Speaker 1: This is the most dramatic podcast ever and iHeartRadio podcast.
Speaker 1: Chris Harrison and Lauren Zema coming to you from Well,
Speaker 1: I'm in Austin, Texas, Elsie, where are you?
Speaker 2: I'm in Delray Beach, Florida, visiting my little sister. As
Speaker 2: we've mentioned many times, it's our Divide and Conquer holidays.
Speaker 2: We have the kids at our house in Austin for Christmas,
Speaker 2: so I wanted to go see my family in Florida
Speaker 2: for like a pre Christmas.
Speaker 3: But I love seeing you on Zoom, Honey. It's kind
Speaker 3: of like, Oh, I miss you, and there you are.
Speaker 1: And you look good too. So last week we were
Speaker 1: talking about oh zimpic, Oprah kind of blew the lid
Speaker 1: on this thing. Well, I mean Oprah didn't blow the
Speaker 1: lid on this thing, but she kind of kept this
Speaker 1: conversation going. Obviously it's been going for quite some time,
Speaker 1: and you and I had a deep discussion about Oprah
Speaker 1: and the ladies in our neighborhood, the ladies in every neighborhood,
Speaker 1: and we said we would dive deeper into this. So
Speaker 1: we are bringing on a very special guest today, doctor
Speaker 1: Aeson All, a board certified in internal medicine. He's also
Speaker 1: completed a fellowship training in geriatric medicine, currently practicing as
Speaker 1: a physician in Beverly Hills. That is going to shed
Speaker 1: a lot of light on this. I can only imagine
Speaker 1: what's going on in Beverly Hills with ozempic and all
Speaker 1: these weight loss drugs. Very unique practice because he's also
Speaker 1: a world renowned doctor at Cedar Sinaide Medical Center, also
Speaker 1: in a spare time volunteering at free medical clinics. So
Speaker 1: if anybody is equipped to talk about this weight loss praze,
Speaker 1: it's doctor asan Ali and we are very happy to
Speaker 1: have him on the show.
Speaker 2: Well, I'm so excited to get into it because our
Speaker 2: producer Kendall just mentioned a weight loss drug I hadn't
Speaker 2: even heard of. I've heard of ozempic. I've heard of
Speaker 2: Wagovia if I have this right, so I might need
Speaker 2: to be corrected, but I believe Wagovia is approved just
Speaker 2: for weight loss. Ozempic's still technically supposed to be used
Speaker 2: to treat diabetes, that was its original intention. Just mentioned
Speaker 2: one called Manjaro, So there's there's weight loss drugs out there.
Speaker 3: I haven't even heard of.
Speaker 2: I'm so excited to talk to him because, like you
Speaker 2: just said, Oprah, she didn't say which one, but she
Speaker 2: did feel that she is on a weight loss drug
Speaker 2: and she really owned it and said, Look, I've publicly
Speaker 2: struggled with my weight loss for years and something like
Speaker 2: this feels like a relief. So I just I feel
Speaker 2: like Oprah saying that could maybe turn the tide on
Speaker 2: some of the backlash people feeling like these are being misused.
Speaker 2: So I'm excited to get into all of it with him,
Speaker 2: and he is on with us now, Doctor Ellie, I
Speaker 2: got to tell you, I don't know if my mom's
Speaker 2: ever been more excited for a podcast guest. I feel like,
Speaker 2: oh zeenpic and weight loss drugs are the topic at
Speaker 2: the top of every chat amongst women ages maybe younger,
Speaker 2: but for me, I'm in my thirties, like thirties and
Speaker 2: above that.
Speaker 1: I know.
Speaker 2: How would you say that this weight loss drug craze
Speaker 2: compares to other drugs that have hit them, like I've
Speaker 2: heard it be compared.
Speaker 3: To like when Viagra dropped. Is it even bigger than that?
Speaker 4: I feel like it's even bigger because this medication applies
Speaker 4: not just to like one of demographic. It's men, women, young, old,
Speaker 4: It's a significant amount of the population. So I feel
Speaker 4: like it's even surpassed medications like viager. It's probably one
Speaker 4: of the most popular medications ever since in my career,
Speaker 4: like the past twenty years that I've seen.
Speaker 2: Would it be safe to say this could be the
Speaker 2: biggest medication raise ever?
Speaker 4: I believe so, yes, absolutely absolutely. I mean, weight loss
Speaker 4: has been something that people have struggled with for the
Speaker 4: longest time, and there's never been a medication that's actually
Speaker 4: been extremely effective. You know, there was there's stimulant based
Speaker 4: medications like fen fend back in the day. You may
Speaker 4: or may not even remember, but it was stimulant based
Speaker 4: and then people were like overdosing having heart attacks, and
Speaker 4: then it got banned and there really wasn't anything out.
Speaker 4: So there's never been anything like this given people great
Speaker 4: it results with minimal risks, so it's kind of a
Speaker 4: huge breakthrough.
Speaker 1: I mean, I am so curious about all this. I'm
Speaker 1: so perplexed. I think everybody is. Even the people that
Speaker 1: are on it are probably still curious about everything going on.
Speaker 1: How many drugs are there, Like Lauren said, Wegovia, there's
Speaker 1: obviously ozempic, and is there one that's better than the
Speaker 1: other that you're finding is.
Speaker 3: Just heard about Manjaro. I didn't know about that one.
Speaker 4: Oh yeah, So you know the three now four most
Speaker 4: popular one, there's Ozembic, which came out initially had tons
Speaker 4: of advertising, our celebrities talked about it. It's very popular.
Speaker 4: Then came out with Govi, which is just a different
Speaker 4: brand of ozembic with the same active ingredient. Those two work,
Speaker 4: but really the one that's been shown to be even
Speaker 4: better is this genre that came out shortly after ozembic.
Speaker 4: And the reason it works better is because it acts
Speaker 4: on more receptor than your body compared to ozembic or rigovie.
Speaker 4: And I've had several patients who've done both. They've all
Speaker 4: said that they've had significantly better results with.
Speaker 1: The And then you said there's a fourth one, and.
Speaker 4: So Munjaro has only been FBA approved for diabetes, but
Speaker 4: recently it got the approval by the FDA for weight loss.
Speaker 4: And this just happened I think two three weeks ago.
Speaker 4: But for people who are going to use Manjaro for
Speaker 4: weight loss as opposed to diabetes, it's now being sold
Speaker 4: under a different name. It's called it just came out.
Speaker 1: What what was that zip bound bound?
Speaker 4: Yeah, better than the bound, gotcha? But so z that
Speaker 4: bound mnjaro, both which are the same thing, are much
Speaker 4: more effective than ozeen vic or withob's.
Speaker 1: And and dumb this down for people that did not
Speaker 1: go to med school. And what exactly is manjaro doing
Speaker 1: to my body?
Speaker 4: So? Okay, so ozembic, we go VI, munjaro. They all
Speaker 4: act on this receptor in your brain called a g
Speaker 4: LP okay, and then mnjaro acts on some other receptors
Speaker 4: as well. It's telling your body that you're not hungry,
Speaker 4: so you feel like you're just full constantly and you
Speaker 4: don't want to eat, And it helps control your cravings.
Speaker 4: It helps prevent binge eating. And then when you do
Speaker 4: eat normally, your stomach would expand to accommodate that extra food.
Speaker 4: It helps minimize that expansion of the stomach, so you
Speaker 4: eat a whole lot less as well, gotcha. So that's
Speaker 4: one aspect to it. And then it helps optimize and
Speaker 4: control your insulin levels. So by preventing like insulin spikes,
Speaker 4: this thing can cause weight gain, it helps prevent that
Speaker 4: as well. So that's the two main ways that it's working.
Speaker 2: So there's these different options available. How do you make
Speaker 2: the choice on who gets which? Or would you mostly
Speaker 2: give people zet bound.
Speaker 4: So just like right now, I tell him, listen, these
Speaker 4: are the three or four medications that are out. This
Speaker 4: is how this one works. This is how this one works.
Speaker 4: From my experience, when Jarro works the best. So I
Speaker 4: always recommend Njarro, but with a lot of times to
Speaker 4: come down to his cost, because they're all very expensive
Speaker 4: and most insurances aren't covering it, especially if you're not diabetic,
Speaker 4: or even if you meet the criteria you have it filmore.
Speaker 4: But the's a lot of insurances aren't covering it, so
Speaker 4: it comes down to what insurance will cover or every
Speaker 4: now and then there's a coupon available and somebody that's
Speaker 4: want to pay for the price. It comes down to price.
Speaker 4: But I always kind of tell people when Jaro does
Speaker 4: work the best, So that would be my recommendation to somebody.
Speaker 1: Much like gas in California, which is eighty times higher
Speaker 1: than the rest of the world, I'm guessing these drugs
Speaker 1: are pretty expensive in Beverly Hills. If I'm going on Manjaro,
Speaker 1: what's the cost.
Speaker 4: I believe so, depending on which pharmacy you go to,
Speaker 4: it's anywhere from twelve hundred a month to fifteen hundred
Speaker 4: a month.
Speaker 1: Holy Calenda.
Speaker 4: The price is pretty much the same across the country,
Speaker 4: because I have patients who are in New York for more,
Speaker 4: in Connecticut wherever. They've all kind of told me the
Speaker 4: same thing somewhere in that ballpark.
Speaker 3: Is that a daily dose? Is it a daily shot?
Speaker 4: It's a once a week shot that you just do
Speaker 4: underneath the game.
Speaker 1: And so do most people self medicate or do they
Speaker 1: come into your clinic and get a quick shot? Is it,
Speaker 1: you know, just a very simple shot to the arm
Speaker 1: or the butt.
Speaker 4: It's super easy. They come in, we evaluate them, we
Speaker 4: prescribe it. I send it to their pharmacy, whether it's
Speaker 4: a CBS right Aid watering wherever they go pick it
Speaker 4: up to get a one month supply. I teach them
Speaker 4: in the office with a demonstration pen, like how to inject.
Speaker 4: It's so easy, like you know, anybody could do it,
Speaker 4: and people will just do it at home on their own.
Speaker 4: And then they follow up every month with us just
Speaker 4: to see how things you're going.
Speaker 1: If we've learned anything over the last several years. It's
Speaker 1: that we can't really worry or think that the pharmaceutical
Speaker 1: companies are going to look out for our best needs.
Speaker 1: So we have to care and think about the doctors.
Speaker 1: So talking to a doctor that probably deals with this
Speaker 1: all the time because you're a Beverly Hills. So is
Speaker 1: this overall? Is it a good thing?
Speaker 4: Is it a good thing? There's two ways to look
Speaker 4: at it. Now for people who have been struggling, and
Speaker 4: I see a lot of patients who come in and
Speaker 4: and you know, whether you're somebody who's middle aged or
Speaker 4: you know, postmenopausal, and you're struggling with your weight and
Speaker 4: you've done everything, you're dieting, you have a personal trainer,
Speaker 4: you just can't get the weight off, weight off. Yes,
Speaker 4: this is a good thing for them. But then there's
Speaker 4: the other hand, there's people who don't need to be
Speaker 4: on it who are getting access to it, and they're
Speaker 4: they're kind of getting carried away and it's bad for them.
Speaker 4: And I've seen that as well. People you know, I'll
Speaker 4: get patients will come in, they lose the weight and
Speaker 4: they're like, you know what, I don't keep going. So
Speaker 4: it's kind of tricky, you know, it's meant to be
Speaker 4: a good thing. But with everything that's good, there always
Speaker 4: tends to be some downfall with that as well.
Speaker 2: Well, this we're kind of getting really into what I
Speaker 2: wanted to have you on for which and you know
Speaker 2: you said a minute ago minimal risks, and Chris is
Speaker 2: asking like is it a good thing? I mean, I
Speaker 2: think this is the real sort of point we're getting
Speaker 2: to now, this tipping point of like who is it
Speaker 2: safe for?
Speaker 3: When is it safe? Are we all going to be
Speaker 3: on it? At one point? Like I want to get
Speaker 3: into all that, but first I do I want to
Speaker 3: ask you a little bit gossipy question. I mean, I
Speaker 3: don't need you can name names, but you are.
Speaker 2: Known as a concierge doctor in Beverly Hills, incredibly reputable.
Speaker 2: What percentage of people do you think in Beverly Hills
Speaker 2: at this point are on weight loss medication?
Speaker 4: I would say, especially amongst women, probably seventy percent.
Speaker 1: Wow, well yeah, I thought maybe fifty percent. It's almost
Speaker 1: three quarters of the population.
Speaker 4: It's very very popular, you know, if not seventy, like
Speaker 4: you know, sixty five plus for sure?
Speaker 1: Yes?
Speaker 2: And do all those women need to be on it?
Speaker 2: Or could they be losing weight without it.
Speaker 4: I don't think all those women need to be on it.
Speaker 4: You know, there are women that could lose the weight
Speaker 4: without having to be on it. So no, I don't
Speaker 4: think it's all I.
Speaker 1: Mean, the idea of this drug was the you know,
Speaker 1: help with you know when you have the catchphrase the comorbidity.
Speaker 1: So that is that was the impetus for these drugs
Speaker 1: in the first place. Obviously, now you see people, hey,
Speaker 1: I need to lose ten before my wedding. Yeah, that's
Speaker 1: a very slippery slope because, like you said, there are
Speaker 1: ripple effects to everything that you.
Speaker 4: Take, absolutely absolutely, and so it is also a newer medication.
Speaker 4: So you know, even though from what we're being told
Speaker 4: it's safe and I haven't myself seen any severe complications,
Speaker 4: you still don't know what may happen ten years down
Speaker 4: the road. So you know, it's something that we have
Speaker 4: to be careful with in that aspect too. And so
Speaker 4: people who are trying to take it to lose ten
Speaker 4: pounds before their wedding or a photo shoot or a
Speaker 4: music video or the trip to Hawaii, like they shouldn't
Speaker 4: be on it.
Speaker 2: Okay, Well, what you just said is something really big
Speaker 2: is that's something I wanted to ask, what do we
Speaker 2: really know long term? To what extent has this been studied,
Speaker 2: these drugs being used for weight loss in terms of yeah,
Speaker 2: where your body might be, Like, do we know long
Speaker 2: term side effects or is that research not even been done?
Speaker 4: You know? According to what the pharmaceutical company tells us,
Speaker 4: they say during trials, the biggest thing that they saw
Speaker 4: was risk of thyroid cancer that they saw in roadings
Speaker 4: and rats. They say in humans, like, if you've had
Speaker 4: a history of thyroid cancer, you probably should just stay
Speaker 4: away from it. But like Chris had said, pharmaceutical companies
Speaker 4: don't necessarily have our best interests. They're out there to
Speaker 4: make money. So if there's information out there that's not
Speaker 4: being told to us, that's very much possible. Or whether
Speaker 4: it's too early to say if there's any long term risk,
Speaker 4: that's also something to be aware of as well.
Speaker 2: Is it potentially more dangerous if you're just taking it
Speaker 2: for a little bit of weight loss, or is it
Speaker 2: like the potential side effects are equal across the board, you.
Speaker 4: Know, So typically with medications, the longer you stay on it,
Speaker 4: the longer, the higher the risk of complications. So in
Speaker 4: this situation. I feel like people are taking it unnecessarily
Speaker 4: and take it long term are probably at higher risk
Speaker 4: or potential publications that we may not be aware of.
Speaker 1: So the yo yo uh you're saying is better like
Speaker 1: someone who just gets on it for a couple of
Speaker 1: weeks then gets off of it.
Speaker 4: That's my assumption. You know, even though they shouldn't be
Speaker 4: on it in the first place, they don't need to
Speaker 4: be on it, right, But if they're only going to
Speaker 4: be on it a shorter period of time, typically with medications,
Speaker 4: you're putting your body at less risk.
Speaker 1: You said something about the safety of it, and that
Speaker 1: you know early on. You know, we don't know the
Speaker 1: long term effects, but what about short term effects? Have
Speaker 1: you dealt with this with any of your clients? The
Speaker 1: blockage we've heard about and even deaths have been reported
Speaker 1: and not maybe one hundred percent linked, but people feel
Speaker 1: pretty certain that it was linked to these drugs. The
Speaker 1: bowel blockages and other issues that they've had so great.
Speaker 4: You know, we've all heard about those. In my experience
Speaker 4: in the past two years of prescribing it, ever since
Speaker 4: it's bout in the market, I do experience a lot
Speaker 4: on the common side effects like nausea, constipation, harper and
Speaker 4: some hair loss, fatigue. I have not witnessed or encounter
Speaker 4: indications from had any of the more serious side effects
Speaker 4: like blockages or anything.
Speaker 1: But you've heard of those.
Speaker 4: I have heard of them.
Speaker 2: I'm still processing that seventy percent, doctor Alia.
Speaker 1: I know, babe, don't you think that it's seventy percent
Speaker 1: of our neighborhood? And I mean everyone we run into,
Speaker 1: and you know, Lauren said it's people her age whatever.
Speaker 1: I'm like, I was with two dudes eating breakfast tacos
Speaker 1: the other day and we were talking about it. So
Speaker 1: it really has, if not become a part of our lives,
Speaker 1: it's definitely captured our conversation, our imagination.
Speaker 3: Here's what I said to Chris the other day, doctor Alie.
Speaker 2: I was like, look, we did just get married, and
Speaker 2: I was a friend of mine was like, yeah, if
Speaker 2: you want to get Gogovia, I can get you on it.
Speaker 2: And I was like, no, I just can't. Like for me,
Speaker 2: I can't bring myself to do that now. Like I'm
Speaker 2: just going to work out and like, well, really watch
Speaker 2: what I eat, really cut back on alcohol and I
Speaker 2: ended up losing you know, like ten pounds before the wedding,
Speaker 2: which I wanted to do.
Speaker 3: Thank you.
Speaker 2: But what scares me at this point is even if
Speaker 2: you're somebody who's like eating really well and really watching
Speaker 2: what they eat and all that, it seems like even
Speaker 2: those people are now getting on.
Speaker 3: Weight loss medication.
Speaker 2: So if I'm a healthy, fit person, as time goes
Speaker 2: by and everybody's on this, am I going to like
Speaker 2: start to look over weight because everyone else is on
Speaker 2: weight loss drugs? Because seventy percent of people are Do
Speaker 2: you see what I'm saying with this?
Speaker 3: Am I going to look fat.
Speaker 1: When I'm it's a new boob job.
Speaker 4: That's a good way of looking at it, Chris. But yeah,
Speaker 4: that's definitely something that may happen down the line if
Speaker 4: more and more people are on it and it's becoming
Speaker 4: more easily available too. For the longest time to shortages
Speaker 4: couldn't get it, and now there's much of a shortage,
Speaker 4: it's lass better than it was before, So that might
Speaker 4: be an issue down the line. You know, the new
Speaker 4: normal healthy might be overweight a four inches of the
Speaker 4: women who want to be like railed, skinny or real.
Speaker 2: Okay, so let me ask you about the other fear
Speaker 2: because you know a lot of these spears are just aesthetic. Yeah,
Speaker 2: I've heard of ozempic butt that you can get a
Speaker 2: saggy butt. I've heard of ozembic face that your face
Speaker 2: can look saggy, that you can lose muscle and then
Speaker 2: your body just overall doesn't look the way you want.
Speaker 2: How real are those risks? Do you see that? And
Speaker 2: is there a way to avoid it?
Speaker 3: If it happens? What causes it?
Speaker 4: So o zombic phase or ozombic butt that typically happens
Speaker 4: and people who are very heavy to begin with and
Speaker 4: have lost a lot of weights, and also people who
Speaker 4: are a little bit older, so their skin quality isn't
Speaker 4: as good or like the elastic quality good, so it
Speaker 4: doesn't really kind of shrink as with the weight loss.
Speaker 4: So I feel like that would happen with people who
Speaker 4: would wait rapidly, even with just died and exercise. I
Speaker 4: don't see it that often, and you have to lose
Speaker 4: a significant amount of weight for that to happen. That
Speaker 4: would probably happen in like you're let's say fifty year
Speaker 4: old person who lost maybe like forty fifty pounds. We
Speaker 4: have all this extra week. I don't really see it.
Speaker 2: That often, okay, because the headlines are making it seem
Speaker 2: like it's all over and now we're all going to
Speaker 2: have Saggy's a big case, okay.
Speaker 1: Doctor Elie. Something that Lauren just touched on in that question,
Speaker 1: I kind of want to follow up on where is
Speaker 1: the weight coming from? Where's the weight loss? Is it muscular?
Speaker 1: Is it just fat? Is this you know our end?
Speaker 1: Are these different medicines targeting different things? And obviously, again
Speaker 1: if you are a you know, average woman, average man,
Speaker 1: you're healthy for the most part, and you go on
Speaker 1: these drugs, where is it coming from? And is it
Speaker 1: worth it?
Speaker 4: So I have seen patients lose both fat as well
Speaker 4: as muscle masks, but I will say, you're like most
Speaker 4: of the weight that people are losing his muscle mass. Interesting,
Speaker 4: but you know they also are losing like extra like
Speaker 4: fatty tissue or you know that's soft kind of like
Speaker 4: handle around their waist. So it works on both, but
Speaker 4: a large portion of it is muscle mass.
Speaker 1: I'm curious then if you're working out, Uh, safe for
Speaker 1: man or woman doesn't really matter. But if you are,
Speaker 1: you like to be fit and you want to be
Speaker 1: you know cut, this isn't the cut medicine, like, because
Speaker 1: if you're losing that muscle, Like, I'm curious the how
Speaker 1: the balance of the scales work of I'm working out
Speaker 1: really hard, I'm on one of these drugs. How have
Speaker 1: you seen that even itself out?
Speaker 4: So let's just say, let's you know, just the kind
Speaker 4: of like uh for example, like let's say I get
Speaker 4: a male pasion trying to put on muscle. It's very muscular,
Speaker 4: but they're also trying to like trim down a little bit.
Speaker 4: I'll say to them listening, you can't do both at
Speaker 4: the same time with this medication, because you are going
Speaker 4: to lose muscle no matter how much. Yeah, you can
Speaker 4: continue high protein diet, work out with weights, but you
Speaker 4: are going to lose a significant amount of muscle. Now,
Speaker 4: if you're a person who's either you know, a man
Speaker 4: or woman that doesn't necessarily care about muscles so much
Speaker 4: and you just are looking to lose the weight, this
Speaker 4: is better for.
Speaker 1: That kind of interesting.
Speaker 3: Wait, I want to make sure I'm getting this right.
Speaker 2: So this the weight loss medication makes you lose muscle
Speaker 2: more than it makes you lose.
Speaker 4: Fat, correct, right, Yeah, you lose weight overall.
Speaker 3: That feels like a huge bomb drop to me. I
Speaker 3: did not understand that.
Speaker 4: When you see somebody who's overweight and they want to
Speaker 4: lose weight, and let's say they lost thirty five pounds,
Speaker 4: a large portion of that is going to be muscle
Speaker 4: mass as well. But these aren't people, you know, not
Speaker 4: most of these people aren't like stick skinny people who
Speaker 4: uh you know. These are people who are just genuinely
Speaker 4: overall very or have weight to lose both.
Speaker 1: Okay, I guess it's the maintenance and all that that
Speaker 1: worries me with these drugs because yeah, obviously again you
Speaker 1: go back to the pharmaceuticals, they don't care. But there
Speaker 1: is a ripple effect to everything we take, no matter
Speaker 1: what the drug is. Period.
Speaker 2: I agree, yes, isn't it important as we age to
Speaker 2: maintain muscle?
Speaker 4: It is absolutely So you know, you need to maintain muscle,
Speaker 4: so it's important that you continue your protein intake. So
Speaker 4: my patients are on it. I let them know that
Speaker 4: these are things you'd be careful of and be mindful of.
Speaker 1: What are you what do you say to your patients?
Speaker 1: Say I come in, I'm like, okay, doctor Ellie, you
Speaker 1: know I want to lose twenty five pounds. My wedding's
Speaker 1: coming up. What are the things you tell me to
Speaker 1: look out for. What are the things you tell me
Speaker 1: to do?
Speaker 4: You know, as with any other medication, I tell them
Speaker 4: what the criteria is for the medication, what it's meant for,
Speaker 4: what's that FDA proved for, what the risks are, what
Speaker 4: the benefits are, pros ponds. And if somebody's coming in
Speaker 4: and I know for sure, like this is not a
Speaker 4: medication for them. If I get a twenty two year
Speaker 4: old girl and she just wants to lose five pounds
Speaker 4: for like her trip coming up or a photo shoot
Speaker 4: she has, like, I'm just like, this is authumentication for you.
Speaker 4: If I get somebody in and you know there are
Speaker 4: an extra thirty pounds overweight and they cannot get it off.
Speaker 4: They've tried everything, and I know sincerely that you know,
Speaker 4: they've been working out, eating healthy, and you know, I
Speaker 4: tell them, like you do, the risks to the proges,
Speaker 4: they're gone. How are you going to take it? And
Speaker 4: this is what you expect. I'm okay to do that
Speaker 4: striving it to that person you.
Speaker 1: Have, I would say work in the vanity capital of
Speaker 1: the world in Beverly Hills, Lauren and I both you know,
Speaker 1: worked and lived in that world. I'm curious how much
Speaker 1: you see the maintenance. You say you come in for
Speaker 1: that trip, or say you come in for I'm sure
Speaker 1: you get a lot of the photo shoot. I got
Speaker 1: a show coming up, I have a movie coming up,
Speaker 1: whatever it is. Because I know you deal with a
Speaker 1: lot of celebs and a lot of stars, how much
Speaker 1: do you see it maintained after they get off or
Speaker 1: do they have to come back and repeat?
Speaker 4: You know, most people who I'm just are looking to
Speaker 4: lose like maybe ten, fifteen, twenty thirty pounds don't get
Speaker 4: a little bit of way once they stop the medication.
Speaker 4: I would say majority of people don't need to be
Speaker 4: on a maintenance. Once they stop, they're good. They'll get
Speaker 4: a little bit of weight back, and as long as
Speaker 4: they're maintaining a healthy lifestyle, they're doing okay. People who
Speaker 4: I find that need to be on maintenance are those
Speaker 4: people that have really struggled with weight their whole life
Speaker 4: and just suffer with obesity. They tend to need a maintenance. Douce.
Speaker 2: Yeah, when I've seen both cases and people I know.
Speaker 2: I've seen people who lost fifteen pounds and then they're like, oh,
Speaker 2: I got to get back on it from maintenance, And
Speaker 2: I'm like, oh, well, I mean, but then I know
Speaker 2: somebody who lost thirty pounds and has kept it off
Speaker 2: and is looking great. How much when you're on it
Speaker 2: and you want to lose that weight, Like, how much
Speaker 2: of it is also on the choices you're making, Like
Speaker 2: when you're on a weight loss medication, do you really
Speaker 2: need to be exercising and eating right also? Or is
Speaker 2: the medication going to kind of do most of that
Speaker 2: for you?
Speaker 4: So great question. You know people ask me that all
Speaker 4: the time. So you know, diet and exercise is something
Speaker 4: that's important and it's beneficial for you regardless even if
Speaker 4: you're not doing it for weight loss. So I tell people,
Speaker 4: want to keep doing that. This medication is supposed to,
Speaker 4: you know, be a part of that overall weight loss
Speaker 4: and healthy lifestyle program. You want to do both. But
Speaker 4: of course, the reality is I see a lot of
Speaker 4: patients who don't diet or exercise and they are still
Speaker 4: having great results with this the medication alone. But you know,
Speaker 4: it shouldn't be like something you just kind of rely
Speaker 4: on as a crutch. You want to keep working out
Speaker 4: and eating healthy especially if you're going to be clean
Speaker 4: this medication or system, and.
Speaker 2: If someone is on it and they're not really losing weight,
Speaker 2: what are they what's potentially going wrong?
Speaker 1: Yeah, I've actually have you even seen that?
Speaker 4: I mean, I do see people who maybe don't get
Speaker 4: as good a results compared to the majority, and I
Speaker 4: you know, it could be because they're really not following
Speaker 4: a healthy lifestyle. They're really still eating a bunch of
Speaker 4: high calorie foods, they're not making the effort or some people,
Speaker 4: you know, not everybody responds to medication the same weight,
Speaker 4: but majority of people are losing weights. I've never seen
Speaker 4: anybody who hasn't had any result.
Speaker 3: Doctor Arlie, Do you feel like we're just grilling you?
Speaker 3: Or does this happen?
Speaker 4: These are questions that everybody. I answer for people when
Speaker 4: they come.
Speaker 1: Is yeah, you're not in front of the jury right here.
Speaker 4: Now.
Speaker 2: I do want to ask you. I could be wrong
Speaker 2: if this was ever confirmed, But there have been like
Speaker 2: some rumors about you know, and different some celebrities have
Speaker 2: come out and said that they've had issues with like
Speaker 2: a bowel obstruction and really like Chris mentioned like really
Speaker 2: scary incidents. How do you avoid that or how do
Speaker 2: you know could you have some kind of obstruction not
Speaker 2: know it?
Speaker 3: And just fully, yeah.
Speaker 4: It would be very unlikely for somebody to start developing
Speaker 4: a bowel obstruction just suddenly. Typically when you know the
Speaker 4: bowel social means everything's a stomp. You're not having a
Speaker 4: valuable you're not going to the bathroom. It's very painful.
Speaker 4: I feel like somebody I'm assuming here because I haven't
Speaker 4: personally experiences with any patients. It must have been developing
Speaker 4: and people have just kind of kept going without getting
Speaker 4: proper attention or continue taking the medication making it worse.
Speaker 4: That's my assumption. So I always tell people, listen, if
Speaker 4: you're gonna start feeling any word symtims are your doctor prescribed,
Speaker 4: to let them know when to buy them, you know, and.
Speaker 1: Then we can prescribe you another drug that'll take care
Speaker 1: of the constipation. There's some natural remedies.
Speaker 2: Can I fire off a couple questions for me from
Speaker 2: my mom and are friends?
Speaker 4: Absolutely?
Speaker 3: Absolutely, these are gathered from them. One, how long do
Speaker 3: you have your patients take the drug?
Speaker 2: Like, how long do you typically on average recommend somebody's
Speaker 2: on it.
Speaker 4: So if somebody's taking it purely for weight loss, and
Speaker 4: they're not diabetic. It just comes down to how much
Speaker 4: weight they need to lose. We calculate what a healthy
Speaker 4: body mass index with you for them and some people
Speaker 4: who's five pounds a month, some people who's ten pounds
Speaker 4: a month. So just told to get how their target
Speaker 4: and then they stop.
Speaker 3: Two.
Speaker 2: Is it true that menopausal women might benefit from these drugs?
Speaker 3: I had not heard this.
Speaker 4: It is true in the sense that you know, when
Speaker 4: women go through menopause, their hormone levels are just completely depleted.
Speaker 4: Their metabolism has slowed down significantly. That is a large
Speaker 4: number of patients that I see is post menopause women.
Speaker 4: They're just struggling to lose the weight. It doesn't come
Speaker 4: off the weight you're in your twenties. So it helps
Speaker 4: them in that aspect because it really does help get
Speaker 4: them that push to lose the weight they just cannot lose.
Speaker 3: Three.
Speaker 2: I think they're worried about their grandkids here. Is it
Speaker 2: true that kids are potentially getting prescribed these drugs? Now,
Speaker 2: what does that look like, what's the research and is
Speaker 2: that really happening?
Speaker 4: If that is true, I've heard that as well. That's horrible.
Speaker 4: I don't think children should be on this medication at
Speaker 4: all whatsoever. It's not meant for children. I have never
Speaker 4: had anybody come up to me to ask for their child.
Speaker 4: If they did, I would just out right say no.
Speaker 4: I personally don't know any children who are on it
Speaker 4: or any doctors are prescribing it. But it's an absolutely
Speaker 4: no knowing.
Speaker 1: Is there an age range doctor, a league that you
Speaker 1: would be like, okay, eighteen twenty, you know, I'm okay.
Speaker 4: Honestly, I would say maybe eighteen and over. Ye, maybe
Speaker 4: even twenty one and over is a little bit safer.
Speaker 1: The body's developed enough, the frontal lobe has developed enough.
Speaker 4: Absolutely absolutely as an adult, as opposed to give me
Speaker 4: anybody younger than that?
Speaker 1: Gotcha?
Speaker 2: Well, can I ask you, though, why is that a
Speaker 2: no for you? Because what's I'm not saying I'm okay
Speaker 2: with it, I'm not. But what's popping into my mind
Speaker 2: is like rising obesity among kids in America.
Speaker 3: So what makes you say no for kids?
Speaker 4: Yeah? So you know, maybe maybe I'm at old fashion,
Speaker 4: maybe i'm muld school. I don't know. I just feel
Speaker 4: like with children, you for sure want to just try
Speaker 4: all the appropriate methods first, And this would really be
Speaker 4: a last option. And I don't know whether this has
Speaker 4: even been studied in children. I don't even need to
Speaker 4: for children, So I wouldn't even feel comfortable to prescribing
Speaker 4: something that isn't approved for children.
Speaker 2: Well, worry me too, Like where my mind goes is
Speaker 2: how does a kid learn healthy habits? Then? Like, if
Speaker 2: they're on a drug from such a young age, you know,
Speaker 2: how would they?
Speaker 4: Yeah? Exactly, Yeah, you parents, this is not the answer
Speaker 4: for children.
Speaker 3: All right, here's my last gossipy. I don't need names.
Speaker 3: I'm just curious question.
Speaker 1: I want names, by the way.
Speaker 3: Well, but you're right, if you want to give us
Speaker 3: the name, give us one.
Speaker 1: Don't worry about HIPO violations.
Speaker 2: A big topic around this is famous people lying about
Speaker 2: being on weight loss medication straight up lying in interviews
Speaker 2: or leaving a ton of weight and saying it's something else. Infamously,
Speaker 2: a housewife said hormones made her lose a lot of weight.
Speaker 3: You know what a first let me ask you, is
Speaker 3: that possible? Could hormones make you lose.
Speaker 4: A lot of weight? I don't believe. I think I
Speaker 4: know what you're talking about. I don't think, for one
Speaker 4: can make you that much weight fast.
Speaker 3: So do you think that person is lying.
Speaker 4: I'm having a hard time believing that they're saying the truth.
Speaker 4: I'm not saying they're lying, but I'm having a heart doc.
Speaker 1: I don't know if you're like a sports fan like me,
Speaker 1: but I said, this is the steroid era, I said,
Speaker 1: where everybody said, oh, I have a new trainer and
Speaker 1: I have a new diet, and you know, my head
Speaker 1: just grew eight inches and now you know, I can
Speaker 1: barely move my arms they're so big. I said, this
Speaker 1: is just the steroid era, where you know, maybe a
Speaker 1: quarter of the people are going to be honest, the
Speaker 1: rest are completely fullish.
Speaker 4: Absolutely, you can m they're all on it.
Speaker 3: Well that was my exact question.
Speaker 2: What percentage of celebrities out there do you think are
Speaker 2: on it and lying?
Speaker 4: I think anybody you see on TV or in the
Speaker 4: media who's all of a sudden lost a lot of
Speaker 4: weight and says it's not medication, I think they're lying.
Speaker 4: And I know celebrities who are on it for a fact,
Speaker 4: and you see them on TV and they've been interviewed
Speaker 4: and they'll say, no, I'm not on it. So I
Speaker 4: think many of them were denying it, but look like
Speaker 4: they I have been on it or on.
Speaker 3: It, So what do you think of that?
Speaker 2: Do you think they should own up to it the
Speaker 2: way Oprah just did To bring this full circle, she.
Speaker 4: Said, come on, so like it's twenty twenty three. We
Speaker 4: all care about our looks, Like why I like, you know,
Speaker 4: plastic surgery is super common. Go talk to Cammon. I
Speaker 4: get people who come into like, oh you go talk
Speaker 4: to me. I don't anybody know what the who cares? Like, right,
Speaker 4: you're on the medication to say you're on it? You know,
Speaker 4: we're for your friends to talk to her? Like why
Speaker 4: hide it?
Speaker 1: Everyone wants to be seen as natural. It's like I
Speaker 1: haven't had plastic surgery. I haven't had a zempic. I haven't.
Speaker 1: They wanted to seem as if this was all natural beauty.
Speaker 1: And look, the way you'll know that they're on it
Speaker 1: is if they're on a red carpet or in front
Speaker 1: of a camera.
Speaker 3: For your friends to doctor Allie exact. Really, you have
Speaker 3: some of these clients who are out there lying about it.
Speaker 4: That is why might have judge listen. Let them do
Speaker 4: what they want to do, exactly what they want to say, but.
Speaker 3: Are swedge of the real Housewives are on it.
Speaker 4: The Housewives. I I'm not going to answer that.
Speaker 1: Question because what what's over one hundred?
Speaker 3: All right, well, doctor Alie, thank you.
Speaker 2: We really just like we said, wanted to kind of
Speaker 2: get some of the facts on this.
Speaker 3: And you've been incredible. Thank you so much.
Speaker 4: You're welcome. Take care, guys, have a good one.
Speaker 1: I appreciate it.
Speaker 2: You in Beverly Hills. So doctor Ali was incredible. He
Speaker 2: is doctor asan Ali. He's on Instagram as Beverly Hills
Speaker 2: concierge doctor. I like he really leans into it. I
Speaker 2: think he listen. I respect him. Obviously he can't say anything,
Speaker 2: but he was really He works with a lot of
Speaker 2: really well known people from what I've heard, and so
Speaker 2: he was really putting a lid on that. But also
Speaker 2: some of his patients are on his Instagram. He is
Speaker 2: posted with Kyle Richards of the Real Housewives of Beverly Hills.
Speaker 2: He's posted with the actor Mickey Rourke recently, so you know,
Speaker 2: you see some of those big names. Model Winnie Harlowe
Speaker 2: is with him on Instagram. So he's got incredible experience
Speaker 2: and I really appreciated how honest he was with us
Speaker 2: about some of those numbers and those realities.
Speaker 1: I was stunned. You know, around seventy percent, he said,
Speaker 1: of clients and just women walking around Beverly Hills. And
Speaker 1: I think that goes for every neighborhod This is one
Speaker 1: of those times where I don't think Beverly Hills is
Speaker 1: the anomaly. I think it's it's the rule, it's not
Speaker 1: the exception. I know what's happening here in Austin, Texas
Speaker 1: and everyone.
Speaker 3: Else is interesting.
Speaker 2: I feel like this, as he said, Viagra only applied
Speaker 2: to some of the population via came out before social media.
Speaker 2: The speed at which awareness of these weight loss drugs
Speaker 2: has spread so much because of social media. So now
Speaker 2: it's not just like, oh I kind of heard about
Speaker 2: that on you know, Good Morning America.
Speaker 3: It's everywhere so quickly.
Speaker 2: And I know that's why there were shortens for a while,
Speaker 2: he said, there's not shortages anymore.
Speaker 1: So one interesting the new newer drugs. You know, the
Speaker 1: new drugs are being created. They're a little different than
Speaker 1: the Oza pick on Wigovia, and so I found that
Speaker 1: fascinating as well. And you know, I want to talk
Speaker 1: to him again. We'll have him on again because you know,
Speaker 1: I think he's got great insight because conversely, you know,
Speaker 1: I know that the men and I don't know if
Speaker 1: women do, but I know men that go into these
Speaker 1: action roles and get all jacked and they're ripped. That's
Speaker 1: not natural either. You know, it's the the steroid use
Speaker 1: is huge. And do you see the way these guys
Speaker 1: bounce back afterwards, and all of a sudden, they're puffy
Speaker 1: and they're big, and they're they have issues with their
Speaker 1: their body because the skeleton was not built to carry
Speaker 1: that much weight and throw around that much weight. So
Speaker 1: I think that's interesting as well, is what guys will
Speaker 1: put themselves through, these leading men to go into these
Speaker 1: roles to be all jacked up because they don't look
Speaker 1: like that in real life, and so it is a
Speaker 1: it's an interesting can of worms we've opened up.
Speaker 2: Well, I didn't do weight loss medication before the wedding,
Speaker 2: But I'll be honest, I'm not sitting here saying I'm
Speaker 2: ruling it out forever for me.
Speaker 3: I don't know. I don't want to judge.
Speaker 2: I don't know what it's like to like talked about
Speaker 2: the menopausal benefits. I don't know how I'm going to
Speaker 2: feel in ten years, in five years, even I don't know.
Speaker 3: So I think the door's open. It's good to have
Speaker 3: the information.
Speaker 2: But for me right now, the lack of long term
Speaker 2: research is still a little scary.
Speaker 1: I don't know if I'm for it. I don't know
Speaker 1: if I'm against it either. I agree. I like taking
Speaker 1: in the information and seeing how this plays out and
Speaker 1: asking questions. And I think, look, if nothing else you've
Speaker 1: taken away from this podcast, it's just ask questions, go
Speaker 1: in and I would even say get a couple of
Speaker 1: opinions from doctors and asking about what's good for you,
Speaker 1: what's right for you. And I found it interesting. The
Speaker 1: getting on it for a short time was kind of
Speaker 1: his opinion of kind of the best way to do
Speaker 1: it as opposed to those that stay on it that
Speaker 1: make such a bigger impact health wise. So a lot
Speaker 1: of interesting facts our thanks to doctor Alie. Babe. I
Speaker 1: think you were I loved how you were very inquisitive.
Speaker 1: I love that you had a lot of questions from
Speaker 1: your mom and her friends.
Speaker 2: It's the talk of the town. It is from Texas
Speaker 2: to California, and that's.
Speaker 1: What we do. That's why we wanted to bring him
Speaker 1: on and we will continue this discussion again. We're going
Speaker 1: to have the two New Jersey Jays on a couple
Speaker 1: of the housewives, one very much for it, the other
Speaker 1: one a little more skeptical. I want to continue this discussion,
Speaker 1: but for now, thank you. Thank you for joining us today,
Speaker 1: and we will do it again next time because we
Speaker 1: have a lot more to talk about. Thanks for listening.
Speaker 1: Follow us on Instagram at the most dramatic pod ever,
Speaker 1: and make sure to write us a review and leave
Speaker 1: us five stars. I'll talk to you next time.