Latest / Fork U with Dr. Terry Simpson / How Ozempic Works and Why Diets Still Matter
Transcript
- 0:04>> Dr. Terry Simpson: Chances are you know someone who has been on
- 0:07Ozempic.
- 0:08>> Dr. Terry Simpson: Maybe you've heard someone whisper at brunch.
- 0:10>> Dr. Terry Simpson: That they're on the shot.
- 0:11>> Dr. Terry Simpson: Or maybe you've seen some of the headlines about some of the miracles that.
- 0:14>> Dr. Terry Simpson: The GLP1s like Ozempic and Zeppbound can
- 0:17do.
- 0:18>> Dr. Terry Simpson: Today we're going to talk about those.
- 0:19>> Dr. Terry Simpson: GLP1 Ozempic, also known as
- 0:22WeGovy, Zeppbound.
- 0:23>> Dr. Terry Simpson: Also known as Terzepzide or Manjaro. These are
- 0:26not diet pills. These are precision
- 0:29metabolic therapies.
- 0:30>> Dr. Terry Simpson: And no, the real magic is not in your
- 0:33gut. The real magic is in your
- 0:36brain.
- 0:39>> Dr. Terry Simpson: I'm your Chief Medical Explanationist, Dr. Terri.
- 0:42>> Dr. Terry Simpson: Simpson, and this is Fork U Fork
- 0:45University, where we make sense of the madness,
- 0:47bust a few myths, and teach you a little bit about food
- 0:51and medicine.
- 0:55>> Dr. Terry Simpson: Here's how the GLP1s work.
- 0:57>> Dr. Terry Simpson: Work in your brain.
- 0:58>> Dr. Terry Simpson: Now, if you remember neuroanatomy, you are.
- 1:01>> Dr. Terry Simpson: Going to love the next three sentences.
- 1:04If not, just hang in there. You'll learn some
- 1:07fancy words and it's okay to use them.
- 1:10GLP ones work in something called the
- 1:12hypothalamus, where they activate satiety
- 1:15neurons and suppress hunger. Got that so
- 1:18far. Right. In the mesolimbic
- 1:20reward system, the ventral.
- 1:23>> Dr. Terry Simpson: Tigeminal area and the nucleus accumbens, they.
- 1:26>> Dr. Terry Simpson: Reduce dopamine release, blunting food's
- 1:29reward effect. They also modulate
- 1:31serotonin, impacting mood, reducing.
- 1:34>> Dr. Terry Simpson: Emotional eating, and improving satiety.
- 1:37>> Dr. Terry Simpson: Okay, you got through it.
- 1:39>> Dr. Terry Simpson: Here's the bottom.
- 1:41>> Dr. Terry Simpson: Food noise is gone.
- 1:44When you hear people saying that, they're not just
- 1:47manifesting, they are describing, uh, a
- 1:50complex neurochemistry that
- 1:53we have never heard before,
- 1:56people talking about food noise being gone.
- 1:59>> Dr. Terry Simpson: We've also seen it in patients who've taken these drugs, and
- 2:02they've noticed that.
- 2:02>> Dr. Terry Simpson: They have a decreased interest in alcohol
- 2:05or tobacco. There are more things that
- 2:08GLP1s do, and we're going to talk about some of those a little
- 2:11bit.
- 2:12>> Dr. Terry Simpson: But these drugs literally
- 2:14rewire the drive to eat.
- 2:17It's not just a sensation of fullness.
- 2:20What makes them transformative is in the brain.
- 2:24It's not the nausea, it's not the gastric slowing.
- 2:27>> Dr. Terry Simpson: Those help, but that's not the primary
- 2:30mechanism.
- 2:31>> Dr. Terry Simpson: And now I want to address the.
- 2:32>> Dr. Terry Simpson: Influencer lie or quack lie of the Week.
- 2:36>> Dr. Terry Simpson: You've seen them. Natural GLP1 Boosters
- 2:39or Buy youy Natural GLP1. The
- 2:41reason these quacks have that form is because the
- 2:44pharmaceutical companies are still.
- 2:46>> Dr. Terry Simpson: Charging too much for the GLP1s.
- 2:49>> Dr. Terry Simpson: But yes, let's start with the obvious. Your body
- 2:52produces GLP1. It produces it in the
- 2:54distal part of the small bowel. And fiber
- 2:57rich foods which change your microbiome
- 3:00enhance the production of your own natural
- 3:03GLP1. And we also
- 3:05discovered that some ultra processed junk
- 3:08foods not only blunt production of
- 3:11GLP1, but they actually
- 3:13destroy the cells.
- 3:15>> Dr. Terry Simpson: Well, the food doesn't.
- 3:17>> Dr. Terry Simpson: The food causes you to have an increase in a certain
- 3:20bacteria which actually.
- 3:21>> Dr. Terry Simpson: Destroy cells that make your own
- 3:24GLP1. What about your
- 3:26GLP1?
- 3:27>> Dr. Terry Simpson: It is metabolized in minutes.
- 3:29>> Dr. Terry Simpson: It's cleared by an enzyme called DPP4.
- 3:32>> Dr. Terry Simpson: Long before it ever reaches your brain.
- 3:35Semaglutide, on the other hand, is synthetic.
- 3:38It stays active in your body for days.
- 3:41It's engineered so it can cross the blood brain
- 3:44barrier, bind to the receptors.
- 3:45>> Dr. Terry Simpson: And the reward centers, and actually help.
- 3:47>> Dr. Terry Simpson: You change your behavior.
- 3:51>> Dr. Terry Simpson: Think about this. If you are trying
- 3:54to dig a trench and you have
- 3:56a little tiny shovel like one of those you use.
- 3:59>> Dr. Terry Simpson: In the garden, it's going to take you forever. You're going to get discouraged and
- 4:02you're.
- 4:02>> Dr. Terry Simpson: Going to give up.
- 4:03>> Dr. Terry Simpson: Get a backhoe. You can do it quickly.
- 4:06>> Dr. Terry Simpson: GLP1s are like the backhoe.
- 4:09>> Dr. Terry Simpson: What about sea moss and berberine and all these other
- 4:12fiber things?
- 4:13>> Dr. Terry Simpson: They don't do that.
- 4:16>> Dr. Terry Simpson: If they did, if they could last long in
- 4:19your body, they'd be prescription drugs.
- 4:22>> Dr. Terry Simpson: But instead they're Instagram ads.
- 4:25>> Dr. Terry Simpson: Let's talk about some myths and lies and TikTok
- 4:28tragedies.
- 4:29>> Dr. Terry Simpson: Myth one, it's a cheat code.
- 4:32>> Dr. Terry Simpson: Nope.
- 4:33>> Dr. Terry Simpson: This does not erase responsibility.
- 4:36It makes responsible choices
- 4:38finally possible. Myth
- 4:41two, you're gonna lose your muscle mass.
- 4:44>> Dr. Terry Simpson: Well, if your diet is err and.
- 4:46>> Dr. Terry Simpson: Regret, yeah, it will.
- 4:47>> Dr. Terry Simpson: But if you eat a reasonable amount of protein, do some lifting,
- 4:50or do.
- 4:51>> Dr. Terry Simpson: Some resistance training, you're gonna be fine.
- 4:54>> Dr. Terry Simpson: M Myth three, you're gonna regain it.
- 4:56>> Dr. Terry Simpson: All when you stop.
- 4:58>> Dr. Terry Simpson: You know, if you treat this like a crash diet.
- 5:00Absolutely. If you use it to help
- 5:02reset behavior and adjust your lifestyle.
- 5:06Not necessarily. But uh, remember,
- 5:10GLP1s are a treatment for
- 5:12obesity. And just like a treatment for blood pressure
- 5:15medicine, when your blood pressure gets under control, you don't
- 5:18stop your blood pressure medicine. When your lipids get under control,
- 5:21you don't stop your cholesterol medicine. When your
- 5:24obesity gets under control, you.
- 5:26>> Dr. Terry Simpson: Don'T stop your GLP1.
- 5:28>> Dr. Terry Simpson: Myth four, it causes cancer. Well,
- 5:31if you're a rodent and take.
- 5:33>> Dr. Terry Simpson: Megadoses of it, you're going to have some thyroid issues,
- 5:36but not in humans.
- 5:38>> Dr. Terry Simpson: That's not your worry unless you have a rare genetic
- 5:41ailment called Men2 syndrome, which
- 5:44if you're an adult, you know you have it by now and you probably should
- 5:47not be on a GLP1 unless you're very well
- 5:50supervised, or if.
- 5:51>> Dr. Terry Simpson: You'Ve ever had a type of thyroid.
- 5:53>> Dr. Terry Simpson: Cancer called medullary thyroid cancer.
- 5:56>> Dr. Terry Simpson: Myth 5 It's totally safe.
- 5:59>> Dr. Terry Simpson: Nothing is totally safe.
- 6:02Some suggestions have even suggested a possible link to
- 6:05a wet macular degeneration and a form of blindness
- 6:08after long term use, especially in diabetics and
- 6:11older adults. So if you are diabetic or you are
- 6:14an older adult, get your eyes checked.
- 6:16>> Dr. Terry Simpson: If you're on these medications now, that's not
- 6:19fear, that's follow up.
- 6:22Now let's talk about some benefits that.
- 6:24>> Dr. Terry Simpson: Are more than just a smaller pant size.
- 6:27The select trial showed that there are fewer heart attacks
- 6:30and fewer strokes. Other studies have shown
- 6:33that blood sugar is under better control. There's less
- 6:36liver fat, there is reduced
- 6:38inflammation. Other studies have shown that it is
- 6:41an effective treatment for obstructive sleep apnea.
- 6:44Other studies have shown that it improves kidney function.
- 6:47Others have suggested a lower dementia risk,
- 6:49especially when combined with statins.
- 6:53>> Dr. Terry Simpson: Now, do you want to supercharge your GLP1
- 6:56experience, go Mediterranean?
- 6:59>> Dr. Terry Simpson: No, I don't mean go to the.
- 7:00>> Dr. Terry Simpson: Mediterranean, although I think that's a perfectly good
- 7:03idea.
- 7:03>> Dr. Terry Simpson: But studies show that people on GLP1s who
- 7:06follow a Mediterranean style diet lose
- 7:09more weight than those who just inject in coastal. The
- 7:12original studies done on GLP1s done on these patients,
- 7:15they all were given a Mediterranean style diet to follow,
- 7:18and.
- 7:18>> Dr. Terry Simpson: Some were given placebo and some were given GLP1s.
- 7:21>> Dr. Terry Simpson: Those who followed that do better. When we study
- 7:24people who are not.
- 7:25>> Dr. Terry Simpson: Following any sort of a diet, we find
- 7:28they just don't do as well.
- 7:30>> Dr. Terry Simpson: As those on the original study. So we're talking more
- 7:32vegetables, more legumes, more nuts.
- 7:35We're talking olive oil instead of butter. We're talking
- 7:38fatty fish instead of processed meat.
- 7:41So why does the Mediterranean diet work to support this?
- 7:44>> Dr. Terry Simpson: Well, number one, Mediterranean diet, as you.
- 7:46>> Dr. Terry Simpson: Know, has a decreased risk of all of those diseases. We're worried
- 7:49about obesity, diabetes, cardiovascular disease,
- 7:52strokes, cancers and dementia. And
- 7:55number two, because Mediterranean diet is rich in
- 7:57fibrous food, it helps support.
- 8:00>> Dr. Terry Simpson: Your gut, your gut, hormones, and even.
- 8:02>> Dr. Terry Simpson: Your body's own natural GLP one response.
- 8:06Now, the Mediterranean diet has the advantage of it's not just
- 8:08food in the.
- 8:09>> Dr. Terry Simpson: Mediterranean, it's food you can get anywhere.
- 8:12>> Dr. Terry Simpson: The Mediterranean diet is not about restriction. And
- 8:15this is about synergy.
- 8:18>> Dr. Terry Simpson: You know, the real problem is stigma.
- 8:21>> Dr. Terry Simpson: It's not fat. Obesity is
- 8:24not a character flaw.
- 8:26>> Dr. Terry Simpson: It is a chronic disease.
- 8:28>> Dr. Terry Simpson: The American Medical association declared it a chronic
- 8:31disease in 2013. And the science has
- 8:34been clear about this for years.
- 8:36>> Dr. Terry Simpson: It involves genetics, hormones, gut
- 8:39microbiota, brain.
- 8:41>> Dr. Terry Simpson: Signaling, and the environment.
- 8:42>> Dr. Terry Simpson: It's not just about your fork and your discipline.
- 8:46>> Dr. Terry Simpson: Yet we still get insurance denials.
- 8:48Predominantly we get insurance denials because
- 8:51the medicines are too expensive. In the United States,
- 8:54we have doctors who shame patients instead of
- 8:57treating patients. We have celebrities who
- 9:00lie about their use. And, uh, we have
- 9:02biohacking bros who have no medical license peddling
- 9:05shortcuts that don't work. Obesity
- 9:08treatment needs medicine or surgery. Not
- 9:11moralizing, not magnesium and not
- 9:13misinformation. GLP1s aren't
- 9:16a miracle, but they are the start of a metabolic revolution.
- 9:19They work by quieting the noise in your brain, not
- 9:22just your belly. And when paired with a Mediterranean
- 9:25diet, real medical supervision and a little science.
- 9:27>> Dr. Terry Simpson: Backed support, you've got something powerful.
- 9:35Please check the blog associated with this
- 9:37episode@yourdoctorsorders.com and4q.com
- 9:41this episode was researched and.
- 9:42>> Dr. Terry Simpson: Written by me, Dr. Terri Simpson. And while I am a board certified.
- 9:45>> Dr. Terry Simpson: Physician, I am not your physician. If you're on a
- 9:48GLP1 journey, check.
- 9:49>> Dr. Terry Simpson: Often with your doctor before making any changes. And with the
- 9:52registered dietitian associated with your program.
- 9:55Please don't check with a chiropractor, Eastern.
- 9:57>> Dr. Terry Simpson: Trained shaman who can't even prescribe these medications.
- 10:00Check in often with your physician, get monitored,
- 10:03stay engaged. Support groups
- 10:06help people lose weight and keep on
- 10:09track.
- 10:10>> Dr. Terry Simpson: All things distribution and audio were handled by my friends at
- 10:13Simpler Media.
- 10:14>> Dr. Terry Simpson: And the pod got himself my good buddy, Mr.
- 10:17Evotera. Have a good week everybody.
- 10:25>> Dr. Terry Simpson: Hey Evo, I think these drugs are.
- 10:27>> Dr. Terry Simpson: Going to be the source of the next Nobel Prize.
- 10:30>> Dr. Terry Simpson: They are absolutely amazing and revolutionary in what they can do
- 10:33for people. Amazing.
- 10:35>> Dr. Terry Simpson: Have a good week, buddy.
- 10:38>> Speaker C: Wait, I thought the next peace prize was going to the felon
- 10:41in chief anyhow. Uh, you my friend,
- 10:44should win a comedy award for that line if your
- 10:47diet is air. And regret
- 10:51I lulled.