Ozempic is great for those who need it, but scary. My endocrinologist has signs all over their office saying they will not prescribe ozempic without testing...or to anyone who harasses or attacks their staff. 😮💨
As a chronic binge eater and carb addict I have never been able to stop the cravings and bingeing. I do not want to take any drugs and I do not want surgery. What I have been doing is a 19 hour fast each day and cutting back on carbs and eating more protein. I am also trying to slow down my eating so the food I am eating will get absorbed more slowly and will allows leptin to be released which makes me feel more satiated and stops the cravings and binge eating. .
This may not relate to you, but for me I realised that a lot of my food cravings and lack of impulse control stem from ADHD, which was undiagnosed till my 30s. Turns out I was seeking sugar and carbs because they gave me a quick burst of dopamine. I was often overeating because my brain didn't have the ability to ignore even minor hunger cues. I struggled to maintain self-control because immediate gratification would always win out over long-term goal-setting. Since understanding (and treating) my ADHD, I've found it has really helped me to find weight loss strategies that work for me. People often think weight loss is a simple equation but there's so much more to it, especially these types of hidden psychological factors!
Jeez that’s probably one of the most wholesome things I have seen on here in a while. We appreciate all of you great people out there doing kind things!
@@22424 perhaps if the food industry pays doctors to not be honest. However the ultimate winner isn’t busy doctors who are overworked trying to treat chronic disease (in good public health systems). It’s big pharma
Part of it has to do with every body being different, with all advice being situational.. It's why there's a field of personalized nutrition and dieticians who specialize in meeting individual patient needs. Though, for most people, you can A. vary your diet with healthy monosaturated fats, proteins, and carbs (Mediterranean diet is great for this), B. be relatively active and eat reasonable portions, C. get plenty of fiber in your diet, add greens you like and learn to cook. D. RESTRICT LIQUID CALORIES. Really, so many overweight people just need to stop drinking 1000s of carbs in soda and other liquid calories. Really, unless you have a guillotine over your head, the mad dash to lose weight as fast as possible is where people get stuck. You shouldn't do this unless you have some pressing medical need to switch your diet immediately, like prediabetes or something. Watch cooking channels, cook. That is so good for your health to just learn to how to prepare vegetables and other delicious things to your preference. I'd never eat boiled broccoli with cheese, but I'll add plenty into my stir fry and I'll gladly bake it. They should make gradual lifestyle changes and adjust their diet to include less processed foods. Not because processed foods are the devil, but they trend towards having 'empty calories,' being dense and carbs and not very nutritious or satiating.
I've been taking Ozempic for 7 months now. My A1c is now in the normal range. In seven months, I've lost about 8 pounds. Although overweight, it was prescribed to get my A1c normalized. Weight loss *is* the side-effect.
Just do carnivore. You will lose fat and put on muscle .. Unlike ozembic where you lose muscle and have side effects. You will also put diabetes in remission
What an eye opener- Thanks for sharing this! ❤❤Hearing about those obesity phenotypes was fascinating. I love the idea of customization of treatment for obesity. It’s about damn time!
Ozempic in America was originally for diabetic treatment. Everybody here knows that. (I have type 2 diabetes ). I have always been prescribed metformin for it as well...who knew it had longevity benefits? I have been using trulicity ..and I've dropped 50 lbs and improved A1C. The true purpose.🎉
As an RN who practices at a prestigious healthcare facility in Philadelphia they are right so many come in with intractable nausea and vomiting or pancreatitis or really bad elevated liver enzymes…..😒😤
Haha many women have insulin resistance and PCOS - the doctors might even do tests… Will they give you meds after getting the results confirming diagnosis? No. They don’t want to treat people. I was hypothyroid for 4 years, gaining weight despite starving myself and exercising. I had all the symptoms. I was visiting doctor every few months complaining about symptoms. I had to wait 4 years to have my TSH officially out of healthy range… And even then doctor nearly left me without meds… Luckily he decided in the last moment to give me Thyroid meds. I felt like a new person… first day felt like I’ve got new life. I felt like I was too happy, like I was on drugs… I lost 20kg in 6 months when I’ve got treatment. Doctors just don’t care and don’t listen to people when they struggle with weight. Their default assumption is always “just lazy”. It feels like I lost 4 years of my life undiagnosed and ignored… I bet it’s identical with people looking for Ozempic - they are just undiagnosed with metabolic diseases… So they can’t get prescriptions for ozempic, at the same time doctors refuse to diagnose and treat them.
When you brought up the use and functionality of the BMI, I nearly cried. It is one of my biggest pet peeves that it's used for individuals and I have been known to give people angry lectures about it. Thank you for talking about its misuse, Dr Karan 😭
BMI wasn’t never meant (or shouldn’t have been meant) for individuals, but it IS very useful for populations That said, I know numerous people in deep denial about their own body fat levels who claim “BMI has been debunked.” If you are 5’4” and 195 pounds, you can look in the mirror naked and know that you are carrying too much bodyfat. For elite level strength athletes, who are carrying MUCH more muscle mass than the lay person, yes. They register as obese BMI when in fact they are VERY lean. But those aren’t the people I know personally who are poo-pooing BMI.
8:54 💯agree, there’s real benefits to normalizing activity as part of one’s wellness solutions. Ozempic may help people get to being more active, but it shouldn’t supplant building a relationship with activity.
Exactly. Everyone wants to be a bodybuilder, but noone wants to lift these heavy ah weights 💪💪💪 same thing with ozempic imo. Every1 wanna be skinny no1 wanna eat right or be active :(
I have ADHD and typically avoid long-form videos due to lack of attention span. This was so good I watched the entire thing! As someone who has struggled with obesity for decades, it has been eye opening how much of my struggle is due to my neurological differences. I'm currently experiencing gestational diabetes as well, which is giving me an insight into potential underlying metabolic issues (having GD raises the risk of developing Type 2 diabetes later in life, and both my parents have already been prediabetic). The equation for weight loss is so much more complex than most people believe, and involve so many more factors than are typically talked about. I'm so happy to hear the conversation moving towards tailored, nuanced approaches to treatment. This video gives me hope for the future of the medical response to patients who struggle in this area.
One of the most interesting conversations on this topic, I've listened to in a while. Great to see, that things are finally moving in the right direction. 👏🏻👏🏻👏🏻
I guess it's bad news for some people but there is no substitute for a healthy diet (fiber, carbs, protein etc) and exercise. It takes time and it takes work. Weight training+protein=building muscles=faster metabolism=higher maintenance calories= you can eat more without getting fat
That's the thing. It takes work. Real, consistent effort over a long period of time, ideally for the rest of your life. And if there's one thing that people absolutely abhor is delayed gratification. I don't know what can be done about that. Also, fuck Teemo! 👿
You have no idea how much this has helped me. I have suffered with weight since I was a child. I have had an eating disorder because of it. I recovered and now I am still overweight and I see myself quickly becoming obsessed with weight loss again. And all the “normal tests”.. get the response that I am lazy. But my diet is clean and I workout. I have been desperate to find out the real reasons. And the simple calories in and out doesn’t work. But is there a way to do these genetic tests in Australia? Just because of this I have found a dexa scan and dna package and I will be following up with it. But I don’t think it has the results of Dr Acosta’s 4 reasons why.
I was on saxenda for a while. Yes it worked for a while. Yes it worked, right up until I go very sick while being on it. I had to come off it again and unfortunately the weight went back on.
So basically, the only thing Ozempic does is cut down the appetite? That seems totally useless for cases like mine. I barely have any appetite, I eat very little and very slowly, and I have been overweight all my life. I've had "stable" 15-25kg extra for around 30 years now. I have no idea how it feels like to have a flat stomach. I probably have some metabolic disorder, but none of the doctors I've visited ever bothered to investigate it. They just tell me "exercise, eat in small portions several times a day, bla bla"... none of that helps. I tried multiple times, for prolonged periods of time. The fat simply stays on me like a bodysuit I can't take off. Maybe I'm biased because of my specific condition, but I can't understand how people can't just stop themselves from eating. Makes me wonder if food is actually addictive, like a drug?
I tried it and I felt poisoned from it and after I stopped using it I needed to restore nutrients and add digestive enzymes to my diet to digest my food cuz this stuff paralyzes your stomach!!!
I follow these general ideas when it comes to health. Exercise to be healthy (weightlifting, High intensity cardio, long distance cardio) Cut Calories to lose weight Cut out sugar / carbs to lose visceral fat Eat more fibre for general health
People need to be educated further in development of medicine. It is not uncommon that something is developed for a specific indication and whilst tested other indications are detected. "Obese people are taking it away from diabetics" it's just a stigmatizing sentence showing none empathie. Of course, a medication should be taken from those that need it. Diabetics need it, they should get out. Morbidly obese bred it, they should get it. It's not a joke being obese your whole life. Trying everything to solve this problem, just to eventually realize that you cannot, because it is a chronic disease. 38 years of my 39 years in this planet I am obese. I did not chose this, I tried to battle it my whole life. Feeling like a loser, not worthy for a better life. Now, with 39 I understood. After therapies, Coachings, diets, reading books, articles, podcasts e.g. It is not my fault and therefore I want to get medicated to have a chance to live a healthy life.
back in my day we had OBETROL For weight loss...smh can't even get a prescription stimulant addiction that erodes willpower and self control by fundamentally frying the reward circuit that will, unless taking quantities capable of causing heart failure within 5 years, probably lead back to even poorer eating habits and choices
Obese people have understood their whole life that it is not strictly calories in, calories out of food choices. We see rail thin people eat a ridiculous amount of sugar and processed food and complain about being thin. We know if we are that stuff we might 1. Feel like crap and/or 2. Weigh even more than we do now
Wow, obesity is really genetic??? But since you did mention the stigma associated with obesity, the running joke abt that statement was always " it doesn't run in your family, it's just no one runs in your family" and that was drilled into me all middle school, so I began to believe it. Almost 20 yrs later, and I finally got to understand where the "obesity is genetic" claim came from.... but it doesn't help that joke/beliefs out of my head...... still very much enjoyed the video, quite informative. 😊
On GLP1s I recently heard from Dr. Tyna Moore, that in her experience many of the side-effects of Ozempic come down to overdosing. She talked about how she had personal experience microdosing GLP1s herself. She seemed convinced GLP1s can helps regulate our body into a less inflamed state, which can have profound effects on the brain/mentality, the gut, the skin...basically everything. Surely an interview with her might be interesting as well.
Yes but she is a quack. Not an MD. These meds are a godsend for those of us who have suffered a lifetime of fighting against insatiable hunger. These meds have given me an off switch. I always ate healthy food, just too much of it. And I would run and go to the gym every day just to keep myself just overweight rather than obese. Now after 55 years of trying every diet out there I have something that regulates my hormones so I am like “normal”people. I no longer obsess about food as Mounjaro turns down the food noise and gives me a feeling of being full.
Same here - just watched her interview with DOCEO STEPHEN BARTLETT - amazing. Lost nearly 2 stones on Mounjaro and reduced raised blood sugars. Does the Job by switching off the FOOD NOISE! Now feel like I imagine 'normal people' feel. Apparently research is finding many other really amazing uses - heart problems, kidneys, cancer, addictions. She tells it all.
The Oprah weight saga has existed her entire public life. She never conquered the root cause like many of us. That combined with what we have available for surplus calories makes it a challenge. Variations are a natural biological design to bulk up in case of lack of food source. If we just managed it better we would be less mentally upset by it.
Why are doctors pretending that ozempic is the first drug to be used for non medical purposes. How do you think 50 year old Movie stars are so muscular and also have super low body fat!
Hmmm… that blonde woman who dr Mike interviewed says everyone should take semaglutides forever!! There’s no other cure!! Definitely zero kick backs from the pharmaceutical companies!!! Definitely!! 😂 Edit: she also assured us that obesity won’t be effected by diet and exercise…she’s very smart
Does swimming for 3 hrs remove fat near organs? Should add intervals to my swimming? I do breast stroke for 1-3 hrs should I do freestyle and sprint like every 15 minutes for like 4 laps?
@@Allyfyn Have you actually listened to the podcast? Because both comments you left rather make it sound, like you gave it about 10 minutes and then decided to leave a typical 'Me superior being, fat people lazy' comment. All the information you need to answer your question is given in great detail. If you're not open to information, that contradicts the bias you already brought with you, that's your problem.
@@caroline73337 yep movement is just as important as nutrition. Most people are either sedentary and even the ones that aren't put too much stress on their bodies in the wrong type of way which can cause just as many biomechanical issues.
Say it louder for the people in the back!!! Weight =/= Health! People love to fight me on this and use extreme examples of obesity to argue that all fat people are about to die tomorrow. Silliness.
Weight in itself is rather meaningless. What matters more for health is the ratio of fat to lean body mass. You can go from weak and slobby to a bodybuilder look while staying at exactly the same weight. Muscles make you healthier. So if you canchose between fat and weak or fat and strong, you bet the strong person is way healthier.
@@CptApplestrudl Exactly. There are fat athletes. There are fat olympians. Fat doesn't mean unhealthy and fat doesn't mean out of shape. Plenty of straight-sized people are very unhealthy and very out of shape.
@@mimsydreamsAlso the type of fat. There’s subcutaneous fat (that is, the love handles and thunder thighs) that makes you cry when looking at your pant size, and there’s interstitial fat, the fat between your organs. It’s the latter that indicated in disorders like Metabolic X syndrome. That’s not to say that if you’re 100lbs. overweight, you’re not going to have SOME issues, but there is something called TOFI: Thin on the outside, fat on the inside.
I hate it when these conversations become about "how people can misuse the medication" which are a minority and a collateral as everything has (we have roads, and there are traffic accidents on roads, but it doesn't mean that the bad outweighs the good effects). Why make the conversation about the few misuse cases and not about how they help a huge majority that have been battling obesity, a disease that greatly increases the risk of suffering a very long list of issues, that otherwise has no other way of controlling it until now.
You guys have had decades to come up with ways to help people with obesity, and you failed. Now there is a medication that can actually help and people just love to crap all over it all the time. You know what has risks? Obesity. I think people just don't like that there are actual pharmacological solutions finally here for people with obesity.
I'm honestly very happy that people with persistent obesity have a possible solution. My main problem with it is the big price tag and the fact that it's a continuous treatment that treats an issue that can come back once people stop. Losing weight through lifestyle changes or through infrastructure/cultural changes could be more impactful in the long term. I agree that we have been too eager to blame overweight people for their health issues instead of focusing on the unhealthy environment we all live in that causes these issues. Ozempic might give someone a head-start, but those lifestyle/healthcare/cultural changes are 100% necessary to maintain a healthy weight in the foreseeable future.
I mean this in terms of things like the quality of food available to people who are poor. We are living in a time where poor people in a lot of countries are struggling with obesity rather than starvation. This is due to the fact that the available foods in the area are of low quality and are engineered to be cheap and addictive. Ozempic is a band-aid (which can be necessary), but we also need to think about sutures.
@@gonzo970 I agree, but there are lots of drugs with problems. Ozempic is a step towards a solution where before there was nothing but drastic surgery. I'm hopeful more options will become available over time with less problems.
@mrbarnzz yeah. It's so messed up. You wouldn't see this kind of freakout for someone getting medication and a cast for a broken bone or any other health condition.
@@Jay-ho9io you’re right, I should’ve put the cure for insulin resistance weight gain. A lot of obese people have this, that’s why a diabetic medication helps them. I do believe that added sugar in our food is the culprit, avoiding that added sugar would help everyone.
50 grams of carbs per day. Providing you don't have a really active job this is a great way to curb hunger. Tou can track this with nutracheck or my fitnesspal
I'm a diabetic, I went carnivore. It does the same thing as the GLP1 drugs. I stop eating when I'm full, I don't get hungry for long periods of time, and eating this way quiets the food noise in my head. I have seen other people say eating this way quieted the food noise for them as well.
The single most impritant takeaway for those of you looking to have lifelong weight loss: BUILD. MUSCLE. It is not hard. Buy a few weights at home if you are insecure to go to the gym. Then once comfortable start going to the gym. It is the single most logical and easy way to maintain your weight loss. You will not maintain by restricting forever. Also add in walking and other types of exercises he mentioned. That is why ozmepic is so dangerous, because it makes you lose muscle. The single most metabolically expensive thing in out bodies.
I was recently tempted to try ozempic despite knowing the downsides because I am struggling with my weight. I can’t because it counteracts with my antidepressant, which is a way more important medication imo. Knowing that forced me to redirect my focus back to lifestyle changes instead. My doctor didn't want to give it to me unless it became absolutely necessary which I appreciate as well.
@anjalE30 I'm on an antidepressant which can slow gut motility - which is also a side effect of ozempic that can lead to gastroparesis. It's perfectly believable that OP is on a med that could have an interaction that their doctor is rightly concerned about.
@@foolishlyfoolhardy6004 side effects always depend on the medication And depends on the person Everyone's body is different Luckily Ive had no major issues for over a yr You DO have the side effects when u first start taking the meds tho With or without other drug interactions It was a little brutal on the tummy😂
I’m taking Mounjaro I was 322 I’m now 278 in 5 months. I’m changing my life working out almost every night. No side effects. I swim now, walk, resistance training. I use a walker and still active. I’m eating better and tracking food. Mounjaro is a miracle for me. If others have a chance to have this experience we should support people trying it. This is life changing. I’m getting my life back.
Wonderful conversation! Thanks so much for covering the many, many factors involved in weight control. So appreciate the new longer format and high quality of guests on the podcast, Dr. Karan. Many thanks.
I had to go back on insulin. Metformin, time release metformin, trulicity, and Rybelsus gave me horrible diarrhea and intestinal pain. Then I tried jardiance, which put me in the ICU for 4 days with diabetic ketoacidosis. My endocrinologist and I agreed not to try anymore other drugs as I can't physically tolerate them. I'm eating a very low carb way right now.
Regardless of better health outcomes being from the drug or the reduction in calories/being more active, if it helps people why does it matter. If the benefits outweigh the cons why are we gatekeeping these types of drugs? If someone wants to "cheat" at being healthy let them live their own life. We should be ramping up production so everyone that wants it can have it. We let people kill themselves with lack of exercise, smoking, alcohol, over eating, eating unhealthy food, but as soon as something can help someone its put under lock and key.
Have you heard of pancreatitis?! Just sayin' No one said the benefits outweigh the risks, regardless of the cons. There is no magic pill for the human brain. Is just common sense- if you can undertand how your body works, and you are healthy, there are no reasons for Ozempic. Is just us being rather lazy ... So...Cheating on who?! Ourselves?! Treat the symptoms not the root... yes, we all like chocolate. We all like burgers. Our brain actually. But our bodies don't. So... havin this said, I think Ozempic has its benefits WHEN you have conditions, not when you like to eat more than you should
Metformin saved my life and my sanity. My doctor was smart enough to prescribe it for me despite of normal glucose and A1C. I have had fibromyalgia for over 20 years and 500mg of metformin was that golden pill that turned my everyday misery into normal life. I highly recommend it to anyone dealing with fibromyalgia
I'm diabetic and the dr gave me metformin even tho my diabetes is in remission. So my glucose falls to 3.2 or 3.4 when I take the meds, when I'm off it I'm k.
You should ask about endocrine disruptors not only in food but also everywhere in the environment. Eating too much, genetics and not moving enough are not the only parts of the equation. Hormonal changes and modern pollution are big challenges nowadays. Elephants in the room. Moreover, they are elephants that we add today to our children and grandchildren to their elephants. It kills us for generations. Working out may become useless is some pollutants generalize in our everyday life as toxicity starts with very low amounts of these products even one single time in a life and the bidy can never make them disappear. Clothes, keyboard, bedroom, air, kitchen, food...
I take Trulicity.. Very similar. I have type 2 Diabetes and have struggled with my weight for decades. I started Trulicity in Nov '23...It is Now June 24...in 6 months I've lost 50 lbs.
I want to have the analysis done to find out why I am overweight. I am in Uttar Pradesh, India. Can someone suggest a doctor who will actually do the testing instead of just saying exercise more and eat less? I have been on a 1200-1500 Cal a day diet with less than 50% carbs for the last 2 years and have actually gained weight. I walk at least 2-3 km a day and am very active.
Not always possible. There are plenty of people who are living in food deserts. They just don't have reasonable access to fresh food. Kinda hard to avoid processed food when there are no other alternatives within a reasonable distance, that is even more significant if you don't have a vehicle.
