March 26, 2025 • 41 mins
- Listen Saturday mornings at 8 as Dr. Msonthi Levine discusses medical issues and takes your calls on News Talk 560 KLVI. Dr Levine is board certified in Internal Medicine and Geriatrics. His office is located at 3080 Milam in Beaumont, Texas. He can be reached at 409-347-3621.
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Episode Transcript
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Speaker 1 (00:00):
All right, Welcome in, Ready, listeners, Welcome, Welcome, Welcome, another
edition of the Doctor Levine Medical Hour. I'm your weekly host,
Doctor Levine, coming to you live from the pseudos of
k LV. I beawmind Texas taking your phone calls. Phone
line to open eight nine to six kV. I want
one hundred three to three zero, okay, lv I. I'm
(00:20):
a doctor. As they say, of internal medicine. A lot
of people don't know what that is. They sort of
look at me weird when I say that internal medicine,
and uh yeah, you know, I have to research the
genesis of internal medicine. But just think of me as
an adult pediatrician. You know when you bring your child
(00:40):
to the pediatrician and that doctor that takes care of
your your kid, Well, I'm the same, but I take
care of adults as well as elderly patients sixty five
and above. We call that geriatrician or geriatrics and keeps
your business. But phone lines are open, and we're just
(01:02):
trying to help you figure out what's ride for you
and those try for your family, and again, how to
stay alive as long as possible and as healthy as
possible at a functioning at a high level who wants
to spend all of their golden years in and out
of the doctor's office taking a bunch of prescription tablets
(01:24):
which cost a fortune these days, something we don't really
talk about a lot, but man mad's are expensive, especially
the good ones, right, and they work well though, and
sometimes getting hands on these medicines is tough. Yeah, even
(01:45):
though they work very well, may not have it at
the pharmacy. I just might need what they call a
prior authorization, just a bunch of paperwork, you know, and
getting a prescription from your doctor, your healthcare professional should
be a pretty simple process, but it can be tough,
as we've talked about before on the show Missus Levin
(02:11):
and myself, and frustrating as well the doctor's office, frustrating
for them, frustrating for the patient as well as the pharmacy.
Just a lot of regulations and hoops to jump through
just to get one simple prescription filled, especially if it's
(02:31):
a new medication. So give us a call and ask,
or we can talk about your particular problem and see
if we can help you out. Get you some answers,
Try to get you some answers, get you some basic
information to help you make these decisions that plague us
(02:53):
every day, just what's right, what's wrong? And what should
I do to be healthy? And a lot of misinformation
out there, to be honest with the last week, we
were sort of discussing the well maybe a week before
you know, which is better fresh squeezed orange juice or
(03:13):
just the one that they do at the grocery store, right,
And as you know, not a big fan of juice
because of sugar content. Have to be careful with that
exposure to sugar, as a lot of Americans are being
exposed to sugar in their foods as well as their beverages,
(03:34):
and in my opinion, it has contributed to the health
crises that Americans are in. And I would call it
a crisis, right, I just would. Just most Americans are
battling their weight and battling with poor health. And again,
(03:56):
I see it every day, and it starts with that
diet and what you're eating, and so you always have
to spend some time trying to figure out how you're
going to do this particular diet, and honestly, it seems hard,
but it's really not that hard. Just cutting out a
(04:16):
few bad players that we consume every day, just part
of our routine, juice being one of them, but sugary
beverages being another. Patients are still out there drinking it
even though they inherently know it's just not the best
for them. And we've talked before about the artificial sweeteners
(04:42):
or the diet beverages, and there's so many out there.
The term diet diet is sort of plastered on there.
Of when my wife wanted me to tell everybody hello,
she was too tired to come in, as though she
doesn't work call day. You know, she works hard every day,
(05:03):
but she said hello, But those die that diet di
e t that term is placed on a bunch of
food and beverage items, and that certainly grabs your attention.
What's another one. Gluten free that that's another item they
like to put on packaging. Sugar free that's another. You
(05:25):
don't used to be fat free, and you still see
that periodically, but you don't see that as much as
sugar free or gluten free or gmo free. That's another
one that they put on packaging. Again, they sort of
the manufacturers that you know, they're just in business to
get us the food that we want to drink and
(05:48):
eat and they're just there to supply to us. If
we want more healthy things, we sort of have to
demand it, and that can be sort of a hard
transition to demand that. And you got to eat what
you can pay for. And as we know, there's some
indication that fresh food, you know, the produce stuff that
(06:13):
I talk about here on the show a lot, and
it costs a little bit more than something that's more processed.
Maybe you get in a big bundle, you get five
of them versus one of them, and it's a minimal expense,
and you got family and other financial responsibilities. You know,
you just s don't have the freedom to make that call,
(06:37):
and you have to do what you gotta do. And
so it sort of leads you down this path of
consuming maybe things that are not so good for But hey,
water is free, right. That's one big area where you
can cut out a lot of that exposure to sugar
is your beverages and with you know, we talked about
(07:02):
Die Beverages, which again has no sugar, right, but look
at the ingredients on the cannon, and it contains a
lot of products. Are ingredients that again you really can't
pronounce the name. You don't really even know what this
stuff is. It's foreign to you. These are sort of manufactured,
(07:25):
man made ingredients that you know, make the beverage look
and smell a certain way and taste a certain way,
and to allow it to sit on a shelf for
a year, two years, five years and still be stable.
If you will again because you've been to the store before.
(07:48):
And yes, sometimes you do get the freshes and the
fresh thata and you bring it home and you put
in the fridge, and you have all intentions to start
that healthy diet and eat that healthy item. And a
week goes by and you look up and it's rotten.
It's just a rotten it's brown, it's dark, it's gotten
(08:11):
mold on. It doesn't take long. So a lot of
that food that you and I eat, Remember I mentioned
to you like a week or two ago, I was
at Walmart. Now that Walmart's bad. I was just there,
and I could be at AGP, I could be anywhere.
And I'm just I'm just flabbergast at all the items
(08:32):
that are in the food section, as well as the
refrigerated aisles have grown massively over the years at all
these different grocery stores, and just all the food that's
just sitting there waiting to be bought and waiting for
you to put it in your refrigerator and your freezer
(08:55):
until you eventually decide you want to eat it, which
could be another two three weeks or a month or
two months. And it's supposed to, hey, it taste good.
It's supposed to taste to what the package looks.
Speaker 2 (09:08):
Right.
Speaker 1 (09:08):
Them have these nice beautiful pictures of the food, how
it looks when it's ready to go, and they have
figured out how to make that happen, even though that
product was probably made a year ago, and they food science.
It's big business. These food manufacturers spent a lot of
(09:31):
money and a lot of smart people that are into
this business of how to preserve food, how to engineer food,
how to make it taste a certain way and look
a certain way, and the flavor profile and the color,
how it cooks all that stuff and so tinkering with
those ingredients. Unfortunately, according to a lot of very smart
(09:55):
nutritionist dieticians and those people who stuck the impact of
food and beverage on human health, you know, indicate that
it sort of it does impact our health, and from
what they say, sort of a negative way. The diet
beverage market has come up often and often because a
(10:17):
lot of people drink that every day thinking they're being good. Right,
I'm okay, doctor, I'm not going to consume sugar, but
I do like diet such and such, and that's pretty
much what I drink all day long. It's diet such
and such. I might have five or six cans a day.
And you know I've mentioned these continuous glucose monitors like
(10:43):
the Freestyle Libre, the dex Com d X c o M,
and insurance companies are getting better at paying for it
that they're these sugar senses. Right, there's a little wafer
in a quarter size little sense you put on your
arm tip plate and it communicates normally with your phone
(11:03):
and you can sort of look and see what your
sugar's doing at all times, just to give you some
insight into what foods are bothering you and what foods
are not. And a lot of people noticing that when
they drink diet beverages with zero sugar, or they eat
the sugar free Reese's pieces or the sugar free ice
(11:28):
cream vanilla that's in the grocery store with the sugar
free chocolate covering, right, Like, how good can life be? Right,
I'm following doctor Levine's orders. I'm eating ice cream and
chocolate with just chocolate sauce and it's all sugar free.
(11:51):
I'm good. I'm not getting exposed to sugar. He tells
me not to do that. I'm not getting exposed to sugar.
And then you check your sugar CENTSI and spikes, Yeah,
it goes up even though there's no sugar. So a
lot of these experts are trying to sound the alarm
(12:14):
that got to be careful with these diet food items,
that maybe we can't have our cake and eat it
too right, that we still have to get to the basics.
You can't fool the human body that much. That often
it knows what it knows, and it's been engineered for thousands,
millions of years, and it's getting exposed to these sort
(12:38):
of new ingredients, you know, which we call preservatives and
emulsifiers and artificial sweeteners, food colorings, all these things. I mean,
you should read the labels. Sometimes there's a paragraph of
just sort of ingredients to make this space food taste
(13:00):
like food, right, I mean the way what it reminds
me of is the food that goes in the space,
right that this sort of preserved food. That's it's food,
and it's it's it's nutrition, but it's it's not natural,
meaning it wasn't picked from the ground necessarily, but nonetheless
(13:21):
it has vitamins in it, it's got protein. Maybe it's
got a little sugar, and it's got carbs and yeah,
because those are the three basic ingredients of most of
any food, right the carbs, sugar, in the fat. That's
what everything is made of for the most part. But
when you talk about a frozen food this or a
(13:46):
package that there's normally other things in it. Again to
preserve it and stabilize the food so that it doesn't spoil,
so that it can't get infected, and the color this
day is the same. But when we consume it it,
you know, a lot of people just react negatively to it,
is all I'm saying. And yes, it to be good
(14:09):
if and you know, we have the technology here to
and the and the food here to really provide most
Americans with that fresh food. But it's not the way
our society is set up for a lot of different reasons.
And you have to be smarter about what you eat
and what you drink. But water is free, right, that
(14:29):
tap water. You can drink that all day. You don't
have to pay for it. Well may it got a
water bill, but it's only pretty inexpensive, and that can
be your best beverage of the day. Has no sugar.
I know it gets boring after awhile, but you can
look online and there's so many ways to make your
(14:51):
your water tastes good or give it a little kick
that you just have to do it right. But again
another layer of responsibility, right, I can't just simply go
in there and start drinking it. But that is the
best beverage, and again it limits your exposure. It's inexpensive.
(15:11):
That's one way to help yourself out because a lot
of people are drinking these beverages. I mean it's and
you can and you know that because you go into
the grocery store, you go into the convenience stores, which
are massive these days too, right, just going to get gassed.
These convenience stores are huge, and the whole back aisle,
(15:33):
the whole wall of the store primarily it's just beverages,
just beverages, and we're drinking it because it tastes good.
It makes us feel a certain way, it gives us
an energy or whatever. But good old fashioned water been
(15:53):
around for years, is still there, the step child of
the beverage market. Phone lines are open A nine six
kalv I won one hundred three three zero be back
in two minutes. All right, welcome back to stopping medical.
(16:30):
Our phone lines are open eight nine six kV I
one one hundred three three zero k o v I
talking about drinking water best beverage in the world right
and limiting your exposure to things that spike your sugar,
which is the big problem in our country is just
(16:51):
too much exposure to sugar. And what's helping out are
these monitors now, These continuous glucose monitors are CGM for
an acronym dex com as well as freestyle libre where
you can sort of wear this sensor all day and
you can just sort of see what happens to your
sugar when you drink and eat certain food items, and
(17:18):
it can be an eye opener and I for patients
who have type one or type two diabetes, it can
certainly just more information to allow them to make better
food choices so that they can limit things that cause
a spike in the sugar, because, as we've mentioned before,
sugar spikes is what causes inflammation in the body, and
(17:42):
it starts to cause damage to the circulation, which we
know as plack p L a q u E, which
is sort of the engine behind the development of strokes
and heart attacks or what we call peripheral vascular disease
or all of the other vascular problems that Americans have,
(18:04):
such as DVTs or deep vein throng boses. Are pes
permanent imboli. These are blood clots that form in the
venous side of the circulation system, which we see a
lot of these pes and these DVTs, and again it
comes down to that inflammatory system sort of humming in
(18:25):
the background as a result of the daily exposure to
some of these food items and beverage items that we
generally consume every single day, just naturally consume. Again, no
one's trying to be bad or necessarily trying to be
(18:46):
have poor health, but most of these items are more
easily available, and they're cheaper, they're more convenient, and in
the hecticness of the day, it's just easier to get
these things, and so you do you know, it's sort
of human behavior. How can you get through the day
as easy and as fast as possible and grabbing these items,
(19:10):
these on the go items, if you will. It's just
sort of part of you know, what we do. And
when you do get diagnosed with something like hypertension or
high cholesterol diabetes, are you going with your first stroke
or first cardiovascular event? And all of a sudden, this
stuff really means something now in terms of what you
(19:32):
eat and what you drink. Now it really really sinks
in and you have to buckle down and you now
have to do this right. It's not anything you can
just sort of kick down the street. Because again, people
are concerned about their health. You know, they go to
their doctors and they check their labs. But I still
have my patients that really don't want to participate with
(19:57):
taking prescription medications. They hear things about prescription medications and
it frightens them and they just don't want to be
in that category where they have to get prescriptions and
buy this sort of artificial medicine and take it and
get lab and it's just sort of another layer of
(20:19):
complexity to their lives. I just want to keep things
as natural as possible, and so they Hey, I'll try
to do it myself. And for most Americans in my
experience as doctors, it's just not going to happen. Unfortunately.
It's tough, and it shouldn't be, but it is very tough.
(20:42):
It's hard to pass up all those things that again
are convenient for you. They're more early less expensive, and
you can get six containers of this item versus one
container that's even more expensive than the six, and so
you just natural behaviors, it's going to go towards getting
this one that has just six, right, because now you
(21:06):
have some money left over to go do all these
other things. So it's it's it's not a lot of times,
it's not your fault, man, it's it's just the way
our society is set up. And it's a monumental effort
to find that solution to getting too good health. And
you know these diabetes medications which are real popular right now,
(21:28):
like we go Vi, Munjaro, zep bound Ozimpic, trulicity, Belsis.
I mean, man, it's a it's a long long list
of these medications. Sax and Victosa been around for that
whole class has been around for a long time. And
I've mentioned these medicines before. You know, if you can
(21:50):
get your hands on this medication, it's a good, good
option for most of us because again, it helps us
control our appetite, right, which just seems like we stay
hungry all day long. Plus you know, a lot of us
when it's the weekend, we're at work, we're at home.
(22:13):
We sometimes don't have a whole lot to do to
distract us. You know, we have a lot of free
time in our hands, and it's just one of the
things that we sort of do. We just sort of
eat snack, if you will. That's the term that they
use in trying to help patients lose weight. This whole
(22:33):
intermittent fasting model has been popular in the past I
would say year or two. It's probably been around for
a long time, but it's gotten very very popular. And again,
the whole idea is that you're going to sort of
dedicate yourself to not eating for a certain length of time.
(22:56):
Normally eight to twelve hours is the amount of time
that most intermittent fasters will choose. It's just trying to
choose what time of the twenty four day you're gonna
do it, right, which is what breakfast is breaking your
fast because again, you normally go to bed at most
(23:17):
people nine o'clock. You don't get up till seven or eight's.
That's basically a fast, but you're sleeping. It doesn't bother
you too much. It's easy to do because as far
as I know, most people are not getting up snacking,
although I do have a few, but most of the
time you go to bed, you don't eat anything for
eight hours or so, and a lot of people don't
(23:37):
like breakfast, so when they get up, they're really not hungry,
and it's easier for them to go without eating a
solid meal in the morning until maybe twelve or maybe
one or two. That's sort of when normally most people
hunger signal kicks in from their previous day, meaning let's
(23:59):
say the eight meal about seven or eight their previous night.
They can pretty much go the whole night and then
a few hours in the morning until about like say
noon or one, and then that's when they really kind
of are hungry. And that's sort of how most people
do their fast is they eat maybe at two and
(24:20):
that's the only meal of the day. It can be hard,
but I do agree with that model, right, and you
know it doesn't cost anything, and if you think about it,
it sounds like it should be a cheaper way to
lose weight, right because you know, you're not eating as
(24:41):
much food, so you don't really have to go buy
as much. You don't have to go to the grocery
store as much because it's just not eating that much.
And that is a great in my opinion, that is
a good way to keep keep some pounds off or
get some weight down is you just don't eat us frequently.
(25:04):
And that's really how those diabetes medicines work. The injections
once a week very convenient, is they sort of turn
your appetite down to a very very low, almost non existent,
so that even though you're exposed to all this food
and beverage and you're being told to eat and drink
(25:26):
all day long by just all of the commercials and
advertising of food and drink in this country, and again
the ease of getting the food and drink in the country.
I mean, you work at an office and somebody's catering
something because some event is happening, and just all the
goodies are staring at you, and you have the whole
(25:49):
day that you have to work, and the stress and
you've got to listen to your boss and customers, and
you've got deadlines and PaperWorks do and man, have those
goodies is staring at you? You know, a reward, right,
And I can just go and eat that big chocolate
muffin and oh my god, I'm gonna feel so good. Right,
(26:10):
that's the idea at least. And then after you eat
that chocolate muffin two or three hours later, you're ready
to go to bed. I mean, just this overwhelming sense
of fatigue and tiredness, overwhelmed. You just ready to go
to bed. And again that impact of that starch and
that sugar and all the ingredients that they put in
that food. You know, to preserve it because you know
(26:32):
a lot of times pastries they can, man, they can
sit on the shelf for a long time. You go
to again the big grocery stores, you walk right in
and right there in front of your face is just
all these cookies and pies and cakes, so just sitting
in these plastic packages, and I'm sure they can sit
there for days and be fresh. Meaning when you eat it,
(26:54):
into it and it's moist and it tastes good and
it smells the right way. I mean It's almost like
if you can think of these sort of convenient foods
that you find in the vending machines at most a
lot of businesses, even at hospitals, those vending machines, it
has all that packaged. You know, there's cookies and there's
(27:15):
cakes and stuff in those vending machines and they can
sit there for weeks until you decide to do that.
The same thing at the grocery store. And again these
items that to put in this food to stabilize it.
Again a lot of experts, and it's not good for us.
You know, it makes our body age faster. It again
(27:39):
generates inflammation, and its spiked sugar. So you know, we
get it, we really get it. But interbedded fastening is
a great model if you're looking for something to try
to help you. This waste not for everybody, right, but yeah,
try it. Phone lines are open eight I won one
(28:01):
hundred three three zero oko. I'll be back in two minutes.
All right, welcome back to talk with me medical. Our
phone lines to open eight nine six kV I one
one hundred three three zero KLVI. Talking about how can
you lose weight? Man? It is such a constant struggle
(28:22):
for most of us as how to get your weight down,
and this interimitt and fasting model, which has been around
for a while, but again has been more popular. People
come to the office every day, How can I lose weight?
How can I lose weight? What's out there? What's new,
what's going on? So these, again, these injectable diabetes medicines
are super super populars just getting your hands on them
(28:45):
and just paying for it. How are you going to
do that? Because again, if you don't have a diabetes diagnosis,
a lot of times it's it's something you have to
pay for out of pocket. Insurances do not pay for it.
And a lot of doctor's offices and medical facilities are
offering generic ozembic or a semaglue tide. They it can
(29:07):
be compounded, and so a lot of doctor's offices healthcare
professional's offices are offering this version of the sema glue tide,
the compounded version. It's normally cash based and you have
to come once a week. Right, It's not something that
most offices can give you some a prescription for this.
(29:31):
You have to come to the office and get it.
And so that's again more obstacles to getting your weight down.
But again, I believe this class is a really phenomenal
class of medications to help control your weight or get
your weight down. Obviously, everything has potential side effects. We
(29:52):
talk about that all the time. We don't shy away
from that. We just understand it's difficult to do things
anything zero risk or there's some risk of an unexpected
outcome to the resultant, and these medications are no different.
The big thing that I've seen with these medications is
(30:14):
a couple of things. One is just sort of an
abdominal upset, maybe bloating or significant constipation, and some pretty
significant nausea can happen with these class of medications. And
that's why for most people, you sort of start at
a low dose and sort of work the dose up
(30:37):
to something that you can tolerate, and you sort of
kind of maintain that dose. And again, previous medications, a
lot of times you couldn't take it long term, or
it sort of burned out long term, or it really
had these, you know, significant side effects. And that's why
this class, in my opinion, sort of you can check
(30:59):
all the boxes in terms of what you need for
a weight loss product. You know, you can take a
long term, it's relatively saved, and you know it's once
a week and the body generally tolerates it pretty well
long term again, especially if you can sort of keep
that doze down to something that you can tolerate. And
(31:20):
that's different for everybody. We have Leonard from Houston, what's up?
Speaker 2 (31:25):
About three months ago my doctor switched me from a
met Foreman to Farsiga. I was unhappy with the numbers
that I was getting one hundred and sixty hundred and eighty.
Bottom line is, I took the met forman and I
cut it in half, and now I take a Farsiga
in the morning and a half a met Forman in
the in the evening. Now I'm getting numbers one hundred
(31:47):
and six, one hundred and twelve, one hundred and fifteen.
I'm happy with those numbers. Is there a danger? Is
there's something I should be looking out for from mixing
Farsiga and met Foreman.
Speaker 1 (32:02):
No, No, I mean, Leonard, those are very both. Those
are very popular doabetes medications, and as far as I know,
there's no significant interaction between the two. And I want
to say that they even have a combination tablet out
there that contains both Farseka met Foreman. I don't know
(32:23):
the name of it, and I may be wrong, but no,
those medicines can be taken, in my opinion, safely together
without any significant side effect issues. Now you know, listen
to my show. We we realize that, yes, anything can happen,
but there is no what we call black box warning
(32:43):
as it pertains to the combination of med Foreman and Farciga.
I think it's a it's a popular combination.
Speaker 2 (32:51):
Good now, thanks big guy.
Speaker 1 (32:53):
All, I appreciate that. Learning have a good day. And yeah,
I met Foreman, the old stand by man. It was
out when I was finishing medical training. Med Foreman or
also known as glucophage GLUCOPHEYI ish probably more popular when
I came out because we just didn't have as many
(33:15):
medical therapeutics available to Type two diabetics. And then Farsiga
is the new kid on the block, right, and I
feel like it's it is a blockbuster medication that class
of diabetes medicines, Farsiga, Jardians, and in Volcana. Those are
the brand names of those medications and we use that
(33:41):
class of medications very heavily now in the management of
type two diabetes. As a matter of fact, when I
came out met Foreman, what they taught me was on
my sort of certification examination is that's sort of your
first medicine you always go to when someone gets type
(34:02):
two diabetes. That that's the medicine you grab for. That's
what most doctors were doing at that time. And fast
forward to today, Well, this Farsiga class or in volcana class,
that's what we're reaching for mainly number one, when someone
gets diagnosed with type two diabetes. Just because of the
mechanism of action, it helps in more ways than the
(34:27):
glucafage or met forman, And so we're getting the most
out of this drug, this farciga, then we're getting out
of met foreman. Yes, it's got his issues, I've seen them,
but for the most part, it's well tolerated and it
helps tackle a lot of those hemodynamic as well as
(34:50):
metabolic derangements that occur in type two diabetes. And it's strong.
I mean, it gets that sugar down significantly. Metforming is okay,
but far seeing my opinion is two three times stronger
than met form And that's just me using it and
(35:11):
seeing how my patients respond to it. It gets that
sugar down within a week or two. And because of
the way it works like it it works in the
kidney for the most part, and it's being used to
reduce your chance of developing chronic kidney disease. It's being
(35:33):
used to help your heart, it's being used to help
manage blood pressure, and those are big things when you
talk about type two diabetes, those are the big events
that tend to happen, right. Those blood vessels just get
torn up by all that sugar and inflammation, and when
(35:54):
you're blooding flowing, and then your body gets congested and
all these events start happening and you start ending up
in a hospital more and things started getting cut off,
and now you're getting swollen and you get a clot
in your brain and you know it's all from that.
(36:15):
And so this class of medication works on all of
those factors and it can reduce and lessen the chance
that you'll have to go to the hospital for all that.
So we're trying to use those medicines more than metformant
although informantists still there and we still incorporated into the regimen,
(36:36):
and medformanists had its public relations issues over the years.
Just you see things periodically pop up about metforming and
whether it causes this or causes that. And I think
that one time they thought it was going to be
taking off the market, and I was just yeah, it
was a long time ago, but I was practicing. But
(36:57):
it kind of went away, It blew away the concern.
No one really talks about it because again I think
a lot of providers are just not writing as much
of it as of Farsigo the new kids on the block,
and these new injections. These are the new kids on
the block. And so this is what most practitioners are
really using to manage type two diabetes, the injections and
(37:20):
this class Farsiga and Volcanisjordiance, those are the big ones.
And yes, sometimes we do combine diabetes medicines a lot, right.
You know, someone can be on three or four medicines
alone just for diabetes. Doesn't count their heart medicine, their
blood pressure medicine, are, whatever disease they're dealing with, it
(37:44):
doesn't factor in all that. So you could literally be
on ten tablets a day very easily. Phone lines are
open eight nine to six K one hundred three three
zero KO. I'll be back in two minutes. All right,
(38:15):
welcome back to talk to me a medical our phone
lines open eight nine six K one hundred three three
zero kov. Our has gone by very very rapidly when
you're having fun, and yes, I'm having fun, just chatting
about how can you get your weight down? Various ways
to do that again, try and limit your exposure to
(38:35):
sugary beverages and try and find a way to drink
that water. For me, I like lemon water. I drink
that mainly every day. Just a fresh squeezed lemon in
your water, mam. It's delicious, I mean, refreshing, light, delicious.
You can again put mint in it and cucumbers and
(38:57):
there's all sorts of stuff you can do. But it's
a good beverage, you know, good for you, keeps you hydrated,
and you can consume some vitamins with it. In that way.
Lemon has some ingredients in it that can help other
your body function as well as possible some antioxidants, things
that fight inflammation, fight aging, and boost your immune system.
(39:20):
So it's a great, easy, simple beverage, right, and again
drinking other beverages, diet beverages. Again, a lot of people
feel like they're being healthy, but again, experts are trying
to sound the alarm that the ingredients it takes to
make a diet beverage you're not so good for you.
Just read the ingredients. You can look them up yourself,
(39:43):
I mean, use Google or whatever resource you use, and
just read about those ingredients and just think to yourself,
that's something I really want to ingest every day, three
four times a day. It's it was just something thing
to think about, something to investigate. And yes, this intermittent
(40:04):
fasting model, I think is a great way, and I
think inexpensive way to be honest with you, because you know,
we think about prescription meds and fancy organic food that
that's what all the experts say, right, just you got
to get more organic. It's less this, it's less that
(40:25):
it's better for you, but it's normally a more expensive
ways as well, so most people in that reaching for
that stuff. But intermittent fasting, yeah, sort of going a
good twelve hours without eating. And again I think most
people do that when they have one mill a day. Right,
(40:47):
that's pretty much the concepts just eat less, eat less,
and these injectable diabetes medicines allow us to do that
with ease because again. When you go several hours without
eating throughout the day, man, it's hard. It's an uncomfortable
feeling and sensation, and just most people just can't do it.
(41:09):
It's too tough. They don't want to be uncomfortable all day,
don't want to be in pain and being hungry or
hungry as they say. But these injectables can allow you
to do that. So talk with your healthcare provider about
trying to get a prescription for you, or maybe find
an office that offers it, a weight loss program that
offers that medication. Anyway, thank you for joining for another
(41:31):
edition of the show. Don't drink and drive, Drink some
water and we'll see you next week. Take care of
All right, Welcome in, Ready, listeners, Welcome, Welcome, Welcome, another
edition of the Doctor Levine Medical Hour. I'm your weekly host,
Doctor Levine, coming to you live from the pseudos of
k LV. I beawmind Texas taking your phone calls. Phone
line to open eight nine to six kV. I want
one hundred three to three zero, okay, lv I. I'm
(00:20):
a doctor. As they say, of internal medicine. A lot
of people don't know what that is. They sort of
look at me weird when I say that internal medicine,
and uh yeah, you know, I have to research the
genesis of internal medicine. But just think of me as
an adult pediatrician. You know when you bring your child
(00:40):
to the pediatrician and that doctor that takes care of
your your kid, Well, I'm the same, but I take
care of adults as well as elderly patients sixty five
and above. We call that geriatrician or geriatrics and keeps
your business. But phone lines are open, and we're just
(01:02):
trying to help you figure out what's ride for you
and those try for your family, and again, how to
stay alive as long as possible and as healthy as
possible at a functioning at a high level who wants
to spend all of their golden years in and out
of the doctor's office taking a bunch of prescription tablets
(01:24):
which cost a fortune these days, something we don't really
talk about a lot, but man mad's are expensive, especially
the good ones, right, and they work well though, and
sometimes getting hands on these medicines is tough. Yeah, even
(01:45):
though they work very well, may not have it at
the pharmacy. I just might need what they call a
prior authorization, just a bunch of paperwork, you know, and
getting a prescription from your doctor, your healthcare professional should
be a pretty simple process, but it can be tough,
as we've talked about before on the show Missus Levin
(02:11):
and myself, and frustrating as well the doctor's office, frustrating
for them, frustrating for the patient as well as the pharmacy.
Just a lot of regulations and hoops to jump through
just to get one simple prescription filled, especially if it's
(02:31):
a new medication. So give us a call and ask,
or we can talk about your particular problem and see
if we can help you out. Get you some answers,
Try to get you some answers, get you some basic
information to help you make these decisions that plague us
(02:53):
every day, just what's right, what's wrong? And what should
I do to be healthy? And a lot of misinformation
out there, to be honest with the last week, we
were sort of discussing the well maybe a week before
you know, which is better fresh squeezed orange juice or
(03:13):
just the one that they do at the grocery store, right,
And as you know, not a big fan of juice
because of sugar content. Have to be careful with that
exposure to sugar, as a lot of Americans are being
exposed to sugar in their foods as well as their beverages,
(03:34):
and in my opinion, it has contributed to the health
crises that Americans are in. And I would call it
a crisis, right, I just would. Just most Americans are
battling their weight and battling with poor health. And again,
(03:56):
I see it every day, and it starts with that
diet and what you're eating, and so you always have
to spend some time trying to figure out how you're
going to do this particular diet, and honestly, it seems hard,
but it's really not that hard. Just cutting out a
(04:16):
few bad players that we consume every day, just part
of our routine, juice being one of them, but sugary
beverages being another. Patients are still out there drinking it
even though they inherently know it's just not the best
for them. And we've talked before about the artificial sweeteners
(04:42):
or the diet beverages, and there's so many out there.
The term diet diet is sort of plastered on there.
Of when my wife wanted me to tell everybody hello,
she was too tired to come in, as though she
doesn't work call day. You know, she works hard every day,
(05:03):
but she said hello, But those die that diet di
e t that term is placed on a bunch of
food and beverage items, and that certainly grabs your attention.
What's another one. Gluten free that that's another item they
like to put on packaging. Sugar free that's another. You
(05:25):
don't used to be fat free, and you still see
that periodically, but you don't see that as much as
sugar free or gluten free or gmo free. That's another
one that they put on packaging. Again, they sort of
the manufacturers that you know, they're just in business to
get us the food that we want to drink and
(05:48):
eat and they're just there to supply to us. If
we want more healthy things, we sort of have to
demand it, and that can be sort of a hard
transition to demand that. And you got to eat what
you can pay for. And as we know, there's some
indication that fresh food, you know, the produce stuff that
(06:13):
I talk about here on the show a lot, and
it costs a little bit more than something that's more processed.
Maybe you get in a big bundle, you get five
of them versus one of them, and it's a minimal expense,
and you got family and other financial responsibilities. You know,
you just s don't have the freedom to make that call,
(06:37):
and you have to do what you gotta do. And
so it sort of leads you down this path of
consuming maybe things that are not so good for But hey,
water is free, right. That's one big area where you
can cut out a lot of that exposure to sugar
is your beverages and with you know, we talked about
(07:02):
Die Beverages, which again has no sugar, right, but look
at the ingredients on the cannon, and it contains a
lot of products. Are ingredients that again you really can't
pronounce the name. You don't really even know what this
stuff is. It's foreign to you. These are sort of manufactured,
(07:25):
man made ingredients that you know, make the beverage look
and smell a certain way and taste a certain way,
and to allow it to sit on a shelf for
a year, two years, five years and still be stable.
If you will again because you've been to the store before.
(07:48):
And yes, sometimes you do get the freshes and the
fresh thata and you bring it home and you put
in the fridge, and you have all intentions to start
that healthy diet and eat that healthy item. And a
week goes by and you look up and it's rotten.
It's just a rotten it's brown, it's dark, it's gotten
(08:11):
mold on. It doesn't take long. So a lot of
that food that you and I eat, Remember I mentioned
to you like a week or two ago, I was
at Walmart. Now that Walmart's bad. I was just there,
and I could be at AGP, I could be anywhere.
And I'm just I'm just flabbergast at all the items
(08:32):
that are in the food section, as well as the
refrigerated aisles have grown massively over the years at all
these different grocery stores, and just all the food that's
just sitting there waiting to be bought and waiting for
you to put it in your refrigerator and your freezer
(08:55):
until you eventually decide you want to eat it, which
could be another two three weeks or a month or
two months. And it's supposed to, hey, it taste good.
It's supposed to taste to what the package looks.
Speaker 2 (09:08):
Right.
Speaker 1 (09:08):
Them have these nice beautiful pictures of the food, how
it looks when it's ready to go, and they have
figured out how to make that happen, even though that
product was probably made a year ago, and they food science.
It's big business. These food manufacturers spent a lot of
(09:31):
money and a lot of smart people that are into
this business of how to preserve food, how to engineer food,
how to make it taste a certain way and look
a certain way, and the flavor profile and the color,
how it cooks all that stuff and so tinkering with
those ingredients. Unfortunately, according to a lot of very smart
(09:55):
nutritionist dieticians and those people who stuck the impact of
food and beverage on human health, you know, indicate that
it sort of it does impact our health, and from
what they say, sort of a negative way. The diet
beverage market has come up often and often because a
(10:17):
lot of people drink that every day thinking they're being good. Right,
I'm okay, doctor, I'm not going to consume sugar, but
I do like diet such and such, and that's pretty
much what I drink all day long. It's diet such
and such. I might have five or six cans a day.
And you know I've mentioned these continuous glucose monitors like
(10:43):
the Freestyle Libre, the dex Com d X c o M,
and insurance companies are getting better at paying for it
that they're these sugar senses. Right, there's a little wafer
in a quarter size little sense you put on your
arm tip plate and it communicates normally with your phone
(11:03):
and you can sort of look and see what your
sugar's doing at all times, just to give you some
insight into what foods are bothering you and what foods
are not. And a lot of people noticing that when
they drink diet beverages with zero sugar, or they eat
the sugar free Reese's pieces or the sugar free ice
(11:28):
cream vanilla that's in the grocery store with the sugar
free chocolate covering, right, Like, how good can life be? Right,
I'm following doctor Levine's orders. I'm eating ice cream and
chocolate with just chocolate sauce and it's all sugar free.
(11:51):
I'm good. I'm not getting exposed to sugar. He tells
me not to do that. I'm not getting exposed to sugar.
And then you check your sugar CENTSI and spikes, Yeah,
it goes up even though there's no sugar. So a
lot of these experts are trying to sound the alarm
(12:14):
that got to be careful with these diet food items,
that maybe we can't have our cake and eat it
too right, that we still have to get to the basics.
You can't fool the human body that much. That often
it knows what it knows, and it's been engineered for thousands,
millions of years, and it's getting exposed to these sort
(12:38):
of new ingredients, you know, which we call preservatives and
emulsifiers and artificial sweeteners, food colorings, all these things. I mean,
you should read the labels. Sometimes there's a paragraph of
just sort of ingredients to make this space food taste
(13:00):
like food, right, I mean the way what it reminds
me of is the food that goes in the space,
right that this sort of preserved food. That's it's food,
and it's it's it's nutrition, but it's it's not natural,
meaning it wasn't picked from the ground necessarily, but nonetheless
(13:21):
it has vitamins in it, it's got protein. Maybe it's
got a little sugar, and it's got carbs and yeah,
because those are the three basic ingredients of most of
any food, right the carbs, sugar, in the fat. That's
what everything is made of for the most part. But
when you talk about a frozen food this or a
(13:46):
package that there's normally other things in it. Again to
preserve it and stabilize the food so that it doesn't spoil,
so that it can't get infected, and the color this
day is the same. But when we consume it it,
you know, a lot of people just react negatively to it,
is all I'm saying. And yes, it to be good
(14:09):
if and you know, we have the technology here to
and the and the food here to really provide most
Americans with that fresh food. But it's not the way
our society is set up for a lot of different reasons.
And you have to be smarter about what you eat
and what you drink. But water is free, right, that
(14:29):
tap water. You can drink that all day. You don't
have to pay for it. Well may it got a
water bill, but it's only pretty inexpensive, and that can
be your best beverage of the day. Has no sugar.
I know it gets boring after awhile, but you can
look online and there's so many ways to make your
(14:51):
your water tastes good or give it a little kick
that you just have to do it right. But again
another layer of responsibility, right, I can't just simply go
in there and start drinking it. But that is the
best beverage, and again it limits your exposure. It's inexpensive.
(15:11):
That's one way to help yourself out because a lot
of people are drinking these beverages. I mean it's and
you can and you know that because you go into
the grocery store, you go into the convenience stores, which
are massive these days too, right, just going to get gassed.
These convenience stores are huge, and the whole back aisle,
(15:33):
the whole wall of the store primarily it's just beverages,
just beverages, and we're drinking it because it tastes good.
It makes us feel a certain way, it gives us
an energy or whatever. But good old fashioned water been
(15:53):
around for years, is still there, the step child of
the beverage market. Phone lines are open A nine six
kalv I won one hundred three three zero be back
in two minutes. All right, welcome back to stopping medical.
(16:30):
Our phone lines are open eight nine six kV I
one one hundred three three zero k o v I
talking about drinking water best beverage in the world right
and limiting your exposure to things that spike your sugar,
which is the big problem in our country is just
(16:51):
too much exposure to sugar. And what's helping out are
these monitors now, These continuous glucose monitors are CGM for
an acronym dex com as well as freestyle libre where
you can sort of wear this sensor all day and
you can just sort of see what happens to your
sugar when you drink and eat certain food items, and
(17:18):
it can be an eye opener and I for patients
who have type one or type two diabetes, it can
certainly just more information to allow them to make better
food choices so that they can limit things that cause
a spike in the sugar, because, as we've mentioned before,
sugar spikes is what causes inflammation in the body, and
(17:42):
it starts to cause damage to the circulation, which we
know as plack p L a q u E, which
is sort of the engine behind the development of strokes
and heart attacks or what we call peripheral vascular disease
or all of the other vascular problems that Americans have,
(18:04):
such as DVTs or deep vein throng boses. Are pes
permanent imboli. These are blood clots that form in the
venous side of the circulation system, which we see a
lot of these pes and these DVTs, and again it
comes down to that inflammatory system sort of humming in
(18:25):
the background as a result of the daily exposure to
some of these food items and beverage items that we
generally consume every single day, just naturally consume. Again, no
one's trying to be bad or necessarily trying to be
(18:46):
have poor health, but most of these items are more
easily available, and they're cheaper, they're more convenient, and in
the hecticness of the day, it's just easier to get
these things, and so you do you know, it's sort
of human behavior. How can you get through the day
as easy and as fast as possible and grabbing these items,
(19:10):
these on the go items, if you will. It's just
sort of part of you know, what we do. And
when you do get diagnosed with something like hypertension or
high cholesterol diabetes, are you going with your first stroke
or first cardiovascular event? And all of a sudden, this
stuff really means something now in terms of what you
(19:32):
eat and what you drink. Now it really really sinks
in and you have to buckle down and you now
have to do this right. It's not anything you can
just sort of kick down the street. Because again, people
are concerned about their health. You know, they go to
their doctors and they check their labs. But I still
have my patients that really don't want to participate with
(19:57):
taking prescription medications. They hear things about prescription medications and
it frightens them and they just don't want to be
in that category where they have to get prescriptions and
buy this sort of artificial medicine and take it and
get lab and it's just sort of another layer of
(20:19):
complexity to their lives. I just want to keep things
as natural as possible, and so they Hey, I'll try
to do it myself. And for most Americans in my
experience as doctors, it's just not going to happen. Unfortunately.
It's tough, and it shouldn't be, but it is very tough.
(20:42):
It's hard to pass up all those things that again
are convenient for you. They're more early less expensive, and
you can get six containers of this item versus one
container that's even more expensive than the six, and so
you just natural behaviors, it's going to go towards getting
this one that has just six, right, because now you
(21:06):
have some money left over to go do all these
other things. So it's it's it's not a lot of times,
it's not your fault, man, it's it's just the way
our society is set up. And it's a monumental effort
to find that solution to getting too good health. And
you know these diabetes medications which are real popular right now,
(21:28):
like we go Vi, Munjaro, zep bound Ozimpic, trulicity, Belsis.
I mean, man, it's a it's a long long list
of these medications. Sax and Victosa been around for that
whole class has been around for a long time. And
I've mentioned these medicines before. You know, if you can
(21:50):
get your hands on this medication, it's a good, good
option for most of us because again, it helps us
control our appetite, right, which just seems like we stay
hungry all day long. Plus you know, a lot of us
when it's the weekend, we're at work, we're at home.
(22:13):
We sometimes don't have a whole lot to do to
distract us. You know, we have a lot of free
time in our hands, and it's just one of the
things that we sort of do. We just sort of
eat snack, if you will. That's the term that they
use in trying to help patients lose weight. This whole
(22:33):
intermittent fasting model has been popular in the past I
would say year or two. It's probably been around for
a long time, but it's gotten very very popular. And again,
the whole idea is that you're going to sort of
dedicate yourself to not eating for a certain length of time.
(22:56):
Normally eight to twelve hours is the amount of time
that most intermittent fasters will choose. It's just trying to
choose what time of the twenty four day you're gonna
do it, right, which is what breakfast is breaking your
fast because again, you normally go to bed at most
(23:17):
people nine o'clock. You don't get up till seven or eight's.
That's basically a fast, but you're sleeping. It doesn't bother
you too much. It's easy to do because as far
as I know, most people are not getting up snacking,
although I do have a few, but most of the
time you go to bed, you don't eat anything for
eight hours or so, and a lot of people don't
(23:37):
like breakfast, so when they get up, they're really not hungry,
and it's easier for them to go without eating a
solid meal in the morning until maybe twelve or maybe
one or two. That's sort of when normally most people
hunger signal kicks in from their previous day, meaning let's
(23:59):
say the eight meal about seven or eight their previous night.
They can pretty much go the whole night and then
a few hours in the morning until about like say
noon or one, and then that's when they really kind
of are hungry. And that's sort of how most people
do their fast is they eat maybe at two and
(24:20):
that's the only meal of the day. It can be hard,
but I do agree with that model, right, and you
know it doesn't cost anything, and if you think about it,
it sounds like it should be a cheaper way to
lose weight, right because you know, you're not eating as
(24:41):
much food, so you don't really have to go buy
as much. You don't have to go to the grocery
store as much because it's just not eating that much.
And that is a great in my opinion, that is
a good way to keep keep some pounds off or
get some weight down is you just don't eat us frequently.
(25:04):
And that's really how those diabetes medicines work. The injections
once a week very convenient, is they sort of turn
your appetite down to a very very low, almost non existent,
so that even though you're exposed to all this food
and beverage and you're being told to eat and drink
(25:26):
all day long by just all of the commercials and
advertising of food and drink in this country, and again
the ease of getting the food and drink in the country.
I mean, you work at an office and somebody's catering
something because some event is happening, and just all the
goodies are staring at you, and you have the whole
(25:49):
day that you have to work, and the stress and
you've got to listen to your boss and customers, and
you've got deadlines and PaperWorks do and man, have those
goodies is staring at you? You know, a reward, right,
And I can just go and eat that big chocolate
muffin and oh my god, I'm gonna feel so good. Right,
(26:10):
that's the idea at least. And then after you eat
that chocolate muffin two or three hours later, you're ready
to go to bed. I mean, just this overwhelming sense
of fatigue and tiredness, overwhelmed. You just ready to go
to bed. And again that impact of that starch and
that sugar and all the ingredients that they put in
that food. You know, to preserve it because you know
(26:32):
a lot of times pastries they can, man, they can
sit on the shelf for a long time. You go
to again the big grocery stores, you walk right in
and right there in front of your face is just
all these cookies and pies and cakes, so just sitting
in these plastic packages, and I'm sure they can sit
there for days and be fresh. Meaning when you eat it,
(26:54):
into it and it's moist and it tastes good and
it smells the right way. I mean It's almost like
if you can think of these sort of convenient foods
that you find in the vending machines at most a
lot of businesses, even at hospitals, those vending machines, it
has all that packaged. You know, there's cookies and there's
(27:15):
cakes and stuff in those vending machines and they can
sit there for weeks until you decide to do that.
The same thing at the grocery store. And again these
items that to put in this food to stabilize it.
Again a lot of experts, and it's not good for us.
You know, it makes our body age faster. It again
(27:39):
generates inflammation, and its spiked sugar. So you know, we
get it, we really get it. But interbedded fastening is
a great model if you're looking for something to try
to help you. This waste not for everybody, right, but yeah,
try it. Phone lines are open eight I won one
(28:01):
hundred three three zero oko. I'll be back in two minutes.
All right, welcome back to talk with me medical. Our
phone lines to open eight nine six kV I one
one hundred three three zero KLVI. Talking about how can
you lose weight? Man? It is such a constant struggle
(28:22):
for most of us as how to get your weight down,
and this interimitt and fasting model, which has been around
for a while, but again has been more popular. People
come to the office every day, How can I lose weight?
How can I lose weight? What's out there? What's new,
what's going on? So these, again, these injectable diabetes medicines
are super super populars just getting your hands on them
(28:45):
and just paying for it. How are you going to
do that? Because again, if you don't have a diabetes diagnosis,
a lot of times it's it's something you have to
pay for out of pocket. Insurances do not pay for it.
And a lot of doctor's offices and medical facilities are
offering generic ozembic or a semaglue tide. They it can
(29:07):
be compounded, and so a lot of doctor's offices healthcare
professional's offices are offering this version of the sema glue tide,
the compounded version. It's normally cash based and you have
to come once a week. Right, It's not something that
most offices can give you some a prescription for this.
(29:31):
You have to come to the office and get it.
And so that's again more obstacles to getting your weight down.
But again, I believe this class is a really phenomenal
class of medications to help control your weight or get
your weight down. Obviously, everything has potential side effects. We
(29:52):
talk about that all the time. We don't shy away
from that. We just understand it's difficult to do things
anything zero risk or there's some risk of an unexpected
outcome to the resultant, and these medications are no different.
The big thing that I've seen with these medications is
(30:14):
a couple of things. One is just sort of an
abdominal upset, maybe bloating or significant constipation, and some pretty
significant nausea can happen with these class of medications. And
that's why for most people, you sort of start at
a low dose and sort of work the dose up
(30:37):
to something that you can tolerate, and you sort of
kind of maintain that dose. And again, previous medications, a
lot of times you couldn't take it long term, or
it sort of burned out long term, or it really
had these, you know, significant side effects. And that's why
this class, in my opinion, sort of you can check
(30:59):
all the boxes in terms of what you need for
a weight loss product. You know, you can take a
long term, it's relatively saved, and you know it's once
a week and the body generally tolerates it pretty well
long term again, especially if you can sort of keep
that doze down to something that you can tolerate. And
(31:20):
that's different for everybody. We have Leonard from Houston, what's up?
Speaker 2 (31:25):
About three months ago my doctor switched me from a
met Foreman to Farsiga. I was unhappy with the numbers
that I was getting one hundred and sixty hundred and eighty.
Bottom line is, I took the met forman and I
cut it in half, and now I take a Farsiga
in the morning and a half a met Forman in
the in the evening. Now I'm getting numbers one hundred
(31:47):
and six, one hundred and twelve, one hundred and fifteen.
I'm happy with those numbers. Is there a danger? Is
there's something I should be looking out for from mixing
Farsiga and met Foreman.
Speaker 1 (32:02):
No, No, I mean, Leonard, those are very both. Those
are very popular doabetes medications, and as far as I know,
there's no significant interaction between the two. And I want
to say that they even have a combination tablet out
there that contains both Farseka met Foreman. I don't know
(32:23):
the name of it, and I may be wrong, but no,
those medicines can be taken, in my opinion, safely together
without any significant side effect issues. Now you know, listen
to my show. We we realize that, yes, anything can happen,
but there is no what we call black box warning
(32:43):
as it pertains to the combination of med Foreman and Farciga.
I think it's a it's a popular combination.
Speaker 2 (32:51):
Good now, thanks big guy.
Speaker 1 (32:53):
All, I appreciate that. Learning have a good day. And yeah,
I met Foreman, the old stand by man. It was
out when I was finishing medical training. Med Foreman or
also known as glucophage GLUCOPHEYI ish probably more popular when
I came out because we just didn't have as many
(33:15):
medical therapeutics available to Type two diabetics. And then Farsiga
is the new kid on the block, right, and I
feel like it's it is a blockbuster medication that class
of diabetes medicines, Farsiga, Jardians, and in Volcana. Those are
the brand names of those medications and we use that
(33:41):
class of medications very heavily now in the management of
type two diabetes. As a matter of fact, when I
came out met Foreman, what they taught me was on
my sort of certification examination is that's sort of your
first medicine you always go to when someone gets type
(34:02):
two diabetes. That that's the medicine you grab for. That's
what most doctors were doing at that time. And fast
forward to today, Well, this Farsiga class or in volcana class,
that's what we're reaching for mainly number one, when someone
gets diagnosed with type two diabetes. Just because of the
mechanism of action, it helps in more ways than the
(34:27):
glucafage or met forman, And so we're getting the most
out of this drug, this farciga, then we're getting out
of met foreman. Yes, it's got his issues, I've seen them,
but for the most part, it's well tolerated and it
helps tackle a lot of those hemodynamic as well as
(34:50):
metabolic derangements that occur in type two diabetes. And it's strong.
I mean, it gets that sugar down significantly. Metforming is okay,
but far seeing my opinion is two three times stronger
than met form And that's just me using it and
(35:11):
seeing how my patients respond to it. It gets that
sugar down within a week or two. And because of
the way it works like it it works in the
kidney for the most part, and it's being used to
reduce your chance of developing chronic kidney disease. It's being
(35:33):
used to help your heart, it's being used to help
manage blood pressure, and those are big things when you
talk about type two diabetes, those are the big events
that tend to happen, right. Those blood vessels just get
torn up by all that sugar and inflammation, and when
(35:54):
you're blooding flowing, and then your body gets congested and
all these events start happening and you start ending up
in a hospital more and things started getting cut off,
and now you're getting swollen and you get a clot
in your brain and you know it's all from that.
(36:15):
And so this class of medication works on all of
those factors and it can reduce and lessen the chance
that you'll have to go to the hospital for all that.
So we're trying to use those medicines more than metformant
although informantists still there and we still incorporated into the regimen,
(36:36):
and medformanists had its public relations issues over the years.
Just you see things periodically pop up about metforming and
whether it causes this or causes that. And I think
that one time they thought it was going to be
taking off the market, and I was just yeah, it
was a long time ago, but I was practicing. But
(36:57):
it kind of went away, It blew away the concern.
No one really talks about it because again I think
a lot of providers are just not writing as much
of it as of Farsigo the new kids on the block,
and these new injections. These are the new kids on
the block. And so this is what most practitioners are
really using to manage type two diabetes, the injections and
(37:20):
this class Farsiga and Volcanisjordiance, those are the big ones.
And yes, sometimes we do combine diabetes medicines a lot, right.
You know, someone can be on three or four medicines
alone just for diabetes. Doesn't count their heart medicine, their
blood pressure medicine, are, whatever disease they're dealing with, it
(37:44):
doesn't factor in all that. So you could literally be
on ten tablets a day very easily. Phone lines are
open eight nine to six K one hundred three three
zero KO. I'll be back in two minutes. All right,
(38:15):
welcome back to talk to me a medical our phone
lines open eight nine six K one hundred three three
zero kov. Our has gone by very very rapidly when
you're having fun, and yes, I'm having fun, just chatting
about how can you get your weight down? Various ways
to do that again, try and limit your exposure to
(38:35):
sugary beverages and try and find a way to drink
that water. For me, I like lemon water. I drink
that mainly every day. Just a fresh squeezed lemon in
your water, mam. It's delicious, I mean, refreshing, light, delicious.
You can again put mint in it and cucumbers and
(38:57):
there's all sorts of stuff you can do. But it's
a good beverage, you know, good for you, keeps you hydrated,
and you can consume some vitamins with it. In that way.
Lemon has some ingredients in it that can help other
your body function as well as possible some antioxidants, things
that fight inflammation, fight aging, and boost your immune system.
(39:20):
So it's a great, easy, simple beverage, right, and again
drinking other beverages, diet beverages. Again, a lot of people
feel like they're being healthy, but again, experts are trying
to sound the alarm that the ingredients it takes to
make a diet beverage you're not so good for you.
Just read the ingredients. You can look them up yourself,
(39:43):
I mean, use Google or whatever resource you use, and
just read about those ingredients and just think to yourself,
that's something I really want to ingest every day, three
four times a day. It's it was just something thing
to think about, something to investigate. And yes, this intermittent
(40:04):
fasting model, I think is a great way, and I
think inexpensive way to be honest with you, because you know,
we think about prescription meds and fancy organic food that
that's what all the experts say, right, just you got
to get more organic. It's less this, it's less that
(40:25):
it's better for you, but it's normally a more expensive
ways as well, so most people in that reaching for
that stuff. But intermittent fasting, yeah, sort of going a
good twelve hours without eating. And again I think most
people do that when they have one mill a day. Right,
(40:47):
that's pretty much the concepts just eat less, eat less,
and these injectable diabetes medicines allow us to do that
with ease because again. When you go several hours without
eating throughout the day, man, it's hard. It's an uncomfortable
feeling and sensation, and just most people just can't do it.
(41:09):
It's too tough. They don't want to be uncomfortable all day,
don't want to be in pain and being hungry or
hungry as they say. But these injectables can allow you
to do that. So talk with your healthcare provider about
trying to get a prescription for you, or maybe find
an office that offers it, a weight loss program that
offers that medication. Anyway, thank you for joining for another
(41:31):
edition of the show. Don't drink and drive, Drink some
water and we'll see you next week. Take care of
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