852 Dr. Dhaval Bhanusali: Co-Founder of Elm Biosciences

15 Jun 2026 · 31 min · 21 chapters

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In short

Dr. Dhaval Bhanusali (“Dr. B”), co-founder of Elm Biosciences, explains Elm’s “lab-to-patient” approach to clinically advanced skincare and supplements, focusing on “aging well” rather than hype. He discusses why common skincare ingredients (especially vitamin C) often irritate or degrade, how Elm formulates around stability and tolerability, and what happens to skin during perimenopause/menopause. He also shares his broader views on formulation, social media skincare myths, and how AI may improve dermatology and cancer care.

Guest backgrounds

Board-certified dermatologist and New York practitioner; co-founder of Elm Biosciences with Martha Stewart (his long-time patient). Previously built a pharma/tech company (Skin and Medicinals) to lower prescription costs.

Key claims

Most vitamin C products are unstable and/or formulated at irritating pH; Elm’s vitamin C serum uses an “A3O complex” (anti-aging collagen stimulation, antioxidant stability, anti-inflammatory calming). Elm’s retinoid is a newer generation designed for sensitive skin tolerance. Skincare mistake: “too much of everything”; core routine should include SPF, antioxidant, and retinoid/night care.

Notable examples

Vitamin C intolerance in rosacea; retinoid irritation problem; rosemary oil vs minoxidil comparison; perimenopause skin changes (less oil/hydration, compromised barrier, texture/pigment shifts). Supplement “Interdose” includes vitamin D, astaxanthin, and polypodium leucotomy; supplement stack built from dermatologist recommendations.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

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Determination and Resilience

0:00 to 0:19

Learn about the importance of persistence and focus on what you can control.

“I am unwilling to give up, but I will start over from scratch as many times as it takes to get where I want to be.”

Determination and Resilience

0:42 to 2:22

Learn about the importance of persistence and focus on what you can control.

“As your company grows, so do the demands on your time.”

Determination and Resilience

2:27 to 2:39

Learn about the importance of persistence and focus on what you can control.

“That is Upwork.com to connect with top talent ready to help your business grow.”

Introducing Dr. Dhaval Bhanusali

3:46 to 5:43

Kara welcomes Dr. Bhanusali and discusses Elm Biosciences and its unique approach.

“What happens when a dermatologist takes everything happening in the clinic, the best research, the most advanced treatments, and turns it into products you can actually use at home?”

Introducing Dr. Dhaval Bhanusali

5:55 to 11:00

Kara welcomes Dr. Bhanusali and discusses Elm Biosciences and its unique approach.

“For small businesses, every hire matters, but so does your time.”

Introducing Dr. Dhaval Bhanusali

11:04 to 12:46

Kara welcomes Dr. Bhanusali and discusses Elm Biosciences and its unique approach.

“For small businesses, every hire matters, but so does your time.”

Introducing Dr. Dhaval Bhanusali

12:51 to 14:27

Kara welcomes Dr. Bhanusali and discusses Elm Biosciences and its unique approach.

“The most successful founders know they can't do everything alone and they shouldn't have to.”

The Journey to Elm Biosciences

14:45 to 18:06

Discover the origins and motivations behind launching Elm Biosciences.

“I mean, you've done some other entrepreneurial ventures in addition to your practice in New York.”

The Journey to Elm Biosciences

18:15 to 19:39

Discover the origins and motivations behind launching Elm Biosciences.

“what's coming out, what needs to get paid, but we don't always stop to think about what that money could become over time.”

The Journey to Elm Biosciences

20:29 to 22:08

Discover the origins and motivations behind launching Elm Biosciences.

“For small businesses, every hire matters, but so does your time.”
Show all 21 chapters

The Journey to Elm Biosciences

22:13 to 23:49

Discover the origins and motivations behind launching Elm Biosciences.

“The most successful founders know they can't do everything alone, and they shouldn't have to.”

Aging and Skin Care Solutions

24:06 to 28:00

Gain insights on the unique approach Elm takes to skin care and aging.

“What is the main problem that you think somebody should start using Elm for?”

The Art and Science of Skincare Formulations

28:00 to 29:10

Learn how skincare formulations combine art and science for effective results.

“It's like looking at a cake and deciding if you like the taste of it before you've ever had a bite.”

Common Skincare Mistakes

29:10 to 30:40

Discover the biggest skincare mistakes people make and how to avoid them.

“You walk into, either walk into a store or get something on social media and you think, should I get it?”

Impact of Hormones on Skin

30:40 to 32:20

Understand how perimenopause and menopause affect skin health.

“You have, not to get too deep into the science of it, but kind of more on a macro level, you're going to have, you know, over time, pretty much after the age of 25, you have collagen breakdown.”

Social Media's Role in Skincare Trends

32:20 to 34:20

Examine the influence of social media on skincare choices and misinformation.

“In my head, I'm like, just use minoxidil.”

The Role of AI in Dermatology

34:20 to 36:20

Explore how AI is changing dermatological practices and patient care.

“What are some of the most exciting technologies you're seeing in office today?”

Lessons from Entrepreneurship in Skincare

36:20 to 37:40

Gain insights into entrepreneurship through the experience of building skincare companies.

“There's ethnic variance based on the person.”

Distribution Strategies for Elm Biosciences

37:40 to 39:30

Learn about the distribution strategy for Elm and the importance of direct consumer engagement.

“I learned a lot of humility, I'll tell you that much.”

Innovations in Elm's Product Line

39:30 to 41:40

Discover the cutting-edge innovations in Elm's skincare products.

“I think whenever you're building anything early on, you want to make sure that the experience is great and people really, you get to learn your customers a little bit more and just a journey.”

Celebrating Elm Biosciences and Dr. Bhanusali's Work

42:02 to 42:30

Learn about the innovative products from Elm Biosciences and the impactful work of Dr. Bhanusali.

“Such a great group of products with Elm.”
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Transcript

Automatic transcript. May contain errors.

0:00Kara Goldin:I am unwilling to give up, but I will start over from scratch as many times as it takes to get where I want to be. You just want to make sure you will get knocked down, but just make sure you don't get knocked out. So your only choice should be, go focus on what you can control. Hi everyone and welcome to the Kara Goldin Show. Join me each week for inspiring conversations with some of the world's greatest leaders. We'll talk with founders, entrepreneurs, CEOs, and really some of the most interesting people of our time. Can't wait to get started. Let's go. This episode of the Kara Golden Show is brought to you by Upwork.

0:46Kara Goldin:As your company grows, so do the demands on your time. The most successful founders know they can't do everything alone, and they shouldn't have to. Whether you need creative marketing operations or tech support, Upwork helps you quickly find trusted experts so you can stay focused on what matters most. Upwork is a one-stop platform where you can find, hire, and pay expert freelancers across web and software development, data and analytics, marketing, business operations, and more. It helps growing teams move faster by giving them access to specialized talent across more than 125 categories so you can get the help you need exactly when you need it without adding full-time overhead.

1:33Kara Goldin:You can browse profiles, review past work, and even get help scoping the role so you can hire with confidence and get started quickly. With Business Plus, you can access the top 1 % of talent on Upwork and with AI-powered shortlisting, you'll get matched to the right freelancer in under six hours. No endless searching required. Upwork also takes the operational hassle off your plate by handling contracts and payments in one place, freeing you up to focus on running and growing your business. And it's no surprise that thousands of growing companies already trust Upwork for everything from one-off projects to ongoing support.

2:18Kara Goldin:It's free to sign up and posting a job is easy. Visit Upwork.com right now and post your job for free. That is Upwork.com to connect with top talent ready to help your business grow. That's U-P-W-O-R-K.com. Upwork.com. This message is a paid partnership with Dell Technologies. Hey everyone, Kara here, and I've got something I've just got to share. Dell PCs with Intel Insight are built for the moments that matter, for the moments you plan and the moments you don't, built for the busy days that turn into all-night study sessions, the moment you're working from a cafe and realize every outlet is taken, the times you're deep in your flow and the absolute last thing you need is an auto update throwing off your momentum.

3:14Kara Goldin:That's why Dell builds tech that adapts to the way you actually work, built with long lasting batteries so you're not scrambling for the closest outlet and built-in intelligence that makes updates around your schedule, not in the middle of it. They don't build tech for tech's sake. They build it for you. Find technology built for the way you work at dell.com slash dellpcs. built for you.

3:45Kara Goldin:Hi, everyone, and welcome back to the Kira Golden Show. What happens when a dermatologist takes everything happening in the clinic, the best research, the most advanced treatments, and turns it into products you can actually use at home? Today, I'm joined by Dr. Duval Bonicelli, board-certified dermatologist and co-founder of one of the most incredible skincare brands called Elm Biosciences, a clinically advanced skincare brand built on breakthrough science and a true lab-to-patient model. So Elm is all about taking what's happening at the cutting edge of dermatology, backed by an advisory board of hundreds of dermatologists and researchers, and making those innovations accessible to consumers.

4:32Kara Goldin:And it's a completely different approach to skincare, focused on real results, not just marketing. I cannot wait to hear more. Dr. Duvall also goes by Dr. B. So in case some of you may have heard of him in his day job, his regular practice, we'll continue to call him Dr. B. So welcome to the Kara Golden Show. So nice to meet you. Thank you. It's a pleasure to be here. Managing risk for your business may be complicated, but your relationship with your insurance broker doesn't have to be. NFP, an Aon company, can help you navigate insurance markets and negotiate with carriers to build the right coverage for your business, helping you turn your risks into leverage.

5:21Kara Goldin:NFP's advisors are total business partners who help you protect your business and connect you with solutions to your toughest financial and workforce challenges. Whether your goal is to manage risk more effectively, attract top talent, empower your workforce, or grow your legacy, NFP is ready to help you succeed. Visit nfp.com slash Kara Golden to unlock your full potential. This episode of the Kara Golden Show is brought to you by LinkedIn Hiring Pro. Hi, Kara here. For small businesses, every hire matters, but so does your time. I felt that pressure firsthand. You know, a bad hire isn't just frustrating, it's expensive in time, money, and team morale.

6:11Kara Goldin:And yet hiring the right person can feel like a full-time job on top of everything else you're already doing. Sifting through applications, trying to spot the real standouts, second-guessing decisions, it can get overwhelming fast. That's why having a way to save time without sacrificing quality isn't just nice to have, it's critical. Luckily, LinkedIn Hiring Pro is built for that reality. It's your hiring partner designed to help you hire with confidence by surfacing only the right candidates without turning hiring into another full-time job. Posting a job isn't always the hard part. It's finding, connecting with, and screening the right candidates.

6:54Kara Goldin:Hiring Pro streamlines the entire process from drafting your job to shortlisting candidates and conducting AI-powered interviews for initial screenings. Their updated conversational interface lets you describe what you need in plain language, no recruiter jargon needed. Nearly 60 % of hires find a candidate to interview within a week. With Hiring Pro, you spend less time searching and more time connecting with the right talent. Join the 2.7 million small businesses using LinkedIn to hire. Get started by posting your job for free at linkedin.com slash Kara Golden. Terms and conditions apply. Pleasure to have you.

7:36Kara Goldin:So for listeners who may be new to Elm Biosciences, what is the brand and what makes it unique? So Elm is, you know, to your point, it's kind of a fundamental evolution, all the different things we've learned over time. The idea is, you know, it's co-founded by my incredible partner and myself, Martha Stewart. Martha has been my patient for I don't know how many years now. and one of the things, you know, she's been an educator to the world for decades and she has a lot of, if you've ever met her, she's very inquisitive. She loves asking questions and she loves looking for answers. Myself as a dermatologist, I'm very similar.

8:16And one of the things we realized, you know, I like to tinker with different formulations. I've been lucky enough to build some pretty successful brands and I've worked in therapeutics and all sorts of different things. And when it came to skincare, the question was, was this good enough, right? And And the question of trying to solve new problems or at least looking at old ones and trying to solve them a bit better. We start with something like vitamin C. Vitamin C, most germs will tell you, it's a very good antioxidant, no question. But most people can't tolerate it. The percentages matter. It's not very stable.

8:50So you can open up a vitamin C product. It's already degrading in real time. But we've kind of had it for a long period of time and kind of accepted it as traditional dogma. And so the idea is like, can we start challenging, you know, some of the traditional thoughts and build new molecules? You know, in 2025, 2026, what is the evolution of all the science and the data we've accumulated over the years? And I didn't want it to be a me project. You know, I was lucky enough to bring over 350 of my closest dermatology friends and truly build this thing out. You know, I love that Martha has given a platform to science and to all of us.

9:22And it allows us to really do what we do best, which is be scientists.

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11:00Kara Goldin:This episode of the Kara Golden Show is brought to you by LinkedIn Hiring Pro. Hi, Kara here. For small businesses, every hire matters, but so does your time. I felt that pressure firsthand. You know, a bad hire isn't just frustrating, it's expensive. in time, money, and team morale. And yet hiring the right person can feel like a full-time job on top of everything else you're already doing. Sifting through applications, trying to spot the real standouts, second-guessing decisions, it can get overwhelming fast. That's why having a way to save time without sacrificing quality isn't just nice to have, it's critical.

11:45Kara Goldin:Luckily, LinkedIn Hiring Pro is built for that reality. It's your hiring partner designed to help you hire with confidence by surfacing only the right candidates without turning hiring into another full-time job. Posting a job isn't always the hard part. It's finding, connecting with, and screening the right candidates. Hiring Pro streamlines the entire process from drafting your job to shortlisting candidates and conducting AI-powered interviews for initial screenings. Their updated conversational interface lets you describe what you need in plain language, no recruiter jargon needed. Nearly 60 % of hires find a candidate to interview within a week.

12:27Kara Goldin:With Hiring Pro, you spend less time searching and more time connecting with the right talent. Join the 2.7 million small businesses using LinkedIn to hire. Get started by posting your job for free at linkedin.com slash Kara Golden. Terms and conditions apply. This episode of the Kara Golden Show is brought to you by Upwork. As your company grows, so do the demands on your time. The most successful founders know they can't do everything alone and they shouldn't have to. Whether you need creative, marketing operations, or tech support, Upwork helps you quickly find trusted experts so you can stay focused on what matters most.

13:11Kara Goldin:Upwork is a one-stop platform where you can find, hire, and pay expert freelancers across web and software development, data and analytics, marketing, business operations, and more. It helps growing teams move faster by giving them access to specialized talent across more than 125 categories, so you can get the help you need exactly when you need it without adding full-time overhead. You can browse profiles, review past work, and even get help scoping the role so you can hire with confidence and get started quickly. With Business Plus, you can access the top 1 % of talent on Upwork. And with AI-powered shortlisting, you'll get matched to the right freelancer in under six hours.

13:58Kara Goldin:No endless searching required. Upwork also takes the operational hassle off your plate by handling contracts and payments in one place, freeing you up to focus on running and growing your business. And it's no surprise that thousands of growing companies already trust Upwork for everything from one-off projects to ongoing support. It's free to sign up and posting a job is easy. Visit Upwork.com right now and post your job for free. That is Upwork.com to connect with top talent ready to help your business grow. That's U-P-W-O-R-K.com, Upwork.com. So how long was this concept to actually launch Elm kind of in the works?

14:50Kara Goldin:I mean, you've done some other entrepreneurial ventures in addition to your practice in New York. But how long was it kind of in the works that you were thinking, I've got to go and do this product? And what else? Probably, I don't know, five, six, seven years ago at this point. We started early in the pandemic playing with it, actually even before the pandemic, because Martha had asked. She has very sensitive skin when it comes to things like retinoids and things like that. And so, you know, she kept asking me and I formulate. So I started working with labs to kind of create fun, you know, just formulas for her to experiment with.

15:26And at some point, we kind of had a couple of eureka moments. And the idea was, you know, if we're lucky enough to be able to find this for one person, why not try to solve this problem for many people? And I think with her, you know, one of the other conversation points were, you know, again, every I'm a big believer, I think everybody just thinks one solution for all problems. I'm a very big believer in that everything has a unique solution. And when I say that, I mean, your skin in your 20s is different than when you're in your 30s. When you're in your 30s, it's different than when you're in your 40s or 50s.

15:55You know, I think for more mature skin, you know, menopause happens, perimenopause happens, your skin changes, your oil glands are different than they were when you're younger, your hair changes, there's so many different things. So we wanted to solve the problem for, you know, a specific demographic that I think more longitudinally wanted a solution that was more science-backed and can solve those problems.

16:16Kara Goldin:So can you talk about the line that you launched with and what were you trying to really achieve that you felt like wasn't out there? yeah so i mean the initial one was what i mentioned with the vitamin c i just had looked at it and you know i have rosacea we have a lot of patients with rosacea sensitive skin i can't tolerate pretty much any vitamin c i start breaking out i get irritation again the dirty secret i think in dermatology is that the vast majority of these vitamin c's aren't very stable they don't last they start turning you know brownish and it's not something i would want my own family members to use and and again not to say the ingredient itself is not a great ingredient it's just the way with which we formulate is not the best.

16:57You need a lower pH, so that can cause irritation. So we started working on the serum. And then the idea was, you know, it started one place, kind of evolved. And we built this very unique serum that had three different components, the A3O complex. You have anti-aging because you stimulate collagen. You have the antioxidant, it's more stable. We have very specific ingredients we apply to the complex that we've done the research studies in our office. And then you have the anti-inflammatory kind of out of all of these things, which is just more calming ingredients. We also look at longevity through a scientific kind of way.

17:29I think longevity truthfully has been more of a marketing term for most that you've seen out there. But as a doctor and a scientist, I think it's a fascinating thing, right? It's very simply put, instead of just trying to treat the problems that we have, how do we look forward and prevent them from actually happening or at least slow down the progression of certain things? And so then we looked at things like senescence and how do we objectively measure skin age and can we actually objectively reverse it? We're publishing a study soon, sharing our data and our, you know, I think best in class work trying to prove you can slow down skin aging or at least reverse it somewhat.

18:09Kara Goldin:Today's episode of the Kara Golden Show is sponsored by Acorns. A lot of us think about money in terms of right now, what's coming in, what's coming out, what needs to get paid, but we don't always stop to think about what that money could become over time. And investing can feel intimidating, especially if you think you need a lot of money, a lot of knowledge, or the perfect moment to start. What I've come to realize is that investing is not about being perfect. It's about getting started, staying consistent, and giving your money a chance to grow over time. That's one of the reasons Acorns stands out.

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19:39Kara Goldin:Head to acorns.com slash cara or download the Acorns app to get started. Paid non-client endorsement compensation provides incentive to positively promote Acorns. Tier 2 compensation provided. Potential subject to various factors such as customers' accounts, age, and investment settings. Does not include Acorns fees. Results do not predict or represent the performance of any Acorns portfolio. Investment results will vary. Investing involves risk. Acorns Advisors LLC and SEC Registered Investment Advisor. View important disclosures at acorns.com slash Cara. This episode of the Cara Golden Show is brought to you by LinkedIn Hiring Pro.

20:28Kara Goldin:Hi, Cara here. For small businesses, every hire matters, but so does your time. I felt that pressure firsthand. You know, a bad hire isn't just frustrating, it's expensive in time, money, and team morale. And yet hiring the right person can feel like a full-time job on top of everything else you're already doing. Sifting through applications, trying to spot the real standouts, second-guessing decisions, it can get overwhelming fast. That's why having a way to save time without sacrificing quality isn't just nice to have, it's critical. Luckily, LinkedIn Hiring Pro is built for that reality. It's your hiring partner designed to help you hire with confidence by surfacing only the right candidates without turning hiring into another full-time job.

21:20Kara Goldin:Posting a job isn't always the hard part. It's finding, connecting with, and screening the right candidates. Hiring Pro streamlines the entire process from drafting your job to shortlisting candidates and conducting AI-powered interviews for initial screenings. Their updated conversational interface lets you describe what you need in plain language, no recruiter jargon needed. Nearly 60 % of hires find a candidate to interview within a week. With Hiring Pro, you spend less time searching and more time connecting with the right talent. Join the 2.7 million small businesses using LinkedIn to hire.

22:01Kara Goldin:Get started by posting your job for free at linkedin.com slash Kara Golden. Terms and conditions apply. This episode of the Kara Golden Show is brought to you by Upwork. As your company grows, so do the demands on your time. The most successful founders know they can't do everything alone, and they shouldn't have to. Whether you need creative, marketing operations, or tech support, Upwork helps you quickly find trusted experts so you can stay focused on what matters most. Upwork is a one-stop platform where you can find, hire, and pay expert freelancers across web and software development, data and analytics, marketing, business operations, and more.

22:46Kara Goldin:It helps growing teams move faster by giving them access to specialized talent across more than 125 categories, so you can get the help you need exactly when you need it without adding full-time overhead. You can browse profiles, review past work, and even get help scoping the role so you can hire with confidence and get started quickly. With Business Plus, you can access the top 1 % of talent on Upwork. And with AI-powered shortlisting, you'll get matched to the right freelancer in under six hours. No endless searching required. Upwork also takes the operational hassle off your plate by handling contracts and payments in one place, freeing you up to focus on running and growing your business.

23:35Kara Goldin:And it's no surprise that thousands of growing companies already trust Upwork for everything from one-off projects to ongoing support. It's free to sign up and posting a job is easy. Visit Upwork.com right now and post your job for free. That is Upwork.com to connect with top talent ready to help your business grow. That's U-P-W-O-R-K.com, Upwork.com. So the line of Elm, who is it for? What is the main problem that you think somebody should start using Elm for? So aging, is it? And when does that start? Yeah, I think, you know, it's interesting because, again, as you look at longevity, most of it's been marketing.

24:25But if you think about it, it's like working out. You know, if you work out, if you go to the gym, you'll put on some muscle, but you need to also eat well. And you need to do the simple things to really get yourself in shape. I think when we looked at it, we're not we don't believe in anti-aging, to be honest with you. We know we have it in there, but it's not necessarily one of our core philosophies. It's actually aging well. and when you age well, the idea becomes like, what can you do today to help you tomorrow and into the future? Martha is very consistent in her routine every single day.

24:55She has a green juice. She exercises. She walks around her farm. You know, I would argue she's aging probably better than any human I've ever seen in my life and we've been very fortunate, you know, to be a small part of that. But the idea becomes like, what can you do today? And there's a lot of people, including myself, who was always like, okay, like, what do I have to do so that 10 years from now, 20 years from now, 30 years from now, I'm in a better place? Because most times if you go get, let's say, some sort of aesthetic treatment, you're trying to solve a problem like my cheeks are dropping or I'm having wrinkles and things like that.

25:22The goal is like, how do you now create a better process so that you can kind of push off the need for certain things or at least slow down that process, make it more gradual. We have a supplement that we also formulated. I'm pretty notorious for not being a supplement fan because a lot of it's not regulated to be very candid. So what we did is we started asking our own colleagues. And we have 350 plus officially, probably, I don't know, 500, 600 derms unofficially in our network that we get to ask them, what would you recommend? What do you recommend for your patients? What do you recommend for your family members?

25:52And so we built a supplement stack that kind of mirrored what the dermatologist really wanted you, not you see an encounter somewhere because somebody's marketing it. We wanted to be more scientifically inclined and utilize things like vitamin D, which I love for my hair loss patients. I love it for day-to-day. astaxanthin as an oral antioxidant. You look at different ingredients, something called polypodium leucotomy. It's a big time derm ingredient, not one that you see traditionally, maybe on a shelf anywhere, but all my pre-cancer patients, cancer patients, melasma patients, hyperpigmentation patients, my patients who are worried about aging, I've been recommending the ingredient to them for years.

26:29We just never had a really simple way of getting it to them. So we essentially combined a lot of the actives that we really felt were fruitful, pun intended, for them. And we wanted to make sure that they had something that was, it was a product that we felt comfortable, again, if it was our own family members to recommend.

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26:46Kara Goldin:And what's the name of that product, just so people can... That's the Interdose. So I take that, I guess that I have, I actually have it right here, because I took it a little while ago. Whenever there's sunlight and things like that, I pop, you know, the medic, I actually just take it anyway. I think it's good to have all these things. But particularly when I'm on a day where it's sunny outside, I like to make sure I'm well protected and it's not meant to replace sunscreen, but to truly supplement it. So interesting. So you've been called the king of formulation. You've talked a bit about this, but how do you approach building a product from scratch?

27:18Kara Goldin:I mean, I think obviously there's, you've also talked about the concept of lab to patient, right? So I'm sure you've almost got your own research lab, people coming in saying, my cheeks are sinking or whatever it is. But then to actually go and develop products around it, I mean, it's pretty incredible. Yeah, I've been fortunate. Throughout my career, I'm lucky I built a large pharma tech company. We do formulations on the prescription side, other commercial skincare brands that have done really, really well. I think I approach formulation like a Martha would approach a recipe, right? one of my biggest kind of frustrations on social media is people can look at formulas and be like, this is good or bad.

28:04It's impossible. It's like looking at a cake and deciding if you like the taste of it before you've ever had a bite. And, you know, for me, like a pinch of salt is the equivalent of a small amount of an ingredient that might stabilize another ingredient or even synergize it, right? One plus one equals three effects. Sometimes when you combine two ingredients, you get a much more amplified response. So when I look at formulas, it's truly like a recipe to me, I'm making my artistic masterpiece. And I like to combine different ingredients based on a combination of scientific literature, personal experiences, what I've seen clinically, lots, a lot of it.

28:36I mean, I think we've been very fortunate to see tremendous results. Again, not just on Elm, but my prescription side, right? We've gotten to, you know, I've gotten lucky enough to grow hair in people who've been frustrated enough and not growing hair, traditional means. We've compounded certain medications, combined them to get really interesting results, other conditions, you know, all sorts of different things. And so I think when you look at formulations, it's truly there's an art to the science, but it's always led by science. And we've done our best to really curate formulas that we really believe in and that are supported by the dermatology community.

29:08Kara Goldin:So what are some of the biggest mistakes people are making with their skincare routines right now? It's confusing, right? You walk into, either walk into a store or get something on social media and you think, should I get it? Shouldn't I? I mean, what, what is the, what's kind of the biggest mistake you think people are making? Too much of everything. I think we live in a world that's probably maximalist. It shouldn't be, you know, most derms have a pretty basic routine. We're not buying, you know, 10 different things, you know, in the morning and nighttime. I think covering your core principles, having a very strong SPF, a strong antioxidant, a strong retinoid or night cream.

29:49Those are the core pillars of anything. I think maintaining your skin barrier is important. I think hydrating, you know, appropriately depending on where you are. I mean, if you're in the middle of the summer and it's hot out, you don't maybe need a stick or, you know, an emollient rich cream. But if you're in like Arizona and it's very dry, you know, in the middle of winter might be worth having a different texture, different kind of components to a product. And so I think a lot of this stuff, people just tend to, they tend to kind of do too much. And I also like, I mean, this respectfully, because I love a lot of social media influencers, and I follow them, but I think they sometimes don't do their research when they're adding different products and things, they might just get it because it's trendy.

30:29And, you know, I think the brands that have done really well, they might be trendy, but they also have good science behind them.

30:34Kara Goldin:It's so interesting. So So let's talk about perimenopause and menopause. What actually is happening to the skin during that time? That's a good question. You have, not to get too deep into the science of it, but kind of more on a macro level, you're going to have, you know, over time, pretty much after the age of 25, you have collagen breakdown. So that's going to happen no matter what as we age. Your skin texture tends to change more when you're perimenopausal. Your hair texture might be changing. Again, your skin might have less oil, might be less hydrated. the barrier itself might be more compromised.

31:06Some people get pigmentary changes due to hormone fluctuations. So there's a host of different things that occur with your skin. But, you know, that was kind of what I was alluding to. Your skin, when you're perimenopausal menopausal, it's not what it was when it's in your 20s. Similar to what I use on my skin today is not what I use probably in my early 30s or my 20s or teens, right? And I just had different problems I'm trying to solve.

31:29Kara Goldin:Yeah, definitely. You talked about vitamin C as, you know, not being that stable. What else is out there that you've heard people talk a ton about that you're like, there's just no way that this is that this is really worth it? I mean, I think people they'll take, you know, it's like I think in general, because of social media, you give an inch, they take a mile kind of mentality. So rosemary oil is a great example. There was some study many years ago, and it wasn't admittedly a great study, like if you actually read it, it's not that convincing, that showed some sort of equivalency with 2 % minoxidil.

32:03So, you know, as a dermatologist, we don't really ever recommend 2 % minoxidil. You start at 5 % twice a day for males and once a day for females. So in my head, so many people rushing to utilize rosemary oil based on some esoteric study that wasn't very good to an equivalency that's something that we don't even recommend, right? In my head, I'm like, just use minoxidil. Like it makes more sense to me, right? And so, you know, I think a A lot of that stuff is important to point out. Like I look at social media. I don't look at myself as an influencer. I look at myself as an educator always. I think the role for doctors on social media should always be to educate.

32:36We try our best to provide information. We know that not everybody can make it to a dermatology office. You know, I myself, there's only so many patients I can see per day, per week, per month, per year. With social media, I can get to millions of people and hopefully educate them so that when they are purchasing things or caring for their skin, they have better, I think, knowledge when they're making that purchase and hopefully saving a few bucks and getting something that's actually useful for them.

33:02Kara Goldin:Did you always think that you would be an entrepreneur? I mean, you're a doctor, right? Did you think, was this an itch that you had that you, maybe you tried to figure out what am I going to do? And did you ever think that you could do both? I mean, I'm always going to identify as a doctor first and foremost. It's the greatest privilege of my life to serve people. I think, you know, entrepreneurship is a fascinating thing. It's so many things to so many different people. For me, I just like to solve problems, whether you're in the office and, you know, I do a lot of scar work nowadays. I used to do everything, but I love scars.

33:35And I think, you know, I have some of the hardest cases on earth come in and my job, there's no like algorithm to follow. I have to just figure it out. I think, you know, when we built our, the pharma tech company, Skin and Medicinals, it was a way of lowering prescription prices for patients, getting better access to medications. I thought it had to exist because I needed something for my own patients. It wasn't meant to be a business. It wasn't meant to do anything. It was simple. I need to solve this problem because I have patients coming in who cannot afford their medications. What do I do?

34:03I think with every single project I've been lucky enough to take on, I'm trying to solve a problem that either I experience, my patients experience, my family members, friends, somebody experiences. And if I have some subject matter expertise, I feel like it's kind of my duty to try to help and solve that problem in some way, shape, or form.

34:21Kara Goldin:What are some of the most exciting technologies you're seeing in office today? It's a good question. I think, you know, I'm a laser guy also. I think some of the new lasers coming out are very interesting. I think the power with which we do lasers, the finesse where we can do it, I think, you know, eventually we'll be able to dial in specific treatments or downtime is not what it normally is. It is a little bit crass in terms of how we bloody up people sometimes to get these really good results. And, you know, I think at some point there'll be a little bit more elegance there. I think utilizing AI now, you know, we'll have much more personalized treatments, you know, so, you know, again, I have a compounded hair product that we do.

34:59I can't tell you what mix of ingredients are going to work ideally for every single person because it's going to be a little bit different. And so a lot of times it's a little bit of trial, a little bit of air, we tend to get there, but it takes a bit of time, right? You have to have patience, you have to have adherence. I think as we, you know, look to the next generation of medical treatment and dermatology or otherwise, once you walk in, we'll have the preset data that'll actually tell us what is best for you instead of us kind of, you know, leveraging our experiences and doing our best attempt to figure it out.

35:29I think we'll have a lot more concrete information available.

35:32Kara Goldin:Yeah, definitely. I was going to, it's fascinating to think, I often ask about how AI is changing, you know, your business and how you're thinking about it, how are you using it? But it's fascinating to think how you're integrating it into your business and compounding. And do you think things like skin cancer will be resolved in your lifetime? In my lifetime, I hope so. I think, you know, at some point, I mean, AI is a tool, right? Like everything should never replace anything, but it should be a tool to supercharge, you know, whoever it is operating it. I think for me, you know, again, the therapeutic side of it, the discovery with AI is going to be so interesting.

36:12I think now, you know, information, one of the things I was talking to somebody else about, and it's not necessarily a Durham thought, but, you know, when you look at cancer therapeutics, we live in these silos where, you know, we base treatment paradigms on the studies that we have access to, what we've seen, what we've been exposed to, we don't know what's going on in, let's say, in India, in China, in Korea, and all these different places that have different populations of people. There's ethnic variance based on the person. And so a person from India might be, would respond to a medication different than somebody from Brazil or from, you know, whatever.

36:47And I think what will happen over time is now we'll have real-time data across the globe. So we'll be able to make decisions based on all the identifiable data that's out there as opposed to what we have access to because access itself will be so much more streamlined and they'll be able to essentially synthesize the data in a very quick and digestible way. So my hope is whether it's cancer therapeutics, dermatological conditions, we'll just have so much more information to make those decisions and hopefully get our patients better.

37:19Kara Goldin:Yeah, definitely. So you've built multiple companies in the skincare and germ space. What has entrepreneurship taught you as you move on to start an incredible company like Elm? Are there things that you've learned from previous that I won't do that again, and this is what we need to do this time? I learned a lot of humility, I'll tell you that much. But no, I think with all of these things, you learn processes. It's actually the processes that tend to be the same in any business you create, which is really just building infrastructure so you can scale, right? Solving a problem for one person is different than solving for 10 people versus 50 people versus 1 ,000 people.

38:00You know, building that is really important. How you communicate is really interesting. You know, I look at someone like Martha, you know, her leveraging her platform to educate is so interesting because think about how many people learn how to cook and how to host based on her ability to connect with people, right? She was the first woman, I think, on, you know, had her own TV show when it came to hosting and cooking and all that kind of stuff. And, you know, my own mom, when she was in India, way, way, way back, you know, knew exactly who Martha Stewart was and read the books and all the things, right?

38:28So I think entrepreneurship has taught me a lot about structure and how to solve problems and the approach with which you do them. You can't solve every problem yourself. You have to have a team. You know, I've learned a lot about delegation and understanding that I can't do everything. You know, I'm a doctor. I try to solve every problem, probably to a fault, but there are some incredible humans that probably can do a much better job with certain things than I ever could imagine. And so my job now, I think as you build it, like, you know, with this project, you know, with Martha, you know, I get to be truly a formulator.

38:59Like, I love that. I love building new molecules and things, but, you know, operating is a little bit different, you know, understanding marketing or customer service. These are very integral parts of anything, but maybe not best suited for a dermatologist to handle, no matter how many hats I've been able to wear.

39:16Kara Goldin:So you're selling Elm in your practice and then also online, correct? Or is your, are you, do you have any other distribution points or is it primarily going to be a D2C company? So we like D2C. I think whenever you're building anything early on, you want to make sure that the experience is great and people really, you get to learn your customers a little bit more and just a journey. We have it in select offices medical, dermatology offices, excuse me, around the country with a lot of our advisors. I think the goal is eventually, you know, to continue to expand that route. I love the idea of the people who have built it, you know, have it for their patients.

39:55I just think it's just a remarkable way. I mean, it's truly a community effort. You know, I think with our colleagues, it is a privilege to have the faith of so many of them when building anything. And, you know, they trust me with their patience, which is, you know, again, it's such an honor, right? It's so humbling that the people that they care about most, they trust some of the things that we're building together too. And like, I can't, you know, I can't express how much that means. And so I think as we expand that, you know, it's funny, somebody told me yesterday, Elm feels like one of those, if you know, you know, and it's kind of like, you know, people, people who use it, they all like kind of have this like, oh my God, like, have you heard, have you tried it?

40:33And it's been remarkable, but I love that it's being distributed and educated, you know, via so many brilliant colleagues.

40:40Kara Goldin:So how many SKUs are there in the line? So right now there's three total. There was a serum, the supplement we just released about, I think it was like two or three months ago, our night cream. And even with that one, we used a fourth generation retinoid. So we essentially took one that people hadn't used previously. That's a little bit better for maybe sensitive skin, but a different twist in the formulation itself. So, you know, most retinoids, so retinoids are the holy grail of skincare. They help with texture, tone, pores, acne, wrinkles, anything and everything you can think of, they help with.

41:12But the caveat is that they tend to be very irritating. Most people who start a retinoid complain that it causes dryness, redness, irritation. And so we kind of took that challenge as like, what if we, you know, we have this very unique molecule, what if we create a better experience? So you don't have, I mean, is it possible? For sure. There's always going to be some people who might not tolerate it 100%. But the vast majority of people, even though they've had previous sensitivity to retinoids, are still able to tolerate it. And the results have been very promising. And we'll be publishing on that eventually as well, too.

41:43The problem with publication is this takes a lot of time to publish, you know, scientifically, not just to have a white paper, quote unquote. It's just to have a true publication is so different because you have to have it peer reviewed, you have to do certain steps. And so it takes time, but I do think it's worth it.

41:58Kara Goldin:Yeah, definitely. Well, thank you so much, Dr. B. You are doing amazing, amazing work in your practice and then also with Elm. Such a great group of products with Elm. I love, love, love the cream, the night cream that you have. It's amazing. so really helping bring real innovation and clarity to a space that totally needs it and a lot of trust behind many of those works that you're doing the research that you're doing i mean so incredible so for everyone listening be sure to check out elm biosciences and follow along to watch dr b's work so thank you again really really great to have you and thanks again everyone for listening.

42:44Kara Goldin:Until next time on The Kara Golden Show. Thank you so much for having me. Thank you so much. Thanks again for listening to The Kara Golden Show. If you would, please give us a review and feel free to share this podcast with others who would benefit. And of course, feel free to subscribe so you don't miss a single episode of our podcast. Just a reminder that I can be found on all platforms at Kara Golden. I would love to hear from you too. So feel free to DM me. And if you want to hear more about my journey, I hope you will have a listen or pick up a copy of my Wall Street Journal bestselling book, Undaunted, where I share more about my journey, including founding and building.

43:29Kara Goldin:Hint. We are here every Monday, Wednesday, and Friday. Thanks for listening and goodbye for now.

From the publisher

What if the future of skincare wasn’t about trends — but about real science and long-term skin health?
On today’s episode, we welcome Dr. Dhaval Bhanusali, board-certified dermatologist and co-founder of Elm Biosciences — a company combining in-office treatments with smarter at-home routines.
If you’re interested in understanding the science behind skincare, making better decisions for your skin, or staying ahead of where the industry is going — this one’s for you. Tune in now on The Kara Goldin Show.

 

Are you interested in sponsoring and advertising on The Kara Goldin Show, which is now in the Top 1% of Entrepreneur podcasts in the world? Let me know by contacting me at karagoldin@gmail.com. You can also find me @‌KaraGoldin on all networks.

 

To learn more about Dr. Dhaval Bhanusali and Elm Biosciences:
https://elmbiosciences.com/
https://www.instagram.com/dhbhanusali/
https://www.linkedin.com/in/dhaval-bhanusali/
https://bhanusalimd.com/

 

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Check out our website to view this episode’s show notes: https://karagoldin.com/podcast/852

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