1 00:00:00,000 --> 00:00:08,320 Hey Amanda, what are your thoughts on eczempic? 2 00:00:08,320 --> 00:00:10,320 This is such a tough one for me. 3 00:00:10,320 --> 00:00:16,160 On the one hand, my husband runs Lyft Clinic, it is something that we can prescribe. 4 00:00:16,160 --> 00:00:21,520 But on the other hand, I just see so much misuse of the drug across clientele, across 5 00:00:21,520 --> 00:00:22,520 even patients. 6 00:00:22,520 --> 00:00:27,800 It's like using it for five or ten kgs of weight loss, or I should say five or ten pounds 7 00:00:27,800 --> 00:00:31,220 of weight loss even, is irresponsible in my opinion. 8 00:00:31,220 --> 00:00:32,960 You just lose muscles. 9 00:00:32,960 --> 00:00:37,100 And that's the thing, I think if you screw up your muscle mass, you're really going to 10 00:00:37,100 --> 00:00:39,160 impact your overall metabolic health. 11 00:00:39,160 --> 00:00:41,140 Yeah, I mean I have a perfect example. 12 00:00:41,140 --> 00:00:45,920 So client comes in, she's like, yeah I'm struggling with my weight, let me tell you about my journey. 13 00:00:45,920 --> 00:00:50,780 So she tells me about losing a little bit of, so let's start back at the beginning. 14 00:00:50,780 --> 00:00:53,560 So she comes in and she's 70 kgs, okay? 15 00:00:53,560 --> 00:00:54,560 No worries. 16 00:00:54,560 --> 00:00:55,560 I mean it's not too bad. 17 00:00:55,560 --> 00:00:59,240 It's mildly overweight, okay? 18 00:00:59,240 --> 00:01:03,200 Her trainer at that time tells her that she needs to lose weight. 19 00:01:03,200 --> 00:01:06,960 Unfortunately she stops breastfeeding, she puts on weight. 20 00:01:06,960 --> 00:01:09,240 So now she's 76 kgs. 21 00:01:09,240 --> 00:01:10,240 Which sounds normal. 22 00:01:10,240 --> 00:01:12,240 It's a normal process. 23 00:01:12,240 --> 00:01:16,680 If you continue eating the way you did while you were breastfeeding, which is normal because 24 00:01:16,680 --> 00:01:20,760 your appetite is going to grow, and you just get used to eating in a particular way. 25 00:01:20,760 --> 00:01:23,840 As a breastfeeding mom, I definitely relate. 26 00:01:23,840 --> 00:01:25,600 It is a transition when you come off it, right? 27 00:01:25,600 --> 00:01:27,400 So now she's 76, right? 28 00:01:27,400 --> 00:01:31,160 Now her trainer says, listen, you put on so much weight, the only solution for you is 29 00:01:31,160 --> 00:01:32,160 Ozempic. 30 00:01:32,160 --> 00:01:36,160 Okay, so does she try other stuff? 31 00:01:36,160 --> 00:01:40,320 Like, prior, like, does she try sort of watching her macros and strength? 32 00:01:40,320 --> 00:01:42,240 I don't believe so, let's be real. 33 00:01:42,240 --> 00:01:43,720 I don't believe that she did. 34 00:01:43,720 --> 00:01:45,920 So the trainer went straight to Ozempic? 35 00:01:45,920 --> 00:01:46,920 That was it. 36 00:01:46,920 --> 00:01:50,940 The trainer, by the way, I later found out, this is not my trainer, the trainer later 37 00:01:50,940 --> 00:01:53,400 I found out was also on Ozempic. 38 00:01:53,400 --> 00:01:56,560 So you can see how this went down, right? 39 00:01:56,560 --> 00:01:58,080 So anyway, she's at 76 now. 40 00:01:58,080 --> 00:02:01,160 So she's like, okay, I got to get this under control, goes on the Ozempic. 41 00:02:01,160 --> 00:02:03,720 Alrighty, gets all the way down to 68. 42 00:02:03,720 --> 00:02:07,840 So now we're below that 70 kg starting point, right? 43 00:02:07,840 --> 00:02:08,840 And everything's hunky dory. 44 00:02:08,840 --> 00:02:10,320 And she's happy with it. 45 00:02:10,320 --> 00:02:12,320 Well, define happy. 46 00:02:12,320 --> 00:02:17,200 Okay, so maybe she looked in the mirror and she or she looked at the scale and saw that 47 00:02:17,200 --> 00:02:18,400 the weight had come down. 48 00:02:18,400 --> 00:02:19,400 That made her happy. 49 00:02:19,400 --> 00:02:20,400 But. 50 00:02:20,400 --> 00:02:21,400 But. 51 00:02:21,400 --> 00:02:22,800 There's a but there. 52 00:02:22,800 --> 00:02:25,560 Is eating a slice of toast today. 53 00:02:25,560 --> 00:02:26,560 At the end. 54 00:02:26,560 --> 00:02:29,160 So at the end, she was on it for about five and a half months. 55 00:02:29,160 --> 00:02:34,680 So actually, for someone like me who absolutely loves food, that doesn't sound that happiness 56 00:02:34,680 --> 00:02:35,680 to me. 57 00:02:35,680 --> 00:02:37,640 Like just being able to eat a slice of toast. 58 00:02:37,640 --> 00:02:40,200 Yes, that sounds like pure misery. 59 00:02:40,200 --> 00:02:41,200 Misery. 60 00:02:41,200 --> 00:02:42,200 And you're thinking, right? 61 00:02:42,200 --> 00:02:44,680 So the reason you got on it is because you're coming off breastfeeding. 62 00:02:44,680 --> 00:02:46,080 So AKA, you have a kid. 63 00:02:46,080 --> 00:02:47,080 Yeah. 64 00:02:47,080 --> 00:02:48,080 Alrighty. 65 00:02:48,080 --> 00:02:50,840 So what you're sitting down with your kid and watching them eat at meals or you're 66 00:02:50,840 --> 00:02:54,640 eating a piece of toast in front of your kid and saying, this is my daily intake of food. 67 00:02:54,640 --> 00:02:56,120 I just like the messaging. 68 00:02:56,120 --> 00:02:57,120 Yeah. 69 00:02:57,120 --> 00:03:00,040 Like that's basically eating the wrong food altogether. 70 00:03:00,040 --> 00:03:01,040 Like where are. 71 00:03:01,040 --> 00:03:03,640 Where's the nourishment from that meal? 72 00:03:03,640 --> 00:03:05,920 Well, that's so this brings me to my next point. 73 00:03:05,920 --> 00:03:07,960 So now she's sitting down at 68. 74 00:03:07,960 --> 00:03:08,960 Right. 75 00:03:08,960 --> 00:03:10,000 She's feeling nice and skinny. 76 00:03:10,000 --> 00:03:12,040 She confided me in and this is fair. 77 00:03:12,040 --> 00:03:18,400 OK, so I relate to the statement that in a way it was a relief to not feel appetite. 78 00:03:18,400 --> 00:03:19,400 OK. 79 00:03:19,400 --> 00:03:24,880 And it eliminated kind of the issue of I'm hungry, I'm dieting and just kind of made 80 00:03:24,880 --> 00:03:26,520 food a non-issue. 81 00:03:26,520 --> 00:03:30,480 And I could see how, yeah, if you're a busy mom, taking something off your plate might 82 00:03:30,480 --> 00:03:32,200 feel like a relief in the beginning. 83 00:03:32,200 --> 00:03:33,200 Yeah. 84 00:03:33,200 --> 00:03:34,200 OK. 85 00:03:34,200 --> 00:03:36,760 But again, then you get down to the point where you're eating a piece of toast today. 86 00:03:36,760 --> 00:03:42,040 And is it relief or is it just kind of like disinterest and disconnection from food, which 87 00:03:42,040 --> 00:03:43,040 is never the goal. 88 00:03:43,040 --> 00:03:44,040 Right. 89 00:03:44,040 --> 00:03:45,780 So she realizes this is a problem. 90 00:03:45,780 --> 00:03:47,120 She gets off it. 91 00:03:47,120 --> 00:03:48,120 OK. 92 00:03:48,120 --> 00:03:51,160 So her weight, well, let me she gets pregnant again. 93 00:03:51,160 --> 00:03:52,160 No worries. 94 00:03:52,160 --> 00:03:53,160 That's great. 95 00:03:53,160 --> 00:03:54,160 Definitely can't be on ozempic and pregnant. 96 00:03:54,160 --> 00:03:55,160 So that's good. 97 00:03:55,160 --> 00:04:00,640 Actually, I have heard that there is an increase of pregnancies of women who do go on ozempic. 98 00:04:00,640 --> 00:04:03,200 So in a way, like in the early, like, yeah. 99 00:04:03,200 --> 00:04:08,600 So I think in a way it may help people who are, you know, struggling with fertility issues 100 00:04:08,600 --> 00:04:14,880 due to obesity, due to obesity to, you know, get, I guess, get more fertile. 101 00:04:14,880 --> 00:04:15,880 Yeah. 102 00:04:15,880 --> 00:04:19,040 So definitely, like, you know, after I tell this story about this lovely lady, like, we 103 00:04:19,040 --> 00:04:24,040 should definitely comment about what obesity and diabetes are, you know, indications for 104 00:04:24,040 --> 00:04:28,040 ozempic versus just like feeling like you need a couple of LBs off. 105 00:04:28,040 --> 00:04:29,040 Right. 106 00:04:29,040 --> 00:04:32,440 So so she gets pregnant, has successful pregnancy, but she does gain. 107 00:04:32,440 --> 00:04:33,440 OK. 108 00:04:33,440 --> 00:04:39,720 So now she goes from being so 70 to begin 76 after breastfeeding, 68 after ozempic, 109 00:04:39,720 --> 00:04:42,320 92 after pregnancy, too. 110 00:04:42,320 --> 00:04:43,320 And we're talking cage. 111 00:04:43,320 --> 00:04:45,040 And this is post baby being born. 112 00:04:45,040 --> 00:04:46,040 OK. 113 00:04:46,040 --> 00:04:49,880 So and obviously off the ozempic off the ozempic. 114 00:04:49,880 --> 00:04:51,760 So now she comes to see me. 115 00:04:51,760 --> 00:04:52,760 OK. 116 00:04:52,760 --> 00:04:54,400 She's lost 12 of it on her own. 117 00:04:54,400 --> 00:04:55,760 So she's now 80 kgs. 118 00:04:55,760 --> 00:04:56,840 OK, that's great. 119 00:04:56,840 --> 00:04:57,840 Which is super great. 120 00:04:57,840 --> 00:04:58,840 OK. 121 00:04:58,840 --> 00:05:01,040 It's still 10 kgs above that starting point. 122 00:05:01,040 --> 00:05:02,040 Right. 123 00:05:02,040 --> 00:05:05,600 So it is 10 kg away from her original starting point. 124 00:05:05,600 --> 00:05:06,600 Correct. 125 00:05:06,600 --> 00:05:07,600 But what she was doing was working. 126 00:05:07,600 --> 00:05:10,320 So what's the issue? 127 00:05:10,320 --> 00:05:11,320 Here's the issue. 128 00:05:11,320 --> 00:05:12,320 OK. 129 00:05:12,320 --> 00:05:13,320 We take an in body at the clinic. 130 00:05:13,320 --> 00:05:14,320 OK. 131 00:05:14,320 --> 00:05:15,320 So she lost. 132 00:05:15,320 --> 00:05:17,560 So she was wonderful about tracking her in body. 133 00:05:17,560 --> 00:05:19,320 And that's just a body composition machine. 134 00:05:19,320 --> 00:05:20,320 Right. 135 00:05:20,320 --> 00:05:23,440 So she was wonderful about tracking the in body stuff throughout the ozempic journey. 136 00:05:23,440 --> 00:05:24,440 OK. 137 00:05:24,440 --> 00:05:25,440 And the pregnancy journeys. 138 00:05:25,440 --> 00:05:32,080 So what we see is that in that jump from 76 to 68, the ozempic five and a half months, 139 00:05:32,080 --> 00:05:34,680 she lost 2.3 kgs of fat. 140 00:05:34,680 --> 00:05:35,680 So that's great. 141 00:05:35,680 --> 00:05:36,680 Yeah. 142 00:05:36,680 --> 00:05:37,680 Yeah. 143 00:05:37,680 --> 00:05:41,600 She also lost 2.9 kgs of muscle. 144 00:05:41,600 --> 00:05:42,600 Fucking hell. 145 00:05:42,600 --> 00:05:45,560 And this therein lies the beast. 146 00:05:45,560 --> 00:05:50,280 So when she comes in now at 80 kgs and she's seeing me, she's telling me how the weight 147 00:05:50,280 --> 00:05:52,720 is not coming off like it used to. 148 00:05:52,720 --> 00:05:55,160 It's not going as fast as it used to. 149 00:05:55,160 --> 00:05:57,280 It's not as easy as it used to be. 150 00:05:57,280 --> 00:05:59,360 And this is why. 151 00:05:59,360 --> 00:06:03,440 Because when you lose muscle, you lose metabolic power. 152 00:06:03,440 --> 00:06:07,380 You are turning down the fire that burns the calories. 153 00:06:07,380 --> 00:06:08,960 And that will stick with you for life. 154 00:06:08,960 --> 00:06:11,080 So she can't eat as much as she used to. 155 00:06:11,080 --> 00:06:12,080 Correct. 156 00:06:12,080 --> 00:06:15,040 And she's going through the same kind of training like she used to. 157 00:06:15,040 --> 00:06:17,080 She's qualitatively, quantitatively weaker. 158 00:06:17,080 --> 00:06:18,640 Yes, less muscle. 159 00:06:18,640 --> 00:06:19,640 Yeah. 160 00:06:19,640 --> 00:06:20,640 Yeah. 161 00:06:20,640 --> 00:06:24,440 And the reality is it is a harder journey because now she's got to put that muscle back 162 00:06:24,440 --> 00:06:28,160 on just to get to that seven, you know, what her body was like before. 163 00:06:28,160 --> 00:06:32,120 And then she still needs to build more muscle to continue kind of repairing the damage that 164 00:06:32,120 --> 00:06:33,120 ozempic did. 165 00:06:33,120 --> 00:06:38,800 So then she's in this kind of this struggle where in order to be anabolic and order to 166 00:06:38,800 --> 00:06:41,120 gain muscle, she needs to gain weight. 167 00:06:41,120 --> 00:06:42,120 Correct. 168 00:06:42,120 --> 00:06:43,120 But lose fat. 169 00:06:43,120 --> 00:06:44,120 But lose fat. 170 00:06:44,120 --> 00:06:46,120 Oh, which is the hardest journey. 171 00:06:46,120 --> 00:06:47,120 Yeah. 172 00:06:47,120 --> 00:06:48,120 Trust me, I know. 173 00:06:48,120 --> 00:06:49,120 Yeah. 174 00:06:49,120 --> 00:06:50,120 Sounds familiar. 175 00:06:50,120 --> 00:06:51,120 So, yeah. 176 00:06:51,120 --> 00:06:54,080 So now we're working together on a program to kind of get her out of this. 177 00:06:54,080 --> 00:06:58,560 But the point is, if she had never gone on the ozempic journey, sure, she would still 178 00:06:58,560 --> 00:06:59,800 have that weight gain in pregnancy. 179 00:06:59,800 --> 00:07:05,920 Sure, she would still have fat to lose, but she wouldn't be starting from a point of lower 180 00:07:05,920 --> 00:07:08,680 muscle, which is taking away that metabolic power. 181 00:07:08,680 --> 00:07:14,760 So it's just it's a cautionary tale because to be clear, she was never obese. 182 00:07:14,760 --> 00:07:15,760 She was overweight. 183 00:07:15,760 --> 00:07:16,760 Okay. 184 00:07:16,760 --> 00:07:20,120 And to be clear, she was never diabetic. 185 00:07:20,120 --> 00:07:23,840 So the two indications for this medicine are people with obesity and people with diabetes. 186 00:07:23,840 --> 00:07:24,840 And she was neither. 187 00:07:24,840 --> 00:07:26,400 And she was on it. 188 00:07:26,400 --> 00:07:28,320 That is the problem that I have with these drugs. 189 00:07:28,320 --> 00:07:32,760 It's funny you say that because I think a couple of years ago, I had a client asked me 190 00:07:32,760 --> 00:07:34,920 about ozempic and at the time I had never heard of it. 191 00:07:34,920 --> 00:07:37,160 So I started doing some research. 192 00:07:37,160 --> 00:07:39,000 And I was like, okay, this is interesting. 193 00:07:39,000 --> 00:07:40,480 It's saying it's a diabetes drug. 194 00:07:40,480 --> 00:07:41,480 It helps with satiety. 195 00:07:41,480 --> 00:07:42,480 You know, it will. 196 00:07:42,480 --> 00:07:43,480 These are true. 197 00:07:43,480 --> 00:07:44,480 These are truths. 198 00:07:44,480 --> 00:07:45,480 It will. 199 00:07:45,480 --> 00:07:46,720 It will. 200 00:07:46,720 --> 00:07:50,020 I think the gastric emptying is slower. 201 00:07:50,020 --> 00:07:54,560 And I remember saying to her, why do you want to go on this when you can eat things like 202 00:07:54,560 --> 00:07:59,440 protein and get the same effects without all the shitty side effects? 203 00:07:59,440 --> 00:08:00,440 Yes. 204 00:08:00,440 --> 00:08:03,880 And in my head, I just couldn't fathom why she would want to do that because she was 205 00:08:03,880 --> 00:08:07,960 not obese, just a bit overweight. 206 00:08:07,960 --> 00:08:08,960 There you go. 207 00:08:08,960 --> 00:08:14,600 And I mean, the answer, if we're being real and listeners are being real with us, is desperation. 208 00:08:14,600 --> 00:08:19,200 It's looking for the fastest, easiest, sure thing. 209 00:08:19,200 --> 00:08:21,280 Because again, it is a drug with proven results. 210 00:08:21,280 --> 00:08:22,280 Right. 211 00:08:22,280 --> 00:08:24,000 So this is not something that's a shot in the dark. 212 00:08:24,000 --> 00:08:25,520 It's a for sure. 213 00:08:25,520 --> 00:08:30,880 But what we also know for sure is that the proportion of muscle loss to fat loss using 214 00:08:30,880 --> 00:08:35,000 GLP-1 receptor agonists is greater. 215 00:08:35,000 --> 00:08:39,200 So you will lose more muscle using a drug than you would use describing exactly what 216 00:08:39,200 --> 00:08:44,320 you're saying, a high protein diet to increase satiety, a high fiber diet, right? 217 00:08:44,320 --> 00:08:48,120 Using fasting to kind of, you know, control your gastric emptying, all these different 218 00:08:48,120 --> 00:08:49,120 things. 219 00:08:49,120 --> 00:08:55,480 It's like you can create those effects with food and your own body and not sacrifice the 220 00:08:55,480 --> 00:08:56,480 muscle. 221 00:08:56,480 --> 00:08:59,800 Because it's funny because GLP-1 is a peptide that is actually created within your body 222 00:08:59,800 --> 00:09:00,800 anyway. 223 00:09:00,800 --> 00:09:06,600 So it's not like you don't have this ability to be able to feel full. 224 00:09:06,600 --> 00:09:12,680 It's just what you've been eating hasn't been aiding in your satiety signaling. 225 00:09:12,680 --> 00:09:18,600 And girl, if only that like, again, the protein message has to keep getting out there that 226 00:09:18,600 --> 00:09:20,680 you don't have to drug yourself. 227 00:09:20,680 --> 00:09:22,560 You simply have to refine your diet. 228 00:09:22,560 --> 00:09:26,280 And the reality is it takes discipline, intention and education. 229 00:09:26,280 --> 00:09:27,280 Yeah. 230 00:09:27,280 --> 00:09:28,280 Right. 231 00:09:28,280 --> 00:09:29,280 So first, you have to know that's the case. 232 00:09:29,280 --> 00:09:32,560 Secondly, you have to be disciplined enough to employ that. 233 00:09:32,560 --> 00:09:36,000 And third, you know, you have to be intentional with your planning to achieve that. 234 00:09:36,000 --> 00:09:39,680 And this is, you know, when I was telling this case study to my husband, he was like, 235 00:09:39,680 --> 00:09:44,720 well, she wouldn't, you know, because he again, he does prescribe ozempic and GLP-1 receptor 236 00:09:44,720 --> 00:09:45,720 agonist. 237 00:09:45,720 --> 00:09:47,400 So he's like, it's not the drug that's a problem. 238 00:09:47,400 --> 00:09:52,040 It's that they aren't eating enough protein and lifting enough weight while they're on 239 00:09:52,040 --> 00:09:53,040 the drug. 240 00:09:53,040 --> 00:09:54,040 And I agree. 241 00:09:54,040 --> 00:09:55,040 Yeah. 242 00:09:55,040 --> 00:09:56,040 Okay. 243 00:09:56,040 --> 00:09:57,040 Because they are struggling to eat the protein. 244 00:09:57,040 --> 00:09:58,040 Yes, because they have no appetite. 245 00:09:58,040 --> 00:09:59,040 Okay. 246 00:09:59,040 --> 00:10:02,360 And he's like, well, if I was on ozempic, I would just make sure I ate my protein. 247 00:10:02,360 --> 00:10:04,560 I was like, that sounds hunky dory. 248 00:10:04,560 --> 00:10:05,560 But try it. 249 00:10:05,560 --> 00:10:08,400 When you have no appetite, nothing is appealing. 250 00:10:08,400 --> 00:10:09,680 Food is a non-issue. 251 00:10:09,680 --> 00:10:13,280 And you're putting 100 grams of protein minimum right down your gullet. 252 00:10:13,280 --> 00:10:14,280 It's real hard. 253 00:10:14,280 --> 00:10:15,280 You know what it reminds me of? 254 00:10:15,280 --> 00:10:19,280 I remember sort of during my first trimester of being pregnant and you're just constantly 255 00:10:19,280 --> 00:10:20,280 vomiting. 256 00:10:20,280 --> 00:10:21,280 Yes. 257 00:10:21,280 --> 00:10:22,280 You've got that nausea. 258 00:10:22,280 --> 00:10:23,280 Yes. 259 00:10:23,280 --> 00:10:27,680 And even the look of eating meat just is like, I just can't do it. 260 00:10:27,680 --> 00:10:30,720 And I remember I would just eat toast with butter. 261 00:10:30,720 --> 00:10:31,720 There you go. 262 00:10:31,720 --> 00:10:33,640 Because that's the only thing that I could take down. 263 00:10:33,640 --> 00:10:34,640 Correct. 264 00:10:34,640 --> 00:10:38,800 And again, clinically, that is the most reported side effect of ozempic. 265 00:10:38,800 --> 00:10:39,800 Oh, yeah. 266 00:10:39,800 --> 00:10:40,800 Exactly. 267 00:10:40,800 --> 00:10:41,800 Basically morning sickness of ozempic. 268 00:10:41,800 --> 00:10:42,800 Right? 269 00:10:42,800 --> 00:10:43,800 So we all know about- 270 00:10:43,800 --> 00:10:44,800 And imagine that for like a year or the rest of your life. 271 00:10:44,800 --> 00:10:45,800 Yes, or the rest of your life. 272 00:10:45,800 --> 00:10:46,800 Exactly. 273 00:10:46,800 --> 00:10:47,800 If you want to maintain those that way. 274 00:10:47,800 --> 00:10:49,560 Because that's the other thing, right? 275 00:10:49,560 --> 00:10:54,640 When you drug yourself, obviously you're introducing a stimulus that is not going to 276 00:10:54,640 --> 00:10:56,260 last without the drug. 277 00:10:56,260 --> 00:11:01,540 So if your appetite is only controlled by the drug, the drug goes bye-bye, you are no 278 00:11:01,540 --> 00:11:03,480 longer controlling the appetite and you rebound. 279 00:11:03,480 --> 00:11:08,020 And that's what we are seeing already with ozempic on the wide scale, right? 280 00:11:08,020 --> 00:11:12,280 On the flip side, if you learn how to eat protein and you learn how to balance your 281 00:11:12,280 --> 00:11:15,600 diet, those effects will also last forever. 282 00:11:15,600 --> 00:11:16,600 And again, drug-free. 283 00:11:16,600 --> 00:11:17,600 Exactly. 284 00:11:17,600 --> 00:11:19,440 You simply have to do it, right? 285 00:11:19,440 --> 00:11:20,920 And that's the hard part. 286 00:11:20,920 --> 00:11:24,480 So obviously you guys do this at the Lyft Clinic. 287 00:11:24,480 --> 00:11:29,680 So who would be the ideal candidate for something like ozempic? 288 00:11:29,680 --> 00:11:30,680 Great question. 289 00:11:30,680 --> 00:11:34,240 My ideal candidate, and again, I've yet to see this patient, so if this is you, come 290 00:11:34,240 --> 00:11:39,000 see us, would be someone who is lifelong obese. 291 00:11:39,000 --> 00:11:43,600 So living with obesity for a long time has developed, because most people that are living 292 00:11:43,600 --> 00:11:48,300 with obesity for a long time, especially if they are doing even moderate weight training, 293 00:11:48,300 --> 00:11:53,300 they tend to have a great deal of muscle underneath the body fat that's in excess. 294 00:11:53,300 --> 00:11:55,760 So long story short, they have muscle to burn. 295 00:11:55,760 --> 00:12:00,120 They can afford to lose some muscle on their weight loss journey because that will help 296 00:12:00,120 --> 00:12:01,680 them achieve a healthy weight. 297 00:12:01,680 --> 00:12:04,120 That will then help their lipid profile, their glucose profile. 298 00:12:04,120 --> 00:12:05,600 It'll help them in the long run. 299 00:12:05,600 --> 00:12:11,280 So I would love someone who is lifelong obese, who is doing some weight training and understands 300 00:12:11,280 --> 00:12:19,120 that that's a part of their life, and is willing to eat a high protein diet while on ozempic. 301 00:12:19,120 --> 00:12:25,640 That is my ideal candidate, because that person could achieve not only weight loss, but an 302 00:12:25,640 --> 00:12:27,960 increase in their health span and longevity. 303 00:12:27,960 --> 00:12:28,960 For sure. 304 00:12:28,960 --> 00:12:29,960 Now, America, sorry. 305 00:12:29,960 --> 00:12:30,960 No offense taken, girl. 306 00:12:30,960 --> 00:12:35,680 I'll be the first one to point fingers. 307 00:12:35,680 --> 00:12:41,040 Looking at this for kids, what's your viewpoint on that? 308 00:12:41,040 --> 00:12:45,720 Well, again, this is a hugely contestable issue. 309 00:12:45,720 --> 00:12:51,680 To be fair, we don't see juvenile patients in the clinic, so I can't comment on unique 310 00:12:51,680 --> 00:12:54,200 cases in this regard. 311 00:12:54,200 --> 00:13:00,880 But what I will say is, I do think that when there's an underage person who's an underage 312 00:13:00,880 --> 00:13:08,680 child, a minor, that it's the parental responsibility to educate, discipline, and make intentional 313 00:13:08,680 --> 00:13:09,820 that child's diet. 314 00:13:09,820 --> 00:13:15,240 So I think the same three things apply, but it becomes the parent's job. 315 00:13:15,240 --> 00:13:17,520 And they have to do the hard work. 316 00:13:17,520 --> 00:13:19,880 Because putting a child on... 317 00:13:19,880 --> 00:13:24,240 And just to be clear, I think everyone knows this about ozempic by now, but it's an injection. 318 00:13:24,240 --> 00:13:25,880 You inject the drug in your abdomen. 319 00:13:25,880 --> 00:13:27,480 It does not sound appealing to me at all. 320 00:13:27,480 --> 00:13:31,640 And if you're going to tell me a kid gets out of childhood being injected in the abdomen 321 00:13:31,640 --> 00:13:37,880 for being fat and doesn't have mental issues after that, can't fathom it. 322 00:13:37,880 --> 00:13:42,000 That is, you're doing damage to that child, even if you think you're saving them or helping 323 00:13:42,000 --> 00:13:43,000 them. 324 00:13:43,000 --> 00:13:47,160 And the visual there and the process there is painful to think about. 325 00:13:47,160 --> 00:13:57,760 And I think what I find quite sad is a lot of the kids that do get into this position, 326 00:13:57,760 --> 00:14:02,120 they have, obviously, they've got this unhealthy relationship with food, but it's usually triggered 327 00:14:02,120 --> 00:14:07,440 by the parents who are like, oh, they're hungry, or oh, I want to show them love, or oh, here's 328 00:14:07,440 --> 00:14:08,440 a chocolate. 329 00:14:08,440 --> 00:14:09,440 Yeah, I want to reward them. 330 00:14:09,440 --> 00:14:15,600 And I tend to, like, I will obviously try to educate my kids and explain to them what's 331 00:14:15,600 --> 00:14:16,920 healthy and what's not. 332 00:14:16,920 --> 00:14:23,440 And they fucking hate it when they go to school and they have to eat fruit or whatever it 333 00:14:23,440 --> 00:14:26,680 is that I pack for them. 334 00:14:26,680 --> 00:14:30,440 And then other kids have got Oreo cookies and then they're asking, why don't we get 335 00:14:30,440 --> 00:14:31,440 Oreos? 336 00:14:31,440 --> 00:14:33,960 And, mom, you're the worst. 337 00:14:33,960 --> 00:14:38,680 But I am trying to explain that it is what you put inside your body. 338 00:14:38,680 --> 00:14:40,320 It's not that you can't have Oreos. 339 00:14:40,320 --> 00:14:42,360 I'm not going to deny you of Oreos. 340 00:14:42,360 --> 00:14:43,360 I would if I could. 341 00:14:43,360 --> 00:14:46,600 And I know that's not going to be the case. 342 00:14:46,600 --> 00:14:49,520 But it's not an everyday snack. 343 00:14:49,520 --> 00:14:50,520 No. 344 00:14:50,520 --> 00:14:55,480 And that is your authority as a parent to say, like, this isn't how we feel our bodies most 345 00:14:55,480 --> 00:14:56,480 days. 346 00:14:56,480 --> 00:14:58,080 Most days we have fruit. 347 00:14:58,080 --> 00:15:00,800 And then at Cory's birthday party, we have an Oreo. 348 00:15:00,800 --> 00:15:01,800 Right? 349 00:15:01,800 --> 00:15:02,800 Like, this is life. 350 00:15:02,800 --> 00:15:03,800 I don't know a Cory. 351 00:15:03,800 --> 00:15:06,280 Like, this is how we do it. 352 00:15:06,280 --> 00:15:12,160 I don't think there is, I think, an over sensitivity right now to being like, oh, you're going 353 00:15:12,160 --> 00:15:16,520 to give your kid an eating disorder if you force them to eat healthy. 354 00:15:16,520 --> 00:15:17,520 Oh, is it orthorexic? 355 00:15:17,520 --> 00:15:18,520 That drives me nuts. 356 00:15:18,520 --> 00:15:20,520 Yeah, obsession with eating healthy. 357 00:15:20,520 --> 00:15:22,960 But you know what's really weird? 358 00:15:22,960 --> 00:15:28,200 I feel like if you eat healthy, healthy, then you're orthorexic. 359 00:15:28,200 --> 00:15:31,200 But actually, that is how you're supposed to eat. 360 00:15:31,200 --> 00:15:35,360 And just because you don't want to eat shit shouldn't be called orthorexia. 361 00:15:35,360 --> 00:15:37,800 Yeah, or just like don't eat majority shit. 362 00:15:37,800 --> 00:15:40,600 Like there's there's your bumper sticker. 363 00:15:40,600 --> 00:15:44,200 Make sure most of your diet isn't total crap. 364 00:15:44,200 --> 00:15:49,440 And again, ensuring that most of your kids diet isn't total crap is a responsibility 365 00:15:49,440 --> 00:15:50,440 as a parent. 366 00:15:50,440 --> 00:15:53,000 You're not being orthorexia, not being an almond mom, because I know what that term 367 00:15:53,000 --> 00:15:54,000 is. 368 00:15:54,000 --> 00:15:57,800 It's just like, yo, we got to eat better because this is our life. 369 00:15:57,800 --> 00:15:59,480 This is our one body that we take care of. 370 00:15:59,480 --> 00:16:04,160 What about so I know some people who will be like, well, you know what? 371 00:16:04,160 --> 00:16:09,880 He's just not going to eat if I don't give him dry cereal or chocolate or crisps or whatever 372 00:16:09,880 --> 00:16:10,880 it is. 373 00:16:10,880 --> 00:16:16,080 So they're constantly filling them up with like crappy processed snacks because they're 374 00:16:16,080 --> 00:16:17,080 not going to eat. 375 00:16:17,080 --> 00:16:19,880 Like my viewpoint on that is when they're hungry, they'll eat. 376 00:16:19,880 --> 00:16:20,880 That's my view. 377 00:16:20,880 --> 00:16:21,880 Do you? 378 00:16:21,880 --> 00:16:23,240 I mean, that is always the viewpoint in my house. 379 00:16:23,240 --> 00:16:24,240 Yeah. 380 00:16:24,240 --> 00:16:25,480 Like, you know, kids aren't going to starve. 381 00:16:25,480 --> 00:16:27,960 Like kids, you know, we've talked about this. 382 00:16:27,960 --> 00:16:30,600 Kids are the original intuitive eaters. 383 00:16:30,600 --> 00:16:31,600 Oh, yeah. 384 00:16:31,600 --> 00:16:32,600 Right. 385 00:16:32,600 --> 00:16:37,480 And that they want to eat to fill their bellies and stop when they're full. 386 00:16:37,480 --> 00:16:42,160 And only the way that we present food and the way that we eat in our house is going 387 00:16:42,160 --> 00:16:43,880 to change that culture for them. 388 00:16:43,880 --> 00:16:50,160 So if you want your kids to eat as they intuitively would, just leave them alone on the on the 389 00:16:50,160 --> 00:16:51,160 whole. 390 00:16:51,160 --> 00:16:52,160 Right. 391 00:16:52,160 --> 00:16:54,760 Obviously, there are definitely exceptions to this rule and children that are underweight, 392 00:16:54,760 --> 00:16:56,440 undernourished that need different approaches. 393 00:16:56,440 --> 00:17:01,760 And I feel like kids are also really bloody clever because if you say, OK, fine, you know, 394 00:17:01,760 --> 00:17:04,600 I'll just give you that that Oreo cookie or whatever it is. 395 00:17:04,600 --> 00:17:08,560 That's I'll just hold off a little bit because my mom's just going to give me the cookie. 396 00:17:08,560 --> 00:17:09,560 Yeah. 397 00:17:09,560 --> 00:17:11,560 You know, and then I don't need to eat more broccoli. 398 00:17:11,560 --> 00:17:12,560 That's it. 399 00:17:12,560 --> 00:17:13,560 Test. 400 00:17:13,560 --> 00:17:14,560 It's another way to test boundaries. 401 00:17:14,560 --> 00:17:15,560 Oh, yeah. 402 00:17:15,560 --> 00:17:16,560 You know, in a large way. 403 00:17:16,560 --> 00:17:17,560 Yeah. 404 00:17:17,560 --> 00:17:20,480 And on the flip side of that, right, it's like, OK, you know, like back in the day, 405 00:17:20,480 --> 00:17:24,000 I don't know if your parents ever did this or but it's like, you know, you've been bad, 406 00:17:24,000 --> 00:17:25,000 you know, whatever. 407 00:17:25,000 --> 00:17:26,000 Go to bed without dinner. 408 00:17:26,000 --> 00:17:30,880 Like, you know, you would be kind of forced to intermittent fast because of misbehavior. 409 00:17:30,880 --> 00:17:32,760 Now, again, I'm not condoning that. 410 00:17:32,760 --> 00:17:35,000 But what I'm saying is like, I didn't die. 411 00:17:35,000 --> 00:17:36,000 Yeah. 412 00:17:36,000 --> 00:17:37,800 I went on living with one missed meal. 413 00:17:37,800 --> 00:17:41,320 So I think, you know, particularly in Asia, there is this culture of like feed, feed, 414 00:17:41,320 --> 00:17:42,320 feed, feed, feed. 415 00:17:42,320 --> 00:17:45,440 And if they miss, you know, like one ounce of milk, you know, thinking about my little 416 00:17:45,440 --> 00:17:46,440 newborn, it's like they're going to die. 417 00:17:46,440 --> 00:17:47,840 It's like, no, they're going to be all right. 418 00:17:47,840 --> 00:17:48,840 Yeah. 419 00:17:48,840 --> 00:17:51,360 They just, you know, I don't want them to puke that ounce of milk out like let him be. 420 00:17:51,360 --> 00:17:55,440 You know, like the overfeeding thing here is very, very real. 421 00:17:55,440 --> 00:17:56,440 It is. 422 00:17:56,440 --> 00:17:59,240 And like, I mean, I never really missed a meal. 423 00:17:59,240 --> 00:18:03,520 You're like, I don't relate to that story, but I can imagine. 424 00:18:03,520 --> 00:18:08,920 But yeah, but to be clear, all listeners, like this is not saying to withhold food from 425 00:18:08,920 --> 00:18:09,920 your child as a penalty. 426 00:18:09,920 --> 00:18:11,720 I definitely wouldn't do that actually. 427 00:18:11,720 --> 00:18:14,960 But, and nor, you know, to underfeed a child that needs it. 428 00:18:14,960 --> 00:18:19,040 But what I'm saying is if your child is healthy and growing and doing all the right things 429 00:18:19,040 --> 00:18:22,360 and, you know, they want to go on a hunger strike because you didn't give them that Oreo 430 00:18:22,360 --> 00:18:23,360 for one meal. 431 00:18:23,360 --> 00:18:24,920 Oh, well, they'll be all right. 432 00:18:24,920 --> 00:18:25,920 So be it. 433 00:18:25,920 --> 00:18:28,200 They go eat when they're hungry again. 434 00:18:28,200 --> 00:18:29,200 Exactly. 435 00:18:29,200 --> 00:18:30,520 They can't.