Ok... you guys asked for it and here it is. The ultimate Ozempic debate. Let me know your thoughts on the episode! Hit me with your questions below and I''ll do my best to answer as many as possible. And if you are feeling super generous please like share and subscribe :) Helps us a ton with the youtube algorithm.
@@JillianMichaels I have gastroparisis, and can’t believe someone would take a medication that would possibly cause this! It is the most painful and agonizing thing I’ve ever experienced! I was begging for people to knock me out in the er when it was really bad. Imagine your stomach fermenting to the point you look like you’re 9 months pregnant! The side effects are not worth it.
@JillianMichaels Yeah, I'm with you. CICO is deeply misunderstood but is the fundamental basis for solving almost all weight related issues. Exercise needs to be normal. Drugs should be reserved for those in their death bed, not people who, with knowledge, can resolve these issues naturally. Those dudes need to take a step back and rethink what they're saying.
Ozempic needs to be reserved for last resort for serious health issue like severly diabetes, not for healthy people for weight loss. My doctor many years ago told me once I went through Axeoria Nervosa ( if I'm misspell it wrong). She told me-The fear is itself make all of your mind goes to somewhere else. Saved my life. I went back to a nice healthy weight. Eat moderate and less of junk food is all you do to have a nice healthy weight. Eat from 4 important parts, Meat vegetables, grains, ( I like Rice, Oats and Coconut) and good fats (for energy to burn). You don't need lots. Good drink and good real meals. You don't need any shots, weight loss medicine and fillers, and etc because they are only temporary to fill up the self worth , and low esteem. They can damage organs if using too much of drugs. Learn to love yourself without them, and take care of yourself with right health nutrition. We cannot be look like 15 years old forever, but we can take care of what we eat and still can look healthy. That's all.
I loved it. especially how you argument with them and also that you take references from Europe, because I do believe they are not so pharmaceutical influenced as in the us and by the way happy to hear that Janice is still on the show with you. Just miss the funny stuff.
@@Cat22275I'm so sorry to hear this. It's actually far more common than people are told - believe it or not adverse events from drugs are extremely under reported.
I’m with Jillian on this one! I am obese and finally decided to go see a nutritionist and the first thing I said to him was I don’t want shots, pills or surgery. He was shocked! He asked what it was that I wanted? I said to have a better relationship with food! In just over a month I am down 12-15 lbs. change the brain change your life. Food is fuel but we are always looking for that dopamine hit!
I congratulate you! I went from 175 to 110 under an eating disorder and bad relationship with food.. now I eat properly, work out and changed my habits… I know many people who use medication or types of drugs and since they feel they don’t have to struggle much for it.. they drink a lot, eat all that is bad and I see them bounce back horribly.
I've been on Zepbound for 8 months and I've lost 106 lbs. The biggest help that the GLP-1 meds do for me personally is they take away the food noise that's running in the background 24/7 - 365. Now I can simply listen to my body for hunger ques. Without the constant signals to eat, I can focus on eating the right foods because I'm not hungry that much anymore so if I'm going to eat, I'm going to make sure it's healthy and nutritious.
You know what helped my CONSTANT food noise and helped me lost 60lbs (from 207 down to 147 @ 5’11) Being 2 weeks off of ultra processed foods. Once I stopped eating the addictive as heck foods… suddenly it was almost as if the addiction reduced a ridiculous amount. Huge congratulations about your weight loss but I have to wonder if it’s not all the GLP-1 and hugely eating correct foods that are not genetically engineered to make you addicted to them?
@DarbysPlanet I have lost over 100 lbs 5 times in my life. I was 330 lbs on my 13th birthday. Being fat is my life existence. Even when I was an active duty soldier for 7 years, I developed exercise bolemia and disordered eating to maintain my height/weight ratio. On day 1 of taking my very first GLP-1 injection, I pushed a half full plate away at a restaurant and teared up. That was the first time I had ever refused food (that wasn't just a show for other people around me)
@ we ARE going to disagree about this. you’re saying being fat is your life… to me this very much sounds like for lack of a kinder wording a bit of a victim mentality about this and as someone who has had that, it’s very hard to get out of that. This tells me that you very likely need to be dealing with your mental health and figuring out why you’re leaning on food for your mental state. I have empathy for this btw. I’m not saying you’re a bad person for that, at ALL for that and genuinely hope you can get that help. In addition if you’ve said this was your entire childhood as well it makes me wonder very heavily if starting from a really young age with eating these addictive foods has put you in a place where you have never actually had the opportunity to not have the addictive food noise.
@ in addition.. what about all the other things stated? What happens if the medication is no longer covered by insurance? What happens when you plateau like Jillian has talked about? I’ve spoke to several people who use food for their mental health and they have gotten on GLP-1 medications and when their mental health gets to a really bad low will literally eat through the signals to stop because food noise is a symptom of mental health.
After 10 months on Ozempic, I am back down to a weight I haven’t seen for over 30 years. I am now not afraid to be in pictures with my children and grandchildren. I’m not afraid to go to events and deal with the stares from people seeing my weight, instead they tell me how beautiful I look. There’s not an eating plan I haven’t tried, a facility I haven’t spent months at, well known doctors and therapists I haven’t had sessions with, that could keep me from continually gaining weight after a short period of weight loss. Until Ozempic. I have my life back.
On Ozempic, I feel great. I lost 100lbs so far with no side effects! I'm now at a size I can get out and exercise more, I'm eating better and feel so much better.
It is one of those things where some extreme circumstances the good outweighs the bad, especially with people like yourself. I just fear that like everything else in Big Pharma, it will be pushed everywhere because there is so much money in it and it an expense is just so enormous and I really hate the idea that EVERYONE has to pay for it for those that 'need' it, when the conditions that 'require' it are probably at least 90% self imposed
@@travisjazzbo3490100%. And you already know that is happening when every mom in suburbia is taking this. Like we literally already got a south park episode bc of the rampant overuse. And still people think there is no problem.
Hopefully you stay healthy and there are no long-term effects for you down the road. Not sure unnecessary medication is worth considering losing your life when there is a healthy, natural and sustainable way to lose weight.
Phew this was a tough episode to listen to... appreciate your passion Jillian, but the guys could barely finish a sentence before you cut them off. Bummer! I resisted GLP1 for awhile but then had an upcoming knee replacement surgery (at age 54) and needed to make sure my BMI was well under 40. I had already lost 15 lbs in 3 months prior by decreasing carbs, increasing protein and intermittent fasting. I reluctantly started on Zepbound to assist in additional weight loss before the surgery (I lost another 10 lbs in 2 months). My doc talked me into it as another tool to use in my health journey. I can say it def makes me feel full faster and longer. It also makes me less interested in food overall. However, I don't have a "food noise" issue. I had the successful knee replacement surgery back in August and then stopped the drug for 10 weeks while I recovered. Surprisingly I didn't gain weight once I stopped it. I recently started the med up again to help with the remaining 30 lbs I still need to lose. Once I lose the weight I def want off the med. Side effects like a low grade unsettled stomach and constipation are not fun. Walking into a grocery store and having little desire to buy any food is strange. I will say I've been in many weight loss journeys in my life and having Zepbound on board has def made it easier to lose weight... hoping I can keep the weight off once I stop the meds. Fingers crossed!!
Look at carnivore. You may not need other joint replacements in the future if you go that route. The first 30 days suck if you are a big sugar person, but it is so much better after you adapt!
What is your longterm plan for if/when you stop taking the drug? The noise will still be there. Are you addressing the underlying reason for your obesity?
I’ve lost almost 20 lbs since June by eating in a calorie deficit with high protein, walking at least 10k steps a day (usually closer to 16k) and doing minimal strength training (definitely need to up that!). I’m only 5’2 so my calorie deficit number isn’t fun but neither was my climbing blood pressure and having no energy for my kids at only 40yrs old. I’m now no longer groggy after lunch, am in my normal BMI range, and have more energy and better mental health. It’s seriously move more, eat better! I don’t deprive myself of an occasional treat. I just make it fit into my day! If I do mess up one day, I just start again the next! The problem is that we are a society of instant gratification. Want to buy something? Put it on credit. Want to lose weight? Take a pill. Deal with the side effects and mounting debt later. It’s sad, but there’s really not much drive or discipline left these days. Have always loved you, Jillian! Used to watch the biggest loser in my 20’s, worked out to your dvds in my 30’s, and now loving your podcast in my 40’s!
Yeah, it’s really disappointing. She claims she brought them on to “debate” and says she has an open mind but spends the entire time attacking them and insisting she’s already spoken with all the "experts." Really? I thought one of your guests was an endocrinologist. What exactly qualifies someone as an "expert"? I'm so tired of people hiding behind arbitrary titles, acting as if only they have the knowledge to understand the situation. But thank goodness Julian talked to the "experts." What credentials does she have when it comes to critically appraising scientific research and evaluating methodology? She looks for a "however" in the discussion section and thinks it invalidates all the other information. She’s not considering the whole picture. OMG, 50% of people report nausea. So what? 50% of her audience probably experienced nausea during this interview. How many of these study participants adjusted what they ate, how much they ate, or when they ate, and saw a reduction in nausea? Nausea is such a nothing-burger symptom. It’s like going to the gym and getting muscle aches-should we stop going to the gym over that?
I was 5’10 350 pounds had a triple bypass at 50. Started my fitness journey. Push pull legs routine, 30 minutes of cardio and lifting an hour 6 days a week. Lost 60 pounds and fully stalled out struggling to get a hold of hunger. I researched GLP-1’s and say the added benefit of lowered mortality for heart patients. Stated it a year ago and now I’m currently 215 pounds and just had my second Dexa scan that put me at 12% body fat. I’ve gained muscle while losing weight on Zepbound through diet and exercise. Every diet that people crash lose weight and restrict (esp protein restriction) and don’t exercise or lift weights they lose muscle along with fat. That’s not just with GLP-1’s! My doctor and I have decided I’ll stay on a low maintenance dose of Zepbound for the foreseeable future as the benefits for heart patients are a bonus to the hunger control.
I have lost 62lbs taking semaglutide in 9 months. I have done calorie deficit and working out. I, in fact, love peloton workouts with my tread, bike, and weights. No matter what, the weight wouldn’t come off more than 10 lbs before the medicine. I do have insulin resistance. This medication has been life changing for me and I am willing to have to take it for life if necessary. At this time I have reached goal and weaning off the medicine…. But if the weight comes back on, I will choose to start taking the medication again. My family has strong history of diabetes, obesity, CHF, strokes, etc. I will do what I have to keep from obesity. I also have had minimal side effects and tolerated the medication very well.
Wow, she is so insufferable with her “I fully understand that.” I hate fake confidence without qualifications. It’s like a gym janitor stopping the doctor who talks about variants of cardiomyopathy and some genetic details with smug “Yeah yeah been there cured that after reading a blog about it.” From the start you can tell she is hellbent on appearing to have upper hand in the “battle”. Precisely because if you pressed her and dug deeper, you’d find a whole lot of nothing.
LOL - watching them try to waffle about not making money from ozempic because they don't get money by selling the medication itself, is priceless. Talking in circles, very funny - you go Jillian!
@JesseSaintJesse point still stands they are not paid by the company. Also, this medication is supposed to be for obese people, not to lose vanity weight. As a trainer, I've worked with people who were prescribed it at a clinic amd have had major health improvements.
@@stealthswimmer exactly! It's not supposed to be for people trying to lose those last 10-20 lbs, or to get their summer six pack. It's for people who are morbidly obese.
Spencer actually does make money selling the medication. LITERALLY that's what he does. The company he works at sells this medication. It's the same company Oprah made a quarter billion off through her weight watchers stock.
jillian is correct about the side effects of glp1. u are engaging in motivated reasoning based on believing doctors who make money off this vs she who did 3 years of studies and is not making money off this. big pharma funds CNN and msnbc.
A GLP-1 saved my life btw and I now am losing and my inflammation is down, my addiction to food and alcohol gone. It's going to make me live a longer life. Also I did do all the things diet, gym you name it. Insulin resistance is a real thing.
I’ve struggled with my weight my entire life. I could loose weight but never keep it off. On semaglutide I was able to loose 90 lbs and I’ve kept it off. I’m healthier at a healthier weight. I no longer have high blood pressure and high cholesterol. It’s been life changing for me.
@lisanyminute6613 you only lose muscle and bone if you neglect protein, neglect lifting weights, and lose weight too fast, with or without semaglutide.
There is nothing more painful than Jillian Michaels getting the opportunity to listen to two physicians explain the evidence of GLP1s and then talking over them and pretending to understand evidence appraisal. Shameful.
It was horrible. At first, I thought these two "bro doctors" were going to be full of it. Yes, there’s an indirect conflict of interest with his weight loss program actively endorsing GLP-1 agonists, which would clearly benefit from their widespread use. But by the end of it, I just wanted Julian to zip it. She jumps on every sensational headline as if tabloids are offering an honest portrayal of anything. Of course, they'll stir up drama and claim something is giving us cancer.
This was hard to watch! Being on Wegovy since May should say only on .5 but no side expects down 40 lbs. inflammation gone! Cravings for processed crap gone, late night eating gone! Yes I could do this all myself but I have with minimal loss. I have 35 lbs to go and really want to stay on the lowest dose FOREVER! I am 51 by the way have tried it all . These meds are life changing! Off BP meds also! Have Dr. Seeds or Dr. Tyna on your show. They will teach you what these meds are actually do other than weight loss.
Both of these men are on the top of their game. Highly intelligent, knowledgeable, kind, and respectful. They are bowing to you out of courtesy. But you don’t get it. You do not know “ more than they know”. I think you need to quiet down, and listen for a change. You may learn something. This is simply something that is outside of your understanding. This peptide is a miraculous discovery. It provides the obese with normalacy for the first time in their lives, providing them with an enzyme that they have long been deficient in.
If specialists like Jillian were paid by insurance the way these drugs are paid for, and we had that type of expert direction at an affordable cost, the drugs would be unnecessary. Insurance just wants to pay big pharma instead of behavioral changes and expertise on that.
I feel like every episode I’m screaming thank you!!!!! Seriously keep it up! Man we need these conversations and debates so much. With such a large portion of our population very overweight and healthcare cost only skyrocketing and devastating diseases on the rise it is so important we take our health seriously and do it in a healthy safe way! Down 100lbs myself and in maintenance the last 2 years! We can do this!!
I am not on the medicine. I’ve been battling my weight for the past 40 years. I exercise and follow a macro based diet% Jillian, you were rude. You barely let them speak. You sounded angry. I couldn’t watch the show.
My MIL has dementia and because she has gained a very little bit of weight, her doctor wanted to put her on diabetes meds!! She does not have diabetes, AND she is 86.5 years old!! 🤦🏻♀️ We said, “Absolutely NOT!!”
I appreciate Jillian digging into this. The issue is that side effects are not mentioned enough before recommending. Years down the road all the ppl who used this will see the negative effects which are drastic. Reminds me of J&J baby powder. How many women ended up with cancer?! The side effects is the biggest concern.
Honestly- if you have morbid obesity and advanced type 2 diabetes, CKD, heart disease etc. And all else has been tried - I cave on this one because the benefits outweigh the risks at that point in my opinion.
Depends on how you lose it, and how you preserve lean body mass in the process. I love Julie Michaels, but she also was on a show that they worked out for multiple hours a day and ate barely anything and then gained all the weight back because they didn’t build any real habits so I would say that is not healthy.
@@jamaladams7640exactly. I like Jillian but she was very much part of a toxic culture when it comes to fitness. The biggest loser is by no means a good model for fat loss.
To the OP: how much fat exactly? And on what person? A 300 lb individual can safely lose several pounds a week and still get the calories and nutrients needed to sustain themselves. A person who just needs to lose 10-20 lbs cannot lose fat at that rate sustainably.
What determines your rate of weight loss is the size of the calorie deficit you're in. As a trainer, I help people track macros. When they're on Ozempic, this becomes easier for them to adhere to. They don't lose weight excessively fast because I tell them how much their macros or calories should be. They don't lose very much lean mass at all because they prioritize protein intake and I get them to train their muscles by lifting weights. They're referred to me by a clinician who adjusts their dose based on their needs and symptoms if any, etc.
you can do it naturally through a Keto diet, fat melts off VERY quickly, the problem is American's aren't that disciplined, they'd rather just inject chemicals and sit on their asses stuffing their faces with carbs.
The thing is, it’s all freakin hard! I lost 15 lbs doing all the right things. Calorie deficit, strength training, prioritizing protein. I got sick of it, stopped and gained back 20. If you stop doing anything that works, the weight is coming back. Period.
Thank you for this! I have a sister who was on several medications (heart medication, muscle relaxers, severe anti-depressant, osteoporosis meds and others - we're getting a toxicology report) then went on a semiglutide drug. Within 2 months she lost 30 lbs., her health problems worsened and she died in September. She is a casualty of these excessive and poorly monitored pharmaceutical drugs!
It is a losing argument to suggest that Ozempic is not more effective for weight loss than exercise. Ozempic is a significantly easier weight loss solution than diet and exercise - and both ozempic and diet and exercise stop working as soon as you stop taking them. For most people for whom weight is a problem - Ozempic will work where diet and exercise have failed. Ideally, the goal is to use Ozempic to get to your target weight and then to transition to diet and exercise (once you know what it feels like to be lighter, better looking and at a healthier weight, motivation is easier). The ultimate trade-off is the risk of obesity vs the risk of known and unknown side-effects (the drug feels too good to be true) Jillian may have had success with her personal clients, but bear in mind, she is a celebrity trainer who must cost a fortune for in-person training (far more than ozempic) - so one would hope that she has a high success rate! If you can do it, I believe diet and exercise is superior. But I suspect in the majority of cases where people have trouble losing weight - Ozempic will be the more effective approach.
I’m struggling with food addiction all my life and I work out since I’m 14 years old and it was always extremely hard to even stay in acceptable weight range not even talking about “perfect” weight and mounjaro changed my life for the first time ever I feel like a “normal” human not thinking about food 24/7 and feeling that I could snap at any moment and binge eat 8.000 calories in a sitting…. Interview some people like mark lewis who know how to train and eat but only got their brain/food addiction and weight in order with a glp1 drug
I droped 30 kg in 3 months on close to starvation diet, and 10 more over next 3 months. Then I took a year to slowly returning to normal eating and I started fitness. It was 17 years ago. I weigt 50kg less than i 5th grade. No ozempic or anything. PPl on ozempic will get adverse effects and if they stop the drug they will yoyo. Adding in the cost of the drug whta are we doing here people? And do not start with pcos etc. I have people in my life that are slim and okay on balanced diet and guess what? the pcos got better for them once they dropped the excess fat
Nothing like good old fashioned 'willpower'. It is something we are very sorely lacking in America and we have a system that actively encourages apathy with people. If someone doesn't have a sense of purpose when they get up in the morning, that is a recipe for not much of a life
@@travisjazzbo3490 yup, thats why the argument of mental support hits better. get them in talk therapy, get them to walk in the sun, as this helps. Btw since the pandemic closure of gyms I started walking everywhere up to 30 km a day with ankle weighs on. Rain, snow, heat did not matter. Once the gyms opened I never stopped walking and I get 20000-28000 steps a day. Since I have vit d on very high level, and I do not get sun burns as I used to (my skin is white almost blue ;)) And I am calmer then ever. So my advice deficit calories walking a lot for start, weight training added later and someone to lean on for support.
If my long term success rate is 35% when work with Jillian who is very knowledgeable and a top coach. I would say that is not a successful approach. I am not saying the drugs are only option but if it aid in psychological issues most people trying to lose weight then I see that is a win. Of obesity is one of the main causes of death in our country I don’t know why we are arguing about which way is best if it is helping more people than ever if done correctly with the right amount of nutrition guidance with keeping lean body mass
JM kept cutting them off. I couldn't hear their perspective. Personally, I'm going to give generally follow a DRs advice. A dr that studied for years, needed to pass exams, state exams, etc ... vs JM whom i respect as a "celebrity " i wouldn't take medical advice from.
@@doloreschavez2680 I love that she wanted to have a conversation with them, but in order to have a conversation, you have to let the other person talk. I wanted to hear what they had to say too.
I’m more interested in long term studies in Ozempic/Zeppbound after 2-3,4,5 years of administration & the progressive subjective hunger scores and objective weight gain statistics. There is tons of people on Reddit complaining how they feel hungrier after long term, even after making all the “switches” they needed. Newsflash: receptor desensitization is a real thing and we should study how much it actually affects long term outcomes.
Btw how you “feel” and what happens to your bodyweight are two separate things. When you use the meds for longer the side effects go away and with it the sense of fullness in the gut goes away but the effect on brain appetite regulation doesn’t. So you may feel not as full - but the weight doesn’t go up.
@@ondrej1893 Of course, but i think they are different but interrelated concepts. Gut-brain axis. Distention will lead to a physical feeling of fullness sure. But the hypothalamic setpoint for body weight is dependent on so many factors; genetic/hormonal/neural. I don't dispute that, but what im saying is overtime, desensitizing your GLP-1 receptors skews your hypothalamic setpoint higher than original, making you need more of the drug to continue skewing the setpoint to the arbitrarily smaller value which makes people "feel" less hungry and continue to lose weight. When you stop this hamster wheel and quit cold turkey, (1) you rebound quickly and (2) setpoint is re-established back to the original. Thus, the issue was never the lack of GLP, it was the overall environment (sleep, diet, lifestyle, micronutrients, etc). Whats worse, changing the diet/lifestyle may not be enough to offset the temporary hunger from GLP receptor desensitization, with weight (or the weight regain) is strongly linked with hunger sensation.
I’ve been on tirzepatide since May. When I say it has changed my life that is not an overstatement. It’s way more than weight loss. My liver numbers are better, my inflammation is down. I’ve been able to exercise more with less pain. It’s not all bad. I will say probably not everyone needs it but for those who benefit most let us live.
@rburk121 I live in California. Except for certain prepared foods, soda, and bottled water, food from the grocery store is not taxed. All restaurants, including fast food, coffee shops, etc., are taxed.
I don’t think Julian can argue She is in great shape Most of her life either is a genetic or not having eating disorder helps…, but for rest of us who cannot lose weight with the diet and exercise this is saver. So do your homework
I just came here from your appearance on the Piers Morgan debate and you blew my mind with how informed you were ! I was not expecting that ! You, Vinny, and Dave did awesome !
Thank you for doing this Jillian! A friend of mine just started Ozempic and I am extremely nervous. I 💯 agree with your stance on this. We cannot drug our way out of diet and exercise. It is madness.
I had a accident that stopped me exercising, cut my food intake to absolute minimum and still put on 10kg 22lb blows me away how little the body needs if doing nothing, no wonder the US population is so obese, this drug if used as a tool is probably a good thing, like all things proper use is key
I had constant food noise… and you know what finally got rid of it? Getting off foods that are literally genetically engineered to make you addicted to them. It’s almost like food noise is a side effect of a drug called ultra processed foods. I’ve lost 60lbs, have almost no food noise now. All naturally.
33:43 “I’ve tried everything” YOU’RE SO RIGHT JILLIAN… the amount of people who have NOT tried everything they have tried fad diets and oftentimes have lied to themselves about how they’re eating!!!!
We are all adults and can make our own decisions. Why are you people all up in our business??? You don’t know us and yet here you are trying to make it seem like you know us best and what is best for us. Wierd, right??
Help me understand why it bothers people so much if others use these miraculous meds to drop weight? No disrespect here, but what’s it to you? We are all grown adults and can make our own choices…ultimately it’s my body my choice.
Bc you're lazy take a pill approach may have side effects the rest of us will pick up the tab for. Aka who's going to pay for all the gut paralysis and thyroid cancer down the line. And for what? So some fat person can't just walk and eat veggies. And I say this as a fat person. Ps if we could get you to sign off on not getting any medical treatment you don't pay for out of pocket for yourself that would be awesome. Same for waiving all current and future claims of known risks so that when all this goes wrong your body your choice is your body YOUR expense. But of course in 15 years you'll come crying like the opiod people that surprise surprise big pharma made a huge profit off your stupidity.
I think it’s more about the health risks that come with taking the medications. Especially with a new medicine that we don’t know how it will affect people long term. It’s not about an easy way out. But how that easy way out is negatively affecting people. And how doctors don’t talk about those negative long term effects.
Because the pharma industry can hide all the side effects until it's too late. They also don't know how the medication actually works, that's deeply troubling if you are a critical thinker
@@derekzicari2181and if big pharma fools them all into thinking there is some magical pill there are no incentives to control lifestyle much earlier. Ie all the 20 something taking this crap to say high school skinny instead of learning good eating habits as adults. That's not even to get into children watching what mom and dad do for lifestyle and watching mom pig out on stuff thinking eating like that is normal or that vomiting over food, diarrhea etc etc is "normal" relationship to food.
Years from now? These people are already pooping themselves and claiming symptoms are just "stomach flu". All because they don't want to walk and eat veggies.
@@kayleen9110 glp1s have been around for over 20 years and they running trials in the 90s. People are not dying from this stuff like the opioid epidemic. But want to debate on helping people fight manipulative marketing for the 30 years that certain things are healthy
@@jamaladams7640studies paid for by the manufacturers and all studies up until recently designed to study diabetic patients. The use now for weight loss is OFF LABEL. If you don't understand why something is considered off label vs on label you are completely misunderstanding the studies you claim are out there. If the studies had been done for on label weight loss use then we would have data. The data they do have? Merits warning of gut paralysis and thyroid cancer. Think about it. Asbestos was and still is a miraculous fireproof material. And yet.....
First it was “fat acceptance” now the script has flipped and it’s hurry up and make me skinny. What do both of these movements have in common? NOBODY has an ounce of discipline.
I am so happy you are covering this topic. It may seem naive of me but every since this trend started I have been panicked about what was going to happen. I used to make jokes about them trying this 12 years ago when I was in nursing school. As a person whose mother lives without a pancreas and has for the last 5 years, I cannot imagine why people would damage their organs to lose weight. Talk to my mother about life without a pancreas and I'm willing to bet that weight loss wont sound so great.
Jillian, you have the best interviews! Every morning I look at your channel first, to see whether you have anything new. You go great with a cup of coffee just before dawn!
@@JillianMichaels Yeah, I've made bad choices over the last few years, and I'm going to shed the pounds I've gained. Thank you for all you do. I appreciate it so much.
@@JillianMichaelsMy doctor took a look at my genetics after inability to lose weight in a calorie deficit. Turns out I have a genetic mutation affected by certain foods. Cut those foods and continued my calorie deficit and exercise and what do ya know! It started falling off. Medicine is not the answer unless it’s a dire situation. I say that as a person who’s not morbidly obese that has struggled with losing weight for years and who’s dad is diabetic and NEEDS ozempic in order to keep his diabetes under control. I love the Nadolksy’s and their advocacy for the obese community but I feel like their intentions were not transparent, especially with their places in this field.
Why didn’t you already then? Is it possible that you feel like swimming against a strong current of your genetic predisposition to store fat in modern environment?
I do lean against these drugs for weightloss so I listened to this debate with an open mind and noted my takeaways on the points made. I had to slow the speed way down and rewind countless times. I would suggest that if you are going to have a debate on a topic about which you are so passionate, then you must have a moderator. It was particularly difficult when you got on the subject of thyroid and thyroid cancer. You talked over them so much that I could barely understand the argument/defense they were trying to make to form any strong opinion on that specific point.
I’m with Jillian on this one. I’ve struggled my whole life and yo-yo . I wanted to go on this medication since I’m pre diabetic but my insurance refused to cover for me . I did some research on it . I have my gallbladder out and one study said GPL 1 would not be good for me. I almost did compounds but instead I started walking - changed my diet . I’m down 30 . I need to start tracking my foods since I’m on plateau.
Jillian i- FIRST. Love your work thank you ! Question: do I worry about calorie deficit to lose or should I be concerned about getting higher protein - over 60 ?
CALORIE DEFICIT. Protein is great. Eating high quality protein is important for health especially as we age, but when it comes to weight loss you have to eat less energy then you burn to lose excess body fat.
I lost 100 lbs without ozempic doing mostly keto/low carb, plateaued, and now I'm on ozempic. But i find i don't actually lose weight on the ozempic alone. I still have to be doing keto at the same time. The biggest thing it helps prevent is the binging. Once i get to below 250 in going to try to get off all my meds starting with ozempic.
Jillian, between this and you speaking out about childhood 💉now, I absolutely love it! I have a DTaP injured child and as parents, we are silenced unfortunately! Please debate Dr. Tyna about this because for some reason she think Semaglutide is safe. I will always choose exercise and diet over a shot!
You dropped the F bomb. So, I'm going to. I just want you to know, if you ever see this, you have fast become one of my favorites. You are absolutely fucking fearless in your search for truth. Please keep doing what you're doing!
Is there any chance to see a broaden scope of who you interview?I would love to see you interview medical medium, dr robert morse and dr goldner with the goldbye lupus protocol. Keeping it real with an open minded approach to health. Love your pod.
Hi Jillian I loved you in BG, and have just seen you on a JFK show (I hope you become part of his team). You are fantastic, with a wealth of knowledge. LOVE from Australia
70% of weight loss is nutrition and decreasing calorie intake, 30% is regular structured weight bearing and cardio exercise. It takes both real patient long term commitment and time. Yes injectable’s work, but it’s a quick fix, but if you have not changed diet and exercise the individual will just regain the weight
I’m not sure I agree with these points. Obesity itself is not inherently a disease-it's a natural result of consuming excess food, particularly unhealthy, calorie-dense options that promote fat storage. Of course, carrying excess weight-along with other factors like high triglycerides or cholesterol-can eventually contribute to diseases like coronary artery disease or diabetes. But simply storing weight is a normal physiological process. The two men come across as very cocky, almost arrogant while Julian’s tone comes across as a bit condescending and not very open-minded despite saying she is here to listen. These drugs, which help curb cravings, directly address one of the most common challenges her clients face: emotional eating. For many, food becomes a coping mechanism, and these medications provide a buffer against that urge. Yes, eating less is an ideal solution. Still, the reality is that many people who want to make lasting lifestyle changes often struggle to maintain their dietary goals and end up falling back into old habits. The food environment we live in also plays a major role. Highly processed, addictive foods make it difficult for people to control their intake. It’s not just about having one cookie or one chip; the urge to keep eating often kicks in, and this is a challenge many people face daily. While we should absolutely work to address this larger issue, it will take time. In the meantime, these medications can be one tool to help people regain control. It's easy to dismiss these drugs as the "easy way out," implying that they allow people to keep making poor choices without facing the consequences. But it's important to remember that many individuals truly struggle with food, and sometimes they need that extra support. For clients who regain weight after dieting, these medications might be especially beneficial in reducing the cravings that often lead them back to overeating. It’s both disingenuous and naive for Spencer to claim that he doesn’t financially benefit from GLP-1 agonists. As the owner of a company that actively promotes these medications as a solution for weight issues, he has a clear incentive to speak positively about them, rather than objectively. While he may not receive direct compensation for each prescription, he still has a financial interest in their widespread use. His company benefits from the increased demand for these drugs, which creates an indirect conflict of interest. Unlike most doctors who prescribe medications based on clinical need without any financial stake in their broader use, Spencer’s business is directly tied to promoting these medications. Nevertheless, people taking GLP-1 agonists should absolutely focus on improving their overall lifestyle, including incorporating exercise. When we talk about a certain percentage of weight loss, it's important to recognize that some of that weight is fat, but some of it is muscle. Without regular exercise, especially strength training, you risk losing more muscle than desired. Sure, the scale may show a 20-pound weight loss, but if body scans reveal significant muscle atrophy, that's not a healthy outcome. Julian raises an interesting point about the drug’s lack of sustainability, which is worth considering. However, the situation isn’t all that different from going to the gym. Both can be unaffordable, and both can lead to plateaus. For example, when someone can't afford a gym membership, they might lose some weight initially, but eventually hit a plateau. Without continued effort, they often stop going to the gym, regain their weight, and then sign up again the following New Year. The same cycle can occur with medications if people don’t address the underlying habits and lifestyle changes. The common side effects of these medications include nausea, indigestion, and rarely pancreatitis, while the common risks of going to the gym include muscle injuries, torn ligaments, and joint degeneration. The reality is, that everything comes with some level of risk for adverse outcomes. Finally, regarding anecdotes, it's important to remember that we can't always know if they're genuine or representative. There could be many other factors at play in that person’s situation that contribute to their worst outcome. For example, while the story of someone vomiting so much that their teeth fall out is shocking, it’s not a common experience. The same applies to extreme gym injuries, like someone rupturing their bicep doing preacher curls or hyperextending their knees on a leg press. These are outliers, not the norm.
Im diabetic, I took Ozempic for BG control for 8 mo. It was the worst medication I've been on so far and now I have eyesight issue and need shots in my eyes. These drugs created are quick fix but long term damaging
Till doctors stop being compensated each time they take their little pad out and prescribe you that drug this will never end. And that goes for cancer & everything in between.
Loving these two! Jillian, you were too hard on them this time! I’m a doctor, so I’m biased 😜 But let me just share this perspective with you, because outside of LA things are very different. These patients are so freaking sick mentally and physically. They are obese and they don’t even have 5% of the tools, motivation, or support system they need to lose weight. I have 20-30 minutes to spend with them and spend all of it doing the job of a dietician, therapist, and physician all in one. Their subsequent lifestyle change attempts are absolutely pitiful but a lot of them are truly doing the best they can with the tools they have. And I can’t go to their house and coach them through life. But for a lot of my patients, I sincerely care about their health more than they do. Should I just let them get sicker and sicker?? I’m literally trying to keep them from going to an early grave. That “extreme” example you gave of the obese person with all the comorbidities? That person walks into my average family medicine clinic at least 3-5x a day. And every once in a while their insurance covers zepbound and their health is revolutionized. They find that now they can follow my advice, they can eat in moderation, they are eager to exercise because they feel the changes. The success stories are astounding. This has been a medical breakthrough like we haven’t seen in a while.
Great Job J! Love how direct & honest you are. I personally know about 10 people on these meds… from the outside looking in they all appear like Legal Speed w/ less zits. Really appreciate you being 1 of the most middle based liberals out there. Great to see the Blue party still has some sane minded supporters.
Guys, let me tell you this: Anecodotal evidence goes in every possible direction because we're all different, also called individual variability. However, anecdotal evidence is right at the bottom of the hierarchy of evidence. Since research has shown that behavioral changes plus ozempic can be helpful, why reject it right off the hand? There seems to be an intuition that we're always against medication. Don't get me wrong, try it with behavioral interventions, do it deliberately and with effort, but after awhile you have to keep in mind that the obesogenic environment as well as hormonal effects of the brain are a strong driver which we have barely influence upon.
These guys lose soooo much credibility by dissing Mark Hyman! This is an excellent, entertaining interview, and you are crushing it Jillian. I was surprised to hear your calories in calories out, though. I have struggled with 35-40 pounds since my mid-40’s. I’m 63 now and since January have cut sugar, processed food and starchy vegetables and wear a CGM. I lost 35 pounds in the first four months and I am kicking ass maintaining it. My fav docs are Robert Lustig, Pradip Jamnadas, Mark Hyman, and 4-5 more. If you haven’t interviewed Pradip Jamnadas , interventional cardiologist practicing in Orlando, you absolutely must!
❤Food is the most powerful medicine! Moving from the ideal of being thin equals beautiful to healthiness’ beautiful. I think considering that everyone is a very different beauty, in terms of weight, in terms of size, look. There’s also so much information about different diets, and overwhelming and confusing… Its good aware of a good diet is to inspire women to make changes to their diet and also their lifestyle, diet, exercise, sleep based on hormone, health, longevity, beauty as well as skin in the future.
Just to give my two sense I am taking a semiglutide compound and it changed my life. I am down 40 pounds. No side effects, I don't feel like I'm starving myself, and I'm working out every day. I see where it can be abused or where people don't change their lifestyle habits but if used correctly, it can really help. Weight loss isn't a test you can get help. Does it really matter how "hard" you worked to get there when you are talking about your health?
Not really. Nadolsky's patients have great outcomes, and he has a ton of them. I'm a personal trainer, and I've trained plenty of people on Ozempic who don't have side effects. And if they have side effects I tell them to tell their clinician they might need a lower dose. I've also successfully coached people without Ozempic. It's really no different than other meds. There is potential for abuse (and that's when people get side effects). When used properly it works really great.
@ Correct! I was referring to the double talk regarding if they profit from it, which they do. There’s nothing wrong with making a living, but just say so. The indirect answers are a bit off-putting.
@@DannyKavadloidk man, people still blame doctors today for earning money from statins which cost like 10 dollars a year.😅 And yet doctors didn’t stop prescribing them just because they became dirt cheap (in most countries anyway)
lol they ethered Jillian here. the only 🤡 who think Jillian won this are people who don't understand how anything works. she doesn't understand nuance whatsoever. She is under qualified and thinks that being loud and interrupting is a debate tactic. weak as f*ck.
So watching the "podcast" and listening to it reveal a lot of different things. For one, these docs come off very poorly, so I can now see why Jillian was amped up to an 11. I didn't like the overall tone of this discussion. The material, however, was 100% spot on. I am a person who believes in sweat equity only. Hard word followed by harder work to achieve goals. But that doesn't work for all. This is a tough discussion and worthy of more conversations.
I actually morally want to side more with Jillian. That being said, i am kind of the perfect type of person these guys want to help based on this interview. One of the biggest things for me is that I'm just alone and unloved in most of my day to day. I have 2 kids but they are with me 6 weeks of the year and in Germany the rest of the time. I just don't care or have any motivation the the other 10.5 months of the year to be the person i really know i should be and potentially can be. I was actually really athletic when i was young. I even served 5 years in the army, but I've been 350+ the last 10-15 years of my life. It sucks. No diabetes. I take blood pressure meds but I'm kinda healthy other than my weight. I still mow my own lawn and stuff. Ive been considering a sadi s surgery but even the diet id have to go through to prepare just seems insurmountable with all the other environmental factors in my life. I dunno... I'm still skeptical though... like feel trapped no matter what.
Ok... you guys asked for it and here it is. The ultimate Ozempic debate. Let me know your thoughts on the episode! Hit me with your questions below and I''ll do my best to answer as many as possible. And if you are feeling super generous please like share and subscribe :) Helps us a ton with the youtube algorithm.
@@JillianMichaels I have gastroparisis, and can’t believe someone would take a medication that would possibly cause this! It is the most painful and agonizing thing I’ve ever experienced! I was begging for people to knock me out in the er when it was really bad. Imagine your stomach fermenting to the point you look like you’re 9 months pregnant! The side effects are not worth it.
@JillianMichaels Yeah, I'm with you. CICO is deeply misunderstood but is the fundamental basis for solving almost all weight related issues. Exercise needs to be normal. Drugs should be reserved for those in their death bed, not people who, with knowledge, can resolve these issues naturally. Those dudes need to take a step back and rethink what they're saying.
Ozempic needs to be reserved for last resort for serious health issue like severly diabetes, not for healthy people for weight loss. My doctor many years ago told me once I went through Axeoria Nervosa ( if I'm misspell it wrong). She told me-The fear is itself make all of your mind goes to somewhere else. Saved my life. I went back to a nice healthy weight. Eat moderate and less of junk food is all you do to have a nice healthy weight. Eat from 4 important parts, Meat vegetables, grains, ( I like Rice, Oats and Coconut) and good fats (for energy to burn). You don't need lots. Good drink and good real meals. You don't need any shots, weight loss medicine and fillers, and etc because they are only temporary to fill up the self worth , and low esteem. They can damage organs if using too much of drugs. Learn to love yourself without them, and take care of yourself with right health nutrition. We cannot be look like 15 years old forever, but we can take care of what we eat and still can look healthy. That's all.
I loved it. especially how you argument with them and also that you take references from Europe, because I do believe they are not so pharmaceutical influenced as in the us and by the way happy to hear that Janice is still on the show with you. Just miss the funny stuff.
@@Cat22275I'm so sorry to hear this. It's actually far more common than people are told - believe it or not adverse events from drugs are extremely under reported.
I’m with Jillian on this one! I am obese and finally decided to go see a nutritionist and the first thing I said to him was I don’t want shots, pills or surgery. He was shocked! He asked what it was that I wanted? I said to have a better relationship with food! In just over a month I am down 12-15 lbs. change the brain change your life. Food is fuel but we are always looking for that dopamine hit!
Awesome!!! 👏 🎉
I congratulate you! I went from 175 to 110 under an eating disorder and bad relationship with food.. now I eat properly, work out and changed my habits… I know many people who use medication or types of drugs and since they feel they don’t have to struggle much for it.. they drink a lot, eat all that is bad and I see them bounce back horribly.
Just got back from my follow up and I’m 14 lb down in 5 weeks.
that's so amazing - well done love!
I congratulate you! The sad truth is, most people will always look for the easiest way to accomplish a goal. Even if its dangerous.
You and Sage Steele are setting the world on fire! Thank you for keeping your mind open!
How can they provide complex answers to her questions when she keeps interrupting?
I've been on Zepbound for 8 months and I've lost 106 lbs. The biggest help that the GLP-1 meds do for me personally is they take away the food noise that's running in the background 24/7 - 365. Now I can simply listen to my body for hunger ques. Without the constant signals to eat, I can focus on eating the right foods because I'm not hungry that much anymore so if I'm going to eat, I'm going to make sure it's healthy and nutritious.
that’s such an amazing accomplishment, congrats on the 106 lbs!
You know what helped my CONSTANT food noise and helped me lost 60lbs (from 207 down to 147 @ 5’11)
Being 2 weeks off of ultra processed foods.
Once I stopped eating the addictive as heck foods… suddenly it was almost as if the addiction reduced a ridiculous amount.
Huge congratulations about your weight loss but I have to wonder if it’s not all the GLP-1 and hugely eating correct foods that are not genetically engineered to make you addicted to them?
@DarbysPlanet I have lost over 100 lbs 5 times in my life. I was 330 lbs on my 13th birthday. Being fat is my life existence. Even when I was an active duty soldier for 7 years, I developed exercise bolemia and disordered eating to maintain my height/weight ratio. On day 1 of taking my very first GLP-1 injection, I pushed a half full plate away at a restaurant and teared up. That was the first time I had ever refused food (that wasn't just a show for other people around me)
@ we ARE going to disagree about this. you’re saying being fat is your life… to me this very much sounds like for lack of a kinder wording a bit of a victim mentality about this and as someone who has had that, it’s very hard to get out of that. This tells me that you very likely need to be dealing with your mental health and figuring out why you’re leaning on food for your mental state.
I have empathy for this btw. I’m not saying you’re a bad person for that, at ALL for that and genuinely hope you can get that help.
In addition if you’ve said this was your entire childhood as well it makes me wonder very heavily if starting from a really young age with eating these addictive foods has put you in a place where you have never actually had the opportunity to not have the addictive food noise.
@ in addition.. what about all the other things stated? What happens if the medication is no longer covered by insurance? What happens when you plateau like Jillian has talked about? I’ve spoke to several people who use food for their mental health and they have gotten on GLP-1 medications and when their mental health gets to a really bad low will literally eat through the signals to stop because food noise is a symptom of mental health.
47:13 Why even bring on the people when you just gonna interrupt and talk over them. This was like listening to a cable news panel
This
Exactly
After 10 months on Ozempic, I am back down to a weight I haven’t seen for over 30 years. I am now not afraid to be in pictures with my children and grandchildren. I’m not afraid to go to events and deal with the stares from people seeing my weight, instead they tell me how beautiful I look. There’s not an eating plan I haven’t tried, a facility I haven’t spent months at, well known doctors and therapists I haven’t had sessions with, that could keep me from continually gaining weight after a short period of weight loss. Until Ozempic. I have my life back.
Good luck with your future health.
Why didn't you just eat healthy, watch your caloric intake, and exercise? Walking is good enough.
On Ozempic, I feel great. I lost 100lbs so far with no side effects! I'm now at a size I can get out and exercise more, I'm eating better and feel so much better.
It is one of those things where some extreme circumstances the good outweighs the bad, especially with people like yourself. I just fear that like everything else in Big Pharma, it will be pushed everywhere because there is so much money in it and it an expense is just so enormous and I really hate the idea that EVERYONE has to pay for it for those that 'need' it, when the conditions that 'require' it are probably at least 90% self imposed
@@travisjazzbo3490100%. And you already know that is happening when every mom in suburbia is taking this. Like we literally already got a south park episode bc of the rampant overuse. And still people think there is no problem.
Hopefully you stay healthy and there are no long-term effects for you down the road. Not sure unnecessary medication is worth considering losing your life when there is a healthy, natural and sustainable way to lose weight.
@@stevesmith9459 industry shill
What happens when you get off of it? What else are you losing? Muscle? Bone?
Phew this was a tough episode to listen to... appreciate your passion Jillian, but the guys could barely finish a sentence before you cut them off. Bummer! I resisted GLP1 for awhile but then had an upcoming knee replacement surgery (at age 54) and needed to make sure my BMI was well under 40. I had already lost 15 lbs in 3 months prior by decreasing carbs, increasing protein and intermittent fasting. I reluctantly started on Zepbound to assist in additional weight loss before the surgery (I lost another 10 lbs in 2 months). My doc talked me into it as another tool to use in my health journey. I can say it def makes me feel full faster and longer. It also makes me less interested in food overall. However, I don't have a "food noise" issue. I had the successful knee replacement surgery back in August and then stopped the drug for 10 weeks while I recovered. Surprisingly I didn't gain weight once I stopped it. I recently started the med up again to help with the remaining 30 lbs I still need to lose. Once I lose the weight I def want off the med. Side effects like a low grade unsettled stomach and constipation are not fun. Walking into a grocery store and having little desire to buy any food is strange. I will say I've been in many weight loss journeys in my life and having Zepbound on board has def made it easier to lose weight... hoping I can keep the weight off once I stop the meds. Fingers crossed!!
Look at carnivore. You may not need other joint replacements in the future if you go that route. The first 30 days suck if you are a big sugar person, but it is so much better after you adapt!
Have you ever been obese? Food noise? When you are so far in the hole , you can't climb out. This med is life saving . I have lost 85 pounds .
What is your longterm plan for if/when you stop taking the drug? The noise will still be there. Are you addressing the underlying reason for your obesity?
Looking for the easy way out is not the answer. You have no clue about any future side effects. Why not just do it the healthy way?
I adore Jillian Michaels!! You are making a difference in the world!!! Wishing you many blessings
she is out of her league here. She is refusing to listen to the actual nuance of the arguments.
I’ve lost almost 20 lbs since June by eating in a calorie deficit with high protein, walking at least 10k steps a day (usually closer to 16k) and doing minimal strength training (definitely need to up that!). I’m only 5’2 so my calorie deficit number isn’t fun but neither was my climbing blood pressure and having no energy for my kids at only 40yrs old. I’m now no longer groggy after lunch, am in my normal BMI range, and have more energy and better mental health. It’s seriously move more, eat better! I don’t deprive myself of an occasional treat. I just make it fit into my day! If I do mess up one day, I just start again the next!
The problem is that we are a society of instant gratification. Want to buy something? Put it on credit. Want to lose weight? Take a pill. Deal with the side effects and mounting debt later. It’s sad, but there’s really not much drive or discipline left these days.
Have always loved you, Jillian! Used to watch the biggest loser in my 20’s, worked out to your dvds in my 30’s, and now loving your podcast in my 40’s!
So good ! Can I ask what’s calorie amount - I’m 5 feet so it’s really like 1200 🤦♀️
Yelling over your guests without engaging with the outcome data is not a good look Jillian.
Yeah, it’s really disappointing. She claims she brought them on to “debate” and says she has an open mind but spends the entire time attacking them and insisting she’s already spoken with all the "experts." Really? I thought one of your guests was an endocrinologist. What exactly qualifies someone as an "expert"? I'm so tired of people hiding behind arbitrary titles, acting as if only they have the knowledge to understand the situation. But thank goodness Julian talked to the "experts." What credentials does she have when it comes to critically appraising scientific research and evaluating methodology? She looks for a "however" in the discussion section and thinks it invalidates all the other information. She’s not considering the whole picture. OMG, 50% of people report nausea. So what? 50% of her audience probably experienced nausea during this interview. How many of these study participants adjusted what they ate, how much they ate, or when they ate, and saw a reduction in nausea? Nausea is such a nothing-burger symptom. It’s like going to the gym and getting muscle aches-should we stop going to the gym over that?
OMFG stop interrupting them and you'd be less confused by their responses, jfc
Utterly painful to listen to
@@mela2291 I agree. i can't even get thru it.
Yeah I couldn’t finish watching because of this. Got 15 mins in and bailed… couldn’t do it.
I was 5’10 350 pounds had a triple bypass at 50. Started my fitness journey. Push pull legs routine, 30 minutes of cardio and lifting an hour 6 days a week. Lost 60 pounds and fully stalled out struggling to get a hold of hunger. I researched GLP-1’s and say the added benefit of lowered mortality for heart patients. Stated it a year ago and now I’m currently 215 pounds and just had my second Dexa scan that put me at 12% body fat. I’ve gained muscle while losing weight on Zepbound through diet and exercise.
Every diet that people crash lose weight and restrict (esp protein restriction) and don’t exercise or lift weights they lose muscle along with fat. That’s not just with GLP-1’s!
My doctor and I have decided I’ll stay on a low maintenance dose of Zepbound for the foreseeable future as the benefits for heart patients are a bonus to the hunger control.
Why weren’t you showing clips of yourself screaming and fat shaming your contestants? Was that effective in making a calorie deficit?
I have lost 62lbs taking semaglutide in 9 months. I have done calorie deficit and working out. I, in fact, love peloton workouts with my tread, bike, and weights. No matter what, the weight wouldn’t come off more than 10 lbs before the medicine. I do have insulin resistance. This medication has been life changing for me and I am willing to have to take it for life if necessary. At this time I have reached goal and weaning off the medicine…. But if the weight comes back on, I will choose to start taking the medication again. My family has strong history of diabetes, obesity, CHF, strokes, etc. I will do what I have to keep from obesity. I also have had minimal side effects and tolerated the medication very well.
Wow, she is so insufferable with her “I fully understand that.” I hate fake confidence without qualifications. It’s like a gym janitor stopping the doctor who talks about variants of cardiomyopathy and some genetic details with smug “Yeah yeah been there cured that after reading a blog about it.” From the start you can tell she is hellbent on appearing to have upper hand in the “battle”. Precisely because if you pressed her and dug deeper, you’d find a whole lot of nothing.
LOL - watching them try to waffle about not making money from ozempic because they don't get money by selling the medication itself, is priceless. Talking in circles, very funny - you go Jillian!
You know, it's OK for doctors to actually believe in certain drugs for their own merits. Ozempic definitely has utility for certain people.
@JesseSaintJesse point still stands they are not paid by the company. Also, this medication is supposed to be for obese people, not to lose vanity weight. As a trainer, I've worked with people who were prescribed it at a clinic amd have had major health improvements.
@@stealthswimmer exactly! It's not supposed to be for people trying to lose those last 10-20 lbs, or to get their summer six pack. It's for people who are morbidly obese.
Spencer actually does make money selling the medication. LITERALLY that's what he does. The company he works at sells this medication. It's the same company Oprah made a quarter billion off through her weight watchers stock.
@@joeberger3441yes but they lied and said they make “NO money” off these drugs and she was illustrating they were not being transparent.
BRAVO to Drs Nodolsky ‘s for professional debate, you can TELL who the actual professionals are vs who does lunges for a living (facetiously).
It was painful. Can we actually let guests explain? They handled themselves well but she just couldn’t bring herself to listen.
jillian is correct about the side effects of glp1. u are engaging in motivated reasoning based on believing doctors who make money off this vs she who did 3 years of studies and is not making money off this. big pharma funds CNN and msnbc.
A GLP-1 saved my life btw and I now am losing and my inflammation is down, my addiction to food and alcohol gone. It's going to make me live a longer life. Also I did do all the things diet, gym you name it. Insulin resistance is a real thing.
I’ve struggled with my weight my entire life. I could loose weight but never keep it off. On semaglutide I was able to loose 90 lbs and I’ve kept it off. I’m healthier at a healthier weight. I no longer have high blood pressure and high cholesterol. It’s been life changing for me.
Have you kept it off without the drugs though?
And your losing muscle and bone as well. You have to stay on this for the rest of your life.
@lisanyminute6613 you only lose muscle and bone if you neglect protein, neglect lifting weights, and lose weight too fast, with or without semaglutide.
What is your plan to keep it off when you stop the drug?
@lisanyminute6613 you have zero idea. if they are strength training this will mitigate it. Stop being a derp Whistle
There is nothing more painful than Jillian Michaels getting the opportunity to listen to two physicians explain the evidence of GLP1s and then talking over them and pretending to understand evidence appraisal. Shameful.
It was horrible. At first, I thought these two "bro doctors" were going to be full of it. Yes, there’s an indirect conflict of interest with his weight loss program actively endorsing GLP-1 agonists, which would clearly benefit from their widespread use. But by the end of it, I just wanted Julian to zip it. She jumps on every sensational headline as if tabloids are offering an honest portrayal of anything. Of course, they'll stir up drama and claim something is giving us cancer.
This was hard to watch! Being on Wegovy since May should say only on .5 but no side expects down 40 lbs. inflammation gone! Cravings for processed crap gone, late night eating gone! Yes I could do this all myself but I have with minimal loss. I have 35 lbs to go and really want to stay on the lowest dose FOREVER! I am 51 by the way have tried it all . These meds are life changing! Off BP meds also! Have Dr. Seeds or Dr. Tyna on your show. They will teach you what these meds are actually do other than weight loss.
Both of these men are on the top of their game. Highly intelligent, knowledgeable, kind, and respectful. They are bowing to you out of courtesy. But you don’t get it. You do not know “ more than they know”. I think you need to quiet down, and listen for a change. You may learn something. This is simply something that is outside of your understanding. This peptide is a miraculous discovery. It provides the obese with normalacy for the first time in their lives, providing them with an enzyme that they have long been deficient in.
If specialists like Jillian were paid by insurance the way these drugs are paid for, and we had that type of expert direction at an affordable cost, the drugs would be unnecessary. Insurance just wants to pay big pharma instead of behavioral changes and expertise on that.
I'm not saying specialists try to overcharge. But they have to make money too, and that's the purpose insurance serves.
A lot of insurances actually help pay for gyms
I feel like every episode I’m screaming thank you!!!!! Seriously keep it up! Man we need these conversations and debates so much. With such a large portion of our population very overweight and healthcare cost only skyrocketing and devastating diseases on the rise it is so important we take our health seriously and do it in a healthy safe way! Down 100lbs myself and in maintenance the last 2 years! We can do this!!
I love this! Bravo 🙌 ❤
Jillian, let them talk. You sound so angry. These guys are on to something.
yes please
@@dianes.1909 agree, let them talk
I am not on the medicine. I’ve been battling my weight for the past 40 years. I exercise and follow a macro based diet% Jillian, you were rude. You barely let them speak. You sounded angry. I couldn’t watch the show.
My MIL has dementia and because she has gained a very little bit of weight, her doctor wanted to put her on diabetes meds!! She does not have diabetes, AND she is 86.5 years old!! 🤦🏻♀️
We said, “Absolutely NOT!!”
I appreciate Jillian digging into this. The issue is that side effects are not mentioned enough before recommending. Years down the road all the ppl who used this will see the negative effects which are drastic. Reminds me of J&J baby powder. How many women ended up with cancer?! The side effects is the biggest concern.
This much worse than J&J pwd
Honestly- if you have morbid obesity and advanced type 2 diabetes, CKD, heart disease etc. And all else has been tried - I cave on this one because the benefits outweigh the risks at that point in my opinion.
You will NEVER be able to convince me that losing that much fat that fast is good for you
Depends on how you lose it, and how you preserve lean body mass in the process. I love Julie Michaels, but she also was on a show that they worked out for multiple hours a day and ate barely anything and then gained all the weight back because they didn’t build any real habits so I would say that is not healthy.
@@jamaladams7640exactly. I like Jillian but she was very much part of a toxic culture when it comes to fitness. The biggest loser is by no means a good model for fat loss.
To the OP: how much fat exactly? And on what person? A 300 lb individual can safely lose several pounds a week and still get the calories and nutrients needed to sustain themselves. A person who just needs to lose 10-20 lbs cannot lose fat at that rate sustainably.
What determines your rate of weight loss is the size of the calorie deficit you're in. As a trainer, I help people track macros. When they're on Ozempic, this becomes easier for them to adhere to. They don't lose weight excessively fast because I tell them how much their macros or calories should be. They don't lose very much lean mass at all because they prioritize protein intake and I get them to train their muscles by lifting weights. They're referred to me by a clinician who adjusts their dose based on their needs and symptoms if any, etc.
you can do it naturally through a Keto diet, fat melts off VERY quickly, the problem is American's aren't that disciplined, they'd rather just inject chemicals and sit on their asses stuffing their faces with carbs.
This by far, becoming my favorite podcast
The thing is, it’s all freakin hard! I lost 15 lbs doing all the right things. Calorie deficit, strength training, prioritizing protein. I got sick of it, stopped and gained back 20. If you stop doing anything that works, the weight is coming back. Period.
Well, the reason the weight came back is because you decided to go back to your old ways.
"if u stop eating properly and start eating crap u gain weight" yeah....u chose to make it hard.
Thank you for this! I have a sister who was on several medications (heart medication, muscle relaxers, severe anti-depressant, osteoporosis meds and others - we're getting a toxicology report) then went on a semiglutide drug. Within 2 months she lost 30 lbs., her health problems worsened and she died in September. She is a casualty of these excessive and poorly monitored pharmaceutical drugs!
It is a losing argument to suggest that Ozempic is not more effective for weight loss than exercise. Ozempic is a significantly easier weight loss solution than diet and exercise - and both ozempic and diet and exercise stop working as soon as you stop taking them.
For most people for whom weight is a problem - Ozempic will work where diet and exercise have failed.
Ideally, the goal is to use Ozempic to get to your target weight and then to transition to diet and exercise (once you know what it feels like to be lighter, better looking and at a healthier weight, motivation is easier).
The ultimate trade-off is the risk of obesity vs the risk of known and unknown side-effects (the drug feels too good to be true)
Jillian may have had success with her personal clients, but bear in mind, she is a celebrity trainer who must cost a fortune for in-person training (far more than ozempic) - so one would hope that she has a high success rate!
If you can do it, I believe diet and exercise is superior. But I suspect in the majority of cases where people have trouble losing weight - Ozempic will be the more effective approach.
I don't know what I find more annoying, the fact that all three of you talk over one another, or the video quality of the doctors.
💯
I’m struggling with food addiction all my life and I work out since I’m 14 years old and it was always extremely hard to even stay in acceptable weight range not even talking about “perfect” weight and mounjaro changed my life for the first time ever I feel like a “normal” human not thinking about food 24/7 and feeling that I could snap at any moment and binge eat 8.000 calories in a sitting…. Interview some people like mark lewis who know how to train and eat but only got their brain/food addiction and weight in order with a glp1 drug
Subsidized fruits and vegetables to make them more affordable and to pay pickers, farmers and growers more money.
I droped 30 kg in 3 months on close to starvation diet, and 10 more over next 3 months. Then I took a year to slowly returning to normal eating and I started fitness. It was 17 years ago. I weigt 50kg less than i 5th grade. No ozempic or anything. PPl on ozempic will get adverse effects and if they stop the drug they will yoyo. Adding in the cost of the drug whta are we doing here people? And do not start with pcos etc. I have people in my life that are slim and okay on balanced diet and guess what? the pcos got better for them once they dropped the excess fat
Nothing like good old fashioned 'willpower'. It is something we are very sorely lacking in America and we have a system that actively encourages apathy with people. If someone doesn't have a sense of purpose when they get up in the morning, that is a recipe for not much of a life
@@travisjazzbo3490 yup, thats why the argument of mental support hits better. get them in talk therapy, get them to walk in the sun, as this helps. Btw since the pandemic closure of gyms I started walking everywhere up to 30 km a day with ankle weighs on. Rain, snow, heat did not matter. Once the gyms opened I never stopped walking and I get 20000-28000 steps a day. Since I have vit d on very high level, and I do not get sun burns as I used to (my skin is white almost blue ;)) And I am calmer then ever. So my advice deficit calories walking a lot for start, weight training added later and someone to lean on for support.
If my long term success rate is 35% when work with Jillian who is very knowledgeable and a top coach. I would say that is not a successful approach. I am not saying the drugs are only option but if it aid in psychological issues most people trying to lose weight then I see that is a win. Of obesity is one of the main causes of death in our country I don’t know why we are arguing about which way is best if it is helping more people than ever if done correctly with the right amount of nutrition guidance with keeping lean body mass
JM kept cutting them off. I couldn't hear their perspective. Personally, I'm going to give generally follow a DRs advice. A dr that studied for years, needed to pass exams, state exams, etc ... vs JM whom i respect as a "celebrity " i wouldn't take medical advice from.
@@doloreschavez2680 I love that she wanted to have a conversation with them, but in order to have a conversation, you have to let the other person talk. I wanted to hear what they had to say too.
Would have been a great discussion if not for the constant interruptions by Jillian.
Hi round mound! I couldn’t get past the first few minutes of Jillian.
I love how serious and stern in her stance Jillian is about health.
😬
you love arrogance and just being loud? make a better argument instead of interjecting and talking over people.
I’m more interested in long term studies in Ozempic/Zeppbound after 2-3,4,5 years of administration & the progressive subjective hunger scores and objective weight gain statistics. There is tons of people on Reddit complaining how they feel hungrier after long term, even after making all the “switches” they needed. Newsflash: receptor desensitization is a real thing and we should study how much it actually affects long term outcomes.
there is 3 year and 4 month data for tirzepatide
Btw how you “feel” and what happens to your bodyweight are two separate things. When you use the meds for longer the side effects go away and with it the sense of fullness in the gut goes away but the effect on brain appetite regulation doesn’t. So you may feel not as full - but the weight doesn’t go up.
@@ondrej1893 Of course, but i think they are different but interrelated concepts. Gut-brain axis. Distention will lead to a physical feeling of fullness sure. But the hypothalamic setpoint for body weight is dependent on so many factors; genetic/hormonal/neural. I don't dispute that, but what im saying is overtime, desensitizing your GLP-1 receptors skews your hypothalamic setpoint higher than original, making you need more of the drug to continue skewing the setpoint to the arbitrarily smaller value which makes people "feel" less hungry and continue to lose weight. When you stop this hamster wheel and quit cold turkey, (1) you rebound quickly and (2) setpoint is re-established back to the original. Thus, the issue was never the lack of GLP, it was the overall environment (sleep, diet, lifestyle, micronutrients, etc). Whats worse, changing the diet/lifestyle may not be enough to offset the temporary hunger from GLP receptor desensitization, with weight (or the weight regain) is strongly linked with hunger sensation.
I’ve been on tirzepatide since May. When I say it has changed my life that is not an overstatement. It’s way more than weight loss. My liver numbers are better, my inflammation is down. I’ve been able to exercise more with less pain. It’s not all bad. I will say probably not everyone needs it but for those who benefit most let us live.
Clean up or food supply. People won't overeat whole foods!
@@cherylodonnell7799 What are some things you want to do? Like tax fast food or something along those lines?
@@rburk121Fast food is taxed.
@stacymontero6172 is it taxed more than whole foods? Also, taxed more in a wide area? Like state or country level?
@rburk121 I live in California. Except for certain prepared foods, soda, and bottled water, food from the grocery store is not taxed. All restaurants, including fast food, coffee shops, etc., are taxed.
@@rburk121 Some states charge tax on everything, but at a much lower rate. Different counties in California charge different rates.
I don’t think Julian can argue She is in great shape Most of her life either is a genetic or not having eating disorder helps…, but for rest of us who cannot lose weight with the diet and exercise this is saver. So do your homework
Great episode and way to hold their feet to the fire and not back down
Really glad I found you show
I can’t even tell you how excited I am for this episode 😂 I’ve googled “Jillian Michaels ozempic” so many times!!!
I just came here from your appearance on the Piers Morgan debate and you blew my mind with how informed you were ! I was not expecting that ! You, Vinny, and Dave did awesome !
Thank you for doing this Jillian! A friend of mine just started Ozempic and I am extremely nervous. I 💯 agree with your stance on this. We cannot drug our way out of diet and exercise. It is madness.
I had a accident that stopped me exercising, cut my food intake to absolute minimum and still put on 10kg 22lb blows me away how little the body needs if doing nothing, no wonder the US population is so obese, this drug if used as a tool is probably a good thing, like all things proper use is key
The Nadolsky's absolutely shredded Jillian here. the knowledge gaps is insane.
I had constant food noise… and you know what finally got rid of it? Getting off foods that are literally genetically engineered to make you addicted to them. It’s almost like food noise is a side effect of a drug called ultra processed foods.
I’ve lost 60lbs, have almost no food noise now. All naturally.
33:43 “I’ve tried everything” YOU’RE SO RIGHT JILLIAN… the amount of people who have NOT tried everything they have tried fad diets and oftentimes have lied to themselves about how they’re eating!!!!
We are all adults and can make our own decisions. Why are you people all up in our business??? You don’t know us and yet here you are trying to make it seem like you know us best and what is best for us. Wierd, right??
@ in addition… these people are literally burdening the healthcare system like 🙃
Help me understand why it bothers people so much if others use these miraculous meds to drop weight? No disrespect here, but what’s it to you? We are all grown adults and can make our own choices…ultimately it’s my body my choice.
Bc you're lazy take a pill approach may have side effects the rest of us will pick up the tab for. Aka who's going to pay for all the gut paralysis and thyroid cancer down the line. And for what? So some fat person can't just walk and eat veggies. And I say this as a fat person.
Ps if we could get you to sign off on not getting any medical treatment you don't pay for out of pocket for yourself that would be awesome. Same for waiving all current and future claims of known risks so that when all this goes wrong your body your choice is your body YOUR expense. But of course in 15 years you'll come crying like the opiod people that surprise surprise big pharma made a huge profit off your stupidity.
I think it’s more about the health risks that come with taking the medications. Especially with a new medicine that we don’t know how it will affect people long term.
It’s not about an easy way out. But how that easy way out is negatively affecting people. And how doctors don’t talk about those negative long term effects.
Because the pharma industry can hide all the side effects until it's too late.
They also don't know how the medication actually works, that's deeply troubling if you are a critical thinker
@@derekzicari2181and if big pharma fools them all into thinking there is some magical pill there are no incentives to control lifestyle much earlier. Ie all the 20 something taking this crap to say high school skinny instead of learning good eating habits as adults. That's not even to get into children watching what mom and dad do for lifestyle and watching mom pig out on stuff thinking eating like that is normal or that vomiting over food, diarrhea etc etc is "normal" relationship to food.
Because we’re being lied to by big pharma. And they need to be called out.
Bet a few years from now bad side affects will show up.😮
Years from now? These people are already pooping themselves and claiming symptoms are just "stomach flu".
All because they don't want to walk and eat veggies.
@@kayleen9110 glp1s have been around for over 20 years and they running trials in the 90s. People are not dying from this stuff like the opioid epidemic. But want to debate on helping people fight manipulative marketing for the 30 years that certain things are healthy
@@jamaladams7640studies paid for by the manufacturers and all studies up until recently designed to study diabetic patients. The use now for weight loss is OFF LABEL. If you don't understand why something is considered off label vs on label you are completely misunderstanding the studies you claim are out there. If the studies had been done for on label weight loss use then we would have data.
The data they do have? Merits warning of gut paralysis and thyroid cancer. Think about it. Asbestos was and still is a miraculous fireproof material. And yet.....
@@kayleen9110 there’s bad side affects of alcohol and tobacco but no one cares this much about that
@@mishellorenboth have labels on them stating the facts & both are attacked…this drug isn’t getting enough push back
First it was “fat acceptance” now the script has flipped and it’s hurry up and make me skinny. What do both of these movements have in common? NOBODY has an ounce of discipline.
Listening to them trip over their own words is very telling.... #teamJillian
I am so happy you are covering this topic. It may seem naive of me but every since this trend started I have been panicked about what was going to happen. I used to make jokes about them trying this 12 years ago when I was in nursing school. As a person whose mother lives without a pancreas and has for the last 5 years, I cannot imagine why people would damage their organs to lose weight. Talk to my mother about life without a pancreas and I'm willing to bet that weight loss wont sound so great.
Jillian… just stop. 🙄
Jillian, you have the best interviews! Every morning I look at your channel first, to see whether you have anything new. You go great with a cup of coffee just before dawn!
Watching this makes me want to go exercise and prove to them that it's not genetics.
Remember, genetics play a role, but you can effect the expression of your genetics with good lifestyle choices.
@@JillianMichaelsBingo
@@JillianMichaels Yeah, I've made bad choices over the last few years, and I'm going to shed the pounds I've gained. Thank you for all you do. I appreciate it so much.
@@JillianMichaelsMy doctor took a look at my genetics after inability to lose weight in a calorie deficit. Turns out I have a genetic mutation affected by certain foods. Cut those foods and continued my calorie deficit and exercise and what do ya know! It started falling off. Medicine is not the answer unless it’s a dire situation. I say that as a person who’s not morbidly obese that has struggled with losing weight for years and who’s dad is diabetic and NEEDS ozempic in order to keep his diabetes under control. I love the Nadolksy’s and their advocacy for the obese community but I feel like their intentions were not transparent, especially with their places in this field.
Why didn’t you already then? Is it possible that you feel like swimming against a strong current of your genetic predisposition to store fat in modern environment?
I do lean against these drugs for weightloss so I listened to this debate with an open mind and noted my takeaways on the points made. I had to slow the speed way down and rewind countless times. I would suggest that if you are going to have a debate on a topic about which you are so passionate, then you must have a moderator. It was particularly difficult when you got on the subject of thyroid and thyroid cancer. You talked over them so much that I could barely understand the argument/defense they were trying to make to form any strong opinion on that specific point.
Have Dr Tyna Moore on and I think you would enjoy talking to her.
Very informative debate on Ozempic that everyone should listen to! 👏 this is so important, thank you Jillian!
I’m with Jillian on this one. I’ve struggled my whole life and yo-yo . I wanted to go on this medication since I’m pre diabetic but my insurance refused to cover for me . I did some research on it . I have my gallbladder out and one study said GPL 1 would not be good for me. I almost did compounds but instead I started walking - changed my diet . I’m down 30 . I need to start tracking my foods since I’m on plateau.
The best show on this topic i’ve seen thus far.
She talks way too much!
That’s because this is a debate, not an interview.
@@jennwatson74she absolutely interrupted and interjected throughout. She came across poorly for anyone with an iota of understanding here.
Jillian i- FIRST. Love your work thank you ! Question: do I worry about calorie deficit to lose or should I be concerned about getting higher protein - over 60 ?
CALORIE DEFICIT. Protein is great. Eating high quality protein is important for health especially as we age, but when it comes to weight loss you have to eat less energy then you burn to lose excess body fat.
@@JillianMichaelsthank you so much !! Yes 🙌
I lost 100 lbs without ozempic doing mostly keto/low carb, plateaued, and now I'm on ozempic. But i find i don't actually lose weight on the ozempic alone. I still have to be doing keto at the same time. The biggest thing it helps prevent is the binging. Once i get to below 250 in going to try to get off all my meds starting with ozempic.
ITS THE PSYCHOLOGY why are you not getting that?
They remind me of Hans & Franz skit on SNL, they are coming to "pump you up" 😂
🤣
@@heathertjaden756 hilarious 😆
Jillian, between this and you speaking out about childhood 💉now, I absolutely love it! I have a DTaP injured child and as parents, we are silenced unfortunately!
Please debate Dr. Tyna about this because for some reason she think Semaglutide is safe. I will always choose exercise and diet over a shot!
Guest suggestion: Justine Bateman.
You dropped the F bomb. So, I'm going to. I just want you to know, if you ever see this, you have fast become one of my favorites. You are absolutely fucking fearless in your search for truth. Please keep doing what you're doing!
Is there any chance to see a broaden scope of who you interview?I would love to see you interview medical medium, dr robert morse and dr goldner with the goldbye lupus protocol. Keeping it real with an open minded approach to health. Love your pod.
Hi Jillian
I loved you in BG, and have just seen you on a JFK show (I hope you become part of his team).
You are fantastic, with a wealth of knowledge.
LOVE from Australia
70% of weight loss is nutrition and decreasing calorie intake, 30% is regular structured weight bearing and cardio exercise. It takes both real patient long term commitment and time.
Yes injectable’s work, but it’s a quick fix, but if you have not changed diet and exercise the individual will just regain the weight
I’m not sure I agree with these points. Obesity itself is not inherently a disease-it's a natural result of consuming excess food, particularly unhealthy, calorie-dense options that promote fat storage. Of course, carrying excess weight-along with other factors like high triglycerides or cholesterol-can eventually contribute to diseases like coronary artery disease or diabetes. But simply storing weight is a normal physiological process.
The two men come across as very cocky, almost arrogant while Julian’s tone comes across as a bit condescending and not very open-minded despite saying she is here to listen. These drugs, which help curb cravings, directly address one of the most common challenges her clients face: emotional eating. For many, food becomes a coping mechanism, and these medications provide a buffer against that urge. Yes, eating less is an ideal solution. Still, the reality is that many people who want to make lasting lifestyle changes often struggle to maintain their dietary goals and end up falling back into old habits.
The food environment we live in also plays a major role. Highly processed, addictive foods make it difficult for people to control their intake. It’s not just about having one cookie or one chip; the urge to keep eating often kicks in, and this is a challenge many people face daily. While we should absolutely work to address this larger issue, it will take time. In the meantime, these medications can be one tool to help people regain control.
It's easy to dismiss these drugs as the "easy way out," implying that they allow people to keep making poor choices without facing the consequences. But it's important to remember that many individuals truly struggle with food, and sometimes they need that extra support. For clients who regain weight after dieting, these medications might be especially beneficial in reducing the cravings that often lead them back to overeating.
It’s both disingenuous and naive for Spencer to claim that he doesn’t financially benefit from GLP-1 agonists. As the owner of a company that actively promotes these medications as a solution for weight issues, he has a clear incentive to speak positively about them, rather than objectively. While he may not receive direct compensation for each prescription, he still has a financial interest in their widespread use. His company benefits from the increased demand for these drugs, which creates an indirect conflict of interest. Unlike most doctors who prescribe medications based on clinical need without any financial stake in their broader use, Spencer’s business is directly tied to promoting these medications.
Nevertheless, people taking GLP-1 agonists should absolutely focus on improving their overall lifestyle, including incorporating exercise. When we talk about a certain percentage of weight loss, it's important to recognize that some of that weight is fat, but some of it is muscle. Without regular exercise, especially strength training, you risk losing more muscle than desired. Sure, the scale may show a 20-pound weight loss, but if body scans reveal significant muscle atrophy, that's not a healthy outcome.
Julian raises an interesting point about the drug’s lack of sustainability, which is worth considering. However, the situation isn’t all that different from going to the gym. Both can be unaffordable, and both can lead to plateaus. For example, when someone can't afford a gym membership, they might lose some weight initially, but eventually hit a plateau. Without continued effort, they often stop going to the gym, regain their weight, and then sign up again the following New Year. The same cycle can occur with medications if people don’t address the underlying habits and lifestyle changes. The common side effects of these medications include nausea, indigestion, and rarely pancreatitis, while the common risks of going to the gym include muscle injuries, torn ligaments, and joint degeneration. The reality is, that everything comes with some level of risk for adverse outcomes.
Finally, regarding anecdotes, it's important to remember that we can't always know if they're genuine or representative. There could be many other factors at play in that person’s situation that contribute to their worst outcome. For example, while the story of someone vomiting so much that their teeth fall out is shocking, it’s not a common experience. The same applies to extreme gym injuries, like someone rupturing their bicep doing preacher curls or hyperextending their knees on a leg press. These are outliers, not the norm.
Wish we had this kind of accountability during the opioid boom.
Ditto with the jab
Im diabetic, I took Ozempic for BG control for 8 mo. It was the worst medication I've been on so far and now I have eyesight issue and need shots in my eyes. These drugs created are quick fix but long term damaging
Thanks for the debate and referencing the studies. I’d like to know the Dr estimate of serious side effect that they see in their practice.
Till doctors stop being compensated each time they take their little pad out and prescribe you that drug this will never end. And that goes for cancer & everything in between.
Loving these two! Jillian, you were too hard on them this time! I’m a doctor, so I’m biased 😜
But let me just share this perspective with you, because outside of LA things are very different. These patients are so freaking sick mentally and physically. They are obese and they don’t even have 5% of the tools, motivation, or support system they need to lose weight. I have 20-30 minutes to spend with them and spend all of it doing the job of a dietician, therapist, and physician all in one. Their subsequent lifestyle change attempts are absolutely pitiful but a lot of them are truly doing the best they can with the tools they have. And I can’t go to their house and coach them through life. But for a lot of my patients, I sincerely care about their health more than they do. Should I just let them get sicker and sicker?? I’m literally trying to keep them from going to an early grave. That “extreme” example you gave of the obese person with all the comorbidities? That person walks into my average family medicine clinic at least 3-5x a day. And every once in a while their insurance covers zepbound and their health is revolutionized. They find that now they can follow my advice, they can eat in moderation, they are eager to exercise because they feel the changes. The success stories are astounding. This has been a medical breakthrough like we haven’t seen in a while.
Jillian bringing her critics onto her show is a power move. You’re a badass!!!! ❤
Great Job J! Love how direct & honest you are. I personally know about 10 people on these meds… from the outside looking in they all appear like Legal Speed w/ less zits.
Really appreciate you being 1 of the most middle based liberals out there. Great to see the Blue party still has some sane minded supporters.
I,m with you Jillian xo
I was given Ozempic for diabetes not weight loss. I couldn’t take it because it tore up my stomach.
Jillian needs to practice not interrupting her guests. If you invite someone on, let them finish their sentences.
My body my choice!
Guys, let me tell you this: Anecodotal evidence goes in every possible direction because we're all different, also called individual variability. However, anecdotal evidence is right at the bottom of the hierarchy of evidence.
Since research has shown that behavioral changes plus ozempic can be helpful, why reject it right off the hand?
There seems to be an intuition that we're always against medication. Don't get me wrong, try it with behavioral interventions, do it deliberately and with effort, but after awhile you have to keep in mind that the obesogenic environment as well as hormonal effects of the brain are a strong driver which we have barely influence upon.
Interview dr. Tracy Moore about this to make it more of a fair debate.
"im an authority because i interview doctors who agree with me" - Jillian
These guys lose soooo much credibility by dissing Mark Hyman! This is an excellent, entertaining interview, and you are crushing it Jillian. I was surprised to hear your calories in calories out, though. I have struggled with 35-40 pounds since my mid-40’s. I’m 63 now and since January have cut sugar, processed food and starchy vegetables and wear a CGM. I lost 35 pounds in the first four months and I am kicking ass maintaining it. My fav docs are Robert Lustig, Pradip Jamnadas, Mark Hyman, and 4-5 more. If you haven’t interviewed Pradip Jamnadas , interventional cardiologist practicing in Orlando, you absolutely must!
lmao that's the SINGLR thing she got right.. good lawd. read some studies.
hyman is a quack
❤Food is the most powerful medicine! Moving from the ideal of being thin equals beautiful to healthiness’ beautiful. I think considering that everyone is a very different beauty, in terms of weight, in terms of size, look. There’s also so much information about different diets, and overwhelming and confusing… Its good aware of a good diet is to inspire women to make changes to their diet and also their lifestyle, diet, exercise, sleep based on hormone, health, longevity, beauty as well as skin in the future.
Just to give my two sense I am
taking a semiglutide compound and it changed my life. I am down 40 pounds. No side effects, I don't feel like I'm
starving myself, and I'm working out every day. I see where it can be abused or where people don't change their lifestyle habits but if used correctly, it can really help. Weight loss isn't a test you can get help. Does it really matter how "hard" you worked to get there when you are talking about your health?
Yes absolutely. It's the one thing we have the most control over. You'd feel better if you did it natural.
These guys are a bunch of double talkin' clowns. Nice work, Jillian.
And are on testosterone supplements
Not really. Nadolsky's patients have great outcomes, and he has a ton of them. I'm a personal trainer, and I've trained plenty of people on Ozempic who don't have side effects. And if they have side effects I tell them to tell their clinician they might need a lower dose. I've also successfully coached people without Ozempic. It's really no different than other meds. There is potential for abuse (and that's when people get side effects). When used properly it works really great.
@ Correct! I was referring to the double talk regarding if they profit from it, which they do. There’s nothing wrong with making a living, but just say so. The indirect answers are a bit off-putting.
@@DannyKavadloidk man, people still blame doctors today for earning money from statins which cost like 10 dollars a year.😅 And yet doctors didn’t stop prescribing them just because they became dirt cheap (in most countries anyway)
lol they ethered Jillian here. the only 🤡 who think Jillian won this are people who don't understand how anything works. she doesn't understand nuance whatsoever. She is under qualified and thinks that being loud and interrupting is a debate tactic. weak as f*ck.
So watching the "podcast" and listening to it reveal a lot of different things. For one, these docs come off very poorly, so I can now see why Jillian was amped up to an 11. I didn't like the overall tone of this discussion. The material, however, was 100% spot on. I am a person who believes in sweat equity only. Hard word followed by harder work to achieve goals. But that doesn't work for all. This is a tough discussion and worthy of more conversations.
I actually morally want to side more with Jillian. That being said, i am kind of the perfect type of person these guys want to help based on this interview.
One of the biggest things for me is that I'm just alone and unloved in most of my day to day. I have 2 kids but they are with me 6 weeks of the year and in Germany the rest of the time.
I just don't care or have any motivation the the other 10.5 months of the year to be the person i really know i should be and potentially can be.
I was actually really athletic when i was young. I even served 5 years in the army, but I've been 350+ the last 10-15 years of my life. It sucks. No diabetes. I take blood pressure meds but I'm kinda healthy other than my weight. I still mow my own lawn and stuff.
Ive been considering a sadi s surgery but even the diet id have to go through to prepare just seems insurmountable with all the other environmental factors in my life.
I dunno... I'm still skeptical though... like feel trapped no matter what.