July 5, 2026 • 43 mins
Dr. Galati starts the program on how he spent the 4th of July. He’s offering free fibroscans for those who may have symptoms of a fatty liver. Dr. Galati goes on to talk about the benefits of drinking coffee and July 10th being Chronic Disease Awareness Day.
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Speaker 1 (00:01):
Initial life sequence.
Speaker 2 (00:04):
Coming to you live from Houston, Texas, home to the
world's largest medical center.
Speaker 1 (00:08):
In the approach phase everything looking.
Speaker 2 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Gallotti. During the next hour
you'll learn about health, wellness and the provention of disease.
Now here's your host, doctor Joe Galotti.
Speaker 1 (00:46):
Well the good Sunday evening to everybody, Doctor Joe Galotti,
I sure hope you all had a great fourth of
Jie America to fifty. I, like so many others, were
(01:10):
was home with family and we were grilling and hanging
around the pool and really just being thankful. Of course,
because the party was at my house, I got to play.
And this is a bit of a joke going back
a long time. I am a big fan of John
(01:33):
Philip Sousa music, and so we had plenty of that playing.
We were together with the kids and grandchildren and the
dogs and going off our diet a little bit, don't
you know. Look, we talk about health and wellness, and
so much of it is through diet and exercise, what
(01:56):
you put into your body. But when your good, nine
of the time, it's okay to have a burger and
some sausage and a little apple pie. It's all right.
And you know, while while we're at it patriotic fall
to July weekend, you know, we have to really be
(02:20):
thankful for the country we're in. And look, nobody is perfect,
and there are plenty of people that don't like the
way things are going on, but there'll always be that discussion.
That's what makes a democracy. But when when it comes
to healthcare, and again there are lots of issues with
(02:48):
the healthcare system in the United States here, but compared
to rest of the world, America has the most innovative
health care care, the greatest facilities here. And yes, there
are wonderful research institutes in France, or in Israel, or
(03:15):
in South America somewhere, But when you add in the
totality of what we have here, I'd like to think
because we work in a free environment, we're able to
dream and be entrepreneurial. It is a great engine for
(03:36):
all of this medical and innovative breakthrough and technology that
we have here. So yet another spin off of what
we have here in the United States. You know, one thing,
and by the way, our website doctor Joglotti dot com
sign a for our newsletter. Everything about us is there.
(03:57):
If you need to contact me, and I'll tell you why.
You may want to content me in a moment, but
sign up for our newsletter, you're able to message me
and the team.
Speaker 2 (04:09):
Now.
Speaker 1 (04:09):
The team is the your Health First team, the people
that work with me on the radio, but also my
clinical team, a research team. We all basically function as
one group. We're sort of in different silos, but we
all are rowing in the same direction doing what we
need to do for our patients every day of the week.
(04:34):
So reach out. Go to doctor Jogolatti dot com. There's
a tab there for contact us, and you can send
me an email. But also if you sign up for
the newsletter, that's a way that we keep in touch
with all of you. So doctor Jogolotti dot com. All right,
(04:54):
what I was going to say, And so many people
have reached out to us about this for more information
and some directions. So outside of what I do on
the radio, I am a liver disease specialist, a hepatologist.
The name of our practices Liver Specialists of Texas. We've
(05:15):
been in the Texas Medical Center for nearly thirty five years,
and one of the nagging diseases that we see is
something called fatty liver. Now, many of you that are
regular listeners may have heard this before a little bit
of an update, but fatty liver. There are well over
(05:38):
one hundred million Americans with fatty liver disease. The sad
part is that most do not really realize they have it,
or they've been told they have it, and really no
action has taken place, so you know you have it,
but it's been let's just say, ignored, and that is
(06:00):
no good because for those of us that see this
day in and day out, what we see every day
is what we call the late referral. The person that
comes to late. Now, what does that mean? You come
too late, too late for what, well, too late for
(06:21):
having a more meaningful option to intervene and reverse this,
stop it or reverse it, or too late that you
are beyond treatment. And then the next line of therapy
may be something much more aggressive like the need for
a liver transplant, or you have liver cancer, and when
(06:41):
that happens, then all of the good options or the
better options for reversing it go away. So the late
referral is the bane of our existence. We accept everybody,
but we want to see people earlier. There's nothing better
than getting to see a patient early and giving them
(07:03):
the opportunity to turn this around. But with that said,
and with everybody listening tonight, wherever you are, if there's
well over a million people with fatty liver and there's
three and a half million Americans, that's like one in three.
(07:25):
So whoever you're driving with in the car, look over
to them that if you don't have fatty liver, they do. Okay,
think about everybody you were at the barbecue with yesterday,
count off every third person. They most likely have fatty
liver disease. Now, with fatty liver disease, it doesn't exist
on its own. It is going to be associated with obesity,
(07:48):
being overweight, obese, morbidly obese, body mass index over forty, diabetes,
pre diabetes, high blood pressure, and some cholesterol or treglyceride issues.
And so many many people have that cluster of risk factors.
(08:11):
The obesity, the high blood pressure, the diabete is, the
high cholesterol, high blood pressure. And the challenge is your
primary care doc may not make a big deal out
of this, but when you add up all of the pieces,
it adds up to a very very risky situation. So
what I am offering tonight, and we've talked about this
(08:34):
before over the last few years, our program has the
opportunity to offer you screening with a fibroscan. So fiber
scan is a sound wave test. It's not quite an ultrasound,
takes about three or four minutes. It's a sound wave
test that we do in the office and it measures
(08:58):
both the amount to a fat small, medium or large
amount and the stiffness of the liver. A normal liver
is think of a temper pedic pillow. You squeeze it
and it bounces back, very mushy and spongy. That's a
normal liver. But as more fat deposits in the liver
(09:20):
and or you get some scarring or damage, deliver becomes
more stiff. This fibro scan can measure the stiffness. In
other words, the amount of fibrosis saves you from needing
a liver biopsy. So our practice, we're we're offering free
fibro scans in our office to anybody that comes by.
(09:45):
If you're within somewhere in Houston the Greater Euston area,
you want to drive an hour, hour and a half
two hours. We have patients driving for two and a
half three hours to get a free scan, which can
be a very meaningful event for you because if God
forbid you have more advanced scarring and you don't know
it well, then you've just really done yourself a very
(10:09):
big favor. So to get in touch free fiber scan,
send us a message right go to doctor Joeglotti dot com.
The other is you can call our office seven one
three seven ninety four zero seven hundred and say heard
doctor Galotti on the radio free fibro scan. I want
(10:32):
to come down and we'll get you evaluated for free.
So do that. It's a good thing. Bring your wife,
bring your boyfriend, bring your kids, whatever it may be.
But again, if you have risk factors with being overweight, obese, diabetes,
(10:55):
high blood pressure, high cholesterol, your seventy five eighty percent
chance that you may have a fatty liver, but you
don't know it. So all right, doctor Joe Glotti, this
is your health first MBI. Hope you're having a great weekend.
We'll bright back. Welcome back everybody, doctor Joe Galotti. Every
Sunday raising your health IQ, one listener at a time,
(11:22):
making you all better consumers of healthcare. Doctor Joglotti dot
com is our website and really all these that we've
been here, the name of the program is exactly what
we're trying to do, making or putting your health first,
(11:47):
making it a priority. And when you make it a priority,
you you start taking better care of yourself. And so
during the break, somebody went to the website Doctor Joeglotti
dot com sent me a message, Jesse, and his comment
(12:09):
basically reads, I was told five years ago that I
had a fatty liver, but I was told there was
nothing to worry about. Now what question mark? Question mark?
Question mark? So, Jesse, if you are still listening, it
(12:34):
is something to worry about if you don't know how
advanced your fatty liver is. So the interesting thing about
the liver, compared to the heart, stomach, brain, your ankle,
(12:55):
the liver is not necessarily going to give you any symptoms.
You're not going to be sitting there watching reruns of
your favorite TV show and say to yourself, oh man,
my liver is acting up. It's not you're going to have.
(13:15):
For the vast majority, ninety plus percent of the people
are not going to have any symptoms, no pain, no, nothing. Now,
if you have a bad ankle, be it arthritis, you
sprain your ankle, broke a foot bone, you having headache,
(13:37):
your vision is disturbed, You're going to have outward symptoms
to say something isn't right, some function is not right.
But with the liver, we say the liver suffers in silence.
And the only time you really do have a problem
is when it's very late, late stage when you have
(13:58):
cirrhosis and then you start developing all the complications of
cirrhosis or advanced liver disease and advance scarring. So if
you're waiting for that little red light to go off,
it's many times too late. So sadly, I hear a
lot of what Jesse just said. It's nothing to worry
about now with all the people that have fatty liver,
(14:21):
unless and you may be sitting there say yeah, I
was told I had fatty liver two years ago, but
I feel okay. Unless you know the degree of scarring,
then you really can say you really understand your fatty liver.
(14:42):
Because if you have a fatty liver and you have
no scarring, we would say F zero F F fibrosis
F zero or F one, very very minimal. The likelihood
of you developing advanced liver disease is quite low. But
if you have on a scale of zero to four,
(15:03):
let's say F three fibrosis stage three, there's a very
high likelihood in the next few years you will develop
zerosis and all of its associated complications. So that is
what the fiber scan does. That is what the free
(15:23):
offer to come in and get scanned will tell you. Yeah,
you may have a fatty liver. Fine, that's only part one.
Part two is how much or how little fibrosis or
scarring do I have. So even if you have a
lot of fat but no scarring, yes, you still have
(15:43):
to work on the diabetes and the blood pressure, and
you wait and eat more vegetables. But the likelihood of
getting into serious liver problems is low, that is the truth.
But if you have F two fibrosis F three, or
even F four, which is cirrhosis, then you really have
to take aggressive action. So so many other providers, doctors
(16:09):
and their spectationers' pas will see patients and say, yes,
you have fatty liver, nothing to worry about. Try to
lose a few pounds, try to exercise a little bit more. Okay,
those are good things to try, but how much fibrosis
do you have? That is what the fibro scan will
will do in real time. You can look at the
(16:32):
results and say, yes, I have F two, F three,
F four whatever it may be, or F zero which
will be good. So again our offer is to contact
our office again.
Speaker 3 (16:44):
You go to.
Speaker 1 (16:46):
Doctor Joglotti dot com, d R J O E G
A L A T I dot com, message us or
call our office seven one three seven nine four zero
seven hundred and where the practice is Liver Specialists of Texas.
But you can look us up either way. But certainly
(17:10):
our mission is because we don't want to see patients
coming in late. And the easiest thing it's it's a
three to four minute test wherever you are, drive in
and get that complementary fibro scan from us. So much
(17:32):
can be done when you have the information. And if
you do have fibrosis or scarring, there are therapies, there
are things we could do this, turn this around, reverse it,
and prevent this from just marching on any further. That's
simply what we just don't don't want to happen. All right,
news wather traffic coming up. Don't forget Doctor Joe Galotti.
(17:57):
G A L A t I dot com is our website.
We want to hear from you. Send us a message
if you have any questions, just you know, call or
reach out and we'll get you in for the fiber scan.
Meet our great team and take care of you. All right,
stay tuned, we're coming back. I'm going to be talking
(18:19):
about coffee. Coffee, how good it is for you. It's
gotten a bad rap over the years, but it's becoming
an important tool, including for liver. Welcome back to everybody,
Doctor Joe Gillotti. I hope you having a great weekend.
(18:53):
This artist is called Shiny Ribs and I first heard
that them in Florida about fifteen years ago. And the
guy's still out there. He actually, about five or six
years ago, had a small stage at the Houston Livestock
(19:14):
and Rodeo Show. Got to see him. Interesting sound if
you like it.
Speaker 3 (19:21):
A lot of things at.
Speaker 1 (19:30):
A red Quiz Red Quiz are all right, Doctor Joe Golotti.
Don't forget doctor Joegalotti dot com. We were talking earlier
about the free fibro scans. Send us a message through
the website. You could call our office seven one three
seven nine four oh seven hundred seven one three seven
ninety four oh seven hundred. Just reach out to us.
(19:52):
We're happy to help everybody that may be at risk
for fatty liver which again obesity, high blood pressure, type
two diabetes or pre diabetes, and cholesterol treglysride issues. All right,
Doctor Jogiluti dot com is the way to go. Okay,
(20:14):
And don't forget when you go to the website. All
of our social media is there that you can follow
along with, and our podcast, which is in most cases
replays of specific segments of the show over the years,
and interviews, and our blog, various articles that I've written
(20:37):
over the years on health and wellness, recipes, exercise, all
kinds of interesting stuff. So make sure you check that out. Okay.
So you know, patients will come in and for some
reason they have this sort of this idea that coffee
may not be good for them, and if you go back, god,
(21:04):
I'm guessing twenty years, maybe even longer. It was sort
of when I was an internal medicine resident back in
the nineteen eighties, there was this concern about coffee causing
bladder cancer, kidney cancer, and the worst was pancreatic cancer,
(21:30):
and so there was sort of this move to you know,
don't drink too much you might get cancer. Well, that
has pretty much been debunked, and there are some good
evidence based benefits, evidence based meaning rooted in research that
(21:56):
there are there are these benefits of drinking coffee. Now,
brewed coffee contains well over one thousand different chemicals, including magnesium, potassium, niosin,
and other B vitamins. Okay, And actually the thing with
(22:17):
the cancer was it was nineteen ninety one the World
Health Organization listed coffee as a possible carcinogenin carcinogen pardon me,
cancer causing agent because of studies linked to bladder cancer.
There were also studies linking coffee to increased in lung cancer,
(22:41):
but they actually debunked all of that, and now we're
in a position where coffee is actually a potent antioxidant,
which is beneficial in many ways.
Speaker 3 (22:59):
And so.
Speaker 1 (23:02):
One study which was a large meta analysis, So a
meta analysis study is where they take many many different studies,
individual research studies, they pull all of the data, so
they may take one hundred studies, take all of the
data and rework the statistics, and they found out that
(23:24):
adults drinking coffee on a daily basis were more were
less likely to die early compared to people that drink
little or no coffee. So drinking coffee gave you a
survival advantage number one. Okay, Now talking about the liver.
(23:46):
We were talking about fatty liver before and for a
good number of years coffee drinkers probably not only because
of the other compounds that are in it. It has
a strong antioxident effect. So there's something called free radicals,
which are oxygen molecules that are a bit disturbed, can
(24:11):
wreak havoc on tissue on your cells. These free radicals,
you need antioxidants to in a sense neutralize these free radicals.
And so much of liver disease, fatty liver, alcohol related
(24:32):
liver disease hepatitis C is related to tissue damage and
free radicals. And in a number of studies following a
half million people, they found that coffee drinkers had a
(24:53):
twenty one percent lower risk of developing cirrhosis and dying
of chronic liver disease than the non coffee drinkers. So
the report says the effects were seen in people who
drink coffee of all types, including espresso, instant coffee, and
decaffeinated coffee. The reduction in risk was associated with an
(25:16):
intake of as little as one cup of coffee per day,
but people who consumed between three and four cups saw
the greatest benefit. So go out there and drink up,
drink up your coffee. Now it's not clear or totally
clear why coffee is beneficial, but it has to do
(25:40):
with interplay with insulin and reducing inflammation. Once again, inflammation
is at the root of so many chronic diseases. The
other thing is that coffee is able to reduce your
risk of developing type two diabetes. It improves insulin sensitivity,
(26:07):
meaning the insulin that you make is going to work
get into the cells, lower your blood sugar, which means
you're not going to be diabetic. Many large studies have
found that people who drank three to four cups of
coffee daily had about a twenty five percent lower risk
of the disease compared with people who drank little or
(26:27):
no coffee. In fact, as the study goes, your likelihood
of developing diapete has decreased about six percent for each
cup of coffee you consume daily. Thank god, I'm surprised
Starbucks does not have that as an ad drink coffee
prevent diabetes. Now, for the tea drinkers, scientists did not
(26:55):
see the same effect when they looked at changes in
tea consumption. So it's coffee. One thing. Coffee is rich
in polyphenols. Now polyphenols, we've talked about this before. Fruits, vegetables, plants,
you could get polyphenols, but they are in coffee. The
(27:16):
other issue is that the lower risk of Parkinson's disease. Now,
this is something that's been on the radar for the
past few years. Again, a large meta analysis, so at
the end of tonight you could go home and tell
your friends tomorrow at work. You know what a meta
analysis is. Took a bunch of studies, pull it together,
(27:38):
rework the numbers. So a meta analysis of two dozen
studies involving more than a million people. They found that
people that drink up to three cups of coffee were
twenty eight percent likely less likely to develop Parkinson's disease. Meanwhile,
people who drink up to two cups of tea daly
(27:59):
had a twenty three percent at lower risk of developing
parkinson So tea and coffee. Now you have to wonder why,
I don't know, having to do with caffeine preventing the
(28:20):
destruction of the dopamine neurons, which is what triggers Parkinson's.
So again you're not hearing anything negative to not drink coffee.
And the last thing is has to do with exercise.
So exercising on a daily basis is one of the
best things you can do for your health. We know
(28:42):
that one way to get more exercise is to drink coffee.
So a study in the New England Journal of Medicine
twenty twenty three scientists recruited one hundred healthy men and
women and equip them with fitbits, heart monitors and other
wearable device is that we're able to measure, you know,
(29:02):
how much they exercise, their movement and things like that.
And they would track for two weeks and instructed to
drink caffeinated coffee on some days and abstain from coffee
on the others. And what they found is that on
the days when people drink coffee, typically consuming one to
three cups, they got a thousand more steps in And
(29:29):
they're thinking that people with coffee may be a bit
more energized. And if you're more energized to exercise, it's
going to improve your mortality and morbidity. And there are
people I know, trainers that will say, have a cup
(29:50):
or two of coffee before going to the gym, and
it's been shown to increase muscular strength and muscular output.
So there you have it. Reduce Parkinson's, reduce diabet us,
It'll make you work out more, and it's healthy for
(30:14):
the most important liver in the body, the liver. Coming
from a liver specialist. All right, don't forget doctor Joeglotti
dot com. We're still interested to hear from you regarding
our free fiber scans that we're offering. Go to doctor
Joegalotti dot com give us a call. Seventy one three
(30:36):
seven nine four zero seven hundred. All right, final segment
coming up. We'll be right back. Welcome back to everybody,
Doctor Joe Galotti. Hope you having a great weekend. This
(31:07):
artist is called Shiny Ribs and I first heard them
in Florida about fifteen years ago, and the guy's still
out there. He actually, about five or six years ago,
had a small stage at the Houston Livestock and Rodeo Show.
(31:28):
Got to see him. Interesting sound if you like it.
Speaker 3 (31:34):
A lot of things at.
Speaker 1 (31:43):
A red Quiz Red Quiz are all right, Doctor Joe Golotti.
Don't forget doctor Joegalotti dot com. We were talking earlier
about the free fiber scans. Sent us a message through
the website. You could call our office seven one three
seven nine four oh seven hundred seven one three seven
nine four oh seven hundred just reach out to us.
(32:05):
We're happy to help everybody that may be at risk
for fatty liver which again obesity, high blood pressure, type
two diabetes or pre diabetes, and cholesterol treglysride issues. All right,
Doctor Joglutti dot com is the way to go. Okay, uh,
(32:27):
and don't forget when you go to the website, all
of our social media is there that you can follow
along with, and our podcast, which is in most cases
replays of specific segments of the show over the years,
and interviews, and our blog, various articles that I've written
(32:50):
over the years on health and wellness, recipes, exercise, all
kinds of interesting stuff, So make sure you check that out. Okay.
So you know, patients will come in and for some
reason they have this sort of this idea that coffee
may not be good for them. And if you go back, god,
(33:17):
I'm guessing twenty years, maybe even longer. It was sort
of when I was an internal medicine resident back in
the nineteen eighties, there was this concern about coffee causing
bladder cancer, kidney cancer, and the worst was pancreatic cancer.
(33:43):
And so there was sort of this move to, you know,
don't drink too much, you might get cancer. Well that
has pretty much been debunked, and there are some good
evidence based benefits, evidence based meaning rooted in research that
(34:08):
there are There are these benefits of drinking coffee. Now,
brewed coffee contains well over one thousand different chemicals, including magnesium, potassium, niosin,
and other B vitamins. Okay, And actually the thing with
(34:30):
the cancer was it was nineteen ninety one the World
Health Organization listed coffee as a possible carcinogenin carcinogen pardon me,
cancer causing agent because of studies linked to bladder cancer.
There were also studies linking coffee to increased in lung cancer,
(34:54):
but they actually debunked all of that, and now we're
in a position where coffee is actually a potent antioxidant
which is beneficial in many ways. And so one study
(35:15):
which was a large meta analysis. So a meta analysis
study is where they take many many different studies, individual
research studies, they pull all of the data, so they
may take one hundred studies, take all of the data
and rework the statistics, and they found out that adults
(35:37):
drinking coffee on a daily basis were more were less
likely to die early compared to people that drink little
or no coffee. So drinking coffee gave you a survival
advantage number one. Okay, Now talking about the liver. We
(35:59):
were talking about liver before and for a good number
of years coffee drinkers probably not only because of the
other compounds that are in it. It has a strong
antioxidant effect. So there's something called free radicals, which are
oxygen molecules that are a bit disturbed can wreak havoc
(36:26):
on tissue on your cells. These free radicals, you need
antioxidants to in a sense neutralize these free radicals. And
so much of liver disease, fatty liver alcohol related liver
disease hepatitis C is related to tissue damage and free radicals,
(36:54):
and in a number of studies following a half million people.
They found that coffee drinkers had a twenty one percent
lower risk of developing cirrhosis and dying of chronic livit
disease than the non coffee drinkers. So the report says
(37:17):
the effects were seen in people who drink coffee of
all types, including espresso, instant coffee, and decaffeinated coffee. The
reduction in risk was associated with an intake of as
little as one cup of coffee per day, but people
who consumed between three and four cups saw the greatest benefit.
(37:39):
So go out there and drink up, drink up your coffee.
Now it's not clear or totally clear why coffee is beneficial,
but it has to do with interplay with insulin and
reducing inflammation. Once again, inflammation is at the root of
(38:04):
so many chronic diseases. The other thing is that coffee
is able to reduce your risk of developing type two diabetes.
It improves insulin sensitivity, meaning the insulin that you make
is going to work get into the cells, lower your
(38:26):
blood sugar, which means you're not going to be diabetic.
Many large studies have found that people who drank three
to four cups of coffee daily had about a twenty
five percent lower risk of the disease compared with people
who drank little or no coffee. In fact, as the
study goes, your likelihood of developing diapete has decreased about
(38:48):
six percent for each cup of coffee you consume daily.
Thank god, I'm surprised Starbucks does not have that as
an ad drink coffee prevent diabetes. Now, for the tea drinkers,
scientists did not see the same effect when they looked
(39:09):
at changes in tea consumption. So it's coffee. One thing.
Coffee is rich in polyphenols. Now, polyphenols, we've talked about
this before. Fruits, vegetables, plants, you could get polyphenols, but
they are in coffee. The other issue is that the
(39:32):
lower risk of Parkinson's disease. Now this is something that's
been on the radar for the past few years. Again,
a large meta analysis, So at the end of tonight
you could go home and tell your friends tomorrow at work.
You know what a meta analysis is. Took a bunch
of studies, pull it together, rework the numbers. So a
(39:53):
meta analysis of two dozen studies involving more than a
million people. They found that people that drank up to
three cups of coffee were twenty eight percent likely less
likely to develop Parkinson's disease. Meanwhile, people who drink up
to two cups of tea daily had a twenty three
percent lower risk of developing parkinson So tea and coffee,
(40:19):
now you have to wonder why, I don't know, having
to do with caffeine preventing the destruction of the dopamine neurons,
which is what triggers Parkinson's. So again you're not hearing
(40:42):
anything negative to not drink coffee. And the last thing
is has to do with exercise. So exercising on a
daily basis is one of the best things you could
do for your health. We know that one way to
get more exercise is to drink coffee. A study in
the New England Journal of Medicine twenty twenty three, scientists
(41:05):
recruited one hundred healthy men and women and equip them
with fitbits, heart monitors and other wearable devices that were
able to measure, you know, how much they exercise, their
movement and things like that, and they would track for
two weeks and instructed to drink caffeinated coffee on some
days and abstained from coffee on the others. And what
(41:27):
they found is that on the days when people drink coffee,
typically consuming one to three cups, they got a thousand
more steps in. And they're thinking that people with coffee
may be a bit more energized. And if you're more
(41:50):
energized to exercise, it's going to improve your mortality and morbidity.
And there are people I know that will say, have
a cup or two of coffee before going to the gym,
and it's been shown to increase muscular strength and muscular output.
(42:15):
So there you have it. Reduce Parkinson's, reduce diabetes, it'll
make you work out more, and it's healthy for the
most important liver in the body, the liver. Coming from
a liver specialist. All right, don't forget doctor Joeglotti dot com.
(42:36):
We're still interested to hear from you regarding our free
fiber scans that we're offering. Go to doctor Joegalotti dot
com give us a call. Seventy one three seven nine
four zero seven hundred. All right, final segment coming up.
(42:58):
We'll be right back
Initial life sequence.
Speaker 2 (00:04):
Coming to you live from Houston, Texas, home to the
world's largest medical center.
Speaker 1 (00:08):
In the approach phase everything looking.
Speaker 2 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Gallotti. During the next hour
you'll learn about health, wellness and the provention of disease.
Now here's your host, doctor Joe Galotti.
Speaker 1 (00:46):
Well the good Sunday evening to everybody, Doctor Joe Galotti,
I sure hope you all had a great fourth of
Jie America to fifty. I, like so many others, were
(01:10):
was home with family and we were grilling and hanging
around the pool and really just being thankful. Of course,
because the party was at my house, I got to play.
And this is a bit of a joke going back
a long time. I am a big fan of John
(01:33):
Philip Sousa music, and so we had plenty of that playing.
We were together with the kids and grandchildren and the
dogs and going off our diet a little bit, don't
you know. Look, we talk about health and wellness, and
so much of it is through diet and exercise, what
(01:56):
you put into your body. But when your good, nine
of the time, it's okay to have a burger and
some sausage and a little apple pie. It's all right.
And you know, while while we're at it patriotic fall
to July weekend, you know, we have to really be
(02:20):
thankful for the country we're in. And look, nobody is perfect,
and there are plenty of people that don't like the
way things are going on, but there'll always be that discussion.
That's what makes a democracy. But when when it comes
to healthcare, and again there are lots of issues with
(02:48):
the healthcare system in the United States here, but compared
to rest of the world, America has the most innovative
health care care, the greatest facilities here. And yes, there
are wonderful research institutes in France, or in Israel, or
(03:15):
in South America somewhere, But when you add in the
totality of what we have here, I'd like to think
because we work in a free environment, we're able to
dream and be entrepreneurial. It is a great engine for
(03:36):
all of this medical and innovative breakthrough and technology that
we have here. So yet another spin off of what
we have here in the United States. You know, one thing,
and by the way, our website doctor Joglotti dot com
sign a for our newsletter. Everything about us is there.
(03:57):
If you need to contact me, and I'll tell you why.
You may want to content me in a moment, but
sign up for our newsletter, you're able to message me
and the team.
Speaker 2 (04:09):
Now.
Speaker 1 (04:09):
The team is the your Health First team, the people
that work with me on the radio, but also my
clinical team, a research team. We all basically function as
one group. We're sort of in different silos, but we
all are rowing in the same direction doing what we
need to do for our patients every day of the week.
(04:34):
So reach out. Go to doctor Jogolatti dot com. There's
a tab there for contact us, and you can send
me an email. But also if you sign up for
the newsletter, that's a way that we keep in touch
with all of you. So doctor Jogolotti dot com. All right,
(04:54):
what I was going to say, And so many people
have reached out to us about this for more information
and some directions. So outside of what I do on
the radio, I am a liver disease specialist, a hepatologist.
The name of our practices Liver Specialists of Texas. We've
(05:15):
been in the Texas Medical Center for nearly thirty five years,
and one of the nagging diseases that we see is
something called fatty liver. Now, many of you that are
regular listeners may have heard this before a little bit
of an update, but fatty liver. There are well over
(05:38):
one hundred million Americans with fatty liver disease. The sad
part is that most do not really realize they have it,
or they've been told they have it, and really no
action has taken place, so you know you have it,
but it's been let's just say, ignored, and that is
(06:00):
no good because for those of us that see this
day in and day out, what we see every day
is what we call the late referral. The person that
comes to late. Now, what does that mean? You come
too late, too late for what, well, too late for
(06:21):
having a more meaningful option to intervene and reverse this,
stop it or reverse it, or too late that you
are beyond treatment. And then the next line of therapy
may be something much more aggressive like the need for
a liver transplant, or you have liver cancer, and when
(06:41):
that happens, then all of the good options or the
better options for reversing it go away. So the late
referral is the bane of our existence. We accept everybody,
but we want to see people earlier. There's nothing better
than getting to see a patient early and giving them
(07:03):
the opportunity to turn this around. But with that said,
and with everybody listening tonight, wherever you are, if there's
well over a million people with fatty liver and there's
three and a half million Americans, that's like one in three.
(07:25):
So whoever you're driving with in the car, look over
to them that if you don't have fatty liver, they do. Okay,
think about everybody you were at the barbecue with yesterday,
count off every third person. They most likely have fatty
liver disease. Now, with fatty liver disease, it doesn't exist
on its own. It is going to be associated with obesity,
(07:48):
being overweight, obese, morbidly obese, body mass index over forty, diabetes,
pre diabetes, high blood pressure, and some cholesterol or treglyceride issues.
And so many many people have that cluster of risk factors.
(08:11):
The obesity, the high blood pressure, the diabete is, the
high cholesterol, high blood pressure. And the challenge is your
primary care doc may not make a big deal out
of this, but when you add up all of the pieces,
it adds up to a very very risky situation. So
what I am offering tonight, and we've talked about this
(08:34):
before over the last few years, our program has the
opportunity to offer you screening with a fibroscan. So fiber
scan is a sound wave test. It's not quite an ultrasound,
takes about three or four minutes. It's a sound wave
test that we do in the office and it measures
(08:58):
both the amount to a fat small, medium or large
amount and the stiffness of the liver. A normal liver
is think of a temper pedic pillow. You squeeze it
and it bounces back, very mushy and spongy. That's a
normal liver. But as more fat deposits in the liver
(09:20):
and or you get some scarring or damage, deliver becomes
more stiff. This fibro scan can measure the stiffness. In
other words, the amount of fibrosis saves you from needing
a liver biopsy. So our practice, we're we're offering free
fibro scans in our office to anybody that comes by.
(09:45):
If you're within somewhere in Houston the Greater Euston area,
you want to drive an hour, hour and a half
two hours. We have patients driving for two and a
half three hours to get a free scan, which can
be a very meaningful event for you because if God
forbid you have more advanced scarring and you don't know
it well, then you've just really done yourself a very
(10:09):
big favor. So to get in touch free fiber scan,
send us a message right go to doctor Joeglotti dot com.
The other is you can call our office seven one
three seven ninety four zero seven hundred and say heard
doctor Galotti on the radio free fibro scan. I want
(10:32):
to come down and we'll get you evaluated for free.
So do that. It's a good thing. Bring your wife,
bring your boyfriend, bring your kids, whatever it may be.
But again, if you have risk factors with being overweight, obese, diabetes,
(10:55):
high blood pressure, high cholesterol, your seventy five eighty percent
chance that you may have a fatty liver, but you
don't know it. So all right, doctor Joe Glotti, this
is your health first MBI. Hope you're having a great weekend.
We'll bright back. Welcome back everybody, doctor Joe Galotti. Every
Sunday raising your health IQ, one listener at a time,
(11:22):
making you all better consumers of healthcare. Doctor Joglotti dot
com is our website and really all these that we've
been here, the name of the program is exactly what
we're trying to do, making or putting your health first,
(11:47):
making it a priority. And when you make it a priority,
you you start taking better care of yourself. And so
during the break, somebody went to the website Doctor Joeglotti
dot com sent me a message, Jesse, and his comment
(12:09):
basically reads, I was told five years ago that I
had a fatty liver, but I was told there was
nothing to worry about. Now what question mark? Question mark?
Question mark? So, Jesse, if you are still listening, it
(12:34):
is something to worry about if you don't know how
advanced your fatty liver is. So the interesting thing about
the liver, compared to the heart, stomach, brain, your ankle,
(12:55):
the liver is not necessarily going to give you any symptoms.
You're not going to be sitting there watching reruns of
your favorite TV show and say to yourself, oh man,
my liver is acting up. It's not you're going to have.
(13:15):
For the vast majority, ninety plus percent of the people
are not going to have any symptoms, no pain, no, nothing. Now,
if you have a bad ankle, be it arthritis, you
sprain your ankle, broke a foot bone, you having headache,
(13:37):
your vision is disturbed, You're going to have outward symptoms
to say something isn't right, some function is not right.
But with the liver, we say the liver suffers in silence.
And the only time you really do have a problem
is when it's very late, late stage when you have
(13:58):
cirrhosis and then you start developing all the complications of
cirrhosis or advanced liver disease and advance scarring. So if
you're waiting for that little red light to go off,
it's many times too late. So sadly, I hear a
lot of what Jesse just said. It's nothing to worry
about now with all the people that have fatty liver,
(14:21):
unless and you may be sitting there say yeah, I
was told I had fatty liver two years ago, but
I feel okay. Unless you know the degree of scarring,
then you really can say you really understand your fatty liver.
(14:42):
Because if you have a fatty liver and you have
no scarring, we would say F zero F F fibrosis
F zero or F one, very very minimal. The likelihood
of you developing advanced liver disease is quite low. But
if you have on a scale of zero to four,
(15:03):
let's say F three fibrosis stage three, there's a very
high likelihood in the next few years you will develop
zerosis and all of its associated complications. So that is
what the fiber scan does. That is what the free
(15:23):
offer to come in and get scanned will tell you. Yeah,
you may have a fatty liver. Fine, that's only part one.
Part two is how much or how little fibrosis or
scarring do I have. So even if you have a
lot of fat but no scarring, yes, you still have
(15:43):
to work on the diabetes and the blood pressure, and
you wait and eat more vegetables. But the likelihood of
getting into serious liver problems is low, that is the truth.
But if you have F two fibrosis F three, or
even F four, which is cirrhosis, then you really have
to take aggressive action. So so many other providers, doctors
(16:09):
and their spectationers' pas will see patients and say, yes,
you have fatty liver, nothing to worry about. Try to
lose a few pounds, try to exercise a little bit more. Okay,
those are good things to try, but how much fibrosis
do you have? That is what the fibro scan will
will do in real time. You can look at the
(16:32):
results and say, yes, I have F two, F three,
F four whatever it may be, or F zero which
will be good. So again our offer is to contact
our office again.
Speaker 3 (16:44):
You go to.
Speaker 1 (16:46):
Doctor Joglotti dot com, d R J O E G
A L A T I dot com, message us or
call our office seven one three seven nine four zero
seven hundred and where the practice is Liver Specialists of Texas.
But you can look us up either way. But certainly
(17:10):
our mission is because we don't want to see patients
coming in late. And the easiest thing it's it's a
three to four minute test wherever you are, drive in
and get that complementary fibro scan from us. So much
(17:32):
can be done when you have the information. And if
you do have fibrosis or scarring, there are therapies, there
are things we could do this, turn this around, reverse it,
and prevent this from just marching on any further. That's
simply what we just don't don't want to happen. All right,
news wather traffic coming up. Don't forget Doctor Joe Galotti.
(17:57):
G A L A t I dot com is our website.
We want to hear from you. Send us a message
if you have any questions, just you know, call or
reach out and we'll get you in for the fiber scan.
Meet our great team and take care of you. All right,
stay tuned, we're coming back. I'm going to be talking
(18:19):
about coffee. Coffee, how good it is for you. It's
gotten a bad rap over the years, but it's becoming
an important tool, including for liver. Welcome back to everybody,
Doctor Joe Gillotti. I hope you having a great weekend.
(18:53):
This artist is called Shiny Ribs and I first heard
that them in Florida about fifteen years ago. And the
guy's still out there. He actually, about five or six
years ago, had a small stage at the Houston Livestock
(19:14):
and Rodeo Show. Got to see him. Interesting sound if
you like it.
Speaker 3 (19:21):
A lot of things at.
Speaker 1 (19:30):
A red Quiz Red Quiz are all right, Doctor Joe Golotti.
Don't forget doctor Joegalotti dot com. We were talking earlier
about the free fibro scans. Send us a message through
the website. You could call our office seven one three
seven nine four oh seven hundred seven one three seven
ninety four oh seven hundred. Just reach out to us.
(19:52):
We're happy to help everybody that may be at risk
for fatty liver which again obesity, high blood pressure, type
two diabetes or pre diabetes, and cholesterol treglysride issues. All right,
Doctor Jogiluti dot com is the way to go. Okay,
(20:14):
And don't forget when you go to the website. All
of our social media is there that you can follow
along with, and our podcast, which is in most cases
replays of specific segments of the show over the years,
and interviews, and our blog, various articles that I've written
(20:37):
over the years on health and wellness, recipes, exercise, all
kinds of interesting stuff. So make sure you check that out. Okay.
So you know, patients will come in and for some
reason they have this sort of this idea that coffee
may not be good for them, and if you go back, god,
(21:04):
I'm guessing twenty years, maybe even longer. It was sort
of when I was an internal medicine resident back in
the nineteen eighties, there was this concern about coffee causing
bladder cancer, kidney cancer, and the worst was pancreatic cancer,
(21:30):
and so there was sort of this move to you know,
don't drink too much you might get cancer. Well, that
has pretty much been debunked, and there are some good
evidence based benefits, evidence based meaning rooted in research that
(21:56):
there are there are these benefits of drinking coffee. Now,
brewed coffee contains well over one thousand different chemicals, including magnesium, potassium, niosin,
and other B vitamins. Okay, And actually the thing with
(22:17):
the cancer was it was nineteen ninety one the World
Health Organization listed coffee as a possible carcinogenin carcinogen pardon me,
cancer causing agent because of studies linked to bladder cancer.
There were also studies linking coffee to increased in lung cancer,
(22:41):
but they actually debunked all of that, and now we're
in a position where coffee is actually a potent antioxidant,
which is beneficial in many ways.
Speaker 3 (22:59):
And so.
Speaker 1 (23:02):
One study which was a large meta analysis, So a
meta analysis study is where they take many many different studies,
individual research studies, they pull all of the data, so
they may take one hundred studies, take all of the
data and rework the statistics, and they found out that
(23:24):
adults drinking coffee on a daily basis were more were
less likely to die early compared to people that drink
little or no coffee. So drinking coffee gave you a
survival advantage number one. Okay, Now talking about the liver.
(23:46):
We were talking about fatty liver before and for a
good number of years coffee drinkers probably not only because
of the other compounds that are in it. It has
a strong antioxident effect. So there's something called free radicals,
which are oxygen molecules that are a bit disturbed, can
(24:11):
wreak havoc on tissue on your cells. These free radicals,
you need antioxidants to in a sense neutralize these free radicals.
And so much of liver disease, fatty liver, alcohol related
(24:32):
liver disease hepatitis C is related to tissue damage and
free radicals. And in a number of studies following a
half million people, they found that coffee drinkers had a
(24:53):
twenty one percent lower risk of developing cirrhosis and dying
of chronic liver disease than the non coffee drinkers. So
the report says the effects were seen in people who
drink coffee of all types, including espresso, instant coffee, and
decaffeinated coffee. The reduction in risk was associated with an
(25:16):
intake of as little as one cup of coffee per day,
but people who consumed between three and four cups saw
the greatest benefit. So go out there and drink up,
drink up your coffee. Now it's not clear or totally
clear why coffee is beneficial, but it has to do
(25:40):
with interplay with insulin and reducing inflammation. Once again, inflammation
is at the root of so many chronic diseases. The
other thing is that coffee is able to reduce your
risk of developing type two diabetes. It improves insulin sensitivity,
(26:07):
meaning the insulin that you make is going to work
get into the cells, lower your blood sugar, which means
you're not going to be diabetic. Many large studies have
found that people who drank three to four cups of
coffee daily had about a twenty five percent lower risk
of the disease compared with people who drank little or
(26:27):
no coffee. In fact, as the study goes, your likelihood
of developing diapete has decreased about six percent for each
cup of coffee you consume daily. Thank god, I'm surprised
Starbucks does not have that as an ad drink coffee
prevent diabetes. Now, for the tea drinkers, scientists did not
(26:55):
see the same effect when they looked at changes in
tea consumption. So it's coffee. One thing. Coffee is rich
in polyphenols. Now polyphenols, we've talked about this before. Fruits, vegetables, plants,
you could get polyphenols, but they are in coffee. The
(27:16):
other issue is that the lower risk of Parkinson's disease. Now,
this is something that's been on the radar for the
past few years. Again, a large meta analysis, so at
the end of tonight you could go home and tell
your friends tomorrow at work. You know what a meta
analysis is. Took a bunch of studies, pull it together,
(27:38):
rework the numbers. So a meta analysis of two dozen
studies involving more than a million people. They found that
people that drink up to three cups of coffee were
twenty eight percent likely less likely to develop Parkinson's disease. Meanwhile,
people who drink up to two cups of tea daly
(27:59):
had a twenty three percent at lower risk of developing
parkinson So tea and coffee. Now you have to wonder why,
I don't know, having to do with caffeine preventing the
(28:20):
destruction of the dopamine neurons, which is what triggers Parkinson's.
So again you're not hearing anything negative to not drink coffee.
And the last thing is has to do with exercise.
So exercising on a daily basis is one of the
best things you can do for your health. We know
(28:42):
that one way to get more exercise is to drink coffee.
So a study in the New England Journal of Medicine
twenty twenty three scientists recruited one hundred healthy men and
women and equip them with fitbits, heart monitors and other
wearable device is that we're able to measure, you know,
(29:02):
how much they exercise, their movement and things like that.
And they would track for two weeks and instructed to
drink caffeinated coffee on some days and abstain from coffee
on the others. And what they found is that on
the days when people drink coffee, typically consuming one to
three cups, they got a thousand more steps in And
(29:29):
they're thinking that people with coffee may be a bit
more energized. And if you're more energized to exercise, it's
going to improve your mortality and morbidity. And there are
people I know, trainers that will say, have a cup
(29:50):
or two of coffee before going to the gym, and
it's been shown to increase muscular strength and muscular output.
So there you have it. Reduce Parkinson's, reduce diabet us,
It'll make you work out more, and it's healthy for
(30:14):
the most important liver in the body, the liver. Coming
from a liver specialist. All right, don't forget doctor Joeglotti
dot com. We're still interested to hear from you regarding
our free fiber scans that we're offering. Go to doctor
Joegalotti dot com give us a call. Seventy one three
(30:36):
seven nine four zero seven hundred. All right, final segment
coming up. We'll be right back. Welcome back to everybody,
Doctor Joe Galotti. Hope you having a great weekend. This
(31:07):
artist is called Shiny Ribs and I first heard them
in Florida about fifteen years ago, and the guy's still
out there. He actually, about five or six years ago,
had a small stage at the Houston Livestock and Rodeo Show.
(31:28):
Got to see him. Interesting sound if you like it.
Speaker 3 (31:34):
A lot of things at.
Speaker 1 (31:43):
A red Quiz Red Quiz are all right, Doctor Joe Golotti.
Don't forget doctor Joegalotti dot com. We were talking earlier
about the free fiber scans. Sent us a message through
the website. You could call our office seven one three
seven nine four oh seven hundred seven one three seven
nine four oh seven hundred just reach out to us.
(32:05):
We're happy to help everybody that may be at risk
for fatty liver which again obesity, high blood pressure, type
two diabetes or pre diabetes, and cholesterol treglysride issues. All right,
Doctor Joglutti dot com is the way to go. Okay, uh,
(32:27):
and don't forget when you go to the website, all
of our social media is there that you can follow
along with, and our podcast, which is in most cases
replays of specific segments of the show over the years,
and interviews, and our blog, various articles that I've written
(32:50):
over the years on health and wellness, recipes, exercise, all
kinds of interesting stuff, So make sure you check that out. Okay.
So you know, patients will come in and for some
reason they have this sort of this idea that coffee
may not be good for them. And if you go back, god,
(33:17):
I'm guessing twenty years, maybe even longer. It was sort
of when I was an internal medicine resident back in
the nineteen eighties, there was this concern about coffee causing
bladder cancer, kidney cancer, and the worst was pancreatic cancer.
(33:43):
And so there was sort of this move to, you know,
don't drink too much, you might get cancer. Well that
has pretty much been debunked, and there are some good
evidence based benefits, evidence based meaning rooted in research that
(34:08):
there are There are these benefits of drinking coffee. Now,
brewed coffee contains well over one thousand different chemicals, including magnesium, potassium, niosin,
and other B vitamins. Okay, And actually the thing with
(34:30):
the cancer was it was nineteen ninety one the World
Health Organization listed coffee as a possible carcinogenin carcinogen pardon me,
cancer causing agent because of studies linked to bladder cancer.
There were also studies linking coffee to increased in lung cancer,
(34:54):
but they actually debunked all of that, and now we're
in a position where coffee is actually a potent antioxidant
which is beneficial in many ways. And so one study
(35:15):
which was a large meta analysis. So a meta analysis
study is where they take many many different studies, individual
research studies, they pull all of the data, so they
may take one hundred studies, take all of the data
and rework the statistics, and they found out that adults
(35:37):
drinking coffee on a daily basis were more were less
likely to die early compared to people that drink little
or no coffee. So drinking coffee gave you a survival
advantage number one. Okay, Now talking about the liver. We
(35:59):
were talking about liver before and for a good number
of years coffee drinkers probably not only because of the
other compounds that are in it. It has a strong
antioxidant effect. So there's something called free radicals, which are
oxygen molecules that are a bit disturbed can wreak havoc
(36:26):
on tissue on your cells. These free radicals, you need
antioxidants to in a sense neutralize these free radicals. And
so much of liver disease, fatty liver alcohol related liver
disease hepatitis C is related to tissue damage and free radicals,
(36:54):
and in a number of studies following a half million people.
They found that coffee drinkers had a twenty one percent
lower risk of developing cirrhosis and dying of chronic livit
disease than the non coffee drinkers. So the report says
(37:17):
the effects were seen in people who drink coffee of
all types, including espresso, instant coffee, and decaffeinated coffee. The
reduction in risk was associated with an intake of as
little as one cup of coffee per day, but people
who consumed between three and four cups saw the greatest benefit.
(37:39):
So go out there and drink up, drink up your coffee.
Now it's not clear or totally clear why coffee is beneficial,
but it has to do with interplay with insulin and
reducing inflammation. Once again, inflammation is at the root of
(38:04):
so many chronic diseases. The other thing is that coffee
is able to reduce your risk of developing type two diabetes.
It improves insulin sensitivity, meaning the insulin that you make
is going to work get into the cells, lower your
(38:26):
blood sugar, which means you're not going to be diabetic.
Many large studies have found that people who drank three
to four cups of coffee daily had about a twenty
five percent lower risk of the disease compared with people
who drank little or no coffee. In fact, as the
study goes, your likelihood of developing diapete has decreased about
(38:48):
six percent for each cup of coffee you consume daily.
Thank god, I'm surprised Starbucks does not have that as
an ad drink coffee prevent diabetes. Now, for the tea drinkers,
scientists did not see the same effect when they looked
(39:09):
at changes in tea consumption. So it's coffee. One thing.
Coffee is rich in polyphenols. Now, polyphenols, we've talked about
this before. Fruits, vegetables, plants, you could get polyphenols, but
they are in coffee. The other issue is that the
(39:32):
lower risk of Parkinson's disease. Now this is something that's
been on the radar for the past few years. Again,
a large meta analysis, So at the end of tonight
you could go home and tell your friends tomorrow at work.
You know what a meta analysis is. Took a bunch
of studies, pull it together, rework the numbers. So a
(39:53):
meta analysis of two dozen studies involving more than a
million people. They found that people that drank up to
three cups of coffee were twenty eight percent likely less
likely to develop Parkinson's disease. Meanwhile, people who drink up
to two cups of tea daily had a twenty three
percent lower risk of developing parkinson So tea and coffee,
(40:19):
now you have to wonder why, I don't know, having
to do with caffeine preventing the destruction of the dopamine neurons,
which is what triggers Parkinson's. So again you're not hearing
(40:42):
anything negative to not drink coffee. And the last thing
is has to do with exercise. So exercising on a
daily basis is one of the best things you could
do for your health. We know that one way to
get more exercise is to drink coffee. A study in
the New England Journal of Medicine twenty twenty three, scientists
(41:05):
recruited one hundred healthy men and women and equip them
with fitbits, heart monitors and other wearable devices that were
able to measure, you know, how much they exercise, their
movement and things like that, and they would track for
two weeks and instructed to drink caffeinated coffee on some
days and abstained from coffee on the others. And what
(41:27):
they found is that on the days when people drink coffee,
typically consuming one to three cups, they got a thousand
more steps in. And they're thinking that people with coffee
may be a bit more energized. And if you're more
(41:50):
energized to exercise, it's going to improve your mortality and morbidity.
And there are people I know that will say, have
a cup or two of coffee before going to the gym,
and it's been shown to increase muscular strength and muscular output.
(42:15):
So there you have it. Reduce Parkinson's, reduce diabetes, it'll
make you work out more, and it's healthy for the
most important liver in the body, the liver. Coming from
a liver specialist. All right, don't forget doctor Joeglotti dot com.
(42:36):
We're still interested to hear from you regarding our free
fiber scans that we're offering. Go to doctor Joegalotti dot
com give us a call. Seventy one three seven nine
four zero seven hundred. All right, final segment coming up.
(42:58):
We'll be right back
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