Politically High-Tech

306- Weight Beyond Calories with Evan Nadler

Elias Marty Season 7 Episode 36

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Dr. Nadler explains why the calories in/calories out approach to weight loss is fundamentally flawed and how our bodies actively resist weight loss through metabolic adaptation. He shares insights from his 20+ years as a pediatric surgeon performing bariatric surgery on children.

• Diets typically result in only 5-7% body weight loss even with intensive effort
• Human bodies evolved to retain weight as a survival mechanism, not lose it
• Genetics plays a major role in obesity, explaining why weight issues run in families
• Epigenetics shows how environmental factors can modify genes across generations
• GLP-1 medications like Ozempic work because they address biological mechanisms
• Mental health and obesity have a bi-directional relationship, each worsening the other
• Getting healthier before having children improves outcomes for the next generation
• Food accessibility and affordability are crucial factors in obesity prevention
• Effective obesity management requires personalized approaches beyond simple diet advice

Check out Obesity Explained on YouTube and visit obesityexplained.com for science-based information free from bias or commercial influence.


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Speaker 1:

welcome everyone to politically high tech with your host, elias. I have an exciting newcomer here and he's going to talk about something that is, um, I'll say, the largest epidemic in america being overweight obesity from well now, I'm not sure. Well, newborn babies, you get the pass. You'd be cute and chunky once you're developed, but once you're like I don't know four or five years old, you have your tummy protruding out. Sadly, that's become more common. I've never seen so much obese children in my life. This is only the recent years.

Speaker 1:

When I was a kid they thought I was malnourished, I was so thin, but but now I'm definitely chunky, I'm definitely overweight people. I'm just being very transparent here and he's gonna definitely tackle on the norms of how we think of the. I'm sure you heard this before. You know exercise, eat wells, calories in, calories out. If you eat you know less than be, less than your burning rate you're getting, you know you gain more weight, something like that. You heard all this stuff before. I'm not gonna tackle that normal weight and besides, I've done that in the past. I've re-watched those episodes and, to be honest, they're pretty boring, but that was why I used to play it safe. We're going to challenge it a little bit, shackle the norms and expand your perspective on this.

Speaker 1:

And I got a guess here. I will not do this by myself, believe me, and trust me, as chunky as I am, you're not going to listen to me anyways. What does this fat cell know about freaking health and all that? What the heck is he talking about? All that fat clock clock up his brain cells or flow? You know they obstruct that. Uh, no, no, no, I got enough brain cells left to know that I have a expert here. Okay, he's probably a little too humble, you know, just between you and me, you know, and, of course, millions of people that'll be listening.

Speaker 1:

Hopefully let's welcome evan natler, okay, and we're gonna challenge the norm of this, and I want to because, look, I'm a curious person by nature. I might have my preconceived opinions, okay, after your preconceived biased opinions, but if you hear something that you know is gonna improve your life, open, and if you know it's crap, challenge it and debunk it. Okay, I hope I'm not worried about my listeners. You're smart, you're intelligent. You decide what's best for you. You know the whole. So Evan's crazy, or we on to something? Yes, I'm just going to ride in the coattails here, so she fits again. Oh no, it's gonna be as bad as I don't know, it's all evan's fault.

Speaker 1:

No, no, I don't do that, yeah, I, I deal with the backlash and all that, like I'm, like a man hey man, I'm from new jersey, I'm tough, I can take whatever anybody throws my way. All right piece of lines, new york, right here, there you go, neighbors state, neighbors right there I did my first.

Speaker 2:

My first job as a pediatric surgeon was at nyu and I trained at cor at Cornell, so I spent a lot of years in New York City and that, combined with growing up in North Jersey, I can take whatever any listeners or anyone on the hater trail wants to send my way Come at me.

Speaker 1:

You heard that, especially the comment section. Do your worst. I've been called names. Laugh, I enjoy them. Sure, don't, cat, you know, if I find out who you are on the streets, I want to make sure you maintain that same toughness. Okay, but but anyways, uh, let's uh. So what do you want the viewers and the listeners to know about you before we get into this talk About?

Speaker 2:

me All right. Well, so I'm a pediatric surgeon by training, which is you know. A lot of people often ask me how did I end up being a childhood obesity expert and now sort of an overall obesity expert as a pediatric surgeon? You know like why? And the reality is I had no idea that this was going to become my passion when I first started it, but after sort of seeing the problem.

Speaker 2:

So I've been doing bariatric surgery on kids for over 20 years, which people are probably shocked to hear because probably most people didn't even know children could get bariatric surgery. But that's enabled me to like learn things about this disease that no one else knows or or thinks about. And I basically just decided long ago that somebody had to try to help the kids who were suffering from obesity but also figure out the disease and understand why so many people have obese, and that's what I've dedicated my academic career to and then basically quit all that two years ago to take it to the people. So, youtube channel, website, trying to write a book, doing podcasts, all that stuff to try to educate, like direct to the consumer, kind of like science and no bias, nonpartisan although this is a political podcast by nature, I try to give it. I try to just give you the facts and let you decide what to do with them.

Speaker 1:

Well, this particular bucket, we could allow the nonpartisan. But I don't have partisan loyalty anyway, so nonpartisan is perfectly allowed. You know. That's just clear about that. Look, I have bashed democrats, I've bashed republicans, I've bashed libertarians and I've praised them. Well, I thought it was right.

Speaker 2:

Well, political loyalty will lower your iq yeah, go ahead and, and you know there's nothing political about help or like there shouldn't be. There is, but there shouldn't be, right, like you don't want. You know, it's kind of like when, whatever the who is it? Justice Roberts was saying there aren't like Republican judges and Democratic judges although there probably are, but in theory there shouldn't be Republican doctors and Democratic doctors. You should just go to your doctor or provider and get honest information. So that's what I'm trying to do.

Speaker 2:

I'm trying to be the voice of a reason and not, you know, I call myself a D influencer sometimes because I'm just out here trying to spew facts and not, you know, I'm not selling you supplements, I'm not. I mean, I'm not even doing bariatric surgery right now. So I'm not trying to pitch you to come get surgery with me. So it's just like I'm here strictly for educational purposes. And again, you want to hate what I have to say. That's fine, because I'm just telling you what the data show and there's nothing. I mean, I'm just a messenger. So you shoot the messenger.

Speaker 1:

I don't care. Well, I'm going to say this is going to stir up some controversy. To hell with Dr Mike. Is going to stir up some controversy. To hell with dr mike, to hell with all these influencers who have pushed their agenda, their products. So I don't mind the influences. This podcast is official ally of the influencers, of those who's trying to bring voice of reason to these hyper partisan, hyper chaotic times. It's needed more than ever. So I'll say it's pretty darn timely. If you ask me, yeah it works for me too.

Speaker 1:

So let's have it, let's do it all right, what's the first question I got here? Okay, let's start with this one. What's wrong with this approach? I talked about it before. We recorded calories in, calories out. If you burn more than you eat, you lose weight. That simple, right, right or dot dot dot.

Speaker 2:

Yeah. So from a purely I guess, what is it physics standpoint, that equation works. But the reality is that human beings are much more complicated. So we know a few things. We know that even with the most diet, most intensive diet and exercise programs out there, patients generally lose about 5% to 7% of their body weight. So if you weigh 300 pounds and you lose 5% that's 15 pounds you still weigh 285. And you've put in six months of busting your tail and you're going to be frustrated and unhappy and probably get off that treatment regimen and gain your weight back. So that's just again a fact. There is no debating that.

Speaker 2:

And the reason it happens is something called metabolic adaptation, which is you don't need to know the details of, but it's why keeping weight off is so hard, because your body has a weight that it wants you to be at for right or for wrong, and it's going to try to keep you there. So when you eat less to try to burn some calories or exercise more to try to lose some weight by burning calories, your body slows down its metabolism so that it makes it harder for you to lose weight. So anyway, the long and the short of it is that diet and exercise is not the answer to most individuals' weight problems, nor is it the answer to society's weight problems. There's not going to be change in food or food policy that is magically going to cure the obesity epidemic. It is just 100% not going to happen. No matter who tells you otherwise, don't be gaslighted.

Speaker 1:

I like to say oh, I'm sure the fitness people, the gym rats, those folks are just triggered beyond belief. Just don't drop the weights while you're angry, okay, just be careful with that.

Speaker 2:

No, and again, things can work for individuals, and I'm not saying people shouldn't do that or try it, but what I'm saying is you know, go, you know, watch the Netflix documentary on the Biggest Loser and find out, a what those people were doing behind the scenes to make it look like they could lose weight doing what they were doing, and then, b what's happened to them since. They've all basically regained their weight. A lot of them are sicker than they were when they were on a show. They're like, humiliated, and their mental health is all messed up too. It's just like you know. It just doesn't again like everybody should exercise and everybody should eat right, but that's not going to cure obesity. That's going to make you potentially healthier at whatever weight you're at, but you're not going to lose weight and you're not going to necessarily fix your diabetes or fix your high blood pressure or your high cholesterol or whatever else goes with your weight. So again, do it if you can, but just don't expect magic from it.

Speaker 1:

All right, it's that expectation that gets gas lit right there, especially when they put all that glam. You know the before after results after results, it looks magical, glamorous. This fat slob becomes such a nice jack person with glow and all that good stuff.

Speaker 2:

I actually had a I talked to. There's a whole food what's it called? The food is medicine movement in the United States right now. One of the guys who's leading it happens to be some guy I went to college with. I talked to him about this and I sat in on one of the guys who's leading.

Speaker 2:

It happens to be some guy I went to college with and I've talked to him about this and I sat in on one of the seminars where he rolled out a couple of patients who did lose a bunch of weight with changing how they ate and I told him he was basically gaslighting people because now everybody thinks that that's going to happen to them and the reality is you pick two super responders who are like far out on the bell curve, who just happen to respond great, and you roll them out there as if that's the norm and it really does a disservice to people because then they're like then they try what you asked them to try and it doesn't work for them and then they get disappointed and then they get frustrated and then they lose faith in the medical community or lose interest or their momentum in terms of dealing with their own health. So it just doesn't help to set people up for failure, and I feel like the people who talk about diet alone as a cure for America's weight issue are just setting people up for failure.

Speaker 1:

Well, we expose, even the hypoco was a hippocrates. I think he said the call that food is medicine. Yeah, some greek person.

Speaker 2:

Actually, I don't know if that is that his original quote.

Speaker 1:

I didn't even know well, I'm sure it's paraphrased somewhere, so should we do translations and all that stuff? But yeah, that's essentially what he said.

Speaker 2:

Um, and yeah, man, this is of course, someone from way back then and you know, all doctors, we all take the hippocratic oath which is, you know, basically, first do no harm. But I feel like these people who are pushing food as the cure to all obesity are doing harm, because I think they're, I think they're hurting patients, I think they're setting people up for failure and setting people up for disappointment, and I think that's, I think that's just bad for everybody.

Speaker 1:

Of course. I mean, if it was that simple, I would have been the most handsome thing in the world.

Speaker 2:

So you know, I don't want to show how old I am, but I'm a relatively old guy and America's first fitness guru was a guy named Jack LaLanne who people probably don't even know who that is anymore, but that was in the 1950s and he basically said you know, eat right and exercise, and that guidance hasn't changed in 75 years.

Speaker 2:

I mean it's like if that's all you needed to do, we wouldn't be where we are today. Like what the heck? Like you know Richard Simmons same thing, you know the let's Move campaign with Michelle Obama, like it's all the same stuff over and that to me the food is medicine and actually even sort of RFK and his food policy. It's all just repackaging of the same stuff over and over again. And it's like how many times do we have to hear the same guidance before we lose faith in it? And frankly, that's where we are today. Nobody believes what their doctors tell them anymore. They want to go on the internet and have the pink salt diet or the apple cider vinegar diet or some other thing that I don't even know what it is, the cortisol cleanse or whatever, and these things are just not evidence-based.

Speaker 1:

But we almost deserve them as a medical community because we have contributed to the lack of trust by not just basically telling people how it is oh yeah, I mean, I mean I've become far more skeptical and all that, but at the same time I don't want to, like I said, my position is they are needed. I do agree. Do agree to build their credibility, give us more factual evidence base about how to deal with obesity effectively. I mean, obviously we are failing because we stick to the same guidance for 35 years ago. No things have changed drastically in 35 years. So stick to the, you know, even like the food pyramid thing, which I'm pretty sure some people just want to toss that out the window. Me, I personally never agreed with it, but am I the type of person I just want to tear it down? No, maybe modify it a bit to make it more honest. I'm more of a modifier instead of an abolisher. Yeah, that's right.

Speaker 2:

And the reality is is like the food is medicine. People in RFK, they have valid points. Like ultra processed food is not probably good for you in most situations, depending on the processing. It's not. It's not unilateral, but but like the the you know. So like yeah, get rid of artificial food dyes. Do they necessarily cause cancer or ADD? Who knows? But who needs them? So get rid of them. Get rid of ultra-processed foods because the data do suggest that they contribute to the development of obesity, but getting rid of them is not going to treat your obesity, so push it that way. Just say this isn't really going to help you as a person, but this is going to help your kids or the next generation or whatever. So anyway, the problem is just in the fact that you know some of the again. Some of the ideas are well-grounded in science and really should be incorporated into what we do on the day-to-day. But don't sell that as obesity treatment. Sell that as obesity prevention for the future.

Speaker 1:

I mean you know what that came with. One question I had about Ozempic what's the good and the bad and ugly with that thing against the obesity epidemic?

Speaker 2:

Yeah. So I mean it's a great question and obviously no one has talked more about a medication than they have. When you know semaglutide is the generic name, ozempic is what they call it for diabetes, but then it has even a different name when it's used for obesity, which just goes to sort of show you like what, what the heck? Like why, why, why does the drug need two different names, like you should just have one name and like it's just part of the stigma of a weight loss treatment. But so with any intervention there are pros and cons and I'm not going to tell you that surgery is perfect bariatric surgery and I'm not going to tell you that the GLP-1 agonists, which is what semaglutide and trisepatide or Wagobe and Zepbound are. But they help a lot of people and they're too expensive and they're hard to get and you do have to stay on them basically forever. But people who have high blood pressure stay on their high blood pressure pills forever. So I'm not sure why weight management medications are held to a different standard. You stop taking yours, fat and your cholesterol is going to go back up. So of course, if you stop taking your weight loss medication, your weight's going to go back up. But I think a lot of the problems came from, frankly, the people using it who shouldn't have been using it, the social media influencers who were using it just to lose 20, 30 pounds because they wanted to look better on TV or look better on their Instagram page. And then a lot of the bad things happen from the compounded medications or the counterfeit medications, where the regulations are far fewer and you know, so people could might get sick from those and you know the companies that make the real drug would get pissed because you know somebody would be on compounded Ozempic and get sick and then say Ozempic is terrible, because look out, look what it did to me. But it wasn't actually the real drug, it was the counterfeit drugs. Again, it's a that they, those drugs, work and there are more drugs coming of the same type and they're actually coming in a pill form, which probably won't be as effective as the injections but will still be good and which should bring the cost down. And so I think, again, it's like anything else, there'll be some people who do great with them, some people who don't do great with them. Some people might get side effects, but I try not to condemn any. You know, again, it's going to.

Speaker 2:

Those drugs really work well for a lot of things, and including things that we didn't even think they would work well for, like smoking cessation and migraines and and alzheimer's disease. So, like you said this I don't know, maybe you said this before we were recording, like just be open to learning new things and like and listening and and evaluate the data yourself. But a lot of the data are hard to interpret unless you have a background in it. But you know, like, just have an open mind and then don't judge others, for if they decide to use one of those medications, like whatever, they're trying to make their health and life better. Like why do you care what they're doing to achieve that? Like, why is it even your business?

Speaker 1:

frankly, Like let people do their thing. Oh yeah, I did allude to the open of mind thing. I didn't add an unjudgment part, but it's still great regardless. If anything you're just adding, you're making this even better. I don't mind people's addition. Make it better. I did talk about we got to be open. Be skeptical, but open. Have a healthy dose of skepticism right you know, become a cynic.

Speaker 1:

I've got, oh, evan fake, fauci fake, some things. I think he's still fake, but do I? But do I put them? I mean I have a type of my podcast, um, especially, I'll start. You know, I, I did, but I always did console your doctor, check with two or three. I never say abolish the medical community because it is a need. It's a net positive that they exist. I just think reform and change needs to be done. That's my position. I'm not an abolisher, I believe in reform. That's exactly what I'm saying.

Speaker 2:

I hope that having physicians are a net positive. I'd like to think we're more than just a net positive. I'd like to think the margin is pretty wide. But different people have different views. But that's what I'm out here trying to do is to give people like a positive view of a doc who just doesn't. You know, I think transparency is a big plus for docs. I think transparency is a big plus for docs and I think we're finally realizing that the old school paternalistic do what I say and I don't have to explain to you why you need to do what I say. I think that's all gone now, right?

Speaker 2:

So hopefully we're entering a newer era where docs are going to be much more like just giving you the information and then talking to you about what you're ready for in terms of, well, in terms of, let's say, weight management, are you ready for a medication? Are you ready for surgery? Do you want to try intensive diet and exercise? But where are you at as a person, and that, hopefully, that leads to the discussion of what's next. So I think that's where we're hopefully going with medicine, but not everybody's there yet.

Speaker 1:

And I will add this I mean once the stance I already alluded to. So just you know the command and you know the commander, you know parent or child, kind of just do as I say and just shut up and do it. I know what I'm saying. Now I think it's more either dialogue or even in negotiations in some cases which is interesting, right.

Speaker 2:

But you know, obviously, autonomy is like paramount, right, like you get to do whatever you want and if you want to, you know, not address any of your health issues. That's also totally your prerogative, obviously, as a physician. I don't want you to do that and I'll try to convince you not to do that. And I'll try to convince you not to do that and I'll try to tell you all the reasons why you shouldn't do that. But at the end of the day, it's your decision and I can't. We're going to have a much better chance of getting you healthy if you and I can come to some agreement, compromise, working arrangement, whatever you want to call it, so that we're both heading in the right direction.

Speaker 1:

You know, I mean that's just the way. Just the way it is, or I think, well, more ideally, have a constructive conversation, right? Yeah, I mean, I think that's the most ideal way to go about. So if you're on negotiation, compromising me, you're making some progress. It's like, okay, out of 10 things I tell you to do, well, well, we do five, the more easy ones, and then we can get back to the old one. It's interesting, it's that dynamic.

Speaker 2:

So when I would see my weight management patients, I actually picked one thing. I would just say let's work on one thing. Today I'm not even going to give you five things to make your life health better. I'm going to give you one and if you do well with one, the next time I see you we'll add another one, and I think people like that because it's like all right. He's not asking me to make like a bazillion changes in my life. He's just asking me to, frankly, drink less sugar-sweetened beverages. That's what I always started with. If you drink Coke, don't drink Coke anymore. If you drink Gatorade, don't drink Gatorade anymore. Try to drink water, try to drink healthier options, and that in and of itself will cut your sugar intake hugely and that's a huge win. Regardless of whether you lose a pound or not, drinking less sugar, ingesting less sugar, will be a win for almost every patient or person.

Speaker 1:

I even like that. See, he is making it very simple for you, to the point that there's no excuse to get a good outcome.

Speaker 2:

Okay, yeah, I mean, I just want to look again and if you, you know we're not going to get into diet soda, because diet soda is probably just as bad as regular soda, if not worse TV a couple of times explaining to cable news networks that were interested that Trump getting Coke to go to real cane sugar as opposed to high fructose corn syrup will make zero difference in your health and life. So don't like, if you drink four Cokes, it doesn't matter if it's sugar cane or high fructose corn syrup, you're still going to have sugar issues and weight issues. But it's that kind of like almost gaslighting, right, like he's just gaslighting us by saying, oh, it's so much better, look what I've done for you. And it's like it makes no medical difference. I actually agree with him that the real cane sugar Coke tastes better. Like, if you go to Mexico and get a Coke, it tastes better. You know, replace soda with a much lower caloric beverage, hopefully a water-based beverage, and I also would always tell patients I'm not going to.

Speaker 2:

If you drank four Cokes a day, I don't expect you to stop cold turkey, but can you get it to three or two and then we'll go from two to zero or two to one or whatever, but it's a tough man. I mean, weight management is a tough business for anybody, it's just hard to do. We are not built as humans to lose weight. That is not what our bodies are designed to do. Over centuries, we've been designed to actually gain weight so that we can withstand famine or for walking around and have to kill a lion in order to get a meal. We can, we can do that, so we've. We've just developed as a species to retain weight or put on weight, not to lose it.

Speaker 1:

Interesting, but that does make sense. It makes complete sense right there. Now let's get to the genetic part, because I don't hear. I don't hear enough about this. Does genetics make it easier or I'm going to mix it up easier or harder? Does it influence the difficulty of treating?

Speaker 2:

obesity. Oh, so that's actually that's a great question and not exactly where I thought you were going with that. But that is actually a maybe even a more salient question, because the short answer is yes. Well, no, because you said, doesn't make it more difficult. Did you give me a yes or no question? Anyway, it does, it can make.

Speaker 2:

So not only can your genetics predispose you to weight gain and make you have obesity, but it can definitely impact how you respond to the different weight loss interventions, and it's a field that we don't know a ton about yet, but we're learning more day to day every day. There's a field called epigenetics, which is how the environment modifies your in your body can have a memory they can get changed by epigenetics and that you lose weight with a GLP-1 agonist or surgery, whatever, but these cells, because they have these changes in them, they remember you at the higher weight and they work towards getting you back to that higher weight and that's why people regain that, maybe why some people regain some of their weight after surgery or medications, which, again, it's like sort of a whole field that no one even really knew existed 15, 20 years ago and people still don't really fully understand it. But, yes, genetics. So you know I, I treat children and children. Most children are not even on the earth long enough to have their diet and exercise, you know, quote unquote cause their obesity, right? I deal with, dealt with eight-year-olds with type two diabetes and there's no child that was eight years old who could eat themselves into type two diabetes.

Speaker 2:

That just is not. It's not possible. So all the people who like to blame the parents or blame the kids or blame the patients or whatever, you just got to stop because it's super off base. It's not how it works. But that's to say it's sort of like the corollary of if your genes drive you to gain weight early, they also might make it more difficult for you to lose that weight. And I actually published a study that showed that patients who didn't do that well after surgery, those same patients didn't do that well with a GLP-1 agonist. So it's their biology. It's not that they're out drinking smoothies or opening sugar packets and pouring them down their mouth, it's just their biology which is their.

Speaker 1:

I mean there's a I mean me. I can agree with that, because some skinny guy could do all these unhealthy things and stay skinny. Don't get me wrong. He's gonna get disease, but not with obesity. It's gonna probably be the deal with diabetes, all that other stuff, but it's gonna be. You know, I'm not saying it's gonna probably be the deal with diabetes, all that other stuff, but it's gonna be. You know, I'm not saying he's gonna be superman, all that. He's a impervious, which is complete crap, by the way. I'm not gonna even imply that. But in terms of metabolism, all that, yeah like they're all.

Speaker 2:

They're always like the young, let's say, nfl stars or or NBA stars, and they say that they ate like whatever they want.

Speaker 2:

They ate all kinds of crap when they were 20 and getting into the league, or 21 getting in the league, and then they realized after five or six years that they really had to treat their body better to maximize their performance. So it's true, you can be a professional athlete and eat like crap. But the way I like to try to explain it to people, because most people have the same experience we all know people who eat anything they want and are skinny as a rail, and we also all know people who barely eat and have a weight issue. And so to try to say it's all about what we eat is so simplistic and, honestly, obviously wrong. If you just take a look around the world, like you know, I would see families where, let's say, they had four kids and all four kids eat the same. They all eat the same dinner table, they all play in the same sports, they all do whatever, and one kid has a weight issue and the other three are totally skinny.

Speaker 2:

And the parents would come in and be like we don't understand this, what's going on? And I would often just say to them well, okay, which one of your families has, which one of you especially if both parents were were a normal weight or whatever I'd say which one of you has a, has a sibling or a parent that has weight issues? Because one of you do and it just skipped your generation and went to that one poor kid and not the other three kids in your family. And always, you know, one of them will be like oh yeah, obesity does run on my. You know my mom's side. My mom's not big, but her sister was big, or whatever. There's always a link. You can always find the link. It's never like just a de novo, out of nowhere or like mystery.

Speaker 1:

You know, especially those I don't want to take account of. Oh, I don't know where that came from, certainly not for me. You know it could be from that person, you know, I, I agree, and I mean even going into. Well, in the 50s let's just use the 50s there were big stocky people, but not as common, don't get me wrong.

Speaker 2:

But yeah, like so. So again I like to point out buddha. I don't remember when't remember when Buddha was, but Buddha had a weight issue, clearly, right, buddha was a big dude. And then, yeah, I don't remember the Buddha era, but-.

Speaker 2:

And then I, oh, go ahead, oh, it's good. And then in the 17th century what's the name? Rubens paint these pictures of all these women with weight issues. So there is no doubt that obesity has been around forever and that, yes, it's worse now and it's certainly impacted by the environment that we have today and the crappy food that's out there and hyperpalatable foods, and everything is working against people today who are interested in trying to be healthy and maintain healthy weight. But it's not like the disease was just invented, you know, 40, 50 years ago. It's been around. It's been around oh no, absolutely.

Speaker 1:

I mean, it's part of humanity. Rather, either that kind of not I'm gonna say about buddha, but they just had that. That statue was like a big uh one thing. It was a big exaggeration. According to the story, he was a skinny as a rail. He just escaped the castles because, you know, he realized how privileged his life was and he wanted to spread good to others. So that statue, believe it or not?

Speaker 2:

yeah, as I was going to say, but there must have been somebody around who they used as the model for those statues. So whether it was buddha himself or somebody else from that time period, they didn't just come up with you know that shape. Oh no, of course somebody had.

Speaker 1:

I think sometimes it could be sabah, like, oh, abundance. You know, I don't know. I'm not saying you know, that's that, that's why I've been taught um, but it's interesting, it's interesting nonetheless. Am I gonna die in a hell for buddha? Hell, no, that's Hell. No, that's not the most important thing to me, but some of the lawyers said he was actually.

Speaker 2:

I had no idea. I might have to look that up. I might have to look up. Maybe I'll just ask Jack GPT Was Buddha really struggling with his weight?

Speaker 1:

Let's see what it says. Yeah, let's see. I mean I would take a grain of salt with some of the AI responses brain assault or with some of the AI responses.

Speaker 2:

But you know, you're a smart guy I'm not going to worry about that 100%. You got to take everything from AI and the Internet with a grain of salt. Yeah.

Speaker 1:

No, absolutely you know. Maybe he did you know, because sometimes you know there's no photography at that time, right to prove that he was skinny. So that's what I say Wait a minute, we'll see. We was like, wait a minute we'll see, we'll see, but it's interesting. If I end up being wrong about buddha, I'm, I'll be fine, it's, I'm not gonna die on that hill. I got much, I got bigger, I got more. I got bigger things to worry about, you know, buddhas being either skinny as a rail or as big as a mountain, you know.

Speaker 2:

So that's all I'm gonna say about maybe there's more than one buddha, when he was both oh, or that.

Speaker 1:

I'll forget that. Forget. Now we're going down the rabbit hole with Buddha. Who would have thought it? Who would have thought it? If you would have bet this would happen? I'm sure 99% of you would not.

Speaker 2:

You would have lost your money. No one would have predicted that that would have been a topic of conversation on this podcast today.

Speaker 1:

Not even me. We didn't pre't practice to troll you, but believe whatever you want, I could care less. But you know, hey, he's big and all that, so there's a connection, you know. And especially the modern statue. So you know, it's interesting nonetheless and and we can be talking about the you know, the weird, the weird cat thing being a bit obese. Okay, no, no, no, let me stop. Let me stop. Now we're going off the rails. Now we go off the off the rails. Now we're going from Buddha to this gotcha cat thing. That's creepy to some. Me, I find it weird, but then again I always like creepy stuff. So that's just me. I'm a Tim Burton fan, I like everybody.

Speaker 1:

Everybody has their thing, yeah, so that's all I'm going to say about that. All right, enough, enough randomness, enough randomness. That's part of the podcast. Deal with it. I allow it. I'm okay with it. That's the charm. Okay, whether you love it or not, I don't care. Deal with it. You can rant in the comment section. Feel free to use it.

Speaker 2:

It's your podcast, you make the rules, so if people don't like it, they can go on. Yeah, they're going to go in the comments and complain. That's okay, we will live.

Speaker 1:

We got much worse things to worry about. Now I got a question at epigenetics. It's true I I definitely don't know much about epigenetics, but and then the question I have here is even interesting. I think it's even intergenerational saying that we could pass these traits I mean, you're alluded to it. Yeah, to, to to children and as you know me, it's my mom's side the family tends to be bigger. You know, my father's side got obese people, but it's just not as much. And some of them are lazy, they don't move that much. But I mean, some got just a little pot belly that's the most they've gotten, and some of them just look like they could give birth to quadruplets. That's how big the belly looks.

Speaker 1:

Okay, it's a bit nasty to you, I don't care, this is a dope podcast. Ironically, prince, you decide, you know you could censor the filth and just give this information to the kids. Okay, use your judgment. Don't blame me if you just transfer everything. Use your God-given brain to pick what you think is good for your child. You could filter out maybe even 35%. Just take maybe all of Evan's parts. I'm fine with it, all right. So you know, I'm not going to even ask that, because you actually did answer that question.

Speaker 2:

Well, I think you broke it.

Speaker 1:

Unless you want to elaborate.

Speaker 2:

No, because you did there is. So I'm not sure if I made this clear or not, but you can not only pass on your genes from you know, your parents to you, and then those genes, have you know, maybe increase your risk of developing a weight issue. But even the modified genes, even the epigenetically modified genes, you can pass from parent to child. So, and then there are things that can happen while the child's developing inside of the mom that make obesity more likely. And even recently there was a publication about the in-unit environment making autism more likely, which I think is super interesting. And so, like people sometimes ask me, you know what would be if I could, like had a magic wand and could sort of put together the perfect recipe for fixing the obesity epidemic?

Speaker 2:

A large part of what I would recommend is getting people healthier before they have babies, and not just the mom, the dad too, and that's A because it makes it less likely to pass on the epigenetic modified genes to your baby.

Speaker 2:

It makes the environment better as well, but then, once that baby's born, the behavior that you're modeling as a mom and dad is also better. So I think that there's something called the intergenerational transmission of obesity, which is really not emphasized enough. And again, it's not like me blaming parents, because I don't do blame, it's not my thing but I can tell you that there are data that suggests that if you get yourself healthier before you decide to have a baby, that is better for your child or your future child. And again, that's just the way it is. I'm not saying it to be mean, I'm not saying it to stigmatize anybody. I'm just saying that this is what the data show, and so you know. If you want to do something, that's what I would recommend you do get yourself healthier before you have the baby I mean that's a rational response and, trust me, he put the dads to this too.

Speaker 1:

So, feminists, I don't hear your complaint yeah, if you're just choosing to. You know, do selective hearing just to feed your victim narrative?

Speaker 2:

Yeah, he got after the dads as well.

Speaker 1:

Yeah, go ahead.

Speaker 2:

Yes because yeah, because if I don't, I mean honestly, people would accuse me of being, you know, blaming the moms. And I'm not blaming the moms, it's not, it's. Obesity in general is always a family affair. It runs in families. It you know. You can't treat one family member and have other family members not like supporting it. It's always, especially in childhood obesity. It's always parents got to change their behavior, kids got to change their behavior. But it's all going to also be part of getting a medication or surgery or whatever else you need. But it's harder. It's harder for those interventions, the medications or surgery, to work if the kid still comes home to a household where there's bad food everywhere.

Speaker 1:

So it's always yeah, but you point out some which is very environmental the access to bad food. That's a. I mean it does take a genius figuring this out, but that's all you got. That's all people's going to consume especially when the door dashes. The uber eats make that easier than ever. Well, yeah, you're gaining, you're gaining fat, but you're making the wallet skinnier, both digitally and physically too.

Speaker 2:

And again, another like another political topic that I often talk about is that I get asked whether removing sugar-sweetened beverages from SNAP is going to make a difference for people's health, and the short answer is sure. If you can't use SNAP to buy soda, that's probably a good thing. It's probably not going to change things dramatically, but it's probably okay. But what's really more important is if you could get people on Snap to have access to healthy food at an affordable price, that's an intervention that could work. But don't tell people who are on Snap that they need to go to the farmer's market and spend what was it? Benny Blanco was just spent $100 on a bushel of a bushel of strawberries, blueberries or something like that.

Speaker 2:

Like, don't tell these people that. Don't tell them that they just need to eat better. You got to give them an op, a way to eat better. You got to either make it cheaper, bring it to their local where they live. Like, it's just not. Like. You know, again, just unilaterally taking sugarsweetened beverages off of SNAP is not going to do a lot, and it's really just sort of one very small part of one side of the equation, where the other side of the equation is much more important, which is affordable food, because if ultra-processed food is all you can afford, then that's all you're going to buy.

Speaker 1:

But I've talked to people in the past, even before I've done this podcast. It's like it'd be a nice intervention if they have affordable, healthy food. Even Snap could, even you know, cover those. I mean, I didn't say exactly like that, but I like how you propose it. It covers a little more of the nuances and the finer details. I'm not able to articulate as well, but you know what I agree with it because this is just an extension of what I would support, right?

Speaker 2:

of what I would support, right, and that's sort of where. That's where the food is medicine. People are important and are correct in that, like because they're really all about getting healthy foods to everybody equitably and early and all those things. And so, again, I support a lot of what they're doing and I support what the lifestyle medicine doctors are doing. I just don't support the gaslighting of saying it's going to fix everyone, because it's not going to fix everyone. It's going to help prevent the next generation of health problems, maybe, but it ain't fixing the people who are already suffering from the disease.

Speaker 1:

Oh, absolutely. I mean, it's a very, it's a very complicated issue. I mean I don't feel as bad now because I was blaming mostly me for that, so that's a good impact right there, but at the same time I'm not going to, you know, just eat like a glutton and just be careless either. I don't want to apply that either.

Speaker 2:

Right. And there's a fine line between accountability, which is a word you used earlier, and blame right. And society blames people for their weight, which is not appropriate, and shames them for their weight, which is not appropriate. Now, should people be accountable if they're not doing the things that they could do to make themselves healthier? Yeah, that's what the doctors are for. We're supposed to tell you okay, listen, you really got to stop smoking or you really got to stop drinking, or whatever you're doing. But what's even worse than the societal blame is the self-blame and the self-shame and the self-loathing, because then you get into the whole mental health world and it's, you know, people with weight issues have a much higher likelihood of developing mental health issues, and then also, people with mental health issues have a much higher likelihood of developing obesity. So it's like a bi-directional badness. For lack of a better word, we'll just call bi-directional badness. For lack of a better word, We'll just call it bi-directional badness. And so mental health is super important and under-emphasized.

Speaker 1:

I want to say coin it, even copyright it. So should we do your, you know, should we do a?

Speaker 2:

t-shirt bi-directional badness, I don't know.

Speaker 1:

I like that. I mean it has a hook to it. It sounds cool. Bb, you know BB bidirectional bad news.

Speaker 1:

Oh, yeah, yeah, yeah, you know that's even better than that. I was going to say that's pretty similar to one of the reality TV shows BB no, but that even differentiates it. So I like that. I like that. I hope you really listen to at least education part, and I don't mind having fun and jokes and all that, but make sure you're getting the, you know, the educational part, the enlightening part, because it's not all your fault. It's good, you're accountable and all that. But you can teach us a learning experience. Maybe it's a little bit of everything, maybe it's a little bit of exercise way no, knowing how, knowing how your genetics work, you know, maybe it's. You know it's a complicated Equation. I don't think I've quite figured it out.

Speaker 2:

Yeah, it's totally complicated and the thing is like I joke not only on podcasts, but I actually do a lot of joking when I see patients in my office, because it's a topic that really no one wants to talk about and it's an uncomfortable topic for a lot of people. You know a lot of them, by the time they've come to my office, have already been shamed by the medical community as well, not only by their own society, sometimes their own families, but the medical community piles on. So I try early to break the ice and just be like listen, man, you know, this is, this is where we're at. Let's just work together to get you in a better place. And you know I might tell some bad dad jokes. I might, you know, I don't know, I just try to.

Speaker 2:

You know, with the teenagers my own kids used to give me, they would tell me whatever the common term of the day was. And I might say to a kid and this term is old now, but I might say obesity is not your fault, it has a lot to do with the genetics your parents passed on to you. And then I'll pause and I'll go no cap. And then the kid will be like what does this middle-aged white guy know about no cap? And it just breaks the ice. And then they're will be like what does this middle-aged white guy know about no cap? And it just breaks the ice and then they're like OK, this guy's just a regular guy who just happens to be a doctor and talking about this, but beneath it all, he's just a regular guy from New Jersey who's just trying to help me out. They don't know the New Jersey part, but they usually figure that out later.

Speaker 1:

Yeah, I know we got gotta show off on that, but um, that's a whole another thing. You know I could go off the rails with that, but no, uh. Well, you've been to something that's important the way you communicate, the frame of communication. If you have to use those cringe nz gen alpha slangs to get it through, you know there's a method of madness to it. Even I will create just some millennials and look, I look, I'm stuck at Skippity.

Speaker 2:

You kids could keep that slide, skippity just got added to the Webster's Dictionary as a real word.

Speaker 1:

That triggered me. I triggered me. Oh, what is wrong with you people? You just you know you're not supposed to put a smeared crap stains in your book at that point. That's don't even. That's bad for my mental health. Okay, I'm kidding, I'm just tricking. I'm just now. It did trigger, it really did trigger me. They'll use the cool terms now you know skimming, yeah, all those words have been added res. No, you, you create a separate dictionary, the urban dictionary. I will be perfectly okay with that.

Speaker 2:

that's another word I used to like. Again, I, I would joke with the patients. Oh God, if I'm saying something, I, you know and I saw that they were whatever sad or tuned out, I, I might say something like you know, you know, listen to what I say. I know I've got Riz, but I'm actually, you know, a guy who's done a lot of science on this topic or whatever. Just I on this topic, or whatever. I probably wasn't even using the terms, right, but the fact that I just was using them was just enough to make these kids crack a smile and sort of come out of their shell a little bit.

Speaker 1:

Yeah, I got the receipts. That's another thing you can add in there. That's proof documents, all of that.

Speaker 2:

The new one is 6-7, which I'm trying to. I don't know if you know about the 6-7 thing, but you probably do, and I'm just trying to figure that out.

Speaker 1:

No, I don't, I'm going to be honest. No, I don't, I'm just trying to what the freak there's a whole thing.

Speaker 2:

right now, my 14-year-old niece was teaching me about 6-7. I'm like what? That doesn't even make sense.

Speaker 1:

But okay, I mean like mid doesn't make whatever, whatever, I'm not gonna get into that to me. I guess I got much bigger fish to fry, like what's going on this country, than just some kid lingo. I mean, I used to go along with that lingo when I was a millennial. You know like ftw, all that other stuff, oh you, oh, oh man, you got so much else when you're gonna get better. You know all of that. But okay, all right, let me stop. I'm a little bit. Yeah, I barely got accustomed to that slang. Okay, that's good for the social and the mental part. That's the main point of all of it. The main point of it is.

Speaker 2:

Again, you want to. You know, it's nice to be able to form a relationship with your caregiver, doctor, whatever, and obviously it builds trust. And then, as you sort of talked about before, it means you can have a conversation about whatever it is you think might be the right intervention or whatever, and then kid and the family are more likely to, you know, accept what you're saying, because you've shown that you're a human and that you have a human side and that you actually want to care about them and relate to them. And all that sounds a little bit sappy, but that's, that's the reality yeah, don't be the doctor.

Speaker 1:

One from family guy, oh, that's the worst way. He's like the most careless, happy one. Oh, you just lost a lung. You're like what? No, don't be that okay. And actually, oh, I just attacked the influencer. Medical quote, quote medical people.

Speaker 1:

I'm trying to be nice here. I want to curse really bad and show my real new yorkness to this. I won't take the very seriously either either. I don't care. Yeah, he's sort of new york. He wasn't born there. I'll take his native new york cred away easily, okay, but I can't do that. Once he's been there five years it's like, okay, you're a native new yorker even though you're not born there. You know, but whatever, whatever, whatever, whatever, whatever. But I'm attacking it because I don't even trust him as much. Does he got some good facts? Of course he does, but, like I said, just I would say take it fact by fact by fact, don't just say, oh, he's all good, he's all bad. You know, kind of, do like your test score. Okay, he was 60, 60 good in this video. That other video he was 80 good. The other one he was 20. I'm not gonna watch that one again.

Speaker 1:

Yeah, I would say put more nuance into it and if not, trust someone who was credible, who was an expert in that field, I always say consult with your doctors, have a second or third opinion. That's always been my general advice. Okay, they're, pediatrician, adult doctor, all that, that, all that to me, all that applies you know. Yep, yeah, that's all that's always been my general advice. Okay, they're, pediatrician, adult doctor, all that, that, all that to me, all that applies, you know. Yep, yeah, that's all that's what I'm going to say about that. Just just you know, be your own advocate, be your own researcher as well, and make sure you know there's documentation and you know things that could back up what you're saying you know. So, just you know. Say that vaccines cause autism. If you believe that, you know. Actually, certain celebrities believe that. Robert De Niro is one of them. I like him as an actor, but I'm definitely not trusting him with medical advice.

Speaker 2:

I said just stick to acting, stay in your lane bro, Well, again, you know like getting back to the politics during the oh yeah, Robert F Kennedy, would you go in lieu to yeah, how the heck is he packed to help?

Speaker 1:

He's for the good or bad or he's in between. I mean you just provide your overall opinion.

Speaker 2:

Well, you know, like during this confirmation hearings, where the senator from Louisiana, senator Cassidy, basically said there are, you know, all these medical studies that show that vaccines don't cause autism. Can you, you know, can you tell me that you won't attack vaccines if you get confirmed to the HHS secretary? And of course RFK said, of course I can tell you that. And then a whole bait and switch. Later he's just doing whatever he wanted to do anyway and I'm sure Cassidy is like what the heck? Why did I? I felt for that. But again, when RFK started I was optimistic that he could focus on his food stuff and just not mess with the vaccines or at least try to be somewhat more neutral towards the vaccines. And I really thought he might want to do that, because I think that's actually the politically most. That would be the political thing to do Stick to things that people agree on, stay away from the things that people don't agree on. But he couldn't help himself or maybe he had to appeal to his base or whatever. So now he's gone off the rails and, yes, I support much of the food stuff. Not all of it, but much of the food stuff. He talks about some of it and that's sort of what you were talking about. You have to go through all the individual things that he talks about, whether it be food or vaccines, because he throws some misinformation in there to like say five things that are true and then the sixth thing will be completely off base. So if you just accept everything he says, you're going to be misled from time to time, although on the vaccine side it's the opposite.

Speaker 2:

He basically says five things that are untrue, says five things that are untrue, but then he does come up with like the one thing that's you know that's truer. You know that Operation Warp Speed was Operation Warp Speed and it went really quickly and there were people who did have reactions to the vaccines, and we know that. And like every medicine or intervention, there are people who get complications from. But that's not the issue. The issue is, you know, did the good outweigh the bad? And if it was, if there were issues, just fix the issues.

Speaker 2:

Don't like abandon the technology or don't abandon the vaccine, just work to make it better, like you know, why would we, why would we throw out something that actually saved, like you know, thousands, if not hundreds of thousands of lives, if not millions of lives worldwide. Why would we throw it out just because a couple of people and I don't want to minimize it, but even if let's say some number, 5% of people had a complication, if 95% of people didn't and they got a benefit from it, why are we tossing it out? Why throw out the baby with the bath water or whatever that saying is supposed to mean, but anyway, yeah. So in general, I was had higher hopes for rfk than he's now, sort of he's regressing to, like the conspiracy theorist he was before he got appointed that's sad and and I'm sure bill cassie's probably smacking himself every night for confirming him.

Speaker 1:

Yeah, and, and I want to attack Bill and he's one of the few Republicans I actually respect because he, you know, he does, he is, you know, he does I think it was like research background I'm going to get to details of it and he knows the stuff and he's even respected to be invited to big health conferences. However, the fact that he confirmed ronald kent just because he said, oh, you got my word, I would have still voted no, because that don't mean anything. At least I go by the track record, which many senate 10. You know they tend to do that, but you know they always got their own political filters and narrows to try to push both democrats and republicans. But I'm not gonna get too much much on.

Speaker 1:

Antab, I was going to flip a zero in on Bill Cassie, because he's the one with the science background he could have voted no but.

Speaker 2:

Right and he today or yesterday, when the new FDA approval for the new COVID vaccine came out and it had all these restrictions, and he actually has now basically said that the CDC and the ACIP, which is the panel that reviews and makes the vaccine recommendations, he's called for them not to meet because of RFK replacing all the members of that committee with people who don't have a scientific background. And when I heard this news, all I could think of is dude, you had a chance to prevent all this and you didn't. And now you're like gonna complain and say stuff like man, this is the bed you made. So, like, you know, don't come now and try to be all like oh we, you know this is terrible, this and that it's like anybody.

Speaker 2:

You know, politicians are not what's the right word. I don't want to bash them all as a group, but they're just generally mostly concerned with their own success, electability, et cetera, and they will say anything or do anything to make it happen. So, like, of course, rfk said don't worry, senator Cassidy, you have my word. And of course he went back on his word, because that's what we expect from politicians today. None of them keep their word, neither side. They all change their opinion on everything for whatever is most politically expedient.

Speaker 1:

So yeah, that's absolutely right. I'm not gonna argue with that because both you could trust me. That's gonna be another five-hour podcast about how both sides sure went back of their word on many, many things, but a lot of you know that anyways, and I'm not going to be a dead horse at this point, yeah it's OK to change your opinion, but don't don't deny that you had the other opinion at one point, you know.

Speaker 2:

I mean like just don't go back on your word. Just say you know I've reviewed the data or whatever has been happening in today and I've changed my opinion. I no longer think that whatever has been happening in today and I changed my opinion. I no longer think that whatever take your pick of of topics, you know I no longer think that israel going into gaza is a good idea. Now I'm against it, or whatever. Like you know. Just don't say I never said that israel should go into gaza, like I, you know anyway it. I am a bit cynical when it comes to politicians, I have to say look, I understand completely.

Speaker 1:

I'm not gonna, I'm not gonna bash you for it. I get it because it, yeah, they, you know, they, they had this opinion and they do a 180 and look, you know, hint, hint, hint, the yellow that that's now vp jd fans, another bastard. Oh, trump was a con man, and all that all of a sudden. I was yeah, but hey, this episode here, ironically, I've just kind of leaned to the left a little bit. It's just no democrats are getting bashed here because well, none of them are in power right.

Speaker 1:

So that's the, that's a perk of not being in power. You could get away with this, dems, because I have bashed when biden was in power. I've bashed him and, believe me, of course, different things. I'm an independent the other day and I'm proud of it, and I'm not. I'm not going to change that at this point because this is for someone who was a former moderate Democrat, former moderate Republican. Oh yeah, both crazy. I'm just. I'm just an eye at this point. But enough about me. Any any shameless plug you want to do before we wrap this up this. This has been a great conversation. Thank you, no.

Speaker 2:

I mean, I think you know I have both a YouTube channel and a website called Obesity Explained and both of them have lots of information on them. The YouTube videos I think they're 170 or something like that Shorts and full-length videos and podcasts and lots of topics that we covered today, lots of topics we didn't cover today. And it's really I'm not monetizing my YouTube channel. It's just there for people to learn stuff. So if I'm going to plug anything, I'm going to plug that or my website.

Speaker 2:

I really just trying to change the narrative about the disease and, you know, just hoping that the more I talk about it and the more I just present the facts and present the science, that maybe we'll change some opinions along the way. And at the end of the day, you know, we got 150, no, 140 million adults with obesity and 15 million children with obesity, and that is basically should be a crisis or a call for a crisis and something drastic to be changed, and we just, for some reason well, for the bias and stigma reason we are unwilling to go there. So I'm trying to be the guy who you know I'm not ringing the alarm bell, but I am trying to just tell people listen, man, this is a huge problem, and it's a huge problem for our economy. It's a huge problem for for everything for people's wellbeing, for people's health, for people's happiness, for the next generation of of kids, and we still keep going back to the same old, same old, which is, just, you know, mind blowing for me personally.

Speaker 1:

All about this with the artificial food companies, the big pharmas. Yeah, that's, that's most conspiratorial.

Speaker 2:

I'm going to get blame me and Big Pharma, you know yeah, so that way, I mean, you know, there are those, those conspiracy theorists who think that Big Pharma and Big Food are in this together, and I mean maybe they are, and if they are, then they've got us all like, then we're all like hosed because you know the lobbyists and the money and all that stuff, it's like. But I, I'm going to, I'm going to choose not to believe that, I'm going to choose to believe that, while both of those groups want to make money, that they're not in cahoots. But I could be wrong and then I'll be sad.

Speaker 1:

I mean me, I'm, I mean I'm I, this one, when a dissent is, I think they're in cahoots. They want us to believe they're in cahoots. I mean, food and drug administration is like one thing I could point to. I mean, who the heck on their right mind will put it together? But that's just you know. That's just, that's just me. Look I'm. Can I be wrong? Of course I could be. I'm not going to die. That's another one. I'm not going to die in a hill. I'll die in a hill for trying to fight for this country to stay united. Maybe that's just like I'll die in that hill, but not about the FDR. Look, if I'm going to be wrong, I'm freaking human. Leave me alone, yeah.

Speaker 2:

I think so.

Speaker 1:

Or I could just tell them just forget about it, Just forget about it.

Speaker 2:

You know, again, I think maybe I'm naive, but I choose not to believe they're in cahoots, because if they're in cahoots then, like I said, we're totally then there's no chance, there's no chance that we can fix things. And I don't want to believe that. There's no chance we can't, we can fix things. So I'm going to maybe I got blinders on but I'm going to. I'm going to believe that they're not in cahoots.

Speaker 1:

You know, ironically, I believe there is hope even despite they're united. It's just we gotta change, we just gotta do so much. Changes from I don't know. It's gonna be from bottom up, I mean, I think that's probably from bottom up, and then even some business is gonna realize, oh, they're not falling for this junk stuff. We are forced to change our ways, maybe something like that could happen. But despite that, despite I think they're in cahoots, I still think there is hope. Maybe I'm crazy.

Speaker 2:

Feel free to express that I can go on about this topic forever, but I do think the GLP-1 medications have actually really negatively impacted a lot of the big food companies, because a lot of the big food companies, because a lot of things that they were selling they're not selling anymore. They're going to have to. A lot of the companies are rethinking about what they're selling, which is a good thing to you know, yeah, I believe change.

Speaker 1:

I believe change is possible, even they're united.

Speaker 2:

I think it's the take-home message for everybody should be that there's change, is possible, there's hope. I think, as you said, it's got to be, people have to lead it. It's not coming from the HHS, the secretary of the HHS, surgeon general, anybody in the governmental level, and frankly, that's not just with this particular administration, that's with every administration. So the real question in my mind has always been is like what is the movement going to take or what is it going to look like? How do you organize people to push for better health in America?

Speaker 1:

Yeah, absolutely. I mean, that's a very good question to have. But forget, that's an excellent question to have. What is that success going to look like? You know what change is possible? Yeah, that's a very good question to have. I think sometimes we don't even know what it's success gonna look like, you know what change is possible?

Speaker 2:

yeah, that's a very good question I think sometimes we don't even know what it's going to look like until it's there, right, like you don't even know that the movement is happening and then all of a sudden you're like, oh, things are changing because you know, yeah, whatever, like like random, here here's another random political sort of topic. But but like you know, arab Spring, like the dude who set himself on fire, think that he was going to be the catalyst for Arab Spring. Like who would have predicted that? I don't think anybody.

Speaker 1:

But that's everyone. I would just thought he was a nut. But hey, that's just my honest opinion. But hey, it's true that you never know, you just spark the movement, spark the movement. Humans are not the most logical people, and I got us that. I always forget that. Yeah, I always forget that.

Speaker 2:

Yeah, it's, it's why, and we also don't like complicated problems like obesity, we like black and white problems and we like to be able to say here's the solution. This is the one solution. This is all you need to do.

Speaker 1:

Eat is the one solution. This is all you need to do eat less, guys more. That's why we judge, because it's easy. He lies bad, evan good or vice versa.

Speaker 2:

Right, that's it, yeah well, you're stupid people if you're gonna think like that same thing. In politics right is good, left is bad, left is good, right is bad. No, it's like they're people. I don't want to say on both sides, because that has a negative connotation these days, but anyway the point. The point is that keep it over mind, keep learning, be inquisitive, challenge things you don't necessarily agree with, but don't challenge them to the point where it's argumentative or confrontational. Learn new things. Science is always evolving. The science of yesterday doesn't even necessarily mean that the science of today. The science of today may contradict the science of yesterday, but that's not because the science of yesterday was necessarily quote unquote wrong. It's just that we didn't know as much. So it's like the world is ever evolving and the science is ever evolving, and keep an open mind.

Speaker 1:

Learn, absolutely. That's a great time, and now that's a great time to wrap this up. I hope you, seriously, I hope you were listening to all this, because it's just some valuable, valuable stuff here, some wisdom, some tidbits, you know, sprinkle this episode. I really hope he was listening. This is my. This is me wearing my serious hat. Now I'm gonna wear my capitalist hat by shameless plugin, definitely monetize it as YouTube.

Speaker 1:

For sure, I'm not as pro bono or as noble here, but I don't care. I'm a capitalist, yes, so you. So I'm anti-socialist on that one, but I don't mind some socialist policies that help people. That's the funny part. I'm willing to compromise on that, you know. But you know, if it helps a lot of poor people, so be it that. You know I'm not that far-right capitalist. Everything has to be privatized, you know. I know there there's a right capitalist. Everything has to be privatized and all that. No, there's cases where privatization has done bad, but T's episode, I don't know what you're thinking about. I don't think about it. I don't make promises that I can't keep. So, before I get to my selfish plug-in, I'm going to link all that below his website, his Instagram, linkedin and the YouTube channel Because, like, give him some love.

Speaker 2:

William, he's here, give him some love Challenging the norms of obesity. Yeah, and feel free to you know I'm definitely one of those. What is it? There's no such thing as bad publicity. It's the same thing, like, if you put comments on my videos or whatever, that you don't like stuff, that's awesome. It means you actually watched it. So, like, how about it? Like, do do again. Do your worst. I'm a big boy, I can handle it well, maybe that hate is a secret admirer.

Speaker 1:

Anyway, oh, yeah, I went there. But anyways, you know, hey, you know, even the haters that watch, that's still eyeballs, that's still attention. And you unintentionally spread the good news, believe it or not? Oh, look at this schmuck spreading this thing. But yeah, but the one person agrees that it is a chain of wheel. Hey, hey, you know, um exactly.

Speaker 2:

You never know.

Speaker 1:

That's what I'm gonna say now yep, all, right now for my um podcast. Like comment subscribe. If you want to subscribe, click the all notification bell. If Yep, alright now for my podcast. Like comment subscribe. If you want to subscribe, click the all notification bell If you don't want to miss a single update. And for those who want to donate, got some greens. It starts at $3 a month. You get your own emotes, you get a shout out and you're going to start getting some exclusive episodes.

Speaker 1:

And you think I'm nutty here. I'm going to be so nutty and crazy you're gonna think I'm crazy to even alex jones just saying that I that that's probably not exaggeration, or you'll be the judge. You know that's the fair. That's fair. You know you'll be the judge of that. Uh, but I will talk about stuff that is taboo and it'll be more uncensored. You get to know about me more personally.

Speaker 1:

And for the apple podcast portion, those only reviews I read, leave an honest review. Give a thoughtful review, like I think this episode great because of abc or this episode sucks because of abc. Not just I'm great or I suck. That doesn't help, just give it. Just put some thoughts to review those only ones I am paying attention to. All right, and oh, and I got correct. Congratulations, champ richie. 100 subscribers and still growing. Let's try to reach 500 and maybe hit a thousand, maybe ten thousand.

Speaker 1:

May sound crazy now, but you never know, I didn't think I was gonna have, um, over a thousand people listen to me. So I, you, you know, and this is not, of course, one platform. I like it all on YouTube, but it's all spread out, you know, and that's great. I didn't expect that much. So I thank you, I genuinely thank you. I know I bash you. I'm like this tough joker in a sense. I'm feisty, sometimes comical, sometimes I'm wise, I'm all these crazy characters, but I actually really do appreciate your support, even the haters yes, even you, the haters, because you make you make things interesting. Believer or not, you're entertaining. Believer, have you thought of comedy? Have you thought again? Entertainment industry you might do well or maybe not, that's okay. You're afraid that means you got some wisdom there, but really it's up to you. So, whenever you complete this visual audio journey, have a blessed day, afternoon or night.

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