WEBVTT - FULL INTERVIEW: Dr. Rameck Hunt Talks Obesity, Diet Changes, + More 0:00:02.520 --> 0:00:02.800 Wam. 0:00:04.000 --> 0:00:06.720 What's up? Is way up at Angela yee. I'm Angela yee. 0:00:06.720 --> 0:00:09.880 And Mano is here. And Meno has been complaining and 0:00:09.920 --> 0:00:13.440 saying that he is battling OBCD every day now. And 0:00:13.480 --> 0:00:15.280 so what I did was I took the liberty to 0:00:15.360 --> 0:00:19.079 invite a very special friend, doctor Ramik Hunt. 0:00:19.239 --> 0:00:20.840 What's up? What's up with doctor Hunt? 0:00:20.880 --> 0:00:21.320 How are you? 0:00:21.600 --> 0:00:22.880 I'm good, I'm good. How you doing? 0:00:23.000 --> 0:00:23.639 I'm good? Thank you. 0:00:23.560 --> 0:00:27.080 You are an obesity medicine specialist and you're an author, 0:00:27.240 --> 0:00:30.200 no guess work right, and that is a weight loss program. 0:00:30.200 --> 0:00:32.800 But you also have you founded an obcit clinic? 0:00:32.960 --> 0:00:33.160 Yes? 0:00:33.280 --> 0:00:37.040 Yeah, yeah, And in printing about ten years ago when 0:00:37.080 --> 0:00:40.920 I had a patient who was battling obesity, and I 0:00:40.960 --> 0:00:43.720 really couldn't help her because we don't really learn a 0:00:43.720 --> 0:00:46.000 lot about OBCD in medical school, and so the only 0:00:46.840 --> 0:00:49.880 knowledge we get in medical school is forwards, eat less. 0:00:49.720 --> 0:00:50.880 Move more, That's it. 0:00:51.240 --> 0:00:53.560 And so that's what I told her, and that was 0:00:53.720 --> 0:00:57.760 that wasn't helpful, of course, But when she came back 0:00:57.800 --> 0:01:00.160 in one day, she had gained some more weight. She 0:01:00.240 --> 0:01:03.040 was really really trying. And I talk about this in 0:01:03.080 --> 0:01:05.480 a book. I asked a question. I was like you know, 0:01:05.600 --> 0:01:08.520 are your children obese? And I wasn't trying to be like, 0:01:08.880 --> 0:01:11.680 you know, offensive of anything like that. And I hope 0:01:11.720 --> 0:01:13.600 the way I said it didn't she didn't feel that way, 0:01:13.640 --> 0:01:17.880 but she started to cry and when she left, like 0:01:17.959 --> 0:01:20.640 her whole life changed. Like long story short, about a 0:01:20.720 --> 0:01:22.840 year later, she came in one hundred pounds less and 0:01:22.920 --> 0:01:25.360 she thanked me for it, and I was like, I 0:01:25.400 --> 0:01:28.280 ain't really do nothing, you know, but it made me 0:01:28.319 --> 0:01:31.640 want to go out and learn more. And so I 0:01:31.680 --> 0:01:35.080 just google like obesity doctors like because it wasn't anything 0:01:35.120 --> 0:01:39.360 like that out there. And then the organization I'm a 0:01:39.360 --> 0:01:44.200 part of, the Obesity Medicine Association. I went to that 0:01:44.280 --> 0:01:46.920 conference and then I got I trained, got board certified, 0:01:46.920 --> 0:01:48.560 and started started to practice. 0:01:49.120 --> 0:01:51.200 I love that because right now that's a hot topic 0:01:51.320 --> 0:01:53.600 right and as of late, we see a lot of 0:01:53.760 --> 0:01:57.880 celebrities and now that's trickled down people using these weight 0:01:57.960 --> 0:02:01.080 loss drugs that have been causing them to drop crazy 0:02:01.120 --> 0:02:03.600 amounts of way. We've heard of ozempic and with Govy 0:02:04.040 --> 0:02:06.120 and so I really wanted to bring you on here 0:02:06.600 --> 0:02:10.440 just to talk about so much that's been happening, mano, 0:02:10.600 --> 0:02:13.320 Like I said, every day comes in here and complains. 0:02:13.200 --> 0:02:15.960 And then I'm guilty of like buying pizza and stuff 0:02:16.000 --> 0:02:19.360 like that with the battle on them faced with and 0:02:19.400 --> 0:02:22.000 then you know, cheese. It's in the corner every single day. 0:02:22.320 --> 0:02:24.000 So I just wanted there's so many different things I 0:02:24.040 --> 0:02:27.280 want to talk about with you, because you talk about resetting, 0:02:27.400 --> 0:02:29.720 what your weight is, you talk about Grellin, and I 0:02:29.720 --> 0:02:32.160 remember we had a great conversation about that. 0:02:32.240 --> 0:02:33.680 I pay attention, No you do. 0:02:33.800 --> 0:02:36.040 I mean, last time mob was up, there was a battle. 0:02:36.040 --> 0:02:37.799 But but I think me and May are gonna be good. 0:02:37.919 --> 0:02:40.799 Yeah, I think so too. Yeah, So what is the 0:02:40.840 --> 0:02:43.960 cause of obesity? Because some people think, like you said, 0:02:44.000 --> 0:02:47.120 it's just that you're eating too much and you're not exercising, 0:02:47.120 --> 0:02:50.079 because people will look at you, just like Lizzo right. 0:02:50.120 --> 0:02:52.600 For instance, Lizzo works out all the time, she's a 0:02:52.600 --> 0:02:56.639 healthy diet, she's a vegetarian. But people always are like, oh, 0:02:56.720 --> 0:02:59.160 she's not doing anything, and they criticize her and they 0:02:59.160 --> 0:03:02.120 body shame her all the time. So can you talk 0:03:02.160 --> 0:03:05.280 about what is the reason why some people can appear 0:03:05.320 --> 0:03:06.040 to be OBEs? 0:03:06.520 --> 0:03:06.760 Yeah? 0:03:06.840 --> 0:03:10.239 So I actually take care of a lot of celebrities too, 0:03:10.480 --> 0:03:14.040 And one of the things I tell anybody who I 0:03:14.080 --> 0:03:17.200 take care of is that obesity is a disease just 0:03:17.240 --> 0:03:20.880 like any other disease, like high blood pressure or diabetes, 0:03:21.040 --> 0:03:25.520 and our bodies have set points. Like, for instance, you 0:03:25.520 --> 0:03:27.560 have a set point for your PhD seven point four h. 0:03:27.880 --> 0:03:30.160 If you deviate from that set point, your body brings 0:03:30.160 --> 0:03:31.919 you back. You don't have to will power your way 0:03:31.919 --> 0:03:34.119 back to seven point four. Oh, your temperature is set 0:03:34.120 --> 0:03:36.480 at ninety eight point six. If you deviate, if you 0:03:36.520 --> 0:03:38.520 go up, you're gonna sweat. If you go down, you're 0:03:38.520 --> 0:03:41.280 gonna shiver. Those are set points. Your body has a 0:03:41.320 --> 0:03:44.440 set point for your weight as well. It's like think 0:03:44.440 --> 0:03:46.400 of it as a thermostat. So if your thermostat is 0:03:46.400 --> 0:03:49.720 set at eighty and then your temperature goes down, the 0:03:49.760 --> 0:03:52.160 furnace kicks in and then it brings it back to eighty, 0:03:52.160 --> 0:03:54.720 and the furnace shuts off. If the temperature goes up, 0:03:55.160 --> 0:03:57.960 the ac cuts turns on and it goes brings you 0:03:58.000 --> 0:04:02.120 back to eighty and it shuts off. Has the same mechanism, 0:04:02.160 --> 0:04:05.440 but it does it with hormones. One of the hormones 0:04:05.560 --> 0:04:07.240 is called grellin. I call it in my book the 0:04:07.320 --> 0:04:11.360 hunger grimlin. So Grellin activates your craving center in your brain. 0:04:11.960 --> 0:04:15.800 And then there are these other satiating hormones in your gut, 0:04:15.920 --> 0:04:18.400 which is actually the Olympics and the will govies of 0:04:18.440 --> 0:04:22.400 the world. They pharmaceutical companies were able to manufacture it, 0:04:22.640 --> 0:04:25.200 and so those it's seven of them. So these seven 0:04:25.240 --> 0:04:29.160 hormones fight against this one big bag grelling. And so 0:04:29.240 --> 0:04:32.760 the way your body works is if you lose weight, 0:04:33.040 --> 0:04:34.640 your body wants you to get back to your set 0:04:34.640 --> 0:04:37.760 point weight. Let's say it's two fifty, so you two hundred. 0:04:37.800 --> 0:04:40.000 It's gonna get you back there. So how it does 0:04:40.160 --> 0:04:42.440 like it can't make you grab a big mac. But 0:04:42.560 --> 0:04:45.560 what your body can do is increase your grelling tenfold 0:04:45.920 --> 0:04:48.279 and reduce your satiating hormones, the one that makes you 0:04:48.279 --> 0:04:52.440 feel satisfied and full to zero, so you never quite 0:04:52.440 --> 0:04:55.560 feel sensitari and you always like I just want something. 0:04:56.160 --> 0:04:58.280 And so that's why I say this is not a 0:04:58.320 --> 0:05:00.880 willlpower disease. It is not the person's fault. It has 0:05:00.920 --> 0:05:04.560 to do with hormoes, the grimlin. It's the criminal. And 0:05:04.640 --> 0:05:07.680 sure everybody has some you know, steak in the game. 0:05:07.720 --> 0:05:10.240 Obviously you got to put in the work. But like 0:05:10.279 --> 0:05:12.320 we do rat studies, Well, we stick a catheter in 0:05:12.400 --> 0:05:14.960 the rat's brain and we infuse grelin or the grimlin 0:05:15.320 --> 0:05:18.120 and they eat e e eat until they vomit. Same rat, 0:05:18.160 --> 0:05:20.840 you stick a catheter in their brain and you block grelling. 0:05:21.040 --> 0:05:23.320 They stare at the food and they at the until 0:05:23.320 --> 0:05:26.960 they starved at that because like, this is the one 0:05:27.000 --> 0:05:30.039 powerful these hormones are. So when people say, oh, it's 0:05:30.120 --> 0:05:32.560 just will power, you just will power is an emotion. 0:05:32.839 --> 0:05:35.320 It is like love hate. It is so you could 0:05:35.360 --> 0:05:36.800 you could get up on the wrong side of the 0:05:36.800 --> 0:05:38.880 bed and not have willpower that there. So that is 0:05:38.920 --> 0:05:40.840 not a good strategy for the city. 0:05:41.200 --> 0:05:43.840 And so how can you how can yeah, how can 0:05:43.880 --> 0:05:46.120 you reset your set point? Then? Because I feel like 0:05:46.120 --> 0:05:47.360 the set point changes too. 0:05:47.680 --> 0:05:49.599 You know, when you're younger, you're like, okay, I was 0:05:49.600 --> 0:05:52.159 one twenty and a few years later one thirty, then 0:05:52.200 --> 0:05:54.520 a few years later one thirty five, and your set 0:05:54.560 --> 0:05:55.479 point keeps on changing. 0:05:55.480 --> 0:05:56.360 How can you reset that? 0:05:56.480 --> 0:05:58.440 Or can you that's a good that's a very good 0:05:58.480 --> 0:06:02.680 question that we and specialists in obcit space fight over 0:06:02.720 --> 0:06:05.880 all the time. I'm in the camp that you can 0:06:05.960 --> 0:06:09.640 reset your set point, but it takes many, many years. 0:06:09.680 --> 0:06:11.800 So the set point has to do with a lot 0:06:11.839 --> 0:06:15.599 of inflammation in your brain in this area called the 0:06:15.720 --> 0:06:19.360 hypothalamus and a smaller area called the arcuate nucleus, and 0:06:19.480 --> 0:06:22.360 that area gets inflamed and that changes your set point. 0:06:22.560 --> 0:06:24.240 And a lot of things change your set point. The 0:06:24.279 --> 0:06:24.800 types of. 0:06:24.720 --> 0:06:28.000 Food that we particularly carbohydrates, and so when people say 0:06:28.000 --> 0:06:31.000 things like, oh, I'm eating bright, they might be like, 0:06:31.040 --> 0:06:34.240 they have this if you have a Soto's commercials back 0:06:34.279 --> 0:06:34.600 in the day. 0:06:34.600 --> 0:06:35.880 They don't put them on the air anymore. 0:06:35.880 --> 0:06:38.960 But when they had kids that were starving, so you 0:06:39.080 --> 0:06:42.040 had the one set of kids that were really, really skinny, 0:06:42.880 --> 0:06:45.159 and then you can see their ribs, right, that's one 0:06:45.160 --> 0:06:48.360 set that's called Those kids are called morassmus kids, that's 0:06:48.760 --> 0:06:51.440 the medical term for it. But then the other kids 0:06:51.520 --> 0:06:53.880 were skinny in their arms and legs, and then they had. 0:06:53.839 --> 0:06:54.680 A big old belly. 0:06:55.600 --> 0:07:00.159 Those kids ate enough calories, but they were poor, so 0:07:00.240 --> 0:07:05.280 they couldn't eat or get protein like meat basically, so 0:07:05.520 --> 0:07:09.080 they would only eat grains. I eat carbs, and so 0:07:09.240 --> 0:07:12.680 their belly is not just fluid, it's actually fat. But 0:07:12.720 --> 0:07:14.160 then you got to be like, well, then how they 0:07:14.160 --> 0:07:17.360 have energy for their bodies. Well, their body had to 0:07:17.400 --> 0:07:19.520 take the energy from their muscle, which is why their 0:07:19.680 --> 0:07:22.240 arms and legs are skinny. So what's a science to this? 0:07:22.320 --> 0:07:25.120 So if you eat a lot of carbohydrates, you will 0:07:25.160 --> 0:07:28.440 gain weight and so so part of what we do 0:07:28.560 --> 0:07:31.240 is we tell people to limit their carbohydrates and learn 0:07:31.280 --> 0:07:34.640 how to navigate in this low carb world, I mean 0:07:34.680 --> 0:07:36.440 this high carb worold we live in a high carbor 0:07:36.600 --> 0:07:37.680 We definitely could. 0:07:37.680 --> 0:07:43.560 I'd be having them carb craving, not as like bread 0:07:43.560 --> 0:07:47.960 though away from bread, yes, it's hard. It doesn't matter 0:07:48.000 --> 0:07:49.840 what hype of bread to eat though, because I'm always like, Okay, 0:07:49.840 --> 0:07:50.480 I'm gonna. 0:07:50.240 --> 0:07:53.240 Get some ezekiel bread or something. Well, so wheat. 0:07:53.520 --> 0:07:56.720 That's funny about wheat because like the government allows you 0:07:56.760 --> 0:07:58.840 to say it's wheat if you just sprinkle a little 0:07:58.880 --> 0:08:00.440 wheat on it, if it's a little around, so it 0:08:00.480 --> 0:08:01.600 doesn't have to be like. 0:08:03.080 --> 0:08:03.720 Whole week. 0:08:06.000 --> 0:08:08.280 The one hundred is one hundred percent of the things 0:08:08.280 --> 0:08:13.040 that they dropped in the flower that was yeah, exactly, 0:08:13.560 --> 0:08:15.400 if you if you got a bread that's full of fiber, 0:08:15.440 --> 0:08:17.840 because that's what that's what wheat is basically, right, it's 0:08:17.880 --> 0:08:19.880 a car, but it's a fiber. A fiber is harder 0:08:19.880 --> 0:08:22.520 to break down. In fact, some fiber doesn't get broke down. 0:08:22.520 --> 0:08:24.960 It just comes out in your stool. But if you 0:08:25.000 --> 0:08:28.320 were to eat like a real, like straight up fiber bread, 0:08:28.400 --> 0:08:30.280 it would it would taste like cardboard. 0:08:30.320 --> 0:08:32.040 Now to mind you, we do. They do sell them, 0:08:32.080 --> 0:08:33.520 and some of them are okay. 0:08:33.280 --> 0:08:34.320 And they do taste like carb. 0:08:35.600 --> 0:08:38.800 You put a lot of butter on it, you'll be okay. 0:08:39.840 --> 0:08:43.120 And I also so now maynokep On saying that he's 0:08:43.160 --> 0:08:44.280 battling obese. 0:08:44.040 --> 0:08:46.520 I'm clinically. When you look at me, I'm clinically. 0:08:46.120 --> 0:08:48.080 And and I want to discuss that because they just 0:08:48.160 --> 0:08:51.440 said the American Metal Association has adapted a new policy 0:08:51.480 --> 0:08:54.560 on healthy weight assessment because they did say that the 0:08:54.600 --> 0:08:59.280 bar for what they're saying is obese is racist in 0:08:59.320 --> 0:09:01.200 the way that it was. So can you touch on 0:09:01.240 --> 0:09:03.280 that a little bit because this report just came out. 0:09:03.440 --> 0:09:06.480 As far as I'm considering other factors including body composition, 0:09:06.840 --> 0:09:08.440 belly fat, and waste circumference. 0:09:08.760 --> 0:09:15.800 Yes, shout out to doctor Fatima Cody Stanford. Doctor Stanford 0:09:15.880 --> 0:09:19.280 is in Harvard and she's an African American female, and 0:09:19.320 --> 0:09:21.280 she has been a champion of that for a long 0:09:21.280 --> 0:09:25.240 long time and she's a good friend of mine, and 0:09:25.520 --> 0:09:29.559 so she has done studies to show that different be 0:09:29.720 --> 0:09:33.920 and mys for different different ethnicities have different risk factors 0:09:34.000 --> 0:09:38.520 for diabetes and high blood pressure. So, for instance, Asian population, 0:09:38.920 --> 0:09:41.640 we use it being my thirty for obesit in America, 0:09:42.080 --> 0:09:47.240 but Asian would start to what we consider obese at 0:09:47.360 --> 0:09:49.880 lower like twenty seven would be their OBC. 0:09:49.960 --> 0:09:53.120 And so in African American men and women are different. 0:09:53.160 --> 0:09:56.600 So the push is to be more specific and not 0:09:57.120 --> 0:09:59.599 one size fit all for the being my because of 0:09:59.679 --> 0:10:01.840 being my, it's just your height and your weight. 0:10:02.000 --> 0:10:04.280 And then that's it. What if you're a football player, 0:10:04.320 --> 0:10:06.280 you all muscle, right, you're not obese. 0:10:06.320 --> 0:10:08.120 You don or you might not be obese. 0:10:08.160 --> 0:10:12.240 I'm not a football player, but. 0:10:12.240 --> 0:10:15.800 You can't look at somebody and say this person is obese. 0:10:15.520 --> 0:10:17.360 Right, because I've been to adoptors and then they get 0:10:17.400 --> 0:10:21.240 you on the scale, right, and then they check and 0:10:21.280 --> 0:10:24.839 see how told you all and say, well, at this height, 0:10:24.960 --> 0:10:28.640 this is what feet you should be one and it. 0:10:28.720 --> 0:10:31.640 Be ridiculous, every ridiculous, like this. 0:10:31.600 --> 0:10:34.000 Is what they say, and I'm like, well, I'm one 0:10:34.120 --> 0:10:36.960 ninety five obese. 0:10:37.160 --> 0:10:37.840 So it's not right. 0:10:37.960 --> 0:10:40.599 It's not right, it's it's the problem with the B 0:10:40.760 --> 0:10:45.400 in my is that it is a very cost effective 0:10:45.440 --> 0:10:49.240 or cheap way to be able to identify somebody who 0:10:49.360 --> 0:10:50.200 has obesity. 0:10:50.600 --> 0:10:52.800 But it's it's not personally. 0:10:52.800 --> 0:10:54.240 It's not a one size fits it's not. 0:10:54.200 --> 0:10:56.280 A one size Because what I would do if you 0:10:56.320 --> 0:10:57.760 came to me, man, I would put you on this 0:10:57.800 --> 0:11:00.600 body composition machine, this BIA which you stand on. 0:11:00.640 --> 0:11:02.760 It's like a star Trek scale look like. 0:11:03.080 --> 0:11:05.520 And so you stand on it and these electricity comes 0:11:05.520 --> 0:11:09.080 through your body, very small current. And the way we 0:11:09.160 --> 0:11:13.760 tell your fat, water and muscle is the speed at 0:11:13.800 --> 0:11:16.200 which that electricity goes through your body. And then I 0:11:16.240 --> 0:11:21.920 could calculate that Let's say your muscle mass weighs seventy pounds, 0:11:21.960 --> 0:11:25.600 your fat mass weighs ninety pounds, and so I use 0:11:25.679 --> 0:11:27.800 that and I do that for patients every two to 0:11:27.880 --> 0:11:30.840 three months so that we can see if they're losing fat, 0:11:30.960 --> 0:11:33.840 muscle both. And that allows me to be able to 0:11:34.360 --> 0:11:37.520 give them a specific prescription for themselves and say, hey, 0:11:37.679 --> 0:11:40.120 you need to eat thirty grams more of protein. And 0:11:40.160 --> 0:11:43.520 then you know, we do segmental what we call BIA's 0:11:43.679 --> 0:11:46.520 the body composition, so I'll know how much muscle you 0:11:46.600 --> 0:11:47.360 got in the left rom. 0:11:47.320 --> 0:11:49.360 Versus the right, your left leg versus your right. 0:11:49.679 --> 0:11:51.840 So we put people on the machine, and I'm able 0:11:51.960 --> 0:11:54.360 so the tools that I have, I'm able to do 0:11:54.600 --> 0:11:59.080 more tailored, tailored treatments. But everybody can't do that because 0:11:59.120 --> 0:12:02.120 my machine costs with teen thousand dollars, so everybody, every 0:12:02.200 --> 0:12:03.319 doctor can't put one another. 0:12:04.559 --> 0:12:06.160 Yes, it's Jersey. 0:12:08.000 --> 0:12:08.320 Machine. 0:12:08.320 --> 0:12:10.480 I'm coming for the Star Trek electricity. 0:12:11.840 --> 0:12:12.960 And I want to ask you this. 0:12:13.120 --> 0:12:15.320 So as far as medication, now, let's talk about this 0:12:15.440 --> 0:12:16.080 crazy that's. 0:12:15.960 --> 0:12:16.559 Been going on. 0:12:16.640 --> 0:12:21.800 Because originally ozimpic was for type two diabetes. Correct correct, right, 0:12:21.840 --> 0:12:23.800 And so now a lot of people have been using 0:12:23.840 --> 0:12:27.000 that to drop the weight like this, How safe is that? 0:12:27.200 --> 0:12:29.160 And because I've been hearing a lot of different things, 0:12:29.240 --> 0:12:32.360 if you stop using it, the weight comes back. It's expensive, 0:12:32.520 --> 0:12:34.240 and it's something that you have to continue to be 0:12:34.320 --> 0:12:36.600 on and if you get off of it, you know, 0:12:36.679 --> 0:12:39.800 then it loses everything that's happened to you. I've heard 0:12:39.920 --> 0:12:42.439 instances where people have said it's caused them to lose 0:12:42.480 --> 0:12:45.040 their vision and things like that because there are side 0:12:45.080 --> 0:12:47.240 effects that can come with that, and I know people 0:12:47.280 --> 0:12:49.880 who have used it and have had to stop for 0:12:49.920 --> 0:12:51.880 whatever reason. And then some people are saying, well, people 0:12:51.920 --> 0:12:54.880 can't get their diabetes medication because people are using. 0:12:54.720 --> 0:12:55.720 This just for weight loss. 0:12:55.920 --> 0:12:58.760 How safe is it to use something like ozempic and 0:12:59.559 --> 0:13:01.720 is it a long term solution or what is it? 0:13:01.880 --> 0:13:04.920 That's so, you gave me a bunch, but I'm gonna 0:13:04.920 --> 0:13:07.480 try to be brief, even though I'm not a brief person, 0:13:07.520 --> 0:13:10.760 but anyway, I'm gonna be brief. So before ozempic, there 0:13:10.800 --> 0:13:13.040 was BY eight of which is like fifteen twenty years old, 0:13:13.040 --> 0:13:16.080 so it's the same class or drugs. I've been using 0:13:16.080 --> 0:13:19.680 ozmpic for years before any celebrity knew about it, because 0:13:19.720 --> 0:13:22.680 we know the mechanism is one of those satiating hormones 0:13:22.720 --> 0:13:24.640 that I was talking to you about. So let's get 0:13:24.679 --> 0:13:29.520 back to what it's used for. It's used for diabetes 0:13:29.520 --> 0:13:34.880 type two diabetes, but it's also used with used for obesity. 0:13:34.559 --> 0:13:39.400 The generic name of it is semaglatide, but the FDA 0:13:39.520 --> 0:13:42.040 made us change the name. If we are using it 0:13:42.080 --> 0:13:44.480 for diabetes, we got to call it ozimpic. If we're 0:13:44.559 --> 0:13:47.160 using it for obesity. We got to call it we goovi, 0:13:47.280 --> 0:13:49.120 so it's very clear as to what. 0:13:49.280 --> 0:13:51.560 But it's the same thing, the exact same drugs. That's crazy. 0:13:51.559 --> 0:13:52.520 Idn't know it was the same thing. 0:13:52.600 --> 0:13:55.560 Okay, exact same drug. We put it in different pins. 0:13:55.600 --> 0:14:00.880 The Goovi pin looks different than the ozempic pin, but 0:14:00.920 --> 0:14:04.680 that's intentional. So it's exact same medication. So when people 0:14:04.760 --> 0:14:07.679 say they can't get it and they use it for 0:14:07.760 --> 0:14:12.720 their type, their diabetes, and people are using it for obesity, again, 0:14:12.800 --> 0:14:15.360 that means that you don't respect obesity as a disease 0:14:15.400 --> 0:14:18.360 because it's obesity is a disease just like diabetes, and 0:14:18.400 --> 0:14:20.880 in fact, obesity causes diabetes. 0:14:21.000 --> 0:14:22.880 Obesity causes hypertension. 0:14:23.000 --> 0:14:26.440 So if you have an obesity centric approach to taking 0:14:26.440 --> 0:14:29.240 care of a patient, you will cure there or control 0:14:29.320 --> 0:14:31.600 their diabetes and their high blood pressure and all these 0:14:31.600 --> 0:14:36.960 other things. And so it is absolutely appropriate to use 0:14:37.000 --> 0:14:40.040 these medicines for obesity. In fact, obesity is the number 0:14:40.080 --> 0:14:43.480 one disease in this country, in fact the world, more 0:14:43.520 --> 0:14:49.160 so than high blood pressure, diabetes, cancer, everything, and obesity 0:14:49.240 --> 0:14:52.400 causes all these things. It's an inflammatory process, so it 0:14:52.480 --> 0:14:57.200 actually leads to cancers, it's associated specifically with thirteen cancers, 0:14:57.240 --> 0:15:01.800 but many more it's associated with and particularly guy cancers 0:15:01.800 --> 0:15:04.040 like so uterine cancer, breast cancer, all these things. So 0:15:04.600 --> 0:15:07.120 obesity is something that we should use to treat it. Now, 0:15:07.840 --> 0:15:12.200 as far as the side effects that you were saying, Angela, 0:15:13.240 --> 0:15:16.840 like the the vision thing, that is a rare thing 0:15:16.880 --> 0:15:17.720 that actually could happen. 0:15:17.760 --> 0:15:19.360 It's not like something new that we didn't know. 0:15:20.480 --> 0:15:25.920 It's because you can correct someone's sugar googles very rapidly 0:15:25.960 --> 0:15:28.480 when you use these medications, because they're very effective, and 0:15:28.560 --> 0:15:30.200 so they have a black box like go on there 0:15:30.240 --> 0:15:32.640 to say, hey, you know, make sure your your your 0:15:32.680 --> 0:15:33.400 eyes are okay. 0:15:34.400 --> 0:15:34.680 But the. 0:15:36.480 --> 0:15:39.120 What it causes this thing called diabetical right napathy. It 0:15:39.440 --> 0:15:42.880 actually is a temporary thing and it's very very rare. 0:15:42.880 --> 0:15:46.720 I've never seen it. But other diabetes drugs do the 0:15:46.720 --> 0:15:49.040 same thing. So insulin even has that warning on it 0:15:49.080 --> 0:15:52.160 that it can correct your sugar so so rapidly that 0:15:52.200 --> 0:15:55.400 it can affect your vision. So that's actually not a 0:15:55.400 --> 0:16:00.040 big deal. The other things that these drugs like the 0:16:00.040 --> 0:16:03.880 Olympics and amandyros and the Govies of the world can 0:16:03.920 --> 0:16:08.720 cause our mostly gi side effects because the hormone you 0:16:08.840 --> 0:16:13.000 produce in your body. It's it's the pharmaceutical company manufactured. 0:16:13.080 --> 0:16:15.760 So it's ninety eight ninety four to ninety eight percent 0:16:16.120 --> 0:16:18.760 similar to what we all produce and so and it's 0:16:18.800 --> 0:16:19.840 produced in your gut. 0:16:20.040 --> 0:16:21.640 So the biggest side. 0:16:21.520 --> 0:16:26.000 Effect is, particularly if you overeat, is nausea and vomiting. 0:16:26.320 --> 0:16:28.840 And so that's why we ty trate the dose up 0:16:28.920 --> 0:16:31.640 very slowly over three to four months actually, so that 0:16:31.720 --> 0:16:33.360 you won't get that nausea. 0:16:33.400 --> 0:16:35.600 Vominating can cause, rhea rarely can cause. 0:16:35.680 --> 0:16:38.800 So it suppresses your appetite, is right? Okay? 0:16:38.920 --> 0:16:41.560 Because I also saw the doctor they said that created 0:16:41.600 --> 0:16:44.560 the what is it called the semug sema glue tide, 0:16:44.600 --> 0:16:46.800 said that it makes life very boring and people won't 0:16:46.800 --> 0:16:48.760 want to be on it for extended periods of time 0:16:49.000 --> 0:16:51.080 because it makes you not enjoy food. 0:16:51.240 --> 0:16:52.240 You don't want to go out and eat. 0:16:52.520 --> 0:16:53.320 No, that's not true. 0:16:53.360 --> 0:16:55.760 You know how we love having our parties up here? 0:16:56.560 --> 0:16:59.200 I don't. That's right, that's right, man, that's right. 0:16:59.520 --> 0:17:01.480 Okay. So what happens if you stop taking it? 0:17:01.560 --> 0:17:01.760 Right? 0:17:01.840 --> 0:17:02.800 Does the weight come back? 0:17:03.160 --> 0:17:05.960 So we we've were not we because the nova notice 0:17:06.040 --> 0:17:07.320 is the one that the. 0:17:08.960 --> 0:17:10.280 Has Ozimpic and Mogov. 0:17:11.480 --> 0:17:16.400 But there we've done studies or they've done studies on 0:17:16.480 --> 0:17:21.000 that specifically. And so when you stop the medication, roughly 0:17:21.000 --> 0:17:25.760 about eighty percent of people regain their weight and not 0:17:26.160 --> 0:17:28.080 when you look at the curve because they went out 0:17:28.080 --> 0:17:29.600 the three years. When you look at the curve, it 0:17:29.680 --> 0:17:32.200 goes up, but it doesn't go completely to where their 0:17:32.240 --> 0:17:35.639 starting weight is. But the but but the thought is 0:17:35.680 --> 0:17:37.760 that if they if they kept the study going, you 0:17:37.800 --> 0:17:40.640 would probably see it go right back to your baseline. 0:17:40.160 --> 0:17:42.520 Weight, which proves the second point. 0:17:42.320 --> 0:17:44.360 Theory and the Grelland but what I want to say 0:17:44.359 --> 0:17:48.879 about that is this is the same medication Ozmpic or 0:17:49.000 --> 0:17:52.920 with Goov that if you had diabetes, you would stay 0:17:52.960 --> 0:17:55.240 on it for life to control your diabetes. 0:17:55.760 --> 0:17:58.000 If you have obesity, most. 0:17:57.760 --> 0:17:59.879 People would need to stay on it for life to 0:18:00.040 --> 0:18:03.600 control their obesity. Now what I do is if you 0:18:03.720 --> 0:18:07.840 come to me and we need to help with medication, 0:18:08.280 --> 0:18:12.399 which I think medication is super important for most people 0:18:12.480 --> 0:18:15.720 because what you're telling somebody to do is to fight 0:18:15.760 --> 0:18:16.120 this fight. 0:18:16.200 --> 0:18:17.679 Like you. Let's say you're in a heavyweight fight. You 0:18:17.720 --> 0:18:19.120 fighting a heavyweight champion. 0:18:18.800 --> 0:18:21.439 Of the world, and your odds aren't that good in 0:18:21.480 --> 0:18:23.760 the first place. And then somebody says, hey, have this 0:18:23.800 --> 0:18:25.879 fight with I want you to get rid of one 0:18:25.880 --> 0:18:28.080 of your tools. So we're gonna tie one of your 0:18:28.080 --> 0:18:30.080 hands behind your back and you're gonna fight the heavyweight 0:18:30.119 --> 0:18:30.840 champion of the world. 0:18:32.280 --> 0:18:33.080 There's no wins in me. 0:18:33.119 --> 0:18:35.479 Conser like, you're not gonna win that fight, and so 0:18:35.520 --> 0:18:37.840 I need to give you all your tools and will 0:18:37.880 --> 0:18:39.679 go vi your Olympic and whatever. 0:18:39.720 --> 0:18:41.240 Min general are the tools. 0:18:41.280 --> 0:18:43.840 And so what I tell people is we're gonna use 0:18:43.840 --> 0:18:45.880 it until we get to your goal weight. 0:18:46.359 --> 0:18:46.880 And if you. 0:18:46.960 --> 0:18:49.720