May 14, 2025 • 42 mins
Have you lost a significant amount of weight and now feel stuck with the extra skin?
You’re not alone—and today’s episode of Plastic Surgery Uncensored dives into that very struggle.
With weight loss medications like Ozempic and Mounjaro gaining popularity, more people are achieving major weight loss—but many are left with loose, hanging skin that can’t be fixed with diet or exercise alone. Dr. Rady Rahban is joined by his inspiring patient, Katie, who lost over half her body weight and underwent a circumferential body lift to reclaim her body and confidence.
Katie opens up about her emotional weight loss journey, the reality behind obesity stigma, and why she finally turned to medication after years of yo-yo dieting. Dr. Rahban explains what a body lift entails, the recovery process, and how this surgery can be a life-changing step in a massive weight loss journey—both physically and mentally.
Whether you’ve battled with weight or know someone who has, this episode is a must-listen.
Now streaming on your favorite podcast platforms.
Instagram: @DrRadyRahban
Facebook: @RadyRahbanMD
Website: radyrahban.com
You’re not alone—and today’s episode of Plastic Surgery Uncensored dives into that very struggle.
With weight loss medications like Ozempic and Mounjaro gaining popularity, more people are achieving major weight loss—but many are left with loose, hanging skin that can’t be fixed with diet or exercise alone. Dr. Rady Rahban is joined by his inspiring patient, Katie, who lost over half her body weight and underwent a circumferential body lift to reclaim her body and confidence.
Katie opens up about her emotional weight loss journey, the reality behind obesity stigma, and why she finally turned to medication after years of yo-yo dieting. Dr. Rahban explains what a body lift entails, the recovery process, and how this surgery can be a life-changing step in a massive weight loss journey—both physically and mentally.
Whether you’ve battled with weight or know someone who has, this episode is a must-listen.
Now streaming on your favorite podcast platforms.
Instagram: @DrRadyRahban
Facebook: @RadyRahbanMD
Website: radyrahban.com
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:06):
Welcome to another episode of Plastic Surgery and Centered. I'm
your host, Doctor Roddey Raban, and we have a fantastic
episode ahead of us. Today we are going to be
chatting about massive weight loss, circumferential body lift. We're gonna
be talking about the drugs like Munjaro, Zembei Wagovi, which
(00:26):
are the hottest craze, and all that's going to be
through the beautiful Katie who has honored us and with
her presence. Katie is a patient of mine and we're
so grateful and always any patient who comes on our show,
I always use the word courage because nobody wants to
come on a show of any sort and discuss their
personal life. But we're grateful because I think the patients
(00:49):
who come on our show appreciate the value that it
brings to the patients or the individuals who are in
that journey behind them, because about a year ago you
were there and someone like yourself may have made a
difference in your life and it's wonderful that you paying
it forward. So welcome to the show.
Speaker 2 (01:07):
Thanks for having me. Happy to be here.
Speaker 1 (01:10):
So we're going to chat about the eight ez e
to obesity and we're going to end. The finish line
is in this beautiful woman that you are and this
gorgeous outfit that you have on and the happiness that
you have. But it didn't always start out that way.
And so let's back up here and start with some
of the basics. So you're forty, right, you have two
(01:31):
beautiful children, right, And you were telling me that you
have always struggled with weight loss, which actually happens to
the case with most people. So there are two types
of individuals who deal with weight loss or obesity for
that matter, those who are truly obese and those that
struggle with some weight here and there. The reason why
I think it's important to categorize them is just like
(01:53):
someone's predisposed to diabetes, someone's predisposed to Alzheimer's. I had
glasses at the age of sixteen. There are things that
we are predisposed genetically to. And I think as we
are advancing in the sciences of obesity, we realize that
certain individuals have a predisposition a biology. They have a
(02:13):
greater time and a more difficult challenge of losing weight,
and you know, societal wise, we kind of just say
they're lazy. Stop eating, What do you mean? And we
both know, and you'll explain to us that obviously it's
not that simple. And there are individuals who are overweight
because they eat shitty and they don't exercise and whatnot.
But then again, there are individuals who are overweight. They
(02:36):
eat twelve hundred calories a day, they work out seven
days a week, and because of their metabolism, because of
their genetics, because of the weight fat is distributed through
their body, they are resistant and recalcitrant and stuck. And
so let's start with your weight loss challenges. When did
(02:58):
you you were talking, you've been having issues since you
were young adults, So when did you start to become obese?
At what point in your life?
Speaker 2 (03:06):
Maybe you around eight? I mean I think it's since childhood.
Speaker 3 (03:08):
I was always overweight, so it was just kind of
a lifelong thing, and I would try to his way
and like yo yo diet and be successful sometimes and
not others loose significant amounts of weight but always gain
it back.
Speaker 1 (03:21):
Were your parents overweight?
Speaker 2 (03:23):
They were?
Speaker 1 (03:23):
Right? So when I have interviewed I had a three
sisters on my show Beautiful, I listened to that, right,
And it's very common theme. Yes, not uncommon, and I'm
actually very common that obese children have obese parents. And
we can get into that in another day. So here
(03:44):
you are. I can only imagine eight year old as
it is. The perfect eight year old is insecure and
being bullied and all that horrible stuff. And here you are,
eight years old struggling with weight, and that carries on
with you obviously to your young adulthood, into college and
so on and so forth. And so here you are.
And you told me, what was the max weight you
ever got in your entire life.
Speaker 2 (04:04):
After I had my second child, I was at three
hundred pounds.
Speaker 1 (04:07):
Okay, so no question that childbirth just in general, the
average person makes you gain weight, and many people with
each incrementally pregnancy gain and then don't lose a certain
amount of weight. So it's very common. I see hundreds
of women a month. I weighed one twenty when I
was in college. I had my first child, I got
(04:27):
to one thirty five point for I had my second child.
I'm on one sixty five, one seventy. I just can't
lose it. So it's very common. Let alone, if you
have a predisposition towards obesis, sure, so here you hit
three hundred pounds, which is unfathomable to me because I'm
looking at you in the way you look now, and
you just showed me a photo of yours, which with
your permission we may take a look at that is unrecognizable.
(04:50):
And here you are at three hundred pounds. So you
have this beautiful child, you're married, Yes I am, And
what happens? What's that moment? Because at the end of
the day, you're not one hundred and three hundred pounds now,
So there was a moment that you turned when another direction?
What do you remember what that moment was? Was there
an event?
Speaker 3 (05:09):
It's hard to kind of pinpoint a moment because it
is kind of like a lifelong thing of trying to
lose weight and trying to be fit and trying to
be healthy. And I think it was always really hard
because I didn't actually ever feel like I ate more
than my friends or other members of my family. So
it was always interesting that I was much more overweight
when I didn't feel like my lifestyle was much different.
Speaker 1 (05:32):
And what did you what were you doing? So let's
start with that. Because I think people have a meat
I think people have a predisposition, an inaccurate one to
label all people that are overweight as eating Kentucky fried
chicken and having soda pop. Right, that's sort of this
vision that you have at AAC right that, oh, but
here you are not the case. You were eating. Well,
so tell me what you were doing when you were struggling, Like,
(05:54):
what were you managing on the diet and exercise front.
Speaker 2 (05:57):
I think I was just being normal.
Speaker 3 (06:00):
I think I was just cooking and eating out. And
you know, I am a food I love food, my
growing up, my whole family. I think all so many
of our memories surround the dinner table, and so it
was kind of like a culture of food. But I
think maybe maybe perhaps that, but I.
Speaker 1 (06:15):
Didn't feel like, were you eating a ton of them? No,
were you eating like everything.
Speaker 2 (06:20):
I wasn't going fast food, rudd and buried in butter.
Speaker 1 (06:23):
Okay, So then you were eating like everybody else, except
you know, you're eating your fifteen hundred calories and you're
keeping fourteen hundred of them, whereas, for whatever reasons, you know,
somebody else is eating fifteen hundred calories and they're burning
eight hundred of them. So the so you told me
that the first wave from three hundred two.
Speaker 2 (06:41):
What do you wait today?
Speaker 1 (06:43):
So here you are half the woman you used to be.
And what started that journey? The second this final time
because you said you've done it multiple times, this last
journey and the final journey, let's call it. You got
down almost eighty pounds from the true diet and extra
size standpoint right, So that I imagine means you ratcheted
(07:04):
up your exercises.
Speaker 3 (07:05):
I was just really careful with my diet and trying
to eat whole foods, healthy, prioritize protein, you know, and
just trying to do everything we all know to do.
And I hired a personal trainer, I bought a peloton.
I did everything that I could and was really strict,
and I got down to I forget what it was,
but about I lost about eighty pounds doing it that way,
(07:27):
and then just plateaued for a really long time, like
the scale didn't move for over six months. And at
that point I went to my doctor and I just said,
I don't know what else I can do, Like is
this just where I'm at?
Speaker 2 (07:37):
Is this just it? And no more can happen?
Speaker 3 (07:40):
And he said, you know, let's try this new class
of weight loss drugs as a way to manage and
help you lose weight.
Speaker 1 (07:46):
And so I did, Okay, awesome. So that's you know,
people come to me all the time they want to
have surgery, and my goal is for them to look amazing.
In order for them to look amazing, they have to
be great candidates, not good candidates. For you to be
a great candidate, not a good candidate, you need to
have be sufficiently deflated, lost enough weight so that when
(08:08):
we do the surgery, holy crap, you look great. And
so often I'm telling patients I don't care how you
lose the weight. I need you to lose the weight.
And so what we're going to talk about is this
whole new world that's like the craze right now. Which
is this world or new class of drugs. I mistakenly
call them all semi glue type, you corrected me, which
(08:28):
I appreciate because it's new, and I'm learning that I
don't prescribe them, so mean, I'm not at your land,
is not your You're pretty savvy. Yeah, but we call
them these new weight loss drugs. I know them by
their names. We have ozembic, we have Wagovi, we have Manjaro,
and I assure you in the next year will have
five hundred new ones. You took Manjaro, right, and tell
(08:51):
me what happened? Okay, So here you are, you're doing
diet and exercise. I mean, you're vigorous, you're trying your
very best. You lost a ton of weight, awesome, and
it's just not moving. So do you a just live
like this or do you reach out and take advantage
of new drugs? So I think that I personally am
a huge advocate, especially if you are a two twenty.
How tall are you?
Speaker 2 (09:10):
Five eight?
Speaker 1 (09:11):
So you're tall woman, but at two twenty, you're still overweight.
I'm all for it, right, I'm all for it. I'm
all for it because that's what it's intended for. Because
while we don't know the aftermath of these drugs yet, right,
we just don't know, just like we didn't know that
penicillin would be good but radiation would be bad. Like
we just don't know. But there's so many people taking
(09:32):
advantage of it. And when you are overweight and not
just trying to lose fifteen pounds, the benefits the upside
of decreased blood pressure, increased decreased sugar. So there's one
hundred things that improve when you lose weight is so
much greater than the small potential that may or may
not exist with this. So go ahead and tell me
you took the drug.
Speaker 2 (09:52):
I did.
Speaker 3 (09:52):
And I think one thing that's important to mention is
before I took the drug, you know, when I tried
to diet, it was really hard, I think a lot
harder than maybe for some people, because I would get
massive headaches, almost like I was dying of starvation headache,
like really bad headaches whenever I tried to reduce my
caloric intake or trying anything like intermittent fasting or anything.
(10:16):
And so it was just really hard for me mentally
and physically. When I tried to do that. I started
taking Monjarro, which at the time I took off label
as it was f TO approof for type two diabetes
at the time. Recently it's now an FDA approved for
weight loss under a new name called zet bound, which
is the same thing as manjarro, but one is for
type two diabetes now and one is for weight management,
(10:37):
similar to withgov and azempic. They're actually the same thing,
but a zempic is for type two and withgovy this
is this is what I.
Speaker 1 (10:43):
Love about This is what I love about the show,
and I love about my patient population. Very bright people
see here, I am. I'm in this miliu right now,
and haven't I don't know enough about it, and it's
great to be educated about that, because that is that's
very important to understand the nuance of these medications. Okay, gotcha.
Speaker 3 (10:58):
So I started taking it and it was almost like
a just like a flip switched, and I no longer
had that raging hunger and I no longer had what
a lot of people call food noise. And I don't
think if you struggle with obesity, you probably don't know
what that is. But food noise is just kind of
like this obsessive, intrusive thoughts about food all the time.
(11:19):
Or you're at breakfast but you're thinking, what am I
going to have for lunch? What are we going to
have for dinner? And you kind of almost plan your
life around these food events, and it's just intrusive thoughts
all the time about what else is there.
Speaker 1 (11:29):
It's interesting. It sounds like other individuals who have were addicted,
right They're addicted to smoking, or addicted to gambling or addicted.
So everyone in those addicts will tell you that the
thoughts are intrusive and they they ruin their flow of
(11:49):
their normal way of being sure.
Speaker 3 (11:51):
And what's interesting that you mentioned that is they're starting
to find through research and studies that whatever, and we
can talk a little bit more about the makeup of
these drags, but they actually are helping people with other addictions. Yeah,
I can people are you know, they're not gambling For me,
I was never I never drank that much, but I
really don't have as much desire for it at all,
much to my husband's disappointment as a big wine collector.
(12:13):
But things just don't have the same appeal that they used.
To a girlfriend of mine, she was admittedly addicted to sweets,
and she's like, I just don't have that any design craving.
Speaker 1 (12:23):
I think that's an interesting concept because we will eventually,
as a dust settles, figure out how they work. Like
all drugs, they work often in many people, but work
better in a certain subclass. Yes, and they will eventually
delineate that because now the masses are using it, you'll
realize that it's really great in such category, works highly efficiently,
(12:44):
not as well in this category. And the same thing
with smoking cessation, write smoking cessation, same thing you say
certain drugs. Some people it's just like boom automatically they
stop smoking. Some people doesn't work as well for them.
So cut out the craving or the edge, or that
hunger or that intrusive conversation. And then it sounds like
you were able to just knock off another seventy or
eighty pounds.
Speaker 2 (13:04):
It was.
Speaker 3 (13:05):
It allowed me to stick within a caloricd amount that
was healthy for my body. I did about a five
hundred calorie deficit. I didn't want to lose weight too quickly.
I wanted to lose it over the course of a year,
which I did, and I did it in you know,
one to two pounds a week in a healthy way
because I want to keep it off. But it worked
really well. I was able to do that. I wasn't
overly hungry. I think the Monjaro works by I think
(13:27):
it trigger isn't. Here's where I'm going to get into
the medical speak because I'm not a doctor and I
but it affects two different hormones that you have, and
it helps delay gastric emptying, helps you feel full or quicker,
stay fuller longer, and it is a urs appetite, which
means it's a dual agonist, so it affects two hormones,
whereas go vi and ozimpic are one hormone, and it
(13:51):
regulates blood sugar and insulin.
Speaker 1 (13:52):
And so these drugs and I think that once we figured,
I guess the problem with them is they just got
a bad rap. They don't have a bad rap. Everyone
loves them, but they're getting a bad rap because people
are wanting to be hush hush about it because it's
like cheating, and there's just a lot of extra stuff
about it that isn't that the dust has to settle on.
But the reality is that they're great drugs as we
(14:16):
know them so far, and they're indicated and desire and
that they're perfect for someone like yourself.
Speaker 3 (14:21):
Well, isn't that sad that you call it cheating because
I don't think that, you know, someone would say that
someone who needed an antidepressant or blood pressure medication.
Speaker 2 (14:29):
Was cheating to get to the place where they're healthy. Right.
Speaker 3 (14:32):
So I think there's this like fat phobia or this
pervasive thought that the community has that the public has
that makes weight loss such a hush hush like secret thing,
which you really shouldn't be.
Speaker 2 (14:43):
It's your health, like everyone deserves to be healthy.
Speaker 1 (14:45):
No, I totally agree with you. I think where you're
going to run in this gray zone is and frankly,
it doesn't matter. And that's why I say it very
brank I don't care how you lose the weight, because
I think that the fact that you lose the weight
and the weight loss itself and all the benefits of
that weight life almost trump. And I don't mean if
you're snorting cocaine only trump the method, right, And I'm
(15:06):
huge pro advocate of people being losing weight for the
sake of being healthy, sure, and being high energy and
low blood pressure and lower sugars and all that. The
reason why it's become a little sort of there's up
for debate is when you have aded and you take amphetamines,
(15:26):
it's a treatment, it treats you. But when you just
want to stay up late to just study for a
test and you're using the amphetamines, you're cheating conceptually. And
that's sort of where this drug is going to have
some play a little bit. Is like, hey, I could
lose the weight if I just maybe didn't need all
those muffins or maybe I didn't eat out and I
(15:49):
don't want to do that because I don't have the willpower,
the energy. Why not I just take a drug. Right,
that's the concept, And I'm going to lose fifteen pounds
versus I have a medical condition. I'm doing everything under
the sun. I eat well, I diet, I have a chef,
I train, and I'm just not getting there. Aside from
the fact that I don't like the way I look,
I still hypertensis, I'm still having So I think if
(16:11):
I told you scenario B, there would be no discussion.
Nobody would even dare shame that person. If I say
scenario A, it wouldn't mean that they shame them. But
that's where that sort of hmm, are you cheating? It
doesn't really matter because I don't give a shit, and
for more and moreover, all I care about is that
you were able to get to a place where you
were at a great weight that you could sustain. And
(16:31):
it's clear by just having conversation with you you did
everything under the sun. Anyways.
Speaker 2 (16:36):
I did my best, certainly, Okay.
Speaker 1 (16:39):
So here you are, boom. You drop the weight, diet, exercise,
the benefits of this medication, and you are now at
one fifty, which is amazing. You're five foot eight, one
fifty phenomenal. You feel good everything you're go in front
of the mirror, and this is one of those weight
loss journey conversations that everyone has. And I've lost one
hundred and fifty pounds. So while when I wear clothes
(17:02):
the benefit is medically I feel great. Visually when I
wear clothes, I look much better. Right, that's three hundred
punds and I weigh hundred fifty pounds, But internally under
all that clothes, when I'm naked, most patients don't get
the benefits that they had maybe thought once they had
lost all the weight, because now they have all the
sexual skit. How did you feel aside from the medical
(17:25):
energy level and when you looked at yourself and you
had lost one hundred and fifty pounds, Tell me about
the way you perceived yourself from a cosmetic standpoint.
Speaker 3 (17:34):
Well, I think that especially my stomach and I don't
know if you mentioned already, I had a hernia too,
but it was just kind of like this apron just
of skin.
Speaker 2 (17:43):
And so I think.
Speaker 3 (17:44):
What was hardest for me is like when I would
wear pants like I could never tuck my shirt in
because it kind of felt like a front. But if
you will, right, so it wasn't like an attractive look
got and I want I definitely wanted to get that
taken care.
Speaker 1 (17:55):
Of, right. So, I think for some patients, they're prepared
for it mentally finance, they anticipate it, they know it's
going to happen. And I have patients who lose the
weight and when they get there, they're shocked. They're kind
of almost like, what is this? This is another goddamn problem.
Speaker 3 (18:11):
Well, it's kind of like the sad thing about weight loss,
right as it comes from all the places you don't
want it to come from. Yeah, you're like, I wish
it could be putting back in certain places.
Speaker 1 (18:19):
And so that happens. Is they present somewhat a little
bit this disillusion because on the one end, you would
have anticipated, God, if I lost one hundred pounds, I'd
be great, not really necessarily in your minds expecting that
there's still yet another whole phase. So I think it's
really important to recognize that it's almost impossible to lose
seventy eighty ninety eight pounds anyone, no matter if you're
(18:39):
twenty thirty forty. It doesn't matter if it's gastric bypassed
or seriously distarvation or you did triathlons. Once you lose
the weight, your body's going to have some sequalie. In
your instance, the air that bother you the most obviously
was your abdomen, but it was more than your abdomen,
So you had one thing that was specific to you,
one thing that's always common. The thing that's always common
(18:59):
is people have that weight. Don't just have a front problem.
They have a side problem and a back problem. Having
two children is a front problem. Having it, yes, Yes,
two children plus losing one hundred and fifty pounds, you
lose it circumferentially.
Speaker 2 (19:17):
Yes.
Speaker 1 (19:18):
And the reason why that's important is because the treatment
for it is not your garden variety tummy tuck. It's
tummy tuck on steroids. It's a circumferential all the way
around body lift, circumferential, circumferential lipectomy, belt, lipectamy. These are
all terms to describe the same thing, which is essentially,
(19:40):
I now have redundancy excess all the way around my body,
and instead of just a front surgery tummy tuck, I
need a three sixty surgery. We call that for lack
of better words, the easiest word is a body lift. Yes,
And the reason it's called the body lift is because
you get a tummy tuck check and then your thighs
get lifted check and your body gets lifted check. Hence
(20:01):
the term body lift lifting. In addition to that, you
had another curve ball, which is you had an umbilical hernia,
but not your garden variety in bilicohernia. So it is
very common after having multiple pregnancies that you develop a
little bulge in your belly button. It's this little audi.
(20:23):
Your belly button can sometimes become an audi and never
go back in. That is a umbilical hernia, very common
and usually inconsequential. In your instance, you had a significant
hernia I would say the size of a almost a
tennis bomb, from a golf ball to a tennis ball. Correct,
(20:44):
That was coming out of your belly button, which added
a whole new dimension to it. Because the hell do
I do with that? Do I call a general surgeon?
Speaker 2 (20:53):
Yes?
Speaker 1 (20:54):
Do I need mesh? Do I need to fix that first?
Do I need to have a plastic surgeon and a
general surgeon there present and how do I go managing this?
Tell me what you read or understood as you were
going through this process, because that hernia didn't come out
as a weight loss, you've had it since your second pregnancy.
Speaker 3 (21:10):
I did, and at that time, my ob who's wonderful,
said you will have to get this surgically fixed. But
she advised me to wait until I knew that I
was done having children, and she said, if you can,
if it's not hurting you, then wait till your kids
don't need to be picked up anymore, because you won't
be able to lift for a while after this type
of surgery. So when I was ready to get these
(21:32):
surgeries done, I did a lot of research online and
found you and you do both of them and really
specialize in both of these things, which was actually highly unusual,
and it made me feel better knowing that you do
a lot of hernia andblical hernia repairs, because I didn't
want to go to a general surgeon and I didn't
want to have mesh because really that just in my view,
kind of just covered it up, but it didn't actually
(21:54):
fix the problem of stitching your abdominal muscles and wall
back together, which is what you do So the fact
that I could go to one person and have that
person be an expert in both of the procedures that
I was looking to get was a real appeal.
Speaker 2 (22:07):
And I told you, I only came to you.
Speaker 1 (22:09):
And I'm honored that you came only to us. And
I always I.
Speaker 2 (22:14):
Know you told me to keep looking around.
Speaker 1 (22:15):
We always tell you because it is it is my
obligation to make sure that you and I appreciate form
didn't go out there. When it comes to abdominal walls
and abdominal wall reconstruction and hernias, it does. It is
an area that I sub specialize in in that I
feel like anything I do I specialize in. Otherwise I
wouldn't do it. But this just happens to be an
area that I do a lot more of than most people,
(22:38):
and but much severer cases. So the gist of it
is that a hernia as I have a hole in
the middle of my belly. There's literally a hole in
my abdominal wall from which the contents of my insights
are protruding. That's different than a diastasis, which is just
some muscle separation. You still have a thin a thin
film and nothing is coming through you. Have a bulge,
(23:01):
but it's not an actual breakthrough. The reason why that's
important is that hernias almost always need some kind of
correction of that hole, and a traditional, very standard approach
is that a general surgeon usually will go and will patch,
create a patch effect cover that hole, like if you
(23:21):
were patching a hole in a wall. Yes, the materials
they use are often inflammatory and it's not ideal. Now,
when you have hernia's elsewhere in your body, that might
be the ultimate necessary treatment, But in this instance, what's
happened is that your muscles pulled apart check. There's this tiny,
(23:42):
little shitty thin film between them that's barely holding anything
on check, and a hernia starts to power its way
through this really wispy film, thin film. It's not coming
out of your abdominal wall, but rather this sort of
area that isn't really supported there. Or the treatment is
not only can it be done this way, but needs
(24:04):
to be done this way, is that you need to
push the hernia back in, and then you need to
close and bring the muscles together, and in essence, the mesh,
the patch, the repair is the muscles two layers over
and there's no way in a million years, that thing's
coming out because that's the normal abdominal wall, and it's
(24:24):
critical to do them together because that's the right answer.
Often I see patients are like, yeah, last year I
had my milk of hernia repaired with mesh. I'm here
to do my tummy chuck. Oh my God, like, oh
kills me one. You just wasted a whole surgery too.
Now I have all this shit in there that I
need to fix. It doesn't need to be done that way.
A hernia and you're groin. That's a whole different animal
(24:45):
that doesn't have anything to do with your pregnancies. And
that that muscle was separated, So good on you. And
your hernia was absolutely one that was legit and quite large.
You said, you're the man, doctor Rabond. You're gonna fix
my hernia. You're gonna fix my excess skin. So we're
going to go ahead and do a circumferential body lift
in addition to your mesh repair. So one of the
(25:07):
things that I think is important, and you highlighted it on,
is that here in Beverly Hills, there aren't that many
people that are doing body lifts. I don't know. I
don't really go outside of my own office to know that.
But there's a reason for that, because a body lift
requires it's a significantly larger surgery. So tummy tuck, you're
laying on your back and we do the front. It's
(25:28):
one of the top five surgeries that any plastic surgeon
would do. A body lift. I got to turn you
around like a rotisserie chicken. Right, You're literally turning the
person and you either return them once or in the
way my technique twice. In other words, I turn you
on your side and then I turn you on your
side again to get around. And the markings are very
complicated because you have all this redundant skin and you're
(25:52):
trying to mark the patient as if all that skin gone,
and then create a scar in a place that's hidden
that you can then wear under like there's a lot
of moving parts to it. Because of my personality and
the way I like things done, I see all body
pack well, yes, or some people call it anmal or
(26:12):
difficult or anyway, we'll digress. So I like to see
the patients the night before because marking you to how
much time a lot, like an hour an hour at least?
What the why? Because I had to pull and turn
and try again, and sharpie, you need to be standing.
The reason is if I did your markings the morning
(26:35):
of the likelihood is I'd be in a rush, and
the likelihood I'd say it's good.
Speaker 2 (26:40):
Enough, and it's already a long surgery.
Speaker 1 (26:42):
And so I like to see you the night before
because I like to take our time in together and
really position you in mark and our goal is to
create a nice outcome and try to have your incision,
your scar end up in the place of an underwear
or a garment or whatnot. You come the next day,
how long was your surgery?
Speaker 2 (27:03):
Well, you tell me I was out.
Speaker 1 (27:04):
Yeah, it was about Yeah, it was about six hours. Right.
Many patients who gets massive weight loss surgery tag team it.
So this is very important for all you listening. If
you lose one hundred pounds, I guarantee you your abdomen
or your trunk will not be the only thing that
bothers you. Your breast will bother you, your arms will
(27:26):
bother you, your enterthisee may bother you, your nake may bother you, your
upper back may bother you. And it is super common
for you to go somewhere where they do a bunch
of things all at once. Well, that sounds great. I
go to sleep, I wake up, my arms, my legs,
and my admin is done. Yeah, but at what cost?
And that cost is there's no way a surgeon is
going to repair your arms, repair your legs, and repair
(27:48):
your abdomen him or herself. It's Nascar. You'll be laying
there and a bunch of people will be operating on you.
If that's your preference, I'd rather have shittier work done,
but get more of it done in one setting. Knock
yourself out. I like airmes, I like things well done.
So I am the only one that operates on you,
(28:09):
which is incredibly unusual for anyone that does body contouring,
because it's a lot of sewing. It's not an eyelid,
not a face slip, it's not a nose job. It's
a shit ton of sewing. And so almost every person
who does body conjuring has a nurse practitioner, a PA,
another surgeon. They're just so in a way.
Speaker 2 (28:28):
Which is so what kind of ballgrows my mind?
Speaker 3 (28:30):
Because for the patient experience, actually that part is the
thing we're going to live with scar.
Speaker 1 (28:37):
But remember they're not transparent about it. They don't want
to lose you. What is the chance that you may
come back to do another surgery. Patients don't want two
recoveries or the three recoveries, and it's sold to them
as this is a win win, So again, no problem
to do it that way. I prefer six hours me myself,
I'm it, and I focus in and I do as
(28:58):
great a job as I physically can, and not uncommonly,
you'll come back in another time and we fight, We
come to fight again, and we take care of the
next thing. So in your instance, I focused the six
hours on your circumferential body lift. We did your surgery. Yes,
your hernia was quite quite a large hernia. We fixed
all that, and then you go on to recover. So
(29:20):
the number one expectation is tummy tuck. Holy shit, that's
gonna hurt. Bodylift must have been through the roof, It
must have been unbearable. Will you hospitalize for a week,
Because the concept is that because it's technically twice the
front and back, it must have been twice as bad.
Speaker 3 (29:38):
I mean, I've never had the one, so I can't
really compare the two, right, but I think that it
was hard. It's a big surgery, so the recovery is
a lot. I won't lie and say it isn't. But
I was on pain meds for I think a day
and a half maybe.
Speaker 1 (29:53):
Right, So let's stop right there. So the normal patient
who gets a tummy tuck because you've not done this, yes,
is expected to be on payments for at least one
to two weeks. Oh really, So it is the.
Speaker 2 (30:05):
World the same payments, I should say, like the big.
Speaker 1 (30:08):
Pain No, no, I'm talking about the big payments.
Speaker 2 (30:09):
Okay.
Speaker 1 (30:09):
The word on the street is that you'll be in
agony for at least one to two weeks from a
tummy tuck. So for you to just, unbeknownst to you
be like, yeah, I was on heavy duty medications for
one day, two days, three days.
Speaker 2 (30:19):
Yeah, and then I just switched to ivy profile.
Speaker 1 (30:21):
Right, So that's uncommon. Okay, So you don't know that
because it's expected that from a regular tummy tuck you'll
be in agony for a week. No one says surgeries
are mild or you're walking apart. It's going to be uncomfortable,
tight discomfort. But there's a difference between that and oh
my god, I just broke my femur pain, sure agony
(30:41):
pain versus discomfort or nuisance type pain.
Speaker 3 (30:44):
So I will say about the recovery that I did
it and that it wasn't as bad as I thought
it would be, and then I would do it again
tomorrow if I were in the same place.
Speaker 2 (30:53):
Yeah.
Speaker 1 (30:53):
So I think people are expectations from the body lift
is that it's going to be twice that of a
tummy tuck. And the answer is it is no bigger
recovery than a standard garden variety tummyton So you go on,
you recover and how far out of you? Now?
Speaker 2 (31:08):
What? Six months?
Speaker 1 (31:09):
I think six months? Yes, And let's talk about what
it really matters. Okay, let's talk about six months out
from the surgery. Two years ago, you were three hundred pounds.
Just think about this for a moment. Two years ago
you were three hundred pounds. Two years later, you're sitting
in front of me at one hundred and fifty pounds
(31:32):
and you're wearing a size whatever pair of pants.
Speaker 3 (31:38):
Yeah, it's amazing, it's pretty incredible. It is well, And
I think the most important thing is I have more energy.
I have two little kids who have a lot of energy,
and I can do a lot more with them, and
you know, I want to be around a long time
for them and for my husband. So I think the
health goals are just so important, and being around a
long time for those that care about you is number one.
Speaker 1 (31:59):
No question. So what you said to me that really
resonated with me, which I love, is there are things
about the way we live our life that emulate exemplify
the emotional component. So I had a woman once to
tell me that now that I had my surgery, I
don't turn off the lights when I go to the bathroom,
and that's it at all. Before she was embarrassed, she'd
(32:20):
turn off the lights she'd go to the bathroom so
her husband wouldn't necessarily see her in her entirety. I
had another woman say that I had never really let
my husband really come and come behind me and hold
my abdomen because I was embarrassed. That's one of those
defining moments or some words. What you said to me
is I love fashion, and now I can buy whatever
(32:41):
the hell I want.
Speaker 3 (32:42):
It's very free. I mean I think I used to
I used to have to call the stories to see
do you have a plus size department? Because I wouldn't
want to go in and you know, just not be
able to get anything, and.
Speaker 2 (32:53):
That was no fun at all. And the clothes are different.
Speaker 3 (32:57):
So being able to go anywhere and to know that
something can fit you is just like a totally different experience.
Speaker 1 (33:03):
Yeah, and we minimize that, but it's huge. It's our humanity.
Dressing is our part of our humanity. Vacationing is part
of our humanity. Sitting in a chair in an airplane
and having to buy one seat is a part of
our humanity. We can minimize it if we want to
be like, oh, it's about a sweater. No, it's about
the freedom of just being a regular person and having
regular person experiences, right, And I think that's really really
(33:27):
says a lot. Have you had a chance to wear
a bathing suit?
Speaker 2 (33:33):
I have? I have fantastic I have your a bathing suit?
Speaker 1 (33:36):
I did. Yeah, shit, that's incredible.
Speaker 2 (33:39):
It was great.
Speaker 1 (33:39):
It was nice.
Speaker 2 (33:40):
Yes, I like that very much.
Speaker 1 (33:41):
So I love that.
Speaker 3 (33:43):
But I also not just abasing thing suit. I like
being able to wear pants and tuck my shirt and
that was something I couldn't do.
Speaker 1 (33:50):
Yeah, there's so many benefits to it that I think
are just it's so powerful, and you know, obviously the
journey from three hundred pounds one hundred and fifty pounds
plus two kids is oh wow, that's very dramatic. So
what are your messages for individuals, because what we're talking
about is two for there's three types of people listening. One, well,
(34:10):
that was an interesting story. Their issue right now is
they have a turkey neck from weight from age and
this is just an interesting story. There are individuals for
whom they've already lost the weight and they resonate with
this story because they have the loose skin and now
they're listening in that sure. And then the third is
there are individuals listening and they're one hundred pounds overweight
(34:31):
or seventy pounds overweight or forty eight pounds overweight, and
they're at the beginning of this journey. So we have
people at the start line, the middle line, and people
at the end.
Speaker 3 (34:39):
And I think I came on here to really talk
to that, mostly to that third group that needs to
lose weight and you know, may feel shame or not
know what to do or feel like, you know, are
these medications something I could consider? And I wanted to
just come on here and say, like you should if
that's if that's where you're at, like you should, because
I guess it was so hard all through my life
(35:00):
when you know, like you said earlier, the misconception is
that or you're just not you don't have self control.
Speaker 2 (35:06):
This is a willpower problem.
Speaker 3 (35:08):
And in every other area of my life, you know,
I had great willpower, and I was a very determined person,
and I was very hard working person. And I think
there's this perception that overweight people are just lazy, they're
just not trying hard enough. But I'm not a lazy person, yeah,
in any area of my life. So I think that
you know, some people may be feeling the same and
(35:29):
it's not really your fault and you're not lazy, and
there are medications that can really help you, that they
can help your blood sugar and your hormones and it's
not all your fault and you can get help.
Speaker 1 (35:40):
Yeah, And I think it's an eye opening experience for
me as well as being even a clinician. I never
really passed judgment. As I said to you, I don't
care how you got there, and I don't care how
you get down. I care that you do it, and
I can help you get to the other side. But
I think that as you describe it, and as the
knowledge comes out, and you think about obesity the way
you think about gambling, you think about obesity the way
(36:03):
you consider other things that are impulsive, intrusive, and mental
as opposed to just I like food. Because the thing
is everyone likes food, sure, and so so people don't
necessarily have that empathy in that regard because you're like, well, shit,
if it was up to me, I would eat five
more slice of pizza. But I think that for those
(36:23):
individuals like yourself, who have demonstrated excellence in every category,
it's kind of like I have a mild degree of dyslexia, okay,
And I remember, I mean I was like, I'm phenomenal
at this, I'm phenomenal of that. I'm phenomenal, Like clearly
I'm and then like horrible, Like how is that possible?
It wasn't because of a lack of effort or trying
(36:44):
or whatever. It's just not it's just not registering. And
so therefore it was clear from the landscape that this
one's an outlier, sure, right, And I think that your
type of story is an exemplary of that. Is that, hey,
I had all this other shit I was doing, and
I was doing the die, I was doing the exercise,
and I just couldn't get over this hump. Because you
can't just get over the diabetic hump because of will
(37:09):
or wish, you need medication. So I'm actually very excited
for the horizon of these medications. I think there's gonna
be a little time to shimmy this out a little bit.
I think it's kind of like we were just talking
about another one of those shows. It's like, these drugs
are in the category of Prozac, Propecia, the like cialis
(37:34):
and viagra, right, and now this class of drugs, they're
game changer drugs. They're affecting billions, not millions of people,
And so we're gonna we're gonna see a huge, uh
two to three or four years where this is going
to figure itself out.
Speaker 3 (37:55):
Sure, and it's been around a lot longer than people
actually think too. I think there's been a lot of
press around us, more people hear about it, but it's
not totally a new concept either. One thing I think
a lot of people ask, is you have to be
honest for life. I think that's certain that a lot
of people have and the answer is like probably.
Speaker 1 (38:11):
Yes, depending on which category you're in. I think that
weight loss I think as we as I think the
science of weight loss is. I don't think we're all
the same, that's true. I don't think everyone that's overweight
just is overweight for the same reasons. Some people are
in your category. I would think that based on the
(38:33):
description you gave me, you have diabetes, I'm making it
up and as a diabetic you'll need diabetic medication forever.
If you have you understand, that's just that's my condition.
I think there are other people that are need are stuck,
are stuck.
Speaker 2 (38:50):
I just need something to get there.
Speaker 1 (38:51):
They're stuck. They don't know. They're so far back that
they can't see any finish line to get the energy
of the hope or the inertia. You're doing all that
and we're not getting past it. Some people are not
even going to get off there.
Speaker 3 (39:03):
I know that there are some people where that's the case,
and some people can successfully get off it, but the
majorities and the studies actually do show that the majority
of people will gain it back.
Speaker 1 (39:13):
But that's the thing is the third category, and they
right now, I would say that eighty percent of the
people using it are using it to lose twenty to
thirty pounds, and well, that's fine, that's not your category.
And those are individuals that I don't see them staying
on a drug for their whole life because of the
twenty thirty pounds, because those are people that never they
(39:36):
didn't do what you did. They didn't plateau on the
things that they could have done and then said now
I need to I got to pull out the guns.
So yes, if you are in a morbidly obese category,
you absolutely should use it, and you absolutely will likely
need to be on it forever. There is. Of the
billions of people using it currently in my office, ninety
(40:01):
percent of them are regular people who weren't morabally obese.
They're just i'd love to lose some weight. And those
individuals have to figure out what to do with that
in that category.
Speaker 3 (40:10):
And you have to lose it in a healthy way,
to which a lot of people don't.
Speaker 2 (40:14):
Ye that would that would something?
Speaker 1 (40:16):
And I tell you, yeah, there's no question about it.
I'm not going to pass judgment, but I think that
in your instance, your category, I think it is. It
is it's a it's a revolutionary drug in terms of
its ability to treat a serious problem that we were
unable to really get over.
Speaker 3 (40:34):
I feel incredibly grateful that it was developed within my lifetime. Yeah,
and just wish it had been developed sooner. Yeah, it
could really change people's lives.
Speaker 1 (40:42):
Good for you. You. You did your part, you participated,
you went through the process, you stayed to it, you
finished everything there was to do it, and you and
only you will now the recipient of that benefit. You
get to dress the way you want, You get to
have the energy to play with your kids. You you
you you. So You're only forty, So while it would
have been nice sooner, you still in. You still have
(41:04):
more than half your life to enjoy this new new form.
So thank you so much for coming on me. I'm
talking about private things are always difficult, but I know
for a fact anyone listening will be grateful that you participated.
And I'm impressed at your knowledge level. That's great. Most
people don't have a clue about what they're doing. And
now you've done your homework. So we're going to see
(41:25):
you back at a year. I want to see you
in tip top shape and working out as always. That's
it's yet another phenomenal episode of Plastic Surgery Uncensored. My
two parting requests are the same as every episode. Number
one is, if you like the show, it's entertaining or
educational or informative, will you go write something nice? Go
and write something nice. We need it. We need your
(41:46):
reviews because they bolster our program, bring it up to
the surface, and more importantly, it gives everyone behind the
scenes a feeling that, hey, you know what, we should
come on a Sunday and you know what, we should
spend some time and do this because people appreciate it.
The second is share the episodes. Share all of our episodes.
Share our show with people you love, because the truth
matter is that you won't know until it's too late
(42:08):
that they went ahead and had something done and you're like,
oh my god, why didn't you tell me that it's
too late? Not everyone's going to tell you, so you
want them to have access to this information well before
it's too late. So share with the people you love
at any rate. That wraps up yet another episode. I'm
grateful to you and for you to being on our show,
and until next week, I'm your host, Doctor Roddy Raban
(42:32):
signing off on plastic surgery uncensored,
Welcome to another episode of Plastic Surgery and Centered. I'm
your host, Doctor Roddey Raban, and we have a fantastic
episode ahead of us. Today we are going to be
chatting about massive weight loss, circumferential body lift. We're gonna
be talking about the drugs like Munjaro, Zembei Wagovi, which
(00:26):
are the hottest craze, and all that's going to be
through the beautiful Katie who has honored us and with
her presence. Katie is a patient of mine and we're
so grateful and always any patient who comes on our show,
I always use the word courage because nobody wants to
come on a show of any sort and discuss their
personal life. But we're grateful because I think the patients
(00:49):
who come on our show appreciate the value that it
brings to the patients or the individuals who are in
that journey behind them, because about a year ago you
were there and someone like yourself may have made a
difference in your life and it's wonderful that you paying
it forward. So welcome to the show.
Speaker 2 (01:07):
Thanks for having me. Happy to be here.
Speaker 1 (01:10):
So we're going to chat about the eight ez e
to obesity and we're going to end. The finish line
is in this beautiful woman that you are and this
gorgeous outfit that you have on and the happiness that
you have. But it didn't always start out that way.
And so let's back up here and start with some
of the basics. So you're forty, right, you have two
(01:31):
beautiful children, right, And you were telling me that you
have always struggled with weight loss, which actually happens to
the case with most people. So there are two types
of individuals who deal with weight loss or obesity for
that matter, those who are truly obese and those that
struggle with some weight here and there. The reason why
I think it's important to categorize them is just like
(01:53):
someone's predisposed to diabetes, someone's predisposed to Alzheimer's. I had
glasses at the age of sixteen. There are things that
we are predisposed genetically to. And I think as we
are advancing in the sciences of obesity, we realize that
certain individuals have a predisposition a biology. They have a
(02:13):
greater time and a more difficult challenge of losing weight,
and you know, societal wise, we kind of just say
they're lazy. Stop eating, What do you mean? And we
both know, and you'll explain to us that obviously it's
not that simple. And there are individuals who are overweight
because they eat shitty and they don't exercise and whatnot.
But then again, there are individuals who are overweight. They
(02:36):
eat twelve hundred calories a day, they work out seven
days a week, and because of their metabolism, because of
their genetics, because of the weight fat is distributed through
their body, they are resistant and recalcitrant and stuck. And
so let's start with your weight loss challenges. When did
(02:58):
you you were talking, you've been having issues since you
were young adults, So when did you start to become obese?
At what point in your life?
Speaker 2 (03:06):
Maybe you around eight? I mean I think it's since childhood.
Speaker 3 (03:08):
I was always overweight, so it was just kind of
a lifelong thing, and I would try to his way
and like yo yo diet and be successful sometimes and
not others loose significant amounts of weight but always gain
it back.
Speaker 1 (03:21):
Were your parents overweight?
Speaker 2 (03:23):
They were?
Speaker 1 (03:23):
Right? So when I have interviewed I had a three
sisters on my show Beautiful, I listened to that, right,
And it's very common theme. Yes, not uncommon, and I'm
actually very common that obese children have obese parents. And
we can get into that in another day. So here
(03:44):
you are. I can only imagine eight year old as
it is. The perfect eight year old is insecure and
being bullied and all that horrible stuff. And here you are,
eight years old struggling with weight, and that carries on
with you obviously to your young adulthood, into college and
so on and so forth. And so here you are.
And you told me, what was the max weight you
ever got in your entire life.
Speaker 2 (04:04):
After I had my second child, I was at three
hundred pounds.
Speaker 1 (04:07):
Okay, so no question that childbirth just in general, the
average person makes you gain weight, and many people with
each incrementally pregnancy gain and then don't lose a certain
amount of weight. So it's very common. I see hundreds
of women a month. I weighed one twenty when I
was in college. I had my first child, I got
(04:27):
to one thirty five point for I had my second child.
I'm on one sixty five, one seventy. I just can't
lose it. So it's very common. Let alone, if you
have a predisposition towards obesis, sure, so here you hit
three hundred pounds, which is unfathomable to me because I'm
looking at you in the way you look now, and
you just showed me a photo of yours, which with
your permission we may take a look at that is unrecognizable.
(04:50):
And here you are at three hundred pounds. So you
have this beautiful child, you're married, Yes I am, And
what happens? What's that moment? Because at the end of
the day, you're not one hundred and three hundred pounds now,
So there was a moment that you turned when another direction?
What do you remember what that moment was? Was there
an event?
Speaker 3 (05:09):
It's hard to kind of pinpoint a moment because it
is kind of like a lifelong thing of trying to
lose weight and trying to be fit and trying to
be healthy. And I think it was always really hard
because I didn't actually ever feel like I ate more
than my friends or other members of my family. So
it was always interesting that I was much more overweight
when I didn't feel like my lifestyle was much different.
Speaker 1 (05:32):
And what did you what were you doing? So let's
start with that. Because I think people have a meat
I think people have a predisposition, an inaccurate one to
label all people that are overweight as eating Kentucky fried
chicken and having soda pop. Right, that's sort of this
vision that you have at AAC right that, oh, but
here you are not the case. You were eating. Well,
so tell me what you were doing when you were struggling, Like,
(05:54):
what were you managing on the diet and exercise front.
Speaker 2 (05:57):
I think I was just being normal.
Speaker 3 (06:00):
I think I was just cooking and eating out. And
you know, I am a food I love food, my
growing up, my whole family. I think all so many
of our memories surround the dinner table, and so it
was kind of like a culture of food. But I
think maybe maybe perhaps that, but I.
Speaker 1 (06:15):
Didn't feel like, were you eating a ton of them? No,
were you eating like everything.
Speaker 2 (06:20):
I wasn't going fast food, rudd and buried in butter.
Speaker 1 (06:23):
Okay, So then you were eating like everybody else, except
you know, you're eating your fifteen hundred calories and you're
keeping fourteen hundred of them, whereas, for whatever reasons, you know,
somebody else is eating fifteen hundred calories and they're burning
eight hundred of them. So the so you told me
that the first wave from three hundred two.
Speaker 2 (06:41):
What do you wait today?
Speaker 1 (06:43):
So here you are half the woman you used to be.
And what started that journey? The second this final time
because you said you've done it multiple times, this last
journey and the final journey, let's call it. You got
down almost eighty pounds from the true diet and extra
size standpoint right, So that I imagine means you ratcheted
(07:04):
up your exercises.
Speaker 3 (07:05):
I was just really careful with my diet and trying
to eat whole foods, healthy, prioritize protein, you know, and
just trying to do everything we all know to do.
And I hired a personal trainer, I bought a peloton.
I did everything that I could and was really strict,
and I got down to I forget what it was,
but about I lost about eighty pounds doing it that way,
(07:27):
and then just plateaued for a really long time, like
the scale didn't move for over six months. And at
that point I went to my doctor and I just said,
I don't know what else I can do, Like is
this just where I'm at?
Speaker 2 (07:37):
Is this just it? And no more can happen?
Speaker 3 (07:40):
And he said, you know, let's try this new class
of weight loss drugs as a way to manage and
help you lose weight.
Speaker 1 (07:46):
And so I did, Okay, awesome. So that's you know,
people come to me all the time they want to
have surgery, and my goal is for them to look amazing.
In order for them to look amazing, they have to
be great candidates, not good candidates. For you to be
a great candidate, not a good candidate, you need to
have be sufficiently deflated, lost enough weight so that when
(08:08):
we do the surgery, holy crap, you look great. And
so often I'm telling patients I don't care how you
lose the weight. I need you to lose the weight.
And so what we're going to talk about is this
whole new world that's like the craze right now. Which
is this world or new class of drugs. I mistakenly
call them all semi glue type, you corrected me, which
(08:28):
I appreciate because it's new, and I'm learning that I
don't prescribe them, so mean, I'm not at your land,
is not your You're pretty savvy. Yeah, but we call
them these new weight loss drugs. I know them by
their names. We have ozembic, we have Wagovi, we have Manjaro,
and I assure you in the next year will have
five hundred new ones. You took Manjaro, right, and tell
(08:51):
me what happened? Okay, So here you are, you're doing
diet and exercise. I mean, you're vigorous, you're trying your
very best. You lost a ton of weight, awesome, and
it's just not moving. So do you a just live
like this or do you reach out and take advantage
of new drugs? So I think that I personally am
a huge advocate, especially if you are a two twenty.
How tall are you?
Speaker 2 (09:10):
Five eight?
Speaker 1 (09:11):
So you're tall woman, but at two twenty, you're still overweight.
I'm all for it, right, I'm all for it. I'm
all for it because that's what it's intended for. Because
while we don't know the aftermath of these drugs yet, right,
we just don't know, just like we didn't know that
penicillin would be good but radiation would be bad. Like
we just don't know. But there's so many people taking
(09:32):
advantage of it. And when you are overweight and not
just trying to lose fifteen pounds, the benefits the upside
of decreased blood pressure, increased decreased sugar. So there's one
hundred things that improve when you lose weight is so
much greater than the small potential that may or may
not exist with this. So go ahead and tell me
you took the drug.
Speaker 2 (09:52):
I did.
Speaker 3 (09:52):
And I think one thing that's important to mention is
before I took the drug, you know, when I tried
to diet, it was really hard, I think a lot
harder than maybe for some people, because I would get
massive headaches, almost like I was dying of starvation headache,
like really bad headaches whenever I tried to reduce my
caloric intake or trying anything like intermittent fasting or anything.
(10:16):
And so it was just really hard for me mentally
and physically. When I tried to do that. I started
taking Monjarro, which at the time I took off label
as it was f TO approof for type two diabetes
at the time. Recently it's now an FDA approved for
weight loss under a new name called zet bound, which
is the same thing as manjarro, but one is for
type two diabetes now and one is for weight management,
(10:37):
similar to withgov and azempic. They're actually the same thing,
but a zempic is for type two and withgovy this
is this is what I.
Speaker 1 (10:43):
Love about This is what I love about the show,
and I love about my patient population. Very bright people
see here, I am. I'm in this miliu right now,
and haven't I don't know enough about it, and it's
great to be educated about that, because that is that's
very important to understand the nuance of these medications. Okay, gotcha.
Speaker 3 (10:58):
So I started taking it and it was almost like
a just like a flip switched, and I no longer
had that raging hunger and I no longer had what
a lot of people call food noise. And I don't
think if you struggle with obesity, you probably don't know
what that is. But food noise is just kind of
like this obsessive, intrusive thoughts about food all the time.
(11:19):
Or you're at breakfast but you're thinking, what am I
going to have for lunch? What are we going to
have for dinner? And you kind of almost plan your
life around these food events, and it's just intrusive thoughts
all the time about what else is there.
Speaker 1 (11:29):
It's interesting. It sounds like other individuals who have were addicted,
right They're addicted to smoking, or addicted to gambling or addicted.
So everyone in those addicts will tell you that the
thoughts are intrusive and they they ruin their flow of
(11:49):
their normal way of being sure.
Speaker 3 (11:51):
And what's interesting that you mentioned that is they're starting
to find through research and studies that whatever, and we
can talk a little bit more about the makeup of
these drags, but they actually are helping people with other addictions. Yeah,
I can people are you know, they're not gambling For me,
I was never I never drank that much, but I
really don't have as much desire for it at all,
much to my husband's disappointment as a big wine collector.
(12:13):
But things just don't have the same appeal that they used.
To a girlfriend of mine, she was admittedly addicted to sweets,
and she's like, I just don't have that any design craving.
Speaker 1 (12:23):
I think that's an interesting concept because we will eventually,
as a dust settles, figure out how they work. Like
all drugs, they work often in many people, but work
better in a certain subclass. Yes, and they will eventually
delineate that because now the masses are using it, you'll
realize that it's really great in such category, works highly efficiently,
(12:44):
not as well in this category. And the same thing
with smoking cessation, write smoking cessation, same thing you say
certain drugs. Some people it's just like boom automatically they
stop smoking. Some people doesn't work as well for them.
So cut out the craving or the edge, or that
hunger or that intrusive conversation. And then it sounds like
you were able to just knock off another seventy or
eighty pounds.
Speaker 2 (13:04):
It was.
Speaker 3 (13:05):
It allowed me to stick within a caloricd amount that
was healthy for my body. I did about a five
hundred calorie deficit. I didn't want to lose weight too quickly.
I wanted to lose it over the course of a year,
which I did, and I did it in you know,
one to two pounds a week in a healthy way
because I want to keep it off. But it worked
really well. I was able to do that. I wasn't
overly hungry. I think the Monjaro works by I think
(13:27):
it trigger isn't. Here's where I'm going to get into
the medical speak because I'm not a doctor and I
but it affects two different hormones that you have, and
it helps delay gastric emptying, helps you feel full or quicker,
stay fuller longer, and it is a urs appetite, which
means it's a dual agonist, so it affects two hormones,
whereas go vi and ozimpic are one hormone, and it
(13:51):
regulates blood sugar and insulin.
Speaker 1 (13:52):
And so these drugs and I think that once we figured,
I guess the problem with them is they just got
a bad rap. They don't have a bad rap. Everyone
loves them, but they're getting a bad rap because people
are wanting to be hush hush about it because it's
like cheating, and there's just a lot of extra stuff
about it that isn't that the dust has to settle on.
But the reality is that they're great drugs as we
(14:16):
know them so far, and they're indicated and desire and
that they're perfect for someone like yourself.
Speaker 3 (14:21):
Well, isn't that sad that you call it cheating because
I don't think that, you know, someone would say that
someone who needed an antidepressant or blood pressure medication.
Speaker 2 (14:29):
Was cheating to get to the place where they're healthy. Right.
Speaker 3 (14:32):
So I think there's this like fat phobia or this
pervasive thought that the community has that the public has
that makes weight loss such a hush hush like secret thing,
which you really shouldn't be.
Speaker 2 (14:43):
It's your health, like everyone deserves to be healthy.
Speaker 1 (14:45):
No, I totally agree with you. I think where you're
going to run in this gray zone is and frankly,
it doesn't matter. And that's why I say it very
brank I don't care how you lose the weight, because
I think that the fact that you lose the weight
and the weight loss itself and all the benefits of
that weight life almost trump. And I don't mean if
you're snorting cocaine only trump the method, right, And I'm
(15:06):
huge pro advocate of people being losing weight for the
sake of being healthy, sure, and being high energy and
low blood pressure and lower sugars and all that. The
reason why it's become a little sort of there's up
for debate is when you have aded and you take amphetamines,
(15:26):
it's a treatment, it treats you. But when you just
want to stay up late to just study for a
test and you're using the amphetamines, you're cheating conceptually. And
that's sort of where this drug is going to have
some play a little bit. Is like, hey, I could
lose the weight if I just maybe didn't need all
those muffins or maybe I didn't eat out and I
(15:49):
don't want to do that because I don't have the willpower,
the energy. Why not I just take a drug. Right,
that's the concept, And I'm going to lose fifteen pounds
versus I have a medical condition. I'm doing everything under
the sun. I eat well, I diet, I have a chef,
I train, and I'm just not getting there. Aside from
the fact that I don't like the way I look,
I still hypertensis, I'm still having So I think if
(16:11):
I told you scenario B, there would be no discussion.
Nobody would even dare shame that person. If I say
scenario A, it wouldn't mean that they shame them. But
that's where that sort of hmm, are you cheating? It
doesn't really matter because I don't give a shit, and
for more and moreover, all I care about is that
you were able to get to a place where you
were at a great weight that you could sustain. And
(16:31):
it's clear by just having conversation with you you did
everything under the sun. Anyways.
Speaker 2 (16:36):
I did my best, certainly, Okay.
Speaker 1 (16:39):
So here you are, boom. You drop the weight, diet, exercise,
the benefits of this medication, and you are now at
one fifty, which is amazing. You're five foot eight, one
fifty phenomenal. You feel good everything you're go in front
of the mirror, and this is one of those weight
loss journey conversations that everyone has. And I've lost one
hundred and fifty pounds. So while when I wear clothes
(17:02):
the benefit is medically I feel great. Visually when I
wear clothes, I look much better. Right, that's three hundred
punds and I weigh hundred fifty pounds, But internally under
all that clothes, when I'm naked, most patients don't get
the benefits that they had maybe thought once they had
lost all the weight, because now they have all the
sexual skit. How did you feel aside from the medical
(17:25):
energy level and when you looked at yourself and you
had lost one hundred and fifty pounds, Tell me about
the way you perceived yourself from a cosmetic standpoint.
Speaker 3 (17:34):
Well, I think that especially my stomach and I don't
know if you mentioned already, I had a hernia too,
but it was just kind of like this apron just
of skin.
Speaker 2 (17:43):
And so I think.
Speaker 3 (17:44):
What was hardest for me is like when I would
wear pants like I could never tuck my shirt in
because it kind of felt like a front. But if
you will, right, so it wasn't like an attractive look
got and I want I definitely wanted to get that
taken care.
Speaker 1 (17:55):
Of, right. So, I think for some patients, they're prepared
for it mentally finance, they anticipate it, they know it's
going to happen. And I have patients who lose the
weight and when they get there, they're shocked. They're kind
of almost like, what is this? This is another goddamn problem.
Speaker 3 (18:11):
Well, it's kind of like the sad thing about weight loss,
right as it comes from all the places you don't
want it to come from. Yeah, you're like, I wish
it could be putting back in certain places.
Speaker 1 (18:19):
And so that happens. Is they present somewhat a little
bit this disillusion because on the one end, you would
have anticipated, God, if I lost one hundred pounds, I'd
be great, not really necessarily in your minds expecting that
there's still yet another whole phase. So I think it's
really important to recognize that it's almost impossible to lose
seventy eighty ninety eight pounds anyone, no matter if you're
(18:39):
twenty thirty forty. It doesn't matter if it's gastric bypassed
or seriously distarvation or you did triathlons. Once you lose
the weight, your body's going to have some sequalie. In
your instance, the air that bother you the most obviously
was your abdomen, but it was more than your abdomen,
So you had one thing that was specific to you,
one thing that's always common. The thing that's always common
(18:59):
is people have that weight. Don't just have a front problem.
They have a side problem and a back problem. Having
two children is a front problem. Having it, yes, Yes,
two children plus losing one hundred and fifty pounds, you
lose it circumferentially.
Speaker 2 (19:17):
Yes.
Speaker 1 (19:18):
And the reason why that's important is because the treatment
for it is not your garden variety tummy tuck. It's
tummy tuck on steroids. It's a circumferential all the way
around body lift, circumferential, circumferential lipectomy, belt, lipectamy. These are
all terms to describe the same thing, which is essentially,
(19:40):
I now have redundancy excess all the way around my body,
and instead of just a front surgery tummy tuck, I
need a three sixty surgery. We call that for lack
of better words, the easiest word is a body lift. Yes,
And the reason it's called the body lift is because
you get a tummy tuck check and then your thighs
get lifted check and your body gets lifted check. Hence
(20:01):
the term body lift lifting. In addition to that, you
had another curve ball, which is you had an umbilical hernia,
but not your garden variety in bilicohernia. So it is
very common after having multiple pregnancies that you develop a
little bulge in your belly button. It's this little audi.
(20:23):
Your belly button can sometimes become an audi and never
go back in. That is a umbilical hernia, very common
and usually inconsequential. In your instance, you had a significant
hernia I would say the size of a almost a
tennis bomb, from a golf ball to a tennis ball. Correct,
(20:44):
That was coming out of your belly button, which added
a whole new dimension to it. Because the hell do
I do with that? Do I call a general surgeon?
Speaker 2 (20:53):
Yes?
Speaker 1 (20:54):
Do I need mesh? Do I need to fix that first?
Do I need to have a plastic surgeon and a
general surgeon there present and how do I go managing this?
Tell me what you read or understood as you were
going through this process, because that hernia didn't come out
as a weight loss, you've had it since your second pregnancy.
Speaker 3 (21:10):
I did, and at that time, my ob who's wonderful,
said you will have to get this surgically fixed. But
she advised me to wait until I knew that I
was done having children, and she said, if you can,
if it's not hurting you, then wait till your kids
don't need to be picked up anymore, because you won't
be able to lift for a while after this type
of surgery. So when I was ready to get these
(21:32):
surgeries done, I did a lot of research online and
found you and you do both of them and really
specialize in both of these things, which was actually highly unusual,
and it made me feel better knowing that you do
a lot of hernia andblical hernia repairs, because I didn't
want to go to a general surgeon and I didn't
want to have mesh because really that just in my view,
kind of just covered it up, but it didn't actually
(21:54):
fix the problem of stitching your abdominal muscles and wall
back together, which is what you do So the fact
that I could go to one person and have that
person be an expert in both of the procedures that
I was looking to get was a real appeal.
Speaker 2 (22:07):
And I told you, I only came to you.
Speaker 1 (22:09):
And I'm honored that you came only to us. And
I always I.
Speaker 2 (22:14):
Know you told me to keep looking around.
Speaker 1 (22:15):
We always tell you because it is it is my
obligation to make sure that you and I appreciate form
didn't go out there. When it comes to abdominal walls
and abdominal wall reconstruction and hernias, it does. It is
an area that I sub specialize in in that I
feel like anything I do I specialize in. Otherwise I
wouldn't do it. But this just happens to be an
area that I do a lot more of than most people,
(22:38):
and but much severer cases. So the gist of it
is that a hernia as I have a hole in
the middle of my belly. There's literally a hole in
my abdominal wall from which the contents of my insights
are protruding. That's different than a diastasis, which is just
some muscle separation. You still have a thin a thin
film and nothing is coming through you. Have a bulge,
(23:01):
but it's not an actual breakthrough. The reason why that's
important is that hernias almost always need some kind of
correction of that hole, and a traditional, very standard approach
is that a general surgeon usually will go and will patch,
create a patch effect cover that hole, like if you
(23:21):
were patching a hole in a wall. Yes, the materials
they use are often inflammatory and it's not ideal. Now,
when you have hernia's elsewhere in your body, that might
be the ultimate necessary treatment, But in this instance, what's
happened is that your muscles pulled apart check. There's this tiny,
(23:42):
little shitty thin film between them that's barely holding anything
on check, and a hernia starts to power its way
through this really wispy film, thin film. It's not coming
out of your abdominal wall, but rather this sort of
area that isn't really supported there. Or the treatment is
not only can it be done this way, but needs
(24:04):
to be done this way, is that you need to
push the hernia back in, and then you need to
close and bring the muscles together, and in essence, the mesh,
the patch, the repair is the muscles two layers over
and there's no way in a million years, that thing's
coming out because that's the normal abdominal wall, and it's
(24:24):
critical to do them together because that's the right answer.
Often I see patients are like, yeah, last year I
had my milk of hernia repaired with mesh. I'm here
to do my tummy chuck. Oh my God, like, oh
kills me one. You just wasted a whole surgery too.
Now I have all this shit in there that I
need to fix. It doesn't need to be done that way.
A hernia and you're groin. That's a whole different animal
(24:45):
that doesn't have anything to do with your pregnancies. And
that that muscle was separated, So good on you. And
your hernia was absolutely one that was legit and quite large.
You said, you're the man, doctor Rabond. You're gonna fix
my hernia. You're gonna fix my excess skin. So we're
going to go ahead and do a circumferential body lift
in addition to your mesh repair. So one of the
(25:07):
things that I think is important, and you highlighted it on,
is that here in Beverly Hills, there aren't that many
people that are doing body lifts. I don't know. I
don't really go outside of my own office to know that.
But there's a reason for that, because a body lift
requires it's a significantly larger surgery. So tummy tuck, you're
laying on your back and we do the front. It's
(25:28):
one of the top five surgeries that any plastic surgeon
would do. A body lift. I got to turn you
around like a rotisserie chicken. Right, You're literally turning the
person and you either return them once or in the
way my technique twice. In other words, I turn you
on your side and then I turn you on your
side again to get around. And the markings are very
complicated because you have all this redundant skin and you're
(25:52):
trying to mark the patient as if all that skin gone,
and then create a scar in a place that's hidden
that you can then wear under like there's a lot
of moving parts to it. Because of my personality and
the way I like things done, I see all body
pack well, yes, or some people call it anmal or
(26:12):
difficult or anyway, we'll digress. So I like to see
the patients the night before because marking you to how
much time a lot, like an hour an hour at least?
What the why? Because I had to pull and turn
and try again, and sharpie, you need to be standing.
The reason is if I did your markings the morning
(26:35):
of the likelihood is I'd be in a rush, and
the likelihood I'd say it's good.
Speaker 2 (26:40):
Enough, and it's already a long surgery.
Speaker 1 (26:42):
And so I like to see you the night before
because I like to take our time in together and
really position you in mark and our goal is to
create a nice outcome and try to have your incision,
your scar end up in the place of an underwear
or a garment or whatnot. You come the next day,
how long was your surgery?
Speaker 2 (27:03):
Well, you tell me I was out.
Speaker 1 (27:04):
Yeah, it was about Yeah, it was about six hours. Right.
Many patients who gets massive weight loss surgery tag team it.
So this is very important for all you listening. If
you lose one hundred pounds, I guarantee you your abdomen
or your trunk will not be the only thing that
bothers you. Your breast will bother you, your arms will
(27:26):
bother you, your enterthisee may bother you, your nake may bother you, your
upper back may bother you. And it is super common
for you to go somewhere where they do a bunch
of things all at once. Well, that sounds great. I
go to sleep, I wake up, my arms, my legs,
and my admin is done. Yeah, but at what cost?
And that cost is there's no way a surgeon is
going to repair your arms, repair your legs, and repair
(27:48):
your abdomen him or herself. It's Nascar. You'll be laying
there and a bunch of people will be operating on you.
If that's your preference, I'd rather have shittier work done,
but get more of it done in one setting. Knock
yourself out. I like airmes, I like things well done.
So I am the only one that operates on you,
(28:09):
which is incredibly unusual for anyone that does body contouring,
because it's a lot of sewing. It's not an eyelid,
not a face slip, it's not a nose job. It's
a shit ton of sewing. And so almost every person
who does body conjuring has a nurse practitioner, a PA,
another surgeon. They're just so in a way.
Speaker 2 (28:28):
Which is so what kind of ballgrows my mind?
Speaker 3 (28:30):
Because for the patient experience, actually that part is the
thing we're going to live with scar.
Speaker 1 (28:37):
But remember they're not transparent about it. They don't want
to lose you. What is the chance that you may
come back to do another surgery. Patients don't want two
recoveries or the three recoveries, and it's sold to them
as this is a win win, So again, no problem
to do it that way. I prefer six hours me myself,
I'm it, and I focus in and I do as
(28:58):
great a job as I physically can, and not uncommonly,
you'll come back in another time and we fight, We
come to fight again, and we take care of the
next thing. So in your instance, I focused the six
hours on your circumferential body lift. We did your surgery. Yes,
your hernia was quite quite a large hernia. We fixed
all that, and then you go on to recover. So
(29:20):
the number one expectation is tummy tuck. Holy shit, that's
gonna hurt. Bodylift must have been through the roof, It
must have been unbearable. Will you hospitalize for a week,
Because the concept is that because it's technically twice the
front and back, it must have been twice as bad.
Speaker 3 (29:38):
I mean, I've never had the one, so I can't
really compare the two, right, but I think that it
was hard. It's a big surgery, so the recovery is
a lot. I won't lie and say it isn't. But
I was on pain meds for I think a day
and a half maybe.
Speaker 1 (29:53):
Right, So let's stop right there. So the normal patient
who gets a tummy tuck because you've not done this, yes,
is expected to be on payments for at least one
to two weeks. Oh really, So it is the.
Speaker 2 (30:05):
World the same payments, I should say, like the big.
Speaker 1 (30:08):
Pain No, no, I'm talking about the big payments.
Speaker 2 (30:09):
Okay.
Speaker 1 (30:09):
The word on the street is that you'll be in
agony for at least one to two weeks from a
tummy tuck. So for you to just, unbeknownst to you
be like, yeah, I was on heavy duty medications for
one day, two days, three days.
Speaker 2 (30:19):
Yeah, and then I just switched to ivy profile.
Speaker 1 (30:21):
Right, So that's uncommon. Okay, So you don't know that
because it's expected that from a regular tummy tuck you'll
be in agony for a week. No one says surgeries
are mild or you're walking apart. It's going to be uncomfortable,
tight discomfort. But there's a difference between that and oh
my god, I just broke my femur pain, sure agony
(30:41):
pain versus discomfort or nuisance type pain.
Speaker 3 (30:44):
So I will say about the recovery that I did
it and that it wasn't as bad as I thought
it would be, and then I would do it again
tomorrow if I were in the same place.
Speaker 2 (30:53):
Yeah.
Speaker 1 (30:53):
So I think people are expectations from the body lift
is that it's going to be twice that of a
tummy tuck. And the answer is it is no bigger
recovery than a standard garden variety tummyton So you go on,
you recover and how far out of you? Now?
Speaker 2 (31:08):
What? Six months?
Speaker 1 (31:09):
I think six months? Yes, And let's talk about what
it really matters. Okay, let's talk about six months out
from the surgery. Two years ago, you were three hundred pounds.
Just think about this for a moment. Two years ago
you were three hundred pounds. Two years later, you're sitting
in front of me at one hundred and fifty pounds
(31:32):
and you're wearing a size whatever pair of pants.
Speaker 3 (31:38):
Yeah, it's amazing, it's pretty incredible. It is well, And
I think the most important thing is I have more energy.
I have two little kids who have a lot of energy,
and I can do a lot more with them, and
you know, I want to be around a long time
for them and for my husband. So I think the
health goals are just so important, and being around a
long time for those that care about you is number one.
Speaker 1 (31:59):
No question. So what you said to me that really
resonated with me, which I love, is there are things
about the way we live our life that emulate exemplify
the emotional component. So I had a woman once to
tell me that now that I had my surgery, I
don't turn off the lights when I go to the bathroom,
and that's it at all. Before she was embarrassed, she'd
(32:20):
turn off the lights she'd go to the bathroom so
her husband wouldn't necessarily see her in her entirety. I
had another woman say that I had never really let
my husband really come and come behind me and hold
my abdomen because I was embarrassed. That's one of those
defining moments or some words. What you said to me
is I love fashion, and now I can buy whatever
(32:41):
the hell I want.
Speaker 3 (32:42):
It's very free. I mean I think I used to
I used to have to call the stories to see
do you have a plus size department? Because I wouldn't
want to go in and you know, just not be
able to get anything, and.
Speaker 2 (32:53):
That was no fun at all. And the clothes are different.
Speaker 3 (32:57):
So being able to go anywhere and to know that
something can fit you is just like a totally different experience.
Speaker 1 (33:03):
Yeah, and we minimize that, but it's huge. It's our humanity.
Dressing is our part of our humanity. Vacationing is part
of our humanity. Sitting in a chair in an airplane
and having to buy one seat is a part of
our humanity. We can minimize it if we want to
be like, oh, it's about a sweater. No, it's about
the freedom of just being a regular person and having
regular person experiences, right, And I think that's really really
(33:27):
says a lot. Have you had a chance to wear
a bathing suit?
Speaker 2 (33:33):
I have? I have fantastic I have your a bathing suit?
Speaker 1 (33:36):
I did. Yeah, shit, that's incredible.
Speaker 2 (33:39):
It was great.
Speaker 1 (33:39):
It was nice.
Speaker 2 (33:40):
Yes, I like that very much.
Speaker 1 (33:41):
So I love that.
Speaker 3 (33:43):
But I also not just abasing thing suit. I like
being able to wear pants and tuck my shirt and
that was something I couldn't do.
Speaker 1 (33:50):
Yeah, there's so many benefits to it that I think
are just it's so powerful, and you know, obviously the
journey from three hundred pounds one hundred and fifty pounds
plus two kids is oh wow, that's very dramatic. So
what are your messages for individuals, because what we're talking
about is two for there's three types of people listening. One, well,
(34:10):
that was an interesting story. Their issue right now is
they have a turkey neck from weight from age and
this is just an interesting story. There are individuals for
whom they've already lost the weight and they resonate with
this story because they have the loose skin and now
they're listening in that sure. And then the third is
there are individuals listening and they're one hundred pounds overweight
(34:31):
or seventy pounds overweight or forty eight pounds overweight, and
they're at the beginning of this journey. So we have
people at the start line, the middle line, and people
at the end.
Speaker 3 (34:39):
And I think I came on here to really talk
to that, mostly to that third group that needs to
lose weight and you know, may feel shame or not
know what to do or feel like, you know, are
these medications something I could consider? And I wanted to
just come on here and say, like you should if
that's if that's where you're at, like you should, because
I guess it was so hard all through my life
(35:00):
when you know, like you said earlier, the misconception is
that or you're just not you don't have self control.
Speaker 2 (35:06):
This is a willpower problem.
Speaker 3 (35:08):
And in every other area of my life, you know,
I had great willpower, and I was a very determined person,
and I was very hard working person. And I think
there's this perception that overweight people are just lazy, they're
just not trying hard enough. But I'm not a lazy person, yeah,
in any area of my life. So I think that
you know, some people may be feeling the same and
(35:29):
it's not really your fault and you're not lazy, and
there are medications that can really help you, that they
can help your blood sugar and your hormones and it's
not all your fault and you can get help.
Speaker 1 (35:40):
Yeah, And I think it's an eye opening experience for
me as well as being even a clinician. I never
really passed judgment. As I said to you, I don't
care how you got there, and I don't care how
you get down. I care that you do it, and
I can help you get to the other side. But
I think that as you describe it, and as the
knowledge comes out, and you think about obesity the way
you think about gambling, you think about obesity the way
(36:03):
you consider other things that are impulsive, intrusive, and mental
as opposed to just I like food. Because the thing
is everyone likes food, sure, and so so people don't
necessarily have that empathy in that regard because you're like, well, shit,
if it was up to me, I would eat five
more slice of pizza. But I think that for those
(36:23):
individuals like yourself, who have demonstrated excellence in every category,
it's kind of like I have a mild degree of dyslexia, okay,
And I remember, I mean I was like, I'm phenomenal
at this, I'm phenomenal of that. I'm phenomenal, Like clearly
I'm and then like horrible, Like how is that possible?
It wasn't because of a lack of effort or trying
(36:44):
or whatever. It's just not it's just not registering. And
so therefore it was clear from the landscape that this
one's an outlier, sure, right, And I think that your
type of story is an exemplary of that. Is that, hey,
I had all this other shit I was doing, and
I was doing the die, I was doing the exercise,
and I just couldn't get over this hump. Because you
can't just get over the diabetic hump because of will
(37:09):
or wish, you need medication. So I'm actually very excited
for the horizon of these medications. I think there's gonna
be a little time to shimmy this out a little bit.
I think it's kind of like we were just talking
about another one of those shows. It's like, these drugs
are in the category of Prozac, Propecia, the like cialis
(37:34):
and viagra, right, and now this class of drugs, they're
game changer drugs. They're affecting billions, not millions of people,
And so we're gonna we're gonna see a huge, uh
two to three or four years where this is going
to figure itself out.
Speaker 3 (37:55):
Sure, and it's been around a lot longer than people
actually think too. I think there's been a lot of
press around us, more people hear about it, but it's
not totally a new concept either. One thing I think
a lot of people ask, is you have to be
honest for life. I think that's certain that a lot
of people have and the answer is like probably.
Speaker 1 (38:11):
Yes, depending on which category you're in. I think that
weight loss I think as we as I think the
science of weight loss is. I don't think we're all
the same, that's true. I don't think everyone that's overweight
just is overweight for the same reasons. Some people are
in your category. I would think that based on the
(38:33):
description you gave me, you have diabetes, I'm making it
up and as a diabetic you'll need diabetic medication forever.
If you have you understand, that's just that's my condition.
I think there are other people that are need are stuck,
are stuck.
Speaker 2 (38:50):
I just need something to get there.
Speaker 1 (38:51):
They're stuck. They don't know. They're so far back that
they can't see any finish line to get the energy
of the hope or the inertia. You're doing all that
and we're not getting past it. Some people are not
even going to get off there.
Speaker 3 (39:03):
I know that there are some people where that's the case,
and some people can successfully get off it, but the
majorities and the studies actually do show that the majority
of people will gain it back.
Speaker 1 (39:13):
But that's the thing is the third category, and they
right now, I would say that eighty percent of the
people using it are using it to lose twenty to
thirty pounds, and well, that's fine, that's not your category.
And those are individuals that I don't see them staying
on a drug for their whole life because of the
twenty thirty pounds, because those are people that never they
(39:36):
didn't do what you did. They didn't plateau on the
things that they could have done and then said now
I need to I got to pull out the guns.
So yes, if you are in a morbidly obese category,
you absolutely should use it, and you absolutely will likely
need to be on it forever. There is. Of the
billions of people using it currently in my office, ninety
(40:01):
percent of them are regular people who weren't morabally obese.
They're just i'd love to lose some weight. And those
individuals have to figure out what to do with that
in that category.
Speaker 3 (40:10):
And you have to lose it in a healthy way,
to which a lot of people don't.
Speaker 2 (40:14):
Ye that would that would something?
Speaker 1 (40:16):
And I tell you, yeah, there's no question about it.
I'm not going to pass judgment, but I think that
in your instance, your category, I think it is. It
is it's a it's a revolutionary drug in terms of
its ability to treat a serious problem that we were
unable to really get over.
Speaker 3 (40:34):
I feel incredibly grateful that it was developed within my lifetime. Yeah,
and just wish it had been developed sooner. Yeah, it
could really change people's lives.
Speaker 1 (40:42):
Good for you. You. You did your part, you participated,
you went through the process, you stayed to it, you
finished everything there was to do it, and you and
only you will now the recipient of that benefit. You
get to dress the way you want, You get to
have the energy to play with your kids. You you
you you. So You're only forty, So while it would
have been nice sooner, you still in. You still have
(41:04):
more than half your life to enjoy this new new form.
So thank you so much for coming on me. I'm
talking about private things are always difficult, but I know
for a fact anyone listening will be grateful that you participated.
And I'm impressed at your knowledge level. That's great. Most
people don't have a clue about what they're doing. And
now you've done your homework. So we're going to see
(41:25):
you back at a year. I want to see you
in tip top shape and working out as always. That's
it's yet another phenomenal episode of Plastic Surgery Uncensored. My
two parting requests are the same as every episode. Number
one is, if you like the show, it's entertaining or
educational or informative, will you go write something nice? Go
and write something nice. We need it. We need your
(41:46):
reviews because they bolster our program, bring it up to
the surface, and more importantly, it gives everyone behind the
scenes a feeling that, hey, you know what, we should
come on a Sunday and you know what, we should
spend some time and do this because people appreciate it.
The second is share the episodes. Share all of our episodes.
Share our show with people you love, because the truth
matter is that you won't know until it's too late
(42:08):
that they went ahead and had something done and you're like,
oh my god, why didn't you tell me that it's
too late? Not everyone's going to tell you, so you
want them to have access to this information well before
it's too late. So share with the people you love
at any rate. That wraps up yet another episode. I'm
grateful to you and for you to being on our show,
and until next week, I'm your host, Doctor Roddy Raban
(42:32):
signing off on plastic surgery uncensored,
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