DrGandhi & Dr Gordon Heart Disease Prevention



like thanks everyone for joining us tonight my name is John Brooks and I'm gonna be your host this evening we have two amazing cardiologists who we're going to talk to tonight we're in very amazing actually we're going to talk about something that Washington State University calls the most extraordinary therapeutic and most extraordinary preventive breakthrough in the history of medicine okay and so joining us tonight is dr. pratishta Gandhi and dr. mark Gordon we're going to start with dr. Gandhi I'm just going to tell you a little bit about her dr. Gandhi is a global health care leader preventive cardiologist with a mission to eradicate cardiovascular disease by preventing heart attacks and reversing heart disease using non-invasive cost effective treatments she was India's first woman preventive cardiologist and founder of IPC which is the institute of preventive cardiology which he founded in 1999 in Mumbai and she pioneered the concept of preventive and non evasive cardiology for which she was applauded by the late president of Kalam and some more about dr. Gandhi she she's amazing she Hurley IPC nurse have treated more than 50,000 cases which involve international cases as well with a 95% success rate she is a CEO of her established IPC in our care center in the u.s. in Southern California in 2016 the International Association of cardiologists in New York recognized her as the leading physician of the world and also she was a recently awarded top 50 global woman health care leader in March of 2017 so with that and then also I'm going to tell you about dr. dr. mark Gordon as well dr. mark is an expert in an international leader in nerve to technology dr. Gordon a sec is a board-certified cardiologist with 20 years of experience in cardiology he completed his medical training at the University of Minnesota and participated in multiple pharmaceutical and medical device trials as a clinical cardiologist he served as governor for the state of South Dakota for the American College of Cardiology and was the director of medical education at the Avera Heart Hospital during his tenure there dr. Gordon has always have an interest in preventive medicine and it's completely OSHA program and anti-aging medicine through the American Academy of anti-aging medicine and universe at the University of South Florida School of Medicine he completed defense training in a metabolic cardiology through the metabolic medic scuse me metabolic medicine Institute through George Washington University School of Medicine marks pact prevention has fueled his desire to pursue a preventive an integrative cardiology clinic in the future so with that welcome dr. Gandhi and dr. Gordon Thank You Jeremy yeah okay let's start with questions as health care preventive cardiology what advice or dr. Gandhi first in preventive cardiology what advice would you offer to people to prevent heart ailments yeah first and foremost welcome everybody it's great to have you all on this show and I am so fortunate and blessed that John Brooks and dr. Gordon reached out to me for this amazing breakthrough which we are going to share today so because I was always searching out for something new and we have to talk all about especially with the focus of the heart today so that I think all of you the heart right nobody's happiness all of all of you who need to keep their heart strong young and fit need to know this so keep your eyes ears and all your senses open now coming back to that why prevention is important we all know that it is a number one the this is number one killer and almost 40% of the deaths in the world are because of a heart problem and since this we are talking specifically to the US today if you look right now okay if you look seven hundred and twenty five thousand people are getting heart attacks every year it looks very small compared to the 343 or 350 million population what we have but the point is that 69 million adults in u.s. have got their heart age which is five years older than what you are right so all of you check yourself like what is your age and what is your heart inside you know you can go to cdc.gov okay which is the Center for Disease Control is a government website which educates you so you can go and look at your heart age over there so there is a calculator over there so just go and whenever like after this go and check yourself whether you you are and your heart it's matching where it's older because as for the statistics fifty percent of the men in us have got hot age five years more than what their ages and almost 40% of the women okay and almost 75% of the heart attacks and strokes are caused I mean that because of the risk factors were what age which is wider so I think that we need to prevent now all of you must have understood the importance of prevention because I'm so proud of dr. mark here because it takes real courage side as an interventional cardiologist you know like what he has been doing for last 20 years has been fixing heart attacks you know and today it's like girls grammar you wear a mask you're paid well you're in a hospital and you know like people treat you oh you saved my life but the point is that all the people in the community that's whatever goal is we are reaching out to the people now in the community that why you want to wait and reach a state of point where you are doing fire fighting before smoke detectors at home and we have alarms and we of this so why we are not having detectors inside our system which will help us so today we will talk a lot about that so for the Prevention I will just quickly tell you that what tips would not what we talk is that especially the prescription or what we say like like a general advice for a younger heart most important is that you should know your numbers you know you should have your blood pressure you should check your cholesterol your blood work you can move with your doctor on hoping that work on your diabetes especially a lot of people are in the pre-diabetic so we can work on that insuring resistance then Toback we use we should avoid it or wacko us or avoid the secondhand smoke most important is a diet you know the diets what we are having we encourage more of home-cooked meals or like diet which is very very good for the heart most important is physical activity like almost 150 minutes per week and obviously having a healthy weight you know know your BMI so just how quick and I think dr. Gordon can also share more certainly so getting getting back to your question John about you know what can you do to prevent cardiovascular disease in the fellowship that I did in anti-aging medicine one of my mentors his name is dr. mark Houston out of Vanderbilt in Nashville very great guy and he he has this saying that there's three finite responses of the artery to an infinite number of stressors and those finite responses are inflammation oxidative stress and immune dysfunction so what he means by that is that the blood vessels in your body respond to things be it high blood pressure be it small little micro tears in the wall of the artery things like that they respond to that in in an attempt to heal the problem but oftentimes this healing process is over exaggerated and that's what actually leads to say the build-up of plaque in arteries when your immune system is out of control when your inflammation in your body is out of control and when your oxidative stress is out of control it causes that healing process to function in a maladaptive way and instead of making a nice smooth healing scar over say the tear and the micro part of the artery it causes this this big cholesterol plaque to build up so you know we always thought that it was just cholesterol that led to cardiovascular disease but it's really much much more than that and dr. Gandhi can attest to this that the standard lipid test that people do here in the United States doesn't really help that much because it gives you it's kind of gives you the 30,000 foot view but you really need to dig deeper and specifically what you need to look at is the oxidized LDL the LDL cholesterol that is oxidized and a standard lipid panel does not do that you have to get an expanded lipid panel to do that the oxidized LDL is the nasty stuff that's the stuff that gets into the wall of the artery and starts to form that plaque and the reason it's oxidized is because the oxidative stress and that individual is high for whatever reason there could be a number of reasons poor exercise poor diet other chronic inflammatory conditions that might be going on in the person's body at the time it's well known that people with autoimmune diseases have higher levels of coronary artery disease because their inflammation all throughout their body is much much higher and so that accelerates the process of forming plaques in the arteries so standard cardiovascular treatment basically is I tell people if you need a muffler you go to – because you're gonna get a muffler to go to – right if you have if you go to a cardiologist you're probably going to get a stent but dr. Gandhi and I would like to do everything in our power to prevent people from getting stents okay and there are ways that you can do that through integrative healthcare through diet exercise lifestyle changes and so forth and that's kind of the goal that dr. Gandhi and I have is to try to help people get through this process without winding up with a bunch of hardware in their heart wouldn't you agree yes so dr. Ghani perhaps you could talk a little bit about the role of say inflammation oxidative stress and and what you've done and and what you see as the potential therapy for that absolutely actually as you rightly said that standard care according to me is no care because we are missing out on a lot of the cases and currently there are a lot of pitfalls and gaps in the diagnosis and the treatment and as we see that as you rightly said that even after doing angioplasty or bypass the blockages are coming back that's what we always you know see so because we are not able to go to the root cause that is the inflammation and oxidative stress and till now I think all these use we just knew that we have to eat right or exercise or diet and all that but the nrf2 activation is such a powerful technology and it's a real real new breakthrough in medicine what the Washington State University the results are so let us let us a little bit talk about at all let's go to the cellular level that we were studying in high school biology that the cell has got mitochondria which is the powerhouse of the cell and there are lot of in the production of the energy there are a lot of free radicals you know which are excreted in the cell and when we are young there is a good healthy balance which is there of the antioxidant enzymes which are secreted which combat this free radicals you know but as we age somewhere this gets lessened and oxidative stress increases and not only hard but I think all the diabetes which is one of the biggest risk factor is actually in heart problem what we call the other disease is also related I'm not getting because we are putting mainly to the heart but the point is that it is very important to reduce this oxidative stress and one of the main reason why the blockage begins is like as I said the nasty little guy ops a small oxidized LDL which actually should be tested that is also happening because of oxidative stress so when when the nrf2 protein messenger is activated in our body through the right ingredients which are administered then it can go and it goes and it's like a messenger you know it's like goes through the nucleus and then it goes and knocks on the genes and the good genes which would produce these enzymes start getting regulated and one of the sent in from a tree genes get activated and if I rotate so all these genes start getting activated and what I love about the another technology is that it is so natural because I always believed in something like I have actually a tagline that heal your heart naturally so I feel that this technology is so powerful because this is something which I've been talking for 20 years I think that law of attraction brought me this breakthrough in medicine that this another true activation will now go and actually correct your body's wrong things which were happening and make it right so that your body it starts healing itself and starts walking on your positive mm-hmm that's excellent and so the thing to point out is you know this nerve to protein that we're talking about it's not just effective on the walls of the arteries it's effective all throughout the heart and all throughout the body for that matter but since we're talking about the heart tonight there are studies that you can go read on PubMed about nrf2 activation and the protective effect that it has on the lining of the coronary arteries the endothelium on the heart muscle cells itself on the electrical system of the heart and so forth and so some of the studies in fact looked at the protective effect on heart muscle cells in a condition called pulmonary hypertension and how it could prevent the development of congestive heart failure on the right side of the heart related with pulmonary hypertension perhaps dr. Gandhi you could just give an explanation to the audience what pulmonary yes and why that's such a bad thing and why it's important to protect your heart yes specially pulmonary hypertension is it's not a good condition to have because the patient's suffer a lot and actually we have this study where helps this kind of conditions and especially in our clinics – we see no failure patients you know like for this kind of patients as for the study results like right additionally there was another study on saphenous veins and for those of you that are familiar with saphenous veins it's the vein that they take out of the leg that they use for bypass grafts it's kind of the conduit material that they use but the problem with using veins as bypass grafts is veins are small or excuse me thin walled vessels they were never designed to carry highly oxygenated blood or high pressure blood and so the walls of the veins respond poorly when they're switched from a venous conduit to an arterial conduit and what ends up happening is all of that sheer stress on the inside wall of that vein over time leads to the build-up of what I call grunge it's not the same as cholesterol plaque that builds up inside arteries but it's this grunge that builds up at least two blockage and ultimately failure of the bypass graft and in one of the studies they found that nrf2 activation could completely halt that process and that's a critically important thing for patients that have had bypass surgery yes and I would like to add that there was a study done in Denmark where they actually had this 500,000 population and they checked out that who had done bypass surgeries and they found that after ten years actually the death rate started skyrocketing almost to 60 to 80 percent when people who had finished ten years of bypass surgeries and as you said that conclusion was the same thing that the graphs which were put in they started getting clogged again and so most of the times the surgery lasts for five to ten years and people have to go through so like there's a trend in Australia like people have to do two francs three times and we do surgeries so that is where I feel that enough to activation technology can help a lot of patients after even angioplasty or a bypass because because the audience has to understand that and to trust your wipers are just temporary methods to increase the blood supply to the heart it doesn't take away the process of oxidative stress or you know inflammation which is happening in the body that is the root cause you know so that is where all these people need help with this new technology to safeguard themselves right I agree and so many people after they've had a stent or bypass surgery think oh I'm fixed I'm done I don't have to worry about anything anymore it's like no that's just the beginning because from this point forward you're gonna be at higher risk for more blockages developing and if you're not proactive right now and do something to prevent further blockage by reducing that inflammation and that oxidative stress you're gonna be right back here in a few months or years and you're gonna have right and that's a tough thing to get through people's head in it it always drove me crazy when I would have patients that would come in after perhaps a heart attack and a stent and they were still smoking it's like what part of this do you not understand that smoking is massively increasing your inflammation in your oxidative stress so right we need to do a better job of educating so my Epiphany so to speak occurred Oh probably fifteen years ago when I decided I wanted to get more into prevention and that was I got called in at two o'clock in the morning a 35 year old guy was having a heart attack so what do you do you rush them to the cath lab you put in a stent and as we were preparing this guy to get ready to do the angiogram I just said to myself we have got to do a better job at preventing heart attacks we have to do a better job of preventing heart disease because 35 year olds are not supposed to be having heart attacks so you know the Western culture the standard American diet is just it's horrible and we need to do a better job at educating everybody absolutely and actually what you face over there actually in India the problem is that the the patients are getting the disease 10 years younger because of those teacher and the size of the coronary arteries as you see that in the Asian race is smaller than the Caucasian race you know so we have and we have this actually India is a diabetes capital of the world actually with more than 35 million cases and so I have this typical problem in the clinic like we have 32 year old like having already done two angioplasty is you know it's all good so I think that this kind of technology helps this kind of patients are not because surgeries once mm-hmm yeah all right John we'll give it back to you okay great all right next question doctors what are the pitfalls in current methods of diagnostic and treatment in cardiology which has led to epidemic heart disease worldwide dr. Gordon let's start with you on that well first off I touched on it with regard to the cholesterol testing so many people do cholesterol testing standard lipid profile where you get your LDL HDL triglycerides and so in total cholesterol and as I said that's the 30,000 foot view if you really want to get down to the nitty-gritty about what's going on you do what's called an advanced lipid panel that looks at that small dense LDL it gives you an LDL particle number it looks at the size of the HDL particles which place are all it looks at some of the other lipid proteins as well like apoE lipoprotein a or LP little a things like that all of which carry their own risk for cardiovascular disease and if you don't check for that in a standard lipid panel you know so many people come in with heart attacks and they said well gee I had my cholesterol check six months ago and my doc told me everything looked perfect well if you look at the statistics of people that come in with a heart attack over 50% of people that come in with a heart attack have what would be considered normal lipids yeah and so that doesn't really tell you that the picture the advanced lipid panel is one way to do that but unfortunately most insurance companies will not pay for that test to be done and it's not cheap it's anywhere from three to five hundred dollars to do that test so that's a problem with our health care system in the United States is they aren't interested in prevention they aren't interested in spending the money on prevention so lipid testing is is one problem another problem is the best test to look to see if there's actually plaque in your artery as a coronary CT angiogram or a cat scan of the heart where they inject some dye into your vein in your arm so it's not invasive other than just having an IV but that really tells you the amount of plaque the amount of blockage and so forth and again most insurance companies won't pay for that test either they'll pay for a stress test which has an accuracy in women of about 50% and in men about 65 to 70 percent so it's wrong far too often whereas the coronary CT angiogram accuracy is about 99 percent so those are kind of my personal pet peeves about about diagnostic testing and cardiovascular disease it's as if the insurance companies haven't kept up with the technology we as preventive cardiologists know what are the best tests to be done but we can't get the insurance companies to cover them and that's just a terribly frustrating position to be in because once we know what the actual breakdown the nitty-gritty of their lipids are then we can tailor a therapy specifically directed to that individual as to what's going to help get those lipid abnormalities corrected in the right spot and likewise if you do a coronary CT angiogram on somebody you know they may have a plaque that causes a 30% blockage but that would never be detected on a stresses in the best stress test in the world if you have a normal stress test and you have normal lipids you might say oh my heart is fine everything to worry about and then six months later you have a heart attack you go oh my gosh what happened well it was probably because that a 30% plaque that was missed on your stress test ruptured caused a complete blockage and led to the heart attack and so with the right type of testing you can detect these things the amount of preventive protocol and hopefully prevent that disastrous he got down the road dr. Gandhi I know that he had some interest with some other diagnostic testing maybe you can find dr. Gordon rightly said that the standard care is not adequate and reimbursement issues I have been working with special tests which is known as the and it also gives you your heart age and it also gives you a lot of information about the risk factor or getting the to be or risk at the coming five years you know so it helps you to prepare better so I so there are interesting things out there but you know like doctor mark the usual problem is that for prevention people are always like having lack of time or not willing to do and that is the reason why we are doing the science webinars because we really want to do our part best as doctors so each of us share this information I have been fortunate to have done a lot of work with city coronary scan because in India we can order CT scans and because our outpatient practice has mainly cash so it becomes very good so I have been fortunate that I have been on the aggressive prevention side and people have operated and I've been able to detect people at all these stages because myth which is there with the interventional cardiology dr. mark would agree is that there they always operate when the blockage is more than 70% and obstructive because they say that lesser than that they can't do but majority of the heart attacks are happening in blockages less than 70 percent you know and I think that is the biggest pitfall and there is a reason why you know we are getting five hundred and twenty five thousand people don't have this knowledge then another another major fit flow what I see is that like there was this courage trial which is clearly show and actually that optimum medical therapy if a patient is on a good medical management and cardiac rehab then doesn't need they compared with angioplasty we're done and they don't need the engine st if they do it but you know the problem with the Americans is that they just want something to happen something to be fixed and I've actually met in fact out of cardiologists who don't want to do the procedures but you know it's like people are just like no I'm paying my insurance I'm paying this now I will message that ok fine your insurance is going to pay for everything you don't have to do anything but what is happening to your body you know you're going and just like further up during the blockage and you know creating more inflammation and all those body mechanisms over there so I think the mindset of the people have to change somewhere and come out of this kind of things are something needs to be fixed and focus moving on technologies like nrf2 early detection and and diagnostics and me shared and one more natural methods and another treatment method which I have been working extensively has been ECP witches and hands external counterpulsation therapy so which is also actually again US FDA through but unfortunately it is after bypass and angioplasty but in India I could do it in patients who wanted to avoid that so there is also amazing technology where you can open the collaterals of the heart naturally and increase of blood supply to the heart so I think the message is very clear that bypass and angioplasty increase of lots of to the heart they do not like it is there is no guarantee that you may not get a heart attack after doing that so if you just do natural methods and this then prevent yourself I think there is a far better way of managing problems and going through the standard that's what is like I wish to share okay great John well it's obvious that both the doctors are passionate about prevention and I want to ask about what is the new breakthrough in medical research which according to too many published things will actually revolutionize the field of preventive cardiology that you guys collaborate yeah so as we as we discuss that we have the studies about nrf2 activation and according to me that is the greatest reach through because the way I look at it is that we had this entire era of cholesterol and statins you know the statins started moving because we always could show some numbers that was full asteroid do is type in test and then again I mean give statins and again see the numbers so the same way the latest breakthrough which is an effective activation the studies have been done where you can measure oxidative stress before and after the NRF activation takes place in your body after that again you can you know repeat and measure your oxidative stress and it has been shown that you it is possible now to lower your oxidative stress in a much more effective manner faster manner and which was never ever possible before in the history you know and that is what something is excited me because like from last 20 years I mean I've been working on oxidative stress free radicals I also like because one of the I've been one of the proponents of chelation therapy is also known to reduce free radicals have co-authored a book with dr. Alvin in us for collation has written book bypassing bypassing surgery so I wrote the India edition with him so like I worked a lot on finding methods to combat free radicals and I feel that the concept of giving vitamins is outdated it is not it is weak and what we have found is very very potent it is like it's like a Ferrari I would say yeah one of the problems with the standard therapies and cardiovascular diseases they don't address the underlying problem the thing that led to the plaque buildup in the first place you know they treat the end result and when I first heard about nerve to activation I was very intrigued because it was not something that I learned about in medical school or any of my advanced medical training but it's because nerve too was discovered in the mid 90s and that's when the research really began and now we're starting to get enough research behind nrf2 that we're beginning to realize what a huge role it has as far as prevention goes and I think that's why dr. Gandhi and I are so excited so you know when I first heard about nerve – I said to myself well we've got the statin drugs for cholesterol we've got plenty of blood pressure medications and so forth but we don't have anything that gets to that root cause we don't have anything that gets to the oxidative stress which is what causes the oxidation of the LDL which causes the build-up of the plaque in the first place in the arteries so wouldn't it be cool if we had a way that we could reduce that oxidative stress and reduce the likelihood of the LDL becoming oxidized and therefore leading to plaque formation and so forth and so as I learned about nerve – I dug deep into the literature I started reading everything that I could about nrf2 not only with regard to cardiovascular disease but also many many other conditions because yeah a couple years ago Time magazine had a cover it said inflammation and basically it's they said it was the root cause or the contributing factor to so many different diseases that we know about and if you look up our sedate of stress if you go to pubmed.gov and just type in the term oxidative stress there's I don't know something like 200,000 articles associated ated stress with just about every disease on earth that you can imagine and so reducing oxidative stress can have beneficial effects not only for cardiovascular health but also for the entire health of your whole body and unfortunately the diets that we all eat are not adequate I know that many of us who are on this call try to stick to a very good plant-based diet and I try to stick to a Mediterranean diet as much as I can I'm not a vegan I I think dr. Gandhi is mru I ate a lot of fish a little bit of chicken I cut out beef and pork this January first and so I've been feeling better but you don't necessarily have to do that there's healthy low inflammation diets or anti inflammatory diets and so forth that our paleo as well so I'm not here to push one specific diet on anybody but I tell people you know if we all lived in the Garden of Eden and ate just the foods that were there none of us would need anything further as far as supplementation or activation goes but the reality is we don't and the food that we're exposed to has been sprayed with all sorts of pesticides and things that are endocrine disruptors and cause other problems with inflammation and oxidative stress so we need an additional boost we need an additional advantage that we can get by taking a plant-based supplement that can cause that nrf2 activation and so when I started reading all the studies on this I just got very excited and thought this is something that we haven't tapped into and now even the pharmaceutical companies are getting excited about it and they're trying to basically recreate nature we already have natural compounds that can activate nerve – but they're trying to develop these synthetic cama compounds that do the same thing and why is that well because pharmaceutical companies have to develop a new unique chemical or unique compound so that they can patent it and then make all the money that they need to out the drug so it's interesting that this technology started with a simple plant-based compound and now it's advanced to the point where drug companies are utilizing that technology and that baseline information that we have on the plant-based compounds to develop their own drugs to treat a variety of different health conditions that are associated with oxidative stress great I have one more question for time tonight and if dr. dr. Gordon addressed this sounds like it's the root cause of many different health issues when we when we grow up our low our genes if we look at our our ancestors and look at different things you know it's kind of exciting sometimes it's not exciting to think that hey my mom or my dad had this disease my grandparents had this disease and guess what it's coming down the pipe for me how does this new technology with nerve to affect your gene expression well that's a great question we talk a lot about this term called bio hacking and more specifically nutria genetics or nutria genomics which is if you break that word down nutria means nutrition genomics means genes it's the effect that new nutrition the foods that we eat the supplements that we take it's the effect that that has on the expression of genes so as you said John we're all born with a certain set of genes some people may have the genetic susceptibility to say have colon cancer well it used to be we thought that you know if you've got that genetic susceptibility there's really not much you can do about it but now we know that you can turn on and you can turn off certain genes and so if you do have the genetic predisposition to say having colon cancer eating the right things and taking the right supplements may turn those genes down or turn them off so they never get expressed and lead to the development of cancer in and that's just one example there's numerous other examples where you can talk about activating the good genes and deactivating the bad genes and that's what we're really doing with this nrf2 technology through nutrigenomics and that's what's so exciting you know 15 20 years ago we never would have dreamed that we could do that with something as simple as a plan based compound but it turns out that you know nature perhaps may have the best pharmacy available to us if we would just utilize it and people are recognizing and discovering things all the time now that can help us in the preventive world and I'm really excited about that disease and most of the times they are living in to wait you know oh like you know they had it I don't get it and they become very last living up to fated anyways ever get it so I think this is a this is a great boon for the people and I believe that there is this WH o slogan which is which is there that place people's health in their own hands you know I think it's very powerful you know and I so always wonder then how can you place people I feel with this plans where supplements which is so easy for people that they can work and you know make good genes like turn on good genes and control the aging and heart problems and all so we have got something amazing which was never before and I feel that it would empower runoff for people around the world to take care of themselves yes absolutely perfect prevention is better than cure but no one wants walk walk the walk on prevention and dr. Gandhi if you want to have your closing remarks on that what's your ITV yeah because walking in prevention is really sometimes guess frustrating you know because you always have given so many talks and oh man has been lucky they all come to him and you know they are all in a rush and they listen to him where he stays because they are in emergencies so they have no choice you know so when people come to us in emergency they want to stray around a lot anyways but the point is that that's why I said that walked it off that the point is that I feel that majority of the people are interested in prevention and very few are committed to prevention now what I mean by that you know is like when you are interested in prevention you may do may not do all do what is easy and convenient you know but when you are committed to prevention you will do anything what it takes to prevent a problem you know and that's their difference so I'm hoping that the audience out here and all the wonderful people who have been listening to us for your time but walking the talk is that taking action being committed doing whatever it takes to keep your heart healthy keep yourself healthy keep your family healthy keeping the people around you healthy and taking the steps which are necessary to achieve that positive state of health you know so I think that I would just want everyone to awaken do this wake-up call by the to card I was just out here and especially dr. mark who has given up his cath lab is dedicating most of his time for prevention I really sell you this great man you know because we're every American needs doctors like him that's what I truly feel that who is reaching out to more and more people and I think now at least we all can sleep well at night you know that you're not giving the bad news but give me the good news that you can take care of your thank you so much thank you dr. Gandhi I just want to close with one thing there's a lot of truth to some old old Chinese medical texts and I found this quote I'm gonna read it to you it was from a first-century it was actually from 2600 BC the first Chinese medical textbook that was ever written and here's what it said superior doctors treat the disease mediocre doctors treat the disease before evident inferior doctors treat the full-blown disease so is your doctor an inferior doctor mediocre doctor or superior doctor that's the question you need to ask yourself I just want to say thank you for everyone for joining us tonight please give back to the person that invited you the for more information as dr. Gandhi and dr. Gordon mentioned a major breakthrough and we're very very excited thank you for joining us tonight and have a great evening thank you everybody good night thank you thank you

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