2 (10:28):
Let's just give Vera a little more water and see what
happens.
Speaker 1 (10:31):
That was it.
So we wanted to really get intoday on the podcast.
We put up on our social mediaabout asking topics for the
podcast, getting topicsuggestions for the podcast.
I didn't know that we weregoing to talk for 15 minutes to
get started, so we have severalquestions that came through.
(10:51):
We had planned to go over threeof them today and then do some
more next week.
However, we may not have timefor all three now, but the first
one we're going to start outwith is talking about the
difference between proteinpowder and collagen powder.
That was a question that I goton my somebody asked.
So there's several differenttypes of protein powders.
(11:13):
There's good ones, there'shorrible ones and then there's
some in the middle, of course,but we typically will have our
pea protein options, which is aplant-based protein option.
There's hemp protein.
There's whey and casein protein.
There's bone broth protein, eggwhite protein, collagen protein
(11:35):
.
So there's tons of differentprotein powder options out there
and majority of them arecomplete sources of protein,
meaning they give you all theessential amino acids nine
essential amino acids and wouldbe classified as a complete
protein that can be a mealreplacement, and this is going
(11:55):
to be your pea protein, the eggwhite protein, the bone broth
protein, whey and caseinproteins.
The hemp protein would not beconsidered a complete source of
protein, though it is morecomplete than collagen powder.
So collagen powder is not acomplete source of protein but
is a great added source ofprotein.
(12:17):
Collagen is so important for thehair, the skin, the nails, the
eyesight, the brain, our joints.
It's really, really animportant product that we should
be getting.
But it is not a complete sourceof protein, meaning it cannot
be used as your sole source ofprotein in your day or as a meal
replacement.
It's going to be more of anadded source as a snack or
(12:42):
something to boost up the totalcontent of your protein at your
meals.
So, for instance, we'll haveclients who will put collagen
powder in their coffee or intheir tea in the morning to
supplement the protein thatthey're also getting at their
breakfast or sometimesmid-morning.
If I don't have time to stopand eat a snack at work because
(13:02):
I'm back-to-back with clients, Iwill simply put some collagen
powder into my coffeemid-morning or into the Rye's
mushroom coffee as mymid-morning snack, because the
collagen is providing someprotein.
But I know I'm getting morefull, whole sources of protein
at breakfast, lunch and dinner.
Speaker 2 (13:22):
Okay, so why would I consume it if it's not a
complete source of protein?
Speaker 1 (13:29):
It's an easy added source of protein.
Many times collagen powder isunflavored, although they do
make flavored ones.
But the unflavored is nicebecause it's not changing the
taste of your water or yourcoffee.
And again you're getting thatextra boost, that extra 10 or 20
grams of protein to add to yourmeals or snacks.
And again, like we said, thebenefits of collagen helping the
(13:50):
hair, skin, nails, joints,brain.
It's really a beneficial sourcethat the body needs.
Speaker 2 (13:59):
Okay.
So if we do a simple math, justfor simplicity's sake, we
consume 100 grams of protein aday.
What is the maximum amount thatshould be collagen.
Speaker 1 (14:12):
I would say 20% or less should be collagen.
Speaker 2 (14:15):
Okay.
Is okay not should be.
Is okay to be collagen?
Speaker 1 (14:19):
Yeah, 20% or less is okay to be collagen.
I would not count on more than20% of your total daily protein
intake to be collagen-based.
So again, the other 80% of yourprotein needs to come from
whole sources.
It doesn't mean that has to beanimal-based, but it should come
from whole food-based sources.
Speaker 2 (14:37):
So not protein bars, not protein shakes, actual food
that you're ingesting.
Speaker 1 (14:42):
Well, yeah, I think it's okay to have a whole source
of protein powder on anotheroccasion.
So, for instance, if you did aprotein shake for breakfast with
whole food protein, so that'sgoing to be your pea protein,
your whey as a snack, and thendoing whole foods so not
(15:08):
packaged, not protein powders atyour lunch, your afternoon
snack and your dinner, I thinkwould be fine.
Speaker 2 (15:14):
Okay, got it.
Speaker 1 (15:16):
And, by the way, with collagen powder, there is
marine-based collagen, which iscoming from fish, and then
there's bovine-based collagen,which obviously is animal-based
protein, vine-based collagen,which obviously is animal-based
protein.
Well, they both are, but one isbeef, one is fish and neither
one are complete sources ofprotein.
So it doesn't really matterwhich one you used.
Okay, good, depends on yourpreference.
(15:37):
So second question was askingabout PRP.
Speaker 2 (15:43):
Ooh, prp, I love this .
So let me just be explicitlyclear.
I have no research, no officialresearch at all whatsoever with
what I'm about to say.
This is 100% from theexperiences that I've seen
personally in my office.
(16:04):
This is not research-based.
This is not what you're goingto find on the internet.
This is not what you're goingto find on the internet.
This is not what you're goingto hear from your damn sure.
Not words You're going to hearfrom your doctors or your
orthopedic surgeons.
This is solely what I'veexperienced in my clinic for the
past 10 years.
Prp is so popular right nowbecause it's being promoted as
(16:26):
this thing that can go in thereand heal the tissue.
Speaker 1 (16:29):
So let's back up real quick.
Prp is platelet-rich plasma.
Speaker 2 (16:34):
Right.
Speaker 1 (16:35):
So it stands for platelet-rich plasma, so maybe
explain what it is for peoplewho don't know.
Speaker 2 (16:41):
They essentially just draw out some blood, spin it
down so that you can separatethe platelets Right just draw
out some blood, spin it down sothat you can separate the
platelets Right, and then you'regiving a bigger dose or a
concentrated dose of plateletsto an area, because platelets is
where you're going to gethealing, healing Right.
So that's the fifth gradereading level of how to describe
that.
It just, it's a way to, intheory, have a concentrated dose
(17:06):
of platelets to an area whichis, in theory, is supposed to
help that area heal.
Now here's the thing thathappens you go and you get a PRP
injection into your shoulderand you think that that's going
to solve your shoulder pain andyou don't do anything else about
it.
99% of the time it does nothing.
(17:28):
The patient reports nosignificant input or no
significant fix.
Maybe a couple of weeks it felta little bit better, but then
three months later you're justas bad or even worse than you
were to begin with.
Same thing for the knee, samething for the ankle, same thing
for anything.
If you just get a PRP injectionand think that you're solving
(17:49):
the problem, that's not going towork.
There's a reason why these softtissues in your shoulder are
damaged to begin with.
There's a reason why the softtissues in the knee are damaged
to begin with.
If you don't do the things tofix the reason why it happened
to begin with unloading thejoint and making it more
(18:11):
efficient with the musclessurrounding the joint the PRP is
a waste of time and money.
You might as well just drivedown the road, roll down the
window and throw five grand outthe window.
Because it's not cheap either.
It's not covered by insurance.
This is a cash-based thing andthere's really no scientific.
(18:35):
I shouldn't say that.
Let me back up Clinically.
I've not seen anythingclinically that says that
there's a significant differencein people who only get PRP
versus people that don't.
Speaker 1 (18:43):
Right and, like you said, it's not a cheap thing to
do but it's also not verycomfortable to have done
initially when they're actuallydoing the procedure.
It's not super comfortableeither, but it may provide kind
of like a steroidal effect.
It's not a steroid but it mayprovide you that couple of days
(19:03):
or weeks of decreasedinflammation as it's promoting
some initial healing to thetissues into the area.
But it's not a long-term effectif we're not actually fixing
the problem of why we had theinflammation in that joint in
the first place.
Speaker 2 (19:19):
Exactly Now.
With all of that said, let mego out and say something that
has that I have been noticingwith significant positive
effects over the past six months, maybe even a year now, is if
you're having a knee replacementand you have the knee
(19:39):
replacement done and before theysew you up, they go in there
and they inject you with the PRP, and some people, some surgeons
, are even doing stem cells too.
Those people are recoveringnight and day quicker than those
that are not getting the PRPinjections, those that are not
getting the stem cell injections.
So this is a perfect example ofwhere they're creating a trauma
(20:02):
.
They're going in there andthey're doing construction.
They're sawing bones off,they're ramming rods up your
femur and your tibia, down thetibia, and there's actual trauma
that's occurring right there.
So you take this PRP, theseconcentrated dose of platelets,
and you drop it right where theinsult is, the injury is.
(20:26):
There is significant resultsfrom that, where I've got many,
many clients over the past sixmonths saying they've had zero
pain immediately after having aknee replacement.
And that is unheard of,absolutely unheard of.
Usually the first week is theworst week, but now people are
getting up and they're walkingaround within days and just
(20:48):
saying, yeah, it's a littletight, maybe a little
uncomfortable, but I wouldn'tcall it pain.
So that's what I am bullish onis, if you have to have a knee
replacement, make sure you finda surgeon that is going to do
PRP injections, that would evenconsider doing stem cell
injections too, because it isnight and day what I'm seeing
(21:08):
with that particular case.
Speaker 1 (21:10):
Perfect.
I think that answered thequestion of would you recommend
it or not?
Do we have time for one more orshould we save the next one?
Speaker 2 (21:18):
Let's save it.
We're over 20 minutes now, Okayperfect.
Speaker 1 (21:21):
So that means next week.
We have a couple more questionsthat we want to get through.
But again, if you see us onsocial media and you have a
specific question that you'dlike us to answer, even if we
don't put up a question boxasking for your request, let us
know.
Speaker 2 (21:35):
Yes, love it.
Like and subscribe.
Share this episode withsomebody else that needs to hear
it.
We appreciate you guys.
Love the feedback that we'regetting and ciao for now, love
the feedback that we're getting.
Speaker 1 (21:45):
And ciao for now.
Thank you for subscribing onyour social media and podcast
platforms to the Berman MethodDr Jake Berman with Berman
Physical Therapy and JennyBerman, physician Assistant,
with Berman Health and Wellness.
You can find more informationon our website wwwbermanptcom
(22:06):
for physical therapy.
Wwwbermanptcom forward slashwellness for the health and
wellness.
You can also find us on socialmedia Facebook, instagram and on
your podcast platform, so besure to follow us, like us,
subscribe to us and, if youwould like any further
information, definitely visitour website and reach out to us.
(22:26):
You may also find our freereports on the websites as well,
where you can download thisfree information for yourself.
Have a great day.
This is the Berman Method podcast, featuring Dr
Jake Berman and physicianassistant Jenny Berman.
We are here to treat problemsand not symptoms.
Disclaimer this podcast is forentertainment purposes only and
not to treat anyone or to givemedical advice.
If you are interested in anyinformation that we are giving
(00:21):
and would like to use this foryourself, we recommend that you
contact your primary carephysician or reach out to us and
ask us questions about yourselfspecifically.
Enjoy.
Speaker 2 (00:34):
Here we go with the Berman Method Podcast.
Dr Jake Berman here with mybeautiful co-host, jenny Berman,
physician assistant with mybeautiful co-host, Jenny Berman,
physician assistant WithoutWalker this morning.
He's downstairs snoozing and wedidn't want to risk waking the
baby.
Speaker 1 (00:51):
He's just taking a little nap.
We can still be there in a hop,a skip and a jump if he cries.
Speaker 2 (00:57):
He is cracking me up.
These past couple of days hewent from no facial expressions
to every once in a while youmight get a half a smile, to now
he is the smiling baby smilestbaby I've ever seen.
Speaker 1 (01:12):
We kept hearing yesterday he smiles with his
whole face, like his wholeentire face smiles.
When he smiles, it's really,it's really cute.
Yeah, he is.
He's becoming more of a happy,happy baby.
Yes, and it's really cute.
Yeah, he is.
He's becoming more of a happy,happy baby yes, and it's been a
lot of fun.
He's getting a littlepersonality on him now he's
(01:33):
rolling from his tummy to hisback consistently yeah, a lot of
rolling going on.
Speaker 2 (01:38):
Took him offshore for his first trip offshore what,
what?
Speaker 1 (01:41):
40 miles out offshore ?
Yep, took him 40 miles offshoreout of 40 miles out offshore.
Speaker 2 (01:45):
Yep Took them 40 miles offshore, out of the East
Coast, out of Port Canaveral,and the weatherman lied it was
not three-foot seas withsix-foot intervals.
Any of you fishermen out thereknow that that's a pretty doable
.
Speaker 1 (02:00):
Six-second intervals.
Six-second, yeah.
Speaker 2 (02:02):
Three-foot seas with six-second intervals, that's a
pretty doable fishing condition,especially we're on a 42 foot
yellowfin, so it's not likewe're on a small boat.
We get halfway out there andthe wind was not coming out of
the direction it was supposed toand it was fighting the Gulf
Stream and it got snotty fast.
Speaker 1 (02:21):
It was wet, a lot of water in the boat, windy rough.
Speaker 2 (02:28):
Yeah.
Speaker 1 (02:29):
Maybe five to seven foot waves.
Speaker 2 (02:33):
That's what I like to exaggerate.
I don't know that it was quiteseven.
It was every bit of five though.
Speaker 1 (02:39):
Every bit of five for sure.
Speaker 2 (02:40):
Every bit of five.
Speaker 1 (02:42):
And it was like a washing machine.
The waves weren't all going inthe same direction, they were
smashing into each other, whichis, I think, why we were so wet.
Speaker 2 (02:52):
It wasn't a washing machine, it was just the wind
and the waves were fighting eachother.
So the waves were going onedirection, the wind was going
the other, which made it very,very wet.
Speaker 1 (03:01):
Yes.
Speaker 2 (03:02):
Anyways, he survived his first trip offshore.
He didn't quite beat his oldersister, the middle one, vera.
We had her 60 miles offshore atsix weeks old.
So Walker was 12 weeks.
12 weeks at 40 miles, yeah, buteither neither here nor there
he's been Christian.
Speaker 1 (03:22):
And on one of the toughest days at sea.
So it's just gonna be a breezefrom here on out yeah, the rest
are gonna be easy from here onout needless to say, we took
quite a long nap, him and I onthe boat, lying supine, waited
for the seas to calm down alittle bit so it was good and we
caught a fish we didn't getskunked.
Speaker 2 (03:43):
We did not get skunked, so shout out to our
captain john, thanks for notallowing us to get skunked
that's right, that's right sohere we are.
We are david, going againstgoliath, going goliath being the
corporate medical system,health insurances,
pharmaceutical companies.
They don't have your bestinterests in minds.
They are choosing profits overpatient outcomes every single
(04:05):
time.
It's a business, you have togenerate profit and you have to
fill the pockets of yourinvestors.
And it's a shame because we'retalking about the lives of
Americans, the lives of yourfamily members, your friends,
and they're choosing patientlongevity or client retention
(04:27):
over curation.
How are we going to retain thisclient?
Well, we can't cure them.
If we cure a patient, that's acustomer lost.
I mean, think about that,really think about that.
There's some deep things goingon here.
If you literally cure somebodyof their chronic condition
versus saying you have tochronically take this medication
(04:50):
for the rest of your life, youlose a customer Right.
Speaker 1 (04:55):
We actually just went through this on a personal
basis.
You know we're very much let'streat the problem and not just
the symptom.
However, all three of ourchildren have had awful reflux
when they're born and I I creditcredit is probably not the
right word I put a lot of thattowards the fact that they were
(05:15):
all C-section babies.
C-section babies naturallydon't have the best gut
microbiome because they don't gothrough the vaginal vault of
the mother so naturally theirmicrobiomes take a little bit
longer to develop and tonormalize.
So all three of our babies hadhorrible, horrible reflux and we
did medicate them because itwas medicate them and make us
(05:37):
all a little happier or make usall crazy by just listening to
them cry, considering I amalready 1000% gluten-free,
dairy-free in my diet.
So they were already on a verynaturally anti-inflammatory diet
through my breast milk, withbeing totally gluten-free,
dairy-free.
So we did start them onmedication and we just went
through this with Walker wherehe ended up.
(05:59):
He was on famotidine, which isan H2 blocker for his reflux and
maybe a month into taking themedicine got severely
constipated, to the point thatwe were having to give him a
suppository every seven to 10days because he wasn't having a
bowel movement at all in 10 days.
And so finally, I said you knowwhat?
(06:20):
We got to do somethingdifferent, and I truly felt that
the constipation was a resultof taking this H2 blocker.
So here we are treating hisreflux with a medication and now
I'm having to give him anothermedication to help with his
constipation until we just saidyou know what?
We're going to stop it.
We're going to wean him off ofit and make some transitions.
(06:43):
If I have to give up egg,peanut and soy for the next
couple months to get his refluxunder control, it's what we have
to do, but thankfully I didn'thave to.
His reflux has been much better.
Speaker 2 (06:54):
Yeah, and we're talking eight weeks old.
We've already got aneight-week-old human being baby
on two pharmaceuticalmedications.
Like this is nuts, and we don'teven think about it because
it's just three milliliters ofthis medication, or what was it.
Speaker 1 (07:11):
Yeah, 0.25.
Speaker 2 (07:14):
Yeah not even a whole milliliteriliter, 0.25
milliliters of this little tinypharmaceutical medication that
was made up in a chemistry labsomewhere right you just have to
give it to him every day twicea day.
Twice a day oh yeah, six weekslater he's not pooping for 10
days.
So now take this otherchemically composed medication
(07:34):
and stick it up his ass.
It's like are you freaking,kidding me?
Right, right.
And then how long does that goif you don't know what the
problem is?
How long do people justcontinue doing that Because they
don't know any better?
Their doctor doesn't know anybetter.
Speaker 1 (07:50):
Well, there's tons of kids that we've seen and helped
families with who have chronicconstipation and their doctor
just tells them oh it's fine,Just use Miralax every day, it's
no big deal, Just use Miralax.
We went through that with Vera.
She was constipated before wepotty trained her and they were
just recommending to use Miralax.
I'm like no, there's somethinghere.
(08:11):
Again, she's totallygluten-free, dairy-free.
But a lot of times for kids theconstipation is coming from a
dairy sensitivity, an eggsensitivity, a nut sensitivity
of some kind Doesn't meanthey're allergic, but actually
sensitivity causing thisconstipation, or just simply
they're not drinking enoughwater.
Speaker 2 (08:30):
Which was Vera's case .
As soon as you started puttinga little bit of flavoring, a
little electrolytes, into thewater, she started chugging
water and the craziest thingresulted.
Speaker 1 (08:42):
She was no longer constipated.
No longer constipated.
Speaker 2 (08:45):
Believe you and me, she is the opposite of
constipated.
Speaker 1 (08:49):
But not diarrhea.
She just is very normal now.
I mean a couple, one or two aday, very normal, like pretty
bowel movements.
It's kind of weird to say aboutsomebody, but it just came down
to she needed a little bit ofelectrolytes and she
significantly increased theamount of water that she was
(09:09):
drinking with utilizing thisvery clean product and this is a
two-year-old that drinks morewater a day than most adults.
Speaker 2 (09:18):
Correct, yes, and she's got the best bowel
movements ever.
Now she's happy.
Yeah, think about that one.
She used to scream, literallyscream and cry when she had to
go poop, and she wouldn't do it.
She would stand and just clenchher butt, cheeks together and
just scream and cry.
There was nothing we could doto make her feel better or stop
(09:41):
crying.
She hated it.
It was excruciating to her.
Speaker 1 (09:44):
Right right.
Speaker 2 (09:45):
And we battled this for how many weeks before we
said, okay, something's got tochange.
Speaker 1 (09:50):
Right, yeah, yeah, for sure.
And of course I'm like, do Ireally give her Miralax?
Like it just seems so crazy attwo years old.
There has to be something elsethat's going on.
And again I went down therabbit hole with her, like
should I be cutting out peanutor almond or egg?
And I was like you know what?
Let's just increase a littlefluid, just like I tell my
patients if you're constipated,you're probably not drinking
(10:12):
enough, you probably have anelectrolyte imbalance, You're
probably low in magnesium, andthat's the route we went.
Speaker 2 (10:19):
Orcham's razor.
When you're trying to solve aproblem, always start off with
the simplest solution first, andmost of the time that is the
right one.
Speaker 1 (10:27):
Right, right.
Speaker 2 (10:28):
Let's just give Vera a little more water and see what
happens.
Speaker 1 (10:31):
That was it.
So we wanted to really get intoday on the podcast.
We put up on our social mediaabout asking topics for the
podcast, getting topicsuggestions for the podcast.
I didn't know that we weregoing to talk for 15 minutes to
get started, so we have severalquestions that came through.
(10:51):
We had planned to go over threeof them today and then do some
more next week.
However, we may not have timefor all three now, but the first
one we're going to start outwith is talking about the
difference between proteinpowder and collagen powder.
That was a question that I goton my somebody asked.
So there's several differenttypes of protein powders.
(11:13):
There's good ones, there'shorrible ones and then there's
some in the middle, of course,but we typically will have our
pea protein options, which is aplant-based protein option.
There's hemp protein.
There's whey and casein protein.
There's bone broth protein, eggwhite protein, collagen protein
(11:35):
.
So there's tons of differentprotein powder options out there
and majority of them arecomplete sources of protein,
meaning they give you all theessential amino acids nine
essential amino acids and wouldbe classified as a complete
protein that can be a mealreplacement, and this is going
(11:55):
to be your pea protein, the eggwhite protein, the bone broth
protein, whey and caseinproteins.
The hemp protein would not beconsidered a complete source of
protein, though it is morecomplete than collagen powder.
So collagen powder is not acomplete source of protein but
is a great added source ofprotein.
(12:17):
Collagen is so important for thehair, the skin, the nails, the
eyesight, the brain, our joints.
It's really, really animportant product that we should
be getting.
But it is not a complete sourceof protein, meaning it cannot
be used as your sole source ofprotein in your day or as a meal
replacement.
It's going to be more of anadded source as a snack or
(12:42):
something to boost up the totalcontent of your protein at your
meals.
So, for instance, we'll haveclients who will put collagen
powder in their coffee or intheir tea in the morning to
supplement the protein thatthey're also getting at their
breakfast or sometimesmid-morning.
If I don't have time to stopand eat a snack at work because
(13:02):
I'm back-to-back with clients, Iwill simply put some collagen
powder into my coffeemid-morning or into the Rye's
mushroom coffee as mymid-morning snack, because the
collagen is providing someprotein.
But I know I'm getting morefull, whole sources of protein
at breakfast, lunch and dinner.
Speaker 2 (13:22):
Okay, so why would I consume it if it's not a
complete source of protein?
Speaker 1 (13:29):
It's an easy added source of protein.
Many times collagen powder isunflavored, although they do
make flavored ones.
But the unflavored is nicebecause it's not changing the
taste of your water or yourcoffee.
And again you're getting thatextra boost, that extra 10 or 20
grams of protein to add to yourmeals or snacks.
And again, like we said, thebenefits of collagen helping the
(13:50):
hair, skin, nails, joints,brain.
It's really a beneficial sourcethat the body needs.
Speaker 2 (13:59):
Okay.
So if we do a simple math, justfor simplicity's sake, we
consume 100 grams of protein aday.
What is the maximum amount thatshould be collagen.
Speaker 1 (14:12):
I would say 20% or less should be collagen.
Speaker 2 (14:15):
Okay.
Is okay not should be.
Is okay to be collagen?
Speaker 1 (14:19):
Yeah, 20% or less is okay to be collagen.
I would not count on more than20% of your total daily protein
intake to be collagen-based.
So again, the other 80% of yourprotein needs to come from
whole sources.
It doesn't mean that has to beanimal-based, but it should come
from whole food-based sources.
Speaker 2 (14:37):
So not protein bars, not protein shakes, actual food
that you're ingesting.
Speaker 1 (14:42):
Well, yeah, I think it's okay to have a whole source
of protein powder on anotheroccasion.
So, for instance, if you did aprotein shake for breakfast with
whole food protein, so that'sgoing to be your pea protein,
your whey as a snack, and thendoing whole foods so not
(15:08):
packaged, not protein powders atyour lunch, your afternoon
snack and your dinner, I thinkwould be fine.
Speaker 2 (15:14):
Okay, got it.
Speaker 1 (15:16):
And, by the way, with collagen powder, there is
marine-based collagen, which iscoming from fish, and then
there's bovine-based collagen,which obviously is animal-based
protein, vine-based collagen,which obviously is animal-based
protein.
Well, they both are, but one isbeef, one is fish and neither
one are complete sources ofprotein.
So it doesn't really matterwhich one you used.
Okay, good, depends on yourpreference.
(15:37):
So second question was askingabout PRP.
Speaker 2 (15:43):
Ooh, prp, I love this .
So let me just be explicitlyclear.
I have no research, no officialresearch at all whatsoever with
what I'm about to say.
This is 100% from theexperiences that I've seen
personally in my office.
(16:04):
This is not research-based.
This is not what you're goingto find on the internet.
This is not what you're goingto find on the internet.
This is not what you're goingto hear from your damn sure.
Not words You're going to hearfrom your doctors or your
orthopedic surgeons.
This is solely what I'veexperienced in my clinic for the
past 10 years.
Prp is so popular right nowbecause it's being promoted as
(16:26):
this thing that can go in thereand heal the tissue.
Speaker 1 (16:29):
So let's back up real quick.
Prp is platelet-rich plasma.
Speaker 2 (16:34):
Right.
Speaker 1 (16:35):
So it stands for platelet-rich plasma, so maybe
explain what it is for peoplewho don't know.
Speaker 2 (16:41):
They essentially just draw out some blood, spin it
down so that you can separatethe platelets Right just draw
out some blood, spin it down sothat you can separate the
platelets Right, and then you'regiving a bigger dose or a
concentrated dose of plateletsto an area, because platelets is
where you're going to gethealing, healing Right.
So that's the fifth gradereading level of how to describe
that.
It just, it's a way to, intheory, have a concentrated dose
(17:06):
of platelets to an area whichis, in theory, is supposed to
help that area heal.
Now here's the thing thathappens you go and you get a PRP
injection into your shoulderand you think that that's going
to solve your shoulder pain andyou don't do anything else about
it.
99% of the time it does nothing.
(17:28):
The patient reports nosignificant input or no
significant fix.
Maybe a couple of weeks it felta little bit better, but then
three months later you're justas bad or even worse than you
were to begin with.
Same thing for the knee, samething for the ankle, same thing
for anything.
If you just get a PRP injectionand think that you're solving
(17:49):
the problem, that's not going towork.
There's a reason why these softtissues in your shoulder are
damaged to begin with.
There's a reason why the softtissues in the knee are damaged
to begin with.
If you don't do the things tofix the reason why it happened
to begin with unloading thejoint and making it more
(18:11):
efficient with the musclessurrounding the joint the PRP is
a waste of time and money.
You might as well just drivedown the road, roll down the
window and throw five grand outthe window.
Because it's not cheap either.
It's not covered by insurance.
This is a cash-based thing andthere's really no scientific.
(18:35):
I shouldn't say that.
Let me back up Clinically.
I've not seen anythingclinically that says that
there's a significant differencein people who only get PRP
versus people that don't.
Speaker 1 (18:43):
Right and, like you said, it's not a cheap thing to
do but it's also not verycomfortable to have done
initially when they're actuallydoing the procedure.
It's not super comfortableeither, but it may provide kind
of like a steroidal effect.
It's not a steroid but it mayprovide you that couple of days
(19:03):
or weeks of decreasedinflammation as it's promoting
some initial healing to thetissues into the area.
But it's not a long-term effectif we're not actually fixing
the problem of why we had theinflammation in that joint in
the first place.
Speaker 2 (19:19):
Exactly Now.
With all of that said, let mego out and say something that
has that I have been noticingwith significant positive
effects over the past six months, maybe even a year now, is if
you're having a knee replacementand you have the knee
(19:39):
replacement done and before theysew you up, they go in there
and they inject you with the PRP, and some people, some surgeons
, are even doing stem cells too.
Those people are recoveringnight and day quicker than those
that are not getting the PRPinjections, those that are not
getting the stem cell injections.
So this is a perfect example ofwhere they're creating a trauma
(20:02):
.
They're going in there andthey're doing construction.
They're sawing bones off,they're ramming rods up your
femur and your tibia, down thetibia, and there's actual trauma
that's occurring right there.
So you take this PRP, theseconcentrated dose of platelets,
and you drop it right where theinsult is, the injury is.
(20:26):
There is significant resultsfrom that, where I've got many,
many clients over the past sixmonths saying they've had zero
pain immediately after having aknee replacement.
And that is unheard of,absolutely unheard of.
Usually the first week is theworst week, but now people are
getting up and they're walkingaround within days and just
(20:48):
saying, yeah, it's a littletight, maybe a little
uncomfortable, but I wouldn'tcall it pain.
So that's what I am bullish onis, if you have to have a knee
replacement, make sure you finda surgeon that is going to do
PRP injections, that would evenconsider doing stem cell
injections too, because it isnight and day what I'm seeing
(21:08):
with that particular case.
Speaker 1 (21:10):
Perfect.
I think that answered thequestion of would you recommend
it or not?
Do we have time for one more orshould we save the next one?
Speaker 2 (21:18):
Let's save it.
We're over 20 minutes now, Okayperfect.
Speaker 1 (21:21):
So that means next week.
We have a couple more questionsthat we want to get through.
But again, if you see us onsocial media and you have a
specific question that you'dlike us to answer, even if we
don't put up a question boxasking for your request, let us
know.
Speaker 2 (21:35):
Yes, love it.
Like and subscribe.
Share this episode withsomebody else that needs to hear
it.
We appreciate you guys.
Love the feedback that we'regetting and ciao for now, love
the feedback that we're getting.
Speaker 1 (21:45):
And ciao for now.
Thank you for subscribing onyour social media and podcast
platforms to the Berman MethodDr Jake Berman with Berman
Physical Therapy and JennyBerman, physician Assistant,
with Berman Health and Wellness.
You can find more informationon our website wwwbermanptcom
(22:06):
for physical therapy.
Wwwbermanptcom forward slashwellness for the health and
wellness.
You can also find us on socialmedia Facebook, instagram and on
your podcast platform, so besure to follow us, like us,
subscribe to us and, if youwould like any further
information, definitely visitour website and reach out to us.
(22:26):
You may also find our freereports on the websites as well,
where you can download thisfree information for yourself.
Have a great day.
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