ماهي افضل عملية لعلاج السمنة؟ التكميم ام تحويل المسار؟ | بودكاست شنو القصة مع الدكتور خالد جودت

ما هو التعريف الطبي الصحيح للسمنة ومتى تتحول السمنة من زيادة وزن إلى مرض؟ هل تختلف أسباب السمنة بين الرجال والنساء؟
ومتى تصبح السمنة خطيرة؟ وما علاقتها بالأمراض المزمنة مثل السكري وأمراض القلب؟

هل هناك دايت مثالي يناسب الجميع؟ أم أن فكرة “النظام الواحد” مجرد وهم؟
كيف نقرأ دليل كتلة الجسم، ومتى يصل الشخص إلى مرحلة يكون فيها التدخل الجراحي هو الخيار الوحيد؟
ما وظيفة أدوية GLP-1 (Glucagon-Like Peptide-1) مثل المونجارو والاوزمبيك وما فوائدها وأضرارها؟ وهل يجب استخدام الفيتامينات بعد العملية؟

نناقش ايضا تاريخ عمليات قص المعدة  والفرق بين عمليات تكميم المعدة وتحويل المسار؟ ايهما الانجح والانسب للمريض؟
هل يمكن أن تفشل عمليات التكميم؟ 

كم تستغرق مدة نزول الوزن بعد العملية؟ ومتى يستطيع المريض العودة إلى حياته الطبيعية؟ وهل من الممكن إعادة الجراحة في حال لم تكن النتائج فعالة؟ 
هل تساعد العمليات في الحمل ومتى يكون الحمل آمنا بعد عمليات السمنة؟

هل أصبح الطب تجاريًا؟ وأين يقف الطبيب بين المريض والسوق؟

وأخيرًا، نسلّط الضوء على الاتحاد العالمي لجراحات وعلاج السمنة، حيث ان الدكتور خالد جودت هو أول رئيس عربي مصري للاتحاد العالمي لجراحات وعلاج السمنة منذ تاسيسه  في عام 1995

كل هذه المواضيع وأكثر ناقشناها في هذه الحلقة من بودكاست شنو القصة مع ضيفنا الدكتور خالد جودت، أحد أبرز جراحين جراحات السمنة في الشرق الأوسط ورئيس الاتحاد العالمي لجراحات وعلاج السمنة ال IFSO   وهو الاخ الاكبر للكاتب و رائد الاعمال مو (محمد) جودت والذي حل ضيفاً معنا في حلقة سابقة من البودكاست.

نتمنى لكم مشاهدة ممتعة ولاتنسوا الاشتراك بالقناة لتصلكم جميع حلقات بودكاست شنو القصة باستمرار.
________
المحتوى:
00:00 | المقدمة
07:00 | تعريف السمنة وأسبابها
09:48 | الفرق بين سمنة الرجال والنساء
11:00 | متى تصبح السمنة خطيرة؟
12:40 | العلاقة بين السمنة والأمراض
14:00 | هل هناك دايت مثالي؟
26:30 | دليل كتلة الجسم 
31:40 | أدوية GLP-1 مثل المونجارو و الاوزمبيك
36:40 | جراحات السمنة
47:40 | الفرق بين التكميم وتحويل المسار
50:30 | تاريخ عمليات التكميم
54:36 | عمليات البايباس والباند
1:06:05 | الطب التجاري
1:11:42 | هل يمكن أن تفشل عملية التكميم؟
1:14:50 | العودة للحياة الطبيعية بعد العملية
1:17:30 | الفيتامينات بعد العملية
1:20:40 | الحمل بعد عمليات السمنة
1:21:46 | الاتحاد العالمي لجراحات السمنة وفعالياته
1:28:42 | دلالة رئاسة خالد جودت للاتحاد العالمي لجراحات السمنة

للتواصل معنا من خلال الايميل: 
Email: shenoalqussa@gmail.com

حساب بودكاست شنو القصة؟ على الانستغرام 
https://www.instagram.com/shenoalqussa/

للتواصل مع مهند مجيد:
Instagram: https://www.instagram.com/mohannedmaj...
Facebook: https://www.facebook.com/profile.php?...
TikTok: http://www.tiktok.com/@mohanned.majeed
Snapchat: @mohannedmajeed 

للتواصل مع الدكتور خالد جودت:
https://www.instagram.com/dr_khaled_gawdat/?hl=ar
https://www.instagram.com/khaled.gawdat/
00201001949194
khaledgawdat1@gmail.com

انتاج الفا كاست 
  @Alphacast.Official  

حسابات الفا كاست:
https://www.instagram.com/alphacast.official/
https://www.tiktok.com/@alphcast.official

يمكنكم ايضا مشاهدة جميع حلقات بودكاست شنو القصة على اليوتيوب.

#بودكاست #مهند_مجيد #شنو_القصة #السمنة #تحويل_مسار_المعدة #صحة

Transcript

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SPEAKER_01 0:19

Walla can feast, well I can feel roses, well I can feel ice, well I can feel can be can fairly fan bowling as Elizabeth and have a echo, the man, protein. Muskella Tanya gave it a get them for clean. Mean Ellenism of mean El Nena echo on a misgain. An as hate of soap. Mishgain. Of the magua echo. Ham wagbafilum hell for me like that. Megat Minindi. Hamelit Campine and Rohi. Well like ham wogbaf leftur. Ham wag of young lifter. Well hamlack. Lee, one of uh, you could lena ripped my the nice well ad noted fate, had caffeine at the Msad Masal had the my walk. Get Menina Bortoco. California, Agbar Musana, the Borto Get Fisana and Excess Men Masur Burto. Fatilla and Asir Borton Bunar. Can I boll and Mardaya daiman sir? Lea Doctor, da Hasir the Fak Hagamida opte, Fabolum, to Muk and Techlo Faraula Maseranteclu, are Bahamas for allot. And a Malhotishrab and Tonkutish for all.

SPEAKER_03 4:52

Kif eat akad shekhaz, he had a shalihawan fakikha, when nakasha fi had Dr. Khalit Kodit. Kabil Ma and Bilish Bil uh Halakah, Habdaman Nishkurkum Aladamkumassal, who uh Latin Sutum Bel Kanat, Hata Tosalkum Jimmy, Halakat Podcast Shinukhusla, Vistimrar, Len Damkum Huwa Ali Halina Nistimer, O Hisa Halunarov, Shin Khossam Dr. Khaled. Uh Salin, Alambiek, Onawara the way, Dr. Khalid. Dr. Khalid Godet, who a whom Mohammed Godet, uh for saidij then Doctor Nusgad Ma'ana, O Bibbida, are this kumma sha'allah? Wantar tekmub jajjid then womume is muta me is fi majal ginat, the terbiya, he lbi should have a takah to manage with terbi.

SPEAKER_01 5:59

Yaniana weld how can uh dachl sanatil kebaberi for mosri can manch abla weldik and mafish hagabit time be a keberi holo can civil engineer muhans medani who will dachland of mosquito. U can uh walditi alarham canet uh uh muh tema gidam bit talim, ekab darisl had them uh to f Allah anim kahea.

SPEAKER_03 6:33

Mashallah masha. And anasim fakrina mashaAllah um uh Salam Hamad Yaniwa, he's everywhere mashallah kulhadil tethir when the jahba didn't know a hul akbar mashal. Uh Doctor, uh uh sumna bit of seed. Uh sumna as long is less sumnate.

SPEAKER_01 7:18

Well mushkila in a simna mish mugorod nigak duhun taf the gild zyeda ou zed it uh simna the marat hai, marad wukulema wizit ta rakum duhuna al gism kulum tasal amrod uhadhemtibahiba, yarinta bitikalem and sim as sukkar masam in noteni, the eptedah fibadl blad labea nisbitu hamsar shifime. Hhamsa, kunabniba nisbah hamsafmeh, sit the fame, but himshim filme, ukulit absebna, uhrod dacht, amradil kalba, amradil uhnefus, uh meshekil mafassal taba, a khasotni kibirbibu and domin mufossil, beteta ekel minil wasnalg nobidushara, for a simna de marad uh uh uhuno acthar umrod shu and filailam, wo akhthar Amrod, Dorar and Philailam in a Sim alomatalgic, the Dora Akhtram Sarta, and Tomku Kranak Saraton Wutalgo in Maridi Hif, and the Masimn alomatalgic and Marid Sinna to Djali. Asbabasuna doctor. Walla Magmuak Biraminal Asbebasbebine, Yanita Fi Badajinet, Bitar the Ness, and no maybe and Dum Simna actor, went to Mukut Lewahad Trufaya, Bekul uh make Birgid Minasura to Mabismanch, Wutlewa had siminu Bekul Gidden Wisman. Uh uh Nama El Akhthar Shu Saba Banyani fil filesim the monster for siata, hoa ill numatilis tehleki, ill alam thawal ili anda anna fakers the man one as we know how man, couldn't roh supermarket uh mm can she fe supermarket by alien, could a bit uh to buy chocolate no ain a little tram. Um doctor, hell you should fork ben sim and taandak l simna lil asf shad and the regalhe actor. Dimhedi simnatri girl, for demo at says name be my road, lil mashekel and musahbal sim no actor bicir. Well as a bictier. Well lay a kuna zamand bin had the kalam da la binana al was. Yani can fan misatma to dinner had sim na kuna bin ool in nintela wazna keza, hatam lamele, la waznak alem in kaze, but stand now lawznak keza mua amrod mushahbal simna, hatamlamal. Fahnad lwatil heyben amrod musabl. Ya ila winter had marid masandu, ashin kiloz yet, al wasn't misery. Withemishroqam kibir, mukarana tambil, awzanil fa'eka lahm namelal amalyat, but sis mse bibelu amrod, ze sukaruze daktu zail elbuze kalemindu, yib eda sim na marodya, wayahtek aileg, whatadakhur. W zamen canel bedil wahidna namalamalia, ltifi betig than fnema kida eenilemati sim na tamel ezalmarid laznameltah. Zaman, kunabular bankirufu l's in miseli, uham sertin lau maando umrod, while n a lil na kalamda fil uhalami uh nazilna l crater dishway up uhesanahnapti and the teleteen la uh m B my telatin lawali mukun b roughly kid another nulla u zia teleteen kilo, uhznin miseli lau maha amrod.

SPEAKER_03 12:36

Um uh uh uh nikdan kulhi alak mubasha and the sum nahiel sebavad amrov?

SPEAKER_01 12:49

Leninta bahn el semna butusabal amrotalamin masalan dalil kotlit gisp telete, outelet kilo folozni m sali. Faasya, filhindu, fasin of kalaminda genitika l-hindu m tla smeen. Andum uh meat million wahad on suk. Fa he simna andum bitid the umrod and the ozen akal. Fahashan kidha hat of simna laolna del cotil gispeletin fil f for kulhatafla'alam, for asia sabashinos. Ya ni interfel m behtelif mini jinet, masan for Italia and an effecti lamptah motor, sim teletinsa, for Italia, can youol like fifer igbir mabin shemel Italia of Ganubitoli? Fisem Len Veganubitalia Kulom Beklu pizza, Kullu carboidrit, Kulu uh Shemel Italia Beklo Akla uh Tobia is a yinaya, and I'ma fanta kulumtakul na shwet actor kuntakl Haget uh t Tamilak Muhammad insuline actor kulmasem notaru asap.

SPEAKER_03 13:58

Uh doctor Alamodo al diet. Fiana I was aljanibi. And that's much harfa diet, asan diet, and lifestyle, diet.

SPEAKER_01 14:27

Mulkalakhbertak Tim Nason of Shadim Nasan. Ya nihalina what he Simna D Marat has the mir mal beniadam to law. Meshi, Fehna Ashanna algu, who Le lil marid Al Baniadam Gelu Simna, Lenawa s loop hai to khat. Anon harda Mabatharaksh, Mafish uh Riyada, Bekul Ekl Ghalat, Bekul Ekle Musannah, Bakul uhr kitir, alban kitir, uhzikir, haat kitir, this a bibli has his simna. Fella, ey no a diet illamu design lehazad diet, I'm designed by tins if was. Fell marit heldism, bid diet, waha in sif was. Wahadmelf. Zero. Nizil was the nehnazino. For like a libad sharing, at leir a case man, octa mlau. Fa ehna al Maldua Henna, Mish is they nafilwest. El Maldouahena Zemen ergashnis. Hey this so laya, kutumultezim eyes, andi head of eyes of solu, bent eyes at Kushigama or bent eyes, the gowl's lail makdul octor waitin behisufimal benet, lemakuna handak mahad and a dehlac gamma. Bad sanweam, to like an abatem tells you gamma, lesmachis. Bisma kalem temem khis. An anji mahad for share intellig leheya moment kullukhas, as an umul for a shallot. And a mothat kemal arusa al mahazim, sah. Ala kun gay echud is sourful fara m shvita swe. A kul bigod suraho or fiya will zisu matkai kulba kamera.

SPEAKER_03 16:57

Balance diet in the betrashalinasiani.

SPEAKER_01 17:03

Mushkelit na kemen and echna uh uh fihaget uh mabnefguena and thori abat na ugodudna u kalemindl haget kilmena zalot. Ya nehna ehnna fihaget bena khoda for granted, yana zmankutlama labri oda kutbalab, hadid zeman soy Fakunt Ashrup elben, wwa menu shafiwa wa wa homrif hajet makansi six peck, homrif haj kanday man fi fed he fet kedapt sora to z edi el lama reitba of himt yani khalina kalamal albin. Meshi el elben, and lwati haltalem in el insen who al hywen elwahid, l'biahud leben, badl foto'a, and the leashrab leben. Hel talem insen lwahid, l behud leban bar beta fasilatania, barum. Fata eleben whoze mudur gidan bad al-fhatom eleban ma' mool ash and echdu lahadl fotom, sana, sanaus, bad keda, and elala ghze, aktar tezeo, aktar feda, aktar masla. And muskila, andita kugaditika, butla kresta khoshab kelse, the lebend themufit gidden, the columj koloben litre fi tumnomitsor, tumnomitsar haleri per litre. When I mean f cappuccino, uh frepuccino, lete, uhate, uhnomitsar fi litre. Okay, ilma il fedel if you can't. Well hegaba el mashura, a calcium, asash calcium doctor, ashan lab. Leban, I will halib, ashana calcium. Calcium calcium lemogut lebban, and tosu daive git law is naked lebon and master tabi haggazil broccoli. Broccoli fiya eleven, acarm lebon, mefiah calcium actar milebig tear, um tosu actor min elebben big tier. Fellow heggetil calcium, nah could broccoli. Now could or scalcium. I could leave or calcium fitum no meats are as can be or scalcium sorry. And the mododa sanaat, mebnea, btixab million has a model. California island but it's a very good and drug administration, for America, and Leban filum, or California is a very important thing. Gibnt shader and intercal hagi, um soap. So, you can't use the same thing. Hobs hobes with gluten sensitivity, which glute sensitivity, and a conta a la tool, and you can let and let it be a little bit more than a little bit. Pastor, well I can fear rush, well I can feelish, well I can feel in this Elizabethan have echoes a man. Routine. Mushkeletania gave Kibira get them for clin. Mean Ellen of Mean Ellen Echo on a Mishgain. Anas hates so Mishgain. Lemago Echo. Ham wokbaume elftor. Well like ham wag with young liftor. Ham wok of young lifter. Well I am like Lee, one of uh, you could lena ripped mandanes. Well had noted fate, had caffeine in a dummy sat massa, had the ma go. Get me in a brother. California, Agbar Musana, the Bortocol Phil. Get Fisana and excess men mahsul Burton. Elakamba Sur, out of Asir Burton, Banar. Can I hear the bowl and Asir? Lea Doctor, the Hasir the Fak Hagamufida opta Fabolum to Muk and Techlo Faraula Maser and Techlo, Arbahamas for Aulat. And I'm a lahatish and drawbuffel.

SPEAKER_03 25:32

Of course.

SPEAKER_01 26:03

Would you let them marry the Zay Ferrari Bend Yud? Fabi Sellem. Come on.

SPEAKER_03 26:33

Um the doctor uh then Arafam in the BMI, body mass index thirty, you could have short.

SPEAKER_01 26:48

Okay. Taban Amar. Ah, the haiad semi GLP one analogues, do la fateri fellagna has to be mandum as an head doel. Um, the actor a dwelled bathalem and order, we fallin' a dweel, fala gidden. Fahna lam lamebandi dawa order a D Dini goz inventorita la shuglay Hagamila gidden. El Mushkilap Tatla dwe El Haya Hea Wellen the cliff. The cliff of Mustafa. Senean lemaptikalem shirka shirk ladweepma Fabol Shirka to mesh hellugidden and a Dittle Maridowa Nizzelf was FMt alila Ana and waf lem al Marid Yenui and Yastman. Timani Alyani for life. Fashirka Aiza El Marit Yachod dawa for life. Ahna Beneadmines lina andina ktosadu andana watif and then uh sobro and sa bow ninta bad matinsil fil was thisal and halet il khadud dawa, bad the senna, tisane film kan botul. Fa humadlati bi shakalo ala turu tenya lil adwe andiumadloti bi fakorun yamelu dawa masaya tela chur al hole. A te baas almenilptahtuum ta' kuluzbo. Bita oro ala biamelo dawa, biamelu, bihawi amelu, tahir fijinet, yit heen fil pancreas, woodl pancreas, hesenet il GLP one thehili figism. Will out hamel d you naga hed the hip a khasaleglisim. Inta inta andakil GLP one the not as figismackna hana amelak ta adil jinet fil pancreas bitaak, ikalik tala GLP1, beong.

SPEAKER_03 31:40

Uhdi Adiswalian.

SPEAKER_01 31:42

Well leave with the GLP GLP one. GLP one the beatla adatan min echir het la mad dokikalamal ekli usullah. Yamili anta wa salt ekel lama dokikamalan keltic fe tididi kheli l' medat foddi opta. We kheli lama timshi opto, we kheli andak shaur bishaba, went shai tekuli. Ana an haiat samil tilpeon al nafsi. Famasa ana'if foromadon, andana lemsib nafsi bazid sit sabakilu fromadon, a shan halo yet lehna ma shrimbifhaus at fromadot. And a kuttibachudil dawa, madorshat sahar, mejnifs at sachar, whal fitter, fil young libadi, mishedrofter. Feheya bithelil marid, mish yef hatallo had handumas and sweet tooth who be hebel halo yad, while a tulbi entem sniffs. Fanta yeah, and uh mushkey nana badyman could zema all marskritku mishfigua, to mushkritku f tofosa. Anan alda tail and ana ana anotifus demis on it basbus, ugain. A kula kula, bj si bola head meshi basal anotifis, umishgain.

unknown 33:00

Oh.

SPEAKER_01 33:03

Fawa l dawa, be said in the mariji rayer behavior beta, we sa do good than the musuflus. Falhea uh di an examen could have been ol in a graha tare wa hidal and a kula can it m good mish fale. Basman chamasitullah adwe, ba' it fail, tawa mishbnosikafet garaha, but a household in a tigga muto sutta bedunga tabarapal.

SPEAKER_03 33:28

But you badraha, yan in smash and monjaro face, and jaru kthir.

SPEAKER_01 33:33

How almonjaro face the de kilmatalauh ali yanibusu bardukudbelek, entan entlezimitharib. Meshi fantan harda shirka bidbia bamiliarot, wunak hagid. Fatalezim hetlala, n'sbin hell, n'sbin hell at harib, andan harda bowlil mardayabtua daemon, entan harda low bitinzilf was, beterzea selima, yani asne in nozuf was, and optako protein kwais, wo kudor kwais, lemahatin shisim nushak mishathisad a lot, athis dohun. Fabesheklak azgar, waasan, wagmel. Hamsar bensa, optako protein khor quais, lemaptip uh bad matinsan, backsabad garahat tenya and leptem su te mum to sau dole f washin sana b shikle and that sainsen. Fanta, napsishame al-monjaro, andze f monjaro, winteptekur protinu khodar, mishhaesar and the k fac the law, monjaro fis. Low winter tenzerfil wasn't ultela than Hamel by regime or regime, wana Hasumu Dahru, Kussasalayam, Melesh lezma, and lezim as nanazuf wasn't Ninzel Bsaha, Beta Zia Salima. The lezin if ticker and diamond head of B Garaha, Obudun Garaha, and nanai bas hatias. Fanasahetias and lezemaku protein khod qua. Bedun protein khodar quais, anda mishadar a basahetiquis.

SPEAKER_03 35:13

Basita was finance anyway. Basita doctor.

SPEAKER_01 35:20

Bas qua is magua. Just make a man mutum said that can as a little futur di Websaw Mishgayan after. Ton homo could pencil. Lemabit, ma bakulch illemagua, badaman fotura andibit ako nina door, satarata door, uhul wet, bagwa fi basa sopa uh black one's a shoof shock high. Lemagua. Taib. So, yeah, and a Michanel uh Malik Rashaka or Lamalikal Malamalyan Bordo Basel Fikra, and shwe to Gairotlan Ameltai for slop haieti fed niggit than the zil to gozig beer men wasn't so hai and fed nigit.

SPEAKER_03 36:06

Low and a metalan f lelujo it.

unknown 36:13

Kur?

SPEAKER_01 36:14

That's a cool safety protein. And bilil go hot kelt protein wukodor, and believe.

SPEAKER_03 36:39

Then, doctor, uh Brazil Amelia, you can't do it.

SPEAKER_01 36:46

Well live that the Hasu Sibted, Hamps or Binsana. Li neikatl S al Fegra, well Asra Fegra, well a kalfilmeshek.

SPEAKER_03 37:25

Tadbis is doctor.

SPEAKER_01 37:27

Tedbis decona benigia la mathelmada, namel bitbis namel fee channel kidday beam cum kidda.

SPEAKER_02 37:34

Okay.

SPEAKER_01 37:35

Fematkal madha, eat hack and fi kmit aklata al bail mat.

unknown 37:39

Okay.

SPEAKER_01 37:39

Okay, who can be hot to bend the kidda out a huita howl in machet that biz up has made ditch my lord. Well, I'm late al hai nahe deal to dinner and anap pedit for hot for simna for muscle and shoot out saying.

SPEAKER_03 39:02

Okay.

SPEAKER_01 40:42

Dul or barbin chatia lam to fight. Well, then. Anzi il mutaba lordoya, alotul, magan madha. Le Alashan Anna mo men in a Mariji Lesmi is defeat. Men lamely, lesim if him zazy mis lesimis heads to bequaese, mother shall see. Rupt madla. Ma l borra ma amlim bigrahas a heso anel. Allah, the madavish, and marketing business. Tila il mori tamalamale. Well amale fashion. Leno head correct. Fabolobasa Am Shik the kid mail hezem amaleksh hag. A lile, then I'm semi tinuchamsi. Tabrier El Achta Fahu Ehlam Mustahil had a commata though.

SPEAKER_03 42:59

Doctor?

SPEAKER_01 42:59

Mean mean mean hai tervengultan, baby. Uh then to def a lay and fashion, that's defan. Shookron.

SPEAKER_03 43:08

Model basal makear henke man could be one hayuk doctor washkora, a la a la sarahtakin, it's guilt in no hadil arbar by lint amilitum, and he had all the kind of she intended. Oh, that she quized then he command resale vacate the cat and no lasm kunil uhset mere hascome model commercial commercialisation.

SPEAKER_01 43:29

Entire entire hasami madada and about to say. And no blam big deal about kidabellzilus them, and how health fehem is Zayat Hakalamale. Mantanda Kamalai and Amunkan uh hot ekle of boy by an ashrop, ma azu el akl aad times l'rish.

SPEAKER_03 45:30

Doctor, and an ahasmin kalamek and tall amalit takm what she anna dud and almid y dehkali.

SPEAKER_01 45:48

Yani Yani tekmim al madha yamaly gamiligit who bid gibnet egg for bad and esque, but takmimil madda fiya is the sala guzumil madha, you say we nana amalta malaya, l'ara gafi. Takmim al madh, betamil f Nisbegbiramil murder to gafel mari, fil murder to galmarie lebiasal bad tekmimil medha, if the loch do, a do it mad too omroda, too omro. What tekmimil madha hey amalaya binizbeli anabata birham cut li an harda marid geli hai zinziflu was. Rht shale gusig birman medo lethamlze kum fahoa mish edriakul. Sha'shadriakul mudit senna, sanonus. Nizilfazi sanonus, guzik beerman was inizia, oh side gidan also. U gab cool oribahmalandosigara, it'll take me in mat. Mish bad sanus mad at medi and med up to be atta medusa badhanasin it lay gozello. Your guys maintain guys maintaining rohla garah lamalamal. Garahiolo enters into suburb. Enter suburb, enter lemasmatic kale me winter lamurg winter elf. Why then a restriction there are me? Talab minim musad musada mo cut. Lenal history by a khina smatari, tak mimil mad.

SPEAKER_03 47:42

Sir, uh forbent or tahwilil masar Tawilil Masor, outwilil mad.

SPEAKER_01 47:51

Ohilil mad diya malaya uh ismah bilinglizi gastric bypass. Gastric animat. Basewa dal isma shah alihab arabi fokus. Tahuil masor. Tahuil masur, mane nah nabnifsil guz suwayir minil madh, mbail meda, unwasal kubri minil amai. Lakli inzil al madh suer banal. Fa ilmaledi fiha betamil ta' kitirf gazladmi mindum naal hormonat lahna hakakina aliw jlp one kalamda, nam shmu gutf tekmi, uhindum na butamil shifet mina sukr yani suk min no ateni, yushfa. Bit beamnet tahwil mada, wa ubushfa b'takmim, manzul was. Ubirgaf it tekmim, badrugofil was. And nafit tahwil, blamushfa suk, ma birga. Okay, wal ta'wil marid beakrup tariya are ufnafsilwat l lahi blah na unlapta tekmim and nab tamar ta gafil mari, di map tamirch di bita hailigar tagalmarie.

SPEAKER_03 48:58

Ohla.

SPEAKER_01 48:58

Uf nafsil wat an a machin lash ehabim mad. Yani teshefana mala bolok fla oul na biamelu jinet to be henofil pan kirzna gholeben fihilela shrin teletin sana, mukin befia eleg mokeliflis simna, mafihushrok roh. Fanardalona mle yumkin ilga. Lay tahasmin anwatel tahildi kilma, gastik bypas, betemba mle bemekhon sintori.

SPEAKER_03 49:25

Oh, Hanit kellem at top.

SPEAKER_01 49:27

Ah, but fanal nodal amle yumkin ilga.

unknown 49:30

Okay.

SPEAKER_01 49:30

Get libinthajin sen. I'm tell her gestic bypass. Wa kassit, w kal lif it, uh wa ishayatha, ukool hagata mem kulukois. Get way kham se. I like seh till sim uh jinet, mis jinet, whatever.

SPEAKER_03 49:49

Utah leg is name again.

SPEAKER_01 49:53

Zame can I'm takmim halas for life.

SPEAKER_03 49:58

Okay. A tekmim who were kas Mr. Mahadak is for that cause be talk.

SPEAKER_01 50:10

What irreversible taban. It's not the same case.

SPEAKER_03 50:28

Okay.

SPEAKER_01 51:53

Well, Amalufan can engage. And an amilit take me. Yenzel Shwael Murrit was sure Sanakado. Faker Lamol Telecal Shahrasa? Sana Nos Shahrasa? Hadrik's a bad thing. Side canil grhat similpted to Yakteshifu, or draw his amil mad bendlackali? But sehna, ashante, dartam and kibira, short muhem, and as the basal. Hassle shift min Garrahin el Hazem, illa and sleeve, Lil Mart.

unknown 53:37

But I'm not going to be able to do that.

SPEAKER_01 54:16

No ham and Amalia reverse. Ma'wa el Ahnad al Watzi Bima in Garahatas Simna. Fi hai goz aninta el ama'a, munka malwat, tit meddit. Ma'aluat hairu. Fatila alina garah, Amerikani ismu phobi. Fobi them and ashagarhisem naf'ala, mu'amel asharth tahuil madam senatamil hadan hardda waal feninikidam for Amerika, phobi kan shofnifil motomarot, fetisenet, yolibu sehad ta'wilint, haif shall. Didu sini atlail mad m'did, to l'amayat meddit, will marit the hai kiddin, haiism. Wanayami kutaamal tari twahsadikanias musapela hagasma micro pouch, medzharewi. Ya lo nazarito na madasura tosate bagbirata musura ewi. Hato satebazr. Basma tabakjep phobia underha. Fab tadit aml micro pouch that wa hot tawitahwita ortif massetal emma, for hagasmat tahwilil muhatal. Thawan difosil technical kitir ewinamal muhem nehna El Amaledi itit asan na teg, nuzul ful wesna, al madal kasir, well bait, mu kabel eigahatanyye fala.

SPEAKER_03 56:36

Uh sarkem sana alkalamhad.

SPEAKER_01 56:38

Anna bam can sent alfin, usher nasalam tumlam lady mustan can mm mm mm mutrebo mashura smad diana karzo.

SPEAKER_03 56:46

Sahe, oh shit video to kill him, and who'a uh amlet lamal mahadar tik.

SPEAKER_01 56:49

Baza Diana Diana Balam Ahmed Lamle he can it liste a kizbit superstar la Arab Hagga for Lguna Ma Gegemda gid them best can fintak ala was na here for ha habit and I take a superstar alayh shaker bad killer amet lamali. A kalem that can emta alfin no khams. Well how didn't I mean Kemsen ga wizard to khalif it more retinue will is some half sailors. Mukabl bad legrot lo krob true doctor Bas Akid Amalia t uh uh tahwil fehab Yani uh Sotanfiba no at Tawil, Ya infi Tahuil Masalantulla uh Fishik uh uh tub to geri. Go less of gozik to geri that yani to the tool actum safe. Fantan hard the young matib uh uh uh haggatugare, mean sure to Fahna and Tefeker Kuss and Nah kuna Bakilak Fitzanat kuna Bel Howl and Tower Lamet and Hana Bel Manzaru confis or what she did or Hamel El bypass fil Awl Maal Shil Hadala as Roh. Fatullah Garrah Amri Keni Hamel Tadil Fil Amalia shan't be able to be able to be able to be a good thing. Can for YouTube whole garahil wa hidl hated video hat la Amaliet Simna Can hat it teman video Hasselweebadkit. Mamnoa Balucham and Maris A to be to Dorosit Foranzo Amalop Hasale Cornoble, I'm reading a mini gasic by Pazdi uh Halen forensica Mamnua Mamnot Tamil. Bad in the take loma loser. Fanta Narda Mamnua and mini gasic bypass out the wheel lower bes a mu al musaker to Tamil forens. Muntash refemba suck out affordable. As Archas Archas Whatali and Tanarda eleneta tub to geri may him. Yum Lamalia Mashafitush. Bad Lameleh Homish Mogut. Oh Anat Anna Anna Behazit to you Anatalimt. Wanna kutabroh motomartiol Hazemil Madamat Hazem madam shre. Fant uh Lesim feedback o Mordud Lil Garah, Aniloa Amelu, W lesim Garah Simna de Muqtel Khalsa and Grahlaam. Garah alam da kull haizaditu go tlametiam la mret khalas, and a m garah simna or beheb maridu. Beheber hayat maridu, heb be hef ala maridu, haiz maslahat maridu, fadul ma goodin. Meshi, fantan nahardayumatrohandoi center, hatunlaq khamastelefwa had borrow kamshalf e waiting list e u metkelim, u matarfit abel doctor abla mele. Mafhiro. Les m toadma doctor, lesmi shahla kla mele, lesmi shahlaq mezeyeh, wayoba, wulakayoba abble mezeyeh, u lesmi ulackl matlubinak badlamele bay, wiz our fit am la male mo fit metamilch. And name fish haggasman bait uh lenem difim sipa suda. Fil filtub uh ket Google doctors. And the hosha Google tala did you hear shofu bakalasba doctor. What the callas nacumon. The the hours the kaz Daniel, the the kersa, and tariff and the bigili mordor you like uh chef with your head math alif here. Hel the isla and an amilute me. Logic that'll meet the hale in an hour like an ear together, oh an Arab is an eyesamel take me. Okay. Bad gaza doya tenazal cholesterol. And lema lemutam marid a lot of malicious side effects. Rohlo? Fish I haggatil Zema can enter to Rohlida, Alashan Mashur, Awamil, Dahaya, Aur His What you Pay for Be.

SPEAKER_03 1:09:33

Brother Nathan.

SPEAKER_01 1:09:59

Bad Shahrib Akilo Quais. I will sit shore for Andi, and I will sharit Benzilman Al Hasabuz Nuyani and Saba al Khamasoshakil. Bada I will shah, Biaclo Protein, Uhor Kwais, Sit Shuribadiha, Benzilu, Yani Totel Faul sit shore, maybe Latin litin kilo al hasablosed. Whistle Marit wasn't low eyes. For omal. At a how well Ila had naif, hey fishman. Mish had this mean mishvirom. And I am a day, tool.

SPEAKER_03 1:11:48

Zye.

SPEAKER_01 1:11:49

A well and he enter ill ill il takmim or mad alem to tamil bazboot be in zilukwaysana musul alinium andamala tekmim the center beamsi halafilu. Fanta and Tamtar Samila Malakamala because you amilo amalia tekmim wesa. Felwasa munkin eat med besora gidan we batshurif shell.

SPEAKER_03 1:12:19

Af on tekmim o la tahwil tekmim. Okay. And killem alam lit.

SPEAKER_01 1:12:39

Situa guys maintain. La hamal tekmim mazbut, eba sanon subad kela petitos, eiturf bad the sansiamal controlnas, a tahwil whoa la wisa, out medashankaraham hot tahwit. Wan o tek femehum sintori amal tahwe. Bardo for bad and nestlaw, may beamelu, lolal tahwil lol musoga, l mini gasik bypass. Ashain is a wido na geho, beamelo sarotla ma butari uh, thelifi adam t sos roh. Fabia sal is hellma sa can the fada be as hato mushquais.

SPEAKER_03 1:13:13

Uh this bad asilet l Jumhur um um Kem testagl muddal in Nizul, and Tadakility any the canemashrahat her, Basia animatalan the ana Shechas Matalan, uh was the can be o kham sino amal amalia, or targetabalin to had the tuma bad mokini kuham so seven of the manin. Kemil fetra.

SPEAKER_01 1:13:33

Ma'am in sanel sanaros.

SPEAKER_03 1:13:35

Maal il tisamitam ukulche.

SPEAKER_01 1:13:37

Ma'am eltisem tam basekudbelak anyhu and a fibani's bindership so well fakatuel tezm. Say Basabad Garaha Ashan Hakate L G L P one Libalaish, Fowl's boy. Shazi. Ten years boykul kimet Bazid M shazyek. Bachha, yani ho, alabel may regalugwa because is it was a shakhas and uh sukeriamal amalia? Hell amale tukur la legisukr. Yani ze mashahtelakana fi hormonat, zale jlp one girha, fita tarba ormonat be tlao, me amaleta tahwil, wouldul be se bib shife a sucrman. Yanana masan zemhakitlack in the filhend and meet million wahad on suk. Feel head of minger hatsin the filhend, she fet a sucr oktal biktiman elegisim, a rachtelum forfinusit, then on can listen up to dushgar hatsin the site, our rium il tahwil wait will godi, ashan ket mushkilakume. Andom mushkilakme fill hint, and then a leg suk along yakul hint cult. Uh yeah shokel minium los bo. Yeah, if you bad in this be wa kwe gedam bhugo menal musash fara shokl. Ufin's bit all those boxem letaban lab shaped Uda Makabul Uda Makabul. Yana and you wah the morra can it uh and I think I can't still be finger. Ugat Ameland by post. Gay early filmutaba but teleteam kuta mlgots filter. Yes a challenge near yes lemon actor asra wahder get la haiat yuta mumkin beslia. Fa law marit has no quays year gasul.

SPEAKER_03 1:15:34

Doctor Akitbat, Amalet Hadis Tara Hol f uh fidj sa? Uh and somebody kill him come on alamed a total body lift.

SPEAKER_01 1:15:44

Total body lift extreme, yeah. Kun as the menamile, couldn't as the menu let Ali eventinam shed the butt or a why? Sharin to let a hip tali banam shed the sit, why shut the drawing? Fellating all sang on send it in family, at the same time. Farahna am lean fairy, tisagrahintag meet been shelf and sort. Ferry shagala drawn shagala bottom for head, we need a little patient to Benamil Tissa our Ashara Amelia, Fenaf Silwat will call the family.

SPEAKER_03 1:16:37

How they can tell Amelia, Doctor.

SPEAKER_01 1:16:38

Farbasat Fa Yanizamana Kunab shuttle button for Basat. And then a haml meet midmarit, hai gili meet marit but get am tak meal. Hemsel or bali big am tak me. Shebeb sure gildu fi elasti, fi moruna. Fawa is nanazuf was no lab shot reader, elasticisti butasal would be shit enough to bathe shamit tak me. Fa mebut the rura and cool mordiac, or leilin li batek.

SPEAKER_03 1:17:30

Doctor amiliat kula uhton sahoon and no lazimil maridiak vitamina badly amalia. Of you come on hoffmel vitaminatal hoff.

SPEAKER_01 1:17:42

Yeah, hermo bar. And it loch anaboch vitaminate. Ana anageli doctor Minayanini gabul doculum soap, but habit laugh. Fama habited doctor. Bait baku shot vitamin Z more dance. Turkeys yas. So het yas. And I didn't get the kid that not so famil vitazia and then vitamin D kimia, kimi haggakimia. Let's get then the cool in this so hatabamia on grammar.

SPEAKER_03 1:18:20

Then vitaminat shame mushmother. Uh then doctor, uh, but sinatisha makan must almotlo. Yaniman is a little marit bil katar like how you can carrina any co ridu?

SPEAKER_01 1:18:41

It depends. And the kubetal may muk the kubetmaya, fashion. Okay, kubetal may fall. Milkshake, uh, a la sucr, ala asala, a la hal fanta echtiara sara to lifelmaya, he had that is a good thing. Hal Mstinka, fellow hand in order, Maritul chocolate. Will in the harbeakud chips of crackers hug powder betah. Will in our beak asai or get culla sucr. Meshi Mahma amaltilu, aino amale, mishtinga. Fanal marid the mamulla amele mazbut gerah betaotaba mazbut. Who uh re multezimagat halim tezm bad amalit rido. And a manual eight and then a had the Mamula Amala al Madak Biragidan, Wil Wasalat Was Hagidan, or Marida Mishmapimshmet eklub Zekem Shamlamari. Then I'm alredu. Lamele Marid no amel tekmimi ahna uh takmim al madha nosal murdal namelom ridubi u ashangalom murtigafamari. Wahmuta utab bib ubihainu murtigav mari. Unositeni, bib and uh the flu was regal tenis that fell was. Fa usai tellemar namelom al tahuil but hell muskilti.

SPEAKER_03 1:20:18

Uh wana doctor Bessaribnitkelam ala amliat tekmimu'hatel bypass mokinir jaceman wala.

SPEAKER_01 1:20:23

Will bypass mokine grace? Malhana litha direat la hamediku. Uh echna arfinin and madhat medit.

SPEAKER_03 1:20:41

Then uh say that Amlit Amelia. Can't mean nozlet badla Amelia, uh Zowajet, uh metatigaratkun hamel badl amalia. Kamel Fatal.

SPEAKER_01 1:20:50

Sure.

SPEAKER_03 1:20:51

Badl Amelia will could.

SPEAKER_01 1:20:53

Is the canet bit it kaza kwaya fickra nafasnel ham, bowl morit and telezen tekul protein o khodor kways, literzete gheni. Ganin mishmahtag wala leban, wa la sukur, wa la asal or mahteg protein o khodor. Wana myhminish in lum was na ezid yemenin l tuf l'ganin was noizid. Fana, fanayz ganin dainzil tetaki totakirnos, lokal protein khodor kwais, tizit sabakiru felham, witens. Fela, bad su edra teko protein khodor kwais, yesarhaml fishmashek. Waandi bordo badl mordam alum and aul youm. And an handi na handi mordabiba was no mehum simus tin kilo, ba hamel hakli mikari, bahamas marrot, who feshel, shelving khilifu. Ugaini amil amalia, fukat lil khelf badl amale bihmelo to be khlifu, fadul tama mishhaadidunashdu, ormonet mishamil hagatin narham.

SPEAKER_03 1:21:47

Doctor, alasbit kalam alil ifso, hadartak elfa bruktaban and uhwal rais min shokl also ifso, lihutihad alemi lij jirahat, wa elaj sumnas ar me. What is this?

SPEAKER_01 1:22:05

Oh it is uh thamso tsain the akbar munazama alemeya legrahatsin.

SPEAKER_02 1:22:10

Okay.

SPEAKER_01 1:22:11

Deepna and then uh tame seven doula, musterikafiha, ufia aktornashdev gara, ub Tamil Motomaratsa naway ifullahetomar big if sudabi by motomar wahat sana, we bnamil uh motomaratl chapters will furwayfim of uh Asia Pacific for Asia of uh And then a chapter for Shakespeare Africa, of Europa of America of America Ganobi. Taman Femaster? Aman Aman at head uh lemiligras ac el Fakalambra uh Dubai, Falfino Tamantoshumamlin Motomer L Ifsu Kibir for Dubai, Wa Fihilel Falet has a Motomer, Alan and Ana Amanil Farra Shokosham African. Wa Badin uh Fadi actor geha uh uh talimi wa taugiharhatsen the flal. Oh Benam Masan position statement, Lamaled Dita Garuyan Haf, Amlet Sirf Shakasogirl El Tahurimusakar Masan Bit Tamil Ichtibere, With Tamil for Bosher. Well SF may beat El Shilmard's Kalem. I stem Lamal Echtebere, but Mod Fashwara Malim, What il Modlisi Ayrifene Echtebere, we'd consent kid. Ridu. The law tumukin wahadiamal takmimwe lau managash or regayes manteni, nidilu uh GLP1. Uh Nidilu Namelu Hagabal Manzar and the A Swain, butena tools kit the nut in Stamela, I shall know also Hazel Marid Lazal Wat. Fan Hayafrias to relief on a salem to the res of Chile Min Sharin, wa anzi plans kibir and Liger Hatsinna Falam, and then I Zamel Fellowship of Zamel, Ligarhatsim, Tabal Ifsu, with Zamela Mo Hadafalam kul. Stigmatization. Well for N Silwat, il sim that how it Ila Marad B easy. Fana stand on a megilla sucker, gilla doch to gilla, mechekirfil Khsuba, Mesekir Filham, Willing Geb, Hasot Famara, or Sartanat, Ashanaik? Fehna Lizzum Dayof, May Fashion Marid Semin, Alum or Busulo, Keday Bafi Babusulo, but I'm not sure what I'm saying. Manazir Momkin. Nicolas Kopenoru, Dogboard Garafas, Fashan had them in a shaker ausat, yim siker the can helm beat. But Sehnal Hayia Belana Belly Mahomesena and Mutomorat Ben Ruh kunab Senatissaut Sene Sanat Alphine.

SPEAKER_03 1:30:52

Should she actor who have the cle stemmer?

SPEAKER_01 1:31:18

And I'm alhaya anna sabana, sabana laya and had social media. Had shofted what you get social media Hayah uhtira gidden and gara, beyamel dial naftu, we will kalem mishmo's, elmi ashan, eguru mord, and the killant my vitaminette. Kulgarhat similar vitaminate by Lamalai. A metla gara you like anabamil tahuel, a lowal minigastic bipazda, but sanayanini may beh tushia, maybe vitaminate. When this rohlay no upcurry. Ama malay, very simple vitaminate. Oh, of shaif and all my loma and a sana I'm making a veg vitaminate, I give you hai gil on flux actor. Lee nested easy. Li had more ridmaskin, I is musada. How to go the nana's social media ulkaram fair might have seen. Where's it?

SPEAKER_03 1:32:50

Listen if you say, and the kushukran shrachinakulhadileshia, oh fakeknal tafasil had the wolma fahim l Mahluta in Kim by the Nas, uh I took it uh and no gidarna lium uh fikra, l nasil be shuffun in no sho kevia karar, amalia, muhim, metal amiliatilim, amalyat bypass, the taste. Fash corrected then uh Dr.

SPEAKER_01 1:33:24

Alan Bkmann, thank you very much. But then, at a man and l Mushaadi, I can go to Facilitabas.