The Rever Rundown with Mimi Deal

In this episode of The Rever Rundown, I'm joined by my uncle and one of the most thoughtful pharmacists I know, Luis Delgado, owner of Village Pharmacy and Compounding in Miami. We have the kind of unfiltered conversation about pharmacy, personalized medicine, and hormone therapy that most patients have never been invited into.

Luis walks us through what a compounding pharmacy actually is, how compounded medications are sourced, tested, and regulated, and why the lingering cultural skepticism around compounding pharmacies often does not reflect modern clinical reality. 

We also dig into the gap in FDA-approved testosterone dosing for women, why so much of the most clinically meaningful hormone therapy falls outside conventional protocols, and how providers can begin to think about partnering with reputable compounding pharmacies rather than working around them.

Beyond the clinical content, Luis shares his entrepreneurial journey, from working in a federally qualified health center to opening Village Pharmacy with his wife, trading in his car to fund the business, and standing outside a restaurant in his early days introducing himself to potential patients. 

If you have ever been told compounding pharmacies are unsafe, wondered whether your hormone therapy could be more precisely tailored, or simply needed permission to keep advocating for the care you deserve, this episode is for you.

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Dr. Luis Delgado

Website

Instagram

Location

9408 SW 87 AVE, Suite 105, Miami, Florida 33176

00:00 Intro

01:05 Introduction to Compounding Pharmacy and Personal Connections

02:10 Luis’ Journey to Pharmacy and Entrepreneurship

07:19 Transitioning from Employment to Entrepreneurship

12:18 The Growth of Village Pharmacy and Its Impact

13:52 Understanding Compounding Pharmacies and Their Importance

19:28 The Role of Testosterone Therapy in Personalized Medicine

25:00 Understanding Drug Absorption Variability

27:06 The Importance of Integrity in Healthcare

27:53 Differentiating Pharmacy Types

29:43 The Art of Hormone Replacement Therapy

31:28 Challenges in Compounding Pharmacy Utilization

33:14 Regulatory Landscape of Compounding Pharmacies

35:21 Safety and Regulation in Compounding Medications

38:19 Addressing Misconceptions About Compounding Pharmacies

40:11 The Future of Individualized Medicine

45:13 Empowerment Through Knowledge and Mindset

47:11 Outro

In this episode, we take on testosterone, the hormone that became a controlled substance in the 1990s after decades of misuse, and that remains one of the most misunderstood pieces of the hormonal picture for both women and men.

We cover what testosterone actually is, where it is produced, and why women have higher absolute levels of testosterone across their lifetime than estrogen or any other hormone. We unpack the role testosterone plays in libido and sexual function, mood and cognition, muscle protein synthesis, bone density, fat distribution, insulin sensitivity, and metabolic health and we talk honestly about what happens when levels are too low, too high, or out of balance.

We also dig into what testosterone is and is not FDA approved for, why hypoactive sexual desire disorder (HSDD) in postmenopausal women remains the only female indication, and why so many of the broader benefits women experience on testosterone therapy fall outside conventional prescribing guidelines. Throughout, we explore the difference between physiological replacement and supraphysiologic dosing, the nuance between free and total testosterone, and what to look for in a provider who works with hormones thoughtfully.

If you have wondered whether your fatigue, low drive, mood changes, or loss of strength might be hormonal, this episode is for you.

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Chapters

00:00 Intro

00:16 What is Testosterone?

00:44 Testosterone in Men and Women

01:26 Production and Feedback Loop

01:46 Role of Testosterone

02:23 Impact on Body and Health

04:12 FDA Approval and Clinical Use

05:41 Balancing Testosterone Levels

06:31 Final Takeaways

06:59 Outro

In this episode, I sit down with my mentor Erika Barry, nurse practitioner, national trainer, and also known as Injector Bunny. Erika shares the work ethic that took her from Johns Hopkins and UCSF to building a cult-following brand in aesthetic medicine, and the philosophy of transparency, consistency, and collaboration that has guided her throughout her career.

This episode is a thoughtful look at what it takes to build longevity in aesthetics, not through trends or shortcuts, but through authenticity, craftsmanship, and an unwavering commitment to patients. 

We spend a meaningful portion of the conversation on work ethic. Erika is honest about what it actually takes, from showing up thirty minutes earlier than everyone else to the two-year window required to build anything real. We also get into the evolution of her clinical technique, including her experience on the Daxie early experience team and why she now injects corrugators low rather than high. She keeps her older Patreon content online on purpose, so her community can see the evolution rather than a curated highlight reel.

Erika is also refreshingly open about the personal side of building a career like hers. We talk about navigating social media criticism, a stalker situation that required FBI involvement, and the reality that no matter how authentic you try to be, social media is still a curated world. 

Whether you are an injector early in your career, an experienced provider refining your brand, or simply curious about the people shaping modern aesthetic medicine, this conversation offers both practical guidance and genuine perspective.

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Erika Barry

Instagram

Website

Chapters

00:00 Intro

00:33 Guest Introduction: Erika Barry

01:09 Building a Personal Brand

01:39 Authenticity in Aesthetics

02:46 Work Ethic and Consistency

04:20 Team Mentality in Medicine

05:11 Creating a Collaborative Culture

06:50 Breaking Hierarchies

08:46 Defining the Injector Bunny Brand

10:14 Embracing Innovation and AI

11:11 Learning and Sharing Content

12:47 Challenges and Lessons Learned

18:32 Balancing Personal and Professional Life

19:25 Daily Routines and Rituals

21:08 Who Supports Injector Bunny?

24:14 Partnerships and Relationships in Business

27:14 Book Recommendations

27:49 The Importance of Mentorship

32:44 Further Businesses

34:12 How Has Erika Built Her Team

38:01 Navigating Social Media and Its Challenges

47:34 Final Thoughts and Takeaways

50:45 Outro

We need to talk about vibration plates. In this episode, I’m breaking down everything you need to know about whole body vibration plates because they are all over my Instagram feed and I was so close to buying one. So before I dropped the money, I did what I always do, I went down the research rabbit hole so you don't have to.

I walk you through what whole body vibration plates actually are and I break down every major claim you've seen on social media: strength building, balance, bone density, metabolism, and lymphatic drainage.

I also talked to a physical therapist friend of mine, and we are on the same page: the data just isn't there yet to recommend these devices broadly. What I found interesting in my research is that vibration therapy actually has legitimate clinical roots. The problem is that the professional-grade equipment used in those clinical settings is very different from what's being sold to you on Amazon. Most consumer devices don't even list their Hz frequency,  which is a major red flag, because the frequencies that showed any benefit in research tend to be on the higher end.

Spoiler: I’m not buying one.

But I’ll tell you exactly what studies say, who might actually benefit, and what to look for if you still want one. And as always, if I ever change my mind, you’ll be the first to know.

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Links to purchase equipment on Amazon or affiliate links: 

1. VT007 High-Frequency Vibration Plate - https://www.vibrationtherapeutic.com/vibration-plate-vt007.html?utm_source=chatgpt.com 

• Frequency range: 10–40 Hz

• Linear vibration (low amplitude)

• Designed for muscle activation, circulation, and neuromuscular training

2. LifePro Waver - https://lifeprofitness.com/products/the-waver-vibration-platform?utm_source=chatgpt.com 

• Consumer home device

• Frequency roughly 4–40 Hz depending on mode

• Includes resistance bands and multiple vibration modes

3. Power Plate (professional model) - https://thefitnessoutlet.com/products/power-plate-pro8 

• Frequency range roughly 25–50 Hz

• Used in gyms and clinical settings

• Much more expensive ($2k–$4k) but closest to true >40 Hz operation

4. Thera gun- https://a.co/d/0isTFZ13 

5. Foam roller - https://a.co/d/0aMAfzE4 

6. Jumping rope - https://a.co/d/0dS6BoFU 

7. Trampoline rebounder - https://a.co/d/05YC1g0w

Chapters

00:00 Intro

00:27 What Are Vibration Plates?

01:04 Research on Strength

02:28 Balance and Vibration Plates

03:17 Bone Density Studies

04:27 Metabolism and Calorie Burn

05:07 Lymphatics and Circulation

05:51 Alternatives to Vibration Plates

06:33 Market Options and Considerations

08:11 Final Takeaway

08:43 Outro

What if the thing standing between you and stronger bones, better mobility, and a longer, more capable life is simply learning how to load your body the right way? In this episode, I sit down with Dr. Hannah Sadowsky, physical therapist and my personal strength coach, to talk about what it actually means to build strength at any age, and why so many of us have been thinking about fitness all wrong.

Strength training isn't just about aesthetics, it's one of the most powerful tools we have for long-term health. We break down why loading the body through resistance training directly stimulates bone remodeling, making it one of the most effective strategies for osteoporosis prevention and management. 

We also dig into one of the most persistent myths in the fitness world: that flexibility requires stretching, why load-bearing movements like deadlifts are actually more effective for improving range of motion than passive stretching, and why that matters for the way you move through daily life.

The message throughout is simple but powerful: start where you are. Small, consistent steps compound into real, lasting change, and consistency will always outperform intensity for beginners.

Whether you've never touched a barbell or you're recovering from an injury and trying to find your footing again, this conversation meets you exactly where you are.

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Become a Patient: ⁠⁠HERE⁠⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

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Hannah Sadowsky

Instagram

Old Bull Athletics

Website

Chapters

00:00 Intro

00:14 Guest Introduction

00:32 Hannah's Background and Journey

00:55 Personal Experience and Strength Training Benefits

02:37 Path to Physical Therapy and Old Bull Athletics

04:34 Empowerment Through Strength Training

05:52 Family Influence and Fitness Philosophy

06:54 Importance of Strength Training for Health

07:50 Overcoming Gym Intimidation

09:17 Building Strength at Home

10:43 Physical Therapy for Bone Health

11:59 Understanding Bone Density and Strength Training

14:29 Flexibility and Mobility Tips

19:07 Reactivity and Home Exercises

21:07 Debunking Fitness Myths

22:34 Expectations from Physical Therapy

24:08 Starting Strength Training at Home

26:52 Patient Success Stories

30:48 The Role of Physical Therapy in Longevity

32:26 Final Thoughts

37:46 Playing Love it or Leave It

39:28 Key Takeaways

40:59 Outro

In this live panel episode of The Rever Rundown, I am joined by women’s health experts: Dr. Luly Diez-Arguelles of Freya Wellness, Lauren Steiner of Osoa Nutrition, and health psychologist Teresa Chamorro to break down perimenopause symptoms, postpartum recovery, hormone changes, and mental health. 

We discuss why issues like weight gain, anxiety, fatigue, and sleep disruption are often dismissed but are actually key signs of hormonal imbalance. The conversation covers how long perimenopause lasts, how hormones impact metabolism and mood, and why lab tests don’t always reflect what’s really happening in your body. You’ll also learn practical strategies for nutrition, pelvic health, and strength training, plus how to advocate for yourself when it comes to hormone therapy and care. 

If you’ve ever been told “this is just part of aging,” this episode will change how you think about women’s health.

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Become a Patient: ⁠HERE⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

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Book a complimentary call with Mimi: ⁠⁠⁠⁠HERE⁠⁠⁠

Dr. Luly Diez-Arguelles

Website

Instagram

Lauren Steiner

Website

Instagram

Chapters

00:00 Intro

00:10 Guests Introduction

03:19 Common Misdiagnoses in Women's Health

04:09 Perimenopause and Nutrition Misunderstandings

06:00 Mental Health During Perimenopause

07:43 Audience Question: Perimenopause Duration

08:39 Iron Levels and Gut Health

11:00 Postpartum vs. Perimenopause

12:17 Hormonal Changes and Mental Health

24:14 Nutrition Tips for Hormonal Balance

28:31 Exercise and Bone Density

42:43 Final Takeaways

46:11 Outro

Osteoporosis affects one in three women and one in five men over 50 and most people don’t know they have until a bone breaks. 

In this episode, we’re getting into one of the most underdiagnosed and underestimated conditions affecting adults over 50: osteoporosis. And I want to be honest with you, this is a condition that doesn’t get nearly enough attention until something breaks, and by then, a lot has already been lost.

We’re talking about what osteoporosis actually is, how it develops silently over decades, and why the window for prevention starts much earlier than people think. We go through everything you need to understand about diagnosis including why I believe screening should start earlier than the standard recommendation of age 65 and walk through the full landscape of treatment options. We’re also looking at the benefits and the risks because you deserve to make informed decisions about your care.

More than anything, this episode is a reminder that a diagnosis is not a sentence. There is so much that can be done and the earlier you start, the more options you have. Don’t let a number on a DEXA scan define your health journey.

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Become a Patient: ⁠HERE⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

Subscribe to our Newsletter: ⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠⁠⁠

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Book a complimentary call with Mimi: ⁠⁠⁠HERE⁠⁠⁠

Chapters

00:00 Intro

00:10 Importance of Bone Health at Any Age

00:52 Understanding Osteoporosis

01:54 Diagnosis and T-Scores

03:09 Treatment and Medication for Osteoporosis

08:52 Lifestyle and Prevention

09:41 Backed Study on Osteoporosis

11:05 Supplements and Its Side Effects

11:42 Can Osteoporosis Be Reversed?

12:16 Screening Guidelines

14:06 Who Else Could Experience Osteoporosis?

15:03 Exercise: Building Stronger Bones

19:22 Non-Approved Treatments

21:27 Conclusion and Key Takeaways

22:22 Outro

In this episode, I’m sitting down with two of my favorite people–who also happen to be my family, Dr. Luly Diez-Arguelles and Dr. Amanda Cereijo are both Doctors of Physical Therapy and co-founders of Freya Wellness Co. and we are going there. All of it.

We’re talking about pelvic floor dysfunction, what it actually is, why symptoms like leaking, prolapse, and painful sex are so common but so rarely talked about, and why the kegels you’ve been doing your whole life are probably wrong. They also walk us through a live diaphragmatic breathing exercise, we break down what a first PT visit looks like (yes, including the internal exam), and we get into how your pelvic floor is connected to everything from back pain and bone density to orgasm.

We also talk about the shame that keeps so many women silent for years and why common is not the same as normal. Whether you’re postpartum, perimenopausal, or just quietly modifying your life around a symptom you think you have to accept, this episode is for you. It is never too late to get help.

And because we’re family, we go a little off-script too, into what it took to leave their jobs and build Freya from scratch, and what a business partnership actually looks like when it works.

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Become a Patient: ⁠HERE⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠

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Use code PATREON10 10% off first month

Freya Wellness Co.

Website

Instagram

Phone Number

(305) 918-2631

Locations

Coral Gables Location: 2655 S Le Jeune Rd, Suite 709, Coral Gables

Midtown Location: 2200 Biscayne Blvd, 2nd Floor, Miami

Chapters

00:00 Intro

00:54 Meet the Guests: Luly and Amanda

01:43 Personal Experiences and Family Support

02:50 Understanding Pelvic Floor Dysfunction

04:50 What is the Pelvic Floor?

06:47 Breathing Techniques for Pelvic Health

11:45 Pelvic Floor Therapy: Is it Ever Too Late?

12:41 Understanding Prolapse and Its Causes

16:42 Immediate Steps for Pelvic Floor Concerns

17:36 The Story Behind Freya Wellness

22:31 Maintaining Wellness with Entrepreneurship and Family

24:05 Working with Family: Challenges and Successes

28:47 Surprises in Starting a Business

30:44 Pelvic Floor Health and Overall Well-being

33:09 The Importance of Internal Exams

40:33 Pelvic Floor and Sexual Health

42:29 Final Takeaways and Contact Information

44:39 Outro

In this episode, I am sitting down to talk about something that affects millions of people but rarely gets the honest, open conversation it deserves–pelvic floor dysfunction.

We cover what the pelvic floor actually is, why it matters so much for everyday quality of life, and what happens when things aren’t working the way they should. From incontinence to pelvic organ prolapse, I break down the most common symptoms, why they show up and most importantly, why you don’t have to just live with them.

We also talk about the treatment landscape, what’s available, what actually works, and why so many people wait far too long before seeking help. Pelvic floor physical therapy, lifestyle modifications, and functional approaches can make a real difference, but getting there starts with understanding what is going on in your body.

You deserve to feel well in your body and that includes the parts of your health that are hardest to bring up. 

If you have been quietly dealing with pelvic floor symptoms or you’re caring for someone who is, this episode is worth a listen.

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Chapters

00:00 Intro

00:06 Introduction to Pelvic Floor Dysfunction

01:21 Understanding Pelvic Floor Dysfunction

02:00 Impact on Physical Health

03:34 Psychological Impacts

04:06 Quality of Life and Longevity

05:31 Treatment Options

07:02 Pharmacotherapy and Additional Interventions

08:33 Advocacy and Seeking Treatment

09:21 Conclusion and Takeaways

09:58 Outro

In this episode, I sit down with Carly Alarcón, the founder of YVB, for one of those conversations I've been wanting to have for a long time. Carly's path into medicinal mushrooms started the same way a lot of great things do, she went looking for a product she could actually trust, couldn't find one, and decided to build it herself.

We talk about what supplement integrity really means beyond the buzzword. Carly breaks down exactly what to look for on a label, why the sourcing and extraction method matters more than most people realize, and the red flags that should make you put something back on the shelf.

We also get into adaptogens: what they are, how they work, and why consistency is everything when it comes to seeing real results. Plus, Carly shares the sustainable practices baked into YVB from day one and why she believes the cleanest products are almost always the most effective ones.

Whether you're just getting curious about functional mushrooms or you're already deep in your wellness routine, this conversation will sharpen how you think about what you're actually putting in your body.

*Disclaimer:

Turkey tail mushroom (Trametes versicolor) is widely studied in integrative oncology for its immune-modulating properties. Compounds in the mushroom–especially polysaccharide-K (PSK) and polysaccharopeptide (PSP)–do not directly kill cancer cells in humans, but they can enhance the body’s immune response to tumors. These compounds act as biological response modifiers that stimulate immune cells such as natural killer (NK) cells, CD8+ T cells, and dendritic cells, and increase cytokine signaling involved in antitumor immunity. Experimental studies also show that turkey tail extracts can inhibit cancer cell growth and induce apoptosis in laboratory models, although these effects occur at concentrations that may not reflect clinical dosing.

Clinically, PSK has been used in Japan as an adjunct to chemotherapy, and randomized trials and meta-analyses suggest modest improvements in survival outcomes for some cancers, including colorectal and gastric cancer, when combined with conventional therapy. However, the certainty of evidence remains low to moderate due to small study sizes and older chemotherapy protocols, so turkey tail is considered a complementary–not curative, approach in cancer care.

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⁠⁠⁠⁠TikTok⁠⁠⁠⁠

⁠⁠⁠⁠Youtube⁠⁠⁠⁠

⁠⁠⁠⁠Linkedin⁠⁠⁠⁠

⁠⁠⁠⁠Website⁠⁠⁠⁠

⁠⁠⁠⁠See full show notes⁠⁠⁠⁠

Become a Patient: ⁠HERE⁠

Medical Providers: ⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠

Subscribe to our Newsletter: ⁠⁠⁠⁠HERE⁠⁠⁠

Hume Health⁠ - Get $20 off

Gramms Protein - Get $20 off 

Ethlete 15% off code: REVER15

Book a call with Mimi: HERE

Patreon

Use code PATREON10 10% off first month

Carly Alarcon

Website

Instagram

Chapters

00:00 Intro

00:18 Guest Introduction: Carly Alarcon

01:22 Carly's Personal Health Journey

03:33 Founding of YVB

05:45 The Role of Mushrooms and Adaptogens

06:52 Meditation and Stress Management

09:22 Business Evolution and Product Offerings

14:53 Environmental and Ethical Practices

19:49 Family Business Dynamics

22:38 Maintaining Wellness as an Entrepreneur

27:11 Product Showcase and Recommendations

36:36 Supplement Industry Insights

42:44 Future Plans for YVB

44:13 Conclusion

44:34 Outro