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The Becker's team is excited to announce the

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launch of our new CFO and Revenue Cycle

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podcast.

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Tune in for conversations with finance experts from

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the top hospitals and health systems. We'll discuss

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key trends and ideas to drive meaningful change

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in the industry. Look for Becker's CFO and

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Revenue Cycle podcast wherever you listen to episodes.

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This is Alan Condon with the Becker's podcast,

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and I am delighted to be joined today

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by Dana Herrera,

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the chief commercial officer of the Regenerative Medicine

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Institute.

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Dana, pleasure to have you on the Beckers

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podcast with us today.

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For those of our listeners who might be

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as well acquainted with you or the Regenerative

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Medicine Institute, do do you mind taking a

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moment to fill us in on your background

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and the work that you do?

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Yes. Absolutely. Happy to be here. Thank you

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for having me. And absolutely. So our company,

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RMI or the Regenerative Medicine Institute, which tends

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to be a mouthful, so we go by

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RMI for short, is actually located in Costa

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Rica. We are a United States based healthcare

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company. We just perform all of our regenerative

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medicine treatments and therapies in Costa Rica because

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we are licensed through the minister of health

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in Costa Rica, which

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as most people know, there are some stringent

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regulations that have been put in place in

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The United States healthcare system by the FDA.

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Right? So our focus and what we do

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is really aiming to slow down, reverse the

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aging process at the cellular level

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in conjunction with treating the collateral damage of

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aging, because I like to say nobody wants

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to live longer if they don't feel good.

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And so what we have found is the

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majority of our patients, seventy percent in fact,

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actually come to us

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due to orthopedic or joint pain.

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Living in pain is is a is a

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common thing, I think, for most people 40

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years old and up, especially entrepreneurs,

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competitive individuals, and and things of that nature

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who really want to find alternatives to surgery,

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to pain pills, to cortisone injections, and so

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that is a driving factor,

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in our patients' lives to come to Costa

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Rica and visit us for regenerative medicine treatments.

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Fantastic. So I'd love to find out,

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when you think about stem cells, particularly as

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it relates maybe to orthopedics, to aging,

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What are some of the industry trends that

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you're currently watching today in the health care

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space? Yeah. It's a wonderful question. So a

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little bit of background on me. I've been

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in health care for fifteen years. I was

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on the traditional medicine side for about ten

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of those years and regenerative for the last

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five. I've I've been with this organization since

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inception, which is right at the four year

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mark now. And so I've seen it all.

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I've I've literally seen everything when you could

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do stem cells in The United States, when

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it was the wild west, to the FDA

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coming down and banning the use of live

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expanded umbilical cord stem cells and other biologics

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in June of twenty twenty one, to now

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where it's even going today where I I

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do believe those will start to lift and

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and become less stringent with with the new

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administration in place. Right? But I think it's

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really important. And what a lot of people

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don't understand is when you say the word

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stem cells, a stem cell is not a

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stem cell is not a stem cell. Right?

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There are different types of stem cells. There

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are different levels of quality, and there are

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different levels of what those stem cells are

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able to produce in terms of outcome

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and safety.

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And so my passion and and what I

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love doing is really educating people and helping

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them understand

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what's available into the for you in The

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United States is quite limited.

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It's all regenerative medicine, so that's great, that's

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wonderful, it's fantastic,

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but the capabilities in terms of a scale

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of one to 10 and what you can

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get in The US are very small,

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because we're not allowed to do culture expanded

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umbilical cord stem cells in The United States,

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the type of cells you get, whether that's

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exosomes or an amniotic fluid injection

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or PRP are really just growth factors. Right?

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And when you utilize a live umbilical cord

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stem cell like we do in Costa Rica,

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the benefits are exponential because you have the

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growth factors. They actually release exosomes. They release

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a a lot of different the cytokines and

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all these different things that actually interact and

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help your cells do their job better, so

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your body can actually start to heal itself.

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And so it's really interesting in in The

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United States, again, what what we can do

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here and depending on where you go, and

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you're gonna hear different things from different people.

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Right? Whether that's autologous cells, which comes from

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your own body, which is the same age

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you are and can't be standardized.

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What we can do is standardize ourselves just

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like a drug. And so every single time

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we deliver a treatment and we say, for

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instance, we're going to give you a hundred

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million umbilical cord cells in an IV, 25,000,000

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throughout the different joints in your body,

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those cells have gone through a quality assurances

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and control process from start to finish

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the exact same way every single time

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to the point that at the end, before

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we administer it to you, an hour in

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fact, we are actually testing those cells for

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viability.

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And when you're talking about stem cells, viability

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is a key word. So first, the two

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things you wanna consider are safety and viability.

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Right? Safety is, have they undergone a screening

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process? Are they tested for diseases? Are they

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tested for differentiation?

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Are are they really truly isolated mesenchymal

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stem cells that give you the most bang

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for your buck, if you will,

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but have gone through the proper process to

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ensure that you are going to come out

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safely on the end. Right? There's not gonna

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be an infection. There's not gonna be bacteria.

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There's some something negative is not going to

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occur. Right? And that is our our number

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one priority. The second part to that is

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efficacy and how do they work. And so

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when you're talking about stem cells and you're

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talking about viability,

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the higher the viability,

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the better. The less the viability, meaning how

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many cells are alive, the more you're going

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to need. Right? And so in our world,

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we ensure

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and standardize ourselves to produce 80 to 90%

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viable cells. You get a batch certificate that

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states everything that they've been tested for and

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then the viability right before we give them

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to you. And I think it's really interesting

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because I'll talk to patients and they'll say,

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hey. Well, I just talked to this place

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in, you know, this other country, and they

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wanna give me 250,000,000

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cells. Can you guys match that? I'm like,

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okay. I understand our human brains, you know,

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want to equate

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quantity

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with better. Right? But in the stem cell

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world, that's not always the case.

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However,

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if you were, say, getting a batch of

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hundred million stem cells and they're only 50%

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viable, then you're gonna have to double that

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amount to achieve the same result.

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I I wanted a quick follow-up here because

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this kind of ties into something that I

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wanted to pick your brains about as it

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relates to patients, as it relates to education.

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I think you did a fantastic job of

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kinda breaking down what actually stem cells are,

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what they do.

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To my mind, it's it's using things that

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are already produced in the body, right, to

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ultimately

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give the body a boost, whether that's healing,

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aging, etcetera.

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Do you find that

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how big of a factor is patient education

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for this in this area for you, and

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how do you go about educating and forming

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patients about some of these procedures?

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Huge. It is huge. It is, you know,

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till every everyone heals. Right? Until everyone hears

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because it it there's such a big component,

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because obviously, as you know, I mean, you

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get in Google, you type in stem cells,

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and you can find what what you seek

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you will find. Right? You can find any

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and everything when you get on Google. So

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educating people and even doctors, I've educated many

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a doctors,

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because even they don't know. You only know

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what you've been taught. Right? And that's not

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something that we teach in the edge in

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The United States and and medical school. And

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so for us, we really try to make

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it a point, and and we did this

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in the past quite often. We need to

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do it again. But doing webinars,

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just completely free of charge, it's usually myself

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and two of our physicians.

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We've even had our microbiologist

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on on one of the webinars, and we

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just invite everybody. Just come if you have

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questions, if if you're curious about how all

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of this works, ask us because

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we are extremely transparent with everything from start

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to finish. And that is the one piece

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of advice I would give any listener. When

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you are going out to to do some

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research and determine, hey, I really would like

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to avoid surgery on my knee, so I'm

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gonna look into stem cells. But there are

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questions that you need to be asking these

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regenerative medicine companies in terms of how they,

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you know,

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asking these regenerative medicine companies

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in terms of how they do they have

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their own lab first and foremost?

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Having your own lab is absolutely crucial.

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And then if they do have their own

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lab, do they control the process from start

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to finish? Because what we'll see in The

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United States a lot of times is there's

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different labs that are doing different pieces of

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it, and as you know, the more it's

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being touched by outside sources and parties, the

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more room you have for error. Right? You

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lose the control.

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So asking, do you have your own lab?

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Where do you obtain these cells? For instance,

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we obtain ourselves

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through the Wharton's jelly of the umbilical cord.

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We are screening moms who want to donate

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their cord because they're going to have a

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plan c section. We're screening the moms the

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moment we get that that sheet of paper

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that says, yes. This this mother is gonna

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donate her cord. Then we are in the

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OR the day the baby is born. We

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collect the cord to ensure the sterility, and

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the cord never ever ever leaves

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our our presence and and and our authority

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in our in our lab. Right? So we

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do the whole process, the screening and everything.

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Are they screened? Are they tested for diseases?

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Are they tested for differentiation?

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What's really interesting when you take an umbilical

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cord is that there's all sorts of different

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types of cells. Right? The mesenchymal stem cells,

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that's the one we're talking about that are

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really used for healing and regeneration,

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those are located in there too. But the

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reason you want culture expanded cells is because

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by expanding them, it's not that you're just

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cloning them. Think of it as a strainer.

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Right? So every time your culture expanding them

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and you're growing these cells, they're getting even

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more isolated.

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The cells that are not pure MSCs

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go away, and you isolate the pure MSCs,

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which is mesenchymal stem cells, so that you

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have the the purest and safest and most

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potent

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umbilical cord or or stem cell to do

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the job you want it to do, which

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is to reduce inflammation, to communicate with your

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cells. And you said it perfectly

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to give your body the boost that it

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needs. Right? So a lot of lot of

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questions you need to be asking when you're

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doing your research, and, again, I'm I'm happy

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to to to type those up and share

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those with you for anybody that would like

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those. Yeah. Yeah. Absolutely. That'd be super helpful.

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I'm really it's such an exciting it's such

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an innovative space in health care. But kind

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of going back to what you'd mentioned at

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the top of the podcast,

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slightly constrained in what can be offered in

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The US under the FDA.

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I'm curious with the new administration,

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the regulatory landscape.

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Is this something that you're excited about when

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you think about the future, potentially more of

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these

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procedures,

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being being available to in The US,

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as well as Costa Rica?

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Yes. Absolutely.

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So right now, I'm I'm not gonna lie.

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It is expensive. Right? And and that's really

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how anything starts out. If you if you

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look back on our history,

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anything new is going to start out expensive

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until it can be proven then adopt adopted

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more publicly. Right? So right now, it is

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expensive, but my goal is to have this

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available to any and everybody who wants it.

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Because then we can really start looking at

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optional, you know, paths to healing outside what

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we've been taught our whole life is are

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the only options. Again, surgery pills, you know,

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steroid epidurals, things like that. And so what

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I really want to do and and why

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I love the the new administration and and

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RFK who's looking at, you know, the FDA

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and and the food we're eating and the

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things we're consuming and what are we putting

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in our body. Honestly, I think it's gonna

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take a few years. I really do. I

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don't think it's gonna happen overnight,

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but

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the goal is to is to really get

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with the administration

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and say, hey. Let me educate you guys

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as well because you guys aren't stem cell

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experts. Right? Let me educate you guys on

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the right way this should be done and

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how it should be adopted in The United

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States to ensure

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every single American, and then second, healing to

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every single American. So I think there is

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a path forward there, and that is something

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that is on my radar that I am

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working on. I will I will tell you

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this,

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our lab director, Natalia, has been doing this

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for the last fifteen years.

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She worked for a previous clinic who one

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of the the biggest who's been on the

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map for a long time. It's where Mel

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Gibson's dad went and went on Joe Rogan,

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and so she was with that guy before

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he was even on the map. And so

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what's really interesting about that is she has

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15

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of clinical experience

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doing this in human beings.

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I don't know anybody else that has that

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kind of experience. There's a lot of doctors

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out there and a lot of smart people

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who have been doing this for maybe a

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few years or have been doing this in

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a research setting. But when you're talking about

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these types of preventative treatments or antiaging or,

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for orthopedic. Right? You really want a group

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of individuals

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and and a team in a lab that

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has been doing it in humans and has

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never had a serious complication. And that is

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one thing that I can say with absolute

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certainty, we've never harmed anybody. And for me,

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humanity in The United States and Americans deserve

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medicine that heals, not harms. Right? And so

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taking that information and going to the administration

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or the insurance companies and going, guys, look,

365
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this is safe and this works.

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You just have to have the right secret

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sauce, so to speak. Because, again, every process

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isn't created equal and every stem cell isn't

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created equal.

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Mhmm.

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Yeah. That that secret sauce,

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if you will. I'm curious,

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last question I'd love to kinda get your

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perspective on before we wrap up. When you

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think about,

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the Regenerative Medicine Institute, when you think about

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growth over the next, say, twelve to twenty

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four months, where are the key areas that

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you're looking to focus in, hone in on,

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to grow?

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So when we think about growth, and this

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is a great question, and this is a

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question we've been asking ourselves as well. Obviously,

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treating patients in the clinic is is one

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area. Right? We wanna continue to do that,

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and we're continuing to get the word out

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there and let people know, hey. What's available?

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And the sole purpose of that is just

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to give you the information. Right?

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We're gonna let you know, hey. This is

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an option, and then you make whatever decision

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is best for you in your life. So,

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of course, we wanna grow in terms of

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expanding the clinic and the number of patients

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we see, but we're also looking at our

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two other components, which is our research teams.

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We have an entire research division that is

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looking at new protocols, new developments, whether that's

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MS, whether that's Parkinson's. We actually met and

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we had a discussion about infertility

401
00:14:21,170 --> 00:14:23,090
and being able to go in and inject

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00:14:23,090 --> 00:14:25,889
the ovary with these stem cells to help

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00:14:25,889 --> 00:14:27,970
produce eggs, right, versus having to go through

404
00:14:27,970 --> 00:14:30,450
that horrible experience of of of IVF. I

405
00:14:30,450 --> 00:14:32,769
know it's it's really tough on on women

406
00:14:32,769 --> 00:14:35,084
and then their poor husbands as well, But

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00:14:35,084 --> 00:14:37,404
just looking at new protocols, so it's almost

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00:14:37,404 --> 00:14:39,725
like three pillars if you will. Right? It's

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00:14:39,725 --> 00:14:42,125
the clinic where we're treating the patients. It's

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00:14:42,125 --> 00:14:44,204
the new research and and the protocols we're

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developing. Two of our two of our doctors

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00:14:46,605 --> 00:14:49,269
are actually studying at Harvard right now to

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00:14:49,269 --> 00:14:51,429
to develop new protocols. MS is one of

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those.

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And then, of course, the lab. Right? So

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that's our other entity where we produce the

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00:14:56,149 --> 00:14:58,309
secret sauce, if you will, that allows us

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to do the things that we do. So

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00:14:59,990 --> 00:15:02,455
looking at all three of those aspects, how

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they tie in, how we can grow them,

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and how we can really reach more of

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the world

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with these treatments that are, again, safe and

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00:15:09,735 --> 00:15:12,615
effective. Because that's ultimately what medicine was created

425
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to be in the first place. I think

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we've just got a little off track, but,

427
00:15:16,214 --> 00:15:17,754
hopefully, we can get back there.

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00:15:18,639 --> 00:15:21,700
I love it. Safety and viability. Right? Yes.

429
00:15:21,759 --> 00:15:22,659
Thank you. Dana,

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00:15:23,120 --> 00:15:25,759
Dana, it's been an absolute pleasure. I've certainly

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00:15:25,759 --> 00:15:26,740
learned a lot,

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00:15:27,120 --> 00:15:28,799
about stem cells with the work that you

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00:15:28,799 --> 00:15:31,200
do, the regenerative medicine in institute, and no

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00:15:31,200 --> 00:15:32,720
doubt a lot of our listeners will have

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00:15:32,720 --> 00:15:35,154
as well. Really looking forward to picking things

436
00:15:35,154 --> 00:15:36,355
up, put you down the line to hear

437
00:15:36,355 --> 00:15:38,754
more about the business's growth. Thank you so

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00:15:38,754 --> 00:15:40,115
much for taking the time out of your

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00:15:40,115 --> 00:15:41,975
busy schedule to speak with us today.