WEBVTT - Health Headlines: Fact vs. Fiction 0:00:02.240 --> 0:00:05.239 Hey there, folks. In this episode, did you know sparkling 0:00:05.360 --> 0:00:08.800 water will help you lose weight? Do not do not 0:00:09.280 --> 0:00:12.079 eat that red dye. Also, your alcohol is about to 0:00:12.080 --> 0:00:15.160 get a new warning label possibly. Did you know beer 0:00:15.520 --> 0:00:18.920 will help you get a nice tan? There's now plastic 0:00:18.960 --> 0:00:21.680 in your tea. Coffee with lemon helps you lose weight too. 0:00:21.720 --> 0:00:23.840 The food you're gonna eat tonight has probably been recalled. 0:00:23.840 --> 0:00:27.440 And oh yeah, there's a quademic you need to worry about. 0:00:27.520 --> 0:00:30.560 We have no shortage of medical headlines. Thank god, we 0:00:30.640 --> 0:00:33.559 got a doctor in studio with us today. And with that, 0:00:33.600 --> 0:00:36.360 welcome to this episode of Amy and TJ Robes. The beer. 0:00:36.400 --> 0:00:39.400 The only one on this list I would immediately debunk 0:00:40.040 --> 0:00:42.760 is the tanning with a beer. You know people had. 0:00:42.800 --> 0:00:44.600 There was a thing going around people say, you throw 0:00:44.640 --> 0:00:46.440 beer all over yourself, it helps you get a tan. 0:00:46.760 --> 0:00:51.600 That's hilarious. So does baby oil, sodas, tann accelerator. Anything 0:00:51.640 --> 0:00:55.360 that's reflective to the sun probably helps you get darker 0:00:55.480 --> 0:00:56.360 or burn faster. 0:00:56.520 --> 0:01:00.840 I didn't think about it that way actually, since yes. 0:01:00.440 --> 0:01:04.160 Who has spent part of their lives trying to be tan? Yes? 0:01:04.319 --> 0:01:07.080 I spent my whole life being tan. So it's we 0:01:07.240 --> 0:01:09.320 had different championships. 0:01:08.760 --> 0:01:13.280 You're fascinated by, like the tanning products and even Ava, 0:01:13.480 --> 0:01:16.360 my oldest going to a place where she paid to 0:01:16.480 --> 0:01:18.240 have bronzer sprayed on her. 0:01:18.360 --> 0:01:18.960 Didn't get it. 0:01:19.120 --> 0:01:19.960 You were confused. 0:01:20.000 --> 0:01:22.120 And there is a base tan we'll get into this, 0:01:22.400 --> 0:01:24.600 but there's a thing that white women do that's called 0:01:24.640 --> 0:01:27.640 base tanning before they go on vacation. Did you know this, Andy, 0:01:28.160 --> 0:01:28.480 I didn't know. 0:01:28.640 --> 0:01:31.480 You're not explaining this to any white woman listening. Oh, 0:01:31.560 --> 0:01:32.039 we all know. 0:01:32.400 --> 0:01:34.280 Oh, I'm sorry, Yes, I don't have to explain it 0:01:34.280 --> 0:01:36.679 to y'all. My bad. This isn't one of the medical headlines. 0:01:36.680 --> 0:01:39.039 This is just something that trips me out recently in 0:01:39.160 --> 0:01:43.000 discovering that you go tan before you go to the beach. Yeah, 0:01:43.120 --> 0:01:43.480 didn't know. 0:01:43.520 --> 0:01:45.280 You got to have a base hand so you don't burn. 0:01:45.520 --> 0:01:47.920 Okay. So I guess this is why we have a 0:01:47.920 --> 0:01:50.200 doctor in the house to answer our questions and so 0:01:50.240 --> 0:01:52.840 many others and robes we have done. The medical headlines 0:01:52.880 --> 0:01:55.480 that have been I guess scariest to a certain degree. 0:01:55.520 --> 0:01:58.840 We've had deadly food outbreaks. We've had some deadly ones 0:01:59.160 --> 0:02:01.480 in the past. He seemed like six to eight months 0:02:01.840 --> 0:02:03.600 it seemed like every week we were doing a new 0:02:03.600 --> 0:02:04.480 and major recall. 0:02:04.760 --> 0:02:06.800 That was It felt like that was much of twenty 0:02:06.840 --> 0:02:09.280 twenty four, hoping that twenty twenty five isn't a repeat. 0:02:09.360 --> 0:02:12.760 But again, we talked to my father who's a microbiologist, 0:02:12.760 --> 0:02:16.000 who pointed out that maybe we're just getting better at detecting. 0:02:16.320 --> 0:02:19.720 We're just getting better at connecting the dots and being 0:02:19.760 --> 0:02:23.040 able to warn people. It was always there, the food 0:02:23.360 --> 0:02:28.120 born illnesses and the bacteria all previously existed and was 0:02:28.160 --> 0:02:30.679 infecting people. We just didn't hear about it as much. 0:02:30.760 --> 0:02:33.519 So, you know, he made that's one headline. He said, 0:02:33.520 --> 0:02:36.400 you should rest easy. We're catching it and catching it earlier, 0:02:36.520 --> 0:02:38.760 so that is a good thing. But I didn't several 0:02:38.760 --> 0:02:40.639 of these I mentioned off the top, the beer tan 0:02:40.720 --> 0:02:42.520 thing I kind of laughed about. But you do have 0:02:42.600 --> 0:02:45.799 people out there now looking at studies talking about coffee 0:02:46.400 --> 0:02:49.400 with lemon helps you lose weight, and sparkling water helps 0:02:49.440 --> 0:02:50.000 you lose weight. 0:02:51.960 --> 0:02:54.799 You know what. Also eating less and exercising helps you 0:02:54.880 --> 0:02:55.520 lose weight too. 0:02:55.560 --> 0:02:58.120 Who wants to do that? If you can just have 0:02:58.200 --> 0:02:59.240 coffee with limon in. 0:02:59.240 --> 0:03:03.200 The morning to eat your French fries and your pizza yeah, 0:03:03.200 --> 0:03:03.880 that's the point. 0:03:03.880 --> 0:03:05.880 But we do have with us. Again, both a lot 0:03:05.919 --> 0:03:08.160 of these are getting our attention. I know you've been 0:03:08.160 --> 0:03:10.480 buzzing about him. You might be trying a bunch of 0:03:10.480 --> 0:03:12.600 things out there these days. So we have someone here 0:03:12.639 --> 0:03:15.280 in studio with this is going to help us confirm 0:03:15.400 --> 0:03:17.800 or in some cases maybe debunked, but debunk some of 0:03:17.840 --> 0:03:20.360 these things, but just help us answer some of our 0:03:20.440 --> 0:03:22.640 questions about the headlines we have been seeing. We do 0:03:22.720 --> 0:03:25.680 have a medical contributor at NBC News. She is also 0:03:25.720 --> 0:03:29.640 a clinical associate professor at NYU. Lang Gone, doctor Natalie 0:03:29.720 --> 0:03:33.920 Azar is in the building with us. How'd you like 0:03:33.960 --> 0:03:36.080 that intro? What did you hear in our intro there 0:03:36.480 --> 0:03:38.120 that made your ears kind of perk up? 0:03:39.000 --> 0:03:45.520 That you identified me correctly. This is amazing and I 0:03:45.520 --> 0:03:48.280 always I always find it interesting because I'm affiliated with 0:03:48.360 --> 0:03:52.200 the two ends, NBC and NYU, and I'm super loyal. 0:03:52.320 --> 0:03:54.680 I've been at NYU since nineteen ninety six and we 0:03:54.840 --> 0:03:56.760 just talked about starting my eleventh year at ABC. 0:03:56.960 --> 0:03:58.920 So yeah, you are super loyal. 0:03:59.040 --> 0:03:59.800 I am loyal. 0:04:00.320 --> 0:04:01.800 I like to find a place and stay. 0:04:01.960 --> 0:04:04.400 Isn't that cool? We'rebes We've done we obviously We've been 0:04:04.400 --> 0:04:07.720 doing this for good decades in the business, but getting 0:04:07.800 --> 0:04:12.520 someone's name and title right is so important and it 0:04:12.640 --> 0:04:14.760 sets you on a good path that you get off 0:04:14.800 --> 0:04:15.520 to a good strong. 0:04:15.400 --> 0:04:19.000 Yeah, because so often that doesn't happen, and so we're 0:04:19.040 --> 0:04:21.640 just grateful that at least we started off right. Let's 0:04:21.640 --> 0:04:24.640 hope we can continue that now as we get into 0:04:25.240 --> 0:04:28.159 the actual podcast. But we are so happy to have 0:04:28.200 --> 0:04:31.200 you here, doctor Azar. There there are so many headlines 0:04:31.200 --> 0:04:33.640 out there, as TJ just listed several of them, and 0:04:33.720 --> 0:04:36.560 there were probably even more circulating. Is there one out 0:04:36.600 --> 0:04:39.799 there that concerns you the most that people here read 0:04:39.839 --> 0:04:41.960 and then say, oh, my goodness, I'm going to do that. 0:04:42.560 --> 0:04:45.680 Well. It's interesting that you mentioned the carbonated water and 0:04:45.720 --> 0:04:50.000 the coffee with lemon. It's like, I think it kind 0:04:50.000 --> 0:04:53.599 of speaks to where we are right now, with everybody 0:04:53.800 --> 0:04:58.520 kind of a on a search for wellness number one 0:04:58.720 --> 0:05:02.240 and on a search for weight loss, which kind of 0:05:02.480 --> 0:05:05.400 opens up a little bit of Pandora's box, a little 0:05:05.400 --> 0:05:08.680 bit about how we talk about obesity in this country. 0:05:08.720 --> 0:05:11.919 You know, I still will often say to people, you know, 0:05:11.960 --> 0:05:15.040 my generation of training Gus remember fen Fen back in 0:05:15.120 --> 0:05:19.800 the nineties, right, it was. It was this medication that 0:05:19.839 --> 0:05:21.800 a lot of people took for weight loss, and it 0:05:21.920 --> 0:05:26.120 ended up resulting in a really serious condition called pulmonary hypertension, 0:05:26.200 --> 0:05:29.800 which you know even now has a high mortality, but 0:05:29.839 --> 0:05:32.880 even even back then, and I remember sort of the feeling. 0:05:33.040 --> 0:05:35.840 Back then, the way we thought about obesity and overweight 0:05:35.880 --> 0:05:38.280 and weight loss was calories and versus calories out, and 0:05:38.600 --> 0:05:41.000 that if you were overweight it was a behavioral failure. 0:05:41.080 --> 0:05:43.680 And now fast forward to where we are today, where 0:05:43.680 --> 0:05:47.120 we're talking about obesity as a disease, and in addition 0:05:47.240 --> 0:05:49.400 to calories in and calories out, there's a lot about 0:05:49.400 --> 0:05:51.640 genetics and metabolism and all this kind of stuff that 0:05:51.680 --> 0:05:56.200 contributes to people's struggle with weight. That said, you know, 0:05:56.240 --> 0:05:58.840 we still we still are hearing about all of these 0:05:58.880 --> 0:06:02.080 sort of like quick fixes and everything, and so it 0:06:02.160 --> 0:06:05.120 worries me on that level sometimes that people might be 0:06:05.200 --> 0:06:08.760 doing things that could potentially be harmful to their health 0:06:08.800 --> 0:06:12.720 that they see on TikTok or on social media and 0:06:12.880 --> 0:06:16.120 just try But I think it also again sort of 0:06:16.240 --> 0:06:19.479 highlights where people are right now that if they you know, 0:06:19.800 --> 0:06:22.520 don't have access to GLP ones or they've been on them, 0:06:22.520 --> 0:06:24.560 and they've been taken away that they're willing to do 0:06:24.760 --> 0:06:27.320 just about anything, you know, to lose weight. 0:06:27.880 --> 0:06:31.680 Yeah, and that is scary because I know my daughters 0:06:31.720 --> 0:06:35.400 who are in college get their information from TikTok yes, 0:06:35.520 --> 0:06:39.680 from social media. Yep. They don't have televisions, they aren't 0:06:39.760 --> 0:06:44.600 watching or consuming traditional news, right, and so they're there 0:06:44.600 --> 0:06:48.400 to believe everything or every headline. Some influencer says this 0:06:48.480 --> 0:06:51.640 worked for me, and then they try it. Although I 0:06:51.680 --> 0:06:53.360 will say, is there a risk in drinking too much 0:06:53.360 --> 0:06:55.560 sparkling water? Is there a risk and putting lemon in 0:06:55.600 --> 0:06:56.159 your coffee? 0:06:56.880 --> 0:07:00.839 You know, probably not, you know, sar let You know, 0:07:00.880 --> 0:07:04.880 if it's if it's naturally flavored, it's probably okay. But 0:07:04.960 --> 0:07:07.240 carbonation in general, I think too much of it isn't 0:07:07.480 --> 0:07:08.599 supposed to be that good. 0:07:08.400 --> 0:07:09.320 For me to get the bloat. 0:07:09.760 --> 0:07:14.480 You can get a bloat, absolutely, and certainly coffee with 0:07:13.840 --> 0:07:16.920 uh with lemon, you know, four hundred milligrams max a day, 0:07:16.960 --> 0:07:19.320 So if you're drinking a lot of caffeine, that's also 0:07:19.440 --> 0:07:21.080 not not the right way to go. 0:07:21.360 --> 0:07:24.080 Okay. But again, these generally, it seems like another study 0:07:24.160 --> 0:07:27.440 comes out every week saying coffee is great for you, 0:07:27.960 --> 0:07:30.720 coffee is terrible for you. Drink this much coffee and 0:07:30.760 --> 0:07:32.840 you'll live forever. But don't drink this much or you'll 0:07:32.840 --> 0:07:34.960 die soon. I mean, so what do you tell people 0:07:35.000 --> 0:07:38.160 to do with these studies that we go back and forth. Oh, 0:07:38.240 --> 0:07:40.160 this is great for you, this is terrible for you. 0:07:40.320 --> 0:07:43.320 So it's funny because my dad was a physician. My 0:07:43.400 --> 0:07:45.640 mom wasn't, but she thinks that she kind of earned 0:07:45.640 --> 0:07:48.120 two medical degrees, having been married to one and raising 0:07:48.160 --> 0:07:51.480 a daughter who became one. And she was always, you know, 0:07:51.560 --> 0:07:54.920 a little bit skeptical, you know, of medical advice, not 0:07:55.000 --> 0:07:57.720 in a conspiracy theory way, but just sort of you know, 0:07:58.320 --> 0:07:59.920 that kind of stuck with me a little bit. You 0:07:59.920 --> 0:08:01.600 know that one week we say something and then the 0:08:01.640 --> 0:08:04.880 other week we say something else. But if you will 0:08:04.920 --> 0:08:07.720 recall during the pandemic, there was criticism too of saying 0:08:07.800 --> 0:08:09.720 something and then a week later saying something else. And 0:08:09.760 --> 0:08:12.360 I think that just also just speaks to the fact 0:08:12.400 --> 0:08:16.480 that our knowledge is constantly evolving, right, And so if 0:08:16.520 --> 0:08:20.320 there's a new study that maybe comes to a different 0:08:20.360 --> 0:08:23.679 conclusion than a study before that we have to report 0:08:23.760 --> 0:08:26.520 on it. But I think we're always waiting in medicine 0:08:26.600 --> 0:08:29.440 for kind of the grand tie breaker. And I know 0:08:29.480 --> 0:08:31.920 we'll probably get to this later, but is alcohol good 0:08:31.920 --> 0:08:33.560 for you or not good for you? I think is 0:08:33.840 --> 0:08:37.240 probably the most representative of where we are right now 0:08:37.520 --> 0:08:41.080 in that classic debate of well, last week we said this, 0:08:41.120 --> 0:08:42.120 and this week we're saying that. 0:08:42.480 --> 0:08:45.480 Okay, so we can take there are people out there 0:08:45.559 --> 0:08:47.840 drinking coffee with lemon, and there are people out there 0:08:47.960 --> 0:08:50.600 drinking sparkling water thinking it's helping them lose weight. 0:08:50.960 --> 0:08:53.760 So those folks, you say, to those folks, I say 0:08:53.800 --> 0:08:58.280 that any effect is probably modest at best, and I 0:08:58.320 --> 0:09:00.360 would I wouldn't spend too much time or money on that. 0:09:00.760 --> 0:09:03.440 And given all that we've learned since the days of 0:09:03.440 --> 0:09:07.080 fen fen and I mean I remember, especially after I 0:09:07.160 --> 0:09:09.640 had had both of my daughters, having to lose weight 0:09:09.760 --> 0:09:12.800 and literally writing down my calories and going with the 0:09:12.840 --> 0:09:16.880 calories in calories out formulation, like I made it a 0:09:16.920 --> 0:09:20.640 mathematic equation, trying to get back to my pre baby weight. 0:09:20.920 --> 0:09:23.040 What do you say, now, with all the information we have, 0:09:23.200 --> 0:09:26.160 what is the best truest way to lose weight? 0:09:26.640 --> 0:09:30.679 So they're they're for a good percentage of the population, 0:09:31.000 --> 0:09:33.200 it's still that it's still I think we say about 0:09:33.200 --> 0:09:36.280 eighty percent what you eat and about twenty percent of 0:09:37.080 --> 0:09:38.000 physical activity. 0:09:38.080 --> 0:09:40.200 Hey cannot you said a good percentage of the population. 0:09:40.679 --> 0:09:43.440 Is that the formula for most folks, like how many. 0:09:43.240 --> 0:09:44.400 You know what the majority? 0:09:44.520 --> 0:09:46.920 I'm giving a full disclosure. I don't know if I 0:09:46.960 --> 0:09:50.000 have a percentage for you on that, which I think 0:09:50.080 --> 0:09:53.040 is interesting because certainly there we all know, you know, 0:09:53.120 --> 0:09:56.400 someone don't take my husband, for example, who needed to 0:09:56.400 --> 0:09:59.000 lose a little bit of weight and it wasn't overweight, 0:09:59.040 --> 0:10:01.319 but you needed to lose about ten or fifteen pounds 0:10:01.360 --> 0:10:04.640 and really got strict with his carbs and did a 0:10:04.679 --> 0:10:07.960 fantastic job. And he's always were around that. He's fifty four. 0:10:08.040 --> 0:10:11.200 I think I'm fifty four, Yes I am, and I 0:10:11.200 --> 0:10:12.760 couldn't remember for a second time. 0:10:12.760 --> 0:10:14.600 I totally thirty five. 0:10:14.800 --> 0:10:18.560 Same, so, you know, and that worked. That worked for him, 0:10:18.600 --> 0:10:20.720 you know, but it took like six months and he's 0:10:20.760 --> 0:10:22.920 been great. So But to your point, I don't know 0:10:22.960 --> 0:10:26.359 the exact percentage, but for a good percent of the population, 0:10:26.880 --> 0:10:30.160 it still works that way. And then there's everyone else, 0:10:30.320 --> 0:10:32.440 and I see them in the office. I have patients 0:10:32.440 --> 0:10:36.200 who are overweight or OBEs, and they say, I barely eat. 0:10:36.600 --> 0:10:38.160 Not that that's the right thing to do, right. We 0:10:38.200 --> 0:10:40.520 know that your metabolism can slow down if you restrict 0:10:40.520 --> 0:10:45.120 too much. But I think that our our understanding scientifically 0:10:45.720 --> 0:10:49.240 of what is sort of what the roadblock is with 0:10:49.400 --> 0:10:54.040 insulin resistance, with metabolism, with the way the body utilizes energy, 0:10:54.080 --> 0:10:58.559 the way it stores fat, the really important relationship between 0:10:58.960 --> 0:11:04.000 hormones of hunger and satiety and you know, and gastric emptying. 0:11:04.000 --> 0:11:06.800 We talk about that motility. I think there's just a 0:11:06.960 --> 0:11:12.240 very complex biological interplay there that people cannot overcome if 0:11:12.280 --> 0:11:14.640 they just start running harder on the treadmill or if 0:11:14.640 --> 0:11:17.040 they reduce their carbs. And I think, and that's what 0:11:17.120 --> 0:11:22.880 we've seen with the with the introduction of the GLP ones, 0:11:23.160 --> 0:11:26.920 that they are flipping the switch on those patients. And 0:11:26.960 --> 0:11:32.760 it's dramatic and it's really amazing. We have this conversation 0:11:33.080 --> 0:11:36.280 and in parallel, yes, we all acknowledge that we need 0:11:36.280 --> 0:11:38.920 to understand why we got to the place where we 0:11:39.080 --> 0:11:42.480 are where we're having more rates of obesity and overweight, 0:11:42.480 --> 0:11:44.480 but I think we can do that at the same 0:11:44.559 --> 0:11:48.559 time that we can still acknowledge that the GLP ones 0:11:48.559 --> 0:11:53.760 have made such an amazing impasse on this obesity epidemic, 0:11:53.960 --> 0:11:56.280 but still understanding why we got here. And it's not 0:11:56.400 --> 0:11:59.040 just all ultra process foods. It's probably a lot of 0:11:59.040 --> 0:12:00.800 things in our environment that have gotten us here. 0:12:01.080 --> 0:12:03.360 Oh and so when you say GLP ones, O, Zimbig, 0:12:03.520 --> 0:12:06.360 there are some other brand names that are out there 0:12:06.400 --> 0:12:10.000 as well. Yeah, what are the risks and who is 0:12:10.280 --> 0:12:13.199 who do you recommend that to for your patients? 0:12:13.440 --> 0:12:17.880 So what's interesting? So risk wise? You know, first of all, 0:12:17.880 --> 0:12:20.319 the glp ones have been around for a couple of decades. 0:12:20.400 --> 0:12:23.840 It's just that with ozempic, Wagovi, Manjaro, and zep bound, 0:12:24.200 --> 0:12:27.360 the four that are always in the news, more recent 0:12:27.400 --> 0:12:31.679 approvals and more dramatic weight loss than some of their predecessors. 0:12:32.280 --> 0:12:35.040 In terms of long term side effects, I don't know 0:12:35.120 --> 0:12:38.120 that we necessarily know if someone's on them for five, 0:12:38.160 --> 0:12:40.200 ten or fifteen years, if there are going to be 0:12:40.280 --> 0:12:43.440 significant side effects. I don't think that the people who 0:12:43.600 --> 0:12:46.240 study these drugs and are truly expert in them think 0:12:46.280 --> 0:12:51.679 that there's any concern about duration or cumulative dose leading 0:12:51.720 --> 0:12:54.520 to X, Y and Z. But there are some people 0:12:54.559 --> 0:12:57.960 who shouldn't be on them, people who have a personal 0:12:58.000 --> 0:13:00.760 history of certain types of thyroid cancer, who have family 0:13:00.880 --> 0:13:04.920 histories of certain type endocrine issues where there could be 0:13:04.920 --> 0:13:07.680 an increased risk of thyroid cancer, just to name a few. 0:13:07.720 --> 0:13:10.199 And then there are side effects. People can have gi 0:13:10.280 --> 0:13:12.440 side effects that are very limiting. I've had a lot 0:13:12.480 --> 0:13:16.000 of patients, you know, with either diarrhea, nausea, bloating, they 0:13:16.040 --> 0:13:19.080 just can't tolerate them. And then more serious kidney issues, 0:13:19.120 --> 0:13:22.320 pancreatitis like you know, real medical issues. And then of 0:13:22.320 --> 0:13:24.840 course the one that makes the headline when someone has 0:13:25.240 --> 0:13:27.920 a bowel obstruction where their bowel slows down so much 0:13:27.920 --> 0:13:30.200 to the point that it can become a surgical emergency. 0:13:30.600 --> 0:13:34.439 That's not common, but it can definitely happen. I think 0:13:34.480 --> 0:13:36.760 the biggest issue with them is the fact that people 0:13:36.760 --> 0:13:41.240 probably do need to stay on them indefinitely question mark. 0:13:41.720 --> 0:13:44.040 You know, I work one of my colleagues at NYU 0:13:44.080 --> 0:13:46.120 has been involved in a lot of these clinical trials 0:13:46.120 --> 0:13:48.959 and the number really stands at about you know, patients 0:13:49.000 --> 0:13:52.199 will probably regain about two thirds of the weight when 0:13:52.200 --> 0:13:55.800 they stop the medications because again that switch that was 0:13:55.800 --> 0:13:58.960 flipped gets switched back off again. And you know, some 0:13:59.120 --> 0:14:01.720 patients I have who maintained the weight loss because they're like, 0:14:01.760 --> 0:14:04.440 I really learned how to eat differently, and this is 0:14:04.760 --> 0:14:07.240 maintaining it and that's great. So not everyone is going 0:14:07.280 --> 0:14:09.040 to gain all the weight, but they don't really know 0:14:09.120 --> 0:14:11.360 yet how to identify the people who definitely will and 0:14:11.400 --> 0:14:12.120 definitely won't. 0:14:12.679 --> 0:14:16.400 Another big headline. You mentioned a moment ago alcohol. The 0:14:16.440 --> 0:14:19.120 Surgeon General yes, as he wants it to have a 0:14:19.200 --> 0:14:22.720 warning label about a cancer risk. I guess I'll ask first, 0:14:22.920 --> 0:14:25.840 is there anything new we've learned recently that would have 0:14:25.880 --> 0:14:29.840 prompted him to have this change in thinking or thinking 0:14:29.840 --> 0:14:31.880 that the government should have a changing thinking or is 0:14:31.960 --> 0:14:35.200 this just one guy decided this is what he believes. 0:14:34.920 --> 0:14:39.400 We should do, so no to you know, a new 0:14:39.440 --> 0:14:44.720 groundbreaking study that suddenly showed that alcohol was a carcinogen. 0:14:45.240 --> 0:14:49.280 In fact, alcohol has been labeled a carcinogen for a very, 0:14:49.400 --> 0:14:55.800 very long time. The Surgeon General's report came on the 0:14:55.920 --> 0:15:01.840 heels of one of two government commissions and studies. One 0:15:01.880 --> 0:15:05.240 was in December from the National Academy of Science Engineering 0:15:05.320 --> 0:15:08.720 in Medicine that actually said that drinking moderately, which is 0:15:08.760 --> 0:15:10.320 two drinks a day for men and one drink a 0:15:10.400 --> 0:15:13.040 day for women, lowered the risk of heart disease death 0:15:13.080 --> 0:15:15.880 as well as all cause mortality, but increased the risk 0:15:15.920 --> 0:15:19.160 of breast cancer. And then in January, another report from 0:15:19.360 --> 0:15:22.360 HHS basically said the sort of the same but the 0:15:22.400 --> 0:15:25.800 opposite and said, Nope, if you drink in moderation you 0:15:25.840 --> 0:15:29.400 are more likely to die overall. And yes, you're going 0:15:29.440 --> 0:15:31.600 to increase the risk of breast cancer in addition to 0:15:31.800 --> 0:15:35.960 six other cancers. So that leaves us with, oh my god, 0:15:35.960 --> 0:15:38.480 here we go again. Right, we have one report saying this, 0:15:38.520 --> 0:15:42.880 of one report saying that the Surgeon General basically said, 0:15:43.080 --> 0:15:47.080 I want to have a label on alcohol that states 0:15:47.120 --> 0:15:49.560 that it can increase the risk of cancer, on the 0:15:49.600 --> 0:15:55.080 heels of the tobacco Surgeon General's warning from the nineteen sixties, 0:15:55.120 --> 0:15:57.400 which reduced the rate of smoking by from forty two 0:15:57.440 --> 0:15:59.840 percent of the population to eighteen percent of the population. 0:16:00.080 --> 0:16:03.240 So labels can work. They're not a panacea, but they 0:16:03.600 --> 0:16:07.040 definitely can work. And I think the Surgeon General's point 0:16:07.240 --> 0:16:12.120 was alcohol is a what's called a modifiable risk factor 0:16:12.160 --> 0:16:17.080 for cancer behind obesity and smoking, the third most common 0:16:17.160 --> 0:16:21.160 preventable cause. Does that mean that if you want to 0:16:21.160 --> 0:16:23.280 guarantee you're not going to get cancer. You shouldn't drink. No, 0:16:23.320 --> 0:16:26.440 of course not, because what you eat matters, how much 0:16:26.480 --> 0:16:30.320 you exercise matters, whether you smoke matters, your family history matters. 0:16:30.600 --> 0:16:32.640 But he wants the public to be aware of that 0:16:32.760 --> 0:16:34.920 so that they can make an informed decision about their 0:16:34.920 --> 0:16:48.120 own alcohol intake. But the cancer story, to me, is 0:16:48.200 --> 0:16:51.080 very different than does a glass of red wine reduce 0:16:51.120 --> 0:16:53.080 your risk for heart disease? Because that's where you start 0:16:53.120 --> 0:16:57.520 to get into the weeds of all of these reports. 0:16:57.520 --> 0:16:59.000 And you ask me, is there a new study? 0:16:59.080 --> 0:16:59.160 No? 0:17:00.240 --> 0:17:03.960 Is there are meta analyzes? Right, that's like a review 0:17:04.240 --> 0:17:06.680 of dozens and dozens and dozens of studies, and these 0:17:06.720 --> 0:17:11.040 two government commissioned groups came to two different conclusions. So 0:17:11.080 --> 0:17:15.120 what is an individual to do. My best advice is 0:17:15.840 --> 0:17:20.240 don't start drinking to reduce your cardiovascular help. Okay, And 0:17:20.520 --> 0:17:23.000 you know red wine. The flavonoids, right, they're so good. 0:17:23.000 --> 0:17:26.560 They're antioxidants, they're anti inflammatory. But they're also in blueberries 0:17:26.600 --> 0:17:30.159 and strawberries and tea and other things that are a 0:17:30.440 --> 0:17:32.879 have more of them and be are healthier for you 0:17:33.480 --> 0:17:35.679 than alcohol. I could go on and on. Well, this 0:17:35.720 --> 0:17:36.720 is such a dicey topic. 0:17:36.760 --> 0:17:39.720 The truth is, I don't I don't know anybody who 0:17:39.840 --> 0:17:41.879 pours a glass of wine and says, wow, this is 0:17:41.920 --> 0:17:44.239 like medicine. I'm drinking this for my health. I think 0:17:44.280 --> 0:17:47.040 we're looking for an excuse to justify wanting the glass 0:17:47.080 --> 0:17:49.399 of wine. Yes, to relax and to chill and to 0:17:49.480 --> 0:17:54.119 have a mental Yeah, just to physically and mentally relax. 0:17:54.400 --> 0:17:57.280 But that's okay. Like, I don't know about you guys, 0:17:57.280 --> 0:18:01.400 but I reporting on this is devastating to me personally 0:18:01.520 --> 0:18:05.800 because I absolutely enjoy my wine. But I do think 0:18:05.840 --> 0:18:08.400 that it forced me and I'm like full disclosure here, 0:18:08.800 --> 0:18:12.800 I had to rethink my relationship also with alcohol because 0:18:13.040 --> 0:18:15.080 I really started to feel like when I get home 0:18:15.080 --> 0:18:18.280 from my crazy busy days that I really like earned 0:18:18.359 --> 0:18:21.040 that glass of wine, you know, and I wanted to. 0:18:21.160 --> 0:18:22.840 And it's forced me to have a little bit of 0:18:22.880 --> 0:18:25.080 a different relationship with it, just because like I have 0:18:25.160 --> 0:18:27.880 that nagging Am I increasing the risk? You know, I'm 0:18:27.960 --> 0:18:30.120 at a higher risk for breast cancer and things like that? 0:18:30.680 --> 0:18:34.680 But you know, Amy to your point about just sort 0:18:34.680 --> 0:18:37.080 of thinking about wine, and a lot of people have 0:18:37.080 --> 0:18:38.840 written about this now. I think there's so much out 0:18:38.880 --> 0:18:40.760 there that's really good for people to read about this. 0:18:41.080 --> 0:18:43.840 You've heard about the French paradox, right, So this was 0:18:43.920 --> 0:18:47.879 I think a sixty minutes episode Morally Safer from nineteen 0:18:48.000 --> 0:18:51.040 ninety one, right, who reported on this and said, the 0:18:51.160 --> 0:18:55.800 French who drink wine every day and have lower rates 0:18:55.800 --> 0:18:59.320 of heart disease and this, this, this than Americans. Why 0:18:59.440 --> 0:19:03.679 is that happening? And the takeaway from the episode was 0:19:03.680 --> 0:19:05.919 that it must be the wine. Drink more wine, and 0:19:05.960 --> 0:19:10.200 wine sales just skyrocketed after that, when in fact, you know, yes, 0:19:10.280 --> 0:19:11.840 they have a lot of butter and cheese and all 0:19:11.880 --> 0:19:13.760 of those things, but the French diet is also kind 0:19:13.760 --> 0:19:17.320 of a Mediterranean diet, and there's so many confounding variables. 0:19:17.320 --> 0:19:19.160 People who drink a glass of wine a day are 0:19:19.320 --> 0:19:23.000 probably also more likely to have healthy foods and things 0:19:23.040 --> 0:19:24.800 like that that you can't account for in these studies. 0:19:24.920 --> 0:19:27.240 That was my question, because actually I think it was 0:19:27.280 --> 0:19:30.600 similar to that. I was reading an article about that saying, 0:19:30.640 --> 0:19:32.879 for if you think about it like this, every drink 0:19:33.040 --> 0:19:37.240 you drink, you're potentially losing five minutes of your life. 0:19:37.600 --> 0:19:38.480 Is that the same article? 0:19:38.520 --> 0:19:41.439 Because I atlantic, yes, yes, my best friends send it 0:19:41.440 --> 0:19:43.119 to me because we're trying to figure out what we're 0:19:43.160 --> 0:19:44.080 going to do with our lives. 0:19:44.160 --> 0:19:47.240 Yes, because yes, you're talking to people who love, yes 0:19:47.480 --> 0:19:50.159 to have a glass or two, and we take it 0:19:50.280 --> 0:19:54.440 very easy. In January. TJ's dry in January. I went 0:19:54.560 --> 0:19:59.440 damp this January. But if I think about every drink, okay, 0:19:59.440 --> 0:20:01.600 am I willing to give up five minutes of my 0:20:01.680 --> 0:20:04.080 life for this drink? That it forces you to look 0:20:04.080 --> 0:20:07.960 at it differently. But my question is with h S. 0:20:08.080 --> 0:20:10.160 I'm looking at the website right now. Yeah, it says 0:20:10.240 --> 0:20:13.520 seven hundred and forty one thousand, three hundred cancer cases 0:20:13.560 --> 0:20:17.280 worldwide were you attributed to alcohol consumption in twenty twenty. 0:20:17.920 --> 0:20:20.000 With all of the other factors, how you eat, how 0:20:20.080 --> 0:20:22.160