Skincare Dupes, Medical Tourism, Ramadan Benefits, & Allergen of the Year | Doctorly Unhinged EP #6

[@laurasalado2429]

Never thought I would listen to an hour of a derm podcast, but I was happily surprised on the quality of the conversation. Thanks for the great content!!!

[@Doctorly]

Thanks for listening! We honestly appreciate it so much

[@debbieskora7907]

It was very refreshing to hear Dr. Shah talk about the American cultural bias of being the "best in the world" for everything. As an expat living in Europe, I learned really fast that that isn't the case. Between the FDA, the insurance company red tape that keeps healthcare inaccessible to so many people, and so many other inherently American bottlenecks, people in other countries have easier and cheaper access to good healthcare and medicine. I've had great dental work done cheaply and quickly in Spain, cosmetic surgery in Germany for significantly cheaper, and found that both prescription and over the counter drugs are much less expensive. I have never felt that I needed to wait for a trip back to the US to have any medical procedure done.

[@Amidreamingnow]

so refreshing, that thought is so outdated, i live in Mexico, a very developed country with it's wrogs as everywhre, but we are not, in burros y sombreros, as american culture steriotypes us.

[@mofiasorbin5838]

medications are cheaper only becauase the cost is covered generally by taxes. So is healthcare. You don't get to choose your doctor, you do't get to choose where to be seen, you get sent to specialist. You don't generally have prompt access to specialized tretametns due to the long waiting lists. Dental work I've not noticed a difference between most EU countries and the US. in fact most europeans get their dental work done in Croatia or Turkey due to costs being way cheaper there. Also I always like to think when someone considers something ''cheaper'' what originates that judgment? Most Americans will say life in Europe is cheaper, and that's only thanks to US incomes, for natives it's generally not perceived as cheap because their incomes are proportionate. to the costs.

[@anastasiabila9504]

@@mofiasorbin5838 Your comment is really funny. You can definitely choose a doctor in my country and in other European countries I've lived in. There are no 'long waiting lists' for specialized treatments if you've got insurance. I don't know anyone who goes to Croatia or Turkey to get dental work done, and I have many, many friends. Where did you get your info about Europe, Tiktok?

[@mofiasorbin5838]

⁠@@anastasiabila9504I was born and raised in Italy actually and I lived there my whole life. What is call ULSS which is the health department for each county assigns you a PCP. Most of my old colleagues would go get dental work done in Croatia - but again the costs are exactly the same for dental work now in the US. Might be better in other European countries but most people brag about Italian healthcare system which is in fact very broken. I watch the news and talk with old school mates employed by hospitals in Italy a little research might get you a reality check of what actually looks like.

[@mofiasorbin5838]

@@anastasiabila9504I also like how you say there are no waiting lists if oh have insurance… the nationalized healthcare system in Italy is not based on insurance so the waiting lists for specialists ARE LONG. And most people end up seeing private doctors paying out of pocket to be seen in a timely manner. Love your assumption about tik tok tho, just don’t even have a tik tok km sure you do tho lol

[@michellelandreth89]

The cuteness of Dr. Maxfield trying to get the focus right ❤

[@i.t.t.]

This is exactly the type of podcast I want to listen to. Rational, logical discussions by intelligent and educated people who can have an interesting and informed debates based on personal and varying opinions. I hope you'll bless us with more of them.... About the medical tourism part of your discussion: I live in Japan, where health care is also not free and I've had way too many negative experiences to rely on the system, for the price that I pay, for anything that isn't urgent. I go Thailand and for a fraction of the cost get all the need I get, anything from physiotherapy to mental health and dentistry. They have highly skilled and trained doctors (at their own excellent universities or abroad) who can solve your problems in record time and are equipped to deal with people of all backgrounds and races. I couldn't get any help here for my skin issues either as they are not trained or have the necessary instruments to deal with deeper complexions. You just need to do minimal research to find which hospitals are accredited and have a good track record. The trouble is if something goes wrong (for example COVID) and you need to have the time and money to go back for follow-ups or claim the guarantee of the procedure (as Dr Shah elaborates). I had such a problem with the dentist's clinic I was seeing but once I was able to go back, they took care of me in a way that made up for any of the issues I faced, which weren't even their fault at all.

[@duniaibrahim700]

Watch Doctorly all the time. Loved hearing them talk about Ramadan. Yessssss!!!❤

[@laibanush5431]

My acne always gets better during Ramadan fasting 💚 Alhamdulillah

[@SarahMcAshan]

This episode is fantastic! Such thoughtful yet playful discussion--more of this, please!

[@Doctorly]

Thank youu!!

[@jonniduncan7256]

LOVE having the 3 doctors! That 3rd brain to throw ideas and opinions on makes a huge difference!!

[@cheapdiamond92]

speaking of dupes, was wondering if y’all could cover the Sol de Janeiro Elasti Cream and Bum Bum cream? the company claims the products tighten skin and the other increases elasticity - and trader joe’s came out with their own firming body butter with glycolic acid. I would just love to hear your thoughts on the products for skin firming/tightening/elasticity, love the channel!

[@debbiekelley4368]

Love Dr Maxfield !! I like how he explains things and his demeanor is spot on👍👏👍👏

[@stevenherrera4496]

On medical tourism: I've never gone for surgery in another country, but I do order my sunscreens from London and France. They have a higher quality product in Europe. Its probably the only part of my skincare routine that I really splurge on.

[@madamz7]

As someone who lives in London I’m curious as to which sunscreens you use as I order mine from Korea! At the moment I’ve been using one from Tocobo, I’ve found a lot of the London sunscreens are irritating to my eyes 🥲

[@bibsbeezASMR]

Any European brand sunscreens u recommend?

[@kati7082]

Loving the unhinged. 😂. Very interesting podcast. The hour flew by. I do love to watch Dr Shaw and Dr Maxfield. I know that you currently aren’t in the same city but I hope that you keep doing these and that you don’t replace anyone here.

[@nwildcat]

really appreciate the new perspective and their willingness to push back on some of these topics. more third derm doc in the future!

[@H-fd4wc]

Loved Dr. Bishr!!! His take is great and has good energy

[@lygophilia4127]

Merriam Webster dictionary agrees with Dr. Shah on petrolatum's pronunciation, much to my surprise.

[@elizabethonstage]

I just adore you guys. Informational, hilarious, trustworthy- you guys always leave me feeling empowered and with a smile on my (moisturized) face 💗

[@TRU3-LOV3]

Just stopped by to say thank you for all the time you give to your passion. I watched a video months ago and started using a product recommended…and I’m just so happy with the results I am seeing. God bless you!

[@Stormy575]

Have you talked about anti-aging subscription services like Agency and Proven Skincare anywhere? If not, would you do a video on the subject? I'm curious whether they're worth the 💰

[@Lorrainecats]

Wow, are ALL dermatologists breathtakingly handsome?!

[@maryedge8666]

LOVE the discussion of ancient wisdom and the value of it. More of this, please! Also, could you please review Artistry vitamin C + HA serum? And the Artistry Ideal Radiance SPF 50 face sunscreen?

[@cfvcafrava3162]

Thanks guys for doing this, it’s very helpful hearing from professionals like you.

[@karalisr4351]

Very much enjoyed this conversation amongst the three of you! 🤌🏼

[@corrinamarie454]

I love that you specifically mentioned vitamin C. My skin reacts to almost any vitamin C. Skinceuticals was one of the only ones my skin could tolerate. The “dupes” I’ve tried have caused reactions ranging from itchiness to full blown hives. Now I just try to avoid vitamin C altogether rather than mess with it.

[@kimlynn924]

Loving the new podcast. Entertaining and educational!

[@michellevega1523]

Loved the podcast form..was informative,professional and really nice to have a guest.Yoy guys are the best!!!❤

[@eloisepharmacist]

With allergens - I always just remember being told "anyone can be allergic tk anything". Yes, certain chemicals are more likely to trigger reactions, and certain people get triggered more easily - but never say never! I have a family member allergic to steriods and another go petrolatum!!

[@VikingJay17]

I stand behind Dr. Maxfield 100%. I've tried dupes. For fast acting you want the actual ingredients. Nothing like having the full amount of the active ingredient, not watered down or a small amount of that active ingredient.

[@dooksofhazard]

Your points about dupes are really thought provoking. As someone who doesn’t necessarily struggle financially but I do have to spend thoughtfully (I’m not rich 😅), I do appreciate having access to “dupes” but I can totally see your points about companies not really wanting to invest in innovation if it means all their hard work can just be copied with no ramifications. I did notice that, at least in Canada, the Drunk Elephant VitC is different now though. It’s a powder that gets mixed into a liquid. So it’s definitely not the same as SkinCeuticals anymore.

[@beautypoppodcast]

One of my favorite podcasts! The content has been informative and fun. Keep it up!

[@jerry6463]

As a pharmaceutical sciences student we're taught that for small drug molecules generics usually have equal if not identical effect, but for biologics there could be a much bigger difference because the way it is produced, and the folding of the protein, and post translational modifications, and contaminations in it could be very different

[@jessicad4364]

Weird thing about generic vs name brand. I have been on ADHD meds for ten years. Medication is far too expensive so I get the generic. However I once had great insurance and has the name brand for three of those years. The generic one gives me anxiety but the name brand does not

[@rattiemomma]

Nosy question, feel free to ignore: Was it dextroamphetamine-amphetamine? I'm generally fine with using generics, but the Adderall v. Generic (and differences between generics) issue has been an even bigger shemozzle with the shortage. I'm on Vyvanse now, but it has been a whole thing with my kid.

[@thea-na]

My skin gets itchy when I use Aquaphor, now I know why. Thanks for sharing your knowledge and wisdom :)

[@kimshan3101]

Literally the perfect combination of informative and fun. Thank you so much❤

[@hollyw9566]

This was so much fun! I love these Doctorly Unhinged episodes. Have your guest on here again!

[@Missywatches]

I work in infection prevention and medical tourism scares the heck out of me when you consider multi drug resident organisms. If more people knew about them, they would be hesitant to receive healthcare internationally.

[@copycat512]

Happy Ramadan🤲🏽❤️

[@21972012145525]

Omg im excited for this one and will try to watch the whole thing. Great topics

[@desireegonzalez3479]

You are all super interesting and I enjoy how you explain things. Saying hi from the Dominican Republic. I'm very glad I found you here in youtube.

[@dodgygeezerdandy]

Thanks Dr Bishr. Dupes are so good for us folks who don’t have the money to pay for these overpriced skin care companies.

[@lisavallejos3107]

I agree. Once I could afford the Supergoop dupe, I was compliant with sunscreen for the first time in my life. This is especially true for reapplying every few hours because I don’t worry about using it up

[@maryedge8666]

Dr. Shah calling Dr. Maxfield “Luke” at the beginning threw me off for for a second😂

[@Sseana.k]

Love the videos can you please do more recommendations on korean skincare for all skin types And what are good affordable skincare for acne severe scarring with combination skin And products for sensitive skin with bad pores

[@beautybydez]

What a great episode - so much useful intel on such a wide variety of topics! Maybe you could suggest Peruvian Balsam as allergen of the year in 2024 as apparently I'm allergic to it, according to patch tests 😊

[@fatma_2024]

Great content, please more of this podcast videos on youtube 👍🏻❤️

[@MoonCat33]

I’m so happy you guys are doing podcasts. They are informative, hilarious, and enjoyable to hear. 🎉❤👍

[@Rachel-art-and-design]

The menstrual blood stuff made me sick. 🤢 The snail mucus stuff reminded me of one of the SpongeBob movies. The king kidnapped Gary for his mucus for his beauty treatments. Gross. I prefer the chemical compounds that mimic the benefits personally. Love your podcasts with all the information. Awesome work.

[@paulinaborja3964]

Great podcast ! I will look into fasting now

[@jgoldfarb3]

I absolutely love these Podcasts, they are so good, professional information given with big smiles😊A+++

[@abbyscomplete1804]

Lancôme and Estée Lauder skin care are soo expensive and seems very popular. Do they actually work? I never hear y’all mentioning them

[@dionline88]

I know when I ordered and used Lanolips lip balm, a layer of skin came off my lips by the next morning. I absolutely agree with that decision!! My lips haven't been the same in months!!! Great podcast and adding Dr Al-Dabagh was very interesting, too!! Thanks guys!!

[@madamz7]

I’m only ten seconds in and Dr. Maxfield is so cute 🥲

[@taaa8101]

Please make a video on supplements for clear skin such as omega 3, evening primrose oil, etc

[@rosallumetta2864]

The content was awesome in understanding why people do what they do!

[@rebeccadietrich8925]

I prefer the Timeless or Pura d'or vitamin c serums. They are the right ph and inexpensive. I love the elf holy hydration line!

[@howcouture]

We need more Dr. Bishr!

[@newtaylor]

Another good episode. You guys are awesome 👏

[@marama3997]

Is having our cuticles removed during a regular mani/pedi bad? What do dermatologists recommend when it comes to regular manicures?

[@midlifemom5829]

YT channel the Salon Life explains that what we know as the cuticle is incorrect. That skin is really called "live skin" while cuticle is the white layer on the nail plate that can be pushed and cleaned away.

[@marama3997]

@@midlifemom5829 Thank you

[@midlifemom5829]

@@marama3997 , you're welcome. Salon Life recommends never trimming "live skin" which may cause infection. Rather she suggests very gently pushing it back with orange stick , while cleaning off the cuticle, then moisturizing hands and finger nails . This should ensure healthy looking nails

[@samcey2911]

Petition to make Dr. Bishr a regular!

[@clanausse]

Yes

[@Sag-nonsense]

Agreed I like having a third input

[@skyleawood2649]

Agreed. He brings a good balance to the conversation. Guys, I like that you focused on science and vaulted yourselves beyond just "pretty faces". It's important to those of us looking for proof of efficacy in the BS tiktok world. ❤

[@paulinaborja3964]

Yes !!!

[@MsTheef]

Yass!

[@ingrid48]

Timeless Vit C is great!! Just as good as Skin Ceuticals

[@marybaudoin3711]

Absolutely! And at $26 compared to $185! Can’t beat it!

[@taaa8101]

Can you please make a video on papular acne scarring / pebblestone acne scarring that commonly appears on the nose and chin? It is an extremely underdiscussed and under treated scar type and I would like to know what the treatment options are. Thanks!

[@karenkay8928]

Great podcast! Thank you.

[@Amy_Nicole_Sabas]

i'm sorry but the concept of "allergen of the year" is fucking hysterical 😭😭 i could not take it seriously like why does it sound like contact allergens are receiving awards at a red carpet event 💀

[@howcouture]

hahahahaha

[@rhodanottingham8282]

Love this podcast. The Dcotors are highly intelligent, funny , and adorable.

[@Krissykaypie]

Ok, I sacrificed my normal true crime podcasts for this during chores to support you guys BUT I was genuinely entertained the entire time. Killing it!!! ❤

[@KellieBell]

I swear, every time I use a product with lanolin my hands or face, I get itchy red and irritated. First encounter, I kept applying more and more moisturizer, because the worse it got the more I thought I just needed more.... Until my face was bright red all over, like that Saved by the Bell episode where Screech makes a zit cream. My mom checked the ingredients and was like "yeah, I'm allergic to lanolin, probably you are too." I had to stay home from school for a week because it was so painful and embarrassing. Everyone is such a huge fan of Aquaphor, and when I first heard Dr. Kligman's lanolin hypothesis, I decided I must be crazy and my mom was wrong. So I tried it a zillion times for occupational hand eczema. Every time, it only made things worse. Finally went to a derm and tried plain petrolatum, it was like a miracle. Cerave ointment great as well. I DETEST Eucerin for claiming to be hypoallergenic and putting lanolin and all the worst sunscreens in their products. In my early 20's I didn't really look at ingredients, just assumed that something with "hypoallergenic" labeling couldn't possibly be the source of my irritation, and it was one of the only big sensitive skincare brands. So many frustrating experiences. I've had back patch testing, didn't show any reaction. I suspect that the moisture barrier of my back is just in a lot better condition. True allergy, or just irritation? Does it even matter? I'm not a doctor but I swear it can be legit problematic, and Dr. Kligman can suck it.

[@fatma_2024]

Very usefull conversation, thanx a lot 👍🏻

[@isagoldfield7393]

We love this podcast🌼💜🌸

[@BeverlyKenworthy-un6xd]

Docs! I can tell you that most of your skin care advice doesn’t address someone with red hair and fair skin. While it it safe to say that true red heads have sensitive skin, the daily recommended routine - despite your age - doesn’t address the red headed complexion: would love to see you talk about that because I flush so easily and have spent so much money on products that make my skin flare. We are a small percentage of the population but we are still here and need some advice!

[@Knk.07]

Very interesting podcast! I really liked the discussion about dupes and allergens 🙂

[@drucillaadeniran52]

Topic idea: thoughts about adaptogens to decrease cortisol? And effects of cortisol

[@aliveinheels4540]

I love your Doc partner. Sound and not influenced. Of course stealing IP is NOT okay. That’s why we have the PTO and associated rules regarding parents. Skinceuticals did the work and exclusive rights to their formula for many years. Once it became “generic” and the parents had expired, others stepped in so that we were not held hostage paying $188 for a bottle of VitCEF.

[@21972012145525]

Question: when cholesterol is present in skincare, is it lanolin derived? If we have a confirmed allergy to lanolin should we avoid cholesterol too?

[@jasbegs1258]

Thanks for this- you both look beautiful.

[@jessicad4364]

I saw Ramadan and my mind studying for school thought Ramachandran and I thought you guys were going to talk about the benefits of alpha helices and beta sheets 🤦 Ramadan Kareem!! 😅

[@kathleenlim7890]

Just found your KZbin channel yesterday and love all the great information - especially about brand name dupes. One thing that still left me confused was the difference between the trader joes and supergoop unseen UVA protection. How is Trader Joe's Broad Spectrum comparable to SG Unseen PA++++? Some won't mind spending extra if supergoop's UVA has better protection. I felt like I would get a faster response here since the other video is 9 months old. Thank you in advance!

[@kellystevens-comstock2841]

Love the podcast !! Sitting here in my 80 patch tests letting those marinate for a few days. Lol.

[@chd.esthetician]

Love the comedy between you two 😂

[@Chumochi]

I have a controversial question, Does UV cameras work? I am specifically talking about the ones where you can see your face darken in color when you apply spf. I guess its to see how effective is? It seems gimmicky to me lol hopefully you guys make a video regarding about this topic one day!

[@julieklesta5418]

Great having a third doctor!

[@pietramatina4827]

Hi Docs, you two are awesome! Love all your content. Just wondering if you could do an opinion on skincare lines. I’m 55 yrs old and was wondering what you opinions are on the Dr. Denese skincare line? Would be great if you could critique her products.

[@palalabu]

eating fried food and sweet food to break fast is universally relatable lol

[@Louisbeth]

You guys are awesome!!!

[@BLACK.ANGEL.]

CNN article: *"Not so fast: Ramadan sees rise in binge eating and A&E cases"* Article: *"The Economic Impact of Ramadan on the Food Sector"* Article: *"The puzzle of self-reported weight gain in a month of fasting (Ramadan) among a cohort of Saudi families in Jeddah, Western Saudi Arabia"*

[@kellydean9373]

Thank you for your wisdom

[@bikinnut]

Love you guys ! Have you tried products by Naturium ? Great quality and value, I’d love to hear your opinions!

[@primordialmeow7249]

RN and skin care freak here guys. Love your info., expertise and personalities. Please address the increasingly popular trending of: 1. Methylene Blue, and 2. Tepezcohuite in skin care. ❤

[@Amy_Nicole_Sabas]

i believe they mentioned on a recent livestream that they'll be tackling methylene blue in one of their next videos! super excited to see that one

[@shereebongo]

Profilho has been around for a few years in the UK. Tried it once and it was amazing from a plumping and brighting POV. I tend to trust UK, German and French products over US stuff for some reason... maybe proximity bias 😅

[@sabrinaverducchio5657]

I would really like to hear your opinion on Growth Factors skincare.

[@traceykoontz2868]

Hey breastmilk heals everything. When my babies would get a little red on their bottoms I would put my milk on them or any other type of small boo-boos, and I would put it on any pop up pimples too cleared them like in a day.

[@bonniewinkelman2614]

You guys are great. I live in NYC and my Derm wants to review my rashes , but when I ask about anti-aging or hair, his answers are always -'stress' or 'buy the stuff up front. NYC has quite of few cosmetic derm docs but they don't take insurance, are expensive, and most are booked 6 months ahead. Can I come see either of you and you can see my almost 68 year old skin (with 15 years of prescription Differin .3% xp ) and a heavy user of sunscreen spf50 most of the time..(Yes I will come to North Carolina (my dad lives in Asheville.).

[@scrumptious9673]

Love this

[@duck_ftw]

Would love you guys to review the brand goldfaden md it’s pretty pricey just want to know if it works as well as I think it does specifically the radical difference product

[@devangel3614]

I would love the idea of dupes. But even with generic drugs there have been found to have key differences over time. For example for years asthma control was based on time release theophylline. When the generic came out, patients started having theophylline levels that in some cases varied markedly from levels of the brand name drug even though the time release dose was the same. The problem was with how the tablets were bound. And this was in a drug with a narrow therapeutic window. So if it really matters and it's not something as basic as buying vitamin C in the correct form and ph, I will go with the better item when it's a key product.

[@catsyyyyyy]

Do a video for body skincare please

[@kathleenmcgonigle]

I agree with Dr Bishr Neutrogena Hyro Boost gel cream is great!! Think it would a dupe for Tatcha water cream.

[@shroogamlas808]

Very nice podcast 👏🏽

[@rattiemomma]

I could be completely wrong, but I thought the problem with "naturally harvested" urine treatments was that urine was sterile right up until it leaves the body and unless you have some extensive, specific hygiene routine in place for collecting urine one intends to use therapeutically, you don't have a sterile product and you have the general contaminants of that whole region. Either way it's a hard "no" from me, but I thought I'd throw that out there for discussion.

[@tee8786]

Need more Dr. Bishr content! 🥲🥲

[@kenziedicken9512]

You guys should talk to @abbeyyung about the lanolin thing she had a bad reaction to aquaphor and she could tell you first hand that lanolin is definitely an allergen because shes never had any issues with any other occlusive (cerave healing ointment, dimethicone, etc)

[@bichinbeanie]

You 2 ROCK!

[@md.robuilhossainjishan356]

Please give the combination screen routine