Aug. 12, 2026

Beyond the Prescription: A Doctor's Playbook for Eating Well & Building Habits on a GLP-1 (Part II)

Beyond the Prescription: A Doctor's Playbook for Eating Well & Building Habits on a GLP-1 (Part II)
iHeartRadio podcast player icon Spotify podcast player icon Amazon Music podcast player icon Pandora podcast player icon Apple Podcasts podcast player icon Podchaser podcast player icon Deezer podcast player icon Audible podcast player icon Youtube Music podcast player icon Spreaker podcast player icon Podcast Addict podcast player icon YouTube podcast player icon Castbox podcast player icon Podverse podcast player icon RSS Feed podcast player icon Podurama podcast player icon PocketCasts podcast player icon Overcast podcast player icon Goodpods podcast player icon Fountain podcast player icon Podyssey podcast player icon Castro podcast player icon Castamatic podcast player icon
iHeartRadio podcast player icon Spotify podcast player icon Amazon Music podcast player icon Pandora podcast player icon Apple Podcasts podcast player icon Podchaser podcast player icon Deezer podcast player icon Audible podcast player icon Youtube Music podcast player icon Spreaker podcast player icon Podcast Addict podcast player icon YouTube podcast player icon Castbox podcast player icon Podverse podcast player icon RSS Feed podcast player icon Podurama podcast player icon PocketCasts podcast player icon Overcast podcast player icon Goodpods podcast player icon Fountain podcast player icon Podyssey podcast player icon Castro podcast player icon Castamatic podcast player icon
Season 2

You've heard the science — now what does it actually look like to live well on a GLP-1? Dr. William Summers returns for Part II to move past the headlines and into the daily reality: what to eat, how to protect your muscle and energy, and how to build habits that make these medications work with your body instead of against it. If Part I helped you cut through the noise, this conversation hands you the playbook.

Ask Good Questions is broadcast live Wednesdays at 6PM ET on W4CY Radio (www.w4cy.com) part of Talk 4 Radio (www.talk4radio.com) on the Talk 4 Media Network (www.talk4media.com). Ask Good Questions is viewed on Talk 4 TV (www.talk4tv.com).

Ask Good Questions Podcast is also available on Talk 4 Media (www.talk4media.com), Talk 4 Podcasting (www.talk4podcasting.com), iHeartRadio, Amazon Music, Pandora, Spotify, Audible, and over 100 other podcast outlets.

Become a supporter of this podcast: https://www.spreaker.com/podcast/ask-good-questions--6441735/support.

WEBVTT

1
00:00:00.120 --> 00:00:02.399
The topics and opinions express and the following show are

2
00:00:02.399 --> 00:00:04.040
solely those of the hosts and their guests, and not

3
00:00:04.080 --> 00:00:07.000
those of W FOURCY Radio. It's employees are affiliates. We

4
00:00:07.040 --> 00:00:10.119
make no recommendations or endorsements for radio show programs, services,

5
00:00:10.160 --> 00:00:12.480
or products mentioned on air or on our web. No

6
00:00:12.599 --> 00:00:15.800
liability explicitor implies shall be extended to W FOURCY Radio

7
00:00:15.839 --> 00:00:18.600
or it's employees are affiliates. Any questions or comments should

8
00:00:18.600 --> 00:00:20.879
be directed to those show hosts. Thank you for choosing

9
00:00:21.079 --> 00:00:23.399
W FOURCY Radio.

10
00:00:29.079 --> 00:00:33.840
Welcome to to Ask Good Questions Podcasts, broadcasting live every Wednesday,

11
00:00:33.920 --> 00:00:37.759
six pm Eastern Time on W four CY Radio at

12
00:00:37.960 --> 00:00:41.560
W fourcy dot com. This week and every week, we

13
00:00:41.640 --> 00:00:45.119
will reach for a higher purpose in money and life,

14
00:00:45.399 --> 00:00:48.759
as well as a focus on health and wellness. Now,

15
00:00:49.240 --> 00:00:53.960
let's join your host, Anita bell Anderson, as together we

16
00:00:54.039 --> 00:01:00.000
start with Asking Good Questions.

17
00:01:01.039 --> 00:01:05.200
Hello, and welcome to the Ask Good Questions Podcast. I

18
00:01:05.239 --> 00:01:09.000
am your host, Benita bell Anderson, and I know that

19
00:01:09.120 --> 00:01:12.640
today's episode is going to be something that a lot

20
00:01:12.680 --> 00:01:16.000
of people are interested in, because everywhere everywhere I go,

21
00:01:16.079 --> 00:01:19.879
it seems like people are talking about GLP, and you're

22
00:01:19.879 --> 00:01:23.640
seeing all kinds of ads. So I have back doctor

23
00:01:23.760 --> 00:01:27.560
William Summers, who was here previously we kind of got

24
00:01:27.599 --> 00:01:31.519
started talking about it ran out of time, so I

25
00:01:31.599 --> 00:01:34.159
want to welcome back to the podcast stage. We're going

26
00:01:34.239 --> 00:01:37.359
to continue the conversation today.

27
00:01:38.359 --> 00:01:41.120
Hey, Benita, Hey, so.

28
00:01:41.200 --> 00:01:43.560
Let me just say just a little bit before we

29
00:01:43.599 --> 00:01:47.560
get into what we're going to discuss. We last time

30
00:01:47.599 --> 00:01:51.480
we talked a lot about the science and what it was,

31
00:01:52.040 --> 00:01:54.799
but now today we're going to talk with Dr Summers

32
00:01:54.799 --> 00:01:58.200
about what really means to you know, what looks like

33
00:01:58.359 --> 00:02:04.040
to live well with do doing a GLP. He is

34
00:02:04.079 --> 00:02:07.400
a physician that deals with this all the time. He's

35
00:02:07.439 --> 00:02:09.479
done a lot of YouTube videos that you can go

36
00:02:09.560 --> 00:02:12.039
check out, and so we're going to get into the

37
00:02:12.159 --> 00:02:15.039
daily reality of what to eat, how to protect your

38
00:02:15.080 --> 00:02:18.960
muscle and energy, how to build habits that make these

39
00:02:19.000 --> 00:02:23.280
medications work with your body instead of having some kind

40
00:02:23.319 --> 00:02:27.879
of crazy things happen. So in part one we really

41
00:02:28.759 --> 00:02:33.400
kind of started cutting through the noise. We're gonna hopefully

42
00:02:33.439 --> 00:02:37.719
give you today a conversation that centers around the playbook

43
00:02:37.719 --> 00:02:42.680
of how to do this well. So for anyone who

44
00:02:42.879 --> 00:02:46.840
missed Part one, Doctor Summers give us the quick version

45
00:02:47.560 --> 00:02:49.680
where did we leave Well, you know, we left off

46
00:02:49.759 --> 00:02:53.560
kind of you know, the summons and everything, and why

47
00:02:53.680 --> 00:02:56.919
is that day to day management just as important as

48
00:02:56.960 --> 00:02:58.159
the medication itself?

49
00:02:59.560 --> 00:03:03.479
Okay, well, I think in summary where we left off before.

50
00:03:03.960 --> 00:03:05.879
And a good place to start would be that anyone

51
00:03:05.919 --> 00:03:10.919
who's overweight, we can now measure at least four neuro

52
00:03:11.080 --> 00:03:14.560
integrine hormonal signals in our bodies that are disrupted. I

53
00:03:14.719 --> 00:03:16.879
like to say, there are four buttons, and our body

54
00:03:16.919 --> 00:03:19.840
messed up. When we're overweight and we eat and we

55
00:03:19.919 --> 00:03:22.120
have to eat, and these things are messed up, we

56
00:03:22.159 --> 00:03:25.280
gain weight unfairly, and as we gain more weight, these

57
00:03:25.280 --> 00:03:27.879
same chemicals get more disrupted, and here we are on

58
00:03:28.000 --> 00:03:30.319
sort of developing what we now know is the chronic

59
00:03:30.400 --> 00:03:33.520
disease of obesity. So the medicines that we talked about

60
00:03:33.800 --> 00:03:37.319
target specifically one, two, or three or four of these

61
00:03:37.319 --> 00:03:40.280
buttons that kind of put us back into a sort

62
00:03:40.319 --> 00:03:43.319
of more normal physiologic state, so that we can do

63
00:03:43.360 --> 00:03:46.439
the behaviors and break the old habits into better habits

64
00:03:46.520 --> 00:03:48.960
to maintain weight loss. And of course, anything we do

65
00:03:49.039 --> 00:03:52.960
for weight loss we must continue and sustain. And then

66
00:03:53.039 --> 00:03:55.599
I think a really big principle to understand is that

67
00:03:55.719 --> 00:03:59.840
our bodies are designed for weight gain and resist weight loss,

68
00:04:00.120 --> 00:04:02.520
which why one of the reasons we see variations the

69
00:04:02.560 --> 00:04:04.960
way our bodies adapt and respond to anything that we

70
00:04:05.000 --> 00:04:07.680
do for weight loss. So We've got lots to talk

71
00:04:07.719 --> 00:04:09.960
about or to cover, and I'll answer questions the best

72
00:04:09.960 --> 00:04:12.800
of my ability. But uh, and I think that if

73
00:04:12.800 --> 00:04:15.560
I spoke to anybody ever, I always say we should

74
00:04:15.599 --> 00:04:17.560
have and I know we did talk about this is

75
00:04:17.759 --> 00:04:21.279
obesity as a chronic disease and is so undeserving of

76
00:04:21.319 --> 00:04:25.720
any stigma or discrimination. We're all beautiful and deserving and

77
00:04:25.800 --> 00:04:29.160
loving people that should be treated fairly across all boards,

78
00:04:29.639 --> 00:04:31.560
and that we want to lose weight not to be

79
00:04:31.560 --> 00:04:33.879
a better person, but to have a higher quality of life.

80
00:04:34.439 --> 00:04:37.319
And discrimination and ignorance need to go.

81
00:04:38.199 --> 00:04:41.240
I was listening to. I was listening to somebody who

82
00:04:41.319 --> 00:04:44.879
was talking not about GLP ones, but who was just

83
00:04:44.959 --> 00:04:49.000
talking about the fuel. We need to get into the

84
00:04:49.040 --> 00:04:51.680
habit of only putting into our bodies those things that

85
00:04:51.720 --> 00:04:54.199
are gonna support us right.

86
00:04:54.720 --> 00:04:57.920
So well that that ideally that would be great, but

87
00:04:58.079 --> 00:05:01.279
we all have that thing that probably doesn't support us.

88
00:05:01.600 --> 00:05:04.680
But we can manage in the context of an overall

89
00:05:04.720 --> 00:05:07.160
life or health style change that maybe can work on

90
00:05:07.199 --> 00:05:10.199
a moderate level and still be a part of our

91
00:05:10.240 --> 00:05:11.279
life in some cases.

92
00:05:11.800 --> 00:05:17.120
Awesome. Well, now you have a clinic that you see

93
00:05:17.160 --> 00:05:22.759
people in. What tends to separate people who thrive on

94
00:05:22.839 --> 00:05:27.399
a GLP one regimen as opposed to those that struggle?

95
00:05:27.639 --> 00:05:29.680
What is it that separates those groups?

96
00:05:30.600 --> 00:05:33.959
That is a great question, And I think the first

97
00:05:33.959 --> 00:05:38.040
thing to understand that obesity is multifactorial and that there

98
00:05:38.040 --> 00:05:43.000
are many genetic factors, environmental behavioral factors, and they're with

99
00:05:43.160 --> 00:05:45.199
certain patients and you hear about them, OHI I lost

100
00:05:45.199 --> 00:05:47.519
so much weight so quickly, and others are struggling, as

101
00:05:47.519 --> 00:05:52.000
you say, But any individual patient should be evaluated. Certain

102
00:05:52.360 --> 00:05:56.680
patients around medications that influence these medicines or weight altogether.

103
00:05:57.199 --> 00:05:59.759
Some have a different sort of a microbiome and their

104
00:06:00.240 --> 00:06:04.560
which is influencing their success as well, genetic variations and

105
00:06:04.720 --> 00:06:07.279
the way that we respond on the receptor level to

106
00:06:07.360 --> 00:06:07.959
each one.

107
00:06:07.879 --> 00:06:09.199
Of these products as well.

108
00:06:09.959 --> 00:06:13.240
Stress levels are different among different people, and stress, of

109
00:06:13.240 --> 00:06:15.759
course with cortisol, which we need when we have stress,

110
00:06:16.040 --> 00:06:18.519
is sort of like contra for what our goals are

111
00:06:18.720 --> 00:06:21.480
as far as making us hungrier and gaining weight. So

112
00:06:21.639 --> 00:06:25.040
there's so many individual factors. And then there are also

113
00:06:25.120 --> 00:06:30.240
some medical indications where people that have familiar OBC childhood obesity,

114
00:06:30.439 --> 00:06:33.800
and there's new and exciting development and tests for certain

115
00:06:33.839 --> 00:06:36.639
medicines that target things that are rare, but they do exist.

116
00:06:37.160 --> 00:06:40.120
So individually, I think the thing that I would ask

117
00:06:40.160 --> 00:06:42.600
people to be is be patient and then report to

118
00:06:42.680 --> 00:06:46.160
your provider if there is a non responsivity that could

119
00:06:46.160 --> 00:06:49.279
be looked at from the history and physical into even

120
00:06:49.360 --> 00:06:51.560
your family patterns.

121
00:06:50.920 --> 00:06:54.800
And other options that might be considered. Well, some people respond,

122
00:06:56.240 --> 00:06:57.120
go ahead.

123
00:06:56.959 --> 00:06:58.839
Well, I was just going to say, some people when

124
00:06:58.839 --> 00:07:01.319
you start now, each one of the medicines, the peptides,

125
00:07:01.360 --> 00:07:05.279
the GLP one or the GIP medicines, they have titrition

126
00:07:05.439 --> 00:07:07.920
levels and you do level one and if there's no

127
00:07:08.600 --> 00:07:10.519
side effect, you go to level two. And these are

128
00:07:10.560 --> 00:07:14.079
designed to move up the board. Some people just readily

129
00:07:14.120 --> 00:07:16.480
respond right off the bat. Some people need to be

130
00:07:16.519 --> 00:07:18.959
more patient because you have to get used to it

131
00:07:19.319 --> 00:07:22.120
to go up the ladder, so to speak. But when

132
00:07:22.160 --> 00:07:25.160
you look at the measurements of efficacy of these medicines,

133
00:07:25.199 --> 00:07:27.879
they're all measured from the top doses. I don't think

134
00:07:27.879 --> 00:07:30.399
everybody needs to go up, but some people do. And

135
00:07:30.480 --> 00:07:32.800
if you start out and it seems slower, not to

136
00:07:32.800 --> 00:07:35.759
be frustrated, but be patient. And I think as you

137
00:07:35.800 --> 00:07:38.519
move up and then again other considerations as we just

138
00:07:38.600 --> 00:07:42.519
mentioned for any individual with medications and lifestyle changes or

139
00:07:42.639 --> 00:07:45.720
life circumstances and stressors and things like that.

140
00:07:47.120 --> 00:07:51.000
So for somebody who might be just getting started, is

141
00:07:51.040 --> 00:07:53.560
there any kind of is there a mistake that people

142
00:07:53.600 --> 00:07:56.160
make when they're just getting going in the first few weeks.

143
00:07:56.560 --> 00:08:01.560
Maybe they're excited, but they really haven't work on this.

144
00:08:03.360 --> 00:08:06.920
You know, I've been asked that question, and I think

145
00:08:06.959 --> 00:08:09.439
one mistake people make is they're going to just say, well,

146
00:08:09.480 --> 00:08:11.800
I've heard about these medicines. I'm just going to start

147
00:08:11.800 --> 00:08:14.399
them and just see what happens. And I mean and

148
00:08:14.519 --> 00:08:18.000
and really even in that context there's probably some success

149
00:08:18.120 --> 00:08:20.800
because but when you really get serious and you're going

150
00:08:20.839 --> 00:08:23.279
to say, I'm going to do this in conjunction with

151
00:08:23.480 --> 00:08:27.120
maybe breaking habits and try to be real about like

152
00:08:27.160 --> 00:08:29.000
in my emphasis is a lot on the type.

153
00:08:28.759 --> 00:08:30.000
Of sugars that we eat.

154
00:08:30.240 --> 00:08:33.240
So so I think the mistake will be one to

155
00:08:33.399 --> 00:08:35.279
just say, well, it didn't work for me, but did

156
00:08:35.480 --> 00:08:38.720
you work with it, and two would be that you

157
00:08:38.799 --> 00:08:40.919
have to be patient if you start it and you

158
00:08:40.919 --> 00:08:43.759
don't see it just as abundantly right away. You've got

159
00:08:43.799 --> 00:08:47.000
to realize these like one level one medicine has five

160
00:08:47.120 --> 00:08:50.480
dose titrations, one has six, one has seven titrations. So

161
00:08:50.559 --> 00:08:52.120
it takes a little bit of time. And this is

162
00:08:52.440 --> 00:08:56.279
for the long haul safe medicines to treat the disease

163
00:08:56.320 --> 00:08:58.480
in our body that we now recognize just as it

164
00:08:58.559 --> 00:08:59.840
is a disease in our body.

165
00:09:01.159 --> 00:09:05.240
Well, you hear all over the place about how these

166
00:09:05.320 --> 00:09:12.360
drugs curb appetite, you know, traumatically. So if somebody is

167
00:09:12.440 --> 00:09:15.559
barely eating, if they're just not hungry, how do you

168
00:09:15.639 --> 00:09:18.240
make sure that they're getting the nutrients that they want

169
00:09:18.240 --> 00:09:18.679
to have.

170
00:09:19.200 --> 00:09:23.840
That they should Well, you know, these were never designed

171
00:09:24.080 --> 00:09:26.320
to be anorexic. You need to eat.

172
00:09:26.399 --> 00:09:30.519
Our body needs nutrients, and people that there are medicines

173
00:09:30.559 --> 00:09:32.120
in the past that would just make people not eat

174
00:09:32.159 --> 00:09:35.159
all day long, and there's such massive muscle loss with that.

175
00:09:35.159 --> 00:09:39.919
That's so like contraindicated and contradictory to everything on board.

176
00:09:40.120 --> 00:09:41.240
But how do you make someone eat?

177
00:09:41.320 --> 00:09:43.720
I think that if somebody's at the point where they

178
00:09:43.879 --> 00:09:46.320
just like I can't eat anything. They may back the

179
00:09:46.360 --> 00:09:48.720
dose down a bit because we want to get rid

180
00:09:48.759 --> 00:09:52.000
of feed noise, but not rid of our appetite all together.

181
00:09:52.279 --> 00:09:55.759
And then recognizing the quality of what we eat. And

182
00:09:55.919 --> 00:09:58.519
I'll just say in a broad context, farm the table

183
00:09:58.639 --> 00:10:01.960
is just healthy and eat what you like, change it,

184
00:10:02.000 --> 00:10:05.080
but like it so it can be sustained with boundaries

185
00:10:05.080 --> 00:10:07.039
that I always say keeping the carbs under one hundred

186
00:10:07.039 --> 00:10:09.000
grams a day. I think it's good advice for people,

187
00:10:09.240 --> 00:10:12.120
and massive amounts of protein. So if you were asking

188
00:10:12.159 --> 00:10:14.000
me somebody I'm not going to be very hungry, what

189
00:10:14.000 --> 00:10:16.200
should I eat, I would say we'll get some protein

190
00:10:16.279 --> 00:10:19.200
drinks and mix some protein powdered with some fresh berries

191
00:10:19.240 --> 00:10:21.159
and put some kale and spinach or fiber in it

192
00:10:21.360 --> 00:10:24.799
and drink those. But they will be the necessary ingredients,

193
00:10:24.840 --> 00:10:27.399
and there are essential fatty acids. I will get three

194
00:10:27.399 --> 00:10:30.120
and six. So I think when people get on something

195
00:10:30.200 --> 00:10:33.879
and they see momentum, everyone becomes smarter. But if you're

196
00:10:33.919 --> 00:10:36.440
getting on that and not eat at all, I'd say

197
00:10:36.440 --> 00:10:39.240
maybe dose it down, because this is to help us

198
00:10:39.480 --> 00:10:42.600
regulate our blood sugars in ways that we are necessary,

199
00:10:42.840 --> 00:10:45.840
and to control food noise, which is all sort of

200
00:10:45.840 --> 00:10:47.879
there because we're overweight in the first place, and our

201
00:10:47.919 --> 00:10:49.360
body allows more food noise.

202
00:10:50.480 --> 00:10:56.000
Well, I see arguments and all kinds of stuff about protein.

203
00:10:57.440 --> 00:11:00.759
There is you know, oh my gosh, the champs of

204
00:11:00.879 --> 00:11:06.120
different for the four protein animal protein versus plant protein.

205
00:11:06.679 --> 00:11:10.159
It's us all over place. So why is the whole

206
00:11:10.200 --> 00:11:14.399
idea of protein so important? And how much are we

207
00:11:14.480 --> 00:11:16.600
really talking about? What? What do you need to be

208
00:11:16.639 --> 00:11:17.720
looking at?

209
00:11:18.759 --> 00:11:21.080
I think that it is scary when I'll tell you

210
00:11:21.159 --> 00:11:24.360
women as a rule need one hundred and twenty grams

211
00:11:24.399 --> 00:11:26.799
of protein to day and men one hundred and sixty

212
00:11:26.799 --> 00:11:27.519
grams of protein.

213
00:11:27.960 --> 00:11:29.240
Now, why do we need the protein?

214
00:11:29.639 --> 00:11:32.039
First of all, if you think of our body's metabolic

215
00:11:32.120 --> 00:11:35.240
rate as a motor speed, and the motor speed, obviously,

216
00:11:35.240 --> 00:11:38.120
if our motors rank faster, we need more fuel. As

217
00:11:38.159 --> 00:11:41.399
we lose weight, naturally, our motor is going to slow down.

218
00:11:42.120 --> 00:11:46.559
And the thing that slows our motor down most significantly

219
00:11:46.720 --> 00:11:49.000
is the loss of muscle mass. Now, when we eat

220
00:11:49.000 --> 00:11:51.799
a sugar and we store it as fat, okay, it's

221
00:11:51.840 --> 00:11:54.440
called lipogenesis that we got store fat, that store fat,

222
00:11:54.480 --> 00:11:56.240
we want to get rid of it. So we're gonna

223
00:11:56.240 --> 00:11:58.039
take fat and turn it back into sugar, which is

224
00:11:58.039 --> 00:12:02.240
called gluconeogenesis. We go fat to sugar, we must include

225
00:12:02.279 --> 00:12:04.399
amino acids to make that even happen.

226
00:12:04.440 --> 00:12:05.120
So if fat is.

227
00:12:05.159 --> 00:12:08.080
Leaving your body, which we all hope will happen, so

228
00:12:08.240 --> 00:12:10.759
are amino acids and they live in our muscle. And

229
00:12:10.799 --> 00:12:14.159
if muscle is the predominant affect of how fast our

230
00:12:14.159 --> 00:12:16.720
motor is, will basically, when you lose fat, you lose muscle,

231
00:12:16.759 --> 00:12:19.639
you lose you lose your motor speed. If we will

232
00:12:19.639 --> 00:12:22.919
have enough protein, which supplies amino acids in our bloodstream

233
00:12:22.919 --> 00:12:25.399
which will last a long time. For protein the one

234
00:12:25.440 --> 00:12:28.120
macro that stays in our bloodstream, then we'll use those

235
00:12:28.159 --> 00:12:31.039
amino acids instead of our muscle amino acids. And we

236
00:12:31.080 --> 00:12:33.879
don't need to break down muscle as we convert fat

237
00:12:33.879 --> 00:12:36.960
to sugar. So it's sort of muscle protective in that way.

238
00:12:37.440 --> 00:12:40.639
And in person that already may be getting some increasing

239
00:12:40.679 --> 00:12:44.200
food noise, amino acids really turn off that turn off

240
00:12:44.200 --> 00:12:47.200
that food noise. It's the one macro that makes our

241
00:12:47.240 --> 00:12:49.960
body feel satisfied and less hungry for longer.

242
00:12:50.559 --> 00:12:52.440
So, but why do we need more protein?

243
00:12:52.480 --> 00:12:55.120
And it's a lot I mean it's a lot of protein,

244
00:12:55.399 --> 00:12:57.639
which is why I would say most people probably ought

245
00:12:57.679 --> 00:13:00.000
to just get their favorite protein powder at their favorite

246
00:13:00.200 --> 00:13:03.360
store and take little juice drinks through the day to

247
00:13:03.519 --> 00:13:06.799
maintain that amount, which is really I call the superhero

248
00:13:06.840 --> 00:13:09.120
for weight loss. And so let's say you're asking me

249
00:13:09.159 --> 00:13:11.360
to eat mortallyse weight, I definitely am when it comes

250
00:13:11.360 --> 00:13:14.840
to protein. And again, why to spare the muscle so

251
00:13:14.879 --> 00:13:17.240
that our metal box rate is going to stay up

252
00:13:17.240 --> 00:13:19.879
and not go lower and we burn more fuel obviously

253
00:13:19.919 --> 00:13:20.240
that way.

254
00:13:21.679 --> 00:13:25.559
So walk me through a typical day. What is uh,

255
00:13:25.919 --> 00:13:28.120
what's a good day of eating look like?

256
00:13:28.679 --> 00:13:31.960
Okay, I always you know, I have gone through with

257
00:13:32.039 --> 00:13:35.360
a career of managing people with weight for weight issues,

258
00:13:35.759 --> 00:13:37.799
and I tried this diet and that diet, and you

259
00:13:37.799 --> 00:13:40.759
know what, this is what I've come to just recommend

260
00:13:41.480 --> 00:13:45.120
eat what you like, change it, but you have to

261
00:13:45.240 --> 00:13:47.799
like it with boundaries, and that gives us pretty much

262
00:13:47.840 --> 00:13:50.600
a broad set of circumstances because everybody has their own

263
00:13:50.600 --> 00:13:55.559
individual taste, likes, dislikes. I use the boundaries I mentioned earlier,

264
00:13:55.559 --> 00:13:58.320
one hundred grams of carbs a day, and this like

265
00:13:58.399 --> 00:14:01.159
Superhero one hundred twenty or one hundre sixty grams of protein.

266
00:14:01.720 --> 00:14:05.039
So if somebody asked me particularly, and I'm gonna be big,

267
00:14:05.039 --> 00:14:07.519
big on the sugars and the type of sugars. And

268
00:14:07.559 --> 00:14:10.440
we talked about processed foods, it's really involving sugars that

269
00:14:10.480 --> 00:14:12.840
go into our bloodstream too fast. So if I was

270
00:14:12.879 --> 00:14:15.000
going to ask anybody to design, would like change it

271
00:14:15.000 --> 00:14:18.080
and like it to become sugar smart, and God, sugar

272
00:14:18.159 --> 00:14:21.519
is complex. Sugars that go into bloodstream controlled and slowly

273
00:14:21.840 --> 00:14:25.120
are so much more powerful for maintaining a healthy weight

274
00:14:25.440 --> 00:14:27.200
than the ones that we process and go into the

275
00:14:27.200 --> 00:14:30.360
blood way too fast. So I would tell somebody like,

276
00:14:30.480 --> 00:14:32.480
I mean, I think a good protein smoothie in the

277
00:14:32.480 --> 00:14:35.519
morning is easy and and and great for anybody that's

278
00:14:35.519 --> 00:14:35.960
on the run.

279
00:14:36.399 --> 00:14:37.200
But eggs are fine.

280
00:14:37.240 --> 00:14:39.399
I mean, you can make the But if I was

281
00:14:39.399 --> 00:14:42.960
to advise anybody to give up the things, specifically sodas

282
00:14:43.000 --> 00:14:46.519
and even diet sodas, sugary drinks of any kind at all,

283
00:14:46.559 --> 00:14:48.120
because we're kind of addicted to those.

284
00:14:48.519 --> 00:14:54.879
And I still drink diet cokes, but I drink way

285
00:14:54.960 --> 00:14:56.759
less than I used to, and I'm trying to get

286
00:14:56.840 --> 00:14:57.759
off of it all together.

287
00:14:59.360 --> 00:15:02.039
Well, I think everybody has that thing. Mine is cheese

288
00:15:02.039 --> 00:15:04.519
dep ca soap, and I'll just say, well, you know what,

289
00:15:04.559 --> 00:15:05.799
I'm just gonna have to have a little weight, but

290
00:15:05.799 --> 00:15:08.080
I'm going to have my CASEO. Sorry, that's off limits

291
00:15:08.159 --> 00:15:10.159
that it's not going to be. So what I've learned

292
00:15:10.200 --> 00:15:12.080
to do though, is and not every time, but most

293
00:15:12.120 --> 00:15:13.919
of the time I will peel some like red peppers

294
00:15:13.919 --> 00:15:16.320
and bell peppers and dip that into the cheese depth

295
00:15:16.320 --> 00:15:18.919
and it makes it less harmful. So it's a compromise,

296
00:15:19.080 --> 00:15:22.399
and you do everything in moderation. Ice cream is my thing,

297
00:15:22.759 --> 00:15:24.559
and that would not be something in doctor is going

298
00:15:24.600 --> 00:15:26.759
to say put on your meal plan. But I'll just

299
00:15:26.840 --> 00:15:28.960
keep that in the freezer and take one spoon and

300
00:15:29.000 --> 00:15:31.559
get one bite and that's it. But you know, everything,

301
00:15:31.639 --> 00:15:33.759
it just I think that we can equally like change

302
00:15:33.799 --> 00:15:35.840
it and like it and make it work. And so

303
00:15:36.039 --> 00:15:37.720
I don't want to tell no. I do like to

304
00:15:37.759 --> 00:15:40.879
recommend a book, The South Beach Diet, popular in the

305
00:15:40.960 --> 00:15:44.039
nineties because it deals a lot with how fast the

306
00:15:44.159 --> 00:15:47.120
sugars that go called the glycemic index, and you'll see

307
00:15:47.159 --> 00:15:49.679
that basically again, anything that God created with sugar in

308
00:15:49.720 --> 00:15:51.679
it is going to be so much more healthy than

309
00:15:51.720 --> 00:15:54.120
anything that man created with sugar in it. To avoid corn,

310
00:15:54.240 --> 00:15:57.000
corn syrups, I did see fruit tresse, corn syrups. Those

311
00:15:57.120 --> 00:15:59.120
products are in there and they make us buy that

312
00:15:59.159 --> 00:16:01.759
product again, but they are so unhealthy in terms of

313
00:16:01.759 --> 00:16:05.519
our weight management, so I never say eat this now.

314
00:16:05.559 --> 00:16:08.480
People want sometimes instructions, I'll also refer them to the

315
00:16:08.480 --> 00:16:11.759
Mediterranean Diet, the book that's probably the most studied and

316
00:16:12.480 --> 00:16:16.720
approved for high pertension, type two diabetes, qurdivascular disease, And

317
00:16:16.759 --> 00:16:19.120
it's really a low fat diet with a lot of

318
00:16:19.240 --> 00:16:22.240
olive oil, but the sugars in there are going to

319
00:16:22.240 --> 00:16:24.639
be sort of the complex sugars. So if they needed

320
00:16:25.039 --> 00:16:28.399
a meal plan, I'd go South Beach Diet Mediterranean Diet.

321
00:16:28.679 --> 00:16:31.679
But people will do that until they won't. So starting

322
00:16:31.679 --> 00:16:33.919
out from the baseline eat what you like? What can

323
00:16:33.919 --> 00:16:36.200
I change? Would what's really bad on my plate? Well,

324
00:16:36.200 --> 00:16:37.720
if it came out of a packager, it can it's

325
00:16:37.759 --> 00:16:40.360
probably bad. Can you substitute it? And if you cannot,

326
00:16:40.360 --> 00:16:42.559
can you have less of it? Less often of it?

327
00:16:42.799 --> 00:16:44.600
And allow us to not feel like we're in some

328
00:16:44.639 --> 00:16:47.039
sort of like food prison. But just trying to have

329
00:16:47.080 --> 00:16:51.000
a goal of being healthier for again, a healthier quality

330
00:16:51.039 --> 00:16:51.519
of life.

331
00:16:51.720 --> 00:16:54.320
I think what you're saying is a life. I mean,

332
00:16:54.320 --> 00:16:58.840
it's basically a lifestyle choice to choose to eat more

333
00:16:58.879 --> 00:17:03.440
healthfully but better quality. Right.

334
00:17:03.799 --> 00:17:06.720
Yes, Yes, And a lot of people deal with food insecurities,

335
00:17:06.759 --> 00:17:08.400
and that's that's an issue we have to deal with

336
00:17:08.440 --> 00:17:12.480
that don't have access to organic, whole food types of

337
00:17:13.000 --> 00:17:15.640
you know, the groceries I'm talking about. But even in

338
00:17:15.680 --> 00:17:18.640
any individual could probably sit down with somebody, with your

339
00:17:18.640 --> 00:17:21.400
provider or someone in the office to help you try

340
00:17:21.400 --> 00:17:24.079
to help yourself better. And there's no judgment because I

341
00:17:24.079 --> 00:17:26.039
can know, I can tell you ten things to do

342
00:17:26.279 --> 00:17:28.559
and I might miss all ten of those tomorrow when

343
00:17:28.599 --> 00:17:30.880
I'm eating, So don't don't judge me. But we're all

344
00:17:30.960 --> 00:17:33.880
human and and breaking the habits. Breaking habits you mentioned

345
00:17:34.160 --> 00:17:36.720
is probably the biggest biggest challenge in all of us

346
00:17:36.839 --> 00:17:39.359
because any habit we have, any habit, you have to

347
00:17:39.400 --> 00:17:42.720
take a twenty one day of really maintaining strict focus

348
00:17:42.759 --> 00:17:45.400
on developing a change in that and the attention to it.

349
00:17:45.759 --> 00:17:48.079
And you know, we're all busy in life and we

350
00:17:48.599 --> 00:17:50.359
prefer and you get stressed and you go back to

351
00:17:50.759 --> 00:17:53.119
but but you know, a daily failure is not a

352
00:17:53.160 --> 00:17:55.480
lifetime failure. We are going to make mistakes, but that

353
00:17:55.519 --> 00:17:58.720
doesn't mean it's over when we're you know, just stay

354
00:17:58.720 --> 00:18:01.119
on course, walk slowly, you still get there.

355
00:18:02.160 --> 00:18:04.920
Well, talking a little bit about maybe you know the

356
00:18:05.000 --> 00:18:08.799
mistakes you might make. Is there any foods that you've

357
00:18:08.880 --> 00:18:11.440
seen make a side effect worse?

358
00:18:12.200 --> 00:18:15.799
Well, okay, you know that these medicines that we're talking about,

359
00:18:16.039 --> 00:18:18.359
any of the injections that are out there, they do

360
00:18:18.480 --> 00:18:21.720
not come with a do it before after meals. And

361
00:18:21.799 --> 00:18:25.240
some patients find just individually they might do it before

362
00:18:25.279 --> 00:18:27.759
they eat, others do better after they eat. There's not

363
00:18:27.839 --> 00:18:30.279
a certain food that I know, there's not, like there's

364
00:18:30.319 --> 00:18:33.599
certain medicines, not the ones we're talking about in this context.

365
00:18:33.279 --> 00:18:35.559
That would be where the fat.

366
00:18:35.319 --> 00:18:36.960
Would be a problem with the side of factor or

367
00:18:37.000 --> 00:18:39.480
certain But no, there's not really a food that's going

368
00:18:39.559 --> 00:18:41.480
to make you have more side effects or less side

369
00:18:41.480 --> 00:18:45.039
effects based on what you put in your mouth. In

370
00:18:45.039 --> 00:18:47.119
other words, if you had a higher fat meal, don't

371
00:18:47.119 --> 00:18:49.799
expect higher side effects on that. But I'm not saying

372
00:18:49.839 --> 00:18:52.880
to do that, but just saying there's not going to

373
00:18:52.880 --> 00:18:54.839
be a list of foods to try to avoid if

374
00:18:54.880 --> 00:18:57.720
you're doing these injections other than the context of what

375
00:18:57.759 --> 00:19:00.519
you're trying to eat would be into sort of healthy boundaries,

376
00:19:00.920 --> 00:19:03.480
and I leave that as a context.

377
00:19:03.519 --> 00:19:05.359
So no specific foods.

378
00:19:05.279 --> 00:19:07.880
That that will help you or hurt you other than

379
00:19:08.200 --> 00:19:10.160
as far as the side effect of the medicine and

380
00:19:10.519 --> 00:19:11.000
that question.

381
00:19:11.680 --> 00:19:14.319
I think the healthy thing to do is to focus

382
00:19:14.359 --> 00:19:16.279
on the foods that you know are going to be

383
00:19:16.440 --> 00:19:19.440
good for your body, right right.

384
00:19:19.240 --> 00:19:23.599
Right, and and and again I want everybody to recognize

385
00:19:23.640 --> 00:19:27.000
that there is there is definitely Okay, let me start here.

386
00:19:27.839 --> 00:19:29.400
I've been a doctor for a lot of years and

387
00:19:29.720 --> 00:19:31.759
I do a lot of blood tests on people, and

388
00:19:31.799 --> 00:19:35.319
they'll just on their thyroid test. It's very commonly just

389
00:19:35.440 --> 00:19:37.759
like the thyroids running low, and I'll say, oh, your

390
00:19:37.759 --> 00:19:38.480
thyroid's low.

391
00:19:38.559 --> 00:19:41.440
Here's some thyroid medicine. And no one's ever questioned that.

392
00:19:41.559 --> 00:19:43.079
I mean, like, oh, give that to me, because I'll

393
00:19:43.079 --> 00:19:45.720
feel better, my body will work better when that thyroid low,

394
00:19:45.720 --> 00:19:48.839
thyroids fixed to normal. Well, in this context, we have

395
00:19:49.519 --> 00:19:53.799
four buttons that are are low, and people are like, oh,

396
00:19:53.799 --> 00:19:55.000
I don't know if I can do that. That kind of

397
00:19:55.000 --> 00:19:58.119
scares me. So it's just like we're understanding this all

398
00:19:58.160 --> 00:20:01.720
in one big conglomerate. But I see it no differently

399
00:20:01.759 --> 00:20:04.480
than any other indocrine system like a low thyroid, And

400
00:20:04.559 --> 00:20:06.839
not saying that everybody needs some medicine for anything and everything,

401
00:20:06.960 --> 00:20:09.640
not at all, but to do understand it, Like if

402
00:20:09.640 --> 00:20:11.640
your THOERROI is low and I give you medicine, you

403
00:20:11.680 --> 00:20:13.519
would not ask many questions or any I don't think

404
00:20:13.519 --> 00:20:15.839
anyboy's ever challenged me on that. Yes, please, I will

405
00:20:15.880 --> 00:20:18.000
feel better and function better. And I feel for the

406
00:20:18.039 --> 00:20:21.480
people that have had difficulty with their weight management that

407
00:20:21.640 --> 00:20:23.720
I would look at this as saying, well, your GLP

408
00:20:23.799 --> 00:20:26.039
one is messed up, and your GIP is messed up,

409
00:20:26.039 --> 00:20:28.119
and your gluedcon is messed up, and we now know

410
00:20:28.160 --> 00:20:30.720
your amulan and your pyy is messed up, and these

411
00:20:30.759 --> 00:20:32.599
are all going to be targeted to put us back

412
00:20:32.640 --> 00:20:35.359
into a state where at least now now put us

413
00:20:35.400 --> 00:20:38.799
back normal so we can do behaviors that matter. Because

414
00:20:38.839 --> 00:20:40.960
the frustration is when things are messed up in our

415
00:20:40.960 --> 00:20:42.960
body and we lose a little bit and stop and

416
00:20:43.000 --> 00:20:44.599
it all comes back. I mean, it's just a why

417
00:20:44.680 --> 00:20:47.799
people kind of give up because what they're doing great

418
00:20:47.839 --> 00:20:51.720
efforts don't seem to really produce many results when we

419
00:20:51.799 --> 00:20:53.920
have things in our body fighting against us.

420
00:20:54.559 --> 00:20:57.640
Well, let's ask another good question, and that would be

421
00:20:57.680 --> 00:21:01.720
the whole water again, a topic I've seen a lot

422
00:21:01.799 --> 00:21:05.680
of a lot of you know, all kinds of places

423
00:21:05.680 --> 00:21:08.440
where people go with how much water do you feel?

424
00:21:09.680 --> 00:21:12.240
Because I know I spend hard. I said an alarm

425
00:21:12.319 --> 00:21:16.599
now on my cell phone to remind me to drink

426
00:21:16.640 --> 00:21:19.359
water through the day.

427
00:21:18.799 --> 00:21:22.200
That's very diligent. That's great, you know, I used to

428
00:21:22.240 --> 00:21:25.480
just I used to generically say eight bottles of water

429
00:21:25.680 --> 00:21:27.920
or sixty four ounces, but now that's probably low by

430
00:21:27.960 --> 00:21:32.400
today's recommendations. I think for women it's recommended to do

431
00:21:32.480 --> 00:21:34.559
ninety and for men one hundred and twenty ounces. And

432
00:21:34.640 --> 00:21:36.480
this is all going to be varied with also how

433
00:21:36.559 --> 00:21:40.720
much outdoor activity and heat levels and probably anything going

434
00:21:40.799 --> 00:21:42.960
the more the greater side of that instead of the

435
00:21:43.039 --> 00:21:45.559
lesser side. And when I say water and people say

436
00:21:45.599 --> 00:21:48.519
I don't like water, flavor water coffee, tea without the

437
00:21:48.599 --> 00:21:51.680
additives I mean other than maybe some lemon. It doesn't

438
00:21:51.720 --> 00:21:53.759
have to just be water, but fluids, and our body

439
00:21:54.000 --> 00:21:57.119
is designed to work. Just think of a river stream

440
00:21:57.559 --> 00:22:00.880
that's so low in water nothing's moving, or if it's

441
00:22:00.880 --> 00:22:03.640
too much, it's flooded. But there's just a right amount

442
00:22:03.640 --> 00:22:06.160
where there's an ideal flow. And I think our body

443
00:22:06.200 --> 00:22:09.359
operates on the higher end, probably with women probably between

444
00:22:09.440 --> 00:22:11.920
ninety to one hundred and men between one hundred and

445
00:22:11.920 --> 00:22:14.079
twenty one hundred and sixty ounces a day. That just

446
00:22:14.119 --> 00:22:16.920
to keep the river flowing so that the nutrients go

447
00:22:17.119 --> 00:22:19.759
through and we excrete what we're supposed to excrete, and

448
00:22:19.799 --> 00:22:22.799
all the organs are getting good perfusion and good oxygen

449
00:22:23.319 --> 00:22:25.880
at that level and not sort of like scrambling to

450
00:22:25.880 --> 00:22:29.039
figure out how to move the water with when it's low, I.

451
00:22:29.000 --> 00:22:32.880
Think it probably about sixty. So you're making me go, oh,

452
00:22:33.000 --> 00:22:34.480
I need to be drinking more than.

453
00:22:36.119 --> 00:22:39.039
I always tell people if you're if you're paying, you're

454
00:22:39.079 --> 00:22:39.759
losing weight.

455
00:22:41.400 --> 00:22:46.279
Okay, okay. Also the color I.

456
00:22:46.279 --> 00:22:50.359
Know that, Okay, right, you can use that sort of

457
00:22:50.400 --> 00:22:53.680
like that sort of like almost just minimally yellow.

458
00:22:53.759 --> 00:22:54.640
It's pretty ideal.

459
00:22:56.640 --> 00:22:59.240
But you know, if you think about we waste in

460
00:22:59.279 --> 00:23:01.640
our body, it was either going to be excreted through

461
00:23:01.640 --> 00:23:03.440
our bowels or it's going to be excluded through our

462
00:23:03.799 --> 00:23:07.160
our kidneys and go up. So if we're urinating, we're

463
00:23:07.200 --> 00:23:09.519
getting rid of waste in our body that if we

464
00:23:09.519 --> 00:23:11.440
don't get rid of it, we store it as spat

465
00:23:11.599 --> 00:23:16.720
if that's sort of an oversimplified analogy. So, but but hydration,

466
00:23:16.839 --> 00:23:19.400
I think that when I just say generically eight ounces

467
00:23:19.400 --> 00:23:22.920
eight bottles of water, that's probably low by today's standards

468
00:23:22.920 --> 00:23:23.839
of recommendations.

469
00:23:25.119 --> 00:23:27.960
Okay, of course, go ahead.

470
00:23:32.319 --> 00:23:35.680
Oh well, let's move on.

471
00:23:35.920 --> 00:23:37.559
I thought you were taking a long stare at that.

472
00:23:38.119 --> 00:23:41.599
Yeah, let's move on to side effects. I know that,

473
00:23:41.960 --> 00:23:46.680
like nausea, stomach issues are probably the things that people

474
00:23:46.839 --> 00:23:48.160
really worry about.

475
00:23:48.920 --> 00:23:50.400
So what what.

476
00:23:50.519 --> 00:23:55.119
Actually helps calm the nausea and the stomach issues down?

477
00:23:55.960 --> 00:24:00.000
Okay, let's break it down. What causes the nausea. Well,

478
00:24:00.000 --> 00:24:01.839
one of the ways that these medicines work. One of

479
00:24:01.839 --> 00:24:04.839
the ways of medicine work, it slows our stomach emptying

480
00:24:05.240 --> 00:24:08.920
and we feel full longer. But that slowness can create

481
00:24:09.039 --> 00:24:12.440
nausea and some indigestion as well, and that's just sort

482
00:24:12.480 --> 00:24:15.640
of physiologic and a side effect. Now, there's also a

483
00:24:15.680 --> 00:24:18.319
part of our brain. It's called the CTZ. It stands

484
00:24:18.359 --> 00:24:21.519
for chemo receptor trigger zone, and that's a little area

485
00:24:21.519 --> 00:24:23.680
in the brain that things in our bloodstream that are

486
00:24:23.680 --> 00:24:26.279
there will hit a button and causes to me nauseous.

487
00:24:26.559 --> 00:24:29.160
So there's a direct effect from slow emptying. And some

488
00:24:29.200 --> 00:24:33.000
people are just sensitive at the brain level. So is

489
00:24:33.039 --> 00:24:35.119
there anything that I don't know if anything to eat

490
00:24:35.200 --> 00:24:36.759
or not I eat. Now, a lot of people require

491
00:24:36.799 --> 00:24:38.960
a little something for nausea, and I would just always

492
00:24:39.000 --> 00:24:41.119
say the nausea means we got to move up the

493
00:24:41.160 --> 00:24:46.119
ladder more slowly. It's almost always a dose dependent issue.

494
00:24:46.440 --> 00:24:49.160
So they'll start saying level one at any of the medicines,

495
00:24:49.200 --> 00:24:51.519
and they're just different dose and bilogrounds. But level one

496
00:24:51.559 --> 00:24:53.759
you do an injection once a week. If there's a

497
00:24:53.759 --> 00:24:56.200
little nausea, don't move up the ladder. If you do

498
00:24:56.240 --> 00:24:58.799
an injection of level one and you get nausea, let's

499
00:24:58.839 --> 00:25:01.599
break it down into a small what they say the microdosing.

500
00:25:01.759 --> 00:25:02.720
Let's get you used to it.

501
00:25:03.079 --> 00:25:05.319
And one of the things that people do get frustrated

502
00:25:05.359 --> 00:25:08.480
with they may have that sensitivity of I get so

503
00:25:08.559 --> 00:25:11.279
nauseous with any medicine at the brain level, but you're

504
00:25:11.319 --> 00:25:14.240
not really up high enough the ladder to get the

505
00:25:14.319 --> 00:25:18.000
weight loss effect at the receptor levels within the with

506
00:25:18.079 --> 00:25:20.200
the brain to control the food noise and to regulate

507
00:25:20.200 --> 00:25:24.160
your blood sugar. So there's what I'm saying is probably anybody,

508
00:25:24.240 --> 00:25:26.519
we can get this broken down to a smaller dose

509
00:25:26.799 --> 00:25:28.920
and get used to it, and walk up the ladder

510
00:25:28.960 --> 00:25:30.880
and get used to it slower to get you to

511
00:25:30.920 --> 00:25:34.079
the level that will be effective for weight management. So

512
00:25:35.519 --> 00:25:37.119
do I know of a food or no food, or

513
00:25:37.240 --> 00:25:41.039
activity or no activity? Not necessarily, I've heard anecdotally I

514
00:25:41.119 --> 00:25:44.599
recommended people to use the subkey fat in the belly

515
00:25:44.759 --> 00:25:46.640
just like a clock to go around and do these

516
00:25:46.640 --> 00:25:49.720
weakly injections. Some people tell me, oh, I'd use my thigh,

517
00:25:49.759 --> 00:25:53.480
which is acceptable with less nausea. More So, individually, I

518
00:25:53.480 --> 00:25:56.519
think it's a good discussion with your provider to say, now,

519
00:25:57.079 --> 00:25:59.359
when is the nausea. Typically, if it's just a typical

520
00:25:59.359 --> 00:26:02.480
physiologic side effect of the medicine, I see that if

521
00:26:02.480 --> 00:26:04.880
you inject on Monday, you kind of get this effect

522
00:26:04.920 --> 00:26:08.039
on Wednesday, and so some people more immediate, I think

523
00:26:08.079 --> 00:26:10.759
that sort of hits the brain, like, shoot, okay, here's

524
00:26:10.759 --> 00:26:15.119
some zofran or finnergen or undiensitrona or promethazine the generic terms,

525
00:26:15.359 --> 00:26:17.599
and we can give you antimetics when do you worry

526
00:26:17.640 --> 00:26:19.839
about it? And when do you worry about the nausea?

527
00:26:19.880 --> 00:26:22.960
If you have abdominal pain, pain shooting to your back,

528
00:26:23.240 --> 00:26:25.200
that needs to stop the medicine and let's do some

529
00:26:25.200 --> 00:26:27.680
blood tests and maybe come in for an in office

530
00:26:27.720 --> 00:26:32.400
clinical evaluation. So nausea okay, but pain with a nausea

531
00:26:32.480 --> 00:26:35.640
are really protracted the word the nausea and vomiting because

532
00:26:35.759 --> 00:26:38.680
nausea is common, but vomiting is not that common. So

533
00:26:38.720 --> 00:26:41.119
if you're having novegy vomiting, my red flag goes up

534
00:26:41.160 --> 00:26:43.759
a little bit more. Let's pay attention to you and

535
00:26:43.839 --> 00:26:46.200
whenever you think about it, you can always do and

536
00:26:46.240 --> 00:26:48.599
the test always do to make sure bankers are okay,

537
00:26:48.839 --> 00:26:51.160
we'ld be an amylase and a light pace. A simple

538
00:26:51.200 --> 00:26:54.119
blood test done on a routine lab could be done stab,

539
00:26:54.160 --> 00:26:56.599
but a routine draw it on Monday afternoon, you get

540
00:26:56.599 --> 00:26:58.880
it back Tuesday morning. It's a quick turnover and then

541
00:26:58.920 --> 00:27:01.119
you'll see if these medicines are going to be continue

542
00:27:01.119 --> 00:27:01.880
to be safe for you.

543
00:27:02.799 --> 00:27:05.720
Well, it sounds like, you know, that's just being smart.

544
00:27:06.160 --> 00:27:10.480
Is like sometimes the side effects might be just part

545
00:27:10.519 --> 00:27:13.720
of the adjustment, but if it's extreme, like what you're

546
00:27:13.759 --> 00:27:18.119
talking about then you need to go see your provider, right, Yeah.

547
00:27:17.880 --> 00:27:21.759
I always sell you know, I do phase two clinical

548
00:27:21.759 --> 00:27:24.680
trials with other some pharmaceuquals in the development of these

549
00:27:24.720 --> 00:27:27.440
medicines and the way the trials run, and like I said,

550
00:27:27.440 --> 00:27:30.720
there's different levels of titration and the clinical trials, they'll

551
00:27:30.839 --> 00:27:33.279
have a patient do level one and they must go

552
00:27:33.359 --> 00:27:35.799
up to level two the next month, they must go

553
00:27:35.880 --> 00:27:38.839
to level three the next month, and there's a force titration,

554
00:27:38.960 --> 00:27:43.000
so they report forty percent nausea. Because most people in

555
00:27:43.039 --> 00:27:45.640
the real world do not need to do that, so

556
00:27:45.680 --> 00:27:48.519
we can tailor it an individually. So I always think

557
00:27:48.880 --> 00:27:51.599
nausea it's just so common. I say it about ten

558
00:27:51.640 --> 00:27:54.599
to fifteen percent of my patients, you know. And it's

559
00:27:54.599 --> 00:27:57.480
sort of paradoxically or ironic that as we get more

560
00:27:57.519 --> 00:28:00.319
and more developed with more ingredients, more button fixers, a

561
00:28:00.359 --> 00:28:02.319
one button fixer or a two button fixer or three

562
00:28:02.359 --> 00:28:05.400
button fixer, there tends to be less nausea with the

563
00:28:05.799 --> 00:28:09.119
as we get sort of more sophisticated with more ingredients

564
00:28:09.119 --> 00:28:11.960
in the medicine. But expect about ten to fifteen percent.

565
00:28:11.960 --> 00:28:14.640
If I was talking to providers in your patients and

566
00:28:14.799 --> 00:28:17.200
if you explain to them in the beginning this may happen,

567
00:28:17.400 --> 00:28:20.319
there's a lot less anxiety about it, and emphasize if

568
00:28:20.359 --> 00:28:22.680
there's nausea and pain, then then we need to have

569
00:28:22.720 --> 00:28:24.839
anxiety about it, and that if you do have that,

570
00:28:25.000 --> 00:28:27.480
let's treat it and to make it safer. Lit'sten. We

571
00:28:27.559 --> 00:28:30.759
have to these injection pins. We can repackage those and

572
00:28:30.960 --> 00:28:33.319
the way that they are all the volumes ato point

573
00:28:33.319 --> 00:28:36.400
five secs sterile vials. Inject it and draw up less

574
00:28:36.440 --> 00:28:39.480
of it and make each so it's called repackaging, which

575
00:28:39.519 --> 00:28:41.839
is legal but means to be done when somebody knows

576
00:28:41.839 --> 00:28:44.079
what they're doing, not to contaminate it. To fix maybe

577
00:28:44.079 --> 00:28:47.000
a one injection into three injections. But people can get

578
00:28:48.160 --> 00:28:49.599
you know, you get a message, you're sick, you don't

579
00:28:49.599 --> 00:28:53.880
want to do it again, you back off. So but

580
00:28:54.160 --> 00:28:57.880
they're package for standard commercial release at certain levels because

581
00:28:57.880 --> 00:29:00.920
of population studies. But every individual has the right to

582
00:29:01.000 --> 00:29:03.920
respond and be super sensitive or a little bit insensitive,

583
00:29:04.000 --> 00:29:04.799
and that's okay.

584
00:29:06.440 --> 00:29:08.839
Well, you know a lot of times you can you know,

585
00:29:09.039 --> 00:29:11.640
if somebody has just given a prescription for something that's

586
00:29:11.680 --> 00:29:14.839
that's pretty easy to just start taking something. But forming

587
00:29:14.880 --> 00:29:16.759
good habits. That's harder.

588
00:29:17.359 --> 00:29:18.319
So where do you tell them?

589
00:29:19.119 --> 00:29:21.440
Yeah, I mean where do you tell people to start?

590
00:29:22.039 --> 00:29:26.799
So you encourage them to, you know, get into the

591
00:29:26.880 --> 00:29:29.599
new habits that are better and not be overwhelmed.

592
00:29:30.519 --> 00:29:33.039
It is the toughest thing. It's easier for me to

593
00:29:33.039 --> 00:29:34.119
talk about it than to do it.

594
00:29:34.160 --> 00:29:35.119
And I know that for sure.

595
00:29:35.160 --> 00:29:37.759
I do want everybody to realize that obesity was ten

596
00:29:37.799 --> 00:29:41.000
percent at World War two and it's forty percent today.

597
00:29:41.559 --> 00:29:44.160
And the biggest change and the biggest change, and that's

598
00:29:44.240 --> 00:29:48.680
like for disease increase, that's like astronomical rise ten to

599
00:29:48.720 --> 00:29:51.640
forty percent. I mean, our disease will go from six

600
00:29:51.720 --> 00:29:53.799
to six point two percent, and you get upset. Ten

601
00:29:53.839 --> 00:29:56.759
to forty percent is outrageous. And what is the big culprit?

602
00:29:57.079 --> 00:29:59.680
It's going to be refined or processed fees And the

603
00:29:59.720 --> 00:30:02.400
shure is basically what I'm talking about here, and the

604
00:30:02.400 --> 00:30:05.039
sugars that are added to everything we eat so and

605
00:30:05.119 --> 00:30:07.640
yet we our brain loves those. It rewards our brain

606
00:30:07.680 --> 00:30:11.240
every time we have a bite of those simple processed sugars,

607
00:30:11.319 --> 00:30:12.160
which why are the doing there?

608
00:30:12.160 --> 00:30:14.480
So we buy that again. But it's hard to break

609
00:30:14.519 --> 00:30:15.680
that habit and you do.

610
00:30:15.799 --> 00:30:20.400
And it's not a misogynistic statement, but men tend to

611
00:30:20.400 --> 00:30:22.240
be able to drop the sugar a little bit more

612
00:30:22.279 --> 00:30:23.319
easily on their body.

613
00:30:23.759 --> 00:30:25.039
Then women get fatigue.

614
00:30:25.039 --> 00:30:28.039
And fatigue is a big side effect that's really undiscussed

615
00:30:28.079 --> 00:30:30.720
in the sort of the common side effects. But you

616
00:30:30.799 --> 00:30:33.519
might experience fatigue. But let me just say, if you

617
00:30:33.519 --> 00:30:35.839
can just push through that or slow the dose down,

618
00:30:36.279 --> 00:30:38.359
give yourself two to three weeks, you will feel more

619
00:30:38.720 --> 00:30:41.720
so much better than you have ever felt because we

620
00:30:41.759 --> 00:30:44.240
have now getten customed to let's get that little bite

621
00:30:44.279 --> 00:30:47.000
of something sweet for that little pickup, which in thirty

622
00:30:47.039 --> 00:30:48.799
minutes is followed by a rise in insulin that makes

623
00:30:48.799 --> 00:30:50.599
a sleepy. So we have to have that sugar byte

624
00:30:50.599 --> 00:30:54.079
for a pickup. And that's just where our bodies are.

625
00:30:54.519 --> 00:30:57.519
So I think when I say, how do I want

626
00:30:57.559 --> 00:30:59.559
to talk to patients initially, what do I want them

627
00:30:59.559 --> 00:31:02.279
to do? I ask them to all just become sugar smart.

628
00:31:02.640 --> 00:31:05.319
Just read about the sugar they're eating and the sugars

629
00:31:05.319 --> 00:31:07.720
that they that how they're just it's not just calories.

630
00:31:07.720 --> 00:31:09.640
They're all four calories in a gram. But we do

631
00:31:09.759 --> 00:31:12.279
any good sugar or bad sugar, same calories. But the

632
00:31:12.319 --> 00:31:15.720
response in our body is so different and so ten

633
00:31:15.759 --> 00:31:17.960
percent to forty percent, and I'm going to blame the

634
00:31:18.000 --> 00:31:21.599
sugars on the greatest part of that, right, So becoming

635
00:31:21.640 --> 00:31:25.960
sugar smart and then really identifying. Okay, I like a

636
00:31:25.960 --> 00:31:28.000
lot of people like I like my coffee in the morning. Well,

637
00:31:28.039 --> 00:31:29.920
I don't put sugar in it. But if people have

638
00:31:29.920 --> 00:31:31.920
a soda in the morning for their caffeine, you know

639
00:31:31.920 --> 00:31:34.519
they're used to that, and it's They're not gonna tell

640
00:31:34.519 --> 00:31:37.160
me stop my coffee tomorrow, but I'm not. So if

641
00:31:37.160 --> 00:31:39.160
you have less of it and get used to it,

642
00:31:39.279 --> 00:31:42.079
I promise you the reward is out there. And it's

643
00:31:42.119 --> 00:31:44.000
not that men are stronger by any means. Our body

644
00:31:44.039 --> 00:31:46.759
is just metabochically a little bit different. Like an acin's

645
00:31:46.839 --> 00:31:48.920
diet of thirty carbs a day. Man go, yeah, I'd

646
00:31:48.960 --> 00:31:51.279
lose weight fast and feel great. Women don't. They don't

647
00:31:51.319 --> 00:31:54.359
like that. But we're all built uniquely different in the

648
00:31:54.400 --> 00:31:56.440
way God made us. So I think I have to

649
00:31:56.519 --> 00:31:59.720
kind of caution women to expect a little fatigue along

650
00:31:59.720 --> 00:32:01.880
with me. They be no nausea or some nausea, and

651
00:32:01.960 --> 00:32:04.039
if they can just kind of get through that, it's

652
00:32:04.039 --> 00:32:06.240
going to be greater for them, they'll get a bigger reward,

653
00:32:06.640 --> 00:32:10.319
so breaking habits, learning sugars and trying to help them

654
00:32:10.319 --> 00:32:12.359
figure out. And I have struggles with myself how do

655
00:32:12.440 --> 00:32:14.440
I get that much protein? I mean, I just can't

656
00:32:14.440 --> 00:32:16.440
eat that much tuna in a day and chicken, and

657
00:32:16.480 --> 00:32:18.359
so I have to rely on the supplements. And I

658
00:32:18.359 --> 00:32:22.000
don't endorse anything commercially. Just find some protein powder that

659
00:32:22.160 --> 00:32:24.160
let's say has no sugar in it and make it

660
00:32:24.279 --> 00:32:25.680
something good to eat that you can put in the

661
00:32:25.680 --> 00:32:27.119
blender and it's an easy meal.

662
00:32:27.440 --> 00:32:28.079
Smoothies.

663
00:32:29.519 --> 00:32:32.920
Well, you know, habits are something that I think is

664
00:32:32.960 --> 00:32:35.680
just going to be an ongoing thing, but kind of

665
00:32:36.279 --> 00:32:40.119
along with forming better habits. Do you think that you're

666
00:32:40.119 --> 00:32:42.079
going to have to do that? I've seen that where

667
00:32:42.240 --> 00:32:44.799
you know, some say you're going to have to do

668
00:32:44.839 --> 00:32:46.119
this for the rest of your life.

669
00:32:46.640 --> 00:32:47.519
What do eat? Wellddy?

670
00:32:48.279 --> 00:32:50.559
Yeah, that's why I say, this is why I start

671
00:32:50.599 --> 00:32:52.599
out with this, the whole premise, eat what you like,

672
00:32:52.680 --> 00:32:54.400
change you, but like it because you are going to

673
00:32:54.480 --> 00:32:56.160
need to do it for the rest of your life.

674
00:32:56.279 --> 00:32:59.000
Because anything that we do for weight loss any way,

675
00:32:59.319 --> 00:33:03.359
that for improving. Remember we're designed to gain weight our

676
00:33:03.400 --> 00:33:05.839
body says, gaining weight so easy and good. Losing weight,

677
00:33:05.839 --> 00:33:08.160
our body doesn't like it, and it's got this whole

678
00:33:08.440 --> 00:33:10.920
system of the hunger hormone garylan is going to increase

679
00:33:10.960 --> 00:33:13.599
and make you start getting so much hungrier than even before.

680
00:33:14.000 --> 00:33:16.359
It just says, a compensatory so that we can put

681
00:33:16.359 --> 00:33:18.839
that weight back on, and the things that regulate our sugar,

682
00:33:18.839 --> 00:33:20.920
the j w ones and the pyys and these other

683
00:33:21.079 --> 00:33:24.400
sort of gips and stuff all sort of respond adaptively.

684
00:33:24.759 --> 00:33:27.039
So which is another reason back to the first question,

685
00:33:27.279 --> 00:33:30.160
This is an adaptive It's like if somebody loses weight

686
00:33:30.319 --> 00:33:33.000
and puts it back on like super fast, they blame themselves.

687
00:33:33.039 --> 00:33:35.079
And I think you got a really smart body because

688
00:33:35.079 --> 00:33:37.359
that's the way we're genetically designed. It's doing what it's

689
00:33:37.400 --> 00:33:40.079
designed to do. So if we do something and sustain

690
00:33:40.160 --> 00:33:42.480
it over a period of time, I would like to say,

691
00:33:42.720 --> 00:33:45.759
our body gets used to it, then you us because

692
00:33:46.000 --> 00:33:48.359
the brain has the imprint like, oh, you're supposed to

693
00:33:48.359 --> 00:33:50.480
have a BMI forty five and you get down to

694
00:33:50.519 --> 00:33:51.240
a normal BMI.

695
00:33:51.359 --> 00:33:52.720
You're bringing up. We got to put you back at

696
00:33:52.759 --> 00:33:54.680
forty five. So we got to.

697
00:33:54.240 --> 00:33:56.079
Sit there long enough, which is another thing in the

698
00:33:56.160 --> 00:33:58.640
duration of Madison use. But I think it's a good

699
00:33:58.640 --> 00:34:01.559
thing to say. That's why I say my case. I

700
00:34:01.599 --> 00:34:03.599
mean it's on the table. I'm not going to give

701
00:34:03.599 --> 00:34:06.079
it up completely. I'll do it less often and maybe

702
00:34:06.119 --> 00:34:07.880
not have the corn chips to go with it. But

703
00:34:08.280 --> 00:34:10.639
so what you like, change it and like it, and

704
00:34:10.679 --> 00:34:13.639
you create a pattern of success, then you're able to

705
00:34:13.760 --> 00:34:15.400
say I can do that the rest of my life

706
00:34:15.519 --> 00:34:17.960
instead of just being excited about coming in as a

707
00:34:17.960 --> 00:34:19.800
new patient. And I'll give you a meal plan and

708
00:34:19.840 --> 00:34:22.280
you'll weigh these vegetables out and eat this meal and

709
00:34:22.280 --> 00:34:23.760
I don't like salmon, but I'm gonna do it.

710
00:34:23.880 --> 00:34:25.119
But you're not gonna do that for a while.

711
00:34:25.159 --> 00:34:27.840
So I kind of find more success in helping people

712
00:34:28.000 --> 00:34:31.559
navigate their own taste buds, right, because there's lots of

713
00:34:31.559 --> 00:34:32.599
great things.

714
00:34:33.119 --> 00:34:36.719
Well I for me, it just comes down to how

715
00:34:36.719 --> 00:34:38.360
am I going to live for the rest of my life?

716
00:34:38.400 --> 00:34:41.599
How am I going to eat? How can I just

717
00:34:41.679 --> 00:34:45.079
continue to go down that better road on what I

718
00:34:45.119 --> 00:34:49.800
put in my mouth? And along with that, let's turn

719
00:34:50.000 --> 00:34:50.880
to movement.

720
00:34:51.800 --> 00:34:54.800
Okay, exercise, Okay.

721
00:34:55.239 --> 00:34:59.280
The exercise should help you maintain your muscle mass.

722
00:34:59.639 --> 00:35:02.840
Right, Yeah, Well, there's there's there's I kind of say,

723
00:35:02.880 --> 00:35:06.599
there's two exercises, the cardio and there you know, moving

724
00:35:06.639 --> 00:35:08.599
getting your heart beat up, and that's great, and that's

725
00:35:08.639 --> 00:35:11.079
I bet everybody should be aware of cardio activity.

726
00:35:11.199 --> 00:35:12.360
That's great for your heart.

727
00:35:12.880 --> 00:35:14.599
And we need to have movement and heart disease and

728
00:35:14.639 --> 00:35:17.239
stroke is the number one killer in this country. Also

729
00:35:17.239 --> 00:35:20.280
associated with b City by the way, But resistance and

730
00:35:20.320 --> 00:35:24.440
building muscle is critical for weight management, more muscle member.

731
00:35:24.519 --> 00:35:26.559
If we lose weight, we lose muscle, and we getting

732
00:35:26.559 --> 00:35:29.639
a plateau or getting a hole, so maintaining muscle loss

733
00:35:29.679 --> 00:35:34.000
and that would be doing like anything resistance. And you

734
00:35:34.039 --> 00:35:36.639
know it's not just lifting weights. There are yoga classes,

735
00:35:36.639 --> 00:35:39.800
and there are home exercises and even with limited mobility,

736
00:35:40.039 --> 00:35:42.440
things that you can do for muscle toning and just

737
00:35:42.559 --> 00:35:44.760
little things really make a difference on the long haul.

738
00:35:45.159 --> 00:35:47.320
But it's intimidating to think, Okay, I got going to

739
00:35:47.320 --> 00:35:48.800
the gym to more impress is a big old thing

740
00:35:48.800 --> 00:35:50.360
I can't leave. You know, it's not any of that.

741
00:35:50.519 --> 00:35:54.480
And and in terms of anything movement, cardio or what

742
00:35:54.480 --> 00:35:57.480
we say resistant training for muscle building, you know, how

743
00:35:57.480 --> 00:35:59.880
do you get people started. I'm a big believer in

744
00:35:59.880 --> 00:36:02.559
the if you're not having fun, you're not doing it right.

745
00:36:03.039 --> 00:36:04.719
And if you're not having fun, you won't do it

746
00:36:04.800 --> 00:36:09.000
very long. So I so, you know, to say, what exercises.

747
00:36:08.480 --> 00:36:08.880
Would you do?

748
00:36:08.960 --> 00:36:11.199
I can open a book up and show you all

749
00:36:11.199 --> 00:36:14.320
these body you know, fitness guys and stuff that, but

750
00:36:14.320 --> 00:36:16.719
but that maybe not that would intimidate me I have

751
00:36:16.760 --> 00:36:19.199
to do. So I think getting with a group, a

752
00:36:19.239 --> 00:36:22.360
couple of friends, even a friend, walking every day with

753
00:36:22.360 --> 00:36:22.760
a friend.

754
00:36:22.840 --> 00:36:25.880
It's probably therapeutic for aerobics.

755
00:36:25.320 --> 00:36:27.679
And mental health, just to kind of have somebody hash

756
00:36:27.679 --> 00:36:30.119
it out, getting people together, and it's something that you

757
00:36:30.119 --> 00:36:32.920
can make it a fun something that you enjoy then

758
00:36:32.960 --> 00:36:35.519
you look forward to doing instead of you have to

759
00:36:35.519 --> 00:36:38.079
do it and you and it's more longer to sustain.

760
00:36:38.639 --> 00:36:42.039
And so I think to find the activity individually that

761
00:36:42.119 --> 00:36:45.920
would be like the taste buds that that that has

762
00:36:45.960 --> 00:36:48.000
the taste budds of Yeah, I think I can enjoy

763
00:36:48.039 --> 00:36:49.039
that and continue doing it.

764
00:36:49.159 --> 00:36:50.199
There's lots of things that do.

765
00:36:50.239 --> 00:36:52.199
He could be pickleball is a big thing right now

766
00:36:52.199 --> 00:36:55.679
with people, and yeah, it's great, and I mean, but

767
00:36:55.719 --> 00:36:57.320
you can just get you know, you get your friends

768
00:36:57.320 --> 00:37:01.519
out and do these crazy you know, h kinetics of

769
00:37:01.559 --> 00:37:03.239
exercises and just have fun doing it.

770
00:37:03.280 --> 00:37:05.079
You play a twister game if you want to, you know.

771
00:37:05.679 --> 00:37:09.320
Yeah, Well so for those that are like some of

772
00:37:09.960 --> 00:37:12.400
our listeners are sixty and beyond.

773
00:37:12.280 --> 00:37:13.960
Right, right, yes, Is there.

774
00:37:13.760 --> 00:37:17.599
Anything different about starting a GLP one when you're a

775
00:37:17.639 --> 00:37:18.400
little bit older?

776
00:37:19.440 --> 00:37:20.679
Well, I think, you know.

777
00:37:21.000 --> 00:37:24.239
I want to emphasize the safety of these medicines that

778
00:37:24.400 --> 00:37:26.719
there as the studies are coming through and they've already

779
00:37:26.760 --> 00:37:30.159
been branded and continue to show evidence that again the

780
00:37:30.239 --> 00:37:32.159
number one killer in all of us and especially as

781
00:37:32.159 --> 00:37:34.719
we age, will be heart disease and stroke, and these

782
00:37:34.760 --> 00:37:37.559
medicines have shown benefit to lower the risk of that.

783
00:37:37.559 --> 00:37:40.320
That's just huge, huge, all right.

784
00:37:40.400 --> 00:37:43.000
As we age, growth hormone in our body is made

785
00:37:43.000 --> 00:37:46.320
from the anti pituitary land and through our adult or

786
00:37:46.480 --> 00:37:50.000
especially our after puberty and growing, we have lots of

787
00:37:50.039 --> 00:37:53.280
growth hormone to maintain muscle density and we just feel better,

788
00:37:53.719 --> 00:37:57.480
and we naturally lose growth hormone as we age, so

789
00:37:57.559 --> 00:38:00.639
our muscle all of us have a muscle cline in

790
00:38:00.679 --> 00:38:02.920
our body as we age and we lose growth hormone.

791
00:38:02.960 --> 00:38:05.559
And I won't get into the discussions of the test

792
00:38:05.559 --> 00:38:07.400
moral ins and the things that improve that. I mean,

793
00:38:07.440 --> 00:38:09.880
that's a side, but just recognize as we age, we

794
00:38:09.920 --> 00:38:13.000
lose muscle, our metal block rate slows down, our weight

795
00:38:13.039 --> 00:38:16.480
loss tends to be more. It's called sarcopinic like for

796
00:38:16.719 --> 00:38:19.199
the muscle wasting that makes you look almost like you're

797
00:38:19.239 --> 00:38:21.440
sick when you lose weight. You look unhealthy when you

798
00:38:21.480 --> 00:38:24.239
lose weight. So it's i think the biggest thing to balance.

799
00:38:24.320 --> 00:38:27.880
And I'll say I'm a senior saying to say this

800
00:38:28.440 --> 00:38:31.119
for the seniors would be to really emphasize the protein

801
00:38:31.440 --> 00:38:35.320
and resistance training. Are the medicines dosed definitely not at all. No,

802
00:38:35.719 --> 00:38:39.719
And as we age more likely on other medications. And

803
00:38:39.760 --> 00:38:43.280
it's comfortable to know that these medications that we're talking about,

804
00:38:43.440 --> 00:38:46.039
the ones out now in the future development, are having

805
00:38:46.119 --> 00:38:49.000
no drug drug interaction with any medicines in our bloodstream.

806
00:38:49.280 --> 00:38:51.280
They don't affect the liver in any way or the

807
00:38:51.360 --> 00:38:53.840
kidney in any way. They're just fixing buttons in our

808
00:38:53.880 --> 00:38:55.920
body that need to be fixed to give us a chance.

809
00:38:55.960 --> 00:38:58.679
I think when you get to this point, so for

810
00:38:58.760 --> 00:39:02.039
the seniors, must loss is already on the table at

811
00:39:02.079 --> 00:39:05.519
a little bit more escalated place and just knowing that's

812
00:39:05.559 --> 00:39:07.480
sort of where are A little bit more focus will

813
00:39:07.519 --> 00:39:10.280
go to gradually, not not tomorrow, but over the next

814
00:39:10.360 --> 00:39:14.400
months to build a plan for a consistent muscle protecting

815
00:39:14.599 --> 00:39:17.679
and building, and they'll get more benefit from the medicine

816
00:39:17.679 --> 00:39:20.840
like anybody would with more muscle development. So the medicines

817
00:39:20.880 --> 00:39:23.519
are safe, but we are fighting a little bit more.

818
00:39:23.599 --> 00:39:25.800
We're going to We're already on the steeper hill to

819
00:39:25.840 --> 00:39:26.440
get started.

820
00:39:27.480 --> 00:39:31.480
Well, one more question. In the seniors group, a lot

821
00:39:31.519 --> 00:39:36.760
of people are already juggling other medications and conditions.

822
00:39:37.239 --> 00:39:38.599
Correct, right, correct?

823
00:39:38.639 --> 00:39:41.719
And how does that change the day to day picture?

824
00:39:41.840 --> 00:39:47.159
I mean, should you be talking to your provider more

825
00:39:47.159 --> 00:39:49.880
closely if you're also doing a GLP one and you've

826
00:39:49.920 --> 00:39:53.920
also and maybe if you lose some weight you might

827
00:39:54.000 --> 00:39:57.559
be able to get off of the other medications.

828
00:39:57.119 --> 00:40:01.400
Well, that's that's that is the the biggest point. First

829
00:40:01.400 --> 00:40:06.159
of all, everybody needs to recognize that abdominal obesity and

830
00:40:06.599 --> 00:40:10.800
just obesity in general is associated with two hundred diseases.

831
00:40:11.440 --> 00:40:12.559
Two hundred diseases.

832
00:40:13.000 --> 00:40:15.079
I mean, I could, I could, we could do a

833
00:40:15.079 --> 00:40:16.119
bunch of podcasts on this.

834
00:40:16.119 --> 00:40:17.079
This is why I get fired up.

835
00:40:17.400 --> 00:40:20.960
Two hundred diseases and rise of cancer, aut immune diseases,

836
00:40:21.000 --> 00:40:23.840
and inflammatory diseases because of the fat and our belly.

837
00:40:23.880 --> 00:40:26.480
And if you want to really measure success, measure your

838
00:40:26.519 --> 00:40:29.000
abdominal girth. Women get it under thirty five inches, men

839
00:40:29.079 --> 00:40:33.079
under forty for your optimal ideal health. But two hundred

840
00:40:33.079 --> 00:40:35.679
diseases are associated with that. So when you start using

841
00:40:36.079 --> 00:40:39.599
a lifestyle change, health style change, and or medicines with

842
00:40:39.679 --> 00:40:43.159
that for success, more than likely many of the medicines

843
00:40:43.159 --> 00:40:46.119
will either be eliminated or lower doses of the ones

844
00:40:46.159 --> 00:40:48.679
you're on. And that's my biggest reward. When people come

845
00:40:48.719 --> 00:40:50.519
to me and I don't see them every visit, and

846
00:40:50.519 --> 00:40:52.480
they'll knock on my door and they'll say to me,

847
00:40:52.719 --> 00:40:54.719
every day I hear this, I no longer take this

848
00:40:54.760 --> 00:40:56.760
and this and this medicine after I've took these things.

849
00:40:56.840 --> 00:41:00.639
So there's a lot of noise about some avers advancing

850
00:41:00.719 --> 00:41:04.000
things and anecdotal stories, but these are safe medicines that

851
00:41:04.119 --> 00:41:06.440
and I always say, the branded medicines, they can go

852
00:41:06.440 --> 00:41:09.000
get them at the pharmacy and use them, and they

853
00:41:09.039 --> 00:41:11.880
can be individually catered to anyone using them. If you

854
00:41:11.960 --> 00:41:14.440
use them, not say anybody needs them, but if you

855
00:41:14.480 --> 00:41:16.360
get them I think that you can go with confidence,

856
00:41:16.800 --> 00:41:18.519
just like if your thought were low, you're getting a

857
00:41:18.519 --> 00:41:21.039
mess and to fix a hormonal signal that we're not

858
00:41:21.079 --> 00:41:23.920
as commonly aware of, like as the thyroid itself, the

859
00:41:24.000 --> 00:41:26.639
j W one, JEFP, gligigon amlin pyy.

860
00:41:27.960 --> 00:41:31.960
So so, doctor Summers, we are almost out of time.

861
00:41:32.000 --> 00:41:36.360
I cannot believe it every time it happens. So I

862
00:41:36.400 --> 00:41:39.719
want to talk about the long game. Okay, Well, you

863
00:41:39.760 --> 00:41:43.519
know we talked a little bit about maybe taking this

864
00:41:43.679 --> 00:41:46.800
maybe you're gonna end up if you build some good

865
00:41:46.840 --> 00:41:51.239
habits and maybe you have some kind of maintenance stoves

866
00:41:51.239 --> 00:41:52.639
that you just continue on.

867
00:41:52.840 --> 00:41:55.239
Right, Well, let's talk about that.

868
00:41:55.880 --> 00:41:58.320
I tell people anything you do to lose weight, you're

869
00:41:58.360 --> 00:42:00.719
going to have to do for a while. I'll usually

870
00:42:00.719 --> 00:42:02.840
point to a box. If you chew on that box

871
00:42:02.880 --> 00:42:04.400
and it makes you lose weight and you get your

872
00:42:04.400 --> 00:42:06.559
go way, you better keep chilling that box for a while.

873
00:42:07.000 --> 00:42:09.199
So in the world of how long do I take

874
00:42:09.199 --> 00:42:11.760
these medicines, let's eliminate one myth. Right here, A lot

875
00:42:11.800 --> 00:42:13.960
of people think, well, if I'll do these medicines and

876
00:42:14.000 --> 00:42:16.159
I stop them, I might have diabetes. If I'll take

877
00:42:16.159 --> 00:42:17.679
these medicine my body is not going to work right,

878
00:42:17.920 --> 00:42:20.599
not at all. It's just if anything we do for

879
00:42:20.719 --> 00:42:23.519
weight loss we need to continue. When I was in

880
00:42:23.559 --> 00:42:27.119
the early training days of getting boarded in obesity medicine,

881
00:42:27.199 --> 00:42:29.360
they would say, someone did these medicines, how long do

882
00:42:29.400 --> 00:42:31.079
they need to say on them? And there was like

883
00:42:31.119 --> 00:42:34.159
an answer for a test question two years. That's very

884
00:42:34.239 --> 00:42:38.320
much outdated. Now there are some academicians which would really

885
00:42:38.480 --> 00:42:40.480
just go on and on and preach about would take

886
00:42:40.519 --> 00:42:41.239
these things forever.

887
00:42:41.320 --> 00:42:42.440
I do not agree with that.

888
00:42:42.880 --> 00:42:45.079
I think that there's a Harvard rule the last I

889
00:42:45.159 --> 00:42:47.639
check that if you take a jumpy one for a year,

890
00:42:48.400 --> 00:42:52.119
and you know, we're talking like you know, fifteen to

891
00:42:52.119 --> 00:42:54.599
twenty percent weight loss over that time, maybe ten to

892
00:42:54.679 --> 00:42:57.800
fifteen percent, even five to ten percent is pretty modest,

893
00:42:57.840 --> 00:43:00.840
but pretty much going to happen. You're your whole system

894
00:43:00.840 --> 00:43:02.920
of quality of health is improved, even at a modest level.

895
00:43:03.119 --> 00:43:04.840
But if you take that for a year and you

896
00:43:04.880 --> 00:43:06.719
get your goal weight, I think you ought to just

897
00:43:06.760 --> 00:43:08.320
put in your head you want to stay on it

898
00:43:08.360 --> 00:43:10.719
another year and if you can, as if you're on

899
00:43:10.840 --> 00:43:13.119
level five of those, maybe do that and go to

900
00:43:13.199 --> 00:43:14.800
level four and do that and go to level three.

901
00:43:15.039 --> 00:43:17.320
I try to get everybody off the medicine, and if

902
00:43:17.360 --> 00:43:19.039
after a period of time they see some of their

903
00:43:19.039 --> 00:43:21.199
body going aha, we're gonna put that weight on pass,

904
00:43:21.280 --> 00:43:23.760
then we could reinitiate the medicine. So do you need

905
00:43:23.960 --> 00:43:27.280
so some say forever? I'd say, and probably balance as

906
00:43:27.320 --> 00:43:29.760
long as you did to really get productivity, and then

907
00:43:29.800 --> 00:43:32.880
to continue for the sustainability. But then I think most

908
00:43:32.880 --> 00:43:35.000
people will come off of people feel so much better,

909
00:43:35.039 --> 00:43:36.480
they're kind of scared to get off of them.

910
00:43:36.519 --> 00:43:38.679
I don't want to quit them. But less is always

911
00:43:38.719 --> 00:43:40.519
better when it comes to medicines.

912
00:43:40.519 --> 00:43:44.599
Right right, Well, it basically sounds like you just monitor,

913
00:43:44.599 --> 00:43:49.239
you monitor. You should be monitoring your health regardless, right,

914
00:43:49.719 --> 00:43:54.360
You should be eating well, doing those things that are

915
00:43:54.360 --> 00:43:58.159
going to support your body. And it sounds like the

916
00:43:59.599 --> 00:44:01.480
sense of whole thing to do is just to monitor

917
00:44:01.559 --> 00:44:04.159
this and see what you need to do going forward.

918
00:44:04.679 --> 00:44:06.000
That's correct. Correct.

919
00:44:06.280 --> 00:44:10.360
Everybody's different and unique, and you know, we we practice

920
00:44:10.360 --> 00:44:14.000
from the position standpoint based on population studies, but every

921
00:44:14.000 --> 00:44:17.079
individual is not a population study and needs their own

922
00:44:17.159 --> 00:44:20.559
little sort of tweaking, so to speak. And that's what

923
00:44:20.719 --> 00:44:21.880
you know, we should be prepared to do.

924
00:44:21.920 --> 00:44:23.480
As well.

925
00:44:23.519 --> 00:44:26.519
I think that maybe we've talked about one of the

926
00:44:26.559 --> 00:44:28.679
biggest questions I've seen is how long do I have

927
00:44:28.760 --> 00:44:32.119
to take it? So we are just about out of time,

928
00:44:32.679 --> 00:44:36.000
and so I want to just you know, maybe it'll

929
00:44:35.800 --> 00:44:38.079
I'll have you come back in when we have some

930
00:44:38.079 --> 00:44:41.400
some updates. Who knows that we go in months or so.

931
00:44:42.079 --> 00:44:44.840
But what would be one piece of encouragement if somebody

932
00:44:44.920 --> 00:44:48.119
is like considering this or or or you know, what

933
00:44:48.119 --> 00:44:50.280
would what would you encourage people to do if they're

934
00:44:50.320 --> 00:44:51.320
really thinking about it?

935
00:44:51.840 --> 00:44:53.880
Oh, if I could, if okay, if if I had

936
00:44:53.880 --> 00:44:57.760
once shout out for humanity and encouragement, I would say,

937
00:44:57.840 --> 00:45:01.920
love yourself, love yourself, and love yourself, and then love

938
00:45:01.960 --> 00:45:04.039
your family and friends, and even in your enemies, find

939
00:45:04.119 --> 00:45:07.480
something common denominator to love about them. And I think

940
00:45:07.480 --> 00:45:10.000
that's a great starting place for everybody to be encouraged.

941
00:45:10.000 --> 00:45:12.320
And we help each other because we all can help

942
00:45:12.320 --> 00:45:14.599
each other. We want to live our best life, and

943
00:45:14.639 --> 00:45:17.760
we all have different experiences and cultural sort of influences

944
00:45:17.800 --> 00:45:20.519
and a broad special makes it very interesting. So to

945
00:45:20.599 --> 00:45:23.119
encourage someone, let them know they're already beautiful and we're

946
00:45:23.119 --> 00:45:25.599
doing whatever we're doing here just a little bit longer

947
00:45:25.639 --> 00:45:29.119
in a happier way, to see our kids, grandkids, great

948
00:45:29.119 --> 00:45:32.639
grandkids are great grandpuppies and all the other great things

949
00:45:32.639 --> 00:45:33.480
in life has for us.

950
00:45:34.039 --> 00:45:36.760
I love your family, love your enemies.

951
00:45:37.159 --> 00:45:42.239
I was telling him before we started that in a

952
00:45:42.239 --> 00:45:45.760
couple of weeks I'll be going to the wedding of

953
00:45:45.920 --> 00:45:50.559
my first first grandchild to get married. And it's like,

954
00:45:51.239 --> 00:45:54.199
you want to be healthy enough to be able to experience.

955
00:45:53.719 --> 00:45:56.440
Those kinds of things. I think that is so wonderful.

956
00:45:56.440 --> 00:45:58.840
I always tell my patience, the only reason to have

957
00:45:58.920 --> 00:46:00.480
kids is to have grandks kids.

958
00:46:00.840 --> 00:46:05.960
So you will, that's gotta joke.

959
00:46:06.000 --> 00:46:08.559
But but that's a beautiful to be able to see

960
00:46:08.559 --> 00:46:10.360
your grandkids getting married, that's that's a blessing.

961
00:46:10.440 --> 00:46:11.440
So that's that's amazing.

962
00:46:12.079 --> 00:46:15.360
And you're already beautiful, se don't outside the bride, just

963
00:46:15.400 --> 00:46:16.920
show up and you know, all right.

964
00:46:17.280 --> 00:46:22.920
Show up, no chance outshine and try, that's for sure.

965
00:46:23.800 --> 00:46:26.679
So thank you so much for joining me today. This

966
00:46:26.800 --> 00:46:29.440
has been so helpful. I think we've asked a lot

967
00:46:29.440 --> 00:46:32.039
of good questions that hopefully will give people a little

968
00:46:32.039 --> 00:46:34.519
bit more clarity on how to deal with this.

969
00:46:36.079 --> 00:46:38.960
And thank you so much, thank you for having me

970
00:46:39.039 --> 00:46:40.039
Thank you so much.

971
00:46:40.159 --> 00:46:42.840
You bet so, and thank you so much for everyone

972
00:46:42.960 --> 00:46:46.639
for joining us on the Ask Good Questions podcast. We

973
00:46:46.719 --> 00:46:47.960
will see you next time.

974
00:46:49.039 --> 00:46:54.880
Okay, thanks, today's episode is over, but we need Ask

975
00:46:54.960 --> 00:46:57.960
Good Questions again, didn't. We don't miss out as we

976
00:46:58.119 --> 00:47:02.079
broadcast live every one say six pm Eastern Time on

977
00:47:02.400 --> 00:47:04.320
W FOURCY Radio at.

978
00:47:04.320 --> 00:47:06.239
W fourcy dot com.

979
00:47:06.320 --> 00:47:10.719
Joined Benina Bellanderson next week for more conversations with experts

980
00:47:10.760 --> 00:47:15.800
on finances, retirement, behavioral finance issues, health and wellness.

981
00:47:15.480 --> 00:47:16.199
And more.

982
00:47:16.639 --> 00:47:20.559
Until then, remember to ask good Questions.