Full Transcript 0:02 We spent our careers studying the 0:02 We spent our careers studying the science of a long life. But what we were
Opening on longevity and the art of living well 0:06 science of a long life. But what we were 0:06 science of a long life. But what we were simultaneously learning was the 0:08 simultaneously learning was the 0:08 simultaneously learning was the importance of the art of that long life.
Why energy, pain, and patient communication matter 0:13 importance of the art of that long life. 0:13 importance of the art of that long life. >> If you don't feel you don't you don't 0:14 >> If you don't feel you don't you don't 0:14 >> If you don't feel you don't you don't have energy, you don't want to do 0:16 have energy, you don't want to do 0:16 have energy, you don't want to do anything, let alone sex. So it just can 0:18 anything, let alone sex. So it just can 0:18 anything, let alone sex. So it just can help to increase metabolic rate. 0:20 help to increase metabolic rate. 0:20 help to increase metabolic rate. >> Therefore, vaginal cream is not going to 0:22 >> Therefore, vaginal cream is not going to 0:22 >> Therefore, vaginal cream is not going to be the answer that is going to truly 0:24 be the answer that is going to truly 0:24 be the answer that is going to truly address why you have the pain in the 0:27 address why you have the pain in the 0:27 address why you have the pain in the labia in the first place. I always walk 0:29 labia in the first place. I always walk 0:29 labia in the first place. I always walk my patients up. I do that one because 0:31 my patients up. I do that one because 0:31 my patients up. I do that one because that's the polite thing to do, but also 0:32 that's the polite thing to do, but also 0:32 that's the polite thing to do, but also just, you know, I'm sitting a lot of 0:34 just, you know, I'm sitting a lot of 0:34 just, you know, I'm sitting a lot of times, so I just I stand up. I'm moving 0:36 times, so I just I stand up. I'm moving 0:36 times, so I just I stand up. I'm moving around. 0:36 around. 0:36 around. >> Do you corggasm?
Episode intro and France anecdote 0:39 >> Do you corggasm? 0:39 >> Do you corggasm? >> And here's how you do it. 0:44 >> Season three. 0:44 >> Season three. >> Season three. 0:45 >> Season three. 0:45 >> Season three. >> Episode three. 0:47 >> Episode three. 0:47 >> Episode three. >> 12. 0:53 >> Where we of course we've talked so much 0:53 >> Where we of course we've talked so much about France.
GLP-1s and the new weight-loss revolution 0:56 about France. 0:56 about France. really should have heard my fantastic 0:59 really should have heard my fantastic 0:59 really should have heard my fantastic accents over there. It was really I 1:01 accents over there. It was really I 1:01 accents over there. It was really I really really tried. 1:02 really really tried. 1:02 really really tried. >> No, you were absolutely great and 1:04 >> No, you were absolutely great and 1:04 >> No, you were absolutely great and actually I loved it. French John, he was 1:05 actually I loved it. French John, he was 1:06 actually I loved it. French John, he was so cute and he would wear like linen and 1:07 so cute and he would wear like linen and 1:07 so cute and he would wear like linen and he would fluff his hair and he would 1:08 he would fluff his hair and he would 1:08 he would fluff his hair and he would smile a lot and it's really cute and you 1:11 smile a lot and it's really cute and you 1:11 smile a lot and it's really cute and you would walk slower. 1:12 would walk slower. 1:12 would walk slower. >> Really? You thought so? 1:14 >> Really? You thought so? 1:14 >> Really? You thought so? >> I mean you were strolling 1:19 >> I mean you were strolling 1:19 >> I mean you were strolling which helps with obesity. 1:21 which helps with obesity. 1:21 which helps with obesity. >> Walking underrated exercise. We're going 1:24 >> Walking underrated exercise. We're going 1:24 >> Walking underrated exercise. We're going to talk a little bit about that today. 1:25 to talk a little bit about that today. 1:25 to talk a little bit about that today. This is episode three, the new weight 1:27 This is episode three, the new weight 1:27 This is episode three, the new weight loss revolution. 1:29 loss revolution. 1:29 loss revolution. I think most people know uh what that 1:32 I think most people know uh what that 1:32 I think most people know uh what that basically means, these GLP1s and uh how 1:35 basically means, these GLP1s and uh how 1:35 basically means, these GLP1s and uh how that affects metabolic health and how 1:37 that affects metabolic health and how 1:37 that affects metabolic health and how that ultimately affects longevity. Um 1:40 that ultimately affects longevity. Um 1:40 that ultimately affects longevity. Um and the art and science of living the 1:42 and the art and science of living the 1:42 and the art and science of living the well-be life. Um 1:46 well-be life. Um 1:46 well-be life. Um unbelievably uh 1:50 unbelievably uh 1:50 unbelievably uh these are powerful medications. I think 1:52 these are powerful medications. I think 1:52 these are powerful medications. I think that's a a good word. But they're just 1:55 that's a a good word. But they're just 1:55 that's a a good word. But they're just it is revolutionary. I think that's a 1:57 it is revolutionary. I think that's a 1:57 it is revolutionary. I think that's a good way to look at it. It's something 1:59 good way to look at it. It's something 2:00 good way to look at it. It's something really really new. Um extremely 2:03 really really new. Um extremely 2:03 really really new. Um extremely impactful. We just cannot deny the 2:05 impactful. We just cannot deny the 2:06 impactful. We just cannot deny the impact that it's having from just a 2:08 impact that it's having from just a 2:08 impact that it's having from just a medical standpoint with the individual 2:10 medical standpoint with the individual 2:10 medical standpoint with the individual patient, but the impact that it's having 2:11 patient, but the impact that it's having 2:11 patient, but the impact that it's having socially. Um the trickle down effect of 2:15 socially. Um the trickle down effect of 2:15 socially. Um the trickle down effect of what it's doing for things like people 2:17 what it's doing for things like people 2:17 what it's doing for things like people not drinking as much alcohol. It's 2:19 not drinking as much alcohol. It's 2:20 not drinking as much alcohol. It's changing so many things and people are 2:21 changing so many things and people are 2:21 changing so many things and people are obviously dumping weight 2:24 obviously dumping weight 2:24 obviously dumping weight >> for the good and the bad of it. 2:25 >> for the good and the bad of it. 2:25 >> for the good and the bad of it. >> For the good and the bad of it and 2:26 >> For the good and the bad of it and 2:26 >> For the good and the bad of it and that's what we want to talk about today.
Patient self-discontinuation and the doctor-patient relationship 2:28 that's what we want to talk about today. 2:28 that's what we want to talk about today. We've done other episodes on this. Um 2:30 We've done other episodes on this. Um 2:30 We've done other episodes on this. Um it's such an important topic and there's 2:33 it's such an important topic and there's 2:33 it's such an important topic and there's things that are changing and evolving 2:34 things that are changing and evolving 2:34 things that are changing and evolving with it that that it's worth certainly 2:37 with it that that it's worth certainly 2:37 with it that that it's worth certainly spending time and talking about this 2:38 spending time and talking about this 2:38 spending time and talking about this against some updated information uh 2:41 against some updated information uh 2:41 against some updated information uh about as we've now been prescribing 2:43 about as we've now been prescribing 2:44 about as we've now been prescribing these medications since we've been doing 2:46 these medications since we've been doing 2:46 these medications since we've been doing this since about 2020. 2:47 this since about 2020. 2:48 this since about 2020. >> Yeah. So, six pushing seven years of of 2:51 >> Yeah. So, six pushing seven years of of 2:51 >> Yeah. So, six pushing seven years of of experience with it. Um, we've seen the 2:53 experience with it. Um, we've seen the 2:54 experience with it. Um, we've seen the good and the bad of it. I've certainly 2:55 good and the bad of it. I've certainly 2:55 good and the bad of it. I've certainly seen the bad of it when uh patients are 2:57 seen the bad of it when uh patients are 2:58 seen the bad of it when uh patients are using it in other facilities, online 3:00 using it in other facilities, online 3:00 using it in other facilities, online things and uh but again, it's uh it's 3:04 things and uh but again, it's uh it's 3:04 things and uh but again, it's uh it's changed the landscape of medicine in a 3:08 changed the landscape of medicine in a 3:08 changed the landscape of medicine in a huge way. We cannot deny it and I think 3:10 huge way. We cannot deny it and I think 3:10 huge way. We cannot deny it and I think it's really important to continue to 3:12 it's really important to continue to 3:12 it's really important to continue to talk about it and understand it. You 3:13 talk about it and understand it. You 3:13 talk about it and understand it. You know, I also think it's important to 3:14 know, I also think it's important to 3:14 know, I also think it's important to talk about especially in this season 3:16 talk about especially in this season 3:16 talk about especially in this season because this season we're really 3:17 because this season we're really 3:17 because this season we're really dedicating to this concept of the 3:19 dedicating to this concept of the 3:20 dedicating to this concept of the well-lived life and the the potential 3:23 well-lived life and the the potential 3:23 well-lived life and the the potential conflict that there is between science 3:26 conflict that there is between science 3:26 conflict that there is between science versus the art of living well. Okay, 3:28 versus the art of living well. Okay, 3:28 versus the art of living well. Okay, those are the key words that we keep 3:30 those are the key words that we keep 3:30 those are the key words that we keep bringing up. One of the things that the 3:32 bringing up. One of the things that the 3:32 bringing up. One of the things that the GLP revolution has really brought to my 3:35 GLP revolution has really brought to my 3:35 GLP revolution has really brought to my attention is uh I mean I guess we knew 3:39 attention is uh I mean I guess we knew 3:39 attention is uh I mean I guess we knew this but perhaps it's brought to the 3:40 this but perhaps it's brought to the 3:40 this but perhaps it's brought to the attention of the consumer is where 3:42 attention of the consumer is where 3:42 attention of the consumer is where research really has its limitations 3:44 research really has its limitations 3:44 research really has its limitations because I'm still getting patients who 3:46 because I'm still getting patients who 3:46 because I'm still getting patients who are saying oh I took myself off of that 3:49 are saying oh I took myself off of that 3:49 are saying oh I took myself off of that medication on their own which anyways I 3:51 medication on their own which anyways I 3:51 medication on their own which anyways I don't really think you should do but why 3:54 don't really think you should do but why 3:54 don't really think you should do but why you were doing well yes but I didn't 3:55 you were doing well yes but I didn't 3:55 you were doing well yes but I didn't think I should be on on it why because 4:00 think I should be on on it why because 4:00 think I should be on on it why because they many number of reasons, but what I 4:02 they many number of reasons, but what I 4:02 they many number of reasons, but what I find is that the information that 4:04 find is that the information that 4:04 find is that the information that they're usually quoting is information 4:07 they're usually quoting is information 4:07 they're usually quoting is information that is perhaps um faulty studies or not 4:11 that is perhaps um faulty studies or not 4:11 that is perhaps um faulty studies or not enough numbers or 4:14 enough numbers or 4:14 enough numbers or what's most concerning to me, it's 4:15 what's most concerning to me, it's 4:15 what's most concerning to me, it's information provided from a group that 4:18 information provided from a group that 4:18 information provided from a group that is being observed that is using the GLP 4:21 is being observed that is using the GLP 4:22 is being observed that is using the GLP medications in a way that we do not 4:25 medications in a way that we do not 4:25 medications in a way that we do not prescribe. We are not using GLP 4:27 prescribe. We are not using GLP 4:28 prescribe. We are not using GLP medications for fat loss. We are using 4:31 medications for fat loss. We are using 4:32 medications for fat loss. We are using GLP medications for the purposes of uh 4:35 GLP medications for the purposes of uh 4:35 GLP medications for the purposes of uh stimulating metabolism, balancing out 4:38 stimulating metabolism, balancing out 4:38 stimulating metabolism, balancing out hormones, and allowing for fat to be 4:41 hormones, and allowing for fat to be 4:41 hormones, and allowing for fat to be lost. 4:46 >> People look at headlines and they look 4:46 >> People look at headlines and they look at sometimes just the negatives of 4:48 at sometimes just the negatives of 4:48 at sometimes just the negatives of things. And I mean, when people when you 4:50 things. And I mean, when people when you 4:50 things. And I mean, when people when you say they suddenly stop something, they 4:52 say they suddenly stop something, they 4:52 say they suddenly stop something, they think they just get a new piece of 4:54 think they just get a new piece of 4:54 think they just get a new piece of information. 4:55 information. 4:55 information. um that uh I mean this can happen 4:58 um that uh I mean this can happen 4:58 um that uh I mean this can happen hormones and various things that we do 5:00 hormones and various things that we do 5:00 hormones and various things that we do with patients where suddenly they've 5:01 with patients where suddenly they've 5:01 with patients where suddenly they've just made the decision, right? 5:03 just made the decision, right? 5:03 just made the decision, right? >> And that's good. We we're always 5:04 >> And that's good. We we're always 5:04 >> And that's good. We we're always empowering people. We want them to 5:06 empowering people. We want them to 5:06 empowering people. We want them to obviously 5:07 obviously 5:07 obviously >> I don't want them to do it because I say 5:08 >> I don't want them to do it because I say 5:08 >> I don't want them to do it because I say so. 5:08 so. 5:08 so. >> Of course. U but uh to to answer, 5:11 >> Of course. U but uh to to answer, 5:11 >> Of course. U but uh to to answer, >> but I want them to do it because I say 5:13 >> but I want them to do it because I say 5:13 >> but I want them to do it because I say so. 5:14 so. 5:14 so. >> Well, at least we want them to consult 5:15 >> Well, at least we want them to consult 5:15 >> Well, at least we want them to consult with us before they make those decisions 5:18 with us before they make those decisions 5:18 with us before they make those decisions because I can't tell you how many times 5:19 because I can't tell you how many times 5:19 because I can't tell you how many times they've, you know, they're swiping by on 5:21 they've, you know, they're swiping by on 5:22 they've, you know, they're swiping by on their phone. 5:23 their phone. 5:23 their phone. they're seeing some kind of quote 5:24 they're seeing some kind of quote 5:24 they're seeing some kind of quote unquote fact they changes how they feel 5:28 unquote fact they changes how they feel 5:28 unquote fact they changes how they feel about it. Then they make a decision and 5:30 about it. Then they make a decision and 5:30 about it. Then they make a decision and then by the time they come back a month 5:31 then by the time they come back a month 5:31 then by the time they come back a month or two or three months later and they 5:33 or two or three months later and they 5:33 or two or three months later and they say something well I stopped that and 5:35 say something well I stopped that and 5:35 say something well I stopped that and then they have all these problems that 5:37 then they have all these problems that 5:37 then they have all these problems that we can literally trace right back to 5:39 we can literally trace right back to 5:39 we can literally trace right back to that moment and they just for whatever 5:41 that moment and they just for whatever 5:41 that moment and they just for whatever reason didn't pick up the phone and let 5:43 reason didn't pick up the phone and let 5:43 reason didn't pick up the phone and let us know. 5:43 us know. 5:43 us know. >> I know I just interrupted your train of 5:45 >> I know I just interrupted your train of 5:45 >> I know I just interrupted your train of thought but um we can get back to it. I
How GLP-1s work and why dosing matters 5:47 thought but um we can get back to it. I 5:47 thought but um we can get back to it. I just want to say that this I just want 5:49 just want to say that this I just want 5:49 just want to say that this I just want to say that this is a really good good 5:50 to say that this is a really good good 5:50 to say that this is a really good good good thing you just mentioned because 5:53 good thing you just mentioned because 5:53 good thing you just mentioned because >> which 5:54 >> which 5:54 >> which >> this thing about the relationship, 5:55 >> this thing about the relationship, 5:55 >> this thing about the relationship, right? Like I'm in a relationship with 5:58 right? Like I'm in a relationship with 5:58 right? Like I'm in a relationship with you. You're my patient. I'm in a 5:59 you. You're my patient. I'm in a 5:59 you. You're my patient. I'm in a relationship with you. I spend my time 6:01 relationship with you. I spend my time 6:02 relationship with you. I spend my time getting to know you. I spend my time 6:04 getting to know you. I spend my time 6:04 getting to know you. I spend my time giving you reasons why I think you 6:06 giving you reasons why I think you 6:06 giving you reasons why I think you should do something. We commit to a plan 6:08 should do something. We commit to a plan 6:08 should do something. We commit to a plan together. We have accountability to each 6:11 together. We have accountability to each 6:11 together. We have accountability to each other. You change the plan on your own 6:13 other. You change the plan on your own 6:14 other. You change the plan on your own without reviewing it with me. and then 6:16 without reviewing it with me. and then 6:16 without reviewing it with me. and then you wait a long time before you let me 6:18 you wait a long time before you let me 6:18 you wait a long time before you let me know and suffer along the way. 6:20 know and suffer along the way. 6:20 know and suffer along the way. >> You come back worse off often than where 6:22 >> You come back worse off often than where 6:22 >> You come back worse off often than where you were. So I mean we're always touting 6:25 you were. So I mean we're always touting 6:25 you were. So I mean we're always touting to people about make sure you have a 6:26 to people about make sure you have a 6:26 to people about make sure you have a doctor that listens. Make sure you have 6:27 doctor that listens. Make sure you have 6:27 doctor that listens. Make sure you have a doctor. Okay, but guess what? Be a 6:29 a doctor. Okay, but guess what? Be a 6:29 a doctor. Okay, but guess what? Be a patient that also remember that I'm over 6:32 patient that also remember that I'm over 6:32 patient that also remember that I'm over here as the other half of that 6:33 here as the other half of that 6:33 here as the other half of that relationship because yes, patients will 6:35 relationship because yes, patients will 6:35 relationship because yes, patients will often make decisions that perhaps were 6:38 often make decisions that perhaps were 6:38 often make decisions that perhaps were not the best decisions. They should have 6:40 not the best decisions. They should have 6:40 not the best decisions. They should have consulted their tangent. 6:43 consulted their tangent. 6:43 consulted their tangent. Maybe maybe not attention. Maybe that is 6:44 Maybe maybe not attention. Maybe that is 6:44 Maybe maybe not attention. Maybe that is the core of a lot of this. Certainly 6:46 the core of a lot of this. Certainly 6:46 the core of a lot of this. Certainly when it when we're talking about GOP1s 6:48 when it when we're talking about GOP1s 6:48 when it when we're talking about GOP1s and how they're being used or not used 6:50 and how they're being used or not used 6:50 and how they're being used or not used >> and all of that and and and by the way 6:52 >> and all of that and and and by the way 6:52 >> and all of that and and and by the way uh you know we're always I just when a 6:55 uh you know we're always I just when a 6:55 uh you know we're always I just when a patient comes in and has that I'm not 6:57 patient comes in and has that I'm not 6:57 patient comes in and has that I'm not not upset. I'm not uh disappointed even. 7:01 not upset. I'm not uh disappointed even. 7:01 not upset. I'm not uh disappointed even. I just don't hold that sort of 7:05 I just don't hold that sort of 7:05 I just don't hold that sort of frequency or energy with them about it. 7:07 frequency or energy with them about it. 7:07 frequency or energy with them about it. >> I'm frustrated for them. 7:08 >> I'm frustrated for them. 7:08 >> I'm frustrated for them. >> Sure. Yeah. Yeah. But we will pick it up 7:11 >> Sure. Yeah. Yeah. But we will pick it up 7:11 >> Sure. Yeah. Yeah. But we will pick it up from and we will 7:12 from and we will 7:12 from and we will >> we'll do our best no matter what. 7:15 >> we'll do our best no matter what. 7:15 >> we'll do our best no matter what. >> Absolutely. 7:16 >> Absolutely. 7:16 >> Absolutely. >> Um but yes, it's 7:19 >> Um but yes, it's 7:19 >> Um but yes, it's this conversation right now. Good for 7:20 this conversation right now. Good for 7:20 this conversation right now. Good for you. 7:21 you. 7:21 you. >> I am really 7:24 >> I am really 7:24 >> I am really >> doesn't mean I don't have I guess an 7:25 >> doesn't mean I don't have I guess an 7:25 >> doesn't mean I don't have I guess an internal frustration about it 7:27 internal frustration about it 7:27 internal frustration about it particularly for them. But you know 7:30 particularly for them. But you know 7:30 particularly for them. But you know people are people people are going to do 7:32 people are people people are going to do 7:32 people are people people are going to do people going to people are going to 7:33 people going to people are going to 7:33 people going to people are going to people. They're going to just do their 7:35 people. They're going to just do their 7:35 people. They're going to just do their thing. And if you're not into that, 7:38 thing. And if you're not into that, 7:38 thing. And if you're not into that, don't be a doctor. Don't be don't don't 7:41 don't be a doctor. Don't be don't don't 7:41 don't be a doctor. Don't be don't don't do it, you know. So anyway, we've we've 7:44 do it, you know. So anyway, we've we've 7:44 do it, you know. So anyway, we've we've dealt with that a lot with people and 7:46 dealt with that a lot with people and 7:46 dealt with that a lot with people and that's okay. 7:47 that's okay. 7:47 that's okay. >> Okay. So you're saying 7:48 >> Okay. So you're saying 7:48 >> Okay. So you're saying >> relationship. This is relationship 7:49 >> relationship. This is relationship 7:49 >> relationship. This is relationship medicine. We have to have a relationship 7:51 medicine. We have to have a relationship 7:52 medicine. We have to have a relationship in order to utilize whatever tool we're 7:54 in order to utilize whatever tool we're 7:54 in order to utilize whatever tool we're going to use. We have to have that 7:55 going to use. We have to have that 7:55 going to use. We have to have that relationship of trust and communication. 7:58 relationship of trust and communication. 7:58 relationship of trust and communication. So we can use I don't care what the hell 7:59 So we can use I don't care what the hell 7:59 So we can use I don't care what the hell we 8:00 we 8:00 we >> So we can use powerful tools with a 8:03 >> So we can use powerful tools with a 8:03 >> So we can use powerful tools with a sense of responsibility. 8:04 sense of responsibility. 8:04 sense of responsibility. >> Correct. That's good. 8:06 >> Correct. That's good. 8:06 >> Correct. That's good. >> Yeah. Well, it's a Spider-Man. 8:09 >> Yeah. Well, it's a Spider-Man. 8:09 >> Yeah. Well, it's a Spider-Man. >> Oh, you're saying it's Spider-Man. Well, 8:10 >> Oh, you're saying it's Spider-Man. Well, 8:10 >> Oh, you're saying it's Spider-Man. Well, with great power comes great 8:12 with great power comes great 8:12 with great power comes great responsibility. Yes. 8:14 responsibility. Yes. 8:14 responsibility. Yes. >> On on both people's patient. All right. 8:17 >> On on both people's patient. All right. 8:17 >> On on both people's patient. All right. >> Um because you were about to say about 8:19 >> Um because you were about to say about 8:19 >> Um because you were about to say about how the GLP1s are very impactful etc. 8:22 how the GLP1s are very impactful etc. 8:22 how the GLP1s are very impactful etc. And then I interrupted you. 8:24 And then I interrupted you. 8:24 And then I interrupted you. >> It has changed obesity medicine. It has 8:26 >> It has changed obesity medicine. It has 8:26 >> It has changed obesity medicine. It has changed metabolic medicine 8:28 changed metabolic medicine 8:28 changed metabolic medicine >> uh completely. Um, you know, we have 8:31 >> uh completely. Um, you know, we have 8:31 >> uh completely. Um, you know, we have used many other tools for fat loss with
The new GLP-1s, compounding, and legal pressure 8:34 used many other tools for fat loss with 8:34 used many other tools for fat loss with patients. I mean, even just hormones. I 8:36 patients. I mean, even just hormones. I 8:36 patients. I mean, even just hormones. I just was saying this to a patient just 8:38 just was saying this to a patient just 8:38 just was saying this to a patient just uh sometime this week and uh we were 8:42 uh sometime this week and uh we were 8:42 uh sometime this week and uh we were talking about the hormones like well 8:44 talking about the hormones like well 8:44 talking about the hormones like well what other things help with weight loss 8:47 what other things help with weight loss 8:47 what other things help with weight loss and she was you know because we're of 8:48 and she was you know because we're of 8:48 and she was you know because we're of course I mentioned and I usually very 8:50 course I mentioned and I usually very 8:50 course I mentioned and I usually very quickly mention the GLP1s. If they've 8:53 quickly mention the GLP1s. If they've 8:53 quickly mention the GLP1s. If they've got 20 30 40 pounds to lose I'm 8:55 got 20 30 40 pounds to lose I'm 8:55 got 20 30 40 pounds to lose I'm mentioning it. I put it towards the top 8:57 mentioning it. I put it towards the top 8:57 mentioning it. I put it towards the top of the list. And this was a new patient, 8:59 of the list. And this was a new patient, 8:59 of the list. And this was a new patient, so of course we were going to be 9:00 so of course we were going to be 9:00 so of course we were going to be starting with hormones, too. But what I 9:03 starting with hormones, too. But what I 9:03 starting with hormones, too. But what I know is that if I give them the magic 9:05 know is that if I give them the magic 9:05 know is that if I give them the magic hormones, and they can be profound, 9:07 hormones, and they can be profound, 9:07 hormones, and they can be profound, they're not going to dump the weight. 9:09 they're not going to dump the weight. 9:09 they're not going to dump the weight. Generally speaking, we don't see people 9:12 Generally speaking, we don't see people 9:12 Generally speaking, we don't see people like I didn't change a thing. All I did 9:14 like I didn't change a thing. All I did 9:14 like I didn't change a thing. All I did was just do the hormones with you, and I 9:16 was just do the hormones with you, and I 9:16 was just do the hormones with you, and I just dropped 20 pounds. I'm not saying 9:18 just dropped 20 pounds. I'm not saying 9:18 just dropped 20 pounds. I'm not saying I've never heard it. I have, but that is 9:20 I've never heard it. I have, but that is 9:20 I've never heard it. I have, but that is rare. a GLP1, they're going to drop the 9:23 rare. a GLP1, they're going to drop the 9:23 rare. a GLP1, they're going to drop the 20 pounds in in in three to six months 9:26 20 pounds in in in three to six months 9:26 20 pounds in in in three to six months and then that's it's just going to 9:27 and then that's it's just going to 9:28 and then that's it's just going to happen almost invariably for for a 9:30 happen almost invariably for for a 9:30 happen almost invariably for for a higher percentage. So, when we can put 9:32 higher percentage. So, when we can put 9:32 higher percentage. So, when we can put it all together, um then it's a it's a 9:35 it all together, um then it's a it's a 9:35 it all together, um then it's a it's a transformative story and we just didn't 9:37 transformative story and we just didn't 9:37 transformative story and we just didn't have that tool before and now we have it 9:39 have that tool before and now we have it 9:40 have that tool before and now we have it and we're 9:41 and we're 9:41 and we're >> nothing so universally effective. And 9:43 >> nothing so universally effective. And 9:44 >> nothing so universally effective. And that's the thing that's made the GLPS 9:45 that's the thing that's made the GLPS 9:45 that's the thing that's made the GLPS for me so special is that they're pretty 9:48 for me so special is that they're pretty 9:48 for me so special is that they're pretty foolproof for anyone. Even for someone 9:50 foolproof for anyone. Even for someone 9:50 foolproof for anyone. Even for someone like myself where I'm never ever that 9:54 like myself where I'm never ever that 9:54 like myself where I'm never ever that person that's like, "Woohoo!" You know, 9:55 person that's like, "Woohoo!" You know, 9:55 person that's like, "Woohoo!" You know, I got this. So many patients come in, 9:57 I got this. So many patients come in, 9:57 I got this. So many patients come in, they're like, "I did this and I achieved 9:59 they're like, "I did this and I achieved 9:59 they're like, "I did this and I achieved this like that." And I'm like, "Wow, 10:00 this like that." And I'm like, "Wow, 10:00 this like that." And I'm like, "Wow, good for you." But even the GLP ones for 10:03 good for you." But even the GLP ones for 10:03 good for you." But even the GLP ones for someone like myself are so effective at 10:06 someone like myself are so effective at 10:06 someone like myself are so effective at helping to maintain 10:08 helping to maintain 10:08 helping to maintain my my goals, especially with my visceral 10:10 my my goals, especially with my visceral 10:10 my my goals, especially with my visceral fat goals. So, you know, you're talking 10:12 fat goals. So, you know, you're talking 10:12 fat goals. So, you know, you're talking about patients that have 20, 30, 40 10:14 about patients that have 20, 30, 40 10:14 about patients that have 20, 30, 40 pounds to lose. I'm talking about the 10:15 pounds to lose. I'm talking about the 10:16 pounds to lose. I'm talking about the the the the typical middle-aged female 10:19 the the the typical middle-aged female 10:19 the the the typical middle-aged female that struggles with that five five to 10:23 that struggles with that five five to 10:23 that struggles with that five five to seven pounds of fat that they'll usually 10:25 seven pounds of fat that they'll usually 10:25 seven pounds of fat that they'll usually get around the midsection that isn't 10:28 get around the midsection that isn't 10:28 get around the midsection that isn't directly related to their diet or their 10:30 directly related to their diet or their 10:30 directly related to their diet or their exercise, but most directly related to 10:32 exercise, but most directly related to 10:32 exercise, but most directly related to their stress. 10:33 their stress. 10:33 their stress. >> Yeah. 10:34 >> Yeah. 10:34 >> Yeah. >> So, I mean, it's like, wow, what a 10:35 >> So, I mean, it's like, wow, what a 10:36 >> So, I mean, it's like, wow, what a reliable, beautiful weapon. 10:38 reliable, beautiful weapon. 10:38 reliable, beautiful weapon. >> Yeah. and we are I think wielding that 10:41 >> Yeah. and we are I think wielding that 10:41 >> Yeah. and we are I think wielding that weapon relatively uh well. Um but uh you 10:45 weapon relatively uh well. Um but uh you 10:45 weapon relatively uh well. Um but uh you know one of the concerns that I think we 10:47 know one of the concerns that I think we 10:47 know one of the concerns that I think we both have um we don't want people to 10:50 both have um we don't want people to 10:50 both have um we don't want people to overuse it and that's where I've seen 10:52 overuse it and that's where I've seen 10:52 overuse it and that's where I've seen the problems out there. Um whereas it 10:55 the problems out there. Um whereas it 10:55 the problems out there. Um whereas it can be used even with someone only 10:57 can be used even with someone only 10:57 can be used even with someone only needing to lose 5 to seven pounds and 10:59 needing to lose 5 to seven pounds and 10:59 needing to lose 5 to seven pounds and certainly someone that needs to lose 100 11:00 certainly someone that needs to lose 100 11:00 certainly someone that needs to lose 100 pounds. Um but a lot of times it is 11:03 pounds. Um but a lot of times it is 11:03 pounds. Um but a lot of times it is getting overused but how it's being used 11:06 getting overused but how it's being used 11:06 getting overused but how it's being used is part of the overdosing. Um certainly 11:10 is part of the overdosing. Um certainly 11:10 is part of the overdosing. Um certainly not paying attention to calories in 11:12 not paying attention to calories in 11:12 not paying attention to calories in particular protein. 11:13 particular protein. 11:13 particular protein. >> That's the biggest one. 11:14 >> That's the biggest one. 11:14 >> That's the biggest one. >> The protein is the biggest one. 11:15 >> The protein is the biggest one. 11:15 >> The protein is the biggest one. >> Yeah. I mean there's more is not more 11:18 >> Yeah. I mean there's more is not more 11:18 >> Yeah. I mean there's more is not more >> right 11:18 >> right 11:18 >> right >> and I think most people that are being 11:20 >> and I think most people that are being 11:20 >> and I think most people that are being mismanaged are having an excess in the 11:23 mismanaged are having an excess in the 11:23 mismanaged are having an excess in the dose and as you said with zero regard 11:27 dose and as you said with zero regard 11:27 dose and as you said with zero regard for bone and muscle preservation. 11:31 for bone and muscle preservation. 11:31 for bone and muscle preservation. >> So what does the GLP1 do just as a a 11:33 >> So what does the GLP1 do just as a a 11:33 >> So what does the GLP1 do just as a a quick reminder for patients? I mean of 11:35 quick reminder for patients? I mean of 11:35 quick reminder for patients? I mean of course it's it's helping um to really 11:38 course it's it's helping um to really 11:38 course it's it's helping um to really affect insulin secretion. I think that's 11:40 affect insulin secretion. I think that's 11:40 affect insulin secretion. I think that's a big big part of it. Um, as well as for 11:43 a big big part of it. Um, as well as for 11:43 a big big part of it. Um, as well as for suppressing appetite, that's probably 11:44 suppressing appetite, that's probably 11:44 suppressing appetite, that's probably the biggest part of it that a patient 11:46 the biggest part of it that a patient 11:46 the biggest part of it that a patient directly appreciates because they can 11:47 directly appreciates because they can 11:47 directly appreciates because they can sense that and they know that, hey, I 11:49 sense that and they know that, hey, I 11:49 sense that and they know that, hey, I just don't feel like eating. 11:51 just don't feel like eating. 11:51 just don't feel like eating. >> Yeah, it's slowing down motility or how 11:53 >> Yeah, it's slowing down motility or how 11:53 >> Yeah, it's slowing down motility or how food is moving through the gut, which 11:56 food is moving through the gut, which 11:56 food is moving through the gut, which keeps you full longer, which is part of 11:57 keeps you full longer, which is part of 11:57 keeps you full longer, which is part of the appetite suppression. Um so yeah and 12:01 the appetite suppression. Um so yeah and 12:01 the appetite suppression. Um so yeah and and some of the other things that it's 12:03 and some of the other things that it's 12:03 and some of the other things that it's doing that I think is important from a 12:06 doing that I think is important from a 12:06 doing that I think is important from a side effect standpoint it's affecting 12:09 side effect standpoint it's affecting 12:09 side effect standpoint it's affecting the um hedonistic centers in our brains. 12:13 the um hedonistic centers in our brains. 12:13 the um hedonistic centers in our brains. >> I love hedonistic center. 12:16 >> I love hedonistic center. 12:16 >> I love hedonistic center. >> You don't want your hedonistic center to 12:17 >> You don't want your hedonistic center to 12:17 >> You don't want your hedonistic center to be affected negatively. 12:19 be affected negatively. 12:19 be affected negatively. >> I don't want them damaged. 12:20 >> I don't want them damaged. 12:20 >> I don't want them damaged. >> No no 12:21 >> No no 12:21 >> No no >> but I definitely don't want them. 12:24 >> but I definitely don't want them. 12:24 >> but I definitely don't want them. >> So always a balance. 12:26 >> So always a balance. 12:26 >> So always a balance. >> Yeah. I like your eating centers just 12:28 >> Yeah. I like your eating centers just 12:28 >> Yeah. I like your eating centers just the way they are. Let's leave. 12:31 the way they are. Let's leave. 12:31 the way they are. Let's leave. But with that said, a uh a GOP1 can 12:34 But with that said, a uh a GOP1 can 12:34 But with that said, a uh a GOP1 can affect that where people say, "Well, I 12:35 affect that where people say, "Well, I 12:35 affect that where people say, "Well, I don't feel like uh the joy of food can 12:38 don't feel like uh the joy of food can 12:38 don't feel like uh the joy of food can kind of go down. It can be dampened on 12:40 kind of go down. It can be dampened on 12:40 kind of go down. It can be dampened on the wrong dose in the wrong way." I've 12:43 the wrong dose in the wrong way." I've 12:43 the wrong dose in the wrong way." I've had people just come back and say, 12:44 had people just come back and say, 12:44 had people just come back and say, "Yeah, this the whole the joy of food 12:46 "Yeah, this the whole the joy of food 12:46 "Yeah, this the whole the joy of food kind of just goes um again based on a 12:49 kind of just goes um again based on a 12:49 kind of just goes um again based on a certain dose." So, you just have to 12:51 certain dose." So, you just have to 12:51 certain dose." So, you just have to figure out what that right dose is for 12:53 figure out what that right dose is for 12:53 figure out what that right dose is for the patient so they don't have that 12:54 the patient so they don't have that 12:54 the patient so they don't have that negative effect. However, they go, 12:55 negative effect. However, they go, 12:55 negative effect. However, they go, "Well, yeah, I don't have the food noise 12:57 "Well, yeah, I don't have the food noise 12:57 "Well, yeah, I don't have the food noise with food noise. I don't have the food 12:59 with food noise. I don't have the food 12:59 with food noise. I don't have the food noise and a lot of people appreciate 13:00 noise and a lot of people appreciate 13:00 noise and a lot of people appreciate that. 13:01 that. 13:01 that. >> Um, you know, this idea of the food 13:03 >> Um, you know, this idea of the food 13:03 >> Um, you know, this idea of the food noise and the joy of food 13:06 noise and the joy of food 13:06 noise and the joy of food keeps tying back into obviously this is 13:09 keeps tying back into obviously this is 13:09 keeps tying back into obviously this is why we're talking about it keeps tying 13:10 why we're talking about it keeps tying 13:10 why we're talking about it keeps tying back into our seasonal discussions about 13:13 back into our seasonal discussions about 13:13 back into our seasonal discussions about the joy of living. We've made comments 13:15 the joy of living. We've made comments 13:15 the joy of living. We've made comments already a few times about really being 13:18 already a few times about really being 13:18 already a few times about really being that educated consumer, really 13:19 that educated consumer, really 13:19 that educated consumer, really understanding the quality of the food. 13:21 understanding the quality of the food. 13:21 understanding the quality of the food. One of the things that GLPS are so 13:23 One of the things that GLPS are so 13:23 One of the things that GLPS are so successfully helping my patients do is 13:26 successfully helping my patients do is 13:26 successfully helping my patients do is it takes out the noise of the things 13:29 it takes out the noise of the things 13:29 it takes out the noise of the things they normally eat, which often is junky 13:31 they normally eat, which often is junky 13:31 they normally eat, which often is junky convenient. 13:32 convenient. 13:32 convenient. >> Yeah, that's the problem. 13:33 >> Yeah, that's the problem. 13:33 >> Yeah, that's the problem. >> The alcohol, the crappy snacks, the 13:35 >> The alcohol, the crappy snacks, the 13:35 >> The alcohol, the crappy snacks, the gummy shits, you know. Um, so when you 13:39 gummy shits, you know. Um, so when you 13:39 gummy shits, you know. Um, so when you don't have that constant noise, eat me, 13:41 don't have that constant noise, eat me, 13:41 don't have that constant noise, eat me, eat me, eat me, 13:43 eat me, eat me, 13:43 eat me, eat me, >> you start to regain control of your food 13:45 >> you start to regain control of your food 13:45 >> you start to regain control of your food choices. And it's so much easier to then 13:48 choices. And it's so much easier to then 13:48 choices. And it's so much easier to then start to allow your tongue and your 13:51 start to allow your tongue and your 13:51 start to allow your tongue and your taste buds to really start to develop an 13:54 taste buds to really start to develop an 13:54 taste buds to really start to develop an appetite for things that are better for 13:56 appetite for things that are better for 13:56 appetite for things that are better for you. And I don't think that that let's 13:59 you. And I don't think that that let's 13:59 you. And I don't think that that let's say side benefit of the GLPS gets talked 14:03 say side benefit of the GLPS gets talked 14:03 say side benefit of the GLPS gets talked enough about. When you are dampening 14:05 enough about. When you are dampening 14:05 enough about. When you are dampening food noise, you are giving yourself an 14:07 food noise, you are giving yourself an 14:07 food noise, you are giving yourself an opportunity to reestablish a positive 14:09 opportunity to reestablish a positive 14:09 opportunity to reestablish a positive relationship with food that's good for 14:11 relationship with food that's good for 14:11 relationship with food that's good for you. 14:11 you. 14:11 you. >> Yeah. 14:13 >> Yeah. 14:13 >> Yeah. I wish more people did that. as I always 14:15 I wish more people did that. as I always 14:15 I wish more people did that. as I always say, I can't uh I can't force it on 14:18 say, I can't uh I can't force it on 14:18 say, I can't uh I can't force it on them. They have to kind of understand 14:20 them. They have to kind of understand 14:20 them. They have to kind of understand that to some degree on their own. But 14:23 that to some degree on their own. But 14:23 that to some degree on their own. But you're right, that's a that's a really 14:24 you're right, that's a that's a really 14:24 you're right, that's a that's a really really good point about that opportunity 14:26 really good point about that opportunity 14:26 really good point about that opportunity to reset um with quality. So the more I 14:30 to reset um with quality. So the more I 14:30 to reset um with quality. So the more I think the more people just have 14:31 think the more people just have 14:31 think the more people just have opportunity because they're thinking 14:32 opportunity because they're thinking 14:32 opportunity because they're thinking about these things or they're reading 14:34 about these things or they're reading 14:34 about these things or they're reading about it or listen to a podcast like 14:35 about it or listen to a podcast like 14:35 about it or listen to a podcast like this about the quality of food, the more 14:38 this about the quality of food, the more 14:38 this about the quality of food, the more they have that in the background than if 14:39 they have that in the background than if 14:39 they have that in the background than if they used a GOP one, hopefully it would 14:41 they used a GOP one, hopefully it would 14:41 they used a GOP one, hopefully it would be easier for that to enter in. Agreed. 14:45 be easier for that to enter in. Agreed. 14:45 be easier for that to enter in. Agreed. So that's a little bit about the 14:46 So that's a little bit about the 14:46 So that's a little bit about the physiology with the GOP1. And what are 14:48 physiology with the GOP1. And what are 14:48 physiology with the GOP1. And what are the three main ones that are out there? 14:50 the three main ones that are out there? 14:50 the three main ones that are out there? There is semiglutide. This is the 14:53 There is semiglutide. This is the 14:53 There is semiglutide. This is the classic oepic. Um there's tepatide which 14:57 classic oepic. Um there's tepatide which 14:57 classic oepic. Um there's tepatide which is monero and zebound. And now uh the 15:00 is monero and zebound. And now uh the 15:00 is monero and zebound. And now uh the newest one reat. But let me explain it 15:04 newest one reat. But let me explain it 15:04 newest one reat. But let me explain it this way. This is what I say to 15:05 this way. This is what I say to 15:05 this way. This is what I say to patients. So the the semiglutide is uh 15:08 patients. So the the semiglutide is uh 15:08 patients. So the the semiglutide is uh it's affecting the GLP1 receptor. A lot 15:11 it's affecting the GLP1 receptor. A lot 15:11 it's affecting the GLP1 receptor. A lot of time what they're doing is they're 15:12 of time what they're doing is they're 15:12 of time what they're doing is they're sort of classifying these as GLP1s and 15:16 sort of classifying these as GLP1s and 15:16 sort of classifying these as GLP1s and that is only one receptor that's getting 15:18 that is only one receptor that's getting 15:18 that is only one receptor that's getting affected. 15:19 affected. 15:19 affected. >> It just happens to be the semutide 15:21 >> It just happens to be the semutide 15:21 >> It just happens to be the semutide affects that one receptor. Tzepide is 15:24 affects that one receptor. Tzepide is 15:24 affects that one receptor. Tzepide is the a newer version we call it sort of 15:26 the a newer version we call it sort of 15:26 the a newer version we call it sort of 2.0 that affects two receptors GLP1 and 15:30 2.0 that affects two receptors GLP1 and 15:30 2.0 that affects two receptors GLP1 and GIP. It's double the effectiveness and 15:33 GIP. It's double the effectiveness and 15:33 GIP. It's double the effectiveness and half the side effects. It's less side 15:35 half the side effects. It's less side 15:35 half the side effects. It's less side effects on the GP. 15:36 effects on the GP. 15:36 effects on the GP. >> Excuse me. I disagree with that. that 15:38 >> Excuse me. I disagree with that. that 15:38 >> Excuse me. I disagree with that. that it's oh for well whatever 15:40 it's oh for well whatever 15:40 it's oh for well whatever >> with the side effects I mean this is 15:42 >> with the side effects I mean this is 15:42 >> with the side effects I mean this is clinical 15:43 clinical 15:43 clinical >> do you have do you have more issues with 15:44 >> do you have do you have more issues with 15:44 >> do you have do you have more issues with that person 15:45 that person 15:45 that person >> no but I mean just in general what I've 15:47 >> no but I mean just in general what I've 15:47 >> no but I mean just in general what I've observed this is more like my anecdotal 15:49 observed this is more like my anecdotal 15:49 observed this is more like my anecdotal evidence um although I have heard it 15:51 evidence um although I have heard it 15:51 evidence um although I have heard it echoed in other in other papers is that 15:53 echoed in other in other papers is that 15:53 echoed in other in other papers is that I don't think that the umatite 15:57 I don't think that the umatite 15:57 I don't think that the umatite has less GI symptoms what I think is 15:59 has less GI symptoms what I think is 15:59 has less GI symptoms what I think is that they have less GI symptoms upon 16:01 that they have less GI symptoms upon 16:02 that they have less GI symptoms upon starting it 16:03 starting it 16:03 starting it >> what I'm finding with the tepatide is 16:05 >> what I'm finding with the tepatide is 16:05 >> what I'm finding with the tepatide is that the GI symptoms will happen later 16:07 that the GI symptoms will happen later 16:07 that the GI symptoms will happen later >> uh And and that's still good. That's 16:11 >> uh And and that's still good. That's 16:11 >> uh And and that's still good. That's good. I wanted that 16:12 good. I wanted that 16:12 good. I wanted that >> cuz at that point the person's had some 16:13 >> cuz at that point the person's had some 16:13 >> cuz at that point the person's had some progress and then they're like, "Oh, 16:15 progress and then they're like, "Oh, 16:15 progress and then they're like, "Oh, I've done so great." Like the hell with 16:16 I've done so great." Like the hell with 16:16 I've done so great." Like the hell with my diarrhea. You know, it's a lot easier 16:18 my diarrhea. You know, it's a lot easier 16:18 my diarrhea. You know, it's a lot easier than the person who's just starting and 16:19 than the person who's just starting and 16:19 than the person who's just starting and is having diarrhea right away. But even 16:21 is having diarrhea right away. But even 16:21 is having diarrhea right away. But even that really is quite manageable if 16:23 that really is quite manageable if 16:23 that really is quite manageable if you're affecting dose. 16:24 you're affecting dose. 16:24 you're affecting dose. >> I You're right. And it's it's usually 16:26 >> I You're right. And it's it's usually 16:26 >> I You're right. And it's it's usually well over the three plus mark where 16:29 well over the three plus mark where 16:29 well over the three plus mark where they're going to see that. And a lot of 16:30 they're going to see that. And a lot of 16:30 they're going to see that. And a lot of patients and I would say most of our 16:31 patients and I would say most of our 16:31 patients and I would say most of our patients are on these things from 16:33 patients are on these things from 16:33 patients are on these things from between 3 to six months. So if it does 16:35 between 3 to six months. So if it does 16:35 between 3 to six months. So if it does come 16:36 come 16:36 come >> at at therapeutic doses, right? Not at 16:38 >> at at therapeutic doses, right? Not at 16:38 >> at at therapeutic doses, right? Not at maintenance doses, 16:39 maintenance doses, 16:39 maintenance doses, >> right? And then at that point if they 16:41 >> right? And then at that point if they 16:41 >> right? And then at that point if they force the side effect later, then we'll 16:44 force the side effect later, then we'll 16:44 force the side effect later, then we'll pull them back on the dose anyway or 16:45 pull them back on the dose anyway or 16:45 pull them back on the dose anyway or they're getting to go and they don't 16:47 they're getting to go and they don't 16:47 they're getting to go and they don't need to be dealing anyway. So but yes, 16:49 need to be dealing anyway. So but yes, 16:49 need to be dealing anyway. So but yes, that's the tepatide and then now the 16:52 that's the tepatide and then now the 16:52 that's the tepatide and then now the newest retatide which is the triple 16:54 newest retatide which is the triple 16:54 newest retatide which is the triple threat is affecting GLP1, git and 16:58 threat is affecting GLP1, git and 16:58 threat is affecting GLP1, git and something called glucagon. Um all of 17:00 something called glucagon. Um all of 17:00 something called glucagon. Um all of these are receptor agonists. It's really 17:03 these are receptor agonists. It's really 17:03 these are receptor agonists. It's really important to understand about this too 17:05 important to understand about this too 17:05 important to understand about this too that I see that a lot of what's being 17:07 that I see that a lot of what's being 17:07 that I see that a lot of what's being said also they're saying this is 17:09 said also they're saying this is 17:09 said also they're saying this is nonsense. They're calling it a GOP 3 17:12 nonsense. They're calling it a GOP 3 17:12 nonsense. They're calling it a GOP 3 because it's the third one that that 17:15 because it's the third one that that 17:15 because it's the third one that that doesn't make any sense. It's they're 17:17 doesn't make any sense. It's they're 17:17 doesn't make any sense. It's they're just putting a number on GOP one is just 17:19 just putting a number on GOP one is just 17:19 just putting a number on GOP one is just the name of the uh the receptor. So 17:23 the name of the uh the receptor. So 17:23 the name of the uh the receptor. So saying GLP3 is just isn't scientifically 17:25 saying GLP3 is just isn't scientifically 17:25 saying GLP3 is just isn't scientifically correct. I don't know where the hell 17:26 correct. I don't know where the hell 17:26 correct. I don't know where the hell they're coming up with this, but a lot 17:28 they're coming up with this, but a lot 17:28 they're coming up with this, but a lot of it is just marketing how they say it 17:30 of it is just marketing how they say it 17:30 of it is just marketing how they say it and it just drives. But the problem is 17:32 and it just drives. But the problem is 17:32 and it just drives. But the problem is the marketing is misinforming the 17:33 the marketing is misinforming the 17:33 the marketing is misinforming the patient. 17:34 patient. 17:34 patient. >> Correct. 17:34 >> Correct. 17:34 >> Correct. >> Yeah. Because we need to be accurate 17:36 >> Yeah. Because we need to be accurate 17:36 >> Yeah. Because we need to be accurate about what we're saying. You have to 17:38 about what we're saying. You have to 17:38 about what we're saying. You have to kind of organize this as best you can, 17:40 kind of organize this as best you can, 17:40 kind of organize this as best you can, as accurately as you can. Anyway, reit 17:42 as accurately as you can. Anyway, reit 17:42 as accurately as you can. Anyway, reit true tide triple threat GLP-1 receptor 17:44 true tide triple threat GLP-1 receptor 17:44 true tide triple threat GLP-1 receptor agonist um the GIP and something called 17:48 agonist um the GIP and something called 17:48 agonist um the GIP and something called group and it is that much more 17:51 group and it is that much more 17:51 group and it is that much more effective. Yes, 17:52 effective. Yes, 17:52 effective. Yes, >> there is uh that much more fat loss with 17:55 >> there is uh that much more fat loss with 17:55 >> there is uh that much more fat loss with that and potential still well actually 17:57 that and potential still well actually 17:58 that and potential still well actually less potential with the uh muscle loss 18:01 less potential with the uh muscle loss 18:01 less potential with the uh muscle loss even though it's there. It's less uh 18:03 even though it's there. It's less uh 18:03 even though it's there. It's less uh because I think the glucagon is helping 18:05 because I think the glucagon is helping 18:05 because I think the glucagon is helping to offset that. Um so we just see less 18:08 to offset that. Um so we just see less 18:08 to offset that. Um so we just see less muscle loss with it but again it is 18:10 muscle loss with it but again it is 18:10 muscle loss with it but again it is still there. I do not want to let 18:11 still there. I do not want to let 18:11 still there. I do not want to let anybody think that they won't lose 18:13 anybody think that they won't lose 18:13 anybody think that they won't lose muscle on reatride if they don't have 18:15 muscle on reatride if they don't have 18:16 muscle on reatride if they don't have their protein rank. They still will. 18:17 their protein rank. They still will. 18:17 their protein rank. They still will. >> Yes. 18:17 >> Yes. 18:17 >> Yes. >> Uh but it seems to be not quite as bad 18:20 >> Uh but it seems to be not quite as bad 18:20 >> Uh but it seems to be not quite as bad as senutide. 18:21 as senutide. 18:21 as senutide. >> But there's issues with reatide. 18:23 >> But there's issues with reatide. 18:23 >> But there's issues with reatide. >> There is. Um and this is what I really 18:26 >> There is. Um and this is what I really 18:26 >> There is. Um and this is what I really wanted to go over. So look, Eli Liy, the 18:29 wanted to go over. So look, Eli Liy, the 18:29 wanted to go over. So look, Eli Liy, the maker of reat, technically reat has not 18:32 maker of reat, technically reat has not 18:32 maker of reat, technically reat has not completed its uh FDA approval. It's not 18:36 completed its uh FDA approval. It's not 18:36 completed its uh FDA approval. It's not fully there. So a lot of what we see 18:38 fully there. So a lot of what we see 18:38 fully there. So a lot of what we see with retoide out there is these um where 18:42 with retoide out there is these um where 18:42 with retoide out there is these um where you can get other peptides. They call 18:44 you can get other peptides. They call 18:44 you can get other peptides. They call them research use or RSO research use 18:47 them research use or RSO research use 18:47 them research use or RSO research use only types of peptides. They literally 18:49 only types of peptides. They literally 18:50 only types of peptides. They literally say in the bottle um not for human 18:52 say in the bottle um not for human 18:52 say in the bottle um not for human consumption. Um and then these online 18:55 consumption. Um and then these online 18:55 consumption. Um and then these online platforms are saying look we're not 18:57 platforms are saying look we're not 18:57 platforms are saying look we're not saying it's for you but here's how you 18:58 saying it's for you but here's how you 18:58 saying it's for you but here's how you dose it and get it from us but we're not 19:00 dose it and get it from us but we're not 19:00 dose it and get it from us but we're not telling you to do it but here's how you 19:01 telling you to do it but here's how you 19:01 telling you to do it but here's how you do it. Um, so everyone knows obviously 19:04 do it. Um, so everyone knows obviously 19:04 do it. Um, so everyone knows obviously that people are going to these things 19:05 that people are going to these things 19:05 that people are going to these things that humans are using these things and 19:07 that humans are using these things and 19:07 that humans are using these things and there's been problems out there. I do 19:09 there's been problems out there. I do 19:09 there's been problems out there. I do not recommend uh using research uh uh 19:12 not recommend uh using research uh uh 19:12 not recommend uh using research uh uh peptides. I just think it's uh very very 19:15 peptides. I just think it's uh very very 19:15 peptides. I just think it's uh very very potentially dangerous careless. 19:17 potentially dangerous careless. 19:17 potentially dangerous careless. >> Yeah. Yeah. So please don't use those 19:19 >> Yeah. Yeah. So please don't use those 19:19 >> Yeah. Yeah. So please don't use those types of 19:20 types of 19:20 types of >> and I just don't recommend patients 19:22 >> and I just don't recommend patients 19:22 >> and I just don't recommend patients ordering their peptides online and 19:23 ordering their peptides online and 19:23 ordering their peptides online and self-managing their care period. I mean 19:25 self-managing their care period. I mean 19:26 self-managing their care period. I mean I just don't think that's 19:27 I just don't think that's 19:27 I just don't think that's >> that's not safe and there's no reason to 19:29 >> that's not safe and there's no reason to 19:29 >> that's not safe and there's no reason to do that. There's enough options out 19:30 do that. There's enough options out 19:30 do that. There's enough options out there 19:30 there 19:30 there >> right now. especially if 19:31 >> right now. especially if 19:31 >> right now. especially if >> yeah there's people that are relatively 19:33 >> yeah there's people that are relatively 19:33 >> yeah there's people that are relatively wellversed in it out there. Um so 19:37 wellversed in it out there. Um so 19:37 wellversed in it out there. Um so anyway, Redat True Tide is not fully 19:39 anyway, Redat True Tide is not fully 19:39 anyway, Redat True Tide is not fully approved but nonetheless it's being used 19:41 approved but nonetheless it's being used 19:41 approved but nonetheless it's being used out there and um there are 19:43 out there and um there are 19:44 out there and um there are competentarmacies 19:45 competentarmacies 19:45 competentarmacies uh that are uh prescribing 19:48 uh that are uh prescribing 19:48 uh that are uh prescribing and so we as long as it's a what's 19:50 and so we as long as it's a what's 19:50 and so we as long as it's a what's called a 503A or 503b outsourcing 19:53 called a 503A or 503b outsourcing 19:53 called a 503A or 503b outsourcing competent pharmacy we will we will use 19:55 competent pharmacy we will we will use 19:55 competent pharmacy we will we will use those uh of course um so what has 20:00 those uh of course um so what has 20:00 those uh of course um so what has happened now Eli Liy u because we're a 20:03 happened now Eli Liy u because we're a 20:03 happened now Eli Liy u because we're a true tit just these what has happened 20:05 true tit just these what has happened 20:05 true tit just these what has happened with these uh medications since roughly 20:09 with these uh medications since roughly 20:09 with these uh medications since roughly 2020 or before. They don't want their 20:13 2020 or before. They don't want their 20:13 2020 or before. They don't want their market share to be affected for this 20:15 market share to be affected for this 20:15 market share to be affected for this particular medication. They probably 20:17 particular medication. They probably 20:17 particular medication. They probably will not officially come out until 2027. 20:20 will not officially come out until 2027. 20:20 will not officially come out until 2027. So, they have started suing and there 20:22 So, they have started suing and there 20:22 So, they have started suing and there was uh six different uh people that were 20:26 was uh six different uh people that were 20:26 was uh six different uh people that were sued. Um this all just came out on 20:28 sued. Um this all just came out on 20:28 sued. Um this all just came out on August 12th, so this is relatively soon. 20:31 August 12th, so this is relatively soon. 20:31 August 12th, so this is relatively soon. Um there was a California med spa that 20:35 Um there was a California med spa that 20:35 Um there was a California med spa that was affected. Uh another uh pharmacy 20:38 was affected. Uh another uh pharmacy 20:38 was affected. Uh another uh pharmacy that was sued and then one two three 20:42 that was sued and then one two three 20:42 that was sued and then one two three four research use only uh online outlets 20:46 four research use only uh online outlets 20:46 four research use only uh online outlets that were named in this lawsuit. So six 20:48 that were named in this lawsuit. So six 20:48 that were named in this lawsuit. So six total entities that were that were 20:50 total entities that were that were 20:50 total entities that were that were listed. So this is what's unique about 20:53 listed. So this is what's unique about 20:53 listed. So this is what's unique about this too is that they actually went 20:55 this too is that they actually went 20:55 this too is that they actually went after a doctor and usually they don't do 20:57 after a doctor and usually they don't do 20:58 after a doctor and usually they don't do that. uh the usual leaders working at 20:59 that. uh the usual leaders working at 20:59 that. uh the usual leaders working at the level of the manufacturer. So this 21:01 the level of the manufacturer. So this 21:02 the level of the manufacturer. So this was quite unique to to also kind of 21:04 was quite unique to to also kind of 21:04 was quite unique to to also kind of attack uh you know a private business 21:07 attack uh you know a private business 21:07 attack uh you know a private business ran by. 21:08 ran by. 21:08 ran by. >> But I mean how do you feel about this 21:10 >> But I mean how do you feel about this 21:10 >> But I mean how do you feel about this because 21:12 because 21:12 because this is this is questions of 21:13 this is this is questions of 21:14 this is this is questions of availability. This is questions of 21:15 availability. This is questions of 21:15 availability. This is questions of monopoly on on a product. This is 21:17 monopoly on on a product. This is 21:17 monopoly on on a product. This is questions of what is actual patented by 21:20 questions of what is actual patented by 21:20 questions of what is actual patented by a company versus a more generic that 21:23 a company versus a more generic that 21:23 a company versus a more generic that can't be patented. M 21:25 can't be patented. M 21:25 can't be patented. M >> um I mean I I think that 21:28 >> um I mean I I think that 21:28 >> um I mean I I think that we're seeing a national 21:31 we're seeing a national 21:31 we're seeing a national suffocation of the compounding pharmacy. 21:34 suffocation of the compounding pharmacy. 21:34 suffocation of the compounding pharmacy. >> Oh, always. Yeah. And 21:36 >> Oh, always. Yeah. And 21:36 >> Oh, always. Yeah. And >> it's always a battle 21:37 >> it's always a battle 21:37 >> it's always a battle >> and that's always a problem for me. 21:39 >> and that's always a problem for me. 21:39 >> and that's always a problem for me. >> Yeah. Yeah. Because the compoundingies 21:41 >> Yeah. Yeah. Because the compoundingies 21:41 >> Yeah. Yeah. Because the compoundingies to me represent medical freedom, right? 21:43 to me represent medical freedom, right? 21:43 to me represent medical freedom, right? That's certainly what we've seen for 20 21:45 That's certainly what we've seen for 20 21:45 That's certainly what we've seen for 20 years working with competitive 21:47 years working with competitive 21:47 years working with competitive pharmacists and pharmacies. Um they are 21:50 pharmacists and pharmacies. Um they are 21:50 pharmacists and pharmacies. Um they are there helping the relationship to be 21:52 there helping the relationship to be 21:52 there helping the relationship to be established between doctor and patient. 21:54 established between doctor and patient. 21:54 established between doctor and patient. that you need care that they want and 21:56 that you need care that they want and 21:56 that you need care that they want and need. Um, so 21:57 need. Um, so 21:57 need. Um, so >> the technology is there for 21:59 >> the technology is there for 21:59 >> the technology is there for customization because you're working 22:00 customization because you're working 22:00 customization because you're working with a compounding pharmacy, then I 22:02 with a compounding pharmacy, then I 22:02 with a compounding pharmacy, then I think it's our duty, it's all of our 22:04 think it's our duty, it's all of our 22:04 think it's our duty, it's all of our duty to defend that even if we're not 22:06 duty to defend that even if we're not 22:06 duty to defend that even if we're not the ones using it because we're always 22:08 the ones using it because we're always 22:08 the ones using it because we're always looking for individualized this and in, 22:10 looking for individualized this and in, 22:10 looking for individualized this and in, you know, individualized approaches. 22:12 you know, individualized approaches. 22:12 you know, individualized approaches. People love that term. Um, but suddenly 22:15 People love that term. Um, but suddenly 22:15 People love that term. Um, but suddenly not when it comes to our pharmaceutical 22:17 not when it comes to our pharmaceutical 22:17 not when it comes to our pharmaceutical needs, 22:18 needs, 22:18 needs, >> right? Well, then yeah, because this is 22:20 >> right? Well, then yeah, because this is 22:20 >> right? Well, then yeah, because this is all in the end, this quite obviously is 22:22 all in the end, this quite obviously is 22:22 all in the end, this quite obviously is all about money. Look, when I say this 22:24 all about money. Look, when I say this 22:24 all about money. Look, when I say this is this could be a trillion dollar 22:27 is this could be a trillion dollar 22:27 is this could be a trillion dollar medication, not billions. We're talking 22:30 medication, not billions. We're talking 22:30 medication, not billions. We're talking to to create to cross a threshold a 22:33 to to create to cross a threshold a 22:33 to to create to cross a threshold a trillion dollars. This is big money and 22:36 trillion dollars. This is big money and 22:36 trillion dollars. This is big money and they're not taking any chances at this 22:38 they're not taking any chances at this 22:38 they're not taking any chances at this point. They're wanting to make sure 22:39 point. They're wanting to make sure 22:39 point. They're wanting to make sure they're launching this to where they 22:40 they're launching this to where they 22:40 they're launching this to where they have a unique uh market share when all 22:43 have a unique uh market share when all 22:44 have a unique uh market share when all this hits in 2027. So you know uh back 22:48 this hits in 2027. So you know uh back 22:48 this hits in 2027. So you know uh back to what you had said something about 22:49 to what you had said something about 22:49 to what you had said something about patent and all that and right now at 22:51 patent and all that and right now at 22:51 patent and all that and right now at this point they are going to argue that 22:53 this point they are going to argue that 22:53 this point they are going to argue that they do have a direct patent on this 22:55 they do have a direct patent on this 22:55 they do have a direct patent on this particular molecule. Um so that's
Visceral fat, menopause, and cardiovascular health 22:59 particular molecule. Um so that's 22:59 particular molecule. Um so that's arguable and I think that's relatively 23:02 arguable and I think that's relatively 23:02 arguable and I think that's relatively that's reasonable. Um but again people 23:05 that's reasonable. Um but again people 23:05 that's reasonable. Um but again people want to be able to have access to these 23:06 want to be able to have access to these 23:06 want to be able to have access to these things. That's the other argument there. 23:08 things. That's the other argument there. 23:08 things. That's the other argument there. For a while they were allowing a lot of 23:10 For a while they were allowing a lot of 23:10 For a while they were allowing a lot of the semiglutide and turzepide to be 23:12 the semiglutide and turzepide to be 23:12 the semiglutide and turzepide to be compounded without any restriction 23:14 compounded without any restriction 23:14 compounded without any restriction because they were saying there was a 23:15 because they were saying there was a 23:15 because they were saying there was a shortage. Well, that shortage is there 23:17 shortage. Well, that shortage is there 23:17 shortage. Well, that shortage is there was a shortage of the ash. 23:19 was a shortage of the ash. 23:19 was a shortage of the ash. >> Uh yeah. So now it's way we're way past 23:22 >> Uh yeah. So now it's way we're way past 23:22 >> Uh yeah. So now it's way we're way past those shortages. This is part of their 23:23 those shortages. This is part of their 23:23 those shortages. This is part of their argument uh as well. So either way I 23:27 argument uh as well. So either way I 23:27 argument uh as well. So either way I think it's important for people to 23:28 think it's important for people to 23:28 think it's important for people to understand what's going on uh for any of 23:31 understand what's going on uh for any of 23:31 understand what's going on uh for any of the doctors providers listening to be 23:33 the doctors providers listening to be 23:33 the doctors providers listening to be careful regarding rea. Um, I think it's 23:37 careful regarding rea. Um, I think it's 23:37 careful regarding rea. Um, I think it's I think that's right now at least 23:38 I think that's right now at least 23:38 I think that's right now at least letting the dust settle to understand 23:40 letting the dust settle to understand 23:40 letting the dust settle to understand what's going to go on. But aside from 23:42 what's going to go on. But aside from 23:42 what's going to go on. But aside from those six that were mentioned, they're 23:43 those six that were mentioned, they're 23:44 those six that were mentioned, they're also um 23:46 also um 23:46 also um they're basically letting they're 23:48 they're basically letting they're 23:48 they're basically letting they're they're sort of tattletailing also on 23:50 they're sort of tattletailing also on 23:50 they're sort of tattletailing also on other people that are potentially using 23:52 other people that are potentially using 23:52 other people that are potentially using it or talking about it on their website 23:54 it or talking about it on their website 23:54 it or talking about it on their website um to the uh to the FDA. So in the end 23:57 um to the uh to the FDA. So in the end 23:57 um to the uh to the FDA. So in the end obviously the pharmaceutical company 23:59 obviously the pharmaceutical company 23:59 obviously the pharmaceutical company can't really uh dictate the practice of 24:02 can't really uh dictate the practice of 24:02 can't really uh dictate the practice of medicine and these types of things um or 24:05 medicine and these types of things um or 24:05 medicine and these types of things um or come you know through a medical board 24:06 come you know through a medical board 24:06 come you know through a medical board situation that's not their purview but 24:08 situation that's not their purview but 24:08 situation that's not their purview but they can certainly report to the FDA and 24:11 they can certainly report to the FDA and 24:11 they can certainly report to the FDA and recommend and say there's these issues 24:13 recommend and say there's these issues 24:13 recommend and say there's these issues and that is there's a couple hundred 24:15 and that is there's a couple hundred 24:15 and that is there's a couple hundred that they have recommended across the 24:17 that they have recommended across the 24:17 that they have recommended across the world it's not even US they're pushing 24:19 world it's not even US they're pushing 24:19 world it's not even US they're pushing out into other countries 24:22 out into other countries 24:22 out into other countries >> from a consumer perspective though it is 24:24 >> from a consumer perspective though it is 24:24 >> from a consumer perspective though it is a good medication 24:25 a good medication 24:25 a good medication >> very much So that's 24:27 >> very much So that's 24:27 >> very much So that's >> so good. It is really good. 24:29 >> so good. It is really good. 24:29 >> so good. It is really good. >> So you know know that you always have 24:31 >> So you know know that you always have 24:31 >> So you know know that you always have options and of course it's never just 24:34 options and of course it's never just 24:34 options and of course it's never just the medication it's how you use it etc. 24:37 the medication it's how you use it etc. 24:37 the medication it's how you use it etc. >> You know so switching back to sort of 24:39 >> You know so switching back to sort of 24:39 >> You know so switching back to sort of the physiology we'll get a little bit 24:41 the physiology we'll get a little bit 24:41 the physiology we'll get a little bit out of that uh 24:42 out of that uh 24:42 out of that uh >> of GLP specifically. Yes. Um and you had 24:44 >> of GLP specifically. Yes. Um and you had 24:44 >> of GLP specifically. Yes. Um and you had mentioned uh visceral fat. That is is 24:47 mentioned uh visceral fat. That is is 24:47 mentioned uh visceral fat. That is is super 24:49 super 24:49 super >> um because that visceral fat is what is 24:51 >> um because that visceral fat is what is 24:52 >> um because that visceral fat is what is leading into more issues with 24:54 leading into more issues with 24:54 leading into more issues with cardiovascular disease and diabetes for 24:56 cardiovascular disease and diabetes for 24:56 cardiovascular disease and diabetes for patients. It is the fat that we want to 24:58 patients. It is the fat that we want to 24:58 patients. It is the fat that we want to get rid of and these GOP1 these types of 25:02 get rid of and these GOP1 these types of 25:02 get rid of and these GOP1 these types of uh medications really work well for 25:04 uh medications really work well for 25:04 uh medications really work well for that. You know, there's a lot of garbage 25:06 that. You know, there's a lot of garbage 25:06 that. You know, there's a lot of garbage on the internet about health, but one 25:09 on the internet about health, but one 25:09 on the internet about health, but one thing that I think has been reliable is 25:11 thing that I think has been reliable is 25:11 thing that I think has been reliable is that picture of the drawing where the 25:12 that picture of the drawing where the 25:12 that picture of the drawing where the person is appshaped versus pear-shaped. 25:14 person is appshaped versus pear-shaped. 25:14 person is appshaped versus pear-shaped. Yeah. And it always says how when you're 25:16 Yeah. And it always says how when you're 25:16 Yeah. And it always says how when you're appleshaped and you have the fat in your 25:18 appleshaped and you have the fat in your 25:18 appleshaped and you have the fat in your midsection, that that is more closely 25:20 midsection, that that is more closely 25:20 midsection, that that is more closely correlated to chronic inflammatory 25:21 correlated to chronic inflammatory 25:21 correlated to chronic inflammatory diseases. That is very reliable. This 25:24 diseases. That is very reliable. This 25:24 diseases. That is very reliable. This idea of visceral fat is particularly 25:26 idea of visceral fat is particularly 25:26 idea of visceral fat is particularly important to me because of the patients 25:28 important to me because of the patients 25:28 important to me because of the patients that I work with, but then also just 25:30 that I work with, but then also just 25:30 that I work with, but then also just again, I fall perfectly into that 25:31 again, I fall perfectly into that 25:31 again, I fall perfectly into that demographic. When estrogen starts going 25:34 demographic. When estrogen starts going 25:34 demographic. When estrogen starts going down in the female, fat is no longer 25:38 down in the female, fat is no longer 25:38 down in the female, fat is no longer being stored in places like the cheek, 25:39 being stored in places like the cheek, 25:39 being stored in places like the cheek, the breast, the butt, all the places 25:41 the breast, the butt, all the places 25:41 the breast, the butt, all the places that make the female more uh, you know, 25:43 that make the female more uh, you know, 25:43 that make the female more uh, you know, desirable from a a reproductive 25:45 desirable from a a reproductive 25:45 desirable from a a reproductive perspective. But that correlates not 25:48 perspective. But that correlates not 25:48 perspective. But that correlates not just to beauty, that correlates to 25:49 just to beauty, that correlates to 25:49 just to beauty, that correlates to health. So visceral fat is going to be 25:53 health. So visceral fat is going to be 25:53 health. So visceral fat is going to be deposit. Visceral fat is that fat around 25:55 deposit. Visceral fat is that fat around 25:55 deposit. Visceral fat is that fat around the organs, which is important. We need 25:57 the organs, which is important. We need 25:57 the organs, which is important. We need fat around the organs. 25:59 fat around the organs. 25:59 fat around the organs. >> We right, we need it for temperature 26:00 >> We right, we need it for temperature 26:00 >> We right, we need it for temperature regulation. 26:01 regulation. 26:02 regulation. or cushioning. So, it's very important 26:04 or cushioning. So, it's very important 26:04 or cushioning. So, it's very important if there is an accident and you know 26:05 if there is an accident and you know 26:06 if there is an accident and you know your organs are protected. But the 26:08 your organs are protected. But the 26:08 your organs are protected. But the female that is going through 26:10 female that is going through 26:10 female that is going through permenopausal changes is going to have a 26:13 permenopausal changes is going to have a 26:13 permenopausal changes is going to have a much more difficult time keeping that 26:15 much more difficult time keeping that 26:15 much more difficult time keeping that fat out of the abdomen and keeping 26:19 fat out of the abdomen and keeping 26:19 fat out of the abdomen and keeping herself healthy because in part estrogen 26:23 herself healthy because in part estrogen 26:23 herself healthy because in part estrogen is going down. So when you are affecting 26:26 is going down. So when you are affecting 26:26 is going down. So when you are affecting um metabolism through the use of these 26:28 um metabolism through the use of these 26:28 um metabolism through the use of these GLP1s, you really just get a much easier 26:31 GLP1s, you really just get a much easier 26:31 GLP1s, you really just get a much easier time keeping that pear-shaped body. 26:33 time keeping that pear-shaped body. 26:33 time keeping that pear-shaped body. >> Yes. And all of that back to this rule 26:35 >> Yes. And all of that back to this rule 26:36 >> Yes. And all of that back to this rule and how that relates to cardiovascular 26:37 and how that relates to cardiovascular 26:37 and how that relates to cardiovascular disease. I mean just in general uh most 26:40 disease. I mean just in general uh most 26:40 disease. I mean just in general uh most of the uh this just semiglutide we have 26:43 of the uh this just semiglutide we have 26:43 of the uh this just semiglutide we have a decreased 20% risk reduction in 26:46 a decreased 20% risk reduction in 26:46 a decreased 20% risk reduction in cardiovascular disease just with 26:47 cardiovascular disease just with 26:47 cardiovascular disease just with semlutide you know the original 26:49 semlutide you know the original 26:49 semlutide you know the original semlutide. 26:51 semlutide. 26:51 semlutide. So we are improving cardiovascular, 26:55 So we are improving cardiovascular, 26:56 So we are improving cardiovascular, visceral fat, inflammation. Inflammation 26:58 visceral fat, inflammation. Inflammation 26:58 visceral fat, inflammation. Inflammation equals disease. Disease equals 27:00 equals disease. Disease equals 27:00 equals disease. Disease equals inflammation. We're helping with all of 27:02 inflammation. We're helping with all of 27:02 inflammation. We're helping with all of that, 27:02 that, 27:02 that, >> right? 27:03 >> right? 27:03 >> right? >> Um and so therefore, can we say, do you 27:05 >> Um and so therefore, can we say, do you 27:06 >> Um and so therefore, can we say, do you think it's safe to say that this is a 27:08 think it's safe to say that this is a 27:08 think it's safe to say that this is a longevity medication? 27:09 longevity medication? 27:10 longevity medication? >> 1,000% as long as you're not replacing 27:13 >> 1,000% as long as you're not replacing 27:13 >> 1,000% as long as you're not replacing one illness with another. So you're 27:15 one illness with another. So you're 27:15 one illness with another. So you're improving your statistics for 27:16 improving your statistics for 27:16 improving your statistics for cardiovascular health, but you are
Muscle preservation, protein, and body composition 27:18 cardiovascular health, but you are 27:18 cardiovascular health, but you are increasing the incidence of bone damage 27:21 increasing the incidence of bone damage 27:21 increasing the incidence of bone damage and bone breaking and muscle loss and 27:24 and bone breaking and muscle loss and 27:24 and bone breaking and muscle loss and brain function because you have such a 27:26 brain function because you have such a 27:26 brain function because you have such a dramatic loss of fat. So these none of 27:28 dramatic loss of fat. So these none of 27:28 dramatic loss of fat. So these none of that is good. You're not flip-flopping 27:30 that is good. You're not flip-flopping 27:30 that is good. You're not flip-flopping one thing for the other. Yes, it is 27:32 one thing for the other. Yes, it is 27:32 one thing for the other. Yes, it is absolutely longevity medicine if you are 27:34 absolutely longevity medicine if you are 27:34 absolutely longevity medicine if you are treating it as a longevity medicine. 27:36 treating it as a longevity medicine. 27:36 treating it as a longevity medicine. >> It's not what you do, it's how you do 27:38 >> It's not what you do, it's how you do 27:38 >> It's not what you do, it's how you do it. Uh for sure. Um, so, uh, back to 27:41 it. Uh for sure. Um, so, uh, back to 27:41 it. Uh for sure. Um, so, uh, back to since you said the muscle, it's a good 27:42 since you said the muscle, it's a good 27:42 since you said the muscle, it's a good segue into talking about that. Um, 27:46 segue into talking about that. Um, 27:46 segue into talking about that. Um, if anybody's going to use one of these 27:48 if anybody's going to use one of these 27:48 if anybody's going to use one of these medications, please, please be careful 27:50 medications, please, please be careful 27:50 medications, please, please be careful regarding muscle growth. 27:51 regarding muscle growth. 27:51 regarding muscle growth. >> Yes. 27:52 >> Yes. 27:52 >> Yes. >> And it's relatively speaking 27:55 >> And it's relatively speaking 27:55 >> And it's relatively speaking simple uh because it is uh just 27:58 simple uh because it is uh just 27:58 simple uh because it is uh just mathematics. 27:59 mathematics. 27:59 mathematics. >> So, we always look at body composition 28:03 >> So, we always look at body composition 28:03 >> So, we always look at body composition carefully. uh we've got a special scale 28:05 carefully. uh we've got a special scale 28:05 carefully. uh we've got a special scale and they can look at that very very 28:06 and they can look at that very very 28:06 and they can look at that very very accurately and understand where muscle 28:08 accurately and understand where muscle 28:08 accurately and understand where muscle already is on a patient's body and then 28:10 already is on a patient's body and then 28:10 already is on a patient's body and then we say okay here's your metabolic 28:12 we say okay here's your metabolic 28:12 we say okay here's your metabolic requirements for uh protein in order to 28:16 requirements for uh protein in order to 28:16 requirements for uh protein in order to at the barest minimum maintain or 28:17 at the barest minimum maintain or 28:18 at the barest minimum maintain or optimally here's what you can do to 28:19 optimally here's what you can do to 28:19 optimally here's what you can do to achieve to gain muscle. So if we put 28:22 achieve to gain muscle. So if we put 28:22 achieve to gain muscle. So if we put patients on uh the hormone and peptide 28:24 patients on uh the hormone and peptide 28:24 patients on uh the hormone and peptide regimens that we put them on and they 28:26 regimens that we put them on and they 28:26 regimens that we put them on and they hit their protein numbers, they are not 28:29 hit their protein numbers, they are not 28:29 hit their protein numbers, they are not losing fat. They are usually excuse me, 28:32 losing fat. They are usually excuse me, 28:32 losing fat. They are usually excuse me, not lose muscle. They are usually uh 28:34 not lose muscle. They are usually uh 28:34 not lose muscle. They are usually uh maintaining or even increasing their 28:37 maintaining or even increasing their 28:37 maintaining or even increasing their weight. 28:37 weight. 28:37 weight. >> So for for people at home, 28:40 >> So for for people at home, 28:40 >> So for for people at home, you can't just manage your weight on the 28:43 you can't just manage your weight on the 28:43 you can't just manage your weight on the scale. It has to be an actual body 28:45 scale. It has to be an actual body 28:45 scale. It has to be an actual body composition. And there's a lot of tools 28:47 composition. And there's a lot of tools 28:47 composition. And there's a lot of tools for doing that if you don't have one of 28:48 for doing that if you don't have one of 28:48 for doing that if you don't have one of these machines. Um, but if your scale is 28:50 these machines. Um, but if your scale is 28:50 these machines. Um, but if your scale is just going down and going down and going 28:51 just going down and going down and going 28:51 just going down and going down and going down, but your face is getting more 28:53 down, but your face is getting more 28:53 down, but your face is getting more gone, then most likely 28:55 gone, then most likely 28:55 gone, then most likely >> you're losing that muscle. 28:57 >> you're losing that muscle. 28:57 >> you're losing that muscle. >> Listen, this is really important. I was 28:59 >> Listen, this is really important. I was 28:59 >> Listen, this is really important. I was um reading about something the other day 29:01 um reading about something the other day 29:01 um reading about something the other day regarding this and and I and I see this 29:04 regarding this and and I and I see this 29:04 regarding this and and I and I see this so much and I think it's important segue 29:05 so much and I think it's important segue 29:05 so much and I think it's important segue or just completely parallel relationship 29:07 or just completely parallel relationship 29:08 or just completely parallel relationship to what we're talking about with losing 29:09 to what we're talking about with losing 29:09 to what we're talking about with losing muscle. 29:11 muscle. 29:11 muscle. Women become skinny fat. It is so 29:15 Women become skinny fat. It is so 29:15 Women become skinny fat. It is so unbelievably common to me. It's shocking 29:17 unbelievably common to me. It's shocking 29:17 unbelievably common to me. It's shocking to me now that we've really just for so 29:19 to me now that we've really just for so 29:19 to me now that we've really just for so many years looking at this and measuring 29:20 many years looking at this and measuring 29:20 many years looking at this and measuring talking about this and what the GOP ones 29:23 talking about this and what the GOP ones 29:23 talking about this and what the GOP ones have sort of brought forward and talking 29:24 have sort of brought forward and talking 29:24 have sort of brought forward and talking about weight loss and fat loss even 29:26 about weight loss and fat loss even 29:26 about weight loss and fat loss even more. 29:27 more. 29:27 more. >> Women are classically skinny fat. It's 29:29 >> Women are classically skinny fat. It's 29:29 >> Women are classically skinny fat. It's just so incredibly common. But here's 29:32 just so incredibly common. But here's 29:32 just so incredibly common. But here's the thing. So we think, okay, woman's 29:34 the thing. So we think, okay, woman's 29:34 the thing. So we think, okay, woman's 110 lbs, but she's 35 to 45% body fat. 29:40 110 lbs, but she's 35 to 45% body fat. 29:40 110 lbs, but she's 35 to 45% body fat. And we see that all the time. that 29:42 And we see that all the time. that 29:42 And we see that all the time. that percentage of body fat because they have 29:43 percentage of body fat because they have 29:43 percentage of body fat because they have such low bone and muscle that the amount 29:47 such low bone and muscle that the amount 29:47 such low bone and muscle that the amount of fat that they have on them is a 29:49 of fat that they have on them is a 29:49 of fat that they have on them is a decent amount, but it's also just 29:51 decent amount, but it's also just 29:51 decent amount, but it's also just relatively high 29:52 relatively high 29:52 relatively high >> and that is insulin resistance. So, let 29:55 >> and that is insulin resistance. So, let 29:55 >> and that is insulin resistance. So, let me say it again. 110 lb woman at 35 40% 29:59 me say it again. 110 lb woman at 35 40% 30:00 me say it again. 110 lb woman at 35 40% body fat is insulin resistant. She is 30:03 body fat is insulin resistant. She is 30:03 body fat is insulin resistant. She is pre-diabetic, 30:04 pre-diabetic, 30:04 pre-diabetic, but she's 110 pounds. So, we don't 30:07 but she's 110 pounds. So, we don't 30:07 but she's 110 pounds. So, we don't usually think about it that way because 30:09 usually think about it that way because 30:09 usually think about it that way because we're thinking about it's obesity and 30:10 we're thinking about it's obesity and 30:10 we're thinking about it's obesity and someone is really really large and 30:12 someone is really really large and 30:12 someone is really really large and that's the person that is going to be 30:13 that's the person that is going to be 30:13 that's the person that is going to be diabetic or pre-diabetic. No. 30:16 diabetic or pre-diabetic. No. 30:16 diabetic or pre-diabetic. No. >> Yeah. And I can also say that it's a lot 30:18 >> Yeah. And I can also say that it's a lot 30:18 >> Yeah. And I can also say that it's a lot easier to be skinny fat. It's a lot 30:20 easier to be skinny fat. It's a lot 30:20 easier to be skinny fat. It's a lot easier for women to say, "I just want to 30:22 easier for women to say, "I just want to 30:22 easier for women to say, "I just want to lose weight. I'm going to be skinny." 30:24 lose weight. I'm going to be skinny." 30:24 lose weight. I'm going to be skinny." Okay. Versus, "What I want is to get 30:27 Okay. Versus, "What I want is to get 30:27 Okay. Versus, "What I want is to get lean. What I want is to be fit." I mean, 30:29 lean. What I want is to be fit." I mean, 30:29 lean. What I want is to be fit." I mean, on a regular basis, I say to you like, 30:31 on a regular basis, I say to you like, 30:31 on a regular basis, I say to you like, "Forget it. I'm just going to not eat. I 30:33 "Forget it. I'm just going to not eat. I 30:33 "Forget it. I'm just going to not eat. I mean, forget it. I just, you know, I'm 30:35 mean, forget it. I just, you know, I'm 30:35 mean, forget it. I just, you know, I'm struggling." No, but she does say this 30:36 struggling." No, but she does say this 30:36 struggling." No, but she does say this all the time. 30:38 all the time. 30:38 all the time. >> I do say it and I say it because I get 30:39 >> I do say it and I say it because I get 30:39 >> I do say it and I say it because I get frustrated with the process of putting 30:41 frustrated with the process of putting 30:41 frustrated with the process of putting on muscle mass. It's very difficult for 30:43 on muscle mass. It's very difficult for 30:43 on muscle mass. It's very difficult for me to put on muscle mass and then keep 30:45 me to put on muscle mass and then keep 30:45 me to put on muscle mass and then keep it. It always feels like it's borrowed. 30:46 it. It always feels like it's borrowed. 30:46 it. It always feels like it's borrowed. Like I, you know, I I someone lend me 30:48 Like I, you know, I I someone lend me 30:48 Like I, you know, I I someone lend me their bicep and then I have to give it 30:50 their bicep and then I have to give it 30:50 their bicep and then I have to give it back. That kind of a thing. But the idea 30:53 back. That kind of a thing. But the idea 30:53 back. That kind of a thing. But the idea is correct, right? So for for me, I 30:56 is correct, right? So for for me, I 30:56 is correct, right? So for for me, I understand intellectually this is not 30:58 understand intellectually this is not 30:58 understand intellectually this is not correct. And of course, I strive to keep 31:01 correct. And of course, I strive to keep 31:01 correct. And of course, I strive to keep getting stronger. But for the average 31:02 getting stronger. But for the average 31:02 getting stronger. But for the average person, I can't tell you how many of my 31:04 person, I can't tell you how many of my 31:04 person, I can't tell you how many of my girlfriends are like, "OH MY GOD, YOU 31:06 girlfriends are like, "OH MY GOD, YOU 31:06 girlfriends are like, "OH MY GOD, YOU LOOK SO GOOD." AND THEY'RE JUST TALKING 31:08 LOOK SO GOOD." AND THEY'RE JUST TALKING 31:08 LOOK SO GOOD." AND THEY'RE JUST TALKING ABOUT cuz they got skinny. And I'm like, 31:09 ABOUT cuz they got skinny. And I'm like, 31:10 ABOUT cuz they got skinny. And I'm like, "Actually, no, this isn't good. Your 31:13 "Actually, no, this isn't good. Your 31:13 "Actually, no, this isn't good. Your butt is hanging and you look like you're 31:15 butt is hanging and you look like you're 31:15 butt is hanging and you look like you're 80." 31:16 80." 31:16 80." >> Right? And that's that's been this is 31:17 >> Right? And that's that's been this is 31:17 >> Right? And that's that's been this is all tied into what we were talking about 31:19 all tied into what we were talking about 31:19 all tied into what we were talking about with protein and really hopefully 31:21 with protein and really hopefully 31:21 with protein and really hopefully helping particularly women. I don't have 31:22 helping particularly women. I don't have 31:22 helping particularly women. I don't have this problem generally speaking with 31:24 this problem generally speaking with 31:24 this problem generally speaking with guys. This is kind of almost uniquely a 31:26 guys. This is kind of almost uniquely a 31:26 guys. This is kind of almost uniquely a female issue. Uh but I guys do. Um, if 31:30 female issue. Uh but I guys do. Um, if 31:30 female issue. Uh but I guys do. Um, if you are 110, 120 lbs, you are 35 40% 31:33 you are 110, 120 lbs, you are 35 40% 31:33 you are 110, 120 lbs, you are 35 40% body fat. What happens is then they go, 31:35 body fat. What happens is then they go, 31:35 body fat. What happens is then they go, well, yeah, they still feel sort of 31:37 well, yeah, they still feel sort of 31:37 well, yeah, they still feel sort of puffy and fluffy, they want to get 31:40 puffy and fluffy, they want to get 31:40 puffy and fluffy, they want to get there's something they want to get rid 31:41 there's something they want to get rid 31:41 there's something they want to get rid of. There's fat there that they want to 31:43 of. There's fat there that they want to 31:43 of. There's fat there that they want to get rid of. It's true, but really that's 31:45 get rid of. It's true, but really that's 31:45 get rid of. It's true, but really that's not the focus because if they just have 31:47 not the focus because if they just have 31:47 not the focus because if they just have more muscle, but they're so obsessed, 31:49 more muscle, but they're so obsessed, 31:49 more muscle, but they're so obsessed, back to what you said, they're so 31:50 back to what you said, they're so 31:50 back to what you said, they're so obsessed with the scale. 31:52 obsessed with the scale. 31:52 obsessed with the scale. >> So, they can't get they just go, "No, I 31:54 >> So, they can't get they just go, "No, I 31:54 >> So, they can't get they just go, "No, I I still need to lose 10 pounds." when 31:56 I still need to lose 10 pounds." when 31:56 I still need to lose 10 pounds." when no, you just need to gain some muscle, 31:58 no, you just need to gain some muscle, 31:58 no, you just need to gain some muscle, increase your metabolic rate, and then 32:00 increase your metabolic rate, and then 32:00 increase your metabolic rate, and then maybe some fat's going to come off or 32:02 maybe some fat's going to come off or 32:02 maybe some fat's going to come off or you'll certainly just look better. You 32:03 you'll certainly just look better. You 32:03 you'll certainly just look better. You look different. 32:03 look different. 32:04 look different. >> You definitely look better. And I would 32:05 >> You definitely look better. And I would 32:05 >> You definitely look better. And I would say that this this recommendation is 32:07 say that this this recommendation is 32:07 say that this this recommendation is really good for females, again, per 32:09 really good for females, again, per 32:10 really good for females, again, per postmenopausal females. It's also good, 32:12 postmenopausal females. It's also good, 32:12 postmenopausal females. It's also good, I would say, for those boomers, the 32:14 I would say, for those boomers, the 32:14 I would say, for those boomers, the males that have had cardiovascular 32:16 males that have had cardiovascular 32:16 males that have had cardiovascular disease already and they have a stomach. 32:18 disease already and they have a stomach. 32:18 disease already and they have a stomach. Yeah. 32:18 Yeah. 32:18 Yeah. >> And these are usually highly industrious 32:20 >> And these are usually highly industrious 32:20 >> And these are usually highly industrious people. You know, the let's focus on the 32:23 people. You know, the let's focus on the 32:23 people. You know, the let's focus on the male population that are what, 65 and 32:25 male population that are what, 65 and 32:25 male population that are what, 65 and above. Is that right? Um, these are 32:27 above. Is that right? Um, these are 32:27 above. Is that right? Um, these are people that are already starting to have 32:29 people that are already starting to have 32:29 people that are already starting to have illness. So, their doctor, one of the 32:31 illness. So, their doctor, one of the 32:31 illness. So, their doctor, one of the first things they say is, "You got to 32:32 first things they say is, "You got to 32:32 first things they say is, "You got to lose weight. Let's put you on the GLP." 32:34 lose weight. Let's put you on the GLP." 32:34 lose weight. Let's put you on the GLP." Okay, great. You put them on the GLP. 32:36 Okay, great. You put them on the GLP. 32:36 Okay, great. You put them on the GLP. They start losing that fat. They start 32:37 They start losing that fat. They start 32:37 They start losing that fat. They start losing that visceral fat. In theory, 32:39 losing that visceral fat. In theory, 32:39 losing that visceral fat. In theory, they're getting healthier, but they 32:41 they're getting healthier, but they 32:41 they're getting healthier, but they start having atrophy in their 32:43 start having atrophy in their 32:43 start having atrophy in their extremities and they start having 32:45 extremities and they start having 32:45 extremities and they start having weakness. 32:47 weakness. 32:47 weakness. >> So, now you're increasing the chance of 32:49 >> So, now you're increasing the chance of 32:49 >> So, now you're increasing the chance of them getting injured. This is not the 32:51 them getting injured. This is not the 32:51 them getting injured. This is not the therapy that those patients need if 32:53 therapy that those patients need if 32:53 therapy that those patients need if they're going to use it in an isolated 32:55 they're going to use it in an isolated 32:55 they're going to use it in an isolated fashion. You want to use the GLPS while 32:58 fashion. You want to use the GLPS while 32:58 fashion. You want to use the GLPS while on a muscle building program. So you're 33:01 on a muscle building program. So you're 33:01 on a muscle building program. So you're you're using the medication for fat 33:03 you're using the medication for fat 33:03 you're using the medication for fat loss, but you're not doing a fat loss 33:05 loss, but you're not doing a fat loss 33:05 loss, but you're not doing a fat loss diet. You're doing a muscle building 33:06 diet. You're doing a muscle building 33:06 diet. You're doing a muscle building diet. 33:07 diet. 33:07 diet. >> And I think that's where you're going to 33:08 >> And I think that's where you're going to 33:08 >> And I think that's where you're going to get the magic. 33:09 get the magic. 33:09 get the magic. >> That it's exactly where the magic is. 33:11 >> That it's exactly where the magic is. 33:11 >> That it's exactly where the magic is. It's it's almost invariable. If patients 33:13 It's it's almost invariable. If patients 33:13 It's it's almost invariable. If patients can become convinced of that and they 33:16 can become convinced of that and they 33:16 can become convinced of that and they follow through with that protein 33:17 follow through with that protein 33:17 follow through with that protein requirement, um, that's usually enough. 33:20 requirement, um, that's usually enough. 33:20 requirement, um, that's usually enough. And a lot of times people will say, 33:22 And a lot of times people will say, 33:22 And a lot of times people will say, well, do I have to exercise? Do I have 33:24 well, do I have to exercise? Do I have 33:24 well, do I have to exercise? Do I have to lift weights in order to gain muscle? 33:27 to lift weights in order to gain muscle? 33:27 to lift weights in order to gain muscle? And I would say the answer is is no. You 33:30 And I would say the answer is is no. You 33:30 And I would say the answer is is no. You don't have to. You can still gain muscle 33:32 don't have to. You can still gain muscle 33:32 don't have to. You can still gain muscle with the appropriate hormonal profile 33:35 with the appropriate hormonal profile 33:35 with the appropriate hormonal profile with protein, but it certainly makes it 33:37 with protein, but it certainly makes it 33:37 with protein, but it certainly makes it easier if you're, you know, stimulated 33:39 easier if you're, you know, stimulated 33:39 easier if you're, you know, stimulated with some level of weight training. 33:42 with some level of weight training. 33:42 with some level of weight training. >> I think it's difficult in the average 33:45 >> I think it's difficult in the average 33:45 >> I think it's difficult in the average American's life that's not doing manual 33:47 American's life that's not doing manual 33:47 American's life that's not doing manual labor. 33:47 labor. 33:48 labor. >> Okay, it's my turn to interrupt. I have 33:49 >> Okay, it's my turn to interrupt. I have 33:49 >> Okay, it's my turn to interrupt. I have to interrupt. 33:49 to interrupt. 33:49 to interrupt. >> What? 33:50 >> What? 33:50 >> What? >> I just heard this so I won't say this to 33:52 >> I just heard this so I won't say this to 33:52 >> I just heard this so I won't say this to you. 33:53 you. 33:53 you. >> Okay, 33:53 >> Okay, 33:54 >> Okay, >> because this is muscle. 34:04 So, so daintio um 34:04 So, so daintio um and this sucks. I'm sorry ladies, but if 34:07 and this sucks. I'm sorry ladies, but if 34:07 and this sucks. I'm sorry ladies, but if you're into Pilates, 34:10 you're into Pilates, 34:10 you're into Pilates, >> I like Pilates. 34:11 >> I like Pilates. 34:11 >> I like Pilates. >> I know. 34:12 >> I know. 34:12 >> I know. >> It's hard. What are you going to say? 34:14 >> It's hard. What are you going to say? 34:14 >> It's hard. What are you going to say? Say it 34:15 Say it 34:15 Say it >> that they follow this is a study and 34:17 >> that they follow this is a study and 34:17 >> that they follow this is a study and they followed a group of women. They 34:20 they followed a group of women. They 34:20 they followed a group of women. They were doing Pilates and they were be 34:22 were doing Pilates and they were be 34:22 were doing Pilates and they were be measuring bone density and after I think 34:25 measuring bone density and after I think 34:25 measuring bone density and after I think it was 12 or 18 weeks, whatever it was, 34:27 it was 12 or 18 weeks, whatever it was, 34:27 it was 12 or 18 weeks, whatever it was, they lost bone. 34:29 they lost bone. 34:29 they lost bone. They lost bone. No, 34:31 They lost bone. No, 34:31 They lost bone. No, >> they lost bone. 34:32 >> they lost bone. 34:32 >> they lost bone. >> I say no to that. First of all, that one 34:34 >> I say no to that. First of all, that one 34:34 >> I say no to that. First of all, that one study. And secondly, what were they 34:35 study. And secondly, what were they 34:35 study. And secondly, what were they eating? They lost bone because what? 34:38 eating? They lost bone because what? 34:38 eating? They lost bone because what? >> Because Pilates and some of these types 34:41 >> Because Pilates and some of these types 34:41 >> Because Pilates and some of these types of exercises are not enough to stimulate 34:45 of exercises are not enough to stimulate 34:45 of exercises are not enough to stimulate bone growth. You need 4.2 times your 34:47 bone growth. You need 4.2 times your
Exercise, walking, and building a better routine 34:48 bone growth. You need 4.2 times your body weight to press down on that bone 34:51 body weight to press down on that bone 34:51 body weight to press down on that bone in order to achieve true bone 34:53 in order to achieve true bone 34:53 in order to achieve true bone stimulation. I know this sucks. I know 34:56 stimulation. I know this sucks. I know 34:56 stimulation. I know this sucks. I know Pilates is really cool, but 34:58 Pilates is really cool, but 34:58 Pilates is really cool, but about it being really cool. It's about 35:00 about it being really cool. It's about 35:00 about it being really cool. It's about the fact that it's difficult and it is 35:03 the fact that it's difficult and it is 35:03 the fact that it's difficult and it is >> it is difficult. 35:04 >> it is difficult. 35:04 >> it is difficult. >> It is it is restorative. It's 35:06 >> It is it is restorative. It's 35:06 >> It is it is restorative. It's therapeutic. It's muscle resistance. The 35:08 therapeutic. It's muscle resistance. The 35:08 therapeutic. It's muscle resistance. The issue 35:09 issue 35:09 issue >> that isn't all true, but if but if we're 35:11 >> that isn't all true, but if but if we're 35:11 >> that isn't all true, but if but if we're doing it for the sake of bone, um then 35:15 doing it for the sake of bone, um then 35:15 doing it for the sake of bone, um then it isn't all it's cracked up to be. Um 35:17 it isn't all it's cracked up to be. Um 35:17 it isn't all it's cracked up to be. Um so I think it's 35:19 so I think it's 35:19 so I think it's >> I want to join Pilates for the sake of 35:20 >> I want to join Pilates for the sake of 35:20 >> I want to join Pilates for the sake of bone. I don't think anybody does that. 35:21 bone. I don't think anybody does that. 35:22 bone. I don't think anybody does that. So fine. Thank you for that information. 35:23 So fine. Thank you for that information. 35:23 So fine. Thank you for that information. >> I mean doing certain exercises hopefully 35:26 >> I mean doing certain exercises hopefully 35:26 >> I mean doing certain exercises hopefully that they're thinking. Yeah, fitness and 35:28 that they're thinking. Yeah, fitness and 35:28 that they're thinking. Yeah, fitness and or their bone health is certainly over, 35:30 or their bone health is certainly over, 35:30 or their bone health is certainly over, you know, 40 years old. Starting to 35:32 you know, 40 years old. Starting to 35:32 you know, 40 years old. Starting to think about that. 35:33 think about that. 35:33 think about that. >> Here's where I will say that that's even 35:34 >> Here's where I will say that that's even 35:34 >> Here's where I will say that that's even remotely useful. Okay, 35:37 remotely useful. Okay, 35:37 remotely useful. Okay, >> you just don't the answer. Okay, here we 35:39 >> you just don't the answer. Okay, here we 35:39 >> you just don't the answer. Okay, here we go. 35:40 go. 35:40 go. >> No, you haven't spin nothing. This is my 35:42 >> No, you haven't spin nothing. This is my 35:42 >> No, you haven't spin nothing. This is my therapeutic approach. If you want a 35:44 therapeutic approach. If you want a 35:44 therapeutic approach. If you want a doctor that throws out the data when 35:45 doctor that throws out the data when 35:45 doctor that throws out the data when they don't like it, I'm here. 35:51 >> Because why do I say that? I say that 35:51 >> Because why do I say that? I say that because when we focus on the data, we 35:54 because when we focus on the data, we 35:54 because when we focus on the data, we usually are finding ourselves in a 35:55 usually are finding ourselves in a 35:56 usually are finding ourselves in a reductionistic world. Yes, that is 35:58 reductionistic world. Yes, that is 35:58 reductionistic world. Yes, that is important piece of information. If the 36:00 important piece of information. If the 36:00 important piece of information. If the person is doing only Pilates, you're 36:02 person is doing only Pilates, you're 36:02 person is doing only Pilates, you're never going to hear me say that one type 36:04 never going to hear me say that one type 36:04 never going to hear me say that one type of exercise 36:06 of exercise 36:06 of exercise >> who's like, I only do yoga. I'm the yoga 36:09 >> who's like, I only do yoga. I'm the yoga 36:09 >> who's like, I only do yoga. I'm the yoga person. They don't do anything. 36:10 person. They don't do anything. 36:10 person. They don't do anything. >> It's like that like that meme where the 36:11 >> It's like that like that meme where the 36:11 >> It's like that like that meme where the girls got like this incredible body and 36:13 girls got like this incredible body and 36:13 girls got like this incredible body and they like 36:15 they like 36:15 they like >> you didn't get that during yoga, you 36:16 >> you didn't get that during yoga, you 36:16 >> you didn't get that during yoga, you know? I mean, because 36:17 know? I mean, because 36:17 know? I mean, because >> see a lot of these influencers, you 36:19 >> see a lot of these influencers, you 36:19 >> see a lot of these influencers, you know, they got it from getting under 36:20 know, they got it from getting under 36:20 know, they got it from getting under that bar and kicking their own ass with 36:23 that bar and kicking their own ass with 36:23 that bar and kicking their own ass with weightlifting and then they evolve into 36:25 weightlifting and then they evolve into 36:25 weightlifting and then they evolve into saying, "I'm now the influencer who 36:26 saying, "I'm now the influencer who 36:26 saying, "I'm now the influencer who loves yoga. I'm now the influence who 36:28 loves yoga. I'm now the influence who 36:28 loves yoga. I'm now the influence who loves Pilates or whatever." 36:30 loves Pilates or whatever." 36:30 loves Pilates or whatever." >> Okay? I don't I don't know about doing 36:31 >> Okay? I don't I don't know about doing 36:31 >> Okay? I don't I don't know about doing one thing and not doing the other. I 36:33 one thing and not doing the other. I 36:33 one thing and not doing the other. I think variety is going to be the for 36:35 think variety is going to be the for 36:35 think variety is going to be the for women in particular, although I think 36:37 women in particular, although I think 36:37 women in particular, although I think this is very true for men that what you 36:39 this is very true for men that what you 36:39 this is very true for men that what you need is a certain amount of weight 36:40 need is a certain amount of weight 36:40 need is a certain amount of weight resistance, a certain amount of an 36:43 resistance, a certain amount of an 36:43 resistance, a certain amount of an exercise like Pilates or a yoga that's 36:45 exercise like Pilates or a yoga that's 36:45 exercise like Pilates or a yoga that's really more focused on stretching and 36:48 really more focused on stretching and 36:48 really more focused on stretching and you need to walk and you need to that's 36:50 you need to walk and you need to that's 36:50 you need to walk and you need to that's what I was going to say have sex. 36:52 what I was going to say have sex. 36:52 what I was going to say have sex. >> Okay. 36:54 >> Okay. 36:54 >> Okay. >> Wow. You you rounded it out there. That 36:55 >> Wow. You you rounded it out there. That 36:55 >> Wow. You you rounded it out there. That was very good. I 36:56 was very good. I 36:56 was very good. I >> seven times a week. 36:58 >> seven times a week. 36:58 >> seven times a week. >> That is the goal. 36:59 >> That is the goal. 36:59 >> That is the goal. >> That is the goal. Well, I was going to 37:00 >> That is the goal. Well, I was going to 37:00 >> That is the goal. Well, I was going to say something before you told me about 37:02 say something before you told me about 37:02 say something before you told me about the Pilates. 37:03 the Pilates. 37:04 the Pilates. >> Red Apple. Um, 37:11 >> it was so good, guys. It was like 37:12 >> it was so good, guys. It was like to everything. You would just not even 37:13 to everything. You would just not even 37:13 to everything. You would just not even have to listen anymore to any other 37:15 have to listen anymore to any other 37:15 have to listen anymore to any other podcast. 37:15 podcast. 37:15 podcast. >> All right. I don't remember. Hopefully, 37:16 >> All right. I don't remember. Hopefully, 37:16 >> All right. I don't remember. Hopefully, it comes back to me. 37:18 it comes back to me. 37:18 it comes back to me. >> Um, okay. So, we said protein is 37:22 >> Um, okay. So, we said protein is 37:22 >> Um, okay. So, we said protein is nonnegotiable. 37:23 nonnegotiable. 37:23 nonnegotiable. Must have the protein. Um, by the way, 37:25 Must have the protein. Um, by the way, 37:26 Must have the protein. Um, by the way, that is one gram of protein per pound of 37:30 that is one gram of protein per pound of 37:30 that is one gram of protein per pound of lean body mass. So, you've got to just 37:33 lean body mass. So, you've got to just 37:33 lean body mass. So, you've got to just look at muscle and bone. There's ways, 37:34 look at muscle and bone. There's ways, 37:34 look at muscle and bone. There's ways, >> but it's a lean body mass desired. So, 37:37 >> but it's a lean body mass desired. So, 37:37 >> but it's a lean body mass desired. So, like if I'm 118 lbs, um, a little meteor 37:43 like if I'm 118 lbs, um, a little meteor 37:43 like if I'm 118 lbs, um, a little meteor than I should be, but not stronger than 37:44 than I should be, but not stronger than 37:44 than I should be, but not stronger than I am, than I should be. Um, I'm not 37:47 I am, than I should be. Um, I'm not 37:47 I am, than I should be. Um, I'm not telling myself, well, I have 70 lbs of 37:50 telling myself, well, I have 70 lbs of 37:50 telling myself, well, I have 70 lbs of lean muscle. I don't know if those 37:51 lean muscle. I don't know if those 37:51 lean muscle. I don't know if those numbers are correct. The point is I'm 37:53 numbers are correct. The point is I'm 37:53 numbers are correct. The point is I'm not eating 70 lbs or 70 70 gram. I want 37:57 not eating 70 lbs or 70 70 gram. I want 37:57 not eating 70 lbs or 70 70 gram. I want to eat enough for the muscle I'd likely 38:00 to eat enough for the muscle I'd likely 38:00 to eat enough for the muscle I'd likely to have. So a minimum diet, 38:04 to have. So a minimum diet, 38:04 to have. So a minimum diet, >> whatever. 38:04 >> whatever. 38:04 >> whatever. >> Okay. Of course. And by the way, all 38:06 >> Okay. Of course. And by the way, all 38:06 >> Okay. Of course. And by the way, all these things can be discussed and you 38:09 these things can be discussed and you 38:09 these things can be discussed and you know uh figured out for the patient that 38:12 know uh figured out for the patient that 38:12 know uh figured out for the patient that they come to see us. We we calculate 38:14 they come to see us. We we calculate 38:14 they come to see us. We we calculate that all out and explain it very very 38:17 that all out and explain it very very 38:17 that all out and explain it very very clearly. 38:18 clearly. 38:18 clearly. >> You can't stop eating your way to sexy. 38:22 >> You can't stop eating your way to sexy. 38:22 >> You can't stop eating your way to sexy. You can. I don't care. That's it. 38:26 You can. I don't care. That's it. 38:26 You can. I don't care. That's it. >> Yeah. Because women need to focus on 38:29 >> Yeah. Because women need to focus on 38:30 >> Yeah. Because women need to focus on gaining muscle and we hopefully have I 38:33 gaining muscle and we hopefully have I 38:33 gaining muscle and we hopefully have I think more of a revolution towards that. 38:35 think more of a revolution towards that. 38:35 think more of a revolution towards that. I think people are talking about it 38:36 I think people are talking about it 38:36 I think people are talking about it more. I've never had an easier time 38:38 more. I've never had an easier time 38:38 more. I've never had an easier time having this discussion with women than I 38:39 having this discussion with women than I 38:39 having this discussion with women than I have in the past couple of years. Um 38:41 have in the past couple of years. Um 38:41 have in the past couple of years. Um they've just because there's been sort 38:43 they've just because there's been sort 38:43 they've just because there's been sort of Dr. Gabriel Lions and and and others 38:47 of Dr. Gabriel Lions and and and others 38:47 of Dr. Gabriel Lions and and and others that are out there on podcasts out there 38:49 that are out there on podcasts out there 38:49 that are out there on podcasts out there very much championing this concept. 38:50 very much championing this concept. 38:50 very much championing this concept. Thank God, finally. Um, so people are 38:54 Thank God, finally. Um, so people are 38:54 Thank God, finally. Um, so people are hearing it more, so they're they're open 38:56 hearing it more, so they're they're open 38:56 hearing it more, so they're they're open to the conversation. Um, so yes, it's 38:59 to the conversation. Um, so yes, it's 38:59 to the conversation. Um, so yes, it's always been that the sort of meatthead 39:02 always been that the sort of meatthead 39:02 always been that the sort of meatthead idea. We would say, oh, it's just the 39:04 idea. We would say, oh, it's just the 39:04 idea. We would say, oh, it's just the bodybuilders that are the ones that are 39:06 bodybuilders that are the ones that are 39:06 bodybuilders that are the ones that are doing that. Uh, and and no, that is the 39:09 doing that. Uh, and and no, that is the 39:09 doing that. Uh, and and no, that is the key to health uh for both men and women. 39:12 key to health uh for both men and women. 39:12 key to health uh for both men and women. >> The idea of the bodybuilder gaining 39:15 >> The idea of the bodybuilder gaining 39:15 >> The idea of the bodybuilder gaining muscle and having that muscle is key to 39:18 muscle and having that muscle is key to 39:18 muscle and having that muscle is key to longevity. Well, we should all want to 39:19 longevity. Well, we should all want to 39:19 longevity. Well, we should all want to be bodybuilders. I mean, what do you 39:21 be bodybuilders. I mean, what do you 39:21 be bodybuilders. I mean, what do you want to be a bodybuer? Like, no, that's 39:24 want to be a bodybuer? Like, no, that's 39:24 want to be a bodybuer? Like, no, that's not what you want. So, you can't not eat 39:26 not what you want. So, you can't not eat 39:26 not what you want. So, you can't not eat your way to sexy. 39:27 your way to sexy. 39:27 your way to sexy. >> Well, I mean, you say that, but women 39:29 >> Well, I mean, you say that, but women 39:29 >> Well, I mean, you say that, but women come in and say they they they cannot 39:31 come in and say they they they cannot 39:31 come in and say they they they cannot get in their mind to think to gain 39:33 get in their mind to think to gain 39:33 get in their mind to think to gain muscle because they think they're going 39:35 muscle because they think they're going 39:35 muscle because they think they're going to be bulky. They just think that. Or 39:37 to be bulky. They just think that. Or 39:37 to be bulky. They just think that. Or what happens if they don't lose the fat? 39:39 what happens if they don't lose the fat? 39:39 what happens if they don't lose the fat? They just gained muscle, but they didn't 39:40 They just gained muscle, but they didn't 39:40 They just gained muscle, but they didn't happen to lose any fat, but they gained 39:42 happen to lose any fat, but they gained 39:42 happen to lose any fat, but they gained three, four, five pounds of muscle, 39:43 three, four, five pounds of muscle, 39:43 three, four, five pounds of muscle, which happens with our patients all the 39:45 which happens with our patients all the 39:45 which happens with our patients all the time. It's actually easier in some cases 39:47 time. It's actually easier in some cases 39:47 time. It's actually easier in some cases with hormones to just gain muscle than 39:49 with hormones to just gain muscle than 39:49 with hormones to just gain muscle than it's fat. They gain the muscle, but now 39:51 it's fat. They gain the muscle, but now 39:51 it's fat. They gain the muscle, but now they feel, well, I'm puffier. I just I 39:53 they feel, well, I'm puffier. I just I 39:53 they feel, well, I'm puffier. I just I just my the scale went up. 39:54 just my the scale went up. 39:54 just my the scale went up. >> And all of that is true. Those are 39:56 >> And all of that is true. Those are 39:56 >> And all of that is true. Those are individualized cases. And this is one of 39:58 individualized cases. And this is one of 39:58 individualized cases. And this is one of those places where the GLP is so 39:59 those places where the GLP is so 39:59 those places where the GLP is so helpful. The GLP what will help you lose 40:02 helpful. The GLP what will help you lose 40:02 helpful. The GLP what will help you lose those pounds of fat while you're 40:03 those pounds of fat while you're 40:04 those pounds of fat while you're building the muscle. 40:05 building the muscle. 40:05 building the muscle. >> So really what we're talking about is 40:06 >> So really what we're talking about is 40:06 >> So really what we're talking about is this idea that if you're you if you want 40:08 this idea that if you're you if you want 40:08 this idea that if you're you if you want to lose fat, great. Don't lose muscle. 40:12 to lose fat, great. Don't lose muscle. 40:12 to lose fat, great. Don't lose muscle. In other words, those are two completely 40:14 In other words, those are two completely 40:14 In other words, those are two completely different conversations. You just have 40:16 different conversations. You just have 40:16 different conversations. You just have to find a way to make them live in the 40:18 to find a way to make them live in the 40:18 to find a way to make them live in the same life. 40:20 same life. 40:20 same life. >> Yes. And that's a great point. So, what 40:22 >> Yes. And that's a great point. So, what 40:22 >> Yes. And that's a great point. So, what are some of those tools to be able to do 40:24 are some of those tools to be able to do 40:24 are some of those tools to be able to do that to make it relatively easy and it's 40:26 that to make it relatively easy and it's 40:26 that to make it relatively easy and it's easy to incorporate? Number one, uh with 40:28 easy to incorporate? Number one, uh with 40:28 easy to incorporate? Number one, uh with protein powders, high quality protein 40:30 protein powders, high quality protein 40:30 protein powders, high quality protein powders that we um will recommend. 40:32 powders that we um will recommend. 40:32 powders that we um will recommend. >> Wait, no, excuse me. Number one is the 40:34 >> Wait, no, excuse me. Number one is the 40:34 >> Wait, no, excuse me. Number one is the dosing of the GLP1. 40:35 dosing of the GLP1. 40:35 dosing of the GLP1. >> Oh, I thought we were just talking about 40:37 >> Oh, I thought we were just talking about 40:37 >> Oh, I thought we were just talking about the muscle to be able I mean, yes, of 40:38 the muscle to be able I mean, yes, of 40:38 the muscle to be able I mean, yes, of course, that's 40:39 course, that's 40:39 course, that's >> we're talking about putting them 40:40 >> we're talking about putting them 40:40 >> we're talking about putting them together, right? So you want to lose the 40:42 together, right? So you want to lose the 40:42 together, right? So you want to lose the fat, you're going to use the GLP. 40:43 fat, you're going to use the GLP. 40:43 fat, you're going to use the GLP. There's no I don't care how much protein 40:45 There's no I don't care how much protein 40:45 There's no I don't care how much protein powder you drink. If you're overdoing 40:47 powder you drink. If you're overdoing 40:47 powder you drink. If you're overdoing your GLP1, it's going to be extremely 40:49 your GLP1, it's going to be extremely 40:50 your GLP1, it's going to be extremely difficult because you're breaking it 40:52 difficult because you're breaking it 40:52 difficult because you're breaking it down. 40:52 down. 40:52 down. >> Dose makes the poison. Dose makes the 40:54 >> Dose makes the poison. Dose makes the 40:54 >> Dose makes the poison. Dose makes the cure. Dose, dose, dose. So we will 40:56 cure. Dose, dose, dose. So we will 40:56 cure. Dose, dose, dose. So we will always make sure we're focusing that. 40:58 always make sure we're focusing that. 40:58 always make sure we're focusing that. That's step one. Then from there, the 41:02 That's step one. Then from there, the 41:02 That's step one. Then from there, the lifestyle things they need to do. Yes. 41:04 lifestyle things they need to do. Yes. 41:04 lifestyle things they need to do. Yes. Ongoing basis that should hopefully be 41:06 Ongoing basis that should hopefully be 41:06 Ongoing basis that should hopefully be something that's easy for them to 41:07 something that's easy for them to 41:07 something that's easy for them to incorporate. Protein powder. I think 41:09 incorporate. Protein powder. I think 41:10 incorporate. Protein powder. I think liquid protein. So, protein powder 41:12 liquid protein. So, protein powder 41:12 liquid protein. So, protein powder >> and we're big into bone broth because 41:14 >> and we're big into bone broth because 41:14 >> and we're big into bone broth because that's nine grams of protein for one cup 41:17 that's nine grams of protein for one cup 41:17 that's nine grams of protein for one cup of bone broth. So, this is easy. It's 41:19 of bone broth. So, this is easy. It's 41:19 of bone broth. So, this is easy. It's gentle in the system. And then creatine. 41:22 gentle in the system. And then creatine. 41:22 gentle in the system. And then creatine. So, again, something that everyone's 41:24 So, again, something that everyone's 41:24 So, again, something that everyone's talking about. We've been taking 41:26 talking about. We've been taking 41:26 talking about. We've been taking creatine since the 90s since it first 41:28 creatine since the 90s since it first 41:28 creatine since the 90s since it first came out. Um, so it's far beyond just 41:32 came out. Um, so it's far beyond just 41:32 came out. Um, so it's far beyond just muscle, but it was a big big key for 41:34 muscle, but it was a big big key for 41:34 muscle, but it was a big big key for preserving muscle while you're on a GP1. 41:37 preserving muscle while you're on a GP1. 41:37 preserving muscle while you're on a GP1. Everybody should be on creatine if 41:39 Everybody should be on creatine if 41:39 Everybody should be on creatine if they're on channel. 41:39 they're on channel. 41:40 they're on channel. >> And you know, bone broth is so easy to 41:42 >> And you know, bone broth is so easy to 41:42 >> And you know, bone broth is so easy to use. I think people always just think of 41:44 use. I think people always just think of 41:44 use. I think people always just think of like, oh, I can't drink a cup of bone 41:45 like, oh, I can't drink a cup of bone 41:45 like, oh, I can't drink a cup of bone broth. Well, you don't have to. I mean, 41:47 broth. Well, you don't have to. I mean, 41:47 broth. Well, you don't have to. I mean, um you you can make your rice with it. 41:50 um you you can make your rice with it. 41:50 um you you can make your rice with it. You can make your soups with it. You can 41:52 You can make your soups with it. You can 41:52 You can make your soups with it. You can you can mix it into your egg when you're 41:53 you can mix it into your egg when you're 41:54 you can mix it into your egg when you're making an egg. Every little bit that you 41:56 making an egg. Every little bit that you 41:56 making an egg. Every little bit that you add is going to contribute to your 41:59 add is going to contribute to your 41:59 add is going to contribute to your intake of protein for the day. And 42:01 intake of protein for the day. And 42:01 intake of protein for the day. And that's really important, especially for 42:03 that's really important, especially for 42:03 that's really important, especially for the smaller framed people because when 42:06 the smaller framed people because when 42:06 the smaller framed people because when you're talking about the input and the 42:08 you're talking about the input and the 42:08 you're talking about the input and the output, every little bit starts to 42:10 output, every little bit starts to 42:10 output, every little bit starts to really make a difference. 42:13 really make a difference. 42:13 really make a difference. And also, you can mix chocolate protein 42:15 And also, you can mix chocolate protein 42:15 And also, you can mix chocolate protein powder with chocolate milk and it's 42:17 powder with chocolate milk and it's 42:17 powder with chocolate milk and it's really good. And it's like I mean that's 42:21 really good. And it's like I mean that's 42:21 really good. And it's like I mean that's an easy 30 to 40 grams of protein. 42:24 an easy 30 to 40 grams of protein. 42:24 an easy 30 to 40 grams of protein. We have discovered that this this that 42:27 We have discovered that this this that 42:27 We have discovered that this this that you know it comes with this little bit 42:29 you know it comes with this little bit 42:29 you know it comes with this little bit of extra sugar, but you found some 42:30 of extra sugar, but you found some 42:30 of extra sugar, but you found some versions that are not so crazy with the 42:33 versions that are not so crazy with the 42:33 versions that are not so crazy with the sugar side of it, but the protein is 42:35 sugar side of it, but the protein is 42:35 sugar side of it, but the protein is just through the roof 42:36 just through the roof 42:36 just through the roof >> and it's delicious. It makes me so 42:38 >> and it's delicious. It makes me so 42:38 >> and it's delicious. It makes me so happy. 42:40 happy. 42:40 happy. >> It's keeping me happy. 42:45 >> What else, baby? 42:45 >> What else, baby? >> Um, yeah, this the holistic GLP1 model, 42:49 >> Um, yeah, this the holistic GLP1 model, 42:49 >> Um, yeah, this the holistic GLP1 model, I think, is what we're talking about. 42:50 I think, is what we're talking about. 42:50 I think, is what we're talking about. You you said it correctly. Obviously uh 42:53 You you said it correctly. Obviously uh 42:53 You you said it correctly. Obviously uh the the medication dose itself, the 42:55 the the medication dose itself, the 42:55 the the medication dose itself, the nutrition, the protein uh we very much 42:58 nutrition, the protein uh we very much 42:58 nutrition, the protein uh we very much talked about uh strength uh training and 43:01 talked about uh strength uh training and 43:01 talked about uh strength uh training and and how important we think that is at 43:03 and how important we think that is at 43:03 and how important we think that is at least I do. Yes. I think a whatever I 43:06 least I do. Yes. I think a whatever I 43:06 least I do. Yes. I think a whatever I whenever I say to for patients about 43:08 whenever I say to for patients about 43:08 whenever I say to for patients about exercise and do something that's fun. If 43:11 exercise and do something that's fun. If 43:11 exercise and do something that's fun. If we're starting all with people very 43:12 we're starting all with people very 43:12 we're starting all with people very unconditioned, the first thing we're 43:13 unconditioned, the first thing we're 43:13 unconditioned, the first thing we're always just saying is walking. So don't 43:15 always just saying is walking. So don't 43:15 always just saying is walking. So don't get me wrong. 43:16 get me wrong. 43:16 get me wrong. >> Yeah. 43:16 >> Yeah. 43:16 >> Yeah. >> I'm not trying to just come down on the 43:17 >> I'm not trying to just come down on the 43:18 >> I'm not trying to just come down on the whole Pilates thing per se. I just want 43:19 whole Pilates thing per se. I just want 43:19 whole Pilates thing per se. I just want to make sure that it's not always what 43:22 to make sure that it's not always what 43:22 to make sure that it's not always what people think these things are. They get 43:24 people think these things are. They get 43:24 people think these things are. They get been sort of tribal about their 43:26 been sort of tribal about their 43:26 been sort of tribal about their particular choice of um exercise and 43:30 particular choice of um exercise and 43:30 particular choice of um exercise and they think and and it's very cool. It's 43:32 they think and and it's very cool. It's 43:32 they think and and it's very cool. It's very chic and all of that and what you 43:34 very chic and all of that and what you 43:34 very chic and all of that and what you don't think it is. 43:35 don't think it is. 43:35 don't think it is. >> I don't know. I think that's funny. I 43:36 >> I don't know. I think that's funny. I 43:36 >> I don't know. I think that's funny. I guess it's a trend like any other. I 43:38 guess it's a trend like any other. I 43:38 guess it's a trend like any other. I mean, and also 43:39 mean, and also 43:39 mean, and also >> it's about the trend instead of well, 43:41 >> it's about the trend instead of well, 43:41 >> it's about the trend instead of well, what is it actually doing? know, I look 43:42 what is it actually doing? know, I look 43:42 what is it actually doing? know, I look really cute in my Pilates outfit and and 43:45 really cute in my Pilates outfit and and 43:45 really cute in my Pilates outfit and and the trainer that I go to is really 43:47 the trainer that I go to is really 43:47 the trainer that I go to is really good-looking and so 43:49 good-looking and so 43:49 good-looking and so >> I mean sometimes I wear tennis skirts 43:51 >> I mean sometimes I wear tennis skirts 43:51 >> I mean sometimes I wear tennis skirts and I've never played tennis. 43:53 and I've never played tennis. 43:53 and I've never played tennis. >> I didn't wear tennis skirts. I like 43:54 >> I didn't wear tennis skirts. I like 43:54 >> I didn't wear tennis skirts. I like them. 43:55 them. 43:55 them. >> Um, you know, the thing about Pilates or 43:58 >> Um, you know, the thing about Pilates or 43:58 >> Um, you know, the thing about Pilates or any exercise like weight resistance and
Why fat loss is really about freedom and longevity 44:00 any exercise like weight resistance and 44:00 any exercise like weight resistance and yoga blah blah is if you do the same 44:02 yoga blah blah is if you do the same 44:02 yoga blah blah is if you do the same thing over and over again, you have an 44:04 thing over and over again, you have an 44:04 thing over and over again, you have an increased chance of injury as well. So 44:06 increased chance of injury as well. So 44:06 increased chance of injury as well. So that's that's why I like the variety. 44:08 that's that's why I like the variety. 44:08 that's that's why I like the variety. Um, you know, I think a lot of times we 44:10 Um, you know, I think a lot of times we 44:10 Um, you know, I think a lot of times we think about this idea of lifting 44:12 think about this idea of lifting 44:12 think about this idea of lifting weights. Um, I know you've used that 44:14 weights. Um, I know you've used that 44:14 weights. Um, I know you've used that concept of this tells the body we still 44:17 concept of this tells the body we still 44:17 concept of this tells the body we still need this muscle. 44:19 need this muscle. 44:19 need this muscle. And I actually think that there's no 44:22 And I actually think that there's no 44:22 And I actually think that there's no exercise that is more consistently 44:25 exercise that is more consistently 44:25 exercise that is more consistently reliable and never trendy and always 44:27 reliable and never trendy and always 44:27 reliable and never trendy and always cute. There's nothing that beats walking 44:30 cute. There's nothing that beats walking 44:30 cute. There's nothing that beats walking because walking really tells those 44:33 because walking really tells those 44:33 because walking really tells those muscles in your body like all those 44:35 muscles in your body like all those 44:35 muscles in your body like all those little accessory and stability muscles 44:37 little accessory and stability muscles 44:37 little accessory and stability muscles that are very difficult to work out um 44:40 that are very difficult to work out um 44:40 that are very difficult to work out um when you're doing weights because you'll 44:42 when you're doing weights because you'll 44:42 when you're doing weights because you'll fatigue maybe before you even get a 44:43 fatigue maybe before you even get a 44:44 fatigue maybe before you even get a chance to really get those muscles 44:46 chance to really get those muscles 44:46 chance to really get those muscles activated. When you're walking, you are 44:50 activated. When you're walking, you are 44:50 activated. When you're walking, you are using everything in the human body to 44:52 using everything in the human body to 44:52 using everything in the human body to really to really stay optimized. And the 44:55 really to really stay optimized. And the 44:55 really to really stay optimized. And the other reason that um the walking is so 45:00 other reason that um the walking is so 45:00 other reason that um the walking is so good is because it really is very 45:03 good is because it really is very 45:03 good is because it really is very impactful on visceral fat. So you can 45:06 impactful on visceral fat. So you can 45:06 impactful on visceral fat. So you can get deeper into the core. Like when 45:08 get deeper into the core. Like when 45:08 get deeper into the core. Like when people say they run because they feel 45:09 people say they run because they feel 45:10 people say they run because they feel like it keeps them skinny, running 45:11 like it keeps them skinny, running 45:11 like it keeps them skinny, running actually endurance exercises actually 45:13 actually endurance exercises actually 45:14 actually endurance exercises actually are a pro- fat storage exercise because 45:17 are a pro- fat storage exercise because 45:17 are a pro- fat storage exercise because your body from a developmental 45:20 your body from a developmental 45:20 your body from a developmental perspective believes or a physiologic 45:21 perspective believes or a physiologic 45:21 perspective believes or a physiologic perspective believes I'm going to store 45:23 perspective believes I'm going to store 45:23 perspective believes I'm going to store this energy in the form of fat in case I 45:25 this energy in the form of fat in case I 45:25 this energy in the form of fat in case I need it for a long run. 45:27 need it for a long run. 45:27 need it for a long run. >> But that doesn't happen with walking. So 45:29 >> But that doesn't happen with walking. So 45:29 >> But that doesn't happen with walking. So we really do get a much more effective 45:31 we really do get a much more effective 45:31 we really do get a much more effective visceral fat burning walking. 45:33 visceral fat burning walking. 45:34 visceral fat burning walking. You know, I wanted to round this out too 45:36 You know, I wanted to round this out too 45:36 You know, I wanted to round this out too about why patients um well, why any 45:40 about why patients um well, why any 45:40 about why patients um well, why any patient wants to do anything, their why 45:42 patient wants to do anything, their why 45:42 patient wants to do anything, their why in general. And I often talk about that 45:45 in general. And I often talk about that 45:45 in general. And I often talk about that with patients because the grandkids and 45:48 with patients because the grandkids and 45:48 with patients because the grandkids and what's the reason why you're here um for 45:51 what's the reason why you're here um for 45:51 what's the reason why you're here um for whatever the things are that are 45:53 whatever the things are that are 45:53 whatever the things are that are bothering you that you want to change? 45:54 bothering you that you want to change? 45:54 bothering you that you want to change? What what was the motivation? And so, 45:56 What what was the motivation? And so, 45:56 What what was the motivation? And so, what is the why u behind fat loss? I 46:00 what is the why u behind fat loss? I 46:00 what is the why u behind fat loss? I mean what what happens when someone when 46:02 mean what what happens when someone when 46:02 mean what what happens when someone when someone loses 40 pounds and maybe gains 46:05 someone loses 40 pounds and maybe gains 46:05 someone loses 40 pounds and maybe gains 5 pounds muscle parallel hormones what 46:07 5 pounds muscle parallel hormones what 46:07 5 pounds muscle parallel hormones what does that mean and a big part of what it 46:10 does that mean and a big part of what it 46:10 does that mean and a big part of what it means for patients is it's freedom it is 46:13 means for patients is it's freedom it is 46:13 means for patients is it's freedom it is freedom from so many things they are 46:14 freedom from so many things they are 46:14 freedom from so many things they are just they come alive and so patients 46:18 just they come alive and so patients 46:18 just they come alive and so patients need to figure out what exactly it is 46:19 need to figure out what exactly it is 46:19 need to figure out what exactly it is for them but I'd say generally I think 46:22 for them but I'd say generally I think 46:22 for them but I'd say generally I think it's about freedom you achieve a certain 46:24 it's about freedom you achieve a certain 46:24 it's about freedom you achieve a certain type of freedom with that kind of fat 46:25 type of freedom with that kind of fat 46:26 type of freedom with that kind of fat loss 46:26 loss 46:26 loss >> that's a really good question John you 46:28 >> that's a really good question John you 46:28 >> that's a really good question John you know I think that there's usually the 46:30 know I think that there's usually the 46:30 know I think that there's usually the two reasons why a person wants to lose 46:31 two reasons why a person wants to lose 46:31 two reasons why a person wants to lose fat, one of them is health, the second 46:33 fat, one of them is health, the second 46:33 fat, one of them is health, the second one is aesthetics, how they feel, how 46:34 one is aesthetics, how they feel, how 46:34 one is aesthetics, how they feel, how they look. Um, and this is why the 46:36 they look. Um, and this is why the 46:36 they look. Um, and this is why the conversation of the GLP1 and relating it 46:39 conversation of the GLP1 and relating it 46:39 conversation of the GLP1 and relating it back to muscle mass and relating it back 46:40 back to muscle mass and relating it back 46:40 back to muscle mass and relating it back to longevity is so important because you 46:43 to longevity is so important because you 46:43 to longevity is so important because you if you think of the Sophia Loren of uh 46:46 if you think of the Sophia Loren of uh 46:46 if you think of the Sophia Loren of uh the past or um 46:50 the past or um 46:50 the past or um my god Marilyn Monroe, I couldn't think 46:51 my god Marilyn Monroe, I couldn't think 46:51 my god Marilyn Monroe, I couldn't think of her name for a minute. uh Monica 46:53 of her name for a minute. uh Monica 46:53 of her name for a minute. uh Monica Beluchcci, like these are very luscious, 46:57 Beluchcci, like these are very luscious, 46:57 Beluchcci, like these are very luscious, beautiful women that are 47:00 beautiful women that are 47:00 beautiful women that are um voluuptuous, but they're not fat. 47:05 um voluuptuous, but they're not fat. 47:05 um voluuptuous, but they're not fat. So, they have a good amount of fat. I 47:07 So, they have a good amount of fat. I 47:07 So, they have a good amount of fat. I mean, fat is what makes breast tissue. 47:08 mean, fat is what makes breast tissue. 47:08 mean, fat is what makes breast tissue. Fat is a big part of what makes the butt 47:10 Fat is a big part of what makes the butt 47:10 Fat is a big part of what makes the butt on the female look so attractive. So, 47:13 on the female look so attractive. So, 47:13 on the female look so attractive. So, it's not really about being skinny. It's 47:16 it's not really about being skinny. It's 47:16 it's not really about being skinny. It's actually about finding that beauty point 47:18 actually about finding that beauty point 47:18 actually about finding that beauty point for yourself that correlates to the 47:21 for yourself that correlates to the 47:21 for yourself that correlates to the effort is worthwhile. I look and feel 47:24 effort is worthwhile. I look and feel 47:24 effort is worthwhile. I look and feel good. I have this freedom and I have the 47:27 good. I have this freedom and I have the 47:27 good. I have this freedom and I have the health for longevity. 47:29 health for longevity. 47:29 health for longevity. >> Yeah. And that's what I think the GOP1 47:32 >> Yeah. And that's what I think the GOP1 47:32 >> Yeah. And that's what I think the GOP1 can do for a patient in the right 47:34 can do for a patient in the right 47:34 can do for a patient in the right context, done the right way. Certainly 47:36 context, done the right way. Certainly 47:36 context, done the right way. Certainly what we've been talking about today. I'd 47:38 what we've been talking about today. I'd 47:38 what we've been talking about today. I'd also say that to to not uh to not fear 47:41 also say that to to not uh to not fear 47:41 also say that to to not uh to not fear the GOP war. 47:42 the GOP war. 47:42 the GOP war. >> No. No. To embrace it. 47:44 >> No. No. To embrace it. 47:44 >> No. No. To embrace it. >> Yes. but to be careful uh to choose 47:46 >> Yes. but to be careful uh to choose 47:46 >> Yes. but to be careful uh to choose someone that really knows what they're 47:48 someone that really knows what they're 47:48 someone that really knows what they're doing. Choose someone that looks at it 47:49 doing. Choose someone that looks at it 47:49 doing. Choose someone that looks at it holistically that has this sort of 47:51 holistically that has this sort of 47:51 holistically that has this sort of comprehensive approach that we've been 47:53 comprehensive approach that we've been 47:53 comprehensive approach that we've been talking about today and many of the 47:54 talking about today and many of the 47:54 talking about today and many of the other things that probably said but 47:57 other things that probably said but 47:57 other things that probably said but >> and hold yourself accountable if you're 47:58 >> and hold yourself accountable if you're 47:58 >> and hold yourself accountable if you're not eating.
Closing remarks and where to find more information 47:59 not eating. 47:59 not eating. >> Yes. 48:02 >> Yes. 48:02 >> Yes. >> It's not going to work. 48:02 >> It's not going to work. 48:02 >> It's not going to work. >> Right. And which by the way, just back 48:04 >> Right. And which by the way, just back 48:04 >> Right. And which by the way, just back to the whole protein thing that you said 48:06 to the whole protein thing that you said 48:06 to the whole protein thing that you said close this up. 48:08 close this up. 48:08 close this up. Patients will sometimes hit their 48:09 Patients will sometimes hit their 48:09 Patients will sometimes hit their protein. Let's say they need 100 grams. 48:11 protein. Let's say they need 100 grams. 48:11 protein. Let's say they need 100 grams. they hit the 100 grams, which is only 48:13 they hit the 100 grams, which is only 48:13 they hit the 100 grams, which is only 400 calories. They really need maybe 48:16 400 calories. They really need maybe 48:16 400 calories. They really need maybe 1,500 calories based on and then they 48:20 1,500 calories based on and then they 48:20 1,500 calories based on and then they actually their overall calories were 48:21 actually their overall calories were 48:21 actually their overall calories were low. So, what happened to all that great 48:23 low. So, what happened to all that great 48:23 low. So, what happened to all that great protein they just ingested? They just 48:25 protein they just ingested? They just 48:25 protein they just ingested? They just used it for energy, not for building 48:27 used it for energy, not for building 48:27 used it for energy, not for building muscle. So, there's a Yes, I know it's 48:29 muscle. So, there's a Yes, I know it's 48:29 muscle. So, there's a Yes, I know it's complicated and it's 48:30 complicated and it's 48:30 complicated and it's >> it's not complicated. 48:31 >> it's not complicated. 48:31 >> it's not complicated. >> No, it's complicated in the sense it 48:34 >> No, it's complicated in the sense it 48:34 >> No, it's complicated in the sense it should be you have to be on top of it in 48:35 should be you have to be on top of it in 48:35 should be you have to be on top of it in that sense. The mathematics of it is 48:37 that sense. The mathematics of it is 48:37 that sense. The mathematics of it is pretty straightforward. Um, but yes, 48:40 pretty straightforward. Um, but yes, 48:40 pretty straightforward. Um, but yes, achieving it, it's it's not always the 48:42 achieving it, it's it's not always the 48:42 achieving it, it's it's not always the easiest thing. People get distracted. 48:43 easiest thing. People get distracted. 48:44 easiest thing. People get distracted. There's other things that come up why 48:45 There's other things that come up why 48:45 There's other things that come up why they don't eat, why they chose what they 48:47 they don't eat, why they chose what they 48:47 they don't eat, why they chose what they chose that particular day. I get it. Um, 48:50 chose that particular day. I get it. Um, 48:50 chose that particular day. I get it. Um, that part's complicated, but in the end, 48:52 that part's complicated, but in the end, 48:52 that part's complicated, but in the end, it's just mathematics is what I always 48:54 it's just mathematics is what I always 48:54 it's just mathematics is what I always say to patients. And not to I'm trying 48:57 say to patients. And not to I'm trying 48:57 say to patients. And not to I'm trying just trying to say, look, it's it's that 48:58 just trying to say, look, it's it's that 48:58 just trying to say, look, it's it's that simple. Let's just bring it down to the 49:00 simple. Let's just bring it down to the 49:00 simple. Let's just bring it down to the number and then let's see what you can 49:02 number and then let's see what you can 49:02 number and then let's see what you can do with lifestyle in order to just 49:03 do with lifestyle in order to just 49:03 do with lifestyle in order to just achieve that. And the rest will take 49:05 achieve that. And the rest will take 49:05 achieve that. And the rest will take care of itself. You'll get the success 49:07 care of itself. You'll get the success 49:07 care of itself. You'll get the success and you'll get the freedom that you're 49:09 and you'll get the freedom that you're 49:09 and you'll get the freedom that you're looking for. 49:09 looking for. 49:09 looking for. >> Yeah. And you'll look hot. 49:11 >> Yeah. And you'll look hot. 49:11 >> Yeah. And you'll look hot. >> That's always important to some degree 49:13 >> That's always important to some degree 49:14 >> That's always important to some degree is always perspective. 49:15 is always perspective. 49:15 is always perspective. >> I mean, we think so. 49:16 >> I mean, we think so. 49:16 >> I mean, we think so. >> Yeah. 49:17 >> Yeah. 49:17 >> Yeah. >> Thank you. 49:18 >> Thank you. 49:18 >> Thank you. >> Thank you. 49:19 >> Thank you. 49:19 >> Thank you. >> Are you liking what you're hearing? Do 49:20 >> Are you liking what you're hearing? Do 49:20 >> Are you liking what you're hearing? Do you want to hear more? 49:21 you want to hear more? 49:21 you want to hear more? >> Are you loving this great content? And 49:23 >> Are you loving this great content? And 49:23 >> Are you loving this great content? And do you want to ask us a question? 49:25 do you want to ask us a question? 49:25 do you want to ask us a question? >> Please like, subscribe, and comment. 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