Speaker 1: Welcome to Moving Conversations, a podcast for movement professionals, by
Speaker 1: movement professionals. If you coach, train, or teach movement, plates
Speaker 1: or fitness, then this podcast is for you. With more
Speaker 1: than sixty years of experience and fitness and pilates your host,
Speaker 1: Brian Richie and Norse Saint John explored the science of
Speaker 1: human movement, diving deep into the backs, myths, and common misconceptions,
Speaker 1: hoping to spark thought and conversation about how we view
Speaker 1: fitness and movement. Now let's jump into Moving Conversations and
Speaker 1: welcome back to Moving Conversation with Brian Rickie joining me
Speaker 1: as always is Norris and John. Good morning, nor How
Speaker 1: you doing farewell?
Speaker 2: Brian? How about yourself?
Speaker 1: Doing all right? Hanging in there, hanging in there? Sorry
Speaker 1: about last week. Had a little emergency occur and so
Speaker 1: I couldn't make it. I hope I hadn't been replaced.
Speaker 1: I showed up today going as someone going to be
Speaker 1: sitting in my seat. So I'm glad I'm still here.
Speaker 1: I appreciate that. So, yeah, these things have occasionally, But
Speaker 1: I got to say, I don't know if you realize this.
Speaker 1: Today is the third anniversary of our first show.
Speaker 3: At the anniversary yet close to a number of that
Speaker 3: we must be close to the end of the third.
Speaker 1: Year, right, today is the finals one of our third season. Yeah, exactly,
Speaker 1: we're a big three exactly. I was like, oh my gosh,
Speaker 1: we're at episode fifty two. Yeah, so we the fact
Speaker 1: that neither of us have missed until three until the
Speaker 1: end of the third year, I think that's pretty good.
Speaker 1: Pretty good, pretty good track rating for the two of
Speaker 1: us doing all of the travel and teaching and everything
Speaker 1: that we do all over the world. So not too bad,
Speaker 1: you know.
Speaker 3: I have to say, this is one of the things
Speaker 3: that when we first started talking about this, I just
Speaker 3: I just committed to it, and it's just been honestly,
Speaker 3: I've totally enjoyed it. It's been a blast to talk
Speaker 3: to you every week or have our guests every week,
Speaker 3: and just I've learned a whole bunch. I've just had
Speaker 3: some really good insights. It feels like it's really deepened
Speaker 3: my understanding of how the body works and how all
Speaker 3: this sortful profession that we're in goes.
Speaker 2: So anyway, I just really appreciate it. That's great. Three years.
Speaker 1: No, I've loved it. I've learned a lot. You and
Speaker 1: I have always had a great relationship and that we
Speaker 1: do bounce ideas off each other when we do talk.
Speaker 1: It's like I've been thinking about this, and then we
Speaker 1: go back and forth and have you thought about this?
Speaker 1: And we've always done that. Yeah, and this just gives
Speaker 1: us sort of an outlet to pick a topic instead
Speaker 1: of just whatever happens to be on our mind or
Speaker 1: something that we read in the news or whatever. So
Speaker 1: it's like a very focused, you know, conversation. And hopefully
Speaker 1: for our listeners you've enjoyed what we've been doing. Hopefully
Speaker 1: we've gotten better. I sort of cringe at some of
Speaker 1: the early episodes because we are figuring our way. We
Speaker 1: are trying to figure all this out, and I think
Speaker 1: it's gotten a little bit better as we go. Hopefully
Speaker 1: hopefully other people agree with that, but I think we've
Speaker 1: gotten a lot more comfortable. I love our guests. I
Speaker 1: think that they've been fantastic, always bringing up ideas and
Speaker 1: concepts and things that we wouldn't have thought of on
Speaker 1: our own. So I love that.
Speaker 3: Yeah, that's just so nice to have the different perspectives
Speaker 3: in one's head. Because we've been doing it long enough
Speaker 3: to have some you know, pretty deep grooves in terms
Speaker 3: of how we think about thing, and it's really somebod
Speaker 3: to commit and say, hey, well check out this groove
Speaker 3: over here, you know, just significent. A different perspective is
Speaker 3: often all you need to get a fresh eye on
Speaker 3: a client or a problem or some we just haven't
Speaker 3: thought of before.
Speaker 2: So song's been super fun. We've got more guests coming
Speaker 2: up to get some more coming up in the year
Speaker 2: number four.
Speaker 1: Yeah, yeah, so I'm looking forward to it. It's funny
Speaker 1: that you said we just need to commit to this.
Speaker 1: At the very beginning. You said, if we're going to
Speaker 1: do this, we need to commit. And it's true. I
Speaker 1: have talked to more people who have had podcasts who
Speaker 1: have quit after five episodes, ten episodes, and oh we
Speaker 1: didn't get traction. I'm thinking, did you think that you
Speaker 1: were going to be the next big thing after four
Speaker 1: or five episodes? I mean, I'm sure there are some people,
Speaker 1: especially when podcasting was in its infancy, that may have
Speaker 1: you know, developed that sort of thing, but you talk
Speaker 1: to most of them and it's a slow burnie. You know,
Speaker 1: you gather a few more people each and every week,
Speaker 1: and you hope that it drives more people to you.
Speaker 1: And since we're in't a very small niche, you know,
Speaker 1: talking about not only healthcare but also Palate's personal training
Speaker 1: movement in general, it's a smaller niche, so I don't
Speaker 1: expect us to have five million listeners a week. So
Speaker 1: I'm just happy for every one of you who is listening.
Speaker 1: So we appreciate it very much. If you haven't hit
Speaker 1: that like and subscribe button, please please please do it.
Speaker 1: I really appreciate it. And comment anything that you would
Speaker 1: love us to talk about. Do us a favor, hit
Speaker 1: us up on email moving convos at gmail dot com.
Speaker 1: We get a number of you know, ideas coming in
Speaker 1: through there, so it's really interesting sort of to hear
Speaker 1: what you're interested in, because right now a lot of
Speaker 1: times it's what Nora and I are interested in, and
Speaker 1: it's sort of yeah. So we'd love to hear what
Speaker 1: you guys want to talk about and or say, you know,
Speaker 1: I heard you talk to such and such about this topic.
Speaker 1: We'd love you to go into more detail or is
Speaker 1: there anything new or whatever, and we can do a
Speaker 1: deeper dive, So please let us know. We really appreciate it.
Speaker 1: Today's topic is Part three, Part three, Yeah, what are
Speaker 1: we talking about? Yeah, GOP one.
Speaker 3: GOLP one. We just wanted to talk about it again
Speaker 3: because there's more people on it, there's more research that's
Speaker 3: been done.
Speaker 2: They're starting to see impacts. And also I.
Speaker 3: Think you and I certainly in our practices and in
Speaker 3: talking for me, talking to a lot of different instructors,
Speaker 3: are starting to understand what kind of what we're dealing
Speaker 3: with in the fitness studio or the plate studio. What
Speaker 3: does this mean in terms of what our clients are
Speaker 3: doing or not doing. What are we looking for all
Speaker 3: those things?
Speaker 1: Yeah, it's very interesting because I remember the very first
Speaker 1: client who came in that said he was on it. Now,
Speaker 1: I used to work at the National Center for Weight
Speaker 1: and Wellness. I still consult for them, but I worked
Speaker 1: down there just part time. I did their exercise consulting.
Speaker 1: And I was talking to the owner and he had
Speaker 1: mentioned things that were way before the GOP one sort
Speaker 1: of came out, the first iteration of these and they
Speaker 1: were not covered. They were only for diabetes. They were
Speaker 1: not covered by hardly any insurances, extremely expensive. If they
Speaker 1: were covered, I mean, you'd have to jump through hoops
Speaker 1: upon hoops upon hoops and he was talking to me.
Speaker 1: He said, look, they're fifteen hundred to two thousand dollars
Speaker 1: you know a week, said, but they do work, and
Speaker 1: he said a good side effect is that people do
Speaker 1: lose weight. It's just they're really strict about who can
Speaker 1: take them because off brand. You know, prescribing is not
Speaker 1: the greatest thing in the world, and a lot of
Speaker 1: people do it, but so they were really trying to,
Speaker 1: you know, minimize that. And then all of a sudden,
Speaker 1: I remember that first client who came in and said, oh,
Speaker 1: my doctor has me on this new, this brand new drug.
Speaker 1: It's called ozempic. I was like, okay. Commercials hadn't come
Speaker 1: out yet, and I was like, huh, sounds a little familiar.
Speaker 1: I remember reading about it through medscaper somewhere and huh, okay,
Speaker 1: where I think I know what this is all about.
Speaker 1: And he said, it's the most amazing miracle thing I've
Speaker 1: ever experienced. I've lost ten pounds. I've been on it
Speaker 1: only about a month and a half. I've been I've
Speaker 1: been losing steady said. I walked by food. I'm not interested.
Speaker 1: I've never been able to do that before. He said,
Speaker 1: it's it's a miracle. And he was not obese. He
Speaker 1: was just a heavy set guy, you know, as a
Speaker 1: lot of people get heavier as the age and so
Speaker 1: so that was the very first time. And I remember
Speaker 1: hearing about that thinking, huh, I didn't remember your A
Speaker 1: one c's being all that high that you would be
Speaker 1: prescribed this. Now he's he's got a little bit of money,
Speaker 1: so he just decided to do it on his own
Speaker 1: and it worked for him. And that's within I want
Speaker 1: to say days, but I'm sure it was weeks. Suddenly
Speaker 1: commercials are on TV. Everyone's talking about it, you know,
Speaker 1: you hear all these influencers getting it on the black
Speaker 1: market and all sorts of stuff. So yeah, it's it's
Speaker 1: it's really come a long way in the last three years.
Speaker 2: It has.
Speaker 3: And one of the things I've been reading up a
Speaker 3: lot on it in preparation for this podcast this week,
Speaker 3: and it's there's a couple things. One is the key
Speaker 3: thing it seems to talk about, and this seems to
Speaker 3: have as much of a brain component as anything else,
Speaker 3: is the lack of you know, a lot of people
Speaker 3: call it food mine or just a brain that is
Speaker 3: constantly obsessed with what have I eaten? What am I
Speaker 3: going to eat that looks good? Like always scanning the
Speaker 3: environment for what's the next meal? It says a lot
Speaker 3: of a lot of people say it just it just
Speaker 3: quiets that down. And so a lot of people say,
Speaker 3: like food noise or food chatter really has been their
Speaker 3: their best, their their most positive experience of it, on
Speaker 3: the one hand, keeps.
Speaker 2: Them keep.
Speaker 1: But as a side effect of that, I don't know
Speaker 1: if you've heard of this, but that's called ozampic personality,
Speaker 1: which is anedonia. I believe that's how you pronounce it,
Speaker 1: which is just a loss of interest in everything, not
Speaker 1: manly food, but just a flatness, a loss of interest
Speaker 1: in things that they were passionate about.
Speaker 3: Yeah, I was just reading about that and also hearing
Speaker 3: about the challenge of people who are on antidepressants.
Speaker 2: And then go on it.
Speaker 3: Oh yeah, Antidepressants in general, for most people tend to
Speaker 3: kind of get rid of the highs and the lows
Speaker 3: for people right again, they make them a little more
Speaker 3: in the mid line in terms of emotional range. And
Speaker 3: then not just anecdotally, but but some studies have said
Speaker 3: that if you do that plus jop ones.
Speaker 2: That gets worse.
Speaker 3: That it's almost like which was you know, five to
Speaker 3: two now goes down to four to three or something
Speaker 3: like that. So that was interesting too, that that's that's
Speaker 3: certainly it. And then I think it's also i mean
Speaker 3: many other side effects too. Some people just can't tolerate it.
Speaker 3: It just makes them feel terrible. Some people end up
Speaker 3: malnourished because they just can't eat enough. I mean, there's
Speaker 3: you know, there are certainly some negative side effects to this.
Speaker 2: For sure.
Speaker 1: I think a lot of that probably goes back to
Speaker 1: when it was first being touted and a lot of
Speaker 1: people were going into their doctors and sort of demanding it.
Speaker 1: And then when it did come out for weight loss,
Speaker 1: they didn't have to qualify. They just had to be
Speaker 1: a certain over a certain BMI and depending on if
Speaker 1: they had money or if they had good insurance whatnot,
Speaker 1: maybe it would be covered, maybe it wouldn't. But I
Speaker 1: don't think the doctors knew what they were doing at
Speaker 1: the time because it's such a new drug that it's
Speaker 1: hard to keep up with it, and it was hard
Speaker 1: to keep up with the studies because it takes years
Speaker 1: and years of research before studies are not only you know, completed,
Speaker 1: but written published and go through all of that. So
Speaker 1: I think there were so many people just sort of saying, oh, okay,
Speaker 1: you qualified, sure, here you go, without knowing what you
Speaker 1: really need to do to help these clients in the
Speaker 1: end and maybe adjust the dosage or change this or
Speaker 1: change that, and how to get more nutrients into them.
Speaker 1: I got to tell you, because of my background, I
Speaker 1: have helped clients more than their physicians have with things
Speaker 1: like making sure they're getting enough nutrients because I can
Speaker 1: talk to them because of my background. I was like, Okay,
Speaker 1: maybe you need to be thinking about vitamin vitaminineral supplement.
Speaker 1: That's more for like a bariatric person because you're no
Speaker 1: longer going to be eating as much. You're going to
Speaker 1: be eating a lot less and you're probably not going
Speaker 1: to be having enough of certain things, including iron and
Speaker 1: you know, bringing things like that up. Telling them eat
Speaker 1: your protein first, I said, oh, I have a salad first,
Speaker 1: I said, and what do you have after your salad? Oh?
Speaker 1: I can't eat anything? Go And they oh, like, okay,
Speaker 1: you got to reverse this. Now you got to really
Speaker 1: think about protein first.
Speaker 2: Yep.
Speaker 1: You got to get your nutrient dense food in first,
Speaker 1: and then kind of like you know, your toppings on
Speaker 1: a Sunday. You can sprinkle other things on top of,
Speaker 1: you know, the meal, but you got to get the
Speaker 1: nutrient dense things in first. And that's I think was
Speaker 1: missing from a lot of physicians because that wasn't their specialty.
Speaker 1: Nutrition is new, dietitians new, but I think a lot
Speaker 1: of physicians were just unaware at that time. I think
Speaker 1: they're a lot more aware today than they were three
Speaker 1: years ago, for sure.
Speaker 3: Yeah, although having talked to a number of friends who've
Speaker 3: been going on it recently, their doctors have not said
Speaker 3: a thing about nutrition to them, zero dot abubbles, you know, and.
Speaker 2: They've really had to. And the good news is there
Speaker 2: is some good information out.
Speaker 3: There now in terms of meal plans and that kind
Speaker 3: of thing, and just how do you figure out how
Speaker 3: to get your nutrients in in a smaller quantity than
Speaker 3: you might be used to. But you got to pay attention,
Speaker 3: right because you can't just go and say, oh, I'm
Speaker 3: going to have my two bites of pizza and my
Speaker 3: you know, my half a burger or whatever it is
Speaker 3: it used to eat, because that's not really going to
Speaker 3: get you what you need.
Speaker 1: No, No, you're not going to get what you need
Speaker 1: nutritionally at all doing something like that. And I've had
Speaker 1: some clients say, oh, you know, I had lunch and
Speaker 1: then I realized I didn't need anything until the next day, right, say, okay,
Speaker 1: what did you have for lunch? A salad? Said all right,
Speaker 1: so for last nearly twenty four hours, no wonder they're
Speaker 1: fatigued during the workouts. First of all, if I see
Speaker 1: them first thing in the morning, but I say, how's
Speaker 1: your energy, I'm dragon, it's okay. Well, probably need to
Speaker 1: talk about some nutritional things here, and that's not my
Speaker 1: area of expertise, but I have a background in it.
Speaker 1: Something I found fascinating. I've talked to many physicians. Do
Speaker 1: you know the number of nutrition courses they take in
Speaker 1: collegen med school? Most of them for the ones I
Speaker 1: talked to one and then when they're undergraduate.
Speaker 2: A lot of it a lot of times zero. Yeah.
Speaker 1: Yeah, So if it's not covered there, they may understand
Speaker 1: everything that's going on physiologically, but nutritionally you really need
Speaker 1: to have that. I like to say, you need to
Speaker 1: have that card in your pocket, and if not as
Speaker 1: a physician. I was talking with a surgeon friend yesterday.
Speaker 1: And his practice actually has nutritionists as well as psychological
Speaker 1: people to to so and he specializes in uh, weight loss,
Speaker 1: bariatric all of that. So for him it makes sense. Okay,
Speaker 1: here are these nutrition people, and he's the first to say,
Speaker 1: you know what, talk to them. They know more about
Speaker 1: it than I do. I'm good at what I do.
Speaker 1: And when you hear that, it's like, oh, I appreciate that.
Speaker 1: At least, it's like, good, don't pretend you know everything,
Speaker 1: because none of us do.
Speaker 3: I'm also thinking, you know, a lot of the people
Speaker 3: that do this have had various kinds of disordered eating
Speaker 3: for years. Anyway, when all my friends who are void,
Speaker 3: it's like they do they go on their diets, they
Speaker 3: calorie count, they've tried all kinds of different things, many
Speaker 3: of them. That is why they're not building ones, because
Speaker 3: nothing is really worked in terms of just food control.
Speaker 2: So a lot of times they have, like I would say,
Speaker 2: a skewed view of what's healthier not healthy?
Speaker 3: Yeah, right, what's like nutrient because oftentimes the nutrient dense
Speaker 3: foods are all.
Speaker 1: Too calorie dense foods, no joke.
Speaker 3: Right, So it's kind of like like so they've sort
Speaker 3: of trained themselves, like wanting a salad instead of a
Speaker 3: ham sandwich or whatever. They've trained themselves and want something
Speaker 3: that maybe is not what they need now with the
Speaker 3: current medications that they're on and the current nutritional status
Speaker 3: that they're in and the fact that they're eating half
Speaker 3: as much food as they used to. So I think
Speaker 3: those are all complex pieces of that puzzle.
Speaker 1: Yeah, there's no question this is a complex situation, and
Speaker 1: I think you need a team. You need a team
Speaker 1: who understands what your body's going through. So the physician
Speaker 1: understands physiologically what's happening and can monitor that, can monitor
Speaker 1: your blood work, can monitor all of that to make
Speaker 1: sure that you're not missing out on any specific nutrients.
Speaker 1: Because I do know that certain things when people are
Speaker 1: on gop ones, like vitamin A drops on a lot
Speaker 1: of people, Vitamin D drops on a lot of these people, yep,
Speaker 1: And when those drop, we can see issues. So there
Speaker 1: are certain things that kind of need buffering iron because
Speaker 1: let's face it, I talk to a lot of people
Speaker 1: and they say, Oh, I just don't like protein, I
Speaker 1: don't need proteins.
Speaker 2: I don't like your feels too heavy, it's too hard.
Speaker 1: To digest Yeah, and I'm thinking, but without it, where
Speaker 1: is your iron coming from? Where are you getting your minerals?
Speaker 1: Where are you getting that side of things? And so
Speaker 1: it's important that they understand that you need to take
Speaker 1: more than that, that you need to do that and
Speaker 1: getting your blood work done on a regular basis is
Speaker 1: a highly, highly advantageous thing. I can't recommend it enough.
Speaker 3: Yeah, And I would say for you know, those of
Speaker 3: us in our professions where we're ancillary or auxiliary to
Speaker 3: the medical community, if you know a client is on days,
Speaker 3: just suggest that to them, say hey, why don't you
Speaker 3: talk to a new gestenist.
Speaker 2: Why don't you make sure you've got your nutrition covered
Speaker 2: for this.
Speaker 3: Because again, physicians often don't talk about that, or they
Speaker 3: maybe not be going they maybe go through some telehealth
Speaker 3: thing to get it too right, so they may be
Speaker 3: getting really.
Speaker 2: No information at all.
Speaker 3: And just su is really important. The thing too, and
Speaker 3: you mentioned it a little bit earlier, is because of
Speaker 3: the decreasing calories and sometimes the lack of nutrition that
Speaker 3: they're getting that fatigue. I've had a number of instructors
Speaker 3: say they can tell a client is on jail once,
Speaker 3: even if they don't tell them, And sometimes clients don't
Speaker 3: tell you or they lie about it.
Speaker 2: That's happening too.
Speaker 3: Because they suddenly like can't do the reps they used
Speaker 3: to be able to do of something simple like footwork.
Speaker 2: But a lot of clients, you know.
Speaker 3: Somebody comes in a lot and in structors say, a
Speaker 3: client comes in and suddenly they're just not as strong
Speaker 3: as they were, you know, a month and a half ago,
Speaker 3: and there's nothing else going on. It's been no injury
Speaker 3: anything else. And it's like they'll say, are you a
Speaker 3: JLP ones may any chance and they'll say, oh, yeah,
Speaker 3: you know, I've been on it for three months or
Speaker 3: something like that. And those are just things to be
Speaker 3: aware of. And you know, some weight loss. A lot
Speaker 3: of times people don't want to tell you they're on
Speaker 3: GLP ones.
Speaker 1: They want it to be Yep.
Speaker 2: There's all the weird stigmas about weight loss. But I
Speaker 2: think it's really important for you to know as a
Speaker 2: movement educator that they are or they aren't.
Speaker 1: It's vitally important. A number of the ones that I
Speaker 1: have talked to, fortunately their physicians after about it the
Speaker 1: first year they've lost a lot of weight. Well, some
Speaker 1: of these doctors have invested in. Whether they're accurate or not,
Speaker 1: I can't say. But we're talking about you know, body fat,
Speaker 1: you know machines, okay, bioelectrical impedance. Primarily the ones just
Speaker 1: stand on and you just hold. If you're not fasted,
Speaker 1: if you're not without water for eight to twelve hours beforehand,
Speaker 1: it's really not the most accurate for numbers. As long
Speaker 1: as you're consistent and consistently doing around the same time
Speaker 1: of day and everything, maybe those the numbers are fairly
Speaker 1: okay for you, and maybe you don't need to do
Speaker 1: it that scientifically. I come from a scientific background, so
Speaker 1: for me, I want to be as close to that
Speaker 1: as possible. But the doctors will invest in these things
Speaker 1: in fact, and then they'll say, oh wow, oh you
Speaker 1: you've lost a lot of muscle. Oh you, It's like okay.
Speaker 1: And then they come into me and think, but I'm
Speaker 1: worth lifting weights, and they almost want to blame me,
Speaker 1: and I say, wait a minute, Okay, you've lost weight.
Speaker 1: Anytime you lose weight, you're going to lose both that
Speaker 1: water and lean tissue. Everybody does. You talk about the
Speaker 1: biggest bodybuilders in the world, and they're on performance enhancing
Speaker 1: this and that, and guess what, they still lose that
Speaker 1: lean but muscle you know when they strip down when
Speaker 1: they try and lose weight. So it's not it's not
Speaker 1: an unheard of thing that that's going to happen to you. No,
Speaker 1: that's the thing about it.
Speaker 3: I mean, I think it's something really to think about.
Speaker 3: And one of the things I've been talking to a
Speaker 3: lot of my instructures about is many of the clients
Speaker 3: in the Ploty studio, not all of them, but a
Speaker 3: lot of them, especially during privates and things, are when
Speaker 3: in their fortes.
Speaker 2: Fifty sixty, seventies, eighties, right.
Speaker 3: Sort of like older women, and many of them are
Speaker 3: either in perimountopause or postmanopositi menopause. And this is a
Speaker 3: time when cyclopedia is happening anyway, right, Once you lose estrogen,
Speaker 3: cyclopedia which loss of muscle mass goes up, and then
Speaker 3: you've got that and a lot of times, like there's
Speaker 3: a number of people in them that stake who are also.
Speaker 2: Then taking these GLP ones. And the concern for me
Speaker 2: there is several fold. The one, you're already.
Speaker 3: Losing muscle mass because you're loss of estrogen there and
Speaker 3: this other thing, and you're patentrus for us tooporosis, you
Speaker 3: lose the muscle mass for that as well.
Speaker 2: Like for me.
Speaker 3: It just says if you're you know, a woman of
Speaker 3: a certain age, exercise in any case is essential as
Speaker 3: we know, but it's certainly if you're going to do
Speaker 3: GLP ones, you have got to maintain your exercise regime
Speaker 3: and probably increase it.
Speaker 1: Slightly increase it is what I keep hearing.
Speaker 3: Yeah, just to keep whatever muscle mass you've got going,
Speaker 3: and to keep it up while you're losing the weight
Speaker 3: so that you don't lose so much of the muscle mass.
Speaker 3: You're always going to lose some, but just trying to
Speaker 3: minimize that as best you can, because that.
Speaker 2: Is a critical time.
Speaker 3: If a woman in who are like fifties or sixties
Speaker 3: suddenly decides to lose fifty pounds and loses a good
Speaker 3: chunk of her muscle mass at the same time, that
Speaker 3: may really lead to an increase in falls, and an
Speaker 3: increase in us to process, and an increase in all
Speaker 3: kinds of other issues that are potential life threatening over time.
Speaker 3: So that's the particular population that I think about. A
Speaker 3: lot of this is just be really careful in those
Speaker 3: of you who are a lot of teachers, make sure
Speaker 3: they're working out, Encourage them to come a little more often,
Speaker 3: and really for you work on increasing the reps or
Speaker 3: increasing the resistance or whatever you need to do to
Speaker 3: just keep that muscle mass building, you know, or have
Speaker 3: them add a little weight training once a week, something
Speaker 3: like that.
Speaker 1: One of the things that I was looking up this
Speaker 1: week and preparation for this. I this is one thing
Speaker 1: that I follow a lot because I have a lot
Speaker 1: of clients on it. Yeah, so it's something that I'm
Speaker 1: constantly sort of looking up the research on and making
Speaker 1: sure that I'm up to date on everything that's coming out.
Speaker 1: So I'm always looking at pros versus cons. There's a
Speaker 1: lot of pros, and what we're seeing is a lot
Speaker 1: of things that are being touted in everything from New
Speaker 1: York Times, Wall Street Journal, La Time, you know, all
Speaker 1: of these major news news sources and they're on TV
Speaker 1: and things. A lot of the positive side effects, like
Speaker 1: the one that was just released a couple of days
Speaker 1: ago saying that it showed lower cancer rates among GOLP
Speaker 1: one takers breast cancer survive, you know, surviving is there's
Speaker 1: there's a lot going on with cancer and golp one,
Speaker 1: so it does have a pro sleep apnea helping with that. Yep,
Speaker 1: there's a lot of things cardiovascular issues. There's a lot
Speaker 1: of pros with this, and I think there's a lot
Speaker 1: of people who are trying to jump on the bandwagon,
Speaker 1: especially the drug companies that want to tout this information
Speaker 1: because the more that they do that, the more they're
Speaker 1: going to sell. So they do have a steak at
Speaker 1: this maestate, major steak. And I look at it and
Speaker 1: I think, okay, well, let's see this. If you're taking
Speaker 1: the drug, you're probably going to have a much better
Speaker 1: insulin to glucagon response in your body. You're going to
Speaker 1: have less inflammatory issues in your body. Those things right
Speaker 1: there can lead to a lot of these positive outcomes.
Speaker 1: So guess what. It's almost as though you could foresee
Speaker 1: some of this and say, yeah, it does make sense
Speaker 1: that these may be the reasons. Because people are losing
Speaker 1: weight because their hormones are now balanced in a way
Speaker 1: that they weren't before. When they're talking insulin, those rates
Speaker 1: are coming down, you're not seeing as much of the
Speaker 1: glucose intolerance as you were before or because of this,
Speaker 1: and guess what, with all of that inflammation decreases. Inflammation decreases,
Speaker 1: we start to live healthier lives. Our bodies don't have
Speaker 1: that same amount of fight or flight on a constant basis.
Speaker 3: All kinds of chronic illnesses are based on chronic inflammation, right,
Speaker 3: I love kind of cardiovascular disease. Diabetes causes and is
Speaker 3: caused by it, and many other things. You just think
Speaker 3: about joint pain and arthritis and all the other kind
Speaker 3: of things that we deal with all the time as
Speaker 3: moon professionals, and there does seem to be some risk
Speaker 3: and just to say there that when they do these
Speaker 3: are still somewhat preliminary studies, so I don't know, there's
Speaker 3: a lot of money being poured into positive studies. So
Speaker 3: I also like, I think those are just two caveats
Speaker 3: for this, but they're showing, you know, a decrease risk
Speaker 3: of cardiovascular illness for example, which goes with weight loss also,
Speaker 3: but it is above and beyond.
Speaker 2: What they usually see just for the weight loss, right, So.
Speaker 3: Right, a lot of things that they're seeing that are, yeah,
Speaker 3: they're related to weight loss to some extent, but these
Speaker 3: are better results and they get with just weight loss.
Speaker 3: And I think a lot of that is the anti
Speaker 3: inflammation thing. And one of the most thing that I
Speaker 3: think is interesting is that loss of food brain, right,
Speaker 3: that loss of like where's my next meal coming from?
Speaker 3: And what am I thinking about also relates oftentimes to
Speaker 3: different addictions.
Speaker 2: And I started to see this for you know, drug
Speaker 2: addiction and smoking and.
Speaker 3: Other kinds of things. So that's also interesting that it
Speaker 3: seems to regulate the brain in a way to not
Speaker 3: have that same kind of obsessive drive to get the
Speaker 3: dopamine response basically, right, to get that little hit that
Speaker 3: comes from getting your pleasure sensors stimulated by whatever your
Speaker 3: particular drug or food of choices.
Speaker 2: So that's also true.
Speaker 1: There have been some other weight loss drugs in the
Speaker 1: past that focused primarily on, you know, that part of
Speaker 1: your brain, the food addiction part of your brain. It
Speaker 1: wasn't just a hunger cessation. It was actually going in
Speaker 1: and one of them actually they found, oh, well, this
Speaker 1: drug we were focusing on for smoking cessation, but ooh,
Speaker 1: we're seeing weight loss, huh, And so it became a
Speaker 1: weight loss drug. And there's that happens with a lot
Speaker 1: of drugs that are out there, but this seems to
Speaker 1: go to that next level and affects it in a
Speaker 1: way that is superior to everything else in that sense.
Speaker 1: And I don't know how it's rewiring it or if
Speaker 1: it's just taking the thing that I And I mentioned
Speaker 1: this to some clients who are on it. I said, Okay,
Speaker 1: you got to be honest with me now, and I'm
Speaker 1: not asking for any personal details, but have you found
Speaker 1: some of the passions that you used to have some
Speaker 1: of the pleasures are you? Are you getting the same
Speaker 1: amount of pleasure out of things that you used to
Speaker 1: because I'm curious about that because if it is rewiring
Speaker 1: your brain and you're not getting that major dopamine hit
Speaker 1: in a way that or a serotonin hit or whatever
Speaker 1: it is that you were getting from food or alcohol
Speaker 1: or you know whatever other you know, let's face it,
Speaker 1: if you have a food addiction, chances are you may
Speaker 1: have a highly addictive personality. And if that's the case,
Speaker 1: there may be other things that you know, give the
Speaker 1: person pleasure that they're addicted to, in which case, and
Speaker 1: a number of them said, I haven't thought about that,
Speaker 1: but yeah, I haven't been doing such and such. I
Speaker 1: haven't been doing such and such as you know, I'm thinking, Okay,
Speaker 1: it's just something to sort of note. And I was
Speaker 1: reading an article and the person actually was saying, oh,
Speaker 1: you know, they changed my dose and suddenly I started
Speaker 1: getting those pleasures back. They just reduced it a little bit.
Speaker 1: It wasn't as high of a dose. But if you
Speaker 1: don't know to ask, and you don't realize that that's
Speaker 1: a side effect, right, you may not even no doubt
Speaker 1: that that can be changed. So that's something to keep
Speaker 1: in mind to talk to your clients about. Is if
Speaker 1: you notice their personalities be flat and they're no longer
Speaker 1: doing things that are fun or finding joy in their children,
Speaker 1: or finding joy and whatever it is, canasta, whatever I mean, majong,
Speaker 1: whatever makes you happy, if you're no longer doing it
Speaker 1: and you're just and you could see them sort of
Speaker 1: coasting through life, maybe that's something to make mention to
Speaker 1: them of, Hey, you know, if you're not seeing as
Speaker 1: much pleasure, maybe you've lost a lot of weight, Maybe
Speaker 1: you don't need as much of you know, the current
Speaker 1: dose that you're on. Maybe talk to your doctor. Obviously
Speaker 1: we're not physicians, but maybe that's something that might be
Speaker 1: able to be adjusted.
Speaker 2: I think that's really Again, I hadn't heard about that.
Speaker 3: That's except this one little anecdote that I heard about
Speaker 3: people who were on antidepressants in that that it just
Speaker 3: kind of bulled them out for there. So that's that's
Speaker 3: really good to know, really good to be aware of
Speaker 3: because you know, with clients, for better and worse, we're
Speaker 3: often the person they're seeing in a or who's paying
Speaker 3: attention to them I should say in a close way regularly,
Speaker 3: you know, spouse, maybe not, their kids, maybe not. There
Speaker 3: were colleagues, maybe not, but we're kind of staring at
Speaker 3: them and really paying attention for that hour or.
Speaker 2: Two week they were with them.
Speaker 3: And that's oftentimes we will notice things that other people
Speaker 3: won't necessarily notice because.
Speaker 2: You know, our job is to notice things, to pay attention.
Speaker 2: So that's really interesting.
Speaker 3: Yeah, I'm past a few of my instructors that I've
Speaker 3: been talking to.
Speaker 2: About this lately.
Speaker 1: Yeah, it's just something to keep in mind that we've
Speaker 1: been seeing. And again that goes into the con list.
Speaker 1: There are so many pros and again we're going to
Speaker 1: hear mostly about the pros. You do sometimes hear about
Speaker 1: the cons And I hate to say it, but it's
Speaker 1: usually when a celebrity goes on it and someday they
Speaker 1: have a bad side effect and they go out touting
Speaker 1: how it's the worst thing in the world, or and
Speaker 1: they they will say this was my reaction to it.
Speaker 1: I've been on many things in my life, many you know,
Speaker 1: pharmaceuticals have been prescribed to me over my course of
Speaker 1: my life. Some worked, some didn't, some have side effects,
Speaker 1: some don't. I think we're all out in that way.
Speaker 1: And I hate to say it's unfair, because some people
Speaker 1: really need this drug in order to you know, live,
Speaker 1: They're going to need to lose the weight because there
Speaker 1: are so many negative effects of holding on to several
Speaker 1: hundred pounds. I remember working at the National Center for
Speaker 1: Weight and Wellness. I had people in their six hundred pounders,
Speaker 1: six hundred and fifty. For them, this is a miracle.
Speaker 1: This is something that can really be life changing, literally,
Speaker 1: life saving, genuinely, and if it's not working, you kind
Speaker 1: of feel bad for them. And a lot of weight
Speaker 1: loss drugs they were saying, hey, that's about a sixty
Speaker 1: seventy percent you know, success rate. That's still a high
Speaker 1: number of people that it doesn't work on. Now there's
Speaker 1: different types out there now, their injections, there's GOP one
Speaker 1: job two. There there's all these different, you know, concoctions,
Speaker 1: so hopefully you can find one that does work if
Speaker 1: that's what you need. But at the same time, it's
Speaker 1: something that's hurting you or causing you to have some
Speaker 1: side effects, talk to your doctor, you know, or if
Speaker 1: you see the client starting to change personality, you know,
Speaker 1: maybe mention and just you don't have to say you're
Speaker 1: not yourself. You don't have to come at him like that,
Speaker 1: but you can just say, you know, how's things being.
Speaker 1: You know, see if they can recognize that maybe they
Speaker 1: haven't had the same amount of pleasure in life. Maybe
Speaker 1: I also.
Speaker 3: Want to mention because one of the things they say
Speaker 3: about this is that if people go off it, they
Speaker 3: often gain the weight back, gain a good way back,
Speaker 3: and their food brain comes back and kind of everything
Speaker 3: just returns to the pre state like the pre And
Speaker 3: I certainly know, I mean, based on just cost availability
Speaker 3: of people's reactions to things, we're going to start having
Speaker 3: clients if we don't already, who have gone on them,
Speaker 3: lost a bunch of weight and are.
Speaker 2: Now going off of them.
Speaker 3: And the other thing that I that I really want
Speaker 3: to think about is that transition time, because for a
Speaker 3: whole lot of clients, you're hoping that they.
Speaker 2: Take that time when they're on them to get healthier.
Speaker 3: Habits, both in terms of movement and in terms of
Speaker 3: nutrition and stress control or whatever other things they need
Speaker 3: to do, and that then you know, once they go
Speaker 3: off them, they have gained some skills that can then
Speaker 3: take them.
Speaker 2: Forward into you know, better wa of eating.
Speaker 3: Now, saying that doesn't mean that that's true for everybody,
Speaker 3: because a lot of people were eating very well beforehand
Speaker 3: and they just got a genetics that's like I eat,
Speaker 3: I gave weight period in the story.
Speaker 2: That certainly happens.
Speaker 3: I've seen it a lot, but still to just see
Speaker 3: about like, okay, well maybe I can maybe I can
Speaker 3: maintain some of these.
Speaker 2: Same habits when I'm gone, you know, when this is over,
Speaker 2: when I'm done with this particular drug.
Speaker 3: The other thing too, and you know, your good person
Speaker 3: to speak to about this is that kind of rapid
Speaker 3: weight loss is also challenging on things like balance, things
Speaker 3: like like how do I how do I move? You
Speaker 3: know it just because because I mean I haven't talked
Speaker 3: to that many people about that particular problem, and I
Speaker 3: think about, like my pregnant ladies, you know who gain
Speaker 3: two pounds in nine months, right, it's only twenty or
Speaker 3: thirty nine months, And it's like every day it feels
Speaker 3: like their balance is a new it's a whole new
Speaker 3: day today because you know, the baby's.
Speaker 2: Shifted, or they start to gain some weight, or they
Speaker 2: you know whatever. Have you seen that too, There's just yeah,
Speaker 2: balance challenges, coordination challenges.
Speaker 1: No question, I'm thinking of one right now. She lost
Speaker 1: a lot. I'd say she's lost I want to say
Speaker 1: at least sixty probably closer to seventy five pounds.
Speaker 2: Okay.
Speaker 1: And she's not young, Okay, she's in her seventies. The
Speaker 1: doctor put her on one of the first pill versions.
Speaker 1: It helped. It's not one of the ones that are
Speaker 1: touted about now. It's an older one, but it's it
Speaker 1: definitely worked, and it was a gop one type. It worked.
Speaker 1: She lost a lot of weight really quickly. She's had
Speaker 1: a number of falls since, and a lot of it
Speaker 1: does come from the fact that you do change where
Speaker 1: your center of gravity is. We all sort of assume
Speaker 1: that our center of gravity it's where it is. But
Speaker 1: if you're talking about someone who's distended, especially in the middle,
Speaker 1: you know, either stomach, breast, back, whatever that is, especially
Speaker 1: in the middle, and suddenly that goes down a lot,
Speaker 1: especially the stomach. Suddenly things are going to change. And
Speaker 1: what people also don't realize is that depending on how
Speaker 1: long you've been overweight. Okay, I spent most of my
Speaker 1: life being very, very large and my bones conformed to it.
Speaker 1: We've talked about that before. Well, guess what when I
Speaker 1: lost a lot of weight. My spine is basically I
Speaker 1: sort of joke and say I'm a spine of saurus
Speaker 1: because my spine literally I can't sit on anything with
Speaker 1: a hard back because my spine is literally at my
Speaker 1: skin level. My spine is processes and it hurts to
Speaker 1: sit on things like that. Lying on my side, my
Speaker 1: greater trocanter. There's not much meat there anymore, that's you know,
Speaker 1: And so I lie on a mat that's on the ground,
Speaker 1: and the mat used to be comfortable, and I'm thinking, geez,
Speaker 1: this hurts. No wonder my clients that we're asking for
Speaker 1: two mats and things. I'm like, oh man, yeah, they're
Speaker 1: very thin clients. Yeah, that's expesting that you don't think about. Well, also,
Speaker 1: something that we don't think about a lot of times.
Speaker 1: Is that can also be a source of stability within
Speaker 1: certain joints. Yes, absolutely, And now you no longer have
Speaker 1: that amount of adipost tissues sort of making up the
Speaker 1: space around that holding it together like a tight ace bandage. Well,
Speaker 1: that can lead to some instability. And I'm gonna say, look,
Speaker 1: losing fifty pounds, your knees are gonna thank you for,
Speaker 1: no question about it. But could they be a little
Speaker 1: unstable in certain regards? Possibly, not saying yes, but possibly.
Speaker 1: I have another client that I'm thinking of that hers
Speaker 1: became much more unstable after losing about thirty pounds. She
Speaker 1: said they felt better for a while, and then suddenly
Speaker 1: it's like they just don't feel like they're under me
Speaker 1: all the time. So these are other things. Now, this
Speaker 1: is anecdotal, This is things that I've heard from clients,
Speaker 1: But from a physiologic standpoint and also from my own experience,
Speaker 1: I can tell you that that does change how your
Speaker 1: body feels in space, the amount of stability that it has,
Speaker 1: and the amount of joint support that you're going to feel.
Speaker 2: I think that's again just another piece for us to
Speaker 2: think about here with these clients, especially if the weight
Speaker 2: loss is pretty rapid. Sometimes it is pretty rapid.
Speaker 3: One other little thing I'm going to throw out here
Speaker 3: is at this point, if I have any client with.
Speaker 2: Rapid weight loss, I'm going to sooner and gp ones.
Speaker 3: But you have to ask them because there are the cancers,
Speaker 3: there's other nasty things that show up with sudden weight loss,
Speaker 3: and just you just want to make sure that it
Speaker 3: is a medication and it's not coming from some other source.
Speaker 1: So anyway, No, No, that's that's huge. That's very important
Speaker 1: because that's there. That's critical to note because there I
Speaker 1: have had clients who have lost a lot of weight
Speaker 1: all of a sudden, and this was before gop ones,
Speaker 1: and that's the first thing you started asking, are you
Speaker 1: seeing your doctor? They say, but I'm looking so good,
Speaker 1: Yes you are. However, I just want to make sure.
Speaker 1: And probably fifty percent of the time they were glad
Speaker 1: they went in because things were caught. Sometimes it was
Speaker 1: just oh, I made changes in my lifestyle. You know,
Speaker 1: I got divorced, I'm dating this new guy, you know,
Speaker 1: all that kind of stuff. It's like, okay, divorce that
Speaker 1: it works too. You know, your life is changing. Stresses change,
Speaker 1: hormones change, I get it. But the good question to ask,
Speaker 1: very good question to ask. I wanted to bring up
Speaker 1: something that I was hoping was going to change for
Speaker 1: gop ones, and that's cost. Something that always floats in
Speaker 1: my mind is are gop ones sort of a rich
Speaker 1: people drug?
Speaker 2: Well, they are, unless unless your number is a pretty
Speaker 2: darn dad.
Speaker 1: I mean, that's you know, and you know what, I
Speaker 1: just read a report from that. I guess talk to
Speaker 1: a number of we're talking health insurance companies and talk
Speaker 1: to a lot of them, and they are reluctant if not,
Speaker 1: you know, they're not going to cover gop ones no
Speaker 1: matter how what your numbers are, unless, like you said,
Speaker 1: if they need it for diabetes, and they are just
Speaker 1: absolutely it's not covered no matter how good a coverage
Speaker 1: you have your pharmacy. You know, prescription benefits aren't going
Speaker 1: to cover this. And it's because they say it's cost
Speaker 1: them too much and they're not willing to do it.
Speaker 1: And the ones that say we are on those who
Speaker 1: absolutely need it for weight loss, Absolutely it's sort of
Speaker 1: a okay, here's a cap three thousand dollars a year.
Speaker 2: Okay, which does cost so much? Three months or something.
Speaker 3: Four months, depending another prices when I looked into it,
Speaker 3: but basically very wildly.
Speaker 2: Yeah.
Speaker 1: Yeah, it's a couple of months worthy. Yeah, and what
Speaker 1: you're still seeing is drugs coming in from Mexico. You're
Speaker 1: seeing you know, China, You're seeing a lot of things
Speaker 1: coming in that we don't know what it's actually in
Speaker 1: these drugs. We have no clue.
Speaker 3: This is really something where I would be super cautious
Speaker 3: to make sure I get a name brand something at
Speaker 3: this point.
Speaker 1: Yeah.
Speaker 3: I mean think that the market is so clearly giant
Speaker 3: that that people see that market and go, oh, I'm
Speaker 3: going to just throw a bunch of stuff in a
Speaker 3: pill and start calling it whatever.
Speaker 2: I more the temptations there.
Speaker 3: The temptation has always been there in any drug that
Speaker 3: has a big market, whether it's illegal or legal.
Speaker 2: And this is just one of those situations where just
Speaker 2: be careful.
Speaker 1: I was watching a documentary and I was talking about
Speaker 1: drugs coming in from Mexican pharmacies. Yeah, and the cartels
Speaker 1: actually supply the drugs to these pharmacies oftentimes, so you're
Speaker 1: getting what you think is testosterone, or you think is
Speaker 1: growth hormone, or you think is tramanol or oxycotal, whatever
Speaker 1: you think it is, but do you know it is?
Speaker 1: You have no idea. They can box it up and
Speaker 1: make it look the exact same we've all got. I
Speaker 1: certainly have gotten off of Amazon and the Internet, and
Speaker 1: I'm looking at it going it looks similar, but I
Speaker 1: can tell it's fake. And if someone's desperate and they're
Speaker 1: getting it from some other source and they're trying it,
Speaker 1: we're seeing some you know, we can see some negative
Speaker 1: side effects, some major negative side effects because you don't
Speaker 1: know what quality controls are going into that, if any
Speaker 1: quality controls at all, So you just have to be
Speaker 1: really wary of that. I personally am wary of all
Speaker 1: of these new companies that are coming out, like Row
Speaker 1: and Hymns and Hers and all of these companies that
Speaker 1: are getting let's face it, Serena Williams, she has brought
Speaker 1: a lot of people into get into hers. I believe her.
Speaker 1: Hers is the one that she exactly like all.
Speaker 3: That stuff that's unregulated, All the whole supplement market, all
Speaker 3: of that is so highly regulated.
Speaker 1: Yeah, really, and golp ones they're regulated to some degree.
Speaker 1: I think there needs to be more regulation. I'm not
Speaker 1: someone who believes in a ton of regulation, but when
Speaker 1: it comes to our health, I think there needs to
Speaker 1: be some regulation, especially when it comes to pharmaceutical things,
Speaker 1: because the gop ones, the compounded ones that we saw
Speaker 1: such the rage for so many years because you couldn't
Speaker 1: get the good, the real stuff. Now these are sort
Speaker 1: of borderline. Are they okay? Are they not? Could they be?
Speaker 3: Are?
Speaker 1: How are the how is the licensing involvement? And I
Speaker 1: think it's going to become more gray and more gray
Speaker 1: and more gray as time goes on. And anytime I
Speaker 1: hear someone saying, oh, yeah, I called up the you know,
Speaker 1: I went on the internet and answered these questions and
Speaker 1: suddenly I could I could order it. Really, you asked questions.
Speaker 1: You didn't have a blood test? No, you didn't do it. Okay,
Speaker 1: this it seems sketchy to me. Let's just say that
Speaker 1: it seems at the sketchy to me. And I think
Speaker 1: it's only gonna get.
Speaker 3: Worse when whenever there is an again, whenever there's a
Speaker 3: gigantic apparent profit margin.
Speaker 2: Yeah, I mean, this opportunity is huge.
Speaker 3: You know, something like ten percent of the population is
Speaker 3: currently on one of these now or eat or a
Speaker 3: ten percent dependent that you talk to. That's a lot
Speaker 3: of people, and that will only increase, I think as
Speaker 3: accessibility increases, as the price goes down, as different forms
Speaker 3: of I mean all those things, you're just going to
Speaker 3: make it much more popular and much more again a
Speaker 3: bigger market, and whenever there's that big of a profit
Speaker 3: profit margin available, people are going to do nefarious things.
Speaker 3: So yeah, definitely be really cautious with that because that
Speaker 3: whole the whole supplement market, all of that stuff is
Speaker 3: just is it's a wild West. It's not well regulated,
Speaker 3: nobody's paying attention, and people just out for the money.
Speaker 2: So just be cautious for sure.
Speaker 1: Yeah, And going into the whole cost thing. When I
Speaker 1: said is it a rich people drug, is when people
Speaker 1: don't have the money but they're desperate, they're going to
Speaker 1: make those poor choices. But at the same time, let's
Speaker 1: say they do make some poor choices and they are
Speaker 1: on something. I still think we need to solve the
Speaker 1: problem of stigma because they may not want to tell
Speaker 1: their doctor that they're taking it. They may not want
Speaker 1: to tell their family they're taking it because you don't
Speaker 1: want to be looked at as you're cheating, right, you know,
Speaker 1: or you're weak your weak willed, you couldn't do this
Speaker 1: on your own, because that is still the stigma among
Speaker 1: a lot of people, and they hear that, and I
Speaker 1: think it's gotten a little better, But I also know
Speaker 1: when I say that, I'm coming from a certain ethnicity,
Speaker 1: a certain area Washington, d C. Where a lot of
Speaker 1: my clients can afford to do this sort of thing.
Speaker 1: There's a lot of cultures within our country that may
Speaker 1: have a much different viewpoint when it comes to something
Speaker 1: like this, like gop ones or taking anything. They don't
Speaker 1: want to tell their family, they don't want to tell
Speaker 1: their friends, they don't want to tell anybody. And if
Speaker 1: you're getting sick on something and you're not not willing
Speaker 1: to speak up, that can be really detrimental to your health.
Speaker 3: Well, if you're talking about it just in terms of
Speaker 3: the economic barrier, obesity definitely goes up with a lower
Speaker 3: socioeconomic income. It just does relationship between levels of obesity
Speaker 3: and income, like that's just how that goes. The richer
Speaker 3: you are, off of the skinner you are, whatever all
Speaker 3: that means. And there's a lot of complexities with all
Speaker 3: of that. But so that also means that the people,
Speaker 3: many of the people that probably this the most don't
Speaker 3: have access to it, which is yeah, in America, this
Speaker 3: is kind of typical in our medical system at the moment,
Speaker 3: So some people we are out there. The thing two
Speaker 3: that that I think about is how you know, again
Speaker 3: getting back to kind of our role in all of this,
Speaker 3: is thinking about really encouraging clients to be honest with us, be.
Speaker 2: Honest with their with their doctors, with their families. And
Speaker 2: that's something that we can certainly do. And I think
Speaker 2: even just you know, not not that we are doctors,
Speaker 2: but we can often steer people in a better direction,
Speaker 2: you know, to.
Speaker 3: Your point about avoiding things that they're getting in some
Speaker 3: mysterious way, you know.
Speaker 2: Some nefarious fashion.
Speaker 3: Uh So just just I think sometimes our role here
Speaker 3: is just being kind of a sounding board or maybe
Speaker 3: a source of common sense for some clients who may
Speaker 3: be doing things that are not necessarily the best.
Speaker 2: Things for them.
Speaker 1: So also an empathetic year, yeah, yeah, because I'm trying
Speaker 1: as much as I can to have a no judgment
Speaker 1: zone because they will tell me things. They tell me
Speaker 1: things they won't tell their spouse. They tell me things
Speaker 1: that they are hesitant to tell their doctor until I
Speaker 1: tell them, oh no, no, no, no, no, no, you
Speaker 1: gotta say this. This is important. Yeah, and I don't judge.
Speaker 1: To me, it's like, okay, I've sent some clients to
Speaker 1: rehab because they've told me things, and I'm like, okay,
Speaker 1: you're we're going to need to talk about this, and
Speaker 1: when you're ready, we're gon we're gonna deal with this.
Speaker 1: So if they feel safe around us, they're much more
Speaker 1: likely to confide in us. And if you're seeing their
Speaker 1: bodies change, obviously they're going to feel good about themselves.
Speaker 1: And yes, I've lost some weight and they're going to
Speaker 1: be very happy about it. But maybe not that session.
Speaker 1: You may not want to poke, you know, point the
Speaker 1: finger and say are you taking gop ones? But maybe
Speaker 1: down the road, just say any new medications you're on.
Speaker 1: Just I go through with all my clients. I literally
Speaker 1: made a point with my primary care position. They set
Speaker 1: me a thing saying, oh, out our next appointment, let's
Speaker 1: go over you know all the medications. I'm like, man,
Speaker 1: that's a long list. I haven't taken any of those
Speaker 1: for four or five years. Okay, I'm glad you're looking
Speaker 1: and I appreciate. So I will tell my clients the
Speaker 1: same thing. I'll just say, you know what, I just
Speaker 1: want to update my files, but I need to know
Speaker 1: because it can affect what we're doing. And sometimes that's
Speaker 1: when I've heard, oh yeah, a couple couple of months ago,
Speaker 1: I started taking such and such okay cool, and that
Speaker 1: I will usually ask doctor, are you seeing a doctor?
Speaker 1: You're seeing a nutrition so are you seeing whoever they
Speaker 1: need to be seeing? Awesome, just write it down for
Speaker 1: us to note, no judgment, just okay cool. A lot
Speaker 1: of times I'll actually say, oh, I've got a number
Speaker 1: of people doing that, and then they're like it makes
Speaker 1: them feel like, oh, okay, it's it's all right. Yeah, yeah,
Speaker 1: I just need to.
Speaker 2: Know one other things.
Speaker 3: And we mentioned this a little bit with our educutor
Speaker 3: versus influencer conversations, so it kind of comes back. Is
Speaker 3: one of the things that is interesting at this particular
Speaker 3: time is that there was a movement before this not
Speaker 3: too long ago really of just you know, greater acceptance
Speaker 3: for different body sizes.
Speaker 2: Right that that kind of life than one way to
Speaker 2: go with was just kind of like blown up.
Speaker 3: And you see bigger size models and you see people,
Speaker 3: you know, just just being a little.
Speaker 2: Bit less like you have to be a size for
Speaker 2: or you're a bad.
Speaker 3: Person, because there's all the stuff that comes with weight
Speaker 3: that is not health related, that's vanity related, that's culture related,
Speaker 3: that's all that stuff. And this is just an interesting
Speaker 3: thing to throw into that mix because now instead of
Speaker 3: like it being accepted, now it's like, oh, well, you know,
Speaker 3: why aren't you on the latest thing that will help
Speaker 3: all this problem for you? You know, again, putting it
Speaker 3: back into weight is a problem. And you know, yes,
Speaker 3: it certainly can be. And I'm not saying is it.
Speaker 2: Not, but but it's it also makes that stigma. I
Speaker 2: just think it'll be interesting what it does to that
Speaker 2: whole kind of fat stigma, which is culture is so steep.
Speaker 1: There's there's been a lot written about that, and there's
Speaker 1: been a lot of negative comments to people who touted
Speaker 1: for many years about being beautiful in your own skin.
Speaker 1: Yeah the person, yeah, Megan Trainor, she all about that
Speaker 1: base and she had a very curby body, very attractive woman,
Speaker 1: incredible voice, and she went on gop ones. She says
Speaker 1: she's never felt better, she feels she looks great, she's happy.
Speaker 1: But the amount of hate that she got, yeah, you know,
Speaker 1: from the nedicines out there, just was sort of out
Speaker 1: outrageous to me because I'm thinking, wait a minute, here's
Speaker 1: someone who's taking better care of themselves, and you know,
Speaker 1: maybe this is a reason that they are losing the weight. Fantastic.
Speaker 1: If this helps, good for them, awesome, But for them
Speaker 1: to be shamed about it, that's really an issue. And
Speaker 1: we are seeing.
Speaker 3: Complicated man, I know all these things. It really gets
Speaker 3: a complicated social moment.
Speaker 1: So moment, well, I was just reading an article. I
Speaker 1: was talking about Serena Williams going on gop ones, saying
Speaker 1: does Serena now admitting that she was on gop ones
Speaker 1: now changed the view of the black body in our
Speaker 1: culture because there was a different viewpoint by a lot
Speaker 1: of people that this is me. I love my body,
Speaker 1: I love who I am. But now having some role models.
Speaker 1: Shaquille O'Neal started taking golp ones. He did it for
Speaker 1: a sleep apnea, he said, and it's helped him immensely.
Speaker 1: And so we're seeing that in the athletic community, at
Speaker 1: least at least the retired athletic community. They're starting to
Speaker 1: take it. So maybe other cultures are now going to
Speaker 1: start seeing, oh this is okay, I can I should
Speaker 1: be able to do this. I can do this. So
Speaker 1: I do think that that's going to change. And in
Speaker 1: the next year, two, three, four years, I think we're
Speaker 1: going to see a lot of changes with that.
Speaker 2: Yeah, I think it'll be fascinating. You know.
Speaker 3: My hope, of course, is that people will just like
Speaker 3: eat better and not be stupid, because I have a
Speaker 3: lot of people that I know that are you know, again,
Speaker 3: they just have half.
Speaker 2: A slice of pizza and cheeseburger for dinner.
Speaker 3: And and you know, than between while they're on GLP ones,
Speaker 3: and then you know, it's not like they've really taken
Speaker 3: the opportunity to change their their diet or their or
Speaker 3: their exercise or anything else like their actual lifestyle things.
Speaker 3: And yes, it's I'm potentially happier for a bit, but
Speaker 3: you've got to be.
Speaker 2: Careful with that.
Speaker 1: Yeah, I would like to say my dream for all
Speaker 1: of this, yeah, is for anybody who's considering going on
Speaker 1: gop ones, when you're talking to your physician, think of
Speaker 1: it as a team effort. Think of it as if
Speaker 1: someone's going to go under chemotherapy, for instance, or it's
Speaker 1: going to go under some other type of treatment. There's okay,
Speaker 1: you're going to start at this, We're going to do this,
Speaker 1: We're going to do that. Then we're going to bring
Speaker 1: you off of this, and in the meantime you're going
Speaker 1: to see these people in between. I think we need
Speaker 1: to have that more holistic approach to this, because you
Speaker 1: can say, great, you're gonna start gop one, it's fantastic. Okay,
Speaker 1: we're going to start you on a microdose, the smallest
Speaker 1: dose we can, subclinical in fact, and then you're going
Speaker 1: to see the nutritionist, and then we're going to see
Speaker 1: how that works. And as soon as things aren't working,
Speaker 1: we're going to adjust this. We're going to adjust that.
Speaker 1: The nutritionists you have to see every two weeks, every month,
Speaker 1: whatever it is, and make sure you're eating healthy, fantastic.
Speaker 1: Now you've lost some weight, are you seeing are you
Speaker 1: going to the gym? What's your exercise regime? Do you
Speaker 1: need a train or do you need this? Do you
Speaker 1: need that? And then what is the aftercare? What is
Speaker 1: the Okay, you've lost fifty five pounds, I think it's
Speaker 1: time to reduce your dose. You don't need twenty miligrams,
Speaker 1: maybe you need five, and in the end, maybe we'll
Speaker 1: step it down until we find that point where you
Speaker 1: start to oh, I'm getting hungrier now, Okay, maybe we
Speaker 1: went too low. We can bump that back up and
Speaker 1: make those adjustments. I think seeing it as a more
Speaker 1: holistic approach and more of a team approach, I think
Speaker 1: can be so much healthier and make people in the
Speaker 1: end healthier, happier, and it gives them sort of an
Speaker 1: understanding instead of well, I'm going to be on this
Speaker 1: the rest of my life. Maybe not, maybe, but maybe not.
Speaker 2: I think that's a great vision, Brian, that's a great,
Speaker 2: great place to end. So I mean, and I think
Speaker 2: we're just part of that team.
Speaker 3: And I think the more we can encourage people to
Speaker 3: take advantage or to create their own teams and this
Speaker 3: is really it's.
Speaker 2: Going to help them, it's going to help us. It's
Speaker 2: going to help them go through this journey with more success.
Speaker 1: And for our movement professionals out there, don't minimize the
Speaker 1: amount of I hate to use the term, I'm going
Speaker 1: to say influence, not power. The influence that we have
Speaker 1: with our clients. Yeah, if you mentioned to them, I
Speaker 1: really think it would be healthy for you to see
Speaker 1: a nutritionist and then you hand them the card and
Speaker 1: then make mention. You know two three weeks later, have
Speaker 1: you have you talked to them or a week later,
Speaker 1: whatever it is. Just see, I think it would be
Speaker 1: the very, very beneficial for you.
Speaker 2: Yeah, just just one, just one meeting. Just talk to them,
Speaker 2: get some ideas, make.
Speaker 1: Sure you're on the right track. Yeah, yeah, I you know,
Speaker 1: we have a lot of influence, and I think in
Speaker 1: that sense it's really important for us to utilize it
Speaker 1: in the best way we can. And if we need
Speaker 1: to talk to their physicians, we can talk to their physicians.
Speaker 1: But I think putting them toward that right track, I
Speaker 1: think is part of our job and I think we
Speaker 1: can do better.
Speaker 2: Absolutely all right, so.
Speaker 1: Very good and exactly exactly. I think we we covered
Speaker 1: a lot. Hopefully we touched on some things and if
Speaker 1: you missed one of our other ones, we covered a
Speaker 1: little bit of what we've covered in the past, but
Speaker 1: we also talked about a lot of the updates and
Speaker 1: things like that. Because things are changing, and they're changing rapidly,
Speaker 1: and two weeks after this post something may come out
Speaker 1: in the news and make all of it irrelevant. We
Speaker 1: never know. This is science and it happens often happens
Speaker 1: very slowly, but occasionally it happens very quickly, but please
Speaker 1: do us a favor. Hit that like and subscribe button.
Speaker 1: I can't say it enough. It really helps all of
Speaker 1: us out. That way we can continue to do this.
Speaker 1: We're we don't have commercials. We're doing this for the
Speaker 1: love of it. We get together and talk shop and
Speaker 1: hopefully help you guys out every week. So if you
Speaker 1: would like and subscribe and comment and share and do
Speaker 1: all of those things, we really appreciate it. Check out
Speaker 1: the YouTube channel's under my name Brian Ritchie where you
Speaker 1: can see us live talking and yeah let me mention.
Speaker 1: Also our Gmail hit us up there, Moving combos at
Speaker 1: gmail dot com. So until next week, Saint John, I'm
Speaker 1: Brian Ritchie. We'll see you then.
Speaker 2: Hi, guys,