May 7, 2025

CONSIDERING OZEMPIC? LISTEN HERE FIRST!

Ozempic Side Effects? Plastic Surgeons Reveal Truth About "Ozempic Butt" & Extreme Weight Loss Risks What really happens after major weight loss with Ozempic or GLP-1 meds? These top plastic surgeons and doctors aren’t guessing—they’ve treated the aftermath firsthand. From “Ozempic face” to loose skin and surprising muscle loss, they’ve seen it all. In this episode, they break down the untold side effects, the rising demand for surgery, and the deeper impact these drugs are having on pati...

Ozempic Side Effects? Plastic Surgeons Reveal Truth About "Ozempic Butt" & Extreme Weight Loss Risks

What really happens after major weight loss with Ozempic or GLP-1 meds? These top plastic surgeons and doctors aren’t guessing—they’ve treated the aftermath firsthand.

From “Ozempic face” to loose skin and surprising muscle loss, they’ve seen it all. In this episode, they break down the untold side effects, the rising demand for surgery, and the deeper impact these drugs are having on patients' bodies—and confidence.

But it’s not just warnings.

They also unpack:

  • Why some transformations look amazing—and others don’t
  • What mistakes people make when starting GLP-1s
  • A smarter approach to preserving your body as the weight drops
  • The next wave of meds everyone’s whispering about (and whether they’re any better)

If you’re considering GLP-1s—or already on them— watch this first . These are the voices behind the scenes, telling the truth no one else is saying.

 

To watch on Spotify Video link below!

 

https://open.spotify.com/episode/23g5dxlVibyVi3UQKDqBIZ?si=585d2fa51ff44bf2

 

Thank you to our sponsors at 

 

Elite Plastic Surgery | Cosmetic and Reconstructive Surgeons in Phoenix, AZ

00:00 - Discussing Ozempic and Body Changes

07:44 - Ozempic Side Effects and Muscle Loss

15:16 - Optimizing Results with Hormones

22:08 - Medication Regulations and Compound Pharmacies

33:28 - NAD and Alternative Supplements

53:51 - The Future of GLP-1 Medications

WEBVTT

00:00:19.853 --> 00:00:23.036
so latest, latest, uh viral trends going on?

00:00:23.036 --> 00:00:27.300
Uh, I have no clue, but I've heard about this ozempic.

00:00:27.300 --> 00:00:30.085
But what do you guys think about the ozempic?

00:00:30.085 --> 00:00:32.048
But do people get ozempic eyes?

00:00:33.189 --> 00:00:35.173
uh, they, they can't do.

00:00:35.173 --> 00:00:37.984
You lose some fat in the eyes actually there.

00:00:38.164 --> 00:00:44.143
There's stuff about people that can like right after they start ozempic.

00:00:44.143 --> 00:00:51.570
Especially as we age, people get like blurred vision right after because the blood sugars are moving around a lot but.

00:00:51.692 --> 00:00:53.503
But like, how about the lower eyelids?

00:00:53.503 --> 00:00:56.514
Do do they get more saggy, or do do they?

00:00:56.514 --> 00:00:58.140
Do they get more deflated?

00:00:58.740 --> 00:00:59.783
so why do you ask about?

00:00:59.783 --> 00:01:01.627
That is what's behind the eyelid.

00:01:01.627 --> 00:01:02.850
What do most?

00:01:02.869 --> 00:01:07.343
people see yeah, yeah, we go and take fat out, right, yeah, does that fat shrink ever?

00:01:07.343 --> 00:01:11.462
Or is that fat that that's probably like one of the last things to shrink, right?

00:01:11.621 --> 00:01:21.025
yeah, so the fat's gonna be there from previously and probably after a zempic, because they lose a little uh, probably the.

00:01:21.025 --> 00:01:25.734
They lose weight and then the skin becomes more lax, so it probably becomes bigger.

00:01:25.734 --> 00:01:28.186
Yeah, probably bigger fat pads there.

00:01:28.427 --> 00:01:28.649
Yeah.

00:01:30.102 --> 00:01:37.551
Then more people would probably look towards a lower blepharoplasty, which is taking the excess skin from the lower eyelids and removing the fat.

00:01:38.000 --> 00:01:43.647
Yeah, so ozempic butt, yeah, it's a real thing and it's more than just ozempic butt.

00:01:43.647 --> 00:01:52.554
Me and Rods have been doing more and more eight, 10 hour cases because people have Ozempic arms, Ozempic legs, uh, Ozempic everything.

00:01:52.739 --> 00:01:52.900
There's.

00:01:52.920 --> 00:01:57.131
Ozempic body, yeah, ozempic body where they've lost all this weight.

00:01:57.131 --> 00:02:04.054
Now there's the excess skin and for them to build the confidence and get back into the normal daily activities.

00:02:04.054 --> 00:02:10.639
It's tough when you're having to put on Spanx to go and lift and you're not seeing the results on the scale still.

00:02:10.639 --> 00:02:24.251
You know you can't really keep on going up on Ozempic or any of these GLP-1s because what that's going to do is you're going to just continue on losing muscle mass as well as, like fat mass.

00:02:24.251 --> 00:02:28.841
But overall going up in dosage isn't going to help you much.

00:02:28.841 --> 00:02:41.883
You want to maintain the dosage, just eat more protein and keep the um, keep the muscle and ozempic, but not are you just losing weight and the skin sagging, but you're also going to lose some muscle mass.

00:02:41.883 --> 00:02:58.842
So you know you got to continue on doing squats and your resistance exercises with that to kind of like if you're having surgery to help these things out, you also want to kind of continue on building that muscle, right, Whatever you say.

00:02:58.882 --> 00:03:00.792
Yeah, definitely Like, cause you'll, you'll drop.

00:03:00.792 --> 00:03:04.763
You'll definitely drop muscle mass if you don't do anything, if you sit around.

00:03:04.763 --> 00:03:10.129
But it's like they're saying oh, people are coming out with ozempic butt, ozempic face.

00:03:10.129 --> 00:03:15.841
That's kind of why you're taking the medication right, you actually want that.

00:03:15.860 --> 00:03:22.213
So if you actually get ozempic butt or ozempic face, that's just telling you you have weight loss.

00:03:22.213 --> 00:03:23.586
Those are your fat pockets.

00:03:23.586 --> 00:03:28.588
And now those fat pockets are deflating and once that's deflating, the skin sags.

00:03:28.588 --> 00:03:30.532
That's just classic signs of aging.

00:03:30.532 --> 00:03:35.460
Right, like during training, they're like these are classic signs of your facial aging.

00:03:35.460 --> 00:03:36.585
It's like it's plump.

00:03:36.585 --> 00:03:42.002
Your, your face is like oval and then like it gradually drops down with age.

00:03:42.002 --> 00:03:45.585
Same thing happens if you gain weight and then drop a bunch of weight.

00:03:46.025 --> 00:03:53.070
It's going to sag and whether it's your face, your butt, Just like when I had like 23-inch arms and I thought I was huge.

00:03:53.070 --> 00:03:57.454
Then I lost all that weight and my skin's like what's that stretch arm strong?

00:03:57.973 --> 00:04:00.455
This can stretch out to 23 inches.

00:04:00.455 --> 00:04:01.377
You know that much.

00:04:01.757 --> 00:04:05.412
Yeah, I take semaglutide, take I take semaglutide.

00:04:05.412 --> 00:04:05.877
I've taken semaglutide.

00:04:05.877 --> 00:04:06.822
I take terzeptide.

00:04:06.822 --> 00:04:08.687
I take red true tide.

00:04:08.687 --> 00:04:10.012
Do I have ozempic?

00:04:10.012 --> 00:04:24.588
But my wife would probably say no, because I never had a butt to get ozempic, but so you got to really have a butt to actually lose it, but you wear spanks to work uh, no, he wears sometimes sometimes

00:04:26.170 --> 00:04:27.612
I wear more leg warmers.

00:04:27.673 --> 00:04:32.023
But it's kind of like, yeah, it keeps my butt up I have heard.

00:04:32.043 --> 00:04:38.415
I have heard uh on different like podcasts, youtube videos and stuff.

00:04:38.415 --> 00:04:52.033
People are afraid to lose their muscle mass and uh, bone density density as a side effect from taking Ozempic or GLP-1, whether it's Manjaro Ozempic Wegovy.

00:04:52.033 --> 00:04:57.048
But how can you prevent that or diminish that?

00:04:59.362 --> 00:05:05.701
You really can't prevent it because, no matter what, you're decreasing calorie intake, so that's going to decrease it.

00:05:05.701 --> 00:05:18.706
You're also decreasing the amount of weight and stress on your bones, so that decrease, decrease weight is also going to decrease the amount of muscles and stuff you need to carry that extra 10, 20, 30 pounds.

00:05:19.108 --> 00:05:26.108
That you know what also does that if you get sent out to the space station and you get stuck there for eight months for political reasons.

00:05:26.108 --> 00:05:29.879
You're going to lose bone density and muscle mass.

00:05:30.221 --> 00:05:40.783
But maybe everyone needs to wear a weighted jacket, like a lot of these people do these days just to simulate that extra weight being on them so when they're walking around daily.

00:05:41.303 --> 00:05:55.843
that actually benefits you in multiple ways anyhow, but is the uh, like the the bone density and skeletal muscle mass lost relative to overall weight proportional, or are they losing more?

00:05:55.843 --> 00:06:01.540
Like, let's say, more bone mass and skeletal muscle mass compared to overall mass?

00:06:01.821 --> 00:06:02.826
it's patient dependent.

00:06:02.826 --> 00:06:12.163
You know I've been on it for, I think, almost three years and you know, like that first six months I probably lost a lot of weight and I lost muscle mass.

00:06:12.163 --> 00:06:16.860
But after that six months I've gained muscle mass and kind of kept at the same weight.

00:06:16.860 --> 00:06:29.728
And, like you know, I microdose and like change dosing, like when I go on vacation and stuff like sometimes to get cut up and sometimes you know, and you know, just play around with a dosing.

00:06:29.728 --> 00:06:33.744
But I've always put on more skeletal muscle mass over the past two years.

00:06:33.744 --> 00:06:50.831
That first six months was the only time I think I lost a little bit of the muscle mass and the thing is like increasing protein and I wasn't really working out that first six months but once the weight came off I started working out and I think that kind of like.

00:06:50.831 --> 00:06:54.444
Also, you know you can't live a sedentary lifestyle.

00:06:54.444 --> 00:06:57.913
I think you're going to, um, just lose, uh.

00:06:59.100 --> 00:07:01.947
Oh yeah, asking for like a chemical way to starve yourself?

00:07:01.947 --> 00:07:04.850
Yeah, that makes sense, I'm going to start it.

00:07:04.850 --> 00:07:06.196
I've been saying it for like a year I starve yourself.

00:07:06.196 --> 00:07:06.737
Yeah, that makes sense, I'm gonna start it.

00:07:06.737 --> 00:07:09.336
I've been saying it for like a year I just want to see the difference.

00:07:09.375 --> 00:07:12.622
But I've you saw, I sent you the in-body results.

00:07:12.622 --> 00:07:19.004
I'm actually able to get down my body fat percentage yeah, nowhere near what I wanted and increase my skeletal muscle mass.

00:07:19.004 --> 00:07:25.230
I actually wanted to increase my skeletal muscle mass to about like two more pounds than where it is right now.

00:07:25.230 --> 00:07:33.461
It's already up like four pounds, yeah, but then get on some terzapatide yeah, so then see how lean I can get.

00:07:33.461 --> 00:07:36.807
Yeah, with like small doses, but not but like.

00:07:36.927 --> 00:07:49.805
Also, the other thing that people don't look at is like optimizing your hormones, like, yeah, your your testosterone um and also your thyroid hormone, you know, like just optimizing those.

00:07:49.805 --> 00:08:04.151
You'll also need a lower dose of your glp-1s um to be able to maintain your muscle mass and lose weight and have the energy to go work out and be focused and get on with daily activities.

00:08:04.151 --> 00:08:12.911
Instead of, like you know, people are like, oh, glp ones are going to cause me to be tired and I don't want to do anything, but they're because you're taking them the wrong way.

00:08:12.971 --> 00:08:51.254
If you're taking them with appropriate vitamin and nutrition and like with a balance lifestyle changes that you know that appropriate physicians will lead you the right way instead of you know, yeah, you could pay someone like 99 bucks a week or 99, however much of your pain, and they're just handing you the medication and telling you unless you're self-motivated, which usually aren't, that's why you're on these medications, You're you're not going gonna get to the point you really want to and you're never going to be able to come off of them or be like micro dosing just for health purposes.

00:08:51.254 --> 00:08:52.481
Yeah, because you're.

00:08:52.481 --> 00:09:00.846
You're still living that same lifestyle that as soon as you come off of them, you're going to eat bad stuff and not work out, and it you know.

00:09:01.047 --> 00:09:04.312
You it or you get off because you're craving that stuff.

00:09:04.352 --> 00:09:07.971
You're like, ah, I want to eat some more cake now.

00:09:07.971 --> 00:09:09.860
Yeah, so I'm going to this.

00:09:10.019 --> 00:09:12.509
This thing prevents me from wanting to eat more cake.

00:09:12.668 --> 00:09:18.725
Yeah, I find like, as I lowered my dose, like I was shopping more frequently online.

00:09:18.725 --> 00:09:20.529
Whatever I wanted, I was buying online.

00:09:21.051 --> 00:09:26.522
Really, it's seriously when you lower your dose.

00:09:26.522 --> 00:09:28.024
When I lowered, yeah, there's definitely some effect, because I started.

00:09:28.044 --> 00:09:32.642
I started like doing it once every two, three weeks and I felt like, yeah, I was definitely.

00:09:32.642 --> 00:09:35.528
I was like, all right, I need to up my dose a little bit.

00:09:35.568 --> 00:09:36.731
I'm buying too much.

00:09:36.731 --> 00:09:44.211
So if your wife's buying too much, stuff online yeah, that's a good, good indication to get some.

00:09:44.250 --> 00:09:46.815
You can offer a nice massage and just rub it in.

00:09:46.815 --> 00:09:50.144
Yeah, quick little shot.

00:09:50.144 --> 00:09:54.326
It won't hurt nobody Do we want to see the video and go from.

00:09:54.908 --> 00:09:56.072
Yeah, what video are we watching?

00:09:57.160 --> 00:09:59.145
Dr Mike was talking about Ozempic butt.

00:09:59.607 --> 00:10:01.451
I don't want to exercise, I'll just take Ozempic.

00:10:01.451 --> 00:10:16.488
That's the thing I'm sure you're aware of, like Ozempic butt or whatever, where housewives who had no interest in resistance training or building muscularity, no interest in controlling their diets or eating healthier, they just take a crapload of Ozempic and they're like oh, I've lost a ton of weight, but now I'm sarcopenic.

00:10:16.488 --> 00:10:33.668
That's definitely a bad outcome, but I would say that's more of a slight misapplication of pharmaceutical technology, and there is such a thing as proper application and I think in the end we'll have a cocktail of drugs that are increasingly better at doing things, increasingly lower risks and downsides.

00:10:33.668 --> 00:10:35.626
I think that's a world we want to live in.

00:10:36.039 --> 00:10:39.129
Which one's Dr Mike with glasses, one's a real doctor, is he a?

00:10:39.129 --> 00:10:39.571
Chiropractor?

00:10:39.571 --> 00:10:44.251
No, he's a physical therapist or like exercise physiologist.

00:10:44.251 --> 00:10:49.470
I listened to him on a podcast, yeah, and it sounds like he knows what he's talking about.

00:10:49.470 --> 00:10:54.613
It's like, oh yeah, best way to gain strength is probably based on some research.

00:10:54.613 --> 00:10:55.926
I didn't even look it up.

00:10:55.926 --> 00:11:01.331
It's like going to like max, like range.

00:11:01.692 --> 00:11:01.932
Yeah.

00:11:02.421 --> 00:11:08.989
And light reps Light reps make a lot of sense to me and max range light reps make a lot of sense to me and max range like extending the muscle fibers makes sense to me too.

00:11:08.989 --> 00:11:18.028
But I swear that next day I went and did like deep squats yeah, my back hurt like fucking hell.

00:11:18.028 --> 00:11:20.788
Like I was like ah, I knew I shouldn't have fucking done that.

00:11:20.788 --> 00:11:24.424
Like I'm not building muscle Cause my muscle, my fucking back hurts.

00:11:24.860 --> 00:11:24.921
But.

00:11:24.921 --> 00:11:44.442
But like the, the way to um work out, like with the resistance bands and the resistance bands, you're doing high reps, it's not very high weight, and what you're doing is you don't want to lock out at all, you want to go, you want to keep the ranges in between where you're going up and down, so your muscles are always engaged.

00:11:44.484 --> 00:11:49.850
I might have misunderstood them, yeah, but it was pretty much saying kind of like what?

00:11:49.850 --> 00:11:56.052
Corley tells us like yeah oh, you gotta range out with like the squats go like, and it's just like you know what.

00:11:56.052 --> 00:12:02.188
Maybe I don't need to do that yeah, I don't um, I'm not trying to get that strong no, um.

00:12:02.830 --> 00:12:07.758
Well, you know you gotta slowly, like what corley was saying.

00:12:07.758 --> 00:12:14.893
You gotta kind of slowly get there because you know your ankles kind of stiffen up quite a bit pretty quickly.

00:12:14.952 --> 00:12:16.423
So you gotta get them on here.

00:12:16.445 --> 00:12:23.827
That would actually be hilarious I know he listens to a lot especially if you start talking about black rights activists and stuff.

00:12:24.528 --> 00:12:28.408
A whole mix of things Deep squats versus DI yeah.

00:12:29.880 --> 00:12:33.489
And why you need to do explosive exercises.

00:12:33.489 --> 00:12:38.969
For a lot of you'll need explosiveness in your life.

00:12:39.048 --> 00:12:42.145
As an anesthesiologist, I was going to just ask.

00:12:45.888 --> 00:12:46.971
I've been going lower carbs.

00:12:49.260 --> 00:12:50.547
I've been eating raw eggs.

00:12:50.547 --> 00:12:54.650
Do I need to worry about anything about the bird flu going on?

00:12:55.541 --> 00:12:57.708
No, because they killed off a lot of eggs.

00:12:58.080 --> 00:12:59.164
Yeah, they shouldn't be.

00:12:59.164 --> 00:13:00.946
It shouldn't reach me right?

00:13:00.946 --> 00:13:01.985
No, I don't think so.

00:13:02.220 --> 00:13:04.609
Okay, because I don't want to take the time to cook the eggs.

00:13:04.609 --> 00:13:06.399
It's so much easier.

00:13:06.460 --> 00:13:08.164
But does it matter if you cook it or not?

00:13:08.164 --> 00:13:10.912
With the bird flu, I don't know.

00:13:10.912 --> 00:13:12.966
I don't think it matters.

00:13:12.966 --> 00:13:14.506
That's why they took it off the shelf.

00:13:14.639 --> 00:13:19.111
They said most ways of contracting bird flu is coming in contact with it.

00:13:25.820 --> 00:13:28.145
So at least like three to eight people have gotten bird flu before I do.

00:13:28.166 --> 00:13:29.268
Do you need a Fauci vaccine if you get it?

00:13:29.268 --> 00:13:31.011
So what happens if you get the bird flu?

00:13:31.011 --> 00:13:33.119
You might die.

00:13:34.120 --> 00:13:38.030
Oh yeah, that's why I'm asking you.

00:13:41.940 --> 00:13:42.763
You guys are clearly the wrong.

00:13:42.763 --> 00:13:44.528
Can you get bird flu through Like?

00:13:44.528 --> 00:13:45.692
Is it oral?

00:13:46.576 --> 00:13:47.339
Through contact.

00:13:47.339 --> 00:13:49.226
I don't know they got rid of all those eggs.

00:13:49.226 --> 00:13:51.547
No but like could you eat bird flu Can?

00:13:51.586 --> 00:13:55.347
it be fecal-oral Not fecal-oral necessarily.

00:13:56.740 --> 00:14:00.171
Not everything has to be fecal-oral.

00:14:01.102 --> 00:14:04.105
I mean that's one of the routes I'm talking about eggs.

00:14:04.220 --> 00:14:04.769
I'm not talking about shit.

00:14:04.769 --> 00:14:05.320
I'm not talking about shit.

00:14:06.041 --> 00:14:07.707
I'm not eating shit, yeah, but.

00:14:08.943 --> 00:14:10.730
Well those chickens are shitting those eggs out.

00:14:11.039 --> 00:14:13.288
But I don't literally eat shit, I don't think.

00:14:13.288 --> 00:14:16.509
No, it said contact with birds.

00:14:16.740 --> 00:14:24.471
So, it's usually the bird farmers that, get it, but like what happens with the eggs that they had to kill off all those eggs?

00:14:25.019 --> 00:14:29.091
It's just the chickens passing the shit around themselves, so okay.

00:14:30.419 --> 00:14:35.508
So killing off the eggs isn't going to pass the Eating undercooked eggs oh yeah, is that?

00:14:35.589 --> 00:14:36.149
number one.

00:14:36.149 --> 00:14:38.745
I'll hold off on that.

00:14:39.120 --> 00:14:42.033
Number one is contact with infected birds of course.

00:14:42.480 --> 00:14:43.745
What does it give you?

00:14:43.745 --> 00:14:44.830
Does it give you diarrhea?

00:14:45.480 --> 00:14:46.767
No, you can fucking die.

00:14:46.767 --> 00:14:47.884
It's scary shit.

00:14:47.884 --> 00:14:56.102
If it was just like a little, you know me and diarrhea I'm cool with.

00:14:56.102 --> 00:14:57.869
Like I'm not going to die of diarrhea.

00:14:57.869 --> 00:15:00.179
I'm in the developed world.

00:15:00.320 --> 00:15:02.990
I'll give you guys a death rate for bird flu in a second.

00:15:02.990 --> 00:15:03.434
See what AI tells us.

00:15:03.434 --> 00:15:03.682
I'll give you guys a death rate for bird flu in a second.

00:15:03.682 --> 00:15:06.985
See what AI tells us.

00:15:06.985 --> 00:15:09.169
Wait, what was this?

00:15:09.230 --> 00:15:11.243
episode about oh shit.

00:15:14.000 --> 00:15:19.106
And while okay, so yeah, Close contact with infected birds or contaminated environments.

00:15:19.586 --> 00:15:26.495
While the risk of human-to-human transmission is low, the mortality rate for known human cases is around 50%.

00:15:26.495 --> 00:15:28.458
Oh shit, you can die.

00:15:28.458 --> 00:15:29.200
You can die.

00:15:29.200 --> 00:15:30.587
One out of two die.

00:15:31.041 --> 00:15:34.571
It's like people that get it are probably like pretty sick people.

00:15:35.041 --> 00:15:36.249
Yeah, they're knee-deep in birds.

00:15:36.711 --> 00:15:43.519
Yeah, we're talking about these farms with like thousands and thousands of chicken in them.

00:15:43.701 --> 00:15:47.700
Yeah, you probably get like freakingicking high dose of bird flu.

00:15:47.779 --> 00:15:51.750
I'm just picturing Napoleon Dynamite tending to chicken.

00:15:52.441 --> 00:15:57.413
Speaking about explosive exercises oh exercise.

00:15:57.413 --> 00:16:03.216
I was like, oh, you got the right guy, I know exactly everything about explosive diarrhea.

00:16:03.235 --> 00:16:03.960
Me too, me too.

00:16:03.960 --> 00:16:05.225
But okay, let's think of the chat.

00:16:05.225 --> 00:16:07.346
Well, eat at chamber.

00:16:08.761 --> 00:16:12.419
The last three months I've gotten the first two food poisonings of my life.

00:16:12.460 --> 00:16:16.788
Dude you guys scared the crap out of me Like I won't even eat fruit at that place.

00:16:17.559 --> 00:16:20.568
I know I look and I'm like, oh, that's a salad bar.

00:16:20.568 --> 00:16:21.390
I don't know if I could.

00:16:21.390 --> 00:16:27.249
I'm going to go grab the salad from the fridge I'm gonna probably at least it's in the fridge.

00:16:27.249 --> 00:16:40.042
And then he says, ah, never mind, I'll take the meatloaf no, my buddy and uh, my college roommate used to he always be like, yeah, you gotta do explosive exercises, he's like.

00:16:40.042 --> 00:16:43.788
He's like you gotta be ready if the apocalypse happens, you gotta be ready.

00:16:43.788 --> 00:16:47.192
He'd do just like random shit corley probably thinks the same.

00:16:47.211 --> 00:17:17.791
Yeah, yeah, yeah, yeah he's like you, gotta be prepared honestly, one thing I always like used to tell myself is I want to be able to do a push-up with something heavy on my back in case I get stuck somewhere, or like pull myself out of a situation, like if I can do that, I can get out of anything but, if you're putting in dire enough situation you you can probably pull yourself out yeah, right, so I just stopped putting myself in those situations.

00:17:17.811 --> 00:17:28.237
You just put your mind into it yeah make it happen right, okay, so I have numbers, I have numbers on bird flu not explosive diarrhea since

00:17:28.317 --> 00:17:31.502
2003 954 confirmed cases.

00:17:31.502 --> 00:17:34.471
Half of those people have died 52.

00:17:34.471 --> 00:17:36.016
That's kind of crazy.

00:17:36.016 --> 00:17:37.400
Yeah, that's a that's a lot.

00:17:37.559 --> 00:17:38.726
That's a high fatality rate.

00:17:38.746 --> 00:17:41.597
That's much more than easy corona but that's how many people?

00:17:41.699 --> 00:17:45.054
thought they had it same thing with corona when it originally came out.

00:17:45.054 --> 00:17:50.407
They thought it was a higher percentage, but they're underestimating the total amount of people who had it Is the bird flu from China.

00:17:50.640 --> 00:17:51.939
Yeah, that's true, because the sick people aren't going in.

00:17:51.939 --> 00:18:03.109
Yeah, I mean, it's basically like actually, it's like highest number of bird flu deaths are in Indonesia, egypt, vietnam, cambodia and China.

00:18:04.340 --> 00:18:09.527
The bat flu, the bat flu, okay All right, I'm done looking at it, so I can eat raw eggs.

00:18:09.527 --> 00:18:11.415
Yeah, did we get an answer?

00:18:12.201 --> 00:18:14.630
Yeah, especially if you're starting to take tereseptide.

00:18:14.630 --> 00:18:15.858
I would definitely eat more raw eggs.

00:18:16.300 --> 00:18:20.711
If there's, like, only 95 people who've ever gotten bird flu.

00:18:21.441 --> 00:18:24.490
And those are the people that are, it looks like.

00:18:24.660 --> 00:18:26.117
They're inhaling chicken shit.

00:18:26.137 --> 00:18:33.992
Yeah, like that's just not probably the trick like yeah, I I I doubt it's from range.

00:18:34.173 --> 00:18:34.875
Can you imagine if?

00:18:35.340 --> 00:18:43.989
because if one of those that qualify if someone's tough to find those free-ranged organic eggs someone gets contaminated with the bird flu, from whatever farm.

00:18:44.028 --> 00:18:49.048
That is that person's life's over, so I'm pretty sure they're trying to prevent that from happening.

00:18:49.048 --> 00:18:49.891
I would hope.

00:18:50.279 --> 00:18:51.946
So how many people have died of measles?

00:18:53.000 --> 00:19:00.385
Maybe we should look into buying an egg farm, you know, because these guys, if they're dying off, measles is a good one, but then we could get the bird flu.

00:19:00.385 --> 00:19:00.827
Yeah.

00:19:03.579 --> 00:19:05.044
That's called risky business.

00:19:05.044 --> 00:19:13.667
You know what was hilarious when egg prices went fucking crazy and bird flu was at its peak.

00:19:13.667 --> 00:19:15.531
I think it might be at its peak now.

00:19:15.531 --> 00:19:17.182
Supposedly it's been going on for years.

00:19:17.182 --> 00:19:22.980
Sprouts stopped carrying eggs and their egg cooler their egg fridge.

00:19:22.980 --> 00:19:27.387
They emptied it all out and it was all filled with liquid death.

00:19:31.201 --> 00:19:36.388
The irony of that, I was like what I was like I thought this is where I get the eggs.

00:19:36.388 --> 00:19:42.209
And then I'm like I spent an extra 10 minutes because I'm like Sarah's going to be pissed off if I go home with no eggs.

00:19:42.209 --> 00:19:44.267
There's got to be eggs somewhere over here.

00:19:44.267 --> 00:19:47.240
Just start rummaging through all the sprouts.

00:19:47.279 --> 00:19:48.742
So what are your thoughts on liquid?

00:19:48.742 --> 00:19:51.372
It's sparkling water.

00:19:51.865 --> 00:19:54.493
It's not sparkling water, no, it's regular, it's regular mineralized water.

00:19:54.594 --> 00:19:55.055
It can be regular.

00:19:55.055 --> 00:19:56.579
It can be sparkling, it can be different.

00:19:56.579 --> 00:19:57.442
Tea, it is.

00:19:57.442 --> 00:19:58.045
It's a bread.

00:19:58.666 --> 00:20:00.433
I actually like the taste.

00:20:01.086 --> 00:20:02.845
It's like a crisp water.

00:20:02.845 --> 00:20:06.321
It's actually pretty good yeah, which was weird.

00:20:06.342 --> 00:20:06.784
Yeah, it's not bad.

00:20:06.784 --> 00:20:12.634
I'm like I go and yeah, they have good iced teas.

00:20:16.928 --> 00:20:18.551
I don't drink anything with sugar in it.

00:20:18.772 --> 00:20:19.494
It's not really.

00:20:19.494 --> 00:20:20.497
It's like agave.

00:20:22.269 --> 00:20:25.671
Yeah, like agave is worse than sugar, agave is pretty much yeah.

00:20:25.671 --> 00:20:27.990
See, that's why, I'm on the show.

00:20:27.990 --> 00:20:29.193
It spikes your sugars.

00:20:29.193 --> 00:20:30.565
It's not influenza.

00:20:30.565 --> 00:20:32.451
You're going to need to be on terzeptide.

00:20:32.451 --> 00:20:33.575
It spikes your sugars.

00:20:36.244 --> 00:20:37.667
Have you guys had blue eggs though?

00:20:37.667 --> 00:20:38.830
Yeah, what?

00:20:38.830 --> 00:20:44.712
Yeah, blue eggs, blue eggs, they're supposedly like the most raw, the free range.

00:20:44.772 --> 00:20:46.924
It's those the Vital Farms makes the blue eggs.

00:20:47.025 --> 00:20:48.570
Is it lower rates of bird flu?

00:20:48.671 --> 00:20:49.212
I think so.

00:20:49.928 --> 00:20:50.490
I got to switch.

00:20:56.085 --> 00:20:57.607
They look better Apparently there's less.

00:20:57.627 --> 00:20:57.887
Oh no, rfk.

00:20:57.887 --> 00:20:58.608
They give them methylene blue.

00:20:58.608 --> 00:20:59.230
No more food dye.

00:20:59.250 --> 00:21:05.599
It's not food dye, I'm kidding I guess the eggs are the ones that are actually something happens, whereas the blue ones they don't.

00:21:05.599 --> 00:21:11.354
But with the food dye, but I don't even know exactly what it is, but Saran's been crushing blue eggs lately.

00:21:12.266 --> 00:21:13.471
Where do you get blue eggs from?

00:21:13.471 --> 00:21:17.468
Vital Farms been crushing blue eggs lately.

00:21:17.489 --> 00:21:18.632
So where do you get blue eggs from vital farms?

00:21:18.632 --> 00:21:20.638
Vital, no, vital farms has that same free range, the brown and black packages.

00:21:20.638 --> 00:21:22.444
That same company makes blue eggs.

00:21:22.444 --> 00:21:23.567
They're blue eggs.

00:21:23.567 --> 00:21:24.711
Is the egg whites blue?

00:21:24.711 --> 00:21:34.736
No, no whites are egg whites are blue and the outside the outsides the egg whites blue the egg whites a, isn't it, or is?

00:21:34.816 --> 00:21:35.616
it just the outside?

00:21:35.616 --> 00:21:36.519
No, I don't think so.

00:21:36.519 --> 00:21:41.045
I think it's just the outside, it's just the outside, yeah, I don't know what's special about it.

00:21:41.627 --> 00:21:43.979
Is that what they fed the kids?

00:21:44.019 --> 00:21:44.903
in the boys TV show.

00:21:44.903 --> 00:21:48.573
I haven't watched that show, but I'm assuming someone turned blue.

00:21:49.375 --> 00:21:50.625
No, they did, it's the.

00:21:50.726 --> 00:21:58.757
Smurf chickens, smurf juice, all right on to our next video Certain chicken eggs produced that went completely off topic.

00:21:58.798 --> 00:21:59.798
Yeah, yeah, that would yep.

00:22:02.465 --> 00:22:03.409
Thanks, Dr.

00:22:03.489 --> 00:22:05.173
Mike, back on topic.

00:22:09.825 --> 00:22:14.512
Oh, the color of an eggshell does not affect its nutritional value or taste, that's what AI says, but that's all I know.

00:22:14.553 --> 00:22:21.259
But the taste of that vital farms eggs are good, yeah, better than any other ones, really, just see you can just see the color of the eggs.

00:22:21.682 --> 00:22:25.631
I don't know if you could tell from what we've talked about, but I'm like an egg aficionado.

00:22:27.634 --> 00:22:31.528
Let me judge this way dude my kid, my kids won't eat any other eggs.

00:22:31.528 --> 00:22:34.134
They're like, like, as soon as you feed them other eggs, they're like.

00:22:34.134 --> 00:22:37.252
You know, I've always loved runny eggs.

00:22:37.806 --> 00:22:41.714
I don't know if you remember you were young, but mom used to make the soft-boiled eggs.

00:22:41.714 --> 00:22:43.683
You just crack the top and eat it.

00:22:43.744 --> 00:22:45.573
You can make real good ones sous vide.

00:22:45.573 --> 00:22:48.690
I actually did them sous vide, they come pretty good.

00:22:48.891 --> 00:22:51.126
Yeah, that is probably good.

00:22:51.567 --> 00:22:59.359
But what's gotten kind of crazy lately is the whole FDA and getting rid of the drug shortage.

00:23:02.484 --> 00:23:04.314
Welcome to Age Proof, where we're going to talk about random shit.

00:23:04.314 --> 00:23:07.788
Make sure you live forever, all right, what's that?

00:23:07.788 --> 00:23:07.888
Fda?

00:23:07.929 --> 00:23:17.832
So the whole FDA taking terzapetide and semaglutide off the shortage list, we've gotten quite a few patients.

00:23:17.873 --> 00:23:19.164
What does that mean exactly to people?

00:23:19.164 --> 00:23:21.693
Because people call in our clinic.

00:23:21.905 --> 00:23:22.964
Yeah, asking for 50 vials of semaglutide.

00:23:22.964 --> 00:23:25.073
Can I get like 80 vials of semaglutide?

00:23:25.073 --> 00:23:29.855
And 100 vials of semaglutide, I'll get the Mexican stuff off you too, if you have any of that.

00:23:31.366 --> 00:23:48.301
So what it is is so Eli Lilly and Nova Nordisk hold patents to the commercial drugs known as Ozempic or Manjaro so and they hold the patents till like 2032.

00:23:48.301 --> 00:23:52.509
I don't know the exact date, but it's going to be a while.

00:23:52.509 --> 00:24:07.653
But you know, so many people have started taking them and they couldn't keep up with the amount of need and one of the main things was they couldn't create enough needles to inject with their pens the two different companies.

00:24:07.944 --> 00:24:24.351
Most of their patents behind the pen, not even the medication Like I was just reading that like they do hold patents to the medications themselves, because I had heard someone say that it's patent to the pens, but no, it's it wouldn't make sense yeah so.

00:24:25.713 --> 00:24:27.277
So they couldn't come up with enough pens.

00:24:27.277 --> 00:24:38.400
But now they can come up with enough pens, so they the fda is pulling the drugs off the shortage list, which means the compound pharmacies can't make the medications if it's off the shortage list.

00:24:38.400 --> 00:24:46.400
So everyone's supposed to pay this exuberant amount of money to buy these drugs from the companies themselves.

00:24:46.400 --> 00:24:55.640
So now the companies have started to sell it direct, but still it's much more expensive than buying the compounded form.

00:24:56.949 --> 00:25:02.865
It's half the price of what it used to be but it's four times the price of what you can get.

00:25:03.065 --> 00:25:06.432
Yeah four times more than what you can get compounded.

00:25:06.432 --> 00:25:17.164
So there are ways around it and certain certain pharmacies still compound it because there's different things you can add to decrease the side effects.

00:25:17.164 --> 00:25:20.635
So they add some vitamin B6 to decrease the nausea.

00:25:20.635 --> 00:25:26.417
You can add some glycine to semaglutide to prevent muscle loss.

00:25:26.417 --> 00:25:32.017
And then the other thing people are doing is a lot of people do microdosing.

00:25:32.017 --> 00:25:41.460
No one wants to because those pens, those pens, once you inject it's done and you can't take different dosing and some people don't require that entire dose.

00:25:42.061 --> 00:25:45.731
So micro oh yeah, because it's filled with a certain amount, and that's it.

00:25:45.852 --> 00:26:07.338
You use it and yeah, whatever, you take that time and that's it, yeah so if, if you're, you know, wanting to lose 10 pounds or 15 pounds and you only need, like you know, for someide it's 0.25 milligrams, it's the lowest dose, you could take 12.5 milligrams with the compounded formula, where with the pen you've got to take the 0.25.

00:26:07.338 --> 00:26:16.868
So, and especially once you get to, you know maintenance doses and stuff and you want to take more, you know, and kind of titrate however you want.

00:26:16.868 --> 00:26:18.576
You can't do that with the pens you.

00:26:18.576 --> 00:26:36.894
You can do that with a compounded formula, but you got to be at least 10 percent different than what the dose is coming to be able to order from the compound pharmacy, but you could still get it from the company and yeah, and there's multiple ways around it which I don't know if we're supposed to say that you can go to.

00:26:36.953 --> 00:26:37.615
Mexico.

00:26:37.615 --> 00:26:40.538
You could take half the dose and just do it twice.

00:26:47.127 --> 00:26:50.983
Do it twice a week instead of once a week if you're getting the hunger pains.

00:26:50.983 --> 00:27:14.291
But I don't know how this is going to turn out with, like lawyers and stuff and there's so many people on it and, uh, you know, big farmers just trying to come out on top and you know they are regulatory capture yeah, and they're also trying to say, like how, these other drug compounded forms have more side effects, which isn't true.

00:27:14.625 --> 00:27:16.089
Um, or meanwhile.

00:27:16.089 --> 00:27:19.167
Meanwhile, they get most of these drugs manufactured overseas.

00:27:19.249 --> 00:27:23.936
It's all yeah china, turkey, um, you name it.

00:27:23.936 --> 00:27:33.497
Like my friend went overseas to try different compounded pharmacies from different countries and see where he could find some.

00:27:35.240 --> 00:27:40.237
Did he know, yeah, what happened from that that you got from your friend?

00:27:40.846 --> 00:27:42.371
I haven't used anything from there.

00:27:42.852 --> 00:27:44.276
He went missing.

00:27:46.266 --> 00:27:47.431
But what it's going to turn out to be.

00:27:47.431 --> 00:27:48.493
He got the bird flu.

00:27:50.625 --> 00:27:55.243
What's going to turn out is going to be a lot more black market stuff, oh yeah.

00:27:55.505 --> 00:27:57.212
People find it right yeah.

00:27:58.705 --> 00:28:07.500
And the thing is like we actually have access to the newest one that's coming out, red True Tide, which is supposed to be more effective.

00:28:07.500 --> 00:28:20.836
In 48-week studies there was more weight loss about 25% as compared to terazepatides, which was 22% 23%, and semaglutides at 15%.

00:28:20.884 --> 00:28:27.335
What's the name of that new one, retatrutide, and that has glucagon on top of GLP and GIP.

00:28:27.515 --> 00:28:30.228
Yeah, yeah.

00:28:30.228 --> 00:28:36.880
So what I've read is like you know your actual GLP-1 is your semaglutide.

00:28:36.880 --> 00:28:51.325
Your terzeptide is actually a GIP agonist that has an amino acid different that makes it also act on the GLP-1 receptor.

00:28:51.325 --> 00:29:00.296
It's not as strong of a GLP-1 receptor agonist as your semaglutide is, but it has two receptors.

00:29:01.326 --> 00:29:04.256
What happens when they're agonist to these receptors?

00:29:04.256 --> 00:29:06.170
What does it do exactly?

00:29:07.384 --> 00:29:10.855
It decreases or decreases satiety.

00:29:13.308 --> 00:29:14.211
Increases satiety.

00:29:14.432 --> 00:29:17.751
Yeah, Slow gastric emptying.

00:29:17.751 --> 00:29:21.285
You're just hungry and you lose weight.

00:29:21.689 --> 00:29:23.384
It tells your brain you're full faster.

00:29:24.330 --> 00:29:26.003
Yeah, all the functions of a GLP-1.

00:29:26.445 --> 00:29:27.891
It tells you you're full faster.

00:29:27.891 --> 00:29:29.394
Slows your gastric emptying.

00:29:29.394 --> 00:29:31.211
It gives off the same.

00:29:31.525 --> 00:29:33.130
Increases insulin secretion.

00:29:33.130 --> 00:29:35.056
Increases insulin sensitivity.

00:29:35.785 --> 00:29:37.131
Does it have an effect on the kidney?

00:29:38.244 --> 00:29:40.411
Yeah, it's got you know.

00:29:40.411 --> 00:29:45.972
All the receptors are everywhere in your body so it affects all different parts of your body.

00:29:46.253 --> 00:29:48.678
Okay, but overall it seems beneficial.

00:29:48.678 --> 00:29:52.065
Yeah, yeah, yeah, yeah, yeah, even for kidney chronic kidney disease.

00:29:52.065 --> 00:29:57.391
They're studying it for chronic kidney disease Heart disease kidney disease.

00:29:57.611 --> 00:29:58.353
Alzheimer's.

00:29:58.432 --> 00:30:02.180
Arthritis, alcohol withdrawal, fatty liver disease.

00:30:03.945 --> 00:30:04.971
Skinny liver disease.

00:30:07.306 --> 00:30:11.416
So would you recommend getting like for a normal patient?

00:30:11.416 --> 00:30:14.375
You would recommend getting it from a compounding pharmacy.

00:30:14.424 --> 00:30:14.788
What do you mean?

00:30:14.788 --> 00:30:15.516
Normal patient?

00:30:15.516 --> 00:30:17.170
I guess you can't say normal.

00:30:17.170 --> 00:30:19.959
A little bit above weight, I shouldn't say normal patient.

00:30:19.979 --> 00:30:20.383
No diabetes.

00:30:21.367 --> 00:30:23.605
Yeah, no diabetes, obviously.

00:30:23.605 --> 00:30:40.732
Yeah, I mean, that's going to be your typical like medical patient is going to be diabetes, but person off the street who's looking to just lose a little bit of weight and they're a little bit heavier and trying to control you know what they're eating get themselves in shape.

00:30:40.984 --> 00:30:44.034
So so you got to figure out why they're overweight first.

00:30:44.034 --> 00:30:56.713
You know it's checking the hormones and everything and making sure everything's in check before just trying like a GLP one, you know and because the GLP might work or might not work.

00:30:56.986 --> 00:31:01.612
And then if it doesn't work, then you got to start all over again and be like, oh, why is this not working?

00:31:01.612 --> 00:31:03.490
Yeah, I gotcha.

00:31:03.765 --> 00:31:08.153
Yeah, because sometimes it's like you got to make sure the patient's sleeping enough.

00:31:08.153 --> 00:31:16.788
Like some people can't lose weight with GLP-1s and they're under high stress, they never sleep and they're wondering why they can't lose weight.

00:31:16.788 --> 00:31:23.529
There's like everything comes together, like you gotta fix your gut, you gotta, you know, eating whole foods.

00:31:24.050 --> 00:31:28.205
It's better to go step by step yeah, get there rather than like trying to look.

00:31:28.205 --> 00:31:29.788
It's an overall well-being.

00:31:29.788 --> 00:31:33.016
It's not a miracle drug that you just take by itself.

00:31:33.195 --> 00:31:34.337
I mean it's a great drug.

00:31:34.337 --> 00:31:36.411
Yeah, it's a fantastic drug.

00:31:36.511 --> 00:31:46.371
Yeah, but like if you just jump into it, like where a lot of people do it too, they just prescribe it and it's like okay, there you go and there's your standard dose.

00:31:46.371 --> 00:31:54.778
Take that until you're at your weight and this is why I see, like, how many percent of people try and get off of it.

00:31:55.125 --> 00:32:02.259
It's like about a quarter, at least 25% of people that just like quit and never try it again.

00:32:02.259 --> 00:32:11.505
It's not like they're like, okay, I try it, it's just like, eh, yeah, I try to make me feel sick and rather than being like, okay, did you test everything else out?

00:32:11.505 --> 00:32:18.066
Or did you go to like the GLPip agonist, like, did you try a different route?

00:32:18.066 --> 00:32:18.666
Make sure?

00:32:18.666 --> 00:32:21.333
Like, is your gut health appropriate?

00:32:21.333 --> 00:32:23.478
Like there's a lot of things that can throw it off.

00:32:24.406 --> 00:32:32.133
So yeah, and then and then, on top of that, you also you know you look for what the patient needs with what you can offer them to lose weight.

00:32:32.133 --> 00:32:33.859
There's, there's a lot of peptides that you can offer them to lose weight.

00:32:33.859 --> 00:32:46.752
There's, there's a lot of peptides that you can offer um to lose weight, whether it's like a growth hormone uh receptor agonist or, you know, there's testofenicine, which is a different medication.

00:32:46.752 --> 00:32:55.801
That um is almost like uh reoptic inhibitor of serotonin dopaminerenaline so this is like ssri.

00:32:56.463 --> 00:33:10.695
Almost it was a medication that they actually created for alzheimer's yeah um but when the glps originally created for alzheimer's no no, the glps were diabetes.

00:33:11.116 --> 00:33:14.730
So the test fennel scene was created for alzheimer's.

00:33:14.730 --> 00:33:21.460
But the alzheimer's patients in the study that were taking it were losing all this weight and they they're like you know.

00:33:21.460 --> 00:33:32.335
So they stopped the study and they dropped the drug because, um, you don't want alzheimer's patient losing all these this weight and becoming sarcopenic I know that.

00:33:32.434 --> 00:33:34.188
I mean, that would be a weird situation.

00:33:34.188 --> 00:33:36.776
Like doc, I lost all this weight.

00:33:36.776 --> 00:33:38.280
Oh really, how much did you weigh?

00:33:38.602 --> 00:33:51.740
I don't know yeah uh, so you guys feel like patients that you've been prescribing it to like.

00:33:51.740 --> 00:33:56.582
You feel like most people you talk to have realistic expectations.

00:33:57.104 --> 00:34:02.135
Obviously you set those as the physician right the nice part with being in plastics is like.

00:34:02.135 --> 00:34:06.837
You're already like it's probably the same way you approach any patient.

00:34:06.837 --> 00:34:07.621
You're like it's.

00:34:07.621 --> 00:34:08.764
Are you realistic?

00:34:08.764 --> 00:34:10.007
Can we get there?

00:34:10.007 --> 00:34:27.052
Yeah, yeah like if somebody's like I want to lose 120 pounds maybe not, but if they're 340 pounds and you go over the steps that it'll take and they reverberate and you get their motivation and you're like it might take this amount of time.

00:34:27.472 --> 00:34:28.695
So it's patient by patient.

00:34:28.695 --> 00:34:36.059
Yeah and they some people, it's just not going to happen they you know they're going to like take it like twice and then stop and then blame you for it.

00:34:36.625 --> 00:35:08.831
Like it's like, if you can, you can't 100% nail it, but like, if you can tell with like a good chance of certainty, that like they're going to be adherent to what you tell them and they're going to trust you, like you build that bond and when that trust is built, like you know they're going to get the results they want or at least get them to a reasonable place and and you know, like our success rates much higher than a lot of other places because we're not just handing it out, we know the side effects.

00:35:08.931 --> 00:35:27.942
Yeah, um, also on my own trial and error, I figure things out where I can help patients with it, where, you know, some people are like they don't really know what the max dose is, or like how to titrate patients up appropriately to get them to their weight loss, or discuss nutrition and weight.

00:35:28.202 --> 00:35:35.043
You know exercise and stuff with them um, where, or like you know this, this isn't working.

00:35:35.043 --> 00:35:40.652
This might be a better thing to try to see if you lose, to see if it works.

00:35:40.652 --> 00:35:54.932
Or like adding on other peptides to help them, like, or even hormone replacement and uh, or thyroid replacement to try to get them to that level, or even, you know, like vitamin d replacement.

00:35:54.932 --> 00:36:02.358
There's all these different things that you need in your body to kind of be able to lose that weight.

00:36:02.358 --> 00:36:08.804
And like sleep's a big thing, like people that don't sleep, your cortisol level is going to be increased.

00:36:08.804 --> 00:36:21.929
You're going to have a tough time, uh, losing that weight feeling that today, yeah, not because of stress so it doesn't work.

00:36:22.931 --> 00:36:25.460
When you get off of it, I gain double the weight back after.

00:36:25.842 --> 00:36:31.346
If you stop taking ozempic or any of the other glp-1 agonist medications, will you gain double the weight back?

00:36:31.346 --> 00:36:34.434
If only we had research to tell us this answer.

00:36:34.434 --> 00:36:35.786
Thankfully we do.

00:36:35.786 --> 00:36:40.246
But before we get to that, I just want to say that I cannot tell you about her individual experiences.

00:36:40.246 --> 00:36:48.175
If she says that she gained double the weight back after she stopped taking Ozempic, then I'm going to believe her, but it's important to know if that did happen to her.

00:36:48.175 --> 00:36:52.811
Just because it happened to her does not mean that's the norm for everyone else who stops taking it.

00:36:52.811 --> 00:36:58.639
So, since we cannot extrapolate one individual person's experience to a large population, what do we do?

00:36:58.639 --> 00:37:03.092
We look at research, and the research that we have right now come from the STEP trial.

00:37:03.092 --> 00:37:08.675
So there was a STEP1 trial which showed that people lost a significant amount of weight with semaglutide.

00:37:08.675 --> 00:37:11.108
This is something that I think pretty much everyone knows now.

00:37:11.148 --> 00:37:19.449
The GLP-1 medications are incredible medications that help with weight loss, but the big question that arises is well, if I stop that medication, am I going to gain the weight back?

00:37:19.449 --> 00:37:21.735
Am I going to gain all the weight back, double the weight back?

00:37:21.735 --> 00:37:28.418
And so what they did is they took the step one trial and extended it, and they allowed people to stop taking the medication to see what happened.

00:37:28.418 --> 00:37:37.518
So when we look at the step one extension trial, what we see is that when people stop the medication, they do regain weight, but it's not double the weight back and it's not really all the way back either.

00:37:37.518 --> 00:37:42.295
In this study, it showed that on average, they gain about two thirds of the weight back, which is a significant amount.

00:37:42.295 --> 00:37:49.068
But it's also important to know not only did they just stop semaglutide, they also stopped their intensive lifestyle regimen that they had been put on as well.

00:37:49.068 --> 00:37:49.949
So what does this mean?

00:37:49.949 --> 00:37:59.943
It means that obesity is a chronic medical condition that's going to need ongoing lifestyle modifications and, potentially, medications to help keep the weight off, and that is okay.

00:38:00.585 --> 00:38:05.876
No one should feel any stigma behind needing to use medication for weight loss or to keep weight off.

00:38:05.876 --> 00:38:08.230
We are not all playing on the same playing field.

00:38:08.230 --> 00:38:15.527
We all have a different biological makeup and for some of us, medications may be needed, and that is completely okay.

00:38:15.527 --> 00:38:19.101
Lastly, you may be asking well, what if I want to stop the medication?

00:38:19.101 --> 00:38:22.170
I've lost the weight that I want to, but I just want to see if I could stop it.

00:38:22.431 --> 00:38:29.077
What I genuinely tell people is try it, to go a period of time off of the medication and see if you can maintain your weight off of it.

00:38:29.077 --> 00:38:33.378
And if you can, that's incredible, but if you can't, there's's also no.

00:38:33.378 --> 00:38:36.047
There should be no stigma and there's no reason not to go back on it.

00:38:36.047 --> 00:38:39.327
At the end of the day, it's your decision and what you believe is best for your health.

00:38:39.327 --> 00:38:45.251
So if you want to trial off of it, just talk to your physician about it and give it a shot, or don't give it a shot anyway.

00:38:45.251 --> 00:38:50.307
To end with, if you struggle with obesity, do not let people tell you you shouldn't be on a medication for weight loss.

00:38:50.307 --> 00:38:51.188
It's just willpower.

00:38:51.188 --> 00:38:51.989
That's not true.

00:38:51.989 --> 00:38:53.172
Studies show that it's not true.

00:38:53.172 --> 00:38:57.117
Do not feel bad for using medication to help you maintain weight loss I.

00:38:57.358 --> 00:39:02.135
I agree with this guy, other than the fact that he's chronically wearing a stethoscope in the car.

00:39:02.155 --> 00:39:17.380
Yeah, I don't know why that's needed if the tesla is burning, you got to go and test the heartbeat right.

00:39:18.286 --> 00:39:22.235
No, he's right, he brings the data right Like you expect about, like.

00:39:22.235 --> 00:39:26.675
He's totally right, and that's exactly what I tell my patients.

00:39:26.755 --> 00:39:35.972
I'm like, yeah, you're going to lose the weight If you, if you don't keep up with the lifestyle, you're not going to and you got to titrate back down just like you titrated up.

00:39:35.972 --> 00:39:39.719
You can't just bounce on it, bounce off it, bounce on it.

00:39:39.719 --> 00:39:43.253
You're going to regain the weight Like you're going to eat.

00:39:43.253 --> 00:39:48.358
If you're going to eat like crap and haven't changed your lifestyle, you're going to gain that weight back.

00:39:48.358 --> 00:39:51.467
But yeah, it's not the same amount of weight.

00:39:51.467 --> 00:39:58.179
And, just like he said, obesity is a disease, just like high blood pressure.

00:39:58.179 --> 00:40:04.494
If you come off your high blood pressure medications, your blood pressure is going to be twice as high as it was before.

00:40:04.826 --> 00:40:11.331
And you might stroke out and not live At least with this you gain some weight, so get back on the drug and lose the weight.

00:40:11.351 --> 00:40:11.713
Try it out.

00:40:11.713 --> 00:40:13.097
Yeah, go ahead, try it out.

00:40:13.097 --> 00:40:14.692
I completely agree with that.

00:40:15.005 --> 00:40:17.931
Speaking about burning teslas, though I I was with.

00:40:17.931 --> 00:40:19.596
I was with my father-in-law.

00:40:19.596 --> 00:40:20.016
How many do?

00:40:20.036 --> 00:40:20.505
you know where?

00:40:20.565 --> 00:40:26.097
no, we're, we're in the back of a tesla and the bumper sticker says this is my last tesla.

00:40:26.097 --> 00:40:35.277
I'm just like you're legit driving a tesla and you're like, I mean I and you guys know your people.

00:40:35.398 --> 00:40:52.851
Yeah, I lean democratic, obviously, but yeah, and you guys know, that I told you guys we saw like the car in front of us in front at ari's school dropping her off as a tesla model 3 with a no elon sticker on it like yeah please don't scratch my car, don't key my car.

00:40:52.851 --> 00:40:53.393
I Don't key my car.

00:40:53.393 --> 00:40:53.793
I wonder.

00:40:53.793 --> 00:41:04.336
The messed up part is they have the most advanced camera systems on them and they automatically go off and they automatically record when someone gets close to it.

00:41:04.336 --> 00:41:07.313
Yet people are like let me go.

00:41:07.333 --> 00:41:07.914
Let me go.

00:41:09.606 --> 00:41:11.653
I'm like a sneaky cat over here.

00:41:11.653 --> 00:41:13.172
I wonder if he's got a bumper sticker.

00:41:13.192 --> 00:41:14.940
This is his last, so we want to destroy it like a sneaky cat over here.

00:41:14.940 --> 00:41:17.331
I wonder if the adjuster on Pam's Tesla was.

00:41:18.128 --> 00:41:22.065
He was a Democrat because he crammed into him he totaled it.

00:41:22.065 --> 00:41:23.097
He put it as a total.00:41:23.744 --> 00:41:30.012


But he was in a Jeep, though Jeep's a conservative I'm saying like the adjuster the insurance adjuster is like oh, that car's totaled.00:41:30.152 --> 00:41:30.614


Go burn it.00:41:30.614 --> 00:41:35.014


We'll give you double the price you burnt it.00:41:35.014 --> 00:41:35.797


I wish what we were talking about.00:41:35.797 --> 00:41:37.643


We'll give you double the price you burnt it.00:41:37.643 --> 00:41:37.965


You burnt it.00:41:38.646 --> 00:41:40.452


I wish there were two Teslas next to each other.00:41:40.565 --> 00:41:46.873


Well, I got Tesla stock, so the more Teslas they burn, the more money they make, because they get all this insurance money.00:41:47.014 --> 00:41:49.112


I know they got to build more and sell more.00:41:49.112 --> 00:41:49.773


Thanks a lot.00:41:49.773 --> 00:41:51.610


It works for me.00:41:51.610 --> 00:41:52.373


A lot of production.00:41:53.646 --> 00:41:54.893


What were we talking about?00:41:54.893 --> 00:41:56.702


Elon's plan ozempic?00:41:56.762 --> 00:42:03.797


let's go back he just had a video, was elon on ozempic, did he claim it, does he?00:42:03.797 --> 00:42:11.954


He must go on and off of it no, I think he looks like he's lost weight because I remember there was some beef with.00:42:11.954 --> 00:42:18.423


Mark Zuckerberg Like he was challenging him to an MMA fight.00:42:18.423 --> 00:42:23.197


Oh yeah, because Elon's picture went viral and he was all overweight and pale.00:42:25.586 --> 00:42:28.833


I don't know, Like Jeff Bezos, they showed those pictures.00:42:28.833 --> 00:42:33.467


Dude, if you want to show me a miracle drug, show me something.00:42:33.487 --> 00:42:36.255


you rub on Jeff Bezos' head that makes his hair grow.00:42:36.255 --> 00:42:38.110


Now you want a miracle drug.00:42:38.110 --> 00:42:39.847


Give me that Like.00:42:39.847 --> 00:42:41.045


I'll prescribe that to anybody.00:42:41.065 --> 00:42:45.731


Elon Musk dubs himself as Ozempic Santa yeah.00:42:48.094 --> 00:42:49.577


I love it, I love it.00:42:49.818 --> 00:42:50.259


I love it.00:42:50.259 --> 00:42:51.661


This is great.00:42:54.266 --> 00:42:56.693


I mean he's a high-functioning person.00:42:56.693 --> 00:42:57.153


You can't.00:42:57.153 --> 00:42:57.835


There it is.00:42:57.835 --> 00:42:59.507


I mean you can't.00:42:59.507 --> 00:43:02.465


I don't know about you guys.00:43:02.465 --> 00:43:12.264


I recently lost like about 15 pounds and it's like I'm significantly out of breath.00:43:12.264 --> 00:43:15.956


When I was 15 pounds more doing normal everyday stuff.00:43:15.956 --> 00:43:23.786


If I'm trying to be a high functional human being, like it's like I'm picking something up and sarah's like why are you breathing heavy?00:43:23.786 --> 00:43:26.577


I'm like I leaned over why else would I be breathing.00:43:26.637 --> 00:43:28.822


It's like dude.00:43:28.822 --> 00:43:31.067


It gets difficult and it was that's.00:43:31.067 --> 00:43:33.943


That's the way I felt before I started this whole journey.00:43:33.943 --> 00:43:39.300


It's like yeah, I didn't want to sit on the couch and I was like you know, the wife would ask for something.00:43:39.300 --> 00:43:42.844


I was like I'm going to punch her in the face.00:43:45.096 --> 00:43:45.436


Why can't?00:43:45.476 --> 00:43:49.606


you just get off the couch, but like now, I'm like all right.00:43:50.657 --> 00:43:50.958


I'll go.00:43:51.298 --> 00:43:53.967


I'll go like three miles and grab it and come back.00:43:54.175 --> 00:43:55.159


Now he's all pissed off.00:43:55.235 --> 00:44:09.467


He's like I got to stop doing these jumping jacks to go grab you these chips, speaking, of which I just got a text, because I put away the groceries and it was bite-sized pancakes and I thought they belonged in the cupboard, but apparently they belonged in the fridge.00:44:09.467 --> 00:44:11.641


So those are gone.00:44:11.641 --> 00:44:14.443


Yes, in very kind words.00:44:17.135 --> 00:44:18.318


Were they the Elmo ones?00:44:19.041 --> 00:44:19.884


No no.00:44:20.085 --> 00:44:20.204


No.00:44:21.255 --> 00:44:22.579


They were for my pregnant wife.00:44:22.579 --> 00:44:24.885


I think more so than actually they were for my kids.00:44:24.945 --> 00:44:25.827


She could still eat them.00:44:25.827 --> 00:44:28.590


Tell her they're tastier yeah.00:44:28.590 --> 00:44:34.284


They're ready to eat now, I mean, whatever they thought out, just tell her, it's like ready to eat now and so you don't have to even microwave.00:44:34.284 --> 00:44:36.148


Tell her, it's the safer version.00:44:36.168 --> 00:44:38.219


As long as you eat it before the fungus grows?00:44:38.219 --> 00:44:48.027


Yeah, and the fungus might be good, quick and easy tell me they need to be refrigerated oh yeah, product refrigerated and consumed within three days after go off his wife00:44:48.315 --> 00:44:53.577


belgian boys, his wife's about to pop, so yeah.00:44:54.954 --> 00:44:57.023


You can't be wasting pancake bites.00:44:57.023 --> 00:44:59.603


Not at month eight.00:44:59.603 --> 00:45:02.664


You're playing with fucking fire, dude yeah.00:45:03.378 --> 00:45:04.521


She might deliver right now.00:45:05.516 --> 00:45:07.181


She's like nine and a half months pregnant.00:45:07.202 --> 00:45:09.260


Yeah, yeah, I might need to leave the show.00:45:10.376 --> 00:45:11.702


Is that Jim from the office?00:45:11.702 --> 00:45:13.581


Oh no, it's Dr Mike.00:45:13.675 --> 00:45:14.898


Oh Zempik let's stay on that.00:45:15.018 --> 00:45:16.021


To lose five pounds.00:45:16.021 --> 00:45:17.045


How do you feel about that?00:45:17.175 --> 00:45:18.963


It's not what it's intended uses.00:45:19.255 --> 00:45:30.061


Why that's dangerous is because when a medicine is studied by this evil farmer that we're talking about, it's studied in a certain population people who have type 2 diabetes, who are overweight or have high blood pressure.00:45:30.242 --> 00:45:37.025


So when you're taking it as someone who doesn't have any of these diagnoses and you take it, how do I know that the risks you're facing are gonna be what?00:45:37.025 --> 00:45:39.762


The ones that we found in the research when we didn't test it on people like you?00:45:39.762 --> 00:45:45.483


It's the same reason why we suck at treating women's heart disease, because we never did research on women's heart disease.00:45:45.483 --> 00:45:57.871


So when a female patient comes in and says, oh, I have a little acid reflux, maybe a little arm pain, we discount it and they're having a heart attack, because our initial research was not done on women, it was done on men who said I have an elephant sitting on my chest.00:45:57.871 --> 00:46:15.389


This is how I describe it and that's how our common knowledge is of heart disease and therefore we miss all these heart attacks in women he's got some type of point, but if a side effect's gonna show, it's gonna show on a sick fucking person, like if someone's going to die from COVID is cause they were really sick to start with.00:46:15.896 --> 00:46:24.106


Like if you're telling me, this side effect didn't show up on somebody that has heart disease, history of strokes, diabetes, but it's going to show up.00:46:24.146 --> 00:46:24.367


Yeah.00:46:26.356 --> 00:46:28.284


But going to show up more on a healthy person.00:46:28.284 --> 00:46:31.324


I don't buy that shit for a second I don't know.00:46:35.074 --> 00:46:35.496


Well, unhealthy person.00:46:35.496 --> 00:46:37.606


I don't buy that shit for a second, I don't know well and you know a lot of these, a lot of medications.00:46:37.606 --> 00:46:39.072


You need to study everything on every type of person.00:46:39.072 --> 00:46:52.422


But like no, and all these medications, any medications that you look at like oh yeah, all of a sudden, some person's gonna have a reaction, a weird reaction that's never been seen before, you know, like even my brother-in-law.00:46:52.481 --> 00:47:03.865


He ended up in the hospital on like some oh yeah fucking like he was on a antibiotic that's like pretty common and he almost went into fulminant hepatitis.00:47:04.467 --> 00:47:15.449


Um he was yeah, he was in the hospital for a few days and we have, like our parents, friend who, like they gave her frickin didn't follow the liver labs.00:47:16.034 --> 00:47:28.686


Well, no, they gave her what they gave her TB medication because she previously had BCG vaccine and she tested positive on the TB results, and they gave her frickin.00:47:28.686 --> 00:47:33.791


Tb medication and she went into liver failure.00:47:33.791 --> 00:47:34.826


They had to.00:47:34.826 --> 00:47:37.143


Her daughter was her liver donor.00:47:37.143 --> 00:47:39.664


If she wasn't around then she might have died.00:47:41.157 --> 00:47:42.793


That's how she went into liver failure.00:47:42.793 --> 00:47:46.041


It was from the meds, I said is it in rifampin.00:47:46.235 --> 00:47:48.182


They didn't follow the liver labs appropriately.00:47:48.755 --> 00:47:49.579


Are you kidding?00:47:49.579 --> 00:47:52.123


I didn't realize that's how she decompensated.00:47:52.123 --> 00:47:53.295


At least, I didn't realize that's how she decompensated.00:47:53.835 --> 00:47:55.240


At least she didn't die of TB.00:47:55.240 --> 00:47:55.782


Yeah.00:47:58.126 --> 00:48:02.902


If you don't trial and error these medications, you're not going to Rapamycin now.00:48:02.902 --> 00:48:11.047


It's an anti-aging medication Before it was used for transplant patients Suppress them.00:48:11.775 --> 00:48:14.184


Yeah, like trial and error of some of these things.00:48:14.856 --> 00:48:16.059


Are they going to have side effects?00:48:16.059 --> 00:48:19.581


And some patients, some people, yes, and they're all going to have side effects.00:48:19.581 --> 00:48:25.157


And some people have gene mutations that some medications work on them and some medications don't.00:48:25.157 --> 00:48:38.181


And actually one of my friends is building an AI system which actually like and he runs a gene lab that like, tests all these genes and like they can tell which medications actually work.00:48:38.181 --> 00:48:43.141


If, like, like some people, they you know, I hope it's not 23andMe they just want to be bankrupt.00:48:43.222 --> 00:48:46.570


It's 23andMe plus, but like what?00:48:46.570 --> 00:48:56.942


What his company's doing is like you know, if a patient gets prescribed like Plavix and they, they have a gene mutation that Plavix isn't going to work on them.00:48:56.942 --> 00:49:08.121


What's going to happen is like that AI is going to deny the guy getting Plavix because Plavix isn't going to work as his anti-platelet for whatever stents he has.00:49:08.121 --> 00:49:13.222


He needs to be on a different medication, so that that's going to improve health care.00:49:13.222 --> 00:49:21.380


It's going to piss a lot of physicians off because it's denying their care but they have to like prior off for different medications.00:49:21.400 --> 00:49:26.822


that's actually going to work for the patient, yeah, but I mean you got to imagine that you could actually trial.00:49:26.822 --> 00:49:44.103


I'd be like, okay, see this medication, this medication, this medication and what is actually effective for this person get this fly off of me, dude, he's been all around yeah, he's all up in me reminds me of the breaking bad episode that stopped me.00:49:44.585 --> 00:50:04.186


I was watching breaking bad religiously and then there was an episode where they just chased a fly the whole time and I was like I love this show, but I, I just wasted an hour, so I'm done I and I stopped watching it I've watched it, since it's gonna use a high school chemistry teacher making meth so you guys know something exciting.00:50:04.226 --> 00:50:07.617


Hopefully the I finished the flat you know something exciting.00:50:07.717 --> 00:50:09.739


I just brought my, bought my own trailer.00:50:09.940 --> 00:50:12.242


Yeah, I got jumpsuits.00:50:12.242 --> 00:50:18.469


Yeah, tomorrow I'm going to IV up and I'm going to try this whole NAD and glutathione.00:50:18.869 --> 00:50:21.331


Oh, yeah, yeah, oh, can't wait to hear about that.00:50:35.295 --> 00:50:44.425


I'm going to record the whole thing and see, because I just want to know how it feels because a lot of people say like it almost feels like an elephant on your chest, which sounds like you're having a heart attack when you're getting this IV NAD.00:50:44.425 --> 00:50:46.288


The good thing is I got the meta glasses, so I don't know.00:50:46.307 --> 00:50:50.293


Maybe I should put the meta glasses on someone else and see Dude you tried dying in our office before I know.00:50:50.293 --> 00:50:51.014


Try it again, don't do it.00:50:51.034 --> 00:50:51.715


Third time's the charm, right?00:50:51.715 --> 00:50:53.722


So the second time is not.00:50:53.722 --> 00:50:55.931


We got to build this surgery center up.00:50:56.416 --> 00:50:56.898


What else did?00:50:56.918 --> 00:50:57.240


we have.00:50:57.240 --> 00:50:59.722


So we'll get you a wrap up on the.00:50:59.722 --> 00:51:01.771


So it's NAD glutathione.00:51:01.831 --> 00:51:02.454


Oh, that's going to be great.00:51:02.494 --> 00:51:06.186


NAD, glutathione, b-complexes, some aminos.00:51:07.356 --> 00:51:11.626


Dude, my sweet taste buds have not come back from using the NAD nasal spray.00:51:11.626 --> 00:51:12.668


Oh yeah, Overdoing it.00:51:12.668 --> 00:51:16.773


It's actually like a good, like side effect.00:51:16.954 --> 00:51:17.114


Yeah.00:51:17.195 --> 00:51:20.664


Because I'm like oh, that looks like a yummy cupcake.00:51:20.704 --> 00:51:21.626


I'm going to see what happens.00:51:21.626 --> 00:51:23.059


I also started.00:51:23.315 --> 00:51:27.467


No, just prescribe NAD spray Just order it, just order it yeah.00:51:27.467 --> 00:51:35.045


I also started doing Just order it online Like anyone, just order it online like your doctor order it or compound pharmacy prescribed.00:51:35.045 --> 00:51:36.974


Right, yeah, okay, no you could order it.00:51:37.255 --> 00:51:38.277


You could order it online.00:51:38.277 --> 00:51:41.101


He doesn't know how to prescribe medication no, you no.00:51:41.141 --> 00:51:42.304


You could order it online.00:51:42.304 --> 00:51:42.945


What do you order, though?00:51:42.945 --> 00:51:43.405


Is it just?00:51:43.425 --> 00:51:48.800


you could just order it online, but you got to make sure it's credible, because I don't know.00:51:48.800 --> 00:51:55.119


Ours says it needs to be refrigerated, so some of these places are just sending them like you know, without being refrigerated.00:51:55.161 --> 00:51:58.043


So yeah, so those are probably more.00:51:58.043 --> 00:52:02.235


You can get it from the compound pharmacies okay yeah, taste buds.00:52:02.557 --> 00:52:08.240


Now I also started doing IM injections of vitamin D once a week what the fuck are you not doing dude?00:52:08.240 --> 00:52:10.775


So yeah is the NAD.00:52:10.775 --> 00:52:11.255


He doesn't eat anymore.00:52:11.255 --> 00:52:11.735


Get my vitamin D.00:52:11.735 --> 00:52:12.476


What the fuck are you not doing?00:52:12.496 --> 00:52:13.478


dude.00:52:13.478 --> 00:52:14.278


So, yeah, everything Is the NAD.00:52:14.278 --> 00:52:15.400


He doesn't eat anymore.00:52:15.400 --> 00:52:17.362


Is there any difference between the NAD?00:52:17.481 --> 00:52:26.150


sprays and, like IV or other, it's going to have different effects of different things, you know it's like Some people take pills.00:52:26.170 --> 00:52:27.170


That stuff doesn't work.00:52:29.295 --> 00:52:34.086


Well, it matters, but like nicotinamide, riboside is probably the best form to take orally.00:52:34.086 --> 00:52:36.820


A lot of people like over NMN.00:52:36.820 --> 00:52:41.409


Nmn, I guess, doesn't get into your cells as well.00:52:41.409 --> 00:52:53.728


So these are just precursors to NAD, so NAD, and so NMN and nicotinamide riboside are your precursors for NAD and NAD itself.00:52:53.728 --> 00:53:03.396


Even getting getting an iv it doesn't get into your cells, um, but you know people are seeing drastic changes with energy and you know mitochondrial function and stuff.00:53:03.496 --> 00:53:09.664


so anecdotal is anecdotal, yeah, yeah no, it's, it's like.00:53:09.824 --> 00:53:21.088


I've gone to so many different lectures about it and it's like you know it's like, and even like in your nicotinamide riboside or NMN.00:53:21.735 --> 00:53:23.318


Like how much of it are you getting it?00:53:23.318 --> 00:53:25.083


Do you think that's why zins are hot right now?00:53:25.605 --> 00:53:26.646


Zins, zin.00:53:27.835 --> 00:53:28.117


What's in?00:53:28.137 --> 00:53:29.041


those, those packets.00:53:29.655 --> 00:53:30.440


Isn't that nicotine?00:53:32.536 --> 00:53:34.954


Is there nicotine broken down into nicotinamide?00:53:36.097 --> 00:53:36.739


I don't think so.00:53:36.739 --> 00:53:38.784


I don't know how I was going to check on that.00:53:38.804 --> 00:53:43.322


See the function of I was too like a year ago and I decided not to I thought.00:53:43.704 --> 00:53:45.896


I thought nicotine's just hitting your nicotinic receptor.00:53:46.257 --> 00:54:00.818


But I, I, you know I, but it kind of sounds the same, but like I I was, I was thinking the nasal, the nad nasal spray like affects your brain more because it's through the nasal passage and yeah, it goes straight through your cribriform plate.00:54:01.018 --> 00:54:03.545


I thought so too that's why you get more energy.00:54:03.545 --> 00:54:04.427


That would make more sense.00:54:04.547 --> 00:54:07.181


I honestly felt it with the nasal spray.00:54:07.181 --> 00:54:13.898


I was just like, okay, I don't need any caffeine today, like I seriously I think I'm just higher function, like when I operate.00:54:13.938 --> 00:54:19.034


I think I'm operating at a different level with nad nasal spray the thing is, I do that.00:54:27.047 --> 00:54:32.846


I don't know if it's that or the ketone yeah, give me another nasal spray.00:54:32.846 --> 00:54:33.347


Let's go.00:54:36.016 --> 00:54:36.838


Six more flaps.00:54:37.018 --> 00:54:37.802


Let's do it.00:54:37.802 --> 00:54:38.523


Let's do it.00:54:38.523 --> 00:54:39.717


I didn't know.00:54:39.717 --> 00:54:44.782


In the pre-op you got to ask your surgeon did you take your NAD today?00:54:46.878 --> 00:54:48.875


My patient asked me how are you feeling?00:54:48.875 --> 00:54:50.239


I'm like.00:54:50.239 --> 00:54:51.882


I feel great If I felt like shit, I would not tell you.00:54:51.882 --> 00:54:52.427


I'm like yeah, I feel great.00:54:52.427 --> 00:55:02.876


If I felt like shit, I would not tell you I'm just, I'm just shaking like an appropriate way to lead you into the or yeah yeah yeah it's just like you're serious.00:55:02.876 --> 00:55:10.583


I was like yeah, I was like honestly, though it's monday, so chances are I got pretty good rest over the weekend or you got really drunk over the weekend.00:55:10.782 --> 00:55:11.465


That is true.00:55:11.764 --> 00:55:13.288


Which I don't really do.00:55:13.288 --> 00:55:17.262


Well, rested baby let's go.00:55:17.262 --> 00:55:19.958


How are you feeling?00:55:19.958 --> 00:55:20.902


Oh, it's Friday.00:55:20.902 --> 00:55:23.864


I'm just doing this case to get the week done.00:55:24.175 --> 00:55:26.485


Can you imagine they're like how are you feeling?00:55:26.485 --> 00:55:27.090


Oh yeah, whatever.00:55:27.916 --> 00:55:29.541


I got a basketball game to go to tonight.00:55:29.541 --> 00:55:30.344


Let's go back.00:55:30.344 --> 00:55:31.085


Let's roll back.00:55:33.436 --> 00:55:34.561


Let's do the surgery.00:55:35.637 --> 00:55:40.262


Yeah, whatever so my thoughts on GLP-1s.00:55:40.262 --> 00:55:41.186


I love them.00:55:41.186 --> 00:55:59.514


I'll probably be on them for the rest of my life and I kind of mix it up and a few people have asked me like I do the Riturotide low dose and I do TERS Epitide, like I do them like four days apart, because TERS Epitide definitely suppresses your appetite a lot more than the.00:55:59.594 --> 00:55:59.835


Riturotide.00:55:59.835 --> 00:56:05.648


Oh, so you're doing the two and you're going like every four days Just low dose, yeah, Okay.00:56:05.668 --> 00:56:08.744


Yeah, because Riturotide, you actually build muscle.00:56:08.744 --> 00:56:21.641


So I'm just mixing, all right I I think, overall for you, for your health and like people may tell you differently, but overall for your health, like there's nothing more important than keeping your glucose balance.00:56:21.641 --> 00:56:35.110


I gotta get on a continuous glucose monitor to see, like, how my sugars shift with eating different things, because everyone's body responds differently and especially, being on GLP, see how that moderates it.00:56:35.110 --> 00:56:49.407


But like I think being on these, like for your liver health, for your brain health, your cardiovascular health and even your joint health, overall I think it's a great product.00:56:49.407 --> 00:56:56.597


Try to get your hands on as much as you can before they get taken off the market.00:56:57.257 --> 00:57:03.275


Uh, but they, you know, I I don't think they'll ever completely go off the market.00:57:03.275 --> 00:57:10.858


There's going to be availability, um, because it's going to get more dangerous if they don't allow these compound pharmacies to make them.00:57:10.858 --> 00:57:24.117


It's going to become more of an issue with all these black marketplaces showing up and who knows, some of them may have fentanyl or whatever in them and, like cause some deaths, especially people injecting random things.00:57:24.157 --> 00:57:32.855


Yeah, and they couldn't have bacterial infections because the compound pharmacies are very highly regulated, everything's third-party tested.00:57:32.855 --> 00:57:37.606


But the main thing like people talk about like purity tested.00:57:37.606 --> 00:57:43.847


You could be purity tested but like to be in that sterile format versus.00:57:44.235 --> 00:57:46.282


Pure versus clean is different?00:57:46.454 --> 00:57:53.052


Yeah, because the compound pharmacies get their stuff from the same place as some of these black market places.00:57:53.052 --> 00:57:55.496


But sterility is going to be the big part.00:57:55.496 --> 00:58:00.226


Are they as sterile as the compound pharmacies have them?00:58:00.708 --> 00:58:31.001


Yeah, and all I got to add to that is I personally don't think in its current form it's like the like miracle drug that like you see things like CNnbc talking about stocks and affecting like how many potato chip bags of potato chips are going to be sold this week, I don't think it's going to have quite that much effect overall, but it's definitely very useful and it can benefit a ton of people with a good side effect profile.00:58:31.001 --> 00:58:36.882


It has side effects but relative like risk to benefits, it's definitely worthwhile for a lot of people.00:58:37.342 --> 00:58:47.677


I think the side effect mainly came out when you know FDA still had the medications on the shortage list to they were trying to scare people away from getting them.00:58:47.677 --> 00:58:52.067


Now that it's back off the shortage list they're going to minimize it.00:58:52.086 --> 00:59:05.516


Yeah, yeah, they small words on yeah, on the uh advertisement, yeah it's all about the censorship on what they they want to the until pharma ads are made illegal now yeah so it's the next push so.