Transcript

The A to Z on GLP's · HER

0:07
Pam Peeke, MD: Hi, I'm Dr.
0:08
Pam Peeke and this is episode 567 of The Bold and the Brave her podcast.
0:18
Now today I'm joined by a repeat offender…
0:22
Yep she's been here before and she is pretty amazing when it
0:29
comes to all things nutrition.
0:32
Her name is Heidi Skolnik and she is considered a major thought leader in
0:38
nutrition on a na- national basis.
0:41
She's the author of a brand new book, hold on now GLP-1 Game
0:48
Plan; It's Your Game plan okay?
0:52
Just coming out right now.
0:54
And she's also the author of other books including the New York Times
1:00
best selling "The Whole Body Reset."
1:03
Uh, she is a sports nutritionist at the Women's Sports Medicine Center at the
1:09
Hospital for Special Surgery and oversees performance nutrition at the Juilliard
1:16
School So you know she's like all over it.
1:18
Heidi welcome back home as they say
1:22
Heidi Skolnik, MS, CDN: It's great to be here.
1:24
Pam Peeke, MD: Oh my God
1:25
Heidi Skolnik, MS, CDN: a pleasure talking with you
1:27
Pam Peeke, MD: well n- uh it's just you know what we're doing is hanging
1:30
out in the same sandbox, you and I.
1:32
Heidi we just came up with an excuse to do that right?
1:35
Is that the way it works?
1:36
Heidi Skolnik, MS, CDN: That's the way it works.
1:38
That's the way we roll
1:39
Pam Peeke, MD: Yeah its the way we roll.
1:41
Now why diddya write this book
1:44
Heidi Skolnik, MS, CDN: Well actually there were a few reasons but th- the
1:47
inspiration for the book really came from my husband as I watched him on this.
1:52
He, he went on a GLP-1 and I watched as he really became malnourished.
1:58
You know?
1:58
He-- although we live in the same home, and I'm sure you get this one
2:02
around other people you are with, he…
2:04
You know, I'm not the food police.
2:06
So I don't monitor how he eats and what he does and his food preferences.
2:11
And so this was his journey and I kinda stepped out until he
2:16
really was starting to become kind of gaunt and cold all the time.
2:21
Now, we still argue about the temperature in the house but it was
2:25
Pam Peeke, MD: I always win.
2:26
I'm just letting you
2:27
know.
2:28
Yeah.
2:28
Get your fingers off that damn thermostat
2:31
Heidi Skolnik, MS, CDN: exactly.
2:32
But he was really becoming iron deficient right?
2:35
I mean and which is pretty typical-- Which is not atypical;
2:38
I should say on these medications.
2:39
And so then he was sort of ready to hear.
2:41
And I had already been to an ACSM conference a regional conference - this
2:46
was a few years ago where one of the leaders in obesity research was there
2:51
to talk to this room full of exercise professionals and saying 'How many
2:55
here think exercise and diet can help people lose weight and keep it off?'
3:00
And almost everyone raised their hands.
3:02
And you and I know that research doesn't isn't really there like its very hard to
3:06
move the needle for long term for people who already live with obesity because
3:11
the percentage that they can lose through diet and exercise and the way the body's
3:15
mechanism kicks in to maintain the weight you have The hunger cues All of the
3:20
different signals in your body Is not Does not lend itself toward long term success.
3:27
And we know that obesity is a long…
3:30
Is a chronic recurring disease So ,The fact that there's a medication now that
3:36
can help with that is pretty amazing.
3:39
So He sort of th-the--- Um no jumping between these two but these were the
3:43
two things that really helped me t s- convince me Like "I get it" Right On
3:47
board Exercise professionals nutrition professionals They're needed If not more
3:53
so now With these medications Because people need guidance When they're
3:57
on a medication On how to navigate Their way through this To stay healthy
4:03
Because It's not Just about Weight!
4:05
Weight does Not determine Your health And so Between Hearing That Talk And
4:09
Then Watching How my husband Had gone on This Medication WIth No Guidance On What
4:14
TO DO Here's THE MEDICATION NOW WHAT???
4:18
I thought There Was A REAL NEED FOR THIS
4:20
AND that's
4:21
WHEN ICREATEDTHEBOOK
4:23
Pam Peeke, MD: and, this is why you wrote the book.
4:25
Um, you know, that's courageous to write this book 'cause I'm gonna
4:29
tell you right now every five seconds something changes with the GLP thing.
4:35
Um, and in addition, there's even more, uh, categories of drugs within this sector
4:42
that are actually going to be appearing over the course of the next couple
4:45
years but it's really important now…
4:48
You know, it's so interesting.
4:49
I just read this morning, um, when I was perusing, I think it was The Wall Street
4:54
Journal, that over six hundred thousand seniors have now signed up for GLP.
5:04
Um, now that Medicare is goi-- You know, has this special bridge program,
5:09
six hundred thou-- Almost a million people showed up at the front door.
5:15
So I would say yeah, um, I think it's a thing.
5:19
There's no question about it.
5:21
Now, when you wrote the book, you really started out really well, I thought
5:26
by looking at the whole issue of why would I go on this in the first place?
5:31
And weight stigma and, you know, you and I have been at this for a
5:36
while within the nutrition sector.
5:38
I'm a bit of a freak because I'm a physician who, you know, actually
5:42
has formal training in nutrition as a Pew scholar in nutrition.
5:47
But, I've always been so impressed with the extraordinarily challenging
5:53
journey of people who have excess, you know, fat onboard especially
5:59
within the d-, um, obese reign.
6:02
And, uh, boy, it's so nice to be able to have something, to be able to depend upon
6:09
rather than, you know, count the calories, you know, go get physically active
6:14
Heidi Skolnik, MS, CDN: So here's the thing.
6:15
I think the other thing that's really exciting about this medication,
6:19
although there is so much emphasis on the weight loss part, the truth is
6:23
these medications-- and when you say every day there's a n- there's more,
6:26
there's more medications but there's more information and there's more things
6:30
that this medication seems to support.
6:32
Like, we know that beyond…
6:34
Uh, first of all, it started with helping people with diabetes and high blood
6:37
sugar, which is why my husband got on it.
6:39
It wasn't 'cause of obesity, although he's very weight conscious and really
6:43
leaned into the weight loss part.
6:45
It really started because his blood sugar was, was rising.
6:48
and so it really began with blood sugar.
6:51
That's how these medications began.
6:52
And then the side effect was weight loss, and they realized it can help
6:55
with people who live with obesity.
6:57
And now we know it helps with, reduced risk of stroke, reduced risk of heart
7:01
disease, and secondary, occurrences with fatty liver disease, with kidney disease,
7:09
with osteoarthritis, with sleep apnea.
7:12
You know, looking at alcohol dependency and its role that it
7:14
may help with reducing addiction.
7:18
Um, you know, so we're gonna p- PMOS.
7:21
You know, we're going to learn more and more and more about maybe different other
7:24
systems in the body that will benefit.
7:27
So it's really tremendous.
7:29
I don't think there's been another medication in years and years
7:31
and years that have had such a great impact or potential impact
7:35
on people's, um, health and
7:38
Pam Peeke, MD: I, think we're just beginning now, I think you could
7:42
agree, to fully appreciate what these medications, you know, are capable
7:48
of doing but they're also capable of getting you in trouble too.
7:52
Um, and I've dealt with this on some other podcasts that we've, uh,
7:56
done in th-- uh, in the recent past.
7:59
Um, and t- the nutritional deficiency, you know, is a, is a big deal.
8:06
Um, and one of the things I've learned from, people I've worked
8:10
with is that what they do is they're thrilled that the food noise is down.
8:19
What is food noise?
8:20
We're just appreciating what that is.
8:23
It's the constant draw.
8:25
The…
8:25
It's like a chorus saying, "Come over here and eat all this," you know,
8:29
ultra processed food and whatever.
8:32
The food noise is down to a whisper from a scream and a yell
8:36
in your ear to an actual whisper.
8:40
And that is j- just such a relief to people and I'm, I'm loving the
8:45
fact that new research is coming out validating the actual presence of
8:50
food noise, that it, means something to, uh, these people's journey.
8:56
at the same time, you know what they do?
8:58
You know this better than anybody.
9:01
They just stop eating.
9:03
You know?
9:04
Suddenly it's like, "I'm so happy.
9:06
I only had one meal today."
9:08
Why are you happy?
9:09
What?
9:10
What?
9:10
One meal
9:12
Heidi Skolnik, MS, CDN: Well, I think that again, when we're going back to the idea
9:15
of, obesity and understanding now people-- That many people who live in larger
9:20
sized bodies, it's not like this is their first rodeo toward weight loss, right?
9:24
It's not like they haven't tried before to add…
9:26
To either, you know, to cut calories that could lead to really binge
9:32
eating and compulsive eating.
9:34
Like, there's so many other factors.
9:35
There's your environment, there's your genetics, there's your
9:40
stress in your life, economic access, food access, education.
9:45
There's so many different things that lead toward, obesity.
9:49
And so, you know, that gets back into that weight stigma and
9:52
the assumptions that we make.
9:54
And food noise for many people is just as you described.
9:58
First of all, there's lots of different ways…
10:00
Th- there are different types of hunger, but this food noise is independent of
10:04
hunger 'cause everybody has food noise.
10:06
Most people, when you get hungry, start thinking about food.
10:09
You're like, "Oh, wonder what I'm gonna eat.
10:10
Where am I gonna get food?"
10:11
You know, you start getting hungry.
10:12
And then when you eat, you're, you're not really thinking about food.
10:16
But when you have food noise, it is pervasive, it is intrusive,
10:19
and it is not connected to whether or not you've eaten or not.
10:25
And it-- that drive to eat is part of the benefit of this medication, is
10:30
it actually tempers that place in the brain that's telling that-- that's
10:36
that drive to eat, that food seeking, both your hunger and food seeking.
10:40
It's working on a few different mechanisms.
10:42
and I think if you're n- If you don't have food noise, it's hard to
10:45
understand how intrusive and tiring
10:48
Pam Peeke, MD: Absolutely.
10:50
Um, and this is especially true for people who have addictive eating.
10:54
I discovered that when I wrote my book The Hunger Fix um which-- You know,
10:59
this is the first time we used this Yale Addiction Scale and we were able
11:04
to customize this specifically for food.
11:07
And um, you know, what you're really talking about um, is the hypothalamus
11:14
of the brain, which is command central for uh hunger and basically this drive.
11:20
The other one quite frankly, and this is where the-- it crosses over with
11:25
addiction to your point 'cause you mentioned that was that uh, the nucleus
11:31
accumbens or the reward center is, apparently quite affected by the uh GLPs.
11:38
a lot of the researchers looking at GLPs as you discovered, basically
11:43
said oh by the way while they were on GLPS they stopped drinking alcohol
11:48
and they no longer had an issue.
11:50
And then it also occurred with smoking and then just plain food addiction per se.
11:57
So wow!
11:58
That's a
11:59
Heidi Skolnik, MS, CDN: It's a lot
11:59
And then to your point, what happens is that, you know, this is the first time in
12:04
many people's lives where they actually, not for a week, anybody for a week
12:08
can sort of cut their calories, right?
12:10
But it's usually after a week or two then our signals say, "Hey,
12:13
wait a minute," like, this is, I'm ramping it up, I wanna eat.
12:17
It's, it's a protective mechanism from a starvation mode, like it's
12:20
built in our DNA to drive us to eat.
12:23
And so I think that, yeah, many people just lean into, "I don't have to
12:27
eat and I'm losing weight, and wow."
12:30
And I, you know, and what I say in the book all the time
12:32
is weight loss is not a race.
12:35
Like, you don't have to do it quickly.
12:37
Just because you can now, don't lean into that.
12:40
It's very seductive.
12:42
But you need … It's also the first time for many where they can actually
12:46
separate, which I, I hope for everybody we do this, but you know, it's the first
12:50
time they can separate food from calories.
12:53
Like, you eat for nourishment, and you get to eat for nourishment now.
12:57
I want you to eat for nourishment.
12:59
In fact, I almost want you to eat more, which is a total twist on how
13:03
somebody who's been trying to lose weight, it's always about how little
13:07
can I eat and how do I cut calories, often to their detriment, right?
13:11
Right.
13:12
and so now too, it's like hold on, I, you're gonna get there, right?
13:17
You have this amazing tool now that's gonna allow you to continue on this
13:22
path that you're on
13:24
Pam Peeke, MD: reemphasizing again that this is a chronic condition.
13:29
It's a chronic condition.
13:31
So, you know, it's interesting-- Oh my gosh.
13:34
I was, uh, reading a fantastic blog, um, by our, uh, wonderful
13:40
colleague Ted Kyle, The Conscious-- The Food Consciousness, uh, Blog.
13:46
And what he really noted was, uh, a problem coming up now, and that
13:50
is people drop weight, right?
13:54
So now they're below the BMI that would normally qualify them for GLP.
14:01
But by being below the G- the BMI, which, you know, we have problems with
14:06
anyway but, now if they wanna continue on the meds, ironically, they don't
14:12
qualify because the insurance plans are looking at this as a almost like
14:19
you're gonna take 10 days worth of amoxicillin for a strep throat, okay?
14:25
And then after the 10 days, you're off.
14:28
You don't need amoxicillin anymore.
14:30
Whereas with the GLPs, you have to continue on these, you know,
14:36
uh, the grand majority of people.
14:38
It is oft times quite difficult, especially if you've, uh, shed a large
14:44
amount of weight, to, uh, do this without some help from the medication.
14:50
Yet now you don't qualify for it 'cause you were successful
14:55
Heidi Skolnik, MS, CDN: And not only that, not does the weight returns and so do some
14:57
of the conditions that they were helping
14:59
Pam Peeke, MD: Oh, of course it's a rebound
15:01
Heidi Skolnik, MS, CDN: And they return before the weight does.
15:03
Pam Peeke, MD: Exactly
15:04
Heidi Skolnik, MS, CDN: the other challenge with what you
15:06
pointed out in the beginning with everybody lining up for these, this
15:10
incentive to start on Medely trial.
15:12
'Cause if this is a trial and they stop providing benefit, you're gonna
15:16
have that same number of people who now cannot afford to continue it
15:20
Pam Peeke, MD: Well, I look at it like high blood
15:22
pressure,
15:22
Heidi Skolnik, MS, CDN: think that's, yeah.
15:23
Pam Peeke, MD: right?
15:24
I mean, th- that's a perfect metaphor, is because your blood pressure now is within
15:29
normal range, that's wonderful.
15:31
It means the medication is working.
15:35
You're also trying to do your best with lifestyle and all the rest of it.
15:39
We're assuming that, right?
15:40
But you don't stop hypertension medicines because the blood
15:46
pressure looks great right now.
15:47
It's crazy
15:48
Heidi Skolnik, MS, CDN: And I think, you know, back to that weight stigma,
15:51
It was interesting as I was interviewing people for this book because almost every
15:56
single person said how life transforming it was to be on this medication and
16:02
there were a few however who were…
16:06
Also felt stigma for being on the medi-…
16:08
They had-- There was stigma when they, when they were carrying
16:10
extra weight and there was stigma for being on the medication.
16:13
You're gonna take a medication?
16:15
That's cheating.
16:16
And to your point, it is just like would you be cheating if you were
16:20
taking a medication to help you with your blood pressure or for asthma?
16:23
You know, or any-- For any one of many different conditions, right?
16:28
And so it's, it's just so interesting sort of the judgment
16:32
around no matter what you do
16:35
Pam Peeke, MD: There's a blame game going on, and there's a lot
16:38
of misunderstanding about, uh, this condition that we call, you know, obesity.
16:45
Um,
16:46
Heidi Skolnik, MS, CDN: and also to your point that you still need…
16:49
Y- you don't take this medication however, and then you're set.
16:53
You take the medication and you still have to pay attention to staying nourished
16:57
like you … There's still work to be done
16:59
Pam Peeke, MD: and exercise
17:00
Heidi Skolnik, MS, CDN: if you…
17:01
Right, you still need…
17:02
And, and it's not just strength training.
17:03
There's so much attention to the muscle loss.
17:06
Fair enough.
17:07
But guess what?
17:08
The, the medication does not affect your muscle it is not
17:12
what's hurting your muscle.
17:13
It is the rapid weight loss that hurts your muscle.
17:16
The medica- Your muscle responds as it would respond on or off the medication.
17:20
And if you were able to achieve rapid weight loss or any weight loss
17:24
when you're o- when you're off the medication, you would lose some muscle.
17:28
You would lose lean tissue.
17:29
Some of that lean tissue is not muscle.
17:32
Some of it is some of your fatty liver, you know, some of the
17:35
fat in your liver getting less.
17:37
Some of it….
17:38
Right.
17:38
So, It was a bit overstated in the beginning 'cause they were
17:41
using DEXA versus other methods.
17:43
And so all the lean mass was being confused as if you were also,
17:46
you were losing all that muscle.
17:48
We would expect you to lose some muscle when you go from a larger person
17:52
carrying more weight to a smaller person.
17:54
It's the how much.
17:55
And if you do it slowly and you counter with strength training, it's okay to
18:00
lose some muscle proportion to your body
18:03
Pam Peeke, MD: But you're absolutely right.
18:05
The, the problem is, is that many people, just to your point, stopped eating.
18:12
You know, they just sort of like, "Hey, I'm having way too much fun eating one
18:15
tomato a day," and, and thinking that this was going to be an okay situation.
18:21
And, you know, w-- I think some of the studies basically showed that, uh…
18:26
All right.
18:26
We already know, you and I already know that if I had an extra 50 pounds
18:32
on board and I just did nothing more than, you know, really ramp up the
18:37
exercise and, and eat much more clean and get rid of the ultra processed
18:42
stuff and all the rest of it.
18:43
Okay, fine.
18:45
25% of that weight reduction should be, right, from your lean body mass.
18:53
Why?
18:53
Why is that?
18:54
Because you're not hoisting around an extra 50 pounds.
19:00
If, if you think that that's a lot of fun, try lifting 50 pounds of
19:05
anything, and then that's what you were doing, so you needed the extra
19:10
muscles to be able to do that with.
19:13
Now you don't need them because you just unloaded 50 pounds.
19:18
That's good.
19:19
But one of the things they found that complicated everything was that,
19:23
you know, people were not just doing 25% reduction in lean body mass.
19:29
They were doing upwards of 40%, and that had a lot to do with the fact that,
19:34
A, you know, they're not eating enough protein at all 'cause they're undereating
19:41
in general, and the calories are down.
19:45
So now they've got rapid weight reduction, and obviously the
19:49
muscles had to take a hit as well.
19:52
So this is why,
19:53
Heidi Skolnik, MS, CDN: So let's be real…
19:55
Right.
19:55
And so in the book I really give strategies.
19:58
It's not just information, it's strategies around how to eat when
20:01
you don't have a big appetite.
20:03
So now we're talking about how with less, you know, that real nutrient density.
20:07
So it's smaller amounts but a lot for what you're taking in.
20:11
You know, a l- a lot more nutrition for what you're taking in and how to
20:15
sequence your eating throughout the day.
20:18
So you might have lunch one, lunch two or different ideas around, you know, really
20:22
how to manage getting in what you need to get in and how to counter your thoughts.
20:28
Like right, like it seems okay, but it's not gonna work because guess what else?
20:34
What happens when you're eating so little as you know some of it, some fatigue
20:38
can come as your body's adjusting to this big metabolic shift and from e-…
20:42
But some fatigue is coming 'cause you're not eating enough, and now you try to
20:45
go work out and you don't have energy.
20:47
So every trainer I interviewed, every personal trainer said the biggest
20:52
obstacle which we think of as time and access and, you know, knowing
20:58
what to do, all that, that's not it.
20:59
It's that people are too tired to work out because they're not eating enough.
21:03
So learning how to eat before you go to work out so that you have
21:06
energy to get your workout in even.
21:09
You know, and, and the, good news is that because people are losing
21:15
weight They feel better moving.
21:18
They're more enti-…
21:19
Uh, again, almost to a person was more excited to try to move if they were
21:24
not somebody who was moving before.
21:26
They're, they're feeling more body confident.
21:29
They don't have the same aches and pains.
21:31
They're not carrying around the same weight.
21:33
They don't feel…
21:33
You know, we don't make, in the fitness world, it can be a very,
21:37
again, I think, elitist, right?
21:40
Like, the people don't feel welcome in gyms.
21:42
They don't necessarily fit on the equipment.
21:44
People are judging them or looking at them because they don't look like that
21:47
stereotype of who should be in a gym.
21:49
And why would you go work out if you don't feel welcome in that space?
21:52
So I think people are feeling more welcome and more ready, and that's great news.
21:57
More people will be participating in physical activity, but we have to
22:01
figure out how to help them ramp up.
22:03
We have to understand that th- their energy may not be even
22:06
at first as they're building.
22:08
And to your point about needing to exercise, we hear so much about muscle
22:12
and doing resistance training, which we're hearing anyhow because we know we … You
22:15
know, that was book number one, right?
22:17
That was li- Not book number one, but the la- you know, Whole Body Reset, which
22:20
you were so kind to be our moderator for when we did that at the 90s, uh, two NY.
22:26
But, you know, that idea of the muscle that we're losing as we age and we
22:29
need to counter that with, strength training in order to maintain our muscle.
22:33
You cannot eat your way to more mu-, To, to more muscle.
22:37
The, the protein you're doing, you're eating is helping to negate
22:42
how much muscle you will lose, the protein breakdown, right?
22:47
But you need strength training to build muscle.
22:50
The f- Eating more protein doesn't help you build muscle.
22:53
And I think people think, "Oh, if I eat more m- If I eat more
22:55
protein, I'll have more muscle."
22:57
You just won't be breaking down as much muscle 'Cause those
23:00
are two different systems.
23:02
And then , the medication doesn't give you better cardiovascular fitness.
23:07
Y- There's no way.
23:08
There's no medication you can take that will improve your heart and lung capacity.
23:13
You have to move to do that.
23:15
And so if you wanna be able to walk, you know, strength training will
23:19
help you walk up the stairs, but you still need that heart and lung to be
23:23
able to walk down the block, right?
23:25
Like, you still need to be doing cardio.
23:27
We've so much focus that we've gone sort of counter anti-cardio.
23:32
No.
23:33
It's like a balanced plate.
23:34
You still need a balanced fitness plan
23:37
Pam Peeke, MD: All right.
23:37
Now, when we come back, the first thing we're going to attack are the strategies.
23:43
And I've got a little challenge for you, Heidi
23:45
Heidi Skolnik, MS, CDN: Uh-oh.
23:46
Okay, I'm ready.
23:47
Bring it on
24:45
Pam Peeke, MD: And we're back.
24:47
Okay, now the first thing your little challenge is this.
24:51
Um, this has been written in the literature and I've actually heard
24:56
it from a number of people and that is once you're on the GLPs, you lose
25:03
your taste for certain foods and protein ironically, was one of them.
25:10
A lot of people just were not interested in tasting protein kind of lost their
25:17
reward for eating, you know, protein So if you offered them some real tasty
25:23
protein they're like eh whatever and so that doesn't help because we need
25:28
to eat protein so that's a challenge so let's start talking strategies What
25:34
would you do for someone like that?
25:36
Heidi Skolnik, MS, CDN: So first of all I think that's really all
25:38
over the place because again with everybody interviewed some people…
25:42
I'll go back to my husband who's the example here he's a sweet eater You know
25:46
He could eat pasta with french fries and like be happy and think that … Or he
25:51
loves Swedish Fish and he could prior to this go through a bag of Swedish
25:55
fish-- and I'm not revealing something he doesn't talk about It's very open
25:58
about his preferences and you know?
26:01
And now he still likes Swedish Fish That did not go away for him as it has for
26:06
others but it could take him a month to get through what he used to be able to
26:09
do in two days right So he just does not eat as much But his brain does actually
26:17
which isn't true for everyone Still light up for those or His taste preferences
26:22
are still there He doesn't want to eat vegetables Which he never wanted to eat
26:26
Other people have said their taste for sweets is gone They want more fruits and
26:33
vegetables Right they are more They Do Want Their natural desire is for a more
26:40
balanced plate Um and they're seeing that supermarket In studies that are looking
26:46
at how people are shifting their eating So I think it's really interesting that
26:50
it's still very different For different people Like one person in the book talked
26:55
about how she used to really love an uh More nutritious healthy eating Because
26:59
like that's big That means a lot of things to different people She would
27:03
eat Very balanced meals At night she would still wanna Eat no matter What
27:08
The ice cream Is calling her name Candy is Calling Her Name Whatever Now she
27:12
Can eat A meal Be Happy Really Loves Salmon Broccoli Sweet potato whatever
27:17
So happy With that And she stop at
27:20
that Whereas before couldn’t
27:21
Pam Peeke, MD: But you know one of the things though?
27:24
And, it speaks to what you just said.
27:27
What I've learned after reading study after study and also, you know, in
27:33
person experiences, is that there's a huge bell shaped curve for how the GLP-1
27:42
medication category affects people.
27:45
There's a huge bell shape curve.
27:48
So some people, you know, who, you know, their tastes are exactly the
27:52
same; nothing much changed, whoopee doo.
27:55
But, you know, they're more satisfied and uh, they have less
27:58
food noise, so they're happy.
28:00
Other people, 'I can't touch protein.
28:02
It tastes terrible.'
28:04
I don't understand this,' you know, whatever.
28:06
or they just change it up.
28:08
So it's carb, it's protein, it's fat.
28:11
Yeah, it's all kinds of
28:13
Heidi Skolnik, MS, CDN: yeah.
28:14
Pam Peeke, MD: responses
28:15
Heidi Skolnik, MS, CDN: And also by the way weight loss
28:16
isn't the same for everyone.
28:17
There are responders and there are nonresponders and
28:19
there's super responders.
28:20
So everyone thinks like they're gonna lose all this and they might not.
28:24
But back to your point about strategy; there's also I think it
28:27
sometimes depends on where you are and how long you've been taking it.
28:32
I think it matters when your dose is and when you're upping your dose.
28:35
Like y- you can expect more sort of those side effects and aversions
28:40
right around when you-- if you're injecting or when you're taking
28:43
that dose and when you go up.
28:45
And then you have to like sort of readjust.
28:47
So by the end of the week you might have a bit more appetite again than
28:52
you do in the beginning of the week.
28:54
So part of that changes - you might take it at night versus the morning.
28:57
So there are some tips and tricks about that that I talk about in the book.
29:01
And then also smell and like if you're nauseous like you don't
29:06
want foods that have an aroma.
29:07
You don't
29:07
Pam Peeke, MD: That's a really important point.
29:09
People get r- you know, GI symptoms, um, are the number one problem
29:16
with the GLPs, and that means everything from nausea, vomiting, you
29:21
Heidi Skolnik, MS, CDN: diarrhea.
29:22
Pam Peeke, MD: yeah, just,
29:23
Heidi Skolnik, MS, CDN: I have a whole chapter devoted to
29:26
how to eat for side effects.
29:28
and I think that sh- can be really helpful because understanding that
29:32
like again if you have an aversion but you're not having, you're not
29:36
having gastric upset, you might want something more flavorful for that
29:40
protein 'Cause that can maybe help…
29:43
It tastes good.
29:44
But when you have gastric upset and you don't want--
29:46
you want it very bland, right?
29:47
You're good with yogurt.
29:49
You're good with just like plain chicken, right?
29:52
Like there's just, you know, so you, you might be better with cold versus
29:56
hot because again, hot has more aroma.
29:59
So there are strategies you could do and then even things like ginger, right?
30:03
Having gi-…
30:04
Because that can calm your stomach.
30:05
So there are different strategies based on the symptoms that you may have and
30:10
then also fiber for constipation and understanding that 'cause you're, you
30:15
know, your, your gastric-- y- you are-- have slowed gastric emptying, slowed g-
30:20
gastric… That's part of why you feel full.
30:22
And so now high fat is not just like, "Oh, can't have fat 'cause it's calories."
30:27
It's not that.
30:28
But a l- that fat takes longer just to go through your system
30:31
too and it becomes uncomfortable.
30:32
You really can get sick if you eat a high-fat meal
30:36
Pam Peeke, MD: that's, called the gastroparesis that takes
30:39
place with this and that is it slows down the stomach emptying.
30:44
So, you know usually when you eat something your stomach kind of gets to
30:47
work and starts moving things into the small intestine and then eventually
30:52
to large intestine but um I have heard from a lot of people that uh one of
30:59
the reasons why they feel so, ugh, I guess the word satisfied satiated
31:04
whatever, ah, is that they literally can't eat anything more because they
31:08
feel stuffed They feel super full and its interesting someone I had spoken
31:15
with Ugh Had to do A colonoscopy prep
31:21
And had to take certain You know Things by mouth And It--They were on GLP 1 And it
31:28
Literally ruined The Colonoscopy Because stuff wouldn’t go down She actually
31:35
stopped medication In order To Actually Do the colonoscopy People underestimate power
31:43
Of some these symptoms When On an GLP 1
31:48
Heidi Skolnik, MS, CDN: And I think there's a learning curve and hopefully
31:50
again with my book, you know, with your GLP-1 Game Plan, you will
31:54
find some of these insights to help prevent you from having to learn
31:58
it by doing it, and you could learn it by reading it and avoiding it.
32:02
because I do think that a lot of people-- You know, we th- we know, so we think they
32:07
know, but they really don't know that a high fat meal could cause that and have--
32:11
And like, what's a high fat meal, right?
32:13
So I think that-- I, just think there are a lot of different strategies and specific
32:19
insights, and it may change again when you're starting or when you're having
32:24
some side effects versus when you're not
32:27
Pam Peeke, MD: Well, you know one of the-- One of the big challenges and the
32:31
reason why your book is so valuable, and I'm talking about Your GLP-1 Game
32:36
Plan which is just coming out now, is, is the following: So many people
32:42
out there are nutrition illiterate.
32:45
They, they know very little about what's going on here and oft times what
32:51
they think they know they got from Dr.
32:53
TikTok or Dr.
32:54
Google, and you know where that went.
32:57
So, um, I think that one of the things that people will get out of,
33:03
uh, reading Your GLP-1 Game Plan is nutrition just as a foundation so that
33:12
you know what you got yourself into.
33:14
And yeah, I'm, I'm a little frustrated by the fact that so many, uh, providers out
33:20
there are putting people on the GLP-1s with very little nutritional support.
33:27
You know?
33:27
It's like "Here's your prescription," you know, s- uh, "I'll
33:31
Heidi Skolnik, MS, CDN: and you know, the, the, subtitle I'm gonna put here, you
33:34
know, is What Your Doctor Didn't Tell You About How To Eat Move and Thrive right?
33:38
And I think that's the point is that people get very little.
33:41
Now I will say and I forget which example you gave earlier; it's another reason
33:46
why though it is helpful to be with under medical care with a doctor in person
33:52
versus many of these online where you, you can get it with really no guidance
33:57
or starting point or monitoring of your symptoms or monitoring of your body
34:01
composition because oh I know going off the insurance like doctors have become…
34:08
Look it was-- It's new.
34:09
It was-- It's not that it's a new medication but the popularity is new.
34:13
And doctors also learn how to navigate insurance and how to….
34:18
And they, you know, many of the, obesity care doctors that I have talked to
34:23
have learned how to as a person gets closer to their weight goal range and
34:29
I hate to say one -- it's not a number it's like within a range and right?
34:33
They lear- they learn how to help them figure out how to make that what their
34:40
prescription is last longer and begin to change wha- how often they get it,
34:45
how long they could go in between, you know w- while still maintaining
34:49
the benefit of the medication.
34:52
And so it's another reason why working with a medical care provider who knows
34:55
you and has been with you on the journey and can really help you hopefully navigate
35:02
when it gets to that point for you so that
35:05
Pam Peeke, MD: Yeah, I'm just really worried about the people
35:06
just flailing around out there without very much support.
35:11
Clearly your book will be a beautiful guide for people to kind of reset it
35:16
and, get anchored but um I think a lot of pe-- well here a lot of people
35:21
to your point are going to telehealth platforms and picking up sometimes not
35:28
such great stuff that's compounded.
35:30
You know There's a brand new uh GLP that you're well aware of That is Uh
35:36
Just finishing its final clinical trials
35:38
Heidi Skolnik, MS, CDN: out yet
35:39
Pam Peeke, MD: It's not out yet at all and Yet somehow it appeared In the black
35:47
market Out there in the compounding world it is Not The medication cannot Be
35:53
the Medication because that medication Is true Medication What you're
35:57
getting Something Somewhat like it
36:01
And what they're Finding When People Are taking Also Microdosing On their own
36:08
Meaning They'll Take A third Of Shot or However Playing Around With This Thing
36:16
finding weight reduction 10% One New GLP
36:28
Available Probably A year FDA Et cetera Literally Allows Shed Upwards 30%
36:43
Heidi Skolnik, MS, CDN: So again, for anybody who needs that, it is an
36:49
amazing, amazing, amazing medication.
36:54
Like other medications, there are people who use and there are people who
36:59
abuse, who use it for what it's needed for or they use it for other reasons.
37:04
Or, I mean, I just find it remarkable.
37:07
And I, look, I think the future in terms of microdosing is, is pretty
37:13
astounding to think of what the potential is, but we're not there.
37:16
I'm not a guinea pig and … Right?
37:18
And so I'm not gonna try it on my…
37:20
I, I get this question all the time, "What about with athletes?"
37:22
Because of the inflammation, the tempering of inflammation.
37:25
And I think we might get there eventually, but I don't use my
37:28
athletes as guinea pigs, right?
37:30
Like, we don't know.
37:32
We don't know the right dose.
37:33
We don't know the effect.
37:34
We don't know how it'll work.
37:37
Mm-hmm.
37:38
Pam Peeke, MD: Okay, now Heidi, Heidi, my team couldn't wait to a- they said,
37:44
"Please have Heidi address this issue."
37:47
What the hell is going on in Hollywood?
37:50
Heidi Skolnik, MS, CDN: Yeah.
37:51
So I think these are really, really, really important conversations to have.
37:56
This medication is fabulous again, for those who need it.
38:02
my whole career has been a non-diet approach to…
38:06
You know, I'm in sports nutrition, I don't even do weight loss, right?
38:09
Like, because of all of-- We are in this culture of, of weight obsessed
38:17
and skinny talk, so damaging.
38:21
I'm all for body diversity and body acceptance, and we don't have to get
38:27
into the whole differences between body positivity, body neutrality.
38:31
You know, they're all different, um, sort of variations on the theme
38:35
which by the way have nothing to do with what somebody looks like.
38:38
Because I have plenty of very fit athletes, trim athletes, w-,
38:43
you know, athletes that other…
38:44
Or dancers performing arts that other people would say, "Oh look
38:47
at their body," Which is part of the problem, 'Look at their body.'
38:50
But, right?
38:51
Um, who have body dissatisfaction and there are plenty of people
38:55
who live in larger sized bodies who are happy with their bodies
38:59
or satisfied or accept their body.
39:01
So it has nothing to do with what you look like.
39:04
Having said that, there are real aesthetic pressures for performing artists, you
39:10
know, th- act- actresses right there.
39:12
Uh, those are real and so it's a societal problem.
39:15
It's-- I don't blame an individual for feeling those pressures but the fact that
39:20
this exists and is, is now reinforcing a very diet centric, body centric,
39:30
thin centric culture is problematic.
39:33
When these telehealthors, these telehealthorts, these, this s-…
39:36
For some of these, as you were saying, what, what would be the right word
39:39
for the, like, on, you know, who are selling it, marketing it not a
39:44
doctor's office to teenagers t- for prom to lose 10 pounds before prom.
39:49
I want to-- They should be shut down.
39:51
Like, that is criminal to me.
39:53
And so our work is not done in terms of trying to help people
39:59
understand again the difference between your weight, your health.
40:06
Those are not equivalent normal weight obesity as you very well know.
40:11
Obesity is not about your size, it's about metabolic dysfunction.
40:14
You can be normal weight and still be obese and have metabolic dysfunction.
40:19
Someone can live in a larger body and be fit and have better health outcomes
40:24
than a thinner person who's not fit
40:28
Pam Peeke, MD: But the problem is you see people like Demi Moore
40:31
and others who are skeletal now, and, you know, that's sending the wrong message
40:37
entirely.
40:39
I'm also really fascinated.
40:41
I just got-- I have only one magazine, one, I'm down to one, that, um, I like to
40:48
be able to have in my hot little hands.
40:52
It's Vogue.
40:53
Um, I-- You know, for years and years, I mean decades, whatever,
40:56
um, since dinosaurs ruled the Earth, I have just loved to, you know,
41:00
kind of play with my, my Vogue.
41:03
And I noticed something going on over the course of the last six months-ish.
41:08
All right?
41:09
They are absolutely skeletal thin now.
41:13
Remember how they were going through a phase of, you know, more diversity
41:18
and, you know, they had some of these models who are, you know, quite lovely,
41:22
and they're more curvy and whatever.
41:24
Yeah, you can forget that noise.
41:25
Now you've got three feet between your upper thighs.
41:28
Heidi Skolnik, MS, CDN: and it's gonna affect-- I mean, the other thing is that
41:31
again, it affects … For the longest time it's like could you get clothes that
41:34
look good if you were in a larger size?
41:37
If you were right.
41:38
and we finally could because there was enough demand and they
41:42
recognized there's a market.
41:43
The same thing with even boots, like for calf sizes and just, you know, chairs,
41:49
like all of these different things.
41:51
And that's also, it's gonna affect the clothing industry.
41:54
It's, I mean, it's gonna affect so many industries.
41:57
Do you know even airplanes are saving gas because the num-, the, the weight of
42:03
planes or of passengers are going down?
42:06
So, I mean, it's the ripple kitchen.
42:08
But back here, but I know I'm getting off point.
42:09
Yes, I am with you.
42:11
Something that, something that could be positive can also be negative, and I think
42:16
that, you know, again, in the book, I try to talk about how to have conversation
42:21
if you're on it and you have kids who are watching you now eat less and get smaller,
42:26
and still share with them how you're working with your doctor toward health.
42:29
And sometimes medication can help becau- you know, and how to
42:32
have some of these conversations.
42:34
But my body is not your body, and what I'm doing for me is not what I, it, s-
42:39
you know, I want you to be on your path.
42:42
I think those message journeys are important.
42:44
But look, we weren't doing a good job before this.
42:47
I mean, we're make- maybe making some progress, but diet culture is out
42:52
there and raging and, and th- these medications are not helping that
42:57
Pam Peeke, MD: Yeah.
42:57
And I think that, you know, if you look at medical practice per se now,
43:02
for the longest time some of the biggest biases came from my brethren.
43:07
Um, you know, it did.
43:08
I mean, it's, it's just the way it was and, uh, sadly.
43:12
Uh, and that was, uh, nurses as well as physicians, as well as just, you
43:18
know, the allied health personnel.
43:20
It was kind of a…
43:21
You know, those were tough times, because there was so much misunderstanding
43:25
and myths, you know, floating around about what the condition was all about.
43:30
You know, "It's all your fault," and asthma's not your fault, and high blood
43:35
pressure, well sort it isn't your fault.
43:37
I mean, if you have a genetic predisposition, et cetera but, you
43:41
know, lifestyle definitely impacts.
43:44
But now we have a, a brand new world where, you know, it's very interesting.
43:49
You get to a point where you haven't seen someone for a little while, now you're at
43:52
an annual meeting and you're like, "Whoa!
43:54
What happened to you?"
43:55
And then it's just assumed that you, you know, you were on GLPs and everyone's
44:01
kinda quiet about it unless they open up
44:05
Heidi Skolnik, MS, CDN: the issue-- So, so the issue is again…
44:09
You know?
44:10
And this is in the wellness space and don't get me started on
44:14
current culture politics whatever.
44:16
This idea of is it individual responsibility?
44:19
Is it cultural responsibility?
44:20
You know, at ACSM we talk about like even again where do you live?
44:25
What does the city look like?
44:26
Do you have walking spaces?
44:27
Do you have safe spaces to go…
44:29
Like we can say oh everyone has a 20 same 24 hours in a day but
44:32
that's actually not true right?
44:35
We don't all if you're a single mother working two jobs you don't have the
44:41
same time the same discretionary time as someone else y'know If you don't..If
44:45
you're living in a city where it's not safe to go out in your neighborhood and
44:50
there's no walking space It doesn't….so
44:53
yes you could take the stairs maybe Y'know uh like in your apartment
44:56
building But the point is there are real There th- Yes there's some individual
45:03
responsibility Of course we make choices But our choices aren't quite
45:06
as clear As s- as tha-as making that statement Versus having a culture that
45:12
supports movement That supports access to food That supports connection And
45:17
all of those
45:17
other social
45:18
Pam Peeke, MD: you, also mentioned early on that there
45:21
are nutritional deficiencies.
45:23
Just rattle 'em
45:24
Heidi Skolnik, MS, CDN: Yeah.
45:24
Well iron's a big one 'cause you're…
45:26
You know, for probably a lot of different reasons.
45:28
One, you're eating less and then there's changes that happen in terms
45:30
of how we can absorb and use it.
45:32
Vitamin D which that's with or without these.
45:35
Um, I think that protein, ther- there might be times using a
45:40
protein powder can be helpful.
45:42
Um, fiber and then what?
45:44
Calcium.
45:45
Calcium's probably one that some people might not have
45:48
needed and probably do need.
45:49
It's very hard to reach your calcium needs on such a lower calorie intake
45:53
Pam Peeke, MD: And you need vitamin D to absorb
45:56
Heidi Skolnik, MS, CDN: calcium, right.
45:57
Pam Peeke, MD: go hand in
45:58
Heidi Skolnik, MS, CDN: Yep.
45:59
I would say those are the big ones.
46:01
and then we could get into…
46:03
So, so again, the difference is that that sort of-- That is preventing a deficiency.
46:07
Well iron you don't supplement unless you need it but you should be
46:09
getting blood work every six months to really check how you're doing.
46:13
And then things like creatine which we know can be really
46:16
helpful but can also be expensive.
46:19
It's not necessary.
46:20
It's not gonna prevent a deficiency like you need vitamin D or
46:23
you would need calcium, right?
46:25
It is something that can help promote muscle maybe brain health and all.
46:30
But if you can't afford it like you're going to be okay whereas
46:35
taking a multivitamin probably is a really good idea while you're on this
46:39
Pam Peeke, MD: Yeah.
46:39
And, um, I think that that might help as well.
46:42
And hydration
46:44
Heidi Skolnik, MS, CDN: Well, you know, it's not just great.
46:47
It's not just food.
46:48
Your thirst, your thirst sensation is also tempered, which also
46:52
as you get older could be.
46:53
So hydration's a big thing plus moving food through with the fiber and
46:58
you're upping your fiber if or making sure you're getting adequate fiber,
47:02
you definitely wanna be getting in.
47:03
And so that also becomes way more intentional, not relying on thirst,
47:07
which we may be used to doing, as opposed to really sort of drinking,
47:11
sipping throughout the day to make sure you're good 'Cause you don't,
47:14
you don't want to drink all the time, which can also n- mask hunger.
47:19
So y- so having small amounts throughout the day and at the end of the meal
47:23
is a really helpful way because we also absorb more liquid when we…
47:28
our stomachs are not empty, when they're partially full.
47:30
So really drinking toward the end of the meal so it doesn't interfere
47:33
with your hunger and then but still you can absorb maximally absorb what
47:38
you're drinking is a helpful way to
47:40
approach it
47:41
Pam Peeke, MD: protein shakes and things like that to help people?
47:45
Heidi Skolnik, MS, CDN: Sure.
47:45
I think anything, you know, to help you.
47:46
You just don't wanna rely on them instead of food.
47:48
You know, I was just, uh, looking at Starbucks 'cause they have this
47:52
new cold foamer, but it's 250…
47:55
It's 250 calories.
47:56
It's a hundred…
47:57
You know, for 250 calories, you could have s-…
47:58
30, you could have o-, 40 grams of, yogurt.
48:02
Like, you know, that's a, that's, that's not an in…
48:06
That's not a small amount of calories for what you're getting, right?
48:09
I mean, you could … So just be careful to rely on those because
48:14
we get a lot m- of other nutrients than protein when we're eating food.
48:18
There's lots of other nutrients in that food group.
48:21
So I, yes, I'm a food first approach, but it's not like it's food only, and
48:25
using some protein powder or using some, having a protein shake if that's
48:30
really convenient for you to get out the door or as an afternoon snack
48:33
or after your workout, totally fine.
48:36
But don't rely on it 'cause it's just the easiest thing to do,
48:40
and you want to chew your food.
48:42
You know, we want to keep our digestive enzymes going and,
48:46
and the whole process going.
48:47
So, I think using anything as part of your toolbox is great, but not only
48:54
Pam Peeke, MD: Now, I want you to tell everyone out there how they can
48:58
learn more about your wonderful work
49:01
Heidi Skolnik, MS, CDN: So the book is September 22nd is launch date, and it will
49:06
be found in anywhere that you buy books.
49:08
You can find it at your local bookstore.
49:10
Ask for it if it's not there.
49:11
It should be there.
49:12
And then the big sellers are having it, Amazon and, uh, Barnes & Noble.
49:17
And I'm big supporter of local bookstores too.
49:19
You can look for it on my website.
49:21
Um, Little Brown Spark is the, publisher, so on that website
49:26
Pam Peeke, MD: And your website is
49:28
Heidi Skolnik, MS, CDN: Heidi Skolnik.
49:29
Heidi Skolnik
49:30
Pam Peeke, MD: Okay.
49:31
And the Heidi Skolnik is, uh, H-E-I-D-I, and then Skolnik
49:37
is S as in Sam, K-O-L-N-I-K.
49:42
There's no C there.
49:43
So it's N-I-K.
49:44
S-K-O-L-N-I-K.
49:48
And
49:49
uh, you can go ahead and
49:51
Heidi Skolnik, MS, CDN: account is the same.
49:52
It's my name
49:54
Pam Peeke, MD: Exactly.
49:55
Fantastic.
49:56
I, just really think that, um, this book is extremely well needed.
50:01
I was getting, so frustrated with how many people were just stumbling around
50:05
in the dark, um, with really no guidance and no ability to be able to, uh, really
50:13
determine how their life's gonna look because this isn't a one shot thing.
50:18
Remember i-i- you said it yourself.
50:20
You know, we're done with the diet mentality.
50:23
We're not doing that anymore.
50:25
It's like, "Oh, right after I drop X pounds, I'll just
50:29
go back to what I was doing."
50:31
I don't think so.
50:32
That's not happening because that's what got you in trouble in the first place.
50:36
people need so much guidance from physical activity.
50:41
Always, always seek out a certified fitness professional.
50:46
Heidi and I are both with the American College of Sports
50:48
Medicine, so we … We're a little bit crazy about things like that.
50:53
Um, at the same time, the reason why Heidi's on this podcast is because
50:57
she's a fully credentialed nutrition expert, I think that's so important.
51:03
Do not believe all of these influencers and very questionable people on the
51:10
internet populating and telling you that everything will be just, you
51:14
know, whoopee doo within 72 hours.
51:17
It's not happening.
51:18
You've got to be able to integrate the GLP-1 medication into a holistic
51:25
healthier lifestyle strategy.
51:28
And this is something that Heidi really emphasizes in her book.
51:33
The new book is Your GLP-1 Game Plan, and it's, it's out ASAP, so by the
51:41
time this airs, it'll already be out.
51:44
And then you just hop right on top of that and grab it.
51:48
And if you know a friend who's on GLP who's getting lost, gift it
51:52
to them or certainly at least tell them about the book 'cause it's so
51:57
terribly important, right, Heidi?
51:59
Heidi Skolnik, MS, CDN: Thank…
52:00
I could absolutely agree with you.
52:03
Pam Peeke, MD: Okay . I mean, of course.
52:04
You know, what the heck?
52:06
It's your book and I'm so happy it came out.
52:08
I was jumping all over this thing just knowing that we have an
52:12
opportunity to be able to finally offer people a little bit of help here.
52:17
Heidi, I can't thank you enough for being on the HER Podcast and for writing
52:22
this book which is going to be such a incredible guide for people out there.
52:28
we want them to not just survive but to thrive,
52:33
Heidi Skolnik, MS, CDN: Yeah.
52:34
Yep.
52:34
That is the goal.
52:36
So thank you for educating.
52:38
You're such a pleasure to talk to.
52:40
You know so much and add to the conversation.
52:42
It's just not me trying to get those facts in.
52:44
You know of what you speak, and it's, uh, always a pleasure to, to
52:48
be in conversation with you and, uh,
52:52
Pam Peeke, MD: Well thank you Thank you for everything that You know you're doing
52:56
right now Oh and of course will have you back a million more times Um you are
53:02
after all dubbed a repeat offender So that's kind of where that goes So All
53:08
right Well I also want to give a big shout out to my sponsor and that is Skin Safe
53:14
And that's an app developed by the Mayo Clinic that takes the guesswork Out of
53:19
shopping for skin care and personal care products And uses decades Of clinical
53:25
research at the highest level To analyze ingredients and match products to their
53:31
unique skin profile So you always know exactly what's safe for you Whether you've
53:37
got sensitive skin allergies or just wanna be more intentional about what you put
53:41
on your body heck yeah SkinSafe makes it simple Just download the app for free and
53:47
use the link In the description in our wonderful ad To get 20% off as SkinSafe
53:55
premium membership And now please take a moment and leave us a review because we
54:01
sit around love to hear from you And this has been such a fantastic episode This
54:08
has also been a production of Podcast Health And you know it's interesting I
54:14
love to end The podcast oftentimes with A little inspirational something Something
54:21
and One of my most favorite poets of all time Wendell Berry just passed away And
54:28
he was uh world-renowned and he wrote something called-- and it's literally
54:34
a classic and I'm gonna read it It's called "The Peace of Wild Things" When
54:39
despair for the world grows in me and I wake in the night At the least sound in
54:45
fear of what my life and my children's lives may be "I go and I lie down where
54:53
the wood drake rests in his beauty on the water and the great heron feeds.
55:00
I come into the peace of wild things who do not tax their
55:04
lives with forethought of grief.
55:07
I come into the presence of still water, and I feel above me the day blind stars
55:14
waiting with their light For a time I rest in the grace of the world and am free."
55:24
I just love that.
55:26
Yeah, I've got that plastered all over the place 'cause it's like, oh, we
55:31
need to read that every now and then.
55:33
He was such a brilliant, brilliant poet Ah!
55:38
All right everyone out there What can I say?
55:41
You know Your time in this world may be limited But the things you can do with
55:45
it are not So Come on now Carpe diem Seize the Day And thanks for listening