1 00:00:02,240 --> 00:00:05,239 Speaker 1: Hey there, folks. In this episode, did you know sparkling 2 00:00:05,360 --> 00:00:08,800 Speaker 1: water will help you lose weight? Do not do not 3 00:00:09,280 --> 00:00:12,079 Speaker 1: eat that red dye. Also, your alcohol is about to 4 00:00:12,080 --> 00:00:15,160 Speaker 1: get a new warning label possibly. Did you know beer 5 00:00:15,520 --> 00:00:18,920 Speaker 1: will help you get a nice tan? There's now plastic 6 00:00:18,960 --> 00:00:21,680 Speaker 1: in your tea. Coffee with lemon helps you lose weight too. 7 00:00:21,720 --> 00:00:23,840 Speaker 1: The food you're gonna eat tonight has probably been recalled. 8 00:00:23,840 --> 00:00:27,440 Speaker 1: And oh yeah, there's a quademic you need to worry about. 9 00:00:27,520 --> 00:00:30,560 Speaker 1: We have no shortage of medical headlines. Thank god, we 10 00:00:30,640 --> 00:00:33,559 Speaker 1: got a doctor in studio with us today. And with that, 11 00:00:33,600 --> 00:00:36,360 Speaker 1: welcome to this episode of Amy and TJ Robes. The beer. 12 00:00:36,400 --> 00:00:39,400 Speaker 1: The only one on this list I would immediately debunk 13 00:00:40,040 --> 00:00:42,760 Speaker 1: is the tanning with a beer. You know people had. 14 00:00:42,800 --> 00:00:44,600 Speaker 1: There was a thing going around people say, you throw 15 00:00:44,640 --> 00:00:46,440 Speaker 1: beer all over yourself, it helps you get a tan. 16 00:00:46,760 --> 00:00:51,600 Speaker 2: That's hilarious. So does baby oil, sodas, tann accelerator. Anything 17 00:00:51,640 --> 00:00:55,360 Speaker 2: that's reflective to the sun probably helps you get darker 18 00:00:55,480 --> 00:00:56,360 Speaker 2: or burn faster. 19 00:00:56,520 --> 00:01:00,840 Speaker 1: I didn't think about it that way actually, since yes. 20 00:01:00,440 --> 00:01:04,160 Speaker 2: Who has spent part of their lives trying to be tan? Yes? 21 00:01:04,319 --> 00:01:07,080 Speaker 1: I spent my whole life being tan. So it's we 22 00:01:07,240 --> 00:01:09,320 Speaker 1: had different championships. 23 00:01:08,760 --> 00:01:13,280 Speaker 2: You're fascinated by, like the tanning products and even Ava, 24 00:01:13,480 --> 00:01:16,360 Speaker 2: my oldest going to a place where she paid to 25 00:01:16,480 --> 00:01:18,240 Speaker 2: have bronzer sprayed on her. 26 00:01:18,360 --> 00:01:18,960 Speaker 1: Didn't get it. 27 00:01:19,120 --> 00:01:19,960 Speaker 2: You were confused. 28 00:01:20,000 --> 00:01:22,120 Speaker 1: And there is a base tan we'll get into this, 29 00:01:22,400 --> 00:01:24,600 Speaker 1: but there's a thing that white women do that's called 30 00:01:24,640 --> 00:01:27,640 Speaker 1: base tanning before they go on vacation. Did you know this, Andy, 31 00:01:28,160 --> 00:01:28,480 Speaker 1: I didn't know. 32 00:01:28,640 --> 00:01:31,480 Speaker 2: You're not explaining this to any white woman listening. Oh, 33 00:01:31,560 --> 00:01:32,039 Speaker 2: we all know. 34 00:01:32,400 --> 00:01:34,280 Speaker 1: Oh, I'm sorry, Yes, I don't have to explain it 35 00:01:34,280 --> 00:01:36,679 Speaker 1: to y'all. My bad. This isn't one of the medical headlines. 36 00:01:36,680 --> 00:01:39,039 Speaker 1: This is just something that trips me out recently in 37 00:01:39,160 --> 00:01:43,000 Speaker 1: discovering that you go tan before you go to the beach. Yeah, 38 00:01:43,120 --> 00:01:43,480 Speaker 1: didn't know. 39 00:01:43,520 --> 00:01:45,280 Speaker 2: You got to have a base hand so you don't burn. 40 00:01:45,520 --> 00:01:47,920 Speaker 1: Okay. So I guess this is why we have a 41 00:01:47,920 --> 00:01:50,200 Speaker 1: doctor in the house to answer our questions and so 42 00:01:50,240 --> 00:01:52,840 Speaker 1: many others and robes we have done. The medical headlines 43 00:01:52,880 --> 00:01:55,480 Speaker 1: that have been I guess scariest to a certain degree. 44 00:01:55,520 --> 00:01:58,840 Speaker 1: We've had deadly food outbreaks. We've had some deadly ones 45 00:01:59,160 --> 00:02:01,480 Speaker 1: in the past. He seemed like six to eight months 46 00:02:01,840 --> 00:02:03,600 Speaker 1: it seemed like every week we were doing a new 47 00:02:03,600 --> 00:02:04,480 Speaker 1: and major recall. 48 00:02:04,760 --> 00:02:06,800 Speaker 2: That was It felt like that was much of twenty 49 00:02:06,840 --> 00:02:09,280 Speaker 2: twenty four, hoping that twenty twenty five isn't a repeat. 50 00:02:09,360 --> 00:02:12,760 Speaker 2: But again, we talked to my father who's a microbiologist, 51 00:02:12,760 --> 00:02:16,000 Speaker 2: who pointed out that maybe we're just getting better at detecting. 52 00:02:16,320 --> 00:02:19,720 Speaker 2: We're just getting better at connecting the dots and being 53 00:02:19,760 --> 00:02:23,040 Speaker 2: able to warn people. It was always there, the food 54 00:02:23,360 --> 00:02:28,120 Speaker 2: born illnesses and the bacteria all previously existed and was 55 00:02:28,160 --> 00:02:30,679 Speaker 2: infecting people. We just didn't hear about it as much. 56 00:02:30,760 --> 00:02:33,519 Speaker 1: So, you know, he made that's one headline. He said, 57 00:02:33,520 --> 00:02:36,400 Speaker 1: you should rest easy. We're catching it and catching it earlier, 58 00:02:36,520 --> 00:02:38,760 Speaker 1: so that is a good thing. But I didn't several 59 00:02:38,760 --> 00:02:40,639 Speaker 1: of these I mentioned off the top, the beer tan 60 00:02:40,720 --> 00:02:42,520 Speaker 1: thing I kind of laughed about. But you do have 61 00:02:42,600 --> 00:02:45,799 Speaker 1: people out there now looking at studies talking about coffee 62 00:02:46,400 --> 00:02:49,400 Speaker 1: with lemon helps you lose weight, and sparkling water helps 63 00:02:49,440 --> 00:02:50,000 Speaker 1: you lose weight. 64 00:02:51,960 --> 00:02:54,799 Speaker 2: You know what. Also eating less and exercising helps you 65 00:02:54,880 --> 00:02:55,520 Speaker 2: lose weight too. 66 00:02:55,560 --> 00:02:58,120 Speaker 1: Who wants to do that? If you can just have 67 00:02:58,200 --> 00:02:59,240 Speaker 1: coffee with limon in. 68 00:02:59,240 --> 00:03:03,200 Speaker 2: The morning to eat your French fries and your pizza yeah, 69 00:03:03,200 --> 00:03:03,880 Speaker 2: that's the point. 70 00:03:03,880 --> 00:03:05,880 Speaker 1: But we do have with us. Again, both a lot 71 00:03:05,919 --> 00:03:08,160 Speaker 1: of these are getting our attention. I know you've been 72 00:03:08,160 --> 00:03:10,480 Speaker 1: buzzing about him. You might be trying a bunch of 73 00:03:10,480 --> 00:03:12,600 Speaker 1: things out there these days. So we have someone here 74 00:03:12,639 --> 00:03:15,280 Speaker 1: in studio with this is going to help us confirm 75 00:03:15,400 --> 00:03:17,800 Speaker 1: or in some cases maybe debunked, but debunk some of 76 00:03:17,840 --> 00:03:20,360 Speaker 1: these things, but just help us answer some of our 77 00:03:20,440 --> 00:03:22,640 Speaker 1: questions about the headlines we have been seeing. We do 78 00:03:22,720 --> 00:03:25,680 Speaker 1: have a medical contributor at NBC News. She is also 79 00:03:25,720 --> 00:03:29,640 Speaker 1: a clinical associate professor at NYU. Lang Gone, doctor Natalie 80 00:03:29,720 --> 00:03:33,920 Speaker 1: Azar is in the building with us. How'd you like 81 00:03:33,960 --> 00:03:36,080 Speaker 1: that intro? What did you hear in our intro there 82 00:03:36,480 --> 00:03:38,120 Speaker 1: that made your ears kind of perk up? 83 00:03:39,000 --> 00:03:45,520 Speaker 3: That you identified me correctly. This is amazing and I 84 00:03:45,520 --> 00:03:48,280 Speaker 3: always I always find it interesting because I'm affiliated with 85 00:03:48,360 --> 00:03:52,200 Speaker 3: the two ends, NBC and NYU, and I'm super loyal. 86 00:03:52,320 --> 00:03:54,680 Speaker 3: I've been at NYU since nineteen ninety six and we 87 00:03:54,840 --> 00:03:56,760 Speaker 3: just talked about starting my eleventh year at ABC. 88 00:03:56,960 --> 00:03:58,920 Speaker 1: So yeah, you are super loyal. 89 00:03:59,040 --> 00:03:59,800 Speaker 2: I am loyal. 90 00:04:00,320 --> 00:04:01,800 Speaker 3: I like to find a place and stay. 91 00:04:01,960 --> 00:04:04,400 Speaker 1: Isn't that cool? We'rebes We've done we obviously We've been 92 00:04:04,400 --> 00:04:07,720 Speaker 1: doing this for good decades in the business, but getting 93 00:04:07,800 --> 00:04:12,520 Speaker 1: someone's name and title right is so important and it 94 00:04:12,640 --> 00:04:14,760 Speaker 1: sets you on a good path that you get off 95 00:04:14,800 --> 00:04:15,520 Speaker 1: to a good strong. 96 00:04:15,400 --> 00:04:19,000 Speaker 2: Yeah, because so often that doesn't happen, and so we're 97 00:04:19,040 --> 00:04:21,640 Speaker 2: just grateful that at least we started off right. Let's 98 00:04:21,640 --> 00:04:24,640 Speaker 2: hope we can continue that now as we get into 99 00:04:25,240 --> 00:04:28,159 Speaker 2: the actual podcast. But we are so happy to have 100 00:04:28,200 --> 00:04:31,200 Speaker 2: you here, doctor Azar. There there are so many headlines 101 00:04:31,200 --> 00:04:33,640 Speaker 2: out there, as TJ just listed several of them, and 102 00:04:33,720 --> 00:04:36,560 Speaker 2: there were probably even more circulating. Is there one out 103 00:04:36,600 --> 00:04:39,799 Speaker 2: there that concerns you the most that people here read 104 00:04:39,839 --> 00:04:41,960 Speaker 2: and then say, oh, my goodness, I'm going to do that. 105 00:04:42,560 --> 00:04:45,680 Speaker 3: Well. It's interesting that you mentioned the carbonated water and 106 00:04:45,720 --> 00:04:50,000 Speaker 3: the coffee with lemon. It's like, I think it kind 107 00:04:50,000 --> 00:04:53,599 Speaker 3: of speaks to where we are right now, with everybody 108 00:04:53,800 --> 00:04:58,520 Speaker 3: kind of a on a search for wellness number one 109 00:04:58,720 --> 00:05:02,240 Speaker 3: and on a search for weight loss, which kind of 110 00:05:02,480 --> 00:05:05,400 Speaker 3: opens up a little bit of Pandora's box, a little 111 00:05:05,400 --> 00:05:08,680 Speaker 3: bit about how we talk about obesity in this country. 112 00:05:08,720 --> 00:05:11,919 Speaker 3: You know, I still will often say to people, you know, 113 00:05:11,960 --> 00:05:15,040 Speaker 3: my generation of training Gus remember fen Fen back in 114 00:05:15,120 --> 00:05:19,800 Speaker 3: the nineties, right, it was. It was this medication that 115 00:05:19,839 --> 00:05:21,800 Speaker 3: a lot of people took for weight loss, and it 116 00:05:21,920 --> 00:05:26,120 Speaker 3: ended up resulting in a really serious condition called pulmonary hypertension, 117 00:05:26,200 --> 00:05:29,800 Speaker 3: which you know even now has a high mortality, but 118 00:05:29,839 --> 00:05:32,880 Speaker 3: even even back then, and I remember sort of the feeling. 119 00:05:33,040 --> 00:05:35,840 Speaker 3: Back then, the way we thought about obesity and overweight 120 00:05:35,880 --> 00:05:38,280 Speaker 3: and weight loss was calories and versus calories out, and 121 00:05:38,600 --> 00:05:41,000 Speaker 3: that if you were overweight it was a behavioral failure. 122 00:05:41,080 --> 00:05:43,680 Speaker 3: And now fast forward to where we are today, where 123 00:05:43,680 --> 00:05:47,120 Speaker 3: we're talking about obesity as a disease, and in addition 124 00:05:47,240 --> 00:05:49,400 Speaker 3: to calories in and calories out, there's a lot about 125 00:05:49,400 --> 00:05:51,640 Speaker 3: genetics and metabolism and all this kind of stuff that 126 00:05:51,680 --> 00:05:56,200 Speaker 3: contributes to people's struggle with weight. That said, you know, 127 00:05:56,240 --> 00:05:58,840 Speaker 3: we still we still are hearing about all of these 128 00:05:58,880 --> 00:06:02,080 Speaker 3: sort of like quick fixes and everything, and so it 129 00:06:02,160 --> 00:06:05,120 Speaker 3: worries me on that level sometimes that people might be 130 00:06:05,200 --> 00:06:08,760 Speaker 3: doing things that could potentially be harmful to their health 131 00:06:08,800 --> 00:06:12,720 Speaker 3: that they see on TikTok or on social media and 132 00:06:12,880 --> 00:06:16,120 Speaker 3: just try But I think it also again sort of 133 00:06:16,240 --> 00:06:19,479 Speaker 3: highlights where people are right now that if they you know, 134 00:06:19,800 --> 00:06:22,520 Speaker 3: don't have access to GLP ones or they've been on them, 135 00:06:22,520 --> 00:06:24,560 Speaker 3: and they've been taken away that they're willing to do 136 00:06:24,760 --> 00:06:27,320 Speaker 3: just about anything, you know, to lose weight. 137 00:06:27,880 --> 00:06:31,680 Speaker 2: Yeah, and that is scary because I know my daughters 138 00:06:31,720 --> 00:06:35,400 Speaker 2: who are in college get their information from TikTok yes, 139 00:06:35,520 --> 00:06:39,680 Speaker 2: from social media. Yep. They don't have televisions, they aren't 140 00:06:39,760 --> 00:06:44,600 Speaker 2: watching or consuming traditional news, right, and so they're there 141 00:06:44,600 --> 00:06:48,400 Speaker 2: to believe everything or every headline. Some influencer says this 142 00:06:48,480 --> 00:06:51,640 Speaker 2: worked for me, and then they try it. Although I 143 00:06:51,680 --> 00:06:53,360 Speaker 2: will say, is there a risk in drinking too much 144 00:06:53,360 --> 00:06:55,560 Speaker 2: sparkling water? Is there a risk and putting lemon in 145 00:06:55,600 --> 00:06:56,159 Speaker 2: your coffee? 146 00:06:56,880 --> 00:07:00,839 Speaker 3: You know, probably not, you know, sar let You know, 147 00:07:00,880 --> 00:07:04,880 Speaker 3: if it's if it's naturally flavored, it's probably okay. But 148 00:07:04,960 --> 00:07:07,240 Speaker 3: carbonation in general, I think too much of it isn't 149 00:07:07,480 --> 00:07:08,599 Speaker 3: supposed to be that good. 150 00:07:08,400 --> 00:07:09,320 Speaker 2: For me to get the bloat. 151 00:07:09,760 --> 00:07:14,480 Speaker 3: You can get a bloat, absolutely, and certainly coffee with 152 00:07:13,840 --> 00:07:16,920 Speaker 3: uh with lemon, you know, four hundred milligrams max a day, 153 00:07:16,960 --> 00:07:19,320 Speaker 3: So if you're drinking a lot of caffeine, that's also 154 00:07:19,440 --> 00:07:21,080 Speaker 3: not not the right way to go. 155 00:07:21,360 --> 00:07:24,080 Speaker 1: Okay. But again, these generally, it seems like another study 156 00:07:24,160 --> 00:07:27,440 Speaker 1: comes out every week saying coffee is great for you, 157 00:07:27,960 --> 00:07:30,720 Speaker 1: coffee is terrible for you. Drink this much coffee and 158 00:07:30,760 --> 00:07:32,840 Speaker 1: you'll live forever. But don't drink this much or you'll 159 00:07:32,840 --> 00:07:34,960 Speaker 1: die soon. I mean, so what do you tell people 160 00:07:35,000 --> 00:07:38,160 Speaker 1: to do with these studies that we go back and forth. Oh, 161 00:07:38,240 --> 00:07:40,160 Speaker 1: this is great for you, this is terrible for you. 162 00:07:40,320 --> 00:07:43,320 Speaker 3: So it's funny because my dad was a physician. My 163 00:07:43,400 --> 00:07:45,640 Speaker 3: mom wasn't, but she thinks that she kind of earned 164 00:07:45,640 --> 00:07:48,120 Speaker 3: two medical degrees, having been married to one and raising 165 00:07:48,160 --> 00:07:51,480 Speaker 3: a daughter who became one. And she was always, you know, 166 00:07:51,560 --> 00:07:54,920 Speaker 3: a little bit skeptical, you know, of medical advice, not 167 00:07:55,000 --> 00:07:57,720 Speaker 3: in a conspiracy theory way, but just sort of you know, 168 00:07:58,320 --> 00:07:59,920 Speaker 3: that kind of stuck with me a little bit. You 169 00:07:59,920 --> 00:08:01,600 Speaker 3: know that one week we say something and then the 170 00:08:01,640 --> 00:08:04,880 Speaker 3: other week we say something else. But if you will 171 00:08:04,920 --> 00:08:07,720 Speaker 3: recall during the pandemic, there was criticism too of saying 172 00:08:07,800 --> 00:08:09,720 Speaker 3: something and then a week later saying something else. And 173 00:08:09,760 --> 00:08:12,360 Speaker 3: I think that just also just speaks to the fact 174 00:08:12,400 --> 00:08:16,480 Speaker 3: that our knowledge is constantly evolving, right, And so if 175 00:08:16,520 --> 00:08:20,320 Speaker 3: there's a new study that maybe comes to a different 176 00:08:20,360 --> 00:08:23,679 Speaker 3: conclusion than a study before that we have to report 177 00:08:23,760 --> 00:08:26,520 Speaker 3: on it. But I think we're always waiting in medicine 178 00:08:26,600 --> 00:08:29,440 Speaker 3: for kind of the grand tie breaker. And I know 179 00:08:29,480 --> 00:08:31,920 Speaker 3: we'll probably get to this later, but is alcohol good 180 00:08:31,920 --> 00:08:33,560 Speaker 3: for you or not good for you? I think is 181 00:08:33,840 --> 00:08:37,240 Speaker 3: probably the most representative of where we are right now 182 00:08:37,520 --> 00:08:41,080 Speaker 3: in that classic debate of well, last week we said this, 183 00:08:41,120 --> 00:08:42,120 Speaker 3: and this week we're saying that. 184 00:08:42,480 --> 00:08:45,480 Speaker 1: Okay, so we can take there are people out there 185 00:08:45,559 --> 00:08:47,840 Speaker 1: drinking coffee with lemon, and there are people out there 186 00:08:47,960 --> 00:08:50,600 Speaker 1: drinking sparkling water thinking it's helping them lose weight. 187 00:08:50,960 --> 00:08:53,760 Speaker 3: So those folks, you say, to those folks, I say 188 00:08:53,800 --> 00:08:58,280 Speaker 3: that any effect is probably modest at best, and I 189 00:08:58,320 --> 00:09:00,360 Speaker 3: would I wouldn't spend too much time or money on that. 190 00:09:00,760 --> 00:09:03,440 Speaker 2: And given all that we've learned since the days of 191 00:09:03,440 --> 00:09:07,080 Speaker 2: fen fen and I mean I remember, especially after I 192 00:09:07,160 --> 00:09:09,640 Speaker 2: had had both of my daughters, having to lose weight 193 00:09:09,760 --> 00:09:12,800 Speaker 2: and literally writing down my calories and going with the 194 00:09:12,840 --> 00:09:16,880 Speaker 2: calories in calories out formulation, like I made it a 195 00:09:16,920 --> 00:09:20,640 Speaker 2: mathematic equation, trying to get back to my pre baby weight. 196 00:09:20,920 --> 00:09:23,040 Speaker 2: What do you say, now, with all the information we have, 197 00:09:23,200 --> 00:09:26,160 Speaker 2: what is the best truest way to lose weight? 198 00:09:26,640 --> 00:09:30,679 Speaker 3: So they're they're for a good percentage of the population, 199 00:09:31,000 --> 00:09:33,200 Speaker 3: it's still that it's still I think we say about 200 00:09:33,200 --> 00:09:36,280 Speaker 3: eighty percent what you eat and about twenty percent of 201 00:09:37,080 --> 00:09:38,000 Speaker 3: physical activity. 202 00:09:38,080 --> 00:09:40,200 Speaker 1: Hey cannot you said a good percentage of the population. 203 00:09:40,679 --> 00:09:43,440 Speaker 1: Is that the formula for most folks, like how many. 204 00:09:43,240 --> 00:09:44,400 Speaker 2: You know what the majority? 205 00:09:44,520 --> 00:09:46,920 Speaker 3: I'm giving a full disclosure. I don't know if I 206 00:09:46,960 --> 00:09:50,000 Speaker 3: have a percentage for you on that, which I think 207 00:09:50,080 --> 00:09:53,040 Speaker 3: is interesting because certainly there we all know, you know, 208 00:09:53,120 --> 00:09:56,400 Speaker 3: someone don't take my husband, for example, who needed to 209 00:09:56,400 --> 00:09:59,000 Speaker 3: lose a little bit of weight and it wasn't overweight, 210 00:09:59,040 --> 00:10:01,319 Speaker 3: but you needed to lose about ten or fifteen pounds 211 00:10:01,360 --> 00:10:04,640 Speaker 3: and really got strict with his carbs and did a 212 00:10:04,679 --> 00:10:07,960 Speaker 3: fantastic job. And he's always were around that. He's fifty four. 213 00:10:08,040 --> 00:10:11,200 Speaker 3: I think I'm fifty four, Yes I am, and I 214 00:10:11,200 --> 00:10:12,760 Speaker 3: couldn't remember for a second time. 215 00:10:12,760 --> 00:10:14,600 Speaker 2: I totally thirty five. 216 00:10:14,800 --> 00:10:18,560 Speaker 3: Same, so, you know, and that worked. That worked for him, 217 00:10:18,600 --> 00:10:20,720 Speaker 3: you know, but it took like six months and he's 218 00:10:20,760 --> 00:10:22,920 Speaker 3: been great. So But to your point, I don't know 219 00:10:22,960 --> 00:10:26,359 Speaker 3: the exact percentage, but for a good percent of the population, 220 00:10:26,880 --> 00:10:30,160 Speaker 3: it still works that way. And then there's everyone else, 221 00:10:30,320 --> 00:10:32,440 Speaker 3: and I see them in the office. I have patients 222 00:10:32,440 --> 00:10:36,200 Speaker 3: who are overweight or OBEs, and they say, I barely eat. 223 00:10:36,600 --> 00:10:38,160 Speaker 3: Not that that's the right thing to do, right. We 224 00:10:38,200 --> 00:10:40,520 Speaker 3: know that your metabolism can slow down if you restrict 225 00:10:40,520 --> 00:10:45,120 Speaker 3: too much. But I think that our our understanding scientifically 226 00:10:45,720 --> 00:10:49,240 Speaker 3: of what is sort of what the roadblock is with 227 00:10:49,400 --> 00:10:54,040 Speaker 3: insulin resistance, with metabolism, with the way the body utilizes energy, 228 00:10:54,080 --> 00:10:58,559 Speaker 3: the way it stores fat, the really important relationship between 229 00:10:58,960 --> 00:11:04,000 Speaker 3: hormones of hunger and satiety and you know, and gastric emptying. 230 00:11:04,000 --> 00:11:06,800 Speaker 3: We talk about that motility. I think there's just a 231 00:11:06,960 --> 00:11:12,240 Speaker 3: very complex biological interplay there that people cannot overcome if 232 00:11:12,280 --> 00:11:14,640 Speaker 3: they just start running harder on the treadmill or if 233 00:11:14,640 --> 00:11:17,040 Speaker 3: they reduce their carbs. And I think, and that's what 234 00:11:17,120 --> 00:11:22,880 Speaker 3: we've seen with the with the introduction of the GLP ones, 235 00:11:23,160 --> 00:11:26,920 Speaker 3: that they are flipping the switch on those patients. And 236 00:11:26,960 --> 00:11:32,760 Speaker 3: it's dramatic and it's really amazing. We have this conversation 237 00:11:33,080 --> 00:11:36,280 Speaker 3: and in parallel, yes, we all acknowledge that we need 238 00:11:36,280 --> 00:11:38,920 Speaker 3: to understand why we got to the place where we 239 00:11:39,080 --> 00:11:42,480 Speaker 3: are where we're having more rates of obesity and overweight, 240 00:11:42,480 --> 00:11:44,480 Speaker 3: but I think we can do that at the same 241 00:11:44,559 --> 00:11:48,559 Speaker 3: time that we can still acknowledge that the GLP ones 242 00:11:48,559 --> 00:11:53,760 Speaker 3: have made such an amazing impasse on this obesity epidemic, 243 00:11:53,960 --> 00:11:56,280 Speaker 3: but still understanding why we got here. And it's not 244 00:11:56,400 --> 00:11:59,040 Speaker 3: just all ultra process foods. It's probably a lot of 245 00:11:59,040 --> 00:12:00,800 Speaker 3: things in our environment that have gotten us here. 246 00:12:01,080 --> 00:12:03,360 Speaker 2: Oh and so when you say GLP ones, O, Zimbig, 247 00:12:03,520 --> 00:12:06,360 Speaker 2: there are some other brand names that are out there 248 00:12:06,400 --> 00:12:10,000 Speaker 2: as well. Yeah, what are the risks and who is 249 00:12:10,280 --> 00:12:13,199 Speaker 2: who do you recommend that to for your patients? 250 00:12:13,440 --> 00:12:17,880 Speaker 3: So what's interesting? So risk wise? You know, first of all, 251 00:12:17,880 --> 00:12:20,319 Speaker 3: the glp ones have been around for a couple of decades. 252 00:12:20,400 --> 00:12:23,840 Speaker 3: It's just that with ozempic, Wagovi, Manjaro, and zep bound, 253 00:12:24,200 --> 00:12:27,360 Speaker 3: the four that are always in the news, more recent 254 00:12:27,400 --> 00:12:31,679 Speaker 3: approvals and more dramatic weight loss than some of their predecessors. 255 00:12:32,280 --> 00:12:35,040 Speaker 3: In terms of long term side effects, I don't know 256 00:12:35,120 --> 00:12:38,120 Speaker 3: that we necessarily know if someone's on them for five, 257 00:12:38,160 --> 00:12:40,200 Speaker 3: ten or fifteen years, if there are going to be 258 00:12:40,280 --> 00:12:43,440 Speaker 3: significant side effects. I don't think that the people who 259 00:12:43,600 --> 00:12:46,240 Speaker 3: study these drugs and are truly expert in them think 260 00:12:46,280 --> 00:12:51,679 Speaker 3: that there's any concern about duration or cumulative dose leading 261 00:12:51,720 --> 00:12:54,520 Speaker 3: to X, Y and Z. But there are some people 262 00:12:54,559 --> 00:12:57,960 Speaker 3: who shouldn't be on them, people who have a personal 263 00:12:58,000 --> 00:13:00,760 Speaker 3: history of certain types of thyroid cancer, who have family 264 00:13:00,880 --> 00:13:04,920 Speaker 3: histories of certain type endocrine issues where there could be 265 00:13:04,920 --> 00:13:07,680 Speaker 3: an increased risk of thyroid cancer, just to name a few. 266 00:13:07,720 --> 00:13:10,199 Speaker 3: And then there are side effects. People can have gi 267 00:13:10,280 --> 00:13:12,440 Speaker 3: side effects that are very limiting. I've had a lot 268 00:13:12,480 --> 00:13:16,000 Speaker 3: of patients, you know, with either diarrhea, nausea, bloating, they 269 00:13:16,040 --> 00:13:19,080 Speaker 3: just can't tolerate them. And then more serious kidney issues, 270 00:13:19,120 --> 00:13:22,320 Speaker 3: pancreatitis like you know, real medical issues. And then of 271 00:13:22,320 --> 00:13:24,840 Speaker 3: course the one that makes the headline when someone has 272 00:13:25,240 --> 00:13:27,920 Speaker 3: a bowel obstruction where their bowel slows down so much 273 00:13:27,920 --> 00:13:30,200 Speaker 3: to the point that it can become a surgical emergency. 274 00:13:30,600 --> 00:13:34,439 Speaker 3: That's not common, but it can definitely happen. I think 275 00:13:34,480 --> 00:13:36,760 Speaker 3: the biggest issue with them is the fact that people 276 00:13:36,760 --> 00:13:41,240 Speaker 3: probably do need to stay on them indefinitely question mark. 277 00:13:41,720 --> 00:13:44,040 Speaker 3: You know, I work one of my colleagues at NYU 278 00:13:44,080 --> 00:13:46,120 Speaker 3: has been involved in a lot of these clinical trials 279 00:13:46,120 --> 00:13:48,959 Speaker 3: and the number really stands at about you know, patients 280 00:13:49,000 --> 00:13:52,199 Speaker 3: will probably regain about two thirds of the weight when 281 00:13:52,200 --> 00:13:55,800 Speaker 3: they stop the medications because again that switch that was 282 00:13:55,800 --> 00:13:58,960 Speaker 3: flipped gets switched back off again. And you know, some 283 00:13:59,120 --> 00:14:01,720 Speaker 3: patients I have who maintained the weight loss because they're like, 284 00:14:01,760 --> 00:14:04,440 Speaker 3: I really learned how to eat differently, and this is 285 00:14:04,760 --> 00:14:07,240 Speaker 3: maintaining it and that's great. So not everyone is going 286 00:14:07,280 --> 00:14:09,040 Speaker 3: to gain all the weight, but they don't really know 287 00:14:09,120 --> 00:14:11,360 Speaker 3: yet how to identify the people who definitely will and 288 00:14:11,400 --> 00:14:12,120 Speaker 3: definitely won't. 289 00:14:12,679 --> 00:14:16,400 Speaker 1: Another big headline. You mentioned a moment ago alcohol. The 290 00:14:16,440 --> 00:14:19,120 Speaker 1: Surgeon General yes, as he wants it to have a 291 00:14:19,200 --> 00:14:22,720 Speaker 1: warning label about a cancer risk. I guess I'll ask first, 292 00:14:22,920 --> 00:14:25,840 Speaker 1: is there anything new we've learned recently that would have 293 00:14:25,880 --> 00:14:29,840 Speaker 1: prompted him to have this change in thinking or thinking 294 00:14:29,840 --> 00:14:31,880 Speaker 1: that the government should have a changing thinking or is 295 00:14:31,960 --> 00:14:35,200 Speaker 1: this just one guy decided this is what he believes. 296 00:14:34,920 --> 00:14:39,400 Speaker 3: We should do, so no to you know, a new 297 00:14:39,440 --> 00:14:44,720 Speaker 3: groundbreaking study that suddenly showed that alcohol was a carcinogen. 298 00:14:45,240 --> 00:14:49,280 Speaker 3: In fact, alcohol has been labeled a carcinogen for a very, 299 00:14:49,400 --> 00:14:55,800 Speaker 3: very long time. The Surgeon General's report came on the 300 00:14:55,920 --> 00:15:01,840 Speaker 3: heels of one of two government commissions and studies. One 301 00:15:01,880 --> 00:15:05,240 Speaker 3: was in December from the National Academy of Science Engineering 302 00:15:05,320 --> 00:15:08,720 Speaker 3: in Medicine that actually said that drinking moderately, which is 303 00:15:08,760 --> 00:15:10,320 Speaker 3: two drinks a day for men and one drink a 304 00:15:10,400 --> 00:15:13,040 Speaker 3: day for women, lowered the risk of heart disease death 305 00:15:13,080 --> 00:15:15,880 Speaker 3: as well as all cause mortality, but increased the risk 306 00:15:15,920 --> 00:15:19,160 Speaker 3: of breast cancer. And then in January, another report from 307 00:15:19,360 --> 00:15:22,360 Speaker 3: HHS basically said the sort of the same but the 308 00:15:22,400 --> 00:15:25,800 Speaker 3: opposite and said, Nope, if you drink in moderation you 309 00:15:25,840 --> 00:15:29,400 Speaker 3: are more likely to die overall. And yes, you're going 310 00:15:29,440 --> 00:15:31,600 Speaker 3: to increase the risk of breast cancer in addition to 311 00:15:31,800 --> 00:15:35,960 Speaker 3: six other cancers. So that leaves us with, oh my god, 312 00:15:35,960 --> 00:15:38,480 Speaker 3: here we go again. Right, we have one report saying this, 313 00:15:38,520 --> 00:15:42,880 Speaker 3: of one report saying that the Surgeon General basically said, 314 00:15:43,080 --> 00:15:47,080 Speaker 3: I want to have a label on alcohol that states 315 00:15:47,120 --> 00:15:49,560 Speaker 3: that it can increase the risk of cancer, on the 316 00:15:49,600 --> 00:15:55,080 Speaker 3: heels of the tobacco Surgeon General's warning from the nineteen sixties, 317 00:15:55,120 --> 00:15:57,400 Speaker 3: which reduced the rate of smoking by from forty two 318 00:15:57,440 --> 00:15:59,840 Speaker 3: percent of the population to eighteen percent of the population. 319 00:16:00,080 --> 00:16:03,240 Speaker 3: So labels can work. They're not a panacea, but they 320 00:16:03,600 --> 00:16:07,040 Speaker 3: definitely can work. And I think the Surgeon General's point 321 00:16:07,240 --> 00:16:12,120 Speaker 3: was alcohol is a what's called a modifiable risk factor 322 00:16:12,160 --> 00:16:17,080 Speaker 3: for cancer behind obesity and smoking, the third most common 323 00:16:17,160 --> 00:16:21,160 Speaker 3: preventable cause. Does that mean that if you want to 324 00:16:21,160 --> 00:16:23,280 Speaker 3: guarantee you're not going to get cancer. You shouldn't drink. No, 325 00:16:23,320 --> 00:16:26,440 Speaker 3: of course not, because what you eat matters, how much 326 00:16:26,480 --> 00:16:30,320 Speaker 3: you exercise matters, whether you smoke matters, your family history matters. 327 00:16:30,600 --> 00:16:32,640 Speaker 3: But he wants the public to be aware of that 328 00:16:32,760 --> 00:16:34,920 Speaker 3: so that they can make an informed decision about their 329 00:16:34,920 --> 00:16:48,120 Speaker 3: own alcohol intake. But the cancer story, to me, is 330 00:16:48,200 --> 00:16:51,080 Speaker 3: very different than does a glass of red wine reduce 331 00:16:51,120 --> 00:16:53,080 Speaker 3: your risk for heart disease? Because that's where you start 332 00:16:53,120 --> 00:16:57,520 Speaker 3: to get into the weeds of all of these reports. 333 00:16:57,520 --> 00:16:59,000 Speaker 3: And you ask me, is there a new study? 334 00:16:59,080 --> 00:16:59,160 Speaker 1: No? 335 00:17:00,240 --> 00:17:03,960 Speaker 3: Is there are meta analyzes? Right, that's like a review 336 00:17:04,240 --> 00:17:06,680 Speaker 3: of dozens and dozens and dozens of studies, and these 337 00:17:06,720 --> 00:17:11,040 Speaker 3: two government commissioned groups came to two different conclusions. So 338 00:17:11,080 --> 00:17:15,120 Speaker 3: what is an individual to do. My best advice is 339 00:17:15,840 --> 00:17:20,240 Speaker 3: don't start drinking to reduce your cardiovascular help. Okay, And 340 00:17:20,520 --> 00:17:23,000 Speaker 3: you know red wine. The flavonoids, right, they're so good. 341 00:17:23,000 --> 00:17:26,560 Speaker 3: They're antioxidants, they're anti inflammatory. But they're also in blueberries 342 00:17:26,600 --> 00:17:30,159 Speaker 3: and strawberries and tea and other things that are a 343 00:17:30,440 --> 00:17:32,879 Speaker 3: have more of them and be are healthier for you 344 00:17:33,480 --> 00:17:35,679 Speaker 3: than alcohol. I could go on and on. Well, this 345 00:17:35,720 --> 00:17:36,720 Speaker 3: is such a dicey topic. 346 00:17:36,760 --> 00:17:39,720 Speaker 2: The truth is, I don't I don't know anybody who 347 00:17:39,840 --> 00:17:41,879 Speaker 2: pours a glass of wine and says, wow, this is 348 00:17:41,920 --> 00:17:44,239 Speaker 2: like medicine. I'm drinking this for my health. I think 349 00:17:44,280 --> 00:17:47,040 Speaker 2: we're looking for an excuse to justify wanting the glass 350 00:17:47,080 --> 00:17:49,399 Speaker 2: of wine. Yes, to relax and to chill and to 351 00:17:49,480 --> 00:17:54,119 Speaker 2: have a mental Yeah, just to physically and mentally relax. 352 00:17:54,400 --> 00:17:57,280 Speaker 3: But that's okay. Like, I don't know about you guys, 353 00:17:57,280 --> 00:18:01,400 Speaker 3: but I reporting on this is devastating to me personally 354 00:18:01,520 --> 00:18:05,800 Speaker 3: because I absolutely enjoy my wine. But I do think 355 00:18:05,840 --> 00:18:08,400 Speaker 3: that it forced me and I'm like full disclosure here, 356 00:18:08,800 --> 00:18:12,800 Speaker 3: I had to rethink my relationship also with alcohol because 357 00:18:13,040 --> 00:18:15,080 Speaker 3: I really started to feel like when I get home 358 00:18:15,080 --> 00:18:18,280 Speaker 3: from my crazy busy days that I really like earned 359 00:18:18,359 --> 00:18:21,040 Speaker 3: that glass of wine, you know, and I wanted to. 360 00:18:21,160 --> 00:18:22,840 Speaker 3: And it's forced me to have a little bit of 361 00:18:22,880 --> 00:18:25,080 Speaker 3: a different relationship with it, just because like I have 362 00:18:25,160 --> 00:18:27,880 Speaker 3: that nagging Am I increasing the risk? You know, I'm 363 00:18:27,960 --> 00:18:30,120 Speaker 3: at a higher risk for breast cancer and things like that? 364 00:18:30,680 --> 00:18:34,680 Speaker 3: But you know, Amy to your point about just sort 365 00:18:34,680 --> 00:18:37,080 Speaker 3: of thinking about wine, and a lot of people have 366 00:18:37,080 --> 00:18:38,840 Speaker 3: written about this now. I think there's so much out 367 00:18:38,880 --> 00:18:40,760 Speaker 3: there that's really good for people to read about this. 368 00:18:41,080 --> 00:18:43,840 Speaker 3: You've heard about the French paradox, right, So this was 369 00:18:43,920 --> 00:18:47,879 Speaker 3: I think a sixty minutes episode Morally Safer from nineteen 370 00:18:48,000 --> 00:18:51,040 Speaker 3: ninety one, right, who reported on this and said, the 371 00:18:51,160 --> 00:18:55,800 Speaker 3: French who drink wine every day and have lower rates 372 00:18:55,800 --> 00:18:59,320 Speaker 3: of heart disease and this, this, this than Americans. Why 373 00:18:59,440 --> 00:19:03,679 Speaker 3: is that happening? And the takeaway from the episode was 374 00:19:03,680 --> 00:19:05,919 Speaker 3: that it must be the wine. Drink more wine, and 375 00:19:05,960 --> 00:19:10,200 Speaker 3: wine sales just skyrocketed after that, when in fact, you know, yes, 376 00:19:10,280 --> 00:19:11,840 Speaker 3: they have a lot of butter and cheese and all 377 00:19:11,880 --> 00:19:13,760 Speaker 3: of those things, but the French diet is also kind 378 00:19:13,760 --> 00:19:17,320 Speaker 3: of a Mediterranean diet, and there's so many confounding variables. 379 00:19:17,320 --> 00:19:19,160 Speaker 3: People who drink a glass of wine a day are 380 00:19:19,320 --> 00:19:23,000 Speaker 3: probably also more likely to have healthy foods and things 381 00:19:23,040 --> 00:19:24,800 Speaker 3: like that that you can't account for in these studies. 382 00:19:24,920 --> 00:19:27,240 Speaker 2: That was my question, because actually I think it was 383 00:19:27,280 --> 00:19:30,600 Speaker 2: similar to that. I was reading an article about that saying, 384 00:19:30,640 --> 00:19:32,879 Speaker 2: for if you think about it like this, every drink 385 00:19:33,040 --> 00:19:37,240 Speaker 2: you drink, you're potentially losing five minutes of your life. 386 00:19:37,600 --> 00:19:38,480 Speaker 2: Is that the same article? 387 00:19:38,520 --> 00:19:41,439 Speaker 3: Because I atlantic, yes, yes, my best friends send it 388 00:19:41,440 --> 00:19:43,119 Speaker 3: to me because we're trying to figure out what we're 389 00:19:43,160 --> 00:19:44,080 Speaker 3: going to do with our lives. 390 00:19:44,160 --> 00:19:47,240 Speaker 2: Yes, because yes, you're talking to people who love, yes 391 00:19:47,480 --> 00:19:50,159 Speaker 2: to have a glass or two, and we take it 392 00:19:50,280 --> 00:19:54,440 Speaker 2: very easy. In January. TJ's dry in January. I went 393 00:19:54,560 --> 00:19:59,440 Speaker 2: damp this January. But if I think about every drink, okay, 394 00:19:59,440 --> 00:20:01,600 Speaker 2: am I willing to give up five minutes of my 395 00:20:01,680 --> 00:20:04,080 Speaker 2: life for this drink? That it forces you to look 396 00:20:04,080 --> 00:20:07,960 Speaker 2: at it differently. But my question is with h S. 397 00:20:08,080 --> 00:20:10,160 Speaker 2: I'm looking at the website right now. Yeah, it says 398 00:20:10,240 --> 00:20:13,520 Speaker 2: seven hundred and forty one thousand, three hundred cancer cases 399 00:20:13,560 --> 00:20:17,280 Speaker 2: worldwide were you attributed to alcohol consumption in twenty twenty. 400 00:20:17,920 --> 00:20:20,000 Speaker 2: With all of the other factors, how you eat, how 401 00:20:20,080 --> 00:20:22,160 Speaker 2: much you exercise, how much you sleep, how can they 402 00:20:22,240 --> 00:20:26,199 Speaker 2: possibly How can doctors? How can researchers say it's a 403 00:20:26,240 --> 00:20:28,840 Speaker 2: link to alcohol. I'm curious with all the other. 404 00:20:28,680 --> 00:20:31,479 Speaker 3: Factors, you can't right, the only way I mean, you 405 00:20:31,480 --> 00:20:35,879 Speaker 3: can say member correlation is not causation. These are all 406 00:20:36,040 --> 00:20:39,879 Speaker 3: observational studies. The study that can't be done or hasn't 407 00:20:39,880 --> 00:20:41,920 Speaker 3: been done, I guess it can be done. You take 408 00:20:41,960 --> 00:20:48,600 Speaker 3: two groups and you run a clinical trial, randomized placebo control. 409 00:20:48,800 --> 00:20:52,040 Speaker 3: No one is drinking, one isn't drinking, and everything else 410 00:20:52,359 --> 00:20:55,000 Speaker 3: is corrected for, and then you can say that it 411 00:20:55,040 --> 00:20:59,480 Speaker 3: was the alcohol that caused it. Yeah, that data point 412 00:20:59,560 --> 00:21:02,640 Speaker 3: is global. The Surgeon General cited one hundred thousand new 413 00:21:03,160 --> 00:21:07,199 Speaker 3: cancer cases a year attributable to alcohol and twenty thousand 414 00:21:07,280 --> 00:21:11,639 Speaker 3: deaths a year attributable to alcohol. But everyone will say that, like, 415 00:21:11,720 --> 00:21:14,000 Speaker 3: if you compare two groups, the people who are drinking 416 00:21:14,040 --> 00:21:16,760 Speaker 3: moderately versus the non drinkers, why are the non drinkers 417 00:21:16,760 --> 00:21:20,679 Speaker 3: not drinking? Are they Maybe they can't afford alcohol, And 418 00:21:20,720 --> 00:21:25,320 Speaker 3: so that that socioeconomic group may also not have good 419 00:21:25,400 --> 00:21:27,840 Speaker 3: health literacy, they may not have good access to healthcare. 420 00:21:28,320 --> 00:21:31,680 Speaker 3: They you know, they may be recovering alcoholics. 421 00:21:32,240 --> 00:21:33,320 Speaker 2: And so the. 422 00:21:33,320 --> 00:21:36,879 Speaker 3: Moderate drinker's benefit is kind of inflated because the comparison 423 00:21:36,920 --> 00:21:42,160 Speaker 3: group isn't really that accurate. And that same article, Amy, 424 00:21:42,320 --> 00:21:44,560 Speaker 3: I loved that Atlantic. It makes you feel good about 425 00:21:44,560 --> 00:21:46,600 Speaker 3: your glass of wine. Right, we want to read the 426 00:21:46,640 --> 00:21:51,080 Speaker 3: things that make us feel good. But yes, every drink 427 00:21:51,840 --> 00:21:54,240 Speaker 3: reduces your life by five minutes, and every minute of 428 00:21:54,280 --> 00:21:56,320 Speaker 3: exercise gives you five minutes back. 429 00:21:56,400 --> 00:21:59,000 Speaker 2: Right, So can the two you know cancel each other out. 430 00:21:59,480 --> 00:22:01,560 Speaker 3: That's what I always want to know. I want to 431 00:22:01,600 --> 00:22:04,680 Speaker 3: know if I have my anti inflammatory plant based diet 432 00:22:04,680 --> 00:22:08,160 Speaker 3: and my exercise, am I you know, am I canceling 433 00:22:08,160 --> 00:22:11,600 Speaker 3: out my alcohol risk? And the answer is you have 434 00:22:11,680 --> 00:22:14,000 Speaker 3: to I think it. Of course you are at some point, 435 00:22:14,040 --> 00:22:16,320 Speaker 3: but I don't know that it like gets you to zero. 436 00:22:16,800 --> 00:22:17,640 Speaker 3: But it has to. 437 00:22:17,600 --> 00:22:20,479 Speaker 2: Help, right, Yeah, I like that answer. 438 00:22:20,560 --> 00:22:24,159 Speaker 1: Yeah, I knew that you would. You oll definitely should 439 00:22:24,200 --> 00:22:29,159 Speaker 1: not go out drinking together. But a couple of headlines 440 00:22:29,280 --> 00:22:33,080 Speaker 1: just red dye number three. Who even knew? But for 441 00:22:33,400 --> 00:22:36,240 Speaker 1: general in general out there was this a whole lot 442 00:22:36,359 --> 00:22:38,600 Speaker 1: we needed to be worried about. Red dye number three 443 00:22:38,600 --> 00:22:40,159 Speaker 1: has now been banned banned. 444 00:22:40,359 --> 00:22:42,920 Speaker 3: Okay, this is where I sigh, because like, why did 445 00:22:42,960 --> 00:22:46,960 Speaker 3: it take the FDA so long? Right? I mean? Red 446 00:22:47,000 --> 00:22:49,320 Speaker 3: dye number three has been around since nineteen oh seven 447 00:22:49,520 --> 00:22:51,280 Speaker 3: when it was first used in foods, and then it 448 00:22:51,320 --> 00:22:54,240 Speaker 3: was banned in cosmetics in nineteen ninety and there have 449 00:22:54,320 --> 00:22:57,359 Speaker 3: been petitions to get it banned in food for a 450 00:22:57,680 --> 00:22:58,320 Speaker 3: very long. 451 00:22:58,160 --> 00:23:02,320 Speaker 1: Time, banned in Europe in some places exactly exactly behind. 452 00:23:02,640 --> 00:23:06,879 Speaker 3: So the only data we have is rat data. We 453 00:23:06,920 --> 00:23:09,960 Speaker 3: don't like animal data in science right, we want to 454 00:23:09,960 --> 00:23:12,159 Speaker 3: see that it's doing something bad in humans before we 455 00:23:12,200 --> 00:23:14,679 Speaker 3: get all crazy. But we've had we've had data that 456 00:23:14,720 --> 00:23:19,480 Speaker 3: it causes cancer and rats since the eighties. In humans 457 00:23:19,119 --> 00:23:21,399 Speaker 3: as as recently as twenty twenty one, there was a 458 00:23:21,440 --> 00:23:24,800 Speaker 3: really important study that showed that it could increase the 459 00:23:24,880 --> 00:23:29,800 Speaker 3: risk of hyperactivity in kits. And you know, sort of 460 00:23:29,800 --> 00:23:31,760 Speaker 3: the takeaway from that is, well, is it the sugar 461 00:23:31,960 --> 00:23:34,159 Speaker 3: or is it the red dye? And is it all 462 00:23:34,280 --> 00:23:36,920 Speaker 3: children or is it kids who might be predisposed to hyperactivity? 463 00:23:36,960 --> 00:23:38,439 Speaker 3: And I think we don't really know the answer to 464 00:23:38,480 --> 00:23:40,680 Speaker 3: that yet fully, but I think at the end of 465 00:23:40,720 --> 00:23:43,560 Speaker 3: the day, if you can have something like beats or 466 00:23:43,600 --> 00:23:47,600 Speaker 3: other natural things that can give color, then use that 467 00:23:47,800 --> 00:23:51,640 Speaker 3: instead of a chemical. And for parents out there, I mean, 468 00:23:52,080 --> 00:23:54,280 Speaker 3: you know, are you going to have your children not 469 00:23:54,359 --> 00:23:56,800 Speaker 3: have any cakes and candies and this and this, and 470 00:23:56,880 --> 00:23:58,240 Speaker 3: you're not going to give them a seat of minaphin 471 00:23:58,280 --> 00:23:59,040 Speaker 3: when they have a fever? 472 00:24:00,280 --> 00:24:00,440 Speaker 1: No? 473 00:24:00,760 --> 00:24:04,280 Speaker 3: But like in moderation, right, if your children's diet is 474 00:24:04,320 --> 00:24:10,080 Speaker 3: filled with processed foods anyway, I know, right, Well, it's 475 00:24:10,160 --> 00:24:12,480 Speaker 3: kind of in everything that's the problem. Like it's in 476 00:24:12,680 --> 00:24:16,240 Speaker 3: cosmetics and in food and redepressants. 477 00:24:15,480 --> 00:24:17,760 Speaker 1: Number forty they've been using exactly and. 478 00:24:17,920 --> 00:24:21,400 Speaker 3: Same thing, same thing. It's like it could also increase hyperactivity, 479 00:24:21,400 --> 00:24:23,000 Speaker 3: and it's linked to all these other things. But the 480 00:24:23,080 --> 00:24:25,800 Speaker 3: quality of the data is poor. I think it's just 481 00:24:25,880 --> 00:24:30,440 Speaker 3: another reminder that you can't rid yourself of every toxin 482 00:24:30,560 --> 00:24:33,000 Speaker 3: in your life unless you live on an island somewhere. 483 00:24:33,359 --> 00:24:35,199 Speaker 3: But to be aware of it and like, let your 484 00:24:35,240 --> 00:24:37,520 Speaker 3: kids have it on special occasions. But I wouldn't keep 485 00:24:37,560 --> 00:24:39,600 Speaker 3: it in the cupboard for them to just grab. They 486 00:24:39,600 --> 00:24:43,160 Speaker 3: should grab a you know, some cherries instead of the. 487 00:24:43,119 --> 00:24:46,240 Speaker 2: Red doll cake cupcakes. Yeah, or you know, oh twizzlers. 488 00:24:46,280 --> 00:24:47,520 Speaker 2: Oh you just had a nerve, mean. 489 00:24:47,800 --> 00:24:50,520 Speaker 3: Right, but at the movies, you're gonna have Twizzlers, like 490 00:24:50,600 --> 00:24:50,880 Speaker 3: you can't. 491 00:24:50,920 --> 00:24:53,359 Speaker 2: I don't like that explore every night at your teaching 492 00:24:53,359 --> 00:24:57,840 Speaker 2: at homes when he especially when he's in dry January mode, 493 00:24:58,280 --> 00:25:00,000 Speaker 2: he is in full Twizzlers mode. 494 00:25:00,160 --> 00:25:02,919 Speaker 1: Doctor, I am the this is the unhealthiest month for me. 495 00:25:03,040 --> 00:25:05,639 Speaker 1: I cut out meat and I cut out alcohol. But 496 00:25:05,760 --> 00:25:08,080 Speaker 1: because I do that, I end up grabbing a chip 497 00:25:08,119 --> 00:25:10,480 Speaker 1: so I would normally grab I end up eating in. 498 00:25:10,440 --> 00:25:12,200 Speaker 2: An ertos and twizzlers. 499 00:25:12,920 --> 00:25:15,560 Speaker 1: Never eat that stuff. So really to be healthy, I 500 00:25:15,600 --> 00:25:16,440 Speaker 1: cut stuff out, but. 501 00:25:16,400 --> 00:25:18,760 Speaker 3: I could you have a craving for that or you 502 00:25:18,880 --> 00:25:20,200 Speaker 3: just feel like you deserve it. 503 00:25:20,160 --> 00:25:22,000 Speaker 1: But no, I get rid of all these other things 504 00:25:22,440 --> 00:25:24,760 Speaker 1: my body's used to having. So I start craving sugar, 505 00:25:24,800 --> 00:25:27,359 Speaker 1: I start craving carbs, and I'm interesting looking at all 506 00:25:27,400 --> 00:25:27,920 Speaker 1: these places. 507 00:25:27,920 --> 00:25:30,560 Speaker 2: You have more candy in January than you do all 508 00:25:30,720 --> 00:25:33,160 Speaker 2: all year round. No alcohol, not drinking alcohol. 509 00:25:33,160 --> 00:25:35,040 Speaker 3: But we'll see for a month. Nothing bad is going 510 00:25:35,080 --> 00:25:37,600 Speaker 3: to happen to you. And your DNA is like it 511 00:25:37,680 --> 00:25:38,520 Speaker 3: is done already. 512 00:25:38,720 --> 00:25:41,800 Speaker 2: You like tiger blood. Agree, and you know what, you 513 00:25:41,880 --> 00:25:45,440 Speaker 2: haven't been sick, but apparently the whole country's sick with what. Yes, 514 00:25:45,880 --> 00:25:50,160 Speaker 2: we're hearing a quademic is happening. And then I say that, right, quademic. 515 00:25:50,240 --> 00:25:55,240 Speaker 2: There are four problems out there. It's RSV, flu, COVID nineteen, 516 00:25:55,520 --> 00:25:59,440 Speaker 2: and neurovirus, and they're all happening at the same time. Yes, 517 00:26:00,080 --> 00:26:03,399 Speaker 2: what's going on is this tip of it? It's a 518 00:26:03,480 --> 00:26:04,440 Speaker 2: medical mystery. 519 00:26:04,640 --> 00:26:07,960 Speaker 3: We love, we love a demic in medical journalism. 520 00:26:08,040 --> 00:26:08,119 Speaker 2: No. 521 00:26:08,960 --> 00:26:11,880 Speaker 3: Well, yeah, so a couple of months ago we got 522 00:26:11,920 --> 00:26:16,000 Speaker 3: a little bit on alert because the UK was having 523 00:26:16,080 --> 00:26:19,359 Speaker 3: a lot of the RSV covid, flu and neurovirus at 524 00:26:19,400 --> 00:26:21,280 Speaker 3: the same time, and we're like, well, what happens there 525 00:26:21,400 --> 00:26:24,080 Speaker 3: ends up happening here, and so we kind of braced ourselves. Well, 526 00:26:24,119 --> 00:26:27,760 Speaker 3: the good news is that COVID rates are really down, 527 00:26:28,119 --> 00:26:32,160 Speaker 3: but flu is really up. We think because we had 528 00:26:32,200 --> 00:26:35,119 Speaker 3: such a horrible COVID summer, Sarge, that that kind of 529 00:26:35,280 --> 00:26:39,000 Speaker 3: has sort of there's a little hangover benefit from that, 530 00:26:39,600 --> 00:26:42,000 Speaker 3: and that COVID, you know, all the new descendants that 531 00:26:42,040 --> 00:26:45,240 Speaker 3: are coming, the strains are not becoming more and more 532 00:26:45,840 --> 00:26:48,199 Speaker 3: deadly or vere your land as we call it, and 533 00:26:48,240 --> 00:26:49,680 Speaker 3: causing milder disease. 534 00:26:50,480 --> 00:26:51,960 Speaker 2: And that's what you want to happen. 535 00:26:52,200 --> 00:26:54,840 Speaker 3: We want that to happen, right, Like I read, there's 536 00:26:54,840 --> 00:26:56,359 Speaker 3: so many headlines all the time. I didn't read it, 537 00:26:56,400 --> 00:26:58,399 Speaker 3: but it caught my eye. Is COVID the common cold? 538 00:26:58,600 --> 00:27:01,159 Speaker 3: Like not people still are from COVID, So it's not 539 00:27:01,200 --> 00:27:02,960 Speaker 3: fair to say that it's the common cold, But for 540 00:27:03,040 --> 00:27:05,360 Speaker 3: a lot of us, yes, it's a very mild upper 541 00:27:05,400 --> 00:27:07,840 Speaker 3: respiratory tract infection never becomes you never even go to 542 00:27:07,880 --> 00:27:11,080 Speaker 3: the doctor from it. But flu rates are really high 543 00:27:11,160 --> 00:27:14,879 Speaker 3: right now for a number of reasons. One because COVID 544 00:27:14,920 --> 00:27:17,159 Speaker 3: is taking a vac seat. So, you know, respiratory viruses 545 00:27:17,160 --> 00:27:19,800 Speaker 3: are opportunists, right, It's like it's going to flourish if 546 00:27:19,800 --> 00:27:22,800 Speaker 3: COVID get out of their buddy. It's my turn now. 547 00:27:23,480 --> 00:27:26,120 Speaker 3: And flu vaccination rates are just at an all time 548 00:27:26,200 --> 00:27:27,080 Speaker 3: low because. 549 00:27:26,880 --> 00:27:28,400 Speaker 2: People are sick of getting vaccinated. 550 00:27:28,400 --> 00:27:31,480 Speaker 3: People are getting sick of getting vaccinated and being told 551 00:27:31,600 --> 00:27:34,480 Speaker 3: to get vaccinated. If I had like a parody of 552 00:27:34,520 --> 00:27:36,240 Speaker 3: myself of all the times in the last four or 553 00:27:36,280 --> 00:27:38,960 Speaker 3: five years I said get your flu shot or get 554 00:27:38,960 --> 00:27:41,800 Speaker 3: your COVID shot, I would probably be shocked with myself, 555 00:27:41,960 --> 00:27:44,879 Speaker 3: you know. And then neurovirus just because like it's so 556 00:27:45,000 --> 00:27:48,520 Speaker 3: disgusting and highly contagious and the most common cause of 557 00:27:49,400 --> 00:27:53,240 Speaker 3: gas er intestinal illness. Where is this happening everywhere everywhere, 558 00:27:53,320 --> 00:27:54,920 Speaker 3: right outside this studio? 559 00:27:55,040 --> 00:27:58,320 Speaker 1: Okay, And what's our biggest problem of the four right now? 560 00:27:58,560 --> 00:27:58,800 Speaker 2: Flu? 561 00:27:59,200 --> 00:28:02,000 Speaker 3: Who is on flu? Covid is kind of in the 562 00:28:02,000 --> 00:28:04,960 Speaker 3: backseat right now. RSV cases are kind of going down, 563 00:28:05,000 --> 00:28:07,960 Speaker 3: which is good in a very I think predictable way. 564 00:28:08,520 --> 00:28:12,239 Speaker 3: COVID hasn't settled into a totally predictable pattern yet, you know, 565 00:28:12,440 --> 00:28:16,359 Speaker 3: a lot of the experts are very reluctant to say 566 00:28:16,400 --> 00:28:20,720 Speaker 3: that we can anticipate uh two surges every year because 567 00:28:21,040 --> 00:28:22,840 Speaker 3: we don't know. There could be a new strain anytime, 568 00:28:23,000 --> 00:28:24,679 Speaker 3: and that could pop up in May and we just 569 00:28:24,800 --> 00:28:28,600 Speaker 3: don't know. But for right now, settling, what's that? 570 00:28:28,920 --> 00:28:29,040 Speaker 2: You know? 571 00:28:29,200 --> 00:28:29,520 Speaker 3: It was. 572 00:28:33,080 --> 00:28:38,360 Speaker 1: The grim Reaper, she says with a smile, Right, I know. 573 00:28:38,560 --> 00:28:42,120 Speaker 3: It's like, why is doctor Natalie here? Again? RSV is 574 00:28:42,240 --> 00:28:45,320 Speaker 3: respiratory sensicial virus, and it's something that I think we 575 00:28:45,440 --> 00:28:49,480 Speaker 3: all appropriately associate with little kish just because they are 576 00:28:49,560 --> 00:28:52,720 Speaker 3: really really vulnerable to getting sick with RSV, but so 577 00:28:52,800 --> 00:28:55,800 Speaker 3: are older folks, and we have we have a vaccine 578 00:28:55,800 --> 00:28:59,000 Speaker 3: now for older people as well as pregnant women, and 579 00:28:59,040 --> 00:29:00,840 Speaker 3: we have something called the ont A clonal and a 580 00:29:00,880 --> 00:29:04,000 Speaker 3: body to treat little kids if they get sick with 581 00:29:04,040 --> 00:29:06,000 Speaker 3: the RSV. So a lot more protection than we did 582 00:29:06,080 --> 00:29:07,600 Speaker 3: even five years ago, which is great. 583 00:29:07,680 --> 00:29:09,480 Speaker 1: Okay, virus again. 584 00:29:10,000 --> 00:29:16,360 Speaker 3: Virus GI. It is the most common cause of GI 585 00:29:16,440 --> 00:29:19,320 Speaker 3: illness and food born illness in the country. 586 00:29:19,640 --> 00:29:21,720 Speaker 2: Cruise ship breaks, cruise ship out. 587 00:29:21,920 --> 00:29:25,719 Speaker 1: I'm so sorry, I asked, can you have all of these? 588 00:29:26,120 --> 00:29:28,880 Speaker 1: You said? If flu, if covid gets out of the way, 589 00:29:28,920 --> 00:29:31,760 Speaker 1: flu has an opportunity, can you have and which of 590 00:29:31,760 --> 00:29:33,200 Speaker 1: these can you have at the same time you. 591 00:29:33,160 --> 00:29:34,440 Speaker 3: Can have all four of them? 592 00:29:34,440 --> 00:29:40,160 Speaker 2: Oh my goodness, Technically that would be horrible. Technically that's 593 00:29:40,160 --> 00:29:42,520 Speaker 2: a fate almost worse than death if you never had 594 00:29:42,640 --> 00:29:45,920 Speaker 2: a virus and oh my god, those two. 595 00:29:45,720 --> 00:29:49,240 Speaker 3: Together, I know, I mean, that is just super super 596 00:29:49,320 --> 00:29:49,720 Speaker 3: bad luck. 597 00:29:49,720 --> 00:29:53,040 Speaker 2: I can't even imagine. All Right, I know as a 598 00:29:53,160 --> 00:29:56,800 Speaker 2: practicing medical physician and a TV doctor as well, that 599 00:29:57,360 --> 00:30:00,560 Speaker 2: you clearly like to steer clear from politics. How I 600 00:30:00,600 --> 00:30:04,400 Speaker 2: have to ask. With RFK Junior about to be potentially 601 00:30:04,400 --> 00:30:08,800 Speaker 2: confirmed as the head of AHHS, is there talk among doctors, 602 00:30:08,840 --> 00:30:15,040 Speaker 2: among physicians, any concerns about changing guidelines, changing vaccination protocol? 603 00:30:15,120 --> 00:30:18,840 Speaker 2: Like what are what is the medical community talking about 604 00:30:19,040 --> 00:30:21,680 Speaker 2: in preparation for his potential confirmation? 605 00:30:21,880 --> 00:30:24,959 Speaker 3: Yeah, that hearing is this is this week. Yeah, I 606 00:30:25,000 --> 00:30:28,160 Speaker 3: hope I have time to actually listen in on it. 607 00:30:29,040 --> 00:30:31,800 Speaker 3: I don't even know where to start, Like between OURFK 608 00:30:32,000 --> 00:30:35,320 Speaker 3: Junior and then we're pulling out of the World Health Organization, 609 00:30:35,440 --> 00:30:38,960 Speaker 3: Now we might reconsider pulling out of the World Health Organization. 610 00:30:39,080 --> 00:30:41,040 Speaker 3: I can say I'm not going to speak for the 611 00:30:41,160 --> 00:30:43,800 Speaker 3: entire medical community, but I think for most of us 612 00:30:44,840 --> 00:30:53,560 Speaker 3: we are very highly expectant about what's going to happen. Vaccines, 613 00:30:54,080 --> 00:30:58,240 Speaker 3: hands down, in addition to antibiotics and the discovery of penicillin, 614 00:30:58,360 --> 00:31:02,520 Speaker 3: is probably one of the if not the most important 615 00:31:02,560 --> 00:31:08,680 Speaker 3: public health achievement ever in terms of the number of 616 00:31:08,720 --> 00:31:11,600 Speaker 3: deaths it has prevented and the number of you know, 617 00:31:11,760 --> 00:31:18,400 Speaker 3: just chronically ill sick folks from common illnesses once what 618 00:31:18,480 --> 00:31:23,800 Speaker 3: were once common illnesses. So that's terrifying because we don't 619 00:31:23,840 --> 00:31:29,360 Speaker 3: need anything else to pepper the vaccine skepticism that already 620 00:31:29,440 --> 00:31:33,440 Speaker 3: exists in this country, which is a leftover from the pandemic, 621 00:31:34,000 --> 00:31:40,160 Speaker 3: which was sewed by the right and conspiracy theorists period, 622 00:31:41,040 --> 00:31:55,680 Speaker 3: And so that is extraordinarily unfortunate. And when he says 623 00:31:55,720 --> 00:32:00,080 Speaker 3: things like we're going to reinvestigate the MMR vaccine and 624 00:32:00,120 --> 00:32:03,200 Speaker 3: it's linked to autism, It's been done. And I'm not 625 00:32:03,320 --> 00:32:07,240 Speaker 3: saying that you shouldn't have a critical mind. I have 626 00:32:07,360 --> 00:32:12,400 Speaker 3: been doing TV medical journalism and practicing medicine long enough 627 00:32:12,440 --> 00:32:16,600 Speaker 3: to know that sometimes dogma is wrong and you have 628 00:32:16,680 --> 00:32:20,880 Speaker 3: to think outside the box and be open minded because 629 00:32:20,920 --> 00:32:24,000 Speaker 3: the way you're taught things sometimes actually either wasn't right 630 00:32:24,080 --> 00:32:26,080 Speaker 3: or has changed so much that where you are in 631 00:32:26,120 --> 00:32:30,000 Speaker 3: your thinking is no longer correct. I give that, but 632 00:32:30,360 --> 00:32:33,000 Speaker 3: it really worries me when you start talking about polio 633 00:32:33,120 --> 00:32:37,400 Speaker 3: vaccines and things like that's that's done. That's done science. 634 00:32:38,320 --> 00:32:41,120 Speaker 3: The only place where I would say, yeah, let's see 635 00:32:41,120 --> 00:32:45,120 Speaker 3: what you got is make America. Make America healthier again. 636 00:32:45,440 --> 00:32:48,360 Speaker 3: Another great article a week or two ago was what 637 00:32:48,520 --> 00:32:51,760 Speaker 3: period of time were you talking about? Because one hundred 638 00:32:51,840 --> 00:32:56,120 Speaker 3: years ago, no, we were dying from smallpox whatever, the 639 00:32:56,240 --> 00:33:00,400 Speaker 3: fifties definitely not when people were smoking, and like the 640 00:33:00,440 --> 00:33:04,840 Speaker 3: meat and Potatoes era, people were really unhealthy at different 641 00:33:04,840 --> 00:33:07,920 Speaker 3: parts of our American history. So I don't know exactly 642 00:33:08,280 --> 00:33:11,239 Speaker 3: what they're talking about about that little catchphrase. But what 643 00:33:11,280 --> 00:33:14,240 Speaker 3: I am interested in is great, look at our food supply, 644 00:33:14,880 --> 00:33:17,200 Speaker 3: look at the I don't want to put all ultra 645 00:33:17,440 --> 00:33:20,080 Speaker 3: processed food in the same category, because not all of 646 00:33:20,120 --> 00:33:22,760 Speaker 3: it is terrible at all. But if you want to 647 00:33:22,800 --> 00:33:27,000 Speaker 3: look into what is maybe making us a sicker than 648 00:33:27,120 --> 00:33:30,400 Speaker 3: we need to be by all means, but don't romanticize 649 00:33:30,400 --> 00:33:34,720 Speaker 3: the past. Don't do that. That is just scientifically not 650 00:33:34,880 --> 00:33:38,239 Speaker 3: the right place to be. And the who thing is like, 651 00:33:38,600 --> 00:33:41,080 Speaker 3: that's just a no, that's just an absolute no. 652 00:33:41,240 --> 00:33:43,240 Speaker 1: We need to stay in for you. I know it's 653 00:33:43,240 --> 00:33:45,440 Speaker 1: a double edged sword here, but is it the opportunity 654 00:33:45,480 --> 00:33:47,600 Speaker 1: as well to have health at the forefront. You all 655 00:33:47,640 --> 00:33:50,160 Speaker 1: have a microphone like never before. Yeah, I know he 656 00:33:50,200 --> 00:33:53,720 Speaker 1: has a bigger microphone at HHSY. But there's an opportunity 657 00:33:53,720 --> 00:33:55,400 Speaker 1: now if we're all going to be talking about health, 658 00:33:55,680 --> 00:33:57,120 Speaker 1: that some of it could be a posible. 659 00:33:57,160 --> 00:33:59,200 Speaker 3: I mean, I hope. So, you know, like I always 660 00:33:59,200 --> 00:34:01,600 Speaker 3: think about like the Maria Medical Association, Like you know, 661 00:34:01,600 --> 00:34:05,520 Speaker 3: we have big, powerful medical organizations who will put out 662 00:34:05,560 --> 00:34:09,840 Speaker 3: statements in support or in protest of certain things. But 663 00:34:09,880 --> 00:34:13,200 Speaker 3: I just how powerful are they, you know, compared to Washington. 664 00:34:13,320 --> 00:34:15,400 Speaker 3: That's that's always the that's always the thing for me. 665 00:34:15,640 --> 00:34:17,120 Speaker 1: Well, if we can get you out of here, we 666 00:34:17,160 --> 00:34:19,080 Speaker 1: have a couple of TikTok claims. 667 00:34:19,400 --> 00:34:21,319 Speaker 3: Oh Mike, we're going to kind of okay. 668 00:34:21,160 --> 00:34:24,040 Speaker 1: Rapid fire these. We'll kind of do these quickly, but 669 00:34:24,719 --> 00:34:27,800 Speaker 1: some might deserve more than a one or two word answer. 670 00:34:27,880 --> 00:34:29,960 Speaker 1: So a few things here. I didn't know about this 671 00:34:30,400 --> 00:34:32,200 Speaker 1: first one, did you No? 672 00:34:32,320 --> 00:34:33,279 Speaker 2: I did not know this. 673 00:34:33,360 --> 00:34:38,799 Speaker 1: Okay, Touching printed sales receipts can interfere with the hormone system. 674 00:34:39,040 --> 00:34:43,600 Speaker 3: That is, technically true, so there, yes, if you wow, 675 00:34:43,960 --> 00:34:47,520 Speaker 3: But but how much do you need to touch to 676 00:34:47,680 --> 00:34:49,040 Speaker 3: have it be a problem? 677 00:34:49,120 --> 00:34:49,279 Speaker 2: Wait? 678 00:34:49,320 --> 00:34:50,280 Speaker 1: Why can't it interfere? 679 00:34:50,560 --> 00:34:54,640 Speaker 3: Well, the chemical the actual chemicals on the ink of 680 00:34:54,719 --> 00:34:58,440 Speaker 3: a receipt can can contain some chemicals that are technically 681 00:34:58,440 --> 00:35:03,040 Speaker 3: what we call hormone disrupt So if you're really again, 682 00:35:03,120 --> 00:35:05,360 Speaker 3: this is like, if you want to get to zero 683 00:35:05,480 --> 00:35:08,439 Speaker 3: exposure in your life, ask for a digital person. 684 00:35:09,400 --> 00:35:11,040 Speaker 2: You'd like it email instead it printed. 685 00:35:11,200 --> 00:35:12,880 Speaker 1: I would like to know how many receipts I've been 686 00:35:12,920 --> 00:35:15,480 Speaker 1: touching receipts my whole life? Doctor the problem? 687 00:35:15,960 --> 00:35:24,800 Speaker 3: Read right, the receipt explains or fold it up of 688 00:35:24,800 --> 00:35:27,239 Speaker 3: of like the laundry list of things that should be 689 00:35:27,400 --> 00:35:30,080 Speaker 3: you know, front of mind for people. I would not 690 00:35:30,080 --> 00:35:31,319 Speaker 3: put receipts at. 691 00:35:31,239 --> 00:35:31,799 Speaker 1: The top of the lip. 692 00:35:32,200 --> 00:35:32,800 Speaker 2: That's crazy. 693 00:35:32,800 --> 00:35:35,000 Speaker 3: But there's some Yeah, there's some truth true or false. 694 00:35:35,360 --> 00:35:37,600 Speaker 2: Everyone needs to supplement with vitamin D. 695 00:35:38,480 --> 00:35:43,320 Speaker 3: Oh god, I love this one. Okay, here is the answer. 696 00:35:44,120 --> 00:35:49,800 Speaker 3: Everybody every day needs calcium and vitamin D. Okay, period. 697 00:35:50,880 --> 00:35:54,560 Speaker 3: If you don't consume or ingest calcium in the form 698 00:35:54,600 --> 00:35:58,000 Speaker 3: of food or supplement, your bones are going to be 699 00:35:58,160 --> 00:36:00,480 Speaker 3: like oh man, or your body. I should is going 700 00:36:00,520 --> 00:36:02,040 Speaker 3: to say I need calcium. Where am I going to 701 00:36:02,080 --> 00:36:04,520 Speaker 3: get at? Your largest reservoir of calcium is in your bone, 702 00:36:04,560 --> 00:36:07,160 Speaker 3: so they'll start to leach out. You need vitamin D 703 00:36:07,280 --> 00:36:10,560 Speaker 3: in order to absorb calcium. The issue is that, and 704 00:36:10,600 --> 00:36:12,759 Speaker 3: all the studies that have been done people who are 705 00:36:12,840 --> 00:36:16,960 Speaker 3: vitamin D sufficient, meaning you have enough, taking extra isn't going. 706 00:36:16,960 --> 00:36:17,400 Speaker 2: To help you. 707 00:36:17,760 --> 00:36:19,960 Speaker 3: In fact, it can almost hurt you. There's a study 708 00:36:19,960 --> 00:36:23,480 Speaker 3: that actually shows that it can hurt you, especially if 709 00:36:23,520 --> 00:36:25,640 Speaker 3: you're living in a nursing home. It can actually increase 710 00:36:25,640 --> 00:36:28,680 Speaker 3: the risk of falls. So the answer amy is that 711 00:36:28,800 --> 00:36:32,920 Speaker 3: you need vitamin D every day. The most natural source 712 00:36:33,000 --> 00:36:35,040 Speaker 3: is the sun, but we are all very cautious about 713 00:36:35,080 --> 00:36:38,360 Speaker 3: the sun for vanity and for skin cancer for obvious reasons. 714 00:36:38,440 --> 00:36:40,160 Speaker 3: And so if you don't have enough vitamin D, you 715 00:36:40,200 --> 00:36:42,040 Speaker 3: can check it with a blood test, then you need 716 00:36:42,040 --> 00:36:42,560 Speaker 3: to supplement. 717 00:36:43,239 --> 00:36:46,719 Speaker 1: Okay, all right, this is fascinating. Now we should have 718 00:36:46,760 --> 00:36:47,480 Speaker 1: led with this stuff. 719 00:36:48,920 --> 00:36:51,279 Speaker 2: Microwaving food reduces the nutrients. 720 00:36:52,239 --> 00:36:56,200 Speaker 3: No, yes, meanwhile, I haven't vetted any of these. 721 00:36:56,560 --> 00:36:59,080 Speaker 2: But hey, you know more than anyone else in this room. 722 00:36:59,400 --> 00:37:01,160 Speaker 3: I don't see why that would be the case. 723 00:37:01,280 --> 00:37:03,440 Speaker 1: I swear I've heard that, Yeah, I have too, right, Okay, 724 00:37:04,440 --> 00:37:06,680 Speaker 1: dairy is the most inflammatory food. 725 00:37:07,320 --> 00:37:12,080 Speaker 3: Oh my god, that was a sigh for some people. 726 00:37:12,320 --> 00:37:15,040 Speaker 3: For some people, it absolutely is. For some people, they 727 00:37:15,400 --> 00:37:20,880 Speaker 3: truly cannot tolerate the caseine, the protein that's in milk, 728 00:37:22,200 --> 00:37:24,799 Speaker 3: and certainly for people who are lactose intolerant that that's 729 00:37:24,840 --> 00:37:29,080 Speaker 3: another issue. But if you don't have a problem with dairy, 730 00:37:29,280 --> 00:37:31,120 Speaker 3: and you know if you do or if you don't, 731 00:37:31,200 --> 00:37:36,120 Speaker 3: by yes, consuming it, then by all means, please consume it. 732 00:37:36,120 --> 00:37:39,520 Speaker 3: It's the most amazing source of calcium and protein and vitamins. 733 00:37:39,600 --> 00:37:43,520 Speaker 2: Great that you shouldn't Oh, that's an old wives tale. 734 00:37:45,280 --> 00:37:47,800 Speaker 2: You shouldn't have dairy if you're sick because it affects 735 00:37:47,800 --> 00:37:50,160 Speaker 2: your mucus or your congestion or. 736 00:37:50,200 --> 00:37:52,960 Speaker 3: No, I just think it. No, But I don't you 737 00:37:53,000 --> 00:37:55,600 Speaker 3: feel like remembering when you're sick you don't want feels 738 00:37:55,640 --> 00:37:57,799 Speaker 3: gross because like you feel mucasine, it's like harder to 739 00:37:57,800 --> 00:37:59,960 Speaker 3: swallow it. I don't think it like it doesn't call 740 00:38:00,160 --> 00:38:04,480 Speaker 3: your mucus to be more like dangerous for birth. 741 00:38:05,480 --> 00:38:08,360 Speaker 2: Okay, what about this one? Drinking apple cider vinegar before 742 00:38:08,360 --> 00:38:11,320 Speaker 2: a meal can reduce the glucose spike. Of that meal. 743 00:38:11,600 --> 00:38:14,759 Speaker 3: Oh you know what, I need Joy Bouer here with me. 744 00:38:14,920 --> 00:38:16,360 Speaker 3: She's obviously you guys. 745 00:38:16,239 --> 00:38:17,000 Speaker 2: All love Joy. 746 00:38:17,200 --> 00:38:19,160 Speaker 3: Yeah, I feel like she would she would know the 747 00:38:19,200 --> 00:38:23,200 Speaker 3: answer to this. I wouldn't be surprised if that's true. 748 00:38:23,440 --> 00:38:25,279 Speaker 3: I wouldn't be surprised if that's true. But I'm not 749 00:38:25,320 --> 00:38:26,279 Speaker 3: one hundred percent sure. 750 00:38:26,360 --> 00:38:30,279 Speaker 1: Okay, we'll investigate that. Yeah, further, warm lemon water in 751 00:38:30,320 --> 00:38:32,600 Speaker 1: the morning detox is your body. 752 00:38:33,680 --> 00:38:37,080 Speaker 3: I think I know that people like warm lemon water, 753 00:38:37,160 --> 00:38:40,080 Speaker 3: and I think it does have some benefits. I think 754 00:38:40,080 --> 00:38:42,400 Speaker 3: the lemon actually does have some benefits in terms of 755 00:38:42,440 --> 00:38:45,839 Speaker 3: like being kind of anti inflammatory antioxidant, But I don't 756 00:38:45,880 --> 00:38:48,000 Speaker 3: know that it's like a detox and that you know, 757 00:38:48,080 --> 00:38:50,759 Speaker 3: suddenly you have no evil humors and. 758 00:38:50,719 --> 00:38:53,960 Speaker 2: Do we even need to detach our body? That's the 759 00:38:54,120 --> 00:38:55,880 Speaker 2: thing that's like that is such. 760 00:38:55,800 --> 00:38:58,520 Speaker 3: A misdomer, right, and even sort of that label like 761 00:38:58,640 --> 00:39:01,720 Speaker 3: already sends a message that there's something wrong with your body. 762 00:39:01,760 --> 00:39:04,279 Speaker 3: And it's like your liver detox is your body, you know, 763 00:39:04,480 --> 00:39:07,520 Speaker 3: so if anything, like you know, be kind to your 764 00:39:07,520 --> 00:39:09,160 Speaker 3: liver dot dot dot. 765 00:39:09,880 --> 00:39:13,120 Speaker 2: All right, Taking ibuprofen every day can ruin your stomach, 766 00:39:13,160 --> 00:39:15,960 Speaker 2: lining and lead to kidney damage. Is that true or false? 767 00:39:16,160 --> 00:39:19,040 Speaker 3: So, ibuprofen is a non steroidal anti inflammatory and end 768 00:39:19,080 --> 00:39:22,319 Speaker 3: said and yeah, if you take like a dose of 769 00:39:22,360 --> 00:39:25,759 Speaker 3: ibuprofen and they do an endoscopy on you, you can 770 00:39:25,840 --> 00:39:28,440 Speaker 3: already see that it is damaging the lining of your stomach. 771 00:39:28,600 --> 00:39:28,880 Speaker 2: Wow. 772 00:39:29,360 --> 00:39:32,359 Speaker 3: And chronic use of n sets one hundred percent can 773 00:39:32,480 --> 00:39:36,799 Speaker 3: lead to kidney problems. So they are not benign even 774 00:39:36,840 --> 00:39:39,480 Speaker 3: though they are over the counter. And it's like a 775 00:39:39,520 --> 00:39:43,120 Speaker 3: message that I really try to make sure my viewers 776 00:39:43,120 --> 00:39:44,280 Speaker 3: and my patients understand. 777 00:39:45,760 --> 00:39:49,560 Speaker 2: This has been fascinating. And I mean, doctor Asar, we 778 00:39:49,640 --> 00:39:52,920 Speaker 2: are so happy you're here. We loved having you. We 779 00:39:52,960 --> 00:39:56,640 Speaker 2: hope you'll come back because I feel like there's never 780 00:39:58,920 --> 00:40:01,640 Speaker 2: we always have questions. I mean, my brother's a doctor, 781 00:40:01,719 --> 00:40:03,920 Speaker 2: so I try not to annoy him and text him 782 00:40:03,920 --> 00:40:05,759 Speaker 2: all the time. But that's pretty much when I text 783 00:40:05,840 --> 00:40:08,120 Speaker 2: him is when I have a medical question. Yeah, So 784 00:40:08,400 --> 00:40:11,279 Speaker 2: it's wonderful to right. That's why he doesn't text me 785 00:40:11,320 --> 00:40:13,160 Speaker 2: really that often at all, because he knows it's just 786 00:40:13,160 --> 00:40:14,840 Speaker 2: going to end up with a medical question at the 787 00:40:14,920 --> 00:40:17,840 Speaker 2: end of it. Yeah. Yeah, but we appreciate it. I 788 00:40:17,880 --> 00:40:19,880 Speaker 2: loved happing you here. Thank you so much. 789 00:40:20,080 --> 00:40:22,279 Speaker 3: I loved being here you guys, and. 790 00:40:22,400 --> 00:40:24,520 Speaker 1: We certainly hope you will come back because there's always 791 00:40:24,560 --> 00:40:27,319 Speaker 1: some medical headline that we'd like somebody to walk us through. 792 00:40:27,400 --> 00:40:29,359 Speaker 1: Even if it's fifty to fifty, it's better than nothing. 793 00:40:31,280 --> 00:40:34,920 Speaker 1: I'll try to improve my batting overage really, doctor, thank 794 00:40:34,960 --> 00:40:37,319 Speaker 1: you so much, and folks, thanks welcome, and thank you 795 00:40:37,360 --> 00:40:39,520 Speaker 1: all for listening. We appreciate as always you can catch 796 00:40:39,600 --> 00:40:42,000 Speaker 1: us here. Also catch us every Monday through Friday on 797 00:40:42,040 --> 00:40:45,719 Speaker 1: our morning run our daily news podcast as well. But 798 00:40:45,800 --> 00:40:46,720 Speaker 1: for now, I'm TJ. 799 00:40:46,760 --> 00:40:53,320 Speaker 2: Holmes and I'm Amy Roebock. Have a great day, everyone,