me&my health up

The Good, The Bad, and The Ugly About Weight Loss Drugs

June 27, 2023 me&my wellness / Anthony Hartcher Season 1 Episode 164
me&my health up
The Good, The Bad, and The Ugly About Weight Loss Drugs
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Show Notes Transcript Chapter Markers

Ever wondered about the true impact of weight loss drugs on your health? Do they offer a miraculous solution or are they just a short-term fix with long-term consequences?

Join us in this episode of me&my health up as our host Anthony Hartcher, a trusted clinical nutritionist and lifestyle medicine specialist, provides an unfiltered discussion on the 'good, the bad, and the ugly' about weight loss drugs.

We’ll also discuss weight loss drugs’ mechanisms, potential benefits, and alarming side effects. With the global obesity rate skyrocketing, learn the important lifestyle roles and dietary changes that can complement any medicinal weight loss approach. If you're keen to understand the complex world of weight loss drugs and the feasible alternatives, this episode is not to be missed.

About me&my health up & Anthony Hartcher 

me&my health up seeks to enhance and enlighten the well-being of others. Host Anthony Hartcher is the CEO of me&my health up which provides holistic health solutions using food as medicine, combined with a holistic, balanced, lifestyle approach. Anthony holds three bachelor's degrees in Complementary Medicine; Nutrition and Dietetic Medicine; and Chemical Engineering.

Podcast Disclaimer
Any information, advice, opinions or statements within it do not constitute medical, health care or other professional advice, and are provided for general information purposes only. All care is taken in the preparation of the information in this Podcast. [Connected Wellness Pty Ltd] operating under the brand of “me&my health up” here for more

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Anthony Hartcher:

Welcome back to another insightful and exciting episode of me&my health up. I'm you're host, Anthony Hartcher. I'm a clinical nutritionist and lifestyle medicine specialist. The purpose of this podcast is to enhance and enlighten your well being. And today, I'll be doing that for you. And we're going to be talking about weight loss drugs, The Good, the Bad, and The Ugly. Yes, I've had clients come to me, I've had friends, family members come to me and talk about weight loss drugs that are hitting the world by storm or certainly hitting the US by storm. They've come to Australia, they're starting to get around in Australia, doctors are starting to prescribe these weight loss drugs. So it's a big industry, as you're probably well aware, it's $100 billion industry, the weight loss industry 100 US billion dollars, that's a lot of money. And there's many players in this space, such as weight watchers and Jenny Craig, some of the big names the big players. And recently, Jenny Craig closed its doors. It's going out of business as a result of the emergence of weight loss drugs, not only the emergence of weight loss drugs, but I think also people have got a bit sick and tired of their programs that become a bit boring and monotonous and they're looking for something more novel, they're looking for something that requires less effort as we do as humans, we always looking for something easier, as humans were wired to take the easiest path. And so these weight loss drugs offer a real easy path. They're injectable at the moment. And now there's studies or certainly progress in terms of getting a tablet into the market or tablet approved for the market. So there's studies that are waiting, approval or just completion and then approval, FDA approval of these tablets so that you don't have to inject this drug at the moment. It's only in the injectable form. So let's talk about what you know, what's the drug? You've probably heard of ozempic, wegovy rather a couple of the big brand names produced by Novo Nordisk, there's also Pfizer is just entering the market Pfizer, you're well aware of now through the COVID vaccine, they certainly became a very prominent brand name, Pfizer's just released its last study, I think it's final study for and now going through FDA approval for the Danuglipron, I think is the name of their drug. And so these drugs all come under the generic name of a set semaglutide. Okay, a semaglutide? Is the generic name, what I've just mentioned, were the brand names associated with this generic name of drug. So what's the drug? What is the secret behind its success? What is what are people most excited about hits, I mean, what what it is, is it's a it's a water drug it so it's analogous, its it acts like it acts on the GLP-1 receptor of the pancreas. So it's analogous in the sense that it has a connection, it then triggers that receptor to initiate the release of insulin into the bloodstream. So this, this drug is essentially administered into the bloodstream, it then gets to the receptors on the pancreas, which are initiated to release insulin into the blood stream that helps with the removing blood glucose from the bloodstream into the cells. And the other thing it does so not only it helps with lowering the blood sugar, so it reduces your blood sugars. And so this is prescribed to Type 2 diabetes, but what people are most excited about his the weight loss benefits associated with it, hence, so what? So these Type 2 diabetic patients inject the drug, it not only reduces their blood sugar readings, it lowers the blood sugar reading, it also slows gastric emptying. So in terms of the stomach, the the contents from the stomach as a slower, a slower released into the small intestines, heart and so that slower release is sending a signal to the brain, that you're still full. You don't need any more food and so you take longer to digest the food. You get the signals of fullness for longer periods of time, therefore you eat less. So it helps with eating less and It also helps with blood sugar regulation, and it also lowers the HB A1C. So HB A1C is a indicator of how much glucose has been circulating in the blood over a period of three months, because it's what it is the glucose binding to the hemoglobin. So the hemoglobin in the bloodstream carries the oxygen, glucose or excessive glucose binds to the hemoglobin and glycated. So it becomes glycated hemoglobin. And that's if you have that reading higher, so lots of glycated hemoglobins, then that's an indication that you've got poor regulation or dysregulation in terms of blood sugars in your bloodstream. And so that's an indicator of the Type 2 diabetes because your body's not properly managing the amount of glucose in the bloodstream. And often, it's a reflection of poor diet and poor lifestyle. So that's what the causation is, is eating too many high GI high glycemic index foods, so very processed foods that contain a lot of glucose. And one of the main contributors to this is soft drinks. Soft drinks are full of sugar, as you've seen, how many tablespoons of sugar are in a typical can soft drink is incredible at somewhere, I think somewhere in order of I can't remember it's teaspoons, or tablespoons, but something like 10 to 12 or 10 to 16 depending on what you're measuring teaspoons, or tablespoons, but it's a lot of sugar per can. So it's it consuming a lot of sugar. And it's not only affecting adults. So there's been a massive surge in terms of obesity, growing from like 30%. So it's around 32% in the 2000s. Now, in 2000 20s, that adult obese number is now grown to 42%. These are adults, so adult figures in the US. But we're pretty close in Australia, and in other parts of the developed world follow the US trends that are severe obesity has grown from two, like it was 4.7% in 2000, to now nine over 9% in 2020. So in 20 years, it's doubled. The adult obesity has grown around up around 50%. Childhood obesity is also growing at an alarming rate. So it's like I think teenagers have grown in terms of from like 17% to now 21% 22% Are kids around five years old is also growing too close to now. 10%, it was around 5% I remember when I was going to school when I was in primary school, that in a whole school year of like to serve around 60 kids, it was probably one kid that was overweight. And that was back then it was due to medical reasons. And but that was one kid and 60 If you look at the rates now like 20%. So like that's, you know, 20% You know, we're talking around 15 It'd be 15 Kids, so like 15 times more than what I observed when I was growing up as a kid. So it's an alarming rates. It's very concerning. These weight loss drugs obviously see that there's a huge market to capture, and they're onto it. And so these studies, so what does the studies show about these weight loss drugs? So the ozempic, which was the first study or the first driver approved on the market that I'm aware of, may have been some others, but certainly the ozempic is the one that is quite a common brand name out there. It study was done over 30 weeks, so 30 weeks study the patients in this study, were taking two milligrams injected at once a week. So once a week, two milligrams and over 30 weeks, they lost four and a half kilos. So not huge. So some of the latest studies and what they've done is they've upped the two grams milligrams the injectable, so the increasing the drug dose, obviously suits the drug manufacturer, they're selling more volume of the drug. And so, another study was done over 68 weeks, 68 weeks, the population lost 15% of their body weight. Okay? So that's a substantial amount 15% over 68 weeks over a year. However, people lose that just by eating better by exercising, so those sort of weight loss rates are achieved through diet and lifestyle changes. You don't need to take a drug, it does help those that have that struggle with the motivation to do diet and lifestyle changes. And so this can kickstart that motivation, they can start seeing some weight loss. However, long term, the person that's taking the drug ultimately should be changing their diet and lifestyle at the same time as taking the drugs so that they can then revert to a diet and lifestyle, as opposed to reliance on the drug life for a lifetime. Because if you stop taking the drug, the weight comes back, of course, nothing's changed, you're still eating the same crack, and he's still not exercising. And so it's it's a bit of a vicious cycle. And it's typical of these drug companies that don't mind they want to sell more of the drug, they don't care if you don't do anything, in addition to taking the drug or make any changes in addition to taking the drug, because they're still getting their money. They're getting pay that they're making product sales, they're happy, their shareholders are happy, and so Weight Watchers in order to stay in the market, so they had a 15% drop in their subscription base, which was quite significant because that subscription base to their weight watchers products was growing over the course of decades. And they had a 15% drop their share price was plummeting as a result of these new drugs coming to market and the results that the new drugs were getting and the uptake of the new drugs so these drug companies said share prices were surging Weight Watchers was plummeting. So what Weight Watchers done was they actually acquired a telehealth prescriber, so a telehealth prescriber of drugs and so they're now in the game, they can prescribe these weight loss drugs through their acquisition of a telehealth service provider. So in order to stay in the game, they're now changing their offering. And they can obviously prescribe this drug. And hopefully, they then help the clients along with better eating more supportive eating habits. But again, they're buying their products. And so Weight Watchers just want to sell more of their products, as opposed to empowering the person to be able to do it themselves. And ultimately, that's where ultimate success is, is where the person is empowered, and takes control of their own health and ownership of their own health. And they make changes.


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Anthony Hartcher:

And they can make those changes, and they can sustain them for a lifetime. Ultimately, if they understand what they're doing, and they're educated in this process, but Weight Watchers are selling mainly products. So yes, they provide some services, but as to how much they're empowering their clients or they're creating a dependence, obviously a subscription, you want some sort of dependence on your product offering. So that's, you know, their business model. Yes, they help people they help people lose weight people, they've changed people's lives, which is great. And I'm sure these drug companies are also having a similar impact. But I'm just wanting to share as to the good and the bad and the ugly. I certainly share the benefits of taking the weight loss drug. Now in terms of where it's at today. The new one to market the Pfizer product that Danuglipron if I'm pronouncing it right, probably not. But anyway, that one is about to be approved or is in the market now. Just getting around it study was done over 16 weeks, and it had various dosages from 2.5 milligrams twice a day. So now that original study I shared was two milligrams once a week for 30 weeks, which resulted in four and a half kilograms. That was the Ozempic, Ozempic now have offered a lot higher dosage. So their dosages I think are greater than 50 milligrams up to 120 milligrams. And their pill, their pill that they're wanting to bring to market is I think around the 50 milligrams. So the study that was conducted by Pfizer, over 16 Weeks was a range of participants broken into I think was six groups for SEBO group where they'll give me nothing or fake, a dummy. And then the other groups is like two and a half milligrams, five milligrams, 10 milligrams, 50 milligrams, 125 milligrams per dose twice a day. Okay, so significant more than that original ozempic Steady. And over 16 weeks, the ones taking 120 grand, 120 milligrams, 120 milligrams of the product twice a day, a collective or not a collective, but an average weight loss of four and a half kilos, so 16 weeks, four and a half kilos, it's just over one kilo a week, okay, with my clients, we achieve between a point five and one kilo per Week Weight Loss just through simple diet and lifestyle simple. It's not complicated, really simple. So, again, it's, I guess it's significant for those that have really struggled to make any diet and lifestyle changes, but very insignificant for those that have made diet and lifestyle changes and how much that has changed their weight and how much better they felt for that weight loss. And so you can empower yourself through education, getting the support that you need the guidance you need to achieve weight loss, I'm going to share some tips now. But before I share my tips as to where to start with weight loss, I would like to let you know the ugly side of these drugs. So in terms of the common common side effects, so people taking it within the 16 week window or the 30 week window, obviously more of the drug you take, the more of the side effects you experience that's quite clear. So these common side effects, vomiting, diarrhea, constipation, nausea, they're the common side effects. Okay, so I don't really feel like that nausea feeling. I don't like that feeling sick in the stomach. I don't think anyone does. And when you're feeling sick in the stomach, of course, you don't feel like eating because you feel like you're about to vomit, okay, so I can see how it helps in terms of people not wanting to eat, but you're constantly feeling nauseated, fatigue was the other one. So feeling less energy, who wants less energy, I don't want less energy. When I help my clients, they have more energy, okay, they don't have nausea. They don't suffer diarrhea, vomiting, fatigue, constipation. Essentially, there's no side effects to making change, diet and lifestyle changes yourself. I'm going to share those tips shortly. But the other ugly side, the longer term side effects, which is really concerning. So those that take the drive and then need to keep taking the drug because they're not willing to make the drug. So if the diet and lifestyle changes, then they're gonna have a dependency on the drug take the drug for longer periods of time, and it has been associated with diabetic retinopathy. So damage to the retinas. retinopathy. Okay, so diabetic retinopathy. So essentially a disease of the retina, it's been associated with kidney disease. It's been associated with thyroid cancer, tumors, or things that I don't think anyone wants to have as a part of a long term consequence of taking a drug, where you could avoid taking the drug long term by having maybe a short term use of it just to get the momentum and some short wins, quick wins. And then at the same time, and this is what I recommend to my clients, you take the drug, but at the same time, let's change your diet. Let's change your lifestyle. So that change in lifestyle, a change in diet can take over from the drug and you don't have a dependency on the drug long term and you're not going to be exposed to these ugly side effects. Who wants cancer? I don't I certainly don't want cancer. I don't want I damage I want my eyes for life. I enjoy being able to see food, see people see things see places, and I certainly don't want kidney disease because kidneys have been correlated to longevity. So strong kidneys, a good long life. So we need good, strong, active kidneys. And we don't want to damage them through taking excessive drug consumption. Our pancreatitis was the other one. So that's inflammation of the pancreas. So pancreatitis, inflammation of the pancreas. No, thank you. I don't want that because chronic inflammation of the pancreas could result in cancer, pancreatic cancer, pancreatic cancer is very quick and low probability low survival rate so I could Yeah, certainly don't want to put my hand up for that. I don't want pancreatitis pancreas really helps us in terms of digesting food, okay, and getting the food digested so we can assimilate the nutrients we need our pancreas we need our pancreas to pureness essentially, so we don't want an inflamed pancreas, so it doesn't. And again, you know, constant these G, the what are the glucagon like peptide GLP-1 glucagon like peptides. So this drug binds to those receptor sites and the pancreas releases insulin. And so that constant binding that constant exposure, and again, what happens, our body adapts to the drug. And so it will have, it will slow down the amount of receptors available. So there'll be probably less receptors, or I think, now I might actually make more receptors available, and therefore you need more of the drug. Okay, so and then the other thing is, your body makes more of the enzyme to break down the drug, because it's trying to maintain homeostasis. So trying to main bout maintain balance in the body, so it will produce more of the enzymes that break down the drug. So you're going to need more of the drug to have the same effect. And the pancreas will respond in such a way is it will become a bit desensitised to the drug. And desensitised, I'm not quite sure which way it will go, whether it will reduce the receptor sites will increase the receptor sites, either way, you're going to need more of the drug to have the same effect. Okay, so that's the ugly side of the drug. So shared the good, the bad, and the ugly. The bad probably being those common side effects. The ugly is the long term consequences of taking the drug at long term. Now, what can you do about what can you do about weight loss? How can you lose that point five to one kilo per week without taking the drug? Or if you choose to take the drug? And again, I didn't mention the other side is the cost side. So 270 US dollars per week for this injectable? That's a lot of money. And what does it equate? Yeah, 270 per week, 1300 per month, and over 16,000 per year, that's US dollars, that's a lot of money, a lot of money. And so if the Australian government decides to subsidise it, for Type 2 diabetes, as part of its enhanced primary care plan to keep people out of hospital, it may subsidise the drug, it's going to come at a large cost to the taxpayers and a significant cost to the economy. So it's yeah, it's not going to be a win win either way. Because if people aren't becoming like, if they're not making the life diet, lifestyle training, changes, and they're becoming more dependent on the drug and the more of the drug for the same effect. It's a vicious cycle that kind of costs the government more that cost the person more hand, who wins, I really don't know, I really don't know, because they stopped taking the drug, they're going to, again, keep taking, gaining weight, if they keep taking the drug and keep the weight off, then there's the risk of those other long term side effects that I mentioned, such as the cancers, pancreatitis, the retina damage, so yeah, and that's going to result in hospitalisation and more cost to the government. So it's no silver bullet, so to speak, it's no quick fix. It really isn't a quick fix if you're willing to make the diet and lifestyle changes complementary to the taking the drug. Okay, so enough about the drug. Let's move on to diet and lifestyle changes. What can you do about this? Okay, so let's start with the diet. Okay. What can you do about your diet? Well, I say start simple. I start looking at water consumption. How much water are you consuming a day? are you consuming around two liters per day, think about it, and monitor that. That's the first step. Simple as that consume more water. Okay, water is really fundamental for our insides to operate well, okay. It really helps, really helps with detoxification, to get toxins out of the body. So we need that we need to get toxins out of the body and need to reduce inflammation in order to regulate blood sugar. So that's one of the ways to drink more water. Simple. Next, move more. Okay, move the body more. So moving the body more, you will better help the uptake of from of glucose from the bloodstream into the cells through moving just moving your body simply walking, okay, simple. Walk a bit more, take stairs a bit more often. Walk take public transport. If you're taking public transport, you need to walk to bus stops, walk from the bus stop to work, all those sorts of things. So it encourages more walking by taking public transport. It's also better for the environment. Okay? So walk more, go for a walk and talk meetings with your colleagues. Go for a walk and talk meetings with your partner. Now walk and talk catch ups. have spent time with your partner and kids through walking this walk, decide to walk as opposed to drive, go for bushwalks or that little activity. So and again, it's not much it's 30 minutes a day. 30 minutes a day is really not much.


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Anthony Hartcher:

So, do exercise move the body more resistance training is also really advantageous for the uptake of glucose into the cell. Okay, get it out of the bloodstream, you can do it. Resistance training, push ups, sit ups, squats, lunges, walking upstairs, it's walking up hills, that's resistance training, swimming resistance training. I'm sure there's something there you can do. Okay, so, do some resistance training. Get advice from a personal trainer, go and see a personal trainer, get them to set you up on a program, see an exercise physiologist, get them to set you up on a program, start exercising moving the body drink water simple, there's two simple things and probably applying both of them could result in a point five to one kilo weight loss per week, which is equivalent to what the studies are showing with the weight loss drug. Okay, just from those two simple changes. The other one is eat slower. That's a real simple one, eat slower. So slow down your consumption, your rate of consumption. So what I want you to do is sit, relax, be relaxed, take some deep breaths. Say grace. If you're religious, say a prayer, be grateful for the food in front of you. Slow down, connect with what you're about to eat, be grateful for who's put it in front of you. Relax the body and eat it slowly. The enjoyment with food is in the mouth. Okay, it's in the mouth. So chew more work, swirl it around your mouth, you start digestion, you break down carbohydrates and fats that starts in the mouth. Okay? Let the brain know what you're taking in in terms of macro nourishment, we could start to get some signals as to okay, I can I send some there's some carbohydrates, I need to release enzymes to break down carbohydrates. Oh, there's some fats, I'm going to release some enzymes to break down fats or there's some protein I'm going to release some enzymes to break down protein. So your digestion will improve. Okay, so that will help digestion, your food won't sit there. By eating slower, you actually start to register the signals that you'll fall okay, you don't need a drug to tell you to slow gastric emptying into the small intestines. You don't need that constant signal from the drug to the brain saying look, I'm just you know, we're slowing it down here. So therefore, don't bring any more food in your for your satisfied. You can slow it down by eating slowly. Okay, eat slowly. And that's a big win. So eat slowly drink more water move the body quite simple. Three tips cost you very little. Okay. Yes, it might cost you a bit to say a PT and exercise physiologist. But to do more walking per day, really nothing a bit of time, okay, but you can then leverage that time by having a meeting by talking to a work colleague on the phone. By physically having a work colleagues next to you and walking with you and brainstorming. You can take a loved one for a walk. So you're having partner time, as well as moving the body. So you can you can do many things. You can take your kids for a walk, and get playful with the kids. Do some play with kids. That's fantastic. That's also moving the body when you're playing with your children. Play ball games with your children. That's fun. Join a club or a sport that you love and and join the recreational group and do that on a regular basis that will keep you more active. So that's not going to cost you a lot either. Drinking more water is how they're going to cost you a cent. And eating slowly, nothing. It's just going to make you have more fulfillment for what you're eating. And yes, that's applies to chocolate too. So if you love chocolate, he that slowly you'll need less of the chocolate. So you'll save money you won't eat whole block and then think I'm still not satisfied. You'll get the satisfaction from one piece if you eat slowly, okay? Eat slowly you'll save your money, you'll eat less. So embrace that Eat slowly. mindfully, and you'll save money and you'll get the satiety singles at the right time where you're not over four you haven't over eaten. You get this satiety signals to say, yes, you've had enough, chill out, move on, do something else. And then you'll think, Oh, I didn't that didn't eat much, but I'm happy, I'm satisfied. And you'll find over a period of time you'll consume less because you'll realise that you need less in order to give that satisfy satisfy satisfaction, because you eat slowly. Okay, so what is it drink water, move the body Eat slowly, simple. Now, in terms of what you buy from the supermarket, what do you buy? Buy fresh, whole foods, less processed foods. So buy fruit, buy some fruits have your fruit basket full. Okay, fruit is the best form of sugar to get into your body because it comes packed with vitamins and minerals and fiber. Okay, the fiber slows down the release of sugar into your bloodstream, so won't spike it as much as having a lolly or having a soft drink. Okay, you won't get that real spike because the sugar is with fiber and it takes time to release the sugar from the fiber. Okay, so have plenty of fruit in the fruit bowl that you can enjoy. Eat seasonal, so make sure it's then has the optimum amount of vitamins and minerals, seasonal fruit. Okay, so what's in season, find out look at what's the seasonal fruit for whatever season you're in. I have listeners all over the world. So you pick your season, look it up as to what's in season for that time of the year what's available. And it's also when it's in season, it's cheaper. Save us some money in times of rising costs of living. Okay, whole vegetables. Get yourself variety of vegetables, and also whole grains. And then just simple recipes. Stir fry vegetables, okay with a bit of meat simple stir fried vegetables with a bit of meat, you can throw in a bit of rice. You can make vegetable soup, you can make slow cooked meals with vegetables and some meat on a bone that gets pulled off the bone that's juicy and delicious and soft. Okay, tenderized, if you're vegetarian, you can have vegetables and tofu, vegetable and tofu stir fry, you can have a fish stir fry with vegetables. Again, it's really simple. These things are quick and easy. They're there 15 to 30 minutes doesn't take a lot of time. Look at Jamie Oliver's book for quick meals under 15 minutes quick meals under 30 minutes. Your supermarket also has magazines that have these quick recipes. There's quick recipes aren't with whole foods with minimal ingredients, but their whole foods and that gets you cooking. The great thing about cooking is that you your senses pick up the aromas, the smells, the tastes, you start tasting. And what happens is your body produces the digestive enzymes to get ready to digest that food. And so what will happen is you'll have better digestion, you eat slower, you'll eat less, you'll enjoy it just as much because it's spending more time in the mouth. And overall consuming less calories. How you're going to be winning, you're going to be at that point five to one kilo per week, okay, equivalent to those taking those drugs and it will save you money. Those drugs are very expensive. So Whole Foods simple. Eat slowly water move the body. Hey, okay. What else can you do? Manage your emotions. And when your emotions are running you you'll look for a temporary fulfillment and you could go for food. And that temporary fulfillment with associated with food is sugar, carbohydrates and fats. Okay. So how do you avoid that emotional eating regulate your emotions if you start feeling emotional, start to breathe, connect with breath. Connect with the nature go outside, get some sunshine, okay, really important. regulate your emotions so that you can run your life and not let your emotions run you really important. If you're want more on the emotion side of things. I've done some earlier episodes on emotional regulation, emotional management, stress management techniques. Just look there's over 180 episodes for you to choose through, you'll find that if not send me an email and I will send you the appropriate podcast that will give you more information. The last point I'm gonna leave you on ease ate during daylight hours our digestion is oriented around the sun. Okay, we have optimal digestion around the sun. Eat most of your calories during daylight hours, do not eat large amounts of calories or food at nighttime, because our body is not producing the enzymes like it does during the day. It has less enzyme production. It's harder to it takes the small work for the body, the food stays in there longer and you're not moving your body it's more likely you're going to be more sedentary at nighttime. So what is the food the food goes you know the the energy goes to stored it gets stored stored energy, what's that it's fat. Who wants fat? Okay? So eat during daylight hours, when you're moving the body you can utilise the energy and your digestion is at its optimal. So eat during daytime, okay, really important. So what is it drink more water, move the Body, Whole Foods, fruit, vegetables, real protein, none of the fake stuff real protein soy meats, tofu is beans, legumes, nuts, seeds, they're all proteins, okay, whole grains, eat them. Eat during daylight hours. Okay, eat slowly, really simple. It's simple. And these tips alone implementing these tips alone will give you the point five to one kilo of weight loss per week without the drug without the common side effects. Without the long term implications. Without the cost. It's it's a lot cheaper to make diet and lifestyle changes. If you need support, I'm here for you. So just reach out, send me an email, let me know, if you want support on how to do this in conjunction with the drug, I'd be more than happy to help you. So you're not you don't have a long term reliance on the drug and you can maximize the effect of the drug while you're taking it, you can get your best return on investment. And also you get set up for a lifetime to be able to do it yourself empowered yourself. So I'm all about educating empowering others so that they can take ownership of their health of their health. And they don't have a dependence on the government. They don't have a dependence on the drug manufacturers. And they don't have a dependence on anyone else, including me because they're empowered with what to do with respect to their health. And that takes them in the direction of their health goals. Most importantly, everyone has different health goals. Thank you so much for tuning into today's episode of me&my health up. As I said, reach out if you want further support, I'm here. I'm available. I'm a fully qualified clinical nutritionist and lifestyle medicine specialist. This is my area of expertise. And I want to help you whether you choose the drug or not. I'm here to help to make sure that you're empowered for a lifetime, and you have longevity, and you have optimal energy and vitality. That's what I'm all about. If you've liked this episode, or anyone you know that's contemplating the use of the drug or considering it, please share it with them. Give them a broader perspective of the drug, the good, the bad, the ugly, the alternative, or what you can do concurrently with the drug. It will be great insight for them. Please share it with anyone else that you know is considering the weight loss drugs. I would love them to hear the episode get empowered so that they can make some changes themselves and empower themselves on their journey to where they want to be. So thanks for tuning in. I really appreciate your ears. And stay tuned in for more insightful episodes of me&my health up.

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Introduction to today’s episode.
What’s the secret behind the success of hits?
What do the studies show about these weight loss drugs?
Empowering people to make changes.
Common side effects associated with taking the drugs.
The long term consequences of taking the drug.
Diet and lifestyle changes.
Eat slowly, drink more water.
What to buy from the supermarket?
It’s a lot cheaper to make diet and lifestyle changes without drugs.