A Comprehensive Look at the Endospheres Studies with Dr. Tonya Butler

In this episode, Dr. Tonya Butler - a sports doctor and clinical research study aficionado who owns a medical massage practice -  and I sit down to unpack the 6 most recent Endospheres clinical studies.

If you're looking for a distillation of all the key insights from the most recent clinical studies of Endospheres, this is the show for you.

Connect with Dr. Tonya Butler at dynamictherapeutics.net

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Transcript

BBS 95 - Dr. Tonya Butler Comprehensive Look at Endospheres Studies

[00:00:00] Austin: Tanya, you are the one that I wish I sat next to in anatomy and physiology because I probably, during the tests, would have looked over my shoulder and onto your quiz answers. , you're the one to cheat off of, uh, if you're in anatomy and physiology courses. So, hi everyone. Welcome back to the Body Beauty Show.

[00:00:28] If you are just joining us for the first time, this is the show that is devoted to all things of beauty and aesthetics and the business of beauty and building amazing, incredible practices, discussing new technology in the aesthetic space and all the like. In today's guest, if I might say, has more PhDs and MDs, not MDs, excuse me, PhDs, I don't know.

[00:00:50] You have so many doctors, Dr. Dots in front of your name. It's confusing. She's smart, and she's joining us today to talk. , all things [00:01:00] Inosphere, and we're gonna go into the, I don't know, there's 1600 different. Just kidding, there aren't that many. But we're gonna get into the studies on inosphere today and look at what we find.

[00:01:10] So Tanya, an hour later through this preamble, thanks for joining. How's life? 

[00:01:15] Dr. Tonya Butler: Oh, thank you. Um, life is good. It's a new year and so what do they say? New Year, new Beginnings, right? 

[00:01:24] Austin: Yes, that's exactly what they say. Whoever they are, and God bless them. I hope they're doing well out there in the, uh, the world.

[00:01:30] All right, so let's get this party on the road. So for context, actually, you know what, why, what I'd say it when you can tell the audience who you are. So Tanya, excuse me, Dr. Butler , who are you? How many degrees do you have? I'm kidding. Give us the brief synopsis of Tanya, Dr. Butler, and, uh, we'll kick this can off down the road.

[00:01:53] Dr. Tonya Butler: So in a nutshell, I'm a sports doc, but not an MD doc. So I'm a human [00:02:00] movement specialist. Um, I have, you know, different areas I specialize in. Um, I'm also a licensed medical massage therapist, not a typical therapist. I don't even know what you do with those rocks, so I stay away from 'em. Um, . So I just, I work in pain management.

[00:02:18] I work on, um, analyzing how people move, um, sports injuries, soft tissue injuries. I was a professor, uh, for exercise science and human movement, working in a laboratory for 13 years. Um, just studying how people move. And, um, so now I have a clinic, uh, specific to sports therapy, medical massage. Uh, we work in pain management, all on soft tissue work.

[00:02:48] And so we do have, you know, one aesthetic. Thing that we do, you know, utilizing the cryo skin machine, but we use it for pain management as well. And so, [00:03:00] I mean, that's me in a nutshell. I'm an adaptive sports specialist, so I work with people with disabilities and, um, help them to have a more functional, productive life.

[00:03:12] Austin: And for those that might be confused by the term movement in her last, uh, set of statements, no, she's not a dancer and she will not teach you how to dougie. If you're looking to move in a new, uh, hip hop and , 

[00:03:27] Dr. Tonya Butler: that is definitely not me. I'm just gonna make sure that you can walk upright and do it without falling.

[00:03:33] Yes. So 

[00:03:34] Austin: outstanding, beautiful in a. Love it. All right, so Doctor of Education, a lot of exposure to different clinical studies, uh, in various domains. You've read a few in your day. Kidding? A lot. And so , uh, I'm excited to comb through. We're gonna look at three specific studies today on inosphere, the study titled Thermographic and [00:04:00] Clinical Data, T C D Code in the evaluation of cellulite treatment by Inosphere Therapy, along with compressive micro vibration with inosphere therapy.

[00:04:08] And lastly, vascular izing action of the compressive micro vibration. Now before we get into this, 

[00:04:16] Dr. Tonya Butler: actually, oh, I love Austin. Yes. Um, if we could, I would like to throw in the treatment of lymphedema, um, where they just at the very end, um, they use the ketogenic diet, um, and the VA lymphatic because they incorporated the endos spheres.

[00:04:37] And I think this will be something that's very interesting to a lot of our practitioners out there, um, who have beauty industries because we talk about, uh, this sort of stuff all the time. And your clients are gonna, um, ask you questions so we can put that last, um, that's a simple study and it's a simple review.

[00:04:58] Um, but I think it'll give you some [00:05:00] really good information, especially being in the new year. Everybody, everyone is gonna ask you about diets. 

[00:05:08] Austin: Okay. Love it. And this is why you are the doctor, and I'm not because you're thorough and that's great, . Okay, so let's, we'll put that in the queue for, uh, the tail end of the show.

[00:05:19] The reality is we could speak for, I don't know, hours on this, and there's such density and depth to this, at least from my non, uh, doctoral lens of being, let's say. So let's do this. To start though, I wanna frame up the discussion today to give the listener or viewer of this, uh, show a better perspective on how we got here.

[00:05:40] Okay. So when I reached out to Dr. Butler, the story goes something like this. I call her and say, hi, you're a doctor. I'm not. I'd like to access your brain and have you teach me how to, I don't know, interpret the studies, what we could extract from it and learn from it, et cetera. Her response was something along the lines of, in spheres, oh, you mean that [00:06:00] device?

[00:06:00] That doesn't work. The one that I'm extremely skeptical of that I don't want to look at touch, see, why are you talking to me about this device? Austin, lose my number. That's how the call went. son's the me nasty. She's sweet and loving. Of course she never said that . Then I said, oh, well that's fine. How about you go get a demo and then we can talk.

[00:06:20] And then at that point there was a, a flipping of your view of the device. And I'm not gonna tell the story. What changed? Why are you now a nons skeptic? 

[00:06:33] Dr. Tonya Butler: Okay, so first, um, I should tell you that, you know, I saw Melanie up in Marianna, Georgia, and what a professional, um, suite practitioner that you have up there.

[00:06:46] Great representative for the company, very thorough. And um, and I told her right off the bat, you know, why I was there and what I needed out of this. And then I was a skeptic . And [00:07:00] so she was so good about, you know, the process of explaining all of it. And I'll tell you a little background on me. I have, I used to be, um, an adventure racer.

[00:07:10] I've done every kind of sport, military. Uh, my body has suffered a lot of injuries over the years and, um, you know, and sometimes I wake up feeling like I'm a hundred years old, so I have aches and pains all over and, um, and I still, I'm not gonna quit. I'm a competitive kayaker now. And so I did not realize, I really thought that this machine was simply, um, aesthetic helping to reduce the appearance of cellulite.

[00:07:40] And yes, I have chunky thighs, so I was all in about that too, so, but, um, I was surprised, and this was before I really started reading the research on some of this. I mean, I had scanned through, um, a lot of the research. But then afterwards it helped me to put things together. [00:08:00] So this machine was originally created to help with pain, um, in athletes at like 15 years ago.

[00:08:06] So the machine's been around for a long time, even though we are just really hearing about it now. And I will tell you, I didn't realize the first pass was uncomfortable. Um, to me it, um, I had pain. It was to the point where I was like almost tapping out in a couple areas and she just reassured me and said, You know, relax, you know, I'm gonna do a few passes on you, and each time it's going to be less and less.

[00:08:33] And, you know, and these were areas that I know I had trauma in, overuse, you know, just different things. And the other thing is noticing where, you know, I hold excess fat, which like most women, you know, out her thighs, butt. And, you know, believe it or not, you'll even hold some in the, uh, lower leg in the calf muscles.

[00:08:55] And so after the first pass, I was [00:09:00] like, I don't know about this , but when she went through again each time, I mean even the second pass was, uh, like. Of the pain and since and hypersensitivity of the first one. And I was like, huh. And then, you know, she, um, I think she did three passes on this. And by the third one, I, I had no pain.

[00:09:23] And, um, and I was actually dealing with Achilles tendonitis also. And I would tell you I get off the table and I had no pain and I had chronic pain for three weeks prior to that. And so I was pretty impressed by just what it did for me related to pain and how my legs felt when I got off the table. Um, and just how light they felt.

[00:09:49] And she did, you know, um, the face, she did the abdomen and it was very comfortable. Um, procedure, [00:10:00] but I just, and I'll tell you, I love the face, um, part of it too. It just, um, it felt, it, it all felt wonderful. But I'll, I'll tell you, it's very interesting when I went back through and was reading, you know, the research and every single one of 'em talk about how it was created to reduce pain.

[00:10:19] And I will tell you, it absolutely did reduce the pain in me almost immediately. So there's that point. Well, now 

[00:10:28] Austin: I don't believe you, right? , I'm kidding. It's an incredible device. And in some sense, you know, doing these shows, people think, uh, they must be paying Dr. Butler to share this or something. It's like, no, if you're a skeptic, call me.

[00:10:43] I will set you up with a demo and you will have the same degree of profound. Effects is a byproduct of your time spent getting a treatment. It's a truly remarkable device. So, yeah, I don't know what else to tell you. Of course I'm biased. You know, Artemis sells these devices, but they're, they're incredible [00:11:00] machines.

[00:11:00] That's why we sell them cuz they're amazing. Right. But anyway, I, I don't wanna attract, well, 

[00:11:04] Dr. Tonya Butler: but matter of fact, I didn't even wanna do this podcast with you because I had no experience with the machine. And I said, you know, I, I didn't wanna speak on the research and just interpret research for you without having any experience or even knowing, you know, what the machine looked like.

[00:11:23] And so, you know, and I would've come back and told you if I didn't feel that, you know, the results of the machine and what it did matched any of the research. 

[00:11:36] Austin: Well, that to me seems like a great segue. So you at the start of the show, I'm gonna do one more little horn tooting here if I may. You said, and I don't quote cuz my memory is tragic.

[00:11:49] So please for the love of God, correct me if I'm wrong here. You said something to the effect of, I don't know why every plastic surgery center does not have this for post-op, I [00:12:00] believe is what you said. Mm-hmm. . Why is that? Why is that right? 

[00:12:05] Dr. Tonya Butler: Well, you know, and I think. Part of it might be is that, um, they just don't know that this exists because, you know, plastic surgery is on the rise in the United States.

[00:12:17] We are a society of very vain people and you know, it is who we are. And, you know, I, in our clinic alone, I mean, we are doing more lymphatic work, uh, post liposuction 360 s mommy makeovers, and we're in South Alabama and we have people, you know, going to Miami on a regular basis for plastic surgery for the BBLs, uh, you know, the Brazilian butt lifts.

[00:12:44] And we're getting more and more and more just to do the lymphatic work, post-surgery. And so this is probably the most I've ever seen in a 25 years of working in this industry. Um, even though I used to work in a plastic surgeon's [00:13:00] office years ago in Atlanta, um, and I was telling you, you know, back in the day, you know, vacuum therapy, which is mentioned and talked about in, um, one of the research studies, uh, they had a treatment called, um, ender.

[00:13:15] And I got to experience that because of working in the plastic surgeon's office, I used to, uh, write the lifestyle plans post-surgery for, you know, basically a general exercise plan, you know, with lymphatic massage to help people keep the results. Bottom line is people aren't going to do it because the whole reason they were in there getting lipo sections because, you know, the, the truth is most people don't wanna exercise and do the hard work to get most of it off to begin with the diet and exercise.

[00:13:43] So it is, you know, the fast track to you. Removing fat, but the ology treatment, , it's kind of funny looking back on it because you would put on these giant pantyhose that would come all the way up to just under your [00:14:00] breast and they would use, you would lay on a table and it was like a go to, um, detail your car and the vacuum, you know how strong that vacuum is.

[00:14:11] It felt like the exact same thing. And they would just go across your legs and butt and it smoothed out the cellulite. But it was very temporary. And so even though you had to do a lot of treatments, it was very temporary. Did it work? Yes, it worked, but it was temporary. And so, I mean, you're spending thousands of dollars doing something that really didn't last very long, which is another reason why you don't hear about that machine.

[00:14:36] And um, and I looked up ology. I was trying to find research on it when I was doing this, and I can't find any. So, you know, which tells me that, you know, if there was research done, which I can't find, um, it probably, you know, did not show significant results in the treatment, you know, of the appearance of [00:15:00] cellulite.

[00:15:01] Austin: Well, in their defense that did create this technology, I want to say in the eighties. Yeah. Yeah. And that was almost pre-internet, so they made a heck of a leap when they released the product. But I think to your point, yeah, it's, it's, it's a little dated or a lot dated, depending on who you ask, but it, yeah, but they 

[00:15:21] Dr. Tonya Butler: used it all through the late nineties.

[00:15:24] So, I mean, um, you know, entomology was used, I think up until, what was it, probably 97. 

[00:15:37] Austin: So, yeah. Well, so yeah, it, it has its place and the stable and, uh, and like every horse, sometimes you have to retire it because you need to just go back on the field and, and nibble on hay, which I'm not saying that's the case here, but I'll let the, uh, the listeners decide of their own accord.

[00:15:54] Of course. Uh, yes. All right. So you went from skeptic to [00:16:00] believer, and that's interesting. And that's a very fairly common occurrence with technicians that know what they're doing when they perform the treatment. Let's then segue to, gosh, where to start. We could talk about the product in a very high level summary.

[00:16:16] Okay. So for those that don't know what Inosphere is, it is a device that provides, uh, five synergistic actions together. And the, well, I'm tempted to withhold because the studies are gonna speak to this, but a lymphatic drainage. Sort of action, an analgesic effect, a sculpting or contouring effect, a vascular izing effect.

[00:16:41] Mm-hmm. . And these all together work in collaboration to produce aesthetic changes in conjunction with physiological changes, improvements on other wellness aspects. Again, things like improvements of vascularization, improvements of lymphatic drainage, and all these other effects that, again, [00:17:00] together create an improvement in things like the reduction of the appearance of cellulite, for example.

[00:17:05] Mm-hmm. . Um, which is how the product is largely being utilized in the stage or from positioning standpoint. But it does have these other backstories or the history of the product is, uh, Dr. Butler mentioned it was created initially, it was almost discovered and if you look at the, uh, or listen to the show I did with Luca from Phoenix, I asked him the question was in spheres created or discovered?

[00:17:28] and he said it was a mix of both. And what he, what he was getting at is that it originally came to be, I believe, as a Heider Showerer, and they realized, oh my gosh, there's this bizarre effect, positive effect on people's physiology. And then it morphed into what it is today, and you can go listen to the episode listeners, if you wanna listen to the Italian Luca, the man himself, um, to get, uh, that story painted for you a bit more clearly.

[00:17:53] So, Where do we start? We, we can either, 

[00:17:58] Dr. Tonya Butler: well, just a little bit [00:18:00] on the inosphere just to paint a picture. It is a wand that you hold and it, it circulates in the whole point of this and it, because I wanna lead this into the research. It works on a vibration technique, but the spheres inside there work on it's, it does both micro compression and like a vacuum.

[00:18:22] So you feel it. Um, it's a weird sensation, um, but a very stimulating sensation. So as it's spinning around, it's not only compressing, but it's also sucking. And so in a very subtle way. And it's important to know and understand that because a lot of the research when we talk about, you know, um, the micro compression and vascularization.

[00:18:47] what it's doing is when it is spinning and compressing and pulling that tissue, it's stimulating blood flow to the area. And so that's really important to know because a lot of [00:19:00] this research, what they're looking at is the density of the cellulite tissue, you know, throughout. There you go. And so, um, it is so that when it is sucking up the tissue like that, that is the part that, um, almost was, uh, well it was uncomfortable the first time around, but mainly because of the tissue in my lower legs were so bound up and so tight, both due to, you know, overuse.

[00:19:36] Um, , you know, and because of the density of the tissue, the cellulite in my lower legs too. And so we'll talk about the classification of that, but it's important to know that that's how it works. Because when you're trying to stimulate blood flow, when you know those of you out there who are massage therapists, in the last study we'll [00:20:00] talk about, you know, if you've been trained in the Vader technique of lymphatic drainage, you understand that, you know, the lymphatic system, um, is, it doesn't have its own pump.

[00:20:13] And so the way that, you know, we help to move toxin through and there's some great research that actually shows you some thermographics on even just doing, you know, the compression with lymphatic massage, how you can actually see the fluid moving through the tissue. And so, That is basically what this is doing at a faster rate.

[00:20:38] And, you know, one of the, uh, end results is when it increases blood flow to areas of the tissue that are highly dense because of bound up cellulite, you know, you're going to have a smoothing effect because you have increased blood flow to those areas and, and as a result [00:21:00] you have decreased pain as well.

[00:21:03] Austin: Yeah. And that actually speaks to the causal chain, uh, cuz there is, or there are rather five synergistic actions happening simultaneously with the rotation of the hypo allergen. Silicone spheres, of which there are 55 of them in the handpiece. Not that anybody's counting. Um, but there's a, there's a causal chain, and I'm looking to find it in one of my notes in the study, but we can come back to that once I find the thing.

[00:21:34] So where do we, where do we start then? Because there's, again, there's a, a number of different studies here. Um, 

[00:21:40] Dr. Tonya Butler: so let's start with a compressive micro vibration with endos therapy. Okay. So as a, a quick overview, um, this study actually verified the endos treatment, showed that it increased circulation in the tissue.

[00:21:57] It increased [00:22:00] vascularization and the health of the tissue. It reduced the appearance of cellulite, um, and it used. The specific classifications of cellulite, it decreased subu subcutaneous thickness of the tissue. And so that's important to know because, um, right now it's one of the only therapies that I have seen through research that is actually decreasing the thickness of the adipose tissue, the cellulite subcutaneous in specific areas.

[00:22:32] Because I've looked at studies related to, uh, massage therapy, to, um, gratin and myofascial, um, you know, using myofascial scraping tools. Um, we've, uh, looked at, um, compression boots like NormaTec and things like that that they've done studies on to see if it affected the change of the tissue, reduce the thickness of bound up tissue.

[00:22:59] And [00:23:00] all of those have had, um, Little to no significance and in, you know, research statistics, no value to, to show that it was effective whatsoever. But the inosphere is actually showing that it is, um, decreasing the thickness of that tissue. And when you're decreasing the thickness of that tissue, the orange peel dimple effect of the tissue is reduced.

[00:23:27] Which, you know, we were talking earlier about, you know, um, people doing liposuction and, and lots of times the reason a lot of women are going in for liposuction, this is just years of conversations with them, is because they hate the way that their legs look, especially related to cellulite. And I've heard the doctors say over and over and over again that we can remove the fat, but it may make the appearance of this cellulite worse.[00:24:00]

[00:24:00] Because cellulite is dysfunctional fascia that the subcutaneous fat underneath is compressing against. And it's, when we explain it, it's like taking, um, sausage and wrapping chicken wire over it and saran wrap and then squeezing it. And that's what it looks like. And so you can remove the fat, but the, um, the, the way that the tissue looks still, uh, is the same because you've already compressed it through there.

[00:24:29] And so, um, without a device like this, you're still going to have the look of cellulite, even though you're gonna have less fat in the area. So it's, um, and this study on the micro vibration of the micro micro compression showed that, um, the endos method, uh, showed that it had, it increased a hydrostatic pressure in.

[00:24:58] The tissue. And [00:25:00] so basically what that meant is it helped with the venous return of the blood. So blood was able to circulate through that tissue much better because what happens is like if we squeeze that sausage through the chicken wire, everything goes with it, blood vessels, um, capillaries, everything else.

[00:25:20] And so the outside of that is the most tender part because it's the most stress and strain put on everything underneath, pushed up through that chicken wire. And so you have nerve endings all, that's why it's super tender. It doesn't regulate temperature as well. That's why women who have more body fat.

[00:25:39] Um, do not regulate, um, hot and cold temperatures as well. And we are more susceptible to heat and cold related injuries. It's why your butt is really, really cold in the winter. If you have, you know, a chunky booty, um, it's because it does not, the more fat on there, it doesn't regulate temperature. So one of [00:26:00] the things that this study, um, referenced, and it actually will talk more about it in the other study, you'll see they have, um, they did some, um, post-treatment thermal images of it and showed you the more compact the tissue is in an area, the colder the tempera.

[00:26:21] that's because you don't have good blood flow through there. And so what they showed is after using the inosphere, um, you started seeing the temperature change so it became warmer. And you'll see that in the images, like in the, after the first session, you can see a significant difference in the color of the temperature around the mid thighs and the back of the knees.

[00:26:44] Yes. Figure four here. Yep. And after 12 sessions, you can see a huge difference in the color coating on that. And you'll see warmer temperatures, which means that that is a significant increase in blood [00:27:00] flow and healthier tissue. 

[00:27:04] Austin: Something that Luke had pointed out on the show I did with him. Luke is again, the export manager from Phoenix who produces, uh, SPHS, is that there's actually a reduction in the, the cell, jeez Louise silhouette.

[00:27:17] So if you, if you look again mm-hmm. , the, the figure on the, I guess in your far right in the yellow has a skinnier silhouette. So this, there's like a hidden message, if you will, inside of this image that shows not only an improvement in temperature, but a, a tighter silhouettes implying that there's actually a sculpting or contouring type effect happening simultaneously, which again, speaks to the five synergic, uh, synergistic.

[00:27:45] I can't English today, apparently. Right. Actions of the device, which is again, quite remarkable. So, 

[00:27:51] Dr. Tonya Butler: okay, so let me talk on that point because in these studies, um, and really in every one of these studies, they hit on it, [00:28:00] um, your, the weight, the scale weight did not change at all. And so, We're not looking at the scale weight.

[00:28:09] And in some of these studies, the decrease in the B m I was, there was a slight decrease in the B M I, but not significant. So what we concluded from these studies is just what we were talking about earlier, is how compact that tissue was and how bound up that tissue was and the lack of vascularization, blood flow, all of that.

[00:28:34] When you, after, you know, some of these were 12 sessions is what, um, was a standard. There was one study that had 18 sessions on it, but that was an earlier 2008 study. And so improving the technique, decreasing the number of sessions provided better, um, results. And so what we were seeing in the change of the silhouette is actually the health of the tissue.

[00:28:59] And [00:29:00] so with this, because of the lymphatic. Flush part of the system. It was allowing the body to process out the excess fat, um, that was being stored in those areas and breaking it up.

[00:29:18] Austin: And then as a consequence, excreted through the lymphatic system? Yes. All the toxic buildup or, uh, I guess the evidence of stasis. I don't know what the terms would be for that. Yes. Mm-hmm. . Interesting. Ok. All right. So, exactly right. Yeah. So what, what else from this study in particular jumps out to you? I know we, we jumped ahead.

[00:29:40] I think you were looking initially at the, um, on page 72, uh, initially among the most significant effects that can be ascribed to the industry's therapy treatment are as follows. And I think you were unpacking the, um, A through D there. Yes. So number one, the, the tissue compaction obtained as a result of the disintegration [00:30:00] of the adipose compartments.

[00:30:01] Can we actually unpack that? So when we say the disintegration of the adipose compartments, is there a way to say that in English? 

[00:30:09] Dr. Tonya Butler: Okay. Um, we talk about that being the, um, interstitial space between the tissue, and that's basically, you know, as, um, when you're looking at capillary and arteries within that, and you're looking, we were kind of talking about that, the space in between.

[00:30:31] So what we're doing is we're taking, um, we're breaking down the, um, density of the tissue, creating more space in there so that there's, uh, more room for arteries, capillaries, and the venous flow through there. And so it's, you know, it's. It says, if you're trying to, you know, suck a straw through, you know, a hole that big, and what we're doing [00:31:00] is, and it's so tightly compact, what we're trying to do is open that up and so then it's easy flow of blood through there.

[00:31:08] Does that make sense? So we're creating space within the inital tissue, um, so that blood can move easier through there. And it's, you know, we're looking at the difference of, you know, oxygenated and deoxygenated blood. Um, and that's how it's working through, um, processing through the lymphatic system. . Okay.

[00:31:31] Did that make any sense 

[00:31:32] Austin: at all? Yeah, it did. I'm just, I'm, I'm turning my head around the silhouette slumming 

[00:31:37] Dr. Tonya Butler: effect. Okay. So let's, I I've got that. Okay. Because with that is a lot of swelling and they talk about that on page 77. Um, they talk about the hard and fibrous lymphedema, um, you know, that is contained in this tissue.

[00:31:55] Okay. And so, and there's the swelling effect with that. We don't even [00:32:00] realize how much swelling we, like. I did not realize that, um, I had swelling in my ankles and. I mean, I look like this all the time and I feel it, and I don't feel edema in there. But there was a significant difference, even just in my lower leg when I got off the table and I was like, oh my gosh.

[00:32:22] I did not realize I was holding that much fluid in my tissue there because I felt healthy and everything. And so part of the change in the silhouette, they talk about it on 77, is the reduction of swelling in the legs caused by system blockage, pain and discomfort. Wow. And so you're moving a lot of fluid through the body.

[00:32:47] And so the change in the silhouette, you'll have that when you're breaking down, you know the texture of the tissue, you're moving fluid through there. The silhouette is going to change whether or not a scale weight or B [00:33:00] M I changes. because, you know, we carry weight in different areas and you know, we can have more visceral fat that, especially in menopausal women.

[00:33:09] Mm-hmm. , which some of these studies were, um, done on, you know, subjects were, um, peri and menopausal women. And so when you're looking at that, um, you're looking at, you know, a redistribution of fat in areas that, you know, weren't typically where they carried fat before because of hormone changes. So the fat moves to the abdomen area instead of in the legs.

[00:33:40] Austin: All patients reported. This is on 77, bottom right. Last paragraph. Mm-hmm. of, uh, that page, all patients reported pain reduction and edema improvements. Mm-hmm. went down. Yeah. So there's some. [00:34:00] Intersection of pain and edema, presumably because the, the swelling of the tissue creates additional strain pressure on the mechanical receptors and what have you.

[00:34:12] So tho those, there's a relationship there is the point. So the question that I, 

[00:34:17] Dr. Tonya Butler: uh, well, hold on, read that last sentence too. It said to healthy contralateral and with soft tissue ultrasound, which showed a clear reduction in the thickness of the subcutaneous tissue. Hmm. So that would absolutely change the profile.

[00:34:36] Austin: Interesting. Oh gosh. I'm, I'm leery to not just ping pong around, but there's so many. Thanks to unpack in this study. Were there any other notes on that that jumped out to you that you wanted to speak to? 

[00:34:50] Dr. Tonya Butler: Well, I mean, when you go over to 79 and they're talking about the toning and remodeling of the tissue, they're also talking once again about the fatty layer of [00:35:00] subcutaneous, subcutaneous tissue and the deeper layers, the skin thickness and subcutaneous.

[00:35:06] Um, they showed that the ity of the tissue was also highlighted, and so meaning that the tissue became more pliable and flexible opposed to not moving at all. And so as a manual therapist, you can feel this on clients who have more adipose tissue stores, especially in the legs. The tissue will be very, The pliability and the ity of the tissue is almost non-existent.

[00:35:37] And so you really have to continuously work the area. And it's, uh, honestly, quite painful to people. But when you do that and you o at over time, you do reduce pain and the ability of, you know, fluid to move through there. And so, you know, what we see as manual therapists, honestly, a lot [00:36:00] of people's pain, a lot of women's pain is in areas that they have, you know, more excess fat stores, 

[00:36:09] Austin: which I'm tempted to get into the pain reduction piece.

[00:36:12] I don't know if you yet something else that you wanted to jump to prior to that. Again, well let, I'm sorry. Let me, let me pause. Um, How do you wanna approach this? Cuz we could go through and, and jump back to 72 and chip away at each of these, these claims. Um, so A, B, C, and D. Absolutely. What 

[00:36:31] Dr. Tonya Butler: were you thinking?

[00:36:32] Actually, page 80 I think gives us a little bit more when we talk about the vascularization of it and the muscle tone because they have a great picture showing how, you know, with the glutes on the non-treated area and the, yeah, and the treated area there, you can see the difference in the volume. Of the treated area.

[00:36:57] And it because of the [00:37:00] way that the machine works with the micro compressions on there, um, it's actually, and they talk about it here, the tissue reactivation because of the compressive micro vibrations. So basically what they're doing it, the vascularization is simply just a process of growing blood vessels, you know, in a tissue and improving the, um, the oxygen and nutrient level within the tissue.

[00:37:27] So when you can see visually see improved tissue, , you know, off of a treated area. And the other area, you know, um, there's a, a visual difference. So this is now a healthier, um, tissue that has more blood flow, more oxygen flowing to it, and the ability for nutrients, A A D P A T P, you know, within the tissue overall it's going to change.

[00:37:55] You can see right there, it change, uh, changes the [00:38:00] visible silhouette of the individual. 

[00:38:03] Austin: Wow. Okay. So if we jump, I, I, I keep going back to 72 cause I wanna get through the A, B, C D. Okay. Claims. So we touched on a, which is again, these are the most significant effects that can be ascribed to the sphs therapy.

[00:38:21] Again, A was tissue compaction obtained as a result of the disintegration of the adipose compartments. B, a significant lymphatic drainage action. One thing that, uh, is challenging about measuring improvements in lymphatic drainage, from what I understand is that to really do that, you would need to utilize, I think the term is lympho.

[00:38:42] Scintigraphy, is that right? Where you, or 

[00:38:44] Dr. Tonya Butler: it's thermography, you know, um, we used it in labs. You can use ultrasound. Um, you, there's a lot of different things that you can do. And basically it's just thermo imaging and you're looking at, you know, um, fluid [00:39:00] flowing through tissue, and you can actually see that it shows up white under thermography.

[00:39:05] Oh, really? 

[00:39:06] Austin: Yeah. Okay. Huh? Yeah, I thought there was an invasive, or there was only an invasive way in which you could, you could do that, but of course your view makes sense now that I think about it. So nevermind. Um, 

[00:39:17] Dr. Tonya Butler: yeah, we used to have to, um, take biopsies of the tissue and so basically take a pinch sample out of mainly the quadriceps.

[00:39:26] And we used to do that in, um, in sprinters so that we could see the oxygenation of the tissue. So when we were measuring, um, VO two max on an, an athlete, that's one of the ways that we used to have to do that. But now there's, you know, advancements in technology and it's less invasive. 

[00:39:46] Austin: I see. Okay. All right.

[00:39:48] So adipose compartment disintegration to some degree lymphatic drainage action, a significant one, and a significant increase in tissue vascularization, skin [00:40:00] temperature, and reduction of inflam 

[00:40:03] Dr. Tonya Butler: inflammatory process. 

[00:40:05] Austin: Inflammatory hooked on phonics still in 2023 does not work for me. inflammatory, inflammatory process is, um, in reducing the pain symptoms.

[00:40:15] So where do we go from here? There are a number of questions that I have, but inside of this study, are there any other bits that leap out off the page to you? 

[00:40:29] Dr. Tonya Butler: Um, lemme look at my notes here. Um, no, it's, it's going to introduce a T C D code in here. Um, and we're gonna talk about, we can talk about and introduce a T C D code from here, and then it'll lead us right into the other research because I think that it's, um, uh, it's an interesting, um, thing that they have come up [00:41:00] with now in order for us to classify, um, cellulite.

[00:41:04] Austin: Okay, so let's excuse the, uh, infuriating cough. Let's, let's do this. I want to go through, I have a few questions I want to understand a bit better in the study that maybe you can speak to and, uh, um, we can, we can summon Dunning Krueger if need be. I don't know, as a, uh, response to any of these questions if they're a little too left fieldy, but I can't resist.

[00:41:30] Okay, so let me find a, 

[00:41:33] Dr. Tonya Butler: if I can't answer, no judgment here. Okay. , 

[00:41:37] Austin: no sweat, no sweat. Okay, so the first question is found. I have DB listed, so Dr. Butler.

[00:41:52] Okay, well I had a question that's running age in which, you know, the, the claims in the study don't really speak to aging as this being an [00:42:00] anti-aging device. Um, certainly not making the claim that it is such, but on page 75, at the very bottom, the bottom right, um, paragraph, when this characterization is altered, this is under the action on the lymphatic system and the interstitial matrix.

[00:42:18] Mm-hmm. , again, the, um, the final paragraph here. In fact, let me, Let me set this up a little bit. So, uh, the fundamental, this is the second to last paragraph. Yeah. The fundamental characteristic of the matrix and the connective tissue is plasticity. That is the ability to adapt to, or adapt to various situations by changing the structure of the tissues and the action of the cells.

[00:42:45] When this characteristic, or char, oh my God, characteristic, is altered the tissues, here's the punchline. The tissues activate the aging processes that lead towards the [00:43:00] formation of the evolutionary fibro edema, clearly visible, and the subcutaneous in the female skin with the orange peel effect. So the question I wrote down here is, does this imply that the interstitial matrix.

[00:43:13] Matrix, alteration, catalyzes, aging. If so, is there something to be said about all these improvements having a sort of literal anti-aging effect? 

[00:43:25] Dr. Tonya Butler: Yes, because you'll see in some of the other research, they talk about the removal of catabolic, you know, byproduct. And so catabolic byproduct, you know, is things like free radicals that we absorb in our system, just, you know, from air pollution, things like that, which all have an aging effect on us and also reduces the plasticity of the tissue, it's ability to rebound.

[00:43:50] And so, you know, that's where we start getting dullness in our skin and, you know, things like that. And what this is saying is that because [00:44:00] of the technique that it uses to stimulate, um, the tissue, it's increasing the plasticity, the ability of the tissue to rebound. Um, it is stimulating blood flow in with all of that.

[00:44:13] We, it doesn't say, but I would venture to conclude that by doing this, it's also stimulating collagen production within the skin. Um, because a lot of these techniques are, are what aesthetics, you know, talk about two, start stimulating collagen production because especially as we age, that decreases significantly and we start losing a lot of that and then, you know, gravity and everything else.

[00:44:40] But you know, Um, a lot of, you know, the sagging tissue, like especially in the face and the buckle fat pads, is toxic storage. And so, and you know, the glutes, a lot of people don't realize are, you know, our toxic storage warehouse. And so, you know, [00:45:00] unless we go through and help the lymphatic system, because the part of the problem is, is that most people are not moving as much anymore and they're sitting all day long and this is going to increase, you know, these negative effects and increase the aging process, which is why.

[00:45:19] You know, you're seeing the, the texture of the tissue aging so quickly because it's not stimulated by movement. And we need movement to stimulate the lymphatic system. And so even just, you know, there's been so much research on whole body vibration, what they're doing is using some of that technology and the research on whole body vibration, on how it's stimulating lymphatic system, improving gait, improving everything else, and condensing it into a product like the, um, inosphere and stimulating smaller areas of the body and the tissue to, you know, [00:46:00] increase all of this.

[00:46:01] And so there's crossover in research and vibration, micro compression, all of that for so many aspects of health with the body. But I mean, that's what this is saying is, you know, that it is, I mean, the effects. Are anti-aging because all we're doing is helping the health of everything underlying that tissue, blood flow, oxygenation, you know, plasticity, all of that.

[00:46:28] Wow. I'm sure that could have been a short answer, but No, 

[00:46:34] Austin: this is great. I'm expecting this to be a long episode. This is great. Um, and that's what it should be.

[00:46:42] It is interesting to note how the results, this is on 76. It is interesting to note how the results of the treatment continue over time, improving the effect from 60, or excuse me, 30 to 60 days, both in the reduction of [00:47:00] heaviness and in the reduction of edema and cellulite. So I guess the question here, Well, this is really for practitioners of in Spheres today, is you need to understand this when setting customer expectations outta the gate on the duration of the results and how you will likely see an improvement over time.

[00:47:22] Um, but I figured that would be an interesting thing to note. So there's no question there. I'm sorry, Dr. Butler. I just wanted to make a remark. Okay. 

[00:47:28] Dr. Tonya Butler: Okay. Good job. . . Um, alright. Yeah, but it's, I mean that's, that's why I think. For practitioners knowing and understanding this is letting people know, because everybody wants instant gratification that when they're getting off the table, letting them know that today is not their best day, but the best day is coming.

[00:47:50] Yes. And so, yeah. And so they just need to understand that, you know, the treatment that they did today, the body has to take time to [00:48:00] process. And so, you know, it takes time. It, the lymphatic system takes 14 days, you know, depending on the individual between, it's actually between 12 and 17 days, um, to completely turn over.

[00:48:15] And so, um, you know, depending on the health and the movement of the individual, I think that would, you know, um, also determine, you know, the continued success of the treatment. You can't go back to old patterns and old eating and lack of movement and expect to have different results. 

[00:48:34] Austin: Yeah, completely agree.

[00:48:37] Okay, so I do wanna touch on pain. I have a, uh, two questions here on pain, and then I don't think I have anything. Oh, I have a lot. I have a third and a, I think I have just three more questions and that will be it for this study. And we can move on to the second of three. Okay, so pain, let's [00:49:00] talk pain. So if I'm not mistaken, there are five ways to reduce pain.

[00:49:06] Number one, MENA receptor desensitization. Number two, reducing or a reduction in stasis. Number three energy points opening. So the calcium channels, which is where I have questions, I don't understand what that means. Number four, an inflammation reduction, and number five, better oxygenation. Now I'm sure there's other ways to reduce pain that are not cited in the study, but from what I'm gathering in the study, those are the five primary ways in which you can reduce pain.

[00:49:36] So are you reading that from, uh oh, I'm sorry. Well, those are, those are my own notes. And so looking at page 78 here. Okay, so page 78. If we look at, uh, okay, here we go. Lemme just read. 

[00:49:50] Dr. Tonya Butler: This is your, uh, oh, I see. I've got notes on here. Yeah, 

[00:49:55] Austin: on, yeah. 78. Bottom left. Uh, lemme see here. Lemme set this up with [00:50:00] a bit of a reading here.

[00:50:00] So in these patients, the methodology seems, excuse this cough from the devil himself. My god. Nightmare. We'll edit that out. All right. In these patients, the methodology seems to act specifically also on the receptors that regulate pain with consequent reduction of the inflammatory response. Thanks to the compressive micro vibration induced by this method, these MENA receptors undergo a kind of desensitization that leads to the reduction, uh, or elimination of pain in a short time associated with best oxygenation.

[00:50:39] The activi, uh, activation of receptors and energy points allows the opening of calcium channels and the reduction of tissue inflammation. Therefore, the reduction of pain in evolutionary fibro edema creating, holy moly, this is a mouthful. Mm-hmm. , creating a kind of therapeutic synergy that can be wellex [00:51:00] exploited for the painful forms of cold cellulite, for the pain of lymphedema, and in traumatology and sports medicine.

[00:51:07] Right, 

[00:51:07] Dr. Tonya Butler: period. Okay. And that's what I was telling you, the experience I had, um, on there because, you know, initially it was rather painful and uncomfortable, but almost instantly, um, it, you know, the pain was subsiding. 

[00:51:27] Austin: Wow. Wow. So this goes on to say the particular pain relieving activity of the methodology that can be used in almost all injury types and muscle pain.

[00:51:38] That's an insane statement. Are there any other devices, and this is a legitimately curious question, not just a, Hey everyone, go by Sphs, which you can do if you want your adults listeners, but don't do it unless you want to. In which case do, but if you don't, then don't. Um, are there other devices that you're aware of that can, that have backing to make a claim like that?[00:52:00]

[00:52:02] Dr. Tonya Butler: Um, not in the same way. I mean, we use a lot of, um, devices that use cold, um, to reduce inflammation immediately. And when you reduce inflammation immediately, you reduce pain. But does it have the same lasting effect? I don't know that, you know, that, that has been measured. So, you know, but inosphere, what it does is completely different than anything I've ever used before.

[00:52:29] And I mean, I, we are solicited with all the latest gadgets, you know, with, um, you know, with pain related to pain, with, you know, um, sport performance, you know, enhancement, all of that. And I mean, I can't, I can't think of one machine that does as much as the inosphere does in relationship to, you know, pain stimulation, you know, um, tissue oxygenation, [00:53:00] recovery, rebound, all of that.

[00:53:02] Again, I, I told you earlier, , this really should be used in sports therapy as well. 

[00:53:10] Austin: Wow. Okay. One question I wanna unpack or statement. Part of this I didn't understand was the energy points allows the opening of calcium channels, okay. How does it relate to pain? 

[00:53:22] Dr. Tonya Butler: So, um, you know, this is really interesting how they, they phrase this, but, uh, this may help you, um, in a different way is, um, In other studies, they, they talk about the trigger points.

[00:53:38] And so, um, throughout our whole body we have trigger points. And these trigger points are just hypersensitive areas within the muscle tissue ligaments where metabolic byproduct, like lactic acid or, you know, a lot of other things accumulate, it's a weakened area within the tissue. So when you have [00:54:00] trigger points, believe it or not, they, they inhibit, you know, the calcium channel blockers and, and blood flow and everything else from passing through there.

[00:54:10] So when I read this, I immediately went to trigger points because, you know, what this does is actually help to, by its technique of the compression, vibration and suction, um, break up these, um, trigger points, even micro trigger points, which we have a ton all over our body. Um, break all of this up, which once again goes to reduction in pain because it, the mechanical receptors and pain receptors within that area are immediately des stimulated and desensitized and, you know, the blockage, um, is removed.

[00:54:48] And so, you know, all of this goes hand in hand into everything we've been saying. 

[00:54:55] Austin: As a cyclist, I'm tempted to buy one of these machines myself. Plan it in [00:55:00] my, uh, apartment here and do it on my, my quads. There'll be five minutes, but uh, yeah, . 

[00:55:04] Dr. Tonya Butler: Any case, I'll just find something. You have great looking quads,

[00:55:07] Austin: Yeah, it's true. This is true. Um, okay, so I wanna unpack one more thing. I believe in this study, and that is it. I, forgive me if I said that there were only X amount and now I'm at x plus one. Yeah, I know. That was it. In terms of things to unpack, uh, ba ba pop, poker face, shout out to Lady Gaga, wherever you are out there in the world and your poker face.

[00:55:30] I don't know why that sn came to mind. Okay. Uh, alright. Right here. It's on page 80, ding, ding, ding, ding, ding. Okay, so this is talking about the muscle toning or the tissue toning effect due to vascularization and the stimulation compressive micro ribon. Okay, so page 80, the Sphs method works with the principle of.

[00:55:53] Micro vibration, micro compression, elastic response, which uses the muscle band and [00:56:00] muscle tone as active resistance to obtain the micro compression of adipose aggregates and fibro septe, which are thus broken down and may less fibro sclerotic. So I'm trying to understand the tissue toning. So it sounds like there's some sort of almost an aesthetic sandwich where, you know, it, the, the confusion point for me is the active resistance piece.

[00:56:25] I'm not understanding that, and I shouldn't know this cuz we sell this device, but I've, I've always struggled to understand what is physiologically happening. Okay. Oh, there. 

[00:56:33] Dr. Tonya Butler: Right. So think about it. It's almost, um,

[00:56:39] um, it's like muscle contraction. That's what it's doing. So think about an em. When you use an em, it works on muscle contraction. And now they've all created all kinds of gadgets throughout, you know, all the years of, remember the abdomen thing and it, you know, it twitched to make a [00:57:00] six pack. All it is is muscle contraction and it's just, you know, you have the little micro, um, tens units now that you can put on and it's muscle contraction.

[00:57:12] So all of this is, um, stimulating muscle contraction. Okay. And so, you know, and it, um, on a micro level will increase the tone of the muscle. 

[00:57:23] Austin: I see. All right. Beautiful. Well, for sake of time and the other three studies we through, we're almost an hour into one. One. Uh, oh boy. Okay, well buckle in everyone.

[00:57:36] This is gonna be a Joe Rogan style show that goes on for hours, which is exactly what I want. Todd probably does it cuz she's got a life to go live. Uh, but in any case, let's, uh, I just 

[00:57:46] Dr. Tonya Butler: have to play corn hole tonight. That's all. This 

[00:57:48] Austin: is fair. This is true. This is fair. Fair enough. All right. Uh, let's pop to the vascular or vascular rising action of the compressive micro vibration, uh, study.

[00:57:59] And, [00:58:00]

[00:58:00] Dr. Tonya Butler: um, we were combining those. The next one we were going to was the thermographic, because the vascularization says a lot of the same stuff that this one does. Let see. Hold on. I could be,

[00:58:26] um, we just had a couple things in here that we wanted to highlight, um, because. You can, you can see through, um, the, some of the pictures, especially the thermo imaging mm-hmm. , they're using, you know, uh, the same pictures showing thermo imaging on there. So one of the things I want people to know and understand is that, you know, when we look at research and we look at the significance and reliability and validity of research, we're also, [00:59:00] we're looking at the sampling groups.

[00:59:02] And so these are small sample groups. Um, you know, we can, we can get some information out of it, but when we're looking at, you know, reliability and validity, you know, it really comes when you have larger samplings. And so, you know, this research was based on, um, 12 female volunteers. And so they were between the ages of 18 and 55.

[00:59:31] And, you know, they were, uh, looking at, they were in the second and third stage, cellulite in the lower limbs. So we'll talk about, um, you know, there is a classification now on cellulite, the different types of cellulite. And, you know, I just wanted to hit that real quick because that will be touched on in both of these other research studies.

[00:59:55] It's called, um, the T C D code. And that [01:00:00] T c D code just stands for, um, it's temperature, the clinical status of the cellulite. So, you know, the grade of, of the orange peel effect and the pain. And so, you know, it's, um, temperature, um, clinical and distress. And so the distress part is basically, you know, the pain factor.

[01:00:22] Of it. And so, you know, when they're, they're looking at the C factor, they're looking at the type of orange peel, and they have, you know, like nine classifications of it basically from, you know, low grade of just having an orange peel effect with no pain to having, you know, um, pain and edema and, you know, and fibrous tissue.

[01:00:49] So it, you know, it's on a graded scale of, you know, the worst is having, you know, tightly bound tissue, thickness of the tissue [01:01:00] pain and edema associated with it, and mainly in the lower limbs. So just with that understanding that, you know, going into this second study, they're looking at, um, women who are in that mid-range of the T C D scale, lower, um, so a little more of the, um, serious.

[01:01:22] Cellulite.

[01:01:27] So first, second, and third stage cellulite in a lower limbs were monitored. So they used the thermographic, um, images here to see the heat within it. And so what they showed, um, with using the treatment, the endo treatment. It showed greater vascularity with an average thermal increase of 3.14%. So that's, that's a good increase in the temperature.

[01:01:58] So we went from [01:02:00] cold bound tissue, you know, with, you know, um, little blood flow to, you know, an increase in the temperature, which shows that we have more blood flow in there. Um, and the final increase detected, they said, can certainly be the result of increased skin perfusion and oxygenation of the increased, uh, metabolism of the tissues and the breakdown of adipose aggregates, as well as the activation of anti-inflammatory repair processes of the tissue alterations present.

[01:02:35] And so this, you know, they're really looking at, they're referring back to. You know, um, the other studies in this study, because they even tell you they're referring back to their 2008 study because what they're trying to do is, um, in 2008, when they first started looking at this related to pain, then [01:03:00] they started looking at, you know, the cellulite tissues.

[01:03:02] So in this study, what they were doing is basically retesting what they already did, um, because, you know, science changes over time. There's, you know, um, different models to in which to measure this by. They just wanted to see if what they saw in 2008 was still valid and relevant with the inosphere. And what they concluded is that it was.

[01:03:30] And so, and you know, and, um, the study did not finish with all the participants, which they never do. They finished with about 16, um, patients and they all did 12 sessions of Inosphere and, um, they did it in the Trochaic area, which is in the hips and thighs. And so that's what they were measuring. They measured, um, and there's great pictures.

[01:03:57] Mine are in black and white here, you know, [01:04:00] these pictures of the changes and the shape. And they showed that, you know, one of the women, um, was menopausal. So where the weight, the first image was, I think, uh, yeah, she said, She was in menopause. So you can change, see the changes in the shape of her glutes on here in the shape of her.

[01:04:26] This is on page 20 of that. So you can see the changes in the structure of their hips, thighs, and butt. I mean, there's some really good, you know, imaging there. Mm-hmm. . And so, um, you know, and what they were looking at is, you know, the difference in the way that the cellulite looked on the skin. And so they were trying to take [01:05:00] them, um, down on the T C D scale.

[01:05:03] So they were looking at the density. The look, the orange peel look, um, at the color and the, the temperature. And so what they showed is an improvement in all those areas. 

[01:05:19] Austin: Hmm.

[01:05:23] Interesting.

[01:05:31] Dr. Tonya Butler: And they use the, um, they use the pain scale, um, on here. So they measure, you know, their pain and it, it's usually subjective when you're looking at, you know, um, You know, pain scales of one to 10, one being minimal pain and 10 being, um, the maximum of pain. And the results in this showed, you know, overall, [01:06:00] uh, temperature increase at 3.5% after six sessions and 4.76% at the end of the treatments of 12 sessions.

[01:06:09] Um, the pain reduced from, you know, on the worst cases from an eight to a five, um, which is pretty significant. Um, and that was after six sessions. And overall, um, a hundred percent of them describe their pain as being significantly reduced. Wow.

[01:06:38] Yeah. And they also, you know, subjectively asked them how they felt about the appearance of the cellulite and a hundred percent of the women in this study. Oh, I shouldn't say a hundred percent. There was one who dropped out of the study early because she felt like she wasn't getting anything out of it.

[01:06:57] But the remaining portion of the [01:07:00] study, they all, um, agreed that the reduction in the appearance of cellulite was satisfactory to all of them. They saw a major improvement in the reduction of the appearance of the orange peel. Look.

[01:07:19] Austin: Well from these two studies, are there any other pieces that jump out from the vascularization or vascular izing action study or T c D code study? 

[01:07:34] Dr. Tonya Butler: Um, you know, at the very end on page 28, you know, the last paragraph, um, you know, they talk about in the beginning, Inosphere therapy was, you know, a revolutionary treatment for cellulite and, you know, for orange peel and adipose cellulite.

[01:07:56] And you know what they concluded because this study [01:08:00] was reflecting back to their 2008 study, is that it is rightly still positioned both as a preventative therapy and as a basic corrective therapy for all forms of cellulite, which can be associated in cases indicated for other necessary medical therapies.

[01:08:18] So what they did is retest. Their old study and they validated that, you know, it was still significant in the reduction of not just one type, the basic type of cellulite, but for all types of cellulite. And so that's significant because this is a non-invasive treatment. And we already know that plastic surgery and plastic surgeons tell you that, you know, the surgery is not going to help with cellulite.

[01:08:48] The appearance of, if anything, it may exacerbate that. And so, I mean, this is, you know, right here we had six research articles that [01:09:00] all supported the fact that the, um, Inosphere works on, um, you know, on so many different levels. But the most important in the beauty industry was the reduction of the appearance of cellulite.

[01:09:16] And that's your money right there because you know, women. Feel bad about their bodies. They can e even the thinnest of women, you know, can have cellulite. And you know, I, I have a daughter who is 19 years old, dropped egg gorgeous with a beautiful figure and I can see it on the back of her legs and she has hardly any fat on her.

[01:09:40] And so it doesn't matter the size, if it's there, women feel bad about it. And if there's something that we can do non-invasively to help with that and, you know, and it has somewhat of a lasting effect and it causes no harm and the side [01:10:00] effects are that it reduces pain and it stimulates a tissue and it's overall good for the health of the tissue, then, I mean, we really should be promoting this so much more.

[01:10:16] Austin: So well, uh, Okay. If you insist. 

[01:10:20] Dr. Tonya Butler: Okay. . So honestly, the thermographic and clinical data code, um, it really, um, the, the whole gist of this study was just quantifying, um, the clinical data, the classification of cellulite and what I was talking to Austin about earlier, um, was the fact that when we look. Hard science.

[01:10:47] I mean, in research you have two main types of research. You have qualitative and quantitative research in education and some of what we call the softer sciences. We [01:11:00] use a lot of qualitative research because it does validate emotions, feelings, and things like that that are really significant, especially when we're measuring quality of life and using things like quality of life index.

[01:11:15] Those are really important and valid in research, but you still have old school ways of thinking where you have the hard scientists who do not give any credence to qualitative data or research because they say it's so subjective, which it can be, but there's still ways of measuring that. And so what this did is take the opinions of women based on.

[01:11:41] You know, how they feel about cellulite. They classify the different types of cellulite in a medical and clinical way. So based on what they see in a laboratory, in a medical clinic and the types of cellulite and how, you know, blood flow and [01:12:00] vascularization and oxygen, everything flows through it. Um, using existing tools like the pain index, um, things like that, put it all together and quantified it by putting numerical, um, structures to it so that we can measure it.

[01:12:16] And we can see things like p values and repeatable science and data. So, in my opinion, to help people who are on both sides of research see that, you know, it is valid in using, you know, all aspects of, you know, what they're measuring, um, related to cellulite. Does that make sense? Was a lot of the word alphabet.

[01:12:44] Yeah. . 

[01:12:47] Austin: That's incredible. It's, it's an incredible way to improve the quality of people's lives, both in the aesthetic realm and the literal, I feel better realm as well by way of improving the desensitization of the can receptors and reducing pain, [01:13:00] inflammation on the other bits that we've mentioned. Um, 

[01:13:04] Dr. Tonya Butler: well, one of the things I talk about a lot, uh, to the general public in understanding, um, working with soft tissue injuries is that, um, none of the doctors do soft tissue.

[01:13:17] Work. Um, PTs do not do soft tissue rehab. They do physical movement rehab, and so the only people who really do soft tissue work are massage therapists. The problem is, is that there's very few states in United States that actually teach medical massage and that therapeutic aspects of it to the depth that massage therapists know advanced anatomy, physiology, they know physiology of movement and biomechanics, and they understand all of that, and there's a problem.

[01:13:48] And the lack of education, because, you know, understanding this. The majority of people who come in to see you are soft tissue injury related that go unaddressed. [01:14:00] And you know, a lot of aches and pains, fibromyalgia, things like that exist within the soft tissue. Now they have, you know, the pathophys, physiologic physiology, gosh, I can't speak today, you know, as to why that needs to be understood and studied more.

[01:14:18] But if we have things like this machine that can, um, help, uh, practitioners, massage therapists and, you know, aestheticians and people in the beauty industry, you know, help with managing pain, um, you know, as well as the aesthetic side. I mean, it is really something that I think can benefit the overall individual and, you know, an added bonus to what they're doing.

[01:14:51] Austin: So we've spoke highly of this device. Who should run from the hills and not add INO spheres to their practice? [01:15:00]

[01:15:00] Dr. Tonya Butler: Personal trainers. , . All right, fair enough. Um, I'm just kidding. You should always refer to somebody who's been trained. So no, um, personal trainers really should, um, work in conjunction with a practitioner because when their, um, clients are sore from over training and from, you know, restimulating muscle movement, they can put them on the inosphere and have a treatment with that.

[01:15:29] And guess who's still making money and whose clients are not skipping sessions. 

[01:15:34] Austin: So here I am asking you to say who should not. That was a joke. You were saying basically everyone should have this product in their, in their practice, which, yeah, I'm inclined to agree. If you serve people that have issues with lymphatic drainage, with pain, with any sort of toning or shape concerns or needing improvements in vascularization, it's really [01:16:00] hard to go wrong with, uh, the incorporation of this product.

[01:16:02] But don't take my word for it. You can take whoever's word you want, which the best word to take is your own by getting a demo yourself, listeners and seeing for yourself if it's the right thing for you. But, um, 

[01:16:15] Dr. Tonya Butler: right. I do wanna mention this last research study, if that's okay. Yeah, let's do it. It's a treatment of lymphedema.

[01:16:22] Uh, they compared two methods, the ketogenic diet, inosphere. The ketogenic diet by itself and the modern lymphatic drainage. And so I wanted to mention that because I know in, um, you know, listening to this, they, there are a lot of massage therapists who have been trained in the modern lymphatic, um, massage method, which is, you know, the most accepted, um, technique out there for lymphatic work.

[01:16:52] And so, um, what this study did was compared, you know, the combination of adding the [01:17:00] ketogenic diet, and the only reason they added the ketogenic diet, and I, I need to be perfectly clear on this because I'm not a, an advocate for anything that you can't do extended periods of time, is that the ketogenic diet is supposed to be used for a very short period of time, basically to shock the system.

[01:17:17] And so it was used for a four week period and that's why they used it, is because it helped to. Um, make a dramatic difference in the typical diet of the patients. And so, um, by eliminating foods that feed fat, sugars, dairies, things like that. And so in this, um, study, what they did is they compared one subject group that used the keto diet and inosphere together and compared it to a group that didn't [01:18:00] use the diet.

[01:18:02] Um, and just, and just used like the Vater technique and inosphere and that. So the conclusion of this, and this is what I think is, um, noteworthy, is that the combination of the diet and inosphere had significantly more better results. Than just using like the VA method, lymphatic, uh, massage and inosphere together.

[01:18:28] So what is important to note is that your diet affects the quality of the tissue, your results with inosphere and even, you know, using a ketogenic diet on a short period. Four weeks is what they did, showed significant. And this was a big study, bigger study cuz they had a hundred volunteers that was diagnosed with second stage lymphedema of the lower LI limbs.

[01:18:57] And so, um, you [01:19:00] know, and I'll find my notes on here that I highlighted on here.

[01:19:09] Okay. The purpose of this study was to be able to identify a valid treatment that could also be used as a preventative therapy. Therefore, overweight but not obese, female patients were chosen. The b m I was between 24 and 30. And that's important to know because once you hit a mark beyond overweight into obesity, we have other issues.

[01:19:34] None of these patients had comorbidities like, um, diabetes or metabolic syndrome, so that's important to know also, because those will hinder, you know, a lot of results, um, on both sides with diet and with the inosphere. Um, the average age of the patient was 39 years. A range of overweight and lymphedema, unfortunately were very common in minored societies.

[01:19:58] So they said, and so [01:20:00] the choice, um, let me skip through here. Um,

[01:20:11] Okay, they, so the nutritional need also dictated the choice of the four weeks for this reason, intense integrated treatment in a short period was chosen as protocol with two treatments per week for four weeks without drug therapy support, but only nutrition. So, um, it showed the effect of the inosphere, um, compressive micro vibration associated with the ketogenic diet was positive for the decrease in weight and loss of centimeters compared to the treatment with the bottom method.

[01:20:44] So it not only helped them to lose weight, it helped them to lose the circumference, you know, um, on the lower legs. Uh, so that meant that, you know, overall their entire body changed [01:21:00] as a result. The combination, the diet and endos.

[01:21:07] Austin: I'm desperately resisting the urge to pull up my own credit card and go to artemis.co to purchase my very own in spheres. Yeah. I won't do it. Uh, wow. Okay. Uh, any closing words that you would like to share that we haven't touched on? Like a general view of the product or your takeaway or anything that you would plaster on the jumbotron of the Super Bowl in the year 2023?

[01:21:37] I think we have a Super Bowl coming up. I should follow sports more in January. , anything that you would plaster, uh, on the jumbotron that you'd wanna share with the world on interferes the studies or any general views, opinions were otherwise before we wrap the show. 

[01:21:52] Dr. Tonya Butler: Well, I think the bottom line is, um, that, you know, the research supports the fact that it does work, and that's a [01:22:00] big, um, concern and issue.

[01:22:02] The other thing is compared to a lot of things that are out there on the market, and I'm, I'm not gonna mention individual names of products, but you know, um, the risk is minimal and so, you know, side effects. Um, I didn't see anything published in any of those. The, the research that talked about any side effects, I can't, you know, I can't see where there would be a lot of side effects other than maybe localized bruising.

[01:22:33] Um, and some of that, you know, bruising can come from, you know, bound up tissue with lack of blood flow, and then you stimulate blood flow and then you have, you know, some localized bruising. Um, you know, at. as always, it's really important to know your patient before you use any of these, but there are, um, things out on the market that have significant side effects and significant [01:23:00] risk, and this is, I mean, minimal risk.

[01:23:03] Um, it's important to make sure that you're using someone who has been trained on the machine. Um, you know, we didn't talk about cost or anything, um, related to the machine. I think that, you know, may be a factor in, you know, How many machines are out there. But I think that there needs to be some good marketing on this and people need to be aware that this is a viable option for them and that, um, this has more research than some of the other, um, machines that are out there right now.

[01:23:38] And I know some of them are newer, but even still, I think we've got three or four years on another machine. We should start having some research and case studies done on the effectiveness of it. But it, it, it seems to me that this one poses a lowest risk of any adverse side effects, [01:24:00] um, than any of the other machines I've seen out there on the market.

[01:24:04] You know? Um, And it, and the research supports the fact that it does work. And I will tell you from one treatment of doing it myself, I could definitely see the reduction appeal, the reduction in pain, and see the reduction in edema that I didn't know I had until afterwards. And, um, and the feeling of just lightness on my leg.

[01:24:30] I wanted to go run three miles after that. And so, and I kind of hate running, but, uh, . Um, but you know, that's, you know, personally how I felt I would do it a hundred times over any cold because I hate cold, but I like the results. Um, you know, and I, I think it's an easy sell. 

[01:24:55] Austin: Well, listeners, you've heard it from the doctor herself [01:25:00] and, uh, I'm not going to tarnish the.

[01:25:04] Purity and perfection of what you've uttered. So I'm gonna turn it over to you for final remarks and to close out the show. And here's how we're gonna do that. How do the listeners connect with you if they wanna find you out there in the universe on the internet? 

[01:25:19] Dr. Tonya Butler: Well, my company is called Dynamic Therapeutics.

[01:25:23] Uh, my website is dynamic therapeutics.net. Um, we are in South Alabama. We cover the Gulf Coast. You are welcome to email me at t butler dot lmt lima, mike tango@gmail.com. Um, you are welcome to email me anytime and ask questions and just if you're curious about things, if I don't know, I'll find a resource for you.

[01:25:49] But, uh, feel free to reach out, um, anytime. And if you want some of this research, I can email it and forward it over to you. Um, if you need some talking points with [01:26:00] it, I can help you interpret some of that. And, um, You know, I'm always here to help. Um, you know, anyone in our industry, you know, that wants to make a better life for somebody else and in improve the overall quality of someone's health.

[01:26:16] And that includes the aesthetic part of it. Because if we don't like the way we feel, we don't feel good on the inside either. Did that make sense? If we don't like the way we look, we don't feel good on the inside. That's what I meant. Read my mind. 

[01:26:31] Austin: What's that? A campaigning committee, uh, demanding that you run for president in 2024.

[01:26:37] I'll relay the message. Thanks. Uh, evidently you're running for president in 2024 and you have my vote and you just found this out today. So congratulations on being amazing. Uh, Thank you. God did write making you or whatever you're into the universe or whatever. So I know. So thank you. Thank you for being here.

[01:26:55] This has been amazing, uh, comprehensive deep dive of the industry's [01:27:00] studies and I could have found no one better cuz you the best. So thank you for making the time. 

[01:27:06] Dr. Tonya Butler: Oh, thank you. Yeah, it was fun. You know, getting ready, getting to stretch my brain again. 

[01:27:13] Austin: It was amazing. And again, I am so grateful. And on that note, the maestro is closing out the show.

[01:27:21] Be well.