Debunking the *LIES* About GLP-1s (Ozempic Myths Overruled by Obesity Doctors)

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The Absolute Lies You’ve Heard About GLP-1s (Ozempic Myths Debunked) [REPLAY]

Are you being lied to about Ozempic, Mounjaro, and Wegovy? In this special replay episode, leading obesity medicine specialists break down the biggest GLP-1 myths taking over your feed. We are reposting this crucial conversation because it is more relevant than ever. With GLP-1 price changes and expanding access options through federal programs like the Medicare GLP-1 Bridge, understanding the real science behind these medications is essential for patient advocacy.

We are sharing a few favorite replay episodes right now while Kim is away on bereavement leave following the loss of her sister. We want to deeply thank our subscribers for staying engaged and supporting the show during this time.

In this episode of The Plus Sidez Podcast, Kat joins Kim to sit down with obesity medicine specialists Dr. Matea Rentea and Dr. Ali Novitzki to help listeners better understand their disease and feel empowered in their healthcare journey.

The Myths We Debunk:

• The Muscle Loss Scare: The data behind weight loss and body composition, explaining why the medication itself is not destroying your lean mass.
• The Willpower Narrative: Why obesity is a genetic, chronic metabolic disease rooted in brain biology, not a failure of personal willpower.
• The Shot-Only Illusion: How the medication works alongside your body's natural satiety signals and gut receptors.
  
  

Obesity Doctor Guidance Shared:

• Metabolic Protection: A practical discussion on utilizing a 10-minute fitness routine and a 100-gram protein framework to maintain lean mass and support insulin sensitivity.
• System Navigation: Insights on navigating insurance barriers, managing prior authorizations, and advocating for proper medical care.

Mental Resilience: Tools to process unsolicited comments about your weight and protect your peace from societal judgment.


Episode Topics:

• Why We Are Replaying This Episode: Prices, Access, and Updates
• The Insurance Landscape: Understanding Prior Authorizations
• Meet the Obesity Medicine Specialists
• Deconstructing the GLP-1 Muscle Loss Narrative
• Strategies for Protecting Your Metabolism
• What the Scales Do Not Show About Insulin Resistance
• Natural Satiety Triggers and Gut Receptors
• Recognizing Obesity as a Biological Chronic Disease
• Addressing Weight Stigma and External Commentary

Subscribe to The Plus Sidez Podcast for science-backed episodes breaking down metabolic health, body recomposition, and the truth about weight loss.

Search Tags
GLP1 lies debunked, Ozempic myths, Mounjaro weight loss journey, Wegovy truth, Zepbound body recomposition, insulin sensitivity hacks, natural GLP1 boosters, treating obesity metabolic disease, plus sidez podcast, dr matea rentea, dr ali novitzki
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Transcript

SPEAKER_06 0:00

Hey plus science community, before we jump into the podcast, do me a favor, like, subscribe, and share if you haven't already. This helps us get referred up in the algorithm so we can find more people that need our help and guidance from our doctors. Thanks so much for supporting the show. Let's jump in. If you're like most of us, you've been denied a G Open one at least once. But did you know that less than one percent of denied claims are ever even appealed? Even though the data suggests that over 60% of appeals are often approved, that means that people who should be paying $25 a month are instead paying thousands of dollars a year out of pocket. Not necessarily because appeals don't work, but because the process is confusing and time consuming. But that's where Honest Care comes in. You go to their site and then you just start with a quick assessment. And then Honest Care will build your appeal with the clinical and medical arguments that your insurer needs to hear, and then guide you through submitting it. If you've been denied, don't stop there because most appeals must be filed within 90 days. So don't wait. Go to findonestcare.com slash Kim to get your free assessment today. That's findonestcare.com slash Kim.

SPEAKER_01 1:09

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SPEAKER_06 1:39

Are you interested in understanding GOP1 medications like the benefits of OP or Montaro? Then join us on the Plus Side, tracking the Obesity Code, the groundbreaking podcast helping people change their lives one episode at a time. The Plus Sides podcast is Disruptor.

SPEAKER_05 1:55

We're breaking down barriers, smashing stereotypes, and sharing inspiring stories that'll leave you feeling enforced and empowered.

SPEAKER_06 2:02

Join us every week to learn from doctors who are specialists around GLP1 medications like OSISPOVIMJ. We'll provide you with science and facts to validate this incredible story. But that's not all. We'll also bring you the voices of the GLP1 Manjaro TikTok community, real people who face the challenges of obesity related diseases and disorders and discover the incredible plus sides of GLP1 medications. Our episodes are filled with heartwarming stories, laughter, and moments of triumph. You'll connect with our amazing community members who are reclaiming their health and experiencing their fullest lives. Are you ready to embark on a journey of discovery and empowerment? Tune in to the plus sides, cracking the obesity code, and together we'll change the narrative around obesity and end the stigma. Subscribe now on YouTube or your favorite podcast platform and join our incredible community. Let's celebrate the plus sides of life together because every story deserves to be heard. Every life deserves to shine, and everyone deserves access to expert knowledge and medication. The plus sides podcast. You're not alone. It's not your fault.

SPEAKER_05 3:11

Welcome, welcome to the Plus Sides Podcast. Here we go. How's everybody doing? This is applause in Sign Language. I know.

SPEAKER_06 3:21

That is a thing for me, by the way. I have a bucket list. One swim with dolphins. Um, and two, I want to learn sign language. We're glad to have you here. This is a definitely evolved health and wellness podcast where we talk about everything. I mean, related diseases and disorders to obesity. So, you know, type two, we talk about all of the things like PCOS and insulin resistance and just like all the things in the land. And we are so glad to have you here with us. We bring on experts, um, anywhere from like dietitians to doctors to um GPs to nurse practitioners, um, all this different stuff, like nutritionalists. All we're just talking about things, cognitive behavioral therapists, because we know that what a lot of us have learned and going through this journey together on GLP once is that it's actually all about health. It was never about weight. It was never about weight. The weight was the symptom. The weight was the symptom, right? So now we're treating this, we're treating the disease, which is solving those symptoms. But what about all those things that come with it? Right? What about the mental piece? What about the movement piece? What about the nutrition? Like, how do we live our best full lives? Right. I hope we drive change. I don't know what that looks like, but ultimately I want some change to happen. And you know what? It right now it's not big change. It's not here's your medicine for less money. But we get, I don't know about you guys, but I get messages, I would say daily, if not uh several times a week, about how this podcast has changed their lives, like because of the things they've learned here, not because you know, but just the way they used to talk to themselves and the way they used to think about themselves and the things they've learned, not and the combination with the medicine. So, you know, we may not be making a huge change yet, but we are making the little changes, which if you add them all up, pretty big change, you know, those little dents, you know, gonna lead to a nice thing at home, yeah, where we can throw the PBMs down, down the hole, or at least at least breaking regulations for this butt heads.

SPEAKER_03 5:23

Oh, it's a PBM, anyway.

SPEAKER_05 5:28

It's Dr. Mateo Ritia, hi Dr.

SPEAKER_06 5:32

Hi and another Dr. Ali Novosky, Novoski, say it for me. Novitsky, Novitsky, got it. Novitsky, look, I have to make it sing songgy.

SPEAKER_04 5:45

Okay, sorry.

SPEAKER_06 5:46

We're glad to have you here at our crazy little podcast. So for our our listeners as well as viewers, this is gonna be round table discussion, and we're gonna be talking a lot about debunking a lot of the junk out there, you know, like that Zetbound is different from Ninjaro, you know, like people swear it is. I know. I think that's what we call no I'm like, look, I'm not a doctor, but what I do know is that the FDA says they're the same, so I'm okay with that, you know. Well, we've had Dr. Rentia here before, but first, Dr. Rentia, if you will tell us a little bit about who you are and how you help people, because people haven't seen your other episodes, so yeah.

SPEAKER_07 6:25

First of all, I love this podcast so much. So if if anyone's new to me, I'm Dr. Rentia. I'm a board-certified internal medicine and obesity medicine physician, and I have the Rentia Metabolic Clinic. It's a telehealth practice for residents of Indiana and Illinois, and I'm really passionate about helping people with their metabolic health. It's not just about shape shifting, but really to feel better. And that takes more than just a medication, things like that.

SPEAKER_06 6:50

That's so true. Yeah. What about you, Dr. Ali? Um, tell us a little bit about who you are and how you help people.

SPEAKER_08 6:58

Well, I love this. And I just want to thank you so much for having me on this podcast. I say that because what I do, so I am an obesity medicine physician. However, I did start off as an intensive care doctor for newborns. And then what happened is my um my passion really is all of the things that we do talk about in obesity medicine. So nutrition, exercise, cognitive behavioral therapy, and then really the addition of the medication has been a game changer for so many. And so I became board certified in obesity medicine. And so I really help individuals instill the lifestyle parameters of obesity medicine. And so one of the things that's really unique about my practice is that I can work with anybody in the entire country because I'm focusing on exercise, nutrition, and mindset. And then I partner with doctors like Dr. Rentia, where she's the doctor prescribing the medication. And so it's a really nice, beautiful way to be able to support the community. And also I am I I love it. Like I just love it so much that I can't believe this is what I do for a living.

SPEAKER_06 8:06

Yeah, awesome. I love it. I love it. They're so informational. I I'm I straight obsess over this stuff.

SPEAKER_03 8:13

So I love it. Clearly. Clearly.

SPEAKER_06 8:18

We're just like, we all do because you can't you can't like be sick your whole life, right? Or for a long time, right? We've if it's not your whole life, and then all of a sudden get better and almost and then the brain get better sooner than the body gets better, you know what I mean? But then I mean, there's a lot of work to do, and we'll talk about that. And then like we tease that we're GLP one evangelist, you know, because we're all like hallelujah, you know, because that's it, it's it's when you realize like that you were just sick, and now you can do all the things you always wanted to do, but you just couldn't get it done, you know, or keep it in play, and now you can, and then it's like all you want to do is tell other people that are suffering, that are suffering, that don't know and are like beating themselves up every day all about it because there's so many of them, and you know, it keeps me up. I'm not gonna lie, it keeps me up. The people that don't know, you know. Anyway, I digress. So lovely to know. Thank you so much for sharing that.

SPEAKER_02 9:16

I'm excited. So let's get it. There you go, cat. Everyone over on the bull crap that's floating around all the GLP1 community. People say this and people say that. First and foremost, the one that like just grinds my gears is muscle loss. Everybody's talking about and I have seen doctors on theirs, well, some doctors on maybe infomercial immersions on my social feed say ozempic causes muscle loss. A GOP one causes muscle loss. Um is that just standard muscle loss because you're losing weight? It's been my personal experience that I have put on quite a bit of muscle, but I want to hear it from your two lovely ladies' mouths. Is that BS?

SPEAKER_06 10:06

Is that BS? Oh, BS or not BS. That is the that is the game. Today I decided. Yeah, it's crap.

SPEAKER_08 10:15

It's crap, it's crap. It's crap.

SPEAKER_04 10:18

Yeah, yes, crap or not crap. Better better even. I love it.

SPEAKER_08 10:23

It's super interesting because I'll tell you, about two years ago, when I was running uh one of the one of my programs, which was all women physicians, I got this frantic message from one of the physicians in my group. And she said, Oh my gosh, did you see the study? GLP1s and muscle loss. So my programs are very heavy in the strength training and in nutrition. And so I was like, Don't even worry, this is not a thing. I'm not worried about this. So let me tell you something. Without being on a GLP one, if you're not strength training, and we can talk about kind of the recommendations because I'm all about minimal amount, if you're not strength training and if you're not eating adequate protein, for every pound of weight that you lose on the scale, up to 24% could be lean mass. Okay, that's without a GLP one. So the issue is that with GLP1s, individuals, a lot of individuals that are going into doctors there who are not as sappy as Dr. Rentia, who is giving the recommendations on the protein, they're not hungry. A chicken breast doesn't sound that great. They're not eating the protein, they're not strength training. And so by default, they're having the same amount of loss as you would without one. However, we're now blaming the medication because why not?

SPEAKER_06 11:38

Why not? It's nothing like villainizing something that's actually working and threatening loss of billionaires around the agents in America.

SPEAKER_07 11:48

And I think, Allie, you can speak to this too. But I mean, I can share literally two examples from this week. So it's really interesting, both of us use in our practice body composition testing, right? So for example, um, and again, Ali, you could talk much more about this, but the in-body scale, there's a home version that's very accurate. And I have so many patients where um, let's say they think that the weight's not going down, things like that. I literally had someone this week where in the past three months they lost six pounds of fat, put on three pounds of muscle. Now, again, that's not typical for everyone, but majority of my patients, in fact, all of them that are tracking, no one is ever losing maybe over, like maybe here and there I'll have like a 10% loss. And again, it's usually someone that can't get enough calories, and we have to work on that. We have to slow down the med pace. We've got to, I mean, there are steps that we have to take if that's happening. But again, majority of them, we're really getting creative with how we get the protein and we do have to work at it sometimes. Like sometimes people have different food aversions on the meds or they get sulfur burps or like different things happen. But when I'm following the data, it's astronomic how many people can maintain or gain. I didn't think it was possible until I was tracking the data. So, Ali, what do you see? Because I I think you've even longer than me incorporated that in your practice.

SPEAKER_08 13:06

Absolutely. So the really cool thing, and again, you're gonna learn this really quickly about me. I'm all about simplicity. So I'm gonna give the bare minimum for everything that I know will work. Um, so basically, over the past several years, by me just recommending 100 grams of protein, and that's that's just over three servings a day. If somebody wants to fast, it's a serving and a half twice a day. So 45 grams twice a day to get to about 90. And there's studies, like there's a study on Navy SEALs that showed with their intense amount of training, as long as they're getting 100 grams of protein, they're really not losing a whole lot of muscle mass. In my practice, that's what I see. As long as I'm able to have somebody hit the 100 gram mark, I am not seeing muscle loss. And then when we add the basic minimum amount of the um strength training, I'm seeing muscle gain, actually.

SPEAKER_02 13:56

Wow. And what is your minimum amount of strength training? So glad you asked. I know the answer. I know the answer. I know the answer.

SPEAKER_08 14:04

I've been playing with this for years now. I've gotten it down to 10 minutes three days a week. So 30 minutes a week.

SPEAKER_06 14:13

Wow. I do 10 minutes five days a week now. Now it's just a kettlebell, it's nothing crazy, you know.

SPEAKER_07 14:18

But like I can give them in pounds if you'd be doing your body composition testing. So Allie knows this because I work with her. But I'm like, I've been gaining muscle with the 10 minutes three times a week. And in fact, if I do more hungers up, I'm losing it. But literally, don't discount the kettlebell. Like it doesn't need like it's not insane what you're doing.

SPEAKER_06 14:37

Yeah, I I it works good for me. I like it. I I could do it in my office, it's very quick. Like I do it, I start my day. And it's nice to be doing something with my hands, if that makes sense. Like I find because like I'm on the internets all the time because businesses, right? Um, and it's like it's you know, when you're at we know, like when you're an advocate, like you're doing all the things in all the places, right? But if I I have to stop myself, and so like if I can clean or I also clean too, like that helps you. I just go and I'm like, I'm gonna clean everything in here, and then I just go at it. And I hate cleaning, but I love it because when I'm doing it, I'm for like letting my mind go, if that makes sense. Like there's a lot of things that I feel like these are things I never did before, these medicines. I, you know, but I I was also just I think just really hurt all the time. All the inflammation and the weight and the bones and the joints, and like now I have so much more mobility in general. Something one of the doctors um recently we had a we had an event, and one of the doctors mentioned, like, don't ever discount like your own body weight being a way to strength train, like using your own body weight.

SPEAKER_04 15:41

But what about but what about resistance bands? Because I have a little mini stepper and it has the bands now. Oh, that's cool. And like that be strength training, or do you actually have to have a weight?

SPEAKER_08 15:55

It's absolutely strength training. So one of the things that I do with my job, that's why I say I have like the best job in the world, is that I travel to conferences and lead mind-body workouts, and they're all strength training. We don't use equipment by the end of those three days. People can't walk. And so I'm just and and they can't walk because I'm so energetic and it's I'm talking and I'm excited. So maybe I'm moving faster. But but the point is this like this is strength training. You know, pushing your hands against your hands. This is strength training. This is an isometric movement. Isometric exercises have been shown to be uh the ones that actually increase our strength the most. So this whole concept of you need equipment, you need time, nope, not really. So resistance bands, you're actually doing more than is required, right? You're actually adding additional resistance. So that's amazing.

SPEAKER_06 16:47

Yeah, that's awesome. So, what I heard you say is that Minjaro, Ozempik, will go be sex sedavic to do not eat your muscle. That's what I heard you say. No, it does not. Okay. Thank you. Because I'll sick of that. I have some more, I have some deeper questions though. Some I someone made a joke recently um that uh they were like, you know, if you're if you're 400 pounds and you need to lose weight on a GLP one, don't worry about muscle rest right now. You have a lot of fat to lose. And it got me wondering, I mean, I don't think it was anybody, you know, um, but it got me wondering, like, in terms of muscle mass, do you need the same amount of muscle mass when you're in a smaller body that you need in a bigger body? Like, because I I'm like, because I don't know about it, right? Like, I'm thinking like you have like, I feel like more muscles to carry yourself around, right? In this bigger body, do you need the same amount when you're in a smaller body?

SPEAKER_08 17:43

I love this. Can I just offer something? Uh and I'll keep talking all day long. So like you can like, you know. Um, so I want to offer this. Indivals who have had to carry around more weight, this is a body positivity thing. You actually are gonna be blessed with an increased amount of lean mass. So why so whether you need it or not, why don't you just keep it? Because then you're gonna have like some guns, you're gonna have like some amazing muscles. Your VO2 Max, your ability to like hike a mountain is gonna be out of this world. So I don't know if you need it, but why not keep it?

SPEAKER_06 18:19

Okay, I like that. I like that. I like that. Might as well keep it. I'm all about mind shift shifting. Like I just love that kind of thing.

SPEAKER_02 18:27

Like you think is that's I guess that it's a comment or a question or would be a comment. I was, you know, over 300 pounds at one point in time, but I always loved fitness. I just think to myself, like, wow, how much muscle muscle is true, you know how like when you have this this this popular misconception, if you're heavy, you can't move. If you're heavy, you can't, you're not limber. Um, honey, like I I can smoke you in class. But that's interesting. So I guess at the same time, and that's why I go into the the deeper questions like, how does that affect you? Let's well you know how like when you have insulin resistance, it's working in your your body right now, but I'm still like so diet culturing and working out like a nut bar. Like is I was telling myself, does it combat any sort of insulin resistance at all? Or was I was just fooling myself?

SPEAKER_08 19:22

No, it definitely does. So actually, the more muscle you have, the better, the more insulin sensitivity you're going to have.

SPEAKER_02 19:29

Okay.

SPEAKER_08 19:30

So, in other words, it's the idea of okay, this is how I like to explain it because I like to simplify everything. So imagine you have a lot of muscle mass and you go ahead and you do a strength training routine. Okay, so you're using up all the glycogen stores and all your muscles. Okay. So let's say now you finished your workout, it's time to eat. So you're gonna eat a meal, but you already got rid of all the glycogen stores in your muscles. So what happens is you eat a meal and you're gonna have some insulin response with your meal. So insulin is gonna be a store, it's a storage hormone, right? So the first thing it's gonna do, it's gonna push all the substrate, all the food, the you know, the glycogen and all the good stuff back into your muscles. So the more muscle you have, right? So if you have this huge pool of muscle to bring in all of that substrate, you're not gonna have a whole lot hanging out to go back into the adipose tissue. Okay, so so in other words, what happens over time is that you're gonna need less insulin to do the same job. And that's the whole idea behind insulin resistance. You need a whole lot more insulin to do the same job. And insulin is gonna be inflammatory, it's a fat storage hormone. So actually, one of the best ways to improve insulin sensitivity is going to actually be strength training and gaining lean muscle mass.

SPEAKER_07 20:44

Oh, you know, you know, guys, the other thing that that no one's asking, but I feel like we need Allie to talk on it's so people might think, okay, I'm coming from a larger body, I'm losing weight, no big deal. I'll lose some muscle as I'm doing it. Like you said, Tim, right? Like that's the big deal. But when you know how hard it is to gain muscle, like Ali, can you talk about those numbers again? Like, that'd be great. Let's say that you lost 20 pounds of muscle this year, you lost 100 pounds and 20, 20 pounds of it was muscle, right? Like, how long would it take you to put it back on? Because I think that gives you perspective of why you're fanatic about eating your protein and doing strength training and keeping it. Yeah.

SPEAKER_08 21:19

100%. And so this is really interesting. And so a lot of times when individuals will say, Well, I'm on the med and like I'm not losing anything, if you actually ask them sometimes, like, okay, listen, like, have you done a body comp? Because as Dr. Rentia is saying, the idea is that to lose muscle mass is actually kind of easy. It's actually pretty darn easy. Gaining muscle if you are a woman over the age of 30. And particularly if you don't have just the right body type. Uh Dr. Rentia actually has like, she's like bionic. She has like the perfect body type to gain muscle and she puts the work in. So that's Just having like ridiculous results. But the idea is that to lose muscle is not hard. To gain it is very difficult because many of us don't have the body type that's actually going to put the muscle on naturally. So it has to be a mesomorph muscular body type is going to be the easiest body type. And here's the other part. And this is another body positivity thing. If you are in a larger body, having a little bit higher of a body fat percentage is also going to help you gain muscle in the beginning. Okay. So the advantage points would be, you know, if you are carrying some additional body fat, now's the perfect time to do some strength training because you're going to be at an advantage to actually gain muscle. And so then as you lose weight, right, potentially, you know, we expect some muscle loss, which again, if you are strength training 10 minutes three days a week, and if you are eating 100 grams of protein, right, we can probably keep that 10% or less, which is what we allow. If you do that, you will preserve your basal metabolic rate. Okay. So you're going to continue to lose body fat. Um, and then the other part of this is, you know, eventually, because you'll have that good basal metabolic rate, if you are eventually in a place where you're like, okay, I lost all the weight I want to, I'd like to do a little body recomp right now. I'd like to actually use the muscle. You're still in a position where you're metabolically active and you're going to be able to feed yourself in a way that's going to promote more of a building of the muscle. But to do that, I'll say this even with the ideal body type, a muscular body type, with enough body fat and eating enough food to make this happen, the average woman over the age of 30, uh, maybe they can gain six pounds of muscle in a year.

SPEAKER_03 23:40

Wow.

SPEAKER_08 23:42

Six pounds. Wow.

SPEAKER_03 23:46

Wow.

SPEAKER_08 23:47

I'm not talking about like a CrossFit athlete who has professional coaches that are training them and they're taking all the supplements and they are eating in a massive surplus. I'm talking about the average woman who is fit and goes to the gym, and you know, you're doing your best with your protein. You're listening to the people. It's not your full-time job, though. So that average person, if they're really putting the effort in, about six pounds.

SPEAKER_03 24:10

Wow. I'm believable.

SPEAKER_07 24:12

This is why, like in my mind, when I'm working with patients, I think it's a whole hell of a lot easier to just find a way to get the protein in than it is for years. You think the weight loss is hard for years on the back end, you having to do that other work, no one's wanting to sign up for that, right? And then the bigger challenge, the thing practically, like, how does this relate to everyone else is like you're gonna gain the weight back. So if you're losing a bunch of muscle, you don't want to gain the weight back. So you, this is the thing you have to care about. Like, this is literally like two things for you to be successful on it.

SPEAKER_06 24:43

I eat way more protein now than I've eaten in my entire life.

SPEAKER_07 24:46

Me too.

SPEAKER_06 24:47

I'm telling you, I never paid attention. I probably ate like a little bit of protein and carbs and fruits and whatever. I other than when you diet, you know what I mean, and you're like everything's measured out for you and all the things. And I've been doing that since I was eight. But I would say, like, I the amount, and I can't, I mean, I think it's gotta be helping, but like it's interesting because I I will tell you, my struggle has always been getting in enough calories. It does not matter what dose of the medicine I'm on, it's just how the medicine works with me, is a mental thing. I have to force myself to eat. And I don't mean force myself to eat, like, uh, I have to sit down and commit to a few bites, and then I find my body lets me eat. It's like, oh yeah, that's what we're supposed to do. Okay, let's do this, you know, and then I can go, but getting over that hump for me is a mental like thing I fight every day. You know what I mean? But I for sure always prioritize protein at every meal that I have, everyone. I snack and whatever it is. I but I never I think I think the hardest part for me is that I don't have an emotional relationship to food anymore. Um, and that has been bizarre. Awesome for me because like that for sure contributed to the bingini disorder, but also like really different. Like there's just so much mental work, I think, to do with these medicines, like we were talking about before. But yeah, thank you so much for for clearing that up for us. I feel like we had several sort of like nuanced questions around the muscle mass thing. But it's really good to know. It sounds like try not to worry about it so much. Like go in, prioritize your protein, trying to get in 100 grams a day, which is what, like 30 or 40 ish per um per meal, right-ish, and then um, and then try to do 10 minutes three times a week of strength training to easily simplify it.

SPEAKER_04 26:36

When we talk about body recomposition, and maybe you can touch on this later, like what are some of the best ways to recomp our bodies because they're completely different from I know my body is even different from when I was like in my 20s or in my 30s.

SPEAKER_06 26:55

So, where did our butt go? Is the question. Where's our buttons?

SPEAKER_04 26:58

My butt is gone.

SPEAKER_06 26:58

My butt's gone. I know where mine is, and I have I know you know where your butt is on fire. Yes, you guys butt is amazing because she does.

SPEAKER_04 27:09

You're expanding right now. But go ahead. You know, we caught one of your TikToks about increasing GLP1 hormone. So could you expand on this beyond the limited time that we have on TikTok? Yeah, it is brief. Yeah, yes.

SPEAKER_08 27:23

I love it. I I love it. Um so many good things. So I can definitely hit on the body recomp, but I'll honestly say, as long as you're willing to do it for the long haul, if you can just continue that protein and continue that 10 minutes three days a week, you will you won't even have to work at recomping. You will recomp. Right. And and honestly, the way that I design programs, I'm typically for women over the age of 30, I'm making sure we're hitting the glutes like crazy and that we're hitting we're hitting our upper back. Because we tend to definitely uh deactivate upper back and we deactivate our glutes. So I think that's one of the biggest things.

SPEAKER_03 27:59

Those are definitely deactivated for me, Doctor. I mean, and it's easy and a lot of yeah, I don't know where any of them are anymore. They're gone.

SPEAKER_08 28:08

So, you know, one so all the stuff, anything that you can do to activate your body is gonna be helpful. It's the idea that if you're suffering with, and I don't want to say suffering, but if you have obesity and I tell you to eat some Brussels sprouts, it's not gonna be enough. Okay, so I'm gonna share ways that you can increase your GLP1 naturally. I'm just saying that's not what I'm prescribing if I want to help you have healthy metabolic health. Okay. So I think it's worthwhile to enhance your GLP1 naturally. Some of the reasons for that will be do you want to stay on the med? Will you be on the med lifelong? Do you want to keep the lowest dose possible? Okay. So there's a lot we can do where you can say, hey, listen, like I will prescribe you the medication, you will be on it for for your life. And that's okay. This is gonna help your metabolism and your metabolic health stay healthy. And there's some things you can do so that we can kind of get you the lowest dose, so that we can extend your your dosing interval, or we can do whatever we want to do. But the point is with the GLP1, increasing it naturally, um, one of the one of the fun ones, and I'll hit it right off with Russell Sprout. So it's actually the bitter receptor. So we have a bitter receptor. So GLP1 is actually a hormone that's produced in our intestines. The idea is that um this bitter taste receptor, once we activate that bitter taste receptor, like we're gonna have activation of GLP1. So we're gonna have GLP1. And the other thing that Dr. Rentia pointed out is that GLP1, natural GLP1 that you're producing in your body, because we all have it, the half-life is very, very short.

SPEAKER_07 29:37

It's two minutes. I looked it up before. Two minutes, and it gets broken down by BPP4, which is you know, like a lot of the diabetic meds will be that's another thing that we're targeting, right? We're targeting GLP1, BPP4. So anyway, I just want to say two minutes, right? Two minutes left. Yeah. Two minutes.

SPEAKER_06 29:53

I still like Brussels sprouts.

SPEAKER_08 29:54

I know, and I totally uh so broccoli, Brussels sprouts, cabbage, things like that. So that's gonna be a way that if you incorporate them into some meals, you might find greater satiety. Um exercise. So exercise is one of the ones that increases the amount of GLP1 naturally by a landslide. I'm talking like hundreds of percentages, like 700% in one study. Um, and so how much you ask? And I would just say, you know, move daily for 10 minutes, right? And not strength training, but you know, get your steps in. So any kind of activity you can do is going to naturally enhance GLP1. Um, hydration, believe it or not, actually enhances GLP1 naturally. Protein enhances GLP1 naturally. Um, stress management. So we forget, we like to ignore stress and we like to ignore sleep. We're like, oh yeah, well, sleep and stress, those are negotiable. Those are non-negotiable.

unknown 30:46

Okay.

SPEAKER_06 30:47

Stress one, but the stress one, document.

SPEAKER_08 30:50

Stress ones. Yes. So kind of finding a de-stressing practice, right? As you can tell though, there's a lot of different things that you would have to do to really kind of keep pumping out that GLP1. And then if you talk about supplements, some of the biggest ones you'll see are gonna be things like you're gonna hear berberine brought around a little bit, right? Um, you're gonna hear allulose. Allulose is actually a natural sweetener that's been shown to significantly increase GLP1. But again, like it's what Dr. Rentia said, it's not gonna be there for that long, but it's gonna enhance it. Um, and then the other cinnamon, um, humarin, like things like that. But again, the impact for somebody who actually needs to have obesity treated, that's not gonna be enough. It's gonna enhance, right? But it won't necessarily be enough. This would be good for somebody, like if somebody says, I don't qualify for the med, what do I do? Well, let's start with some things that we can do and then let's see where we get.

SPEAKER_06 31:48

Yeah. That's so interesting. You know, um, talking like around the deficit area and people with obesity, you know, obviously needing more assistance, right? Um, uh we've had a lot of doctors come on the show that it sort of are of the mind that we don't even need to call it obesity anymore, that we need to have a different word for it, like a definition. And one of them, most recently, who's an obesity specialist, said we really should just focus on it just being a GLP one deficit. Like this, that's you know, like if we wanted to, you know, like what you like to do is oversimplify, right? Um, it is that so I'm curious what you guys think about that. If you have an opinion, should we call it something different? Like, how can people understand it better? Um, I don't know, with with the change, I can't help but wonder if that would help the society piece, you know.

SPEAKER_07 32:34

Well, it's quite it's quite often in medicine that we'll recategorize something. I want to give you a different example because everyone's very cute when they think about weight. But so, for example, if you hear the term chronic fatigue syndrome, that used to be, you know, a thing like a term that we would use. Well, then now when I was going through training, they used chronic exertional intolerance syndrome, right? So it was like they wanted to basically highlight like this is actually what these people are going through. Like they can't handle this, like just exercise every day and increase what you're doing. They actually burn out really quickly, like they need to lay down for two, three weeks, like you know, depending on who you're dealing with.

SPEAKER_09 33:08

Yeah.

SPEAKER_07 33:08

Okay, so when it comes to this, I remember when I was going through training and I can't remember what the letters stand for. Maybe you remember Ali, but it was like they wanted to call it like A, B, C, D, E. I can't remember, but basically the bottom line is they wanted to call it like an abnormal adipose disease, right? Yeah. Like a fat tissue, right? And that's ultimately what's happening in obesity medicine, right? There's either metabolic derangement from abnormal, what the adipose site, the fat tissue is secreting, the hormonal changes in the body, and then it was there's biomechanical, which is like, you know, physically, I'm getting sleep apnea, the throat's collapsing, I'm getting osteoarthritis of the knee, the knees collapsing with arthritis, you know. So it's like we probably could change the name. Would it help with stigma? Possibly. I think we're heading toward those things, but I don't know that it's, I mean, really, the ton obesity is not that old. I mean, it's what was it, like 2013? I want to say that it became actually recognized, right? So we're we're not that far into it, but I think people are starting to understand it's an actual metabolic thing. And this is not willpower, this is not a decision. Actually, I work so much with patients on that. And instantly when they start the meds, they say, I get it. I get what you mean. Because I would have, I never chose that before, but I didn't realize that because I judge myself. I don't know, Allie, if you have any further thoughts on that.

SPEAKER_08 34:26

No, I love that. So I get the idea. We we definitely have to continue the work with the stigma. And I think that obesity is such a complex disease that we almost have to honor it in that way. And so it's kind of like we do, I I mean, I would love a name where people could, because I sometimes even when I say obesity, I kind of I'm like, I'm not, you know, it's it's kind of like it feels a little bit like not perfect for me. And the other thing too is just, I mean, what what you just said, Kim, just about um not having that emotional attachment because it is in our brain. It like, right? So it's in the brain. And it's yes, it's GLP one, but it's also GIP, right? So Manjaro and Zeph bound, it's it's hitting two um different, you know, um parameters to help with it. So I I love the I love how people are thinking on it, and I love how together we're coming to try to decrease the stigma, and it's so complex.

SPEAKER_06 35:24

Yeah. I will tell you, there is there's something about this, and I think that it, and I'm curious how you guys feel, but like saying that I have obesity or that I am obese was very, very difficult for me. I and that term itself, because when I would go and look at my paperwork leaving saying that I was grossly morbidly obese, I can't even tell you what that like did to my brain, you know? And so for sure, I was like, well, I've tried everything or something I could do about it. And then I just sort of shut off, you know. And I just wonder if there's like just a way for like us to understand that it's more complex. I just think that as people that struggle with it, you know, that are not not medical experts, it's very difficult. You know, and I think some of us have said, let's call these anti-obesity medication treatments, right? That's been something I've been hearing kind of bop around on TikTok, anti-obesity, and like one weird, weird thing. So I had the termite guy come by. Um, if termite guy, if you're watching it, it's weird, but you know, you were here. And he goes, he hadn't seen me in a year because he comes by every year to check the termite things, you know. And he was like, Um, you've lost a lot of weight. And I'm like, Thank you, man. Like, like, like first, yeah, these are facts. I was like, Yeah, and he's like, How much? And I'm and I was in the middle of like a meeting upstairs, and I was like, uh, because I needed to like it back, you know, and I was like, Oh, about a hundred pounds. I was like, over the past like 18 months or so, he's like, Well, that's the way to do it, good for you, or some crap like that. And I just looked at him and I was like, and he goes, How are you doing it? And I went, anti-obesity medications, and he just stared at me and he goes, Oh, like that. And I'm and I just stared at him. I dare stay. I just was like, I got no time to explain this to you, buddy, but I'm not gonna lie to you. This is what's happening, you know? And and he goes, Well, keep it up. And I wanted to punch him in the throat so hard when he said that to me, nobody should ever say keep it up, ever. Because someone who struggles with obesity like this, like and that term and the disease and the shame and the blame and all of the different things. We have had people tell us that every time we've ever been on a diet and lost weight, and we're also hearing, and I've asked a lot of people about this, you know, that you haven't lost enough yet. So here I am, a hundred pounds lighter, right? My health is in such a good place, other than the fact that my butt ran away, you know, and and for whatever reason, this man thinks it's okay to talk about my body at my house when my husband's at home, regardless of that. Like, it was so weird. And and it happens, that kind of crap happens all the time. And what I think is interesting is like, too, going back to like, and we'll go into like the gaining it back thing, but um, that's part of obesity, right? Is the the chronic piece of it and the gaining weight back. So that's why I just like wanted to like see if if there's just a different way to refer to it so that we can refer to the treatment better, so that other people who just don't get it. People who are not trained or do not either have obesity or really love someone that's seen them struggle with obesity, they don't get it. When you talk about food noise, when you talk, they're like, You can't you just stop eating? Like, I don't under they don't get it. So they automatically go, you must be less than, you know, you must be weaker than you must be sadder than you must be, and and of course, then we of course internalize all that because if people who love us think that, then maybe that's what we are. And it's just I just think there's and we're trying to change that on the podcast, right? Like that we're how we're asking hard questions and having our conversations about it to try to at least drive a narrative in the direction of I don't know, innovation, change, you know.

SPEAKER_07 39:11

So yeah, I I will say one thing in medicine, we're I don't really I don't ever in my notes use like morbidly obese, like those type of terms are not used anymore. We have to be right. So we we have different classification systems and ways of using it. I'll tell you this though, only recently did it make its way into the EMR where I could even pick it as an ICD 10 code. That's how as physicians we pick what it is. And so literally the world might evolve to some point, but has all the has all the nomenclature made its way into the EMR? I mean, it's just it's it's complicated on many levels, but I think that these conversations, I'm hoping that like let's say in 10 years from now that we're just in a radically different place, it's just like high blood pressure.

SPEAKER_08 39:53

Well, this is what I'd like to offer is like a different perspective. Yeah. Um, you have people listening on your podcast right now who maybe don't meet the BMI criteria for obesity. Yes, and they have obesity.

unknown 40:04

Yeah. Wow.

SPEAKER_06 40:05

Tell me more about that. Tell me more about that. Yeah.

SPEAKER_08 40:07

So the idea, right, is that okay, so we know environment and we know genetics. Obesity is hugely genetic. Okay. Like they're it just sits. Okay. So my point is that, you know, individuals who maybe are in their younger years, and let's just say don't meet the BMI, and by the way, I do not like BMI, but they don't meet the BMI criteria. They're, they don't have obesity, right? Like, quote unquote. Um, and they do though, because in the their patterns, they their entire genetic makeup has already predisposed them. And eventually they're gonna see the symptoms of, they just don't see the symptoms of yet. So I think what's interesting is that you know, people can sit around and and shame other people, and they might be sitting there with the same exact disease.

SPEAKER_06 40:53

Someone said, well, never should a doctor say that you have obesity just by your BMI. They should be like measuring you and like measuring your thing. And I'm like, I am 44 and I have yet to have a doctor ever do that to me. And I've had this weight issue forever. I do remember this shift as a little girl being, because genetics, right? Back to your point. I swear I'm going somewhere. Um, it is a little girl, and I was always tallest, like biggest. I was thick, you know, I was almost 10 pounds when I was born, big just big, big, big human, you know? And I remember people being like, oh, like that's just her baby fat. Like I would hear that all the time. It's just she just hasn't lost her baby fat yet. That went on for a long time. And then about like the age of eight, that was when my my middle sister was born, and my mom was trying to lose weight, and she went on a diet to lose weight, and I went on it with her. And from there on, it was up and down and up and down my whole life. And I think I remembered Dr. Rentia saying recently that like 70% of your weight is genetically like predisposed, or something like that. Isn't that what you said? 70%.

SPEAKER_07 41:59

Yeah, it's a lot, it's a really good percentage. So people think they have this that it's their free will and they have control over it, but it's like, can I I always sure I'm the same as you? I mean, I was in kindergarten. You can see the photos of me next to my sisters, and I'm just larger. And it's like, I don't even I remember, you know, I remember loving the snacks in kindergarten. That's like one of the only things we would make a stone soup into this and that, and I remember that's the highlight, and like that's genetic, right? When you're remembering the snack in kindergarten, I mean, come on, right?

SPEAKER_06 42:31

Yeah, that's like the emotion, like the dopamine that you're like registering, right? From that moment, you know what I used to do? Everybody else wanted the celery, by the way. Ceral celery, I I I may try it again, but I've always hated it because it's yuck. But I would take the remember like the little logs, like we put the peanut butter in and the raisins, and I would just be like, um, hey, whatever, that's protein and fruit. I don't hear nothing.

SPEAKER_02 42:54

I'm out of here. Oh, yeah. People say it not just like actually losing weight and making your skin lose. People say that taking a GLP one, like, I don't know if it like dries out your skin, sags your face. Um, could that just be we just need to use more lotion or you know, Kim's neck cream? This is just this is just ridiculous, right?

SPEAKER_07 43:21

So any day can late, you lose sub Q fat. So when you think sub Q is the skin, right? It's very visible in the face. So I want to take you all the way to an extreme example. Think about the cancer patient that's dying. Unfortunately, a lot of us have had experience with this, right? They are catactic. You see their forehead, they lose this muscle, right? They're losing this, they're they're losing everywhere, right? So anytime you're losing a pronounced amount of weight, it's gonna be everywhere. So all the skin, like you're you're losing the cushion underneath. I want you to think if I took the pillow out of your pillow, what's just the sheet gonna look like? That's the skin. Okay, right. So that's for. Everything. It's not a cream that you need. I think the the best thing you can do along this whole road is make sure you have like a variety of foods, you have good um uh macro mil the micronutrients is the word I'm looking for. And ultimately, some people might decide sometimes as we get older, we're not able to look the way that we want. Some people will use fillers or get Botox, but this is a problem for all weight loss. It is not unique to GLP1s, and I think it's quite vicious, to be honest. Again, it's another attack on the GLP1 community, right? Always it's for all weight loss, but we're just seeing it much more commonly. And so that's why they they say this. Yeah.

SPEAKER_06 44:37

It's it's weight loss face, right?

SPEAKER_07 44:40

Because there's no winning with them, right? Like these people that want to do this and this narrative. So before we were overweight and that was unhealthy, and we really needed to do something about it, but there was no tool. And then now people are actually doing something about it, but that's a problem, and now you've gone too far. And that, you know, so there's never a winning, right? So this is like the definition when a group is really marginalized, women overweight, like you name it, we are in that marginalized group. And so again, it takes time to change the the narratives on these things. Yes, yeah, yeah.

SPEAKER_06 45:11

We're trying. That's why we're talking about the hard things here.

SPEAKER_04 45:15

Yeah, and it is just like a a little pebble when you throw it into the water, it's little, but maybe will will go far and wide.

SPEAKER_06 45:26

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SPEAKER_04 46:20

We hear that there are phases to weight loss, and that many of us are hung up on numbers on the scale. You know, however, there are other actual phases uh to weight loss. Could we touch on those phases?

SPEAKER_08 46:38

Yeah, I love talking about this because nobody talks about the third one. That initial rapid weight loss that everybody thinks is supposed to be sustained throughout all of their weight loss is just not all that exciting. Because honestly, all that it is is going to be a whole lot of glycogen stores, a whole lot of water, a little bit of body fat at first, not a ton, a little bit of muscle, maybe. And so you they see the number on the scale, and they're like, oh my gosh, I lost 10 pounds in the first week. This is amazing, it's working. Yeah, but it's like, no, actually, what you just told me is you have more glycogen stores. So you have more glycogen stores than that person who didn't lose all that at first.

SPEAKER_06 47:19

What's that? What's that mean? What's that mean? I know the audience is going, what?

SPEAKER_04 47:24

Look like what it's glycogent stores.

SPEAKER_06 47:27

Yeah.

SPEAKER_08 47:28

So let's say that you have Sally and Mary, okay? And Sally exercises all the time. She eats really clean and she is on a weight loss journey. Okay. She's ready to lose some weight. It's, it's, she's, she, she's gonna get her optimal health. Okay. And then Mary, all right, she likes to not eat so well. She doesn't really exercise. Okay. They're the same weight, they're the same body fat percentage, they're the same body type. So they go to the same doctor, they get the same med, they get the same diet plan, the whole bit. Let's not call it that nutrition plan, the whole bit. Okay. Sally, who does all the exercising and eating well, loses one pound her first week. Mary loses seven. Yeah. Why? Because Sally didn't have so much glycogen store, so much excess glycogen store in her liver, in her muscles, in all those things. She's not retaining a ton of additional water. Yeah.

SPEAKER_02 48:28

Oh my god.

SPEAKER_08 48:29

I know.

unknown 48:30

Yeah.

SPEAKER_02 48:31

Wow. So it's so slow for me. I get it. I get it. Oh my God. Yeah. This is it, right?

SPEAKER_07 48:38

Because everyone, all day long online, I'm like, stop glorifying the fast weight loss in the beginning. It's not for me.

SPEAKER_08 48:48

I don't think that was good at all. Oh my god. No, you said you like fitness. So I'm telling you, your but your your body was doing all the things it was it was doing. It was it was working real hard to do all those things. So you weren't gonna release a whole lot. You didn't have a whole lot you were holding on to. So then what happens? That's phase one. Phase one is rapid loss. Okay. Phase two is where the actual fat loss happens. Phase two is slowish crap.

SPEAKER_03 49:13

I don't know if you can say we say all the things.

SPEAKER_08 49:16

Okay, fine. Oh, yeah. It's really slow. And so a lot of times people think, oh, I'm only losing two pounds a week. If you're losing two pounds a week, that is way too fast. Yeah. You're you're not it's it's probably not fat. That's why it's very, it's very difficult for your body to let go of two pounds of body fat, pure fat, every week. Yeah. It's gonna be more realistic, right? For people, it's good 0.5, it is what it is, and it's slow, and you're gonna stall, and you're gonna have a little plateau, and then you're you know, the whole thing, it's gonna happen, right?

SPEAKER_09 49:53

Yeah.

SPEAKER_08 49:54

Okay, so the fat loss phase. So then what happens is your body kind of is gonna get happy at some point. And this is the whole thing where hormones start to come into play, leptin starts to come into play, and you're gonna kind of hit your new set point. Okay. During your new set point, because a lot of times when people hit their first set point, they're not happy, they still want to lose more, and then they get discouraged because they're gonna see the scale creep up.

SPEAKER_06 50:16

Yeah.

SPEAKER_08 50:16

So in a normal weight loss phase, hey, I'm there. Yeah, you're gonna gain up to 20% of that loss. So if you lost 100 pounds, you could gain. I mean, do the math. Like 20 pounds could be normal. Like I'm just saying, it could be.

SPEAKER_09 50:30

Yeah.

SPEAKER_08 50:31

No, don't worry about it because your body just has to recalibrate. You're gonna be able to hit that phase two again. Okay, definitely. You're not gonna go to phase one because you're doing too healthy, you're too healthy. Sure, yeah. You'll hit phase two again when your body's ready, but we don't know when your body's gonna be ready.

SPEAKER_02 50:45

It could be a year really explains everything. In 2023, I think I maybe lost so little away, but I shrank like two pant sizes. So I was like, I'm just gonna go with this. Also, I'm a Libra, I'm a strong, firm believer in living my life and still having my wine and my chocolate and my cheese. Sure. So I'm not gonna give it over. Let's do all that. I'm not binging, you know, I'm not having a whole cake, but dang it, I'm gonna have a cake.

SPEAKER_06 51:15

I just want to be in control of my own choices. Like, I know that sounds ridiculous. Like, is you're like, you're picking, right? Kat and I both struggled with binge eating disorder. Um, but like, I don't know how to describe it. Like, I felt like I had no choice. Like it was, I was, I I keep thinking about French fries. Like, I have to, I I don't, it was like that pull every single time. And now I can look at them and go, I don't really need that. I had a couple and I'm good. Other people can do that. I've never been able to do that, those acrobatics in my brain until now.

SPEAKER_02 51:51

I think about like when we when we talk to people from the community and they say I was working out twice a day and I didn't see the scale move. But I always said, when I had those times, start measuring, take off the measuring tape and start measuring tapes. How fast, how much, how much is your strength improved? Because that scale is an a-hole. Yeah, yeah.

SPEAKER_06 52:13

How is this different from when people are like losing weight? Um, I feel like when people have weight loss surgery, right? Um, and not even like lap band like I had, like when people have like sleeve and stuff. Um, we've had some bariatric surgeons on the show and they lose weight like a ton of it, and they lose it like quickly, and it is rapid, and then eventually it kind of starts to taper off for them. Um, is this are the phases of the weight loss sort of the same when you're having bariatric surgery as opposed to like GLP ones or even just like not taking anything at all and losing weight? Do you still have those same phases?

SPEAKER_07 52:44

I I see the same phases. I just see it being much more rapid with bariatric surgery because the calorie deficits are so much more extreme. I mean, some people, again, I'm not gonna talk out a turn, you're gonna listen to your doctor, but there's a lot of people after bariatric surgery that are eating like 800 calories. They're not eating 15, 16, 17, 1900, right? Yeah. So it's much more pronounced. It a hundred percent applies because this is actually why I got into obesity medicine. The level of shame that the post-bariatric community has when they regain it, it's through the roof. I have my patients had bariatric surgery in the past of all different kinds. The same phases apply, yet they think, well, I had this huge intervention, so I should be like fixed for life. It's like, no, you're not immune to all the same changes. And one of the things I want to talk about is that shame is leads to then binge eating disorder and all the other things being worse, right? So it's like if you can have some compassion that like this is a physiologic thing that's happening, this is actually not that I've suddenly gone back to old bad patterns or all these kinds of things. And of course, it's always helpful if someone like me or Allie's helping you through it. If you have that, then I don't see the regain be as much or as out of control or like it goes all the way back to the beginning. That doesn't need to be the case, but you need to know that like I have a lot of patients that they've been, for example, on Manjaro for more than a year. All of them, like once they reached that, like some of them even 31, 35, 40% weight loss, a little bit of a creep up. I'll see about six, seven pounds again, depending on how much people have lost. Because every month I'm tracking their weight, total body weight. And it's like if I were to graph it, it's it's classic. It's that little dip, then they come back up and they're stabilized. It's it's just yeah.

SPEAKER_06 54:21

Yeah. And the mental piece of that, I think, um, is is really intense. Like we have we have someone in the community um who just found out that she is pregnant, so she had to stop. It was a suppress, um, stop the medicine, and she's starting to gain some weight. And the mental piece of that, like, wait, I'm pregnant. Like, wait, wait, you know, and like having to shift back in, right, to that mentality.

SPEAKER_07 54:46

It's a lot that I have a lot of patients that stick with me, and same thing with you, Ellie, right? Like that stick with me through pregnancy because they're like, I get I'm out of the med anymore, but I want to continue to have your support and they want the mental aspect of being supportive. I believe it. Number one, they don't want to be out, right? And pregnancy is a normal, natural, amazing thing that is happening. But if you put your whole worse in what the scale's doing, now it's like like a ton of bricks that's gonna hit you, right? You don't have the time to sort of disassociate yourself from the problem, right? So, yes, that's a it's a big thing. Ellie, do you want to comment on that more? I mean, I actually see this a lot with young women that I work with. Yeah.

SPEAKER_08 55:20

Yeah. And actually, I love supporting women in pregnancy because I find it to be one of the most uh effective approaches to heal um body dysmorphia and to actually um help them develop a better relationship with their body. So we actually go ahead and we flip completely into an intuitive way of eating, making sure they're getting the right uh amount of protein and whatnot. But we flip more into an intuitive where I actually say your only rule is to ask your body exactly what it wants. And so they their body's gonna do what it's gonna do anyway. We can't control that. And honestly, the mindset work can be so profound during the pregnancy that when it's post-pregnancy and they want to have some weight loss, they're in a completely different space. So they now well, they've spent like nine to ten months healing their relationship with their body. Right. It's a game changer. So I I try to find outside the box ways of approaching these types of things, and that's what I promote then. So we go completely intuitive eating, honoring your body, um, moving your body in the way that it wants to move. Yeah, all that.

SPEAKER_06 56:28

And like her being up, I I the only thing I knew to say to her, I was like, Do you have any idea how much of that is fluid? Like, friend, it's okay, and you're gonna grow up because you're growing a human, you know. But like, but she she's been battling obesity for her. She got PCOS, type 2 diabetes, like her whole life. She's been battling it forever. So, you know, I think she just got down, she got married, got down, like, you know, got down to this little weight, and I'm just like, bam, right. And I think that it's just like it's so hard when you've bounced like this forever, right? And then you finally find the thing that works, and then you're gonna have the amazing miracle, and it's wonderful, we all know that, right? But at the same time, it's like, what does it do? And I think that's a really good point.

SPEAKER_08 57:12

There's a lot to be gained with that work, and honestly, unless there's a reason most people aren't signing up for that program. Yeah.

SPEAKER_07 57:22

That was actually my story. Like, I think that's actually when my work's, I know this is gonna sound funny, but when I got pregnant, I very soon got um gestational diabetes. And I mean, from one minute to the next, I was changing how I was eating, what I was doing, I was walking. And of course, it was like I had this external thing driving it. But at the same time, I had such a shame that I'd gone into pregnancy so overweight. Like I was over 150 pounds overweight and interacting with the medical system. And it was just such an opportunity for me to learn to love my doctor and learn to show up for myself in a way that I never had, it's like I'm gonna start crying. It's like it's a really beautiful thing. So I want people to know that if you spent a lot of time losing weight, you've loved yourself tremendously. That's the best gift you can give yourself, your baby. You made yourself a really healthy vessel. But even if you're starting out and you were like me and you didn't know it and you know that happened, again, all versions work, but the work is that that you have some trust in what's happening.

SPEAKER_06 58:20

Yeah, I love that. That's awesome. I think that when you hit like stalls and plateaus and all that, and I've hit all of them. And it's sometimes it's hard for me because I see my friends, and I know they hit stalls and plateaus, but I had I hit them for months. Um, and so I've lost a hundred, but I have other friends who have lost 150, 200 pounds in the same amount of time in 18 months, right? They've lost way more than me. And I for sure am like, is it because I'm not eating enough? Is it because I'm not, you know, or whatever it is.

SPEAKER_08 58:49

Like, I'm are you comparing?

SPEAKER_06 58:51

I am, I do it all the time. Yes, and then I will look people straight in the face and go, don't you compare yourself to the people that have water? And I'll be like, Well, wait a minute, how much?

SPEAKER_07 59:02

Yeah, I'm like, if you could not do one thing on your weight loss journey and just like still compare ever do this, yes, to not compare because it's it's truly deadly, it's gonna stop you from progress. Yeah, it you you never have the same journey as someone next to you. I know we all do it, but just remind yourself let that be the trigger to me to work on not doing that. Like this Yeah, the trigger.

SPEAKER_06 59:23

That's a great really good idea. Not a five-second rule, five second rule. You drop the nugget on the floor, but you can pick it up if you don't want it. But yeah, that that's that's something that I remember like when I would have those moments. I'm like, okay, but right? I would chicken nugget pick it up, right? And I will be like, okay, what's changed for me that it's still worth it to keep doing what I'm doing aside from the weight? And I would break down like the obsessive anxiety. I would break down, you know, the fact that I'm not like driven to like have to eat the fry. I am in control of my choice. I can say no and then not constantly think about the fry all night long that I didn't eat, right? That power, the power of having that back and being, I don't know, responsible and accountable for every choice I make or don't make. Like, at least if I ate all the fries, I would be like, but I ate them because I wanted them and I was hungry and that's what I wanted to eat, right? But if I if for I don't I don't know why you go back to French fries, I guess that's what I think about when I think about can't stop me eating, right? Um, but like things like that. Like I just want it, I you have to think about the other things that the medicine is giving you, I think, during those plateaus and stalls and all of that, because if not, you'll do the comparison thing like I did. Yeah, and you want to pick up the chicken nugget.

SPEAKER_07 1:00:35

I always bring up it's like if I were to hand you on a platter and be like, look, in a year from now, you're gonna have lost a hundred pounds, you're gonna be doing this, you're gonna be doing that, you'd be like, Yes, kid at Disneyland, right? But like when you're in the moment, we forget that perspective, right? So I think we all do it, but it's it's good words.

SPEAKER_08 1:00:51

Yeah, and the thing I'd like to offer, yeah, if I may, no, because of course is that um, I mean, I think we can agree to agree that you have impacted at this point hundreds of thousands of people. I think we can agree on that. So you're not supposed to have a short journey. Yeah. Sorry, it's not over yet. There's you it's too profound. You're too your impact is too profound. So you there's more you're supposed to uncover to share, I believe. So I would say that a rush journey for you would be a huge loss for many people. Sorry.

SPEAKER_02 1:01:31

No, you take it, you have a little teary moment. I'm gonna ask a question, I'm gonna get science. All right, you want to like question science. I feel that. I feel that I like it, yeah. We touched on it earlier. Um, I wanted to ask like the definition of both of them. Like, what is insulin resistance? And then what is leptin resistance?

SPEAKER_08 1:01:58

Okay, well, I know Dr. Rente can also talk about this beautifully. Like taxine. Totally. Um, so I'll I'll talk insulin first because um leptin is the one people like to have a lot of fun with, but yet very few really understand it. Believe me, I never know. I'm not sure people understand the insulin resistance. So we'll talk about them all, but I'm gonna simplify it. I love it, I love it. Yeah, if we're using obesity as a diagnosis, only two percent is actually medically treated. Two percent. Okay. So if anybody is like, you know, saying, like, oh, well, look what's happening, and now they're getting treated. Yeah, there's two percent of obesity that's actually getting treated. So imagine like medically, yeah, yeah, medically.

SPEAKER_02 1:02:45

So 2%, 2%, too, medically. Just too little.

SPEAKER_08 1:02:51

Yeah. But that just goes to show you, I mean, 50% of our country, right, fits that criteria. So I wanted to put that out there. But insulin resistance, this is a really, really fun one. So insulin is made in the pancreas, and insulin is actually really useful. A lot of times you're like, we hate insulin, but no, actually, insulin does something for us. The idea is that insulin allows us to have a normal blood sugar. Okay, so when we first kind of are get started, let's just pretend, you know, unless somebody has type 1 diabetes where they don't have any insulin. So let's just say you're you're born and everything's working properly. So when you're consuming substrate food, um, your blood sugar is gonna increase. And because of that increase in your blood sugar, you're gonna have a release of insulin. Now, different macronutrients are gonna cause different release of insulin. For example, carbohydrates are gonna have your highest release of insulin, whereas dietary fat, there's gonna be the lowest release of insulin. When you combine foods, protein, carbohydrates, and fat, that's gonna be a very nice normalized insulin response. So, what happens with insulin resistance? Insulin resistance is when our blood sugars are kind of high all the time. And a lot of times this can be due again, genetic, there's gonna be a huge component of that. Also, sometimes, like how we our our diet in America, you know, potentially we a lot of processed stuff, higher carbohydrate, higher, less lower fiber. And so over time, the blood sugar can be higher. So you're gonna have more and more insulin being released just to take care of that blood sugar level. Okay, so that that's how the resistance develops. So think of resistance like the insulin that used to work to bring your blood sugar from 120 to 80, that amount doesn't work anymore. You now need double that amount to bring your blood sugar from 120 to 80. So that's insulin resistance. And so what happens is um insulin is anabolic, meaning it helps with storage. So yes, it helps store our muscles up. So again, when we were talking about after you eat, after you worked out, yeah, you're gonna have an insulin response. And yes, you're gonna push some into the muscle, but anything left over is stored as fat. So insulin is highly fat storage. Okay, so again, if you can imagine it, if you have a lot of extra insulin because you're insulin resistant, you're gonna have a higher tendency to store body fat.

unknown 1:05:14

Oh.

SPEAKER_02 1:05:15

And does that also affect your appetite? Like, say if is this what it is like so I remember when I would have like a full lunch, I eat a sandwich, a whole like I always want I lost the vegetables and meats, and and then 20 minutes later, I was I why do I want another frickin' sandwich? Why am I so they were delicious? Yeah. And it could be or be insulin resistance, right?

SPEAKER_08 1:05:40

Well, potentially. So, right, because like then you have this big surge of insulin, and then all of a sudden it hits you, your sugar is gonna drop. But maybe your sugar isn't dropping to a normal range, but maybe your sugar is dropping by 20 points, and for you, you can feel that fluctuation, which is kind of we call it hypoglycemia hunger. However, here's the Other thing that we don't talk about too much. There's also people who hypersecrete insulin. So you can have somebody who just produces more insulin naturally. And so they tend to drop their blood sugars a lot quicker. And again, they tend to get hungrier quicker, right? Because it's kind of like it's this whole thing because you're dropping the sugar, you're like, okay, now I'm hungry, but maybe you're not really hungry. And so, and Dr. Renti, you can add to that, but that's kind of how I explain it.

SPEAKER_07 1:06:25

No, I think that I think that did it justice. It's just the way I always say that, like to just add to what Ali said, the machinery is not working properly anymore. So when people want to use the same tools of like just decrease your calories, a lot of people, like you were talking about, cat, like their hunger's through the roof and it's not controlled by an appetite suppressant like fendermine, right? Like a lot of people, fendermine is more stimulant-based, right? It's an oral medication. It will work a few months and then they're like, I'm back to where I'm hungry and it doesn't work. Like it doesn't work long term. Otherwise, we would do it, right? And I'm not saying it's not a medicine that can be used in certain scenarios. Sure, yeah. But the point is these things need to actually be addressed at a metabolic level. So whether that's taking a medication, whether that's nutrition change, whether that's exercise, whether that's stress reduction, because actually stress is one of the stress hormones that actually does have a part with leptin and insulin and all the other ones. So they're actually none of these are existing in isolation. So what I often see people do is they want to take a little lab study and they want to take this one hormone out and they want to be like, this is what it does. And I'm like, here, friends, like they all interact with each other, they're all in play within the body. That's why obesity is so hard. So I don't know.

SPEAKER_02 1:07:39

That's why it's so complex. So complex, yeah.

SPEAKER_06 1:07:42

Yeah, and that's why we need specialists and we need more of them.

SPEAKER_02 1:07:45

We need more of you.

SPEAKER_04 1:07:47

Yeah, we do more of you too. Yes, we do, more into and like clone yourselves.

SPEAKER_06 1:07:55

It's very difficult, guys. You wouldn't believe the stuff that we see on lives, like it's I do can because I stopped going on them because it scared me.

SPEAKER_07 1:08:03

And I was like, I can't even be in the room to be privy to hearing this stuff.

SPEAKER_06 1:08:06

It keeps me up at night. I I this the people that come in and they're like, Oh my god, I was just sick in the hospital on Wagovy. And I'm like, Okay, like Tom, what happened? Right, because we're not doctors, we just say, How can we support you? Like as people individually, right? And um, or I'll say what I heard from doctors on the show, like that's how we that's how JT and I do it. And and so they'll come in and go, Oh, my doctor couldn't find the medicine, so he started me on 2.4 of Wagovi. Yeah, literally. Literally, that's the kind of thing we it's not it, it is not every now and then we get that crap all the time. Okay, so oh no, no, we're starting at 1.7.

SPEAKER_07 1:08:42

We've never been on GLP before.

unknown 1:08:44

What?

SPEAKER_07 1:08:45

Yeah. Let's say someone new is listening and they don't understand why we're all having this reaction. There's five different doses for Wagovi, and that's saying each dose you're on weekly for a month. So it's saying they just skip to month five, and your body kind of needs time to get used to these things. You might even need more than one month on a certain dose. So to just go to the top that, but you know what that speaks to again. It's clinicians that are not experienced with these meds. I mean, primary like them, anyone can, and they often do a great job. I'm not putting them down. It's just you got to know what you're doing. Like when you restart a med when they've been on the highest dose and they're going to something else, that makes no sense, but they don't know how to cross-titrate a lot of the time.

SPEAKER_02 1:09:22

Yeah, yeah, totally. Yeah, I mean about like Eli Willie is doing more education, right? For um practitioners. So there you are.

SPEAKER_08 1:09:32

And that's the thing I see. Everybody wants like the not everybody, that's total generalized statement. Often people want the next dose. And what what I'll say, where I've seen my people have the most success, is gonna be going super slow with increasing that dose and really establishing those lifestyle parameters. They're gonna literally exactly. And honestly, this is the person who is gonna be able to ride out the lowest dose for months, and I usually say ride it out until nothing is happening, or that hunger is really coming back to a degree that it's super uncomfortable, then we bump it. Right. But I think there's a lot we can do because a lot of, and this is what I'll say that medications are not the easy way out. I would actually say that it's a you, I mean, hold on, you have a pun, like it's uh it's a commitment, right?

SPEAKER_06 1:10:22

And so you're committing a long commitment, a long-term commitment.

SPEAKER_08 1:10:26

It is a term commitment. We have to honor that. And so what I say is kind of like, listen, you've already invested in your willingness to do medication. Let's optimize everything, let's optimize everything. Yeah, you're already committing to yourself, so let's just do it all.

SPEAKER_04 1:10:42

Yeah, thank you for saying that. Because, you know, uh, so many people are in a rush, and I get it because it's diet culture, that's what this all comes down to, right?

SPEAKER_06 1:10:55

It's our society, they've been telling us forever rapid weight loss, this, this, and that. Like it's it's and it's also, I think, what is expected. I think when people are like, Oh, you're on this weight loss journey, but like, let me tell you something. I have told people come and ask me what I'm doing before when I lose like 20 pounds. And if I tell them I'm all Weight Watchers, none of them go, You're gonna gain it back. None of them say that to me, right? But these dumbass people on the internets come on and say that junk to me every stinking day, and it drives me nuts, which leads me to my next and maybe final question until we just like talk for a while. Um, but what about the regain itself? So we hear a lot about people going into maintenance and staying on a certain dose. Um, I think that um a lot of people say things like, there's not enough long-term studies to know how this helps people. You know, you really don't know what this is gonna do to you if you don't have type 2 diabetes. Um, all of that different stuff. Like, I feel like that's something we need to like talk about what's real about that and what's not. Do you guys have opinions?

SPEAKER_08 1:11:59

Oh yeah. Yeah. I have two things I want to say, and then I know Dr. Renty is gonna have good stuff. Um the first thing I want to say is that um there are, I wanna say, four times the amount of so there's four, so obesity, let's just say the diagnosis, it's going to be four times that of type two diabetes diagnosis. So what does that tell you? Well, eventually type two diabetes, right? So our our culture doesn't love preventative health, right? So so the idea is this it's kind of um, I was going with I was going somewhere really important with this, and now I can't really, it's not like going the same way as I imagined it in my brain. Um so I'm just gonna skip to the part that I really did want to talk about. Um, and that was um like the idea of medication and the weight regain. Well, one of the questions that comes up is leptin. And so we didn't talk about this, but leptin resistance, somebody cannot have any insulin resistance. And somebody could have this pattern where they essentially have been dieting their whole life. There's no insulin resistance that they can tell on lab. They're not centrally adding adipose tissue kind of centrally, which is a lot of times where we see insulin resistance. And what we notice is that what you would expect them to lose weight on, they're not losing weight on. So you might give them a 1500 calor, maybe it's somebody who weighs 300 pounds and you're giving them 1800 calories and they're losing nothing and they're consistent. And so a lot of times what happens, it's actually leptin resistance. So what in the way that it's easily explained is that fats that are our body fat makes leptin. Okay, so if you have enough body fat, you're gonna have plenty of leptin. And what happens is your brain doesn't recognize that you have plenty of leptin, it's resistant to understanding that you have enough leptin. So your brain actually thinks that you're low on body fat stores. Also, when leptin, when we think leptin is low, then a lot of times the ghrelin is gonna increase, which is the opposing factor of leptin, which makes us hungrier. So now you have plenty of body fat, you're starving, and all you want to do is eat, and you can't understand why you can't lose weight. Well, what happens with leptin resistance is it drives down your ability to burn energy. So to find everybody argues about this calories in, calories out, it's way more complex than that. But what I will say is fine, if you want to really go ahead and really go head to head on this, okay, great. Let's go ahead and let's make somebody with leptin resistance lose body fat. But we're gonna need about 500 calories for about six months total to be able to send them.

SPEAKER_06 1:14:37

Like what 500 calories a day? A day?

SPEAKER_08 1:14:41

The amount of energy that they expend because of the leptin resistance, because again, this resistance makes our energy burn go down significantly. The deficit, if you okay, maybe it's a deficit, but the deficit isn't sustainable. So this is what I want to say. I'm getting to my point. Yeah, if somebody goes on medication, now the treatment for leptin resistance is fat loss. So if somebody goes on a GLP1 medication, they lose that and they become more leptin sensitive, which can happen.

SPEAKER_05 1:15:10

Yeah.

SPEAKER_08 1:15:10

Okay. I've seen plenty of cases where people are off the medication and they're maintaining just fine because they can kind of do 90 grams of protein in three days of strength training at 10 minutes.

SPEAKER_07 1:15:20

Right. Yeah.

SPEAKER_08 1:15:22

Here's the thing though they might have the mental chatter come back. And I have a lot of people that restart based on mental chatter because the quality of life is so much better.

SPEAKER_03 1:15:33

The quality of life.

SPEAKER_07 1:15:35

Yeah. Dr. Allen, I think that's the main thing that I hear with people. It's that they finally had a place where it wasn't like a second job that they had where they had to maintain how much I'm eating, when I'm eating. Like, I just had someone say to me how they went on a road trip and they were like, for the first time ever, they didn't need to think about what did I pack with me and where are we going to stop and is there gonna be food? Like she was like, Will there be enough food? Well, I like it. She was like, I can't believe that that's cleared. I I think here's my thing. I think so. You were asking about weight regain, right? So I love all the physiology that Allie provided. Here's the thing I want to say practically that I see with my patients. The weight regain potentially can be less, but you've got to be willing to keep changing things. And so I think people think when they get to maintenance, yes, you keep doing the habits that you did, but that doesn't mean you're not gonna still regain weight. And so if you want to be that mythical unicorn that's gonna keep it and maintain it and not change within reason, right? Like five or whatever pounds up or down, whatever you decide your ranges, then you're gonna have to keep innovating and adapting. Meaning maybe you still do the 10 minutes, but maybe the intervals are up to the strength that you're using. Maybe you're now instead of walking, you're running the 30 minutes. Like, but something's gonna have to change. I do not see people be able to just do the same thing and maintain. They are usually naturally changing things. If you really deep dive into their stories, they're changing the types of foods they're eating, they're changing how they're moving, they're like getting more active on the weekend with their family. So if you really looked at it, they are changing a lot to be able to even maintain where they're at. That's the only thing. So people think I'm there, I'm good. Nope, you actually need to keep changing because your body gets smarter with what it's doing. Yes.

SPEAKER_06 1:17:14

Wow. Interesting. I mean, I guess that tracks. I mean, it's something I'm gonna have forever. It's why, it's why I won't just like rule out weight loss surgery because I have no idea if, when, ever, how I may have to catch my check.

SPEAKER_07 1:17:29

I I told Ali this at the beginning of working together. I'm sorry, I'm gonna share a moment and I just like sat on a couch with Allie at her retreat, and I was like, look, whatever tool is needed, however, it's needed, you know, right now this is working. But like, and Ali was like, I don't think you're gonna need that. But the point is, like, it's really whatever tool at whatever time. Yes, and being open, Ali talks a lot. Ali, I want to like give this back to you for a second because you talk a lot about marrying the journey. And I think I never understood this. I'm smiling because recently I had my own scale trauma. And Ali was like, you don't trust the process. And she was like talking you through a lot of things. But marrying the journey means, and maybe Ali, you have other thoughts on this. Here's how I've internalized it that there is no ending. I'm gonna love everything I'm doing. I'm always gonna be figuring out, listening to myself, trusting myself, using whatever tool is needed. That's very different than we've reached the summit and we're done, right? Then you you're not ever surprised if weight comes back, you're not ever surprised if there's a challenge. Like, got it. And this is why a lot of clinics like mine, they're you keep going with them because you're not just like, oh, I'm done. You know, it's like same thing, like I've had the same doctor for the longest time, right? You're not just you're not just done. You need their help with when these things pop up, right?

SPEAKER_06 1:18:40

Yeah. And I I do think that my brain, I have to fight it because it doesn't want it, it's gonna throw I swear, guys, it throws everything at me it can to get me to eat food, like and more food and too much food, and the not food that's not the best for you, and all that kind of stuff, you know? And um, it does. It'll be like, we're okay, we don't need to go back to our beast doctor. Yes, we do. Like, I have, but I but I can at least gear shift now and be like, what the hell are you doing? Telling me this, like I'm not that's not happening. But I have those thoughts. We don't do we can have more chicken wings. No, we actually can't. We like like, but I I'm I I think it's just so interesting the pace at which my brain can work now, and I can make those reasonable, rational choices, just like that, where I can be like, okay, depends on the tool later. And I I'm telling you, my brain is not the kind of brain that doesn't worry about the future and all the ifs ands or buts until this medicine. And now I can literally say what I feel like other people have been saying to me forever, which is something like, you know, it, you know, well, they'll say, let's cross that bridge when we get to it, or like all of those different things, or you can't really control those things, or you're worrying about things that probably never even happen, or you know, you're just worrying a bunch for no reason and things like that. I didn't have that switch before, you know, but now I can. And so it's easier for me to be like, this is gonna be a lifelong thing for me. Like, what can I do to be able to continue my learning, continue the process and continue the treatments and try to like help other people do the same, you know? Yeah, but it's it's amazing that I've never been able. I don't know how to describe it except for that. I it was like I was a car, right? And I only had drive, and drive was consume, right? And now it's like I can reverse and I can steer the wheel. I have a wheel too, and like all these different things. Go into neutral, neutralness. I can just shift and have some chicken wings. Clearly, I'm hungry. I talk a lot about fries and chicken wings tonight. That's also what I do when I'm hungry. My brain's like, what do we like the most that I know we can eat the most of right now to get us the food that we need? And they're like, chicken wings, french fries, and I'm like, no, we don't. That's another thing, too. Is like I'll go, this is interesting. I'm sorry. But like, I'll go, I don't really want that. Like, I would rather have some Brussels fries, you know, like because that's it. I I recognize that that's just like visceral, like you know, like it's just like a natural thing within me that my body's just trying to say, we need to put food in us now, you know, because I don't have that normal, like, hunger thing that I had before. I don't have the food noise before. It's totally different. Yeah. It's fascinating, clearly. It is. I made a podcast about it.

SPEAKER_05 1:21:28

But this has been a lovely conversation.

SPEAKER_06 1:21:33

Um ladies, I want to make sure you've had a chance to ask any questions that you have and also make sure that our doctor friends have had a chance to say everything that they want to say. I'll probably have you back on. Let's face it.

SPEAKER_02 1:21:45

Covering everything.

SPEAKER_08 1:21:47

I mean, I love what you're doing. I feel I can feel the community within the community that you've created. And TikTok is brand new to me, honestly. I Dr. Rentia, it was like, okay, so why aren't you on TikTok? And I said, So you have to like shake your booty and twerk. I don't know.

SPEAKER_06 1:22:06

Um I mean, you can, you know, yeah.

SPEAKER_08 1:22:10

Um, and then I'll be honest, it's really kind of given me a different um view on how I can even serve people better. So just realize, you know, you're inspiring us. So just keep doing what you're doing. It's so needed. And honestly, I'll tell you this in our lifetime, you know, you're gonna hit a certain age, everyone will, and everyone's gonna have an obesity medicine doctor because we're gonna be looking at genetics, saying, hey, listen, when you're 32, this is what's gonna happen. So let's get you on one now. We're gonna prevent one. And so it's it's gonna be obesity medicine, it's the best field of medicine, I'm convinced.

SPEAKER_03 1:22:46

It's definitely fascinating.

SPEAKER_06 1:22:47

I agree with you.

SPEAKER_08 1:22:49

Completely.

SPEAKER_06 1:22:49

Yeah, it's like I do, I also think so. Yeah, it is amazing how big TikTok is and how much has exploded um with all of these people. And you know, it was it, but honestly, like 18 months ago, it was null. Like when I got here, there was nothing, no one that was on a Zimpic, no one that was talking. I was on Sexenda, nobody was talking about Sexenda. It was only the Manjaro because the savings card, right? And that's how the community really got started. That's what it was, and it exploded from there, but still it was like maybe a hundred people, you know? It was like even that. This has been so great, guys. Thank you so much. I'll um, for all of our friends listening who want to know more, I'll make sure that I link their TikToks and their bios and websites and everything, especially if you're needing care in any way, so you know, like where they can operate, and um, you'll have all the resources that you need because that's also what we try to do here. So thank you so much for joining us, ladies. And I am going to now exit you so that we can talk behind your back.

SPEAKER_04 1:23:48

Thank you. Bye, thank you. Bye.

SPEAKER_06 1:23:54

Oh my god, that was so good. Did you learn lots?

SPEAKER_04 1:23:58

I learned so much. I love it. I loved the fact that Kat had an aha moment.

SPEAKER_06 1:24:03

It was like that cat was like, what?

SPEAKER_02 1:24:06

Yeah, like because all I did was I've always compared myself. Like, I I listened, I know number one, the reason why is because I do I I believe in always balancing my indulgences. So I did not give up chocolate wine snacks. Like I just don't binge on them anymore. Yes. So I always thought, like, oh well, I suck because I'm not losing as much. And then it was the comparison. The way she broke it down, like the reason why it's so slow for you is because you already had this muscle mass on you. What why it's already there?

SPEAKER_06 1:24:40

Yeah, fascinating, right? Yeah, I had a feeling she was gonna be a good one for you. Mm-hmm. Dr. Rentia was like, I think that we should just debunk all the things. And I'm like, all right. Do we do we debunk all the things? Is there anything we missed?

SPEAKER_04 1:24:52

Almost all of them. That muscle like about 98 to 99 percent of it.

SPEAKER_06 1:25:00

And I love that two percent stat. Only like every time someone says that we are like people on these medicines are causing the economy to change. Two percent of people with obesity are being treated. Two percent. No, that's not enough to do shit.

SPEAKER_04 1:25:17

Sorry, no, put that in your pipe and what cat?

SPEAKER_05 1:25:23

Okay, love it, love it. All right, but ladies. Well, uh as as usual, it's been a lovely conversation. Uh-oh. And uh we will tell you guys next week. La pasta. La pasta. Bye.

SPEAKER_06 1:25:42

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