Is This Normal, Doc?
Welcome to Is This Normal, Doc?, Tanner Clinic’s podcast where we ask the health questions you’ve always wondered about! Hosted by our marketing team, we bring Tanner Clinic providers front and center to share expert insights, debunk myths, and give practical advice on topics that matter most to you and your family. From kids’ health to adult wellness, no question is off the table. Tune in for clear, trustworthy information and a bit of fun along the way!
Is This Normal, Doc?
Dermatologist Reveals Skincare Myths & Must-Knows
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Meet Dr. Matt Innes, The Frugal Derm! As a board-certified dermatologist at Tanner Clinic in Layton, Utah, Dr. Innes is here to set the record straight on dermatology myths and misconceptions while sharing expert tips for healthy skin. Known for his minimalist and budget-friendly approach to skincare, Dr. Innes loves helping patients find affordable solutions that work.
Looking for his top product recommendations? Check out his website: https://thefrugalderm.com/
Follow him on Youtube and Instagram: @thefrugalderm
Ready to make an appointment with Dr. Innes? Schedule today by calling 801.773.4840.
(Disclaimer: The information shared in this podcast is for general informational purposes only and should not be considered medical advice. While our podcast will provide helpful suggestions and insights, every individual’s health situation is unique. For specific medical advice, diagnosis, or treatment, please contact your personal healthcare provider.)
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(Disclaimer: The information shared in this podcast is for general informational purposes only and should not be considered medical advice. While our podcast will provide helpful suggestions and insights, every individual’s health situation is unique. For specific medical advice, diagnosis, or treatment, please contact your personal healthcare provider.)
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Is this normal doc a podcast sponsored by Tanner Clinic disclaimer the information shared
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in this podcast is for General informational purposes only and should not be considered medical advice while
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our podcast will provide helpful suggestions and insights every individual's Health situation is unique
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for specific medical advice diagnosis or treatment please contact your personal healthcare
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provider welcome to this normal doc the podcast where we talk about what's
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normal and what's not with help from our Tanner Clinic providers my name is Hope
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and I am your host I am part of the marketing team we have Tara joining me
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today she is the co-host um Tara who are you I'm the marketing manager here at
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Tanner Clinic yeah she's my boss so we have to be on our best
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behavior so in this episode we are going to be diving into all things Dermatology we have Dr Matt inis here with us today
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if you would like to submit a question for any of our future episodes just make sure that you're following us on our
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social medias and we can get your questions from there I just want to
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thank you for coming yeah and being here and taking time out of your day to come and talk with us and help
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educate us on things that may be normal or not before we get into the questions
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I wanted to give you the opportunity to kind of introduce yourself um your work
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here at Tanner Clinic what you do and how you got here what kind of got you into Dermatology thanks so I'm Dr inis
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uh I've been here for 5 years doing Dermatology and I started out thinking I was going to do a lot of Cosmetics actually and and I've since totally gone
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away from Cosmetics I'm just doing medical Dermatology and surgical Dermatology so anything skin related I
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mean General Dermatology I do everything skin related so any skin condition I'm happy to see and then we do a lot of uh
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surgical procedures too so skin cancer removal first of all lipomas Cy um I'm
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doing a split earlobe today doing a surgery for something called hydradenitis today which is like a like
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an inflammatory acne in the body fold so we do a pretty good variety but yeah anything skin related I'm your guy we
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have some questions that were either submitted by patients or honestly we have questions you know the nice thing
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about doing our job and being in a medical uh facility being marketing is
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that we get access to free healthcare information so we definitely use that to
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our advantage at times so I have a family member that's maybe not so smart when it comes
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to like sun protection um and every once in a while
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they'll come to me and they'll be like does this look weird to you and I'm like yeah you should definitely go get that scene that's happened multiple times and
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they have gone in um and each time it's been fine but my question is what types
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of things should people be looking for as far as like a mole or like a skin change what type of uh warning signs
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should we be looking at on our skin to be like oh I should probably go in and
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have that checked out that's a good question it's probably the most applicable question to the general
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public so good one to start with um every I mean I do skin checks all day long and so my patients are asking me
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that question all day every day yeah uh first of all let me start with a couple of things that are normal cherry angomas
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and sebra keratoses are something that uh pretty much everyone has so Cherry
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angomas are the little red spots that um I mean I'm I don't know if you have any but pretty much everyone does so these
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tiny little yeah say I do these tiny little red spots they can be flat they can be raised yeah these are totally
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normal and usually you have several of them um we don't have a great answer for
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what causes them people ask me why do I get these I just say part of Being Human so that one's normal um seate keratosis
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these are also really common you get more as you age these tend to be kind of tan they can be skin colored tan or
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brown they they can have a variety of appearances but they tend to be tan and
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you can get them on your face on your scalp people get a lot on their back people get them around their neck here's
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the main thing though that I tell people on what you're looking for okay if it's
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if you have several growths that look similar that's reassuring you're not going to get 20
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skin cancers at once so if you've got a bunch of spots that look the same like the freckles you it's a freckle guys
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then that's then that's reassuring right so tell people look for something that
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makes you suspicious because it's acting funny if you've got a bunch of moles but one day you look and you see a mole and
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you're like that one did not Ed to be that color or size or shape then come in and get it checked
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out okay it's pretty common for someone to come in for a spot that looks suspicious to them and I tell them it's
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fine and they're they're like sorry to waste your time I mean I get it and it
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might feel like a waste of time but I'll tell you about one patient I had a few months ago who had what we call an a
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melanotic melanoma that was a melanoma that did not look like a melanoma it was it
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looked like a patch of eczema to be honest I biopsied because he said it was acting different than his other spots
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and I'm glad I did because it ended up being a melanoma yeah but they don't have to be brown they don't have to
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follow the traditional you may have heard of the ABCDE of melanoma I don't think that's practical
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for the average person you know so asymmetry border
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color diameter Evolution you know are you going to remember the specific criteria for those and say well I'm glad
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you said that cuz I had no idea what the ABCDE was so thank you now you know and now you can forget it because I don't
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think it's important for my patients okay I think what you're looking for is the last one e is evolution mhm changing
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that skin cancer is going to change so I sometimes have a patient who comes in and they're like well I had this spot and yesterday I scratched it off I the
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other couple days I had a lady who brought do that I had a patient who brought her seate keratosis in a
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sandwich bag delicious oh that's fun so for example she's like I I this one peeled
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off I mean if it peels off it's not a skin cancer oh and so if you've got if
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you've got a spot that's kind of coming and going that's reassuring anyway to boil it down you're looking for a spot
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that you notice is different than the others or different than it used to be and I think that makes it simple for the
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average person you don't need to remember specific criteria if you've got a spot that makes you suspicious you
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don't want to be the person who reassures yourself for 3 years and then comes in because it's really weird
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looking and it's that melanoma yeah yeah and they should be coming every year at
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what age do you think to come and get those yeah there's no hard and fast rule if you got a family history of skin
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cancer if you've had a lot of bad sunburns I suppose I suppose those are some risk factors that would make you
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want to come in for at least a Baseline and then I can tell you if you grew up in the 90s and went tanning because that
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was a thing we did that's right or even older than that and baby oil baby oil I yeah tin foil I've been told I am fine
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because I'm not of that generation and I also don't go outside so I think I'm okay I haven't noticed any weird changes
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in my skin but this skin chick right here looks great yeah I try
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yeah okay so I'm of a certain age where you know your hair starts thinning
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it could be maybe genetics it could be stress nutrition right so is it just my
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age that I need to worry about my hair thinning is it my genetics or is there something I can actually do to help my
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hair from thinning like it was also maybe 2020 covid things like that maybe
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caused your hair to thin help us out with that yeah yeah I mean hair loss is like a universal worry
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especially for women yeah and a lot of us men so it's a good question um I do think there are some families that have
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a genetic predisposition to just get thin yes and I'm there you might even
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call that like a normal variant and unfortunate normal variant that kind of runs in the family and there's only so
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much you can do about that so I think some people just get thin over time um minoxidil Rogan is a medication that
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you've probably heard of and that just helps the hair to grow it helps the hair hairs to be in the growth phase it helps
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to thicken them up so that's something that can be used for anyone whose hair is more thin than they want it to be but
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I do think that there's this kind of genetic hair loss yeah that's not really pathologic so to speak and that one kind
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of is what it is but as for a couple other things that would be worth knowing knowing if it's normal or not teen aium
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is a type of hair loss it's a weird name because it's totally made up term um teen aium teen refers to okay so this
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condition is where you suddenly lose your hair okay this is a condition
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that's easy to diagnose if my patient is able to tell me this is when I started shedding if they are able to pinpoint
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like middle of September I started shedding it's taen andium and you notice
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typically you're in the shower and you're like whoa that is a lot more hair in my finger than I'm used to or in
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refresh um T Legend fium is kind of an interesting one it's triggered by something and a lot of the time we're
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able to pinpoint the trigger so it happens one to four months after the trigger I saw this all the time during
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covid about a month after covid and it was usually like the type of Co that got
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you sick and made you feverish a month later these people
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would just start shedding like crazy hogen fluvium while it is really stressful to have because you think
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you're going to go bald you're not not all of your hair goes into this teen which is the shedding phase of the hair
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that's good we want the hair to be in the growth phase most of the hair is in the growth phase but in teen fluvium a
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lot more hairs than normal go into the resting shedding phase um but it is
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self-limited and so you go through this you know six to eight month course of shedding shedding shedding it Peaks
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shedding goes back to normal and then the hair regrows so that's a type that
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if you suddenly notice shedding come in and we'll see if we can find the trigger
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yeah if we can't pinpoint an obvious trigger like you know postpartum covid a
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major illness or a major stress or things like that then sometimes we go there's some Labs that we check to see
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if iron's low thyroid things like that that would be triggering kind of an ongoing shedding um and then male and
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female pattern hair loss would be the most common that's obviously what I have but females can get it too and so if if
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there's accentuation up here for both males and females it's that you get thinner up here than around here um that
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also has some kind of genetic underpinnings but it's more of a hormonal thing in that and we've got
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pretty good treatments for that so uh dermatologist hope is what you're saying
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hope yeah cuz my part is getting a little bit wider up there so there is hope and I think a lot of people don't
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realize that dermatologists are hair Specialists as well and by the way nail
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Specialists I think people don't know that there are nail Specialists but there you go hair ands we do it that is
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really good to know yeah I remember growing up and seeing like all the beauty influencers always do like DIY
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skin care and they be like make your own face mask or like remember when coconut oil was like a big thing everyone was
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like coconut oil for everything in your hair on your skin whatever um I just
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wanted to know your thoughts on if you think that natural and DIY like skin
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care is as effective or can be as effective as doorbot or you know
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manufactured skincare just because I think a lot of people probably still lean towards that cuz there is like a
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push in natural yeah natural skin natural eating things like that people
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are really into that or just budgetary reasons cuz some skincare is really expensive I think so what are your
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thoughts on that um well I'll I'll break my answer into two sections so DIY
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versus natural are kind of two different topics to me yeah um DIY absolutely keep doing it because I love hearing these
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stupid Trends it's awesome Like Potatoes on your face is definitely going to work I love the Tik Tok Trends um no I
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mean di DIY stuff probably isn't going to be very perfected but also
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prob but I do like hearing the trends so um I mean DIY gets a little more risky
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although it's still probably not all that harmful to try but if you're mixing stuff together that can be irritating
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gets me a little worried yeah but in general en go ahead and try them I feel like there's like a sugar scrub one where it was like a lemon and you put
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sugar on it that makes me want to cry so I have such sens to the skin I was like not
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going to be trying that one um you're going to talk about my website in a minute and I'm and I I'm The Frugal Derm
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but I haven't posted for a couple years I'll get back to it when my twins get a little less crazy you just had twins everyone congratulations but yes congr
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you go that's why I'm not posting you get a pass Okay so the whole concept I
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created that social media presence for was I think that there is a huge need
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and a huge want for people to know is the expensive stuff worth it yeah yes
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and I am a product minimalist I think that in general the answer is no I mean
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I would never buy a skincare product for over $100 because I mean the the stuff
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you find at the store cave Cetaphil Neutrogena
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Olay I really like L Ro p i mean these companies have tons of
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money too I mean these are like these companies are worth a lot of
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money and they have a lot of money to spend on research and development right and these products are awesome so I I
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mean I'm not calling people who buy expensive products um glal but it's not
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worth it for me I think the marginal difference between a a a grocery store
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product and the expensive products you're going to get is just the marginal benefit is not worth the price T like
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how much more can you get for $50 more dollars you know like what is worth $50
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more dollars to put I there are a small handful of products like skin cutical
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makes this $50 C fuic MH vitamin C is a
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finicky molecule that needs to be stabilized by Fric acid You could argue
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that that's one that you're going to get a lot more benefit out of that than the drug store brand but I think those
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examples are few and far between yeah so um anyway retinol products I know that
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that's they're get a little pricey but do you recommend that yeah so I think worth it um I think when it comes to
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retinols you're you're basically deciding whether you want to do an over-the-counter strength or a prescription strength okay and so to me
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I think plenty of Brands make a really good like adapalene gel which was
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prescription only until a years ago and then different is the brand that came out with the first over the counter now
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there's like I think five or six maybe more brands that make a daping gel I
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really like L Ro POS as a brand but I mean Neutrogena makes it now and I would
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argue that uh I tell my patients I'm fine with any of the brands so I don't have a strong preference adapalene if
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you wanted to get a prescription strength but overthe counter retinol adap is a great one to go with I don't
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have a great a strong preference on brand my patients ask me like am I okay
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to keep using this I'm I usually say I'm fine with it because my only concern is is it something that's really irritating
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and S for example if I'm treating acne and I'm prescribing something that I'm
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obviously prescribing the active ingredients that I think the patient needs yeah so if you want to keep using
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your own products because you really want to use something that's organic and natural um in general I'm fine with it
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but my are going to be a little bit irritating and if you're also using products that are a little bit irritating I don't want you to get too
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irritated and not be able to tolerate my products because I'm prescribing what I think you need but for the average
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person who just is a little leery of um traditional medicine chemicals wants to
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go organic and more natural products I think it's totally fine I think it's
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totally fine but let me give you an example yeah pumpkin seed oil has
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anti-androgenic properties and can be used to treat uh androgenetic alopecia
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male and female pattern hair loss the only time I would recommend it is uh someone who wants to be organic
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and doesn't want to take a medicine because finasteride is a medicine I take
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for male pattern hair loss and it does the exact same thing same mechanism but a lot better and we know more about it
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and we've studied it more MH so there are some people who just want to use some something organic and sure
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use pumpkin seed o that's totally fine if you want something that we know more about and have studied dosage and does
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the same thing but is better and then I'll give you the medicine version yeah uh for topicals like a lot of people
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love their essential oils my only problem is that all the evidence behind it is
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anecdotal I mean obviously Eastern medicine has used these ingredients for a lot of years for a lot of different
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things and I'm not saying there's no evidence behind it these essential oil ingredients have
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certainly have medicinal properties but these days it's mostly just marketed by
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the companies that produce it and they say it does this that and that and that and everything and that's when I get a
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little skeptical because there's no way that like it's too good to be true at this point there's no way that lavender oil there's no way lavender oil does all
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14 things that they claim it does mostly gives me a headache I love lavender oil
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so yeah it's more expensive and less accessible to come see a dermatologist so I I really the skin is
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durable you can you can try most things with with little repercussion but I
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think our personalized recommendations are obviously going to be a little more strong and effective than the average
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counter stuff yeah yeah so what you're saying is if you have questions make an appointment then you can find out what's
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specifically good for you right all right so before we finish I kind of
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want to know do you have a story of maybe a patient that came in and kind of had maybe a not so normal diagnosis that
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you want to share with us I'm I'm gonna quickly go through just a couple okay um okay so I had a teenage boy who had
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recently gone on a senior trip to uh I think it was Costa Rica and he he had what looked like an abscess like a a
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raised kind of boil on his leg ouch but it wasn't red or inflam
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I can feel what it is so it wasn't behaving like an abscess
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and so I'm like well let's numb it up and let's see what we're dealing with here and as I start numbing I see something move I was waiting for it like
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it's going to start moving it's see something move and what's funny is this was a teenage boy and I'm like I think
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there's something living in there and he's like let's go he was so excited a teenage girl would have been screening
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or a grown or me so it was a botfly
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and these can get you know when you're in in Central South America and it gets they lay their eggs on your clothes and
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then they Burrow under your skin and so delicious so anyway I I think this is on
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my Instagram on The Frugal DM I think it's one of my early videos where you can see me just pull this Botfly larvae
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out that was a fun one we're going to go check that out right after yeah and I didn't need to send it in for pathology
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and he's like can I keep this and show my friends so we put it in a formal cup and there you go I love it um couple
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other interesting cases we had a lady a few months ago who had what we call flatulate dermatitis and so it looks
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like like a bunch of streaks on her back okay
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and I just remembered from a textbook that you can get it from shitake
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mushrooms and I was like this is a long shot weird question but did you by chance eat any shitake muffin and she's
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she like well my mushrooms were about to expire so I just cooked them all up last
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night and ate them so you get this weird like uh this very distinctive pattern
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where it's just like a bunch of streaks on your back and okay I remembered that I read in a textbook one time yeah
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exactly I thought it was a long I love when you just pull this random thing out of like like she's like why would you be
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asking me about shitake mushrooms but you're like the real life like a genius it's awesome I never would have ever
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guessed that mushrooms could do that they do a lot of um there's this interesting rash called
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phytophotodermatitis okay phyto is plant photo is Sun dermatitis is rash and so
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it's often from uh it's often from limes but what happens is when the um there's
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I think it's like fumin is the chemical that's photosensitive so when it's exposed to sun and it changes the
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composition and it makes it more irritating and so the weird thing is you get these weird patterns of rash like we
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went to nexo with some friends a few years ago and she had fingerprints on her arm and then I I often see it like
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like drip marks you can see like this weird pattern rash and you can see like linear streaks from the drip marks it's
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another one I love because it makes me look so smart cuz I'm like I'm like did you by chance go to a beach and did you
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by chance eat any limes there and this kid's like I love limes and I had a whole bag there so what you're saying is
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in the summer when you're going to Fizz and getting those limes just don't go outside with yeah
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exactly the last one I wanted to mention was a guy who had what we call allergic contact dermatitis allergic
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eczema um TMI you get this in the around the
23:17
rectum okay so when you get itchy around the rectum I always ask the question do
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you drink a lot of soda I kind of ask about foods that contain a certain chemical this guy came familiar Terra
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this guy she did that she had to do a flyer
23:34
on that oh one of our doctors yes I was like what are you talking about I'm
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going to tell your ghost she telling all my it's not a personal thing it was just for I did a flyer on I'm to say it wrong
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purus anus I think yeah pus anus P thank you yes say it we're just marketing
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literally we're marketing got s it but yes I made a brochure for that one day it was a great day so yes parius anai
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thank what this guy was presenting with and he's like Doc I think I'm allergic to Sugar cuz every time I drink Mountain
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do Cod red and eat Arby sauce no actually no I mixed that story
24:11
up I mixed that story up because he came in saying I'm allergic to Sugar I feel like when I eat sugary things this gets
24:17
worse I patch tested him and he was allergic to Balsam of Peru which is this
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fragranced flavored molecule that's in uh dark colas especially Dr Pepper in
24:30
tomato sauces and it's in some citrusy things and some spices and so once we did the patch testing we were able to
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narrow it down and we found out it was his Mountain du code red okay and the RV sauce and the RV sauce combined that's
24:42
all get you and every time he eats those but I thought it was funny CU exactly those I thought it was funny
24:50
cuz he thought he was allergic to sugar and we were we were able to figure out but I do that's a condition where um
24:56
well you ingest food with that and that's where it comes out so that's where you get itchy but we found out it
25:02
was his Arby sauce and his code red so there you go we know now the two combinations not to put together do not
25:09
mix probably shouldn't mix for anyone you can probably get away with it some people but maybe just it's all right and
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if you do have an issue I get a brocher for it so yes can fix you I thought
25:20
those were a couple of fun cases yeah I love that thank you for sharing those okay so clearly we've talked about
25:26
my freckles so yes I have to used a lot of sunscreen and yes I GRE up in the '90s where I wasn't using sunscreen I
25:32
was going to the tining bed so can you give us some recommendations on what SPF we need to be using you know if I work
25:39
indoors all day do I need to have the SPF in my moisturizer tell us about our sunscreen uses that we should be doing
25:45
today I'll give you my my concise bullet point recommendations okay more
25:50
important than the number SPF you're using is the is how often you reapply and to be completely honest one
25:57
of my patients come in and they're like I use sunscreen I still got sunburned my sunscreen didn't work I'm like
26:04
BS I use like my my favorite sunscreen is this uh equate sport that I got at
26:12
Walmart yeah cheapest stuff you can get because it comes in a huge bottle and it's got a pump top which just I've got
26:18
six kids and so it's convenient yeah cheap it's a lot of lathering a lot of lathering I start with the palest ones
26:25
first and um and so I use the cheap stuff I know it works I use it on myself I burn
26:32
easily I know it works it's about how often you reapply okay I'm fair skinn and I burn really quickly and so I love
26:39
boating when I'm out boating I'm my wife still makes fun of me um but I'm
26:45
reapplying like every hour okay and I'm convinced that I could use like SPF 5
26:50
and still not burn as long as you're reapplying more yeah is there a difference between the spray the lotion
26:55
and then like you know the ones with zinc in it let's say you know where you end up being white like a ghost but is there there are differences okay but not
27:04
not terribly important I would just say the most important things you need to know know are yes the higher the SPF the
27:11
better that is important to say the higher the SPF the more protection you're getting but more important is
27:16
just how often you reapply I use the sprays I use the lotions um I personally don't love the
27:23
mineral sunscreens with titanium and zinc just because I'm already pale and they don't rub in well they do not and
27:30
so there are a few that rub in much better but in general even the sheer
27:35
stuff doesn't rub in awesome um technically there are some advantages to those especially if you do want to use
27:42
fewer chemicals sure go with a mineral sunscreen that's great I was trying to save the turtles that is why I bought that one there was that whole thing was
27:49
like if you use yes mineral sunscreen you're killing killing the turtle yeah
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um yeah the chemical sunscreen just rubs in in better um and then my last recommendations on sunscreen
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is use a facial moisturizer that contains SPF okay and I think most women
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use a moisturizer I think most men don't but they should probably start because here's the thing photo aging is
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such a real thing I don't know if you've seen that photo of this guy who was a trucker and the side of his face is
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exposed to the the um light through the through the window right over the years is like so
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many more wrinkles than the other side yeah so even if my patients aren't really thinking about skin cancer photo
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aging and wrinkles yeah should be enough to make you wear your sunscreen and if you're just relying on okay I got to
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remember to put on my sunscreen before I'm going to be out well there are plenty of times where you're out for a lot longer than you expect right and you
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get a lot of light I mean I am indoors all day but I
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still just I'm in a wear a moisturizer anyway I'm dry anyway might as well wear one that contains SPS just in case and
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that way my total hours of sun exposure I get over my lifetime is cut way down
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because I've just got SPF on my face without having to remember okay I got to put sunscreen on before I leave my the
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one I'm using now is a Neutrogena Hydro Boost with SPF um and it's a good one rubs in well
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I like the texture there are plenty of good uh moisturizers that contain SPF but you if you don't wear a moisturizer
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I think you should start because I think that's the easiest way to to prevent photoaging like number one I think it's
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a little bit silly that people get way down the rabbit hole with anti-aging stuff yeah when they're not really
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consistent about sunscreen because you're you're going to get a lot lot lot more bang for your buck wearing a
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moisturizer with SPF daily on your face than any combo of retinols and vitamin C
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and everything more sunscreen less Botox is what you're saying so it's going to even out if we have
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if we use more sunscreen now we don't have to pay for as much that's exactly right it's money saving I love it thank
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you so much we appreciate you coming on sharing your wonderful words of advice and your knowledge you're basically the
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house of Dermatology but if you once again want
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to follow us on this is this normal doc Journey um be sure to follow us on our
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social media we will be having other providers on here from different Specialties and they may be something
30:31
that you have genuine questions about so please follow us follow Dr inis on his
30:39
social media and his website The Frugal promise The Frugal Derm but what he has
30:44
on there now on his social media is really informative and educational so you can go now and look at the videos
30:50
that he had years ago still relevant information right and the and the website The Frugal derm.com has uh Dr
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in's favorite recommendation product recommendations or something um and I've got broken down by category I
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was actually looking at this last night it's super helpful yeah so you know like acne or anti-aging I've kind of got I'm
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not even making any money on it no affiliate links yet open to it but if you can help me I'll make some
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money uh but yeah I've got my product recommendations on there yeah it's awesome um so go follow him on his
31:24
accounts for some great tips cuz he's going to start posting again he said so are you currently seeing patients at
31:31
this time like accepting new patients yes perfect yep so if you want to schedule an appointment with him you can
31:37
call our appointment line and you can schedule an appointment with him because obviously from what you've seen today he
31:44
is very knowledgeable and he can help you make your skin that much better hair and nails hair and nails as well that
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thank you once again this has been is this normal Dock and we will see you
31:58
guys next time
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