Brigham Buhler

And it's a good tool in the tool belt if you're chronically obese, diabetic and sick and headed towards chronic disease. Of course, I'm never here to judge. We've got to put wins on the board and we've got to get the weight off. But I say this all the time. Prescribing a GLP-1 without talking about diet, lifestyle, and nutrition is like brushing your teeth while eating fucking Oreos.

And it's a good tool in the tool belt if you're chronically obese, diabetic and sick and headed towards chronic disease. Of course, I'm never here to judge. We've got to put wins on the board and we've got to get the weight off. But I say this all the time. Prescribing a GLP-1 without talking about diet, lifestyle, and nutrition is like brushing your teeth while eating fucking Oreos.

It's very counterintuitive. It's just you've got to address the root cause.

It's very counterintuitive. It's just you've got to address the root cause.

It's very counterintuitive. It's just you've got to address the root cause.

So... Take a step back, I guess at this point, almost 14 years ago, as an entrepreneur, I had steps and protocols and procedures in place. So I would go meet with clinicians around the country and I would educate them on the importance of not prescribing opioids lightly. And the message was this. These can be very valuable to treat chronic pain.

So... Take a step back, I guess at this point, almost 14 years ago, as an entrepreneur, I had steps and protocols and procedures in place. So I would go meet with clinicians around the country and I would educate them on the importance of not prescribing opioids lightly. And the message was this. These can be very valuable to treat chronic pain.

So... Take a step back, I guess at this point, almost 14 years ago, as an entrepreneur, I had steps and protocols and procedures in place. So I would go meet with clinicians around the country and I would educate them on the importance of not prescribing opioids lightly. And the message was this. These can be very valuable to treat chronic pain.

When utilized in the right patient, it can be life-saving. But if you utilize this in the wrong patient, you're going to kill somebody. And so why not take the proper steps? There is a non-abusive, non-addictive alternative to opioids, and that is a ketamine-based pain cream. And it can't be abused. You can't separate out the ketamine. You have no way of abusing it.

When utilized in the right patient, it can be life-saving. But if you utilize this in the wrong patient, you're going to kill somebody. And so why not take the proper steps? There is a non-abusive, non-addictive alternative to opioids, and that is a ketamine-based pain cream. And it can't be abused. You can't separate out the ketamine. You have no way of abusing it.

When utilized in the right patient, it can be life-saving. But if you utilize this in the wrong patient, you're going to kill somebody. And so why not take the proper steps? There is a non-abusive, non-addictive alternative to opioids, and that is a ketamine-based pain cream. And it can't be abused. You can't separate out the ketamine. You have no way of abusing it.

It's a topical, but for orthopedic injuries, knees, shoulders, elbows, joints, backs. They were prescribing opioids for two months at a time, you know, right in like 60 day prescriptions. You're perpetuating this problem and then those get diverted. And so here were the safety nets. Don't prescribe it. Prescribe a non-abusive, non-addictive pain cream. That's option one.

It's a topical, but for orthopedic injuries, knees, shoulders, elbows, joints, backs. They were prescribing opioids for two months at a time, you know, right in like 60 day prescriptions. You're perpetuating this problem and then those get diverted. And so here were the safety nets. Don't prescribe it. Prescribe a non-abusive, non-addictive pain cream. That's option one.

It's a topical, but for orthopedic injuries, knees, shoulders, elbows, joints, backs. They were prescribing opioids for two months at a time, you know, right in like 60 day prescriptions. You're perpetuating this problem and then those get diverted. And so here were the safety nets. Don't prescribe it. Prescribe a non-abusive, non-addictive pain cream. That's option one.

Option two, you think this patient needs it. Okay. Toxicology screen this patient to make sure that they're not abusing other drugs. and or diverting this drug. Option three, you should have minimal pharmacogenetic test, which was a simple cheek swab that tells me if you have a propensity to become addicted, it tells me, can you even metabolize this drug?

Option two, you think this patient needs it. Okay. Toxicology screen this patient to make sure that they're not abusing other drugs. and or diverting this drug. Option three, you should have minimal pharmacogenetic test, which was a simple cheek swab that tells me if you have a propensity to become addicted, it tells me, can you even metabolize this drug?

Option two, you think this patient needs it. Okay. Toxicology screen this patient to make sure that they're not abusing other drugs. and or diverting this drug. Option three, you should have minimal pharmacogenetic test, which was a simple cheek swab that tells me if you have a propensity to become addicted, it tells me, can you even metabolize this drug?

Keep coming back. And the insurance companies had negotiated rebates because that was a compounded drug. So insurance companies hate compounding pharmacies.

Keep coming back. And the insurance companies had negotiated rebates because that was a compounded drug. So insurance companies hate compounding pharmacies.

Keep coming back. And the insurance companies had negotiated rebates because that was a compounded drug. So insurance companies hate compounding pharmacies.