July 1, 2026

Live Free or Go Broke: A Financial Rebel's Guide to Risk, Retirement & Real Wealth

Live Free or Go Broke: A Financial Rebel's Guide to Risk, Retirement & Real Wealth
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Season 2

Gordon Phillips lives in New Hampshire, where the license plate reads "Live Free or Die" — and his approach to financial planning fits right in. A self-described rebel in the world of wealth management, Gordon helps families ditch the dangerous myths of conventional retirement planning and replace them with hard-asset strategies, smart ownership structures, and eyes-wide-open risk awareness. This is financial advice for people who think for themselves.

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).

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WEBVTT

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The topics and opinions express in the following show are

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solely those of the hosts and their guests and not

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those of W FOURCY Radio. It's employees are affiliates. We

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make no recommendations or endorsements for radio show programs, services,

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or products mentioned on air or on our web. No

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liability explicit or implies shall be extended to W FOURCY

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Radio or it's employees are affiliates. Any questions or comments

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should be directed to those show hosts. Thank you for

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choosing W FOURCY Radio.

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Welcome to to Ask Good Questions Podcasts, broadcasting live every Wednesday,

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six pm Eastern Time on W four CY Radio at

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W fourcy dot com. This week and every week, we

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will reach for a higher purpose in money and life,

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as well as a focus on health and wellness. Now,

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let's join your hosts, but ned up Belle Anderson, as

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together we start with Asking Good Questions.

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Welcome to the Ask Good Questions Podcast. I am your host,

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Benita bell Anderson, and we have a fantastic show today

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that I think you are going to really everybody seems

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to be interested in this talkic topic. We are going

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to be talking about jailp drugs, We are going to

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be talking to a doctor that has a very fantastic

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whole outlook on this, so you are going to want

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to stay tuned and listen in on this. So with that,

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I'd like to invite doctor William Summers to the podcast stage.

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Thank you, Benita, thanks for having me.

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Thank you so much for joining us today. Well let

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me tell you a little bit about him.

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He is.

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You know this, this whole thing with JLP one drugs

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has gone from a diabetes treatment to a cultural phenomenon,

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really and with that fame comes a flood of miss

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scare stories, sales pitches. We are going to get of

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all that today. Doctor William Summers brings four decades of

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medical experience and a clinic owner's front row view to

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a candid discussion about weight loss as a medical issue, right,

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not a matter of willpower. We're going to tackle the

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muscle loss debate. We're going to talk about the side

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effects the new pills. Actually I never do this because

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I usually don't want to say a date, but today

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is July first, twenty twenty six. Medicare has made this

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available and so there's some ramifications around that that we

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are going to talk about so welcome, Dtor Summers.

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Thank you.

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Tell me where you coming from.

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Uh, I'm sorry, I'm from Birmingham, Alabama, And I let

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everybody know I'm double boarded. I say double boring. I'm

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boarded in obg in and obesity medicine and have had

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the privilege of practicing AIN for about fifteen years as

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a major part of my clinical practice.

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Wow awesome. Well for someone who's heard the brand names,

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how could they not? There's all these things on TV,

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isn't there? Yes, So exactly what exactly is that GLP

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one drug and how do they work in the body?

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Well, I think the best place to start for people

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to understand what we're talking about. It was discovered in

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recent years that when anyone is overweight, we can measure

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four neurochemicals and our body that are messed up. And

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when they are messed up and we eat, and we

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all have to eat, and these chemicals are messed up,

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we gain weight unfairly. So the first one a very

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important one. GLP one stands for glikagon like peptide one,

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a small peptide, and this is made in our intestines

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and every time we eat a meal, this peptide goes

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inside our brain and makes us feel satisfied or full,

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the satiety hormone, and it goes outside the brain to

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help regulate blood sugar. Blood sugar regulation is critical to

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normal weight gain. So with the GLP one being messed

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up and that was identified, then this medicine came along

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that will help fix that to actually put that back

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into our body, elevating the GLP one that is low

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and you get full, quicker regulating your blood sugar. And

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this was just a huge breakthrough in the medical science

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for weight gain and obesity management. It came also secondarily

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that another chemical identified called GIP gastro inhibitory peptide made

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in the intestine is really helps regulate blood sugar is

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messed up. So then they have a medicine I just

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call them four buttons are messed up. We have the

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medicine zema glue type known as ozipic we Goobe fixes

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one button. We have the terzeppatide known as Monjoro for

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type two diabetes rename zet Bound fixes two of the buttons,

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and the fantastic drug which will be released fully next year,

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also made by Eli Lilly, will fix three the buttons.

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It's known as ratitude tried. These are all injections and

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they all have pretty much we could talk about one, two,

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or three and they have pretty much the same side

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effect profile. But they are definitely all in the sense

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good for the heart and heart disease and stroke are

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the number one killer in this country. They treat the

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abdominal obesity and two hundred diseases are associated with abdominal obesity.

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So I think we are onto something like the pedicillins

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of weight loss, just getting started with a great future ahead.

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Well, one of the things that somebody said to me,

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not just recently, was, you know, being overweight is a

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side effect of you know, it's like people are we're

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going to be talking about the side effects today, but

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just being overweight is a huge side effect and risk

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to your health in and of itself.

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And almost all circumstances. That is true. There is such

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a there's a clinical entity called the healthy obese patient.

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So I just want to clarify that not everybody with

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obesity has medical issues, and let's put that out there,

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but most of us with obesity, we do have medical issues,

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and it's good to just be educated about that and

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understand what is available, and then choose options individually, lifestyle

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options and even if it goes there to medical options,

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but to have an understanding what we're doing, what we're taking,

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and what to expect.

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So you've you've been practicing for forty years, Yes, how

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did a medication that was originally meant for diabetes become

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a weight loss tool?

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Well, if we it's interesting because it was all developed,

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as you just mentioned, with the beginning of advanced studies

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for type two diabetes and the path of physiology, we

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gain weight, chemicals are messed up, we gain more weight,

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chemicals messed up, and as we go up the weight

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gain ladder, the top of the hill, we have type

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two diabetes. So the po physiology for obesity and type

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two diabetes it's pretty much the same road. So we

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have a drug that will fix that road. But the

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drug gets two names. One drug will get two names

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if well, for a diabetic patient it's called ozipic or

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and for a diabetic patient Manjo road. But for a

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white patient we go or zet bound. So it was

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just by I think incidental or accidental or observational studies

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that hey, when we do everything for diabetes, we're also

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doing the weight loss, and then the sort of the

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parallel path of physiology was recognized, and so those two

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are studied together.

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Well, you know this whole thing with treating obesity, because

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I think a lot of times people have been shamed

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thinking it's just a willpower problem. It's you know, I'm

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I'm just a bad person, I you know, And so

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there's a distinction between it's all your fault and this

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is a medical problem. So does that just think should

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matter to you when you're trying to treat patients.

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This is where I get in my soapbox. My passion

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goes off the chain. This is a disease. Obesity is

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a chronic disease. Just like if you had some type

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of strap throat and problems and we now know, well

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we can use medicines or treatments for that. This is

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no different. And this whole stigma and this and this

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discriminating and shaming people anywhere anywhere for any reason, it's wrong,

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and I just get so frustrated and passionate defense just

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like the understanding the disease. Education to understand the disease

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will help us take the blame and shame which should

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never exist in obesity or anywhere in our culture period.

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Well you originally, I mean, you're an obgun, right, but

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did this I mean, I just want to, you know,

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walk us through. Did you kind of start moving in

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this direction as you I mean you were you know,

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you basically start out with traditional medicine, but this is

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kind of taken over right.

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Well, as you mentioned, I've been had the privilege of

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having a practice for forty years with obg WAN my

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patient population or women of all ages, and we've had

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a lot of medical training and surgical training to get

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to just start a practice. But what we never got

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trained in is what we're talking about right now. And

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when women come in to my practice, from the beginning

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of the get go, they would ask me about their

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weight problems and their weight gain, and it became very

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frustrating because I didn't have any tools in my toolbox,

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and so going in and trying to dive deeper into

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what we had, we had very very limited tools, many

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of which we thought were good and turned out later

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not to be good. So the discovery of now what

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we know the facts about the disease of obesity excites

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me because we can target that like any other disease,

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so that it was just by the patient population and

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the problem that women now and I always will mention this,

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and it's really unfortunately true. Men gain weight and we

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don't like the weight, but women gain weight and don't

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like themselves, and that's misogyny driven. It's wrong. It should

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never be a double standard, but it is real, and

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you can ask men and women this is true. So

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with women with a population affecting their confidence, socialization, sexual responsivity,

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been there with something. So I've always been looking for

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something to help. And now when we had tools that

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really do sort of parallel the path of physiology treating,

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like any of the disease efficacy driven studies, it excites

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me to have something in a toolbox to help a

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patient that comes to me.

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Right, well, let's talk a little bit about some of

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the myths that are out there. Let's talk about what's

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really true here. So what's the single biggest myth that

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you wish you could just cut through right now, get

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rid of it?

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Oh wow, there's so many of these. I think that

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the biggest myth overall is that when people say, well,

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if I use these medicines, then if I stop them,

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I will become a diabetic, and I'm like, oh okay,

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and it's like what you know, we you know, we

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are all sort of on the diabatic hill. Remember that

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an A one C in nineteen sixty four was five

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point nine and you were a type two diabetic. And

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we have all been going up to diabetic hill. And

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so now an A one C six point five is

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the type two diabetic. And we're as we get bigger

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and more belly fat and more insulin resistance and we're

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belly fat. We're just on this snowball getting bigger. So

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people have this something in their head that since the

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medicines are used to treat diabetes, that and the path

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of physiology overlaps are used to treat weight loss. In

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their head they think, well, I just don't want to

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be on these medicines forever. No, you don't have to

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be well if I stop this, am I going to

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be a diabetic? No, you're not going to be a diabetic.

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So that's it's it's I understand where the confusion comes from.

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But all of this, Hey, we're going to prevent diabetes

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with these and losing weight will put you lower on

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the hill, and that yes, if we don't make health

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style changes to maybe keep us in a better place.

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We're all going to be diabetic because fifty fifty percent

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of our population today would be type two diabetes to

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type two diabetic if we use the original five point

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nine A one C, that's considered pre diabetes. Now wow, okay,

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so that's the one that I just want to educate

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to clarify. I get all types of questions about well,

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my hair will fall out, and people read about that,

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and there's sort of a and there is, unfortunately a

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small population of people when they use one of these medicines,

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there's a direct effect on the hair follicle. It's not permanent,

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but it scares them. And then there's an indirect effect

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because the weight loss that occurs, and this you can

226
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say compared to bariatric surgery and weight loss, the weight

227
00:12:39.440 --> 00:12:42.559
loss is a stress to our body. We are designed

228
00:12:42.600 --> 00:12:45.559
physiologically to gain weight. Our body wants to gain weight,

229
00:12:45.600 --> 00:12:47.679
so lousy waight, we go into like a little mini

230
00:12:47.720 --> 00:12:50.960
shock in a way affecting hair. But for the most

231
00:12:51.159 --> 00:12:52.879
most people, we don't need to worry about that, and

232
00:12:52.919 --> 00:12:56.320
we address that individually as a real problem. When people

233
00:12:56.360 --> 00:12:59.879
have concerns about it. There have been a host of

234
00:13:00.720 --> 00:13:03.559
compound medicines in the past, things that should not have

235
00:13:03.600 --> 00:13:06.440
been on the market eligible for use by patient's research

236
00:13:06.519 --> 00:13:11.799
grade medicines being given, and desperation salted version of semi

237
00:13:11.840 --> 00:13:14.320
glue tide, which is not the formula, that is the

238
00:13:14.720 --> 00:13:18.080
base type peptide that they make. But so a lot

239
00:13:18.159 --> 00:13:21.600
hit the market fast, and that created a lot of confusion.

240
00:13:23.000 --> 00:13:25.840
But just and people have a needle aversion, and I

241
00:13:25.879 --> 00:13:27.960
probably do, but I would say this is, this is,

242
00:13:28.120 --> 00:13:29.440
this is if I could do an if I can

243
00:13:29.480 --> 00:13:31.960
do it, because you don't it's really you don't feel this.

244
00:13:32.080 --> 00:13:34.720
But if you hear the word needle panic, the pill

245
00:13:35.000 --> 00:13:38.919
forms are available. So what messed to you here? Let

246
00:13:38.960 --> 00:13:41.480
me ask you that because I address this all the time.

247
00:13:42.000 --> 00:13:44.360
But the one that I get most common. If I'll

248
00:13:44.399 --> 00:13:47.279
be on these forever, I'll get diabetes. If I stop,

249
00:13:47.720 --> 00:13:50.320
my body will be dependent on these. No, when you

250
00:13:50.360 --> 00:13:52.840
get to a normal weight, we go back to normal

251
00:13:52.919 --> 00:13:56.000
physiologic functioning, and your GLP one will function on its

252
00:13:56.000 --> 00:13:59.480
own normally. And the GIP and the glickagon and the ambulin,

253
00:13:59.559 --> 00:14:02.120
these chemicals that I said four buttons are messed up.

254
00:14:04.080 --> 00:14:08.960
Well, talking a little bit more about the mental side

255
00:14:09.000 --> 00:14:13.000
of it. Sometimes people will say, oh, you're cheating or

256
00:14:13.399 --> 00:14:18.159
you're just taking the easy way out. That's even I mean,

257
00:14:19.000 --> 00:14:21.759
I can't imagine that. I mean, I know what happens.

258
00:14:22.279 --> 00:14:26.559
Well, penicillin was discovered in nineteen forty one, and if

259
00:14:26.559 --> 00:14:29.879
people had strapped throat in nineteen thirty they got leeches,

260
00:14:29.919 --> 00:14:32.799
if they had a severe infection, and when we understood, hey,

261
00:14:32.840 --> 00:14:34.840
that's the bacteria, and now we have an antibiotic to

262
00:14:34.840 --> 00:14:37.679
treat that bacteria. In nineteen forty one, penicillin the first

263
00:14:37.679 --> 00:14:40.159
antibiotic to treat a bac to infection. So that would

264
00:14:40.159 --> 00:14:42.200
be like saying, now that we understand this disease and

265
00:14:42.200 --> 00:14:44.559
we have a medicine. If you have strep throat and

266
00:14:44.600 --> 00:14:46.679
you say, well, I'm going to prescribe penicillin, it will

267
00:14:46.759 --> 00:14:49.000
fix that for you. And they said, oh, you're taking

268
00:14:49.159 --> 00:14:52.559
your a sign of weakness. You should not do that. Well,

269
00:14:52.559 --> 00:14:54.559
of course we should do that. Everybody understands that the

270
00:14:54.639 --> 00:14:57.159
thing that is most common and very common ten percent

271
00:14:57.200 --> 00:15:00.320
of all women is a low thyroid hypothyroid. And if

272
00:15:00.320 --> 00:15:02.639
a patient comes in and I do reaching lab and

273
00:15:02.679 --> 00:15:04.759
I say, oh, you're thyroid's low. I need to put

274
00:15:04.799 --> 00:15:06.879
your own thyroid medicine. No one says a word like,

275
00:15:06.919 --> 00:15:09.480
of course you do. I need a normal functioning thyroid.

276
00:15:09.720 --> 00:15:11.360
So I say, hey, you're JP wants low and you

277
00:15:11.360 --> 00:15:13.200
put your messine. They're like, oh, wait a minute, wait

278
00:15:13.240 --> 00:15:15.519
a minute, because if it's new and I understand that,

279
00:15:15.799 --> 00:15:17.840
and we have a right to question. I love that

280
00:15:17.879 --> 00:15:21.840
people don't just do as doctors say. Process, educate, make

281
00:15:21.879 --> 00:15:24.240
your own decisions. But we just got to look at

282
00:15:24.240 --> 00:15:27.759
this as the disease that it is, and don't start

283
00:15:27.759 --> 00:15:30.799
with medicines, but start with understanding the disease and what

284
00:15:30.840 --> 00:15:33.720
can I do to make it better for me. Not

285
00:15:33.879 --> 00:15:37.480
to be more accepted, not to be less shame, which

286
00:15:37.480 --> 00:15:39.440
should never happen. It's really just to have a higher

287
00:15:39.519 --> 00:15:41.840
quality of life. Yeah, and that's our goal.

288
00:15:42.519 --> 00:15:46.879
You. Okay, here's another one for you in Dutch summers. Okay,

289
00:15:49.000 --> 00:15:52.120
I'm going to lose a lot of muscle if I take.

290
00:15:51.960 --> 00:15:55.360
One of these. Okay, all right, now, there are there

291
00:15:55.440 --> 00:15:58.279
There is some truth to this. If we don't understand

292
00:15:58.279 --> 00:16:02.519
the disease. When we are having our meals store as fat,

293
00:16:02.559 --> 00:16:06.120
we make fat that is called lipogenesis. Make fat. Now,

294
00:16:06.159 --> 00:16:08.840
when we lose weight. What is fat in the first place.

295
00:16:08.840 --> 00:16:10.519
We all you can't build live if you don't have

296
00:16:10.559 --> 00:16:13.440
subc fat. We use it as a reserve fuel. So

297
00:16:13.559 --> 00:16:16.360
anytime we don't have enough intake, then our body will

298
00:16:16.440 --> 00:16:18.399
use that fat. We use it between meals to get us.

299
00:16:18.399 --> 00:16:21.159
Between meals, we store fat and use the fat as fuel.

300
00:16:21.200 --> 00:16:22.919
And then we store fat and use it as fuel.

301
00:16:22.919 --> 00:16:25.480
But now we're storing too much. So anytime we go

302
00:16:25.559 --> 00:16:29.039
from sugar to fat lipogenesis, that's easy. But when we

303
00:16:29.080 --> 00:16:32.960
go fat to sugar, we must have amino acids in

304
00:16:33.000 --> 00:16:35.960
that process to make the sugar gluceneogenesis if you want

305
00:16:35.960 --> 00:16:38.679
the big medical word bat to sugar and to lose weight,

306
00:16:38.720 --> 00:16:41.679
that's what happens. We take the fat fuel reserve fuel.

307
00:16:41.840 --> 00:16:45.039
We got too much reserve fuel. Let's let's start using

308
00:16:45.039 --> 00:16:46.679
get and get rid of it. And when we get

309
00:16:46.759 --> 00:16:49.080
rid of it, amino acids are needed. Amino Acids live

310
00:16:49.159 --> 00:16:52.720
in one place in our body, that's muscle and at

311
00:16:52.840 --> 00:16:54.799
all the organs in our body. If you think how

312
00:16:54.840 --> 00:16:57.639
fast is my motor running, what is my basic metablock

313
00:16:57.799 --> 00:17:00.639
rate is the term that is used, but say speed,

314
00:17:01.120 --> 00:17:04.640
this is muscle dependent. So just to understand it in

315
00:17:04.680 --> 00:17:07.279
a simple way. If you wanted to eat a lot

316
00:17:07.400 --> 00:17:09.599
lot more, just gets you a little bit of muscle.

317
00:17:10.079 --> 00:17:11.640
But if you want to get in trouble and get

318
00:17:11.640 --> 00:17:13.480
in a hole and quit losing the weight, lose a

319
00:17:13.480 --> 00:17:15.839
little bit of muscle. But what I'm telling you as

320
00:17:15.920 --> 00:17:18.759
is we lose fat, we have to lose muscle or

321
00:17:18.799 --> 00:17:21.359
we can't lose fat. But that's where here comes the

322
00:17:21.400 --> 00:17:26.119
superhero protein. And I would say for all women, one

323
00:17:26.200 --> 00:17:30.200
hundred and twenty grams a day, that's extraordinarily higher than

324
00:17:30.240 --> 00:17:32.359
any probably meal that you would fix for men one

325
00:17:32.440 --> 00:17:35.200
hundred and sixty grams a day. And why that the

326
00:17:35.279 --> 00:17:39.960
three macros fat, protein and carb sugar. You put fat

327
00:17:40.000 --> 00:17:42.279
in your blood's gone, and if you put sugar in

328
00:17:42.319 --> 00:17:44.799
your blood is gone. But protein brings you amino acids

329
00:17:44.880 --> 00:17:47.160
and they stay in our blood a long time. The

330
00:17:47.200 --> 00:17:50.680
macro that stays. So why proteins give us sotiety that

331
00:17:50.920 --> 00:17:53.359
stays in our blood. So if we can increase the

332
00:17:53.400 --> 00:17:58.480
superpower of taking protein, keeping amino acids all available in

333
00:17:58.480 --> 00:18:01.599
our blessed we will not break down muscle. So the

334
00:18:01.720 --> 00:18:05.039
secret to success really with all of this is not medicines.

335
00:18:05.079 --> 00:18:08.319
It's understanding the types of sugars. And it's not just calories.

336
00:18:08.720 --> 00:18:11.359
You know, there's four calories four grams of the calories

337
00:18:11.400 --> 00:18:14.519
sugar and four calories and a grammar sugar excuse me,

338
00:18:14.799 --> 00:18:17.359
and none calories a gram of fat. But there's types

339
00:18:17.400 --> 00:18:18.960
of sugars. And you get a lot more weight game

340
00:18:19.000 --> 00:18:21.680
with the with the simple, refined processed sugars than you

341
00:18:21.720 --> 00:18:24.279
do with the complex sugars found in fruits and vegetables.

342
00:18:24.759 --> 00:18:26.640
So I don't want I can probably spinning all off

343
00:18:26.680 --> 00:18:28.920
the rail here with this discussion, but the point will

344
00:18:28.920 --> 00:18:32.720
be with maintaining muscle. It's just a it's a super

345
00:18:32.759 --> 00:18:37.000
amount of protein requiring all those protein little drinks between

346
00:18:37.000 --> 00:18:39.720
meals to maintain so that when we do lose weight

347
00:18:39.759 --> 00:18:42.119
and go batch to sugar, when we will not break

348
00:18:42.119 --> 00:18:44.400
down our muscle and we can take the amino acids

349
00:18:44.400 --> 00:18:47.599
available in the blood to create what we call gluconeogenisis

350
00:18:47.720 --> 00:18:48.720
batch sugar.

351
00:18:50.160 --> 00:18:53.720
I have. Yeah, that makes sense, But I think something

352
00:18:53.839 --> 00:18:57.720
practical to take away from that is it's probably a

353
00:18:57.759 --> 00:18:58.599
good idea.

354
00:18:58.359 --> 00:19:01.920
To be doing some strength training absolutely, you know, cardia

355
00:19:02.000 --> 00:19:05.039
for the heart resistance and street training for muscle building,

356
00:19:05.079 --> 00:19:08.279
for weight loss and they're both applicable and our health needs.

357
00:19:08.480 --> 00:19:10.319
But we're talking about weight. We're going to talk about

358
00:19:10.319 --> 00:19:12.960
building muscle. And the point what you just mentioned is

359
00:19:12.960 --> 00:19:15.519
if we don't really pay attention and just start losing weight,

360
00:19:15.759 --> 00:19:18.079
we're going to look like in the quote ozimpic face

361
00:19:18.240 --> 00:19:20.839
is what was called, and the muscle loss in our face.

362
00:19:21.160 --> 00:19:24.079
And that can be prevented by not allowing the muscle

363
00:19:24.119 --> 00:19:27.759
loss occur with that loss, which in eavily will So

364
00:19:27.839 --> 00:19:30.880
we get that. So that's a fair concern. And it's

365
00:19:30.920 --> 00:19:34.200
not a myth, but a myth that the discussion out

366
00:19:34.240 --> 00:19:38.160
there that can definitely definitely be controlled with the education

367
00:19:38.240 --> 00:19:40.279
of this. That's what I'm trying to say.

368
00:19:41.440 --> 00:19:46.319
So let's I mean, man, it's on TV, it's everywhere,

369
00:19:46.359 --> 00:19:49.559
all the information about this. How can a regular person

370
00:19:50.000 --> 00:19:54.799
tell the difference between solid medical information and all the

371
00:19:54.839 --> 00:19:57.160
noise that we're seen on social media?

372
00:19:58.039 --> 00:20:01.359
There is so much noise. And when I got into

373
00:20:01.400 --> 00:20:04.400
this in a serious sort of with a serious look,

374
00:20:04.519 --> 00:20:07.480
I decided the best thing for me is to offer

375
00:20:07.599 --> 00:20:11.400
no gimmicks. I'm not trying to sell anybody anything or advice.

376
00:20:11.480 --> 00:20:15.559
Everybody take medicines, but there are evidence based studies clinical

377
00:20:15.640 --> 00:20:20.160
trials done with control groups, double blinded perspective, going forward

378
00:20:20.200 --> 00:20:23.000
to look at results, so we can show population results

379
00:20:23.359 --> 00:20:26.319
that are great to sort of make these discussions. So

380
00:20:26.440 --> 00:20:30.920
I think anything outside of a scientific, double blinded perspective

381
00:20:30.920 --> 00:20:34.119
control trial with results, it's hard for me to endorse.

382
00:20:34.160 --> 00:20:37.640
I mean, so the noise is try this and make this,

383
00:20:38.119 --> 00:20:40.799
you know, Jebby one jello, and I mean, I just

384
00:20:40.839 --> 00:20:44.000
try to just put that aside. There are I'm trying

385
00:20:44.000 --> 00:20:46.440
to say, there's evidence based medicine. We have a disease,

386
00:20:46.680 --> 00:20:49.839
and I can give you sort of population studies, but

387
00:20:49.880 --> 00:20:53.920
population studies are not necessarily applied to every individual. So

388
00:20:54.680 --> 00:20:57.119
I can say, well, there might be this percent of nausea,

389
00:20:57.160 --> 00:20:58.960
but you might have higher than that or lower than that.

390
00:20:59.200 --> 00:21:01.400
But we can get we can we can base what's

391
00:21:01.480 --> 00:21:05.640
real from evidence based studies. FDA Approved generally is the

392
00:21:05.680 --> 00:21:08.759
strictest sort of committee, and I'm proud of them for

393
00:21:08.799 --> 00:21:11.759
being strict to make sure that what is told to

394
00:21:11.839 --> 00:21:18.039
the patient is actually coming from adequately the properly corrected

395
00:21:18.119 --> 00:21:19.079
collected information.

396
00:21:20.599 --> 00:21:25.119
Well, what do you feel is the biggest What side

397
00:21:25.119 --> 00:21:27.559
effects are the ones that you most commonly see?

398
00:21:28.240 --> 00:21:31.680
Okay, you know, I Just to clarify, we mentioned three

399
00:21:31.680 --> 00:21:36.000
medicines simpically tied turds, evitide, and Reditude Tribe. All right,

400
00:21:36.279 --> 00:21:38.359
I would just say in the general bucket for understanding,

401
00:21:38.519 --> 00:21:40.240
the side effects of these are all going to be

402
00:21:40.319 --> 00:21:44.039
about the same plus termized number one side effect by

403
00:21:44.119 --> 00:21:47.799
far is nausea. All right, Now, every one of these

404
00:21:47.839 --> 00:21:52.480
medicines are going to have dose titrations. You'll do a

405
00:21:52.559 --> 00:21:55.319
level one dose a shot once a week. No nausea

406
00:21:55.359 --> 00:21:57.160
or side effects. You go to level two of the loud,

407
00:21:57.240 --> 00:21:59.440
level three, level four. And when I give you these numbers,

408
00:21:59.519 --> 00:22:02.200
let me clear, and I do clinical trials phase two

409
00:22:02.200 --> 00:22:05.400
clinical trials in dosing. When a patient enrolls in a study,

410
00:22:05.680 --> 00:22:08.480
they are there's algorithms, they are forced to go up

411
00:22:08.599 --> 00:22:10.880
the ladder, up the ladder, or they have to get

412
00:22:10.880 --> 00:22:13.000
out of the study, so they make them week one,

413
00:22:13.000 --> 00:22:16.279
week two. So I'm going to tell you in population studies,

414
00:22:16.799 --> 00:22:21.279
nausea is about forty percent in real life, and my

415
00:22:21.400 --> 00:22:24.640
patient population has a much lower number, and it is

416
00:22:24.640 --> 00:22:27.559
something we have to watch for. And with there's antiemetics

417
00:22:27.559 --> 00:22:32.359
like fendergan on doncitron pro methazine. I shouldn't say finnergan now,

418
00:22:32.640 --> 00:22:35.000
but you do level one. If somebody's like, I'm a

419
00:22:35.000 --> 00:22:36.920
little nauseous, we keep on level one for three months

420
00:22:36.920 --> 00:22:40.079
if we need to. It's all about dose titration, So

421
00:22:40.240 --> 00:22:46.319
nausea number one. All three medicines simplue tide, seventide redit tribe.

422
00:22:46.440 --> 00:22:49.799
Constipation is number two, and with women in general, there's

423
00:22:49.799 --> 00:22:53.000
a constipation cavit IBSC. We call it it will bowl

424
00:22:53.000 --> 00:22:57.839
syndrome constellation, and that's real. And there are over the

425
00:22:57.880 --> 00:23:01.039
counter preparations you could take, and I always recommend mirror

426
00:23:01.160 --> 00:23:04.160
like may relax the new thing that people are using,

427
00:23:04.200 --> 00:23:07.960
and it's been found in some observation studies magnesium glycinate

428
00:23:08.079 --> 00:23:10.000
is good for this to take along with it if

429
00:23:10.039 --> 00:23:13.359
you tend to have constipation. But the third most common

430
00:23:13.400 --> 00:23:16.160
side effect is diarrhea. And it's very nice when you

431
00:23:16.200 --> 00:23:17.640
have somebody that has a little bit of the c

432
00:23:17.759 --> 00:23:18.960
problem and it gets a little bit of the deep

433
00:23:18.960 --> 00:23:21.119
problem and they are normal on the medicine, So you

434
00:23:21.200 --> 00:23:24.000
have to see all again. People might do level one

435
00:23:24.200 --> 00:23:26.079
on any of these, go to level two and then

436
00:23:26.119 --> 00:23:28.519
start having constipation. Then it's time to go back down

437
00:23:28.519 --> 00:23:31.119
to level two and let that sort of rest a while.

438
00:23:31.599 --> 00:23:34.079
Most of these occur because of the dose gets a

439
00:23:34.079 --> 00:23:36.559
little bit too strong, and the fourth one will be vomiting.

440
00:23:36.599 --> 00:23:39.319
So the nausea is number one. Voluiting is down four

441
00:23:39.440 --> 00:23:42.960
or five. Indigestion is pretty common on these medicines, and

442
00:23:43.000 --> 00:23:45.559
you can take tons or relates and just to say

443
00:23:45.960 --> 00:23:50.519
gourd in itself gastrosophageal reflux disease, we call gourd bad

444
00:23:50.559 --> 00:23:53.480
heart burn dingestion. Well, people have that and they'll think, well,

445
00:23:53.519 --> 00:23:56.160
this indigestion is bad. Can I take this medicine? And

446
00:23:56.240 --> 00:23:58.799
any GI doctor will tell you the best thing for

447
00:23:58.880 --> 00:24:01.400
long term management of GIRD is to lose that belly fat.

448
00:24:01.440 --> 00:24:04.720
These medicines target. So even if they're already on these

449
00:24:04.839 --> 00:24:08.279
h sheet blockers like fermatidine, or if they're on a

450
00:24:08.319 --> 00:24:12.400
PPI we call a maprazol or naxium, the protonics medicines,

451
00:24:13.279 --> 00:24:16.319
even through on those these medicines may increase intergestion. Take

452
00:24:16.440 --> 00:24:20.440
some extra tomes or rolaids because losing weight will helpfully

453
00:24:20.480 --> 00:24:23.720
hopefully get you off medicines altogether. So those are the

454
00:24:23.720 --> 00:24:26.079
big ones, and there are we can go down there.

455
00:24:26.079 --> 00:24:27.680
I mean, there are some that we've kind of you

456
00:24:27.680 --> 00:24:30.279
know people have kidney disease, they're good to take these medicines.

457
00:24:30.519 --> 00:24:32.039
I always say, you can be on You could be

458
00:24:32.039 --> 00:24:34.799
on a list for a kidney transplant and take these medicines.

459
00:24:34.839 --> 00:24:36.960
You can be on a list for a liver transplant

460
00:24:36.960 --> 00:24:40.000
and take these medicines because they don't get metabolized or

461
00:24:40.000 --> 00:24:43.319
excreted through the ken your liver like about every medicine.

462
00:24:43.400 --> 00:24:44.920
And when you're on medicines, these don't get into the

463
00:24:44.920 --> 00:24:47.759
bloodstream and grab them too other proteins and bump other

464
00:24:47.839 --> 00:24:49.880
medicines off of protein, so we don't have to worry

465
00:24:49.880 --> 00:24:52.920
about drug drug interactions and protein bonding. They go to

466
00:24:53.039 --> 00:24:55.799
their receptor sites and when they get their job done,

467
00:24:55.799 --> 00:24:58.880
there's an enzyme that effectively removes them and peptizer are

468
00:24:58.880 --> 00:25:01.359
put back into the meno acid where they came from,

469
00:25:02.119 --> 00:25:05.680
so we can talk about lesser So so any sort

470
00:25:05.720 --> 00:25:08.400
of we call it an adverse event, any sort of

471
00:25:08.480 --> 00:25:10.079
thing that would happen when you're on a message, lets

472
00:25:10.079 --> 00:25:12.559
your provider know. Because there are some things that are

473
00:25:13.160 --> 00:25:14.759
not as common we don't need to talk about. But

474
00:25:14.960 --> 00:25:17.119
anything like if you start itching on bind your left

475
00:25:17.160 --> 00:25:18.799
ear and you never did that, let your doctor know.

476
00:25:18.880 --> 00:25:21.559
That and that's just hypothetical. I just made that up.

477
00:25:21.559 --> 00:25:23.440
But anything that would be new on E medicine, let

478
00:25:23.519 --> 00:25:31.279
your doctor know. And sometimes there's.

479
00:25:28.480 --> 00:25:33.720
Another tweak to this, and that's compounded versions with mystery

480
00:25:33.839 --> 00:25:38.640
additives that are claiming to fight like side effects or

481
00:25:38.759 --> 00:25:42.960
muscle loss. Yes, how should people be worried about that?

482
00:25:44.559 --> 00:25:47.359
I would this is just maybe more my opinion, and

483
00:25:47.400 --> 00:25:49.359
I would think I could extrapolate this a bit from

484
00:25:49.359 --> 00:25:52.319
when I read about what the FDA likes and doesn't like.

485
00:25:52.559 --> 00:25:55.119
I'll go to symbic glue tide. Sympiclue tide is made

486
00:25:55.119 --> 00:25:59.119
by Nova. Notice a Denmark dude is one who developed

487
00:25:59.160 --> 00:26:02.279
the process base comminant process to make this peptide, and

488
00:26:02.359 --> 00:26:04.759
Nevi Nordis bought that. And all this is made in Denmark,

489
00:26:04.839 --> 00:26:07.440
except for more recently factories in our country in North

490
00:26:07.480 --> 00:26:10.599
Carolina based were competent and I could describe it it

491
00:26:10.640 --> 00:26:12.599
was made. I used to be a chemist, but it's

492
00:26:12.599 --> 00:26:15.240
a certain way now. When the compounds first came out,

493
00:26:15.279 --> 00:26:19.000
they were doing they added salt to it, and like

494
00:26:19.039 --> 00:26:27.079
assault version symboluetide acetate or simplue tide additives, I will

495
00:26:27.119 --> 00:26:28.880
just not get in the chemical terms, but that wasn't

496
00:26:28.920 --> 00:26:32.160
exactly what nev Nord has made. The compounders now here's

497
00:26:32.200 --> 00:26:34.960
here's here's the legal part of these sometimes bought my

498
00:26:35.039 --> 00:26:37.160
Nevinoris and they put up millions and millions of dollars

499
00:26:37.160 --> 00:26:39.880
into studies, so they owned the patent on that drug.

500
00:26:40.359 --> 00:26:42.880
When they ran out of the drug, then we saw

501
00:26:42.920 --> 00:26:45.200
this surge of like an early generic it is the

502
00:26:45.200 --> 00:26:47.039
best way to understand it, and it was coming from

503
00:26:47.039 --> 00:26:50.000
everywhere and not really regulated. Going back to your question,

504
00:26:50.559 --> 00:26:52.119
the simp blue tide that was being made all of

505
00:26:52.119 --> 00:26:54.160
a sudden, Hey we got these salt versions. We got

506
00:26:54.160 --> 00:26:57.559
these research grade and not really quality inspected, and everybody

507
00:26:57.640 --> 00:26:59.880
was maybe they were effective. I don't can't comment, but

508
00:27:00.119 --> 00:27:04.079
that needed to stop and it did stop. Now some

509
00:27:04.119 --> 00:27:06.079
of these bigger pharmacies I'm not going to mention names

510
00:27:06.079 --> 00:27:10.319
started making this themselves. Are manufacturer for purchasing manufactured, and

511
00:27:10.359 --> 00:27:12.599
now they're going to be in a patent infringement because

512
00:27:12.599 --> 00:27:14.880
when semi glue tide, no of a notice, branded ozamic

513
00:27:14.920 --> 00:27:17.559
we got their storages are packed back up. We should

514
00:27:17.559 --> 00:27:21.079
not be legally using anything with that branded medicine. But

515
00:27:21.240 --> 00:27:23.359
it's been out there and everywhere and hard to control.

516
00:27:23.680 --> 00:27:27.359
So some of these places started adding chromium to it

517
00:27:27.519 --> 00:27:30.200
or B twelve to it with it and justifying it

518
00:27:30.240 --> 00:27:33.720
through a lot of lines of rationale the FDA, And

519
00:27:33.759 --> 00:27:36.720
this is why I'm extrapolating, and it's not a law,

520
00:27:36.839 --> 00:27:39.240
and every state has variations of what they can do,

521
00:27:39.640 --> 00:27:42.079
but the f Day's like, dump any crap in there,

522
00:27:42.440 --> 00:27:45.799
just use the stuff that's supposed to be used. Based

523
00:27:45.799 --> 00:27:49.039
for combinants in blue tide, trus epetide had a shortage

524
00:27:49.039 --> 00:27:52.000
and compounds came out, and so it's kind of like, well,

525
00:27:52.200 --> 00:27:54.519
you've got a patent on trus epetide, but you don't

526
00:27:54.519 --> 00:27:56.640
have a patent for trus aptide B twelve by six

527
00:27:56.720 --> 00:27:59.079
chromium that we add to it to make it our own.

528
00:27:59.400 --> 00:28:01.079
And I think that it's all kind of in the

529
00:28:01.119 --> 00:28:03.640
gray zone of legalities. And I'm not going to mention

530
00:28:03.799 --> 00:28:06.240
the name of the pharmacy that's meant very national with

531
00:28:06.279 --> 00:28:09.720
Super Bowl commercials had to settle an agreement with Novan

532
00:28:09.720 --> 00:28:13.839
Notice to quit doing those things. So, in other words,

533
00:28:13.960 --> 00:28:17.200
so added things. I can't say that they are bad,

534
00:28:17.640 --> 00:28:20.359
but I don't think they're offering any advantage. And if

535
00:28:20.359 --> 00:28:23.920
somebody needed B twelve for they think more absorption efficiency.

536
00:28:23.960 --> 00:28:25.680
I think that's what they say. They put that in there.

537
00:28:26.440 --> 00:28:29.599
We can get B twelve without putting it in that matter,

538
00:28:29.599 --> 00:28:31.200
they're trying to make it their own so they won't

539
00:28:31.200 --> 00:28:33.799
have a patent violation. And I think that's where that

540
00:28:33.839 --> 00:28:37.160
I'll stem from. But it's not like better. I mean

541
00:28:37.519 --> 00:28:39.599
there's some crazy stuff. I mean, people take a little

542
00:28:39.599 --> 00:28:40.960
bit of this compound and makes it a little bit

543
00:28:40.960 --> 00:28:43.039
of that symbolsign, makes it some reptile. Let's put some

544
00:28:43.279 --> 00:28:46.000
two tried and then we'll make it our own. Oh yeah,

545
00:28:46.039 --> 00:28:48.079
I mean people I'll come in, they'll say, they'll come

546
00:28:48.119 --> 00:28:51.079
in like this is half simply tied and half trus appetite.

547
00:28:51.240 --> 00:28:53.720
I can't even have no clue what that's doing, you know.

548
00:28:53.839 --> 00:28:58.680
And so it's just there are some things out there

549
00:28:58.799 --> 00:29:02.440
like microdocing. Think that is a very very legitimate thing

550
00:29:02.480 --> 00:29:05.599
for patients to do that if smaller doses were pay

551
00:29:05.920 --> 00:29:09.720
save money, use smaller doses. But I think the quality

552
00:29:09.720 --> 00:29:13.480
of the medicines, the branded medicines I always prefer, and

553
00:29:13.519 --> 00:29:19.279
in cases where it's allowed, a source compound from the

554
00:29:19.400 --> 00:29:22.160
right place that's inspected through all the agencies and the

555
00:29:22.200 --> 00:29:24.079
farm agencies that have to say, okay, this is good

556
00:29:24.160 --> 00:29:26.119
enough to use, then use those. But we don't need

557
00:29:26.160 --> 00:29:30.279
to change it to make it our own in my opinion.

558
00:29:30.759 --> 00:29:34.039
So doctor Summers, who is a good candidate?

559
00:29:35.160 --> 00:29:36.799
Okay, if they do.

560
00:29:36.640 --> 00:29:39.440
This in a smart, intelligent way and they ask some

561
00:29:39.559 --> 00:29:41.839
good questions, who's a good candidate?

562
00:29:42.279 --> 00:29:44.920
All right? Well, all right, First of all, I want

563
00:29:44.960 --> 00:29:47.359
anybody that feels like they need to lose weight, and

564
00:29:47.400 --> 00:29:49.680
by the way, that's seventy six percent of our population.

565
00:29:50.440 --> 00:29:53.039
I think, first to educate, how do we go from

566
00:29:53.079 --> 00:29:57.160
ten percent obesity at War two and be it forty

567
00:29:57.240 --> 00:29:59.960
percent of BCD today? In other words, like if there's

568
00:30:00.119 --> 00:30:02.559
something that causes let's get rid of them, you know,

569
00:30:03.680 --> 00:30:05.519
let's let's get the let's get the button mold out

570
00:30:05.519 --> 00:30:08.519
of our house and know what's really caused us to

571
00:30:08.680 --> 00:30:12.799
escalate that that sort of intensity of an incident's frequency.

572
00:30:12.839 --> 00:30:15.799
But so health style changes. I call health style because

573
00:30:15.839 --> 00:30:17.920
I like that term better than lifestyle. But let's look,

574
00:30:18.119 --> 00:30:19.759
how do we get there? We're all doing it. What's

575
00:30:19.759 --> 00:30:21.720
in our food that we need to know and make

576
00:30:21.799 --> 00:30:25.039
choices individually work for us? And if these kind of

577
00:30:25.039 --> 00:30:28.480
things and maybe we're all screen timing and less active,

578
00:30:28.680 --> 00:30:31.160
and maybe we just consciously try to say a few

579
00:30:31.160 --> 00:30:33.799
more of this, a few more steps of maybe some

580
00:30:33.920 --> 00:30:37.200
resistance here, and if these things are not working. Here

581
00:30:37.240 --> 00:30:41.279
are the eligibility requirements for most medicines. Body mass index

582
00:30:41.359 --> 00:30:42.799
is the term that we use. You know when you

583
00:30:42.839 --> 00:30:45.920
put the heightened the weight in the formula. But a

584
00:30:45.920 --> 00:30:49.799
BMI of eight of nineteen eighteen to nineteen to twenty

585
00:30:49.799 --> 00:30:52.720
four point nine is normal. Nineteen to twenty four point nine.

586
00:30:52.759 --> 00:30:56.759
Your BMI at twenty five you're overweight. At twenty seven

587
00:30:56.880 --> 00:31:01.680
you're more overweight. At thirty is considered obesity. Thirty five

588
00:31:01.720 --> 00:31:03.920
would be class to obesity. So let's put these numbers.

589
00:31:04.000 --> 00:31:07.599
If you have a BMI of twenty seven and you

590
00:31:07.680 --> 00:31:10.240
have what's called a comorbidity, and there's a string of

591
00:31:10.279 --> 00:31:13.640
things hyghpertension, diabetes, sleep at in the types of authorunities,

592
00:31:13.720 --> 00:31:16.240
gird own, there's a list. If you have twenty seven

593
00:31:16.279 --> 00:31:19.160
and something wrong with you because of that weight, then

594
00:31:19.200 --> 00:31:22.400
you would qualify for medicine. All right, If you have

595
00:31:22.440 --> 00:31:26.680
a thirty obesity by definition, then you have no questions asked.

596
00:31:26.720 --> 00:31:28.559
If you want to use a medicine for These are

597
00:31:28.559 --> 00:31:32.319
the FDA requirements nationally, a twenty seven comorbidity and a

598
00:31:32.400 --> 00:31:36.240
thirty no questions asked. I believe you already introduced sorry

599
00:31:36.279 --> 00:31:38.160
about the Medicare and we'll talk about that.

600
00:31:38.240 --> 00:31:43.720
Now. Let's talk about Medicare because that is like today.

601
00:31:43.240 --> 00:31:46.920
I would stand up and applaud the congressional team that

602
00:31:46.960 --> 00:31:50.119
has recognized this is a disease. Our insurance and health

603
00:31:50.119 --> 00:31:53.599
insurance covers diseases, and this is a disease. It's not

604
00:31:53.680 --> 00:31:55.880
just like we'll do your favorite thorty. This is a disease.

605
00:31:55.960 --> 00:31:58.759
It should be like hypertension disease, diabetes disease. I mean,

606
00:31:58.880 --> 00:32:01.720
but they are now covering for Medicare patients with Part

607
00:32:01.880 --> 00:32:05.119
D mess the drug coverage and it's not one hundred

608
00:32:05.200 --> 00:32:08.039
percent of all plans, but it's a great percentage. And

609
00:32:08.200 --> 00:32:11.400
I just went through eligibility. Medicare will say if you

610
00:32:11.400 --> 00:32:14.000
have a bm I of twenty seven and only one

611
00:32:14.839 --> 00:32:17.880
bm I of twenty seven and pre diabetes an a

612
00:32:17.960 --> 00:32:20.240
one c over five point eight or nine, depending on

613
00:32:20.279 --> 00:32:23.119
your lab If you have a twenty seven and pre diabetes,

614
00:32:23.319 --> 00:32:26.200
they will offer you coverage for medicines if you get

615
00:32:26.200 --> 00:32:29.960
to a thirty which like no questions asked typically across

616
00:32:29.960 --> 00:32:31.839
the board commercially, if you get to a thirty, you

617
00:32:31.920 --> 00:32:35.640
must have at least one comorbidity, higher pretension, diabetes, sleep

618
00:32:35.680 --> 00:32:38.079
at in me a gurd something that's recognized that will

619
00:32:38.119 --> 00:32:40.680
get better. But it's that at thirty is not no

620
00:32:40.799 --> 00:32:42.880
questions asked. You must ask something wrong with you. Add

621
00:32:42.880 --> 00:32:45.839
a thirty five or higher, then no questions asked. So

622
00:32:45.880 --> 00:32:48.720
it's a little bit different for the providers. And as

623
00:32:48.759 --> 00:32:51.960
we mentioned, with this new coverage, I want to give

624
00:32:52.000 --> 00:32:54.680
them a standing ovation. This is so needed. These are

625
00:32:54.720 --> 00:32:57.400
safe medicines at any age their f They have proved

626
00:32:57.400 --> 00:32:59.359
down to ten years, and some of the medicines add

627
00:32:59.400 --> 00:33:01.839
up to any because losing belly fat will give us

628
00:33:01.880 --> 00:33:03.920
the highest quality of life. And I could talk all

629
00:33:04.000 --> 00:33:06.319
day about how that happens and why and how that

630
00:33:06.359 --> 00:33:08.960
messes up our bodies protectors when we have this sort

631
00:33:09.000 --> 00:33:12.160
of fat right here and our body and they target that.

632
00:33:12.480 --> 00:33:16.480
But eligibility, So who's the candidate for somebody that feels

633
00:33:16.519 --> 00:33:20.920
like their efforts have failed? And this okay, let's use

634
00:33:20.960 --> 00:33:23.640
the penicilins of weight loss and target the disease because

635
00:33:23.680 --> 00:33:25.680
there's some still things on the board that are not

636
00:33:25.720 --> 00:33:29.559
necessarily things that target the disease per se. But there's

637
00:33:29.599 --> 00:33:31.480
other issues with emotional eatings and things that we can

638
00:33:31.480 --> 00:33:33.680
get into. But what we're talking about JLP one medicines.

639
00:33:33.960 --> 00:33:38.119
If nothing has worked for you, let's do this. Neurochemicals

640
00:33:38.160 --> 00:33:41.559
are messed up when people have bariatric surgery as the well,

641
00:33:41.640 --> 00:33:44.480
let's just go to surgery. Neurochemicals are messed up the

642
00:33:44.519 --> 00:33:50.039
surgery and the weight loss. The surgery itself normalizes these chemicals.

643
00:33:50.079 --> 00:33:52.279
Through a discussion I could have with you, chemicals are

644
00:33:52.319 --> 00:33:54.680
messed up, and when they move part of the stomach,

645
00:33:54.880 --> 00:33:59.119
the negative influencers normalize these neuro intercom buttons. And when

646
00:33:59.119 --> 00:34:02.759
they do the WI the rude why bypass removing that

647
00:34:02.759 --> 00:34:06.440
piece of intestine normalizes the chemicals, so weight loss will

648
00:34:06.480 --> 00:34:11.119
be ultimately concluded in normalization of the neuro indagrine chemicals.

649
00:34:11.159 --> 00:34:13.159
Is why the three button hitter is going to give

650
00:34:13.239 --> 00:34:15.159
us the same now results that we get with a

651
00:34:15.199 --> 00:34:18.320
gastric bypass or a gastric sleeve or gastric bypass. And

652
00:34:18.360 --> 00:34:23.039
it's really fascinating, But who needs medicine? The question failed

653
00:34:23.079 --> 00:34:27.559
efforts qualifications understanding education look at what we're eating. What

654
00:34:27.599 --> 00:34:29.400
we can do, Maybe we can move this and over

655
00:34:29.679 --> 00:34:31.400
eat what you like, change it and like it with

656
00:34:31.480 --> 00:34:34.159
boundaries and medicines and understand what to look for. And

657
00:34:34.199 --> 00:34:37.039
I consider these the safest medicines of any medicines I've

658
00:34:37.039 --> 00:34:39.280
ever used, if for any reasons in a g wan

659
00:34:39.920 --> 00:34:42.320
ob population of patients. And now we loss these are

660
00:34:42.320 --> 00:34:45.360
safe medicines and it's exciting they are safe. And yes

661
00:34:45.440 --> 00:34:48.159
we hear all about the anecdotal this happened to be

662
00:34:48.239 --> 00:34:52.159
and some reals, some not real, but always understanding that

663
00:34:52.199 --> 00:34:55.280
anything individual can happen to you needs to be presented

664
00:34:55.280 --> 00:34:58.079
and talked about to make sure it's just could be

665
00:34:58.159 --> 00:35:01.039
like something more serious or not. There really only serious

666
00:35:01.079 --> 00:35:03.119
things I tell people that we really need to watch

667
00:35:03.159 --> 00:35:05.760
for with these medicines would be pancreatitis. They work on

668
00:35:05.800 --> 00:35:08.840
the pancreas, and if you get a nausea, that's pretty common.

669
00:35:08.880 --> 00:35:11.559
But you get nausea and epigastric pain or pains in

670
00:35:11.559 --> 00:35:13.960
your stomach, shot to your back, or you're sicker than

671
00:35:14.000 --> 00:35:15.960
you should be with nausea, we need to do some

672
00:35:16.000 --> 00:35:18.960
blood tests very very early. And I would say in

673
00:35:19.000 --> 00:35:21.920
my practice and obesity for fifteen years. I've never had

674
00:35:21.920 --> 00:35:24.800
a patient to develop pancreatitis, but I stopped the medicine

675
00:35:24.960 --> 00:35:26.719
and prevented a lot of cases. It could have been

676
00:35:26.840 --> 00:35:27.679
over that many years.

677
00:35:28.039 --> 00:35:31.199
Well, I think what you're saying, you're what you are

678
00:35:31.239 --> 00:35:34.960
saying is if people are going to be taking this,

679
00:35:35.079 --> 00:35:39.480
they should be they should be followed. They should have

680
00:35:39.519 --> 00:35:41.119
a medical professional that is.

681
00:35:41.119 --> 00:35:47.239
Following them, a person that understands what they're prescribing and

682
00:35:47.280 --> 00:35:50.360
then and responses from the patient. And it shouldn't. I mean,

683
00:35:50.599 --> 00:35:53.320
I'm not I mean, I can't comment good or bad.

684
00:35:53.400 --> 00:35:56.280
I'm not a I don't do telehealth, but I lose

685
00:35:56.360 --> 00:35:59.360
that three dimensional contact when I see a patient, which

686
00:35:59.360 --> 00:36:03.000
I prefer and my practice. But the telehealth agencies that

687
00:36:03.039 --> 00:36:05.440
are just sort of meling these to you, they might

688
00:36:05.480 --> 00:36:07.599
be great, So I'm not saying they're not good, but

689
00:36:07.760 --> 00:36:11.559
it's probably not for what I would prefer as a practice.

690
00:36:11.679 --> 00:36:13.800
But I like, I mean, my patients, I mean, they

691
00:36:13.840 --> 00:36:16.599
know they can call me twenty four seven and a

692
00:36:16.639 --> 00:36:19.679
lot of them unfortunately have my phone number. But I

693
00:36:19.719 --> 00:36:21.559
do want to know if they're experiencing something because a

694
00:36:21.559 --> 00:36:24.360
lot of times it's really reassurance. But there's times that

695
00:36:24.400 --> 00:36:25.880
I need to you know, we need to say, hey,

696
00:36:26.039 --> 00:36:28.400
don't do the next dose you come in here. And

697
00:36:28.719 --> 00:36:32.519
by doing clinical trials with some of the bigger pharmaceutical companies,

698
00:36:32.639 --> 00:36:35.920
I've kind of learned through experiences outside of my clinical practice,

699
00:36:36.280 --> 00:36:38.920
like what we things that I have taught me to

700
00:36:38.960 --> 00:36:43.039
be safety always first, more careful, then the boundaries, like

701
00:36:43.079 --> 00:36:45.440
they'll let certain anambulies go three times normal. If my

702
00:36:45.559 --> 00:36:47.719
mblace and a pation goes one point over normal, I

703
00:36:47.840 --> 00:36:51.960
stop and we have to discuss So safety first, always,

704
00:36:51.960 --> 00:36:55.199
safety first. I'll say it again, safety first, three times.

705
00:36:55.320 --> 00:36:57.519
Everybody hear that. It's always the most important.

706
00:36:59.440 --> 00:37:02.159
So, I mean, we've been talking about medicare and how

707
00:37:02.199 --> 00:37:06.960
this is becoming improved through Medicare plans. A lot of

708
00:37:07.000 --> 00:37:08.639
the people that are going to be listening to this

709
00:37:08.760 --> 00:37:09.719
are that age.

710
00:37:09.800 --> 00:37:10.679
Is there anything?

711
00:37:11.920 --> 00:37:17.920
Is there anything that an older listener should be understanding

712
00:37:18.159 --> 00:37:22.039
or be aware of with considering doing this.

713
00:37:23.000 --> 00:37:26.760
Okay, okay. When I talk about age, I think we're

714
00:37:27.239 --> 00:37:30.760
all beautiful, healthy and wonderful at any age, and we

715
00:37:30.840 --> 00:37:33.360
all deserve a high quality of life at any age,

716
00:37:33.920 --> 00:37:37.000
and that in per se and as we age, the

717
00:37:37.039 --> 00:37:40.800
cardiovascular risk is way increased and the number one killer

718
00:37:40.880 --> 00:37:43.280
in the population we're talking about is going to be

719
00:37:43.280 --> 00:37:45.639
a heart taking stroke. Well, if we can do anything

720
00:37:45.679 --> 00:37:48.079
to reduce that, and that's a whole nother discussion. But

721
00:37:48.480 --> 00:37:52.239
these medicines, if you get on medicines lower clinically evidence

722
00:37:52.320 --> 00:37:55.440
proven lower the incidive heart tanging stroke, definitely can claim

723
00:37:55.480 --> 00:37:57.840
by the simply Typanov and noticed people takes a while

724
00:37:57.880 --> 00:38:01.360
to do the studies, the transapatite Eli Lilly, they're finishing

725
00:38:01.400 --> 00:38:03.599
their studies. But I'll just say, and I'll put my

726
00:38:03.679 --> 00:38:06.280
name out on this one, all these medicines will lower

727
00:38:06.320 --> 00:38:09.119
our incidents of partanking stroke, which is affecting the population.

728
00:38:09.239 --> 00:38:12.039
We're talking about anybody that's aging and most of the

729
00:38:12.079 --> 00:38:13.639
weight we get a little belly thought, and we wake

730
00:38:13.719 --> 00:38:15.159
up and there seems to be more the next day,

731
00:38:15.239 --> 00:38:17.840
and the more they stay because the buttons are messed up.

732
00:38:18.039 --> 00:38:20.480
And if we can fix these buttons and have a

733
00:38:20.559 --> 00:38:22.800
tolerant and just where people, I mean, I'll let you say,

734
00:38:22.840 --> 00:38:25.039
if you take these medicines, you shouldn't even really know

735
00:38:25.039 --> 00:38:27.119
your own except for you can't eat very much. I mean,

736
00:38:27.159 --> 00:38:29.480
I don't think people should walk around burping and sulfur

737
00:38:29.559 --> 00:38:32.039
verbs and you know GI symptoms. I mean, we're need

738
00:38:32.039 --> 00:38:33.800
too much medicine and we need to stop it. But

739
00:38:33.960 --> 00:38:37.320
because these are common side effects, but so I would say,

740
00:38:37.679 --> 00:38:40.480
get rid of the fear, and they'll be scared at

741
00:38:40.519 --> 00:38:44.119
least a discussion and an education. So do these patients

742
00:38:44.159 --> 00:38:47.679
in the population we're mentioning have inclusivity for these medicines

743
00:38:49.800 --> 00:38:52.800
because lowering that weight that just seems to body well,

744
00:38:53.039 --> 00:38:54.639
just as part of aging. No it's not. It's a

745
00:38:54.679 --> 00:38:56.920
part of our culture. Going from ten percent of b

746
00:38:57.000 --> 00:39:00.000
city to forty percent of bcity. But these these inflammation

747
00:39:00.400 --> 00:39:04.679
and immiological problems in quardybascular risk affect the population greater.

748
00:39:05.159 --> 00:39:07.199
So don't be scared of the medicine. It's not necessarily

749
00:39:07.199 --> 00:39:09.039
for everyone. But don't be scared of the medicine. But

750
00:39:09.039 --> 00:39:10.880
look at our life. Because we have become we can

751
00:39:10.920 --> 00:39:13.000
all be a little bit more careful and we can all,

752
00:39:13.039 --> 00:39:16.880
like you just said, do some resistance training, some muscle building, preservation,

753
00:39:18.159 --> 00:39:21.400
not like exhaustion stuff, just everyday stuff that will make

754
00:39:21.440 --> 00:39:21.920
a difference.

755
00:39:23.280 --> 00:39:29.719
Well, another thing, and this is just me noticing this

756
00:39:29.840 --> 00:39:37.199
all over the place. There's pills and there's injections. What

757
00:39:37.199 --> 00:39:39.599
what where? What? Do you think is the best way

758
00:39:39.639 --> 00:39:42.559
to do it the injections or if people don't like

759
00:39:42.639 --> 00:39:45.079
sticking themselves with a needle, is it going to be better?

760
00:39:45.360 --> 00:39:48.199
Is there a difference between the two different methods.

761
00:39:48.599 --> 00:39:51.239
Well, let's talk about this when we talk about these

762
00:39:51.280 --> 00:39:55.760
medicines like GLP one, GOP, glucygon. Let's go. Let's say

763
00:39:55.760 --> 00:39:57.480
it with Jill. Let's say with gleeg on the PETI

764
00:39:57.559 --> 00:40:01.480
one and GIP. These are peptides. Peptides are pieces of

765
00:40:01.519 --> 00:40:04.320
a protein. If I say, if your house is a protein,

766
00:40:04.679 --> 00:40:07.599
your front door is a peptide. These are small things.

767
00:40:07.639 --> 00:40:13.159
So in insulin is a peptide. Peptides have never ever

768
00:40:13.320 --> 00:40:16.199
been able to be swallowed. Because we swallow a peptide,

769
00:40:16.199 --> 00:40:18.960
that little bit piece of little amino acids attach each other,

770
00:40:19.239 --> 00:40:21.639
break down and there's nothing to go into the bloodstream.

771
00:40:22.079 --> 00:40:24.400
So it's all about what do we get into the bloodstream.

772
00:40:24.719 --> 00:40:28.800
So any peptide, all through history, any peptide is injected,

773
00:40:29.000 --> 00:40:31.639
you cannot swallow it. It will be degraded and stomach acid.

774
00:40:32.000 --> 00:40:35.519
So they've got this now new revolutionary way to put

775
00:40:35.559 --> 00:40:39.079
this peptide into a pill, simpically tied. It started with

776
00:40:39.199 --> 00:40:43.599
right bouses. They kind of tweaked the capsules put in.

777
00:40:44.079 --> 00:40:46.800
So here's the thing. The medicine. What is in our

778
00:40:46.800 --> 00:40:48.880
bloodstream is what's going to get to the brain and

779
00:40:49.119 --> 00:40:51.880
then go outside in regular but sugar when you swallow

780
00:40:52.000 --> 00:40:56.199
a pill. And the people that didn't put a peptide

781
00:40:56.199 --> 00:40:58.360
into a pill, My question was, why didn't they put

782
00:40:58.400 --> 00:41:01.320
insulin in a pill because everybody these insulin. It'd be

783
00:41:01.360 --> 00:41:03.000
a lot easier to get that to where it needs

784
00:41:03.039 --> 00:41:04.920
to go, you know what I mean. But but they

785
00:41:04.920 --> 00:41:07.079
put these pep pides in a pill, and so we

786
00:41:07.239 --> 00:41:10.519
started out with now cyemically tie with roebulsis for diabetes.

787
00:41:10.679 --> 00:41:12.679
They tweaked it a little bit. Now they're gonna get

788
00:41:12.719 --> 00:41:14.800
rid of robelsies and they're gonna have oral we go

789
00:41:15.000 --> 00:41:17.639
V and oral o zimpic because they tweaked it. It's

790
00:41:17.679 --> 00:41:20.960
a little bit better absorption than the old version, but

791
00:41:21.480 --> 00:41:24.000
you've got to get it into your bloodstream, and so

792
00:41:24.199 --> 00:41:26.320
I know when people do an injection, it's going into

793
00:41:26.320 --> 00:41:29.599
the bloodstream. I've always preferred that the diva part of

794
00:41:29.800 --> 00:41:32.199
oral we gov is that when you swallow that pill,

795
00:41:32.280 --> 00:41:35.079
you got to read. They don't they don't really announce

796
00:41:35.119 --> 00:41:37.000
this but you gotta swallow that pill, and they'll tell

797
00:41:37.000 --> 00:41:38.960
you not to eat for thirty minutes. I tell every

798
00:41:38.960 --> 00:41:41.159
one of my patients swallow that pill and don't eat

799
00:41:41.199 --> 00:41:45.559
for one hour, because the absorption efficiency is at about

800
00:41:45.639 --> 00:41:49.360
ninety something percent, closer to an hour, not thirty minutes.

801
00:41:49.719 --> 00:41:51.480
But they're trying to sell the drug and people, well,

802
00:41:51.480 --> 00:41:53.039
I don't want to take that pill and wait an hour.

803
00:41:53.239 --> 00:41:54.639
But if you're gonna take the oil, if you canna

804
00:41:54.599 --> 00:41:57.239
take or we GOV, wait, wait at least wait to

805
00:41:57.320 --> 00:42:00.480
thirty minutes, no medicines, no SIPs of coffee, water or jeee.

806
00:42:00.639 --> 00:42:02.760
You got to take that with us. The many ounces

807
00:42:02.760 --> 00:42:04.679
of water, the least amount of water you can take

808
00:42:04.679 --> 00:42:08.280
and swallow that and wait. Found DEEO is now made

809
00:42:08.320 --> 00:42:12.199
by Eli Lilly. It is also just a single button hitter.

810
00:42:12.440 --> 00:42:15.760
It's AJLP one receptor agonist, and they got this sort

811
00:42:15.760 --> 00:42:19.360
of absorption thing down, so you can swallow foundayoh and

812
00:42:19.400 --> 00:42:21.760
eat breakfast coffee, you know, go whatever. It doesn't matter

813
00:42:21.800 --> 00:42:24.519
what time of day it's absorbed, even in the context

814
00:42:24.599 --> 00:42:29.960
of competition. But and so we have now two single

815
00:42:29.960 --> 00:42:34.000
button hitter oral pills, we GOVI FOUNDEO, and it makes

816
00:42:34.039 --> 00:42:36.159
sense to me like, well, if I could just say anything,

817
00:42:36.159 --> 00:42:39.039
we're given free, give me some FOUNDEO. There might be

818
00:42:39.280 --> 00:42:42.840
in population studies a little bit more GI upset. I

819
00:42:42.880 --> 00:42:45.840
haven't seen it in my patient population, but I always

820
00:42:45.960 --> 00:42:49.519
worry about are they getting the medicine in their bloodstream

821
00:42:49.599 --> 00:42:51.360
to do the job. And I know when they do

822
00:42:51.400 --> 00:42:53.800
the injections, I know they're getting a constant dose each

823
00:42:53.840 --> 00:42:56.239
time because it gets into the sub carticular picked up

824
00:42:56.239 --> 00:42:58.639
by the capillaries, gets into the bloodstream and they got

825
00:42:58.679 --> 00:43:02.039
their dose that day. And there's no Diva application with

826
00:43:02.119 --> 00:43:04.639
that and the needle. Listen, I'm the biggest wish you'll

827
00:43:04.679 --> 00:43:07.239
ever meet. Seriously, I scream at bugs and I did

828
00:43:07.280 --> 00:43:09.719
never do a shot, and I can do this injection.

829
00:43:09.880 --> 00:43:11.960
I think, Okay, if I can do it, America, you

830
00:43:12.000 --> 00:43:15.360
can do it. Because I am a whuss.

831
00:43:15.280 --> 00:43:19.440
Well doctor, wiss doctor or Summers, I'm a woos too.

832
00:43:19.880 --> 00:43:20.440
I'm a whist.

833
00:43:21.079 --> 00:43:23.199
We're out of time, you know what. I think I'm

834
00:43:23.199 --> 00:43:24.960
going to have to have you come back because there's

835
00:43:25.119 --> 00:43:29.320
I really think that we should get into behavior around

836
00:43:29.360 --> 00:43:33.320
eating and all of that, and so we've run out

837
00:43:33.320 --> 00:43:38.760
of time right now. So for our listeners who want

838
00:43:38.760 --> 00:43:42.679
to explore this. Honestly, what would you say would be

839
00:43:42.719 --> 00:43:45.519
the first thing that they should do, as you know,

840
00:43:45.639 --> 00:43:46.920
just your closing remark.

841
00:43:47.039 --> 00:43:50.679
Now, because we're out of time, believe in yourself. If

842
00:43:50.679 --> 00:43:53.559
you believe in yourself, you can do it. Don't do

843
00:43:53.719 --> 00:43:57.360
anything to make yourself better, Gouse, You're already great. Do

844
00:43:57.480 --> 00:43:59.719
anything to make you have the higher quality of life

845
00:43:59.760 --> 00:44:03.679
to see your kids, grandkids, your puppies, all their grandpuppies

846
00:44:04.239 --> 00:44:08.639
quality of life. Believe you can and it will happen. Awesome.

847
00:44:09.880 --> 00:44:12.880
Well, Okay, we're gonna call this part one. We'll do

848
00:44:12.920 --> 00:44:15.280
another part two, and we'll kind of we'll kind of

849
00:44:15.280 --> 00:44:18.199
see how things go. I think I'm gonna call my

850
00:44:19.000 --> 00:44:22.199
insurance company and I'm just gonna find out what they

851
00:44:22.239 --> 00:44:22.599
tell me.

852
00:44:23.280 --> 00:44:25.400
Okay, absolutely, yeah, and.

853
00:44:25.320 --> 00:44:28.880
Then we'll come back and we'll revisit more. I want

854
00:44:28.880 --> 00:44:32.559
to get more into behavior, what you're actually putting into

855
00:44:32.559 --> 00:44:35.920
your mouth, you know, so that you have long term.

856
00:44:35.719 --> 00:44:40.079
Success with this. Yes, yeah, I don't do anything self promotional.

857
00:44:40.280 --> 00:44:42.440
But I did put a video series out which is

858
00:44:42.440 --> 00:44:45.599
nothing but education. I will not know ifybody watched it.

859
00:44:45.599 --> 00:44:48.719
It was just help providers even and patients understand the

860
00:44:48.760 --> 00:44:52.599
disease of obest I discussed these medicines basically, just simple

861
00:44:52.639 --> 00:44:56.199
principles of what types of sugars, and we talked about

862
00:44:56.199 --> 00:44:58.599
the protein and kind of just what to expect. And

863
00:44:58.639 --> 00:45:01.159
so if I thought, what we're really missing the big

864
00:45:01.199 --> 00:45:03.119
picture is just everybody, Hey, we need to understand this

865
00:45:03.159 --> 00:45:05.360
is a disease, and we don't make fun of people

866
00:45:05.400 --> 00:45:08.679
with diseases, and we approach that medically. And if your

867
00:45:08.719 --> 00:45:11.559
thought was messed up and I said you needed someway medicine,

868
00:45:11.679 --> 00:45:13.599
you would say thank you, doctor. And I would like

869
00:45:13.639 --> 00:45:15.559
to think that we would understand that in the same

870
00:45:15.840 --> 00:45:18.920
conceptualized way that we treat this as the disease. It

871
00:45:19.039 --> 00:45:21.519
is not all diseases need to start with medicines, bring

872
00:45:21.559 --> 00:45:23.679
none do. But we need to do medicines before we

873
00:45:23.719 --> 00:45:24.960
do any surgery. That's the fact.

874
00:45:25.599 --> 00:45:31.400
Right. Well, we are out of time, so doctor Summers,

875
00:45:31.480 --> 00:45:34.400
thank you so much for joining me today. I think

876
00:45:34.440 --> 00:45:38.760
we've asked some good questions. I think that we've hopefully

877
00:45:38.880 --> 00:45:43.119
cleared the air on this and UH, as always, there

878
00:45:43.159 --> 00:45:46.280
will be an information sheet about doctor Summers. And I

879
00:45:46.400 --> 00:45:49.079
go out to YouTube and look at his I've been

880
00:45:49.119 --> 00:45:53.719
out and looked at his uh informational series. It's really useful.

881
00:45:53.840 --> 00:45:57.559
It's on YouTube. So with that, thank you all for

882
00:45:57.679 --> 00:46:01.320
joining us today on the Ask Good Question Jen's podcast,

883
00:46:01.360 --> 00:46:03.320
and we will see you next time.

884
00:46:06.480 --> 00:46:10.079
Today's episode is over, but we did ask good questions again,

885
00:46:10.199 --> 00:46:14.440
didn't You don't miss out as we broadcast live every Wednesday,

886
00:46:14.480 --> 00:46:18.199
six pm Eastern Time on W four CY Radio at

887
00:46:18.440 --> 00:46:22.239
w fourcy dot com. Joined Benina Bellan. We're sing next

888
00:46:22.239 --> 00:46:27.440
week for more conversations with experts on finances, retirement, behavioral

889
00:46:27.480 --> 00:46:32.400
finance issues, health and wellness and more. Until then, remember

890
00:46:32.559 --> 00:46:34.639
to ask good questions.