Breaking Down Obesity: Doctor's Reaction to 60 Minutes Special
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- เผยแพร่เมื่อ 10 มี.ค. 2023
- In this video, a doctor breaks down the recent 60 Minutes special on obesity and shares their reaction and analysis of the program. From discussing the latest research on the topic to exploring potential solutions, this video offers a comprehensive overview of the complex issue of obesity. If you're interested in learning more about the causes and consequences of obesity, as well as potential ways to combat it, be sure to check out this informative video.
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Right on Doc!! Its rare to find a medical professional that's willing to tell their patients the truth....
No it's not. Many medical professionals will teach you the same thing.
I respectfully disagree. Many doctors do not have a firm understanding of nutrition.@@MNP208
Thank you for this. I've struggled my whole life with up, down, up, down. At age 53, I finally gave up alcohol for good and have never looked back. Then, I focused on diet and exercise again and lost 110 pounds by doing exactly what you prescribe. I haven't felt this strong and well in many years and I'm committed to keeping it off, but it's a struggle so I DEFINLTELY understand what these people experience. I'm 55 now and feel like I did when I was 35. Thanks again for your focus on proper nutrition and exercise: it really helps me.
I am so glad for you. This chap's advice is spot on. He knows what he is talking about.
Even though 60 Minutes didn’t get it quite right it is about time that the science around obesity is actually being looked at in greater scope. Hopefully the rest of the nation will follow Rhode Island’s lead. Thanks Dr Mike!
I eat whatever I want between 12 noon and 6pm. I don’t count calories and I only drink water, coffee, tea, or milk. I lost 20 pounds ( which is all I needed to lose) and I have kept it off. Easiest way to eat!
Obesity is a disease where the patient is in charge of the outcome. I say this from experience. Started LCHF/IF 18 months ago. Lost 80 lbs., current BMI is now at 25, and T2D is under control with an A1c of 4.6.
I am sixty six and from the UK. There was very little, if any obesity when I was growing up in the 1950s and 60s. We ate real food daily. There was no processed food and very limited snack food and no sodas etc.
In the 1970s and 80s fast food restaurants arrived and ready meals became available. This food is hyper palatable, additive, full of unhealthy fat, salt and sugar. Now in the UK we have more obesity than any other European country. The change in eating habits is responsible, not our genes or our family history. As the journalist Michael Pollan said 'eat food (meaning real food), not too much, mostly plants'. I sincerely wish everyone trying to lose weight and improve their health the best of luck.
Also, it was considered unhealthy to eat between meals and bad manners to eat in public (except in restaurants or on a picnic). You didn't see people stuffing their faces as they walked down the street or drove their cars.
This is the best video/explanation I've seen yet about the current research on obesity, the importance of whole foods and the new medications as well as anti-obese medical bias, bringing a number of issues together really nicely! Very well done.
I've been on Ozempic for a year and have lost 60lbs. I've also had a huge decrease in body inflammation that had made moving constantly painful. It's an amazing drug and I'm lucky my insurance pays for it. Hopefully the insurance industry will realize it's a long term cost saver to cover it rather than not.
At the nursing home where I volunteer, obesity and metabolic disease is everywhere and not just with the patients but with the staff as well. When one walks into the front lobby the first thing one sees is a giant soda machine with a Coke advertisement facing you. Residents drink soda and can get it delivered on their tray with their meals. The nursing home is overcrowded and most of the residents have dementia.
Thank you for volunteering.
Thank you , you explain so well. A glucose meter became my best friend 6 years ago. Eliminated the foods that caused insulin spikes, and don’t eat 6 hrs before sleeping. Lost 30 lbs, have optimal blood pressure now, cleared my skin, got tons of energy, sleep better….the list of improvements is too long for this comment section. ❤my glucose monitor!
Thx for another great video Dr. Mike. I work on a surgical unit and we take care of a lot of colorectal patients. BTW I really learned a lot from the “ 4 signs of colon cancer you should never ignore” video. Anyways, we have been getting a lot of medical patients as well and I’ve noticed that about 1/3 of our patient population have diabetes. That’s such a high number. You pointed out two very important facts that sums up a lot for me. 1. Processed food is the main driver of metabolic illness and 2. it’s not about quantity of calories it’s the quality. Reading food labels has helped me out a lot but nothing compares to fresh , non processed food.
I think we still have a big problem with the term “processed” foods. What IS processed food. To my knowledge there is no consistent definition of the term - even less a scientific one.
So what is it? WHAT really should be avoided?
In one of your videos you showed some sausages while talking about “processed” food, Dr. Mike. In many cases sausages consist of ground meat, salt and spices. That’s it. Processed?
Is grinding processing? Pasteurizing? Homogenizing? Curing or fermenting? We need to get a grip on the definition of what it IS that harms us (besides the known things like sugar or excessive carbohydrates altogether).
Most insurance will NOT cover GLP-1 agonists such as Ozempic, especially if a patient doesn't have fully diagnosed type-2 diabetes. So you will have to pay $ 800 to $1,500 a month for a drug that is injected once a week. In addition, numerous studies show that the weight loss that results from Ozempic is 40% lean mass, or muscle. That is terrible because with muscle loss, the resting metabolism drops making weight gain guaranteed when you get off the drug.
Lol, did Fox News tell you that?
As a vegan for 18 years at 72, I'm healthy and try to stay away from processed foods and sugar never been on a diet.
After 3 years of tracking calories, weighing every ingredient, and eating sub 1000 cals a day just to maintain, I finally found a provider who didn’t pull the “eat less, fatty, and you’ll lose it” song and dance. I have PCOS insulin resistance and have had to make my “diet” my entire life to make sure the scale didn’t increase. 3 weeks on Mounjaro, I’m down 14.8 lbs and only 20 lbs from a solid, healthy weight. Oh, and my period came back after pretty much nothing since November. This drug has been a miracle for me. I’m willing to pay full price out of pocket if insurance ever decides not to cover it. I’m prepared and willing to be on it for life.
I took Mounjaro as an overweight (not obese) individual. After stopping the medication, my struggle with food and weight has been similar to what it was before the medication. When I’ve started eating too much processed food and sugar I’ve felt the food noise increase significantly. I’ve used adipex when I feel like I’m going down the slippery slope to help me gain back control of my appetite. I’ve been off Mounjaro for 4 months and I’ve been able to maintain the weight loss.
On the topic of regain, I feel like focus of regain is a moot point. We do not have a weight loss solution in the arsenal that doesn’t include regain of the weight. This includes dieting. Studies show that around 90% of people that lose weight through dieting will gain the weight back. As a result, I don’t understand why the topic of regain continues to come up. I don’t hear people say, “Maybe you shouldn’t go on a diet. Once you hit your goal your just going to regain the weight.” So why does this keep coming up with the medication? At least with the medication you will have a maintenance tool.
I couldn't lose weight for years tho very disciplined with food and working out. Post menopause. Finally lost 23# in 6 months with intermittent fasting and lowish carb. Not that hard to do. 🎉
Nice work!
Doc. I respectfully disagree that these pharmaceuticals will become main stream. There is a medical industrial complex that’s making a fortune of all these obese humans.
I didn't even realize 60 minutes was still a thing (cut the cord more than 10 years ago.) But, Dr. Mike is a thing!
fwiw, I did weight watchers at work years ago and over time lost ~70lbs. I'd attribute it mostly to understanding food choices better (as you discuss) though I did pay attention to "points" (some weird approximation to caloric intake--though I'll defer since I can't do it justice.) I've kept almost all of that weight off for the years since that program was discontinued at work. But, I'm always interested in metabolic health (which is probably what brought me to your channel--thank's algorithm, I'm so glad you invented the interwebs! ...sorry, terrible al gore joke there, forgive me.)
Thanks again Dr. Keep up the fantastic work sir! (And, we'll keep tuning in to your channel.)
Dr Mike Hansen, you are such a good doctor, thank you for your honest, educated opinion.
Doc, please, if you do a video like this again, please leave out the annoying music in the background. Otherwise, thank you for great information.
I find when I slip back to snacking on sweets, I have a tougher time reducing my portions of meals in general. Having lost 40 pounds in the last year, I think I have a handle on what I can do, but I have to stay vigilant.
Hello and thank you for this for another video this is the best " love u "
Excellent commentary and redirection on the information in the 60 minutes report. Emphasis on the multi factorial causes of obesity vs. metabolic disease must not be overshadowed by the lack of personal accountability with regard to individual’s intake of food/drink that is inconsistent with attaining desired BMI. The food industry needs to be held accountable for false advertising in the promotion of “healthy” foods. Epigenetics can only affect genetics when improperly signaled. The obesity epidemic will continue through the generations without a concerted effort to stop it. Thank you for all your hard work in sharing knowledge through this platform.
Cynthia Hoz RN, BSN, MBA.
I have been a nurse for many years and am starting a master's program to become a family nurse practitioner. I plan to focus on obesity medicine and hope to provide support to many people with this new research emerging. There is so much prevention that we can provide, so much life we can help people take back. It is so exciting to me.
What can you do except prescribe drugs?
Kudos for mentioning obesogens and epigenetic factors! I think that we still don't know enough about the gut microbiome to rule out changes in our microbes as yet another possible factor in obesity.
I'm afraid that we'll be hearing "just eat less and exercise more" forever, no matter how inadequate that advice is for some people. Saying stuff like that is "in our genes" at this point.
Thanks for doing this video!
Good video Doc. Dr. Stanford is correct about the set point in that the hypothalamus monitors food intake and drives hunger but GLP-1 in the intestines also contributes. Mirroring what you stated, the quality of food is important for both. Good quality food can satisfy so many aspects of health: the microbiome, hormonal release from the gut, and the hypothalamus. Also, the high-calorie foods that people ingest bypass these mechanisms. Before the body/brain is able to release hormones to signal that it has had enough, we have already over-consumed. This is why good quality food and eating slowly can also aid in losing weight.
Was curious where electromagnetic wave exposure fits in to all of this. Would love your take on the impact that has with health too.
Thanks doctor mike you are changing the world
The problem is, in order to not gain weight, we are asking people to swim against the current, all the time, and it's exhausting. What I mean by that, is that everything in our society is made for people to gain weight: ultra-processed foods that our cheaper than healthier alternatives, office jobs and technology making it easier than ever to not move from our chair, "hustle culture" promoting unhealthy sleep habits and increasing stress... The list goes on. Yet, we keep putting the responsibility on the individual, saying that if they gain weight it's their problem ("you lack self-control", "you're lazy" etc...) and if they can't lose it's also because of some "behavioral issue" even though our bodies are just doing exactly what they were meant to do: conserve energy and prepare us for the upcoming famine. It's time we recognize that the patients are not to blame. I think it's the first step in helping society change for the better.
"hustle culture"? I highly doubt that hustle culture was a thing in 1980, when obesity was still high, although not as high as today.
Mike, firstly, thanks very much. Another great video. Secondly, I don't understand the graphic at 12:50 at all, and I don't believe I am alone. I understand the pressures on your time but could you please do a follow up video explaining this graphic? I and many others would be hugely grateful.
Thanks for all the hard work you do.thank you especially for your pandemic videos on covid.could you please do an in depth video on the research on the gut microbiome and obesity.
As a lecturer in health sciences, I am very sad to see the video. I cannot imagine the difficulties of living in the US. Where is the public health professional that should give health promotion? Thank you for your great video
i had weight loss surgery went from 402 to 145 5 years ago have kept the weight off best decision ever! i eat very healthy
If obesity is genetic, then our ancestors should have been obese. We should see 60% of overweight people all the way back. But if you do a Google Image search, you see that most people were slender up to the 1980s, particularly young people. The great rise of ultra-processed foods began in the 70s, as well as the dramatic increase of fast foods in our diets.
Both of those were combined. Prior to the 70s, "fast food" was merely regular foodstock served in a casual diner. Beginning in the 70s, "fast food" turned into ultra-processed food.
Thank you for your work on this.
My pleasure!
How many have truly tried low carb diet and intermittent fasting first?
Thank you Dr. Hansen. It has great information..!
You are welcome!
Thank you for all you do! You are an inspiration and show your passion for individual and community health. Great video. Looking forward to your next.
Thanks doc I was looking for this valuable information
What is the down side for taking this CLP-1 agonist Dapagliflozin? does the drug increase the risk for medullary thryroid cancer?
I think you are getting closer to promoting the Carnivore diet for all these metabolic issues, I have fixed all of my health issues on the unprocessed meat only diet.
@@Sc-dd6hb I've been eating meat (zero fiber) for 4+ years, all health issues fixed :)
Everyone if free to think what they want.
Thank you Doctor
Yes Thank you! Excellent to learn this!
I’ve been on and off semaglutide because of availability issues. It works for me as a type 2 diabetic and I have also lost weight. My HgA1c is 5.6 on it. FBS on it runs in the low 80s. On metformin alone 110-120. I was briefly on dulaglutide when I couldn’t get semaglutide which did not work as well and on which I had more side effects. It would pay Medicare/Medicaid to buy the patent from Novo/Nordisk and mass produce the drug. I’m a 73 yo retired internal medicine MD. Dr Hansen is the most accurate, scientific doctor on the internet.
I’ve gone to my doctor when I was pregnant with twins with back injury and they said I can’t help you with the back pain. But we can give you meds for your hypertension… I’ve never had hypertension until I was pregnant with twins. It really mad me feel like she looked at me and made an assumption of what I ate because she even said if you change your diet and eat less outside it will help… I hardly out and specially fast food. I started taking Wegovy and it’s been the only thing that’s helped me lose weight. I’m down 27lbs and I hardly workout compared to before I used to hike 5x a week and still didn’t lose a single lb. If anything I was gaining weight as I aged slowly.
Dr Mike, can you answer a question for me. Which is worse, too much sugar, or too much salt? Or are they about the same. Thank you! Love your channel.
Both. Anything Too much is bad for you. A study, published by US researchers in online journal Open Heart suggests that sugar is in fact worse than salt for raising our blood pressure levels and heart disease risk. Thank you for following and watching.
Carolyn, I'm curious about your question. My question to you is WHY do you need either of the two at all? I believe Dr Mike's answer will be "avoid BOTH too much sugar and too much salt"
I just want to add a nuanced response to your question. Your body does not need sugar, but it does need electrolytes like salt. If you choose to eliminate processed foods from your diet, which are typically high in salt and sugar, you will want to add salt to some of your meals so you can maintain healthy electrolyte levels.
So very helpful and informative 👌
I have had to fight my weight all my life and fight heat disease from my father and diabetes from my mom.
"To lose weight, eat low carbs only. Avoid rice, sugar, pasta, soft drinks, and bread. Opt for avocado or berries as your fruit choices. For protein, consume any meat, eggs, chicken, or fish. Stick to leafy green vegetables for your vegetable intake. Additionally, include walking exercises and fasting to expedite weight loss. Consider drinking 1 liter of water with 1 teaspoon of salt as an electrolyte supplement. This will help maintain proper hydration and mineral balance in your body."
all the benefits from these drugs can be got from a healthy unprocessed diet
I appreciated the 60 mins vid and that you both are approaching the topic with sensitivity. I lost patience with the 60mins piece when the doctor started talking about set point theory and did not disclose that is still only a theory, unproven, and lacks stringent research to back it up. I am little uneasy about treating a disease based an untested and still unproven theory.
Just cut out carbohydrates e.g. sugar (sucrose and fructose) and starch e.g. bread, rice, potatoes. Eat as much as you want of everything else e.g. sea food, meat. Keep that up for at least a month to give your body a chance to switch from being a carbohydrate burner to a fat burner. If it works for you (and it will if you stick to it) keep going, buy new slim fit clothes to fit your new body shape.
I’m on Ozempic for type 2 Diabetes. I’ve lost a lot of weight and feel a lot better. FYI In Australia Ozempic is only $30AUD a month without insurance. I
The quality of foods impacts the quality and response of the gut biome which then impacts the metabolism and rates of obesity and the hunger hormones leptin and ghrelin.
Kinda wish you'd just come out and say it. Epigenetics is a two way street. One side has herbivores strictly, and the other does not.
I liken you'd agree veganism is way ahead of the curve?
Time to introduce a proper sugar tax!
100%, they are legally selling poison.
For those like me with MHO and sugar craving, orthostatic low pressure and likely some leptin resistance, what do you recommend?
Whats the study you're referring back too? Link please. Thank you
I feel like a pharma cash cow. I took Redux % it put a hole in my stomach. It is off the market now. I don't want medication for weight loss. I need a knee replacement but can't have it because of my BMI. That is bull too because if I had my knee I could go down in weight. I lost 50lbs eating right. I am on a plateau now. I also have Lymphedema, Crohns & struck by lightning which caused the Lymphedema. Going to try pool aerobics and intermittent fasting. It is expensive to eat right but it definitely has made a difference. Love your videos & information. Not a fan of any drugs.
It's a combination of food quality and portion size. The epigenetic inheritance claims by Hansen are not supported by available evidence, and there is considerable skepticism about the extent of such effects in the scientific community. So, instead of blaming your grandparents, cut the burgers and fries, eat whole plants-based foods and yes, watch your portion -- although Hansen is right here, it's hard to overeat on broccoli. Oh, and I would generally avoid getting health advice from 60 Minutes...
Intermittent fasting - I'm finding it difficult to stick to & my weight loss has plateaud after 3 months. Not sure what the answer is.
Dr Hansen is super smart, but you should also watch Andrew Huberman . It's a great resource
Be interesting to know what the effects of these new drugs on epigenetics are.
Dr. Hansen, I have so appreciated your science and fact-based informative videos.
The one thing I have a small beef with in this video (and many others on the topic of GLP agonists for weight loss) is the emphasis on blaming insurance companies for not covering these drugs. I would like to see some discussion of why the drugs are so darned expensive. I'm a capitalist, and all in favor of companies recouping their R&d and testing expenses for drug developments plus making a good profit. But these are not drugs that will affect a tiny number of people. They are blockbuster drugs. How expensive are they, really, to manufacture and distribute? Is it really necessary to charge $1,300 a month or more for them? I understand that in the UK, Wegovy is about $400 a month.
If Medicare were to cover Wegovy for all of the obese (but not merely overweight) people on Medicare, the cost would be approximately &872 billion. The total budget for Medicare in 2021 was $888 billion. (It was less in 2022.)
So the cost of this type of drug could easily approach 100% of medicare's budget (let's assume that the obese Medicare recipients who can't or won't take it are replaced by overweight ones who can and do.) Even with the savings for obesity related diseases, this is an untenable amount of money. We have to get the cost of these drugs down
Another point worth making, if humanity can fix most NCD's (Non Communicable Diseases) through vast improvements in the food supply from the micro to the macro, isn't that the most logical tact to take? The vibe I'm getting is, Doctors are trained to do 3 things (generalizing here of course): diagnose, drug and operate. NCD's effecting civilization go way beyond this scope and at the heart of it is a high carb, highly processed food supply. Taking drugs won't change that paradigm, just reinforce more of the same.
We watched a drug infomercial is what we watched. That may resonate with Doctors and patients looking to continue their consumer choices and lifestyles and can afford the meds with us really not knowing the long term effects, but it doesn't resonate with how to best deal with NCD's. If we really want to know how to fix this, we need to know metabolism like the backs of our hand. (Anabolic/Catabolic phase)
Humanity has been "stuck" in the Anabolic phase and it's causing the majority of NCD's but it's not that simplistic as there are a host of deficiencies, toxins, diseases and meds to consider while reversing diseases in the Catabolic phase. This requires long hybrid fasts like juicing and supplements to shore up deficiencies and detox safely, coupled with IF and water fasts once we get healthy, not to mention major changes from getting off processed foods to whole and unrefined, these are major changes in lifestyles and thinking here!
We can argue that drugs can be a part of the equation, but I say no. After everything I've looked at, it's not necessary. All that is required is knowledge, awareness and good will. (a major feat in itself I know, but in simple terms, it's all that is required)
Could the glyphosate in all the foods and the soil and water have something to do with it Too?
Doctor Hansen, I have made lifestyle changes for the last 13 months. My A1c has dropped from 5.9 to 5.4 and I have another appointment to recheck it again next month.
The one thing that has me puzzled is that I had Covid-19 13 months ago. My resting heart rate went up to 92 bpm.
I am now down to the lowest point in decades. My Fitbit has my resting bpm in the low 70’s. I even hit 69 today. What does this mean?
I have had cOVID-19 twice, and every time I have had it my resting heart rate went up for several months after, and then slowly went back to normal.
Does protein add weight
No need for weight loss drugs since I discovered intermittent fasting 😊 I was already doing most of the things right, except for excessive carbohydrates. I solved with IF and low carb.
About the drugs, I just hope we won't have bad surprises 20 years down the road. However, if it works, why not?
I lost 66 pounds which was 35% off my body weight on tirzepatide in 8 months. I felt better in vegetal including my autoimmune conditions. Now that I've been off of it because I can't afford it.... my autoimmune conditions are flaring up so much... it helped my inflammation a lot... not just my weight
So far I've been able to sustain my weight...fluctuating between 123 and 128 ... I'm 5'3"
Thanks for your time and effort
My pleasure
How do you know whether the metabolic dysfunction or the obesity came first?
Do you think Metformin can help like theses shots for weight loss?
Huey Lewis : I need a new drug.
Well, considering that erectile dysfunction, which can be a result of chronic hypertension, can also be the result of insulin resistance, maybe insurance companies should cover that too...?
Because pharmaceutical companies don't want them to be approved. They would lose profits from their other high cost meds. Fast food companies and junk foods sales would go broke. Money makes the world go round. I tried to get these. My doctor said no. I'm 4ft 10 and 245lbs. It's crazy...
Yet I have personally seen two morbidly obese and poor people lose weight without difficulty on the carnivore diet. I have eaten that way for decades. After doing it so long I wonder if it has changed my epigenetics as well? So far I am the tallest one in my family ever.
If microbes have anything to do with diseases would it be possible that the "non communicable" diseases might actually be communicable by the spread of disease causing microbes. For example if gut microbes have something to do with obesity, could an obese person be passing around microbes to others that help cause obesity or other inflammatory disease?
They say if your friends are obese, you're much more likely to become obese as well. They blame it on what you eat, but I think gut microbes could certainly be the cause. I think about it every time I hug a fat person.
I've been on diets for more than 2 decades. Last 5 years my weight is more stable. For me, lack of/too much exercise, going above 200 gr (95kg weight) of carbs per day and fructose are the common triggers of weight gain. Calories for me are secondary if the excess comes from fat or protein. Until I stay under 200g of carbs per day, my wegith will be stable. I exercise almost every day. The weeks I'm more sedentary I drop even more the carbs to 100g per day for a couple of days.
If these new medications can reduce cravings for sugar (that is causing the addiction), and the patient has weaned from sugar (presumably a goal), then why should they gain their weight back (since they would no longer be addicted)?
Sometimes I wonder if these news specials ever actually verify all the information they're putting out into the world so authoritatively...
ACTOS = gained 120 lbs, had really bad breathing issues and rubber legs. Lost 60 lbs when I went off (went on insulin) was able to walk 30 - 45 minutes. But still, 15 years later, have breathing limitations and leg weakness, even with physical therapy, and can't seem to have more weight loss. Bottom line ACTOS ruined my life and career, and is ruining my retirement.
I took one pic and lost about 40 pounds, however I decided that I no longer needed it. Now I have gained about 15 pounds. I work out now every day and am very slowly seeing the weight reduce. I will contact my Doctor if I continue to gain..
I tried mounjaro and lost 6 pounds in the first week however I wasn’t absorbing the meds I needed to live. I have Addison’s disease and am steroid dependent . It slowed the
Absorption of the steroids and I felt awful. My skin was also getting darker and darker as my acth was going higher. I couldn’t sleep as I didn’t absorb my 2.5 HC before bed……
I tend to have LOW SUGAR levels, and I am obese , I wasn't till I moved to Italy and only the change of meat, and I am talking non processed meat, made me become obese. I used to live in Kenya, where the livestock grew freely, so to me, intense breeding is also a cause for obesity as you are what you eat. I hope I explained myself.
@@defcreator187 not all meat is bad. We are created to eat both meats and plants. So taking one away is not good for the human body.
@Def Creator I think you have 4 pointy teeth in your mouth, or don't you? Those are called canines, which are used for meat, so go back to school. By the way in Japan they also eat raw fish.
@@defcreator187 be sure I will. Thanks
I wonder if someone will do a study in which two groups, one on these drugs, and one group doing vegan plant based diets, and comparing the two?
I come from a family where half my family was obese... in the 1950's. All I have to do is look at a cookie, donut, or a piece of cake and I gain weight. So there is some truth to the notion of genetics, it's obvious the tendency towards heavier weight runs in families.
I have to stay away from high-fat, refine carb or sugary foods like cakes or cookies religiously, otherwise my "set point" tends to drift upwards. Unfortunately, I was raised a middle-class life with lots of processed foods, so I've had to battle gain my entire life. My family didn't even keep fruit around the house because my mom was prediabetic, and they infrequently ate green vegetables like collard greens or broccoli (foods that should be eaten every day, if not several times a day).
I am a bit confused, does Ozempic work by curbing the appetite of people who take it? If so, then the real reason people lose weight who take Ozempic is because they end up eating less? Am I getting this correctly or not?
No, you’re not. They work in several ways, not just reducing hunger. Reduced appetite is a side effect. It also slows food dumping and affects your liver, glucose, and a number of other things. A simple visit to any of the manufacturer’s sites will correct you on how these drugs work.
Do you know when there might be a generic version of these drugs?
A healthy diet is one that feeds the gut and protects the liver.
How do people deal with the nausea and vomiting side effect?
@DR.mike_hansen I've been dealing with nausea for over two years. I've been to every specialist. No one can figure out why. I am overweight even with the nausea. I am not able to tolerate many foods. I am on Promethazine and Zofran daily. I also have limited mobility due to MCTD. How do people deal with these side effects of the medication outside of the typical ginger/lemon etc.
Look back in time when most folks were thin. Act like them. Don’t watch hours of tv or any screens. Get outside and move. East Whole Foods and avoid processed foods with labels listing 10 or more ingredients. Don’t snack at night
Good advice. And don't use any sweeteners - real or artificial.
I find it hard to convince people that there was a time before the 1980s that Americans were slender. My daughter, however, did a Google images search and found it true. We used to be slender.
@@kirkdarling4120 Everyone in the 60s and 70s would be instant Instagram models today.
You have to look at the way we are now growing our food, it is less healthy then in the past, but then we are so many people in the world that intense breeding and growing crops with chemicals is necessary and makes us what we are today.
I try to keep ingredient count to 5 or less.
And I buy nothing where I can not pronounce the ingredient named.
I fast for minimum 16 hours up to 18 or 19 hours.
Zero processed foods.
Why are the simple causes of obesity so hard to understand? At this point, the US needs to do a Truth national campaign aimed at eliminating childhood and teen obesity rates because the adults are a lost cause
Thank you for taking the time to go through the story and the science. I have been overweight or obese off and on for about 20 years. I am 53 now. I started intermittent fasting about 5 years ago with good success -- my bloodwork is amazing. However, I have never been able to get down to a "normal" weight. I mentioned this to my care team and was given an Rx for semaglutide. Through their clinic, I am able to get the generic medication for $300 per month. This is expensive for me, but I really want to be able to do regular sports activities again that my weight hinders. So far so good, I am pleased with my weight reduction so far, but am concerned about having to use this medication indefinitely. My team suggested using this time to develop better habits (Mediterranean Style Diet and Physical Activity I enjoy) so that I can titrate off the medication with helpful sustainable lifestyle changes in place. They also suggested that I may be able to use some bridge medications to support this process. I hope I can do this successfully as I am not sure I will be able to afford this when I retire. Wish me luck. Again, thank you for the information.
I feel like they need to do more research on how effective it is for people who don't eat a healthy diet, because those are the people who will use it instead of cleaning up their diets, not in addition.
I knew a young woman who had a family history of osteoporosis. Instead of diet and exercise, she was planning on waiting until she got it and then going on drugs, just like her mother had.
You keep talking about how the quantity of calories is not important compared to the quality. I don't agree with that statement, as you can still overeat foods that are very nutrient-dense and healthy, such as nuts/seeds for example. Quality of the food we eat is important, but it's not the only factor and saying that the quantity of calories doesn't matter is just inaccurate. Also, you keep stressing the importance of whole and minimally processed foods. That's great, we definitely need to eat more of these foods, but most people already know they should eat more whole- minimally processed foods! The problem is: why can't people stick it?
GLP antagonists promote insulin production in the pancreas. I see this as a double edged sword. Yes, it might reduce appetite (as a side effect we should note) but it can also lower blood sugar levels significantly. It also might overwork the pancreas over the long run (pure speculation I know). I just don't see making people feel sick from low blood sugars as a good weightloss treatment. I think eating healthier, unprocessed foods is ultimately going to give you better results. These people eat less because they feel sick, and it's the quality of the calories, not the quantity that makes the biggest difference in overall health. It's a very hard thing to do but I think conquering these inner/mental/emotional issues really are at the heart of the issue. It's not too be glazed over as easy or simple but any regard, but the truth is this is a hard reality of life we all face.
Agree. Thanks!
Where is the audio?
I’m healthy obese (Right now) I am 5 years post menopausal and have been diagnosed with Endrometrial Hyperplasia. Losing weight would help eliminate the extra estrogen that my body makes. GP-1 drugs could help but can’t afford them and not covered so instead I take a synthetic progestin which stands a good chance of giving me breast cancer instead of getting uterine cancer. I feel like I’m being told to pick which cancer I’d like to have and so hopeless, alone and scared. 😢
Go on a high fat low carb diet. You can also add in dihydroberbermine, which has been shown to kill cancer cells as well as addressing insulin resistance and myo inositol. Make sure you read up on it first and go slow. Don't take those hormones until you've tried this for at least 6 months. Those supplements have a lot of good studies behind them. High fat low carb isn't hard to stick to when the alternative is death. It saved me.
Find a provider that will fight for you. You’re the exact type of patient this drug was designed to help. If they push back, go find another doc who will listen to you. You have to advocate for yourself.
Sounds like 60 Minute’s audio is taken out.
Stop eating Sugary foods. One can of pop is TEN teaspoons of sugar. 2-litre bottle of pop is over FOURTY teaspoons. one cookie is 2 -4 teaspoons of sugar.
-- One muffin is 10+ teaspoons. All professional baked goods are excessively loaded with sugar. (Read the labels: 4 grams = one teaspoon.) Ketchup is 1/3 sugar. Crunchy breakfast cereals are sugary carbs. All processed foods add sugar and excessive amounts of salt ----> as **appetite stimulants!**
-- Healthy fats are good for you: don't stress about fats: learn to like Olive Oil. The larger problem is **excessive appetite** caused by stimulants added to processed foods, such as sugar. Avoiding processed foods and learning how to eat REAL food is optimal, but **focus first on sugar.** ---->It's like an alcoholic or a drug addict: avoid the addictive substance completely.
-- Realize that your gut biome is addicted to sugar, so it will take the time to build a healthier non-sugar-oriented biome. Also realize that the gut-brain connections are very powerful, so that desire to eat is NOT YOU, but your gut biome screaming for sugar. U will need to starve those bug gers out; it's a war of wills. Is your gut bacteria driving your mind, or U?
-- There is not much U can do about epi-genetics; except to spend a lifetime reprogramming your body. The first best step is avoiding sugar.
-- also note that **hunger and cold stresses are very healthy.** Stop trying to be so comfortable/middleclass/full/satiated. Eating 3 squares a day of processed foods = dea th. Suffering = longevity. Don't worry about it.