Dr. Jesse Thompson joins Andrew and Tyler from his ski-town practice, Prime Medical Clinic, in Rossland, BC, where he's built something increasingly rare in medicine: a genuinely well-rounded practice spanning pain management, regenerative medicine, and aesthetics. What makes this conversation particularly valuable is Jesse's perspective on how these disciplines intersect—and his refreshingly honest take on why he doesn't need to hard-sell aesthetic treatments when patients are coming to him for comprehensive care.

The heart of this episode digs into integrative and functional medicine—not the Instagram-influencer version, but the practical reality of catching metabolic problems before they become disease categories. Jesse breaks down how measuring fasting insulin (rather than waiting for the conventional three-month blood sugar check) catches insulin resistance years earlier, and why the shift from "sick care to health care" is both desperately needed and financially complicated. He doesn't shy away from the peptide conversation either, offering a grounded perspective on BPC-157, GLP-1 agonists, and why half the people buying peptides online are wasting their money on contaminated compounds that do nothing—or worse.

The guys also tackle what it's like being a male injector in a female-dominated field (spoiler: having your wife as your practice partner solves a lot of problems), the myth of metformin as a longevity wonder drug, and Jesse's philosophy on work-life balance with three kids under seven and multiple businesses. His answer to the "best bang for your buck" anti-aging question might frustrate anyone looking for a quick fix: resistance training and staying fit your whole life. Sometimes the unsexy answer is the right one. This episode is essential listening for anyone trying to build a practice that's both profitable and principled.

• (00:00) - Welcome to Botox Cowboys
• (00:14) - Introducing Dr. Jesse Thompson
• (01:58) - The Aesthetics Journey
• (09:28) - Integrative Medicine
• (14:48) - Peptides
• (18:34) - Metformin
• (20:18) - The Canadian Healthcare System
• (23:54) - Being a Guy in a Female Dominated Field
• (25:48) - On Balance

What does it take to thrive in an industry where science meets self-confidence—and everyone’s chasing the next best thing? Dr. Andrew Dargie sits down with the incomparable Leisa Krauss, better known as The Bitchin’ Beautician, to find out. For thirty years, Leisa has seen the aesthetics world evolve from back-room laser demos to full-scale empires. She’s been a stylist, a trainer, a consultant, and now one of the sharpest truth-tellers in the business. Together, they take a scalpel to the myths and marketing madness that clutter the beauty landscape.

From the explosion of med spas and the myth of “passive income” lasers to the untapped potential of male clients and the power of authenticity, Leisa and Andrew deliver a masterclass in what actually builds success: passion, ethics, and a deep respect for your craft. Leisa breaks down the biggest red flags in consulting (“If they’ve never worked in a clinic, don’t pay them to tell you how to run one”), while Andrew calls out the pseudo-science and podium posturing that have turned too many conferences into circus acts.

It’s smart, irreverent, and refreshingly candid. Leisa shares stories from the “Wild, Wild West” years of aesthetics, why she believes memberships are the future of client loyalty, and how the right mindset can make or break a new injector. It’s a love letter to doing things the right way—and a reminder that in this industry, truth will always outshine hype.

Links & Notes

• Leisa Krauss (The Bitchin’ Beautician)
• Vanity Empire Consulting
• The Scalpel of Truth Podcast
• Learn more about Dr. Andrew Dargie’s Botox Course
• Submit Your Questions!

• (00:00) - Welcome to Botox Cowboys
• (00:38) - Introducing Leisa Krauss
• (05:38) - What is the success recipe for individuals growing their skills and practice?
• (11:18) - What is the untapped market for clinics right now?
• (18:20) - What makes Leisa crazy?

The Botox Cowboys are back after a summer on the golf course (where Andrew allegedly “shot a million”) and they waste no time diving into the weird, wonderful, and occasionally worrying world of aesthetic medicine. This week’s episode barrels from the hidden costs that quietly bleed new clinics dry—yes, even your water bottles are a line item—into the awkward but common reality of patients fainting mid-injection. Andrew explains how to spot the warning signs, while Tyler mainly wonders if you wake up hotter or just embarrassed.

From there, things get dicey: the guys unpack the murky world of product dilution. Sometimes it’s medical strategy, sometimes it’s, well, not—and suddenly you’re paying top dollar for watered-down filler like it’s a dodgy cocktail at a dive bar. Just when you think it can’t get weirder, enter “ScroTox,” a procedure whose name alone tells you almost everything you need to know. Wrinkle-free? Maybe. Necessary? Absolutely not. Entertaining? Oh yes.

The show wraps with something both practical and fascinating: the power of masseter Botox. Whether you’re grinding your teeth into dust or just want a slimmer jawline, Andrew breaks down how this treatment works, why precision is everything, and what it’ll cost you if you clench like a stressed-out beaver. It’s an episode that manages to be educational, ridiculous, and just the right amount of uncomfortable—the Botox Cowboys way.

• (00:00) - Welcome to Botox Cowboys
• (01:40) - Listener Questions!
• (01:58) - Startup Costs?
• (06:45) - What if I pass out?
• (09:28) - Diluted Product?
• (15:14) - Scrotox.
• (21:26) - The Friend Parade
• (22:11) - Other Uses for Botox: Stop the Clench!