Perfect Practice Sachin Patel

In this episode, Sachin interviews Dr. Tracy Gapin about his career, what inspired him to leave his urology practice and focus on precision medicine for men’s health, and some of the purposes of the Gapin Institute. Dr. Gapin talks about the success of the Gapin Institute, why he did a TEDx talk, and what his plans are for 2024. He also discusses his book, Male 2.0, and offers his High-Performance Health Handbook.
 
Listen in for some practical tips for transformation for your practice.
 
Key Takeaways:
[1:02] Sachin introduces Dr. Tracy Gapin, M.D., a urologist, and the CEO and Founder of the Gapin Institute, a leader in precision medicine.
 
[1:21] Dr. Gapin is here to share some of the trials and tribulations he has gone through in becoming who he is today, setting up his practice, becoming a thought leader, an innovation leader, and somebody Sachin looks up to.
 
[1:38] Dr. Gapin has overcome mental, physical, and spiritual challenges to get to where he is today, with over 25 years of clinical experience.
 
[2:40] Dr. Gapin is reading a book on cardiovascular health and disease, by Dr. John Huston. Dr. Gapin is all about the science.
 
[3:25] Dr. Gapin explains his takeaway from the American Academy of Anti-Aging Medicine (A4M). Things are constantly evolving. Dr. Gapin says it’s easy to get stuck on the business side. Don’t forget the science behind what you do and why you do what you do.
 
[4:16] Dr. Gapin mentions other conferences he attends regularly. He encourages you to stay focused on the constantly evolving science. Whatever your niche may be, you need to be able to provide outcomes. That comes from your scientific and medical knowledge and background.
 
[5:51] Dr. Gapin started as a urologist. His passion is men’s health. He became disillusioned with urology and looked for a better way to serve patients.
 
[6:53] Through the health challenges he experienced, Dr. Gapin found an amazing world of precision medicine, epigenetics, functional medicine, hormone optimization, peptides, and longevity. It changed his perspective on medicine. He became passionate about it again.
 
[7:50] Dr, Gapin was driven to make a change. It was scary to throw away a very lucrative career and practice and start over. But he felt like he had no choice because he found something he loved. He didn’t want to live the rest of his life being a miserable surgeon.
 
[8:15] It was a tough decision for Dr. Gapin. His wife supported him 1,000%. He made a decision, saved up some money, and started going through certification, courses, and conferences about eight years ago. That’s how it took off for him.
 
[9:13] Dr. Gapin's career change decision was an evolution. When he knew he was going to leave urology, he got some coaches and business development learning. He battled impostor syndrome, wondering if he was good enough to pivot his career.
 
[11:11] Dr, Gapin had a hard childhood. When he was five, his dad left. He never had a father figure. That may be why he’s drawn to men’s health and is passionate about being a dad. His kids are his “why” that drives everything he does. He’s trying to fix the childhood he had. Starting something new and different was overwhelming.
 
[12:54] Dr. Gapin advises new practitioners to stay true to who they are and what they want. Dr. Gapin once joined a Vistage group of entrepreneurs. One of them asked him “What do you want?” He thinks about that question almost every day.
 
[13:30] Dr. Gapin asks people who are starting what their ideal ending is and if what they do is aligned with that ending. There are many business processes. Dr. Gapin’s business now is high-ticket, low-volume, but at first, he was in the trap of selling many low-ticket items.
 
[14:30] It’s hard work to slow down, do some introspection, and understand what is right for what you want. The majority of courses are not making the seven figures you might assume they

In this episode, Sachin interviews Dr. Betty Murray
 
Key Takeaways:
[1:02] Sachin introduces Dr. Betty Murray, the CEO and Founder of Living Well Dallas, a functional medicine center. Betty is a nutritionist and researcher who has helped hundreds of people to feel their absolute best, so she has had great success and prosperity.
 
[2:08] Sachin and Betty will focus on Betty’s methods for success and prosperity to help you succeed and prosper in your practice and life. Sachin welcomes Betty to Perfect Practice.
 
[2:52] Betty started her practice 20 years ago. In 2004, she did not find many clients for functional medicine. She bootstrapped her business with her part-time job. She didn’t have enough runway to make a lot of mistakes. She had to be more resourceful with her resources.
 
[4:58] In Betty’s clinic today, there are internal medicine, psychiatry, hormone replacement, clinical nutritionists, life coaches, counselors, and diagnostics. At first, her clinic was fee-for-service, and nobody was using coaching because they didn’t know its value.
 
[6:40] Betty had to let go of her belief that if she educated someone, they would find value in her program, and instead, create the value proposition and give it to them so they would find value. If the market is not buying your strategy, your strategy is wrong and you need to rearrange it.
 
[8:44] Always add value for your client first. When you give value to your customers, patients, and clients, you get rewarded. When you’re driving toward a value, and you’re giving people what they need and helping them understand what they need, people will value that.
 
[9:47] When you’re starting, the narrower you get with what you’re doing, whom you’re serving, and what problem you’re solving, the easier it is to stand out in that market. Don’t go bigger, faster, better and think it’s going to be more money. It’s complex. Betty has to spend more on marketing than others because she has more avatars. She has to spend more time on staff.
 
[13:45] Sachin says to keep it simple. Betty adds that if you have this burning desire to have a multi-disciplinary team, recognize that you’d better be a good business person or hire a good business person, which requires a runway of cash flow. It’s not a low-paying job. 
 
[14:57] Most of us in healthcare never had business training. Betty had a business degree before she came into healthcare. It’s still a concept until you get it into action. Being a 30,000-hour expert comes from experience, not from a book or an education.
 
[17:09] The Mosaic of Autoimmunity, by Dr. Yehuda Schoenfeld, is a textbook Betty has been studying. It’s probably the best textbook to explain the underpinnings of autoimmunity. Regardless of who our avatar is, all of us are going to be in the immune system.
 
[18:07] 10X is Easier than 2X: How World-Class Entrepreneurs Achieve More by Doing Less, by Dan Sullivan is the business-building book Betty recommends. It is easier and more effective to leapfrog from where you are to where you want to go than it is to make small changes.
 
[18:52] Betty recommends two personal/financial development books: Disruptor: How to Challenge the Status Quo and Unlock Innovation, by Alex Gonzalez, about innovation. The second book is Die with Zero: Getting All You Can from Your Money and Your Life, by Bill Perkins. It’s about not amassing money but using it to do good as you go.
 
[24:11] Betty tells how she grew her money mindset. As a child, she was determined to work and she falsified her birth certificate to get a job underage. She sees the world as abundant and if she lives in that abundance and does the right things, she will be rewarded for it. She doesn’t hesitate to spend money. He husband is cautious so she asked him to handle the finances.
 
[25:55] Sachin also has a story about going after what he wanted at a young age. He learned to cut hair by watc

In this episode, Sachin interviews Chris Kelly, backcountry outfitter and friend, about the benefits of being in nature with a group, disconnecting from technology and using primal survival knowledge and skills, supporting each other, and growing naturally. Listen in for ways to embrace the natural world and put aside the office for a while.
 
Key Takeaways:
[1:02] Sachin introduces and welcomes Chris Kelly to the Perfect Practice podcast. Chris is an outfitter and Sachin’s outdoor mentor, friend, and guide in so many ways.
 
[2:11] Sachin met Chris on a three-day group camping trip in Algonquin. Chris and his brother Kieran involved everyone in meaningful, positive ways. Sachin was so impressed, he brought a group of his friends the following year for another amazing trip.
 
[3:46] The Time we spend with people is magnified in a backcountry camping experience over multiple days. Sachin learned more on a four-day trip than on a three-day trip.
 
[4:55] Sachin points out that your business can never grow bigger than you. You’re like the trunk of a tree and your business is a branch coming off of that tree. Grow yourself to grow all the branches of your life, including your business. Part of that process occurs when we disconnect and go back to the essence of who we are.
 
[6:37] Chris describes the moment on a paddle when the person he was paddling with told him that his trips were transformational. It was an epiphany. People can rewrite their stories. They take down barriers they have put up. They stop telling themselves “I can’t,” knowing “I did.”
 
[8:41] In the backcountry, there are no services, electronics, or artificial lights. On the first day, you find your footing and it seems to be going in slow motion. In a new environment, you’ve got to pay attention to everything. If you twist your ankle, you’re a liability. The environment brings you new ways of thinking.
 
[10:16] When you’re out there, you’re a different person, entirely. There’s so much onboarding of these skills that we have from being hunter-gatherers for 99.9% of our existence. You might think portages are scary but you navigate it with ease. It’s amazing how we adapt. You’re breaking an autopilot. You have an intense presence.
 
[12:02] Taking high school kids to the backcountry for four days removes them from their devices. When they get home, they don’t want to see their phones. You see a shift in their behaviors. In the case of an emergency, Chris had a satellite phone available.
 
[14:05] Coming back from the first trip, Sachin realized he would rather paddle for three hours than drive for three hours to get home, it was such a magical experience that changes you in so many ways. It makes you tough; it softens you. Sachin describes the magic of seeing the sun for 15 minutes after five cloudy, rainy days.
 
[17:04] Chris says you build a relationship with nature. It’s a reflection of your relationship with yourself. As people return to the backcountry, they become more themselves. They become more grounded. Families experience great beneficial changes. Everyone’s accomplishing something together. Their stories wash away in community and love. This carries back to life.
 
[20:31] Sachin shares a reflection learned from the second trip when portaging uphill to the next lake, carrying packs or canoes. Everyone plays a role, big or small, glorious or not glorious.
 
[23:37] Chris talks of finding power in being humbled and disempowered and ultimately finding fulfillment. Finding wood to build a fire, feeling the heat of the fire, and cooking food on it is primal and satisfying. Everything you put energy into provides energy.
 
[24:33] One of Sachin’s goals for 2024 is to get his team up there. His wife is hesitant because in the backcountry there are no bathrooms. Some on his team are eagerly looking forward to it. You bond on a backcountry camping trip in a way that you don’t

In this episode, Sachin interviews Jay Abraham, the Founder and CEO of The Abraham Group, Inc. in Los Angeles, California. Jay attests to the power that practitioners have with the knowledge to remarkably improve the lives of people around them, clients, potential clients, and people who may never become clients. Jay speaks of investing in people first and how that pattern helped him in his career as an entrepreneur, business leader, and consultant.  Jay offers ideas that can bring you success in your practice by caring more about the people around you than about your finances. Listen in for an inspiring message from Jay Abraham to improve your life and practice.
 
Key Takeaways:
[1:02] Sachin introduces and welcomes Jay Abraham to the Perfect Practice podcast. Jay has helped thousands of companies and entrepreneurs around the world generate revenue. Jay invites Yuri to ask him questions that might give clarity and actionable strategy to the audience.
 
[3:31] Jay thinks that we all have an enormously greater capacity to contribute to transforming people’s lives. We must understand that most people don’t know what we already know. Believe in your ability to contribute your knowledge and in your moral obligation to contribute. Be a positive catalyst in somebody’s life. It’s all about them.
 
[6:13] Jay’s advice for people starting in the health and wellness space is to know that you have the knowledge and the ability to change someone’s life. You have to get it into their mind in a way that they embrace it, believe it, and want it from you. How will you do that?
 
[7:40] Depending on the size of your market, local or national, find the lowest common denominator of influencers and offer to reciprocate a trade of services. Jay offers a script to use to give them your services for permanent wellness and healing and to ask them to introduce you to their clientele throughout their life, for a presentation of your services.
 
[11:00:] Jay tells how this worked for him when he started taking off in his services for entrepreneurs.
 
[12:25] You could become the recommended provider. Jay offers a way to do this ethically through exchanges of services. First, be the one to invest in others.
 
[13:07] Jay recommends his program on pre-eminence for Sachin’s listeners. Jay always wants to invest first in others. If you invest in someone and it has a positive payoff, everyone may not turn into a future compensated client, but the numbers will work for you if you make a profound difference and if you choose wisely in terms of their values and respect your methodology.
 
[16:10] Everyone is not going to do as much with the profound knowledge, the methodologies, techniques, regimens, and protocols you are going to share. Choose people who have the highest probability of doing something with it and seeing the most wonderful outcome. Ask them to nominate people who are struggling. Try it in general and for specific applications.
 
[20:26] Sachin points out this is a long game. We can’t add value to the lives of people who don’t share the values we do. You can add value to the world with every hour, or you can miss the opportunity to add value to the world with every hour. When you add value, the referrals are much more genuine.
 
[21:06] Jay says half the people don‘t know what greatness is supposed to look like in health. They’ve never had it or it was so long ago, it’s become hazy. They don’t know what it’s like to sleep through the night and have energy and focus with dramatically reduced stress levels, to have their bodies feel and look better. Give them an impact analysis tied to future pacing.
 
[24:30] Help someone consider what it would be like not to be tired but to have energy and focus galore.
 
[25:42] Jay shares a profound exercise to do with people. Ask “Who do you know in your life of your age that you would like to have the energy of?” That becomes the refere

In this episode, Sachin interviews Yuri Elkaim. Yuri is prolific in the athletic world and the health and entrepreneur space. Sachin met Yuri at a conference that Peter Osborne was hosting. Yuri was onstage and “knocked it out of the park.” Yuri shares many nuggets of advice for the health practitioner who wants to move up to the next level. Listen in for a perspective that may improve your practice.
 
Key Takeaways:
[1:40] Sachin welcomes Yuri Elkaim to the Perfect Practice podcast. Yuri is a former pro athlete and current entrepreneur in the health and athletic space. Sachin looks forward to today’s conversation with Yuri about business and personality in the health space.
 
[3:14] Yuri trained, played, and competed in soccer from age 10, to become a pro player. He played professionally in his early 20s. When he was 17, he lost all his hair in six weeks, from an autoimmune disorder, alopecia. Before his hair loss, he had a lot of hair. Going from a full head of hair to bald in senior year was a transition, but his friends accepted it.
 
[5:12] Developing alopecia was one of the greatest things that happened to Yuri. It opened his eyes to what was going on with his health. Besides Western medical doctors, he was introduced to some amazing alternative practitioners. Nothing worked for his alopecia, but he is grateful for his exposure to these practices.
 
[5:59] Yuri studied kinesiology and health sciences at the University of Toronto and played pro soccer in France. After Yuri retired from pro soccer around 24, he came back and decided to pursue studies in holistic nutrition. That’s when his life changed. He was being exposed to information he never knew existed. He started applying what he learned.
 
[6:31] After about two months of cleaning up his diet at the university, Yuri grew back pretty much all his hair. The diet was such a profound change and he had so much more energy. He worked with personal training clients, practicing what he had learned in school. He realized that there were billions of people who didn’t know the holistic nutrition practices he had learned.
 
[7:29] That set Yuri on a mission. He started writing a book in the back row of nutrition class. Eight years later, he published the New York Times bestseller, The All-Day Energy Diet. Yuri’s passion for wanting to help others came from his own struggle. He struggled for seven years trading time for money as a one-on-one trainer-nutritionist; overworked and underpaid.
 
[8:18] Yuri had a bigger vision, wanting to help more people. He went online in 2005 and tried to figure it out for himself. It didn’t happen for three years. Then he hired a coach and things started to take off. With mentorship, coaching, and guidance, Yuri started to build a pretty substantial business. He helped half a million people to better health
 
[8:50] Yuri sold the company 13 years after starting it. During those 13 years, a lot of people had come to Yuri for business advice. He saw a space in the market and he started his current company, Healthpreneur®.about seven years ago. Some amazing health practitioners don’t know how to get their message out.
 
[9:36]  Yuri seeks to help them to build better businesses. His vision is to help a billion people improve their lives in some way, shape, or form. He knew he couldn’t get there, direct to consumer, but he thought if he had these skills and capabilities to help other practitioners build better businesses, virtually, then they could help more people and reach that goal collectively.
 
[10:22] Yuri truly cares about helping people stand in their power, shine their lights, and become the best version of themselves so they can share with more people. That’s what he is here to do. He works hard because it is so much joy.
 
[11:34] Yuri discusses practitioners who are not moving forward. There are some mindset blocks common to health professionals that keep them small. One is the

In this episode, Sachin interviews Dr. Bryan Walsh. Sachin bumped into Dr. Walsh at ECO, the CellCore Conference. After talking, Sachin invited Bryan to be a guest on Perfect Practice. Bryan is extremely passionate about functional medicine. He brings over 25 years of experience in helping us become better clinicians, looking at our patients through a slightly different lens and upgrading our paradigm so we can be of better value to the people we want to serve the most.
 
Key Takeaways:
[2:12] Sachin welcomes Dr. Bryan Walsh and thanks him for joining the podcast today. Sachin speaks of producing evidence-based treatment driven by awareness. There are more tests coming onto the market and more supplements and more research being done every year.
 
[3:10] Bryan started as a fitness specialist. He read much about nutrition. Before going to naturopathic school, Bryan went to a functional medicine weekend seminar produced by a lab. He was amazed by all the available tests. That hooked him on functional medicine.
 
[4:06] Bryan then went to naturopathic school where he met his wife. He learned about many tests and did them all: organic acid test, salivary cortisol test, urinary hormone test, stool test, hair tissue mineral analysis test, you name the test, he did it. But he started hearing gurus say things he knew not to be true and he started questioning the supplements.
 
[6:14] Bryan asked himself why he was running expensive tests if he didn’t know their scientific validity. The scientific literature is not friendly to these biomarkers and tests. He compares it to testing your home for radon with a bad test. Bryan is trying to raise the bar in the industry for better practitioners and healthier patients for less money, and being more evidence-based.
 
[8:10] Bryan and his wife run their business while trying to raise the bar in the industry as much as they can. Sachin loves that they are holding the entire industry to a higher standard. You have to feel solid on the tests you order for people. The foundation of our business is the outcomes we produce.
 
[9:24] Sachin asks, “How do I create a program that is independent of the labs, that produces results every single time that has tons of evidence and ancient wisdom wrapped up into it, and common sense wrapped up into it, and develop a lifestyle-design program that isn’t dependent on lab testing?” Sachin includes Oura rings for his patients so they can measure their progress.
 
[10:18] Bryan’s view is that a lab test should not give you any new insights into the person, it should just confirm what you already believe to be true. That means going back to your clinical skills, history-taking, symptom questionnaire, and physical exam. Bryan’s not opposed to any test that he knows of, but a test is not a fishing expedition, it’s confirmation of a suspected issue.
 
[11:28] For example, if a patient has hypoglycemic symptoms, there’s probably something going on. Testing blood glucose and A1C gathers hard data and allows for interventions and tracking progress. If someone has hypothyroid symptoms, run a complete thyroid panel and see where the defect is.
 
[12:35] Blood chemistry is one of Bryan’s passions. Standard blood chemistry is one of the most studied labs around the world. It’s been scientifically validated over and over. It’s inexpensive for what you get, if you know what you’re doing, have good reference markers, and are up to date on the modern literature on these markers.
 
[14:02] When you look at the literature on Albumin, old markers have new reasons they might be high or low that have implications for us as practitioners. If you take old tests and combine them with updated research on the markers, they can tell you as a clinician far more than you were using them for in the past.
 
[14:47] Bryan cites recent research linking high HDL with leaky gut. A high HDL may indicate testing for intestinal permeability