Episode 52

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Published on:

12th Apr 2026

#052 Sheryl Dunn - Why Private Blood Testing Is Exploding in the UK

vitalityPRO

#052 Sheryl Dunn - Why Private Blood Testing Is Exploding in the UK

Sheryl, Founder and Managing Director of Nationwide Pathology, established the company in 2011, bringing her extensive expertise from a distinguished career in pathology. After completing her training in NHS laboratories, she honed her skills managing a private laboratory in Birmingham. At Nationwide Pathology, Sheryl drives the technical operations, ensuring cutting-edge technologies are utilised to deliver precise test results. Her role also involves engaging with clients and addressing clinical queries. Known for her dedication to quality and innovation, Sheryl keeps the company at the forefront of the industry.


> During our discussion, you’ll discover:


(00::) How COVID-19 affected health testing labs

(00::) What is UKAS lab accreditation

(00::) What kind of equipment do health testing labs use

(00::) Ultra-sensitive hormone testing

(00::) How do private labs differ from the NHS

(00::) The use of AI in medical health testing

(00::) Why are people going to private labs more often

(00::) Should testing companies go Direct-to-Consumer

(00::) How the backend clinical support system at Nationwide works

(00::) What is a health test everyone should run every year

(00::) The biggest myth about private health testing

(00::) What is the biggest trend in private healthcare

(00::) What is the future direction of private healthcare in the UK


The vP life Podcast is brought to you by vitalityPRO, a supplement company based in the UK that provides you with the latest in health, anti-ageing and longevity supplementation. What makes vitalityPRO unique is that it third-party tests every product batch for quality, purity, heavy metals and other contaminants. vitalityPRO’s mission is simple: provide you with confidence in the quality and effectiveness of your longevity supplements that focus on restoring your cellular health.


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Transcript
Speaker:

Welcome to the VP Life Podcast, the show

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where we bring you actionable health

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advice from leading minds.

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I'm your host, Rob.

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My guest today is Cheryl Dunn, Managing

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Director and the founder of Nationwide

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Pathology, a UCAS-accredited private

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laboratory she launched back in 2011

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after more than 30 years

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in the field of pathology.

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Expect to learn why private health care

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and blood testing are growing rapidly in

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the UK and where the NHS is currently

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falling short, how modern pathology labs

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operate behind the scenes, from advanced

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analyzers to emerging technologies like

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AI, and how accessible, preventative

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testing can help identify health issues

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early and improve long-term outcomes.

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Now, on to the

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conversation with Cheryl Dunn.

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Good afternoon, Cheryl,

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and welcome to the podcast.

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This is going to be an

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interesting show today.

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It's something that's

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definitely new for us in any case.

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Of course, we talked about diagnostics

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and biomarkers and blood work a fair

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amount in the past, but we've never

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really, I suppose, taken a dive of any

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depth into what your side of the industry

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is like and what makes it tick and why

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private health care, I suppose, is

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growing at the rate that it is.

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So, yeah, this is a conversation I'm

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excited to share with the listeners and

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your audience as well.

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In any case, before we dive into what

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makes a pathology service tick, would you

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mind introducing yourself, who you are,

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what you do, all that good stuff?

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Yeah, my name is Cheryl Dunn.

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I am a biomedical scientist by trade and

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have been for quite a long time, worked

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in the NHS and the private industry for

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40 plus years, which

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is a bit scary nowadays.

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So, yeah, so I started Nationwide Volley

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in 2011 and I'm currently MD and

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laboratory director of that company.

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And it's an interesting

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industry to be in, definitely.

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It's exciting and I still enjoy it.

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I know a lot of people look to retire at

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points in their life, but I've got no

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intention of doing that because it still

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really interests me being able to deliver

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a pathology service

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to people who need it.

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Yeah, no, you know what they say?

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You don't get old because you don't stop

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playing because you get old, you get old

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because you stop playing.

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And I think that rings

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true for any profession.

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I think the moment you retire,

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all the wheels fall off, don't they?

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And I think if you keep yourself going

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and going, then you're more likely to

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sort of age effectively, although that's

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probably a different conversation.

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What got you into

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biomedical science to begin with?

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What was your initial sort

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of call, I suppose, there?

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So originally I actually decided what I

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wanted to do when I was at school.

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I always loved science, lived in the city

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of Birmingham at the time when things by

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nudge weren't really

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available to me to go to university.

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My actual family friend was in those days

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a medical laboratory scientific officer

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in Wales, and she used to take me in the

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holidays to the lab.

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And I just was really interested in it.

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So at the age of 14, I wrote to all the

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hospitals and said, when I do my

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O-levels, can you give me a job?

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And the day in my O-levels came out, I

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had some letters come through the post.

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That said, would you like

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to come from an interview?

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So that's really how I started.

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I've never done anything

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different from that day.

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And I definitely

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formerly chose the right career.

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Fair enough.

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Well, I suppose that's

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quite fortuitous, one might say.

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OK, so let's dive into it.

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And maybe a bit of an odd place to start

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talking, to start off with.

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But how did you get

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nationwide off the ground?

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You mentioned you

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started the company in 2011.

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Now, color me curious, but I suppose how

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does one start a pathology lab?

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I mean, there are plenty of us who've got

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centrifuges, microscopes and stains

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floating around sort of

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under the kitchen sink at home.

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Maybe that's just me

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actually, come to think of it.

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But yeah, how did you sort of go from

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this private sector?

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I think you were in the NHS as well to

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then getting nationwide off the ground.

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I reckon it's probably quite the endeavor

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to begin with at least.

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Yeah, definitely.

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As I say, I've always

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been really passionate.

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I worked in managed private lab for 20

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years and worked with him after the NHS.

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And when it's not your company, I wasn't

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going in the direction

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that I thought we could go in.

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And that's difficult when

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you're not your own boss.

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So there were lots of conversations and a

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lot of people said to me, you should be

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doing this on your own.

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You've got some really good ideas.

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But financially, to set

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up a lab is very difficult.

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So as a family, we took a real risk.

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We basically put everything on the line

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and thought, if we're going to go for

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this and do the things that we want to

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do, then we'll do it.

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And really, I've set up the lab with

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machinery from some companies that I've

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been involved with over the years.

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They took a risk on what I believed in

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and sat in a room with a load of

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equipment on my own and

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waited for the phone to ring.

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And that's where we started.

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And we just went from

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strength to strength.

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I think I knew the industry very well.

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So when what people wanted and we've

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developed into the company we are now,

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it's still very family.

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We try to treat all our stuff

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like it's a family environment.

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We haven't sold out to anyone.

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My husband and I are the sole directors.

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And we get excited

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about what we can deliver.

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We've moved.

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This is our third move and hopefully our

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final move to the premises right now.

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And it is difficult.

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It's difficult whatever

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business you start up in.

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I think you just have to really believe

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in what you're delivering to keep going.

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But, you know, there are late

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nights or still late nights.

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People think, you know, you have this

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fantastic life when you've got a business

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that is doing well and actually the

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effort that goes in behind the scenes is

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a lot more than people realize.

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People don't, whoever in business don't

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have holidays, they might go on holidays.

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They ultimately think about

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work or do work constantly.

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And I'm happy with that.

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So I think we're doing the right thing

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and I get great enjoyment in seeing the

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people we help through offering the

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service that we offer.

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Yeah.

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No, I think your first business is always

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about fundamentally learning business as

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much as it is sort of

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delivering the product.

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Just to speak to what you've just said.

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And yeah, it's a labor of

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love at the end of the day.

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You can't sort of go into

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entrepreneurship and

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expect it to be easy.

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And as you've no doubt sort of picked up

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along the way, I think business is

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fundamentally the game of solving both

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your problems and other people's problems

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as they arrive and as they arise.

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It's kind of a combination of creating a

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really good product and a really good

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service, figuring out how to sell it and

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then putting up fires on the back end.

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In any case, when you sort of in the

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early days, were you sort of running

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most, were you doing most analytical?

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Can were you running the labs and on and

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all of that side of it?

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Yeah.

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So I did all of the testing in the

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beginning and all of the admin work.

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And, you know, eventually as we got

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busier and busier, we brought people in

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to help all those sides.

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Obviously, you need someone to answer the

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phone or you can put resorts.

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So we just grew organically, customer

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wise and staff wise.

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And we've got some staff that have been

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with us for nearly the

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duration of that time.

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And it helps that I was on the ground.

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I know how it started and I can do

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everything that I expect

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everyone else to do now.

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And, you know, we've got children

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involved who are now part of the business

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and they all work

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their way from the bottom.

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So we all sort of learn everything.

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So you don't, you know, how long

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something takes and you know what you're

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expecting somebody to do.

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Yeah.

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That's amazing.

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And I can just speak to the quality of

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the staff that you have.

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Not that this is an ad, especially, but

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you really do have amazing staff.

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You mentioned recently

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that you've moved again.

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Is this sort of a final

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and that being a final move?

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Is that just sort of

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from a point of expansion?

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Have you got new units in?

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Is that sort of the

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reason for the move or?

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So basically we've grown to labs,

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Dinto and an opportunity came up actually

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where we live at the moment

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where there was an empty bar.

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And to make life easier,

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we thought we might as well convert this

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building into a purpose built lab, which

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meant that we could have windows where we

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wanted them and we could look after our

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staff better, give

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them a better environment.

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It's also four times the size of the lab

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we move from the space.

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And we thought we'd have loads of room,

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but actually nine months later, it's

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absolutely jump packed.

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Right.

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Be looking for more space.

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But I think it is a

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permanent site where we are.

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We're in an ideal location right in the

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middle of the country.

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M1, M6, Cogdoor.

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We've got a train line to

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London that's 55 minutes.

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So we're well sat actually that we don't

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get those snarls of samples trying to get

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to us, even though we're not in London or

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not in this big city.

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It works really well for us.

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Fair enough.

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Yeah, I suppose having a background in

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biomedical science has

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definitely helped you.

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Do you think that that

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training sort of, I suppose,

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really, I suppose it did actually help

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you get established.

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Is this something that someone would,

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without your background, could

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potentially get into as

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well, setting up a pathology lab?

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Or do you think you need that technical

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experience if you maybe don't have a

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technical partner off the bat to help?

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I think you definitely do need a

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technical experience in the field,

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whether that's you implore somebody to do

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that part of it or not.

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But I think it helps.

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I think there are some labs that set up

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in Covid and Covid was a test.

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And that's one test, one lot for this

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control, one lot of results that can

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possibly go wrong or

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there's issues with it.

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When you're actually into the rounds of

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having a private pathology lab, there are

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hundreds of tests you are doing.

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And that's a lot

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different to doing one test.

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And I think people find that in Covid,

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they set up labs to

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just do Covid testing.

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And then they'll all

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delve into this market.

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And I think some of them have struggled a

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little bit with that concept.

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One, because there's a lot of machinery

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you need to do these

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tests, which is expensive.

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You have to have partners that are ready

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to put that amount of equipment and

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you've got to have the work and volume as

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well to cover those costs.

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And the quality side is

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very difficult as well.

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It's expensive and it's very laborious

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and it's very technical.

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So you need somebody very experienced to

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be able to help you with that quality

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side of it in your UCAS accreditation.

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Yeah, no, that's a perfect segue

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actually, because the next thing I wanted

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to talk about was UCAS accreditation.

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But before we get there,

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though, you mentioned Covid.

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Maybe the last question I'll ask here,

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just regarding the start up here

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regarding nationwide.

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But how did you sort

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of move through Covid?

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I assume it had a positive effect on the

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business at that time and space.

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Definitely.

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It was very difficult.

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We were all at the point where we didn't

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know what was going to happen.

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I personally thought we

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could all die from this flu.

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At the very beginning, it was very scary.

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And even though as labs do PCR testing,

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that is done, it wasn't

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used on a real team basis.

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So to be able to facilitate the amount of

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testing we did was quite

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challenging at the time.

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It was really exciting to be in that

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world of biomedical science at the time.

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We didn't know what was positive or what

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was negative necessarily.

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We did some of the first Covid testing.

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We obviously helped in

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that chest, our points.

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We did by the end of Covid, we were doing

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15,000 Covid tests a day

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and sent 15,000 kits out.

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So it was a big learning curve.

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We had to think on the hoof, there were

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lots of talks with the government and

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other scientists

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about how we approach it.

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Financially, it was obviously very good

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for the labs that did big testing.

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And that's probably allowed us to

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reinvest into a lot more testing post

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Covid, which is the exciting bit.

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Because as I said before, to bring new

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tests is their expensive bits and pieces.

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And you need the capital behind you to be

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able to facilitate that testing.

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Well, there's always a silver lining.

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So in any case,

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working in the supplement industry, which

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is sort of the background

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over here behind the podcast,

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I'm fairly familiar with

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testing of various sorts.

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And I know if you want your products to

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stand out in the market and to have any

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chance of being taken seriously, they

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need to be tested by a UCAS accredited

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lab, something you mentioned earlier.

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Now, obviously, a

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different sort of testing.

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But for the audience, would you mind

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breaking down what UCAS accreditation is

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and then maybe why it's

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important to have that as a lab?

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UCAS accreditation probably underpins

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quality of results you are delivering.

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It's changed over the years.

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UCAS accreditation some years ago, it

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used to be called something

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else and they accredited a lab.

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Whereas now UCAS

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accreditation is on each individual test.

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So they come in and they inspect us, but

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they go through every part of the

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business from recruitment to your

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website, to terms and conditions, to them

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drilling down to each individual test.

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And those individual tests are assessed

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on a strict regime according to an

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accreditation schedule

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that you have to fulfill.

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But part of that is that we carry out

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internal quality control every day, maybe

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testing sometimes twice a day on tests we

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do to make sure we're achieving a set

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result that we know from an own sample.

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And we also take part in

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external quality insurance.

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So you are it's a blind testing when you

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get samples sent to your lab, you test

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them, send back and then you all compared

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to your peers really.

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So there are certainly labs take part to

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do, for example, he would go and test and

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everyone's compared against each other.

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And also you compared against methods

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because every method or every different

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manufacturer has

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slightly different variables.

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So you can see whether you're achieving

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the same result as all the other Siemens

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users in the country.

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So internally, it's really good for

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quality because you can see instantly

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there's something going on with the test

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and that might not be at lab level.

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That might be a manufacturer level if

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they get in old resorts or things are

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quite where they'd expect them to be.

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So we do that for every test we do.

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You have to have specialist people who

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can inspect those particular tests and

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that's quite challenging for them.

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It's a hard job for them to get round all

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these labs, and inspect all of

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the tests that they're doing.

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And that's why sometimes the schedule of

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accreditation for labs doesn't cover

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every test because sometimes it can take

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you two years to get a test on that

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schedule, which is quite challenging.

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But it's because we've got that medical

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level of UCAS accreditation in our lab,

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it underpins to our clients that actually

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we follow the same protocols for all of

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the tests we're doing in-house.

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And we follow the same

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procedures, so it gives them...

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We're sure.

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We're sure that we are doing everything

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to the best of our

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ability of that sample.

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But obviously it's difficult.

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We're not hospitals, so we haven't got

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patients on wards for us.

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Our work comes in like careers or post.

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So you don't always know what sample,

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what's happened to that

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sample, wherever it is.

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It could be taken

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anywhere in the country.

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But we do our best to be able to say,

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right, on that sample, on that day, this

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is the test result we've

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achieved, and this is...

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We've got all this underlying quality

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control that we put in place to say that

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that's what we've

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achieved on that sample.

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There is some due diligence required by

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the customer, the physician, the

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phlebotomist, etc., to make sure that

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samples and specimens are obviously

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labeled accordingly.

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So you can then make a calculated

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decision on whether that sample is still

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viable when it arrives at the lab.

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I think ultimately what this

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accreditation seems to provide is just

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consistency with regards to test

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specificity and sensitivity across just

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all, as you mentioned,

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labs and machines and units.

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And so, I mean, that's the fact that

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you've got it obviously just speaks

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volumes to the type of

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service that you're running.

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So that's incredible.

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Joe, I'd love to switch gears a bit and

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then I suppose talk about maybe what

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makes Nationwide a little

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different from the norm.

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Now, starting off, how's your lab set up

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in terms of equipment?

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I reckon you've probably got a little

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more than I do stored under the kitchen

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sink and in the room closet.

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Yes, definitely.

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We've got a massive amount of equipment.

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We try and do as much as we can in-house

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and if we don't, if we've got a demand

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for it, we get some equipment in that we

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can do those tests on.

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Obviously, every test is done on

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different equipment.

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Our core equipment is Siemens Atelica

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analyzers and we do

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our routine biochemistry,

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our immunology on

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those mainline machines.

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That's quite an automated system.

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We've got a new bit of equipment, which

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is a track system that joins all those

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analyzers together, which

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makes us more efficient.

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But there are lots of companies that

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we've got equipment for in the lab.

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We've got LCMS, we've got PCR machines,

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we've got electrophoresis machines,

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hematology analyzers,

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and certain analyzers

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do different things.

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We've got an immuno light that

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we've run allergy testing on.

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We also do IgE and IgG allergy.

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There's a lot of equipment and hopefully

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our website will be updated soon and

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people will see the pictures of the new

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lab and see actually what

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it looks like inside of them.

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I suppose all your machines are

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constantly calibrated.

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Does this account for drift within your

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mass spec machines and

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things like that as well?

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Everything is calibrated, everything is

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close to controlled every day and

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sometimes twice a day.

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Sometimes we do the morning and we do an

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afternoon callers to control and run on

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our most common tests.

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Okay, that's impressive to say the least.

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And to be honest, it

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sounds like my idea of heaven.

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Maybe a bit of a technical question, but

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are you doing any sort of ultra sensitive

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hormone testing using

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LCMS, MS, anything like that?

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Obviously you get different sort of

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assays or test types of

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audience looking at hormones.

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Maybe as an example, you get ultra

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sensitive estradiol, for example, versus

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just an immune based assay.

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Are you looking at these ultra sensitive?

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Are you offering these

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ultra sensitive tests yet?

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Or are they more just

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sort of run of the mill?

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We

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will be.

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We've just invested in LCMS because we

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recognize that hormones, testosterone and

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estradiols are much

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more accurate on LCMS.

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And that's something we've just put in

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and we'll be launching in the next month

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also to offer our menopause clinics and

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our testosterone and plasma therapy

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clinics a more accurate way of testing.

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And that's something that I'm really

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interested in at the moment.

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Oh,

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also nice music to my ears because yeah,

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working with the old client and yeah, the

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moment they have, they're on any form of

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HRT, obviously those sort of, yeah, let's

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call them traditional sort of tests tend

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to be less reliable.

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So I'm really glad to hear that because

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yeah, that is definitely USP.

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I can't think of many

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labs who offer that.

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So that's exciting to hear.

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Right.

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So recently I went to my GP to get some

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blood thrown and believe it or not, I

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actually managed to get

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them to run serum copper,

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which surprised me.

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Normally, that's a bit of a juggling act.

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And yeah, I got cross

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question for an hour beforehand.

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But yeah, all came back except the

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copper, which I was told would

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take a few weeks to get done.

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That that's kind of stumped me to be a

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bit honest, I must admit as I believe you

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correct me if I'm wrong, I think most

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minerals are just sort of analyzed

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through atomic absorption spectroscopy.

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Again, I'm probably just very naive here,

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but that strikes me as a bit strange that

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as sort of a government based institution

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doesn't have sort of regular

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access to this sort of kit.

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Anyway, I suppose an actual question

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which sort of goes back

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to when I asked previously,

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how does a private lab like yours differ

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from a traditional NHS setup and yeah,

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what you've already discussed or well,

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I've mentioned off likely fairly limited.

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I think NHS pathways are different.

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And I think you've encountered that when

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you go to GP and you want particular

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tests that isn't in an NHS pathway or you

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don't fit the criteria for that test.

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So a lot of NHS labs don't have that

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specialized testing and they're not often

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used referral labs for that.

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How we differ is we try to off all of

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that and do what roof.

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So we will do vitamins and minerals on a

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sample we do we send

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very little work out.

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We like to keep control of our samples.

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So for example, if you go to a doctor and

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you ask for they suspect you've got a

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thyroid issue, they might just send it

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off for a T-sage because

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that's all there to do.

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Whereas we will do a whole thyroid panel,

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which actually gives a better picture.

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And if there is a result that is

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different, then the GP or the private

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doctor has that in front of them straight

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away instead of sending the patient back

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for another blood test.

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So we try to do more comprehensive

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testing that gives a

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bigger picture, I think.

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And in order to be able to do that as a

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private lab, you have to have that

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testing equipment in the house and you

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don't question what

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you're being requested to do.

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So I would decide whether it's relevant,

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clinical relevant to do certain tests on

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the sample that comes into us whereas NHS

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labs have to ask that question, why are

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we doing this test on this patient that's

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costing the NHS money?

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Yeah,

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no, I suppose that's a bigger issue

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potentially talking about NHS guidelines

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and why they will and

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won't do certain tests.

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But I think thyroid testing is

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completely, it's a mess.

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I mean, I'm sure you can speak to this

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too, but looking at someone's T-sage and

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just sort of hoping that your cover all

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bases just by looking at one signaling

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molecule is definitely not enough.

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And I suppose that sort of speaks to a

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reason why an individual should look to

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go private with testing to begin with,

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especially if there's maybe a bit more of

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a complex medical condition or they are

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struggling to get the answers that they

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need out of their GP.

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Hopefully something we can come back to a

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little later on in the conversation.

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Anyway, last time I checked, which was

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when I had some caffeine in me, we were

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in 2025 and we are slowly, well, not

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slowly actually, we're fast moving into

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this sort of area of well, everything

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artificial intelligence.

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Now,

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there are various companies popping out

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the woodwork here that are starting to

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sort of amalgamate sort of, I suppose,

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quote unquote

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traditional testing with AI.

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The clearly scan in the States being a

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perfect example of this, which is

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starting to utilize CTN geography along

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with these AI engines to create, well,

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results that look at calcium deposits in

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the body with far more accuracy than

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maybe just CTN geography by itself or

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traditional CAC

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school, something like that.

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Have you thought about AI at all?

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And are you looking to sort of

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potentially integrate it

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into your services yet?

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Or is that something that's maybe a

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couple of years down

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the line for you guys?

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I think for me, it's about the testing we

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do and the quality of testing to do.

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I think the

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interpretation of it may come in.

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I'm not 100% confident it

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will work for everybody.

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And that's the risk.

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I think it is, knowing it's probably

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someone, you know, good to me, that will

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look into that and say, actually, you

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know, this is going to come in.

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And I know there are companies out there

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experimenting with it.

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I don't know how that evolves when you're

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safe from the patient, whether people

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have done comparisons of what something

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AI would clinically diagnose

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compared to a normal doctor.

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And I think we just need to be.

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It is out there and it will come.

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But where we are with it

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at the moment, I don't know.

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For me, the important bit is us getting

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the latest technology and the best test

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results we can out there to enable

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somebody to be able to do

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a diagnosis on a patient.

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On

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the back end, yes, I suppose it's the

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case of it ain't broke.

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Don't fix it, really.

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Fair enough.

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Well, of course, it's, as you mentioned,

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it's the future and it's something I'm

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definitely excited to see develop.

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In any case, I'd like to pivot again into

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something else that maybe

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I'm a little more clued up on.

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And that's the preventative

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care side of the equation.

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Now, part of what I do with the clients

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that I work with is obviously

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has a lot to do with testing.

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Now, in the past, I've tried to work with

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maybe clients, PCP, their primary care

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physician, to help them keep the costs

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down and get the testing done like that.

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But it's never worked.

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It's always painful.

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It's back and forth.

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And now I rely predominantly

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on labs such as yourselves.

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From your point of view, though, why do

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you think more people are looking to

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optimize their, who are looking to

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optimize their health?

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Excuse me.

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I'll start on to turn to private labs and

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to help them keep track of the testing

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that they're choosing to run.

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I think people are more aware of their

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health in general now.

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And I think COVID has taught the general

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public that actually there is a lab out

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there and there is

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access to private testing.

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I think that's changed a lot.

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I think telemedicine is important.

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People don't have to

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go somewhere to do it.

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But the NHS is fantastic and it does what

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it does for acute care really well.

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We all want to be healthy.

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I think that is the way that

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we all want to live longer.

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We all want to have

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better quality of life.

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And I think we're all more aware of our

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health and what we can

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do to help that process.

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And I think that's where the private

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pathology market will expand massively.

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Because people take supplements, they

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want to live longer.

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They're looking at things.

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They're looking at different biomarkers

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than you would in the NHS.

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And monitoring their health, I think.

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And I think it's important that private

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labs offer that service because I don't

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necessarily think the NHS

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should offer that service.

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We're trying to get cost

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down, bring things in house.

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And the more we do with that testing, the

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cheaper it will become.

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Because instead of doing one test,

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you'll suddenly...

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test kits tend to come in a batch of 100.

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So if you're doing one and it goes off in

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30 days, you incur the

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whole cost of that test kit.

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If you could do 100,

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you're splitting that cost down.

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And what we do at Major Microbiology, we

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really try and pass that cost reduction

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on as soon as we've got demand or it's

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costing us less to do.

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Because there's no poor offering to test

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that's going to cost a thousand pound

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because no one's going to do it and it

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becomes inaccessible to people.

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But if you can offer something for 20,

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because you're doing probably not be,

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then it makes more sense.

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That makes perfect sense.

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And it's definitely a business model I

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can get behind, especially again, when

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working with clients and sort of

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oftentimes you will try and get them to

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run a few different tests at all at once.

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And yeah, those bills

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really do add up very quickly.

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So that's awesome to hear.

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So I suppose a lot of companies in this

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space have launched or starting to sort

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of build out these

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direct to consumer models.

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This obviously has its pros and cons.

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I would have thought with your clinical

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support team, that's maybe it's something

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that you would start to look at offering.

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I'd love to chat about your support team

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in a second, by the way.

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Is this sort of something that you're

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considering this sort of, yeah, this DTC

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model or you primarily just still looking

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to work through practitioners?

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We try and work through

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practitioners when we can.

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One of the reasons is we don't want to

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compete with our own customers.

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I know some labs are happy that they are

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offered to the general public.

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We did in COVID, obviously, because we

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had to offer to the public in COVID.

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I think it helps.

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I think there are a lot of private GPs

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and telemedicine companies that can help

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people and we can help facilitate that testing.

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But I really do like having that

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relationship with our GPs and it might be

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physios, it might be people who work in

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the gym, but we like having, helping them

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provide a service to their customers or

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their group of people as well.

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It's not about individual consumer

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testing for us because I think there are

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other platforms that do that quite well.

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Menopause and Test Australia

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are classic examples of that.

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There are companies that have thousands

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of clients on there.

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They're books and we just deal with the

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GPs, that run all the

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physios and the people.

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So I think where we can, we try to deal

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business to business rather than DTC.

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Yeah, that makes complete sense.

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I suppose it's kind of the old adage, you

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sort of stick to a warehouse focus on

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what you do well and then let everybody

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else sort of, I suppose,

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pick up a slack on the backend.

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Just out of interest, are you supporting

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any of these sort of platforms on the

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backend with their testing services?

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Yeah, there's a lot of the online

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companies that we do the testing for and

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we facilitate, which is different to a

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lot of other labs, we facilitate through

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Botany, which was a

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big hole in the market.

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So if you're doing online consultation

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and you need to go and have your blood

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taken, it was very difficult to find

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somewhere that can do that.

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And we facilitate that

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for all our customers.

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That's an add-on service we do.

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So we've got from Botany clinics all

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around the country that CQC registered

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and we have patient's bonus that are

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referred by their clinics and we put

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their postcode on and try and facilitate

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that from Botany, whether that's with a

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clinic based from Botany or

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whether it's a mobile service.

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So we've worked very hard since we first

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began really offering a free botany

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service across the country.

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We've streamlined that and I think that's

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a very good add-on for our customers and

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a lot of people use this because we offer

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that service and we do it very well.

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Yeah,

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you definitely do.

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And again, I mean, it's something I've

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used as well with the

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clients I work with.

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And it is required because unlike,

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yeah, I suppose I'm the exception to the

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rule, but very few people are willing to

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flip optimize themselves like I am.

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So it's a case of do as I say, as I do,

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of course, but needs must sometimes,

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needs must occasionally.

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So yeah, I'm thrilled as

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a service that you offer.

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Okay, the other thing that you do really

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well is you've got this sort of back end

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clinical support structure that does help

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when helping to interpret results.

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How did and when did

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that sort of developed?

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Was that sort of something that was sort

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of introduced straight off the bat or has

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that something you've introduced over the

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years to sort of help?

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Well, I suppose the practitioners you

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work with in the odd sort of direct

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institutions, you know, you can help them

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to understand the labs that they're

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trying to run and interpret.

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Yeah, I mean, I think it evolved.

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It was always there from the beginning,

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but on a very small scale.

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UCAS 15189 accreditations

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and medical accreditations.

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So it gives you it does require you to

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have consultant back

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up for clinical advice.

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We've got three, that's part of the

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standard for that accreditation.

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So it means that we can give advice, we

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can interpret some results.

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We can say whether you've got a current

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infection or we assume you've got a past

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infection based on the results we get.

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But also for in-depth things, especially

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from microbiology and

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some just disease results.

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We've got consultant back up that can

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talk to our GPs and reassure them or

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suggest for the

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testing that they may need.

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And that's an important part now, as we

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discussed earlier, the more and more

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people using private pathology labs.

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Obviously in hospital, we

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have instant access to doctors.

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But I think it's something that we are

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proud of that we can offer

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that service to all our clients.

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And it's really important because it

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gives them reassurance in cases that they

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can pick up the phone

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and speak to people.

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What we also do is, as I say, we don't

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operate a call centre for such, radical

Speaker:

people and people have access to me and

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director level at any time, night or day,

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to speak to us if they're unsure about

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what testing they should be doing,

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whether they're unsure about the source.

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And I think that's very different.

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It makes us unique

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really in the vulture world.

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And I think that's something that would

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be very precious about keeping that we

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are a very bespoke tailor

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made service for our clients.

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And I think we can do that well, probably

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because we don't sound to the general

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public as well, because we're not

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overloading with individual cases.

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We can still deal with those individual

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cases, but we're doing them through one

Speaker:

forum rather than each individual person.

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Yeah, that just speaks volumes again to

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the type of service that

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you are you're offering.

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And I think it does ultimately just

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result in better patient outcomes too,

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because you have multiple sorts of points

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of interpretation on the test.

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And then you can sort of come to sort of

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a common consensus as to maybe what the

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issue is and instead of maybe a

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misinterpretation on the physicians part

Speaker:

if they maybe don't understand the

Speaker:

nuances of that specific lab.

Speaker:

So I think that is well, I

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know that's really helpful.

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In any case,

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Cheryl, you've been amazing.

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And I know we're

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starting to run up on time.

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Would you be open to just running through

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a few sort of rapid ish fire questions, a

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lightning round, as you might say,

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they're never that rapid.

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But yeah, sort of just a

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nice question to end off with.

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Yeah, that's fine.

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Cool.

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Awesome.

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Okay.

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Test in your opinion that you reckon

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everybody should run maybe on

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a quarterly to a yearly basis.

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Definitely hemoglobin A1c

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is to pick up pre-diabetics.

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That is a big thing that can actually be

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reversed really easily if it's called a

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life thyroid function.

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I think it's really important to test.

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Your general well man, well woman checks.

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There are lots of

Speaker:

diseases that can be addressed.

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Fairly simply that you might not pick up

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and GPs don't do that preventative well

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man, well woman check every year.

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If you're under a certain age as well,

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you know, we've

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picked up things actually.

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And the lab team when we've wanted to

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validate tests or use people as controls

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and we've picked up definitely thyroid

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issues, autoimmune type diseases.

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That is now people have been treated as

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giving them a better quality of life.

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I think it's really important to test and

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really important to trend as well.

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So what might be normal for you might

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alter slightly but might

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still be in that normal range.

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Most of those normal ranges are for 90%

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of the population, but your normal range

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might be slightly different.

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Your testosterone might run at a certain

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level and that might be

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normal for everyone else.

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But you know if that drops but still in a

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normal range and that affects your

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lifestyle or your well being.

Speaker:

So I think it is important to check

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annually, six monthly annually for that.

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And that's what we do for

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our sports clients as well.

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You know, we're really

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involved in sports medicine.

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It's really important for them, these

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athletes to have regular testing because

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they are pushed to the

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extremes of their bodily.

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So we do a lot of trending

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for our sports clubs as well.

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How about trending you mean?

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Trend your so we

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compare results at the time.

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Oh, okay.

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All right.

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Got you.

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And what sort of markers generally

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speaking there are you looking at for

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sort of professional sports teams?

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I assume it's a lot of hormones, a lot of

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liver enzymes, a lot of inflammation

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markers, obviously keeping an eye on

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those metabolic

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parameters you spoke on earlier.

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Is it just sort of an extension of this

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sort of the well man well woman test or

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are you looking for something sort of

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ultra specific with those tests?

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We do that.

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I think I think sports medicine actually

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has gone down the roof of nutrition and

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it's very important to them.

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And they obviously have supplements for

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certain things they have to be certain

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biomarkers have to be high levels in the

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lead athletes because their bodies are

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under such extreme pressure.

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And also they get ill.

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They're ill like any of us, you know,

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some of these sports players is a lot of

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guided fever, those sort of things.

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So there's, there's a

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lot of testing in sports.

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And I think they tailor made their

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nutrition as well, depending on the

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biomarkers they get, you know, their

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vitamin D's are at a certain level, their

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ferritin level has to

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be at a certain level.

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We test copper and zinc, in a lot of

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sports players, we test a lot of vitamins

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as well, which is really interesting.

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So the sports side of

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it is very specific.

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And on our, we offer a trending platform

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as well that with regular blood tests can

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actually look at there.

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There was also the time which is, which

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is interesting, because

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it impacts performance.

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Yeah, that's, that's, that's impressive.

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And I sort of love the fact that you

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brought up nutrients, I think that aside

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from the sort of the metabolic markers

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nutrients are one of the most overlooked

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markers or biomarkers that

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people should be checking.

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Bit of a selfish question, maybe, are you

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looking at sort of whole serum nutrients

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or do you do red blood cell as well, sort

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of across the range?

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Yeah, we do both depending on what the

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climate, so we could

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do a red cell or serum.

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Okay, perfect.

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Well, that was not a rapid fire question.

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Hopefully the next one.

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No, that was completely my fault.

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I just went off on tangents, sort of,

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yeah, get me going and

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we'll be here till Christmas.

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Okay, next one, and I'll try not to

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interrupt too much, but

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I'll probably fail miserably.

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What's the biggest myth

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about private blood testing?

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The myth that it's expensive.

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I think I think people

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think it's not reachable.

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And it definitely is and it's got more

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that way as I highlighted before we are

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not afraid at the nationwide pathology of

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bringing test prices down.

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If I can bring it in the house and do it

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cheaper, I'd much rather do that with a

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quicker turnaround, cheaper test, which

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makes it accessible to people who

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wouldn't think that

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they have access to that.

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To start with, yeah.

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Okay, a follow up on that one.

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How can patients save

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money on private testing?

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I think if they went to

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reputable private GPs, I think, Dr.

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Google isn't an ideal thing because you

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can put lots of things into Google that

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bring up very, very expensive tests.

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Whereas if they go to somebody, not

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necessarily a private GP, but that

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somebody who's experienced in nutrition

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or physios or some people who

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are really interested in that.

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I think then they can direct them to

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testing that is relevant

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and not overly expensive.

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Obviously, some of these tests that

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appear in the papers every Sunday are

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actually trying to test and they don't

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hit some university in America and

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they're actually not available.

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But I think there's a lot of people out

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there that can direct people to cost

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effective private testing.

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Yeah, I think there's definitely an

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element of Dunning-Kruger, that cognitive

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bias where people with maybe a low

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competence in a specific area tend to

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overestimate their ability

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or knowledge in that domain.

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And then they get onto Google and then

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all of a sudden they go wild on a DTC

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platform and rake up a 3,000 quid bill

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when in reality all they need to do is

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check a few simple markers.

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Yeah, those are

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definitely sage words of advice.

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And I think as well what is relevant is

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sometimes people want a lot of testing

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and if they go through some of our

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clients, if they send that to us,

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individual testing, you have to have an

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individual price for a test.

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But if you're doing a big group of

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biomarkers, we can offer different

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profiles and more cost effective profiles

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and we can actually group those together.

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And we have actually launched for a lot

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of our clients, some tired all the time

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profiles and some

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well-man, some well-woman.

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That if you go on a platform and request

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each of those tests individually, it

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becomes hundreds of pounds when actually

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we can make a much more cost effective

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way of doing some set profiles.

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So that's how we like to work.

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We like to be able to offer people the

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best price for the most comprehensive

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testing that we can

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with the quickest way.

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That sort of economy of scale thing sort

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of starts ranking up in

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your favour as the consumer.

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Okay, next one.

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What do you find is the biggest trend in

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private healthcare at the moment?

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To say I think

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hormone testing is very big.

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I think testosterone

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will be the next big market.

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We are obviously women's menopause

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clinics are very well-known now.

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They're very publicised.

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People know about them.

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I think there is a myth behind men saying

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they have a problem.

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And I think generally as a lab, we have

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seen men to testosterone results drop

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dramatically over the last few years.

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And I think really that is, you know, we

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can get rid of the kudos of men having

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low testosterone and make men talk about

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it more or more symptoms.

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And I definitely think that's something

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we should be testing.

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Yeah, that's interesting.

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I was going to I

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would have said longevity.

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I think that's possibly the next

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burgeoning market as well.

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I think a lot of people are starting to

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become very sort of aware of their

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mortality and that there's

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something you can do about it.

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And obviously, there are a lot of markers

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associated, quote unquote, with one's

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longevity that can be where this data

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that can be extrapolated.

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And there's data that can be

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extrapolated from those tests.

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But no, I mean, that's an

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interesting take for sure.

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And I suppose the last question of the

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day, where do you think the private

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health care system is headed in the UK?

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I think more and more people use private

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health care, one because

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the NHS is overstretched.

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And also, there are lots of new tests and

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new things we're finding out.

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We're learning.

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There's a lot in cancer care and tests we

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can do that prevent it or recognizing

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cancer before it

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actually becomes symptomatic.

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And I think the private market is in that

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field at the moment.

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But also, I just think, as you say,

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people are looking at longevity and are

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more aware of the health.

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And I definitely think that middle age,

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or you can, the younger person wants to

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know if there's anything they can do and

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whether losing weight affects whether you

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become too diabetic in the future.

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And I think none of us want to sit at

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home and not do anything.

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We're not 60 now.

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We'll sit in a chair and

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never go out or do anything.

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We're all fit and active.

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We all want to carry on

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anything forever, really.

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So the more we can do it, the more

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accessible private health

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care is, the better for us all.

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And it will help the NHS in the long term

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that we're not sat in hospital with

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similar problems that we perhaps could

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have solved before bed.

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Yeah, it's all about

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prevention at the end of the day.

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Cheryl, you've been a

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star and a treasure.

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Where is the best place to point people?

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Should they want to learn more about the

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work you do nationwide and where can they

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maybe connect with you online?

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What's your preferred social platform?

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All that good stuff.

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I think LinkedIn is

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our most today platform.

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We've got a really good page on there.

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We put new things all the time.

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New tests we're doing.

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We're bringing in house.

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Our turnaround time.

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Our website is being

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updated at the moment.

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They can go to our website and they can

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just call us anytime.

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We're open six days a week till 10 in the

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evening from half seven in the morning.

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And our team are on hand to answer any

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questions or help anybody with any

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questions that they want to ask.

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Perfect.

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And that website, you're all being

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nationwide pathology.ca.uk.

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Is that correct?

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That's correct.

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Perfect.

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Awesome.

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Well, thank you very much for your time.

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This has been an amazing conversation.

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And hopefully we can do another one at

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some point in the future.

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Okay.

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Thank you, Rob.

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About the Podcast

vP life
Discussions on the latest in longevity science, health and functional medicine
vP Life, brought to you by vitalityPRO, provides you with expert advice from leading voices in the functional and integrative medicine world.

Irrespective of the guest and topic, our discussions will aim to educate and provide you with the tools and information you need to create change in your life.

About your host

Profile picture for Robert Underwood

Robert Underwood