AND HERE’S MODI

Dr. Andrew Kibert

• Modi • Season 7 • Episode 116

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Episode 116: Modi, Periel, and Leo are joined by Dr. Andrew Kibert to discuss all things personalized medicine. Follow Dr. Kibert @doctor.k.nyc or check out his website.

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Modi:

Welcome to and here's Modi. And here we are again with the and here's Modi with a very, very, very, very, very, very, very special guest, a real Shechiano. It's his first podcast. It is his first podcast. This is literally our friend. It is his first podcast. This is literally our friend. I'm so lucky I have my rabbi is my close friend and my doctor is my close friend. It's fun.

Periel:

Is it weird. Was he your friend first or your doctor first?

Modi:

Doctor first.

Periel:

So it's not weird.

Modi:

It's not weird. No, no, no, it's not weird, but now that you made it weird, thank you.

Periel:

Because my doctor is my friend too, and sometimes, when she's like poking around certain places, I'm like, and then I see her socially, I'm like she knows things about me that.

Leo :

That's what HIPAA is for anyway, wait.

Dr. Andrew Kibert :

But the point is do you feel comfortable speaking with your doctor about whatever, or are there limitations that then, when you're out in the real world, you feel like, oh, like, maybe I didn't say something that, no.

Periel:

No, I feel totally comfortable but I think that's a personality flaw on my part, okay?

Modi:

so on, our guest today. Our guest today is our friend, dr and Andrew Kibbert is a performance medicine physician based in New York City. Performance medicine physician. It took you a minute to get to branding yourself, right? Yes, that's true. When I met you, it wasn't just that. That's correct. We're going to talk about how I met you and all that. And he really is. He started his practice after medical school, obviously. No, he started in the middle of medical school to start his practice.

Dr. Andrew Kibert :

You did ask to see my degree. I think at one point we were shocked when we saw your degree.

Modi:

None of us believed you were a real doctor. None of us believed you were a real doctor. I did, you did, I did, you did, I did. And then he obviously saw that regular medicine, the way people treat medicine in their doctors, is not performance. There was an opportunity in the market. There was an opportunity in the market. He began a concierge medical service, which is kind of like a little bit after the show Royal Pains is kind of, if you're trying to figure out what concierge medicine is and he with an office in the meatpacking district. That is absolutely stunning.

Modi:

And I met the good doctor. I'll tell you how I got to him. I was in Equinox.

Modi:

It was this big, near not far, this big Israeli guy next to me and we began talking and he's kind of my age and he's well-built and I asked him what's up? How do you like look so good? And he says to me take your telephone out. I asked him what's up? How do you look so good? And he says to me take your telephone out. I'm going to give you a number to call the guy. He said look, I'm not looking for steroids and I'm not looking for all kinds of no, he's not steroid. Look, rx, rx, pharmacy. From the pharmacy, no steroids. And so I saved that guy from the pharmacy no steroids, nothing.

Modi:

And so I saved that guy by the way in my phone as Igal Rx and he introduced me to Andrew and at that time and this is nine years ago Andrew used to have was the only home call physician. He would come to the house, take your blood, discuss your results from before in your house. Chic, very chic. It was beyond chic. It was so chic. I'm so happy I got to experience that part of Andrew and you figure out what's going on. I'll tell you in the beginning how you just having a concierge doctor where you're visiting once a month, it was right. When I discovered I had a little cholesterol and we tried a million different things to avoid going on statins. We tried every vitamin that was on the market and I went vegan for three months.

Modi:

Really we really tried this. And when you have a doctor that's a concierge you're testing your blood every month or every other month, not once a year for your physical every other month. You can monitor the stuff. And we figured out no, it doesn't work. I have to be on statins and Andrew, it's that kind of medicine. Then he got his office and outgrew it within an hour. Within an hour he blew out of there and got this beautiful, beautiful space in the meatpacking district and it's a pleasure to go there and it's fun. You look forward to your visits and it's set up where you get your blood test. And the next time you talk about it and my other story I'll just introduce to you what kind of a doctor Andrew is. So, like I said, he's also our friend, so we go dancing together. We'll go to a dance, we'll go to a rave.

Leo :

We travel, we travel together.

Modi:

But when you go to him, you first you know I said I want to get my body trimmed. I want to get my body trim.

Leo :

I want to get this, I'm, I'm.

Modi:

I'm in my very, very, very late 40s and um, well, you know, I was back then. I was I was 45 when I began with working with with andrew and um, we were in a dance floor, uh and we, it was hot as anything, and I took my shirt off and Andrew said to me in Hebrew tit chadesh, wow yeah, which means there's no word for it.

Periel:

It's what you say when you get a new pair of shoes.

Leo :

I know.

Periel:

Well, you know, but not everybody listening.

Modi:

Whenever you buy something, tit chadesh Enjoy. It's enjoy, but it's like chadash. Chadash is new, so, titchadesh, you should be enjoy the newness of it, okay. Are you going to ask him, so hold on.

Leo :

That's the introduction.

Modi:

So we know.

Dr. Andrew Kibert :

And it was an accomplishment. It wasn't you know as much. As much as I help and facilitate and catalyze the process, it's also about the work that you put in Exactly.

Modi:

I was going to the gym nonstop, I was eating well, but there were other factors that needed to be addressed. Testosterone I was not taking testosterone, and now I do. I take testosterone. Andrew monitors it. We're going to call you Andrew. We're not going to call you Dr Kibbert. I we're gonna call you andrew and I'm gonna call you dr kibbert, because it's not.

Dr. Andrew Kibert :

I'm gonna call you dr andrew kibbert, I'm gonna call you doctor well, no one can get my last name, that's why dr k, that's how it came about which is wonderful.

Modi:

It's a great it's a good doctor, dr k fantastic by the way so that's kind of like my story with, with. And then leo saw this happening and goes oh no, no, no, no, no, oh no, no, no, no, no, no no, no, no no, leo, put his arm right out and take my blood.

Leo :

I woke up, there's this hot blonde in the living room with your needle sticking needles in you.

Modi:

I was like I want in on this leo, we, we just moved into the apartment. We, uh, we just did the renovation. Leo moved in and, like ding dong, leo's still sleeping and Andrew's taking my blood. There's a hot blonde doctor that goes. What is happening here? And Leo goes here, you go, you have a new client, and then, obviously, so how would you describe what you do?

Leo :

Did we do a good job of encapsulating it?

Modi:

How would you describe? I made it a personal story.

Leo :

You can tell it your own way Now give the people over the elevator pitch. Sure, sure you know.

Dr. Andrew Kibert :

I think that the core of the services are really primary care. I think some people overlook the fact that we do handle all primary care issues, because the truth is, if you want to optimize your performance, you have to have all your primary care bases covered right. So we cover all the essentials of all the essential services that any man, woman would need, depending on your demographics, and then, once you have sort of covered all your bases, you have a solid foundation to build on. Then we think about the performance Right. What do you want to do better? What do you want to perform better at?

Dr. Andrew Kibert :

For some people might be aesthetics, hair and skin. Other people might be neuro performance, thinking about mood or energy, focus, sleep. Others, it could be more traditional specialties, thinking about gastrointestinal function or cardiovascular function, and others might be more sexual health oriented. So it's a little bit of a choose your own adventure. People typically will come for one specific reason and as they get to know the practice and see the sort of full spectrum and breadth of services that we offer, we continue to kind of build on that, and so everyone is unique.

Leo :

And I love that. I love the variety. You have really built it because we saw you go from doing house calls to you getting office a.

Modi:

Then there was office b he went from office a to like uh, the jump from office a to b was big, I think cd and yeah, we're just yeah, we're just like. He knew he was going to blow up and the and and it's and. It's amazing, but every patient feels like they're the only patient suffice it to say you no longer do house calls no, no, it'd be very, very rare circumstances.

Modi:

I, I think there's definitely. Uh, if you can one day build the part where you send somebody out to do that, that's always can I just tell a quick story about the house call?

Leo :

oh actually, no, that's going to violate HIPAA you can't violate HIPAA.

Periel:

You're not a doctor, yeah, I can't.

Leo :

But I can't if it's your own health information. No, it's about a friend who's been on the podcast, who saw when I had the studio and he came to the studio and someone blank Dina yeah, when Dina, yeah, yeah, when Dina had his studio.

Modi:

Dina saw this happening, dina walked in.

Leo :

I'm getting my blood drawn and Dina's also right there and she's like wait, wait, wait.

Modi:

And Johnny's there, her husband's there, and you go there and it's a little more costly than a $20 copay.

Periel:

Right, you're not going to like CityMD.

Modi:

But look, I'll give you an example, another fun example that we can say because we're friends. We were in P-Town with Andrew and P-Town those of you who don't know it's just, it's a gay town where just gay men walk back and forth and back and forth on the same road. That's all it really is, and they're shirtless and we're sitting and hanging out and every once in a while, and whenever we go out, one of his clients just goes like this Hi, Hi, Hi. No, we're friends. Hey, Andrew, hi. His clients all of a sudden see him out in the wild. They just go hi, like this.

Modi:

And one of his clients is like ripped and shredded. And I go, Andrew, whatever he's on, I want. And he's like wait a minute, Marty, this guy in your journey are two different journeys. He can't put weight on, he can't. I'm looking to lose weight, he's looking to gain weight. Like a complete different journey to get to where you are. And, Andrew, not only with regular medicine, he's also with a compound pharmacy and he creates. I don't want to say what do you create? What does a compound pharmacy create? Yeah, Medicine drugs.

Dr. Andrew Kibert :

We create novel combinations of different compounds into a single product Right With the goal of having a product that's even more effective than the individual products alone, or something that might improve adherence, meaning it would be difficult to take 10 different supplements. So we combine them into one single capsule, right.

Modi:

So we have our daily pill from Andrew, me and Leo. Each one has its own things that it needs. Mine has biotin and and creatine, not creating what's for the hair you have actually dutasteride, which is like the souped up finasteride or propitio that's right. So I have that in my, and leo obviously doesn't need that, so it wouldn't be in his um, and so we have a vitamin that's made for us, our daily, and then we have the stuff that we, that comes up here and there and things that and and we've experimented.

Leo :

Andrew, what does this rash look like to?

Modi:

you Peptides, peptides, always peptides.

Periel:

How often are the two of you gallivanting? Once a month at least.

Modi:

Once a month at least. Once a month at least.

Periel:

At least yeah, and is this your favorite activity to do?

Leo :

It's a very pleasant experience. It's a very pleasant experience. It's a nice office. Why don't you tell them about the?

Dr. Andrew Kibert :

office. I mean, I think most people don't say like oh, I'm excited to go to my doctor, Right?

Leo :

Well, I get to say that it's a miserable…. Usually you go to your doctor it's the most horrible experience.

Modi:

You walk in there, it's lit like they're looking for cockroaches and there's some miserable thing behind the counter is kind of this, you know, and novi, here, it's very buddies. Everybody's in black sweatpants, black t-shirt, that's just the entire office sweet and smiling, and you walk in the and andrew has a thing for plants. You will notice that as soon as you walk in the shoes, the plant, yeah, shoes off shoes off shoes off.

Dr. Andrew Kibert :

Yes, shoes off because you should feel comfortable, relaxed, right, if you're going to discuss the most intimate aspects of yourself, your inner goals, concerns, fears, right. You want to be in a really comfortable environment and the rooms right, couches really comfortable, chairs right, and you should feel at home. Put your feet up.

Leo :

Nice colors on the wall, nice art on the wall no, I mean the value of a good doctor cannot be stated strongly enough. So if someone listening to this in the New York area who has the potential to become a client what are some of the things I have a problem with XY, or I want to do this that they should give you a call.

Dr. Andrew Kibert :

Sure, hairskin weight. What are the main things? I think it's everyone from I haven't been to a doctor in several years. I get a lot of those, really, oh yes, I haven't been to a doctor in several years. I get a lot of those, right, really, oh yes, I haven't done it in five, ten years. Whoa, wow. Tend to be you know the straight guys. Yes, really right, they haven't you know. Finally, they're you know their partner, something like you have to go to the doctor and they haven't found a doctor that they like, right, um, and then, of course, they're people who have individual goals, for some people might optimizing their mood, maybe they want to come off of a daily antidepressant or anti-anxiety medication. Obviously, there's a lot of weight loss. Body optimization might be a combination of building muscle, burning fat and usually a combination of both of those things Some people are coming in for optimizing skin and taking an approach like with peptides, improving growth hormone activity to get a body-wide rejuvenation effects.

Dr. Andrew Kibert :

So you're increasing production and regeneration of your skin, your entire body as well as your hair, right? So, of course, we also do procedures. We do PRP, prf for hair growth, injections in the scalp. And one thing if you go to a dermatologist right or you go to someone else who's working in hair. Typically they don't do any blood work, but I would never inject someone's scalp with growth factors without first doing their baseline blood work to see like what is your baseline growth hormone activity. That's why people get variable results with PRP and PRF injections is that some people might have double or triple or one half or one third the level of growth hormone activity compared to the next person. So who do you think is gonna get better results?

Periel:

Yeah. So what would your advice be to so many people who perhaps wouldn't be able to afford the luxury of going to a concierge doctor, because I think that that's one of the big problems in this country.

Dr. Andrew Kibert :

I think the number one thing that people need ultimately in healthcare is as an advocate, and if you're lucky enough to have someone who can do that for you, maybe come to a visit or ask what you know what questions to ask. Most people have to be their own advocate. So I think you know, walking into the appointment and knowing an idea of you know what you would like, what you'd hope to achieve, coming prepared, Do your research.

Dr. Andrew Kibert :

Of course. And look, you know, the reality of healthcare in the US is that it's a volume business, right? The average, you know, primary care visit lasts like eight or nine minutes. So you're coming in prepared, you have things typed up, it's ready, you're ready to go. I know any provider will really appreciate that. So you know, at the end of the day, you know you have to advocate for yourself.

Modi:

And if no one, do it yourself. That's very good advice. Yeah, it's definitely not.

Dr. Andrew Kibert :

His office is not the feel like where they put the chart on the on the wall and turn the thing. It's, you know, green, ready, ready, ready to go into the room to the next he comes in there he sits on the sofa he's not wearing shoes, everybody's just.

Modi:

And you talk to him like yeah, just like literally like you're having a podcast with him about your health everybody should be so lucky to have that.

Periel:

It's an amazing thing.

Modi:

And again, we've experimented with a bunch of things and some of them really kicked in and we're still on them for years. And then there's things that and to optimize your health and optimize your, your life, your life, it's not your life. I read this sign. It said your health isn't an expense, it's an investment. Yeah, yeah, that's true. You got to be on top of it.

Dr. Andrew Kibert :

You said something very interesting though, and I think you implied something, but didn't say it explicitly. But I want to bring up that point is that you've tried some things that you're not necessarily doing now, and I think that part of this, too, is you know, we all know that not every medication works for every person. So there is a degree of experimentation that takes place, but it's a supervised, safe, strategic experimentation with a partner, and so I think a lot of people are curious about things, but I've never found someone who can be a partner in prescribing and monitoring what those products are, and ultimately, it's a feedback loop right. You're always iterating, you're always improving, you're getting data right From what the client tells you Are they enjoying it, do they like it, are they having any unwanted effects? But also from objective markers looking at blood work, and you use both of these data sets to help inform and iterate the regimen over time. It's not something that's static or stable. It's continually evolving and we are also always evolving, so your regimen should be too.

Leo :

Yeah, I would say this is probably one of the most luxurious things in our life.

Modi:

It is a very luxurious thing to have, and there's an app that we work with for the office where you can like Sunday night at 9 pm, I'm not feeling well, and you hit the app and the guy what's up, what do you need? Da-da-da-da. And either he calls, or Because we try to keep the professional and the friendship thing apart. Well, now his team is so big that that's gotten a little easier.

Leo :

It's much easier.

Modi:

Yeah, someone from the team calls and goes and then, two seconds later, leo does this thing. Leo knows how. When CVS. Hi, this is CVS.

Leo :

I do a lip. When CVS calls with my pharmacy, I lip sync it, I go. Your alprazolam is ready you guys use cbs I so I used to use.

Periel:

It used to be.

Leo :

It used to be this thing called capsule, which was amazing they so good when that was on hand delivered your prescriptions for free in Manhattan I think it was a startup and I think they grew too fast or something and then all of a sudden they stopped dropping the ball and like your medicine wouldn't get delivered one day. So I was like we live across the street from a CVS. Let me just deal with this.

Periel:

But you have to go in there and wait online with like 470 people.

Modi:

No, not ours, not ours. You probably know the pharmacist. Yeah, they know us. Oh, they know me, trust me. They know me these two days again.

Leo :

I'm like picking up all of their. I'm like no, no, no, we're about to be traveling for two weeks. I need to refill this. Really. You need 90 of those.

Modi:

But we yeah. So it's, it's, it's, it's luxury, it is a luxurious thing but, it's your, it's your health.

Periel:

Yeah, that and Uber.

Modi:

That and Uber. Yeah, oh, our driver.

Periel:

So the million dollar question, though would everybody who has access like this to a doctor, I'm sure who's listening wants to know what. What is the deal with Ozempic?

Leo :

Is that like the number one thing that people, or like the top three things that people?

Dr. Andrew Kibert :

are like. I'll say this by the time you're reading about it in the new york times. We've been doing it for years he is, he's always been.

Modi:

You're like, welcome aboard wait so we could talk about some of the products you have. But first of all, it's marketed so well. Everything is k something k k uh well, and Dr Kibbert has put together a mixture of is it Viagra and Cialis and something else, and it's a little pill from a compound pharmacy and it's called K-Rect. Oh, that's good, I mean it's fun. Then there's like, uh, what was that? What's the stuff that has the k in front of it?

Dr. Andrew Kibert :

well, you know, we, uh, basically we've. We've kind of now reserved that for any of the the products containing ketamine, to avoid any confusion. You could imagine someone could you know, mix those up, do you want?

Leo :

to talk about the ketamine products, of course, what we? Yeah, we've talked about ketamine on this podcast before with Dr Radowitz Radowitz. Yes, so we've covered it a little bit, but what are some of the?

Dr. Andrew Kibert :

things you know. I think one very common misconception is that you know ketamine is an illegal, you know compound or illegal drug. The truth is it's been around for probably since the 1970s it's probably like 50 plus years at this point. If you're having a procedure, a surgery, done in manhattan today, you are receiving ketamine. Okay, it's used at higher dosages as an anesthetic right so that you can, you know, go to sleep during the procedure, not move on the procedure table, so the surgeon, you know, can do his or her work. However, at much lower dosages you can get a mood optimizing effect. Right, you're not trying to induce anesthesia, but you're trying to elevate mood, and so for some individuals this might be an option for an as needed medication for anxiety or depression. They don't want to commit themselves to a daily medication indefinitely. They might go through periods of time where you might have a day or two or a week or two where they're feeling down or a little bit anxious, and then have periods of time where they're totally fine. So this is an as-needed medication that can be self-administered.

Dr. Andrew Kibert :

Of course we have some people who are utilizing this as a replacement for alcohol. It's a really, really popular use case. I think alcohol generally is kind of falling out of favor. People are realizing they don't feel so great when they have it. So rather than consider, let's say, alcohol for going out or something like this or having social anxiety, they can use some of the ketamine products. We have people who are using this in terms of for creative processes, who are in the creative space. There are a lot of applications and it's very versatile, and I think that's something that you cannot say about most medications.

Leo :

So would you kind of liken it to like if someone had a medical marijuana card, like some of the same uses they would use for that?

Dr. Andrew Kibert :

It's a good question. I would say it depends on the reason, right? Someone has the medical marijuana card, right? If someone is using this, you know medical marijuana because they have cancer and they have nausea from chemo. I'm not going to tell you to use ketamine for that. However, if someone has, let's say, ptsd and they're utilizing medical marijuana for that, there is a use case potentially for ketamine.

Modi:

So it really depends on the reason why you're taking it and again you're monitoring it with a doctor, which is the biggest.

Dr. Andrew Kibert :

And look, I think another really key thing here for anyone who might have used, let's say, ketamine recreationally in the past, right, you know there's no way to guarantee the purity or origin of that product. There's no way to measure that product, typically in a social setting, right Off of a key or a plate or something like this to be. You know, look, that's what it is. And look, you also have to have very frank conversations with people, right? Because, like, you know what they're doing, it's like let's have a really open, transparent conversation. So you know this comes from a pharmacy and it's measured, right. So you know.

Periel:

RX, exactly, of course, rx KX.

Dr. Andrew Kibert :

You know. One spray, one lozenge, one tablet. You know exactly what it is. You can have a reproducible experience. That's very important from a safety standpoint, also from a therapeutic standpoint, Yep.

Modi:

And testosterone.

Dr. Andrew Kibert :

Yes.

Leo :

Would you say a lot of the problems that like people have in terms of, like weight gain or like not being able to maintain their weight and mood and a lot of things are just like a lot of it can be boiled down to getting their hormones tested regularly.

Modi:

Yeah, like testosterone is a big thing.

Dr. Andrew Kibert :

Yeah, you know, I think that when it comes to overall body composition, thinking about fat mass, muscle mass and also bone strength, a lot of it is, you know, hormonally driven. For some people that might be testosterone, for other people that might be growth hormone, for other people that could be something called GLP-1. Oh, would you like to talk about that? Sure, glp-1 is what ozempic is. We don't, we don't talk about this, right, semaglutide, which is the compound of, of ozempic um, is a an analog. It's a version, a copy of a naturally occurring hormone. They didn't just come up with this right, like, like where the the you know big pharma's. Like, oh, like, we invented this novel compound that no one's ever heard of that's making people lose weight. They were like, oh, there's this hormone that we haven't really paid attention to in the body that we know has something to do with weight. What if we just give people more of it? And lo and behold, right, it promotes satiety, the feeling of satisfaction or fullness. So it prevents hyper-consumptive behaviors.

Leo :

So it's also because people are also using Ozempic to reduce, like alcohol intake, correct?

Dr. Andrew Kibert :

That's why they are. Yeah, it's like cutting your desire for it Right. How does that work? And again, that's why you know I chose my words carefully there in terms of hyper consumption Right.

Dr. Andrew Kibert :

So for some people that might be food, for other people that might be alcohol Right, it could be other substances. So these medications, the GLP-1 drugs and there are now a handful of them right are being used for a lot of different reasons reducing consumption or excessive consumption. They're also extremely effective at preventing or reducing inflammation. People who have autoimmune conditions, women who have PCOS right. I have women who've come off of metformin, spironolactone, other PCOS drugs, because now they have semaglutide or one of the cousin compounds here and it helps reduce their inflammatory symptoms. They reduce the polypharmacy because they're taking multiple medications and they have the weight loss benefit. So when you have one strategy that's really going to check multiple boxes, to me that's the elegant solution. That's the one that we want, right.

Modi:

We want to have the simplest outcome. I'm just staring at Perrielle. She's looking at you and I can see in her mind.

Leo :

I can see in her mind she's like I'm coming back in this next life as a gay man. No, but let me tell you something. The last few times I've left your office, there's been women in the waiting room and I wanted to be like are you lost? But no, they were patient. They were patient.

Periel:

Actually what I was thinking.

Leo :

First of all, I thought I was already a gay man.

Periel:

Actually, what I was thinking is I am fully, fully getting on this ozempic bandwagon really, yeah, have you heard about this thing called ozempic babies?

Leo :

um, yes, so like would you like to describe what's happening?

Dr. Andrew Kibert :

because I read an article. Really, you know, I I will say um, I have not done a deep dive on this.

Periel:

Wait, let's guess what it is. I don't know what it is, I know what it is.

Modi:

I heard what it is. I just know people are having a lot of babies on ozempic.

Periel:

Is that because suddenly the women are Skinny?

Dr. Andrew Kibert :

in hats. I don't think that's the reason.

Periel:

And their husbands want to have sex, but it could be a confounder. I imagine it probably has. Of course there's a phenomenon, you think that's the reason, and their husbands want to have sex with them again, but it could be a confounder.

Dr. Andrew Kibert :

It could be a confounder I imagine it probably has, and of course you know there's a phenomenon, right where there's an increase in infertility right. So I think that implies that there might have been an inflammatory process underlying the infertility and therefore, once you reduce that inflammation, you're allowing the process of fertilization to happen more easily.

Periel:

Oh, that's definitely not what I thought.

Modi:

But for listeners too, testosterone is a very important thing too.

Periel:

No, you really love this testosterone.

Modi:

No, but you don't realize, when you get older it really drops yeah.

Dr. Andrew Kibert :

I do want to say one other thing about GLP-1, because I think it's really important.

Periel:

What is?

Dr. Andrew Kibert :

GLP-1?.

Leo :

It's the Well, I'll give you the name. It's on my glutide. I just gave you the abbreviation.

Dr. Andrew Kibert :

It's glucagon-like peptide 1. Wow.

Leo :

You got your answer.

Dr. Andrew Kibert :

Okay, that's what it's an abbreviation for. And again, semaglutide is an analog of this hormone. Okay, even when you take terzepatide, right, manjaro or zet bound, okay so they, they're all in this family.

Dr. Andrew Kibert :

However, you know, I think it's really important and and I'm saying this because you know I'm thinking of a couple women actually and to leo's point, actually I would say women is the fastest growing demographic of the practice um period, um, but I have a number of women I'm thinking of a couple heavier women in my practice okay, who thyroid's fine, it's not your thyroid, you don't have low thyroid, that's not what it is. Testosterone's fine, okay. Growth hormone is fine. You say, oh well, hormonally, again, all the standard labs that you would get at a doctor's office, or at least, if you get them to check it, they're all fine.

Dr. Andrew Kibert :

Okay, glp-1 is a naturally occurring hormone. Do I have a test to be able to measure it? Measure it? I don't, and so I think it's also really valuable, right? We know that if you have low thyroid and I can show you have low thyroid in your blood you say, okay, I'll take some thyroid hormone. But someone who can't see the numbers they need that objective, that quantitative data to know that something is out of range in order to think about potentially taking it. I can't provide that to them. And so there's also a bias in the testing, the medical testing that's currently available, because I can't measure someone's GLP-1 activity. So for someone who's on the fence, should I take it, should I not? I've heard this. I've heard that I think it would be a complete different conversation if able to provide some objective data to show them the activity is low.

Periel:

Why isn't there a test for that?

Dr. Andrew Kibert :

Great, because there's a lag between what the pharmaceutical industry is pushing out versus what LabCorp or Quest is willing to offer as a commercially available test.

Periel:

I mean, you could probably create a test for that and become like a billionaire.

Dr. Andrew Kibert :

You want to do it.

Leo :

No, I'm going to be a skeleton or two episodes ago by the time this comes out. Andrew gave me a growth hormone to take after the surgery to like speed up the recovery process for like a few weeks. So it was major surgery.

Periel:

This is so smart.

Leo :

Yeah, but my surgeon didn't say that None of my other doctors suggested that I'm like hello. So that goes back to like what you said about having an advocate and like having someone who's aware of like what's going on in your health life and to just think like a little bit creatively.

Periel:

And yes, he definitely thinks creatively.

Modi:

That's definitely the if you could. The practice is creative. It's not standard here this, that that let's see what we can work.

Periel:

You guys have really got your shit together.

Leo :

That's what happens when you don't have kids. Yeah, we don't have kids.

Modi:

That's what you can do. That's what you can do.

Leo :

You can be like what is going on in my bloodstream right now.

Modi:

Yeah, yeah, so what?

Leo :

are some of the more fun things people can come to you for, like cosmetic. More fun things people can come to you for like cosmetic things More fun, things Like more little fun.

Dr. Andrew Kibert :

You do Botox? No, of course, but you know they say the shoemaker with no shoes.

Modi:

Well, you look fine. You look like you have plenty of shoes. What you have? Botox? No, I need some. Oh, you?

Leo :

need Botox? No, but you do Botox in your office. You do Botox no.

Periel:

Yeah, of course, but I inject everyone else and don't have time to inject myself. You wouldn't actually inject yourself, though, would you? I do?

Dr. Andrew Kibert :

usually yes.

Periel:

Really.

Dr. Andrew Kibert :

Interesting. I just need a mirror.

Periel:

Okay, wow.

Dr. Andrew Kibert :

Sometimes you know people on the team walk into the room I'm injecting myself and they're, like you know, taking it back. But you know that's part of how I learned was on myself. Right, you can see the effects, you can feel the effects I mean maybe I don't know.

Periel:

I would imagine that you would get another doctor to do it.

Dr. Andrew Kibert :

Sure I could if I had the luxury of so much time to go out and do that. But yeah, I usually just inject myself.

Leo :

I will say I've had Botox a few times. I will say I've had Botox a few times and you can really see the difference on other people when it's done by like either a doctor or a surgeon who, like, understands anatomy, versus like a standard, like aesthetics injector.

Periel:

Wait a second. Who's just like Don't you have to be a doctor? No, no.

Dr. Andrew Kibert :

You don't. It depends on the state. In New York State you can be a registered nurse injecting Botox with you know, as much or little training and experience there are so many things.

Modi:

Not everything is. I'm a nurse practitioner, I'm a physician's assistant, I'm a surgical, I'm a surgical associate, I'm a magician what the hell is that? A medical technician, I mean? There's so many things that are not doctor or nurse anymore.

Dr. Andrew Kibert :

It's just so many things, but it's really become a commodity, right? So people are looking at the price per unit. So if you're seeing a really low price per unit, one of two things happening Either it's counterfeit Botox or I'll say you're not getting as many units as you think, or it could be that there is, let's say, an injector who's like a lower rank of credential, as much for their injector fee.

Periel:

Oh, my God.

Dr. Andrew Kibert :

You get what you pay for, like the back of like nail salons you get what you pay for.

Modi:

Yeah yeah, yeah. Dina says she only gets Botox when the guy opens the bottle in front of her. Don't come in with some empty bottle. Come with the syringe already filled. I want to see you open the bottle and then suck it out of the what's up with Dina's health? And see him suck it right out of the bottle that says the name on it.

Leo :

They're like using. No, my doctor, dr Schaefer, was in the New York Times recently. He did a whole thing about talking about counterfeit Botox. It was a big thing In.

Dr. Andrew Kibert :

Brooklyn, there was a huge bust a couple months ago.

Periel:

I can't yeah.

Dr. Andrew Kibert :

I mean it says Botox, have the vial open in front of you, but it's not what is it it and there was also there was an. There was an uh outbreak somewhere uh in southwest us too, I think there were people who were getting infections and things like this too it was either botox injections or married prp injections.

Dr. Andrew Kibert :

But you, you know you you get what you pay for and you you need to go to someone who has experience doing it and, of course, the goal right is never like what happened to your face. Yeah, it's like did you just get back from vacation? Where'd you go? You're glowing. Right.

Periel:

Right, right, right, relaxed. Look, yeah, you look so relaxed. Yes, right, who is Dr Schaefer? I've never felt relaxed in my life.

Leo :

Dr Schaefer is a plastic surgeon type of person who did lasers on my face recently.

Periel:

Yes, how many doctors do you guys have?

Leo :

Oh a lot, but Andrew's our main doctor. I was going to say do you feel?

Modi:

like they're cheating on you. Well, actually.

Dr. Andrew Kibert :

I'm glad you bring this up because actually, another really important thing that I do, that we do and it's also serving as an advocate, right. So when you are going to specialists and you're getting recommendations for doing, whether it's also serving as an advocate, right. So when you are going to specialists and you're getting recommendations for doing whether it's a different medication or it's a procedure, surgery, whatever it is you know you want someone to discuss this with, especially if you're getting different opinions and so helping to kind of sift through the you know the noise and find the signal in terms of you know what's what. You know the noise and find the signal in terms of you know what's what you, you.

Dr. Andrew Kibert :

It's very valuable to have a third party who can speak the language, who can also get on the phone with that doctor, of like, let's clarify.

Periel:

That's amazing, though, because there are doctors who I think I've always said that any great doctor is going to welcome a second opinion, like some. Some people are like, oh, I don't want to. Like upset my doctor and get like a second opinion.

Leo :

People are like, oh, I don't want to like upset my doctor and get like a second opinion, I'm like, are you insane? Yeah, no. But like when I had that surgery again recently and he does the you know has to do all the preoperative Clearance lab.

Dr. Andrew Kibert :

You know, make sure everything's fine.

Leo :

Yeah, and so he knows what's going on with you. And then he also sent a nice thing of juice to the house Juices and like smoothies because I couldn't eat anything. Yeah, he said so you have someone in the office who's like keeping an eye on you, that's so nice.

Dr. Andrew Kibert :

Yeah, and Leo, it's also. You know, the anesthesia plan, I think, is also something really, really important, right, when you're going in for a procedure, you might just thinking about the, let's say, if you're having like a surgery or something like this, you also want to think about the anesthesia. Right, if you're going to require some sedation, depending on what procedure you're having done, you want to have that conversation before the surgery takes place, especially if that surgery is going to be before the weekend and then it's a Saturday or Sunday and your nerve block wore off or whatever you were given wore off, you want to already know what that plan is, and if you've never had a surgery before, you're not a medical professional, you're not going to be thinking about that. So I'm here to ask those relevant questions and to help the client gather that information. So you have a plan.

Leo :

My surgery was on a Thursday and I was talking to him about it and he was like well, leo, they're giving you a nerve block. By the time it wears off, it might be like Friday afternoon or Saturday. Do you have the number you're going to call if you have any issues?

Modi:

And like these were all things I just didn't even think about. I mean, they're common sense things. But I was like, oh, you're right. So, like he told you to ask a question like are is the cert? Are you doing the surgery yourself?

Leo :

completely or is there like a no resident?

Modi:

no, residents in the room. We paid cash out of pocket. There was no insurance for the doctor he used and we and I don't I don't need you teaching- people.

Leo :

Yeah, this is not like having someone having someone you know help you create those like surgery questionnaires, like have in mind and then like also you know, like I said, like having the growth hormone afterwards, like things that are not just like standard.

Periel:

No, thinking about that stuff is incredible. I just had a colonoscopy for the first. Congratulations.

Dr. Andrew Kibert :

Oh, congratulations.

Periel:

And let me tell you, whatever they knock you out with is Gropofol Lovely. Oh my God, Amazing yeah.

Leo :

That's the Jackson juice and your squeaky clean bill of health.

Periel:

Squeaky clean.

Modi:

And you also go in there squeaky clean. Whatever they give you the day before gets you squeaky clean.

Leo :

Yeah, when Modi had his colonoscopy I was like do you think Dr K will prescribe whatever you're taking before we go to the beach over the summer? I want to feel snatched.

Periel:

I know it's insane.

Modi:

Whatever the hell they give you before the colonoscopy.

Periel:

Can't they come up with something that you don't have to drink that disgusting stuff endlessly.

Modi:

It's not disgusting. My thing was a little bottle. It was a who the hell tasted the super water.

Periel:

You didn't have one bottle.

Modi:

It was two little bottles I took and it blew my mind away. It's not the only thing. There are some newer products.

Dr. Andrew Kibert :

There are some newer products for prep, so the products continue to get better, easier to take, less, you know, more palatable all of these things. So I think that you know, relative to someone getting a colonoscopy in years past, I think it's much easier for people's you know.

Periel:

Next colonoscopy I can't imagine what it used to be like and also don't forget.

Modi:

Andrew, I'm so happy to hear that your number one growing clientele are women. But you are very well known to us in the gay world Definitely and definitely in the gay world for optimizing your health and safety too, with all kinds of diseases that are out there.

Dr. Andrew Kibert :

And look, I'll say, even amongst, let's say, the males which are the main part of the demographic of the population, it's probably about 50-50 split, gay and straight. So we have lots and lots of straight men. It is primarily men, but know gay and straight. So we have lots and lots of straight men. It's primarily men, but again women are growing.

Periel:

But are all of your straight men hot?

Dr. Andrew Kibert :

Yes, not as hot as the gay ones, that's usually the case.

Leo :

Maybe they're like a straight seven, a gay four, but we're working to boost those numbers if that's part of their goals no, but like also, it's really important having a dog, like when you're gay, having a gay doctor that you can just like. Like I had to go to a urologist recently and the first thing I asked him was like, are you gay? And he was like yeah, and I was like thank god, okay, and then we just went.

Periel:

Wait, don't you think, asking when you're there is a little bit late no, well, I also think you referred me to him.

Leo :

So I was like you can double check.

Periel:

I was like just double checking here you're supposed to vet that before you walk in um. By the way, I do that for every faction of my life is make sure they're gay men. Those are the only people anyone doing my blood work my hair, my, my flowers. Everything it's so funny, so okay.

Modi:

So getting to be so, do it's not all in or none either? You told me in your practice. There's some people you see like a one-off.

Dr. Andrew Kibert :

Definitely. So you know, we are a membership model in terms of the practice, which we prefer, right? So you basically are paying a retainer to the practice and we're on your team, right? And of course, we do have some people who are not members and they remain clients of the practice and they come on an as-needed basis. They might come quarterly, they might come twice a year, they might come more often than that. It kind of depends. But we have options.

Leo :

So someone listening to this could be like I just want to come in and like have a consultation.

Modi:

Every y in and like have a consultation every yenta in Long Island is going to come in just to see no, they're going to send their lazy husbands in there. I wanted to see where my husband's horrible my husband's a mess.

Leo :

My husband is a slob, slob.

Modi:

He doesn't stop eating. Could you give him something, the GL, whatever the hell you're giving out over there don't give him that K-rec stuff you talked about.

Leo :

Keep that away from him. I don't want him touching me.

Modi:

I don't want him chasing me around the bedroom. None of that, k-rex. Just give him something to calm him down and grow his hair back.

Periel:

You could do maybe a promo code If you heard about Dr K on this show speaking of promo code.

Modi:

Yeah, Dr K's practice is not promo code.

Leo :

There's no promo code.

Modi:

If you're looking for a promo code, you should not be looking for it.

Leo :

You should go to A&H Provisions.

Modi:

No, I was getting there. He's not like if you're looking for a promo code, this is not where you need to be. But speaking of promo codes, promo code Mody at A&H Provisions. The website is Kosherdogsogsnet. Kosherdogsnet. Use promo code MOTI. A&h Provisions is the most delicious glut kosher meats. They are a partner here with us. They are on T-MOTI, as you are too. He's in Charlotte's face.

Periel:

Fourth, of July.

Modi:

Fourth of Julyuly weekend's coming up. You need the hot dogs from there. Thank you very much, seth and a and h. Um, what grill it up? Grill it up, yeah and uh, and hopefully we'll be with you july 4th. Yes, yes, um and uh and yeah, are we good?

Leo :

yeah, do you have anything?

Periel:

you'd like to add Anything on the?

Leo :

horizon for the practice, anything you feel was missed.

Periel:

Where can they go if?

Modi:

they want to visit you. Yeah, what are all your socials? Your website, he's not. Let me tell you something.

Periel:

I will tell you something.

Leo :

I will tell you something about Dr K.

Modi:

Let me just tell you something about Dr K.

Leo :

Quiet luxury. His assistant says off camera Dr K is quiet luxury, quiet luxury. You have to be in the know to get into what Dr K she says. You can actually copy.

Periel:

Oh my.

Leo :

Are you really not wanting to like plug yourself? Is that what's happening right now? I'm just telling you the funny story.

Modi:

I'm not going to mention any names. We were in Fire Island at this thing called T, which I call. What sets Leo into a panic attack? Oh my God, it's just. Every gay on the island comes into this like area and just they blast this music.

Leo :

Makes me want to commit a hate crime.

Modi:

That's what it is and there's one guy I know I know that is a well to do gay guy and I said, oh, you know this would be a good client for you. He comes up and we start having a chat. I go, oh, this is, what kind of a doctor are you, and this and that. And then he just starts telling him the most disgusting things and we were like I definitely blocked this from my mind.

Dr. Andrew Kibert :

Thank you for bringing this back up. It was the most horrible conversation.

Modi:

That's who I'm not looking for. That's exactly who I'm not looking for.

Leo :

Andrew's like. I don't want that in the office.

Modi:

Andrew has the luxury of choosing who he wants to invest his time and practice with, so it's not just anybody that comes in with a promo code. It's a quiet luxury. It's exactly so it's a luxury.

Leo :

So are we not?

Dr. Andrew Kibert :

plugging your Instagram, I'll say you know you're best, you know if you have a referral, because we really want to build a network of like-minded people, right, so we really do value referrals and kind of building our network organically, like that. We've never done any advertising in the past. You know however many years we spent $0 on advertising, so everything is word of mouth. I think that if someone does want to reach out, probably the best is actually just to text or give us a call at 646-568-6636. Wow.

Leo :

That was giving smooth operator.

Modi:

I've never heard a phone number being given on this podcast. So wait, the a phone number being given on this podcast. So wait, the first phone number ever on this podcast.

Dr. Andrew Kibert :

We want to hear from you, we want to talk to you. We want to know what your goals are. We want to know who referred you.

Periel:

I want to just tell you that their DMs are going to be, flooded.

Modi:

You have no idea what you just did. You need to get another number Wait now they have a pen and paper.

Leo :

Say it. You need to get another number. Wait, now they have a pen and paper.

Dr. Andrew Kibert :

Say it again. What's the number?

Periel:

it's 646-568-6636 is that a real phone number?

Modi:

and just to be clear, you don't want me linking your website and Instagram in the description of the show, like I do for everyone else yeah, no, I think we'll do that quiet luxury it's not one of those Instagram where, as soon as you say who's this doctor, and everybody just goes right to their Instagram and all you see is like before and after pictures. Yeah, no, it's not that you barely post.

Dr. Andrew Kibert :

It's on the to-do list for this year. We're hoping to.

Modi:

It does work, but look.

Dr. Andrew Kibert :

A part of that is, I think, a lot maybe who have more free time and fewer clients might be missing.

Leo :

Oh, shots fired. I'm just being honest. He's like well, if they're playing on Instagram, they obviously don't have the client list.

Dr. Andrew Kibert :

Well, look, I'm busy taking care of people, so that's my priority the clients in front of me, so we're not out here, you know social media is a time sucker.

Modi:

It's a time sucker, but it's not. Might not be the thing that you're thinking, but everybody, like I said, everybody comes to. There's no rush, you never feel rushed, you have a time allotted to you, you can discuss, and it's and yes, so that's the phone number. It's very easy, drk, dr Kibbert, and it's the Instagram account is. I'll plug it. I'll put it in the thing we'll put it in the description and that's that's a wrap, and even if you don't go to DrK, maybe go to your doctor get that colonoscopy that thing you've been putting off that mole.

Leo :

That's freaking you out.

Dr. Andrew Kibert :

Go get it checked out when in doubt, get it checked out.

Modi:

I was asking him this weekend. We were together this weekend and I told him we just had the Jewish matchmaker and she and I kept going different catchphrases back and forth.

Modi:

I go to him Andrew do you have any catchphrases you use? He's like no, I don't use catchphrases. I tell my clients this is what we should be doing. And now, and what did you just say? When in doubt, get it checked out. When in doubt, get it checked out. Yeah, there's your catchphrase. We'll have to get you a yarmulke now. Yeah, um, it's, it's, it's an it's. I'm'm so happy where it literally was 10 years, we're together.

Dr. Andrew Kibert :

It's, it's been. I mean, look, I also. I know I've been trying to get on the podcast, so I'm I'm really happy to finally have made it and be able to, you know, come do this with you guys. So thank you so much for the invite we highly recommend.

Modi:

this is a highly recommend and it's it's a luxury that we appreciate and we appreciate you and we appreciate God that has led us together to what's it called Sacred encounters. Yes, and I'm going to have one last pitch before we wrap this up On top of Andrew being an amazing physician, as a human being, he is on another level, another connection andrew and I had. Andrew has grandparents that are 97 and 90, 98 and he takes good care of takes care of them.

Modi:

Andrew's mother passed away in the beginning of covid. He's taken on his parents. I met them when we first realized this and that he said oh, my grandparent did back then they were in the cat skills and I was still doing the cat skills and his grandparents were at a show of mine and one of those little community things and and we I still have a picture, my phone with me once in a while and his grandparents are, wow, I mean all there. Amazing Andrew takes care of them. Every Wednesday you visit them and it's you went to your grandma's birthday party.

Modi:

Yeah, we were his grandfather's 97th birthday party. Yes, yes, and a mensch Another level on top of the doctor.

Periel:

What are their names?

Dr. Andrew Kibert :

Sylvia and Joseph Old school, new York.

Leo :

Yeah, like OG New Yorker To drive a taxi.

Modi:

Yeah, yeah, yeah, yeah, old school, new York. Yeah, amazing, amazing people. God bless them, god bless you, and God bless anybody who is the friend that brings a friend to the comedy show. We are on tour, whatever you want to call it, whether it's the summer series or modi in australia, or the upcoming tour called pause for laughter, modi livecom we have shows. When this is airing them, there might be a few tickets left in the in west hampton. Uh, jerusalem will by now be over with, but, uh, maybe not, maybe not so, uh, jerusalem. And then we have a tel aviv show coming up that's not announced.

Modi:

We're not announcing it yet, but it's happening.

Modi:

There go my dms okay, and uh, the big tel aviv show coming up too, that's not announced it. Australia, uh, three shows in melbourne, two sold out, one, there's a few seats left and that's on the 24th of August and then the 29th we are in Sydney, australia Um, I'm not going to do a stupid accent, so, uh, just get your tickets. And then we have, um, the Borgata Atlantic city, we have in Nashville, we have Leo Help Me Rally. North Carolina, zurich, london, zurich, and the Palladium in London, which God willing.

Leo :

By the time this airs in the Beacon Theater here in New York City, which is in December the final.

Modi:

And then the Beacon Theater, which is almost sold out. It's getting there and it's all the way in December. It's all the way in December. Be the friend that brings the friends to the comedy show. Get six tickets right now for the Beacon. First of all, amazing Christmas gift and an amazing just the best way to be with your friends is to be laughing Hanukkah gift.

Modi:

Hanukkah gift, holiday gift. Thank you, not me being by my own, and that's it. Thank you so much for listening. Thank you for the DMs everybody sends and when in doubt, check it out. When in doubt, check it out. Thank you, andrew Bye. Thank you, thank you.