Golf and Toxicity Part 3

Hey, good evening everyone. We're hopping on here just in a few minutes. We're going to get everybody locked and loaded to do the third part of the golf and toxicity series. Give us a thumbs up. Make sure everybody can hear. Give us a wave. Let me know everything's good. Hey, everybody. There's Betty. Hi, Betty. Share the stream. Hi Juliana, it's late for you. Where are you at? If you're in Europe, it's late. Are you in the US? Monaco. Oh my gosh, it's very late for you. Thank you for hopping on. Is Monaco— is it 7 hours ahead? My son is still in Europe, in Spain, soon to be home. Thank you all for coming on. It's the third part of our golf and toxicity series. Gonna get started in a few minutes, so we want everybody hop on, share this stream to as many of your friends and colleagues as you can. It's important that everybody understand that. Just going to make sure all of the streams are functioning. Oh my gosh, Juliana has a 5 AM flight. That's, that's why you're up. Okay, got it. I see now. All right, perfect. And We are. All right, cool. We're live on all the platforms, hopefully. Pretty limited number here. We'll give it a few more minutes, then we're going to get going so we stay on time. Okay. Now, do I have anybody? Do I have— let me just double-check. I was sound checking earlier, wanted to make sure everything was working, and Sherilyn, are you on? Can you hear me? Giving you a shout out, Sherilyn. Hi, Danielle. We got to keep Juliana up. She's got a 5:00 AM flight in Monte Carlo. That's going to be tough. All right, let's share this stream on TikTok and YouTube and Instagram. Let's try to get some more people on for part 3 here, okay? All right, what do we got here? Okay, we're waiting for everybody to hop on. We've only got— Okay. Well, I'm going to give it a couple more minutes here. It seems like people are a little tardy. Maybe they're stuck at dinner or they're trying to get through dinner or what have you. We're a little early on the West Coast, West Coast, West Coast, because it's only 5:00 PM. Yeah, spread this around. Let's get some more people on. Okay. Hi, everybody. Hi, Anne. Rini. Kel. Hi, Kel. Hi Jessica, who else is in the circle? Did Sherilyn get on? Sherilyn was telling me she had audio trouble. Danielle, can, uh, can you tell me how the audio is in the circle please? Can you hear me okay? Hey Anna. Hi Lorraine. It's golf toxicity, not gold. Thank you, Danielle. Appreciate you. All right, perfect. Hey, Lorraine, everybody. Yeah, keep sharing it, hop on, let's go. We got to build some momentum in this. This is the third, uh, part of my 3-part series on golf and toxicity. This is all brought to me, um, through my patients. I continue to learn and remain curious because of our patients and all the challenges they face. And this one was brought to me by someone who didn't grow— live on the golf course, but they played a lot of golf. They played college golf. They worked at a golf course. So, once again, real-life experience. Yes, yeah, I hope they did a capsulectomy. You shouldn't feel a tight band. So we're doing great. All right, Juliana, this is for you then. The EU, however, has different rules, uh, so you're, you're safer. All right, continue to share. Let's get more people on the stream, okay? Let's go. We got to build some momentum here before we get started. Uh, yes, I am a plastic surgeon, actually. Okay, we are going to get rolling now, everybody. So I'm going to get started. If you weren't here before, I'm Dr. Robert Whitfield MD, a board-certified plastic surgeon. I'm in Austin, Texas. Tonight is the finale of our 3-part series. Over the last 2 nights, we've laid out a reality that most people in medicine are completely ignoring. In part 1, we looked at the hidden toxic burden, the 2025 JAMA, Journal of the American Medical Association, data showing 126% increased odds risk of Parkinson's disease for people living within 1 mile of a golf course. We talked about chlorpyrifos, We talked about chlorothalonil and atrazine. These chemicals are applied at industrial scale, and they absorb directly into our skin when we're on the courses, and we can inhale them as well. In part 2, we connected that the exposure can lead to issues in the operating room. We talked about how the chemicals deplete glutathione, how they drive chronic inflammation, and can compromise detox pa— detox pathways. Certainly, in many of my patients who already have genetic predisposition to limited detoxification. We talked about the weight loss paradox where losing fat releases stored toxins back into the bloodstream and why harvesting that can lead to more problems with a fat transfer. If you missed parts 1 or 2, the full replays are live right now in Dr. Rob's circle. So go to drrobscircle.com. I will continue the live stream there with a live Q&A afterwards, but go to drrobscircle.com, or you can join it by going to my main website, drrobertwhitfield.com. Don't forget to do that. Joining is free. Tonight we're going to bring it all together because identifying the problem is only part of the challenge. The other half The most important part is solving it. Tonight we're gonna figure out ways to take action and what can we do right now, because recovery is not passive. Anybody who's ever been to my clinic in Austin, Texas, anybody who's ever spoken to me knows I want to prepare you rather than react to a problem. So let's start with the foundation. You cannot fix what you don't know or hasn't been measured. So let's, let's think about that. I get people running protocols all the time on things they've never measured, that they don't understand, and then when I ask them about it, they can't actually come back and give me a cogent response of why they're doing it. They're just doing it. So as a surgeon, as a plastic surgeon, I don't like to guess. I like to have some kind of benchmark, some kind of metric, some kind kind of tool that I can measure and refer back to. So when a patient comes to me, my preference is obviously not to guess. I would prefer to test. Before anyone gets near the operating room, we have a whole series of tests we run through the SHARP method. We run a comprehensive panel of tests including genetic testing. We look at your genetics for things like MTHFR status, vitamin D metabolism issues, problems in your antioxidant pathway, things that crop up in the glucuronidation pathway and further hamper our use of glutathione. We look at things because we want to understand how VOCs would affect you, how glyphosate would affect you, how heavy metals and mycotoxins like ochratoxin and aflatoxin can affect you. We look at your gut health, right? We, we know that gut testing is inherently difficult, but we want to try to understand it to the best of our ability to help each and every patient, right? So balance is key. We look for things that are out of balance— Candida overgrowth, parasitic overgrowth, bacterial imbalances. We also look for things that are going to be triggers for you in your diet. We look at food sensitivities. Many of us are sensitive to things like gluten and gliadin. In particular, I'm sensitive to eggs. So I wouldn't have known that without a food sensitivity test. So for our patients, especially our fat transfer patients, not only do we do all this, but I really want each of them to have a DEXA scan pre-op. We want to look at your body composition, and I don't use InBody. I want to know the bone density, the lean muscle mass, that fat composition, and that just helps us further identify, is this person, from a candidate perspective, do they have enough fat? So low BMI fat transfers are something that, you know, although they can be more difficult to do, they're definitely and can be very successful. And those patients often need them the most. We also look at other polymorphisms, which is critical. Some people metabolize organophosphates the exact chemicals used on golf courses, 10 times slower than others. If you have certain polymorphisms or genetic mutations and you live on the golf course, your risk profile is entirely different from someone who metabolizes these chemicals more efficiently. And this is all measurable. It's not guesswork. It's just data. But if you don't ever look at it, you don't know this, and you won't know what to do next. So the SHARP protocol that I wrote the book about, the SHARP Method, which you can get It's on Amazon. You can listen to it. It's not complicated. You can get it through our store, Dr. Rob Solutions, or on the website, DrRobertWhitfieldMD.com, on the shop function. And basically, it's an overview of my protocol and what we're looking at. And the testing reveals, you know, kind of ways that we look to intervene. And, and the SHARP method The Strategic Holistic Accelerated Recovery Program is basically— I like the methodology because if you think about identification of your genetics and looking at your tox burden, looking at your gut health, food sensitivities, hormonal balance, that gives you a pretty clear picture along with your blood labs, which should be fine. Of what's going on. Then we start you on a curated set of supplements that are mostly liquid because many patients have absorptive issues or have difficulty taking pills. So I want them on liquids because it's easier. Uh, I use liposomal formulations. We use methylated B complex, glutathione, vitamin C, vitamin D3, K2. We have some magnesium powder. We have a carnitine supplement. So we keep it very simple, mostly liquid-based. It's easier for absorption and I feel, I, you know, in the past, I feel like maybe we tried to do too many supplements and that decreased compliance. For patients with higher levels of toxicity including Atrazine, the heavy metals, and mycotoxins, we're gonna have different pathways. We may initiate an antifungal protocol, medical-grade binders, things like cholestyramine. We use homeopathic products by Cellcore and Quicksilver. And we know all these are useful and we tailor them for our patients based on what we find on these tests. We can, you know, talk about atrozine for a second. Atrazine metabolizes via the CYP1AT pathway and glutathione conjugation. When your glutathione is depleted or from chronic exposure, clearance becomes very, very difficult. You are going to be stuck in this toxic loop and we want to get you unstuck. We have to break that loop to get you unstuck before surgery. So think about that. If you're chronically exposed and you have limited detox and you don't then know that you need more glutathione to help you, then you're just chronically in a stuck state. We want to get you unstuck and prepared. Now this may take a few weeks or a few months. Everybody's going to be different. The preparation is based on your biology, not anybody else's. And for my fat transfer patients, we like a longer run-up for them. Now, there are some specific things. I don't want people taking GLP-1 agonists before surgery who are going to have fat transfer, and I don't want them taking after either. Also, for my fat transfer patients, it's very important that we have a dexaprep and understand your BMI because we want to keep it the same or elevated in a healthy manner. Improving skeletal muscle mass, bone density, and healthy fat. The more balance we have, the more stable you are, the less health issues you have, the better the retention rate is going to be for anything we do in terms of fat transfer, and the better you're going to do overall from surgery. You know, and once surgery is done, you know, I think a lot of people will, from a surgical perspective, see you maybe at a week or a month, and then 6 months or a year. That's basically run of the mill. For our program, we see people almost daily the first week after surgery in the office to do things like the Human Regenerator, hyperbaric oxygen therapy, lymphatic massage with Flowpresso, red light therapy, NanoV therapy. And then at a week, I typically see everybody in person. We check them and make sure everything's fine. We may make further recommendations. I may have a specific set of steps that I want you to follow once you go home. We want everybody to continue on and prioritize sleep, nutrition, proper supplementation. The exercise is walking. That doesn't increase your heart rate or your blood pressure too high, but it's great exercise. So we'll probably typically for our fat transfer patients recommend more hyperbaric oxygen therapy as well as more lymphatic massage therapy. These are just common things I feel are important, and if someone is here in Austin, obviously we'll have them do more because they're right near us. I think that's the most, um, or the pathway of least resistance for success. Now, our country is so big, which makes it great, but it's also complicated because of its size. But I want you to continue those things. Sleep hygiene, sleep hygiene. Nutrition is non-negotiable. You need to keep a high protein diet, 100-150 grams a day. See how your energy levels are in the afternoon. If you're falling off in the afternoon, you, you need to up it. And drinking liters of water through your Stanley is not the way to recover. Every time you take in 8 ounces of filtered water. I want you to have some aminos or some protein with it. People say they can't get enough protein in their diet, but it's actually not that complex. Sleep is still the most important thing. You only recover when you sleep. We have consistently followed the 3-2-1 rule: stop eating 3 hours before bed, stop drinking 2 hours before bed, get off screens an hour before bed, get the room cooler, get the light out of the room, get the sleep noise on, whatever you need. If you have obstructive sleep apnea like I do, you need CPAP. Your environment matters. We recommend air filtration. Jasper Air from Austin's great. IQAir from Switzerland's great. Filtered water only. You cannot heal in a toxic environment. And you're never going to do this alone. We have a whole team led by our detox practitioners Chelsea, Gina, Melinda. They'll help you support, uh, help support you throughout the year. And then we have a parallel program running just for surgical post-operative support. So that's two different pathways, right? We have our functional pathway that people are getting supported through post-explant for detoxification and support that way, and then we have our post-op pathway with our medical team that's supporting you through the post-operative course. And many of my staff have had explants with us. So what does this mean for you right now, even if you're not a surgical patient? So I, I think the most I can do to help patients is, from a program standpoint, make our program more accessible. So it used to be the only way to get into this program was to have surgery with me. Now we know this is not the way that we can help the most patients, so we've created group programming to help patients who are gonna have surgery elsewhere and have already had surgery but need help with detox. So that's our SHARP program that's ran in a group fashion. Anybody can use our supplementation. Anybody can take advantage of our testing. I encourage you all to do that. The more you know, the better you will, you will be able to assess what's going on and work with our team and then learn more and more and more. Now, say for instance, um, you actually do live on or near a golf course. So it would be important for you to have a TOCS test to evaluate what is going on. If you play regularly or your kids play regularly, this applies to you and to them. I think it's very important to protect ourselves and our children. Um, you need to know everything that's going on, you know, um, they are typically going to inherit, uh, detox genes, uh, from both parents. So say one parent doesn't have problems with allergies but the other parent does, then if they pass that on, one of the children could have a lot more difficulties than another. And that's just patterns of inheritance. Nobody's doing anything wrong. The more we understand about it, the easier it is to help. And second, we have a lot of ways to track our physiology now. I know a lot of people get anxious about tracking, but if someone comes in and tells me they sleep great or they think they sleep okay, then I'm gonna ask them, are you tracking it by a ring? Either like an Ultrahuman or Oura? Are you using a Whoop strap? What are you using? I think the Whoop is the best and it's the gold standard for me. You can monitor your heart rate variability. Which is really your measure of recovery. An elite athlete will have an HRV over 100. Me, I'm an old guy. If mine gets close to 30, I'm super excited. It should not be in the teens. So third, you gotta commit to a schedule. We track our patients, like I said, you know, we get them set pre-op. It may take 2 weeks. It may take 3 months, 6 months, however long to get to us. And then they're here in front of us pre-op the day before. We go through all the plans, we explain procedurally what's going on, we make sure there's no questions, all the paperwork obviously gets done. They have a set of steps they're going to do the night before, but one of the main things I do is have them go eat at our, one of our favorite restaurants in town that's gluten-free. Dairy-free, seed oil-free. It's The Well. It's in Austin, Texas on 2nd Street and in Westlake in our neighborhood. So it's a great place to go have a meal that you never thought you could have because you didn't know those, those types of methods would work and the food would taste great, and it does. So get a great night's sleep. A couple things we have to help you with that is a little something for nerve pain, nausea, and inflammation you take the night before. Then we come to the pre-op area in the morning. I'm there, I mark ya, and then our, our anesthesia team does an ultrasound-guided nerve block, and that helps set up what to me is the kind of the next best steps for us in the operating room, because you've already had some anesthesia, and then they'll get you off to sleep. And as we work to take care of an area, we put more and more local anesthesia, except for the local anesthesia I place, Exparel, is not going to last for a few hours. It's gonna last for about a week. So then when our patients get done with surgery and in recovery, they typically have very little in terms of sharp, stingy pain or anything like that. Very little problem with nausea. And then over the next 2, 3, 4 hours, you may need a little pain medicine, but typically after that, it's very, very easy to get up, move around. We see everybody the following day in the office for the Human Regenerate, the hyperbaric oxygen chamber, low presso, and NOV treatment, and red light therapy. And we feel like that's the way to help people continue to optimize. And we see them at a week, a month, 3 months, 6 months, 9 months, 12 months. So the data is really clear. I published the largest PCR-tested explant capsule series in the world that shows that 29% have bacterial contamination. We know from Mathun Sina's work that bacterial contamination interacts with your breast tissue, specifically Staph epidermidis, Cutibacterium acnes, and it stimulates a process that leads to more symptoms via a molecule called oxylipin tin home. So that's extremely important to remember. So this is a real process, it has real science behind it, and the symptoms are real. The inflammation is extremely real, but you have the power to change it. You can start doing the work now, and I see people lower their inflammation just by starting and running the program before they ever get here. I have— I'm going to give a big shout out to Leah and her husband. They came in the clinic yesterday, and her husband told me he's been doing the program with his wife Leah, and they both really enjoy it so much they're going to continue it as a lifestyle protocol, which the Sharp Method basically for me is a lifestyle, a wellness, a, a— if you want to think habitual way of leading life. So this week we went somewhere where nobody in surgery is typically willing to go. We connected the environment to the operating room and we laid out a clear path to fix it. Now it's time for your questions. After this talk, I'm heading straight into my private community, Dr. Rob's Circle. It's free to join. Go to drrobscircle.com, or you can go to my main website, drrobertwhitfieldmd.com. And click join. So it's very simple. The, uh, username and password, fill it out, hop in. We're going to be in the live chat. So you hop in, you go, go to the live chat, and I will be there answering your questions. So I'll take a couple questions on Instagram and TikTok And then I will hop into the circle. Oh, I have one more request. So, um, let's just share the series with someone you know who may live on a golf course or is an avid golfer who may be struggling with some symptoms that they don't quite understand. Now, this is your job to do to help your friends, your loved ones, your family. Let's just make sure that we're taking care of each other. Let's go inside the circle. I'm happy to answer any more questions. Thank you very much, really, for joining us tonight. Uh, let me see if there's anything I can answer quickly here. I'm going to scroll all the way back here and see. Patricia said her nephew Dr. Timothy C is in Austin too. Okay. Awesome. All right, do I have a question anywhere? Um, okay, JMO, you have to be seen and examined, and then you decide based on the examination and if you need any studies. Oh, Juliana, do you like the regenerator? Do they have one there in Monte Carlo, or have you used the one in the UK that I recommended? I saw Danny Williams on here. Danny, you better get into the circle. London. Perfect. So you met Dom and Joe. They're good folks. Really nice people. All right. Let me turn off some of this other stuff. Okay. So I'm going to move Substack. I will stay on here a couple more moments while I remove some of the streams and head into my private community. Um, don't delay, just head into my private community. I'll be there, uh, and answer questions in just a moment. I'm just removing my streams from LinkedIn, Facebook, YouTube, and all the others.