1
00:00:11,080 --> 00:00:13,840
Speaker 1: Well, hey everybody, it's me Rosie O'Donnell and how are

2
00:00:13,880 --> 00:00:17,160
Speaker 1: you on this fine day? It must be Tuesday, because

3
00:00:17,160 --> 00:00:20,840
Speaker 1: we're dropping a new one. Yes, this is onward with me,

4
00:00:21,400 --> 00:00:23,919
Speaker 1: your host. So here's what we wanted to try a

5
00:00:23,960 --> 00:00:26,360
Speaker 1: little something different today. I want to talk about my

6
00:00:26,480 --> 00:00:30,880
Speaker 1: weight and issues with my weight. And I didn't know

7
00:00:30,960 --> 00:00:34,200
Speaker 1: really exactly how to do it, because you know, there's

8
00:00:34,240 --> 00:00:37,240
Speaker 1: so many things to address within it, and so many

9
00:00:37,280 --> 00:00:43,040
Speaker 1: causes of what makes someone obese. And I am on Munjaro,

10
00:00:43,200 --> 00:00:46,360
Speaker 1: which is a diabetes medicine, and I've been on it

11
00:00:46,440 --> 00:00:50,440
Speaker 1: since December and I've lost nearly thirty pounds on it.

12
00:00:51,200 --> 00:00:56,360
Speaker 1: I'm on the lowest dose. And I was going through

13
00:00:56,680 --> 00:01:00,320
Speaker 1: my TikTok one day and I see this guy, doctor Daniels,

14
00:01:00,960 --> 00:01:04,160
Speaker 1: and he's adorable and he's from New York and he

15
00:01:04,280 --> 00:01:06,399
Speaker 1: used to work at Beth Israel, where I had a

16
00:01:06,440 --> 00:01:10,759
Speaker 1: little boutique named after my mother with wigs and hair

17
00:01:10,840 --> 00:01:15,959
Speaker 1: care and hats and things for women going through chemo,

18
00:01:16,120 --> 00:01:20,039
Speaker 1: called the Roseanne o'donald Boutique. And the hospital is no more,

19
00:01:20,080 --> 00:01:24,120
Speaker 1: but still I really always have wonderful feelings about that place.

20
00:01:24,640 --> 00:01:27,360
Speaker 1: And so I started talking to him, because I heard

21
00:01:27,440 --> 00:01:31,760
Speaker 1: him one day say, thank God that Rosie O'Donnell admitted

22
00:01:31,800 --> 00:01:35,839
Speaker 1: that she's on Manjaro. And you know, listen, it wasn't

23
00:01:35,880 --> 00:01:38,640
Speaker 1: so hard for me to admit. I found out I

24
00:01:38,680 --> 00:01:42,039
Speaker 1: had diabetes, and they gave me this medicine, and before

25
00:01:42,080 --> 00:01:45,680
Speaker 1: I knew it, I had lost twelve pounds and then

26
00:01:45,720 --> 00:01:48,600
Speaker 1: I kept losing, you know, but it's slow and steady

27
00:01:48,640 --> 00:01:52,160
Speaker 1: for me. And I had the vertical gastric sleeve about

28
00:01:52,200 --> 00:01:55,360
Speaker 1: twelve years ago, and so my stomach is much smaller

29
00:01:55,400 --> 00:01:59,280
Speaker 1: than the average person on these meds. So we're on

30
00:01:59,320 --> 00:02:02,880
Speaker 1: the lowest dose and my doctor has decided along with

31
00:02:03,000 --> 00:02:05,640
Speaker 1: me that that works best for me. And even though

32
00:02:05,640 --> 00:02:09,000
Speaker 1: I'm losing weight slowly, I continue to lose and I

33
00:02:09,080 --> 00:02:16,280
Speaker 1: continue to feel satiated and healthier. You know, I feel

34
00:02:17,080 --> 00:02:21,080
Speaker 1: like food controlling my life and world is over, at

35
00:02:21,160 --> 00:02:24,440
Speaker 1: least on this medication. It sure feels like it's over.

36
00:02:24,560 --> 00:02:29,800
Speaker 1: I mean, it's as if every single thought of food

37
00:02:30,280 --> 00:02:34,120
Speaker 1: has been deleted from your memory block, you know it

38
00:02:34,320 --> 00:02:37,440
Speaker 1: used to be. I would be in my bed thinking,

39
00:02:38,520 --> 00:02:42,240
Speaker 1: I think we bought those many drumsticks for Dakota. I

40
00:02:42,280 --> 00:02:45,480
Speaker 1: bet I could go downstairs and get one. Well they're minis.

41
00:02:45,520 --> 00:02:49,640
Speaker 1: Maybe I'll have two. Like I had to negotiate with

42
00:02:50,000 --> 00:02:54,280
Speaker 1: the calling of every sugary product in my house. But

43
00:02:54,400 --> 00:02:59,239
Speaker 1: since December, I've been on this Munjarro and well it's

44
00:02:59,240 --> 00:03:02,080
Speaker 1: been life change and I want to talk about it.

45
00:03:02,120 --> 00:03:04,240
Speaker 1: And I thought i'd just have this chat with doctor

46
00:03:04,320 --> 00:03:07,400
Speaker 1: Daniel Rosen and we'll see. You know, there's so many

47
00:03:07,440 --> 00:03:13,160
Speaker 1: issues around obesity. There's so many emotional parts of weight gain,

48
00:03:13,360 --> 00:03:18,359
Speaker 1: and yet with this drug, it makes you feel as though, no,

49
00:03:18,520 --> 00:03:23,280
Speaker 1: it's all biological. You know, all of us thinking it

50
00:03:23,400 --> 00:03:28,160
Speaker 1: was a lack of willpower or listen, Once you get

51
00:03:28,160 --> 00:03:30,960
Speaker 1: the shot, you like, free yourself from all the guilt

52
00:03:31,000 --> 00:03:34,359
Speaker 1: that you carried for so long living in a society

53
00:03:34,480 --> 00:03:40,880
Speaker 1: that marginalizes, embarrass is, and shames over weight people. You know,

54
00:03:40,960 --> 00:03:46,200
Speaker 1: weight is an issue for everyone, some presidents, some rock stars,

55
00:03:46,240 --> 00:03:50,600
Speaker 1: some talk show hosts, and teachers and mailmen and everyone

56
00:03:50,680 --> 00:03:55,320
Speaker 1: in the world. It's a problem in America, and it's

57
00:03:55,320 --> 00:03:58,120
Speaker 1: something I fought with a long time. So we've got

58
00:03:58,160 --> 00:04:00,400
Speaker 1: him here, doctor Daniel Rosen, and we're not going to

59
00:04:00,440 --> 00:04:02,760
Speaker 1: take any questions. We're just going to chat and see

60
00:04:02,800 --> 00:04:06,000
Speaker 1: what happens. But enjoy doctor Daniel Rosen, and I han't

61
00:04:06,000 --> 00:04:22,400
Speaker 1: a chat about weight and whatnot. Well, Hello Daniel Rosen.

62
00:04:22,480 --> 00:04:23,479
Speaker 2: Hi Rosie, how are you?

63
00:04:23,760 --> 00:04:24,720
Speaker 1: Oh well, how are you?

64
00:04:25,080 --> 00:04:28,039
Speaker 2: I'm great? I'm great. Busy day with patients.

65
00:04:28,240 --> 00:04:30,800
Speaker 1: Oh yeah, now you are an MD? Should I call

66
00:04:30,839 --> 00:04:32,320
Speaker 1: you doctor Daniel Rosen?

67
00:04:32,680 --> 00:04:35,080
Speaker 3: You can call me doctor Daniel Rosen, or you can

68
00:04:35,120 --> 00:04:37,400
Speaker 3: call me doctor Rosen, or you can call me Daniel.

69
00:04:37,880 --> 00:04:40,800
Speaker 2: All right, it's all good. I'm not that formal, right.

70
00:04:40,920 --> 00:04:45,040
Speaker 1: I saw you on Instagram and I was like, this guy.

71
00:04:45,520 --> 00:04:49,320
Speaker 1: I enjoy what he's saying about weight and about the

72
00:04:49,400 --> 00:04:54,200
Speaker 1: cultural stigmas associated and these new medications that Di'm on

73
00:04:54,440 --> 00:04:58,479
Speaker 1: and so many people are on. And I thought a

74
00:04:58,520 --> 00:05:01,279
Speaker 1: lot of people are interested in my journey with weight,

75
00:05:01,360 --> 00:05:04,120
Speaker 1: and I thought, maybe you and I can go through

76
00:05:04,160 --> 00:05:07,600
Speaker 1: it together and not necessarily answer questions that I have,

77
00:05:07,640 --> 00:05:10,719
Speaker 1: but talk about the things that I've done, as I've

78
00:05:10,800 --> 00:05:15,560
Speaker 1: battled obesity pretty much for much of my adult life.

79
00:05:15,720 --> 00:05:17,240
Speaker 2: Yeah. I would love to do that.

80
00:05:17,760 --> 00:05:20,120
Speaker 1: So where do you think we begin? Where do you

81
00:05:20,160 --> 00:05:23,320
Speaker 1: want to start in terms of my weight stuff?

82
00:05:23,760 --> 00:05:27,000
Speaker 3: I mean, what I would really like to hear is

83
00:05:28,040 --> 00:05:31,280
Speaker 3: a little bit of background about how your weight impacted

84
00:05:31,360 --> 00:05:36,159
Speaker 3: you in your younger years, because so much of what

85
00:05:36,320 --> 00:05:43,400
Speaker 3: people carry about themselves, their worth, their body, their desirability

86
00:05:44,000 --> 00:05:48,960
Speaker 3: in society comes from their early years with their family,

87
00:05:49,560 --> 00:05:53,160
Speaker 3: especially if you have parents who aren't obese and you

88
00:05:53,240 --> 00:05:56,200
Speaker 3: are obese, or you're part of an obese family that

89
00:05:56,360 --> 00:06:03,800
Speaker 3: experiences shame from the outside and also in relationships as

90
00:06:03,800 --> 00:06:05,200
Speaker 3: you sort of become an adult.

91
00:06:05,520 --> 00:06:09,040
Speaker 1: Well, you know, it's interesting. I don't remember having anything

92
00:06:09,440 --> 00:06:13,280
Speaker 1: to do with Wade until after my mother died, so

93
00:06:13,400 --> 00:06:16,800
Speaker 1: that was nineteen seventy three. So I was not like

94
00:06:16,839 --> 00:06:20,560
Speaker 1: a fat kid. Nobody called me names, nobody teased me.

95
00:06:21,160 --> 00:06:23,599
Speaker 1: And then when I got to be you know, ten,

96
00:06:23,720 --> 00:06:27,320
Speaker 1: I was doing athletics a lot, so I did every sport.

97
00:06:27,720 --> 00:06:31,200
Speaker 1: You know, I was a tomboy, and it wasn't I

98
00:06:31,240 --> 00:06:34,000
Speaker 1: wasn't like the fat girl in school. You know. I

99
00:06:34,080 --> 00:06:37,039
Speaker 1: was in the musicals, I was in student council. I

100
00:06:37,160 --> 00:06:40,159
Speaker 1: was the prom queen, I was the homecoming queen. I

101
00:06:40,320 --> 00:06:43,960
Speaker 1: was missed high school. I succeeded so much at high school.

102
00:06:44,040 --> 00:06:46,360
Speaker 2: So you peaked in high school, Rosie.

103
00:06:45,960 --> 00:06:47,800
Speaker 1: I kind of did you know. I was looking for

104
00:06:47,839 --> 00:06:51,840
Speaker 1: the adults' attention and the teachers. You know, I would

105
00:06:51,880 --> 00:06:54,560
Speaker 1: try to make the teachers laugh more so than my

106
00:06:54,640 --> 00:06:59,919
Speaker 1: classmates laugh at the teacher. So I had wonderful relationships

107
00:07:00,440 --> 00:07:02,920
Speaker 1: with some of the teachers that really changed my life,

108
00:07:03,000 --> 00:07:06,280
Speaker 1: where they took me in and loved me. And it

109
00:07:06,360 --> 00:07:11,760
Speaker 1: wasn't until I got to college that I started gaining weight.

110
00:07:11,840 --> 00:07:16,200
Speaker 1: So that was about, you know, eighteen, nineteen twenty, I guess.

111
00:07:16,000 --> 00:07:19,560
Speaker 3: Yeah, that's usually the first period of weight gain, especially

112
00:07:19,600 --> 00:07:23,120
Speaker 3: for women. Obviously they talk about like the freshman fifteen

113
00:07:24,200 --> 00:07:26,280
Speaker 3: in and of itself has a bit of a negative

114
00:07:26,280 --> 00:07:29,880
Speaker 3: connotation because everything with weight has a negative connotation.

115
00:07:30,520 --> 00:07:34,200
Speaker 1: Yeah, well, you know, I kind of rode the edge

116
00:07:34,240 --> 00:07:36,600
Speaker 1: of being able to fit in the gap and having

117
00:07:36,680 --> 00:07:40,200
Speaker 1: to go to Lane Bryant like I never really you know,

118
00:07:40,560 --> 00:07:44,000
Speaker 1: went past like in eighteen, I you know what you

119
00:07:44,000 --> 00:07:46,160
Speaker 1: can get at the gap if you're lucky and you

120
00:07:46,240 --> 00:07:48,160
Speaker 1: go when they first put them out on the shelves.

121
00:07:48,440 --> 00:07:51,040
Speaker 1: But the next time I remember my weight being a

122
00:07:51,120 --> 00:07:55,080
Speaker 1: problem was in League of their Own. Penny said, I

123
00:07:55,120 --> 00:07:57,840
Speaker 1: want you to lose twenty pounds, and I said, Penn,

124
00:07:57,960 --> 00:08:00,520
Speaker 1: if I could lose twenty pounds, I would, right. Nobody

125
00:08:00,560 --> 00:08:03,480
Speaker 1: who's heavy keeps it on for fun, right, So you

126
00:08:03,520 --> 00:08:06,040
Speaker 1: know when one of these other women can hit the

127
00:08:06,040 --> 00:08:08,200
Speaker 1: ball out of the park like I can, then I'll

128
00:08:08,240 --> 00:08:11,400
Speaker 1: lose twenty pounds. But until then, this is how my

129
00:08:11,480 --> 00:08:14,880
Speaker 1: body is. And she was like, Okay, well, we all

130
00:08:15,000 --> 00:08:18,360
Speaker 1: say it would look better if you're but it didn't

131
00:08:18,360 --> 00:08:21,480
Speaker 1: infringe on anything. I still was, you know, able to

132
00:08:22,680 --> 00:08:26,239
Speaker 1: be in the movie. And you know, it wasn't until

133
00:08:27,360 --> 00:08:33,079
Speaker 1: my show that I really remember gaining weight. From the

134
00:08:33,200 --> 00:08:37,120
Speaker 1: June that it started until that first Christmas break, I

135
00:08:37,120 --> 00:08:40,880
Speaker 1: think I gained a lot of weight and uh, the stress. Yeah,

136
00:08:40,920 --> 00:08:45,560
Speaker 1: superstardom is close to post mortem, Eminem says, but it's

137
00:08:45,640 --> 00:08:48,319
Speaker 1: you know, it's a very strange thing to go from

138
00:08:48,679 --> 00:08:52,000
Speaker 1: a normal life, even within show business to what happened

139
00:08:52,000 --> 00:08:54,000
Speaker 1: to me with that show at a time when there

140
00:08:54,080 --> 00:08:58,040
Speaker 1: was no internet, so a vast majority of people were

141
00:08:58,080 --> 00:09:01,240
Speaker 1: watching you. It was a different thing than TV is

142
00:09:01,360 --> 00:09:05,160
Speaker 1: now and what daytime TV is. It was the heyday

143
00:09:05,240 --> 00:09:06,200
Speaker 1: of daytime TV.

144
00:09:06,679 --> 00:09:10,960
Speaker 3: I remember even before that, Rosie, if I can sort

145
00:09:10,960 --> 00:09:14,280
Speaker 3: of go back to, you know, my twenties, I feel

146
00:09:14,280 --> 00:09:18,840
Speaker 3: like you were exposed to a lot of scrutiny. Yeah

147
00:09:19,120 --> 00:09:25,520
Speaker 3: in exit to Eden, Yeah remember, yeah, like you looked phenomenal. Yeah,

148
00:09:26,080 --> 00:09:28,280
Speaker 3: I mean, you must be so happy some of those

149
00:09:28,320 --> 00:09:29,320
Speaker 3: pictures were taken.

150
00:09:29,800 --> 00:09:33,760
Speaker 1: Well, you know, it's funny because I took the role

151
00:09:34,000 --> 00:09:37,520
Speaker 1: because they offered it to Sharon Stone and she said no,

152
00:09:38,600 --> 00:09:40,720
Speaker 1: and then they offered it to me, and I thought,

153
00:09:40,800 --> 00:09:43,200
Speaker 1: when in my life is that going to happen? That

154
00:09:43,280 --> 00:09:47,439
Speaker 1: the character could either be Sharon Stone or Rosie O'Donnell.

155
00:09:48,120 --> 00:09:50,079
Speaker 1: So I took it knowing that it was going to

156
00:09:50,160 --> 00:09:53,400
Speaker 1: push me in ways I had never been pushed, you know.

157
00:09:53,960 --> 00:09:57,200
Speaker 1: Wearing that outfit was the first time I had ever

158
00:09:57,320 --> 00:10:02,079
Speaker 1: worn something even close to obayathing suit. I would wear

159
00:10:02,280 --> 00:10:06,199
Speaker 1: a sports bra, Nike long bite shorts and a T

160
00:10:06,360 --> 00:10:09,760
Speaker 1: shirt in the pool, right. And it wasn't until I

161
00:10:09,760 --> 00:10:12,480
Speaker 1: had children that I realized what I was doing and

162
00:10:12,559 --> 00:10:16,079
Speaker 1: saying to them about my body shame that I stopped

163
00:10:16,080 --> 00:10:20,679
Speaker 1: doing that and bought a bathing suit. And you know,

164
00:10:20,800 --> 00:10:23,720
Speaker 1: it's taken a while. I mean, I know that for me,

165
00:10:24,480 --> 00:10:29,080
Speaker 1: those pictures kind of doesn't feel like me, you know,

166
00:10:29,240 --> 00:10:32,680
Speaker 1: but but it's the first day I went to the set,

167
00:10:33,000 --> 00:10:35,240
Speaker 1: I had my robe on and I was really nervous

168
00:10:35,280 --> 00:10:37,680
Speaker 1: and I didn't want anyone to like look at me,

169
00:10:37,880 --> 00:10:40,040
Speaker 1: And so then I took the robe off, and you know,

170
00:10:40,120 --> 00:10:42,040
Speaker 1: one of the GRIP guys goes, hey, looking good, O

171
00:10:42,160 --> 00:10:45,040
Speaker 1: D now? And I was like what. And then the

172
00:10:45,080 --> 00:10:47,440
Speaker 1: next day like that, like you know, Gary must have said,

173
00:10:47,480 --> 00:10:50,600
Speaker 1: go tell she's looked nervous, go over there. And so

174
00:10:50,920 --> 00:10:53,760
Speaker 1: the Marshall family's given me my whole career. But they

175
00:10:53,840 --> 00:10:58,000
Speaker 1: came and told me how great I looked. And then

176
00:10:58,080 --> 00:11:00,040
Speaker 1: like by the third day, I was able to be

177
00:11:00,120 --> 00:11:03,560
Speaker 1: on the set in it and not feel horribly, you know,

178
00:11:03,679 --> 00:11:08,680
Speaker 1: embarrassed or ashamed, and you know what's intermingled with that

179
00:11:08,920 --> 00:11:12,280
Speaker 1: and with your body and trying to kind of not

180
00:11:12,440 --> 00:11:16,000
Speaker 1: be sexual. You know, some people I think who maybe

181
00:11:16,040 --> 00:11:21,040
Speaker 1: had sexual traumas children maybe don't want their body to

182
00:11:21,160 --> 00:11:24,720
Speaker 1: be appealing to someone unless they want the someone so

183
00:11:24,880 --> 00:11:25,960
Speaker 1: they can decide.

184
00:11:26,360 --> 00:11:26,640
Speaker 2: Yeah.

185
00:11:26,760 --> 00:11:32,080
Speaker 3: I mean, people see themselves in their body in ways

186
00:11:32,080 --> 00:11:37,640
Speaker 3: that are sometimes not at all you know, a reality

187
00:11:37,840 --> 00:11:41,280
Speaker 3: to those around them. I see patients and I wonder

188
00:11:41,440 --> 00:11:44,840
Speaker 3: if you experienced that, yes, in your weight loss journey,

189
00:11:45,200 --> 00:11:47,440
Speaker 3: that aha moment when you look in the mirror and

190
00:11:47,480 --> 00:11:49,480
Speaker 3: you don't recognize that person.

191
00:11:49,760 --> 00:11:52,560
Speaker 1: Well, you know, it's interesting. I really have to look

192
00:11:52,600 --> 00:11:55,679
Speaker 1: at myself in photos in order to see myself accurately.

193
00:11:56,280 --> 00:11:59,040
Speaker 1: The mirror doesn't do it for me, Like I don't

194
00:11:59,080 --> 00:12:01,960
Speaker 1: look in the mirror and see any difference. Hey, don't

195
00:12:02,000 --> 00:12:26,640
Speaker 1: go away, there's more to come. You know. I've been

196
00:12:26,679 --> 00:12:31,720
Speaker 1: on which we're going to talk about, Manjaro for six months,

197
00:12:31,720 --> 00:12:37,520
Speaker 1: since December sixteenth, and I've lost about twenty seven twenty

198
00:12:37,559 --> 00:12:41,520
Speaker 1: eight pounds and now I'm down to losing maybe half

199
00:12:41,559 --> 00:12:44,160
Speaker 1: a pound or a pound a month. But I'm still

200
00:12:44,160 --> 00:12:46,600
Speaker 1: on two point five because, as you know, I had

201
00:12:46,640 --> 00:12:50,520
Speaker 1: the vertical gas sleeve and my doctor feels if it's

202
00:12:50,640 --> 00:12:55,680
Speaker 1: curtailing my appetite and helping with my satiation, why go up?

203
00:12:56,080 --> 00:13:00,079
Speaker 1: You know, there's no reason I'm not like dying to be,

204
00:13:00,200 --> 00:13:04,200
Speaker 1: you know, a size eight. I'm happy with the progress,

205
00:13:04,240 --> 00:13:07,240
Speaker 1: and I think it gives me enough time to catch

206
00:13:07,320 --> 00:13:09,240
Speaker 1: up to not be scared. You know.

207
00:13:09,760 --> 00:13:13,280
Speaker 3: Yeah, I think that's really important. And I deal with

208
00:13:13,400 --> 00:13:17,400
Speaker 3: patients in terms of prescribing Manjaro for people who have

209
00:13:17,520 --> 00:13:20,079
Speaker 3: bariatric surgery and also for people who want to avoid

210
00:13:20,120 --> 00:13:22,840
Speaker 3: bariatric surgery or are scared of bariatric surgery.

211
00:13:23,360 --> 00:13:25,120
Speaker 2: And you see everything.

212
00:13:25,480 --> 00:13:28,400
Speaker 3: You see the people who really want to ride the

213
00:13:28,440 --> 00:13:31,720
Speaker 3: lowest possible dose as long as they can and are

214
00:13:31,760 --> 00:13:34,760
Speaker 3: focused immediately from the beginning on when can I get

215
00:13:34,800 --> 00:13:35,160
Speaker 3: off this?

216
00:13:35,600 --> 00:13:36,800
Speaker 2: Or how do I get off this?

217
00:13:37,280 --> 00:13:40,240
Speaker 3: And then you have people who want headle to the

218
00:13:40,280 --> 00:13:45,920
Speaker 3: floor maximal weight loss every month, you know, momentum to

219
00:13:45,960 --> 00:13:48,720
Speaker 3: try and get a large amount of weight off. Yeah,

220
00:13:48,960 --> 00:13:53,800
Speaker 3: and it's different philosophies. And what's great about going slow

221
00:13:53,840 --> 00:13:58,440
Speaker 3: and steady is you have all of this upside in

222
00:13:58,480 --> 00:13:59,079
Speaker 3: front of you.

223
00:14:00,000 --> 00:14:01,360
Speaker 2: Should it be necessary?

224
00:14:01,440 --> 00:14:01,680
Speaker 1: Right?

225
00:14:02,120 --> 00:14:06,240
Speaker 2: And you're not burning your options early because you're kind

226
00:14:06,280 --> 00:14:07,199
Speaker 2: of greedy.

227
00:14:06,920 --> 00:14:09,400
Speaker 1: You know when you say some people who stay on

228
00:14:09,440 --> 00:14:11,320
Speaker 1: the low dose and think when can I get off this?

229
00:14:11,720 --> 00:14:13,760
Speaker 1: I stay on the low dose and hope I never

230
00:14:13,840 --> 00:14:16,320
Speaker 1: get off it. I really do. I feel in many

231
00:14:16,320 --> 00:14:19,320
Speaker 1: ways it's a miracle drug. And I really wish that

232
00:14:19,840 --> 00:14:24,360
Speaker 1: Eli Lilly would understand what it is to people and

233
00:14:24,400 --> 00:14:28,120
Speaker 1: how it is life altering and how there would be

234
00:14:28,240 --> 00:14:32,280
Speaker 1: saving so many people's lives, not only for the physical health,

235
00:14:32,320 --> 00:14:35,360
Speaker 1: but for the mental shame that you carry around as

236
00:14:35,480 --> 00:14:39,680
Speaker 1: being called fat and a pig and a cow and

237
00:14:39,840 --> 00:14:43,520
Speaker 1: ugly and you know, called it not only by mean

238
00:14:43,680 --> 00:14:47,040
Speaker 1: bullies on Twitter, but called it by you know, the president,

239
00:14:47,560 --> 00:14:48,520
Speaker 1: talk show hosts.

240
00:14:48,920 --> 00:14:54,080
Speaker 3: You know, like there family members fit exactly, well meaning siblings.

241
00:14:54,440 --> 00:14:58,080
Speaker 1: Yeah, yeah, And I think it's a life saving drug.

242
00:14:58,120 --> 00:15:00,760
Speaker 1: I would love to say to Eli Lily, I'll be

243
00:15:00,800 --> 00:15:03,880
Speaker 1: your spokesperson. If you can cut the price to ten

244
00:15:03,920 --> 00:15:06,240
Speaker 1: percent of what it is, I'll do it for nothing.

245
00:15:06,840 --> 00:15:07,040
Speaker 3: Right.

246
00:15:07,800 --> 00:15:09,480
Speaker 2: But don't you think they know what they have?

247
00:15:09,880 --> 00:15:13,000
Speaker 1: I believe it's changed my whole world and my whole life.

248
00:15:13,040 --> 00:15:15,120
Speaker 1: I think they know what they have, and they know

249
00:15:15,160 --> 00:15:17,640
Speaker 1: what they make on all their other drugs. And do

250
00:15:17,720 --> 00:15:20,720
Speaker 1: they have to gouge this clientele that has been lied

251
00:15:20,760 --> 00:15:24,760
Speaker 1: to by the medical community. But here is a drug

252
00:15:25,280 --> 00:15:30,120
Speaker 1: that somehow tricks your brain into thinking that you don't

253
00:15:30,160 --> 00:15:34,800
Speaker 1: want the brownie. And guess what it feels like, freedom

254
00:15:34,920 --> 00:15:36,200
Speaker 1: to not want the brownie?

255
00:15:36,760 --> 00:15:36,960
Speaker 4: Right?

256
00:15:37,400 --> 00:15:41,560
Speaker 3: The food chatter, the cravings that drive you when those

257
00:15:41,600 --> 00:15:43,440
Speaker 3: are quieted, all of a sudden.

258
00:15:43,600 --> 00:15:46,600
Speaker 1: Not quiet, it gone, They're gone, Gone're gone.

259
00:15:47,440 --> 00:15:47,680
Speaker 3: Right.

260
00:15:48,000 --> 00:15:51,080
Speaker 1: That's why I think this medicine has to be applicable

261
00:15:51,840 --> 00:15:53,320
Speaker 1: to addiction on the whole.

262
00:15:53,480 --> 00:15:55,200
Speaker 2: Well, here we'll see.

263
00:15:54,960 --> 00:15:58,000
Speaker 1: Because as much as you thought it was willpower or

264
00:15:58,040 --> 00:16:01,400
Speaker 1: a character defect for someone to be that, you give

265
00:16:01,440 --> 00:16:05,600
Speaker 1: them this medicine and their body starts acting as if

266
00:16:05,640 --> 00:16:08,320
Speaker 1: it's not and before you know it, it's.

267
00:16:08,120 --> 00:16:10,960
Speaker 3: Not Yeah, a lot of these studies are going to

268
00:16:10,960 --> 00:16:14,560
Speaker 3: be coming out in the next few years. These drugs

269
00:16:14,600 --> 00:16:18,760
Speaker 3: are impacting people with addiction. I can speak to a

270
00:16:18,800 --> 00:16:22,240
Speaker 3: patient who came to see me, and she was a woman.

271
00:16:22,320 --> 00:16:25,960
Speaker 3: She actually had a sleeve gastroctomy as well, and she

272
00:16:26,120 --> 00:16:29,520
Speaker 3: had lost about one hundred and twenty pounds and she

273
00:16:29,640 --> 00:16:33,440
Speaker 3: had regained fifty pounds and was really distraught about it.

274
00:16:33,440 --> 00:16:36,320
Speaker 3: And she told me that, you know, in asking about

275
00:16:36,320 --> 00:16:39,640
Speaker 3: her medical history and whether she drinks alcohol, she said, yeah,

276
00:16:39,680 --> 00:16:42,240
Speaker 3: she's like a frat boy. She has six beers a

277
00:16:42,360 --> 00:16:45,040
Speaker 3: night and twelve a day on the weekend. And I

278
00:16:45,120 --> 00:16:47,480
Speaker 3: of course told her that that's way too much alcohol

279
00:16:47,520 --> 00:16:50,960
Speaker 3: for her liver, which is probably filled with fat, you know,

280
00:16:51,080 --> 00:16:52,880
Speaker 3: as a lot of obese people have fatty liver.

281
00:16:53,440 --> 00:16:56,479
Speaker 2: But that also it's a lot of calories.

282
00:16:56,720 --> 00:17:01,200
Speaker 3: It's about six hundred and fifty to twelve hundred calories

283
00:17:01,400 --> 00:17:03,480
Speaker 3: a day that she doesn't need to have. And I

284
00:17:03,560 --> 00:17:07,400
Speaker 3: really encourage her to try and get off of drinking.

285
00:17:07,480 --> 00:17:10,760
Speaker 3: And I mentioned that people who have taken this medication

286
00:17:10,880 --> 00:17:15,240
Speaker 3: have said they've lost their craving for alcohol, and she

287
00:17:15,440 --> 00:17:19,120
Speaker 3: has had one beer in four months and has lost

288
00:17:19,200 --> 00:17:20,440
Speaker 3: thirty five pounds.

289
00:17:20,840 --> 00:17:24,280
Speaker 1: Well that's kind of miraculous. I mean, have you heard

290
00:17:24,320 --> 00:17:27,359
Speaker 1: about the people who switch addictions that they have the

291
00:17:27,480 --> 00:17:29,960
Speaker 1: vertical sleeve and then they become alcoholics.

292
00:17:30,320 --> 00:17:33,720
Speaker 3: Yeah, absolutely, addiction transfer, that's a real thing. It's absolutely

293
00:17:33,720 --> 00:17:36,159
Speaker 3: a real thing. Addiction transfer. You know, when you have

294
00:17:36,240 --> 00:17:41,920
Speaker 3: a sleeve, you can't get that numb doubt feeling from

295
00:17:41,960 --> 00:17:45,920
Speaker 3: binging on food because your stomach is so restricted, and

296
00:17:46,960 --> 00:17:50,960
Speaker 3: you know, your brain will look to adapt and find

297
00:17:51,000 --> 00:17:54,879
Speaker 3: that dopamine, that stress release that you have become so

298
00:17:55,000 --> 00:18:01,240
Speaker 3: accustomed to receiving by overeating with other dopamine releasing activities

299
00:18:01,600 --> 00:18:06,320
Speaker 3: like gambling, like sex, like alcohol, or drugs. So absolutely,

300
00:18:06,320 --> 00:18:09,320
Speaker 3: addiction transfer is a real thing. Their numbers are between

301
00:18:09,400 --> 00:18:12,720
Speaker 3: five and ten percent of people have baratric surgery end up,

302
00:18:12,920 --> 00:18:15,960
Speaker 3: you know, switching to a different addiction.

303
00:18:16,680 --> 00:18:18,520
Speaker 1: Yeah, that's that's a horrible thing.

304
00:18:18,720 --> 00:18:19,000
Speaker 2: Gary.

305
00:18:19,280 --> 00:18:22,640
Speaker 1: Imagine you try to fix one thing and you get

306
00:18:22,720 --> 00:18:24,639
Speaker 1: hit with another, a double whammy.

307
00:18:24,800 --> 00:18:26,280
Speaker 2: The brain has its ways.

308
00:18:26,600 --> 00:18:30,600
Speaker 1: Yeah, Well, why do you think this medication is able

309
00:18:30,680 --> 00:18:32,679
Speaker 1: to quell the food chatter?

310
00:18:33,080 --> 00:18:37,240
Speaker 3: Well, it's super interesting. The way these medications were developed

311
00:18:37,600 --> 00:18:43,640
Speaker 3: was by reverse engineering bariatric surgeries, So really the main

312
00:18:43,720 --> 00:18:46,719
Speaker 3: one was a gastric bypass. You had a gastric sleeve,

313
00:18:46,880 --> 00:18:50,160
Speaker 3: and when you take out a large portion of the stomach,

314
00:18:50,600 --> 00:18:54,280
Speaker 3: it lowers a hormone called grellin, which is a big

315
00:18:54,440 --> 00:18:57,439
Speaker 3: driver of hunger. So you know, you think of hunger

316
00:18:57,480 --> 00:19:00,000
Speaker 3: and fullness on a seesaw, or we would say hunger

317
00:19:00,119 --> 00:19:03,920
Speaker 3: in satiety on a seesaw. And so the sleeve works

318
00:19:04,359 --> 00:19:06,840
Speaker 3: in one way by dropping your grellin, because when you

319
00:19:06,880 --> 00:19:09,480
Speaker 3: take out a portion of the stomach, especially the part

320
00:19:09,600 --> 00:19:13,359
Speaker 3: that makes the grellin, your grellin levels circulating go down,

321
00:19:13,400 --> 00:19:17,159
Speaker 3: and your brain is picking up a big drop in grellin,

322
00:19:17,280 --> 00:19:21,040
Speaker 3: so your brain experiences grellin as be hungry. So when

323
00:19:21,040 --> 00:19:23,760
Speaker 3: the grellin levels down, your hunger is gone. And people

324
00:19:23,800 --> 00:19:26,120
Speaker 3: say when they have a sleeve gas stricting me, it's

325
00:19:26,119 --> 00:19:30,600
Speaker 3: like I surgically removed their appetite. And the other thing

326
00:19:30,680 --> 00:19:34,240
Speaker 3: it does is your stomach isn't this bag that can

327
00:19:34,240 --> 00:19:37,760
Speaker 3: mechanically break down food as effectively. So food ends up

328
00:19:37,880 --> 00:19:42,680
Speaker 3: sort of more chunky and less broken down, less surface

329
00:19:42,720 --> 00:19:47,119
Speaker 3: area exposed to the intestinal enzymes, and therefore the food

330
00:19:47,160 --> 00:19:51,480
Speaker 3: travels farther down into the intestine, and when the food

331
00:19:51,560 --> 00:19:55,000
Speaker 3: reaches the end of the intestine, your body has all

332
00:19:55,040 --> 00:19:59,080
Speaker 3: of these mechanisms to prevent losing those calories. And so

333
00:19:59,160 --> 00:20:01,600
Speaker 3: the very end end of the line on your intestines

334
00:20:01,880 --> 00:20:06,280
Speaker 3: has these sensor cells that when they see nutrients, specifically

335
00:20:06,320 --> 00:20:10,480
Speaker 3: fats and proteins, they send these strong hormones, one of

336
00:20:10,480 --> 00:20:15,480
Speaker 3: which is GLP one that tells your brain stop eating.

337
00:20:16,040 --> 00:20:19,800
Speaker 3: And your brain experiences that as you're not hungry, even

338
00:20:19,840 --> 00:20:23,439
Speaker 3: the pushing away from the table in Thanksgiving where you

339
00:20:23,480 --> 00:20:25,919
Speaker 3: can't you're like, I can't eat another bite, or I

340
00:20:25,960 --> 00:20:29,040
Speaker 3: feel the food in my throat. You don't really feel

341
00:20:29,040 --> 00:20:31,280
Speaker 3: the food in their throat. There's no food in your throat,

342
00:20:31,320 --> 00:20:34,600
Speaker 3: but your brain is creating that sensation to get you

343
00:20:34,720 --> 00:20:37,760
Speaker 3: to stop eating because foods hit the end of the

344
00:20:37,800 --> 00:20:40,560
Speaker 3: line and you don't want to waste food and lose

345
00:20:40,560 --> 00:20:44,399
Speaker 3: those calories because who knows when your next meal is coming. Evolutionarily,

346
00:20:44,920 --> 00:20:47,160
Speaker 3: you don't know when the next mammoth you'll take down

347
00:20:47,560 --> 00:20:49,600
Speaker 3: for the whole community to get a chance to eat.

348
00:20:50,000 --> 00:20:54,120
Speaker 3: So it stops the consumption so the intestines can catch up.

349
00:20:54,520 --> 00:20:57,480
Speaker 3: And so what they found, especially with gastric bypass where

350
00:20:57,480 --> 00:20:59,960
Speaker 3: you re route the intestine so the food sort of

351
00:21:00,119 --> 00:21:04,000
Speaker 3: drops in at the fifty yard line. Is that people

352
00:21:04,080 --> 00:21:09,640
Speaker 3: experienced this incredible sense of fullness and their blood sugars normalized.

353
00:21:09,720 --> 00:21:12,879
Speaker 3: People were able to get off diabetes medication before they

354
00:21:12,960 --> 00:21:16,560
Speaker 3: lost any weight. So that was the aha moment that

355
00:21:17,720 --> 00:21:21,840
Speaker 3: you know obesity and diabetes that they can get better

356
00:21:22,200 --> 00:21:26,359
Speaker 3: even before you lose the weight. And so Manjaro is

357
00:21:26,400 --> 00:21:29,800
Speaker 3: a diabetes medication. And it was through understanding what are

358
00:21:29,800 --> 00:21:33,040
Speaker 3: the hormonal changes that happen when food hits the end

359
00:21:33,040 --> 00:21:37,359
Speaker 3: of the intestine and people's blood sugars normalize. What is

360
00:21:37,400 --> 00:21:40,000
Speaker 3: causing that? And they found out that it's GLP one,

361
00:21:40,480 --> 00:21:44,120
Speaker 3: another hormone called peptide Why Why, which by the way,

362
00:21:44,160 --> 00:21:46,520
Speaker 3: is going to be a future drug coming out in

363
00:21:46,600 --> 00:21:53,680
Speaker 3: this whole sort of gi peptide drug class. So it's

364
00:21:53,720 --> 00:21:57,919
Speaker 3: these GLP one medications that tells your brain you've just

365
00:21:58,000 --> 00:22:02,640
Speaker 3: had a big meal, except you haven't eaten anything. So

366
00:22:02,680 --> 00:22:07,320
Speaker 3: it's it's that hormonal release that says you're good, you're full,

367
00:22:08,119 --> 00:22:11,400
Speaker 3: you don't want anything, you don't need anything, even though

368
00:22:11,440 --> 00:22:15,520
Speaker 3: you haven't eaten anything. That's the big trick that these

369
00:22:16,119 --> 00:22:18,280
Speaker 3: new drugs are able to cause in your brain.

370
00:22:18,640 --> 00:22:21,600
Speaker 1: It's pretty incredible. I have to say, you know, it

371
00:22:21,680 --> 00:22:25,960
Speaker 1: used to be when Halloween happened my kids, like would

372
00:22:26,040 --> 00:22:28,640
Speaker 1: have you know, four kids all around the same age.

373
00:22:29,040 --> 00:22:33,560
Speaker 1: They had pillowcases full of candy, and it was physically

374
00:22:33,600 --> 00:22:37,159
Speaker 1: impossible for me to stay in my room and know

375
00:22:37,520 --> 00:22:40,120
Speaker 1: that all I had to do was find their candy bag,

376
00:22:40,160 --> 00:22:43,320
Speaker 1: which they wisely hid, and then I could eat one

377
00:22:43,359 --> 00:22:47,600
Speaker 1: hundred thousand dollar bar or some other childhood chocolate. That

378
00:22:47,760 --> 00:22:51,600
Speaker 1: still beckons to me, you know. And the fact that

379
00:22:51,880 --> 00:22:55,520
Speaker 1: you know, I have a woman who's a chef cooking

380
00:22:55,520 --> 00:22:58,760
Speaker 1: for me in my effort to eat more healthy, and

381
00:22:58,800 --> 00:23:03,280
Speaker 1: she makes healthy cookie brownie things and I don't even

382
00:23:03,280 --> 00:23:06,440
Speaker 1: eat them. I walk in the kitchen, I see warm

383
00:23:06,680 --> 00:23:10,199
Speaker 1: brownies and I go, no, thank you. And I'm not

384
00:23:10,359 --> 00:23:14,280
Speaker 1: trying to I'm not, you know, part of me, missus

385
00:23:14,320 --> 00:23:18,119
Speaker 1: wanting it, you know, like I smell it and I go,

386
00:23:18,200 --> 00:23:19,479
Speaker 1: oh yeah, but I don't want to eat it.

387
00:23:19,560 --> 00:23:21,919
Speaker 2: But now you have the power. You have the power.

388
00:23:22,000 --> 00:23:26,080
Speaker 1: Now, I guess right. It's changed everything in terms of food.

389
00:23:26,280 --> 00:23:28,080
Speaker 1: I would do the Tonight show and I would think,

390
00:23:28,160 --> 00:23:32,360
Speaker 1: don't eat the cookies, don't eat the cookies. Most comics

391
00:23:32,400 --> 00:23:35,120
Speaker 1: are worrying what's going to be their stand up act.

392
00:23:35,280 --> 00:23:38,280
Speaker 1: I'm trying not to eat the snack food in the

393
00:23:38,320 --> 00:23:41,760
Speaker 1: green room. You know, all of that feels like a

394
00:23:41,880 --> 00:23:45,520
Speaker 1: history that I don't even recall. Now, you know, for

395
00:23:45,600 --> 00:23:50,160
Speaker 1: six months I've been free of it, and it feels miraculous.

396
00:23:50,800 --> 00:23:54,639
Speaker 1: It's really interesting how we carry it, why we carry it.

397
00:23:54,680 --> 00:23:58,400
Speaker 1: You know, I'm one of five siblings, and everyone has

398
00:23:58,440 --> 00:24:02,440
Speaker 1: the same body type, you know, torso big belly, thick

399
00:24:02,520 --> 00:24:06,680
Speaker 1: upper arms. You know, it's like we're Irish washerwomen bodies,

400
00:24:06,800 --> 00:24:10,960
Speaker 1: you know, and some Geraldine page stock, you know, which

401
00:24:11,000 --> 00:24:14,800
Speaker 1: is a good thing to have. But you know, I

402
00:24:15,119 --> 00:24:18,919
Speaker 1: look at families where obviously there's a problem and whether

403
00:24:19,000 --> 00:24:22,760
Speaker 1: that's genetic or whether that's the nature and the house,

404
00:24:22,880 --> 00:24:28,080
Speaker 1: and you know, everybody is so interested in what it is,

405
00:24:28,200 --> 00:24:30,960
Speaker 1: and all these companies that have made so much money

406
00:24:31,040 --> 00:24:32,840
Speaker 1: on trying to get us to do it their way

407
00:24:33,000 --> 00:24:36,520
Speaker 1: count points. And you know, the percentage of people that

408
00:24:36,560 --> 00:24:39,359
Speaker 1: lose weight and keep it off is what percent, doctor Rosen?

409
00:24:39,640 --> 00:24:40,719
Speaker 2: Less than five percent?

410
00:24:40,800 --> 00:24:42,680
Speaker 1: For sure, less than five percent.

411
00:24:43,119 --> 00:24:45,639
Speaker 3: Yeah, And it's your fault, Rosie, right, it's if you

412
00:24:45,680 --> 00:24:47,960
Speaker 3: can't do it. It's your fault and you need to

413
00:24:48,000 --> 00:24:49,199
Speaker 3: go home and try harder.

414
00:24:49,400 --> 00:24:49,600
Speaker 1: Right.

415
00:24:49,680 --> 00:24:52,359
Speaker 3: How many doctors have told that to people struggling with

416
00:24:52,400 --> 00:24:52,800
Speaker 3: their weight.

417
00:24:52,960 --> 00:24:55,119
Speaker 1: There was a doctor I never only saw her once,

418
00:24:55,240 --> 00:24:57,200
Speaker 1: and I went in and she said, you know, you're

419
00:24:57,680 --> 00:24:59,840
Speaker 1: close to two hundred pounds. I'm like, yeah, I know.

420
00:25:00,200 --> 00:25:03,919
Speaker 1: And she's like, well, you know, like when you go out,

421
00:25:04,000 --> 00:25:05,919
Speaker 1: before you leave your house, you should like cut up

422
00:25:05,920 --> 00:25:08,639
Speaker 1: some carrots and put it in a ziploc bag and

423
00:25:08,680 --> 00:25:10,600
Speaker 1: like some apples and stuff like that and just like

424
00:25:10,680 --> 00:25:13,040
Speaker 1: carry it with you. Wow. And I'm like, are you kidding?

425
00:25:13,040 --> 00:25:15,920
Speaker 1: Do you think I should have fruit and vegetables? Oh

426
00:25:15,960 --> 00:25:19,280
Speaker 1: my god, you've cured obesity in America. Thank you, thank

427
00:25:19,320 --> 00:25:21,399
Speaker 1: you for being my doctor. And that was the last

428
00:25:21,400 --> 00:25:24,439
Speaker 1: time I saw her, But you know, yeah, people do

429
00:25:24,680 --> 00:25:31,000
Speaker 1: kind of thank you. Slovenly and and unfocused and lacking discipline.

430
00:25:31,240 --> 00:25:34,439
Speaker 3: You know, patients tell me all the time, I really

431
00:25:34,480 --> 00:25:38,920
Speaker 3: eat healthy. I really don't eat a lot, right because

432
00:25:39,359 --> 00:25:46,080
Speaker 3: they think I think that they must eat poorly. But

433
00:25:46,359 --> 00:25:50,880
Speaker 3: being in this profession and taking the time to get

434
00:25:50,880 --> 00:25:54,600
Speaker 3: to know my patients, I hear the stories where people

435
00:25:54,640 --> 00:25:57,160
Speaker 3: say I moved in with my boyfriend and he couldn't

436
00:25:57,200 --> 00:26:01,480
Speaker 3: believe how little I ate, right, because I'm three hundred

437
00:26:01,520 --> 00:26:03,960
Speaker 3: pounds and he's normal weight, and he.

438
00:26:04,080 --> 00:26:08,119
Speaker 2: Just assumed that I over ate chronically.

439
00:26:08,600 --> 00:26:11,320
Speaker 3: But I know from experience that most of my obese

440
00:26:11,359 --> 00:26:12,480
Speaker 3: patients eat better than.

441
00:26:12,320 --> 00:26:16,680
Speaker 1: Me, right, And so what is that thing? Then? What

442
00:26:16,800 --> 00:26:17,520
Speaker 1: is that trigger?

443
00:26:17,720 --> 00:26:22,399
Speaker 3: The thrifty gene? They call it the notion that you're

444
00:26:22,560 --> 00:26:27,480
Speaker 3: better at retaining calories than someone who's not programmed to

445
00:26:27,560 --> 00:26:31,760
Speaker 3: be obese. Your metabolism runs lower, so even if you

446
00:26:31,840 --> 00:26:34,280
Speaker 3: eat less calories, at the end of the day, you're

447
00:26:34,359 --> 00:26:37,920
Speaker 3: left with positive calories and that gets deposited as fat.

448
00:26:38,080 --> 00:26:39,760
Speaker 3: You know, can be something as simple as you don't

449
00:26:39,800 --> 00:26:42,600
Speaker 3: fidget a lot. Fidgeting might burn an extra hundred calories

450
00:26:42,640 --> 00:26:44,880
Speaker 3: a day. You know over the course of a year

451
00:26:45,400 --> 00:26:48,280
Speaker 3: that it can add up to two pounds. Over the

452
00:26:48,280 --> 00:26:52,240
Speaker 3: course of twenty five years, that can be fifty pounds, right, right,

453
00:26:52,600 --> 00:26:57,560
Speaker 3: So it's not things that are in people's control necessarily, right.

454
00:26:57,600 --> 00:27:00,479
Speaker 3: And if you work out, your brain makes you hungry,

455
00:27:01,720 --> 00:27:04,280
Speaker 3: so eat more to make up for the calories that

456
00:27:04,359 --> 00:27:07,840
Speaker 3: you burned, and body doesn't want to lose any calories, right,

457
00:27:07,960 --> 00:27:10,600
Speaker 3: It's got to prepare for the winter which is coming.

458
00:27:11,640 --> 00:27:14,080
Speaker 3: It doesn't know that there's a bodegon every corner with

459
00:27:14,240 --> 00:27:15,600
Speaker 3: chips and things like that.

460
00:27:15,880 --> 00:27:19,560
Speaker 1: Have there been studies about how long one can stay

461
00:27:19,600 --> 00:27:23,360
Speaker 1: on this drug Manjarro, even at a low dose, because

462
00:27:23,920 --> 00:27:28,199
Speaker 1: I've heard people say, and a TikToker woman especially, that

463
00:27:28,240 --> 00:27:30,760
Speaker 1: she had lost all this money on one of these

464
00:27:30,800 --> 00:27:35,119
Speaker 1: Wago vio zempic Munjarro products and then went off and

465
00:27:35,160 --> 00:27:37,639
Speaker 1: gained double the weight back in a very short time.

466
00:27:37,760 --> 00:27:41,520
Speaker 1: And like the fear mongering is, you know, don't be

467
00:27:41,600 --> 00:27:45,840
Speaker 1: happy formerly obese people, don't feel good about yourself because

468
00:27:45,960 --> 00:27:48,280
Speaker 1: we may not let you take this for a long time.

469
00:27:48,640 --> 00:27:51,800
Speaker 1: It may be too expensive, and you know, like there's

470
00:27:52,000 --> 00:27:52,480
Speaker 1: I don't.

471
00:27:52,280 --> 00:27:54,719
Speaker 2: Know, I'll cover it, cover it.

472
00:27:54,760 --> 00:27:57,320
Speaker 3: We're going to take it away from you, and then

473
00:27:57,400 --> 00:28:01,720
Speaker 3: it's going to come back double, right, So so I

474
00:28:01,760 --> 00:28:05,159
Speaker 3: get that all the time. And a couple thoughts on that.

475
00:28:05,280 --> 00:28:10,320
Speaker 3: First of all, just because something may stop working doesn't

476
00:28:10,320 --> 00:28:13,760
Speaker 3: mean you shouldn't do it. Just you know, when you

477
00:28:13,800 --> 00:28:17,000
Speaker 3: stop taking tail and all your headache may come back,

478
00:28:17,080 --> 00:28:21,879
Speaker 3: doesn't mean you don't enjoy being headache free for four hours, right,

479
00:28:22,119 --> 00:28:26,399
Speaker 3: you know, And you know it is expensive right now,

480
00:28:26,520 --> 00:28:31,480
Speaker 3: and patients are burning through their FSA or their savings

481
00:28:31,920 --> 00:28:34,320
Speaker 3: in order to get this drug, and access is.

482
00:28:34,280 --> 00:28:36,040
Speaker 2: A real problem right now.

483
00:28:36,400 --> 00:28:40,800
Speaker 3: Yes, and if people do come off the medication, there's

484
00:28:41,040 --> 00:28:44,360
Speaker 3: going to be a rebound hunger, no question about it,

485
00:28:44,640 --> 00:28:49,240
Speaker 3: because there's a hunger suppression. And why there's a hunger

486
00:28:49,280 --> 00:28:52,880
Speaker 3: suppression is because the GLP one that's in higher levels

487
00:28:52,920 --> 00:28:57,240
Speaker 3: than is typical floods your brain and GLP one says

488
00:28:57,320 --> 00:29:01,440
Speaker 3: you're not hungry. So the receptors or GLP one are like,

489
00:29:01,880 --> 00:29:04,360
Speaker 3: oh my god, there's so much GLP one here.

490
00:29:04,640 --> 00:29:07,000
Speaker 2: We're not hungry. But we also we don't need.

491
00:29:06,920 --> 00:29:09,840
Speaker 3: To all be out here looking for GLP one because

492
00:29:09,880 --> 00:29:13,560
Speaker 3: there's plenty of it around. So your brain downregulates the

493
00:29:13,640 --> 00:29:15,800
Speaker 3: number of receptors. You know, your body isn't gonna spend

494
00:29:16,040 --> 00:29:19,160
Speaker 3: energy making a bunch of receptors when there's tons of

495
00:29:19,160 --> 00:29:22,959
Speaker 3: stuff around. So because there's high levels of GLPU, you

496
00:29:23,040 --> 00:29:27,360
Speaker 3: downregulate your receptors. And then if you come off your

497
00:29:27,640 --> 00:29:30,640
Speaker 3: mount Jaro or a zepik or WGOVI some sort of

498
00:29:30,680 --> 00:29:35,400
Speaker 3: GLP one agonist medication, especially if it's a rapid stop

499
00:29:36,000 --> 00:29:38,880
Speaker 3: all of a sudden, those fewer numbers of receptors are like,

500
00:29:39,400 --> 00:29:42,280
Speaker 3: oh my god, where did all the GLP one go?

501
00:29:42,520 --> 00:29:46,400
Speaker 3: There's no GLP one. We're hungry, We're hungry, We're right right,

502
00:29:46,760 --> 00:29:51,480
Speaker 3: and they're like, we need more receptors for GLP one.

503
00:29:51,840 --> 00:29:54,719
Speaker 2: Quick start making receptors. Because there's not so much ELP one.

504
00:29:54,760 --> 00:29:56,800
Speaker 3: We need even more receptors to find the little that's

505
00:29:56,840 --> 00:29:59,160
Speaker 3: out there. So now instead of saying like we're hungry,

506
00:29:59,200 --> 00:30:02,360
Speaker 3: we're hungry, it's like ten times as many receptors.

507
00:30:01,880 --> 00:30:04,040
Speaker 1: Going we're hold right, we're hold right.

508
00:30:05,000 --> 00:30:08,520
Speaker 3: And so you know, you can try and white knuckle

509
00:30:08,560 --> 00:30:12,120
Speaker 3: your way through, but weight regain it would be extremely

510
00:30:12,280 --> 00:30:16,480
Speaker 3: difficult to avoid in that setting. So for me, I

511
00:30:16,600 --> 00:30:20,120
Speaker 3: try and wean people off so that there isn't that

512
00:30:20,280 --> 00:30:21,959
Speaker 3: amplification of hunger.

513
00:30:22,440 --> 00:30:24,560
Speaker 2: I think in the setting of people.

514
00:30:24,320 --> 00:30:27,240
Speaker 1: With excuse me, but why would you wean people off

515
00:30:27,280 --> 00:30:29,800
Speaker 1: like because someone says they don't like the side effects?

516
00:30:29,840 --> 00:30:33,080
Speaker 1: I thankfully knock would haven't had any, But why would

517
00:30:33,160 --> 00:30:34,680
Speaker 1: someone say they want to go off of it?

518
00:30:34,920 --> 00:30:37,640
Speaker 3: So first of all, I'm talking about in a setting

519
00:30:37,640 --> 00:30:40,280
Speaker 3: where let's say they can't afford it anymore.

520
00:30:40,480 --> 00:30:42,920
Speaker 2: In an ideal setting, I wouldn't stop.

521
00:30:42,600 --> 00:30:44,840
Speaker 1: It, like understood yes, like a knife.

522
00:30:44,840 --> 00:30:47,680
Speaker 2: I would try and lower their dose gradually.

523
00:30:48,240 --> 00:30:51,000
Speaker 3: Someone who's having a lot of side effects but doesn't

524
00:30:51,000 --> 00:30:53,000
Speaker 3: necessarily want to get off the medication, I would maybe

525
00:30:53,080 --> 00:30:55,360
Speaker 3: try and have them on a lower dose to see

526
00:30:55,400 --> 00:30:58,959
Speaker 3: if we can control those side effects while maintaining the

527
00:30:59,000 --> 00:31:02,640
Speaker 3: weight or at least avoiding regain, if that's a priority

528
00:31:02,680 --> 00:31:05,360
Speaker 3: for them. So, I just don't like the notion of

529
00:31:05,360 --> 00:31:09,800
Speaker 3: someone who's on this medication, especially the higher doses, and

530
00:31:09,840 --> 00:31:13,720
Speaker 3: then they are forced to stop, and then the weight

531
00:31:13,720 --> 00:31:16,600
Speaker 3: gain is quite can be quite devastating.

532
00:31:18,720 --> 00:31:21,240
Speaker 1: So yeah, I have fears of that, I really do.

533
00:31:21,480 --> 00:31:23,640
Speaker 1: I have fears of it. How long can one stay

534
00:31:23,640 --> 00:31:23,959
Speaker 1: on it?

535
00:31:24,840 --> 00:31:25,720
Speaker 2: I don't think we know.

536
00:31:26,080 --> 00:31:28,960
Speaker 3: These medications have been around for quite a long time,

537
00:31:29,200 --> 00:31:32,400
Speaker 3: like twenty years or twenty years. Yeah, twenty two thousand

538
00:31:32,440 --> 00:31:37,640
Speaker 3: and five was the first medication in this class. They've

539
00:31:37,640 --> 00:31:41,600
Speaker 3: gotten better and better, and these mostly were diabetes medications

540
00:31:41,600 --> 00:31:45,240
Speaker 3: that were co opted because they provided effective weight loss.

541
00:31:45,560 --> 00:31:48,600
Speaker 3: And only now as it rebranded from ozemic into a

542
00:31:48,640 --> 00:31:51,040
Speaker 3: GOVI and they'll be coming out with it a mount

543
00:31:51,120 --> 00:31:54,600
Speaker 3: Jarro rebrand just for weight loss soon, you know, for

544
00:31:54,640 --> 00:31:57,400
Speaker 3: the time being, or anyone using it just for weight loss,

545
00:31:57,480 --> 00:32:00,400
Speaker 3: is using it off label, so we don't how long

546
00:32:00,440 --> 00:32:03,719
Speaker 3: you could be on Mount Jarro. But the good thing

547
00:32:03,760 --> 00:32:07,160
Speaker 3: about these medications that gives me hope is that they're

548
00:32:07,240 --> 00:32:14,520
Speaker 3: really biologic medication. They're really utilizing the body's own system

549
00:32:14,640 --> 00:32:19,760
Speaker 3: to control appetite and fullness, and that gives me hope

550
00:32:19,760 --> 00:32:22,040
Speaker 3: that you can be on them for a long time.

551
00:32:22,400 --> 00:32:26,360
Speaker 1: Okay, good, because I would like to stay on it, Yeah,

552
00:32:26,400 --> 00:32:28,960
Speaker 1: I really would, you know. I try to explain it

553
00:32:29,000 --> 00:32:32,240
Speaker 1: to people who aren't on it, and you know, some

554
00:32:32,280 --> 00:32:35,440
Speaker 1: people that can't get their insurance, friends of mine, siblings,

555
00:32:35,520 --> 00:32:39,000
Speaker 1: people in my life. You know, it's it's a difficult

556
00:32:39,000 --> 00:32:41,000
Speaker 1: thing to get. And then even if you get the prescription,

557
00:32:41,160 --> 00:32:42,600
Speaker 1: they don't have it at the drug.

558
00:32:42,320 --> 00:32:44,680
Speaker 2: Store, you know, or they don't have your dose.

559
00:32:45,240 --> 00:32:48,200
Speaker 1: Yeah, I had to skip last week's shot because we

560
00:32:48,280 --> 00:32:51,360
Speaker 1: didn't have it, so I was very conscious to see

561
00:32:51,400 --> 00:32:53,720
Speaker 1: if I felt any different, and I didn't. But it

562
00:32:53,800 --> 00:32:56,360
Speaker 1: was only one week, right, right, And that's not really

563
00:32:57,040 --> 00:33:00,120
Speaker 1: something that can make a big difference right away. Like that.

564
00:33:00,280 --> 00:33:03,520
Speaker 3: Did you notice the difference between the day before you

565
00:33:03,560 --> 00:33:07,640
Speaker 3: took the shot, meaning day eight would be one day

566
00:33:08,240 --> 00:33:11,680
Speaker 3: after you were due to take it, versus day thirteen

567
00:33:11,760 --> 00:33:12,360
Speaker 3: or fourteen.

568
00:33:12,960 --> 00:33:15,600
Speaker 1: Well, I took it today on day fourteen.

569
00:33:15,760 --> 00:33:17,360
Speaker 2: And how are you feeling last night?

570
00:33:18,080 --> 00:33:21,719
Speaker 1: I felt no difference, really. I mean one thing that's different.

571
00:33:22,240 --> 00:33:24,120
Speaker 1: The only thing that was different in the week is

572
00:33:24,200 --> 00:33:27,520
Speaker 1: I had some microwave popcorn about half a bowl, and

573
00:33:27,560 --> 00:33:29,400
Speaker 1: I haven't had that in you know, months.

574
00:33:29,640 --> 00:33:32,640
Speaker 3: So you've also been on it for a while, right,

575
00:33:32,720 --> 00:33:35,480
Speaker 3: So that kind of builds up, and the longer you've

576
00:33:35,480 --> 00:33:40,000
Speaker 3: been on it, probably the more you have in your system, yeah,

577
00:33:40,040 --> 00:33:41,120
Speaker 3: to tide you through.

578
00:33:41,600 --> 00:33:44,600
Speaker 1: And the importance of exercise in this Manjaro thing is

579
00:33:44,640 --> 00:33:46,960
Speaker 1: something that we need to talk about too, because you know,

580
00:33:47,000 --> 00:33:50,640
Speaker 1: people are losing so much weight so quickly, and you

581
00:33:50,680 --> 00:33:53,440
Speaker 1: know you have to sort of tone the muscles and

582
00:33:53,640 --> 00:33:57,160
Speaker 1: keep yourself fit. Your core muscles, your leg muscles, you know,

583
00:33:57,360 --> 00:34:00,400
Speaker 1: super important, and especially as we get older, you know.

584
00:34:00,640 --> 00:34:06,640
Speaker 3: The body doesn't know to protect the muscle and preferentially

585
00:34:06,840 --> 00:34:09,960
Speaker 3: take the fat if you're not giving it signals that

586
00:34:09,960 --> 00:34:11,320
Speaker 3: that muscle is necessary.

587
00:34:12,840 --> 00:34:15,600
Speaker 1: Interesting, I saw a TikTok, which you know, you get

588
00:34:15,600 --> 00:34:18,480
Speaker 1: all the facts from TikTok, where it was an older

589
00:34:18,480 --> 00:34:21,200
Speaker 1: man who was a doctor MD, and he was saying

590
00:34:21,239 --> 00:34:24,440
Speaker 1: that even if you have an autoimmune disease and you're

591
00:34:25,200 --> 00:34:28,760
Speaker 1: you drink every night. You know, the guy who exercises

592
00:34:28,920 --> 00:34:30,920
Speaker 1: is going to live longer than you. You know, like

593
00:34:31,120 --> 00:34:33,480
Speaker 1: he was saying, no matter what you do, you have

594
00:34:33,560 --> 00:34:36,359
Speaker 1: to exercise, move it or lose it. That's you know.

595
00:34:36,840 --> 00:34:40,520
Speaker 3: Yeah, it's important. And I tell patients if they want

596
00:34:40,560 --> 00:34:45,160
Speaker 3: to lose weight, exercise will make that weight loss happen

597
00:34:45,280 --> 00:34:49,960
Speaker 3: quicker because if you're running a calorie deficit, if you

598
00:34:50,080 --> 00:34:53,960
Speaker 3: burn more calories, it just exaggerates that deficit. But it's

599
00:34:54,040 --> 00:34:59,880
Speaker 3: also so helpful in your joints feeling good, protecting them,

600
00:35:00,080 --> 00:35:03,840
Speaker 3: Muscle signaling to your body, Hey we need this muscle.

601
00:35:04,200 --> 00:35:06,360
Speaker 3: That's also why you need to eat and focus on

602
00:35:06,440 --> 00:35:09,960
Speaker 3: protein because that's another signal to your body. We got

603
00:35:09,960 --> 00:35:12,640
Speaker 3: plenty of protein coming in. No need to break down

604
00:35:12,680 --> 00:35:15,320
Speaker 3: the protein we already have in our muscle.

605
00:35:15,640 --> 00:35:17,799
Speaker 1: Yeah, that's a big part of this. It's almost like

606
00:35:17,840 --> 00:35:20,760
Speaker 1: you have to think of it almost like keto, where

607
00:35:20,800 --> 00:35:23,440
Speaker 1: you got to get your protein in. You know, you

608
00:35:23,520 --> 00:35:25,560
Speaker 1: got to eat that first and then go to the

609
00:35:25,680 --> 00:35:28,200
Speaker 1: charred broccolate which is also delicious.

610
00:35:28,280 --> 00:35:28,640
Speaker 2: That's right.

611
00:35:28,760 --> 00:35:33,040
Speaker 4: Protein and veggies. Yeah, that's where it's at. Stick around

612
00:35:33,120 --> 00:35:56,359
Speaker 4: there's more to come. How'd you get interested in this

613
00:35:56,480 --> 00:35:58,040
Speaker 4: line of doctoring.

614
00:36:00,360 --> 00:36:03,600
Speaker 3: Was first of all, the surgery. You know, I started

615
00:36:03,640 --> 00:36:06,400
Speaker 3: as a barioatric surgeon or a weight loss surgeon, and

616
00:36:06,440 --> 00:36:11,960
Speaker 3: that was before these medications were around. These medications are revolutionary, Yeah,

617
00:36:12,000 --> 00:36:18,920
Speaker 3: because I never gave much credence to the prior classes

618
00:36:18,920 --> 00:36:22,920
Speaker 3: of obesity medications weight loss medications because they were so

619
00:36:23,239 --> 00:36:28,560
Speaker 3: ineffective compared to surgery. So for me, it's about, you know, results.

620
00:36:28,920 --> 00:36:31,759
Speaker 3: I'm like a New York guy, I want like the results,

621
00:36:32,200 --> 00:36:37,120
Speaker 3: and surgery was so impactful and so dramatic with the

622
00:36:37,120 --> 00:36:39,160
Speaker 3: weight loss that it could achieve. So I got into

623
00:36:39,200 --> 00:36:42,920
Speaker 3: it first because the surgery is really rewarding and technical.

624
00:36:43,400 --> 00:36:47,240
Speaker 3: You know, I only do minimally invasive surgery, laparoscopic surgery

625
00:36:47,280 --> 00:36:51,400
Speaker 3: through tiny holes with cameras, and lately robotic surgery, and

626
00:36:51,719 --> 00:36:54,600
Speaker 3: that kind of gets me going from a technical perspective,

627
00:36:54,640 --> 00:36:55,800
Speaker 3: I really enjoy that.

628
00:36:55,800 --> 00:36:58,040
Speaker 2: That's like my zen, you know, when I'm in the oh,

629
00:36:58,080 --> 00:36:58,799
Speaker 2: are doing that?

630
00:36:59,080 --> 00:37:01,359
Speaker 1: Is there a weight loss limit? Like there's the guy

631
00:37:01,440 --> 00:37:05,560
Speaker 1: on TV who specializes in over six hundred pound people? Yeah,

632
00:37:05,600 --> 00:37:07,680
Speaker 1: is there a limit that you say? You know, this

633
00:37:07,840 --> 00:37:10,479
Speaker 1: is too dangerous or I need you to lose weight

634
00:37:10,520 --> 00:37:11,839
Speaker 1: before well you're trying.

635
00:37:11,960 --> 00:37:15,320
Speaker 3: Yeah, anyone who is in that five hundred plus category,

636
00:37:15,920 --> 00:37:19,200
Speaker 3: you want to encourage them and help them to lose

637
00:37:19,320 --> 00:37:22,520
Speaker 3: as much weight as possible. And you want to do

638
00:37:23,040 --> 00:37:26,080
Speaker 3: less risky surgeries like a sleeve than some sort of

639
00:37:26,080 --> 00:37:29,960
Speaker 3: bypass operation because it's like forty five minutes in and

640
00:37:30,000 --> 00:37:33,000
Speaker 3: out and get them off the table quick, right, and

641
00:37:33,080 --> 00:37:35,120
Speaker 3: then have them lose one hundred and fifty two hundred

642
00:37:35,120 --> 00:37:37,680
Speaker 3: pounds and then maybe do a bypass when.

643
00:37:37,520 --> 00:37:38,880
Speaker 2: It's a little less risky.

644
00:37:40,560 --> 00:37:44,960
Speaker 3: There are hospitals that specialize in those super super morbidly

645
00:37:45,040 --> 00:37:45,960
Speaker 3: obese patients.

646
00:37:46,360 --> 00:37:46,600
Speaker 1: Yeah.

647
00:37:46,600 --> 00:37:48,680
Speaker 3: I'm not a huge fan of that show. I think

648
00:37:48,760 --> 00:37:50,160
Speaker 3: it's a bit voyeuristic.

649
00:37:50,440 --> 00:37:53,120
Speaker 2: For me. It's like a month in it's lumped in

650
00:37:53,160 --> 00:37:53,800
Speaker 2: with hoarders.

651
00:37:54,640 --> 00:37:57,759
Speaker 1: Yes, they will. They pick people who you know, have

652
00:37:57,960 --> 00:38:00,799
Speaker 1: such obvious mental distress as well well, and they don't

653
00:38:00,840 --> 00:38:03,960
Speaker 1: really ever address that. And then that doctor's like, you know,

654
00:38:04,040 --> 00:38:07,200
Speaker 1: do hoopa do this today? You can't eat that, you know,

655
00:38:07,239 --> 00:38:11,320
Speaker 1: and he's yelling at them, and I think they're being shamed,

656
00:38:11,600 --> 00:38:15,200
Speaker 1: you know, And I mean I understand, like you're fighting

657
00:38:15,200 --> 00:38:18,440
Speaker 1: for your life. It's hard. It's hard when people say,

658
00:38:18,520 --> 00:38:21,720
Speaker 1: why don't you fight harder? You know, but sometimes people can't.

659
00:38:22,239 --> 00:38:26,239
Speaker 3: Yeah, it's a real voyeuristic, objectifying show. I see him

660
00:38:26,239 --> 00:38:30,719
Speaker 3: at conferences sometimes, but I think he's doing good work.

661
00:38:30,760 --> 00:38:32,279
Speaker 3: I think he's helping a lot of people. I think

662
00:38:32,280 --> 00:38:36,080
Speaker 3: that surgery is extremely dangerous. If I can avoid operating

663
00:38:36,120 --> 00:38:38,759
Speaker 3: on someone that wight, I'd prefer to send them to

664
00:38:38,800 --> 00:38:41,120
Speaker 3: one of those super specialized hospitals. So I tend to

665
00:38:41,160 --> 00:38:44,120
Speaker 3: not take on cases that are that big. Yeah, but

666
00:38:44,400 --> 00:38:49,719
Speaker 3: it was also the transformation, Like surgeons don't necessarily love

667
00:38:49,840 --> 00:38:53,440
Speaker 3: being out of the operating room and that whole face

668
00:38:53,480 --> 00:38:55,960
Speaker 3: to face. We like our patients to sleep and covered

669
00:38:56,000 --> 00:39:01,680
Speaker 3: with blue drapes. Right, So so, but I really like

670
00:39:01,760 --> 00:39:05,080
Speaker 3: fell in love with watching that transformation happen in front

671
00:39:05,120 --> 00:39:08,280
Speaker 3: of my eyes over you know, three to six months

672
00:39:08,400 --> 00:39:14,040
Speaker 3: after surgery, and I found the stories amazing, the dynamics,

673
00:39:14,600 --> 00:39:19,680
Speaker 3: the changing of people's relationships. Yeah, someone got married because

674
00:39:19,719 --> 00:39:23,120
Speaker 3: the husband likes a woman who has low self esteem

675
00:39:23,160 --> 00:39:25,040
Speaker 3: and can't really handle when all of a sudden they.

676
00:39:24,960 --> 00:39:26,800
Speaker 2: Get all of this attention.

677
00:39:27,440 --> 00:39:32,760
Speaker 3: Right, Someone loses their friends because they were the funny

678
00:39:32,800 --> 00:39:36,319
Speaker 3: fat girl and that was their only role that their

679
00:39:36,320 --> 00:39:41,040
Speaker 3: friends could accept, you know, and talking to people about

680
00:39:41,040 --> 00:39:44,120
Speaker 3: this and being open about it and preparing them for

681
00:39:44,160 --> 00:39:50,239
Speaker 3: it was just really rewarding and fulfilling. And then these

682
00:39:50,280 --> 00:39:51,800
Speaker 3: meds came along and it's.

683
00:39:51,680 --> 00:39:53,760
Speaker 1: Like changed a whole universe.

684
00:39:54,440 --> 00:39:57,760
Speaker 2: It's changed everything in the last eighteen months.

685
00:39:58,280 --> 00:40:01,200
Speaker 1: Now, what do you think about this controvert see about children?

686
00:40:01,320 --> 00:40:04,640
Speaker 1: You think children could benefit? I mean, I know when

687
00:40:04,640 --> 00:40:07,760
Speaker 1: you see a obese child, you know, my heart breaks

688
00:40:07,760 --> 00:40:10,480
Speaker 1: for them. Number one, at how hard it will be

689
00:40:10,680 --> 00:40:12,960
Speaker 1: to be in school and be teased and not able

690
00:40:13,000 --> 00:40:16,440
Speaker 1: to play sports. And I don't know, just it's so

691
00:40:16,800 --> 00:40:22,400
Speaker 1: overwhelmingly a negative future that awaits them if we don't

692
00:40:22,440 --> 00:40:25,600
Speaker 1: get it solved when they're a kid. Is there is

693
00:40:25,640 --> 00:40:27,839
Speaker 1: there anything? I mean? I know they don't test these

694
00:40:27,920 --> 00:40:32,080
Speaker 1: kind of drugs on children, and I've read some articles

695
00:40:32,080 --> 00:40:35,759
Speaker 1: about them that have strong opinions that kids should not

696
00:40:35,840 --> 00:40:38,160
Speaker 1: be on them. But what is your feelings?

697
00:40:38,400 --> 00:40:43,840
Speaker 3: They definitely do test these drugs on children. Really, Wigovi

698
00:40:44,080 --> 00:40:49,200
Speaker 3: was approved for adolescents twelve to eighteen years old, and

699
00:40:49,239 --> 00:40:53,600
Speaker 3: they wouldn't make that approval without tons of data that

700
00:40:53,640 --> 00:40:58,279
Speaker 3: demonstrates safety, okay, and efficacy or that it works so

701
00:40:58,880 --> 00:41:04,279
Speaker 3: these medications at least ozembic slash wigovi, which is generically

702
00:41:04,320 --> 00:41:10,399
Speaker 3: known as semaglutide, has been approved for adolescents. And it's

703
00:41:11,320 --> 00:41:16,880
Speaker 3: a tricky area, especially in today's like political environment, to

704
00:41:17,040 --> 00:41:21,480
Speaker 3: talk about like medicating kids. You see all these laws

705
00:41:21,680 --> 00:41:26,040
Speaker 3: about healthcare for trans kids coming out.

706
00:41:26,040 --> 00:41:30,000
Speaker 1: So scary and so horrifying. It's like, how did the

707
00:41:30,120 --> 00:41:32,640
Speaker 1: United States of America become this right?

708
00:41:33,239 --> 00:41:37,799
Speaker 3: And trans kids go through so much as it is,

709
00:41:38,400 --> 00:41:43,560
Speaker 3: they're obese trans kids out there, and there's depressed trans

710
00:41:43,640 --> 00:41:46,719
Speaker 3: kids out there in the suicide rate, And would you

711
00:41:46,760 --> 00:41:50,600
Speaker 3: say that they couldn't have this medication to be healthier,

712
00:41:51,080 --> 00:41:55,360
Speaker 3: to socially be more accepted. I think the safety is

713
00:41:55,400 --> 00:42:00,640
Speaker 3: there to demonstrate a benefit. There have been studies for surgeries.

714
00:42:00,800 --> 00:42:05,280
Speaker 3: They've done lots of studies for obesity surgery on adolescent kids,

715
00:42:05,560 --> 00:42:09,040
Speaker 3: and it improves their health, it improves their quality of life,

716
00:42:09,280 --> 00:42:14,920
Speaker 3: it improves their social satisfaction. It gives this fork in

717
00:42:14,960 --> 00:42:18,759
Speaker 3: the road where someone can have their late teens and

718
00:42:18,920 --> 00:42:24,359
Speaker 3: twenties be so dramatically different. And if a fourteen year

719
00:42:24,400 --> 00:42:28,560
Speaker 3: old can get a nose job, why can't a fourteen

720
00:42:28,640 --> 00:42:33,160
Speaker 3: year old be put on this medication if the doctors

721
00:42:33,160 --> 00:42:34,160
Speaker 3: feel it's appropriate.

722
00:42:34,760 --> 00:42:37,080
Speaker 1: Right, good point that those are a good point, you

723
00:42:37,160 --> 00:42:40,080
Speaker 1: know what, And you can't really walk in anyone else's shoes.

724
00:42:39,800 --> 00:42:42,280
Speaker 2: Right, Yeah, you can't do comparative suffering.

725
00:42:42,400 --> 00:42:46,640
Speaker 3: Right. If someone is suffering and this offers them a lifeline, yeah,

726
00:42:46,719 --> 00:42:48,359
Speaker 3: who are we to say they shouldn't have it?

727
00:42:49,239 --> 00:42:52,720
Speaker 1: I agree? I totally agree. Well, listen, is there anything

728
00:42:52,719 --> 00:42:54,759
Speaker 1: you want to ask me before we go? That's been

729
00:42:54,840 --> 00:43:00,719
Speaker 1: a very interesting conversation and I'm hoping that we help

730
00:43:00,800 --> 00:43:02,400
Speaker 1: some people if they had questions.

731
00:43:02,800 --> 00:43:05,560
Speaker 3: Yeah, I mean, I want to thank you for being

732
00:43:05,600 --> 00:43:08,120
Speaker 3: so open and honest. I think a lot of people

733
00:43:08,400 --> 00:43:11,120
Speaker 3: are afraid to admit they're on these medications.

734
00:43:11,520 --> 00:43:12,719
Speaker 1: Why do you think that is.

735
00:43:13,680 --> 00:43:19,680
Speaker 3: Because obesity bias? Because we love to hate people with obesity.

736
00:43:20,200 --> 00:43:22,479
Speaker 3: We don't hate people with high blood pressure, we don't

737
00:43:22,520 --> 00:43:26,200
Speaker 3: hate people with high cholesterol. We don't say they're weak

738
00:43:26,600 --> 00:43:30,640
Speaker 3: and blame them for their conditions. But because people have

739
00:43:30,719 --> 00:43:34,600
Speaker 3: to wear their disease out in public, they can be shamed.

740
00:43:34,960 --> 00:43:37,279
Speaker 3: And it's a kind of shaming where you don't get

741
00:43:37,280 --> 00:43:39,759
Speaker 3: to even get better, because if you're trying to get

742
00:43:39,800 --> 00:43:43,520
Speaker 3: better in any way except for that ingrained diet and

743
00:43:43,600 --> 00:43:48,440
Speaker 3: exercise nearly guaranteed failure route that's been shoved down our

744
00:43:48,440 --> 00:43:51,960
Speaker 3: throats for so long. Then you're taking a shortcut, right.

745
00:43:52,280 --> 00:43:55,319
Speaker 3: So it's like a damned if you do, damned if

746
00:43:55,320 --> 00:43:59,560
Speaker 3: you don't. It's a condemnation on our society. And I

747
00:43:59,600 --> 00:44:02,520
Speaker 3: think you part of the beginning of a change.

748
00:44:02,840 --> 00:44:05,960
Speaker 1: Well, I certainly hope. So I think that you can have.

749
00:44:06,080 --> 00:44:08,760
Speaker 1: You know, listen, I look at Lizzo and I think,

750
00:44:08,800 --> 00:44:12,080
Speaker 1: good for her, you know, I think she's beautiful. I

751
00:44:12,520 --> 00:44:15,960
Speaker 1: look at her and I'm so inspired and so motivated,

752
00:44:16,320 --> 00:44:18,960
Speaker 1: and yet some little part voice and sign we goes,

753
00:44:19,000 --> 00:44:21,319
Speaker 1: oh no, don't she should cover that up? Oh no,

754
00:44:21,560 --> 00:44:25,040
Speaker 1: oh no, Right, I have to quiet that little voice

755
00:44:25,040 --> 00:44:27,600
Speaker 1: inside of me that you know that there's shame and

756
00:44:27,680 --> 00:44:30,040
Speaker 1: a roll of fat on your stomach, and look at

757
00:44:30,040 --> 00:44:33,879
Speaker 1: it on her. She embraces herself, She loves herself. I'm

758
00:44:33,920 --> 00:44:38,000
Speaker 1: wearing her bra and shorts right now from her yiddy line.

759
00:44:38,239 --> 00:44:41,200
Speaker 1: I bought all the stuff that they had because she

760
00:44:41,320 --> 00:44:43,759
Speaker 1: looks so great and everything, and I thought, let me

761
00:44:43,840 --> 00:44:47,719
Speaker 1: try to reframe what I think about myself. Let me

762
00:44:47,760 --> 00:44:50,880
Speaker 1: see if I can buy the stuff that she wears

763
00:44:50,920 --> 00:44:53,400
Speaker 1: and do it just for myself and my house and

764
00:44:53,480 --> 00:44:59,000
Speaker 1: my life. And you know, honestly, it's honey, wouldn't wouldn't

765
00:44:59,000 --> 00:45:00,800
Speaker 1: that be great if I could get a little lizzo.

766
00:45:00,960 --> 00:45:03,719
Speaker 1: I got to tell you that I'm very much of

767
00:45:03,760 --> 00:45:05,920
Speaker 1: a prude in some ways, I have to say, and

768
00:45:06,640 --> 00:45:10,080
Speaker 1: still kind of fat phobic about myself and you know,

769
00:45:10,160 --> 00:45:12,800
Speaker 1: not as much other people, but definitely about myself.

770
00:45:13,280 --> 00:45:17,319
Speaker 3: Well, you hid it well because you advocate for so

771
00:45:17,440 --> 00:45:21,400
Speaker 3: many and like I've told you before, you're an absolute treasure.

772
00:45:21,960 --> 00:45:23,160
Speaker 1: Oh, thank you so much.

773
00:45:23,200 --> 00:45:27,279
Speaker 3: I hope you keep sharing your stories with people and

774
00:45:27,320 --> 00:45:28,400
Speaker 3: I appreciate.

775
00:45:27,960 --> 00:45:31,160
Speaker 1: You and I think that you're great on the TikTok,

776
00:45:31,239 --> 00:45:35,320
Speaker 1: you're great on the Instagram. You a very loving, caring doctor.

777
00:45:35,520 --> 00:45:38,560
Speaker 1: And although I don't know you personally and I didn't

778
00:45:38,600 --> 00:45:41,319
Speaker 1: vet you, I just went on my vibes, and my

779
00:45:41,440 --> 00:45:43,040
Speaker 1: vibes are that you're a good guy and you know

780
00:45:43,080 --> 00:45:45,799
Speaker 1: what you're doing. Try thank you so much for being here,

781
00:45:45,840 --> 00:45:48,320
Speaker 1: and tell everybody where they can find you on TikTok

782
00:45:48,440 --> 00:45:49,360
Speaker 1: or Instagram.

783
00:45:49,600 --> 00:45:53,720
Speaker 3: Yeah, doctor Daniel Rosen d R Daniel Rosen on TikTok

784
00:45:53,719 --> 00:45:54,680
Speaker 3: and Instagram.

785
00:45:54,719 --> 00:46:08,480
Speaker 1: All right, thanks for being here. My pleasure, ay and

786
00:46:08,520 --> 00:46:11,120
Speaker 1: that was doctor Daniel Rosen. I hope that you enjoyed

787
00:46:11,120 --> 00:46:14,960
Speaker 1: that I'm trying to talk about feelings and facts and

788
00:46:15,000 --> 00:46:18,680
Speaker 1: the journey of obesity in America and weight loss individually.

789
00:46:19,440 --> 00:46:22,000
Speaker 1: If you have any questions, please drop us a voice

790
00:46:22,040 --> 00:46:27,120
Speaker 1: memo and next week the one and only sheil and Evans.

791
00:46:27,200 --> 00:46:31,840
Speaker 1: Google her. She's the most awarded woman in Hollywood period.

792
00:46:32,320 --> 00:46:36,640
Speaker 1: She's an expert at documentaries and ran HBO's documentary films

793
00:46:36,680 --> 00:46:40,080
Speaker 1: for many decades and now she's working at MTV. Eighty

794
00:46:40,120 --> 00:46:42,640
Speaker 1: four years old, smartest attack and one of my favorite

795
00:46:42,640 --> 00:46:53,000
Speaker 1: women on Earth. Sheilan Evans next week