In this episode of Built For This, Carly Pepin sits down with Dr. Hany Demian, board-certified chronic pain specialist, healthcare entrepreneur, and founder of Presentia Healthcare, for a fascinating conversation about the future of health, longevity, leadership, and performance.
What started as a career path toward surgery evolved into a mission to fundamentally change how healthcare approaches chronic pain, recovery, and aging. After seeing the limitations of conventional treatment models firsthand, Dr. Demian began exploring a more comprehensive approach that focused on identifying and addressing the root causes of health challenges rather than simply managing symptoms.
Today, through Presentia Healthcare, he leads a growing network of clinics across Canada and the United States dedicated to helping people optimize health, improve recovery, reduce chronic pain, and extend both lifespan and healthspan.
Throughout the conversation, Carly and Dr. Demian explore why chronic pain is often the result of multiple systems breaking down simultaneously, including sleep, nutrition, hormones, inflammation, stress, and recovery. They discuss the growing role of regenerative medicine, personalized healthcare, AI-powered health optimization, and the exciting future of longevity science.
Beyond medicine, Dr. Demian shares valuable lessons from his entrepreneurial journey, including the realization that he had built a business completely dependent on him, and how executive leadership training helped him create a scalable, self-managing organization capable of growing beyond its founder.
This episode is an insightful exploration of health, business, leadership, and what it truly means to help people live longer, healthier, and more fulfilling lives.
Key Themes
Pain Is Often the Result of Multiple Underlying Factors
Dr. Demian explains that chronic pain rarely stems from a single issue. Sleep quality, nutrition, hormones, inflammation, recovery, stress, and lifestyle all contribute to how the body functions. Sustainable healing comes from understanding and addressing these interconnected systems.
A Business Should Not Depend on Its Founder
One of Dr. Demian's biggest leadership breakthroughs came when he realized he had built a business that couldn't function without him. By developing systems, empowering leaders, and creating clear operational structures, he transformed the organization into a scalable business capable of thriving independently.
Longevity Is About Living Better, Not Just Longer
For Dr. Demian, longevity is not simply about adding years to life. It is about preserving strength, mobility, independence, and vitality so people can continue doing the things they love for as long as possible.
About Dr. Hany Demian
Dr. Hany Demian is a board-certified chronic pain specialist, regenerative medicine expert, and healthcare entrepreneur dedicated to helping people perform better, recover faster, and age more successfully.
As the founder of Presentia Healthcare, he has pioneered an integrated approach to chronic pain and longevity medicine that focuses on treating root causes rather than symptoms alone. His work combines evidence-based medicine, advanced biologic therapies, peptides, regenerative treatments, and data-driven health optimization to improve patient outcomes and quality of life.
Known for his practical, science-backed approach, Dr. Demian continues to push the boundaries of what is possible in modern healthcare while helping patients maintain independence, vitality, and peak performance throughout their lives.
Memorable Quotes
"Pain is actually a multi-system organ failure. You don't have pain because just your disc is herniated or bulging."
"You don't have a company. You have a glorified job."
"I identify the business. The business doesn't identify me."
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Host: Carly Pepin
Co-Founder & Host Built For This
West Coast Growth Advisors
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