GLP-1s, Diabetes, and Why the Weight Loss Came Second w/ Christa Brown, RD

Before Ozempic was a weight-loss story, it was a diabetes drug - and at diabetes doses, it behaves nothing like the version you've heard about.

Registered dietitian Ana Reisdorf sits down with diabetes specialist Christa Brown, RD, to unpack what GLP-1s actually do for type 2 diabetes - and why they rarely cause the blood sugar crashes other diabetes meds do. They cover dosing, A1C, nutrition, and the lifestyle pieces still doing real work alongside the medication.

IN THIS EPISODE

• How GLP-1s lower A1C without causing dangerous low blood sugar - the four-mechanism breakdown
• Mounjaro vs. Ozempic: how diabetes dosing actually differs from weight-loss dosing
• Why type 2 diabetes patients shouldn't fear carbs on Ozempic, Wegovy, or Mounjaro
• The vitamin D, magnesium, and B12 deficiencies behind GLP-1 fatigue, and what to take
• Adaptogens, sleep hygiene, and the lifestyle moves that quietly improve blood sugar on their own

ABOUT OUR GUEST
Christa Brown is a Registered Dietitian and nutrition expert specializing in diabetes, prediabetes, PCOS, and GLP-1 medication support. In addition to working with individual patients, she partners with healthcare practices and organizations to provide nutrition consulting, menu analysis, and workplace wellness support. She has been featured in EatingWell, Good Housekeeping, Women's Health, Real Simple, Business Insider, People, and Parade. Christa has her practice in Woodbridge, NJ and also sees clients across New Jersey virtually.

CONNECT WITH CHRISTA
Website: https://www.christabrowndietitian.com
LinkedIn: https://www.linkedin.com/in/christabrowndietitian/

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*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Transcript

SPEAKER_00 0:00

That's what they discovered as a great side effect to the GOP ones was the weight loss, the efficiency of how your blood sugars are working with glucagon secretion from the liver and how your body so I so understand that efficiency and think it's remarkable, yet still for that population, but it works so good for my type 1, uh type 2 diabetes population. Um really remarkable with it. Welcome to the GLP1 Hub Podcast.

SPEAKER_01 0:28

I'm Anna Reisdorf, registered dietitian and GLP1 user. And today I'm joined by my colleague Krista Brown, who works closely with people living with type 2 diabetes. We talk about how GLP1s can support A1C, and why they don't usually drop blood sugar too low unless other medications are involved, and what nutrition looks like when appetite is lower but your body still needs protein, fiber, carbs, and key nutrients. Let's go get into side effects, fatigue, stress, sleep, and why lifestyle still matters alongside this medication. If you enjoy this podcast, please consider leaving a quick review on Apple Podcasts and Spotify. And if you're watching on YouTube, make sure you share your thoughts in the comments. Now let's get on to the show. Welcome to the GLP One Hub Podcast. I want to welcome one of my colleagues, Krista Brown, today. And we are going to talk about diabetes, literally the most obvious topic of all things for GLP1. And we are just covering it now in season two. Welcome, Krista. Can you tell the people a little bit about yourself and your professional background?

SPEAKER_00 1:33

Yes. Thanks, Anna, so much for having me here on the podcast and delighted uh to be welcome to end and definitely share a little about myself. So I have been in private practice for about the last six or seven years. And my primary focus has been working on those living with type 2 diabetes. And so I have seen a lot of these medications over the decades transform into what they are today. I also on the side do consult with other practices and or like health tech companies, um, as well as a eating well fact checker contributor. And so some of the fun things that I get to do as well. And so that is where I presently stand.

SPEAKER_01 2:09

Cool, awesome. So the GLP1s were originally developed for diabetes. So can you take us a little like back to that, like what that discovery was about?

SPEAKER_00 2:20

Yes. So the first GLP ones were Victosa and Bieta. And I had to like look back and be like, when did they start? And that's when Bieta was two injections daily. And so yeah. And so I thought, well, I'm sure some individuals might not prefer that. And so I think we evolved over the years. And that's where uh Ozympic came up and the other GLP ones that originated from that. But I don't see Victosa, and Victosa is still a shot per week, but I haven't seen that been prescribed in quite some time since the Ozympic and the Wagovy, and well, really OZIP for diabetes came out. But that is the beginnings, I think 2005, 2010, that era is when those particular medications came out for type 2 diabetes.

SPEAKER_01 3:06

So how does it improve type 2 diabetes?

SPEAKER_00 3:10

So the way I can describe what a GLP one, so I kind of have it in like four parts of what I would uh mention and how a GLP1 works with blood sugar. And so the first thing is it increases insulin when glucose is high. So it stimulates those beta cells. So the beta cells bring sugar into the cell, and that only happens in the presence of when there's sugar. So that's what prevents what they would say a hypoglycemic event. So you don't have to worry about going super duper low. So it's kind of that mechanism. The second thing, it decreases glucagon. One of the hormones that we don't, or the storage form of glucose that we I forget sometimes too, and that suppresses the alpha cells. So the alpha cells add sugar to the blood. And so it reduces that storage form in the liver or what gets output from the liver. And that's when patients see with type 2 diabetes, these awkward fasting blood sugars in the morning, that helps to tighten up that response, making it more effective. And so the third is gastric emptying being slow. We all know that as we take a GLP1, things just kind of slow down, but it helps the body's uptake and it helps to digest it a little easier. And so, and then finally it reduces that appetite. So eating less, improving that insulin sensitivity. And so that's kind of what the GLP1s do for blood sugar, and it helps them to regulate their A1C, their three-month average. And so I do see remarkable results with GLP1s in diabetes.

SPEAKER_01 4:42

So do you happen to know off the top of your head like what how much it will lower your A1 singing? Is there like a percentage, like the weight loss thing? It's like around 20% or yes.

SPEAKER_00 4:53

So I can give a real um, I can give some like an example. So one or two patients that are coming off the top of my head, and they were specifically prescribed Manjaro. So my one patient was prescribed the lowest dose of it, and I think it was, I think 2.557 is where it goes. So 2.5 milligrams is that first four weeks, and then she went on five milligrams by month two and a half. Her A1C was like the 11s. It dropped down in that time to a seven. And I couldn't believe, and I had other patients with that. And one patient who lost, of course, accumulation of 75 pounds, stayed on the seven, and her A1C is below six. So it percentage, I cannot, I do not a hundred, but in live scenarios, that's what I've seen in in some of my patients, which um it's really wonderful. I love it for that miracle for them.

SPEAKER_01 5:46

And does it have because sometimes the danger of dropping your blood sugar is that it drops too low sometimes. Does it have that effect for people with type 2 diabetes who are using GLP?

SPEAKER_00 5:56

No, as long as there's no other medication. So sometimes there will be combination therapies that I see. So it does depend on what the doctor like thinks is suitable. Most of my patients, if I do see them, they're on a GLP1 and possibly a metformin or insulin, lesser there, but it doesn't lower your blood sugar so low where you'd be so worried. Because the great thing about it is that GLP one will only work when they see when it sees blood sugar in your bloodstream. And then if it doesn't see it, it's not bringing your blood sugar down. It's just kind of like waiting there till you eat. And then when it has it, it's like, oh, okay, we got to bring you down to a safe level. And it doesn't buck down lower than what your body needs. So that's kind of that cool little um, I don't know, traffic controller in there. We'll only let it in when it when they see them. Good, good.

SPEAKER_01 6:46

Because I know that there's like concerns sometimes, like with insulin.

SPEAKER_00 6:49

Yeah.

SPEAKER_01 6:50

Much too little, too, like it's it can be crazy. Yes.

SPEAKER_00 6:54

And so the ones that are on insulin, that's that's hard because insulin is there's the hormone, and insulin's like, hey, I got you sugar, and it will take whatever sugar it's got and it'll go poop. Um, so then that's when you start having those uh sugar lows, as they would describe it. And we would have to correct that with glucose tablets or orange juice. And that's most specifically with insulin, is what ends up happening for that. But yeah, that's that's a very good point.

SPEAKER_01 7:21

Yeah, yeah. I, you know, I know I know it's a people that have diabetes and it's like a con concern too high, too low, all over.

SPEAKER_00 7:28

It feels like a pen belong. You're like, I'm great, I'm not, I'm good, okay.

unknown 7:34

Definitely.

SPEAKER_01 7:35

So for the medications that are used specifically for diabetes, what are they and are their dosages any different from the weight loss ones that we often talk about?

SPEAKER_00 7:45

Yeah, so I call them the other guys, the other GLP ones, and the ones that um so there's two that I mostly remember off the top of my head that I most commonly see, and that's Rebelsis and Monjaro. So Rebelsis is a little different. It's a tablet that must be taken every day, and those doses are three, seven, and fourte milligrams most of the time in Rebelsis. So that mechanism is the same as um is Manjaro. And so Monjaro is 2.5, 5, 7.5, 10, 12, 15 milligrams. And those are weekly injections. So those are the the differing um kind of medications that are for type two diabetes. And and Monjaro, I commonly see, is for patients who have really their A1Cs are in the 11s, is mostly when I see Mongero prescribed. El CIS is some patients are afraid of the injections. So that's one. And um, so that's when that's prescribed, or their A1C just needs a little help. So those are the differing doses. And the higher the dose, the more aggressive the effects of it with blood sugar lowering and probably even weight loss, too.

SPEAKER_01 8:55

Sure. So you're seeing like the doctors are prescribing for like diabetes that's more uncontrolled, the Minjaro seems to be more what's being prescribed.

SPEAKER_00 9:05

That's generally what I am seeing. High A1C, but also some cardiometabolic profile difficulties. So maybe like high LDL, triglycerides, duh, forgot that part. So those are some of the cool things that I'm seeing is their blood work gets so it's killing a couple birds with one stone in some of these patients. So that is where I'm seeing Monjero really, really taking great strides in the support of type 2 diabetes, but also some of their blood work. So, what are some of the labs that are improving? I am seeing their LDL. So I had one patient. So point for a point of reference, having it under 100 is recommended uh for heart protective benefit. And let's say the patient, I think it was like 140, 150 is one cardiometabolic profile. She like dropped it down to 80 after like three months. And so again, I've just been seeing these like landslides with those living with type 2 diabetes who really need um this support. It is just really helped them in their L LDL and their triglycerides also went down. I can't off the top of my head remember a direct number, but that's generally what I'm clinically seeing in some of the patient population. But that, their of course, their A1C measurably improved. So LDL, total cholesterol, triglyceride. So those are some of the things I am seeing. Yeah.

SPEAKER_01 10:23

So in terms of nutrition and lifestyle, what are some of the differences that people with diabetes have to focus on on this medication compared to somebody who's just trying to lose weight?

SPEAKER_00 10:35

So I always say, so actually, it comes from an angle of where some of the patients are afraid of carbs. So they'll like stay away from the carbs. And I'm like, no, no, no, we don't have to do that. So I think sometimes when the patients come to me, they think of what they shouldn't do in the type 2 diabetes population. And I say, no, we just want to focus on quality and we continue to eat. And I can't say that there's too much of a difference in all transparency of how I would treat someone living with type 2 diabetes and weight loss. I think the lifestyle factors really intertwine. But protein to just simply protein and quality, and I'll describe that. Protein, you're, you're, you're not hungry. Like I need food in this person, and I'm thinking, let's just try to start off with five or six small meals. And so we'll do what they can handle. Two eggs, a slice of toast, a protein smoothie, protein water has been a great option. Yeah, that I can't remember the brand of it, but I think propel propel has one, maybe. Oh, do they? Yeah. I'm seeing them. Yeah. I my one patient tried one and she's like, I just gotta shake the crap out of it. And then it dissolves. And I'm like, great. I'm I'm so glad. And so I do continue to recommend the same lifestyles as I would for those for weight loss. But it's just when they come to me, there's like a fear on those constants. Stay away from added sugars, stay away from high fruits, high sugar-containing fruits. And so I still focus on protein, make sure you're drinking your water, especially if there's bowel movement pain like issues, and fiber, just to get rid of the annoyance of those bowel movements. So, and strength training, of course, but within reason. So, those are the nutrients. I wouldn't change too too much uh between the two.

SPEAKER_01 12:27

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SPEAKER_00 13:37

Yeah, it's like C D C E S or so.

SPEAKER_01 13:41

Yeah. Anyway, that's what I used to do. So we used to do consistent carbohydrates throughout the day. Is that still a thing? Like, is that what you would recommend for somebody on GLP1 with diabetes?

SPEAKER_00 13:51

That's a, you know what? That's a really so yes. However, the amount they can handle. You know, it used to be like 60, 60, 45 with 15 guys on the sides. Not so far from patients who are on like other medications like Manjaro, I'm not Manjaro, got Manjaro on the brain, metformin or Wanuvia. Um, so I kind of stick to that for those patients, but because they still have their appetite for patients who don't have their appetite, and I place the priority on protein, I am pushing 20 to 30 grams of carbs. So, like the equivalent to a slice of bread and a piece of fruit at one of their meals, of course, with protein, but really split up throughout the day. And I kind of just hope that we push for the best. We would love to have X amount of carbs, but being realistic, it might not happen. But you're right, yeah, that there is a difference now that I'm thinking about it, what how I I push it with some of them.

SPEAKER_01 14:48

Mm-hmm. Cause it's just they just can't really get it. And the protein is so important that it can be challenging.

SPEAKER_00 14:56

Exactly. And so I want protein there because I'm like, your body is made of protein and tissue. And like, let's keep it there so that it don't go go away, but you still need carb because if you still want to work out, you still need you to have something to pop you into the gym and give you 20 minutes of oomph. So that's the uh that's the push. But yeah, I didn't even think of that yet. Actually, I do change it a little bit.

SPEAKER_01 15:19

Yeah. What about micronutrients? We've been talking a lot about micronutrients here because there's some a lot of research coming out that GLP1 users in particular are deficient in certain ones. So are there any that you're emphasizing with people with diabetes or not, even?

SPEAKER_00 15:33

Vitamin D and magnesium. I am really seeing that the lethargy patients are experiencing is um it's really prominent in these populations. Those living with type 2 diabetes naturally are deficient in magnesium and vitamin D. So I do ask for lab work if they have vitamin D deficiency. And then I say to them with magnesium, I'm like, if you're not sleeping well, um, if you feel like bowel movements are difficult, let's consider a magnesium supplement to see if it helps. It helps with um, those are the nutrients that I really emphasize. I've also noticed a lot of iron deficiencies and B12 deficiencies. So a multivitamin is usually the first line of defense, to be honest, because I'm like, well, let's be proactive. Let's consider just a general multivitamin that checks all of our boxes. If you take close days, great. If not, at least we've got something intermittently to cover it. But yeah, those are what I'm noticing as of late.

SPEAKER_01 16:35

So for the vitamin D, what is the relationship between vitamin D and fatigue? I think you mentioned that.

SPEAKER_00 16:42

Yeah, so the vitamin D, um, with the fatigue, it's because we are not outside all the time. And a lot of our food items do not have, and this is actually general population too, as a whole, that we are deficient in vitamin D, but it's a huge hormone regulator. And the tiredness, it's it's a form in the hormone production. So I do see, so when that happens, I say just let's do a low dose, 800 IUs, I think is the recommendation. But most of the time we're not uh taking that in. They call it the sunshine vitamin, and it does help with mood, it does help with how your bones, bone strength. And so I'm like, if we're already not eating as much as I'd like, I'm like, let's just kind of protect all of that. And so that fatigue is one of the common side effects of a vitamin D deficiency, um, but also micronutrients sporadically. Iron will make you tired, also, you know. So it's hard to know. I know you're like, I can't eat, I can't now now. You tell me, and I'm like multivitamin, let's just do a multivitamin, just cover our bases. Yeah, definitely. What about the magnesium? There's a lot of types. Yes. So there's magnesium citrate and magnesium glycinate. And so magnesium citrate usually suggests they're both muscle relaxants. So that just helps everything calm, woosah, kind of deal. Magnesium citrate, however, is more helpful in those who have constipation issues. So doing um a magnesium citrate supplement will help move things along naturally. And then magnesium glycinate is more of the stress-reducing vitamin, is the way they would describe it. But that one also helps with bone strength. I believe more, it makes it more available for calcium and bone strength if I'm my brain is going faster or so. But yeah, that is why magnesium glycinate is preferential as well. But either one, if you need a little chill.

SPEAKER_01 18:39

Yes, we all need a little chill. So speaking of chill, what about lifestyle things that could help somebody on a GLP one who also has diabetes? Is there anything that you're helping them manage?

SPEAKER_00 18:52

Yeah, so actually, I know the typical recommendation for some of these patient populations is let's exercise, let's exercise, let's do three days of strength training. And they've not done that. And so it's very intimidating to make a recommendation like that. And they have stressful lives, they're very overwhelmed. And so I think an element of this is coming from an angle of, well, you know what? Can we just do 15 minutes of stretching to start? Let's help to calm the nervous system, let's gain confidence in that exercise and movement. So I'm sending them like these YouTube clips with places of like the islands of my one patient. She's like, I've made it into a whole thing with my daughter. We are doing yoga at seven o'clock at night, and I have my aromatherapy going on, and I'm stretching, and there is consistency. There is a lack of the and then it leads into, you know what? I think I'm ready to try strength training. So I think these lifestyle things, we have these great intentions when the recommendations come out, but like practically dumbbells, resistance bands, the gym. So trying to create that like this is what I can do first. Yeah. And they will hold on because then eventually they graduate and they get into things that they enjoy and then they explore. So that's one huge thing that really is something to be encouraged, some of these pop these individuals on. So sure, definitely. What about sleep and and stress management? Where are we with that? So in sleep and stress management, sometimes these individuals do have very high stress lives. And so I encourage them a lot to work with a therapist. So a lot of my patients do seek therapy if there are some other kind of sidelines that I'm not missing. So knowing that other practitioners can be a part of their care has been really revealing to help with their sleep because they're the kind of individuals wake up all night and they're like, oh my goodness, oh my goodness. And that affects blood sugar because then they get hungry. And then they go downstairs and they will snack, maybe a little less so, but their patterns really um heavily regulate there. And I will use their CGM monitors actually to help them see what happens when they are. And so an education piece comes in. So that's kind of something I help them to do their sleep and stress management and that protein and gentle walks and doing a nighttime routine. I'm really big on adaptogens. I love adaptogeny. I love it.

SPEAKER_01 21:24

It can you tell us more, like what you recommend, like what details?

SPEAKER_00 21:28

Yeah. So I'm very big on the trying to include something in your lifestyle than supplement only. So adaptogens like Rishi mushroom, lion's mane, ashwagonda, um, they just help your body to handle stress better. So basically, I say to everyone, you it's just hugging the anxiety in your body so that it stops ricocheting the cortisol response. It stops keeping you up at night, and it makes it just a little easier. And a lot of my patients will do about an hour before bed, and they just they feel a little better, a little less anxious, and they sleep a little bit. Better, believe it or not. So I do like the tea because it's lower dose because the tinctures and the supplements, if you take them too much, your liver enzymes will raise. So I'm like, let's just enjoy tea and keep it simple and lower dose. So that's something that they have found to be very effective as well. So that's something that helps with blood sugar and management and so forth. So those are some other mechanisms or things I help them with.

SPEAKER_01 22:24

So like a good relaxing evening routine can really help your blood sugar.

SPEAKER_00 22:29

Yes, exactly. Exactly. Good sleep hygiene includes that. So sometimes I'm saying to them, what are you doing at night? Are you scrolling, scrolling? Like, yeah. I'm like, that just keeps your brain going. And so I can't remember. I saw some post on LinkedIn about how there's a correlation or a connection to nighttime scrolling and blood sugar. And I'm like, well, it kind of makes sense. It's just keeping you up. And you're like, woo. Um, so making sure that you have a good nighttime routine, settle into your night, give yourself an hour before bed. I'm very big on keeping my phone away from me. And this way you settle in. Some people do aromatherapy, gentle music, keep lights off, do a tea, and it definitely helps with blood sugar and overall helps you get a good night's sleep. Sure.

SPEAKER_01 23:16

Definitely. It's really, I mean, I think I've struggled with insomnia over the years and like it changes everything when you can sleep well. Like, this is the person I was meant to be. It's this person who does stuff, not who's dead all day. Makes a huge difference.

SPEAKER_00 23:31

Yes. And I'm sure, like, even what you've experienced, like, like you said, wow, I can be alive at 8 a.m. to 8 p.m., I can and so it really brings a whole level of energy become. And you have more energy to spend in the things you enjoy rather than fight or flight all the time because you're like, I have X amount of hours to survive this. And and it's a whole stress response. So, well, I'm glad that for you. I'm glad you were able to. Yeah, definitely.

SPEAKER_01 23:59

So, in terms of side effects, negative side effects or potential side effects that people with diabetes need to be concerned about on GLP1, is there anything different or anything that you've seen that's like something they should look out for?

SPEAKER_00 24:12

So with rebelsis, I've noticed more diarrhea than really constipation. So I don't not 100% certain on um those typical that side effect. Then there is nausea. Um, there is some fatigue. The same goes for Monjaro, but Monjaro, I noticed more nauseousness. Very rarely did I know anybody getting sick because their dose I don't find to be as high as those that are on the GLP ones for weight loss because the desired effect is to support their A1C, then to weight loss. So I think that's an interesting kind of mechanism. So I just noticed constipation, nausea, maybe some vomiting, if that, but not real severe. Maybe a little tiredness in the middle, but then they feel okay once they stay on the middle dose more or less.

SPEAKER_01 25:01

Do you think that the fatigue improves when their blood sugar starts to improve? Because I know fluctuations in blood sugar can affect your energy.

SPEAKER_00 25:09

Yeah. So I do notice that when they eat consistently throughout the day and don't do those six, seven hour gaps, absolutely, they have much more improved energy. So any meal skipping, I note in general, they'll feel very tired. And so when they do keep their blood sugars up, they'll feel better. They'll have more energy to spend because there's glucose in there saying, hey, you know, I'm ready to be used. And so I do note um the improvement in energy with meal consistency.

SPEAKER_01 25:39

Um so do you see the GLP one as like a long-term solution for diabetes management? Or like where how are you thinking about it right now?

SPEAKER_00 25:49

So right now, I think it is a nice long-term option for patients. And the beautiful thing is those individuals may be given the option by their doctor. And um, I do think my one patient did. I think she might be on just metformin now, the one that was on Monjaro, because it just to as like a preventative, but it got her to where she needed. And so when other patients in any form of uh diabetes medication, if they get to the level that is a health, a healthy range, so below seven or even below 5.7% on the A1C, the option might be hey, do you want to try not being on it for a month? Let's closely monitor your blood work. And so I think it all depends on how the body and the doctor kind of work alongside. So yeah.

SPEAKER_01 26:34

And are you familiar with any like future? There's like more pills coming out from Eli Lilly. There's all sorts of things on the pipeline. Are there any that are being specifically developed for diabetes or are we all just obsessed with weight loss now?

SPEAKER_00 26:47

I think it's all weight loss. I have a patient that just got her Wagove pills that operate like rebelsis, you take them every day. So that's the newest on the market, but that's mostly for the patients looking for weight loss. So I don't think it was targeted mostly for uh type type 2 diabetes. But yeah, that is the one that just came out, but nothing with in terms of Engold specifically for type 2 diabetes, uh to my knowledge. Sure, sure.

SPEAKER_01 27:16

Yeah, I think it's uh okay, well, these work for type 2 diabetes too, but like the weight loss, we finally got this thing under control, so let's just focus our energy there. Yeah. There's a lot more customers. Yes, you know, yeah. Not that don't have diabetes, but that still need to lose weight.

SPEAKER_00 27:33

So I can't and that's and that's what they discovered as a great side effect to the GOP ones was the weight loss, the efficiency of how your blood sugars are working with glucagon secretion from the liver and how your body. So I so understand that efficiency and think it's remarkable yet still for that population, but it works so good for my type one, uh type two diabetes population. Um, it's really remarkable with it. So, but yeah, it's it's a lot of its angle. GLP one equals weight loss. And I'm like, oh, it was diabetic. It was for for type two diabetes, of course, really great there.

SPEAKER_01 28:09

Yeah, that too. So, do you think that with the widespread use of GLP1, even for people who don't yet have diabetes, that we are gonna see a reduction in the rate of diabetes? Because I feel like it's been going up, right?

SPEAKER_00 28:22

That, yeah, that's actually a great, you know what? That that would I would assume the way that it's going because of the way the GLP ones work, I will say this the GLP ones work really well, but if you haven't established like good lifestyle habits, and should you ever go off them? There is still a factor of if there's emotional eating, if there are traumas related to binge eating, dis etc, down, I don't know. If you come off of it, it might exponentially increase it because it just simply band-aided that needed to be deeper. So it could for a period of time, but then what happens if it's not meant for those that population anymore? What will happen? Will they gain it back? Will the blood sugar come? Will genetics really kick in when the body has more mass on their body that doesn't have the heart protective benefit or has the fat? So I yeah, that's it.

SPEAKER_01 29:15

I'm curious because I saw a report that the obesity rate went down for the first time, and I don't know how that was, but I'm curious if like the diabetes will fall because I know it's been going up and not down. So it would be nice.

SPEAKER_00 29:28

Yeah, I think it would be so great if we could finally go under that percentage of of the population having this real chronic condition. And if, and I'm hopeful that as obesity goes down, diabetes goes down. And maybe that I'm hoping that continues to be the trend because the medications are preventative in that. But I think it's good, it's just an interesting thing to look at and say, oh, well, what are their calorie intake this population? Like, what are their lifestyle factors? I have people who are drinking Coca-Cola and slushies all day, every day. And I'm like, oh, I'm like, can we literally? And she's the one losing all this weight. And I'm like, okay. So who knows? It will help, it will help, but intervention will be lovely to see really coming out in the world with the use of dietitians and healthcare providers as part of their team.

SPEAKER_01 30:20

I hope so. I hope so. I hope it helps us reframe that it's not just like having less coke, it's really making those changes. Coke and slushy. Okay. Yeah. Well, it's it's okay occasionally, but still. Yeah. Like let's put let's put protein powder in it. Let's let's try. Let's go. There you go. They're gonna come out with protein coke. It's just a matter of time. Well, they got protein water. So, Krista, where can people find out about you and your your work?

SPEAKER_00 30:46

Oh, yes. So I am mostly humped out of my website, so www.christa brown dietitian.com. Or you can find me on LinkedIn, Krista Brown, uh dietitian, I think is my hyperlink. And so that's where I mostly reside in the social media world, or you can email me and all my contact information is on my website too. If you awesome.

SPEAKER_01 31:07

Thank you so much, Krista, for coming and talking about this really important topic that we hadn't covered yet. Yes.

SPEAKER_00 31:12

Thank you so much, Anna, for inviting me.

SPEAKER_01 31:14

No problem. Thank you so much for listening to this week's episode of the GLP One Hub podcast. We surprisingly haven't covered GLP1s for diabetes specifically that much. And that's what they were originally developed for. And now, of course, they have other uses, but I thought it was important to have this conversation with Krista about that. Um, and now it is time for our GLP1 question of the week. And this one comes from one of our members in the GLP1 Hub membership. And the question is: what supplements do I really need on GLP1s? There are just so many things out there that uh, you know, people recommend, that kind of thing. Really, the bottom line here is you only need a couple of things. You don't need to buy a bunch of different supplements. Yes, there are use cases for many supplements, but what you really need if you're trying to get to the bottom of it is a good quality multivitamin. I prefer for you to take one that is uh for your age and gender. So if you're a man, take a man's multivitamin. If you're a woman over uh 60, take one for that age group, or you know, if you're a woman's still childbearing age, because your nutrients change throughout your life. And then you could also use a high-quality protein shake. You don't have to have protein shakes. You always get your protein from food, but having a few protein shakes on hand does make it easier to, you know, grab and go and get your protein even when you don't really feel like eating. So I do, you know, have advertisers from a variety of sponsorship brands here on the GLP One Hub podcast because there is a lot of interesting products out there that could benefit you. If you want to boil it down to what you must have multivitamin and a protein shake if that fits your lifestyle and your needs. So thank you so much for listening. We have lots of different resources for you in the GLP1 Hub store. You can find the link for that in the show notes with recipes, collections, ebooks, a guide to how to like break a plateau, a variety of resources for you on the store. And check that out, and I'll see you in the next episode.