Traditional, or allopathic, medicine is simply stated, more or less, “wait ‘til it’s broke, and then try to improve it with pharmaceuticals or surgery.” While there are a few attempts to practice prevention, this is usually just vaccinations and recommendations to lead healthier lifestyles which sadly usually falls on deaf ears. Wouldn’t it be incredible if, on the other hand, we focused on preventing problems before they manifest themselves; this might put some traditional doctors out of practice, but as a practicing emergency physician, I’m okay with that. It would take an enormous change of thinking for this to happen which certainly, at best, will be slow incoming, but any improvement should be welcomed with open arms. Sadly, it is not. Traditional medicine has an incredible inertia, or resistance to change. While theoretically this may be good, in order to avoid trendy “quackery,” all too often it is based on being satisfied with the status quo and simply accepting that “what I was taught in medical school, etc. must be right!” Placebo controlled, randomized trials are certainly necessary for pharmaceutical interventions, but other aspects of medicine rely on the “art,” which includes critical observation with a dose of common sense. Over time, these observational studies can be confirmed with more rigorous studies, of course. All too often I see physicians willing to prescribe “artificial” pharmaceuticals, many with enormous risks and side effect profiles simply because they are FDA approved. These same doctors often scoff and ridicule the use of “natural” bioidentical hormones and supplements without these same problems. Common sense alone would seem to dictate that using an identical substance to replace what is deficient would make more sense than using some similar chemical with a questionable safety profile. I most certainly believe in the Latin motto “primum non nocere;” first, do no harm. I do believe there will always be a need for allopathic physicians, and am very proud of my accomplishments in this arena as well! On the other hand, after practicing allopathic medicine for more than thirty years, and regenerative and anti-aging for less than ten, I have seen more consistent good from the latter!