110: When To Consider Starting a GLP-1 (Wegovy, Zepbound): Honest Guide for Patients

A medication that can support weight loss, lower diabetes risk, and protect your heart sounds almost too good to be true. So we get practical about the real decision: not “Do I want a GLP-1?” but “What problem am I trying to solve?” If the goal is better metabolic health, less sleep apnea burden, improved blood pressure, or a long-term plan for obesity as a chronic disease, the conversation changes fast.

We break down who should seriously consider GLP-1 medications like Ozempic, Wegovy, Zepbound, and Mounjaro, including the common BMI thresholds and the “BMI plus comorbidity” situations. We also talk about the people who have truly done the nutrition and exercise work, lost weight, and watched their body push back with hunger and regain. That’s where appetite dysregulation and biology matter, and where GLP-1s can become a powerful tool instead of a moral debate.

We also cover who should pause before starting: anyone chasing a quick fix, anyone who hasn’t built foundational habits, or anyone who isn’t ready for the trade-offs like nausea, fatigue, or constipation. We dig into safety and long-term expectations, why stopping often brings symptoms back, and why easy access through med spas and low-oversight online clinics can be risky, especially with disordered eating history. If you want a calmer, more responsible way to decide, we’ll help you map the choice to your story.

Subscribe for more practical health conversations, share this with a friend who’s on the fence, and leave a review if it helped. What’s the biggest question you still have about starting a GLP-1?

Transcript

Welcome And Today’s Question

SPEAKER_01 0:01

Hi, welcome to your checkup. We are the Patient Education Podcast, where we bring conversations from the doctor's office to your ears. On this podcast, we try to bring medicine closer to its patients. I'm Ed Delesky, a family medicine doctor in the Philadelphia area. And I'm Nicole Ruffel. I'm a nurse. And we are so excited you were able to join us here again today. So what are we going to talk about today, Nick?

SPEAKER_00 0:24

Today is another episode on everyone's favorite topic, GLP1s, and we're going to talk about how you know when you should start one.

SPEAKER_01 0:32

Look, I'm post-conference, we got to strike when the iron's hot.

SPEAKER_00 0:35

I wasn't being sarcastic. It is everyone's favorite.

SPEAKER_01 0:38

Oh, okay, good.

SPEAKER_00 0:38

It's on everyone's lips these days.

SPEAKER_01 0:40

So let me ask you a question. If there was a medication that could help you lose weight, lower your risk of diabetes, and even protect your heart, would you take it?

SPEAKER_00 0:51

Yeah, I would.

Who Should Seriously Consider GLP-1s

SPEAKER_01 0:52

Now here's the harder question. Should you take it? Because GLP1 medications like Ozempic, Wagovi, Zapbound, and Moonjaro, even Oral Wagovy and Foundado are everywhere right now. But one of the really hard questions to answer that people are asking is is this right for me? So today we're going to try to walk through that. Honestly and practically, and as we always do here, keep it right in the middle, not diving on one side or the other. So most people think this is a yes or no decision. Do I want to take a medication or not? But we would actually propose that this might be the wrong question in and of itself. We would propose that the better question is what problem am I trying to solve? Because GLP1 medications are not about vanity. They are about treating a chronic disease and all of its complications in obesity. And just like high blood pressure or diabetes, sometimes lifestyle alone isn't enough. So, Nikki, can you explore and share with us who should seriously consider, or for rather who is a GLP one on the menu, if you will?

SPEAKER_00 2:21

Yeah, I sure can. So there are a few groups of people where you can strongly consider taking taking a GLP1. The first one is if your BMI is 30 or more that fits you in the criteria for obesity, and that's something you should consider. The second one is having a BMI of 27 or more and a related condition. So things like diabetes, high blood pressure, high cholesterol, and sleep apnea. So that BMI plus one or all of those things. Cause honestly, if you like have one of them, you like probably have another. The third one is if you've tried to lose weight and your body has kind of fought back. This is a really big one. So if you've done the diet and exercising, like truly have done it, you've lost weight, and then maybe gained it back. Um a GLP one can help counteract that biology that happens.

Long-Term Treatment And Safety Reality

SPEAKER_01 3:22

And you know, one thing next that we're going to talk about is the hard truth of what people might not say up front, but like we're doing this in an honest way. So perhaps this might not get talked about enough. Is that one, starting a GLP one is not just about weight loss. I've been trying to say this a lot more recently when I'm seeing patients, is that like that number measuring someone and their metabolic health by a single number is actually really silly. But what this is, it's about long-term treatment. These medications, as we've talked about before, but if you're new here, we'll go over that they reduce hunger and they regulate appetite dysregulation. They for a time slow stomach emptying, but overall they change how your brain responds to food. But it's true that when you stop them, those signals come back. So this clearly is not a I'll take this for three months and then be done. That actually might be kind of harmful. And it's closer to I may be treating a chronic condition long term. And that's a mindset shift that many people, it's not commonplace to think about, but it it should be when we think about this medicine.

unknown 4:38

Yeah.

SPEAKER_00 4:38

And I feel like a lot of people, which is so annoying when they're like, well, what about when you stop taking it? Won't you gain weight back? Like, I feel like everyone like they want it for this finite amount of time. Right. To be like, I'm gonna lose 40 pounds, and then that's it. And then that's it. Like, yeah, you probably will gain weight back. If you take medicine for seizures and then you stop, you'll probably have seizures.

SPEAKER_01 5:04

That's a great one.

SPEAKER_00 5:05

We if you take medicine for high blood pressure and you stop, you will have high blood pressure again.

SPEAKER_01 5:12

Yeah. The seizure one's a good analogy.

SPEAKER_00 5:14

Yeah.

SPEAKER_01 5:15

Correlation. I hadn't uh we haven't used that one. Yeah, no, we got I use add it to the list hypertension and diabetes all the time, but they're related. So, like, and the another stigmatizing condition is uh depression.

SPEAKER_00 5:28

And I say that one is like if you have anxiety and you stop taking your medicine, you're going to be anxious. Right probably.

SPEAKER_01 5:35

And this isn't news. This has been around since 2014 that you know major medical bodies have declared obesity a chronic condition, a disease. And like it's not just about BMI, like there are complications of it, of course. It works for most people, but not everyone. But it's the chronic nature of it. And I think we'll probably get a little bit around this with having the oral options now. Like people are more used to oral options. And I think like I have personally have a lot of people coming in and like previously were not interested in the injectables and now have turned a corner and they're like, hmm, oral one. I feel better about this now. So I think there's a big hurdle there.

SPEAKER_02 6:20

Yeah.

SPEAKER_01 6:21

But yeah, it it's long term. And we have for anyone who's worried about safety, like we have diabetes data for people using these for diabetes, the GLP ones, for decades. And if used correctly, they're fine. Yes, they like every medicine has side effects, but by and large.

SPEAKER_00 6:41

No one talks about the effects of medicine, do you know?

SPEAKER_01 6:45

We've definitely we've said that before, and we should afford to say it again. Everyone want worries about the side effect, but what's the the effect is way better than what a potential rare side effect could be. Yeah, the risk and the benefit. Because when you start weighing that, and like I think this is great, great conversation, when you start weighing that, people often forget the benefit of treating the underlying condition and the risk of letting it go untreated.

SPEAKER_00 7:19

And you like might be treating other chronic conditions.

SPEAKER_01 7:25

Yeah.

SPEAKER_00 7:25

If you have obesity and sleep apnea and high blood pressure, a little trifecta, if you will, lose some weight. Maybe you don't need your CPAP anymore.

SPEAKER_01 7:39

Maybe less blood pressure.

SPEAKER_00 7:40

Maybe your blood pressure chills out. Yeah. Because your heart's not fighting for its life anymore.

SPEAKER_01 7:46

Yeah, it's it's like uh it's and I think um I find this is like all personal experience, that women are so much easier to come around to this thought process.

SPEAKER_00 7:59

Well, that's because we're we are rational humans. Well, most of us are. Actually, a lot of us aren't. Men are just dumb. That's what that is.

SPEAKER_01 8:06

Yeah, I was gonna let you say it um rather than me, but I agree with you. Rather than like, I'm more surprised when men come around to it and they're like, oh yeah, I'm gonna, I'm gonna do this. I think it's a very advanced mindset to think about this and entertain this possibility. And it happens a lot, but yeah, I think women are definitely way more into it than a lot of men. And yeah, it's um it's out there, and they're conversations we should be having. Chronic condition, yeah. Requiring chronic treatment.

SPEAKER_02 8:43

Yeah.

Who Should Pause Before Starting

SPEAKER_01 8:44

And it's you know, it's centered, I think the size and whether it's adiposopathy, which is the like sick fat problems, like the insulin resistance contributing to high blood pressure and diabetes, versus the like fat mass problems, which are like contributing to like closing the throat a little bit more for sleep apnea, or the weight contributing to knee osteoarthritis. That like it's the appetite dysregulation that is the thing. Like that is the problem, that's the index problem for a lot of people, at least. And this is what these medicines treat, not like this, it's just an effect of what it's actually getting at. So yeah, that's uh thanks for indulging us on that one. Um back to business. Um, so Nikki, can you explain to us now? Now that we've talked about um the hard truths about these, can you explore who should pause before starting these medicines? Like who might this might not be the perfect option for?

SPEAKER_00 9:59

The first one would be if you have not tried the foundational habits yet. So improving your nutrition, improving your or increasing your movement and kind of getting your sleep hygiene better. Um, because you still need to do all of those things if you're on one of these medications, because you, I mean, theoretically could like out-eat your GLP one if you're just not moving and your eating habits are the same. Yeah, it's not gonna work. Right. Um, the second is if you're looking for more of a quick fix, because you'll probably be disappointed because it is, I mean, everyone's different. I feel like some, I guess depending on where you're starting at, some people will like lose a lot of weight right, kind of like right off the bat. But I think for the most part, it's a little bit of a slow and steady process that you kind of have to trust. And then the third, um, you know, there are some side effects. So if you're not really ready for the trade-off of the side effects that you may or may not feel it is a commitment. So you might be nauseous, you might have some fatigue, you might have some constipation. But I feel like for the most part, it's something that people can remedy. Yeah. Like if you're constipated, perfect time to improve your diet and eat more veggies and fiber and drink more water.

SPEAKER_01 11:27

Exactly. You know? Yep. Perfect.

SPEAKER_00 11:29

Maybe take some mirror too, but it's okay. Right.

SPEAKER_01 11:32

Um, the cost about constipation. What? Whole episode about constipation back there tucked in the archives.

SPEAKER_00 11:37

Um, and then of course the cost and insurance barriers can maybe make someone pause, but there are a lot of manufacturer coupons out there. Yeah. If you kind of decide what is a comfortable amount of money to spend on something that is an investment in your health.

SPEAKER_01 11:56

Yeah.

SPEAKER_00 11:57

And longevity.

SPEAKER_01 11:59

Didn't hear it from here, but increasingly creative options for cost reduction as well.

SPEAKER_00 12:04

Yeah. Depending on how people find that on TikTok or something.

Healthy Motives Red Flags And Access

SPEAKER_01 12:07

Yeah, not here. Um great. So you're on fire. Can you help us explain? Um, because this is going great, um, and the people love you. Can you explore a little bit about healthy reasons and unhealthy reasons to consider using a GLP one?

SPEAKER_00 12:27

So these are kind of just some examples. Good reasons to start would be that you've been struggling with your weight for years, despite a real, like a true, honest, real effort. Be honest with yourself. If you're doing it because your health, maybe your health is being affected. Right now, maybe your obesity is causing other things in your life that you want to get under control. An amazing, amazing reason to start. Um, and then the last one, well, last example that we have is I want, I want help working with my biology.

SPEAKER_01 13:05

Great. And then so what about these ones? These uh I feel like these are very, like, very much out there. The red flags, some unhealthy approaches to using a GLP one.

SPEAKER_00 13:17

Yes. If you are again kind of like looking for a quick fix or saying, I need to lose 10 pounds for this event. Not a quick fix. Sure, you can lose 10 pounds for an event, but then it's really not gonna do any good for you in the long term. Yeah. Um, if you're just saying, oh, well, everyone else is doing it. So that's definitely out there.

SPEAKER_01 13:41

Mm-hmm.

SPEAKER_00 13:42

Definitely if everyone else was jumping off a bridge, would you do it?

unknown 13:46

Yeah.

SPEAKER_01 13:47

No, I wouldn't, I wouldn't say yeah, but I'm just agreeing with you.

SPEAKER_00 13:51

Um, and then again, I want the fastest possible result because it's not going to be fast. And if it's fast, it's actually like physically impossible. You your body is not going to lose 10 pounds of fat in a week. That's not right. That's not how that works.

SPEAKER_01 14:10

So it's arguably, if it is fast, arguably unhealthier as well. This is part of the like these are so powerful. It's like wielding a chainsaw. And to kind of break this out. Did you have other thoughts or to kind of break this out? Like, there are access to these if you didn't gather is increasingly easy if you have the money. Like it's actually pretty scary.

SPEAKER_00 14:36

And it's also kind of scary where like you can just walk into like a med spa and get it. Or I mean, if you had you should probably be careful if you have any especially recent, like any sort of like disordered eating issue, like on Mormon Wives on Layla. Right. She's like, I weighed myself when I was 98 pounds. And she like goes and gets her GLP1 at I don't know where she goes, but she gets it from someone without any morals, clearly.

SPEAKER_02 15:13

Right.

SPEAKER_00 15:13

But like she has some sort of disordered eating history and like has been taking this, and she's like, I can't stop. So maybe think about that.

When It Becomes The Right Tool

Sunday Banter Food And TV Plans

SPEAKER_01 15:23

Yeah. There's um I there's even I have experiences where people want to have some things to think say about this too. Um he's probably hungry. Where people like a tricky thing is that like formally the definition of like overweight BMI, which is like kind of crazy, is fit 25 and above, actually. And then the indications for the medicines start at 27. And I mean, have definitely been a part of hard conversations where people aren't at those thresholds. And you know, you sort of get into this bind where, like, if as a clinician, like someone's primary care clinician seeing them live in person in an academic care setting, that like if you're not going to do it, and the person's motivated, there is a very high likelihood that they will be able to get it from somewhere, and they it might not be for them, but like these companies don't care. Yeah. And they frank, like, they advertise that they do, they advertise that there's clinician oversight. And anyone who I've talked to is that it's just like a quick pop-on and like a, hey, how you doing? Is it working? Any side effects, and then move on with your day, with like very little consideration of anyone's medical history, adjusting other medications along the way, or really important counseling. And for people who may not even need it, like in these these like groups of people, these situations that we've explored here, that like they people might not benefit from it. And there's like a it's a tough balance between the the person who like medically has clinical obesity versus someone who might be unhappy with the way they look. And it's a very like, and both are I think valid situations, but one is one is clinical and one is like I I I struggle with this sometimes because I want someone to feel supported, but I also don't want them to feel like they need a medicine for this. Like so that's the that's the rub. I don't know. It's like uh because I never when I'm like someone's doctor, I never want to invalidate their feelings. So I'm still trying to figure out the language how to how to approach those particular situations because it's very delicate. It is, it's all very delicate. This whole thing is so what what do you have any thoughts about that before I move on? Okay. Well, you just really think about this if you're if you're considering this, take a long pause. Um, I actually applaud the people who some of them I've seen like four or five times, and then they're thinking about doing this. Like I applaud that situation, to be completely honest. Um so my hope is when you're sitting down with someone, they don't say you should take this. That rather they say, let's decide if this fits your story. So and you have a conversation about like a weight history, health risks, goals, concerns, and then ask, does this tool make sense for you right now? Because this isn't about pushing medication. Uh I want to put it that way too. It's not about doing that because I think the drug companies do that enough with all of their advertising on TV. But it's about building a plan that actually works for someone. And now we have tools. We have tools that are increasingly accessible to people to work on this so this thing that's so important. And it just should be done responsibly. And I think that's our big takeaway from today's episode. So, when should you start a GLP one? Not when you feel pressured, not when you want a quick fix, but when you've been fighting obesity for years, your health is being impacted, and you're ready to treat this like the chronic condition that it is. That's when it becomes a powerful tool for you. Maybe you. Maybe not you. Who knows? I think we're gonna keep on the the conversation about GLPs for a little bit to try to keep some cohesiveness in our episodes here. So stay tuned for that because we actually have a lot of episodes that we um promote and like interact with people on threads with, but they're now with this ever changing so fast, like they're a little old. So there's also some updating to be done about like muscle literature and a bunch of other niche topics that come up in GLP ones. So there's that. Any thoughts or feelings? No, great work. Ollie, thank you so much for great. And now for the banter. I we need to not do this after watching like the first game of a double header of the Mets losing, and oh, I can famous yawn um as you start. Because I think like as soon as you sit in that chair, it's like something. It's like uh what's the type of conditioning? Operant conditioning? Like you sit here, you yawn. Anyway, that's okay. Um, because gosh, it puts me in a down mood, but let's move on from the Mets quickly to explore all of the like cooking things, like a little cooking mama in the kitchen um that you've been making today.

SPEAKER_00 20:57

I mean, it's just like a regular Sunday, you know? I make your little egg thing.

SPEAKER_01 21:05

We'll go into a little bit more detail because I think people are curious.

SPEAKER_00 21:12

I made you your little breakfast egg casserole that you like, which I severely injured myself doing last weekend, but I did that. Um not severely, it's dramatic. And then I made our little hyper fixation lunch of our quinoa and little cucumber tomato salad. Well, it's a hyper fixation lunch for me.

SPEAKER_01 21:35

I like it. So I'm in.

SPEAKER_00 21:37

Now this is what you're eating for lunch, also.

SPEAKER_01 21:40

It's good. What else did I do? Lunches are consistent.

SPEAKER_00 21:43

I got the fruit, I did the grapes, and then uh did I make something else? I feel like I did.

SPEAKER_01 21:48

You just made cookies.

SPEAKER_00 21:50

Oh, yeah. I just made cookies.

SPEAKER_01 21:51

And you made them from that book that brother Vanessa gave you. Right? That's great.

SPEAKER_00 21:57

Uh wait. I thought I did something else. Maybe. Yeah, I didn't.

SPEAKER_01 22:01

Well and then we're having fat rigatoni tonight. Oh yeah. Yeah.

SPEAKER_00 22:07

We're having fat rigatoni tonight.

SPEAKER_01 22:09

And we finally went back to Trader Joe's after a long hiatus. We had a gift card that we eventually had to use. Do you yawn this much when you're like on doing anything else?

SPEAKER_00 22:21

I don't know.

SPEAKER_01 22:22

You've yawned three times in less than two minutes. It's nothing you can help.

SPEAKER_00 22:29

Yeah, stop yelling at me. Um okay, so that's what I did. And then have we watched any good TV? I want to watch on Netflix after this, because we're caught up on all of our shows. I want to watch um that I forget what it's called, but it's some like culty documentary that I want to watch.

SPEAKER_01 22:56

Great. Is that what we're you're hoping to do after this? Yeah, we can definitely make that happen. Um, what else did we do this week? One of our dear friends is traveling. Um, he's in Spain. Um, oh, we went to an art show. We did. To our niece's art show, which was great.

SPEAKER_00 23:17

Um first college art show.

SPEAKER_01 23:19

First college art show. So we're really proud of her. That's awesome. And went very well. We did go on a little, a little like fast food date after that. We are human. We are, we did.

SPEAKER_00 23:35

So we went to Chick-fil-A.

SPEAKER_01 23:36

We did. But you got you got like the grilled chicken sandwich, and like it's like 300 calories. And I was like, all right, and I'm pretty sure you took the bun off. So it's like it's all a wash. And what's happening is that like if you don't finish a portion, I eat it.

SPEAKER_00 23:51

So yeah, you did that with my bagel this morning.

The Belt Store Story And New Glasses

SPEAKER_01 23:55

I did. Oh, that was a good bagel. So we had an everything bagel with cream cheese and um with salmon and capas and uh capas, my Spanish teacher. You put a little uh you put a little honey well Dijon, Dijon mustard. Um, I put a little on mine. You put a little of those onions. What type of onions are those? Pickled onions, a little pickled onion business that went on there, and let's see. Gosh, I feel like I came in here locked and loaded with things to talk about, and here we are, just spinning my wheels. Oh, we did we did, we went to find I got a belt as a gift from State and Liberty. Oh my god. We were walking around and we were running to get some errands, and like you gave me a gift that I had to redeem. So we went to that store to get the gift, redeemed the gift. It's like a parfume.

SPEAKER_02 24:53

Cologne.

SPEAKER_01 24:54

Cologne. And um is a cologne a type of parfume or I don't know, bro. All right, that's fine. So but we go into State in Liberty, and what do you see?

SPEAKER_00 25:06

Oh, that whole interaction. Okay, have we talked about this? We've like talked that like the general, it's like such a bro club when you go in. And we went there for his wedding suit, and then he got another outfit there, a couple shirts. So, like, he's been in there for a couple times, and like you went a couple times with the wedding suit, had like a custom shirt, blah, blah, blah. But like, they always um, you know, like knock some money off or like throw something in and like whatever. And like when he when we went last time to exchange the belt for the different size, Eddie walk, we walk in. He, the people, the guys that work there, it's always the same, like well, the one guy, Trent, who's like our man, yeah, he's our guy. And then the I don't know what the other two guys' names are. I forget, but whatever. They're nice. It's like the three, like same kind of main guys that are always there. So we walk in last time to exchange the belt, and they're like, Hey, what's going on? Good to see you, dabbing him up. Eddie's like, I want to like, I need a different size in this. Um, whatever. So he just picks up the the guy, picks up the iPad. He's like, Oh yeah, like we don't have this in size here, we'll order it. This is you, right? Like, already knew his name, remembered it and everything. So that was like a couple weeks ago. It came in and we went to get it yesterday. We walk in and it's a Saturday, so there are like a good handful of other men in there, like trying on clothes. The one guy sees Eddie and goes, Hey, what's up, handsome? Hey, how's it doing? Here we go. They're dabbing him up. What can I do for you today? Oh, I'm just here to get the belt that came in. Oh, yeah, I got it back here. Like, has never once since we've been there the first time been like, Yeah, what's your name again? Like, none of that. They know exactly who he is. And then, like, the guys in there are like looking around, like, who is this guy? It's just me.

SPEAKER_01 27:13

Oh, yeah, that was awesome. I'm so happy about that.

SPEAKER_00 27:17

Yeah, it's a real high for you when you go in there.

SPEAKER_01 27:19

It really is. It really is. And then we went to a store next door. Did you need to explain that, or are you gonna not share that experience?

SPEAKER_00 27:28

Oh, that I went to the eye doctor.

SPEAKER_01 27:31

Yeah, you went to the eye doctor. Yeah. Cutie little glasses. They fit very naturally on your face. I wanted you to try on some of those like crazy ones just to see if something like outrageous clicked on your face. Like, could you be Ben Franklin?

SPEAKER_00 27:47

Oh my god, probably not. No. I want to go to well, that was the Warby Parker that was like right next door. I don't know. They were like, fine. Gotta try some other ones on. This is a big deal. I did like the sunglasses there though. So I think I may invest in a pair of prescription sunglasses.

SPEAKER_01 28:09

Yeah, you gotta be able to see and not be blinded by the sun.

SPEAKER_00 28:13

Yeah. So that's great. I figured this was coming sooner than later.

SPEAKER_01 28:18

Did you?

SPEAKER_00 28:19

I had like glasses when I was in like elementary or middle school, like couldn't see the border or whatever.

SPEAKER_02 28:25

Really?

SPEAKER_00 28:26

Oh. And then I just like never did anything about it. In college, I never really noticed it because I don't know, everything was like on your laptop and it's like right in front of you. And yeah. And then I'm like walking to work. I'm like, wow, these street signs are a little more blurry than they used to be.

SPEAKER_01 28:44

Oh. You made this seem like it was a new thing.

SPEAKER_00 28:48

I know I've definitely told you this before.

SPEAKER_01 28:50

You well, not like long distance, but like the childhood thing, like the board in elementary school.

SPEAKER_00 28:59

Yeah, and then remember, yeah, because I told you then I had to go do this like weird vision therapy thing or something. Cause I like went to the doctor, got glasses. It wasn't anything crazy, it was like a light prescription, but like whatever. And then I like went back to the doctor and I was like, I still can't see the board. So my mom took me back. And then I don't know, I bet she felt them. Eyes were having trouble focusing or something. I don't know. I was like eight or something, so I don't really remember, but I had to like go to the see this lady and I had to like look at things with my eyes, and like I don't know. I have no idea, but it's all kind of a blur.

SPEAKER_01 29:40

Oh, but yeah. So is your vision.

SPEAKER_00 29:42

And then I just yeah, and then I never did anything about it. Well, I also get a lot of headaches, which that's not helping.

SPEAKER_01 29:51

No, so could that be related?

SPEAKER_00 29:54

I mean, yeah, probably.

SPEAKER_01 29:55

Oh my goodness. Wow, the whole time.

SPEAKER_00 29:58

Like, you know, I don't want to be squinting.

SPEAKER_01 30:00

No, you don't cannot be squinting. No. No good.

SPEAKER_00 30:03

It's not good for the wrinkles.

Time Warp Talk And The Outro

SPEAKER_01 30:04

Not good. And let's see. Oh, this was something we've been talking about. I I do feel as though there's this like you know, thing in the world that you were frozen at the age that you were during COVID.

SPEAKER_00 30:20

Yeah. I feel like there's a name for it, I think. But people say like the age you were, whenever like COVID happened, you're kind of stuck there because like you're like the world stopped. Although, I don't know. I saw to schlump to work.

SPEAKER_01 30:40

But oh, oh, you're saying that like, oh, I see.

SPEAKER_00 30:45

Um like during all of that, I've my life really didn't change other than like the gym was closed and the grocery in the grand scheme of things. Like nobody that I like loved or cared about died.

SPEAKER_01 30:58

Sure.

SPEAKER_00 30:59

And I didn't lose my job. I wasn't working at home, like I still had to go in to work. Yeah.

SPEAKER_01 31:05

Yeah. Can you believe that was seven years ago?

SPEAKER_00 31:10

Ew. What? It's 2026.

SPEAKER_01 31:15

Oh, well, I guess the from 2019.

SPEAKER_00 31:18

The 1920s. I feel like it was like end of 2020.

SPEAKER_01 31:20

It was end of 19 or like 2020. Excuse me. Excusez-moi. Um, six years ago, which is still like can you imagine and believe that we are closer to I'm looking at the date on the bottom of the computer that like we're closer to 2030 than we are to 2020.

SPEAKER_00 31:36

You're disgusting.

SPEAKER_01 31:37

I am.

SPEAKER_00 31:38

Shut your dirty mouth.

SPEAKER_01 31:39

I will sew this pie hole shut. Yeah, so that's depressing to leave you guys off with that. Um, should we dive in? So thank you for coming back to another episode of Your Checkup. Hopefully, you were able to learn something for yourself, a loved one, or a neighbor. You can find us on Instagram, threads. You can also send us a voice, a voice fan mail. Um, have we still waiting. Still waiting on one.

SPEAKER_00 32:06

Patiently waiting.

SPEAKER_01 32:06

Patiently waiting. And hoping one comes too soon. But most importantly, stay healthy, my friends. Until next time, I'm Ed Deleski. I'm Cola Ruth. Thank you. Goodbye.

SPEAKER_02 32:16

Bye.

SPEAKER_01 32:33

This information may provide a brief overview of diagnosis, treatment, and medications. It's not exhaustive and is a tool to help you understand potential options about your health. It doesn't cover all details about conditions, treatments, or medications for a specific person. This is not medical advice or an attempt to substitute medical advice. You should contact a healthcare provider for personalized guidance based on your unique circumstances. We explicitly disclaim any liability relating to the information given or its use. This content doesn't endorse any treatments or medications for a specific patient. Always talk to your healthcare provider for a complete information tailored to you. In short, I'm not your doctor.

SPEAKER_00 33:10

I am not your nurse.

SPEAKER_01 33:11

And make sure you go get your own checkup with your own personal doctor.