Moderator:
Welcome to today’s episode of True to Form with your host, President and Co-Founder of Crystal Clear, highly regarded speaker and two-time Inc. 500 entrepreneur, Tim Sawyer.
Moderator:
True to Form is a podcast that highlights leaders making headway in the aesthetic, anti-aging and elected medical industry. Learn from the experts to discover the secrets of success and pitfalls to avoid when growing all aspects of your elective medical practice.
Moderator:
This week’s episode is brought to you by Pellecome, the revolution that is changing BHRT. Increase your elective practice revenue and learn pellet therapy for hormone optimization with Pellecome’s live hands-on training. Visit pellecome.com for more information. Please join me in welcoming your host, the authentic, the transparent, Tim Sawyer.
Tim Sawyer:
Hello, and welcome to True to Form, the podcast that connects you to the people, technology and hot topics that shape the elective medical community. Provided to you by Crystal Clear and brought to you this week by this week’s sponsor Pellecome. The revolution that is changing Bio-identical hormone replacement therapy.
Tim Sawyer:
I’m your host, Tim Sawyer. To our returning guests, welcome back and for our first time listeners, we appreciate you joining us and encourage you to become a subscriber. In the last episode we spoke with leading healthcare attorneys Michael Byrd at Brad Adatto where they shared their expert advice around ensuring your practice is operating in legal compliance including how to keep your practices patient data fully protected when working with third party vendors. If you missed it you need to check it out.
Tim Sawyer:
With that said, and just when you thought it couldn’t get any better, I’m really excited to introduce our guest today. I’ve had an opportunity to meet him personally. He’s really leading a revolution, we’re going to talk about what that revolution is today. We head to California and I’m going to introduce Dr. Enrique Jacome. He is a practicing gynecologist with Eisenhower Medical Center in Rancho Mirage, California since 1995.
Tim Sawyer:
He’s a leading expert in robotic surgery having performed close to 1,000 robotic procedures and more than 3,000 laparoscopic cases. With over 25 years of experience on Bio-identical hormone replacement therapy he specializes in long lasting Bio-identical hormone implants and is also the founder and developer of the advanced pellet delivery system, Pellecome, which I’m excited to talk about that today.
Tim Sawyer:
Dr. Jacome has been the recipient of multiple awards including Palm Springs Life Top Doctor in Obstetrics and Gynecology. He’s a physician of the year at Eisenhower Medical Center in Southern California. Top doctor obstetrician and gynecologist in the International Association of obstetrician and gynecologist. Recognize Dr. Jacome as a leading physician of the world and top obstetrician and gynecologist in California. First of all I apologize Dr. Jacome for bungling, it’s a tough phrase for me, but I want to welcome you to the program. So, Let’s welcome Dr. Enrique Jacome.
Dr. Jacome:
Thanks for having me Tim, I’m quite excited to be here.
Tim Sawyer:
We appreciate you taking the time. First of all, talk a little bit about robotics, it seems like when I meet gynecologists, the use of robotics is more prevalent in that field than some others, but talk about how did you get into robotics?
Dr. Jacome:
It was a natural transition for me, as you say, with laparoscopy for many, many, many years and laparoscopy was the first way to do a minimal invasive surgery, but had a significant number of limitations because it had only one camera, so you had a two-dimensional view of the surgical field, but you don’t have a perception of depth so they had a … You cannot operate backwards when doing laparoscopy. So it was cumbersome, very difficult. And that’s how the technology advanced into what is called robotic surgery, which uses two cameras and it gives you economic option of right is right, left is left.
Dr. Jacome:
So in addition, it has two cameras that enhances the surgical field 10 times and gives you a three dimensional view of the field. The surgeon actually perform these operations seated in a surgical console and the technology has more instruments that have greater range to motion than the human hand enhancing the surgeon’s ability to perform very difficult and complex procedures. And so this is the newest and the latest technology for performing minimally invasive gynecologic surgery.
Tim Sawyer:
I would imagine that’s probably not the … Do most OB-GYNs do use robotics or is that fairly small still?
Dr. Jacome:
I don’t think that most of them they do, it is difficult to get trained at every single university for robotic surgery because not every single program do have a robotic technology. But most I would say a lot of doctors are exposed to robotic surgery. They may not actually do a lot of them once they go out into a practice because imagine you have to get trained and [inaudible 00:05:45] hysterectomy, you have to get trained and abdominal hysterectomy, you have to get trained and laparoscopic hysterectomy and then robotic hysterectomy. So you need a whole lot of exposure to surgery to be able to be an expert in robotic surgery so that’s why they implemented what is called a fellowship on minimally invasive surgery where surgeons spend an additional two years to become an expert in minimally invasive surgery using robotic technology.
Tim Sawyer:
It sounds like you got to be committed to it and I give you a lot of credit. You’re really interesting guy and I hope our listeners get to see that. But first of all, tell us how did you end up as a doctor? Were your mom and dad doctors or how did that go?
Dr. Jacome:
Well, everybody has a different combination of reasons to become a doctor, for me it was a great opportunity just to help people be well respected and of course be well rewarded financially. And obviously once you decide to become a doctor, you know that you are in for a never ending trip of learning, stressful board examinations, but I definitely went through all of these tests and all that and became a physician. I finished medical school actually in Mexico, and then after I completed a four year residency program in obstetrics and gynecology of there. But I was still young and I was still eager to keep learning. So I came to the United States looking for a fellowship and pelvic surgery, which is an advanced training after you finish your residency training. Unfortunately, and I realized that there was no reciprocity for my just completed residency training program in OB-GYN in Mexico, and I was left with no other option but to repeat my residency training. On top of that, I wanted to go to UCLA. It was almost impossible.
Tim Sawyer:
Yeah, that’s aggressive.
Dr. Jacome:
So I had to go to the back door. I completed a full residency training in pediatrics, a program affiliated at UCLA that opened the door for me and I got accepted into an OB-GYN program [inaudible 00:08:05] UCLA Medical Center in Los Angeles. Now, after many years of grueling residency training, I finally went to private practice 20 years after I started medical school, if you will believe that. Unbelievable.
Tim Sawyer:
That is an incredible story of determination. That’s a lot of work and commitment. But first of all, congratulations, I give you a lot of credit.
Dr. Jacome:
Thank you very much.
Tim Sawyer:
So I want to talk a little bit about, how does an OB-GYN show interested, although the two fields are related, right? OB-GYN and hormone replacement, there’s probably a lot of crossover training in both. But you become an expert in bioidentical hormone replacement therapy, what kind of clicked in you that said, “Yeah, I should really get diving on BHRT?” When did you start that?
Dr. Jacome:
It is interesting because I had a unique opportunity 25 years ago, and I was a friend and actually partner of a sort of pellet pioneer, Dr. Regina [Tukera 00:09:16]. I really helped them out to establish this sort of pellet practice. And sort of Pellet eventually became the first training program for bio-identical hormone replacement therapy using hormone pellets in the United States. Now after time, actually, Dr. [Tukera 00:09:38], so we were in practice and I kept the original sort of pellet clinic in Rancho Mirage, California and that’s where I currently perform more than 200 pellet sessions a month.
Dr. Jacome:
And when my friend passed away five years ago, that’s when I decided to start my own company, Pellecome. But that was a unique opportunity because when we came here 25 years ago, Dr. Regina [Tukera 00:10:04] actually acquired practice from another physician who had been here in the area 20 years doing a hormone pellets. So it was quite a large practice already set ready for us to take over. And so that’s when we decided to expand it to nationwide and start teaching people around the country using hormone pellets. And so we used to do training seminars for patients, training seminars for physicians, and eventually sort of Pellecome become the number one training program for pellet insertions in the country.
Tim Sawyer:
Wow. It feels like this has become more prominent, popular hormone replacement therapy in the last decade or so, and I know you’ve created a way to revolutionize the delivery mechanisms and I want to talk about that, but was there some of that happened or some study that came out where BHRT became more of mainstream? When did people get more enlightened about hormone replacement and how?
Dr. Jacome:
Well, most people get the basic hormone replacement therapy and knowledge when they’re in residency training. Even in OB-GYN, there’s limited amount of training for hormones. So it is a personal interest that drives the doctors to learn more about that. But after the 2002 study was released, [inaudible 00:11:43] that scared millions of women to use the hormone replacement therapy, patients went on and dropped the conventional synthetic use of hormones and seeking for more safer, natural option on bio-identical hormones. And that’s how a lot of women became interested on bio-identical hormones. And as the audience and request for bio-identical hormones group, so was the interest of doctors on getting trained on bio-identical hormones.
Tim Sawyer:
Got it. It seems like as an outside observer standpoint, there’s some confusion about the use of hormones in women, right? So can you talk a little bit about some of the ups and downs associated with hormone replacement therapy and who’s the ideal candidate and at what time should someone start hormone replacement therapy?
Dr. Jacome:
Sure, back in the 80s and 90s, hormone replacement therapy was actually very popular because a lot of observational studies have published cardiovascular benefits. And it wasn’t until 2002 when the Women’s Health Initiative study which it was the largest randomized control trial designed to assess the safety and efficacy of hormone replacement therapy given to [inaudible 00:13:19] women for chronic disease prevention, that the problems start to confuse a lot of people. This trial was a trial that included patients that had [inaudible 00:13:34] and there was divided into two groups. The patients who had [inaudible 00:13:38] received premarin which is a synthetic estrogen and provera which is a synthetic progesterone. And this was called the combination trial. And this part of the study was stopped 5.6 years after the study because it increase the risk of breast cancer by 26%. The second group-
Tim Sawyer:
Did you say an increase of risk of breast cancer?
Dr. Jacome:
Breast cancer of 26%?.
Tim Sawyer:
Yeah, okay.
Dr. Jacome:
Now the second group of patients had no [inaudible 00:14:09], they were given premarin which is the synthetic estrogen. And this study was actually stopped seven years later due to an increased risk of strokes, 39%. So, after the results were released, there was a massive confusion amongst the doctors and not to mention the millions of women who were terrified and stopped hormone replacement therapy. So a lot of these patients they moved to natural alternatives, like bio-identical hormones. And for your audience who may not be familiar with this term, bio-identical hormones refer to a group of hormones that are derived from plants with the same chemical and molecular structure as hormones produced in the human body.
Dr. Jacome:
Now these hormones are made at the specialized compounding pharmacy, and they do require prescription. And usually when you talk about bio-identical hormones, you’re primarily talking about sex hormones, estrogen, progesterone, testosterone, perhaps the [inaudible 00:15:14]. So what happens after the results of this study were released?. So the first thing is we had to understand the hormone replacement therapy do have a cardioprotective effect for younger women. So imagine this, the status level is millions of women stop using hormone replacement therapy, so now we have all of these millions of younger women are actually exposed to cardiovascular risk. So now, a lot of women who stopped hormone replacement therapy died. The only thing we don’t know for sure is how many.
Dr. Jacome:
So the impact of this study, it was a global. And that changed the whole recommendations of how to practice using hormone replacement therapy. So the initial recommendations after this study suggests the use of hormones at the lowest amount for the shortest period of time, three to five years. They also recommended to stop using hormone replacement therapy at age of 55, because it was suspected that estrogen could increase the risk for Alzheimer’s. Now, these guidelines continued to change as new data emerges. Like for instance, every analysis of the study confirms what we already knew that hormone replacement therapy offers a cardio protective effect for women on the 60 years of age and also for patients who are within 10 years of the onset of menopause. Now, that changed the initial recommendation of using hormone replacement therapy for a limited period of time, three to five years, so now you can actually use it for a lot longer period of time. Now, in a similar-
Tim Sawyer:
Just to clarify, and obviously beyond, people are using it while past 55, right?
Dr. Jacome:
That’s right. Now, let me tell you why. Because Recent studies have shown that longer duration of estrogen exposure is associated with [inaudible 00:17:39] status in all the women rejecting the initial thought that estrogen increase the risk of Alzheimer’s. So now, hormone therapy doesn’t have to be stopped in women older than 60.
Tim Sawyer:
Right. I would think that’s probably the majority of people start thinking about it in their 50s, right?
Dr. Jacome:
For sure, for a full hormone replacement therapy most of them are usually more than 50. But it’s important to recognize that the perimenopausal period is starts 10 years prior to menopause, and patients are most symptomatic during the perimenopausal period meaning 10 years prior to having the last menstrual period. So this treatment it should be for any patient who is symptomatic whether it is perimenopausal or postmenopausal.
Tim Sawyer:
Right. Now we know who is it and how we got here, I want to talk about … And myself I think I mentioned to you I do a little testosterone and little HCG. And it’s interesting because every time I go to a show and we go to a lot of shows, somebody always has a little different opinion on whether you should inject it or use a pellet. Can you talk a little bit about the different? It’s two really, right? Or maybe three. I don’t know if people take it orally, but I know some folks would inject hormones, and then there’s a pellet delivery. Talk about the advantages and disadvantages of those two. Essentially, are those the two mechanisms?
Dr. Jacome:
Well, there’s no question that pellets have a unique delivery system that allows a consistent release of hormones into circulation, maintaining a steady state levels for a long period of time, avoiding the fluctuations you normally see with shots, pills, patches and creams. In addition to that, the fact that it’s given transdermally, it bypasses the liver and it bypasses the gut. And anything that you use orally, alters liver function, increases [inaudible 00:20:12] and increases the risk of thromboembolic disease. So one of the main reasons why you’d like to use pellets is because we have a steady state levels, you don’t have to do anything, it increases compliance, is very effective, and it last three to four months.
Dr. Jacome:
So one of the main reasons that people don’t like to use shots is because they feel great and then they crash. So there’s a significant amount of up and downs. The second thing for gels and patches and all that is the cost of a patch is significant and the gels is $650 a month. And in addition, you get your family exposed to these creams. A lot of people complain that they worry about expose, transferring testosterone to their grandchildren, and children, et cetera. So those were the reasons that a lot of people don’t like the gels as well. For patches, skin radiation is one of the biggest problems with that.
Tim Sawyer:
Okay. How have pellets evolved? Because you had mentioned, 25 years ago you were getting involved in … Do you call them soda pellets?
Dr. Jacome:
A soda pellet was the original training program, yes. In soda pellets, that’s what it means onto the skin. My friend was Italian, that’s how he called me that name.
Tim Sawyer:
Okay, and so now, pellets have become popular, and then historically putting a pellet in somebody was literally pain in the butt, right? So how has that evolved? And I want to lead into how you found Pellecome. What’s the inspiration was for Pellecome and how that has improved and enhanced the way that people can take advantage of pellets?
Dr. Jacome:
The use of bio-identical hormones is literally exploding, growing exponentially every single day. We seen in 2015, the more than 30 million prescriptions were written for bio-identical hormones so there’s no question that the industry is growing exponentially. But I just don’t see pellet insertion is growing at the same rate, and I just wonder why. And believe it or not, the biggest issue of launching pellets insertions in a larger scale is related to the procedure. So a lot of people may not have the surgical skills and little as it may be, this procedure has a learning curve.
Dr. Jacome:
In addition, the tool that we use to perform pellet insertions is 100 years old, it has never been modified. So as a minimally invasive surgeon that has worked in many projects, developing surgical instruments, I look at this and I say, You know what, I can totally revolutionize this industry by creating an instrument that has every single safety feature that is needed to simplify the insertion for people who have no surgical skills.
Dr. Jacome:
So I began a project five years ago and every single step of the procedure I modified. So I created the advanced pellet delivery system with the thought of making it simpler, safer, easier to perform, consistent results, consistent pellet placement, affordable and disposable because one of the biggest issues you have with the use of instruments is how you sterilize them in the office. It’s difficult to use a standardized system to sterilize them. And if you use the disposables, the plastic disposable is currently available, they are ridiculous inefficient. They are not very good at all. So that’s why the advanced pellet delivery system is going to revolutionize the industry by bringing economic device disposable, simpler, easier and very consistent with pellet placement.
Tim Sawyer:
Right. Now I’m seeing a pattern in your thinking because listening to the way you talked about robotics, and now listening to the way you talk about your unique delivery system, it all makes sense to me, right? You have a way of thinking about technology in a very practical way, and what you’ve done is made it easy for the average doctor to actually provide this treatment. And I’m curious, in the Pellecome universe of people and I know it’s growing like crazy right now, who’s the typical doctor that’s coming to Pellecome and saying, “Hey, I want to take a look at your device and your methodology.” Is it across the board or mostly the OB-GYN, who is it?
Dr. Jacome:
It is interesting because not only with Pellecome, but it is just with the full [inaudible 00:25:55] hormone replacement therapy as patients get out of the box because listen to this, 50% of pram adopters reject the fact that synthetic hormones are much better than bio-identical hormones. So there is a significant amount of specialties interested on learning how to use hormone replacement therapy. Now when they hear about Pellecome, they’re very excited because it is extremely effective and it is a procedure that everybody would like to offer. Everybody seems to be able to prescribe a cream, a gel, or something, but listen, even if you are prescribing those gels and those creams and you use this synthetics, most of those are not covered by your insurance. And for all of us could do significant amount of hormone therapy, you realize that gels and creams have a limited success because they were approved mainly for the treatment of hot flashes, but beyond that, we’re not looking only for the relief of hot flashes.
Dr. Jacome:
We looking for an overall health fitness. We want these patients to feel great, we want these patients to feel energetic, we want these patients to be emotionally stable, we want these patients to lose weight, we want these patients to overall improve the quality of life. So what we’ve seen is interestingly, the doctors that come to the training, they are from all specialties, surgical and medical. So you get a radiologist, you get an internal medicine doctor, you get an endocrinologist, you get a plastic surgeon, you get a natural path, it is just amazing to see the wide variety of specialties interested on treating people to hormone replacing therapy. And since Pellecome is offering a long lasting treatment with an easy device to use, the pellet is very, very appealing for the audience.
Tim Sawyer:
Right. And to me, it would seem like who wouldn’t want to do it, right? If the science is there, it really does treat the whole human, right? Like you said, it’s not just for hot flashes, but there’s a myriad of health benefits associated with that, why wouldn’t anybody want to do that? And then I assume the economics of it are pretty good, right? And it’s not just about the economics, but if the person needs to come in once every three or four months, if you’ve simplified the delivery mechanism and help us stablish protocols, why wouldn’t a doctor want to offer that?
Dr. Jacome:
Oh, there’s no question that all of these doctors that come in, they’re looking for an alternative to the normal way of practice because obviously the healthcare system is changing, and these doctors are feeling the crunch. So they have to see a lot more patients and the insurances are reducing the reimbursement, so it is quite an appealing option to provide something to make people feel great. Who wouldn’t like that?
Tim Sawyer:
That’s my point. [crosstalk 00:29:36]. If the barrier to entry historically was understanding, right? There’s a lot of information out there now that people can access through [Aforum 00:29:48] has … Is one of the fastest growing associations in the world. There’s a reason why anti aging is so popular, so you can go get tons of information. I know Pellecome and your team at Pellecome, provide a lot of great information and then you also provide training, right? So talk a little bit about, so a doctor is excited, they see the vision how pellets can be not only a great way to retain patients, but also move the needle economically, right? This is a nice margin in for them. If someone wanted to learn more about Pellecome, talk a little bit about the training that you provide to take the anxiety out of it for the doctor.
Dr. Jacome:
Well, our goal was to stay away from the highly scientific program that you will actually go and see perhaps at [Aforum 00:30:42] where you go there and read a lot about science. Listen, we want to get you ready to go into your practice, the next day and start doing pellets, okay? So we can’t waste our time talking about a lot of scientific stuff, we need to give you the basics, you need to learn the basics of hormone replacement therapy. So we rather than give you a full overview of everything, we just focus on the basic step that is needed to understand the use of hormone replacement therapy.
Dr. Jacome:
So on a two day program that focuses specifically on pellets and what you need to know about the basic [inaudible 00:31:25] as the testosterone, progesterone, and then narrow that to pellets. I will give you some scientific information that you need to know to feel safe providing hormone replacement therapy but then we narrow that specifically to pellets. So the first day is didactics for some basic understanding, then we go to pellets, and then we also have implemented a new program that is called Pellecome Fit®. A Pellecome Fit® is a program designed to treat hormonal imbalance, not just sex hormones, but also including all the hormones like cortisol, growth hormone, thyroid, insulin, and our goal is to provide a program that addresses all eases and causes of hormonal imbalances not just sexual performance.
Dr. Jacome:
Because there are many causes of hormonal imbalance like chronic stress, dieting, lack of exercise, insomnia, anxiety, environmental toxins, gut dysbiosis, which is an imbalance between good and bad bacteria, leaky gut which is a hyper permeability, where the intestinal wall allows bacterial toxins leaking to a circulation. So our program offers an individual assessment of metabolic and hormonal needs, so we have added peptide. Peptide has more proteins that increase the release of growth hormone, and that’s what makes you look younger, cleaner, increases muscle mass performance and enhances recovery. So this program also includes nutritional supplements to address inflammation toxin, leaky gut, immune support, appetite control, that’s the second part of the didactic program.
Tim Sawyer:
Okay.
Dr. Jacome:
On the second day, we focus on the hands-on. We give you some data that is about the procedure itself, the selection of patients, how to perform the procedure, basic anatomy regarding the replacement, in addition to talking about the benefits of the advanced pellet delivery system. And then after that, at least they have to perform one or two procedures when they come in to the training. [crosstalk 00:33:57]. Yeah, we bring models for them and they actually … I personally perform the procedure with them for every single participant, so I want them to feel very, very comfortable. I’m very paternalist on the training program, so I literally grab their hands, [inaudible 00:34:23] this is what you want to do with this. So I want them to feel very comfortable the time they finish so they can go back home and perform the procedure. So that’s really a very customized training program. So Pellecome is offering a training program almost every other month.
Tim Sawyer:
Yeah, I noticed that. So the next one’s coming up for those people who might be interested, March 28th, and 29th. And where do you do those trainings?
Dr. Jacome:
We’re going to do our next training program in beautiful Rancho Mirage, California. In fact, we’re going to have the opportunity to share the stage with one of you own Tom [Cooter 00:35:03], who did a fantastic job last time. So we are trying to bring him back in and we’ll definitely like to invite the audience to come to our next pellet training program in beautiful Rancho Mirage.
Tim Sawyer:
What’s the best way if someone wants to learn a little bit more about Pellecome? Just go to the Pellecome website, is that the best way to go?
Dr. Jacome:
We encourage them to visit our website is very informative as pellecome.com and you will find the videos, you will have information regarding the trainings, you will find information regarding hormones. And literally if you decide, just give us a call, we’ll be happy to talk to you and explain on the phone as well anything that you want to know about our Pellecome training program and we’ll be happy to help out.
Tim Sawyer:
And I want to just make sure everyone gets it right. It’s pellecome.com, that’s P-E-L-L-E-C-O-M-E.com. And I think this as someone who’s personally benefited from hormones, I love the work that you’re doing. Clearly, you’re a cutting edge type of a guy and I give you a lot of credit. So we interviewed talked to lots and lots of doctors, and I always love their passion, but you don’t talk to a lot who are not only really interested in technology, really interested in patient care, but they’re also savvy business people. I give you a lot of credit for what you’ve been able to accomplish in a relatively short period of time.
Tim Sawyer:
With Pellecome, I know lots of doctors who use it and are super happy. And I think what to the point and it comes through, what they appreciate the most is you’re not getting sold the device, you’re getting, first of all, education training around the real benefits, I think that’s the biggest thing is that people understand what the benefits are to the whole body, the whole human that you’re treating, and I love the fact that you hold their hands along the way. I love the fact that you’ve included Tom [Cooter 00:37:21] in your events, he’s an expert, and you’re actually helping them market this stuff, right? Because it’s not just pops, not just good enough to be good enough, you’ve got to be able to tell that story, right? And in all the appropriate places.
Tim Sawyer:
So I really, really appreciate you taking the time today Dr. Jacome. Where were you speaking next outside of Pellecome? Are you going to be on the stage in [Aforum 00:37:44] or where can we see you?
Dr. Jacome:
We are expanding quite a bit and we are planning to be … We usually are at [Aforum 00:37:51] at the World Congress in the end December. And I think just the last word of advice for the next generation of doctors is that, it is unfortunate that the new generation of medical graduates and primary care providers lack the training to menopausal to manage menopausal symptoms. It is important to remember that hormone therapy remains the most effective treatment for the [inaudible 00:38:19] syndrome in menopause.
Dr. Jacome:
So that program is a great opportunity for everyone to come and learn how to properly manage patients with hormonal imbalances, including menopause. And they can actually see us in attorney program, they can see us at [Aforum 00:38:37]. And again, we’re happy to help everyone who’s interested on learning how to manage their patients with hormone replacement therapy.
Tim Sawyer:
Listen, I think the end of it and I certainly would encourage anyone listening to reach out to you. Crystal Clear will be working with [Aforum 00:38:56]. We’re launching their power business summit, and those are coming out soon, and then we’ll also be at [Aforum 00:39:05]. And I will from the stage be encouraging all my physician friends to visit Pellecome because I witnessed firsthand of benefits.
Tim Sawyer:
So I want to thank you really thank you, Dr. Jacome, for taking the time today. I know you’re super busy, we wish you nothing but the best of luck. We really enjoyed the relationship. I obviously look forward to seeing you out and about on the road, and hopefully one day I’ll get out to your facility and participate in the training myself, I’d love that opportunity. And we look forward to seeing you there.
Dr. Jacome:
Thank you.
Tim Sawyer:
So guys, we want to thank you for listening today, brought to you today by Pellecome, P-E-L-L-E-C-O-M-E.com. And [inaudible 00:39:47] today with us, Dr. Enrique Jacome, who actually come through, we urge you to reach out. Have a great week guys.
Moderator:
Thanks for tuning in to this week’s episode of True to Form, brought to you buy Pellecome. The revolution that is changing BHRT. To learn more about this week’s podcast sponsor, visit pellecome.com. And to learn more about your podcast provider Crystal Clear, visit crystalcleardm. com. Be sure to subscribe to the show on all your favorite music apps including iTunes, Spotify, SoundCloud, and tune in to stay up to date with the newest episodes. Thank you for listening.
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