1 00:00:00,240 --> 00:00:02,080 Speaker 1: Coming up on you need therapy. 2 00:00:02,720 --> 00:00:04,560 Speaker 2: I see it time and time again of clients coming 3 00:00:04,640 --> 00:00:07,080 Speaker 2: in wanting to take it, thinking that I'm going to 4 00:00:07,080 --> 00:00:09,320 Speaker 2: take this medication and I'm going to lose fat cells 5 00:00:09,360 --> 00:00:12,200 Speaker 2: where I want to lose fat cells. And it's like that, 6 00:00:12,200 --> 00:00:14,240 Speaker 2: that's not how this works, right. It's more of a 7 00:00:14,360 --> 00:00:17,360 Speaker 2: it's mimicking a process in your body to delay our 8 00:00:17,400 --> 00:00:21,600 Speaker 2: stomach emptying because it's releasing more insulin, and in turn, 9 00:00:21,720 --> 00:00:25,560 Speaker 2: it's just messing up or interfering with other hormones in 10 00:00:25,600 --> 00:00:28,080 Speaker 2: our body, the like our grellin and our leptin, which 11 00:00:28,080 --> 00:00:31,960 Speaker 2: is our hunger and fullness like hormones, and so we're. 12 00:00:31,800 --> 00:00:33,960 Speaker 3: Just we're not feeling hunger cues, we're not eating. 13 00:00:35,000 --> 00:00:38,200 Speaker 1: I started to realize that not being an expert isn't 14 00:00:38,240 --> 00:00:40,360 Speaker 1: a liability, it's a real gift. 15 00:00:40,920 --> 00:00:43,600 Speaker 2: If we don't know something about ourselves at this point 16 00:00:43,600 --> 00:00:44,320 Speaker 2: in our life. 17 00:00:44,080 --> 00:00:46,280 Speaker 3: It's probably because it's uncomfortable to know. 18 00:00:47,000 --> 00:00:49,839 Speaker 1: If you can die before you die, then you can 19 00:00:49,920 --> 00:00:53,440 Speaker 1: really live. There's a wisdom at death's door. 20 00:00:54,080 --> 00:00:57,000 Speaker 2: I thought I was insane, yeah, and I didn't know 21 00:00:57,000 --> 00:00:58,520 Speaker 2: what to do because there was no internet. 22 00:00:58,960 --> 00:01:02,120 Speaker 1: I don't know, and I'm like, I feel like everything 23 00:01:03,040 --> 00:01:07,520 Speaker 1: is hard. Hey, y'all, my name is Kat. I'm a 24 00:01:07,600 --> 00:01:11,080 Speaker 1: human first and a licensed therapist second, and right now 25 00:01:11,200 --> 00:01:14,480 Speaker 1: I'm inviting you into conversations that I hope encourage you 26 00:01:14,640 --> 00:01:19,320 Speaker 1: to become more curious and less judgmental about yourself, others, 27 00:01:19,400 --> 00:01:23,400 Speaker 1: and the world around you. Welcome to You Need Therapy. 28 00:01:24,680 --> 00:01:27,000 Speaker 1: Hi guys, and welcome to a new episode of You 29 00:01:27,080 --> 00:01:29,920 Speaker 1: Need Therapy podcast. My name is Kat and I am 30 00:01:29,920 --> 00:01:33,280 Speaker 1: the host. If you are new to the podcast, I 31 00:01:33,360 --> 00:01:35,560 Speaker 1: like to give a little disclaimer at the top of 32 00:01:35,600 --> 00:01:39,600 Speaker 1: every episode that just reminds everybody that I although this 33 00:01:39,640 --> 00:01:42,440 Speaker 1: podcast is called You Need Therapy and it's hosted by 34 00:01:42,920 --> 00:01:47,160 Speaker 1: a licensed therapist, it is not a substitute or a 35 00:01:47,200 --> 00:01:51,800 Speaker 1: replacement for any actual mental health services. And today we 36 00:01:51,840 --> 00:01:56,240 Speaker 1: are talking about a very controversial topic that has a 37 00:01:56,240 --> 00:02:00,240 Speaker 1: lot to do with things that I am actually not 38 00:02:01,160 --> 00:02:05,000 Speaker 1: It is not my wheelhouse. So I have brought in 39 00:02:05,080 --> 00:02:07,480 Speaker 1: one of my oldest friends I think I've known you 40 00:02:07,560 --> 00:02:10,959 Speaker 1: since sixth or seventh grade to talk about this from 41 00:02:11,160 --> 00:02:16,360 Speaker 1: her perspective, because she actually does have the education in 42 00:02:16,400 --> 00:02:18,079 Speaker 1: the background to be able to speak on the things 43 00:02:18,120 --> 00:02:19,520 Speaker 1: that we're talking about. And I know you're on the 44 00:02:19,560 --> 00:02:21,080 Speaker 1: edge of your toes. What is it that you're going 45 00:02:21,120 --> 00:02:22,840 Speaker 1: to be talking about? And who is it that is 46 00:02:22,880 --> 00:02:25,280 Speaker 1: sitting there with you ready to talk about this? Because 47 00:02:25,280 --> 00:02:29,320 Speaker 1: you probably haven't read the title, which I like to 48 00:02:29,480 --> 00:02:31,160 Speaker 1: keep people waiting. I'm like, they know what I'm about 49 00:02:31,160 --> 00:02:33,400 Speaker 1: to talk about because the title says it. Anyway, we're 50 00:02:33,440 --> 00:02:37,320 Speaker 1: talking about ozepic today, a topic that I actually have 51 00:02:37,400 --> 00:02:40,679 Speaker 1: tried to stay a little away from when it comes 52 00:02:40,680 --> 00:02:43,760 Speaker 1: to this podcast, specifically because what I just said, I'm 53 00:02:43,760 --> 00:02:45,720 Speaker 1: not the expert on this and I can't be the 54 00:02:45,760 --> 00:02:49,080 Speaker 1: expert because this is not where my education lies. But 55 00:02:49,360 --> 00:02:51,680 Speaker 1: I do know people that are credible sources to talk 56 00:02:51,680 --> 00:02:55,680 Speaker 1: about this, one being Jamison Whorley, who I always want 57 00:02:55,720 --> 00:02:57,959 Speaker 1: to call you, Jamison Stewart. Still you're still on my phone, 58 00:02:58,040 --> 00:02:58,880 Speaker 1: is Jamison Stewart. 59 00:02:58,919 --> 00:02:59,639 Speaker 3: It's cool you're. 60 00:03:00,080 --> 00:03:04,520 Speaker 1: Let's say yes, but like you don't. 61 00:03:04,600 --> 00:03:06,160 Speaker 3: Just it's hard to change. 62 00:03:06,520 --> 00:03:08,840 Speaker 2: All of our little high school friends are like that 63 00:03:08,880 --> 00:03:09,120 Speaker 2: for me. 64 00:03:09,320 --> 00:03:13,360 Speaker 1: So Jameson is a dietitian. She's a registered dietitian and 65 00:03:13,400 --> 00:03:18,880 Speaker 1: a license dietitian in Tennessee, and she is going to 66 00:03:18,960 --> 00:03:24,240 Speaker 1: talk us through some of the hot topics that have 67 00:03:24,320 --> 00:03:29,040 Speaker 1: to do with this very popular drug right now called ozempic. 68 00:03:29,480 --> 00:03:32,840 Speaker 1: You might not totally understand some of these words, and 69 00:03:33,000 --> 00:03:34,720 Speaker 1: it almost is like I have to go look up 70 00:03:34,720 --> 00:03:39,400 Speaker 1: the definition to understand the definition of another definition. That's 71 00:03:39,400 --> 00:03:41,080 Speaker 1: how I feel sometimes with this. So we're going to 72 00:03:41,120 --> 00:03:43,960 Speaker 1: try to make this easy for you to digest. I'm 73 00:03:43,960 --> 00:03:45,560 Speaker 1: going to say this again later, but if you do 74 00:03:45,640 --> 00:03:48,040 Speaker 1: have any questions, if any questions come up while we're 75 00:03:48,040 --> 00:03:51,600 Speaker 1: talking about this, send them to me Katherine at UNIU 76 00:03:51,680 --> 00:03:54,400 Speaker 1: Therapy podcast dot com and we will try to answer 77 00:03:54,480 --> 00:03:58,360 Speaker 1: those as best we can on possibly a couch Talks episode. 78 00:03:58,840 --> 00:04:01,000 Speaker 1: One more thing before where we get into the juice 79 00:04:01,000 --> 00:04:05,200 Speaker 1: of this is we are here to offer you information 80 00:04:06,160 --> 00:04:09,680 Speaker 1: from a place of total non judgment. And most of 81 00:04:09,720 --> 00:04:13,160 Speaker 1: you guys know this from listening to past episodes. My 82 00:04:13,280 --> 00:04:17,039 Speaker 1: goal is to help people make more informed decisions for themselves. 83 00:04:17,080 --> 00:04:20,120 Speaker 1: My goal is never to make a decision for somebody else. 84 00:04:20,240 --> 00:04:22,640 Speaker 1: It is to help somebody figure out what they need 85 00:04:22,720 --> 00:04:25,160 Speaker 1: versus me tell them. And this is one of those spaces. 86 00:04:25,200 --> 00:04:27,000 Speaker 1: And I really want you to hear that because I 87 00:04:27,080 --> 00:04:31,800 Speaker 1: don't want anybody to ever feel shamed by any of 88 00:04:31,839 --> 00:04:35,359 Speaker 1: the information we talk about on here and as you 89 00:04:35,360 --> 00:04:37,960 Speaker 1: guys know, everything is nuanced, so there is not a 90 00:04:38,360 --> 00:04:41,920 Speaker 1: blanket answer that there's one thing that's right for everybody 91 00:04:41,960 --> 00:04:44,200 Speaker 1: and one thing that's wrong. We are just talking about 92 00:04:44,240 --> 00:04:46,720 Speaker 1: what we know about a drug that is very popular 93 00:04:46,800 --> 00:04:49,839 Speaker 1: right now. Now, I do realize that I have not 94 00:04:50,520 --> 00:04:59,520 Speaker 1: let Jamison say hi, so hello and welcome. Hi. Is 95 00:04:59,560 --> 00:05:02,280 Speaker 1: there any the thing you want people to know as 96 00:05:02,320 --> 00:05:04,479 Speaker 1: well from your perspective before we get into some of this. 97 00:05:05,040 --> 00:05:07,240 Speaker 2: Yeah, I mean I'm in the same space one. I'm 98 00:05:07,279 --> 00:05:10,080 Speaker 2: so pumped to be here today. Like Catherine said, I 99 00:05:10,120 --> 00:05:12,440 Speaker 2: have known this girl since middle school, back in the 100 00:05:12,520 --> 00:05:17,240 Speaker 2: day of limited to and dealing. Yes, so I'm really 101 00:05:17,279 --> 00:05:19,360 Speaker 2: excited and it's fun to be in the same space, 102 00:05:19,520 --> 00:05:22,039 Speaker 2: you know, at least, you know, graduate to the space 103 00:05:22,080 --> 00:05:24,600 Speaker 2: where we both are. I think a big thing is 104 00:05:24,600 --> 00:05:26,520 Speaker 2: is like she asked me to, you know, talk about 105 00:05:26,520 --> 00:05:29,240 Speaker 2: this and be on this podcast, and pumped to talk 106 00:05:29,279 --> 00:05:31,680 Speaker 2: about it because I see it so much in my practice. 107 00:05:31,720 --> 00:05:32,479 Speaker 3: Am I an expert? 108 00:05:32,680 --> 00:05:32,720 Speaker 1: No? 109 00:05:33,160 --> 00:05:37,039 Speaker 2: But is my job to help educate clients? Yes, So 110 00:05:37,080 --> 00:05:39,880 Speaker 2: I'm hoping that that's what today is. And like Catherine said, 111 00:05:39,920 --> 00:05:43,400 Speaker 2: I'm hoping that like today, as I mentioned that, we're 112 00:05:43,440 --> 00:05:45,560 Speaker 2: just giving you, guys, education so that you can make 113 00:05:45,600 --> 00:05:48,840 Speaker 2: informed choices for your bodies and not feel judgment by 114 00:05:48,839 --> 00:05:51,479 Speaker 2: any of it. You know, to each their own your body, 115 00:05:51,520 --> 00:05:53,839 Speaker 2: your body, and that's why I always preached my clients. 116 00:05:54,600 --> 00:05:57,839 Speaker 1: And one thing that I've heard and seen from some 117 00:05:57,880 --> 00:06:00,280 Speaker 1: of the stuff on the internet right now is is 118 00:06:00,839 --> 00:06:03,400 Speaker 1: and this is what if you're pro this drug or 119 00:06:04,320 --> 00:06:06,960 Speaker 1: what's the opposite of pro con con this drug against. 120 00:06:07,680 --> 00:06:12,680 Speaker 1: I'm not encouraging anybody to take what we're saying and 121 00:06:12,720 --> 00:06:16,279 Speaker 1: then solely make a medical decision based off of that. 122 00:06:16,880 --> 00:06:20,320 Speaker 1: This is parts of the puzzle. And because we don't 123 00:06:20,400 --> 00:06:23,000 Speaker 1: know you specifically in your story and all that, I 124 00:06:23,040 --> 00:06:26,920 Speaker 1: do want you to again take that nuance into consideration 125 00:06:27,200 --> 00:06:30,440 Speaker 1: as we go. Take the pieces that fit and make 126 00:06:30,520 --> 00:06:33,760 Speaker 1: sense to you, talk to people, your providers about them, 127 00:06:33,800 --> 00:06:36,920 Speaker 1: ask the questions to them, and then do what you 128 00:06:36,960 --> 00:06:40,240 Speaker 1: need to do. Okay, Okay, so we're going to get 129 00:06:40,240 --> 00:06:43,760 Speaker 1: into it. If you are not aware of what ozempic is, 130 00:06:44,400 --> 00:06:48,120 Speaker 1: then one that is crazy at this point because I 131 00:06:48,160 --> 00:06:50,120 Speaker 1: feel like, and maybe it's because I'm in this field, 132 00:06:50,120 --> 00:06:52,039 Speaker 1: I feel like every time I turn I'm seeing an 133 00:06:52,160 --> 00:06:57,960 Speaker 1: article or a podcast or something talking about this drug 134 00:06:58,080 --> 00:07:00,800 Speaker 1: or the drugs in the cagory that we're going to 135 00:07:00,800 --> 00:07:04,520 Speaker 1: talk about. So can you tell us what ozempic is, 136 00:07:05,360 --> 00:07:08,080 Speaker 1: what semi glue tide is, and all the things that 137 00:07:08,120 --> 00:07:08,479 Speaker 1: are in that. 138 00:07:08,960 --> 00:07:11,360 Speaker 2: So start by beginning. I kind of got introduced to 139 00:07:11,360 --> 00:07:13,080 Speaker 2: this drug a couple of years ago. One of the 140 00:07:13,080 --> 00:07:15,800 Speaker 2: things that I see a lot is diabetes, and so 141 00:07:15,920 --> 00:07:18,360 Speaker 2: I ozempic started coming up in my practice a lot, 142 00:07:18,400 --> 00:07:20,320 Speaker 2: you know, with people who were type two diabetic who 143 00:07:20,320 --> 00:07:21,240 Speaker 2: needed it, et cetera, et cetera. 144 00:07:21,280 --> 00:07:22,360 Speaker 3: And I'll get into what that means. 145 00:07:22,360 --> 00:07:24,240 Speaker 2: So the ones that you've heard, so that we have 146 00:07:24,400 --> 00:07:26,680 Speaker 2: semaglue tides and we have ter zeppeitide. 147 00:07:27,080 --> 00:07:28,560 Speaker 3: So semaglue tide. 148 00:07:28,320 --> 00:07:31,360 Speaker 2: Is our withgov and our ozempic, so a zimpic has 149 00:07:31,400 --> 00:07:36,360 Speaker 2: been FDA approved for diabetes diabetes only and per research 150 00:07:36,400 --> 00:07:39,920 Speaker 2: and everything. Basically, providers started to see that the way 151 00:07:39,960 --> 00:07:42,960 Speaker 2: that these drugs were working weight loss was also happening. 152 00:07:43,000 --> 00:07:46,040 Speaker 2: So basically you have semaglue tides, which is with govy 153 00:07:46,080 --> 00:07:49,880 Speaker 2: and ozempic and both of those are from Novodortis, which 154 00:07:49,920 --> 00:07:52,760 Speaker 2: is a pharmaceutical company. And then you have tterzepetides, which 155 00:07:52,800 --> 00:07:55,400 Speaker 2: is Manjaro, and that's from Eli Lilly. 156 00:07:55,600 --> 00:07:58,400 Speaker 3: What is Eli Lilly. It's a pharmaceutical company. 157 00:07:58,480 --> 00:08:02,200 Speaker 2: So these drugs are geop one agonis, so they mimic 158 00:08:02,280 --> 00:08:07,160 Speaker 2: the action of a hormone called glucagon like peptid one, 159 00:08:07,440 --> 00:08:11,520 Speaker 2: which is the gop one. When blood sugar levels rise 160 00:08:11,560 --> 00:08:14,320 Speaker 2: in our body. Right, So when we eat something or 161 00:08:14,720 --> 00:08:18,800 Speaker 2: we naturally produce blood sugars, then our body releases insulin. 162 00:08:19,000 --> 00:08:23,600 Speaker 2: So this gop one mimics insulin in our body, which 163 00:08:23,680 --> 00:08:27,240 Speaker 2: essentially helps to lower the blood sugar levels in our body. 164 00:08:27,440 --> 00:08:35,360 Speaker 1: We need insulin, right, Okay, So these medications are creating 165 00:08:35,559 --> 00:08:40,440 Speaker 1: or mimicking or increasing the production of insulin, yes okay. 166 00:08:40,920 --> 00:08:46,120 Speaker 1: And that is pulling sugar out of our blood, yes okay, 167 00:08:46,440 --> 00:08:48,320 Speaker 1: so and putting it where it's supposed to be. 168 00:08:49,160 --> 00:08:49,960 Speaker 3: Yes, okay. 169 00:08:50,160 --> 00:08:52,400 Speaker 2: Yes, So think of it as our body is run 170 00:08:52,400 --> 00:08:56,280 Speaker 2: by hormones, right. Insulin's a hormone, Grellin's a hormone, leptins 171 00:08:56,280 --> 00:08:56,680 Speaker 2: a hormone. 172 00:08:56,679 --> 00:08:58,640 Speaker 3: Those are our hunger fullness cues for our brain. 173 00:08:58,760 --> 00:09:02,319 Speaker 2: So when you're adding in something that's mimicking a hormone 174 00:09:03,320 --> 00:09:06,000 Speaker 2: or our hormonal balance. 175 00:09:06,040 --> 00:09:06,920 Speaker 3: Gets a little wonky. 176 00:09:07,200 --> 00:09:10,760 Speaker 2: Right, And so with these it's mimicking that insulin response 177 00:09:10,920 --> 00:09:14,480 Speaker 2: by increasing more insulin in our body that's triggering. If 178 00:09:14,520 --> 00:09:16,960 Speaker 2: we're not diabetic or have too much blood sugar in 179 00:09:17,000 --> 00:09:20,400 Speaker 2: our system, then it's going to turn to weight loss. 180 00:09:20,920 --> 00:09:23,600 Speaker 2: And that's like that starvation mode piece that comes with 181 00:09:23,600 --> 00:09:23,960 Speaker 2: that too. 182 00:09:24,120 --> 00:09:25,080 Speaker 3: Doesn't make more sense. 183 00:09:25,679 --> 00:09:28,559 Speaker 1: So I want to clarify. If you have type two 184 00:09:28,640 --> 00:09:33,480 Speaker 1: diabetes or maybe type one ors are just type two okay, okay, 185 00:09:33,480 --> 00:09:36,959 Speaker 1: type two diabetes, this can actually be very very helpful 186 00:09:37,160 --> 00:09:41,000 Speaker 1: and necessary because your body doesn't naturally produce enough of 187 00:09:41,400 --> 00:09:45,520 Speaker 1: something that it needs to actually survive. Okay. If you 188 00:09:45,640 --> 00:09:51,760 Speaker 1: don't have that, then you are adding in something that 189 00:09:51,800 --> 00:09:54,320 Speaker 1: you don't actually need, and that is going to create 190 00:09:54,320 --> 00:10:00,439 Speaker 1: an imbalance in how your body produces and regulates its hormones. Right, 191 00:10:00,520 --> 00:10:04,160 Speaker 1: And a side effect of this drug not its intent, 192 00:10:04,559 --> 00:10:07,560 Speaker 1: but the side effect of this drug is weight loss. 193 00:10:08,080 --> 00:10:14,240 Speaker 1: So now this drug is being prescribed for its side effect, right, Okay. 194 00:10:14,880 --> 00:10:18,160 Speaker 1: And my question would be this might not be a 195 00:10:18,240 --> 00:10:22,200 Speaker 1: question you can really answer, is if I am taking 196 00:10:22,240 --> 00:10:25,120 Speaker 1: a drug that creates some kind of imbalance in my 197 00:10:25,160 --> 00:10:29,199 Speaker 1: system that I don't actually need, would there be side 198 00:10:29,200 --> 00:10:32,720 Speaker 1: effects in other parts of my body? Like, yeah, I 199 00:10:32,760 --> 00:10:34,640 Speaker 1: might lose weight, but am I going to be affected 200 00:10:34,679 --> 00:10:44,240 Speaker 1: in other areas? If I am taking a drug that 201 00:10:44,280 --> 00:10:47,040 Speaker 1: creates some kind of imbalance in my system that I 202 00:10:47,120 --> 00:10:51,920 Speaker 1: don't actually need, would there be side effects in other 203 00:10:52,280 --> 00:10:54,760 Speaker 1: parts of my body? Like, yeah, I might lose weight, 204 00:10:54,800 --> 00:10:57,640 Speaker 1: but am I going to be affected in other areas? Yes? 205 00:10:58,280 --> 00:11:00,960 Speaker 2: So that goes down to kind of the over response 206 00:11:01,040 --> 00:11:02,000 Speaker 2: of starvation mode. 207 00:11:02,240 --> 00:11:03,959 Speaker 3: Right, So I tell my clients. 208 00:11:03,600 --> 00:11:06,200 Speaker 1: A lot that is starvation mode for people that don't know. 209 00:11:06,320 --> 00:11:10,240 Speaker 2: So, starvation mode essentially is when our bodies naturally need 210 00:11:10,280 --> 00:11:13,640 Speaker 2: a baseline amount of energy to survive. So that's if 211 00:11:13,679 --> 00:11:15,400 Speaker 2: you were sleeping in the middle of the night, right, 212 00:11:15,440 --> 00:11:19,480 Speaker 2: you're not doing much but breathing whatever, So you're burning 213 00:11:19,679 --> 00:11:21,760 Speaker 2: energy just to keep your body alive. So if we're 214 00:11:21,760 --> 00:11:25,280 Speaker 2: not reaching that baseline amount of energy calthories, fuel, you 215 00:11:25,440 --> 00:11:27,920 Speaker 2: call it whatever you want, then our body gets into 216 00:11:27,920 --> 00:11:30,839 Speaker 2: starvation mode, which in turn is fight or flight mode. 217 00:11:31,040 --> 00:11:31,240 Speaker 3: Right. 218 00:11:31,280 --> 00:11:33,640 Speaker 2: So it's the same response if a bear is chasing 219 00:11:33,720 --> 00:11:35,520 Speaker 2: you down the street, right, You're not going to be 220 00:11:35,600 --> 00:11:38,000 Speaker 2: you can't make rational decisions. Your only thing is trying 221 00:11:38,000 --> 00:11:40,240 Speaker 2: to get away. The first thing that your body does 222 00:11:40,280 --> 00:11:42,960 Speaker 2: in that or The first two things is it holds 223 00:11:42,960 --> 00:11:45,000 Speaker 2: on too fat, no matter how little or how much 224 00:11:45,040 --> 00:11:47,760 Speaker 2: we have of it, because fat in our body is 225 00:11:47,760 --> 00:11:51,080 Speaker 2: the one macronutrient that our body deems is essential. Right, 226 00:11:51,160 --> 00:11:54,560 Speaker 2: It's not going to be like, oh, okay, I'm getting 227 00:11:54,679 --> 00:11:56,760 Speaker 2: chased down the street from a bear, so I'm going 228 00:11:56,840 --> 00:11:59,800 Speaker 2: to lose a bunch of fat in my love handle, 229 00:11:59,880 --> 00:12:02,880 Speaker 2: my thigh, my arm, you name it right, Like it's 230 00:12:03,200 --> 00:12:05,600 Speaker 2: it's essentially holding on to all of that because it 231 00:12:05,640 --> 00:12:07,880 Speaker 2: needs it. Right, fat is like the one cushion for 232 00:12:07,880 --> 00:12:11,000 Speaker 2: all of our organs, our bodies responses. It's our secondary 233 00:12:11,040 --> 00:12:11,800 Speaker 2: fuel source. 234 00:12:12,360 --> 00:12:13,960 Speaker 1: Wait, I just want to stop you there, because I 235 00:12:14,000 --> 00:12:16,440 Speaker 1: think that could be very really helpful for people to 236 00:12:16,520 --> 00:12:22,000 Speaker 1: hear that it is something that our body recognizes as essential. 237 00:12:22,480 --> 00:12:26,080 Speaker 1: Yet we are taught and told over and over it's 238 00:12:26,120 --> 00:12:27,839 Speaker 1: bad and wrong and gross and icky and get it 239 00:12:27,880 --> 00:12:31,160 Speaker 1: away totally, and people don't understand that the fat in 240 00:12:31,200 --> 00:12:36,720 Speaker 1: your body has a very large job to do. So, okay, 241 00:12:36,800 --> 00:12:39,480 Speaker 1: that's very helpful. So in starvation mode, it's going to 242 00:12:39,520 --> 00:12:42,160 Speaker 1: hold onto fat and then what else? 243 00:12:42,280 --> 00:12:44,680 Speaker 2: Yeah, And the second thing is it releases cortisol, which 244 00:12:44,679 --> 00:12:47,920 Speaker 2: is our stress hormone, and so that's something that's supposed 245 00:12:47,920 --> 00:12:50,120 Speaker 2: to be really quick, right, it's a fleeting response. We're 246 00:12:50,120 --> 00:12:52,520 Speaker 2: supposed to feel stressed or that you know that piece 247 00:12:52,600 --> 00:12:54,880 Speaker 2: because it's like we're in fight or flight. We need 248 00:12:54,920 --> 00:12:58,080 Speaker 2: to make those like whatever rational decision or irrational decision 249 00:12:58,120 --> 00:13:00,160 Speaker 2: in that mode to get out of fight or flight. 250 00:13:00,200 --> 00:13:03,400 Speaker 1: Because and your in starvation mode. Your body's number one 251 00:13:03,640 --> 00:13:06,520 Speaker 1: goal is to stay alive totally, okay, So if my 252 00:13:06,640 --> 00:13:08,560 Speaker 1: number one goal is to stay alive, what am I 253 00:13:08,600 --> 00:13:09,839 Speaker 1: not paying attention. 254 00:13:09,480 --> 00:13:12,280 Speaker 3: To everything else going on everybody? 255 00:13:12,559 --> 00:13:15,679 Speaker 1: And that's why I think when we're talking about restriction 256 00:13:16,200 --> 00:13:19,960 Speaker 1: when it comes to eating disorders, it's so interesting the 257 00:13:19,960 --> 00:13:22,960 Speaker 1: conversations I get to have with clients about, Okay, you 258 00:13:23,520 --> 00:13:26,160 Speaker 1: think that you're out here just like living your life 259 00:13:26,160 --> 00:13:27,880 Speaker 1: and doing everything you need do the way you need 260 00:13:27,920 --> 00:13:30,080 Speaker 1: to do it. But you don't realize is your body 261 00:13:30,160 --> 00:13:33,800 Speaker 1: is making decisions based on necessity without you even knowing it. 262 00:13:34,200 --> 00:13:38,240 Speaker 1: So that's why things happen like oh, your hair's falling out, 263 00:13:39,000 --> 00:13:42,160 Speaker 1: or you have brain fog and you can't recall words, 264 00:13:42,240 --> 00:13:45,200 Speaker 1: or you can't remember things, because it's not trying to 265 00:13:45,360 --> 00:13:47,480 Speaker 1: listen to that lecture that you're sitting in in the 266 00:13:47,480 --> 00:13:52,080 Speaker 1: middle of your college whatever. It's trying to make sure 267 00:13:52,080 --> 00:13:54,400 Speaker 1: that you can still breathe, and you can your organs 268 00:13:54,440 --> 00:13:58,040 Speaker 1: are still working, that your heart is pumping. So that's 269 00:13:58,080 --> 00:14:00,920 Speaker 1: what it's focused on versus all of these other things. 270 00:14:01,080 --> 00:14:03,520 Speaker 2: Yeah, And I think to preface too, right, like, we 271 00:14:03,600 --> 00:14:06,360 Speaker 2: see it because we work with this population, or we 272 00:14:06,400 --> 00:14:10,000 Speaker 2: work with a population that has a very you know, 273 00:14:10,160 --> 00:14:13,640 Speaker 2: conshrewd sense of body and self right and food habits 274 00:14:13,720 --> 00:14:16,160 Speaker 2: or exercise or you know, body image, all the things, 275 00:14:16,240 --> 00:14:19,440 Speaker 2: and so it's sad and we grieve what our clients 276 00:14:19,440 --> 00:14:21,520 Speaker 2: are going through. So we see something like this come 277 00:14:21,560 --> 00:14:25,360 Speaker 2: on the market that's essentially another diet, it's just it's 278 00:14:25,360 --> 00:14:26,160 Speaker 2: hard to see. 279 00:14:26,520 --> 00:14:28,400 Speaker 1: I feel like we've kind of glazed over this. It's 280 00:14:28,400 --> 00:14:31,880 Speaker 1: a diet in the sense that what's happening when you're 281 00:14:31,920 --> 00:14:37,720 Speaker 1: taking this drug, especially when you are not being prescribed 282 00:14:37,760 --> 00:14:42,040 Speaker 1: for this for diabetes, is this drug is suppressing your appetite, 283 00:14:42,120 --> 00:14:44,880 Speaker 1: which I was very surprised to find out when I 284 00:14:44,920 --> 00:14:47,200 Speaker 1: first heard about it. I assumed, I'm like, what is 285 00:14:47,240 --> 00:14:50,200 Speaker 1: this doing to rev up people's metabolism? Like how is this? 286 00:14:50,800 --> 00:14:52,720 Speaker 1: I was so curious and to hear it was just 287 00:14:52,760 --> 00:14:57,040 Speaker 1: an appetite suppressant. That's why we're talking about starvation mode. 288 00:14:57,600 --> 00:15:00,440 Speaker 1: Is what is happening is you're taking this drug and 289 00:15:00,480 --> 00:15:03,880 Speaker 1: then you're not getting hungry, or you're not getting hungry, 290 00:15:04,680 --> 00:15:07,240 Speaker 1: or you're, like you said earlier, like your fullness and 291 00:15:07,280 --> 00:15:11,320 Speaker 1: your satiety cues, you're hunger. All that's getting jumbled up. 292 00:15:12,280 --> 00:15:15,720 Speaker 1: And so this is just a way for people to 293 00:15:16,560 --> 00:15:20,920 Speaker 1: restrict easier. It's a it's almost like a potion to 294 00:15:21,280 --> 00:15:25,920 Speaker 1: restrict easier because you don't have to fight against that 295 00:15:26,120 --> 00:15:30,960 Speaker 1: urge to eat when our urge to eat is a 296 00:15:31,240 --> 00:15:34,160 Speaker 1: thing that we need to keep this alive. 297 00:15:34,400 --> 00:15:34,920 Speaker 3: Absolutely. 298 00:15:35,280 --> 00:15:37,360 Speaker 1: I don't know if we clarified this, but semi glue 299 00:15:37,360 --> 00:15:40,720 Speaker 1: tide is the active drug that's in these other medication 300 00:15:40,800 --> 00:15:44,640 Speaker 1: that's in mogov and ozempic. Correct, So that's why you're 301 00:15:44,640 --> 00:15:47,480 Speaker 1: hearing all of those different things. So a zempic is 302 00:15:47,600 --> 00:15:51,280 Speaker 1: approved for type two diabetes and then wegov is FDA 303 00:15:51,400 --> 00:15:58,040 Speaker 1: proved for weight loss. I find this very interesting. So 304 00:15:58,440 --> 00:16:03,120 Speaker 1: in my opinion, this is an opinion. My thoughts on 305 00:16:03,440 --> 00:16:08,560 Speaker 1: drugs being approved for weight loss comes from the determination 306 00:16:08,760 --> 00:16:13,440 Speaker 1: that obesity is a disease. And what I was also 307 00:16:13,640 --> 00:16:17,440 Speaker 1: very surprised and sad to find out is that obesity 308 00:16:17,960 --> 00:16:21,920 Speaker 1: was decided to be a disease based on a vote, 309 00:16:22,760 --> 00:16:27,560 Speaker 1: not actual hard evidence that was found. And we learned 310 00:16:27,560 --> 00:16:30,640 Speaker 1: this in the episode that I did with Leslie's Shilling 311 00:16:30,680 --> 00:16:32,280 Speaker 1: a couple of weeks ago. If you haven't listened to that, 312 00:16:32,320 --> 00:16:34,840 Speaker 1: I highly recommend it. She talks a lot about diet 313 00:16:34,840 --> 00:16:37,760 Speaker 1: culture and how it's everywhere, even in the safe places, 314 00:16:38,520 --> 00:16:41,800 Speaker 1: and when something can be defined as a disease, what 315 00:16:42,200 --> 00:16:47,240 Speaker 1: happens is we can code that when we are filling 316 00:16:47,280 --> 00:16:51,920 Speaker 1: out paperwork for insurance companies, So I mean I have 317 00:16:52,000 --> 00:16:55,240 Speaker 1: codes that I use for mental health disorders, and by 318 00:16:55,360 --> 00:16:58,520 Speaker 1: being able to diagnose a client, they are more likely 319 00:16:58,560 --> 00:17:00,640 Speaker 1: to be able to get the chants to pay for 320 00:17:00,680 --> 00:17:03,880 Speaker 1: the services that they need, and that is going to 321 00:17:04,119 --> 00:17:10,120 Speaker 1: impact the same thing in the medical world. What then 322 00:17:10,400 --> 00:17:13,800 Speaker 1: looks like we can do is we can now prescribe 323 00:17:13,840 --> 00:17:20,119 Speaker 1: medications to then cure this disease that we've decided as 324 00:17:20,119 --> 00:17:26,040 Speaker 1: a disease, and then we can sell these drugs more 325 00:17:26,040 --> 00:17:30,359 Speaker 1: effectively and I guess easier. It's really one of the 326 00:17:30,359 --> 00:17:33,520 Speaker 1: only ways you can sell these drugs is that they 327 00:17:33,520 --> 00:17:37,040 Speaker 1: are proved for this disease. I can now code this 328 00:17:37,119 --> 00:17:39,359 Speaker 1: as a disease, then I can prescribe this medication to 329 00:17:39,400 --> 00:17:43,119 Speaker 1: cure this disease. And I am not a doctor, so 330 00:17:43,160 --> 00:17:44,560 Speaker 1: I'm not going to sit here and go into the 331 00:17:44,600 --> 00:17:48,000 Speaker 1: intricacies of all this. But what I do want to say, 332 00:17:48,040 --> 00:17:49,080 Speaker 1: and I feel like a lot of you guys have 333 00:17:49,119 --> 00:17:52,879 Speaker 1: heard me say this before, is that when we do that, 334 00:17:53,200 --> 00:17:59,560 Speaker 1: we sometimes are solving a problem in the here and now, 335 00:18:00,600 --> 00:18:04,280 Speaker 1: while at the same time creating a lot more issues 336 00:18:04,280 --> 00:18:08,679 Speaker 1: and problems for our future. And side note, one of 337 00:18:08,720 --> 00:18:12,560 Speaker 1: the ways people diagnose somebody with obesity is with the BMI, 338 00:18:13,480 --> 00:18:16,800 Speaker 1: so we also know that's actual crap, like there's we 339 00:18:16,840 --> 00:18:19,000 Speaker 1: shouldn't be it's It is so wild to me that 340 00:18:19,000 --> 00:18:22,600 Speaker 1: that is a diagnostic tool because it means nothing. And 341 00:18:23,119 --> 00:18:26,919 Speaker 1: I feel fine saying this. I could be diagnosed with 342 00:18:26,920 --> 00:18:30,760 Speaker 1: obesity and I can be prescribed this medication at the 343 00:18:30,840 --> 00:18:35,879 Speaker 1: same time. Why, Like, I don't have health issues that 344 00:18:35,880 --> 00:18:39,240 Speaker 1: are directly related to my actual weight. And I would 345 00:18:39,359 --> 00:18:42,360 Speaker 1: hate if a doctor looked at me and said, oh, 346 00:18:42,400 --> 00:18:44,520 Speaker 1: you're having this problem or this is going on or 347 00:18:44,600 --> 00:18:47,680 Speaker 1: de da da oh, lose weight here, take this drug 348 00:18:47,800 --> 00:18:50,520 Speaker 1: and never addresses the actual issue that I'm having just 349 00:18:50,560 --> 00:18:52,920 Speaker 1: because we're looking at this thing and we have seen 350 00:18:52,960 --> 00:18:54,760 Speaker 1: over and over and over that you can both be 351 00:18:54,920 --> 00:18:59,960 Speaker 1: healthy and outside of the normal weight range that BMI 352 00:19:00,119 --> 00:19:02,639 Speaker 1: has decided for us. So I did want to go 353 00:19:03,359 --> 00:19:07,600 Speaker 1: on that tangent just to talk about why some of 354 00:19:07,640 --> 00:19:11,680 Speaker 1: this is so scary to me that we are blanketly 355 00:19:12,320 --> 00:19:15,320 Speaker 1: able to say, oh, you have this disease, we're going 356 00:19:15,359 --> 00:19:17,240 Speaker 1: to give you this drug. We have to look at 357 00:19:17,720 --> 00:19:21,600 Speaker 1: the underpinnings of why people might be pushing that when 358 00:19:21,640 --> 00:19:24,760 Speaker 1: we have so much research that says, I don't know 359 00:19:24,800 --> 00:19:25,960 Speaker 1: if this actually makes sense. 360 00:19:26,240 --> 00:19:27,200 Speaker 3: I absolutely agree. 361 00:19:27,240 --> 00:19:30,280 Speaker 2: And also when you look at BMI, to go back 362 00:19:30,320 --> 00:19:32,760 Speaker 2: to that, it's just I tell my clients is over 363 00:19:32,800 --> 00:19:36,840 Speaker 2: and over again, of it's a grievance of diet culture 364 00:19:36,840 --> 00:19:40,320 Speaker 2: in our society. Right, So, yes, BMI came out, it's 365 00:19:40,320 --> 00:19:43,760 Speaker 2: a faulty tool. In nineteen ninety eight, the NIH even 366 00:19:43,880 --> 00:19:47,800 Speaker 2: lowered like the BMI threshold, like the categories overnight, So 367 00:19:47,840 --> 00:19:50,800 Speaker 2: someone went to bed that night essentially as like normal 368 00:19:50,840 --> 00:19:54,240 Speaker 2: body weight and woke up overweight right or OBEs according 369 00:19:54,280 --> 00:19:55,480 Speaker 2: to b and I all the things. 370 00:19:55,520 --> 00:19:57,840 Speaker 3: So it's just it's it's sad. 371 00:19:58,000 --> 00:20:00,920 Speaker 2: And then because you have these diagnoses, it's like, let's 372 00:20:00,920 --> 00:20:03,560 Speaker 2: fix the problem, when in reality, I see clients all 373 00:20:03,560 --> 00:20:07,080 Speaker 2: the time who are completely healthy right, meaning their lab 374 00:20:07,119 --> 00:20:09,040 Speaker 2: work is fine, they have nothing wrong with them. But 375 00:20:09,080 --> 00:20:11,720 Speaker 2: this system is always trying to find something wrong right, 376 00:20:12,160 --> 00:20:14,520 Speaker 2: and it's that's a sad piece. That's why, you know, 377 00:20:14,560 --> 00:20:17,200 Speaker 2: we talked to clients about you're literally grieving the way 378 00:20:17,200 --> 00:20:19,720 Speaker 2: that diet culture other people perceive your body. So it's 379 00:20:19,760 --> 00:20:22,640 Speaker 2: coming back to you know, today's talk or going through 380 00:20:22,640 --> 00:20:25,280 Speaker 2: this with you of your body, your body. Let's educate 381 00:20:25,280 --> 00:20:28,520 Speaker 2: you on this drug, the implications of everything that's come 382 00:20:28,560 --> 00:20:32,280 Speaker 2: out since, side effects, all the things. 383 00:20:32,520 --> 00:20:35,720 Speaker 1: That could actually create more of an issue. So I'm 384 00:20:35,760 --> 00:20:37,879 Speaker 1: so glad you said that the grieving of the diet culture, 385 00:20:37,920 --> 00:20:43,359 Speaker 1: because if I was me at twenty years old, I 386 00:20:43,400 --> 00:20:46,040 Speaker 1: would not have this stance because I didn't have the 387 00:20:46,080 --> 00:20:48,479 Speaker 1: information that I had, and the information that I had 388 00:20:48,480 --> 00:20:50,560 Speaker 1: about what was wrong and right with my body was 389 00:20:50,680 --> 00:20:52,880 Speaker 1: very much rooted in diet culture. So I would say, 390 00:20:52,960 --> 00:20:54,520 Speaker 1: oh my gosh, I could take this drug and or 391 00:20:54,560 --> 00:20:56,680 Speaker 1: heal me from not being able to lose the weight 392 00:20:56,760 --> 00:20:59,680 Speaker 1: that my body is supposed to be at. I would 393 00:20:59,720 --> 00:21:03,600 Speaker 1: probably fall into that because the world is telling me 394 00:21:03,640 --> 00:21:06,040 Speaker 1: there's something wrong with me, when in the reality, we 395 00:21:06,080 --> 00:21:08,320 Speaker 1: have so much information that the world has not caught 396 00:21:08,440 --> 00:21:11,200 Speaker 1: up on. And I get it. I do very much 397 00:21:11,240 --> 00:21:14,760 Speaker 1: get that it's hard to change our minds when we've 398 00:21:14,800 --> 00:21:19,600 Speaker 1: thought something for so long. So I don't fault anybody 399 00:21:19,920 --> 00:21:23,600 Speaker 1: for having a hard time being able to change the 400 00:21:23,640 --> 00:21:26,840 Speaker 1: way they look at the way we perceive our bodies 401 00:21:26,840 --> 00:21:28,879 Speaker 1: and what is a good body and what is a 402 00:21:28,960 --> 00:21:31,880 Speaker 1: not good body, and the reality there is that doesn't exist. 403 00:21:32,280 --> 00:21:35,560 Speaker 1: But one of the reasons that I see this as 404 00:21:35,640 --> 00:21:38,520 Speaker 1: such a now issue and more of an issue for 405 00:21:38,560 --> 00:21:45,840 Speaker 1: our future is that it is perpetuating and creating space 406 00:21:46,160 --> 00:21:50,240 Speaker 1: for more people to develop the physical stuff I don't 407 00:21:50,280 --> 00:21:53,560 Speaker 1: even know, like the diseases and all of that, the implications, 408 00:21:53,680 --> 00:21:57,679 Speaker 1: but I just foresee this being future. We're just handing 409 00:21:57,680 --> 00:22:05,880 Speaker 1: out eating disorders to people. So let's get back into 410 00:22:06,000 --> 00:22:08,640 Speaker 1: just some information. Can you talk to us about what 411 00:22:08,680 --> 00:22:11,480 Speaker 1: we know about these drugs right now, what they do, 412 00:22:11,840 --> 00:22:14,720 Speaker 1: and if we know about any of their implications based 413 00:22:14,760 --> 00:22:15,920 Speaker 1: on research. Yes. 414 00:22:16,680 --> 00:22:21,200 Speaker 2: So, currently there's two published trials that are out now. 415 00:22:21,320 --> 00:22:24,520 Speaker 2: One is only for sixty eight weeks and another is 416 00:22:24,560 --> 00:22:27,240 Speaker 2: for two years, and so that's the longest long term 417 00:22:27,280 --> 00:22:30,399 Speaker 2: outcomes we've seen, which is not a long time. So 418 00:22:30,640 --> 00:22:32,959 Speaker 2: according to both of those, you know, encircling back right, 419 00:22:33,040 --> 00:22:35,240 Speaker 2: so you have your semaglue tides which is your GOOV 420 00:22:35,400 --> 00:22:38,240 Speaker 2: and your ozempic, and then you have your Trizeppatite, which 421 00:22:38,240 --> 00:22:41,040 Speaker 2: is your manjero WGOV is the only one that's FDA 422 00:22:41,080 --> 00:22:44,200 Speaker 2: approved for weight loss, and then ozempic is FDA approved 423 00:22:44,280 --> 00:22:49,720 Speaker 2: for diabetes. If you're taking the weight loss dose instead 424 00:22:49,720 --> 00:22:52,600 Speaker 2: of the diabetic dose, it's actually higher than that. 425 00:22:52,720 --> 00:22:54,760 Speaker 3: Of what they give to those with diabetes. 426 00:22:55,400 --> 00:22:58,200 Speaker 2: So according to these sixty eight week into your Outcomes 427 00:22:59,359 --> 00:23:02,280 Speaker 2: side effects that have come from those in these trials, 428 00:23:02,560 --> 00:23:06,200 Speaker 2: seventeen percent of those that were taking the medications were 429 00:23:06,240 --> 00:23:11,000 Speaker 2: found to either have partially digested or not fully digested 430 00:23:11,560 --> 00:23:15,280 Speaker 2: foods in their GI tracks. It would cause essentially GI 431 00:23:15,840 --> 00:23:19,840 Speaker 2: pain like GI disorders, you know, essentially. 432 00:23:19,600 --> 00:23:20,440 Speaker 3: Yeah, GI pain. 433 00:23:21,000 --> 00:23:24,240 Speaker 2: The mean weight loss with these was fifteen percent of 434 00:23:24,240 --> 00:23:28,320 Speaker 2: body weight, and so what this means is essentially most 435 00:23:28,359 --> 00:23:31,040 Speaker 2: of the weight loss occurred within one year of the 436 00:23:31,040 --> 00:23:34,240 Speaker 2: majority of these people taking or in these studies, and 437 00:23:34,280 --> 00:23:36,600 Speaker 2: then from there, when you look at the trend chart 438 00:23:36,720 --> 00:23:39,399 Speaker 2: after a year at plateaus, so say that they lost 439 00:23:39,400 --> 00:23:42,120 Speaker 2: fifteen percent of their body weight whoever is on the trial, right, 440 00:23:42,640 --> 00:23:44,840 Speaker 2: and then once they got to that year mark, even 441 00:23:44,880 --> 00:23:48,880 Speaker 2: for the two year long come, their weight stayed the same. 442 00:23:49,119 --> 00:23:51,639 Speaker 2: So I always tell clients if they walk into my 443 00:23:51,720 --> 00:23:54,320 Speaker 2: office and they start asking about it or they're wanting 444 00:23:54,359 --> 00:23:56,480 Speaker 2: to get on it, I always just provide the education. 445 00:23:56,680 --> 00:23:58,800 Speaker 2: This is what we know per the research, And I 446 00:23:58,800 --> 00:24:02,240 Speaker 2: always tell them, hey, per research, weight loss is about 447 00:24:02,240 --> 00:24:06,680 Speaker 2: fifteen percent, right, so that should be all that's it's expected, 448 00:24:06,760 --> 00:24:11,320 Speaker 2: all that's expected, yes, and then essentially such after that. 449 00:24:11,400 --> 00:24:13,080 Speaker 1: Okay, So the things that I just heard from that 450 00:24:13,240 --> 00:24:16,080 Speaker 1: is seventy percent of if people have gi issues from 451 00:24:16,080 --> 00:24:19,280 Speaker 1: taking this drug. That seems high to me. Is that high? Okay? Yeah, 452 00:24:19,280 --> 00:24:22,680 Speaker 1: it seems very high. Then what I heard is the 453 00:24:22,760 --> 00:24:25,639 Speaker 1: average is fifteen percent of your body weights. That's how 454 00:24:25,680 --> 00:24:27,840 Speaker 1: much weight I'm going to lose. And that stops after 455 00:24:27,920 --> 00:24:31,040 Speaker 1: one year. And then what happens after two years? 456 00:24:31,359 --> 00:24:33,360 Speaker 2: So after one and a half year, per the study, 457 00:24:33,600 --> 00:24:35,880 Speaker 2: they said that they would either if they stopped taking it. 458 00:24:36,160 --> 00:24:38,720 Speaker 2: Those that stopped taking it regained started to regain the 459 00:24:38,720 --> 00:24:42,640 Speaker 2: weight back, and those that kept taking it kept off 460 00:24:42,680 --> 00:24:44,639 Speaker 2: of the fifteen percent, but didn't go much deeper. There 461 00:24:44,640 --> 00:24:47,520 Speaker 2: were a few that that slid down more, but essentially 462 00:24:47,640 --> 00:24:48,520 Speaker 2: that was the average. 463 00:24:48,600 --> 00:24:51,320 Speaker 1: Okay, So that gives us information about how much people 464 00:24:51,400 --> 00:24:54,080 Speaker 1: can actually expect to lose on this drug. And what 465 00:24:54,160 --> 00:24:56,879 Speaker 1: I'm hearing that's even more glaring is if you do 466 00:24:56,960 --> 00:25:00,880 Speaker 1: not continue to take this drug, you will more likely 467 00:25:00,960 --> 00:25:06,360 Speaker 1: than not gain the weight back, possibly more. This sounds 468 00:25:06,560 --> 00:25:10,840 Speaker 1: exactly like what we know about diets, which is again, 469 00:25:10,920 --> 00:25:14,280 Speaker 1: this is just another way for people to restrict. This 470 00:25:14,359 --> 00:25:17,960 Speaker 1: is an easier way for people to restrict. However, this 471 00:25:18,160 --> 00:25:23,240 Speaker 1: is a prescribed, duh, prescribed way to restrict, So we 472 00:25:23,320 --> 00:25:27,840 Speaker 1: are prescribing people disordered eating and eating disorders at this point. 473 00:25:27,840 --> 00:25:30,000 Speaker 1: That's what it sounds like to me from my perspective, 474 00:25:30,040 --> 00:25:31,800 Speaker 1: and that again is very scary for the reasons that 475 00:25:31,840 --> 00:25:34,600 Speaker 1: I named already. So if you are not on this 476 00:25:34,680 --> 00:25:36,280 Speaker 1: drug for the rest of your life, you will gain 477 00:25:36,320 --> 00:25:39,680 Speaker 1: that weight back, if not more. So this is a 478 00:25:39,720 --> 00:25:43,000 Speaker 1: short term solution or long term I have to take 479 00:25:43,000 --> 00:25:43,440 Speaker 1: this drug. 480 00:25:44,080 --> 00:25:45,679 Speaker 2: Well, and this is what we know, right, So the 481 00:25:45,680 --> 00:25:47,679 Speaker 2: study is nearly two years. They could come out with studies, 482 00:25:47,760 --> 00:25:49,520 Speaker 2: you know, six years, ten years down the road, but 483 00:25:49,560 --> 00:25:52,879 Speaker 2: again who knows. I mean a good example from like 484 00:25:53,000 --> 00:25:55,439 Speaker 2: the whole thing with finnermin right, finfinn right. We remember 485 00:25:55,560 --> 00:25:57,080 Speaker 2: that where it came out and it was like, oh, 486 00:25:57,080 --> 00:25:59,159 Speaker 2: it's this weight loss drug. People started taking it, they 487 00:25:59,200 --> 00:26:01,359 Speaker 2: lost weight, and it took about ten years for that 488 00:26:01,480 --> 00:26:04,719 Speaker 2: drug to be on the market. For all of a sudden, 489 00:26:05,280 --> 00:26:09,040 Speaker 2: people started dying of cardiac arrest or had heart conditions, 490 00:26:09,080 --> 00:26:10,359 Speaker 2: you know, you name it, and then they had to 491 00:26:10,400 --> 00:26:11,960 Speaker 2: take it off of the market. 492 00:26:11,600 --> 00:26:16,280 Speaker 1: Which poses this other question. That's a huge risk, right, 493 00:26:16,800 --> 00:26:21,680 Speaker 1: So that drug was killing people. It's not on the 494 00:26:21,720 --> 00:26:24,840 Speaker 1: market anymore so much it was so dangerous. So this 495 00:26:24,880 --> 00:26:29,080 Speaker 1: is a huge risk. This is the part that I 496 00:26:29,119 --> 00:26:32,840 Speaker 1: want people to hear very loudly that there is such 497 00:26:32,960 --> 00:26:37,080 Speaker 1: limited information on this that I want people to know 498 00:26:37,800 --> 00:26:39,920 Speaker 1: and be aware. You can take that risk if that 499 00:26:40,000 --> 00:26:43,440 Speaker 1: feels worth it to you, Okay, process that with somebody 500 00:26:43,480 --> 00:26:46,879 Speaker 1: and take that risk. But this is a huge risk 501 00:26:47,000 --> 00:26:49,199 Speaker 1: because who's to say that we're not going to have 502 00:26:49,240 --> 00:26:52,600 Speaker 1: a similar story in ten years. It might not be 503 00:26:52,720 --> 00:26:54,760 Speaker 1: cardiac arrest, but we don't know. 504 00:26:55,560 --> 00:26:58,040 Speaker 2: Well and because of it, so not to necessarily cut 505 00:26:58,080 --> 00:27:01,359 Speaker 2: you off. So what ended up happening. Is FDA approve this, 506 00:27:02,240 --> 00:27:05,400 Speaker 2: but because in studies with rats. Now I will preface 507 00:27:05,440 --> 00:27:08,119 Speaker 2: and say we humans are not rats. But just with 508 00:27:08,160 --> 00:27:10,600 Speaker 2: the studies with rats, there was a lot of thyroid 509 00:27:10,600 --> 00:27:13,760 Speaker 2: issues and thyroid cancer that showed up, and so the 510 00:27:13,880 --> 00:27:17,159 Speaker 2: FDA because of that put a black box warning on 511 00:27:17,440 --> 00:27:22,120 Speaker 2: these medications because of that, and I didn't know that, Yes, 512 00:27:22,160 --> 00:27:25,560 Speaker 2: so there's a black box warning on these medications. And 513 00:27:25,680 --> 00:27:28,160 Speaker 2: to just go back to the fin Fin example, there 514 00:27:28,200 --> 00:27:30,960 Speaker 2: was no black box warning fin Fin. So black box 515 00:27:31,000 --> 00:27:34,800 Speaker 2: warning is essentially the biggest warning to put on medications 516 00:27:35,440 --> 00:27:37,840 Speaker 2: of like a oh, by the way. 517 00:27:37,560 --> 00:27:40,440 Speaker 1: This is really dangerous. So that's their way of skirting 518 00:27:40,440 --> 00:27:42,560 Speaker 1: around that issue. It's like, well, now we're warning you 519 00:27:42,600 --> 00:27:44,280 Speaker 1: that it's at least we're warning you that it's that 520 00:27:44,320 --> 00:27:48,320 Speaker 1: could be very dangerous. See, and I will say, depending 521 00:27:48,359 --> 00:27:50,760 Speaker 1: on how a doctor is prescribing this or talking about 522 00:27:50,760 --> 00:27:53,280 Speaker 1: this with you, or what you've learned about it, that 523 00:27:53,320 --> 00:27:56,520 Speaker 1: warning might not be that important to you. Because of 524 00:27:57,720 --> 00:28:00,520 Speaker 1: my fear is that people are saying you you are 525 00:28:00,600 --> 00:28:03,119 Speaker 1: diagnosed with obesity and you're going to die if you 526 00:28:03,119 --> 00:28:06,440 Speaker 1: don't take this drug, when that might necessarily not be true. 527 00:28:06,560 --> 00:28:08,600 Speaker 1: That might be a fear that I'm making up just 528 00:28:08,640 --> 00:28:12,200 Speaker 1: because I'm scared of these things. But the other thing 529 00:28:12,240 --> 00:28:14,359 Speaker 1: that I'm I'm wondering is what about the people that 530 00:28:14,400 --> 00:28:17,919 Speaker 1: are just getting prescribed this drug or taking it. I 531 00:28:17,960 --> 00:28:20,439 Speaker 1: assume there's a way to get this drug without the 532 00:28:20,520 --> 00:28:24,840 Speaker 1: diagnosis of in quotes obesity and just paying out of 533 00:28:24,840 --> 00:28:25,439 Speaker 1: pocket for this. 534 00:28:26,080 --> 00:28:28,399 Speaker 2: Yes, I do remember reading that in the US, the 535 00:28:28,440 --> 00:28:32,040 Speaker 2: average cost is about thirteen hundred a month for these medications. 536 00:28:32,080 --> 00:28:33,760 Speaker 2: And I didn't go to say this. So with some 537 00:28:33,920 --> 00:28:37,679 Speaker 2: of glue tides or the trazapatie, what it is is 538 00:28:37,760 --> 00:28:41,400 Speaker 2: essentially it's a once a week shot and that you 539 00:28:41,440 --> 00:28:43,160 Speaker 2: have to take. And so people will go in and 540 00:28:43,160 --> 00:28:45,120 Speaker 2: they'll pay for it monthly, they'll pay for it weekly, 541 00:28:45,120 --> 00:28:47,160 Speaker 2: they'll pay for it per shot, just kind of depending, 542 00:28:47,640 --> 00:28:50,320 Speaker 2: and that's about thirteen hundred a month for these out 543 00:28:50,360 --> 00:28:53,560 Speaker 2: of pocket. A lot of places called compound pharmacies will 544 00:28:53,560 --> 00:28:56,720 Speaker 2: do these where essentially they're putting in, you know, extra 545 00:28:56,800 --> 00:28:59,560 Speaker 2: things like electrolytes or something like that that you know, 546 00:28:59,600 --> 00:29:02,320 Speaker 2: you can get these off market or off brand or. 547 00:29:02,400 --> 00:29:06,800 Speaker 1: And that's not FDA approved. The compound drugs aren't correct. Okay, 548 00:29:07,000 --> 00:29:10,959 Speaker 1: what's also scary. Second side note is the people that 549 00:29:11,000 --> 00:29:14,680 Speaker 1: are just going just to lose weight just for body 550 00:29:14,720 --> 00:29:19,360 Speaker 1: image reasons. It's actually not even because a doctor said 551 00:29:19,400 --> 00:29:21,360 Speaker 1: you have this disease and da da da da. It's 552 00:29:21,440 --> 00:29:24,360 Speaker 1: because diet culture has told us that there's something wrong 553 00:29:24,360 --> 00:29:27,840 Speaker 1: with you and you can fix it. That's really scary 554 00:29:27,880 --> 00:29:31,080 Speaker 1: that we would take this big of a risk, and 555 00:29:31,120 --> 00:29:33,920 Speaker 1: it actually that's the grieving where I feel really sad 556 00:29:33,920 --> 00:29:37,320 Speaker 1: that we're at a place. And again, at twenty years old, 557 00:29:37,360 --> 00:29:39,840 Speaker 1: I would have been there as well, so I get 558 00:29:39,880 --> 00:29:42,600 Speaker 1: it and I understand how we got there. But it 559 00:29:42,680 --> 00:29:46,560 Speaker 1: is a call I think for all of us listening. 560 00:29:47,080 --> 00:29:49,240 Speaker 1: Maybe we aren't struggling with this, but we have friends 561 00:29:49,280 --> 00:29:51,480 Speaker 1: that are, and we're in conversations and we see I 562 00:29:51,520 --> 00:29:54,040 Speaker 1: don't know how many TikTok videos I've seen about ozempic, 563 00:29:54,120 --> 00:29:57,360 Speaker 1: And I mean, I was listening to an episode of 564 00:29:57,400 --> 00:30:01,440 Speaker 1: My Guilty Pleasures Caller Daddy listen to an episode a 565 00:30:01,440 --> 00:30:04,080 Speaker 1: while ago with Chelsea Handler, and she made a joke 566 00:30:04,120 --> 00:30:06,840 Speaker 1: about I guess she got prescribed a zempic and she's like, 567 00:30:07,280 --> 00:30:09,520 Speaker 1: I don't use it, so I just give it out 568 00:30:09,520 --> 00:30:11,960 Speaker 1: to my friends, which I don't even know if that's 569 00:30:12,080 --> 00:30:13,760 Speaker 1: I don't know if she was joking, but like also 570 00:30:13,800 --> 00:30:16,560 Speaker 1: like that's not funny. And what you're going to give 571 00:30:16,640 --> 00:30:20,400 Speaker 1: somebody a drug that has a black box warning on it. 572 00:30:20,400 --> 00:30:21,120 Speaker 3: It's crazy. 573 00:30:21,320 --> 00:30:22,480 Speaker 1: It is crazy. 574 00:30:22,760 --> 00:30:25,760 Speaker 2: Like it it's grieving with our clients of just diet culture, 575 00:30:25,840 --> 00:30:30,480 Speaker 2: like the idea that BMI was made for a very 576 00:30:30,520 --> 00:30:34,880 Speaker 2: obscure reason and then we've changed the boundaries of BMI 577 00:30:35,080 --> 00:30:37,640 Speaker 2: and then that's the main thing that insurance looks at, 578 00:30:37,800 --> 00:30:40,800 Speaker 2: you know, whenever we do anything. And so then you're 579 00:30:40,920 --> 00:30:45,840 Speaker 2: prescribed quote unquote obesity overweight and then because of that, 580 00:30:45,880 --> 00:30:48,800 Speaker 2: medical providers were told, oh, that's an issue with health. 581 00:30:48,960 --> 00:30:53,280 Speaker 2: So here's these medications finn finn ozempic will go you know, 582 00:30:53,360 --> 00:30:56,440 Speaker 2: you name it, and we just don't know the implications 583 00:30:56,480 --> 00:30:58,120 Speaker 2: of these. I mean, it's been on the market for 584 00:30:58,160 --> 00:31:00,880 Speaker 2: two plus years and we've got all these you know, 585 00:31:01,000 --> 00:31:04,160 Speaker 2: research articles out, but there's lots of more there's more 586 00:31:04,240 --> 00:31:08,480 Speaker 2: side effects negatively than there are positive and you essentially, 587 00:31:08,520 --> 00:31:10,480 Speaker 2: at the end of the day, like a diet, you 588 00:31:10,560 --> 00:31:12,920 Speaker 2: have to stay on it long term. Again, no judgment 589 00:31:12,960 --> 00:31:14,720 Speaker 2: for those that want to take it, it's just giving 590 00:31:14,760 --> 00:31:16,640 Speaker 2: people the research. I mean, I've got clients now who 591 00:31:16,640 --> 00:31:19,160 Speaker 2: are on it because that's their decision, but it's coming 592 00:31:19,160 --> 00:31:22,360 Speaker 2: from a place of me educating them and saying, Okay, 593 00:31:22,400 --> 00:31:25,840 Speaker 2: what it's doing is it's just causing you less hunger 594 00:31:25,920 --> 00:31:29,320 Speaker 2: cues or not feeling hunger, But it doesn't mean that 595 00:31:29,400 --> 00:31:32,520 Speaker 2: your body doesn't still need food, which is a lot of. 596 00:31:32,440 --> 00:31:33,320 Speaker 3: Times what I preach. 597 00:31:33,720 --> 00:31:36,240 Speaker 2: So it's like we're I'm I'm educating you to eat 598 00:31:36,240 --> 00:31:38,560 Speaker 2: consistently throughout the day and eat what your body needs. 599 00:31:38,560 --> 00:31:41,840 Speaker 2: But it's literally going against the medication because we've got 600 00:31:41,840 --> 00:31:43,320 Speaker 2: to listen to our body, and our body needs to 601 00:31:43,360 --> 00:31:46,440 Speaker 2: be fed and fueled to function. The majority of our 602 00:31:46,480 --> 00:31:49,480 Speaker 2: hormones are made in our gut, which then triggers to 603 00:31:49,480 --> 00:31:51,959 Speaker 2: a brain function. So if we're not feeding our body, 604 00:31:52,000 --> 00:31:54,440 Speaker 2: we're not feeding our brain, we're not feeding our gut. 605 00:31:54,640 --> 00:31:57,720 Speaker 1: Then we can't make those decisions that you're if. It's 606 00:31:57,800 --> 00:32:01,360 Speaker 1: almost like they can't take the information in that you're saying, okay, 607 00:32:01,400 --> 00:32:03,320 Speaker 1: if you let's take this medication but know that you 608 00:32:03,320 --> 00:32:05,680 Speaker 1: still need to eat, well, we can't even use our 609 00:32:05,680 --> 00:32:08,600 Speaker 1: brains fully to comprehend that and remind ourselves that because 610 00:32:08,960 --> 00:32:11,320 Speaker 1: we are functioning at a lower level because we are 611 00:32:11,440 --> 00:32:14,840 Speaker 1: already not eating because of this medication. It's a cycle, 612 00:32:15,240 --> 00:32:17,400 Speaker 1: and then the cycle continues if you do come off 613 00:32:17,440 --> 00:32:21,000 Speaker 1: of this medication. And I've seen this with clients, and 614 00:32:21,040 --> 00:32:24,160 Speaker 1: this is where a lot of my sadness comes from, 615 00:32:24,360 --> 00:32:26,440 Speaker 1: is when they do come off of these medications, they 616 00:32:26,640 --> 00:32:30,200 Speaker 1: in quotes fixed this problem, and then the anxiety and 617 00:32:30,240 --> 00:32:33,320 Speaker 1: the fear and the emotion that is built in, the 618 00:32:33,360 --> 00:32:37,040 Speaker 1: stress that is built around having to maintain that when 619 00:32:37,560 --> 00:32:41,000 Speaker 1: actually that medication works against you. If you don't take it, 620 00:32:41,320 --> 00:32:43,720 Speaker 1: you're not built to be able to maintain that because 621 00:32:43,880 --> 00:32:46,600 Speaker 1: you lost the weight by eating less than you're supposed 622 00:32:46,600 --> 00:32:51,719 Speaker 1: to be eating. That is just a recipe for a 623 00:32:52,240 --> 00:32:56,680 Speaker 1: continued struggle with our physical health, our mental health, our 624 00:32:56,720 --> 00:32:59,880 Speaker 1: spiritual health, our relationships. I mean, it is a rest 625 00:33:00,280 --> 00:33:04,200 Speaker 1: for the development of a full fledged eating disorder. Again, 626 00:33:04,640 --> 00:33:07,400 Speaker 1: I know we're saying. I'm saying you get to make 627 00:33:07,440 --> 00:33:09,840 Speaker 1: whatever decision you want. I just want people to know 628 00:33:10,160 --> 00:33:13,560 Speaker 1: the risks and then compare that to the benefit. You 629 00:33:13,600 --> 00:33:16,360 Speaker 1: get to choose if that benefit is worth all those risks, 630 00:33:16,400 --> 00:33:18,840 Speaker 1: because we've all done that in our lives. I've made 631 00:33:18,880 --> 00:33:22,400 Speaker 1: pro con lists for things and been like well, there's 632 00:33:22,400 --> 00:33:24,120 Speaker 1: a lot of shitty things that could happen from this, 633 00:33:24,320 --> 00:33:26,400 Speaker 1: but there's one thing that I think is really cool 634 00:33:26,440 --> 00:33:28,160 Speaker 1: that could happen. So I'm going to take this risk. 635 00:33:28,400 --> 00:33:31,440 Speaker 1: We've all done that. I just want us to actually 636 00:33:31,720 --> 00:33:35,520 Speaker 1: be prepared and aware enough to be able to make 637 00:33:35,760 --> 00:33:37,200 Speaker 1: the lists accurately. 638 00:33:37,840 --> 00:33:40,960 Speaker 2: Absolutely, and yeah, and to piggyback that right, your body, 639 00:33:41,040 --> 00:33:45,560 Speaker 2: your body, like it's not mine or Cat's decision to 640 00:33:45,720 --> 00:33:48,120 Speaker 2: understand or to tell you what to do with your 641 00:33:48,160 --> 00:33:49,600 Speaker 2: decisions on your body. 642 00:33:49,680 --> 00:33:51,280 Speaker 3: It's just again the education piece. 643 00:33:51,320 --> 00:33:52,760 Speaker 2: And like like I said, I see it time and 644 00:33:52,800 --> 00:33:54,840 Speaker 2: time again of clients coming in wanting to take it, 645 00:33:54,920 --> 00:33:57,480 Speaker 2: thinking that I'm going to take this medication and I'm 646 00:33:57,480 --> 00:33:59,400 Speaker 2: going to lose fat cells where I want to lose 647 00:33:59,440 --> 00:34:02,840 Speaker 2: fat cells, and it's like that, that's not how this works, right, 648 00:34:02,880 --> 00:34:05,240 Speaker 2: It's more of a it's mimicking a process in your 649 00:34:05,280 --> 00:34:09,640 Speaker 2: body to delay your stomach emptying because it's releasing more insulin, 650 00:34:10,320 --> 00:34:14,040 Speaker 2: and in turn, it's just messing up or interfering with 651 00:34:14,120 --> 00:34:16,719 Speaker 2: other hormones in our body, the like our grellin and 652 00:34:16,719 --> 00:34:19,360 Speaker 2: our leptin which is our hunger and fullness like hormones. 653 00:34:19,800 --> 00:34:22,840 Speaker 3: And so we're just we're not feeling hunger cues. 654 00:34:22,600 --> 00:34:25,080 Speaker 2: We're not eating right when in reality, like your body 655 00:34:25,160 --> 00:34:27,279 Speaker 2: still needs to be fed even if you don't feel 656 00:34:27,280 --> 00:34:27,920 Speaker 2: those cues. 657 00:34:28,400 --> 00:34:31,720 Speaker 1: Well, I could keep going, but I think we've covered 658 00:34:31,760 --> 00:34:34,279 Speaker 1: what I what I wanted to cover. Again, if you 659 00:34:34,360 --> 00:34:39,319 Speaker 1: guys have questions, if anything was unclear to you, you 660 00:34:39,360 --> 00:34:41,319 Speaker 1: can reach out to us and we can answer one 661 00:34:41,320 --> 00:34:44,200 Speaker 1: of those questions on a couch talks. I also would 662 00:34:44,320 --> 00:34:49,920 Speaker 1: highly highly encourage you to reach out to your own providers, 663 00:34:49,960 --> 00:34:53,279 Speaker 1: whether that is a therapist that you have or if 664 00:34:53,280 --> 00:34:57,760 Speaker 1: you have a dietician or your own doctor, and ask 665 00:34:57,880 --> 00:35:01,080 Speaker 1: the questions. Ask all of the questions, because I know 666 00:35:01,239 --> 00:35:03,839 Speaker 1: that I've been in places where I'm I feel so 667 00:35:03,920 --> 00:35:07,759 Speaker 1: uneducated that I feel dumb even asking a question. And 668 00:35:07,800 --> 00:35:10,960 Speaker 1: in the reality, when it's something that you're taking that's 669 00:35:10,960 --> 00:35:13,280 Speaker 1: going to affect your body, when the rally is anything 670 00:35:13,360 --> 00:35:18,160 Speaker 1: but especially this, there's no dumb question. And the general 671 00:35:18,160 --> 00:35:21,879 Speaker 1: population we don't go through the education to understand all 672 00:35:21,920 --> 00:35:24,680 Speaker 1: of this stuff. And so if we want more clarification 673 00:35:24,760 --> 00:35:28,480 Speaker 1: on something that's going to affect our health, it is 674 00:35:28,719 --> 00:35:33,839 Speaker 1: our right and our prerogative to ask those questions. So ask, ask, Ask, ask, 675 00:35:34,000 --> 00:35:37,080 Speaker 1: ask until you understand, and if you don't understand, that 676 00:35:37,120 --> 00:35:40,680 Speaker 1: means there's more questions to ask. Love it. Okay, Well, 677 00:35:40,719 --> 00:35:44,000 Speaker 1: thank you for being here. Jamison. Is there any way 678 00:35:44,000 --> 00:35:46,719 Speaker 1: if people want to get in touch with you, how 679 00:35:46,760 --> 00:35:47,560 Speaker 1: do you want them to do that? 680 00:35:47,840 --> 00:35:50,040 Speaker 2: Yeah, so they can also email me as well or 681 00:35:50,040 --> 00:35:53,760 Speaker 2: email my business. So it's info Atworly Nutritiongroup dot com. 682 00:35:53,880 --> 00:35:56,920 Speaker 2: We've got a website really Nutrition Group ww dot Worly 683 00:35:57,000 --> 00:35:59,879 Speaker 2: Nutrition Group dot com and I'm happy to answer any questions. Again, 684 00:36:00,000 --> 00:36:03,239 Speaker 2: I'm not an expert on drugs, medications, anything like that, 685 00:36:03,320 --> 00:36:05,839 Speaker 2: but at least to go through the data of what's 686 00:36:05,920 --> 00:36:08,399 Speaker 2: recently been out and I see it all the time 687 00:36:08,400 --> 00:36:10,520 Speaker 2: in my office. I'm really glad that you asked me 688 00:36:10,560 --> 00:36:11,920 Speaker 2: to be here today to talk about it. 689 00:36:12,000 --> 00:36:16,680 Speaker 1: Of course, and if you want to follow along the podcast, 690 00:36:16,760 --> 00:36:19,600 Speaker 1: you can on Instagram at you Need Therapy Podcasts and 691 00:36:19,680 --> 00:36:23,120 Speaker 1: I am at Kat dot Defada. Again, questions you can 692 00:36:23,120 --> 00:36:24,960 Speaker 1: send to Jamison. You can also send a Catherine at 693 00:36:25,040 --> 00:36:27,560 Speaker 1: Unied Therapy podcast. I will link all of the things 694 00:36:27,600 --> 00:36:30,520 Speaker 1: that Jamison just said in our show notes and if 695 00:36:30,520 --> 00:36:35,799 Speaker 1: there's anything that Jamison recommends that's good information, along with 696 00:36:36,040 --> 00:36:38,960 Speaker 1: articles that might help explain some of this stuff. I 697 00:36:39,040 --> 00:36:41,560 Speaker 1: can put those in there as well, so you have 698 00:36:41,640 --> 00:36:45,239 Speaker 1: access to more information that we can trust. That's going 699 00:36:45,280 --> 00:36:48,600 Speaker 1: to do it for today until Wednesday for couch talks. 700 00:36:48,600 --> 00:36:49,920 Speaker 1: I hope you guys have the day you need to 701 00:36:49,960 --> 00:37:00,200 Speaker 1: have and see you later fight MM