Transcript of Episode #110 Featuring Lance Converse! The TRUTH about Telemedicine and Anti Aging Clinics! New

The Dylan Gemelli Podcast
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00:00:17

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00:01:43

But today, and this is where we recorded last because Tonum's headquarters is in Florida, but we're in Michigan. So why, why are we in Michigan in the freezing cold? I'll tell you why I came up here because something very, very exciting has happened and we're going to get into the whole background on, as you can see, if you're watching on video, Transcend in the background and the company itself is kind of like a telehealth structure here, but it's not like anything else that you've seen. We're gonna talk today about telehealth in general. We're gonna talk about the good, the bad, the ugly, and everything in between. We're gonna talk about Transcend, what it was, what it is, and what it's going to be, why Lance bought it. And we're gonna just get knee-deep into all the details because let's face it, telehealth itself is a problem. There is such a good path here on where it could go. and Lance is spearheading that, and I am behind him 100% on all of this. So we're in for an exciting conversation here today that I have been waiting to have with Lance ever since he brought up this Transcend company to me.

00:02:58

So first things first, Lance, welcome back. Thank you. Always a pleasure to sit and talk with you, but I think that it would be good if you and I had a little back and forth here on our experiences with telehealth in general. Over the years. I started studying anti-aging clinics in the early 2000s cuz I had such a fascination with everything that was going on with baseball, with HGH and steroid use and everything. And that's when the anti-aging clinics started to come about and then it kind of transformed into what we see today into telehealth. But that, I, I would say going back into that time era is when it kind of got a little bit popular and it's, it's been messed up the whole time in terms of what's been going on. So just let's, let's start getting into what you see telehealth as right now. What are some of the good and what are some of the bad?

00:03:49

Yeah, um, you know, telehealth in itself is pretty simple. Yeah, it's— and it's pretty beneficial at the same time because it's basically a doctor visit online in a Zoom, with a Zoom or whatever your, your, your online meeting capability is. So, you know, the technology has always been there, but there was not a specific need for it an urgent need until COVID. So that's really what precipitated the, the telehealth business and really catapulted it. And what was good about that is they released, they relaxed the regulations. And that's when these companies like Transcend grew so, so tremendously, because they were founded right after, I think right after COVID. And they continue to see the benefits, I think the regulators and said, you know, this is actually helping patients because you can actually see a specialist or a number of doctors that are better for you maybe than your normal doctor you would see. You can get your very good blood work done. You can see that doctor when you need to from the convenience of your house. You don't have to travel anywhere, sit in a waiting room for 30 minutes, and you can see a doctor more than once a year.

00:04:52

And, you know, many people don't even go to the doctor once a year, don't get their blood work done more than once a year, and they probably should, especially if they're, you know, overweight or they need some type of transformation in their, in their life. So what's happened in the telehealth business is strange, is that— and I don't know why anybody hasn't thought about this yet— And this is, I think, what was exciting to you is that it's a fragmented industry. There's a lot of telehealth companies and for good, for good reason. Some of them are focused in one area. Nourish, for example, is a very good telehealth company, but they do nutritional counseling online. There's other companies that might do HRT, hormone replacement therapy, or TRT. There's other companies that might do peptides, but they're fragmented. And that means that you have to get different lab work done. If you're a patient, you have to get different visits with your doctor through a Zoom meeting, and they're convenient, but they're not convenient because they're not an end-to-end solution. I saw in Transcend— and I got introduced to Transcend through a mutual friend of the former CEO of this company, the former owner, who is a Navy SEAL, who told me what Transcend was doing.

00:05:53

He knew that I owned Tonum, the supplement company that you know well, and said, you know, these guys are looking for a partner who has research-backed supplements. So when I met Transcend originally, I think they were doing some, they were doing something for a nonprofit organization that I was involved with. And I thought it would be a pretty good partnership and then met them about maybe a year or so ago. And then it wasn't until this November, December that actually got a little bit more serious and looking at them as a partnership standpoint and then did the acquisition. But yeah, so I, Transcend was one of those companies. It was a company that was more of a point solution, I call it, than a full whole body solution. Cause they were doing HRT and peptides, but they were just dabbling and thinking about getting into supplements as a, and supplements are just as important as peptides and maybe sometimes more important, but hadn't thought about some of the downstream things that we're thinking about doing with, with, with Transcend. So I think the industry has fragmented and it's ripe for, for, for, for really some somebody to come in and do something that will provide a whole health benefit to patients.

00:06:57

Well, and that's the thing, and we talked about this with supplements and this kind of goes with anything. Something gets popular and there's people with good intentions doing it and then it takes over and then everybody under the sun starts popping up. And I mean everybody. And the problem with that is twofold. One is a lot of people don't know what they're doing. All they see are dollar signs. Well, they, they'll, they'll do the math on something. Well, shit, there, the markup on this is this. We could just do it without having any clue what they're doing. And it's dangerous on two levels. One, because it's just a clear lack of care and understanding for what, what's going on and people get hurt. And two, there's, there's saturation of the market. Right. So what happens is, is, and the same thing we discussed about supplements for every 2 or 3 that's credible, there's like 25 that aren't. And then everybody, rightfully so, and I've been in the same boat, is completely jaded. They just don't trust anything. I'm going to tell you a little story on what I did in this. And for anybody watching, this is not— I don't need anything free.

00:08:02

I get free stuff thrown at me all the time. But what I did was I have all of these companies approaching me and I said, walk me through the process. You know, and then they, I do their doctor process, see what goes on and, and, and the whole process. And then yeah, I'd get something prescribed to me and I would a lot of times say, I'll pay you for it. And they just, you know, no, don't worry about it. We want you to promote it. And I can't tell you how many times I'd go through this process and it'd be like, it was kind of like when you wanted a marijuana card, the doctor would kind of be like, you, you got a back problem, right? You know? And I'd be like, I do now, you know, but it was, it was almost like that. Well, you got this right so that I can prescribe you whatever, even if your blood work doesn't say you need it. And that the biggest problem that I ever had before was because I, I was doing so much discussion on hormones and teaching people to hopefully stay off steroids, but seeing the implications.

00:09:00

Why are we putting people on TRT when their testosterone numbers are 6 and $700 when they don't need it? Yep. Financially motivated, right? And, and why are we having them run 6 or 7 different peptides knowing they have X problem in their family history or whatever else, and we're just prescribing them? There were some places that were actually capable of prescribing Anavar, Decadurabolin, you know, anabolic steroids for anybody that's listening. And it— I watched it over and over and over, and I never worked with any of these companies, not one. So when you told me about this before, I was like, send me everything. Let me see it. You know, when we had the very, very first conversation and, uh, cause I was worried, you know, and I also knew you going into doing it and that's why I'm so excited right now to talk to you about this and be involved in it because you're going a totally different way. You're breaking down walls on this. I'm trying to. And that, but that's what I want to talk about. I want to talk about all of these standards that you're setting, that you're doing, that nobody does.

00:10:05

And I would say why, but I know it's because of how you are. But I do want to express like why you take all of these extra steps, spend all of this extra money. Let's talk about everything that's going into this company first. Like, what are you doing to make changes? Right.

00:10:22

So again, this was a company that did extremely well, grew very, very quickly, maybe too quickly, but the market was ripe and they were basically giving a 60-panel blood test, which was great. They had a medical group that we're working with that was relying a lot on the wellness coordinators to do the analysis of the patient, you know, explaining what peptides were to the patients. And then the medical group they were working with was processing the prescriptions and so forth. That would have been in HRT or peptides for the most part. And there was no real follow-up after that. So it could have been a GLP-1 and no support, no extra work that, you know, is important. Like for example, no nutritional counseling or no exercise counseling, no lifestyle counseling. So I looked at this and said, you know, this is actually the foundation of what could be a really good company. We can put layer in some very important things into this company to, to make it a whole health longevity company. And what I mean by that is adding in things in the initial analysis on the blood work that really takes scientifically driven, AI-driven analysis to provide not only details that surpass any of the big lab companies that, that you and I both know.

00:11:37

I don't want to name them because they're good. Yeah. But it takes it one step further and provides really powerful next steps in what you should do. And what I mean by that is the company that we're actually working with, that I've worked with individually in the past, that my boxer actually works with is Andy Galpin's group and Rapid Optimization and Vitality Research. But they do this for professional athletes. And I recognize the importance of it because I look at the panel at the very detailed level. Like, look, you need more sleep. You need more— this is your VO2. This is— you have sleep apnea. And it provides a recommendation on what the athlete needs to do for corrective action for long-term performance. I said, why can't we do that and really hone in instead of just prescribing what the doctor wants to prescribe or what we think they should get for peptides? Why don't we take that analysis and provide a more biomarker-driven treatment plan? And then when I learned later what else they were doing with Andy and Tommy Wood were doing with their product, where they were actually making recommendations from a lifestyle standpoint, from a meal planning standpoint, these are the foods you should eat.

00:12:44

I'm thinking, okay, that's perfect for what we need. And then if I can add in the long-term, you know, support services like nutritional counseling by dietitians, cognitive behavioral therapy with cognition therapists, if we can add in sleep therapy for people that are having sleep problems and, you know, the meal planning that goes along with it, that those are the foundational things that people need for a better life. And if we can do that with this company, that would be ideal. And today, you know, I think within this week we're going to be signing up 1,500 dietitians under our group. We have some now, but this will add in 50 dietitians in 50 states. So we'll be able to add that nutritional counseling in the, in the second quarter of this year. Wow. Yeah. Because we're already licensed in 50 states and we have about 800 providers that we have access to. The other thing I want to do is get into really high-level protocol, very, very specialists who are in hormone replacement therapy and nutrition and peptides. Who really can develop protocols that are meaningful versus someone just writing scripts or reading a lab and writing scripts.

00:13:43

That's ultimately important. I want somebody to put their name on it who is a very well-known person so that this, they can, we can basically use that as a scientifically driven protocol and treatment plan and never deviate from that. Yes.

00:13:55

I love that because a lot of these places were sending me peptides or whatever I, they, and then they asked me, well, what do you want? That's right.

00:14:03

I know that. I know that happens. I know it happens all the time.

00:14:06

Well, shit, I want your whole catalog. What do you mean, what do I want? You know, I want everything. But I was testing it and then it was basically sending me the box with a paragraph of how to do it. Yeah. Not even a paragraph. And it doesn't tell you what it does. It doesn't tell you anything. That's right. Yeah. Just essentially, what do you want? Here you go. Let's take your credit card. And that's it. I mean, how, how dangerous is that? I mean, it's terrifying. And how many people are taking who knows what and what repercussions are we not hearing about in terms of their health? I mean, it's so scary. And then the thing that you're talking about here that I really love the most is piecing together the diet, learning the client. How are you training? How are you sleeping? How are all of these factors going into it? Because if some of this stuff is screwed up, it doesn't matter what we give them.

00:14:58

Most of these companies never ask those questions, and those questions are on our intake form now. Really, I want to know how you're eating. Are you eating like a number 1, which is great? Are you eating like a number 5, which is horrible? Right. I want to know how your exercise is. So we use all that in developing our treatment plan because those, those are things. And we also want to know what the, what the customer wants. What is your long-term goals? What's your short-term goals? And then supplementation is also just as important. You and I know that these people can be on a GLP-1 for a certain amount of time and they're going to plateau. And we need to think about one, training them on how to eat and educating them on how to eat the right foods, but also providing the right supplementation. A lot of people, for example, are deficient in vitamin D. Most, that's a supplement that we would provide every day to somebody that's on a peptide therapy because we have the lab work. But you know, you don't see that many telehealth companies having supplements to be able to augment the treatment plan.

00:15:51

No, unless it's something that they're just trying to hawk onto everybody and sell 'em all the same thing.

00:15:57

If they're even selling it. I mean, they're the lab companies, I think the, the, functions and so forth, superpower. I think those people may be selling supplements now. I haven't kept up on them, but I think, you know, you need, you need all of the stools to all the legs of the stool to make, to make a good, you know, high-level premium concierge whole health option for people. And, you know, that's what we aim to do. And I think that's why Transcend actually approached us is because they knew that we had done the research at Tonum for Modus and for Neuro. And they have a lot of military people here. I do a lot of work with the military, so that's great for Neuro and the neuroprotective benefits of that. And then the people, a lot of people are taking GLP-1s and they saw the benefit with Modus. And that kind of partnership is what precipitated the acquisition of the company.

00:16:39

See, one of the things that really angers me is, so, you know, when you go to the doctor and if your cholesterol is 2 points higher than where they say it's supposed to be, you need a statin, right? So here's what makes me mad, translating it into like the biohacking world where everybody's supposed to be caring about people. And this is what I see at a lot of conventions. I'll go to all of these different booths and, and do all of their little tests and all of the things that, that we love. And then they all have this same spiel of, you need 30 different supplements that we're selling, but you gotta get 'em from us because we have the best one. Da da da da da. It's the same thing. Yeah. Yeah. It's literally the same thing. And what you're doing is totally different because you're actually taking each individual and like it should be, cuz everybody's different. Not put everybody on the same damn thing. Because once again, I do it and send 3 other people to do it. It was all spewing out the same thing over and over again. You're customizing it to each individual's needs and you're not necessarily going, hey, just take this.

00:17:42

You're saying, hey, we got to fix this first before you start taking this or it's not going to make any difference, right? Yeah.

00:17:48

And basically not taking what Quest or LabCorp gives us from a lab and having somebody interpret it, having a third-party expert provide the recommendation back where we can actually then take that and say, okay, here's what we should do by take— looking at an expert analysis of the blood work coupled with a provider that knows what they're talking about, a wellness specialist who's very well educated in peptides, who can coach the patient through what they're— what they need to do, what their interests are, and then marrying that together with the right supplementation, the right workout plan, the right food and, you know, meal planning service. That's, I think, is going to be the key. And you know, we're looking to expand the, some of the, some of the things that we don't have right now. For example, we're missing in the supplement area, a sleep stack. I personally take one. I've been working with an expert to do that. So we'll have a custom sleep stack, sleep supplement we're going to be providing. Cause that's a big, big thing for many people right now. And then we're also developing with an expert in hormones, a stack for a supplement stack for women's hormones.

00:18:47

So I think, you know, at the end of this year we'll have the end-to-end solution for what we're going to try to accomplish this year, which is the, the, the ability to provide nutritional counseling services, the ability to provide an array of top-end research supplements, the ability to augment that with biomarker-driven treatment plans of peptides or, you know, hormone replacement therapies if people qualify for that. And then the follow-up services that we want to provide.

00:19:13

I was going to go there next and ask if it was for men and women both, because a lot of times women, they get this like stigma, stigmatization in their head that, that, that these clinics are only for men. It's— and it's easy. And I get it because, you know, you think hormone replacement is the first thing you normally think of with a clinic like this, generally speaking. And one of the things that I'm battling right now that I'm working with a lot of notable names that do women's work out there is helping women to realize that the lack of testosterone, especially during menopause and everything, how detrimental and harmful that is and how many lives that, that screws up. And that, that misconception of, well, the testosterone's only for men. It's like men that don't realize we need estrogen too. Right. Of course. It's very damaging and harmful if there's a, an imbalance there. And so Is this going to be also available to women, especially women that are in that menopausal and, you know, peri and post? And are you going to be looking at that as well as like progesterone and other women's hormones that need corrected?

00:20:25

So Transcend historically, and we're trying to change that immediately, has been focused on, and their main, main customer base has been bodybuilders and biohackers and military because they have a foundation for veterans where they underwrite all of the, all of the scripts for the veterans. And That was one of the things that drew me to the organization as well. But I believe they missed the mark and they had intentions and they were thinking about it, but their customer, they were growing so quickly and, you know, I guess they, from an economic standpoint, didn't have to move out to the women's health area. But that's a huge area and people are missing the mark there if they're not focused on that because women are becoming more educated about their bodies and they need to. It's important. And especially with GLP-1s. So we're definitely looking at a— and have just recently changed our website and moving towards marketing efforts to educate women about hormones and testosterone and other options from a— if they're not interested in that, from a supplementation standpoint that will help with bone health and hormones and so forth. And yes, that's an area that we're, you know, we've just revamped the marketing group here in this area.

00:21:30

We're focused on, you know, quite a bit and we're building treatment protocols around middle-aged women, post-imperial Perimenopausal. I love that.

00:21:39

Yeah. You know, you know what I really can't stand is, is people that say, well, like, this is inevitable. It's just going to happen. It's just going to happen. Yeah, we're going to get older. Yeah, eventually we're going to die. But you don't have to accept that. Oh, because I'm 50, I'm going to go through this and it's going to be horrible. Like, I'm the polar opposite of that. It's like we're getting to this situation and scenario we know is coming in life and our bodies are going— it's going to happen at some point. So why don't we do everything that we can that we know that's in the toolbox that's right, to make sure that we can have the best flourishing years that we possibly could.

00:22:14

Yeah. And because my interest in my love for, you know, uh, preventing Alzheimer's disease, that's an area that we're expanding into too, because people are living longer and they're being becoming more healthy as they age into their 50s and 60s. And they're also wanting to take care of themselves more. And I think there's options there that we definitely are gonna be focused there definitely, uh, by the end of the second quarter. And, you know, even middle-aged executive men who've let themselves go, they're in business. They definitely need transformation for sure, for many of them. And that's an area that I think that we're going to explore as well and looking at transformation from, from that level because, you know, these people forget about the importance of eating right and supplementing themselves. And that's just, I think, broadening the entire scope of our customer base.

00:22:59

One and two, in fairness, people like you and I especially, I think it's easy for us to just, we just know what we know. And so we expect everybody, and we do what we do.

00:23:09

Yeah. Every day.

00:23:10

And, but we expect everybody to know it. That's right. And it's just not that, that way. It's not.

00:23:15

I'll give you a good statistic that's interesting because Dan Sullivan, who you and I both know, talked to me about some of the things that were changing. And he's the one who recommended immediately said, Lance, why don't you just add some of these other questions around eating and, and, He specifically said, how are your workouts going? What do you, how do you, how's your workout regimen every day? And we have intake, we get about 5,000 leads a month coming into this company right now. And I would say, and one of the questions is, how would you rate your, how would you rate your eating? A 1 is excellent. We give them very specific examples. A 5 is terrible. About 40% of them say 5, which is It's incredible. It's so bad. But I mean, it is related to the number, the obesity issue that we have. Of course. But these are people that are coming to a website to improve themselves. They know this used to look like it was mostly bodybuilder-centric. When you look at our affiliates, there's going to be a lot more women up there. And you know what? We talked to our affiliates like Cowboy Cerrone and some of these other people who are very masculine guys, and we told them what we're doing.

00:24:17

They're like, that is awesome. Yeah. I would've thought they would be wanting to keep it to athletes and military. They love it. So that expansion is going to be beneficial because you're not just going to see on our website the tough UFC fighters or boxers or NFL players. You're going to see, you know, middle-aged women who've had life-changing experiences that have platforms to be able to help, you know, promote this to, to others as well.

00:24:39

Well, there's a plethora of questions that need to be asked to really go after full total health obtainment. And I know like some people, they go and they're, oh, I don't wanna fill out all these questions and everything. In actuality, that should be a major turn-on to you because it shows the actual care that you're putting into it. We need to know your sleep patterns, right? So we can fix your circadian rhythm. We need to know kind of what your routine looks like because you and I were discussing routine and regimen is very important. Yeah. Mentally and physically. Because when you build routines and you do these things, you actually improve your quality of life because you're dialed in. Your body acclimates to things if they're good habits. We don't want regiments of drinking and, you know, smoking, but of good habits, your body acclimates and you actually become happier and healthier that way. Yep. And you know, lifespans are increasing, but the quality of life is not. So that's where this comes in.

00:25:42

Yeah, for sure. We actually look at it the same way you do, and I call it weeding out the tire kickers or the window shoppers. If you're not willing to put the time in to fill out a form that's expensive— extensive enough for us to make a good decision for you, or at least a recommendation, you're probably not going to stick with the program, right? In my, my— and I think that's— that, that could be said for, for many other industries as well. But people need to invest in their health. If they're not going to invest in filling out a form, or a lengthy form— our first form is only about 10 questions anyways— but when the medical history for them, they need to fill that out. Well, yeah, and you know, we need to get that from people, and that, that is— gets reviewed by, you know, the, the wellness specialist and the medical doctor, and extensively. And one of the things around telehealth that I've seen that is broken is that you, you get, you know, especially in non-health telehealth, you get 7 minutes with a doctor if you're lucky. You spend half an hour in the waiting room, you get 7 minutes of the doctor.

00:26:37

Then the telehealth companies will spend 10 or 15 minutes with you on the phone if you're lucky, just to give the informed consent and to prescribe your medications. Our average time is about 40 minutes on the phone with the doctor because we enforce it. We want to make sure that when that person is— the labs are reviewed, they're done extensively, they understand what they're getting involved with. That didn't always happen here, but that's what we're transitioning to. So that patient knows that we care and they're educated enough to know the next step. Like, for example, they're going to say, look, you really need to talk to a dietitian. I know it's going to cost you $120 or whatever the— I think it's $140 for your first visit. But your eating habits are terrible. And this is a foundation. This GLP-1 is going to get you to this point, but your long-term health relies on you changing your eating habits and your education. That's the type of educational component that we want to, you know, kind of start putting in place here.

00:27:27

We already have put in place some. I think honestly, with all of the problems that we see and the things that go on, I think the lack of education is the biggest problem. It causes the most issue because people don't know what they're doing. They see like a celebrity doing something or somebody tells them that this is good or bad and they have no clue. And they just— the thing that always got me the most was the willingness. And this I take from a lot of bodybuilders that I had done work with is the willingness to just take a bunch of stuff without knowing exactly what it does. And one of the things I always, I always stress is anabolic steroids are dangerous no matter how you look at it, but they can be far less dangerous if you just like did it with care and measured your biomarkers, which many of them don't. Don't. They never do until it's way too late. That's right. And so with what you're doing here and the structure and the tailoring to everybody and the amount of time, because like you said, you were very blessed to get 5 or 6 minutes with a general practitioner and they really don't ask you anything.

00:28:33

And most of them are not educated in nutrition. Most of them don't ask the simple questions. How are you sleeping? What's your, the, you know, how do you eat? What's your best guess? How many drinks are you having? That is a question that's important. You know, how many alcoholic drinks do you have? But the other questions are just as important as well.

00:28:48

Here's one of the things that you brought up that I was gonna bring up later, but you already touched on it. So I, and I, and it's of the utmost importance that a lot of people don't know. You talked about the Quest and the LabCorp numbers. One, these are always ever-changing and they become wider and wider on what's acceptable and what's not.

00:29:05

You mean the ranges? Yeah. Yeah, yeah, of course. Yeah. The ranges are just insane.

00:29:07

Like the, the men's testosterone. Testosterone one just blows my mind, you know?

00:29:12

And, and even recommended daily allowance or nutrition or vitamin. Yeah. And so forth. It's, it's just insane. Everything. I don't know where it came up with.

00:29:18

It's almost like they drew it out of a hat, you know? I mean, seriously, I know that that sounds crazy, but the, the, and, and with the men's testosterone, for example, they say, well, it's based on national averages of what's hap— but who determined that was healthy? These aren't even healthy numbers are coming.

00:29:34

That's right. So in a very obese population.

00:29:36

Yes, exactly. I mean, what are we talking about here? So you're going to implement doctors that are actually going to get in there and go, hey, this might fall into their acceptable category, but this is not acceptable, right? You're narrowing it down to what's actually healthy.

00:29:54

And because— but in starting with a third-party analysis of experts, the PCs have developed some of the best analytical tools, AI-driven and scientifically driven, which can do it very, very quickly, which is important because that would take a normal doctor days to analyze it the way that, that Andy's team does and others do. So that combination of at least doing the legwork upfront to analyze the biomarker data and then having a very good functional doc, you know, doctor review that data and then listen to the patient, which is very important as well. Yeah. Look at the medical history because that combination is important for that medical director or medical doctor to make a recommendation and a treatment plan. It can't be just one. Because the patient wouldn't know what to do with the data. And the doctor, if they're not trained in it, wouldn't be able to have that expert analysis. They're going to look at the normal, you know, normal complete metabolic and say, okay, here's your script or your testosterone level. You need that extra step of the expert analysis and the biomarker data to really provide the detail that you need if you really want to do it the right way.

00:30:56

And then so generally when you go to the doctor, you're going to get some very basic panels. Right. You're very basic. You're gonna get a CBC, which is a complete blood count, and a CMP, the, the metabolic profile. So you're gonna get basic liver, basic kidney function, basic cholesterol, and sometimes they don't even test it. That's right. And if they do, it's, it's simply LDL, HDL, triglycerides, and maybe total. Maybe they don't even do that.

00:31:22

And no correlation between the two, which is important as well. No analysis between. Right. So.

00:31:27

You're going to dig into these, you're going to get more deeper, intricate panels, probably moving from a larger panel.

00:31:33

If somebody wants to pay for the extra panel and the extra analysis, they're going to have the ability to do it. So we'll probably move to a 100-panel with that extra analysis from the third party. But we still start with a 60-panel, a 60-marker panel already.

00:31:46

Okay. So we're digging in. We're going to get to the bottom of stuff. Oh, yeah. One of the things that I talk about frequently is is heart-related, cholesterol-related, because the, the real, real numbers lie in your ApoB, your Lp(a), your particle sizes. Then they don't even ever look at those unless you are just completely annihilated and have had all kinds of problems. They don't even talk about that at a regular doctor. Yep. And even a lot of these places don't do it at all. So we're getting deep then in the trenches with what you're doing and you're looking at everything. Then you're going to have these analyzed by real professionals, and then we're going to have a real treatment plan for sure.

00:32:26

Okay. So, and the follow-up is important too, because a treatment plan is good, but people don't stick to plans. Well, so that's why we want to make sure that they're invested in their health up front, that they put in the time to fill out the forms the right way. They, they make sure they show up on their visits. And then we're going to strongly recommend the coaching for one thing or the other. If they're already eating a great diet and they already know how to do it, many bodybuilders probably know some of that and a lot of biohackers do, but the normal people don't. And that's going to be a strong recommendation. So good supplementation, which is always the key. And then dietitian, registered dietitian services. And I'm not talking about nutritional counselors, you know, and I know the difference between the two. I can get a, I could be a nutritionist in a week. I can't be a dietitian. I have dietitians that work for us at Tonum and they always correct me like, we're not nutritionists, Lance, we're registered dietitians, which are clinically certified people. They can read labs. They know how to build a plan on a treatment.

00:33:18

They know how to build a meal plan from a treatment plan. They know what people should be eating if they're on a GLP-1. Yeah, they need that extra protein. That's the level of support that we're implementing here.

00:33:28

But I do want to stress something too that you said there is, yeah, people may have good diets. I've been doing and teaching and coaching nutrition for 15 years, but you know what? I still need somebody too, because we're our own worst enemies. So anybody out there that thinks you're eating good because— and this is another one— a lot of people tell me they're eating perfect. And then I'm thinking, well, why is nothing working? Well, because then you get it on paper and they're not eating perfect. You know, I'll say, add that up and tell me what you see here. And it's like, whoa, you know? So we all need it. So just anybody listening, just because you think you're doing good, you need this kind of coaching.

00:34:05

Yeah. And one of the things that we, we do at Tonum is we have— we struck up a deal with an old friend of mine who owns MyNetDiary. They have 30 million people that use that, that product. That is an excellent product. It is. And they just added a new AI component to it. We give that to our— everyone who buys a bottle of Modus gets, gets the free version of the app. Even if you get a 6-month supply, you get the premium version of the app, which includes a lot of other additional things that you can do. But our nutritionists have access to that so they can provide the coaching they need. So You know, I have people that, you know, every once in a while we'll get a support response back in that said, oh, I haven't lost the weight I wanted to. We said, do you, did you download the app? No, because they don't know. Because after 6, let's say they're in for 6 weeks, Modus, for example, doesn't really start working for 5 or 6 weeks. So, you know, we, we explained to them, you know, why don't you talk to our nutritionist?

00:34:58

Oh, I'm not going to pay for it. No, we'll do it for free. We want you to get, we want you to get healthy. And 9 times out of 10, They're not eating the way they thought they were. No, they fill out the form, they say, we're eating, I'm eating one. But one of the funny things that happened to me one time was I had someone who was in the clinical study who was telling me he was eating really good. And I looked at his, his, his, I said, can I have permission to look at your, your, your, his MyNet diary log? And I looked at it and I said, you know, you're eating 2,000 calories. I mean, 1,000 calories of snacks a day. And he said, yeah. I'm like, and pizza night is not 3 nights a week. It's maybe 1 night every 3 weeks, but not 3 nights a week. Little Caesars pizzas that you're eating are 600 calories each. I mean, it's right there in your log. He goes, well, I never look at it. I just log it. I'm like, oh my God. But it's, you know, when I first did one of the first large obesity studies over 15 years ago, we used this same product.

00:35:50

MyNetDiary was very early on. And we had 12,000 people in 12 different languages. We had to translate that whole thing. It was a huge study for the Belviq study, which ended up not— it, we ended up getting approved but pulled, pulled later. But that, that I understood the importance of, of tracking your food and exercise and people not understanding and not ever think, thinking, thinking that they're eating good but not having any clue.

00:36:15

You know, and I, I've told you this, I eat very similar every day and whatever, and I track everything still. Oh, you do? I do. Just because I, and I, I haven't memorized, but I, I so regularly.

00:36:27

That I don't even know. I am so regimented that I know I have like, you know, a certain number of egg whites in the morning or yes, or whole eggs and egg whites. It's almost consistent. It's, it's, it's scary. It's boring as hell.

00:36:38

You know what, I, I'd say the same thing, but I actually like it.

00:36:41

I know, you know, boring, but most— I know, it's like, um, what we talked about. I mean, my wife loves to go out to eat and she's skinny and in good shape and everything, but she's like, you are boring. Whatever.

00:36:53

I'm happily boring, man. Nah, it, it's, it's, it's always nice though to see that kind of structure and then to, to look at it. Yep. And then you can actually see, 'cause a lot of people don't, they don't know and they tell themselves they're eating good. It's, it's kind of like the thing where I always tell people, go into the mirror and have the conversation with yourself and ask yourself and be honest. And when you have that conversation, it's like, okay.

00:37:19

And that's why it's so, but psychological, people actually see themselves different than what's real. I mean, do you see yourself in a picture? You should probably take a picture of yourself and think, look at it versus yourself in the mirror. Because for some reason, psychologically, you think you're better than you are until you see yourself on camera in a picture. You're like, holy shit. That's why a lot of actors are like, they don't want to see themselves. No, I know. That's—

00:37:39

and when I do the mirror thing, it's, it's the conversation.

00:37:42

Oh yeah.

00:37:43

Because I— you're better than this. Well, you can be dishonest with people and you can actually tell yourself lies and believe them, but when you look in the mirror If you can lie to yourself, it's like, man, you got some problems. Most people can't, you know? And I, I've done that with myself multiple times in my life where I'm like, are you really like doing this? Is this really who you are? Is this a good thing? And I, when I say no and I don't like what I see, I make the changes. Yeah. That's awesome. That's, you know, and so that's the same where we could correlate to what you just said, which was where I was going. Look at the picture. Okay. And be honest when you look at the picture, like I've had done that before. I'm like, man, my face looks like shit. It's like fat right now. Like what's going on here? The few times I've ever slept, you have to be willing to accept that you're never going to be perfect and there's always something to improve. And that's why the coaching is so important because it holds you accountable.

00:38:38

Yeah. Because not everybody has self-accountability. So yeah.

00:38:41

So one of the things that I think is important around coaching is having something to measure, you know, having the ability to actually validate or verify what somebody's telling you. So you can talk all day long to an individual who says they're eating a good diet but not losing weight and you can't figure it out. And if they're on the GLP-1, it's probably completely stopping them from eating. So, you know, that, that's one thing. But when you, for example, it might be on a supplement or you might be on, you know, some other type of weight loss product. If you're actually using that technology to track what you're doing and a, and a nutritionist can look at that data, they can actually make good recommendations. And I've seen so many times these great dietitians are looking at this saying, If you just did this, it would have a huge impact. So we thought about that and said, you know what, I don't know if I can knock it out before the third quarter or fourth quarter, but I did talk to my friends at MyNetDiary. I said, I want to be able to do a bigger deal with you guys.

00:39:30

I want to offer this up to all of our people that are in the Transcendent organization and get everybody using this app for a number of reasons. One, they also can integrate a lot of other things. They can track your exercise, it tracks your steps, it tracks all of this other thing. So it knows how many calories you're burning. It gets down to the macro level and micro level. But the other thing is it's got integrations with all of the wearables. So that's another area that I know Andy Galpin and his team and we are very interested in as well, because getting that biofeedback from devices is going to be important to how we tweak those programs. It's a little too much for us to try to take on right now with all the changes that are going on and adding in the counseling. But we definitely want to move that way, hopefully before the end of the year, because that will really be a key for us, especially as we move in next year and starting to do some of our own human research studies with this.

00:40:17

So let's break down the procedure, like what somebody can expect when they come in and sign up? Let's say, hey, I want to change my life, I want to get going on this, or I've got issues and I don't know what they are. What's the whole procedure from kind of getting started? I wouldn't say start to finish because it could be long, but just the best.

00:40:34

It's pretty simple, actually. So basically, usually somebody either hears about us or sees an ad that one of our influencers does, and they fill out a 10-question intake form. Right after that, if they know what they're doing, they can immediately just buy what they call a starter pack. And the starter pack is they can either get their— if they need it, if they want HRT or they need HRT, they need to get a lab work done. They also have to get a physician visit and they can buy that immediately. They get set up immediately. Secondary, if they still want more, have more questions, we're setting up an AI automated— we already have it set up, a chatbot that they can communicate with that's been educated already on all of our platforms. And you know how quickly those things learn. So those are structured ways that people can get Q&A. If they want to talk to a live person, they talk to one of our wellness specialists. And you've talked to some of them. They're outstanding. They know more than most functional medicine doctors do about peptides and HRT. And they're very, very well versed. Their job is not to make a recommendation.

00:41:37

Their job is to educate people on what they to do. And that takes about half an hour. They listen to the goals and they say, well, this is what this peptide does. This is what that peptide does. But we need to get your blood work done. That needs to be reviewed by a clinician. It has to go through our analysis tool. And then you set, you could set up with a, with a doctor to have that 30-minute or 45-minute conversation. So that, that process takes about a week or two until they get their lab work back and they have the consultation with the, with the clinician. There's a coordination then of what treat, what the treatment plan looks like. And that could be some supplementation if they don't qualify for peptides or they don't want any prescription medications, or it could be in a range of different things, hormones and peptides supplements. And if they choose to do some of the nutritional counseling, they can do that. They should get medications within 3 to 4 weeks, maybe 5 weeks depending on the availability in the state that they're in. And the process starts there. They have that wellness coordinator, that wellness specialist I should say assigned to them from the first time they talk to them all the way through the rest of the, their journey with us.

00:42:39

So that person's checking in with them every couple of months here and there if they're not, you know, associated with a dietitian that's doing that, just to keep them up to speed on, you know, what's going on. And they have to get their labs done again, usually I think depending on what they're taking, every 3 months or 6 months. Okay. So yeah, so that's the process currently. Long-term process is going to be as we add in additional services, obviously they're going to have to order their supplements every month. But as we add in additional services, there'll be other touchpoints in case they have other things they need— sleep therapy, or if they want cognitive therapy. Those are things that we're going to be adding in.

00:43:12

So you'll— you'll— they'll be able to get their supplements from you that they need? That's right. Okay.

00:43:16

So currently we have 4 or 5 supplements. Now we're developing a sleep stack that has worked. It's actually a derivation of the Huberman sleep stack, if you've heard of that. Yeah, which worked really okay for me. It didn't work perfectly. I added one or two more things. And that's being medically tested now. A couple of things around women's health, women's hormones. And one of the things that we, because we have so, we have so much data, we have, I don't know how many hundreds of thousands of contacts of information that we have, but of different humans that we've touched in the past. But we're doing an analysis right now to say, what are the air, what are the vitamins and the supplements that are most important for these people on these types of therapies? And we've finally gotten that down to, I think, 7 or 8 different supplements that people need all the time and they're always deficient on vitamin D. Obviously the hormone is gonna be one of them and then they'll be able to just get that as part of the package and heavily discounted, but all research-backed. Okay. So if I was gonna go to mitochondria support, I would go to Timeline because it's the most research-backed supplement.

00:44:17

And I am not a believer in private labeling things either. I believe, yeah, I believe if we're gonna go to the best in class, there's a co-marketing opportunity there. Okay. They might, you know, wanna reciprocate. So yeah. Yeah. So that, that's the, that's the area though. That's the, the, the, that's what we're putting in place now.

00:44:33

So like a lot of people are deficient in magnesium or D3. Exactly. K2.

00:44:38

You, you have all, exactly. Yeah. Okay, perfect.

00:44:40

'Cause that, you know, honestly, some of the biggest problems I see, heart rhythm problems, cognitive problems and everything, electrolyte deficiencies, vitamin deficiencies, or toxicities from using too much. So, Okay. So basically product-wise on what people are gonna be able to get is TRT, HRT, peptides prescribed, and supplements, vitamins, supplements, and then the counseling services. Yeah. The counseling service to me is the most important.

00:45:07

For sure. Absolutely.

00:45:09

Okay. Awesome. And so the procedure's long, like intricate long, I mean, so it's very detailed, it's very customized. And so when you come in, you're not gonna feel like you're in a, major university of like 300 in a classroom, you're going to feel like you're in a private university getting one-on-one treatment. That's the way— that's, that's the goal. Yeah. Okay, sweet. So one can really expect when they come here for life-altering changes. Yep. And it's for men and women.

00:45:36

There's a reason they called it Transcend. That's right. I love it.

00:45:39

I love it. So the long-term plan here is to just grow and expand and get everybody involved as we we can.

00:45:46

Yep, expand and, uh, provide. We're going to focus on things that we could do great. I don't want to be everything to anybody. We're not involved in sexual erectile dysfunction or anything. It's not a key area of mine personally. It's not an interest— I mean, it's interest of mine, but it's not an area that I think we could be experts at. That can be for other people. But I think we're going to focus on the major areas that people are deficient in that we can, we can solve with scientifically driven, you know, biomarker-driven treatment plans. And, you know, we are considering, um, a rebrand of the company because, as you and I know, we're focused on bodybuilding and, and, and biohackers now. And I, I think we really need to— we owe it to ourselves to expand out into the women's health area, into executives, into, you know, the upper middle-aged population that probably is still very young and wants to still take care of themselves, want to protect their brain, want to keep their body in shape. Look good at 60. That's— I mean, I'm 60. Yeah.

00:46:42

I mean, it's not my company, but ideally it would be for everybody. For sure. Yeah. I think that's the—

00:46:47

well, you saw the sign coming down here. It says inclusivity. You actually pointed to it, that inclusivity. Yeah. I love it.

00:46:54

Yeah. So can you get into the rebranding at all? Like what you're planning, or is that okay? We will. Okay.

00:47:00

I can't do it right now. We'll do it later. We're a couple of weeks away. Yeah.

00:47:03

Well, we're going to have to talk about that at some point because I'm You know, I'm always intrigued by all of this.

00:47:09

Well, it's going to take the Tonum path in terms of the, you know, the branding and Tonum. Channing was excellent at doing that with, uh, with Chris, our, our creative designer. And they also came up with a new name. It's being trademarked right now. It's actually been filed, and it's going to be a Latin derivative of—

00:47:28

I understand. So we're good health, let's put it that way. That's right.

00:47:33

Or best health.

00:47:34

Okay, sweet. So I want to make sure that it's well known because like I said, for the women especially, I just want them to not be fearful and to know that this is like a safe haven and this is what to do and where to go. Because I feel like men struggle a lot as they get older, but I feel like women are worse because— underserved, for sure. Yeah, they're underserved. And I hate that. You know, my wife came to me several years ago and she's like, You talk way too much for just men and not enough women.

00:48:04

I don't think so. Well, not from my experience.

00:48:06

Not now. Oh, right. But she's the one that switched me. Okay. You know, this was like 6, 7 years ago. So I went from like 90% men, 10% women to now it's like 48 men and 52 women. Like my statistics show it. And I feel like there's so much like, misunderstanding and underappreciation and not enough information given to them. So I want to make sure we're stressing the fact that this is a place where you can come to fix your life.

00:48:38

Well, we did— we did a facelift on the website because if you went to the website a month ago, it was very, very masculine. Yeah, bodybuilders and so forth. So we did a facelift because we didn't have the rebrand completely thought out or a timeline put in place. There will be— and we're never going to neglect or forget people that have put us on the map in terms of our customers, our loyal customers, and our influencers for that matter. But the new website that's under development now is going to be very customized for each user community that we have. So there's going to be landing pages. So a woman's not going to come in and see, you know, a top bodybuilder or sea fighter. But, but if somebody who's a fan of Cowboy Cerrone, he's going to come in, he's going to see Cowboy Cerrone and all of the other UFC fighters in my box are out there as advocates and talking about what's happened to them. The women will see, you know, if you're a middle-aged woman or a young woman, talk about— they'll talk about people and experiences that they've had with, with, with the, with the, with the company and how it's changed their lives.

00:49:34

So they can actually learn from them. And with all the things that's going on with AI, with chatbots and so forth, you can ask those questions. You can find out who's also on the product and what it's done for them. It's just amazing what, what we're going to be able to do here in the next year with the rebrand and just opening it up to a larger customer base that's really underserved and undereducated for that matter.

00:49:52

So, so we just get online, sign up on the website, and it's pretty simple from there. You, you'll have a video meeting with the doctors or the dietitians and everything like that, right? I love it, man. It's amazing how far things have come. It, it really is. And how nice it is to not even have to leave your house. That's right. That's right. Yeah. I love it. Nobody wants to sit in a doctor's office.

00:50:15

No, no, not for half an hour. No, for a 5-minute visit.

00:50:17

I don't ever want to. But okay, so I'll link everything down, down below for everybody. But right now the sign-up is at— is it just Transcend? Yeah, transcendcompany.com.

00:50:28

Okay, perfect. It's pretty easy. They have a lot of SEO value. They've been around for a while. They're a leader. So if you just— you can Google them or just look up transcend.com. Yeah.

00:50:37

And I can tell you right now, by this facility alone and being in here, I've told you 50 times how impressed I am. I'm probably saying it too much, but This is so well done. And knowing that you're taking over here in terms of where it's going, I'm excited, man.

00:50:53

We just, we have a new CEO that started a month ago who has founded and sold two very, very well-known telehealth companies. And he's just a pleasure to work with. He's a very dynamic young man and fun. Well, funny. And he's just always positive and he's definitely going to help take us to the next step because I still have my full-time job at Tonum as the CEO. So I'll be the chairman of this company. And up here every other— every— what am I coming up now? Every other week. But now I'll be coming up once, once a month.

00:51:20

I'm excited, man. I, you know, I've been approached by I don't know how many telehealth companies over the years. And, and I even told you before, I backed out of a big one that I was going to be a part owner in. And I feel like the reason why is just sitting right here now, because, you know, now I get to, to help you with this. That's what— that's right. And that's why the things happen the way they do. And I don't question it. I just, but it always works out for sure. I really appreciate you taking the time and effort to make this what it's supposed to be. Like I said, too many aren't. I'm not going to throw stones or names or anything like that. I just know that there's far less that, that are doing it right than should be. And so it's a real blessing that you're doing this and for me to be a part of it with you. And it's just an honor to even know you, man, because you're the kind of guy that I wish there were more of, but it's it's nice when, when you get one around, you don't want to let them go, you know.

00:52:15

Thank you. And I told you that from the start. So guys, women, everybody out there, check out Transcend. I'm going to be talking a ton about it and we're going to make sure that we're, we're helping everybody get healthy in the right way, in the honest way, and doing things the right way. So, Lance, again, man, thanks for having me here. Thanks for doing what you do. It's just It's awesome, man. Thank you, brother. Awesome. All right, everybody. Well, that wraps up another one. This gives you some insight on telehealth, on what's going on, how we can take care of ourselves and live the longest and healthiest lives. And look, we're trying to add years to our life here. So, and quality years at that. So that being said, stay tuned for plenty more to come. Dylan Gemelli and Lance Converse. Signing off.

Episode description

Episode #110 Featuring Lance Converse!  The TRUTH about Telemedicine and Anti Aging Clinics!  
I first had the pleasure of meeting Lance Converse at the Eudemonia Summit towards the end of 2025.  He introduced me to his company TONUM and we immediately became close friends.  His level of intellect was noticeable in the first minute of conversation but the best part of Lance is his care and dedication to making massive impact for the well being of us all.  This discussion showcases that care as Lance and I tread into the muddy waters of telemedicine, with a strong emphasis on TRT/HRT/, peptides and the slew of other facets that fall under this umbrella, covering the good, the bad and the unfortunate extreme ugly.  
We begin without holding back and follow that path throughout the entire conversation, starting with the evolution of telemedicine and to what it has become today.  Lance discusses the heavy convolution occurring along with real lack of care towards each individual patient.  We have a lot of back and forth on the importance of personalization and TRUE one on one care, that is lacking in both conventional medicine practice along with many telemedicine companies.  There is still a reliance on a one size fits all mentality along with a lack of true understanding of each patient and Lance's vision and goal is to change that standard and practice.  Lance discusses his vision of an all in one clinic, that covers EVERY base, from diet, nutrition, mental health and a real structure that is accommodating to each individual.  Lance provides his years of experience on seeing telemedicine put their patients on whatever they ask, and often times things they do not need, to make a sale and keep a client spending money.  Lance is on the path to changing this all and setting a new standard in the telemedicine world. 
I have now become a patient with the well known telemedicine company TRANSCEND, which Lance recently bought and is going to make his dreams a reality by setting a NEW standard of care that puts the patient FIRST and I am beyond thrilled to be a part of this journey with him!!  Lance is true asset to us all and I am excited to share his insights along with his mission to change the world!  DO NOT MISS THIS EPISODE!  
 
 
Today's episode is sponsored by TONUM!
 
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