December 17, 2025 • 27 mins
What if the future of healthcare isn’t about taking more medications—but about understanding why your body is out of balance in the first place? That’s the eye-opening conversation at the heart of this episode of Late Night Health, featuring Dr. Nayan Patel, a clinical pharmacist, educator, and founder of Central Drugs Compounding Pharmacy.Dr. Patel isn’t your typical pharmacist. With decades of experience working directly with physicians across the country, he specializes in customized, patient-specific care—from compounded medications to nutrition, supplementation, lifestyle changes, and advanced wellness modalities. In this candid and wide-ranging interview, he explains why “one-size-fits-all” medicine often falls short and how truly personalized treatment plans can help patients take control of their health.Listeners will learn what a compounding pharmacy really does—and why it plays a critical role when commercially available drugs don’t meet a patient’s unique needs. Dr. Patel also dives into the complex and often controversial world of supplements, prescription medications, and the overuse of both in modern healthcare. He doesn’t shy away from discussing Big Pharma, pricing frustrations, and why many older, effective medications quietly disappear from the marketplace.One of the most compelling parts of the interview centers on hormone replacement therapy (HRT). Dr. Patel breaks down recent FDA changes, explains why hormones themselves aren’t the enemy, and reveals why balance—not dosage—is the key to safety and effectiveness. He also introduces a powerful insight many patients overlook: stress management and cortisol regulation often matter far more than sex hormones alone.Perhaps most inspiring is Dr. Patel’s philosophy that patients should become the CEO of their own health. Instead of simply managing symptoms for life, he challenges both doctors and patients to address root causes—sometimes with fewer prescriptions and smarter lifestyle choices.This is a must-listen episode for anyone navigating chronic health issues, questioning conventional approaches, or seeking a smarter, more individualized path to wellness. Don’t miss the full interview—it may change how you think about healthcare forever.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:07):
This is Late Night Health. This is the radio show
that cares about the most important part of your life,
your health. During the next hour, the Insane, Daryl, Wayne
and I are going to take a look at a
couple of very very interesting things that affect each and
every one of us. We're going to have some fun.
The second part of our show, we're going to talk
(00:30):
about the Bubble Planet experience that has just arrived in
Los Angeles and we'll find out all about that from
our friend Lekendra Toots and that'll be happening in about
thirty minutes from now. Right now, we go to Lahabra,
and I don't think I've ever been to Lahabra, but
(00:53):
if I do go to lahabor I am going to
stop by the Central Drugs Compounding Pharmacy because we have
I guess the CEO. The owner of that is doctor
Nayan Patel. He's a clinical pharmacist, educator and founder of
(01:13):
Central Drugs Compounding Pharmacy. Doctor Patel, Welcome to Late Night Helth.
Speaker 2 (01:21):
Well, thank you for having me here today.
Speaker 1 (01:24):
First of all, what is a compounding pharmacy? I know,
but let's share what that is.
Speaker 2 (01:31):
Absolutely, this is the pharmacy that is specializing in customizing
medication needs for individual patients. Doctors are stumbled upon trying
to find the right perfect medication for their patients, but
the commercially a bit of medications may not suit their needs.
So they relay on a compounding pharmacy to actually make
(01:54):
the very same medication that the pharmacy company makes in
a different dosage form, different ways of delivering the same ingredients.
And so the compouty pharmacy gets to work and go
and go and customize the medication for them.
Speaker 1 (02:08):
But at the same time, do you take regular prescriptions
or do you just specialize in the compounding specialized.
Speaker 2 (02:18):
Well, when it comes to medication, the componing is one
avenue we do fulfill all needs of customers if we
deal regular prescriptions as well componty pharmacies as well. A
specialty is componing because that's where we know like eight
pharmacies working there full time and seven a half of
them are working towards company and other half of pharmacies
(02:39):
just doing the regular prescriptions.
Speaker 1 (02:40):
Unfortunately, got it, got it. So a doctor can ask
for a special combination of drugs exactly the bottom line there.
Speaker 2 (02:56):
Yeah, and some medications that may not be available at
all because there have been somehow the big giant farmer
companies are not making enough money on it, so they
basically taking it off the list of making these medications.
But there's still good medicine. They're old medicines, they're still
very very good, and so we get together work and
go and make this medication available to overpopulation.
Speaker 1 (03:19):
What about supplements With your background, I mean growing up
in Africa, having a background, the family background from India,
it would seem to me that you might personally at
least be interested in some supplements and things, you know,
(03:45):
herbs and things of that nature.
Speaker 2 (03:47):
Well, yeah, probably has nothing to do with my origin,
but just the shear fact that as a human being,
we all live in harmony with plants and animals and
us all together, and we take substance from each other
to see how we can nourish our selves and plan
being the easiest of all. There's some great uses for
(04:12):
certain parts of the plants that can help nourish over
human beings, and so yes we do. I have a
very keen interest in nutrition and supplements. But in the
United States, one thing is for sure, we have over
supplemented of a population, and yet our health is probably
(04:33):
not even top fifty in the world.
Speaker 1 (04:36):
It's in the top fifty, or it's.
Speaker 2 (04:38):
Not in the top fifty now. So we use the
highest amount of supplements in the world. We use the
highest amount of prescriptions in the world as well, And
so yeah, you cannot do both of both of them
and stay healthy.
Speaker 1 (04:53):
What would you say is your particular interest and specialty.
Speaker 2 (05:00):
My interest is has always been trying to find the
right formula for every individual. Very early on after graduate
from Southern California Pharmacy School, I was taught to manage
people's problems for the rest of their lives. It's like
you're buying a substitution for a pharmacy. We'll give you
(05:21):
prescriptions medications every month, and only thing we're gonna do
is manage your problems. And you know, as a young
kid when I graduate, said that's not a good deal
for me for long term, because if I'm going to
manage problems, it's going to be the problems that I'm
going to go away. And so my specialty, or my
voice in a voice called upon me, I said, hey,
(05:41):
can you find something better for these people? Can you
give them hope that Hey, if I can teach them correctly.
If I can help them, then they may be off
of certain types of medication, not all of them, but
at least some of the medications that where they can.
They they become the CEO of their own health and
they get to control the destiny for their own health.
Speaker 1 (06:00):
Oh, that is terrific, because that's what we tell our listeners,
that they are in charge of their health care, not
their doctors.
Speaker 2 (06:10):
It's always been that way. The doctors are three thousand patients,
You're just number whatever, right, And the doctor like like
if I have so many doctors spouses as a patients
of mine as well, you have your merited of the
world with our doctor. I said, yeah, but here or
she doesn't have time for me. They are time for
the rest of the world, but not time for me.
But I need I need help too. And so I trained,
(06:33):
and I treat doctors and their spouses all the time
because they themselves are struggling with similar issue because they
cannot look themselves in the mirror and figure out what's
wrong with them.
Speaker 1 (06:43):
As a pharmacist, do you see patients.
Speaker 2 (06:48):
So I I my full time job is actually I
trained and I worked with physicians, tried to customize uh,
therapy plans. It could be medications, non prescription supplementations, the
modalities like exercise and red light therapies and hyperary chambers
and whatnot. Right, whatever is my arsenal. I try to
(07:12):
find the perfect solution for my patients, and so seeing
patients becomes very difficult for me because I can only
see so many patients per day. So I spend all
my time training doctors.
Speaker 1 (07:23):
You're training doctors on how to do.
Speaker 2 (07:25):
This, how to prescribe the right type of plan. And
it could be I cannot says it's just a prescription
plan because it's not just prescription medications. It could be anything.
So medications, we have prescriptions, non prescription medications, supplementations, the modalities,
whatever it takes to basically have a plan for this
patient so that they can feel better.
Speaker 1 (07:46):
That's amazing. We I bang on big pharma a lot.
Speaker 2 (07:53):
I'm sorry.
Speaker 1 (07:54):
Yeah, I'm not a fan of big pharma, and because
they seem to overcharge whenever they can. There are so
many steps. You've got big pharma, then you've got a middleman,
then you have another middleman, and finally it gets to
(08:16):
the pharmacy, and the pharmacy has to make money, and
I'm all for that. And then finally, of course the patient.
But when you have a drug that's been around for
twenty five or thirty years, like lipictor okay, and it's
still twenty dollars a month or thirty dollars a month,
(08:38):
which most people can afford. But it just seems to
me that it costs pennies to make a monthly amount,
and it just it bothers me a.
Speaker 2 (08:50):
Lot, and it should bother you a lot because as
a pharmaceutic companies, I mean, we see pharmacists going out
of business every day. Every single day there's somebody going
out of business. But you never see pharmacilic companies going
out of business. You never see him go out of business. Right,
it's the providers, the doctors, the pharmacies, the actual providers
(09:12):
are going out of business because they couldn't figure out
the financing right. And you're right, the pharmaceutical companies can
charge whatever they want. But at the same time, I
think we look in the wrong direction. The direction needs
to be look at and say, hey, do we really
need this medication in the first place, And if there
is a way to reduce the need of medication by
(09:34):
doing other modalities. Why not? And that's what I come
into play. My whole focus in life is to amount
reduce the amount of stuff we do. Nobody came to
me because they are lacking for some prescription drug. They
came to me because they overdid something to cause the
problem in the first place. You over ate, and now
(09:57):
you have diabetes. You over eight, and we have obesity.
You over eight, and ive have colessal issues. Nobody came
to me. I said, oh, I have this collessition. What
do I take? I said, well, stop eating. But they
do want to hear that part right, And so my
focus is if I can train my physicians trade my
patients to think along those lines where the less it's more,
(10:22):
I think I can achieve the better goals.
Speaker 1 (10:25):
So that the other modalities could be exercise, the E
word supplementation, cutting down what you're eating, the amount that
you're eating. I think that's I think that's great. And
you're teaching other you're teaching physicians how to how to
(10:49):
do that right.
Speaker 2 (10:51):
Well, The thing is that doctors are trained great at
diagnosing the problem, so they can figure out what's wrong
with you. That's their job, trying to figure out what's
wrong with that's a monumental task trying to figure out
what's wrong with you, right, and once they figure out
what's wrong with you, then we get to work to
trying to find the right solution for you. And the
solution could be prescription drugs, but more than likely it's not,
(11:14):
and trying to find those averages to what it does little.
Give a simple example when people come to me for
horrmorone repriscesment therapy, it's something that your hormones are going
up and down all the time. Right when you can
hormorle reprissment therapy, they're looking at astro progesters, test stones,
spregnant DHA, things like that. Second, which we call sex hormones.
Sex hormones are actually ten percent of the total solution
(11:37):
for the whole indecrid system. Wow, it's like a pyramid.
The bottom of the pyramids is the base, which is
the bulk of the problem. Forty percent of the problem
or the solution is stress management cordysol. So there's no
pills of drugs for that. I can, of course, I
can give you some drugs for cody coosteroids and things
like that too, but that's not going to help you
(11:58):
at all. It's a a stress manager and how do
you manage your stresses? And we have modatas on how
to help you regulious stress.
Speaker 1 (12:05):
If you know, we're going to take a time out
and when we come back, let's talk about those stress
ways of getting stressed. Apparently everybody is texting me right
now and I'm getting text doctor text, and that's the
sound you're hearing. Our guest is doctor Nayan Patel. He
(12:28):
is the founder of Central Drugs Compounding Pharmacy in Lahabra, California.
And I'm assuming with eight pharmacists on staff plus you
that you you work with lots and lots of docs
around me the California area.
Speaker 2 (12:48):
It's around the country.
Speaker 1 (12:50):
They're around the country. That's even better, all right. I'm
Mark Allen along with the insane dar Owayne. Be sure
to check us out at eight oh at head ato at.
Be sure to check us out at Latenighthelp dot com.
That's Latenighthelp dot com. Late Night Help is proud of
(13:12):
our partnership with the EBC, the Evolutionary Business Council. Check
them out at Ebcouncil dot com.
Speaker 3 (13:21):
You're listening to Late Night Help with Mark Allen. The
show continues in a moment.
Speaker 1 (13:30):
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Speaker 3 (14:30):
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(14:52):
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(15:15):
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Speaker 1 (16:00):
It's time to tackle a tough topic, one that affects
us all. We're talking about sexism in the workplace. The
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This spring, we're focusing on critical communication strategies in the
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(16:22):
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(16:44):
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Speaker 2 (16:58):
Of the solution.
Speaker 1 (17:00):
Health continues. I'm Mark Allen along with the insane Daryl Wayne.
Don't ask it's true, Okay. Our guest is doctor Nayan Patel.
He is a pharmacist, but he's more than a pharmacist.
But would you say that you're more than a pharmacist.
Speaker 2 (17:18):
I don't want to say that part. I'm just a pharmacist.
Let me take my lane and let me help patience,
because when you give some titles to something else and
people especially more, I want to stake my lane and
just help people as many people as possible.
Speaker 1 (17:32):
There's a lot of controversy right now about HRT human
replacement therapies, hormone replacement. Actually maybe we should replace some
humans the good work hormone replacement therapies. And you know,
(17:53):
are they good for you? Are they bad for you?
Should everybody say over forty or fifty beyond them? What
is your tay?
Speaker 2 (18:00):
So for one hundred plus years, the FD is always uh.
There was a black box warning on all hormone replacement
therapy that there is a kind of cancer causing agent,
and they're not safe for you. Be cautious. Black box
warning the only a few drugs has in the world,
and HRT had that on them for all this time.
(18:21):
And about a month ago the FDA came out and
said that the boarding has been lifted finally because they
have been depriving women and men of all this hormone
replacement therapy for decades and decades, and so is a
safety Is it safe for now? No, it was always
safe from the get go. The safety does the safety
(18:43):
or the problem does not come from the hormones itself.
It's gonna be from the prescription on how they use it.
Hormones is a balance, it's it's just a balance. If
something goes out of balance and one hormone SI goes
out of range, that's what the problem happens. Especially when
it comes to estroisms or testosteroids. Those two are the
most I mean with that testotomy, you can't survive as
(19:05):
a med without astroans. You canll surf I as a woman,
you you just cannot right, but too much it'll also
caused all kinds of issues that prostate for the men
versus breast cancers. And u traine cancers for the women.
But in the perfect balance, it is absolutely the most
blissful thing you can have with your body. So that's
(19:27):
that's the whole point is it's a balance, is what
they try to achieve.
Speaker 1 (19:30):
But you use the three letter word FDA. They're so
behind the times in my opinion, I'm not a scientist,
you know, I'm just a consumer. But I'm concerned about
things taking ten fifteen years to approve a drug, having
(19:53):
studies that are done that are paid for by the
drug company that's trying to sell or get a drug approved.
It just doesn't make sense to me.
Speaker 2 (20:06):
Well, certain thing makes sense, certain thing does not make sense.
You're right about the studies done by the pharmaceutical companies
to sell their own medications. That kind of is okay,
Well this is this is not right. It's kind of
there's some biases over there. But take a drug approve
processed ten to fifteen years, that is not that is
not out of range, because you don't want to start
(20:26):
giving medications to human beings without doing any studies to
see if it's safe. Because the FT has two mandates.
The first of all, is it going to be safe?
That's the number one mandate. If you one yes, you
can't even go past that. Even if it's effective, it
doesn't really matter. If it's not safe, you cannot have
it right. So that's that's the first mandate. The second
(20:48):
mendate was done in nineteen sixty four where they said
that now it has to be safe and efficacious. That
was changing nineteen sixty four. I think it was I
don't know who the president that time was who made
the ruling over there that all pharmacical drugs have to
be safe as well as efficacious. Efficacy takes time to
(21:08):
figure out, is not right away, but but you're right.
The effication studies can take ten eight, ten years sometimes,
but for the drug is good, it should take less
of the year to figure out. So sometimes we spend
a lot of time and energy because most pymercial companies
are looking for this this little improvement. A little improvement
(21:29):
is like worth a billion dollars. If it's a giant
improvement in the body, then they're not interested because guess
what then they'll they will wipe off some of the
other medications that that make money off of it too.
So I'm not here to bash on anybody else, but
I think the FDA has has some things correct, but
like every big giant bureaucratic organization, everything works kind of
(21:53):
a little slower at a very slower pace.
Speaker 1 (21:56):
They do, and they, I mean there are there are
things like round up that they which is a you know,
my dad used it in his garden, Yes, and it
(22:17):
kills weeds, but a lot of other Western countries won't
allow it.
Speaker 2 (22:23):
Of course, not right Mark. If you think about or
D D t ordes was was an old old medicine
or old chemicals they used to feed cows and cattles
and things like that. And des is what a very
strong form of estrogens. Pople were getting ovarian cancers and
(22:44):
breast cancers for decades and they were using this as
a pesticize and things like that too, and things like
that in the in the fields. So yeah, yeah, you're
right about that part. Like whsaid, it came out in
two thousand and two or three, and we knew the
ninety eight per of the women that didn't have any issues,
two the half percent have issues. They use a synthetic
(23:05):
form of estrogens. And because of that one flawed study,
they literally put a black box warning on all hormone
pessmon therapy for men and women. But they the.
Speaker 1 (23:19):
The whole non fat issue was based on one study.
Yeah right, so there, they're just things they don't compute.
So let's talk about let's talk about the hormone replacement.
Should people over forty be checked for that?
Speaker 2 (23:42):
So again, this is a balance. You cannot measure balance.
You can just feel the balance. So yes, you can
go to the blood doctor and do a blood test
or urine test or saliva tests or it doesn't matter
what tests you want to do, and you have to
figure out what point in time that test results are.
(24:03):
And it's a point in time. Your hormones are flucturing.
Every single day, goes up and down, every single month,
it goes up and down. And so there's so many
variations that it's really hard to pay pressure. It's like
a blood pressure too. Blood pressure is a living more
stable than the hormones itself. It's very erratic. So balancing
hormones is actually a work of art than science because
(24:29):
size I test you and I'll treat you. I mean,
that's easy if it static, But human bodies is not static.
It's always always constantly changing, and so when it comes
to hormone replacement therapy. Working with the with work with
the physicians or pharmacists that understands the whole cycling and
where to how to balance is very critical. So again
(24:52):
I don't test for hormones. I can, but typically I
only do testings if I want to confirm some things
out of but more than likely I've done literally, I've
done over a billion pages in my lifetime, so I
pretty much can predict what's going on in your life
and I can help you achieve the balance. And achieve
the balance means not replacing hormones is just how do
(25:16):
I countract each other so then everything gets into balance.
Speaker 1 (25:20):
And that sounds very I mean, that sounds like a
great idea. I mean, you know a lot of guys
would want extra testosterone for more more activity, but there's
a tradeoff. As you said, it could cause too much
(25:43):
can cause prostate cancer.
Speaker 2 (25:45):
If I'm so, testosones gets converted into too much distason
get either committed to DHD. It causes hair loss and
also can can affect your process as well. US, which
is the procect gets at large or sometimes if he
gets converted into estrogens, it can also lead to prospect cancer. Itself,
(26:07):
and so testosterone too much is actually not a good
idea either, because it gets converted into different components and
those components are not benign. They are toxic and if
you do not know what you're doing, you can literally
hurt somebody as well.
Speaker 1 (26:22):
And you have to be careful. We are out of time.
Speaker 2 (26:24):
Will you come back, absolutely, I'll come back. This is
a this is very interesting.
Speaker 1 (26:29):
Good Thank you, you're terrific again. Our guest Nayan Patel
from the Central Drugs Compounding Pharmacy in Lahabra and your website.
Speaker 2 (26:45):
Addresses Central Drugs arex dot com.
Speaker 1 (26:50):
Central Drugs arex dot com. Well, we are moving to
our second guest. I'm Mark Allen along with the insane
dar Alwayne. Don't go away because we're gonna have bubbles
next as we continue
This is Late Night Health. This is the radio show
that cares about the most important part of your life,
your health. During the next hour, the Insane, Daryl, Wayne
and I are going to take a look at a
couple of very very interesting things that affect each and
every one of us. We're going to have some fun.
The second part of our show, we're going to talk
(00:30):
about the Bubble Planet experience that has just arrived in
Los Angeles and we'll find out all about that from
our friend Lekendra Toots and that'll be happening in about
thirty minutes from now. Right now, we go to Lahabra,
and I don't think I've ever been to Lahabra, but
(00:53):
if I do go to lahabor I am going to
stop by the Central Drugs Compounding Pharmacy because we have
I guess the CEO. The owner of that is doctor
Nayan Patel. He's a clinical pharmacist, educator and founder of
(01:13):
Central Drugs Compounding Pharmacy. Doctor Patel, Welcome to Late Night Helth.
Speaker 2 (01:21):
Well, thank you for having me here today.
Speaker 1 (01:24):
First of all, what is a compounding pharmacy? I know,
but let's share what that is.
Speaker 2 (01:31):
Absolutely, this is the pharmacy that is specializing in customizing
medication needs for individual patients. Doctors are stumbled upon trying
to find the right perfect medication for their patients, but
the commercially a bit of medications may not suit their needs.
So they relay on a compounding pharmacy to actually make
(01:54):
the very same medication that the pharmacy company makes in
a different dosage form, different ways of delivering the same ingredients.
And so the compouty pharmacy gets to work and go
and go and customize the medication for them.
Speaker 1 (02:08):
But at the same time, do you take regular prescriptions
or do you just specialize in the compounding specialized.
Speaker 2 (02:18):
Well, when it comes to medication, the componing is one
avenue we do fulfill all needs of customers if we
deal regular prescriptions as well componty pharmacies as well. A
specialty is componing because that's where we know like eight
pharmacies working there full time and seven a half of
them are working towards company and other half of pharmacies
(02:39):
just doing the regular prescriptions.
Speaker 1 (02:40):
Unfortunately, got it, got it. So a doctor can ask
for a special combination of drugs exactly the bottom line there.
Speaker 2 (02:56):
Yeah, and some medications that may not be available at
all because there have been somehow the big giant farmer
companies are not making enough money on it, so they
basically taking it off the list of making these medications.
But there's still good medicine. They're old medicines, they're still
very very good, and so we get together work and
go and make this medication available to overpopulation.
Speaker 1 (03:19):
What about supplements With your background, I mean growing up
in Africa, having a background, the family background from India,
it would seem to me that you might personally at
least be interested in some supplements and things, you know,
(03:45):
herbs and things of that nature.
Speaker 2 (03:47):
Well, yeah, probably has nothing to do with my origin,
but just the shear fact that as a human being,
we all live in harmony with plants and animals and
us all together, and we take substance from each other
to see how we can nourish our selves and plan
being the easiest of all. There's some great uses for
(04:12):
certain parts of the plants that can help nourish over
human beings, and so yes we do. I have a
very keen interest in nutrition and supplements. But in the
United States, one thing is for sure, we have over
supplemented of a population, and yet our health is probably
(04:33):
not even top fifty in the world.
Speaker 1 (04:36):
It's in the top fifty, or it's.
Speaker 2 (04:38):
Not in the top fifty now. So we use the
highest amount of supplements in the world. We use the
highest amount of prescriptions in the world as well, And
so yeah, you cannot do both of both of them
and stay healthy.
Speaker 1 (04:53):
What would you say is your particular interest and specialty.
Speaker 2 (05:00):
My interest is has always been trying to find the
right formula for every individual. Very early on after graduate
from Southern California Pharmacy School, I was taught to manage
people's problems for the rest of their lives. It's like
you're buying a substitution for a pharmacy. We'll give you
(05:21):
prescriptions medications every month, and only thing we're gonna do
is manage your problems. And you know, as a young
kid when I graduate, said that's not a good deal
for me for long term, because if I'm going to
manage problems, it's going to be the problems that I'm
going to go away. And so my specialty, or my
voice in a voice called upon me, I said, hey,
(05:41):
can you find something better for these people? Can you
give them hope that Hey, if I can teach them correctly.
If I can help them, then they may be off
of certain types of medication, not all of them, but
at least some of the medications that where they can.
They they become the CEO of their own health and
they get to control the destiny for their own health.
Speaker 1 (06:00):
Oh, that is terrific, because that's what we tell our listeners,
that they are in charge of their health care, not
their doctors.
Speaker 2 (06:10):
It's always been that way. The doctors are three thousand patients,
You're just number whatever, right, And the doctor like like
if I have so many doctors spouses as a patients
of mine as well, you have your merited of the
world with our doctor. I said, yeah, but here or
she doesn't have time for me. They are time for
the rest of the world, but not time for me.
But I need I need help too. And so I trained,
(06:33):
and I treat doctors and their spouses all the time
because they themselves are struggling with similar issue because they
cannot look themselves in the mirror and figure out what's
wrong with them.
Speaker 1 (06:43):
As a pharmacist, do you see patients.
Speaker 2 (06:48):
So I I my full time job is actually I
trained and I worked with physicians, tried to customize uh,
therapy plans. It could be medications, non prescription supplementations, the
modalities like exercise and red light therapies and hyperary chambers
and whatnot. Right, whatever is my arsenal. I try to
(07:12):
find the perfect solution for my patients, and so seeing
patients becomes very difficult for me because I can only
see so many patients per day. So I spend all
my time training doctors.
Speaker 1 (07:23):
You're training doctors on how to do.
Speaker 2 (07:25):
This, how to prescribe the right type of plan. And
it could be I cannot says it's just a prescription
plan because it's not just prescription medications. It could be anything.
So medications, we have prescriptions, non prescription medications, supplementations, the modalities,
whatever it takes to basically have a plan for this
patient so that they can feel better.
Speaker 1 (07:46):
That's amazing. We I bang on big pharma a lot.
Speaker 2 (07:53):
I'm sorry.
Speaker 1 (07:54):
Yeah, I'm not a fan of big pharma, and because
they seem to overcharge whenever they can. There are so
many steps. You've got big pharma, then you've got a middleman,
then you have another middleman, and finally it gets to
(08:16):
the pharmacy, and the pharmacy has to make money, and
I'm all for that. And then finally, of course the patient.
But when you have a drug that's been around for
twenty five or thirty years, like lipictor okay, and it's
still twenty dollars a month or thirty dollars a month,
(08:38):
which most people can afford. But it just seems to
me that it costs pennies to make a monthly amount,
and it just it bothers me a.
Speaker 2 (08:50):
Lot, and it should bother you a lot because as
a pharmaceutic companies, I mean, we see pharmacists going out
of business every day. Every single day there's somebody going
out of business. But you never see pharmacilic companies going
out of business. You never see him go out of business. Right,
it's the providers, the doctors, the pharmacies, the actual providers
(09:12):
are going out of business because they couldn't figure out
the financing right. And you're right, the pharmaceutical companies can
charge whatever they want. But at the same time, I
think we look in the wrong direction. The direction needs
to be look at and say, hey, do we really
need this medication in the first place, And if there
is a way to reduce the need of medication by
(09:34):
doing other modalities. Why not? And that's what I come
into play. My whole focus in life is to amount
reduce the amount of stuff we do. Nobody came to
me because they are lacking for some prescription drug. They
came to me because they overdid something to cause the
problem in the first place. You over ate, and now
(09:57):
you have diabetes. You over eight, and we have obesity.
You over eight, and ive have colessal issues. Nobody came
to me. I said, oh, I have this collessition. What
do I take? I said, well, stop eating. But they
do want to hear that part right, And so my
focus is if I can train my physicians trade my
patients to think along those lines where the less it's more,
(10:22):
I think I can achieve the better goals.
Speaker 1 (10:25):
So that the other modalities could be exercise, the E
word supplementation, cutting down what you're eating, the amount that
you're eating. I think that's I think that's great. And
you're teaching other you're teaching physicians how to how to
(10:49):
do that right.
Speaker 2 (10:51):
Well, The thing is that doctors are trained great at
diagnosing the problem, so they can figure out what's wrong
with you. That's their job, trying to figure out what's
wrong with that's a monumental task trying to figure out
what's wrong with you, right, and once they figure out
what's wrong with you, then we get to work to
trying to find the right solution for you. And the
solution could be prescription drugs, but more than likely it's not,
(11:14):
and trying to find those averages to what it does little.
Give a simple example when people come to me for
horrmorone repriscesment therapy, it's something that your hormones are going
up and down all the time. Right when you can
hormorle reprissment therapy, they're looking at astro progesters, test stones,
spregnant DHA, things like that. Second, which we call sex hormones.
Sex hormones are actually ten percent of the total solution
(11:37):
for the whole indecrid system. Wow, it's like a pyramid.
The bottom of the pyramids is the base, which is
the bulk of the problem. Forty percent of the problem
or the solution is stress management cordysol. So there's no
pills of drugs for that. I can, of course, I
can give you some drugs for cody coosteroids and things
like that too, but that's not going to help you
(11:58):
at all. It's a a stress manager and how do
you manage your stresses? And we have modatas on how
to help you regulious stress.
Speaker 1 (12:05):
If you know, we're going to take a time out
and when we come back, let's talk about those stress
ways of getting stressed. Apparently everybody is texting me right
now and I'm getting text doctor text, and that's the
sound you're hearing. Our guest is doctor Nayan Patel. He
(12:28):
is the founder of Central Drugs Compounding Pharmacy in Lahabra, California.
And I'm assuming with eight pharmacists on staff plus you
that you you work with lots and lots of docs
around me the California area.
Speaker 2 (12:48):
It's around the country.
Speaker 1 (12:50):
They're around the country. That's even better, all right. I'm
Mark Allen along with the insane dar Owayne. Be sure
to check us out at eight oh at head ato at.
Be sure to check us out at Latenighthelp dot com.
That's Latenighthelp dot com. Late Night Help is proud of
(13:12):
our partnership with the EBC, the Evolutionary Business Council. Check
them out at Ebcouncil dot com.
Speaker 3 (13:21):
You're listening to Late Night Help with Mark Allen. The
show continues in a moment.
Speaker 1 (13:30):
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Speaker 3 (14:30):
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Speaker 1 (16:00):
It's time to tackle a tough topic, one that affects
us all. We're talking about sexism in the workplace. The
award winning Identifying the Elephant in the Room series is
back and ready to tackle some complicated communications issues again.
This spring, we're focusing on critical communication strategies in the
face of sexism. Join us as we hear from professionals
(16:22):
in the natural products industry who have valuable career lessons
to share and real world experience to discuss from all
sides of the elephant. It's time to have an honest
and open conversation about the impact of sexism in the
workplace and how we can make it better for everyone.
Identifying the Elephant in the Room series starts March sixteenth.
(16:44):
Register today at nisibox dot vfares dot com. That's I
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and join the conversation to be part.
Speaker 2 (16:58):
Of the solution.
Speaker 1 (17:00):
Health continues. I'm Mark Allen along with the insane Daryl Wayne.
Don't ask it's true, Okay. Our guest is doctor Nayan Patel.
He is a pharmacist, but he's more than a pharmacist.
But would you say that you're more than a pharmacist.
Speaker 2 (17:18):
I don't want to say that part. I'm just a pharmacist.
Let me take my lane and let me help patience,
because when you give some titles to something else and
people especially more, I want to stake my lane and
just help people as many people as possible.
Speaker 1 (17:32):
There's a lot of controversy right now about HRT human
replacement therapies, hormone replacement. Actually maybe we should replace some
humans the good work hormone replacement therapies. And you know,
(17:53):
are they good for you? Are they bad for you?
Should everybody say over forty or fifty beyond them? What
is your tay?
Speaker 2 (18:00):
So for one hundred plus years, the FD is always uh.
There was a black box warning on all hormone replacement
therapy that there is a kind of cancer causing agent,
and they're not safe for you. Be cautious. Black box
warning the only a few drugs has in the world,
and HRT had that on them for all this time.
(18:21):
And about a month ago the FDA came out and
said that the boarding has been lifted finally because they
have been depriving women and men of all this hormone
replacement therapy for decades and decades, and so is a
safety Is it safe for now? No, it was always
safe from the get go. The safety does the safety
(18:43):
or the problem does not come from the hormones itself.
It's gonna be from the prescription on how they use it.
Hormones is a balance, it's it's just a balance. If
something goes out of balance and one hormone SI goes
out of range, that's what the problem happens. Especially when
it comes to estroisms or testosteroids. Those two are the
most I mean with that testotomy, you can't survive as
(19:05):
a med without astroans. You canll surf I as a woman,
you you just cannot right, but too much it'll also
caused all kinds of issues that prostate for the men
versus breast cancers. And u traine cancers for the women.
But in the perfect balance, it is absolutely the most
blissful thing you can have with your body. So that's
(19:27):
that's the whole point is it's a balance, is what
they try to achieve.
Speaker 1 (19:30):
But you use the three letter word FDA. They're so
behind the times in my opinion, I'm not a scientist,
you know, I'm just a consumer. But I'm concerned about
things taking ten fifteen years to approve a drug, having
(19:53):
studies that are done that are paid for by the
drug company that's trying to sell or get a drug approved.
It just doesn't make sense to me.
Speaker 2 (20:06):
Well, certain thing makes sense, certain thing does not make sense.
You're right about the studies done by the pharmaceutical companies
to sell their own medications. That kind of is okay,
Well this is this is not right. It's kind of
there's some biases over there. But take a drug approve
processed ten to fifteen years, that is not that is
not out of range, because you don't want to start
(20:26):
giving medications to human beings without doing any studies to
see if it's safe. Because the FT has two mandates.
The first of all, is it going to be safe?
That's the number one mandate. If you one yes, you
can't even go past that. Even if it's effective, it
doesn't really matter. If it's not safe, you cannot have
it right. So that's that's the first mandate. The second
(20:48):
mendate was done in nineteen sixty four where they said
that now it has to be safe and efficacious. That
was changing nineteen sixty four. I think it was I
don't know who the president that time was who made
the ruling over there that all pharmacical drugs have to
be safe as well as efficacious. Efficacy takes time to
(21:08):
figure out, is not right away, but but you're right.
The effication studies can take ten eight, ten years sometimes,
but for the drug is good, it should take less
of the year to figure out. So sometimes we spend
a lot of time and energy because most pymercial companies
are looking for this this little improvement. A little improvement
(21:29):
is like worth a billion dollars. If it's a giant
improvement in the body, then they're not interested because guess
what then they'll they will wipe off some of the
other medications that that make money off of it too.
So I'm not here to bash on anybody else, but
I think the FDA has has some things correct, but
like every big giant bureaucratic organization, everything works kind of
(21:53):
a little slower at a very slower pace.
Speaker 1 (21:56):
They do, and they, I mean there are there are
things like round up that they which is a you know,
my dad used it in his garden, Yes, and it
(22:17):
kills weeds, but a lot of other Western countries won't
allow it.
Speaker 2 (22:23):
Of course, not right Mark. If you think about or
D D t ordes was was an old old medicine
or old chemicals they used to feed cows and cattles
and things like that. And des is what a very
strong form of estrogens. Pople were getting ovarian cancers and
(22:44):
breast cancers for decades and they were using this as
a pesticize and things like that too, and things like
that in the in the fields. So yeah, yeah, you're
right about that part. Like whsaid, it came out in
two thousand and two or three, and we knew the
ninety eight per of the women that didn't have any issues,
two the half percent have issues. They use a synthetic
(23:05):
form of estrogens. And because of that one flawed study,
they literally put a black box warning on all hormone
pessmon therapy for men and women. But they the.
Speaker 1 (23:19):
The whole non fat issue was based on one study.
Yeah right, so there, they're just things they don't compute.
So let's talk about let's talk about the hormone replacement.
Should people over forty be checked for that?
Speaker 2 (23:42):
So again, this is a balance. You cannot measure balance.
You can just feel the balance. So yes, you can
go to the blood doctor and do a blood test
or urine test or saliva tests or it doesn't matter
what tests you want to do, and you have to
figure out what point in time that test results are.
(24:03):
And it's a point in time. Your hormones are flucturing.
Every single day, goes up and down, every single month,
it goes up and down. And so there's so many
variations that it's really hard to pay pressure. It's like
a blood pressure too. Blood pressure is a living more
stable than the hormones itself. It's very erratic. So balancing
hormones is actually a work of art than science because
(24:29):
size I test you and I'll treat you. I mean,
that's easy if it static, But human bodies is not static.
It's always always constantly changing, and so when it comes
to hormone replacement therapy. Working with the with work with
the physicians or pharmacists that understands the whole cycling and
where to how to balance is very critical. So again
(24:52):
I don't test for hormones. I can, but typically I
only do testings if I want to confirm some things
out of but more than likely I've done literally, I've
done over a billion pages in my lifetime, so I
pretty much can predict what's going on in your life
and I can help you achieve the balance. And achieve
the balance means not replacing hormones is just how do
(25:16):
I countract each other so then everything gets into balance.
Speaker 1 (25:20):
And that sounds very I mean, that sounds like a
great idea. I mean, you know a lot of guys
would want extra testosterone for more more activity, but there's
a tradeoff. As you said, it could cause too much
(25:43):
can cause prostate cancer.
Speaker 2 (25:45):
If I'm so, testosones gets converted into too much distason
get either committed to DHD. It causes hair loss and
also can can affect your process as well. US, which
is the procect gets at large or sometimes if he
gets converted into estrogens, it can also lead to prospect cancer. Itself,
(26:07):
and so testosterone too much is actually not a good
idea either, because it gets converted into different components and
those components are not benign. They are toxic and if
you do not know what you're doing, you can literally
hurt somebody as well.
Speaker 1 (26:22):
And you have to be careful. We are out of time.
Speaker 2 (26:24):
Will you come back, absolutely, I'll come back. This is
a this is very interesting.
Speaker 1 (26:29):
Good Thank you, you're terrific again. Our guest Nayan Patel
from the Central Drugs Compounding Pharmacy in Lahabra and your website.
Speaker 2 (26:45):
Addresses Central Drugs arex dot com.
Speaker 1 (26:50):
Central Drugs arex dot com. Well, we are moving to
our second guest. I'm Mark Allen along with the insane
dar Alwayne. Don't go away because we're gonna have bubbles
next as we continue
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