1 00:00:01,000 --> 00:00:06,000 Speaker 1: This is the most dramatic podcast ever and iHeartRadio podcast. 2 00:00:07,240 --> 00:00:09,559 Speaker 1: Chris Harrison and Lauren Zema coming to you from Well, 3 00:00:09,600 --> 00:00:11,559 Speaker 1: I'm in Austin, Texas, Elsie, where are you? 4 00:00:11,920 --> 00:00:15,840 Speaker 2: I'm in Delray Beach, Florida, visiting my little sister. As 5 00:00:15,880 --> 00:00:18,840 Speaker 2: we've mentioned many times, it's our Divide and Conquer holidays. 6 00:00:19,600 --> 00:00:21,919 Speaker 2: We have the kids at our house in Austin for Christmas, 7 00:00:21,960 --> 00:00:23,799 Speaker 2: so I wanted to go see my family in Florida 8 00:00:23,840 --> 00:00:25,520 Speaker 2: for like a pre Christmas. 9 00:00:25,520 --> 00:00:27,640 Speaker 3: But I love seeing you on Zoom, Honey. It's kind 10 00:00:27,640 --> 00:00:29,600 Speaker 3: of like, Oh, I miss you, and there you are. 11 00:00:29,400 --> 00:00:33,599 Speaker 1: And you look good too. So last week we were 12 00:00:33,640 --> 00:00:36,720 Speaker 1: talking about oh zimpic, Oprah kind of blew the lid 13 00:00:36,760 --> 00:00:39,040 Speaker 1: on this thing. Well, I mean Oprah didn't blow the 14 00:00:39,080 --> 00:00:41,360 Speaker 1: lid on this thing, but she kind of kept this 15 00:00:41,440 --> 00:00:44,280 Speaker 1: conversation going. Obviously it's been going for quite some time, 16 00:00:44,760 --> 00:00:48,200 Speaker 1: and you and I had a deep discussion about Oprah 17 00:00:48,240 --> 00:00:52,840 Speaker 1: and the ladies in our neighborhood, the ladies in every neighborhood, 18 00:00:53,200 --> 00:00:55,800 Speaker 1: and we said we would dive deeper into this. So 19 00:00:56,360 --> 00:00:59,000 Speaker 1: we are bringing on a very special guest today, doctor 20 00:00:59,160 --> 00:01:03,720 Speaker 1: Aeson All, a board certified in internal medicine. He's also 21 00:01:03,720 --> 00:01:09,080 Speaker 1: completed a fellowship training in geriatric medicine, currently practicing as 22 00:01:09,080 --> 00:01:12,039 Speaker 1: a physician in Beverly Hills. That is going to shed 23 00:01:12,080 --> 00:01:14,039 Speaker 1: a lot of light on this. I can only imagine 24 00:01:14,120 --> 00:01:16,200 Speaker 1: what's going on in Beverly Hills with ozempic and all 25 00:01:16,200 --> 00:01:19,559 Speaker 1: these weight loss drugs. Very unique practice because he's also 26 00:01:20,000 --> 00:01:23,840 Speaker 1: a world renowned doctor at Cedar Sinaide Medical Center, also 27 00:01:23,880 --> 00:01:27,039 Speaker 1: in a spare time volunteering at free medical clinics. So 28 00:01:27,680 --> 00:01:34,640 Speaker 1: if anybody is equipped to talk about this weight loss praze, 29 00:01:35,000 --> 00:01:37,920 Speaker 1: it's doctor asan Ali and we are very happy to 30 00:01:37,920 --> 00:01:38,720 Speaker 1: have him on the show. 31 00:01:39,440 --> 00:01:41,280 Speaker 2: Well, I'm so excited to get into it because our 32 00:01:41,319 --> 00:01:43,840 Speaker 2: producer Kendall just mentioned a weight loss drug I hadn't 33 00:01:43,880 --> 00:01:46,520 Speaker 2: even heard of. I've heard of ozempic. I've heard of 34 00:01:46,560 --> 00:01:49,200 Speaker 2: Wagovia if I have this right, so I might need 35 00:01:49,280 --> 00:01:52,680 Speaker 2: to be corrected, but I believe Wagovia is approved just 36 00:01:52,840 --> 00:01:56,880 Speaker 2: for weight loss. Ozempic's still technically supposed to be used 37 00:01:56,960 --> 00:02:00,880 Speaker 2: to treat diabetes, that was its original intention. Just mentioned 38 00:02:00,920 --> 00:02:04,560 Speaker 2: one called Manjaro, So there's there's weight loss drugs out there. 39 00:02:04,560 --> 00:02:05,440 Speaker 3: I haven't even heard of. 40 00:02:05,760 --> 00:02:07,640 Speaker 2: I'm so excited to talk to him because, like you 41 00:02:07,680 --> 00:02:10,000 Speaker 2: just said, Oprah, she didn't say which one, but she 42 00:02:10,120 --> 00:02:13,000 Speaker 2: did feel that she is on a weight loss drug 43 00:02:13,040 --> 00:02:15,679 Speaker 2: and she really owned it and said, Look, I've publicly 44 00:02:15,720 --> 00:02:19,040 Speaker 2: struggled with my weight loss for years and something like 45 00:02:19,080 --> 00:02:22,240 Speaker 2: this feels like a relief. So I just I feel 46 00:02:22,240 --> 00:02:25,280 Speaker 2: like Oprah saying that could maybe turn the tide on 47 00:02:25,320 --> 00:02:27,960 Speaker 2: some of the backlash people feeling like these are being misused. 48 00:02:28,000 --> 00:02:30,280 Speaker 2: So I'm excited to get into all of it with him, 49 00:02:30,639 --> 00:02:33,799 Speaker 2: and he is on with us now, Doctor Ellie, I 50 00:02:33,880 --> 00:02:36,400 Speaker 2: got to tell you, I don't know if my mom's 51 00:02:36,560 --> 00:02:41,800 Speaker 2: ever been more excited for a podcast guest. I feel like, 52 00:02:42,000 --> 00:02:45,240 Speaker 2: oh zeenpic and weight loss drugs are the topic at 53 00:02:45,240 --> 00:02:49,760 Speaker 2: the top of every chat amongst women ages maybe younger, 54 00:02:49,760 --> 00:02:51,760 Speaker 2: but for me, I'm in my thirties, like thirties and 55 00:02:51,800 --> 00:02:52,640 Speaker 2: above that. 56 00:02:52,720 --> 00:02:53,080 Speaker 1: I know. 57 00:02:53,800 --> 00:02:57,680 Speaker 2: How would you say that this weight loss drug craze 58 00:02:57,720 --> 00:03:00,560 Speaker 2: compares to other drugs that have hit them, like I've 59 00:03:00,560 --> 00:03:01,760 Speaker 2: heard it be compared. 60 00:03:01,400 --> 00:03:03,920 Speaker 3: To like when Viagra dropped. Is it even bigger than that? 61 00:03:04,480 --> 00:03:08,119 Speaker 4: I feel like it's even bigger because this medication applies 62 00:03:09,040 --> 00:03:13,240 Speaker 4: not just to like one of demographic. It's men, women, young, old, 63 00:03:13,720 --> 00:03:16,120 Speaker 4: It's a significant amount of the population. So I feel 64 00:03:16,120 --> 00:03:19,080 Speaker 4: like it's even surpassed medications like viager. It's probably one 65 00:03:19,120 --> 00:03:22,640 Speaker 4: of the most popular medications ever since in my career, 66 00:03:22,720 --> 00:03:24,240 Speaker 4: like the past twenty years that I've seen. 67 00:03:25,200 --> 00:03:27,640 Speaker 2: Would it be safe to say this could be the 68 00:03:27,680 --> 00:03:30,799 Speaker 2: biggest medication raise ever? 69 00:03:31,480 --> 00:03:36,960 Speaker 4: I believe so, yes, absolutely absolutely. I mean, weight loss 70 00:03:37,000 --> 00:03:39,520 Speaker 4: has been something that people have struggled with for the 71 00:03:39,560 --> 00:03:42,280 Speaker 4: longest time, and there's never been a medication that's actually 72 00:03:42,320 --> 00:03:46,320 Speaker 4: been extremely effective. You know, there was there's stimulant based 73 00:03:46,400 --> 00:03:48,400 Speaker 4: medications like fen fend back in the day. You may 74 00:03:48,480 --> 00:03:51,280 Speaker 4: or may not even remember, but it was stimulant based 75 00:03:51,280 --> 00:03:54,320 Speaker 4: and then people were like overdosing having heart attacks, and 76 00:03:54,360 --> 00:03:56,720 Speaker 4: then it got banned and there really wasn't anything out. 77 00:03:56,920 --> 00:03:59,960 Speaker 4: So there's never been anything like this given people great 78 00:04:00,040 --> 00:04:03,400 Speaker 4: it results with minimal risks, so it's kind of a 79 00:04:03,480 --> 00:04:04,200 Speaker 4: huge breakthrough. 80 00:04:04,560 --> 00:04:07,440 Speaker 1: I mean, I am so curious about all this. I'm 81 00:04:07,480 --> 00:04:09,880 Speaker 1: so perplexed. I think everybody is. Even the people that 82 00:04:09,920 --> 00:04:13,120 Speaker 1: are on it are probably still curious about everything going on. 83 00:04:13,880 --> 00:04:17,520 Speaker 1: How many drugs are there, Like Lauren said, Wegovia, there's 84 00:04:18,839 --> 00:04:21,919 Speaker 1: obviously ozempic, and is there one that's better than the 85 00:04:21,960 --> 00:04:23,039 Speaker 1: other that you're finding is. 86 00:04:23,360 --> 00:04:25,560 Speaker 3: Just heard about Manjaro. I didn't know about that one. 87 00:04:25,880 --> 00:04:29,400 Speaker 4: Oh yeah, So you know the three now four most 88 00:04:29,400 --> 00:04:32,480 Speaker 4: popular one, there's Ozembic, which came out initially had tons 89 00:04:32,520 --> 00:04:35,799 Speaker 4: of advertising, our celebrities talked about it. It's very popular. 90 00:04:36,400 --> 00:04:38,400 Speaker 4: Then came out with Govi, which is just a different 91 00:04:38,440 --> 00:04:42,160 Speaker 4: brand of ozembic with the same active ingredient. Those two work, 92 00:04:42,360 --> 00:04:44,560 Speaker 4: but really the one that's been shown to be even 93 00:04:44,680 --> 00:04:49,040 Speaker 4: better is this genre that came out shortly after ozembic. 94 00:04:49,080 --> 00:04:51,080 Speaker 4: And the reason it works better is because it acts 95 00:04:51,080 --> 00:04:54,680 Speaker 4: on more receptor than your body compared to ozembic or rigovie. 96 00:04:54,720 --> 00:04:57,480 Speaker 4: And I've had several patients who've done both. They've all 97 00:04:57,520 --> 00:04:59,760 Speaker 4: said that they've had significantly better results with. 98 00:04:59,800 --> 00:05:02,600 Speaker 1: The And then you said there's a fourth one, and. 99 00:05:02,600 --> 00:05:07,400 Speaker 4: So Munjaro has only been FBA approved for diabetes, but 100 00:05:07,520 --> 00:05:10,359 Speaker 4: recently it got the approval by the FDA for weight loss. 101 00:05:10,360 --> 00:05:12,880 Speaker 4: And this just happened I think two three weeks ago. 102 00:05:14,000 --> 00:05:16,000 Speaker 4: But for people who are going to use Manjaro for 103 00:05:16,120 --> 00:05:19,080 Speaker 4: weight loss as opposed to diabetes, it's now being sold 104 00:05:19,160 --> 00:05:22,680 Speaker 4: under a different name. It's called it just came out. 105 00:05:23,000 --> 00:05:26,600 Speaker 1: What what was that zip bound bound? 106 00:05:27,200 --> 00:05:30,760 Speaker 4: Yeah, better than the bound, gotcha? But so z that 107 00:05:30,960 --> 00:05:34,040 Speaker 4: bound mnjaro, both which are the same thing, are much 108 00:05:34,200 --> 00:05:37,119 Speaker 4: more effective than ozeen vic or withob's. 109 00:05:37,000 --> 00:05:39,680 Speaker 1: And and dumb this down for people that did not 110 00:05:39,800 --> 00:05:45,160 Speaker 1: go to med school. And what exactly is manjaro doing 111 00:05:45,400 --> 00:05:46,159 Speaker 1: to my body? 112 00:05:47,040 --> 00:05:52,240 Speaker 4: So? Okay, so ozembic, we go VI, munjaro. They all 113 00:05:52,320 --> 00:05:54,479 Speaker 4: act on this receptor in your brain called a g 114 00:05:54,680 --> 00:05:58,279 Speaker 4: LP okay, and then mnjaro acts on some other receptors 115 00:05:58,320 --> 00:06:02,640 Speaker 4: as well. It's telling your body that you're not hungry, 116 00:06:02,800 --> 00:06:06,159 Speaker 4: so you feel like you're just full constantly and you 117 00:06:06,200 --> 00:06:08,320 Speaker 4: don't want to eat, And it helps control your cravings. 118 00:06:08,320 --> 00:06:11,040 Speaker 4: It helps prevent binge eating. And then when you do 119 00:06:11,240 --> 00:06:15,119 Speaker 4: eat normally, your stomach would expand to accommodate that extra food. 120 00:06:15,480 --> 00:06:18,599 Speaker 4: It helps minimize that expansion of the stomach, so you 121 00:06:18,640 --> 00:06:22,039 Speaker 4: eat a whole lot less as well, gotcha. So that's 122 00:06:22,120 --> 00:06:24,599 Speaker 4: one aspect to it. And then it helps optimize and 123 00:06:24,640 --> 00:06:28,600 Speaker 4: control your insulin levels. So by preventing like insulin spikes, 124 00:06:29,080 --> 00:06:32,279 Speaker 4: this thing can cause weight gain, it helps prevent that 125 00:06:32,440 --> 00:06:35,640 Speaker 4: as well. So that's the two main ways that it's working. 126 00:06:37,800 --> 00:06:41,839 Speaker 2: So there's these different options available. How do you make 127 00:06:41,880 --> 00:06:45,120 Speaker 2: the choice on who gets which? Or would you mostly 128 00:06:45,160 --> 00:06:46,800 Speaker 2: give people zet bound. 129 00:06:47,360 --> 00:06:49,680 Speaker 4: So just like right now, I tell him, listen, these 130 00:06:49,680 --> 00:06:51,800 Speaker 4: are the three or four medications that are out. This 131 00:06:51,880 --> 00:06:53,760 Speaker 4: is how this one works. This is how this one works. 132 00:06:53,760 --> 00:06:57,160 Speaker 4: From my experience, when Jarro works the best. So I 133 00:06:57,200 --> 00:06:59,800 Speaker 4: always recommend Njarro, but with a lot of times to 134 00:06:59,839 --> 00:07:02,120 Speaker 4: come down to his cost, because they're all very expensive 135 00:07:02,800 --> 00:07:06,359 Speaker 4: and most insurances aren't covering it, especially if you're not diabetic, 136 00:07:07,560 --> 00:07:10,120 Speaker 4: or even if you meet the criteria you have it filmore. 137 00:07:10,160 --> 00:07:11,880 Speaker 4: But the's a lot of insurances aren't covering it, so 138 00:07:11,880 --> 00:07:15,520 Speaker 4: it comes down to what insurance will cover or every 139 00:07:15,560 --> 00:07:17,760 Speaker 4: now and then there's a coupon available and somebody that's 140 00:07:17,760 --> 00:07:19,480 Speaker 4: want to pay for the price. It comes down to price. 141 00:07:19,480 --> 00:07:22,000 Speaker 4: But I always kind of tell people when Jaro does 142 00:07:22,080 --> 00:07:25,760 Speaker 4: work the best, So that would be my recommendation to somebody. 143 00:07:26,000 --> 00:07:30,040 Speaker 1: Much like gas in California, which is eighty times higher 144 00:07:30,040 --> 00:07:33,520 Speaker 1: than the rest of the world, I'm guessing these drugs 145 00:07:33,560 --> 00:07:36,920 Speaker 1: are pretty expensive in Beverly Hills. If I'm going on Manjaro, 146 00:07:38,040 --> 00:07:39,120 Speaker 1: what's the cost. 147 00:07:39,720 --> 00:07:42,240 Speaker 4: I believe so, depending on which pharmacy you go to, 148 00:07:42,360 --> 00:07:45,119 Speaker 4: it's anywhere from twelve hundred a month to fifteen hundred 149 00:07:45,120 --> 00:07:45,400 Speaker 4: a month. 150 00:07:45,520 --> 00:07:46,760 Speaker 1: Holy Calenda. 151 00:07:46,880 --> 00:07:49,120 Speaker 4: The price is pretty much the same across the country, 152 00:07:49,120 --> 00:07:51,560 Speaker 4: because I have patients who are in New York for more, 153 00:07:51,600 --> 00:07:54,040 Speaker 4: in Connecticut wherever. They've all kind of told me the 154 00:07:54,080 --> 00:07:56,240 Speaker 4: same thing somewhere in that ballpark. 155 00:07:56,840 --> 00:07:59,280 Speaker 3: Is that a daily dose? Is it a daily shot? 156 00:07:59,520 --> 00:08:02,200 Speaker 4: It's a once a week shot that you just do 157 00:08:02,280 --> 00:08:03,080 Speaker 4: underneath the game. 158 00:08:03,760 --> 00:08:06,080 Speaker 1: And so do most people self medicate or do they 159 00:08:06,080 --> 00:08:08,400 Speaker 1: come into your clinic and get a quick shot? Is it, 160 00:08:08,440 --> 00:08:10,280 Speaker 1: you know, just a very simple shot to the arm 161 00:08:10,360 --> 00:08:11,120 Speaker 1: or the butt. 162 00:08:11,360 --> 00:08:14,560 Speaker 4: It's super easy. They come in, we evaluate them, we 163 00:08:14,680 --> 00:08:16,920 Speaker 4: prescribe it. I send it to their pharmacy, whether it's 164 00:08:16,920 --> 00:08:19,680 Speaker 4: a CBS right Aid watering wherever they go pick it 165 00:08:19,760 --> 00:08:21,960 Speaker 4: up to get a one month supply. I teach them 166 00:08:21,960 --> 00:08:24,400 Speaker 4: in the office with a demonstration pen, like how to inject. 167 00:08:24,960 --> 00:08:27,240 Speaker 4: It's so easy, like you know, anybody could do it, 168 00:08:27,280 --> 00:08:29,400 Speaker 4: and people will just do it at home on their own. 169 00:08:29,760 --> 00:08:31,440 Speaker 4: And then they follow up every month with us just 170 00:08:31,440 --> 00:08:32,440 Speaker 4: to see how things you're going. 171 00:08:33,280 --> 00:08:35,959 Speaker 1: If we've learned anything over the last several years. It's 172 00:08:36,000 --> 00:08:39,959 Speaker 1: that we can't really worry or think that the pharmaceutical 173 00:08:39,960 --> 00:08:42,760 Speaker 1: companies are going to look out for our best needs. 174 00:08:43,120 --> 00:08:45,280 Speaker 1: So we have to care and think about the doctors. 175 00:08:45,640 --> 00:08:48,600 Speaker 1: So talking to a doctor that probably deals with this 176 00:08:48,679 --> 00:08:51,320 Speaker 1: all the time because you're a Beverly Hills. So is 177 00:08:51,400 --> 00:08:53,440 Speaker 1: this overall? Is it a good thing? 178 00:08:54,280 --> 00:08:55,800 Speaker 4: Is it a good thing? There's two ways to look 179 00:08:55,840 --> 00:08:57,880 Speaker 4: at it. Now for people who have been struggling, and 180 00:08:57,920 --> 00:08:59,800 Speaker 4: I see a lot of patients who come in and 181 00:09:00,040 --> 00:09:03,840 Speaker 4: and you know, whether you're somebody who's middle aged or 182 00:09:03,880 --> 00:09:06,480 Speaker 4: you know, postmenopausal, and you're struggling with your weight and 183 00:09:06,480 --> 00:09:09,080 Speaker 4: you've done everything, you're dieting, you have a personal trainer, 184 00:09:09,600 --> 00:09:11,439 Speaker 4: you just can't get the weight off, weight off. Yes, 185 00:09:11,520 --> 00:09:14,360 Speaker 4: this is a good thing for them. But then there's 186 00:09:14,400 --> 00:09:15,960 Speaker 4: the other hand, there's people who don't need to be 187 00:09:16,040 --> 00:09:18,559 Speaker 4: on it who are getting access to it, and they're 188 00:09:18,559 --> 00:09:21,840 Speaker 4: they're kind of getting carried away and it's bad for them. 189 00:09:22,240 --> 00:09:24,199 Speaker 4: And I've seen that as well. People you know, I'll 190 00:09:24,240 --> 00:09:25,719 Speaker 4: get patients will come in, they lose the weight and 191 00:09:25,760 --> 00:09:28,880 Speaker 4: they're like, you know what, I don't keep going. So 192 00:09:29,679 --> 00:09:31,960 Speaker 4: it's kind of tricky, you know, it's meant to be 193 00:09:32,000 --> 00:09:34,680 Speaker 4: a good thing. But with everything that's good, there always 194 00:09:34,679 --> 00:09:36,840 Speaker 4: tends to be some downfall with that as well. 195 00:09:37,600 --> 00:09:40,360 Speaker 2: Well, this we're kind of getting really into what I 196 00:09:40,480 --> 00:09:42,880 Speaker 2: wanted to have you on for which and you know 197 00:09:42,920 --> 00:09:45,120 Speaker 2: you said a minute ago minimal risks, and Chris is 198 00:09:45,160 --> 00:09:47,320 Speaker 2: asking like is it a good thing? I mean, I 199 00:09:47,360 --> 00:09:50,520 Speaker 2: think this is the real sort of point we're getting 200 00:09:50,520 --> 00:09:53,160 Speaker 2: to now, this tipping point of like who is it 201 00:09:53,240 --> 00:09:53,640 Speaker 2: safe for? 202 00:09:53,840 --> 00:09:56,280 Speaker 3: When is it safe? Are we all going to be 203 00:09:56,320 --> 00:09:57,800 Speaker 3: on it? At one point? Like I want to get 204 00:09:57,840 --> 00:09:59,280 Speaker 3: into all that, but first I do I want to 205 00:09:59,280 --> 00:10:01,640 Speaker 3: ask you a little bit gossipy question. I mean, I 206 00:10:01,640 --> 00:10:04,480 Speaker 3: don't need you can name names, but you are. 207 00:10:04,400 --> 00:10:09,040 Speaker 2: Known as a concierge doctor in Beverly Hills, incredibly reputable. 208 00:10:09,720 --> 00:10:13,880 Speaker 2: What percentage of people do you think in Beverly Hills 209 00:10:14,040 --> 00:10:16,120 Speaker 2: at this point are on weight loss medication? 210 00:10:16,960 --> 00:10:24,120 Speaker 4: I would say, especially amongst women, probably seventy percent. 211 00:10:24,880 --> 00:10:31,560 Speaker 1: Wow, well yeah, I thought maybe fifty percent. It's almost 212 00:10:31,600 --> 00:10:33,120 Speaker 1: three quarters of the population. 213 00:10:33,400 --> 00:10:37,400 Speaker 4: It's very very popular, you know, if not seventy, like 214 00:10:37,440 --> 00:10:39,200 Speaker 4: you know, sixty five plus for sure? 215 00:10:39,360 --> 00:10:39,560 Speaker 1: Yes? 216 00:10:39,840 --> 00:10:43,280 Speaker 2: And do all those women need to be on it? 217 00:10:43,400 --> 00:10:45,520 Speaker 2: Or could they be losing weight without it. 218 00:10:46,600 --> 00:10:49,120 Speaker 4: I don't think all those women need to be on it. 219 00:10:49,520 --> 00:10:51,440 Speaker 4: You know, there are women that could lose the weight 220 00:10:51,559 --> 00:10:55,480 Speaker 4: without having to be on it. So no, I don't 221 00:10:55,480 --> 00:10:56,600 Speaker 4: think it's all I. 222 00:10:56,640 --> 00:10:59,120 Speaker 1: Mean, the idea of this drug was the you know, 223 00:10:59,520 --> 00:11:02,920 Speaker 1: help with you know when you have the catchphrase the comorbidity. 224 00:11:03,040 --> 00:11:06,160 Speaker 1: So that is that was the impetus for these drugs 225 00:11:06,160 --> 00:11:09,560 Speaker 1: in the first place. Obviously, now you see people, hey, 226 00:11:09,679 --> 00:11:12,880 Speaker 1: I need to lose ten before my wedding. Yeah, that's 227 00:11:12,880 --> 00:11:15,200 Speaker 1: a very slippery slope because, like you said, there are 228 00:11:15,280 --> 00:11:17,319 Speaker 1: ripple effects to everything that you. 229 00:11:17,360 --> 00:11:22,120 Speaker 4: Take, absolutely absolutely, and so it is also a newer medication. 230 00:11:22,280 --> 00:11:24,600 Speaker 4: So you know, even though from what we're being told 231 00:11:25,120 --> 00:11:28,480 Speaker 4: it's safe and I haven't myself seen any severe complications, 232 00:11:29,000 --> 00:11:31,360 Speaker 4: you still don't know what may happen ten years down 233 00:11:31,360 --> 00:11:34,920 Speaker 4: the road. So you know, it's something that we have 234 00:11:34,960 --> 00:11:37,200 Speaker 4: to be careful with in that aspect too. And so 235 00:11:37,320 --> 00:11:39,160 Speaker 4: people who are trying to take it to lose ten 236 00:11:39,200 --> 00:11:41,400 Speaker 4: pounds before their wedding or a photo shoot or a 237 00:11:41,480 --> 00:11:45,120 Speaker 4: music video or the trip to Hawaii, like they shouldn't 238 00:11:45,160 --> 00:11:47,240 Speaker 4: be on it. 239 00:11:56,840 --> 00:11:58,800 Speaker 2: Okay, Well, what you just said is something really big 240 00:11:59,000 --> 00:12:00,840 Speaker 2: is that's something I wanted to ask, what do we 241 00:12:00,920 --> 00:12:04,640 Speaker 2: really know long term? To what extent has this been studied, 242 00:12:04,840 --> 00:12:08,560 Speaker 2: these drugs being used for weight loss in terms of yeah, 243 00:12:08,600 --> 00:12:10,600 Speaker 2: where your body might be, Like, do we know long 244 00:12:10,679 --> 00:12:13,080 Speaker 2: term side effects or is that research not even been done? 245 00:12:13,520 --> 00:12:17,320 Speaker 4: You know? According to what the pharmaceutical company tells us, 246 00:12:17,520 --> 00:12:20,600 Speaker 4: they say during trials, the biggest thing that they saw 247 00:12:20,760 --> 00:12:23,800 Speaker 4: was risk of thyroid cancer that they saw in roadings 248 00:12:23,840 --> 00:12:26,800 Speaker 4: and rats. They say in humans, like, if you've had 249 00:12:26,800 --> 00:12:28,880 Speaker 4: a history of thyroid cancer, you probably should just stay 250 00:12:28,880 --> 00:12:32,319 Speaker 4: away from it. But like Chris had said, pharmaceutical companies 251 00:12:32,320 --> 00:12:34,720 Speaker 4: don't necessarily have our best interests. They're out there to 252 00:12:34,760 --> 00:12:37,760 Speaker 4: make money. So if there's information out there that's not 253 00:12:37,840 --> 00:12:40,920 Speaker 4: being told to us, that's very much possible. Or whether 254 00:12:41,960 --> 00:12:44,079 Speaker 4: it's too early to say if there's any long term risk, 255 00:12:44,200 --> 00:12:46,000 Speaker 4: that's also something to be aware of as well. 256 00:12:46,280 --> 00:12:49,200 Speaker 2: Is it potentially more dangerous if you're just taking it 257 00:12:49,280 --> 00:12:51,200 Speaker 2: for a little bit of weight loss, or is it 258 00:12:51,240 --> 00:12:54,640 Speaker 2: like the potential side effects are equal across the board, you. 259 00:12:54,640 --> 00:12:57,480 Speaker 4: Know, So typically with medications, the longer you stay on it, 260 00:12:57,600 --> 00:13:01,920 Speaker 4: the longer, the higher the risk of complications. So in 261 00:13:01,960 --> 00:13:05,240 Speaker 4: this situation. I feel like people are taking it unnecessarily 262 00:13:05,320 --> 00:13:07,720 Speaker 4: and take it long term are probably at higher risk 263 00:13:07,880 --> 00:13:10,600 Speaker 4: or potential publications that we may not be aware of. 264 00:13:12,040 --> 00:13:15,440 Speaker 1: So the yo yo uh you're saying is better like 265 00:13:15,440 --> 00:13:16,760 Speaker 1: someone who just gets on it for a couple of 266 00:13:16,800 --> 00:13:18,319 Speaker 1: weeks then gets off of it. 267 00:13:18,760 --> 00:13:22,000 Speaker 4: That's my assumption. You know, even though they shouldn't be 268 00:13:22,040 --> 00:13:24,160 Speaker 4: on it in the first place, they don't need to 269 00:13:24,160 --> 00:13:25,959 Speaker 4: be on it, right, But if they're only going to 270 00:13:26,040 --> 00:13:29,439 Speaker 4: be on it a shorter period of time, typically with medications, 271 00:13:29,880 --> 00:13:31,560 Speaker 4: you're putting your body at less risk. 272 00:13:32,080 --> 00:13:33,840 Speaker 1: You said something about the safety of it, and that 273 00:13:34,000 --> 00:13:36,080 Speaker 1: you know early on. You know, we don't know the 274 00:13:36,080 --> 00:13:38,800 Speaker 1: long term effects, but what about short term effects? Have 275 00:13:39,000 --> 00:13:41,120 Speaker 1: you dealt with this with any of your clients? The 276 00:13:41,120 --> 00:13:45,079 Speaker 1: blockage we've heard about and even deaths have been reported 277 00:13:45,760 --> 00:13:50,600 Speaker 1: and not maybe one hundred percent linked, but people feel 278 00:13:50,640 --> 00:13:53,959 Speaker 1: pretty certain that it was linked to these drugs. The 279 00:13:54,000 --> 00:13:58,160 Speaker 1: bowel blockages and other issues that they've had so great. 280 00:13:58,160 --> 00:14:01,240 Speaker 4: You know, we've all heard about those. In my experience 281 00:14:01,240 --> 00:14:03,280 Speaker 4: in the past two years of prescribing it, ever since 282 00:14:03,320 --> 00:14:06,080 Speaker 4: it's bout in the market, I do experience a lot 283 00:14:06,080 --> 00:14:09,800 Speaker 4: on the common side effects like nausea, constipation, harper and 284 00:14:09,840 --> 00:14:13,240 Speaker 4: some hair loss, fatigue. I have not witnessed or encounter 285 00:14:13,360 --> 00:14:15,960 Speaker 4: indications from had any of the more serious side effects 286 00:14:16,160 --> 00:14:17,679 Speaker 4: like blockages or anything. 287 00:14:17,600 --> 00:14:18,440 Speaker 1: But you've heard of those. 288 00:14:18,960 --> 00:14:19,800 Speaker 4: I have heard of them. 289 00:14:20,360 --> 00:14:23,360 Speaker 2: I'm still processing that seventy percent, doctor Alia. 290 00:14:24,400 --> 00:14:26,920 Speaker 1: I know, babe, don't you think that it's seventy percent 291 00:14:26,920 --> 00:14:29,480 Speaker 1: of our neighborhood? And I mean everyone we run into, 292 00:14:29,600 --> 00:14:32,000 Speaker 1: and you know, Lauren said it's people her age whatever. 293 00:14:32,080 --> 00:14:35,160 Speaker 1: I'm like, I was with two dudes eating breakfast tacos 294 00:14:35,160 --> 00:14:36,960 Speaker 1: the other day and we were talking about it. So 295 00:14:37,120 --> 00:14:41,400 Speaker 1: it really has, if not become a part of our lives, 296 00:14:41,400 --> 00:14:44,160 Speaker 1: it's definitely captured our conversation, our imagination. 297 00:14:44,320 --> 00:14:46,880 Speaker 3: Here's what I said to Chris the other day, doctor Alie. 298 00:14:46,880 --> 00:14:49,600 Speaker 2: I was like, look, we did just get married, and 299 00:14:50,840 --> 00:14:52,960 Speaker 2: I was a friend of mine was like, yeah, if 300 00:14:53,000 --> 00:14:55,160 Speaker 2: you want to get Gogovia, I can get you on it. 301 00:14:55,680 --> 00:14:58,080 Speaker 2: And I was like, no, I just can't. Like for me, 302 00:14:58,240 --> 00:15:00,760 Speaker 2: I can't bring myself to do that now. Like I'm 303 00:15:00,760 --> 00:15:03,720 Speaker 2: just going to work out and like, well, really watch 304 00:15:03,760 --> 00:15:06,200 Speaker 2: what I eat, really cut back on alcohol and I 305 00:15:06,280 --> 00:15:08,600 Speaker 2: ended up losing you know, like ten pounds before the wedding, 306 00:15:08,640 --> 00:15:09,600 Speaker 2: which I wanted to do. 307 00:15:10,920 --> 00:15:11,480 Speaker 3: Thank you. 308 00:15:11,680 --> 00:15:16,920 Speaker 2: But what scares me at this point is even if 309 00:15:16,920 --> 00:15:20,120 Speaker 2: you're somebody who's like eating really well and really watching 310 00:15:20,160 --> 00:15:23,000 Speaker 2: what they eat and all that, it seems like even 311 00:15:23,120 --> 00:15:25,160 Speaker 2: those people are now getting on. 312 00:15:25,160 --> 00:15:26,200 Speaker 3: Weight loss medication. 313 00:15:26,880 --> 00:15:30,640 Speaker 2: So if I'm a healthy, fit person, as time goes 314 00:15:30,640 --> 00:15:32,560 Speaker 2: by and everybody's on this, am I going to like 315 00:15:32,760 --> 00:15:36,520 Speaker 2: start to look over weight because everyone else is on 316 00:15:37,040 --> 00:15:39,560 Speaker 2: weight loss drugs? Because seventy percent of people are Do 317 00:15:39,600 --> 00:15:40,720 Speaker 2: you see what I'm saying with this? 318 00:15:41,800 --> 00:15:43,720 Speaker 3: Am I going to look fat. 319 00:15:43,400 --> 00:15:45,800 Speaker 1: When I'm it's a new boob job. 320 00:15:48,080 --> 00:15:50,240 Speaker 4: That's a good way of looking at it, Chris. But yeah, 321 00:15:50,240 --> 00:15:52,840 Speaker 4: that's definitely something that may happen down the line if 322 00:15:52,880 --> 00:15:55,200 Speaker 4: more and more people are on it and it's becoming 323 00:15:55,200 --> 00:15:58,040 Speaker 4: more easily available too. For the longest time to shortages 324 00:15:58,360 --> 00:16:00,960 Speaker 4: couldn't get it, and now there's much of a shortage, 325 00:16:01,000 --> 00:16:04,160 Speaker 4: it's lass better than it was before, So that might 326 00:16:04,200 --> 00:16:06,000 Speaker 4: be an issue down the line. You know, the new 327 00:16:06,080 --> 00:16:09,840 Speaker 4: normal healthy might be overweight a four inches of the 328 00:16:09,880 --> 00:16:12,440 Speaker 4: women who want to be like railed, skinny or real. 329 00:16:12,600 --> 00:16:14,840 Speaker 2: Okay, so let me ask you about the other fear 330 00:16:15,280 --> 00:16:18,160 Speaker 2: because you know a lot of these spears are just aesthetic. Yeah, 331 00:16:18,280 --> 00:16:21,480 Speaker 2: I've heard of ozempic butt that you can get a 332 00:16:21,520 --> 00:16:24,640 Speaker 2: saggy butt. I've heard of ozembic face that your face 333 00:16:24,680 --> 00:16:27,760 Speaker 2: can look saggy, that you can lose muscle and then 334 00:16:27,760 --> 00:16:30,080 Speaker 2: your body just overall doesn't look the way you want. 335 00:16:30,560 --> 00:16:33,160 Speaker 2: How real are those risks? Do you see that? And 336 00:16:33,440 --> 00:16:34,400 Speaker 2: is there a way to avoid it? 337 00:16:34,440 --> 00:16:36,000 Speaker 3: If it happens? What causes it? 338 00:16:36,560 --> 00:16:40,120 Speaker 4: So o zombic phase or ozombic butt that typically happens 339 00:16:40,120 --> 00:16:42,480 Speaker 4: and people who are very heavy to begin with and 340 00:16:42,520 --> 00:16:45,480 Speaker 4: have lost a lot of weights, and also people who 341 00:16:45,480 --> 00:16:49,000 Speaker 4: are a little bit older, so their skin quality isn't 342 00:16:49,040 --> 00:16:51,400 Speaker 4: as good or like the elastic quality good, so it 343 00:16:51,440 --> 00:16:54,200 Speaker 4: doesn't really kind of shrink as with the weight loss. 344 00:16:54,240 --> 00:16:57,160 Speaker 4: So I feel like that would happen with people who 345 00:16:57,200 --> 00:17:01,200 Speaker 4: would wait rapidly, even with just died and exercise. I 346 00:17:01,240 --> 00:17:04,000 Speaker 4: don't see it that often, and you have to lose 347 00:17:04,040 --> 00:17:06,440 Speaker 4: a significant amount of weight for that to happen. That 348 00:17:06,440 --> 00:17:09,440 Speaker 4: would probably happen in like you're let's say fifty year 349 00:17:09,480 --> 00:17:12,800 Speaker 4: old person who lost maybe like forty fifty pounds. We 350 00:17:12,920 --> 00:17:15,640 Speaker 4: have all this extra week. I don't really see it. 351 00:17:15,600 --> 00:17:18,240 Speaker 2: That often, okay, because the headlines are making it seem 352 00:17:18,320 --> 00:17:20,879 Speaker 2: like it's all over and now we're all going to 353 00:17:20,960 --> 00:17:23,520 Speaker 2: have Saggy's a big case, okay. 354 00:17:23,600 --> 00:17:27,160 Speaker 1: Doctor Elie. Something that Lauren just touched on in that question, 355 00:17:27,200 --> 00:17:30,000 Speaker 1: I kind of want to follow up on where is 356 00:17:30,040 --> 00:17:35,480 Speaker 1: the weight coming from? Where's the weight loss? Is it muscular? 357 00:17:36,440 --> 00:17:39,239 Speaker 1: Is it just fat? Is this you know our end? 358 00:17:39,320 --> 00:17:42,600 Speaker 1: Are these different medicines targeting different things? And obviously, again 359 00:17:43,119 --> 00:17:45,600 Speaker 1: if you are a you know, average woman, average man, 360 00:17:45,760 --> 00:17:48,280 Speaker 1: you're healthy for the most part, and you go on 361 00:17:48,320 --> 00:17:50,560 Speaker 1: these drugs, where is it coming from? And is it 362 00:17:50,600 --> 00:17:51,080 Speaker 1: worth it? 363 00:17:52,480 --> 00:17:56,639 Speaker 4: So I have seen patients lose both fat as well 364 00:17:56,720 --> 00:17:59,560 Speaker 4: as muscle masks, but I will say, you're like most 365 00:17:59,600 --> 00:18:02,840 Speaker 4: of the weight that people are losing his muscle mass. Interesting, 366 00:18:04,040 --> 00:18:07,240 Speaker 4: but you know they also are losing like extra like 367 00:18:07,320 --> 00:18:10,240 Speaker 4: fatty tissue or you know that's soft kind of like 368 00:18:10,960 --> 00:18:13,720 Speaker 4: handle around their waist. So it works on both, but 369 00:18:13,880 --> 00:18:15,840 Speaker 4: a large portion of it is muscle mass. 370 00:18:16,640 --> 00:18:19,280 Speaker 1: I'm curious then if you're working out, Uh, safe for 371 00:18:20,040 --> 00:18:22,160 Speaker 1: man or woman doesn't really matter. But if you are, 372 00:18:22,240 --> 00:18:23,720 Speaker 1: you like to be fit and you want to be 373 00:18:24,040 --> 00:18:28,080 Speaker 1: you know cut, this isn't the cut medicine, like, because 374 00:18:28,280 --> 00:18:32,320 Speaker 1: if you're losing that muscle, Like, I'm curious the how 375 00:18:32,320 --> 00:18:35,080 Speaker 1: the balance of the scales work of I'm working out 376 00:18:35,119 --> 00:18:38,879 Speaker 1: really hard, I'm on one of these drugs. How have 377 00:18:38,960 --> 00:18:41,720 Speaker 1: you seen that even itself out? 378 00:18:41,920 --> 00:18:44,200 Speaker 4: So let's just say, let's you know, just the kind 379 00:18:44,240 --> 00:18:46,880 Speaker 4: of like uh for example, like let's say I get 380 00:18:46,880 --> 00:18:50,680 Speaker 4: a male pasion trying to put on muscle. It's very muscular, 381 00:18:50,760 --> 00:18:53,200 Speaker 4: but they're also trying to like trim down a little bit. 382 00:18:53,240 --> 00:18:55,520 Speaker 4: I'll say to them listening, you can't do both at 383 00:18:55,560 --> 00:18:58,080 Speaker 4: the same time with this medication, because you are going 384 00:18:58,119 --> 00:19:00,879 Speaker 4: to lose muscle no matter how much. Yeah, you can 385 00:19:00,880 --> 00:19:03,320 Speaker 4: continue high protein diet, work out with weights, but you 386 00:19:03,359 --> 00:19:05,560 Speaker 4: are going to lose a significant amount of muscle. Now, 387 00:19:05,640 --> 00:19:07,439 Speaker 4: if you're a person who's either you know, a man 388 00:19:07,560 --> 00:19:10,120 Speaker 4: or woman that doesn't necessarily care about muscles so much 389 00:19:10,440 --> 00:19:13,000 Speaker 4: and you just are looking to lose the weight, this 390 00:19:13,040 --> 00:19:13,600 Speaker 4: is better for. 391 00:19:13,640 --> 00:19:14,920 Speaker 1: That kind of interesting. 392 00:19:16,160 --> 00:19:17,840 Speaker 3: Wait, I want to make sure I'm getting this right. 393 00:19:18,440 --> 00:19:21,600 Speaker 2: So this the weight loss medication makes you lose muscle 394 00:19:21,680 --> 00:19:22,720 Speaker 2: more than it makes you lose. 395 00:19:22,560 --> 00:19:26,399 Speaker 4: Fat, correct, right, Yeah, you lose weight overall. 396 00:19:27,560 --> 00:19:29,560 Speaker 3: That feels like a huge bomb drop to me. I 397 00:19:29,560 --> 00:19:30,639 Speaker 3: did not understand that. 398 00:19:30,720 --> 00:19:32,840 Speaker 4: When you see somebody who's overweight and they want to 399 00:19:32,880 --> 00:19:35,800 Speaker 4: lose weight, and let's say they lost thirty five pounds, 400 00:19:36,080 --> 00:19:38,000 Speaker 4: a large portion of that is going to be muscle 401 00:19:38,040 --> 00:19:41,199 Speaker 4: mass as well. But these aren't people, you know, not 402 00:19:41,440 --> 00:19:44,080 Speaker 4: most of these people aren't like stick skinny people who 403 00:19:44,840 --> 00:19:46,840 Speaker 4: uh you know. These are people who are just genuinely 404 00:19:46,880 --> 00:19:50,000 Speaker 4: overall very or have weight to lose both. 405 00:19:50,359 --> 00:19:53,480 Speaker 1: Okay, I guess it's the maintenance and all that that 406 00:19:53,600 --> 00:19:56,679 Speaker 1: worries me with these drugs because yeah, obviously again you 407 00:19:56,680 --> 00:20:00,360 Speaker 1: go back to the pharmaceuticals, they don't care. But there 408 00:20:00,400 --> 00:20:02,640 Speaker 1: is a ripple effect to everything we take, no matter 409 00:20:02,680 --> 00:20:04,040 Speaker 1: what the drug is. Period. 410 00:20:04,960 --> 00:20:08,199 Speaker 2: I agree, yes, isn't it important as we age to 411 00:20:08,280 --> 00:20:09,159 Speaker 2: maintain muscle? 412 00:20:09,520 --> 00:20:13,280 Speaker 4: It is absolutely So you know, you need to maintain muscle, 413 00:20:13,480 --> 00:20:16,480 Speaker 4: so it's important that you continue your protein intake. So 414 00:20:16,720 --> 00:20:19,080 Speaker 4: my patients are on it. I let them know that 415 00:20:19,119 --> 00:20:21,760 Speaker 4: these are things you'd be careful of and be mindful of. 416 00:20:21,960 --> 00:20:24,360 Speaker 1: What are you what do you say to your patients? 417 00:20:24,520 --> 00:20:27,280 Speaker 1: Say I come in, I'm like, okay, doctor Ellie, you 418 00:20:27,280 --> 00:20:29,479 Speaker 1: know I want to lose twenty five pounds. My wedding's 419 00:20:29,520 --> 00:20:32,119 Speaker 1: coming up. What are the things you tell me to 420 00:20:32,119 --> 00:20:33,520 Speaker 1: look out for. What are the things you tell me 421 00:20:33,560 --> 00:20:34,840 Speaker 1: to do? 422 00:20:34,880 --> 00:20:37,440 Speaker 4: You know, as with any other medication, I tell them 423 00:20:37,520 --> 00:20:40,880 Speaker 4: what the criteria is for the medication, what it's meant for, 424 00:20:40,960 --> 00:20:44,000 Speaker 4: what's that FDA proved for, what the risks are, what 425 00:20:44,040 --> 00:20:47,840 Speaker 4: the benefits are, pros ponds. And if somebody's coming in 426 00:20:47,880 --> 00:20:49,679 Speaker 4: and I know for sure, like this is not a 427 00:20:49,720 --> 00:20:52,080 Speaker 4: medication for them. If I get a twenty two year 428 00:20:52,080 --> 00:20:56,280 Speaker 4: old girl and she just wants to lose five pounds 429 00:20:56,320 --> 00:20:58,840 Speaker 4: for like her trip coming up or a photo shoot 430 00:20:58,920 --> 00:21:01,000 Speaker 4: she has, like, I'm just like, this is authumentication for you. 431 00:21:01,400 --> 00:21:03,560 Speaker 4: If I get somebody in and you know there are 432 00:21:03,600 --> 00:21:06,480 Speaker 4: an extra thirty pounds overweight and they cannot get it off. 433 00:21:07,080 --> 00:21:09,439 Speaker 4: They've tried everything, and I know sincerely that you know, 434 00:21:09,480 --> 00:21:11,560 Speaker 4: they've been working out, eating healthy, and you know, I 435 00:21:11,600 --> 00:21:13,399 Speaker 4: tell them, like you do, the risks to the proges, 436 00:21:13,440 --> 00:21:15,200 Speaker 4: they're gone. How are you going to take it? And 437 00:21:15,240 --> 00:21:17,000 Speaker 4: this is what you expect. I'm okay to do that 438 00:21:17,280 --> 00:21:19,639 Speaker 4: striving it to that person you. 439 00:21:19,560 --> 00:21:23,320 Speaker 1: Have, I would say work in the vanity capital of 440 00:21:23,359 --> 00:21:25,280 Speaker 1: the world in Beverly Hills, Lauren and I both you know, 441 00:21:25,520 --> 00:21:30,080 Speaker 1: worked and lived in that world. I'm curious how much 442 00:21:30,400 --> 00:21:34,439 Speaker 1: you see the maintenance. You say you come in for 443 00:21:34,480 --> 00:21:36,080 Speaker 1: that trip, or say you come in for I'm sure 444 00:21:36,080 --> 00:21:38,120 Speaker 1: you get a lot of the photo shoot. I got 445 00:21:38,119 --> 00:21:40,000 Speaker 1: a show coming up, I have a movie coming up, 446 00:21:40,040 --> 00:21:42,159 Speaker 1: whatever it is. Because I know you deal with a 447 00:21:42,200 --> 00:21:44,880 Speaker 1: lot of celebs and a lot of stars, how much 448 00:21:44,920 --> 00:21:47,720 Speaker 1: do you see it maintained after they get off or 449 00:21:47,760 --> 00:21:49,160 Speaker 1: do they have to come back and repeat? 450 00:21:50,119 --> 00:21:54,679 Speaker 4: You know, most people who I'm just are looking to 451 00:21:54,720 --> 00:21:59,280 Speaker 4: lose like maybe ten, fifteen, twenty thirty pounds don't get 452 00:21:59,280 --> 00:22:01,600 Speaker 4: a little bit of way once they stop the medication. 453 00:22:02,000 --> 00:22:04,280 Speaker 4: I would say majority of people don't need to be 454 00:22:04,320 --> 00:22:06,520 Speaker 4: on a maintenance. Once they stop, they're good. They'll get 455 00:22:06,520 --> 00:22:08,000 Speaker 4: a little bit of weight back, and as long as 456 00:22:08,040 --> 00:22:11,720 Speaker 4: they're maintaining a healthy lifestyle, they're doing okay. People who 457 00:22:11,720 --> 00:22:13,680 Speaker 4: I find that need to be on maintenance are those 458 00:22:13,680 --> 00:22:16,159 Speaker 4: people that have really struggled with weight their whole life 459 00:22:16,200 --> 00:22:20,680 Speaker 4: and just suffer with obesity. They tend to need a maintenance. Douce. 460 00:22:21,080 --> 00:22:24,600 Speaker 2: Yeah, when I've seen both cases and people I know. 461 00:22:24,680 --> 00:22:28,280 Speaker 2: I've seen people who lost fifteen pounds and then they're like, oh, 462 00:22:28,320 --> 00:22:30,439 Speaker 2: I got to get back on it from maintenance, And 463 00:22:30,480 --> 00:22:33,199 Speaker 2: I'm like, oh, well, I mean, but then I know 464 00:22:33,280 --> 00:22:35,320 Speaker 2: somebody who lost thirty pounds and has kept it off 465 00:22:35,320 --> 00:22:38,360 Speaker 2: and is looking great. How much when you're on it 466 00:22:38,440 --> 00:22:40,720 Speaker 2: and you want to lose that weight, Like, how much 467 00:22:40,760 --> 00:22:42,560 Speaker 2: of it is also on the choices you're making, Like 468 00:22:42,600 --> 00:22:44,720 Speaker 2: when you're on a weight loss medication, do you really 469 00:22:44,720 --> 00:22:47,800 Speaker 2: need to be exercising and eating right also? Or is 470 00:22:47,840 --> 00:22:49,919 Speaker 2: the medication going to kind of do most of that 471 00:22:50,000 --> 00:22:50,360 Speaker 2: for you? 472 00:22:51,280 --> 00:22:53,560 Speaker 4: So great question. You know people ask me that all 473 00:22:53,600 --> 00:22:55,560 Speaker 4: the time. So you know, diet and exercise is something 474 00:22:55,600 --> 00:22:58,360 Speaker 4: that's important and it's beneficial for you regardless even if 475 00:22:58,359 --> 00:23:00,399 Speaker 4: you're not doing it for weight loss. So I tell people, 476 00:23:00,760 --> 00:23:03,600 Speaker 4: want to keep doing that. This medication is supposed to, 477 00:23:03,760 --> 00:23:06,320 Speaker 4: you know, be a part of that overall weight loss 478 00:23:06,400 --> 00:23:09,639 Speaker 4: and healthy lifestyle program. You want to do both. But 479 00:23:09,680 --> 00:23:11,280 Speaker 4: of course, the reality is I see a lot of 480 00:23:11,280 --> 00:23:14,240 Speaker 4: patients who don't diet or exercise and they are still 481 00:23:14,280 --> 00:23:17,959 Speaker 4: having great results with this the medication alone. But you know, 482 00:23:18,760 --> 00:23:21,560 Speaker 4: it shouldn't be like something you just kind of rely 483 00:23:21,680 --> 00:23:23,600 Speaker 4: on as a crutch. You want to keep working out 484 00:23:23,640 --> 00:23:25,800 Speaker 4: and eating healthy especially if you're going to be clean 485 00:23:25,880 --> 00:23:27,960 Speaker 4: this medication or system, and. 486 00:23:27,960 --> 00:23:31,640 Speaker 2: If someone is on it and they're not really losing weight, 487 00:23:32,040 --> 00:23:33,840 Speaker 2: what are they what's potentially going wrong? 488 00:23:35,560 --> 00:23:37,159 Speaker 1: Yeah, I've actually have you even seen that? 489 00:23:38,280 --> 00:23:40,560 Speaker 4: I mean, I do see people who maybe don't get 490 00:23:40,720 --> 00:23:43,880 Speaker 4: as good a results compared to the majority, and I 491 00:23:44,080 --> 00:23:46,359 Speaker 4: you know, it could be because they're really not following 492 00:23:46,359 --> 00:23:48,720 Speaker 4: a healthy lifestyle. They're really still eating a bunch of 493 00:23:48,760 --> 00:23:52,560 Speaker 4: high calorie foods, they're not making the effort or some people, 494 00:23:52,640 --> 00:23:55,400 Speaker 4: you know, not everybody responds to medication the same weight, 495 00:23:56,040 --> 00:24:00,000 Speaker 4: but majority of people are losing weights. I've never seen 496 00:24:00,080 --> 00:24:01,959 Speaker 4: anybody who hasn't had any result. 497 00:24:02,320 --> 00:24:04,119 Speaker 3: Doctor Arlie, Do you feel like we're just grilling you? 498 00:24:04,240 --> 00:24:04,880 Speaker 3: Or does this happen? 499 00:24:05,520 --> 00:24:08,800 Speaker 4: These are questions that everybody. I answer for people when 500 00:24:08,800 --> 00:24:09,280 Speaker 4: they come. 501 00:24:09,160 --> 00:24:13,159 Speaker 1: Is yeah, you're not in front of the jury right here. 502 00:24:25,200 --> 00:24:25,400 Speaker 4: Now. 503 00:24:25,440 --> 00:24:28,480 Speaker 2: I do want to ask you. I could be wrong 504 00:24:28,520 --> 00:24:30,679 Speaker 2: if this was ever confirmed, But there have been like 505 00:24:30,800 --> 00:24:35,080 Speaker 2: some rumors about you know, and different some celebrities have 506 00:24:35,119 --> 00:24:36,800 Speaker 2: come out and said that they've had issues with like 507 00:24:36,840 --> 00:24:40,119 Speaker 2: a bowel obstruction and really like Chris mentioned like really 508 00:24:40,200 --> 00:24:43,320 Speaker 2: scary incidents. How do you avoid that or how do 509 00:24:43,400 --> 00:24:46,760 Speaker 2: you know could you have some kind of obstruction not 510 00:24:46,880 --> 00:24:47,159 Speaker 2: know it? 511 00:24:47,240 --> 00:24:49,600 Speaker 3: And just fully, yeah. 512 00:24:49,400 --> 00:24:53,160 Speaker 4: It would be very unlikely for somebody to start developing 513 00:24:53,160 --> 00:24:57,320 Speaker 4: a bowel obstruction just suddenly. Typically when you know the 514 00:24:57,359 --> 00:24:59,480 Speaker 4: bowel social means everything's a stomp. You're not having a 515 00:24:59,560 --> 00:25:02,280 Speaker 4: valuable you're not going to the bathroom. It's very painful. 516 00:25:03,119 --> 00:25:06,520 Speaker 4: I feel like somebody I'm assuming here because I haven't 517 00:25:06,520 --> 00:25:09,840 Speaker 4: personally experiences with any patients. It must have been developing 518 00:25:09,880 --> 00:25:12,080 Speaker 4: and people have just kind of kept going without getting 519 00:25:12,080 --> 00:25:15,760 Speaker 4: proper attention or continue taking the medication making it worse. 520 00:25:15,800 --> 00:25:19,159 Speaker 4: That's my assumption. So I always tell people, listen, if 521 00:25:19,160 --> 00:25:21,560 Speaker 4: you're gonna start feeling any word symtims are your doctor prescribed, 522 00:25:21,600 --> 00:25:24,080 Speaker 4: to let them know when to buy them, you know, and. 523 00:25:24,000 --> 00:25:26,320 Speaker 1: Then we can prescribe you another drug that'll take care 524 00:25:26,359 --> 00:25:30,479 Speaker 1: of the constipation. There's some natural remedies. 525 00:25:32,160 --> 00:25:35,200 Speaker 2: Can I fire off a couple questions for me from 526 00:25:35,240 --> 00:25:36,280 Speaker 2: my mom and are friends? 527 00:25:36,600 --> 00:25:37,199 Speaker 4: Absolutely? 528 00:25:37,359 --> 00:25:41,760 Speaker 3: Absolutely, these are gathered from them. One, how long do 529 00:25:41,840 --> 00:25:43,240 Speaker 3: you have your patients take the drug? 530 00:25:43,320 --> 00:25:46,080 Speaker 2: Like, how long do you typically on average recommend somebody's 531 00:25:46,200 --> 00:25:46,480 Speaker 2: on it. 532 00:25:47,080 --> 00:25:49,840 Speaker 4: So if somebody's taking it purely for weight loss, and 533 00:25:49,880 --> 00:25:51,920 Speaker 4: they're not diabetic. It just comes down to how much 534 00:25:51,960 --> 00:25:54,399 Speaker 4: weight they need to lose. We calculate what a healthy 535 00:25:54,480 --> 00:25:57,359 Speaker 4: body mass index with you for them and some people 536 00:25:57,400 --> 00:25:59,560 Speaker 4: who's five pounds a month, some people who's ten pounds 537 00:25:59,600 --> 00:26:02,639 Speaker 4: a month. So just told to get how their target 538 00:26:02,680 --> 00:26:03,320 Speaker 4: and then they stop. 539 00:26:04,640 --> 00:26:04,960 Speaker 3: Two. 540 00:26:05,600 --> 00:26:10,120 Speaker 2: Is it true that menopausal women might benefit from these drugs? 541 00:26:10,320 --> 00:26:11,080 Speaker 3: I had not heard this. 542 00:26:11,480 --> 00:26:14,480 Speaker 4: It is true in the sense that you know, when 543 00:26:14,480 --> 00:26:17,960 Speaker 4: women go through menopause, their hormone levels are just completely depleted. 544 00:26:18,080 --> 00:26:22,200 Speaker 4: Their metabolism has slowed down significantly. That is a large 545 00:26:22,240 --> 00:26:24,280 Speaker 4: number of patients that I see is post menopause women. 546 00:26:24,280 --> 00:26:26,600 Speaker 4: They're just struggling to lose the weight. It doesn't come 547 00:26:26,640 --> 00:26:29,560 Speaker 4: off the weight you're in your twenties. So it helps 548 00:26:29,560 --> 00:26:32,480 Speaker 4: them in that aspect because it really does help get 549 00:26:32,520 --> 00:26:35,920 Speaker 4: them that push to lose the weight they just cannot lose. 550 00:26:36,440 --> 00:26:36,720 Speaker 3: Three. 551 00:26:36,800 --> 00:26:39,439 Speaker 2: I think they're worried about their grandkids here. Is it 552 00:26:39,480 --> 00:26:44,000 Speaker 2: true that kids are potentially getting prescribed these drugs? Now, 553 00:26:44,000 --> 00:26:47,240 Speaker 2: what does that look like, what's the research and is 554 00:26:47,280 --> 00:26:48,480 Speaker 2: that really happening? 555 00:26:49,560 --> 00:26:53,440 Speaker 4: If that is true, I've heard that as well. That's horrible. 556 00:26:53,760 --> 00:26:56,040 Speaker 4: I don't think children should be on this medication at 557 00:26:56,080 --> 00:27:00,440 Speaker 4: all whatsoever. It's not meant for children. I have never 558 00:27:00,520 --> 00:27:02,800 Speaker 4: had anybody come up to me to ask for their child. 559 00:27:02,920 --> 00:27:04,679 Speaker 4: If they did, I would just out right say no. 560 00:27:06,359 --> 00:27:08,040 Speaker 4: I personally don't know any children who are on it 561 00:27:08,119 --> 00:27:10,560 Speaker 4: or any doctors are prescribing it. But it's an absolutely 562 00:27:10,560 --> 00:27:10,920 Speaker 4: no knowing. 563 00:27:11,119 --> 00:27:13,280 Speaker 1: Is there an age range doctor, a league that you 564 00:27:13,280 --> 00:27:15,959 Speaker 1: would be like, okay, eighteen twenty, you know, I'm okay. 565 00:27:16,520 --> 00:27:21,000 Speaker 4: Honestly, I would say maybe eighteen and over. Ye, maybe 566 00:27:21,000 --> 00:27:22,879 Speaker 4: even twenty one and over is a little bit safer. 567 00:27:22,960 --> 00:27:25,840 Speaker 1: The body's developed enough, the frontal lobe has developed enough. 568 00:27:26,160 --> 00:27:28,600 Speaker 4: Absolutely absolutely as an adult, as opposed to give me 569 00:27:28,680 --> 00:27:29,560 Speaker 4: anybody younger than that? 570 00:27:29,720 --> 00:27:30,080 Speaker 1: Gotcha? 571 00:27:30,160 --> 00:27:32,159 Speaker 2: Well, can I ask you, though, why is that a 572 00:27:32,240 --> 00:27:35,160 Speaker 2: no for you? Because what's I'm not saying I'm okay 573 00:27:35,160 --> 00:27:37,440 Speaker 2: with it, I'm not. But what's popping into my mind 574 00:27:37,520 --> 00:27:39,960 Speaker 2: is like rising obesity among kids in America. 575 00:27:40,160 --> 00:27:41,960 Speaker 3: So what makes you say no for kids? 576 00:27:42,119 --> 00:27:45,600 Speaker 4: Yeah? So you know, maybe maybe I'm at old fashion, 577 00:27:45,680 --> 00:27:47,360 Speaker 4: maybe i'm muld school. I don't know. I just feel 578 00:27:47,400 --> 00:27:50,040 Speaker 4: like with children, you for sure want to just try 579 00:27:50,200 --> 00:27:55,520 Speaker 4: all the appropriate methods first, And this would really be 580 00:27:55,600 --> 00:27:58,000 Speaker 4: a last option. And I don't know whether this has 581 00:27:58,000 --> 00:27:59,879 Speaker 4: even been studied in children. I don't even need to 582 00:28:00,160 --> 00:28:02,720 Speaker 4: for children, So I wouldn't even feel comfortable to prescribing 583 00:28:02,800 --> 00:28:04,479 Speaker 4: something that isn't approved for children. 584 00:28:05,400 --> 00:28:08,159 Speaker 2: Well, worry me too, Like where my mind goes is 585 00:28:08,720 --> 00:28:10,719 Speaker 2: how does a kid learn healthy habits? Then? Like, if 586 00:28:10,720 --> 00:28:12,879 Speaker 2: they're on a drug from such a young age, you know, 587 00:28:12,960 --> 00:28:13,439 Speaker 2: how would they? 588 00:28:13,680 --> 00:28:18,240 Speaker 4: Yeah? Exactly, Yeah, you parents, this is not the answer 589 00:28:18,240 --> 00:28:18,720 Speaker 4: for children. 590 00:28:18,920 --> 00:28:21,679 Speaker 3: All right, here's my last gossipy. I don't need names. 591 00:28:21,800 --> 00:28:22,920 Speaker 3: I'm just curious question. 592 00:28:23,119 --> 00:28:24,840 Speaker 1: I want names, by the way. 593 00:28:26,200 --> 00:28:28,320 Speaker 3: Well, but you're right, if you want to give us 594 00:28:28,320 --> 00:28:29,240 Speaker 3: the name, give us one. 595 00:28:29,400 --> 00:28:31,000 Speaker 1: Don't worry about HIPO violations. 596 00:28:33,040 --> 00:28:37,679 Speaker 2: A big topic around this is famous people lying about 597 00:28:37,720 --> 00:28:41,240 Speaker 2: being on weight loss medication straight up lying in interviews 598 00:28:41,400 --> 00:28:45,240 Speaker 2: or leaving a ton of weight and saying it's something else. Infamously, 599 00:28:45,520 --> 00:28:48,560 Speaker 2: a housewife said hormones made her lose a lot of weight. 600 00:28:49,600 --> 00:28:51,080 Speaker 3: You know what a first let me ask you, is 601 00:28:51,080 --> 00:28:52,920 Speaker 3: that possible? Could hormones make you lose. 602 00:28:52,720 --> 00:28:55,200 Speaker 4: A lot of weight? I don't believe. I think I 603 00:28:55,200 --> 00:28:57,280 Speaker 4: know what you're talking about. I don't think, for one 604 00:28:57,320 --> 00:29:00,400 Speaker 4: can make you that much weight fast. 605 00:29:00,960 --> 00:29:02,480 Speaker 3: So do you think that person is lying. 606 00:29:02,960 --> 00:29:05,200 Speaker 4: I'm having a hard time believing that they're saying the truth. 607 00:29:05,240 --> 00:29:07,480 Speaker 4: I'm not saying they're lying, but I'm having a heart doc. 608 00:29:07,560 --> 00:29:09,320 Speaker 1: I don't know if you're like a sports fan like me, 609 00:29:09,400 --> 00:29:11,240 Speaker 1: but I said, this is the steroid era, I said, 610 00:29:11,280 --> 00:29:13,520 Speaker 1: where everybody said, oh, I have a new trainer and 611 00:29:13,560 --> 00:29:15,880 Speaker 1: I have a new diet, and you know, my head 612 00:29:15,920 --> 00:29:17,840 Speaker 1: just grew eight inches and now you know, I can 613 00:29:17,880 --> 00:29:20,240 Speaker 1: barely move my arms they're so big. I said, this 614 00:29:20,400 --> 00:29:23,480 Speaker 1: is just the steroid era, where you know, maybe a 615 00:29:23,560 --> 00:29:25,080 Speaker 1: quarter of the people are going to be honest, the 616 00:29:25,080 --> 00:29:26,680 Speaker 1: rest are completely fullish. 617 00:29:26,720 --> 00:29:29,400 Speaker 4: Absolutely, you can m they're all on it. 618 00:29:29,920 --> 00:29:31,640 Speaker 3: Well that was my exact question. 619 00:29:32,440 --> 00:29:36,160 Speaker 2: What percentage of celebrities out there do you think are 620 00:29:36,200 --> 00:29:37,320 Speaker 2: on it and lying? 621 00:29:38,240 --> 00:29:42,120 Speaker 4: I think anybody you see on TV or in the 622 00:29:42,200 --> 00:29:44,160 Speaker 4: media who's all of a sudden lost a lot of 623 00:29:44,160 --> 00:29:47,040 Speaker 4: weight and says it's not medication, I think they're lying. 624 00:29:47,720 --> 00:29:51,600 Speaker 4: And I know celebrities who are on it for a fact, 625 00:29:51,840 --> 00:29:53,920 Speaker 4: and you see them on TV and they've been interviewed 626 00:29:53,960 --> 00:29:56,640 Speaker 4: and they'll say, no, I'm not on it. So I 627 00:29:56,680 --> 00:29:59,560 Speaker 4: think many of them were denying it, but look like 628 00:29:59,640 --> 00:30:00,960 Speaker 4: they I have been on it or on. 629 00:30:00,960 --> 00:30:03,400 Speaker 3: It, So what do you think of that? 630 00:30:03,440 --> 00:30:04,920 Speaker 2: Do you think they should own up to it the 631 00:30:04,920 --> 00:30:07,160 Speaker 2: way Oprah just did To bring this full circle, she. 632 00:30:07,200 --> 00:30:10,040 Speaker 4: Said, come on, so like it's twenty twenty three. We 633 00:30:10,080 --> 00:30:12,680 Speaker 4: all care about our looks, Like why I like, you know, 634 00:30:12,760 --> 00:30:15,600 Speaker 4: plastic surgery is super common. Go talk to Cammon. I 635 00:30:15,600 --> 00:30:17,720 Speaker 4: get people who come into like, oh you go talk 636 00:30:17,720 --> 00:30:20,360 Speaker 4: to me. I don't anybody know what the who cares? Like, right, 637 00:30:20,440 --> 00:30:22,440 Speaker 4: you're on the medication to say you're on it? You know, 638 00:30:22,480 --> 00:30:24,520 Speaker 4: we're for your friends to talk to her? Like why 639 00:30:24,640 --> 00:30:25,040 Speaker 4: hide it? 640 00:30:25,720 --> 00:30:27,680 Speaker 1: Everyone wants to be seen as natural. It's like I 641 00:30:27,680 --> 00:30:30,600 Speaker 1: haven't had plastic surgery. I haven't had a zempic. I haven't. 642 00:30:30,880 --> 00:30:34,280 Speaker 1: They wanted to seem as if this was all natural beauty. 643 00:30:34,320 --> 00:30:37,080 Speaker 1: And look, the way you'll know that they're on it 644 00:30:37,120 --> 00:30:39,080 Speaker 1: is if they're on a red carpet or in front 645 00:30:39,120 --> 00:30:39,960 Speaker 1: of a camera. 646 00:30:43,200 --> 00:30:46,680 Speaker 3: For your friends to doctor Allie exact. Really, you have 647 00:30:46,800 --> 00:30:48,960 Speaker 3: some of these clients who are out there lying about it. 648 00:30:52,960 --> 00:30:55,600 Speaker 4: That is why might have judge listen. Let them do 649 00:30:55,640 --> 00:30:58,480 Speaker 4: what they want to do, exactly what they want to say, but. 650 00:30:58,880 --> 00:31:01,080 Speaker 3: Are swedge of the real Housewives are on it. 651 00:31:03,040 --> 00:31:06,360 Speaker 4: The Housewives. I I'm not going to answer that. 652 00:31:06,360 --> 00:31:09,400 Speaker 1: Question because what what's over one hundred? 653 00:31:11,000 --> 00:31:13,280 Speaker 3: All right, well, doctor Alie, thank you. 654 00:31:13,440 --> 00:31:15,040 Speaker 2: We really just like we said, wanted to kind of 655 00:31:15,040 --> 00:31:16,320 Speaker 2: get some of the facts on this. 656 00:31:16,200 --> 00:31:18,360 Speaker 3: And you've been incredible. Thank you so much. 657 00:31:18,480 --> 00:31:20,520 Speaker 4: You're welcome. Take care, guys, have a good one. 658 00:31:20,600 --> 00:31:21,280 Speaker 1: I appreciate it. 659 00:31:21,720 --> 00:31:25,680 Speaker 2: You in Beverly Hills. So doctor Ali was incredible. He 660 00:31:25,840 --> 00:31:29,840 Speaker 2: is doctor asan Ali. He's on Instagram as Beverly Hills 661 00:31:29,960 --> 00:31:33,960 Speaker 2: concierge doctor. I like he really leans into it. I 662 00:31:34,000 --> 00:31:37,080 Speaker 2: think he listen. I respect him. Obviously he can't say anything, 663 00:31:37,080 --> 00:31:39,280 Speaker 2: but he was really He works with a lot of 664 00:31:39,360 --> 00:31:42,080 Speaker 2: really well known people from what I've heard, and so 665 00:31:42,160 --> 00:31:45,200 Speaker 2: he was really putting a lid on that. But also 666 00:31:45,280 --> 00:31:47,480 Speaker 2: some of his patients are on his Instagram. He is 667 00:31:47,800 --> 00:31:51,479 Speaker 2: posted with Kyle Richards of the Real Housewives of Beverly Hills. 668 00:31:51,720 --> 00:31:55,920 Speaker 2: He's posted with the actor Mickey Rourke recently, so you know, 669 00:31:56,000 --> 00:31:58,680 Speaker 2: you see some of those big names. Model Winnie Harlowe 670 00:31:58,720 --> 00:32:03,080 Speaker 2: is with him on Instagram. So he's got incredible experience 671 00:32:04,000 --> 00:32:06,320 Speaker 2: and I really appreciated how honest he was with us 672 00:32:06,360 --> 00:32:09,040 Speaker 2: about some of those numbers and those realities. 673 00:32:08,680 --> 00:32:12,720 Speaker 1: I was stunned. You know, around seventy percent, he said, 674 00:32:13,320 --> 00:32:16,600 Speaker 1: of clients and just women walking around Beverly Hills. And 675 00:32:16,640 --> 00:32:18,440 Speaker 1: I think that goes for every neighborhod This is one 676 00:32:18,480 --> 00:32:20,240 Speaker 1: of those times where I don't think Beverly Hills is 677 00:32:20,240 --> 00:32:22,880 Speaker 1: the anomaly. I think it's it's the rule, it's not 678 00:32:22,920 --> 00:32:25,760 Speaker 1: the exception. I know what's happening here in Austin, Texas 679 00:32:25,800 --> 00:32:27,320 Speaker 1: and everyone. 680 00:32:26,800 --> 00:32:27,680 Speaker 3: Else is interesting. 681 00:32:28,200 --> 00:32:31,800 Speaker 2: I feel like this, as he said, Viagra only applied 682 00:32:31,800 --> 00:32:35,200 Speaker 2: to some of the population via came out before social media. 683 00:32:35,600 --> 00:32:39,360 Speaker 2: The speed at which awareness of these weight loss drugs 684 00:32:39,400 --> 00:32:42,400 Speaker 2: has spread so much because of social media. So now 685 00:32:42,400 --> 00:32:44,480 Speaker 2: it's not just like, oh I kind of heard about 686 00:32:44,520 --> 00:32:46,640 Speaker 2: that on you know, Good Morning America. 687 00:32:46,760 --> 00:32:48,880 Speaker 3: It's everywhere so quickly. 688 00:32:48,920 --> 00:32:50,960 Speaker 2: And I know that's why there were shortens for a while, 689 00:32:51,440 --> 00:32:53,120 Speaker 2: he said, there's not shortages anymore. 690 00:32:53,200 --> 00:32:56,160 Speaker 1: So one interesting the new newer drugs. You know, the 691 00:32:57,080 --> 00:32:59,520 Speaker 1: new drugs are being created. They're a little different than 692 00:32:59,560 --> 00:33:02,760 Speaker 1: the Oza pick on Wigovia, and so I found that 693 00:33:02,800 --> 00:33:04,800 Speaker 1: fascinating as well. And you know, I want to talk 694 00:33:04,800 --> 00:33:06,720 Speaker 1: to him again. We'll have him on again because you know, 695 00:33:06,760 --> 00:33:10,000 Speaker 1: I think he's got great insight because conversely, you know, 696 00:33:10,600 --> 00:33:13,480 Speaker 1: I know that the men and I don't know if 697 00:33:13,520 --> 00:33:15,080 Speaker 1: women do, but I know men that go into these 698 00:33:15,120 --> 00:33:18,760 Speaker 1: action roles and get all jacked and they're ripped. That's 699 00:33:18,840 --> 00:33:21,960 Speaker 1: not natural either. You know, it's the the steroid use 700 00:33:22,080 --> 00:33:24,280 Speaker 1: is huge. And do you see the way these guys 701 00:33:24,320 --> 00:33:26,560 Speaker 1: bounce back afterwards, and all of a sudden, they're puffy 702 00:33:26,600 --> 00:33:29,160 Speaker 1: and they're big, and they're they have issues with their 703 00:33:29,360 --> 00:33:32,440 Speaker 1: their body because the skeleton was not built to carry 704 00:33:32,440 --> 00:33:34,240 Speaker 1: that much weight and throw around that much weight. So 705 00:33:34,560 --> 00:33:37,160 Speaker 1: I think that's interesting as well, is what guys will 706 00:33:37,200 --> 00:33:40,000 Speaker 1: put themselves through, these leading men to go into these 707 00:33:40,120 --> 00:33:44,080 Speaker 1: roles to be all jacked up because they don't look 708 00:33:44,120 --> 00:33:47,240 Speaker 1: like that in real life, and so it is a 709 00:33:47,320 --> 00:33:49,200 Speaker 1: it's an interesting can of worms we've opened up. 710 00:33:50,600 --> 00:33:53,440 Speaker 2: Well, I didn't do weight loss medication before the wedding, 711 00:33:53,480 --> 00:33:55,440 Speaker 2: But I'll be honest, I'm not sitting here saying I'm 712 00:33:55,480 --> 00:33:56,680 Speaker 2: ruling it out forever for me. 713 00:33:56,840 --> 00:33:58,200 Speaker 3: I don't know. I don't want to judge. 714 00:33:58,200 --> 00:34:00,520 Speaker 2: I don't know what it's like to like talked about 715 00:34:00,520 --> 00:34:03,040 Speaker 2: the menopausal benefits. I don't know how I'm going to 716 00:34:03,120 --> 00:34:06,440 Speaker 2: feel in ten years, in five years, even I don't know. 717 00:34:06,600 --> 00:34:08,759 Speaker 3: So I think the door's open. It's good to have 718 00:34:08,840 --> 00:34:09,440 Speaker 3: the information. 719 00:34:09,560 --> 00:34:11,839 Speaker 2: But for me right now, the lack of long term 720 00:34:11,880 --> 00:34:13,720 Speaker 2: research is still a little scary. 721 00:34:14,120 --> 00:34:16,080 Speaker 1: I don't know if I'm for it. I don't know 722 00:34:16,120 --> 00:34:18,760 Speaker 1: if I'm against it either. I agree. I like taking 723 00:34:18,760 --> 00:34:21,600 Speaker 1: in the information and seeing how this plays out and 724 00:34:21,640 --> 00:34:24,879 Speaker 1: asking questions. And I think, look, if nothing else you've 725 00:34:24,920 --> 00:34:27,520 Speaker 1: taken away from this podcast, it's just ask questions, go 726 00:34:27,600 --> 00:34:31,080 Speaker 1: in and I would even say get a couple of 727 00:34:32,320 --> 00:34:35,080 Speaker 1: opinions from doctors and asking about what's good for you, 728 00:34:35,160 --> 00:34:39,040 Speaker 1: what's right for you. And I found it interesting. The 729 00:34:39,280 --> 00:34:43,200 Speaker 1: getting on it for a short time was kind of 730 00:34:43,200 --> 00:34:44,759 Speaker 1: his opinion of kind of the best way to do 731 00:34:44,800 --> 00:34:47,319 Speaker 1: it as opposed to those that stay on it that 732 00:34:47,440 --> 00:34:50,439 Speaker 1: make such a bigger impact health wise. So a lot 733 00:34:50,480 --> 00:34:54,279 Speaker 1: of interesting facts our thanks to doctor Alie. Babe. I 734 00:34:54,280 --> 00:34:56,719 Speaker 1: think you were I loved how you were very inquisitive. 735 00:34:56,719 --> 00:34:58,080 Speaker 1: I love that you had a lot of questions from 736 00:34:58,080 --> 00:34:59,760 Speaker 1: your mom and her friends. 737 00:35:00,360 --> 00:35:03,480 Speaker 2: It's the talk of the town. It is from Texas 738 00:35:03,480 --> 00:35:05,080 Speaker 2: to California, and that's. 739 00:35:04,960 --> 00:35:07,200 Speaker 1: What we do. That's why we wanted to bring him 740 00:35:07,239 --> 00:35:09,360 Speaker 1: on and we will continue this discussion again. We're going 741 00:35:09,440 --> 00:35:11,520 Speaker 1: to have the two New Jersey Jays on a couple 742 00:35:11,560 --> 00:35:13,920 Speaker 1: of the housewives, one very much for it, the other 743 00:35:13,960 --> 00:35:16,920 Speaker 1: one a little more skeptical. I want to continue this discussion, 744 00:35:16,960 --> 00:35:19,800 Speaker 1: but for now, thank you. Thank you for joining us today, 745 00:35:19,840 --> 00:35:21,480 Speaker 1: and we will do it again next time because we 746 00:35:21,560 --> 00:35:24,480 Speaker 1: have a lot more to talk about. Thanks for listening. 747 00:35:24,680 --> 00:35:27,320 Speaker 1: Follow us on Instagram at the most dramatic pod ever, 748 00:35:27,719 --> 00:35:29,480 Speaker 1: and make sure to write us a review and leave 749 00:35:29,560 --> 00:35:32,000 Speaker 1: us five stars. I'll talk to you next time.