1 00:00:11,200 --> 00:00:14,000 Speaker 1: All right. If you guys haven't heard about g lp ones, 2 00:00:14,160 --> 00:00:17,239 Speaker 1: which are weight loss drugs like ozimpic, I would say 3 00:00:17,239 --> 00:00:20,759 Speaker 1: you're probably living under a rock. Many people have seen 4 00:00:20,800 --> 00:00:23,799 Speaker 1: these life changing weight loss from these drugs, but there's 5 00:00:23,840 --> 00:00:26,799 Speaker 1: also a lot of people who are skeptical, and I 6 00:00:27,000 --> 00:00:29,400 Speaker 1: can be included in that, as you know, what is 7 00:00:29,440 --> 00:00:32,800 Speaker 1: the longevity of this situation, what are the side effects? 8 00:00:32,800 --> 00:00:34,960 Speaker 1: And once again, are we just throwing a pill at 9 00:00:34,960 --> 00:00:38,120 Speaker 1: something that seems to be rooted in a deeper issue. 10 00:00:38,200 --> 00:00:40,199 Speaker 1: So I always love to do these deep dives so 11 00:00:40,200 --> 00:00:42,440 Speaker 1: we can set our intentions for the year. So doctor 12 00:00:42,440 --> 00:00:45,960 Speaker 1: Alexandra Soa is here. Hi, Doctor Soa, Hi. 13 00:00:45,920 --> 00:00:47,159 Speaker 2: Thank you so much for having me. 14 00:00:47,960 --> 00:00:50,879 Speaker 1: So I wanted to first and foremost just give listeners. 15 00:00:50,880 --> 00:00:52,680 Speaker 1: Like I said, if you haven't heard of ozimpic, I mean, 16 00:00:52,680 --> 00:00:54,760 Speaker 1: you even brought up to me earlier before we started 17 00:00:54,760 --> 00:00:57,760 Speaker 1: the podcast about the Golden Globes last night, and immediately 18 00:00:58,520 --> 00:01:00,680 Speaker 1: there's a joke made about, oh, look at all the 19 00:01:00,680 --> 00:01:03,880 Speaker 1: ozembic phases. It's a huge thing happening in our society. 20 00:01:04,000 --> 00:01:06,600 Speaker 1: So if you haven't heard of it, it would be crazy. 21 00:01:06,640 --> 00:01:09,640 Speaker 1: But if someone hasn't, can you just say tell the listeners. 22 00:01:09,680 --> 00:01:11,200 Speaker 1: What is a GLP one? 23 00:01:11,680 --> 00:01:14,920 Speaker 2: Yes, So my book is called the ozembic Revolution because 24 00:01:15,800 --> 00:01:18,600 Speaker 2: we've kind of come to lump all these drugs under 25 00:01:18,720 --> 00:01:23,039 Speaker 2: the name ozempic, but really we're talking about GLP one drugs. 26 00:01:23,880 --> 00:01:26,360 Speaker 2: Glp One is a hormone that occurs in the body 27 00:01:26,880 --> 00:01:31,320 Speaker 2: and it has to do with hunger and satiety regulation 28 00:01:31,480 --> 00:01:34,160 Speaker 2: in fat storage. And we've now figured out a way 29 00:01:34,200 --> 00:01:37,280 Speaker 2: to make it and actually make it lasts longer than 30 00:01:37,280 --> 00:01:39,440 Speaker 2: it does in our body, and it's become a very 31 00:01:39,480 --> 00:01:44,560 Speaker 2: effective tool for blood sugar management, weight management, and now 32 00:01:44,560 --> 00:01:47,360 Speaker 2: we're getting even more indications about how it's helping. So 33 00:01:47,800 --> 00:01:53,560 Speaker 2: GLP one medications they mimic a hormone that's naturally occurs 34 00:01:53,560 --> 00:01:57,440 Speaker 2: in the body, and that hormone acts all over our body. 35 00:01:57,560 --> 00:02:01,279 Speaker 2: But really the three big ways that it works are brain, gut, 36 00:02:01,880 --> 00:02:05,760 Speaker 2: and pancreas at the level of blood sugar. So we've 37 00:02:05,800 --> 00:02:09,760 Speaker 2: had weight management tools before, and we were practicing this 38 00:02:09,800 --> 00:02:14,040 Speaker 2: field long before these weekly injectibles came to fruition, but 39 00:02:14,120 --> 00:02:16,480 Speaker 2: we've never had anything quite as effective. And that's why 40 00:02:16,480 --> 00:02:18,839 Speaker 2: we're all talking about it, because for the first time ever, 41 00:02:19,400 --> 00:02:22,679 Speaker 2: we have a weight management tool that's non surgical that's 42 00:02:22,680 --> 00:02:26,240 Speaker 2: helping people lose incredible amounts of weight, upwards of twenty 43 00:02:26,280 --> 00:02:29,720 Speaker 2: five percent or more of their total mindyweight. So that's 44 00:02:29,720 --> 00:02:30,200 Speaker 2: what it is. 45 00:02:30,760 --> 00:02:34,280 Speaker 1: Well, you mentioned blood sugar. Weren't these drugs created initially 46 00:02:34,320 --> 00:02:35,480 Speaker 1: to help with diabetes. 47 00:02:36,320 --> 00:02:39,200 Speaker 2: Yes, and they've actually been on the market since two 48 00:02:39,280 --> 00:02:44,640 Speaker 2: thousand and five this type of medication, first for type 49 00:02:44,680 --> 00:02:50,000 Speaker 2: two diabetes management, and then actually about ten eleven years 50 00:02:50,000 --> 00:02:53,120 Speaker 2: ago we had our first drug to market in this 51 00:02:53,240 --> 00:02:55,919 Speaker 2: class for weight management. So we've had them around for 52 00:02:55,919 --> 00:02:57,919 Speaker 2: a while. That's a misconception that people say, oh, they're 53 00:02:57,919 --> 00:03:03,160 Speaker 2: just brand new, they're not. The science was looking for 54 00:03:03,280 --> 00:03:07,480 Speaker 2: a better answer for blood sugar management other than insulin, 55 00:03:07,800 --> 00:03:11,560 Speaker 2: which has a whole host of complications, and we were 56 00:03:11,560 --> 00:03:14,360 Speaker 2: able to find that, and with new iterations of the drug, 57 00:03:14,600 --> 00:03:17,200 Speaker 2: they've gotten more effective and along the way we realize 58 00:03:17,280 --> 00:03:22,120 Speaker 2: actually there is an independent weight management effect. And then 59 00:03:22,160 --> 00:03:25,919 Speaker 2: now we've discovered other independent factors like management for sleep 60 00:03:25,919 --> 00:03:30,359 Speaker 2: apnea and cardiovascular and kidney protection. But yes, it did 61 00:03:30,360 --> 00:03:31,280 Speaker 2: start with blood sugar. 62 00:03:32,080 --> 00:03:34,400 Speaker 1: We mentioned the book it's called the ozembic Revolution, and 63 00:03:34,440 --> 00:03:36,840 Speaker 1: we will get to that a little bit more. But 64 00:03:37,120 --> 00:03:39,320 Speaker 1: why do you think now, so if this drug has 65 00:03:39,360 --> 00:03:43,680 Speaker 1: been around forever, why are we seeing this massive uptick 66 00:03:43,800 --> 00:03:45,520 Speaker 1: in the use of things like o zimpic. 67 00:03:46,200 --> 00:03:48,320 Speaker 2: So, as I mentioned, it's been out for a while, 68 00:03:48,400 --> 00:03:53,080 Speaker 2: but with every new iteration of it, it's gotten more effective. 69 00:03:54,120 --> 00:03:57,240 Speaker 2: And the first drug that we had to market for 70 00:03:57,320 --> 00:04:01,680 Speaker 2: weight management, sex Senda, was a daily injector and it's 71 00:04:02,360 --> 00:04:07,320 Speaker 2: weight loss percentages were okay, about ten percent. With the 72 00:04:07,480 --> 00:04:10,440 Speaker 2: advent of ozembic, which was a weekly injectible, which makes 73 00:04:10,440 --> 00:04:12,400 Speaker 2: it a lot easier for people to take a one 74 00:04:12,440 --> 00:04:15,000 Speaker 2: time a week shot versus a daily shot, that one 75 00:04:15,080 --> 00:04:18,000 Speaker 2: puts it in its new class. And secondly, it just 76 00:04:18,000 --> 00:04:20,400 Speaker 2: became a lot more effective at both blood sugar management 77 00:04:20,440 --> 00:04:23,680 Speaker 2: and weight management. So we're starting to see fifteen percent 78 00:04:23,760 --> 00:04:28,720 Speaker 2: total body weight and then the newest iterations of the drug, 79 00:04:29,279 --> 00:04:33,120 Speaker 2: which are two hormone agonists, so two types of hormones 80 00:04:33,120 --> 00:04:37,159 Speaker 2: are in it, Minjaro or zep bound, we see upwards 81 00:04:37,160 --> 00:04:40,479 Speaker 2: of twenty three to twenty five percent total body weight loss. 82 00:04:40,520 --> 00:04:43,119 Speaker 2: So that's what's happened is that kind of with every 83 00:04:43,160 --> 00:04:46,360 Speaker 2: new drug release, they've gotten better ways to give the 84 00:04:46,440 --> 00:04:51,280 Speaker 2: drug and just even more efficacious. So that's what we're 85 00:04:51,320 --> 00:04:53,920 Speaker 2: starting to see. Also, I will tell you I think 86 00:04:53,960 --> 00:04:58,120 Speaker 2: the creator economy, I think TikTok and Instagram over the 87 00:04:58,200 --> 00:05:01,039 Speaker 2: past few years have really shifted the way that people 88 00:05:01,880 --> 00:05:06,080 Speaker 2: are talking about weight management and obesity. I was screaming 89 00:05:06,080 --> 00:05:08,600 Speaker 2: from the rooftops for years that this is a disease, 90 00:05:08,720 --> 00:05:11,400 Speaker 2: we have tools to treat it. And people would be like, 91 00:05:11,800 --> 00:05:13,760 Speaker 2: look at me, like I was crazy, and I like, 92 00:05:13,920 --> 00:05:15,599 Speaker 2: I don't know, I don't know what you're talking about. 93 00:05:15,640 --> 00:05:19,720 Speaker 2: That sounds like quackery. And then when these drugs, I know, 94 00:05:19,800 --> 00:05:22,680 Speaker 2: something magical happen. Like with this availability of people to 95 00:05:22,720 --> 00:05:25,880 Speaker 2: share their story and people feeling empowered to share their story, 96 00:05:26,880 --> 00:05:31,159 Speaker 2: people went from being kind of very very private about 97 00:05:31,160 --> 00:05:33,480 Speaker 2: these journeys. I've even seen this in my practice. People 98 00:05:33,520 --> 00:05:35,120 Speaker 2: are like, I don't want anyone to know I'm on 99 00:05:35,160 --> 00:05:38,560 Speaker 2: these medications too. I'm going to share it, and i 100 00:05:38,600 --> 00:05:40,479 Speaker 2: want everyone to know, and I'm going to be so 101 00:05:40,600 --> 00:05:44,440 Speaker 2: proud that I'm on these injections and I'm going to 102 00:05:44,600 --> 00:05:46,920 Speaker 2: share the highs and the lows and create a whole 103 00:05:46,920 --> 00:05:49,599 Speaker 2: community out of it. So I really do think that 104 00:05:49,600 --> 00:05:53,440 Speaker 2: that's another big part of the cultural shift. It's people's 105 00:05:53,480 --> 00:05:56,640 Speaker 2: willingness to share and embrace that this is a disease 106 00:05:56,680 --> 00:05:58,600 Speaker 2: and I'm not to blame here and I'm not going 107 00:05:58,640 --> 00:06:01,559 Speaker 2: to take on the shame anymore. I'm using a tool 108 00:06:01,640 --> 00:06:04,440 Speaker 2: to treat my disease, and I want other people to 109 00:06:04,480 --> 00:06:05,240 Speaker 2: embrace that too. 110 00:06:05,960 --> 00:06:08,000 Speaker 1: I want to get to that disease point because we 111 00:06:08,000 --> 00:06:10,080 Speaker 1: were talking a little bit about that before the podcast, 112 00:06:10,160 --> 00:06:12,719 Speaker 1: and your book was very helpful to me and understanding 113 00:06:12,760 --> 00:06:15,880 Speaker 1: a bigger aspect of obesity than I've ever actually even 114 00:06:15,960 --> 00:06:19,599 Speaker 1: considered personally. But you just kind of mentioned something that 115 00:06:19,680 --> 00:06:22,440 Speaker 1: I thought was so interesting about the sharing and all 116 00:06:22,480 --> 00:06:24,960 Speaker 1: of that stuff, and I was thinking, right, well, I've 117 00:06:25,000 --> 00:06:28,760 Speaker 1: seen a million fad diets and like the weight loss 118 00:06:28,800 --> 00:06:32,120 Speaker 1: surgeries like you mentioned throughout my lifetime. You remember the 119 00:06:32,160 --> 00:06:35,080 Speaker 1: days of like Atkins and all of those things. People 120 00:06:35,080 --> 00:06:38,599 Speaker 1: were seeing massive weight loss from those kind of things, 121 00:06:38,640 --> 00:06:40,919 Speaker 1: but they felt very temporary in a way, or something 122 00:06:40,920 --> 00:06:44,640 Speaker 1: that wasn't able to be maintained. So why is this different. 123 00:06:45,120 --> 00:06:50,400 Speaker 2: Because this is getting to the bottom of the biology component, 124 00:06:50,520 --> 00:06:52,560 Speaker 2: and so you had spoken a little bit about it, 125 00:06:52,600 --> 00:06:56,680 Speaker 2: but my book it's a user guide to these medications, 126 00:06:56,680 --> 00:06:59,080 Speaker 2: so it's how can people be successful on them? But 127 00:06:59,120 --> 00:07:02,240 Speaker 2: before we get to that, I explain about the biology 128 00:07:02,360 --> 00:07:04,760 Speaker 2: of weight gain and why it is so hard to 129 00:07:04,960 --> 00:07:08,000 Speaker 2: often lose weight on your own, and why the mantra 130 00:07:08,080 --> 00:07:11,800 Speaker 2: of eat less exercise more it's a good way to 131 00:07:11,840 --> 00:07:15,720 Speaker 2: start your life and to prevent it doesn't really work 132 00:07:15,800 --> 00:07:20,200 Speaker 2: once we've gotten to a place of metabolic dysfunction, and 133 00:07:20,440 --> 00:07:23,840 Speaker 2: obesity really is a disease. Once excess weight comes on, 134 00:07:25,080 --> 00:07:29,520 Speaker 2: it is very very hard to get off and sometimes 135 00:07:29,640 --> 00:07:31,800 Speaker 2: we and I talk about this actually in the book, 136 00:07:31,840 --> 00:07:35,119 Speaker 2: about how low carbon kytosis can be an effective way 137 00:07:35,320 --> 00:07:38,440 Speaker 2: to get to kind of fix some of the hormones 138 00:07:38,480 --> 00:07:41,640 Speaker 2: that have become dysregulated when we put on weight. The 139 00:07:41,800 --> 00:07:45,720 Speaker 2: problem is is that we as a society and as 140 00:07:45,760 --> 00:07:51,680 Speaker 2: a species aren't really made to just eliminate whole elements 141 00:07:51,680 --> 00:07:56,120 Speaker 2: of our diet long long term. And I believe in 142 00:07:56,400 --> 00:08:00,480 Speaker 2: particular targeted diet interventions. I do, and I really do 143 00:08:00,680 --> 00:08:03,160 Speaker 2: think that whole foods is the absolute best way, and 144 00:08:03,240 --> 00:08:06,040 Speaker 2: sometimes I will put people on low carb and I 145 00:08:06,080 --> 00:08:08,800 Speaker 2: believe in it. The problem is, and I've seen this 146 00:08:08,840 --> 00:08:13,520 Speaker 2: over the course of my career, is that at year three, 147 00:08:14,400 --> 00:08:17,480 Speaker 2: maybe even sooner, people just get very tired of it, 148 00:08:17,720 --> 00:08:21,840 Speaker 2: and the hormones start to outweigh and like, talk to 149 00:08:21,880 --> 00:08:24,520 Speaker 2: you more. The hormones in your brain say I'm hungry. 150 00:08:24,560 --> 00:08:26,480 Speaker 2: I don't want to do this anymore. You can't do 151 00:08:26,520 --> 00:08:31,280 Speaker 2: this anymore. And what's so different about these medications is 152 00:08:31,280 --> 00:08:36,000 Speaker 2: that these medications are getting to the crux of the 153 00:08:36,120 --> 00:08:41,680 Speaker 2: metabolic dysfunction and helping fix them, and they are fixing 154 00:08:41,800 --> 00:08:45,360 Speaker 2: our behaviors and our brain too. They give people the 155 00:08:45,400 --> 00:08:49,679 Speaker 2: ability to take a pause and do the work that 156 00:08:49,720 --> 00:08:52,080 Speaker 2: they knew that they might have needed to do, but 157 00:08:52,120 --> 00:08:57,160 Speaker 2: we're just unable to. And we don't need as strict 158 00:08:57,280 --> 00:09:00,000 Speaker 2: a food dietary intervention, So we don't need to eliminate 159 00:09:00,200 --> 00:09:02,240 Speaker 2: whole food groups. Now, we need to eat very well, 160 00:09:02,280 --> 00:09:04,160 Speaker 2: and that's like the second tenet of my book. It's 161 00:09:04,160 --> 00:09:08,320 Speaker 2: a whole nutrition plan, but you're able to kind of 162 00:09:08,400 --> 00:09:10,880 Speaker 2: just live a little bit more normally and not as 163 00:09:10,960 --> 00:09:13,600 Speaker 2: strict on these medications because the medication is even more 164 00:09:13,760 --> 00:09:16,960 Speaker 2: powerful than our ability to restrict that we would be 165 00:09:16,960 --> 00:09:20,680 Speaker 2: able to achieve just through diet alone. And the evidence 166 00:09:20,840 --> 00:09:25,400 Speaker 2: on these medications is so strong for long term sustained 167 00:09:25,480 --> 00:09:28,720 Speaker 2: weight loss, far beyond what we can see with short 168 00:09:28,800 --> 00:09:32,839 Speaker 2: term fixes through diet and exercise. Now there are people 169 00:09:32,840 --> 00:09:36,200 Speaker 2: who are listening to this, or people say I know somebody. Yes, 170 00:09:36,400 --> 00:09:39,000 Speaker 2: as a population, we are on a big old bell 171 00:09:39,120 --> 00:09:41,720 Speaker 2: curve and their outliers on both sides, and so yes, 172 00:09:41,760 --> 00:09:44,080 Speaker 2: five ten percent of people will be able to keep 173 00:09:44,120 --> 00:09:48,960 Speaker 2: off weight through diet and exercise alone, but that leaves 174 00:09:49,000 --> 00:09:52,960 Speaker 2: about ninety plus percent who are unable to. And this 175 00:09:53,120 --> 00:09:57,319 Speaker 2: medication has become the tool to override all of the 176 00:09:57,360 --> 00:10:02,480 Speaker 2: hormones that have gone hey wire due to the environment 177 00:10:02,640 --> 00:10:03,439 Speaker 2: we are living in. 178 00:10:04,160 --> 00:10:07,240 Speaker 1: Yeah, which is a whole nother conversation. Obviously, especially in 179 00:10:07,280 --> 00:10:10,120 Speaker 1: our country, it feels like we really aren't set up 180 00:10:10,320 --> 00:10:13,440 Speaker 1: to live a healthy lifestyle and at the affordable or 181 00:10:13,440 --> 00:10:15,000 Speaker 1: things like that, like you really have to make a 182 00:10:15,040 --> 00:10:26,560 Speaker 1: conscious effort. At the beginning of your book, you state 183 00:10:26,720 --> 00:10:29,840 Speaker 1: obesity is a fact of biology. And it kind of 184 00:10:29,920 --> 00:10:32,800 Speaker 1: hit me because, and I'm sure this may sound ignorant 185 00:10:32,800 --> 00:10:36,080 Speaker 1: to some, but I've always been thin, you know, like 186 00:10:36,200 --> 00:10:37,920 Speaker 1: that is how I've was born. I came into this 187 00:10:37,960 --> 00:10:40,840 Speaker 1: world very long and lean, and I've been very active, 188 00:10:41,200 --> 00:10:44,679 Speaker 1: and my parents both eat very healthy, so I grew 189 00:10:44,760 --> 00:10:47,360 Speaker 1: up just like living that way, and so I've never 190 00:10:47,559 --> 00:10:51,200 Speaker 1: personally struggled with obesity. So it is hard for me 191 00:10:51,360 --> 00:10:54,880 Speaker 1: to go, well, get off your couch or eat better, 192 00:10:54,920 --> 00:10:57,640 Speaker 1: you know, like that is a mentality that I've had before, 193 00:10:57,679 --> 00:11:01,040 Speaker 1: and I mean I hate thinking that now. It's hard 194 00:11:01,080 --> 00:11:03,800 Speaker 1: for me to sometimes have empathy for that because I've 195 00:11:03,840 --> 00:11:07,360 Speaker 1: never gone through it personally. But your book was stating 196 00:11:07,400 --> 00:11:09,720 Speaker 1: it so clearly to me, of like, no, there's way 197 00:11:09,800 --> 00:11:13,439 Speaker 1: more to it than just you have to go exercise 198 00:11:13,600 --> 00:11:16,280 Speaker 1: or you have to eat better for a lot of people. 199 00:11:16,400 --> 00:11:18,840 Speaker 1: So are you seeing that a lot where there's these 200 00:11:18,880 --> 00:11:22,120 Speaker 1: people who just cannot relate and so they're kind of 201 00:11:22,400 --> 00:11:25,560 Speaker 1: hating on these perspectives, and then the people who are 202 00:11:25,559 --> 00:11:30,440 Speaker 1: struggling with it really finding some finally finding a voice 203 00:11:30,520 --> 00:11:33,000 Speaker 1: for Hey, I've struggled and I've tried the diets and 204 00:11:33,000 --> 00:11:34,960 Speaker 1: I've tried the exercise. I need something more. 205 00:11:35,679 --> 00:11:38,880 Speaker 2: Yes, thank you for sharing that, because I think it's 206 00:11:38,920 --> 00:11:40,840 Speaker 2: not something we want to admit, but all of us 207 00:11:40,880 --> 00:11:44,080 Speaker 2: are giving me. As an OBC medicine doctor, we all 208 00:11:44,200 --> 00:11:48,560 Speaker 2: carry some element of weight bias. It's inherent to how 209 00:11:48,800 --> 00:11:51,760 Speaker 2: we came to be in this world. Right, It's just 210 00:11:51,800 --> 00:11:56,360 Speaker 2: it's very, very hard and when we are lean and 211 00:11:56,400 --> 00:11:58,040 Speaker 2: I actually love the youc you say it came out 212 00:11:58,040 --> 00:12:01,439 Speaker 2: long and lean. Lean is actually the word we should 213 00:12:01,480 --> 00:12:05,280 Speaker 2: be after it's it's a leanness. It's not a skinniness, right, 214 00:12:05,280 --> 00:12:09,480 Speaker 2: it's a fit, it's a fitness. Yeah, and you have 215 00:12:09,559 --> 00:12:11,080 Speaker 2: done things in your life to hold on to that. 216 00:12:11,160 --> 00:12:13,600 Speaker 2: But also probably genetically you were set up for it, 217 00:12:13,640 --> 00:12:16,760 Speaker 2: and then environmentally and epigenetically you were set up for it. 218 00:12:16,800 --> 00:12:19,080 Speaker 2: So if your parents were fit, you know, actually a 219 00:12:19,160 --> 00:12:23,160 Speaker 2: mother passes on just even by proxy of in utero 220 00:12:23,760 --> 00:12:27,280 Speaker 2: children that are born to parents of obesity. If a 221 00:12:27,360 --> 00:12:32,000 Speaker 2: mother has bariatric surgery in between her first few children 222 00:12:32,040 --> 00:12:35,880 Speaker 2: and her second children, the children after bariatric surgery, after 223 00:12:35,920 --> 00:12:39,000 Speaker 2: weight loss, will have a lower incidence of obesity growing up, 224 00:12:39,000 --> 00:12:41,640 Speaker 2: even though they're raised the same household with the same genes. 225 00:12:42,360 --> 00:12:43,439 Speaker 1: I believe it. I do. 226 00:12:43,720 --> 00:12:47,880 Speaker 2: Yeah, So you know, some of us are fortunate. I 227 00:12:47,960 --> 00:12:51,080 Speaker 2: come from a family where you know, probably let's go back, 228 00:12:51,160 --> 00:12:52,760 Speaker 2: let's go back up just a little bit forget different 229 00:12:52,800 --> 00:12:58,560 Speaker 2: family Like whyman, But up until the nineteen forties, we 230 00:12:58,640 --> 00:13:03,800 Speaker 2: still had pole in this world who had obesity about 231 00:13:03,840 --> 00:13:06,640 Speaker 2: ten percent. And that's genetics. And I was to say 232 00:13:06,640 --> 00:13:08,280 Speaker 2: I come from one of those families, right, I just 233 00:13:08,280 --> 00:13:10,720 Speaker 2: come from a family that are hardier. They're not the 234 00:13:10,760 --> 00:13:16,400 Speaker 2: long and lean, they're the short and hardy. And that's genetics. 235 00:13:16,400 --> 00:13:20,160 Speaker 2: But what's happened is that something around nineteen eighty we 236 00:13:20,280 --> 00:13:24,680 Speaker 2: just started seeing this obesity rise, rise, rise, rise, And 237 00:13:24,720 --> 00:13:28,120 Speaker 2: that has to do with our environment and the world 238 00:13:28,240 --> 00:13:33,320 Speaker 2: around us, and some genetics could outsmart that. Right. And 239 00:13:33,320 --> 00:13:34,959 Speaker 2: now we're not saying that your genetics kept up in 240 00:13:34,960 --> 00:13:36,560 Speaker 2: one or two generations, but you were just kind of 241 00:13:36,559 --> 00:13:39,000 Speaker 2: primed and ready to be able to keep hold on 242 00:13:39,040 --> 00:13:43,720 Speaker 2: to the leanness. But so many others just could not 243 00:13:43,880 --> 00:13:46,120 Speaker 2: handle the insults that came at them, right, the high 244 00:13:46,280 --> 00:13:49,000 Speaker 2: fructose corn syrup that start to creep into your apple 245 00:13:49,040 --> 00:13:53,800 Speaker 2: sauce at eighteen months true, Right, the fact that we 246 00:13:53,920 --> 00:13:56,120 Speaker 2: don't aren't set up in urban environments. We get to 247 00:13:56,160 --> 00:13:58,920 Speaker 2: walk a lot. I even live in an area where 248 00:13:58,920 --> 00:14:01,680 Speaker 2: my kids should be able to bike, but it's too 249 00:14:01,800 --> 00:14:04,240 Speaker 2: dangerous for them to bike, and I can't let them 250 00:14:04,320 --> 00:14:07,840 Speaker 2: do that into town because our town was not planned, 251 00:14:08,559 --> 00:14:10,600 Speaker 2: you know like that. And so there is a lot 252 00:14:10,640 --> 00:14:13,880 Speaker 2: of sedentary behavior. We sit at a computer, we are 253 00:14:14,000 --> 00:14:17,280 Speaker 2: just the world has exploded in technology. But then that's 254 00:14:17,320 --> 00:14:20,320 Speaker 2: made us just beings. That just sit still. You know. 255 00:14:20,440 --> 00:14:22,960 Speaker 2: Even this is so fascinating, even the fact that we're 256 00:14:23,040 --> 00:14:27,240 Speaker 2: temperature controlled now we have ac and heat and we 257 00:14:27,280 --> 00:14:28,800 Speaker 2: don't shiver and we don't sweat. 258 00:14:29,200 --> 00:14:31,480 Speaker 1: Oh, that's interesting. I never thought of that. 259 00:14:31,640 --> 00:14:35,840 Speaker 2: Has impacted our waking over the last fifty years. 260 00:14:35,960 --> 00:14:37,120 Speaker 1: That makes total sense. 261 00:14:37,560 --> 00:14:40,040 Speaker 2: And so there are the subset of people, that's the 262 00:14:40,080 --> 00:14:44,040 Speaker 2: majority of Americans now, whose bodies and environments and the 263 00:14:44,080 --> 00:14:45,960 Speaker 2: life that they were given and the life that then 264 00:14:46,000 --> 00:14:50,560 Speaker 2: they modeled for themselves has not allowed them to hold 265 00:14:50,600 --> 00:14:54,200 Speaker 2: on to where our bodies should be okay, And it 266 00:14:54,240 --> 00:14:56,960 Speaker 2: becomes very very hard to lose the weight once it's 267 00:14:57,000 --> 00:14:59,600 Speaker 2: come on. And I am not saying that environment and 268 00:14:59,640 --> 00:15:02,600 Speaker 2: food and nutrition and lifestyle aren't important, But the problem 269 00:15:02,680 --> 00:15:05,880 Speaker 2: is obesity is a disease that has a downstream effect 270 00:15:06,000 --> 00:15:08,320 Speaker 2: of so many other diseases. And we have an opportunity 271 00:15:08,400 --> 00:15:11,400 Speaker 2: right now with this medication to say, Okay, we can 272 00:15:11,440 --> 00:15:13,680 Speaker 2: treat this right now, and we can prevent all this 273 00:15:13,720 --> 00:15:16,560 Speaker 2: other stuff is going to come over the next forty years. 274 00:15:16,640 --> 00:15:21,040 Speaker 2: And while we do this, we should take the time 275 00:15:21,160 --> 00:15:23,160 Speaker 2: and the space and the money that we save from 276 00:15:23,200 --> 00:15:26,480 Speaker 2: preventing all these diseases to figure out how we can 277 00:15:26,600 --> 00:15:28,760 Speaker 2: undo what we've done over the past fifty years for 278 00:15:28,840 --> 00:15:32,280 Speaker 2: the world that we've created for ourselves. And so I 279 00:15:32,360 --> 00:15:35,960 Speaker 2: don't look as this medication as the magic wand that 280 00:15:36,040 --> 00:15:39,880 Speaker 2: solves everything. I see it as a tool for right 281 00:15:39,920 --> 00:15:42,640 Speaker 2: now to manage the disease that's in front of us 282 00:15:43,200 --> 00:15:45,880 Speaker 2: and allows us to kind of have this trickle down 283 00:15:45,880 --> 00:15:48,800 Speaker 2: effect in our families, our homes, our grocery stores, and 284 00:15:48,880 --> 00:15:53,040 Speaker 2: our urban centers and you know, just everything, and we 285 00:15:53,080 --> 00:15:54,960 Speaker 2: can start to unravel and get back to where we 286 00:15:54,960 --> 00:15:57,120 Speaker 2: were in the nineteen seventies. It's not that long ago. 287 00:15:57,160 --> 00:15:58,320 Speaker 2: We should be able to get. 288 00:15:58,200 --> 00:16:02,440 Speaker 1: Back there completely. And I do think the conversation that's 289 00:16:02,560 --> 00:16:06,320 Speaker 1: encouraging to me, as well as seeing people who are 290 00:16:06,360 --> 00:16:10,120 Speaker 1: directly impacted by taking things like this, are that on 291 00:16:10,160 --> 00:16:12,440 Speaker 1: the bigger scale, we're starting to look at what's in 292 00:16:12,480 --> 00:16:14,640 Speaker 1: our food, what are we eating. All of those things 293 00:16:14,640 --> 00:16:17,280 Speaker 1: that you kind of touched on, I think are coming 294 00:16:17,360 --> 00:16:20,200 Speaker 1: into the conversation. They're entering the chat right now. So 295 00:16:20,200 --> 00:16:22,800 Speaker 1: it's perfect timing for both of these things to be 296 00:16:22,880 --> 00:16:24,200 Speaker 1: happening exactly. 297 00:16:24,240 --> 00:16:25,960 Speaker 2: I do think we have to be careful that I 298 00:16:26,000 --> 00:16:29,880 Speaker 2: have seen a rising contingency that we can treat the 299 00:16:29,920 --> 00:16:34,960 Speaker 2: obesity by changing, by fixing our food source, our food ecosystem, 300 00:16:35,000 --> 00:16:38,720 Speaker 2: and our monment ecosystem. That's prevention. We need to put 301 00:16:38,760 --> 00:16:42,840 Speaker 2: all the energy there. Treatment is different than prevention, And 302 00:16:43,280 --> 00:16:46,120 Speaker 2: in no other disease do we look at prevention and 303 00:16:46,160 --> 00:16:49,520 Speaker 2: treatment as the same. But for some reason obesity I do. 304 00:16:50,120 --> 00:16:51,920 Speaker 2: And so if any listeners were like, yeah, yeah, and 305 00:16:52,400 --> 00:16:55,600 Speaker 2: we could just do, no, we have to do both 306 00:16:55,960 --> 00:16:58,360 Speaker 2: in order to stop the disease. We have to prevent. 307 00:16:58,720 --> 00:17:02,880 Speaker 2: That's changing, that's taking the chemicals out, that's improving our 308 00:17:02,920 --> 00:17:05,840 Speaker 2: food system, it's improving the quality of the air. It's 309 00:17:05,880 --> 00:17:08,080 Speaker 2: all the things that you were talking about. Yeah, treatment 310 00:17:08,160 --> 00:17:12,760 Speaker 2: is different, and that's why these medications are so revolutionary. Yeah, 311 00:17:12,800 --> 00:17:14,320 Speaker 2: and that's why it's so important for me to write 312 00:17:14,320 --> 00:17:16,920 Speaker 2: this book because we have an opportunity right now. Now, 313 00:17:16,920 --> 00:17:19,920 Speaker 2: then that's aren't a magic bond. You have to do 314 00:17:20,119 --> 00:17:21,520 Speaker 2: all the other work. And if you do all the 315 00:17:21,520 --> 00:17:24,879 Speaker 2: other work, change the habits, change your food, change your 316 00:17:24,920 --> 00:17:29,280 Speaker 2: mental the way you think about these things, exercise, well, 317 00:17:29,320 --> 00:17:32,840 Speaker 2: then you're really laying the groundwork to change to trickle 318 00:17:32,880 --> 00:17:35,320 Speaker 2: down for that prevention too. So like you're changing the 319 00:17:35,320 --> 00:17:37,000 Speaker 2: way you're doing it in your house, and your kids 320 00:17:37,040 --> 00:17:39,680 Speaker 2: are going to see a different modeling behavior. You are 321 00:17:40,520 --> 00:17:44,480 Speaker 2: changing the way you're exercising your community, and then it spreads. 322 00:17:44,960 --> 00:17:47,720 Speaker 2: So in the treatment, we can also prevent, but it's 323 00:17:47,760 --> 00:17:49,680 Speaker 2: important that we do all the work and we don't 324 00:17:49,720 --> 00:17:53,520 Speaker 2: just rely on the medication to have this magical effect 325 00:17:53,560 --> 00:17:54,399 Speaker 2: because it won't. 326 00:17:54,800 --> 00:17:58,439 Speaker 1: Yeah, I mean, I love that that kind of two 327 00:17:58,480 --> 00:18:01,040 Speaker 1: different perspectives, I guess is the word I was looking 328 00:18:01,080 --> 00:18:04,560 Speaker 1: for those two different things, the prevention versus the treatment, 329 00:18:04,680 --> 00:18:07,479 Speaker 1: because in my head, I think I have wanted the 330 00:18:07,520 --> 00:18:11,399 Speaker 1: prevention to be the treatment for people. And that's I 331 00:18:11,440 --> 00:18:13,320 Speaker 1: mean in what you're saying in the book is like, 332 00:18:13,680 --> 00:18:16,359 Speaker 1: there's a lot more to it and the science behind 333 00:18:16,480 --> 00:18:19,920 Speaker 1: why that isn't just something that can be You can't 334 00:18:20,000 --> 00:18:22,160 Speaker 1: use the tools of prevention if you need to treat 335 00:18:22,200 --> 00:18:25,240 Speaker 1: the disease first. So this is medicine to treat the disease, 336 00:18:25,640 --> 00:18:27,960 Speaker 1: and then you go into prevention, which you talk about 337 00:18:27,960 --> 00:18:30,720 Speaker 1: in the book as well. You've actually created an entire 338 00:18:30,800 --> 00:18:33,360 Speaker 1: method and it's called this so Well method. It's talked 339 00:18:33,359 --> 00:18:36,000 Speaker 1: about a lot in the book. That was huge for 340 00:18:36,080 --> 00:18:38,719 Speaker 1: me too, because one of my biggest problems with our 341 00:18:38,760 --> 00:18:40,760 Speaker 1: society is I feel like we throw a pill at everything. 342 00:18:40,920 --> 00:18:43,560 Speaker 1: I'm just like, when nobody looks at the root causes. 343 00:18:43,640 --> 00:18:45,840 Speaker 1: We want the easy fix. I mean, I've been guilty 344 00:18:45,840 --> 00:18:48,960 Speaker 1: of it too, especially I suffer with sleep issues, and 345 00:18:48,960 --> 00:18:51,800 Speaker 1: so I'm always like trying not to take a pill, 346 00:18:51,880 --> 00:18:52,760 Speaker 1: but I need to sleep. 347 00:18:52,800 --> 00:18:53,000 Speaker 2: You know. 348 00:18:53,040 --> 00:18:54,840 Speaker 1: It's all of those things. And so I think it's 349 00:18:54,840 --> 00:18:57,760 Speaker 1: the same thing here where I just don't want to 350 00:18:57,800 --> 00:19:00,919 Speaker 1: see our society throw another pill at something. And so 351 00:19:01,119 --> 00:19:03,640 Speaker 1: seeing this method that you've created and that you're talking 352 00:19:03,720 --> 00:19:07,560 Speaker 1: about in the book was very reassuring to me that 353 00:19:07,600 --> 00:19:18,560 Speaker 1: there's more to this story. Can you tell the listeners 354 00:19:18,560 --> 00:19:20,880 Speaker 1: a little bit about the Sowell method and what your 355 00:19:20,960 --> 00:19:22,080 Speaker 1: point of it even is. 356 00:19:22,800 --> 00:19:26,280 Speaker 2: Thank you? Yes. So. Over the past ten years in 357 00:19:25,920 --> 00:19:30,200 Speaker 2: my medical practice, I never felt great. I never felt 358 00:19:30,240 --> 00:19:33,159 Speaker 2: great about just treating the disease and Ei there's so 359 00:19:33,240 --> 00:19:34,679 Speaker 2: much more to it. And even though I found this 360 00:19:34,800 --> 00:19:37,600 Speaker 2: amazing specialty that allowed me to help prevent so many 361 00:19:37,680 --> 00:19:41,120 Speaker 2: other diseases, I never felt good about just writing a prescription. 362 00:19:41,920 --> 00:19:45,840 Speaker 2: I needed people to understand why I was having them 363 00:19:46,080 --> 00:19:48,920 Speaker 2: do certain things and why we were using the medication. 364 00:19:49,320 --> 00:19:53,160 Speaker 2: And I needed them to fully embrace the habit changes 365 00:19:53,720 --> 00:19:56,919 Speaker 2: and all of the lifestyle changes that needed to go along. 366 00:19:57,040 --> 00:19:59,679 Speaker 2: So I actually created a ten week curriculum in my 367 00:19:59,720 --> 00:20:02,920 Speaker 2: medical practice and actually everyone has to go through this, 368 00:20:03,520 --> 00:20:07,560 Speaker 2: and it worked so amazingly well that I put it 369 00:20:07,560 --> 00:20:09,400 Speaker 2: it was the whole reason I wanted to write this book. 370 00:20:09,440 --> 00:20:12,000 Speaker 2: I thought this, No other doctors are doing it this way. 371 00:20:12,000 --> 00:20:15,040 Speaker 2: It's really we're limited. Most medical practice are very limited 372 00:20:15,080 --> 00:20:18,960 Speaker 2: by this. And so I distilled down what we had 373 00:20:19,000 --> 00:20:21,840 Speaker 2: been teaching in our medical practice into this book and 374 00:20:21,880 --> 00:20:24,920 Speaker 2: it's just so well method. And there are three core tenants. 375 00:20:25,560 --> 00:20:28,800 Speaker 2: We have our habit foundations, our nutritional foundations, and then 376 00:20:28,800 --> 00:20:33,720 Speaker 2: our mental foundations habits. You've probably heard some of these 377 00:20:33,720 --> 00:20:36,760 Speaker 2: things before. They're very different when you do them through 378 00:20:36,760 --> 00:20:40,919 Speaker 2: the lens of a GLP one though, So things that 379 00:20:41,000 --> 00:20:45,320 Speaker 2: might have felt like just tearing down your will power, 380 00:20:45,440 --> 00:20:47,399 Speaker 2: you know, even stepping on the scale is one of 381 00:20:47,440 --> 00:20:49,639 Speaker 2: the core habits about how what I have people do 382 00:20:50,920 --> 00:20:55,320 Speaker 2: logging your food, not recording every calorie, but just thinking 383 00:20:55,359 --> 00:20:58,719 Speaker 2: about your food, thinking about your hunger scale, thinking about 384 00:20:58,920 --> 00:21:01,920 Speaker 2: what you're putting internal. Right, You're like, oh, I've heard this, doctor, 385 00:21:01,960 --> 00:21:04,919 Speaker 2: soa this is like this seems so basic. It's very 386 00:21:05,000 --> 00:21:08,320 Speaker 2: very different when you have this new found will power 387 00:21:08,440 --> 00:21:11,200 Speaker 2: for lack of a better word, with these medications, and 388 00:21:11,440 --> 00:21:15,280 Speaker 2: it helps you rewire what's become so disregulated in your 389 00:21:15,320 --> 00:21:17,280 Speaker 2: brain and your habits. We kind of have to go 390 00:21:17,359 --> 00:21:22,399 Speaker 2: back to the foundations. And one of the ways that 391 00:21:22,440 --> 00:21:25,760 Speaker 2: I approach this is really being emotionally neutral, and it's 392 00:21:25,800 --> 00:21:28,159 Speaker 2: something we talk about in the book a lot, is 393 00:21:28,160 --> 00:21:33,400 Speaker 2: that we're trying to take out beating oneself up, feeling 394 00:21:33,480 --> 00:21:35,879 Speaker 2: like we're not good enough, and just looking at this 395 00:21:36,080 --> 00:21:39,240 Speaker 2: as a process and being as emotionally neutral as possible 396 00:21:39,320 --> 00:21:42,040 Speaker 2: so that I always help people the habits. I want 397 00:21:42,040 --> 00:21:44,280 Speaker 2: them to become like brushing your teeth right, just something 398 00:21:44,320 --> 00:21:46,200 Speaker 2: you do, something you don't have to think too much about, 399 00:21:46,240 --> 00:21:48,960 Speaker 2: and if you skip it, you don't like not brush 400 00:21:48,960 --> 00:21:50,800 Speaker 2: your teeth the next day, you just get back to 401 00:21:50,880 --> 00:21:53,880 Speaker 2: it right right. And then we move into how to eat, 402 00:21:54,080 --> 00:21:56,560 Speaker 2: And this is always the thing that people right up top. 403 00:21:56,720 --> 00:21:59,119 Speaker 2: Everyone comes to my first visit with me or the 404 00:21:59,119 --> 00:22:01,359 Speaker 2: first class, tell me how to eat, and I'll say 405 00:22:01,359 --> 00:22:05,159 Speaker 2: not so fast, Like, you have to embrace the habits first. 406 00:22:05,480 --> 00:22:07,399 Speaker 2: It doesn't matter. I can tell anybody to go on 407 00:22:07,480 --> 00:22:10,000 Speaker 2: any particular diet and if they adhere to it, they 408 00:22:10,000 --> 00:22:12,280 Speaker 2: would lose weight. I mean, that's actually what the science shows. 409 00:22:13,200 --> 00:22:15,679 Speaker 2: So really it has to be about how can you 410 00:22:15,720 --> 00:22:17,680 Speaker 2: do this for the long term. So then we move 411 00:22:17,680 --> 00:22:23,040 Speaker 2: into nutrition. I have some very very clear tenants of 412 00:22:23,080 --> 00:22:25,560 Speaker 2: how to eat when you're on a gop one. It's 413 00:22:25,640 --> 00:22:28,679 Speaker 2: different than how our brain was programmed to kind of 414 00:22:28,680 --> 00:22:31,720 Speaker 2: be calorie reduced. We actually need to really hyper focus 415 00:22:31,800 --> 00:22:35,560 Speaker 2: on getting in the proper nutrition through macronutrients. So we'll 416 00:22:35,600 --> 00:22:39,120 Speaker 2: go through that in the book, and then we move 417 00:22:39,200 --> 00:22:41,560 Speaker 2: through what I think is the most important but potentially 418 00:22:41,600 --> 00:22:44,679 Speaker 2: the most overlooked component of significant weight loss, which is 419 00:22:44,920 --> 00:22:51,600 Speaker 2: the mental piece. Our brains will talk us out of success, 420 00:22:51,760 --> 00:22:53,720 Speaker 2: and we see this at all parts of our life. 421 00:22:53,800 --> 00:22:56,399 Speaker 2: Right we started to get imposter syndrome that this isn't work, 422 00:22:56,440 --> 00:22:58,840 Speaker 2: I can't do it, or you make all sorts of excuses. 423 00:22:58,880 --> 00:23:02,720 Speaker 2: Your brain will do these weird things sabotage you. We 424 00:23:02,760 --> 00:23:05,520 Speaker 2: really see it in weight loss, and I've worked with 425 00:23:05,560 --> 00:23:08,160 Speaker 2: so many patients over so many years on these medications. 426 00:23:08,280 --> 00:23:12,760 Speaker 2: I've realized that most people, everyone thinks that they're very unique, 427 00:23:12,800 --> 00:23:15,760 Speaker 2: but really we're all humans. And most people have the 428 00:23:15,760 --> 00:23:18,480 Speaker 2: same experiences. So we'll talk about things like the ten 429 00:23:18,520 --> 00:23:22,680 Speaker 2: pound panic, and practically every single one of my patients 430 00:23:21,880 --> 00:23:26,320 Speaker 2: on these medications will freak out at ten pounds and 431 00:23:26,359 --> 00:23:28,880 Speaker 2: I'll be why, Like, this isn't gonna work. I've done 432 00:23:28,880 --> 00:23:30,200 Speaker 2: this before, I know it's not going to work. This 433 00:23:30,280 --> 00:23:31,720 Speaker 2: was a bad idea. I don't know what to do. 434 00:23:32,119 --> 00:23:36,399 Speaker 2: Say trust the process, trust the foundations. Keep going. And 435 00:23:36,440 --> 00:23:39,560 Speaker 2: then we'll get to a place where a colleague or 436 00:23:39,640 --> 00:23:41,920 Speaker 2: a coworker says something and they'll say, did you see 437 00:23:41,920 --> 00:23:46,960 Speaker 2: that headline? You're going to die right, or they'll start 438 00:23:47,000 --> 00:23:50,240 Speaker 2: to think I'm taking the easy way out. Some belief 439 00:23:50,800 --> 00:23:52,800 Speaker 2: that they've held on to for a long period of 440 00:23:52,880 --> 00:23:54,920 Speaker 2: time will come up at some point in the future. 441 00:23:55,119 --> 00:23:58,560 Speaker 2: And so working on your brain is really really important, 442 00:23:58,680 --> 00:24:01,240 Speaker 2: and I actually ask people spend a lot of time 443 00:24:01,280 --> 00:24:03,560 Speaker 2: there because it's a thing that will derail people in 444 00:24:03,600 --> 00:24:06,320 Speaker 2: the six months, twelve months, two years out of their 445 00:24:06,359 --> 00:24:09,800 Speaker 2: initial weight loss. They'll think everything's great, and actually then 446 00:24:09,840 --> 00:24:12,840 Speaker 2: their brain starts to do some funny things. And I 447 00:24:12,920 --> 00:24:16,800 Speaker 2: give people cognitive new scripts, so like, yeah, they have 448 00:24:16,840 --> 00:24:18,879 Speaker 2: a belief and then we have to rewire it and 449 00:24:18,920 --> 00:24:20,920 Speaker 2: so I'll give you examples of what you can do 450 00:24:21,000 --> 00:24:24,159 Speaker 2: to kind of get past that. Anybody who's listening and 451 00:24:24,320 --> 00:24:26,640 Speaker 2: is like, I know exactly what you're talking about. I've 452 00:24:26,680 --> 00:24:28,360 Speaker 2: lost a lot of weight, and no one's ever put 453 00:24:28,359 --> 00:24:31,760 Speaker 2: it like that. But it's it's it's something that's universal 454 00:24:31,840 --> 00:24:34,320 Speaker 2: to this process. I think it's universal to the human 455 00:24:34,359 --> 00:24:38,160 Speaker 2: experience and one percent, but it just it rears its head. 456 00:24:38,200 --> 00:24:41,000 Speaker 2: And so that's fundamentally what we teach, and I've just 457 00:24:41,040 --> 00:24:44,080 Speaker 2: stilled it into this book and tried to make it 458 00:24:44,119 --> 00:24:46,600 Speaker 2: as easy as possible and really step wise, I'm a 459 00:24:46,600 --> 00:24:49,919 Speaker 2: big believer in like one, two, three, four, right, Like 460 00:24:50,480 --> 00:24:53,480 Speaker 2: that's how we learn, that's how we adapt, and so 461 00:24:53,600 --> 00:24:54,960 Speaker 2: that's how we put it in the book. And we 462 00:24:55,040 --> 00:24:59,800 Speaker 2: have lots of templates and worksheets and things that will 463 00:24:59,800 --> 00:25:02,120 Speaker 2: hap I help you and give you structure even if 464 00:25:02,119 --> 00:25:04,359 Speaker 2: you do just get the prescription at your doctor's office, 465 00:25:04,359 --> 00:25:07,119 Speaker 2: which honestly is the way the majority of Americans are 466 00:25:07,119 --> 00:25:10,080 Speaker 2: getting this right now, right, And you might need to 467 00:25:10,080 --> 00:25:12,880 Speaker 2: do more work than someone who comes through my clinic, 468 00:25:13,280 --> 00:25:15,840 Speaker 2: but it's all here now, and so if you just 469 00:25:15,920 --> 00:25:18,440 Speaker 2: follow along, you will have success. 470 00:25:19,200 --> 00:25:21,880 Speaker 1: The thing that's so fascinating to me and hearing this, 471 00:25:22,000 --> 00:25:24,160 Speaker 1: and this was what I found in the book as well, 472 00:25:24,280 --> 00:25:26,919 Speaker 1: is when I start to look at obesity as a 473 00:25:26,960 --> 00:25:30,240 Speaker 1: disease or as a medicator, even as like a way 474 00:25:30,280 --> 00:25:33,919 Speaker 1: that someone has learned to survive in life, like as 475 00:25:33,760 --> 00:25:37,560 Speaker 1: a survival skill for treating with emotion I mean dealing 476 00:25:37,640 --> 00:25:41,880 Speaker 1: with emotions or stress or anything. It's not different from 477 00:25:41,920 --> 00:25:45,199 Speaker 1: anything else that we struggle with in mental health, like truly, 478 00:25:45,280 --> 00:25:47,840 Speaker 1: I mean everything you were just saying is exactly what 479 00:25:48,760 --> 00:25:51,840 Speaker 1: I think a good therapist does. In a way. It's like, 480 00:25:52,200 --> 00:25:54,760 Speaker 1: even if you need an antidepressant for a moment, a 481 00:25:54,760 --> 00:25:57,000 Speaker 1: good therapist is going to actually go. But let's look 482 00:25:57,000 --> 00:25:59,560 Speaker 1: at what's happening, Like, yes, let's take some of these 483 00:25:59,560 --> 00:26:02,480 Speaker 1: emotions down so we can process. And that's why you 484 00:26:02,520 --> 00:26:06,240 Speaker 1: need the medicine, maybe temporarily, but I don't want to look, 485 00:26:06,359 --> 00:26:09,199 Speaker 1: not check out what's going on, because our emotions are 486 00:26:09,200 --> 00:26:11,360 Speaker 1: talking to us. And that's the same thing here. It's 487 00:26:11,400 --> 00:26:15,159 Speaker 1: like those narratives are so deeply ingrained and programmed, like 488 00:26:15,200 --> 00:26:18,040 Speaker 1: you said, and so all of that rewiring. It's the 489 00:26:18,080 --> 00:26:20,320 Speaker 1: same thing that anyone trying to make any sort of 490 00:26:20,440 --> 00:26:23,560 Speaker 1: lasting change in their life actually has to do so 491 00:26:23,600 --> 00:26:26,000 Speaker 1: I just I just love that you're making those connections. 492 00:26:26,040 --> 00:26:28,840 Speaker 1: I think that's so beautiful. And I think from a 493 00:26:28,880 --> 00:26:32,119 Speaker 1: perspective like mine, where it's not something i've personally dealt with, 494 00:26:32,200 --> 00:26:34,760 Speaker 1: I'm easily able to relate that to many things that 495 00:26:34,800 --> 00:26:37,080 Speaker 1: I do deal with in my life. I love that 496 00:26:37,119 --> 00:26:40,159 Speaker 1: you pointed out the terminal uniqueness that we all feel. 497 00:26:40,240 --> 00:26:42,320 Speaker 1: I mean, I think we all are like, I'm so 498 00:26:42,440 --> 00:26:44,520 Speaker 1: much more fucked up than the other person. You know, 499 00:26:45,520 --> 00:26:48,639 Speaker 1: none of us are. It's just like we really just 500 00:26:48,800 --> 00:26:52,919 Speaker 1: have different ways of coping with life, and so what 501 00:26:53,080 --> 00:26:54,760 Speaker 1: is your way? And how do we get in touch 502 00:26:54,760 --> 00:26:56,440 Speaker 1: with that? And this is the deeper way to look 503 00:26:56,440 --> 00:26:59,159 Speaker 1: at weight loss. I'm such a big fan. I just 504 00:26:59,560 --> 00:27:01,439 Speaker 1: love that you're doing this work. I think it's so 505 00:27:01,840 --> 00:27:05,280 Speaker 1: amazing and wonderful. The book actually comes out January seventh, 506 00:27:05,320 --> 00:27:07,919 Speaker 1: so when this podcast airs, it will be out, so 507 00:27:07,960 --> 00:27:11,120 Speaker 1: I'll be able to put the link for all the listeners. 508 00:27:11,200 --> 00:27:14,159 Speaker 1: She's holding it a friend. It's a cue cover as well, 509 00:27:14,560 --> 00:27:16,840 Speaker 1: but it's just a good guide. I told you. My 510 00:27:17,520 --> 00:27:20,320 Speaker 1: co host on my Friday episodes has chip for any 511 00:27:20,320 --> 00:27:22,800 Speaker 1: of you listeners. He's been on a zembic for a while. 512 00:27:22,840 --> 00:27:27,000 Speaker 1: But the biggest thing that I've seen for him, even emotionally, 513 00:27:27,119 --> 00:27:28,960 Speaker 1: is that he's really leaned into like I'm going to 514 00:27:29,000 --> 00:27:31,520 Speaker 1: start taking care of myself through this though, Like he's 515 00:27:31,640 --> 00:27:35,119 Speaker 1: adopted a new diet, he's actually really cut back and 516 00:27:35,280 --> 00:27:38,160 Speaker 1: possibly quitting drinking like things that you know, he's really 517 00:27:38,200 --> 00:27:41,080 Speaker 1: taking pride in his health at this point. He's working 518 00:27:41,080 --> 00:27:43,879 Speaker 1: out a lot, and that to me, I've seen the 519 00:27:43,880 --> 00:27:46,000 Speaker 1: biggest shift in him that I've ever seen over the 520 00:27:46,000 --> 00:27:48,880 Speaker 1: course of our relationships. So I think it's a part 521 00:27:48,920 --> 00:27:50,800 Speaker 1: of this whole program like you're talking about. 522 00:27:50,960 --> 00:27:55,960 Speaker 2: Yes, it's a powerful, powerful tool, and it really gives 523 00:27:56,119 --> 00:28:00,119 Speaker 2: people the bandwidth. Really yeah, why it's the brain in 524 00:28:00,160 --> 00:28:03,320 Speaker 2: many ways so that they can do the work. And 525 00:28:03,960 --> 00:28:06,119 Speaker 2: you know, just like you were sharing, this is about health. 526 00:28:06,119 --> 00:28:07,600 Speaker 2: I mean, all those things are telling me that's like 527 00:28:07,680 --> 00:28:10,280 Speaker 2: the most amazing health journey. I mean, I'm sure his 528 00:28:10,359 --> 00:28:14,719 Speaker 2: labs have improved and his future profiles, like everything he's 529 00:28:14,800 --> 00:28:17,520 Speaker 2: doing day to day that is just you're building this 530 00:28:17,640 --> 00:28:20,320 Speaker 2: up for longevity, and it's really important that we don't 531 00:28:20,359 --> 00:28:24,040 Speaker 2: confuse the use of this medication on the health side 532 00:28:24,680 --> 00:28:28,800 Speaker 2: and longevity. For Vanity and thinness because it has the 533 00:28:28,800 --> 00:28:31,280 Speaker 2: potential to do that, but that's not going to make 534 00:28:31,320 --> 00:28:35,040 Speaker 2: for a healthier human and a healthier experience. It's really 535 00:28:35,119 --> 00:28:39,080 Speaker 2: when we need this for very specific use case scenarios 536 00:28:39,120 --> 00:28:41,480 Speaker 2: and it's powerful and I love that example. 537 00:28:41,920 --> 00:28:44,240 Speaker 1: Yeah. Well, if people want to keep up with you 538 00:28:44,680 --> 00:28:47,320 Speaker 1: anywhere else besides the book, where can they find you? 539 00:28:47,920 --> 00:28:50,720 Speaker 2: So you can find me on social media at Alexandra 540 00:28:50,880 --> 00:28:54,920 Speaker 2: so at MD, and you can find more about me 541 00:28:55,040 --> 00:28:58,520 Speaker 2: and the company I've started at getsowell dot com. We 542 00:28:59,200 --> 00:29:02,320 Speaker 2: all right telehealth practice, but we also provide for for 543 00:29:02,720 --> 00:29:06,480 Speaker 2: oh my goodness, we provide support tools for TLP one users. 544 00:29:06,480 --> 00:29:10,760 Speaker 2: I've been talking all day, find interviews, I tripped. We 545 00:29:10,920 --> 00:29:12,960 Speaker 2: are the go to brand for GLP one users. We 546 00:29:12,960 --> 00:29:15,840 Speaker 2: have a whole support system to help people, everything from 547 00:29:16,040 --> 00:29:20,160 Speaker 2: the book to the toolkits to actually supplements to help 548 00:29:20,200 --> 00:29:23,000 Speaker 2: minimize side effects. So I'm on a mission to help 549 00:29:23,000 --> 00:29:26,000 Speaker 2: people feel their absolute best while they're on these medications 550 00:29:26,000 --> 00:29:28,880 Speaker 2: so they can achieve the most amount of health benefits. 551 00:29:28,960 --> 00:29:31,880 Speaker 2: So come over and connect with me on all those places. 552 00:29:32,360 --> 00:29:34,160 Speaker 1: Amazing. I'm going to put all of that in the 553 00:29:34,160 --> 00:29:36,360 Speaker 1: description of this podcast, and also a link to where 554 00:29:36,360 --> 00:29:38,800 Speaker 1: you guys can find the book. Highly recommend it. It's 555 00:29:38,920 --> 00:29:41,959 Speaker 1: really easy to read, even like I just very quickly 556 00:29:41,960 --> 00:29:44,520 Speaker 1: read through it because it's such a fast read. But 557 00:29:44,560 --> 00:29:47,960 Speaker 1: it's full of information, diet plans, all of that stuff. 558 00:29:48,000 --> 00:29:49,520 Speaker 1: So you guys go get the book. Thank you so 559 00:29:49,680 --> 00:29:50,440 Speaker 1: much for being here. 560 00:29:50,840 --> 00:29:57,000 Speaker 2: Thank you so much, Kelly