As a retired MD and type 2 diabetic, Ozempic has been a major addition to my diabetic regimen and, yes, I lost 20# when I started and have maintained the weight loss despite not needing to lose much weight. It does create mild nausea at times and constipation but is easily managed. My issue with these agents is the cost. I am able to afford them but being on Medicare means that I share a significant deductible that may be as high as $400/per prescription at certain times of the year. It is great that the President got Congress to limit the cost of insulin, but this is not the case for these G1P agonists like Ozempic. Too bad, because both obesity and type 2 diabetes are so common and are a major drain on our national socioeconomics.
And, morality aside for a moment, just think from a fiscal point of view how MUCH it would save the American population to subsidize (or bring the price down somehow) so that all who needed it could get it. As you know, obesity is so expensive due to the number of related comorbidities associated with it. Spend a dollar today to save a thousand tomorrow. Wish our government would think like this...
Downplaying the importance of exercise is a mistake. Exercise is necessary for health. It keeps muscles and bones strong. It strengthens the heart. It improves circulation. It oxygenates the tissues. And it relieves stress. Oh, yes! It also burns calories.
For post menopausal women, this is not true. Exercise, especially intense exercise, is stress, and stress prevents weight loss. It is certainly important to exercise but that is for the feel good hormones, to help you sleep, to keep you mobile, etc. 95% of weight loss is in the kitchen.
I 100% believe a lot of the positive comments are coming from bots. This lady is a spokesperson first and a doctor second. She has a direct financial incentive to promote the medication she is on the show to talk about.
Thank you for this IN DEPTH interview, Dr. Fatima ... It is so reassuring to know that a high positioned Dr. Is aware that not everyone has access to the very best "their" of medical possibilities! Thank you for your informative comments and explanations. We really need it ❤️☘️
Your concerns are warranted. I hope she’s not the only person they interview. That her affiliation is disclosed is sufficient for me. I’m that person who would follow up to read at least research summaries on its use. My great concern is that large numbers of people who are not like her patient in the grocery line, will take these drugs as a shortcut. For them the long term side effects may outweigh any health benefits.
@@pilsung26 Health benefits at a max of 20% weight loss - ever?? That is 60lbs less for a previously 300lbs person. Is 240 lbs OK? Pretty clever of them to stun most Americans with percentages....
@@myggggeneration Weight loss in humans isn't linear. Morbidly obese subjects would likely represent the right side of a bell curve. Going from 30-25% body fat is considerable easier than going from 10-5%.
I agree. I think there’s a strong link between the pesticides/insecticides/herbicides/other toxic pollutants in our soil (water, air) and the nutritional content of the produce coming from that soil as well as the impact of that produce on our bodies.
I'm just starting Ozempic today.. I am also grateful that for me it is 100 percent covered by my insurance. My goal is to lose 125lbs.. I also meet with my health/diet coach tomorrow.
This is a lifesaver, I’m sure, for many patients. But it doesn’t address the cause of obesity. Why are the brain chemicals out of balance? Why has this problem developed quite recently in human history?
Are the foods addictive for these people? Maybe the brain will be fine once the drug=toxic food is omitted? Good chance - but it has proven to be a tough challenge. 98% of people cannot maintain the weightloss.
Discernment is essential while watching these videos showcasing medication. Everyone has different issues. Autoimmune diseases are rampant in this country and these diseases interfere with weight loss.
And they seem to know so little about autoimmune disorders, don’t you think? And one disease begets another, also autoimmune! I’d love to know what the cause might be.
Impressive doctor. Hard to find ones that treat the “whole patient” and not just their desire to look good. Too much pressure is put on our society to look a certain way when we are not all genetically the same. Most celebrities are the worst example of this. For me it’s all about my physical and mental healthy). I eat and exercise the way I do to maintain how I want to feel in my own body and no one else’s. Celebrities are often having all kinds of plastic surgery and use of drugs off label (and hidden) to achieve and maintain their outward appearances… but many people buy into believing they should look like that too. Sad 😢😢😢
'Hard to find ones that treat the “whole patient” and not just their desire to look good' I had one therapist who call that 'holistic'. Yeah... not all doctors are holistic.
I am obese (~100lb over weight), I have high blood pressure and sleep apnea. My health insurance, Kaiser, is willing to pay for a cpac machine, blood pressure meds, and ( if I needed it) isoline but it refuses to provide medication for obesity even though they proscribe it for diabetes. I limit my calorie intake, I try to exercise regularly, although it is difficult with the weight, and I'm careful to avoid processed food, fast food and high sugar food (no soft drinks etc.). It's very frustrating that I can get the medication if I develop diabetes because of my weight but I can't get it to AVOID developing diabetes because of my weight.
It's criminal that obesity is still considered a "lifestyle" issue and therefore not worthy of medical treatment. It's pure bias. This is changing in our society, but oh so slowly.
You need to do better. Don’t just limit your calories. Figure out how many calories you need to intake to have a calorie deficit every day and you will lose weight every single day. Stop trying and just do it.
I know you wrote this a year ago, but ignore those folks who are shaming and look at Dr . Fatima’s lecture Obesity: it’s more complex than you think. Good luck!
That this only works while you use it is sad. But for some that loss of weight from severe obesity will have big health benefits. Especially as part of recovery from other health problems.
The weight loss tops out at a max of 20%. Ever. Do the math for a 300lb person! I fail to see much of a difference and you live with side effects and added expenses for the rest of your life. What costs nothing? Actual lifestyle change.
@@myggggeneration They quoted 15-16% in this segment. And they avoided saying the true costs, for a forever drug. Lifestyle change is the way, for sure.
Brilliant woman! Thank you for explaining this. For some people, it sounds like a ketogenic diet and exercise does some similar things to the brain and fat. It won’t work for everyone. It is good that these medications are available for those who diet and exercise doesn’t work
This medication should be seen as preventative for so many more serious and costly health problems that should justify the coverage for everyone who requires it.
just STOP eating all carbs. it worked for me. they are lying to us about the real cause of diabetes: it is carbs and all the sugar added to food. stop eating the poison and go carnivore
My insurance covered all but $700. I am on Medicare and United Healthcare. I am a Type 2 diabetic and take Humalog and Toujeo. I have had 3 lung cancer surgeries and have gained in excess of 65 lbs.
I love her grocery cart story and that she doesn't like BMI. Going to the Dr can be so very demoralising, its nice to hear from someone who is listening vs. judging.
It doesn't explain everything. The hypothesis of this drug is that there is some dysfunction, inherited or acquired, in metabolic pathways that need redirecting. What explains the pacific islands, where obesity was rare, all of the sudden became obese? It was when a western diet of processed food was introduced. This topic will continue to be complex. ..muttling up cause and effect. But I think it's valuable to look at this pharmaceutically at least part of the time.
Glad they mentioned the pharmaceutical connection - it should have been mentioned first thing, though, and there may need to be a little tagline under her name about that relationship as it is a key one. There are many thoughts I have about this drug, but I am a bit saddened that it is skewing the conversation towards looking at obesity from one very very narrow perspective and not bringing in the food environment, economy, and equity. Oh well. Profit always wins here.
I agree. At the beginning, she gave nothing but glowing points, then I heard that she consults for pharma. Well, someone has to….but how much bias is built in here? These meds are not the be-all, end-all.
It's amazing that we just have to have some external intervention to accomplish what we can do ourselves. Intermittent fasting and dietary improvements result in the same changes to hunger and satiety. We're finally catching on to the fact that most processed foods are designed to be addicting. And that hours of sitting every day while working sedentary jobs, or on social media, or watching sports or tv shows, or on TH-cam, etc. leads to sedentary diseases like depression, cardiovascular disease, weight gain, high blood pressure, sleep disruption... But no, we need expensive drugs and dangerous surgeries. We need to pay pay pay and be medically treated and support the poor, struggling medical, pharmaceutical and insurance industries.
Disagree. Did IF and you are definitely struggling with hunger sometimes. We can argue if it's insurmountable or not, but it's there. That's no more a magic bullet than this med is.
Did you not hear Dr. Stanford's story about the patient she chanced upon in a supermarket with a cart full of all the "right" food? There are so many factors contributing to obesity, and if you've never experienced what it's like to have hormones that are out of whack (which are corrected somewhat by these GLP-1 receptor agonists), you cannot know what it's like to struggle to lose weight and keep it off. Saying that these drugs shouldn't be needed is like saying that a person with vision problems should just exercise their eyes and eat the right food and they wouldn't need glasses.
And no, it's not a magic pill. You still have to eat nutritious food and move your body if you want to lose weight, but for some people these drugs make it possible to lose the weight -- and keep it off.
I concur. The contamination and high jacking of the food supply is the issue that is not being addressed. Americans can't run something as simply as a bank. How can we expect private food manufacturers to feed us properly? Capitalism is not fit for purpose.
Obesity is but only one gastrointestinal issue people can have. I've never had that much of an issue with being obese, but I've had various degrees of GERD my whole adult life, was diagnosed with IBS about 20 years ago. I've always been athletic, and that helps, but I'm 60 now, and something in the place I think the pancreas is has been hurting for weeks now. The pain has diminished over that time. I've tried poking and proding it thinking maybe something like a gallstone is forming perhaps I can move it along? I dont' know... biology's always been my weakest science. I grew up in Massachusetts, but I've lived in North Carolina the last 15 years or so. My medical care plummeted when I moved to North Carolina. In a progressive state like Massachusetts you get more rights, protections, and benefits, but you've got to pay for them with a higher cost of living. So now, if I go to the doctor anything besides the yearly physical it's going to cost me an arm and leg, so... I guess you've got to ration care somehow, and if you don't, someone's got to pay for it.
@@scrubjay93 Yeah, that's what my sister keeps telling me... that would probably be better. I will if it continues for much longer. It could also be that I irriated something with some of my funky stretches which really strain my adominal area or I started hanging about a month ago and then combined the the legs up for the abs with the hang... don't know. I started doing the hanging alone, and using the captain's chair once again for the legs up... probably safer. I've started taking the antacid pills before eating and that seems to reduce the bloating which is helpful because it reduces how much my adominal area bloats out after eating. If they do anything, it'd probably be some sort of imaging, like ultrasound... and even if I do the yearly physical early I'll have to pay for that completely because the deductible is a few thousand dollars. Additionally, in the physical they won't even let you talk about any physical issues or ailments because that's something they should be paid for separately... but that's not covered under preventative like the physical. This is just how they ration care in a for-profit medical system like ours. Instead of having a panel of doctors deciding when what kinds of things are necessary they just make the patient pay a lot more, thus effectively deterring the patient from accessing medical care... and hence, rationing medical care. Oddly enough, pretty much what defenders of our for-profit system are always complaining happens in Canada, for instance. Thanks... I do appreciate your concern. Very kind.
Does anyone ever wonder why obesity was not a common thing before the 80s? Why no talk about addictive food, manufactured to hook people on what is convenient and tasty but toxic? Hmmmmm....... (Follow the money.)
Very good information. But I wonder the long term impact of the medication on the brain receptors and pathways, since they are not changing to take over what the medication does in terms of it restructuring the brain system, to behave differently. Also, with the body’s digestive system, slowing down by way of medication, what are the long term consequences, as opposed to use of fiber. I would like to see that research in literature or what was discovered during testing control groups. Lastly, would intermittent fasting work well with this medication, to help with permanent weight loss. Thank you for this segment .
I'm so sorry that our country is suffering from obesity and the solutions of surgery and drugs are so prolific. This is extremely profitable and that makes it unstoppable. I hope we all learn to forgive and find a way to survive.
I trust you all as a reliable news source. I am shocked you are highlighting someone who "consults for pharmaceutical companies". Fancy advertisement for drugs?! boo. Do better.
I know that’s part of it, but even eliminating those items from the diet doesn’t cure many of us. I wonder what else in out diets and/or environment is throwing our hunger/satiety triggers out of whack.
You got the right idea. But it's not specifically high fructose corn syrup. HFCS is only slightly higher in fructose compared to cane sugar. The problem is all types of sugars and carbs from grains. Regarding GMOs: they have nothing to do with obesity. The case against GMOs has to do with environmental concerns. Those genetic modifications are primarily done to food crops to make them compatible with herbicides, which is anathema to organic farming.
This is a fine look into the drug and a great general discussion on obesity and treatment. I'm pleased Dr. Stanford will not wholly embrace BMI as useful for individual metrics as it can more broadly measure differences in populations. And, given the ostensibly racist purpose for which BMI was developed, it can easily be discarded in favor of more individualized body-composition determinations based on other observable and measurable factors. It would figure and follow here that surging unsupervised use of weight-loss therapy drugs will result in a host of unintended consequences along with other successes.
Very curious to know what kind of diet and exercise regimen that patient from the grocery store was put on. I have been trying to lose 60lbs since the age of 13, now in my early 30s lost 40lbs just by reducing stress, sleeping well, eating whole foods with intermittent fasting and prolonged fasting, on a low carb diet, drinking enough water, getting 7-8hrs of sleep and doing resistance training 3-4 times a week with 5-10k steps a day worked wonders for me. No weight loss pills were needed. Calorie in calorie out failed me miserably, eat less exercise more, the most common advice given by all my physicians over the years. Finally took a stand to do my own research, understand my blood test results, made lifestyle changes and discussed my options with my doctors. Ozempic might be a revolutionary drug for some cases, however, saying that lifestyle changes like diet and exercise don’t work might be a stretch. Was it done right, is the question here.
this lady is paid by pharmaceutical industry specifically this drug in particular, do a bit of research on her see how hypocritical this is. Her opinion on food specifically sugar/corn syrup is not an issue in her opinion, just take these meds
Because all associate professors at Harvard Medical School are shills for big pharma? She is renowned in her field, and is the most cited scientist in the field of obesity. Why wouldn't pharmaceutical companies want a consult from her? And how does her providing a consult make her hypocritical?
All medications become less effective over time. I can’t imagine that this is any different. It is most likely the start of a series of weight loss medication.
@DLFfitness. That's why most are started low dose and gradually increase. This medication is used as a tool, with high lean protein and veggies with exercise. There are few more even better weight loss meds coming onto the market that are in clinical trials.
What if you need the drug but have had pancreatitis in the past (twice, actually)? Would it then be contraindicated and too dangerous to take? That is one item listed in the side effects/contraindications for Ozempic and like drugs.
I believe it's contraindicated for people with a history of pancreatitis, but definitely ask a doctor about this. Like any drug, Ozempic is about weighing the pros against the cons and doing that with a medical professional is the best way to approach it :)
So, it works on the neuron receptors, either mimicking or inhibiting a neurotransmitter. That sounds like a psych-med, and if that's the case, is it habit-forming? Does it cause physical dependence, and what are the withdrawal symptoms?
Even if it is not habit forming, you HAVE TO use it in order to maintain the weightloss,. If you stop the meds, the weight comes back. She clearly said that.
@@myggggeneration Take away anti-psychotics, and hallucinations will come back. Take away anti-seizure meds, and seizures will return. Take away thyroid meds, and hypothyroidism comes back. Take away glasses, and blurry sight will come back. Take away hearing aids, and poor hearing will come back. Take away Ozempic, and excessive hunger will come back. This is not addiction -- these are examples of good uses of medical tools to treat chronic issues, and yes, if you stop using the tool, the condition will return. Addiction is defined as the continued use of a substance *despite it causing issues in one's life*; these medical interventions, on the other hand, make a better quality of life possible for those who need them. There is a reason 95% of those who lose weight gain it back, and it's not because they're lazy, unmotivated, or irresponsible. When hunger hormones are dysregulated, it's nearly impossible to keep weight off regardless of how good one's diet and exercise routines are. In our society, there is way too much bias against people who have obesity and much too little understanding of the complexity of it. There are good obesity drugs coming onto the market these days, and while it's totally inappropriate for celebrities to take them so they look good in bikinis, these drugs can be a godsend to people who have weight-related health issues and for whom absolutely no behaviour modifications (i.e., improved diet and exercise) have resulted in sustained weight loss despite years of effort on that front.
He did briefly note that early on. Maybe before the second question. She confirmed her affiliation. It was admittedly not a point of focus. Gotta sell the drugs after all.
There are also ppl benefiting from fecal transplants from naturally thin people, which is making them lose weight, and vice versa. So, gut microbiome is another cause of obesity.
I love this total picture, where we can all look our best! Losing weight has SO MANY health benefits & that includes, Mental Health Benefits ❤️ I say, "Yesssss," to this marvelous weight loss drug & I look forward to seeing it widely distributed! Please don't make it so that a person must be 200 lbs. overweight or some such thing, as that! I'm a 71 y/o woman who is 30 lbs. overweight. I'm diabetic and I have RA. I love to walk every day, also. Get this on the market, Doctor, as soon as possible... PLEASE❤️ 😊 Thanks a bunch!
As if the American pharmaceutical industry doesn’t have enough money already, they continue to choose to gouge people for all kinds of nonsense medicines which can be taken care of by normal lifestyle and dietary changes. The doctors refused to look at the food that we eat how the food is processed and what kind of activity and exercise we do in our daily lives. put me on a European Mediterranean style diet eating whatever I want and walking 5 km a day. If that doesn’t work, then I’ll talk about medicines but crack the food supply and the exercise level first before you go to medicines.
Because Dr. Stanford opened her mind instead of insisting on her own beliefs she grew and learned. Now she’s able to actually help patients. That’s something that people in these comments need to learn. People who know the least are always the loudest.
The weight comes back because people took a medicine but did not cut back excess processed carbs and sugar, did not add more good fats, protein, vegetables. It took me a couple of years to change what I eat, doing healthy keto and on most days IF. It does give more control to carb addicts like me through better hormonal balance. It helps feel fuller longer etc. I have not found a better way to shed excess fat and keep it off for years and get so healthy.
The story of her moment in the grocery store with her patient 🥺 I’ve been that patient and no one believed me that I was working hard
As a retired MD and type 2 diabetic, Ozempic has been a major addition to my diabetic regimen and, yes, I lost 20# when I started and have maintained the weight loss despite not needing to lose much weight. It does create mild nausea at times and constipation but is easily managed. My issue with these agents is the cost. I am able to afford them but being on Medicare means that I share a significant deductible that may be as high as $400/per prescription at certain times of the year. It is great that the President got Congress to limit the cost of insulin, but this is not the case for these G1P agonists like Ozempic. Too bad, because both obesity and type 2 diabetes are so common and are a major drain on our national socioeconomics.
And, morality aside for a moment, just think from a fiscal point of view how MUCH it would save the American population to subsidize (or bring the price down somehow) so that all who needed it could get it. As you know, obesity is so expensive due to the number of related comorbidities associated with it. Spend a dollar today to save a thousand tomorrow. Wish our government would think like this...
As long as it creates a shortage for diabetics, it is immoral to take this just for weight loss!
Downplaying the importance of exercise is a mistake. Exercise is necessary for health. It keeps muscles and bones strong. It strengthens the heart. It improves circulation. It oxygenates the tissues. And it relieves stress. Oh, yes! It also burns calories.
Exercise is not that important when it comes to weight loss. It's mostly diet. Exercise helps, sure. But it's far from the main thing.
For post menopausal women, this is not true. Exercise, especially intense exercise, is stress, and stress prevents weight loss. It is certainly important to exercise but that is for the feel good hormones, to help you sleep, to keep you mobile, etc. 95% of weight loss is in the kitchen.
@@barbiec4312 95% of weight loss is in the kitchen. 95% of maintaining bone strength and avoiding frailty is exercise.
I 100% believe a lot of the positive comments are coming from bots. This lady is a spokesperson first and a doctor second. She has a direct financial incentive to promote the medication she is on the show to talk about.
Thank you for this IN DEPTH interview, Dr. Fatima ... It is so reassuring to know that a high positioned Dr. Is aware that not everyone has access to the very best "their" of medical possibilities! Thank you for your informative comments and explanations. We really need it ❤️☘️
A paid off High position doctor
I would recommend you look up her appearance on 60 minutes. She pedals a lot of this bad information.
I wish they would have interviewed a doctor who wasn’t a spokesperson for pharma.
Your concerns are warranted. I hope she’s not the only person they interview. That her affiliation is disclosed is sufficient for me. I’m that person who would follow up to read at least research summaries on its use.
My great concern is that large numbers of people who are not like her patient in the grocery line, will take these drugs as a shortcut. For them the long term side effects may outweigh any health benefits.
@@pilsung26 Health benefits at a max of 20% weight loss - ever?? That is 60lbs less for a previously 300lbs person. Is 240 lbs OK?
Pretty clever of them to stun most Americans with percentages....
@@myggggeneration Weight loss in humans isn't linear. Morbidly obese subjects would likely represent the right side of a bell curve.
Going from 30-25% body fat is considerable easier than going from 10-5%.
Right on! Pure evil.
@@hannibalbarca9217I bet if you or a loved one was diagnosed with cancer you would want big pharma to do whatever they could 😂😂😂
What about pesticides interferring with biology. Are there not studies to show the impact of chemicals on farmed food, industrial farming etc
I agree. I think there’s a strong link between the pesticides/insecticides/herbicides/other toxic pollutants in our soil (water, air) and the nutritional content of the produce coming from that soil as well as the impact of that produce on our bodies.
I'm just starting Ozempic today.. I am also grateful that for me it is 100 percent covered by my insurance. My goal is to lose 125lbs.. I also meet with my health/diet coach tomorrow.
How is your journey going after 1 year. Hope you are doing well.
This is a lifesaver, I’m sure, for many patients. But it doesn’t address the cause of obesity. Why are the brain chemicals out of balance? Why has this problem developed quite recently in human history?
Are the foods addictive for these people? Maybe the brain will be fine once the drug=toxic food is omitted? Good chance - but it has proven to be a tough challenge. 98% of people cannot maintain the weightloss.
Discernment is essential while watching these videos showcasing medication. Everyone has different issues. Autoimmune diseases are rampant in this country and these diseases interfere with weight loss.
And they seem to know so little about autoimmune disorders, don’t you think? And one disease begets another, also autoimmune! I’d love to know what the cause might be.
Impressive doctor. Hard to find ones that treat the “whole patient” and not just their desire to look good. Too much pressure is put on our society to look a certain way when we are not all genetically the same. Most celebrities are the worst example of this. For me it’s all about my physical and mental healthy). I eat and exercise the way I do to maintain how I want to feel in my own body and no one else’s. Celebrities are often having all kinds of plastic surgery and use of drugs off label (and hidden) to achieve and maintain their outward appearances… but many people buy into believing they should look like that too. Sad 😢😢😢
'Hard to find ones that treat the “whole patient” and not just their desire to look good' I had one therapist who call that 'holistic'. Yeah... not all doctors are holistic.
I am obese (~100lb over weight), I have high blood pressure and sleep apnea. My health insurance, Kaiser, is willing to pay for a cpac machine, blood pressure meds, and ( if I needed it) isoline but it refuses to provide medication for obesity even though they proscribe it for diabetes. I limit my calorie intake, I try to exercise regularly, although it is difficult with the weight, and I'm careful to avoid processed food, fast food and high sugar food (no soft drinks etc.). It's very frustrating that I can get the medication if I develop diabetes because of my weight but I can't get it to AVOID developing diabetes because of my weight.
That makes no sense. You take care. See if you can find a doctor to prescribe something and they document it is needed,
It's criminal that obesity is still considered a "lifestyle" issue and therefore not worthy of medical treatment. It's pure bias. This is changing in our society, but oh so slowly.
You need to do better. Don’t just limit your calories. Figure out how many calories you need to intake to have a calorie deficit every day and you will lose weight every single day. Stop trying and just do it.
I know you wrote this a year ago, but ignore those folks who are shaming and look at Dr . Fatima’s lecture Obesity: it’s more complex than you think. Good luck!
What are the long term effects of having food waste sit in your intestines for long periods.
That this only works while you use it is sad. But for some that loss of weight from severe obesity will have big health benefits. Especially as part of recovery from other health problems.
The weight loss tops out at a max of 20%. Ever. Do the math for a 300lb person! I fail to see much of a difference and you live with side effects and added expenses for the rest of your life. What costs nothing? Actual lifestyle change.
@@myggggeneration They quoted 15-16% in this segment. And they avoided saying the true costs, for a forever drug. Lifestyle change is the way, for sure.
Excellent information! Thank you.
Brilliant woman! Thank you for explaining this. For some people, it sounds like a ketogenic diet and exercise does some similar things to the brain and fat. It won’t work for everyone. It is good that these medications are available for those who diet and exercise doesn’t work
This medication should be seen as preventative for so many more serious and costly health problems that should justify the coverage for everyone who requires it.
just STOP eating all carbs. it worked for me. they are lying to us about the real cause of diabetes: it is carbs and all the sugar added to food. stop eating the poison and go carnivore
My insurance covered all but $700. I am on Medicare and United Healthcare. I am a Type 2 diabetic and take Humalog and Toujeo. I have had 3 lung cancer surgeries and have gained in excess of 65 lbs.
Bless your heart! That's a lot of challenges!
I love her grocery cart story and that she doesn't like BMI. Going to the Dr can be so very demoralising, its nice to hear from someone who is listening vs. judging.
That’s a you problem not the doctors problem. If you’re fat, eat less
dummy.
It doesn't explain everything. The hypothesis of this drug is that there is some dysfunction, inherited or acquired, in metabolic pathways that need redirecting. What explains the pacific islands, where obesity was rare, all of the sudden became obese? It was when a western diet of processed food was introduced. This topic will continue to be complex. ..muttling up cause and effect. But I think it's valuable to look at this pharmaceutically at least part of the time.
Glad they mentioned the pharmaceutical connection - it should have been mentioned first thing, though, and there may need to be a little tagline under her name about that relationship as it is a key one.
There are many thoughts I have about this drug, but I am a bit saddened that it is skewing the conversation towards looking at obesity from one very very narrow perspective and not bringing in the food environment, economy, and equity. Oh well. Profit always wins here.
It’s not about that here, right now. As she explained, she treats only very obese people.
I agree. At the beginning, she gave nothing but glowing points, then I heard that she consults for pharma. Well, someone has to….but how much bias is built in here? These meds are not the be-all, end-all.
It's amazing that we just have to have some external intervention to accomplish what we can do ourselves. Intermittent fasting and dietary improvements result in the same changes to hunger and satiety. We're finally catching on to the fact that most processed foods are designed to be addicting. And that hours of sitting every day while working sedentary jobs, or on social media, or watching sports or tv shows, or on TH-cam, etc. leads to sedentary diseases like depression, cardiovascular disease, weight gain, high blood pressure, sleep disruption... But no, we need expensive drugs and dangerous surgeries. We need to pay pay pay and be medically treated and support the poor, struggling medical, pharmaceutical and insurance industries.
Disagree. Did IF and you are definitely struggling with hunger sometimes. We can argue if it's insurmountable or not, but it's there. That's no more a magic bullet than this med is.
@@cstuartdc The idea of a magic bullet is one of the problems to start with.
Did you not hear Dr. Stanford's story about the patient she chanced upon in a supermarket with a cart full of all the "right" food? There are so many factors contributing to obesity, and if you've never experienced what it's like to have hormones that are out of whack (which are corrected somewhat by these GLP-1 receptor agonists), you cannot know what it's like to struggle to lose weight and keep it off. Saying that these drugs shouldn't be needed is like saying that a person with vision problems should just exercise their eyes and eat the right food and they wouldn't need glasses.
And no, it's not a magic pill. You still have to eat nutritious food and move your body if you want to lose weight, but for some people these drugs make it possible to lose the weight -- and keep it off.
I concur. The contamination and high jacking of the food supply is the issue that is not being addressed. Americans can't run something as simply as a bank. How can we expect private food manufacturers to feed us properly? Capitalism is not fit for purpose.
Obesity is but only one gastrointestinal issue people can have. I've never had that much of an issue with being obese, but I've had various degrees of GERD my whole adult life, was diagnosed with IBS about 20 years ago. I've always been athletic, and that helps, but I'm 60 now, and something in the place I think the pancreas is has been hurting for weeks now. The pain has diminished over that time. I've tried poking and proding it thinking maybe something like a gallstone is forming perhaps I can move it along? I dont' know... biology's always been my weakest science. I grew up in Massachusetts, but I've lived in North Carolina the last 15 years or so. My medical care plummeted when I moved to North Carolina. In a progressive state like Massachusetts you get more rights, protections, and benefits, but you've got to pay for them with a higher cost of living. So now, if I go to the doctor anything besides the yearly physical it's going to cost me an arm and leg, so... I guess you've got to ration care somehow, and if you don't, someone's got to pay for it.
U should get that checked out sister. Maybe there is a local free clinic (yeah right I know) 💚 a nurse telehealth line?🧐
@@scrubjay93 Yeah, that's what my sister keeps telling me... that would probably be better. I will if it continues for much longer. It could also be that I irriated something with some of my funky stretches which really strain my adominal area or I started hanging about a month ago and then combined the the legs up for the abs with the hang... don't know. I started doing the hanging alone, and using the captain's chair once again for the legs up... probably safer. I've started taking the antacid pills before eating and that seems to reduce the bloating which is helpful because it reduces how much my adominal area bloats out after eating. If they do anything, it'd probably be some sort of imaging, like ultrasound... and even if I do the yearly physical early I'll have to pay for that completely because the deductible is a few thousand dollars. Additionally, in the physical they won't even let you talk about any physical issues or ailments because that's something they should be paid for separately... but that's not covered under preventative like the physical. This is just how they ration care in a for-profit medical system like ours. Instead of having a panel of doctors deciding when what kinds of things are necessary they just make the patient pay a lot more, thus effectively deterring the patient from accessing medical care... and hence, rationing medical care. Oddly enough, pretty much what defenders of our for-profit system are always complaining happens in Canada, for instance. Thanks... I do appreciate your concern. Very kind.
You should put the good doctors name in the title, not just obesity doctor.
Does anyone ever wonder why obesity was not a common thing before the 80s? Why no talk about addictive food, manufactured to hook people on what is convenient and tasty but toxic? Hmmmmm....... (Follow the money.)
Very good information. But I wonder the long term impact of the medication on the brain receptors and pathways, since they are not changing to take over what the medication does in terms of it restructuring the brain system, to behave differently. Also, with the body’s digestive system, slowing down by way of medication, what are the long term consequences, as opposed to use of fiber. I would like to see that research in literature or what was discovered during testing control groups. Lastly, would intermittent fasting work well with this medication, to help with permanent weight loss. Thank you for this segment .
Too good to be true. Look out. Lose weight fast, gain it back fast. It’s VERY expensive, and I assume she works for big pharma.
Why would you assume that an Associate Professor at Harvard Medical School was a shill for big pharma?
I'm so sorry that our country is suffering from obesity and the solutions of surgery and drugs are so prolific. This is extremely profitable and that makes it unstoppable. I hope we all learn to forgive and find a way to survive.
I trust you all as a reliable news source. I am shocked you are highlighting someone who "consults for pharmaceutical companies". Fancy advertisement for drugs?! boo. Do better.
Obesity is a reaction to our high fructose, GMO diet- you have to first remove the auto immune trigger!
I know that’s part of it, but even eliminating those items from the diet doesn’t cure many of us. I wonder what else in out diets and/or environment is throwing our hunger/satiety triggers out of whack.
We simply eat too many carbs.
You got the right idea. But it's not specifically high fructose corn syrup. HFCS is only slightly higher in fructose compared to cane sugar. The problem is all types of sugars and carbs from grains. Regarding GMOs: they have nothing to do with obesity. The case against GMOs has to do with environmental concerns. Those genetic modifications are primarily done to food crops to make them compatible with herbicides, which is anathema to organic farming.
@@MrTeff999 GMOs are more heavily treated with glyphosates, and whole plant carbs are not inflammatory -
@@jaenmartens5697 Glyphosate is an herbicide. It might be bad for you, but it's not a cause of obesity.
Investigation underway 👸🏼🌈
This is a fine look into the drug and a great general discussion on obesity and treatment. I'm pleased Dr. Stanford will not wholly embrace BMI as useful for individual metrics as it can more broadly measure differences in populations. And, given the ostensibly racist purpose for which BMI was developed, it can easily be discarded in favor of more individualized body-composition determinations based on other observable and measurable factors. It would figure and follow here that surging unsupervised use of weight-loss therapy drugs will result in a host of unintended consequences along with other successes.
Thank you❤
Such an important video! I’ve been doing intermittent fasting and Mediterranean diet…doesn’t help.
That’s all we need…more drugs😵💫
Very curious to know what kind of diet and exercise regimen that patient from the grocery store was put on. I have been trying to lose 60lbs since the age of 13, now in my early 30s lost 40lbs just by reducing stress, sleeping well, eating whole foods with intermittent fasting and prolonged fasting, on a low carb diet, drinking enough water, getting 7-8hrs of sleep and doing resistance training 3-4 times a week with 5-10k steps a day worked wonders for me. No weight loss pills were needed. Calorie in calorie out failed me miserably, eat less exercise more, the most common advice given by all my physicians over the years. Finally took a stand to do my own research, understand my blood test results, made lifestyle changes and discussed my options with my doctors.
Ozempic might be a revolutionary drug for some cases, however, saying that lifestyle changes like diet and exercise don’t work might be a stretch. Was it done right, is the question here.
Omg now I want to geek out with this lady about Tae Bo. Was she a Billy Blanks fan like me???
this lady is paid by pharmaceutical industry specifically this drug in particular, do a bit of research on her see how hypocritical this is. Her opinion on food specifically sugar/corn syrup is not an issue in her opinion, just take these meds
@alexcipriani. Please listen to the whole interview. She discusses her past initiatives to help her past patients to eat a pristine diet.
Because all associate professors at Harvard Medical School are shills for big pharma?
She is renowned in her field, and is the most cited scientist in the field of obesity. Why wouldn't pharmaceutical companies want a consult from her? And how does her providing a consult make her hypocritical?
All medications become less effective over time. I can’t imagine that this is any different. It is most likely the start of a series of weight loss medication.
@DLFfitness. That's why most are started low dose and gradually increase. This medication is used as a tool, with high lean protein and veggies with exercise. There are few more even better weight loss meds coming onto the market that are in clinical trials.
They turn off the food noise In layman’s terms lol…it’s amazing!
What if you need the drug but have had pancreatitis in the past (twice, actually)? Would it then be contraindicated and too dangerous to take? That is one item listed in the side effects/contraindications for Ozempic and like drugs.
I believe it's contraindicated for people with a history of pancreatitis, but definitely ask a doctor about this. Like any drug, Ozempic is about weighing the pros against the cons and doing that with a medical professional is the best way to approach it :)
She takes money from the same company that makes the drug. Pathetic!!
people are overweight for 1 reason, because food tastes so good
So, it works on the neuron receptors, either mimicking or inhibiting a neurotransmitter. That sounds like a psych-med, and if that's the case, is it habit-forming? Does it cause physical dependence, and what are the withdrawal symptoms?
It is not habit-forming, does not cause physical dependence, and does not cause withdrawal symptoms.
Even if it is not habit forming, you HAVE TO use it in order to maintain the weightloss,. If you stop the meds, the weight comes back. She clearly said that.
@@myggggeneration Take away anti-psychotics, and hallucinations will come back. Take away anti-seizure meds, and seizures will return. Take away thyroid meds, and hypothyroidism comes back. Take away glasses, and blurry sight will come back. Take away hearing aids, and poor hearing will come back. Take away Ozempic, and excessive hunger will come back.
This is not addiction -- these are examples of good uses of medical tools to treat chronic issues, and yes, if you stop using the tool, the condition will return. Addiction is defined as the continued use of a substance *despite it causing issues in one's life*; these medical interventions, on the other hand, make a better quality of life possible for those who need them.
There is a reason 95% of those who lose weight gain it back, and it's not because they're lazy, unmotivated, or irresponsible. When hunger hormones are dysregulated, it's nearly impossible to keep weight off regardless of how good one's diet and exercise routines are. In our society, there is way too much bias against people who have obesity and much too little understanding of the complexity of it.
There are good obesity drugs coming onto the market these days, and while it's totally inappropriate for celebrities to take them so they look good in bikinis, these drugs can be a godsend to people who have weight-related health issues and for whom absolutely no behaviour modifications (i.e., improved diet and exercise) have resulted in sustained weight loss despite years of effort on that front.
Apparently Rhonda Sandtits is using it to slim down after being triggered by being called "meatball"
😅
Certain foods should not be allowed to be purchased on food stamps.
I wished he had asked her if she has a financial relationship/interest in the company that sells the drug.
I thought it was assumed from the start actually
He did briefly note that early on. Maybe before the second question. She confirmed her affiliation. It was admittedly not a point of focus. Gotta sell the drugs after all.
Are you implying she is being unethical?
Compacted constipation tends to can nausea....
There are also ppl benefiting from fecal transplants from naturally thin people, which is making them lose weight, and vice versa. So, gut microbiome is another cause of obesity.
$1000/mo…forever…for 15-16% weightloss. Sounds great.
This is a disaster for us who need ozempic to deal with diabetes type II due to multiple sclerosis.
how about eating healthy & less & doing regular exercise? Just a thought.
I love this total picture, where we can all look our best! Losing weight has SO MANY health benefits & that includes, Mental Health Benefits ❤️ I say, "Yesssss," to this marvelous weight loss drug & I look forward to seeing it widely distributed! Please don't make it so that a person must be 200 lbs. overweight or some such thing, as that! I'm a 71 y/o woman who is 30 lbs. overweight. I'm diabetic and I have RA. I love to walk every day, also. Get this on the market, Doctor, as soon as possible... PLEASE❤️ 😊 Thanks a bunch!
As if the American pharmaceutical industry doesn’t have enough money already, they continue to choose to gouge people for all kinds of nonsense medicines which can be taken care of by normal lifestyle and dietary changes. The doctors refused to look at the food that we eat how the food is processed and what kind of activity and exercise we do in our daily lives. put me on a European Mediterranean style diet eating whatever I want and walking 5 km a day. If that doesn’t work, then I’ll talk about medicines but crack the food supply and the exercise level first before you go to medicines.
Because Dr. Stanford opened her mind instead of insisting on her own beliefs she grew and learned. Now she’s able to actually help patients. That’s something that people in these comments need to learn. People who know the least are always the loudest.
She's on the payroll.
The weight comes back because people took a medicine but did not cut back excess processed carbs and sugar, did not add more good fats, protein, vegetables. It took me a couple of years to change what I eat, doing healthy keto and on most days IF. It does give more control to carb addicts like me through better hormonal balance. It helps feel fuller longer etc. I have not found a better way to shed excess fat and keep it off for years and get so healthy.
Don't get your hopes up people. I took this for three years. Tiny drop in weight. I don't even give the drug credit.
she is a disgrace to her profession
This woman is a liar.
Regarding the doctor’s former patient in South Carolina, I’m going to guess that she never recommended an low carb diet. (Ref: Dr. Robert Lustig, MD.)
$$$$$$$$$$$$$$$$$$ that's all it's about right Fatima ?
do exercise lol
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