December 30, 2024 • 24 mins
Dr. Wendy is offering her Wendy wisdom with her drive by makeshift relationship advice. PLUS we are talking to Dr. Swathi about the downside of magic weight loss medications. It's all on KFIAM-640!
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Episode Transcript
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Speaker 1 (00:00):
This is Doctor Wendy Walsh and you're listening to KFI
AM six forty the Doctor Wendy wallsh Show on demand
on the iHeartRadio app. Welcome back to the Doctor Wendy
Walls Show. I'm KFI AM six forty five everywhere on
the i Heeart Radio app. I am answering your social
media questions. If you have a relationship question, send me
a DM on Instagram at Dr Wendy Walsh and producer
(00:24):
Kayla will pull him out and I will read them
like this one that I'm about to read. Dear Doctor Wendy,
I always go back to a guy I have no
interest in whenever new relationships fail, I really always the
same guy. I realize this hurts him, but how much
he loves me makes me feel good about myself again.
Oh lord, what are some better coping mechanisms for hurt
(00:48):
all right? I want to say that I'm very proud
that you are aware of this pattern. That is the
first thing in every stage right of growth is like, Wow,
I'm doing something this dysfunctional, hurting somebody who loves me.
I keep going back to the same boyfriend that I
don't really like that much, but because he falls head
over heels for me. It boosts my ego and then
(01:11):
it sends me back out there. So obviously you need
to not do this again and have a conversation with
him that's full of apology. Set him free, Please set
him free, do the honorable thing. But you need to
look for other ways to raise your self esteem, and
(01:32):
therapy is a good one, a really good one. Go
inside yourself, find out how lovable you are, because nobody
can be a healthy partner in any dating relationship unless
they love themselves first. Now, some people disagree with this
whole theory, like you have to love yourself first before
you can love anybody else. You know, you don't have
(01:52):
to be completely perfect or completely whole, but you do
need to have a backbone of self esteem. Like, in
other words, do you only like yourself because that this
person you're chasing likes you? Can't you like yourself just
for you. Can't you go and accomplish things in the
world for your own satisfaction. And I think that's something
(02:14):
that you should work through with a therapist together. But
please have a conversation with that guy, and please let
it be filled with apologies. All right, Uh, Dear doctor Wendy,
my husband compliments my stretch marks and stomach roles. I
am the mother of three, and I wish we had
(02:36):
enough money for me to have a tummy tuck. I
generally think that my husband does love me and maybe
loves my stretch marks and stomach roles, but I really
hate them and it hurts my feelings. Is there a
nice way to tell him to back off? Well? Yeah,
all you have to say is, honey, thank you. I
(02:57):
appreciate that you like that about me. Maybe it reminds
you that I'm a great mother, or that I've sacrificed
for you and your genes and our kids. But I
feel self conscious about them and I don't like them,
and whenever you bring it up, it reminds me of that.
So I'm not asking you for the money for a
Tommy Duck. I'm just saying, don't bring it up so
(03:19):
I can ignore it. It'll help me feel you could
even say, help me feel sexier for you. It'll help
me feel more attractive to you. That's the nice way
to say it. Ah, Dear doctor Wendy, my ex used
to buy me whenever I want it, buy me whatever
I wanted. Oh so it was financial care. We broke up,
(03:40):
and my new interest tells me I'm too bougie and
need to come down to earth. Is it unattractive for
a woman to be materialistic? Well, this is a big question.
First of all, every woman is a gold digger. I
just want to say that very clearly. Every woman is
a gold digger. Listen, if you say you're not. If
I present to you two attractive looking, identical twin males
(04:03):
and one is poor and one is rich, it's clear
which one you're going to go for. In our anthropological past,
the woman would want a man to bring protein and
resources to the table. And if you're thinking of having
babies with somebody, showing financial sacrifice is a way of
him saying, yeah, this jewelry is a big waste of money.
But there's more where that came from, babe, Right, So
(04:23):
there's all kinds of unconscious things going on now. On
the other hand, if your only interest in men is
what they can give you financially, then it's not a
healthy relationship right now. I've always said that a relationship
is an exchange of care, and that care can take
many forms. It can be emotional support care, it can
(04:46):
be sexual care. It can be domestic care, it can
be intellectual stimulation care. And yes it can be financial care,
but not it's they're usually not all one note, right,
relationships are a combination of everything. So I also ask
you if he's criticizing you for being quote unquote too bougie,
(05:07):
meaning you're trying to be of a higher social class
than you were born into, then why don't you go
make the money yourself right and date men of that
class when you're there? Like, yes, we do. Humans can
use sex as social climbing thing. But I would say
(05:29):
too materialistic. Yes, if you're not loving a man for
everything else. That's the bottom line. Yes, it's possible to
be too materialistic, just saying, but it's okay to be
materialistic if it's part of a rainbow of things.
Speaker 2 (05:43):
Whatever.
Speaker 1 (05:44):
It's just that there are a few men that have
enough money to showcase since that financial sacrifice anymore. All right,
I think we have time for one more, Dear doctor Wendy.
My wife and I have been married for twenty six years,
our kids have all left the nest, and I notice
now that she's spending a lot of time with her girlfriends.
She goes out to book clubs, at wine bars, she
(06:07):
goes to gardening groups. She is out with women more
than she's out with me. I'm a little concerned because
one of her camping trips that's coming up. Let me
read this straight. One of her camping trips that's coming
up has some lesbians there too. Could my wife becoming gay? Okay,
(06:28):
calm down, sir, let me explain what's happening here. So
in the early part of our lives, women have a
lot of female to female competition as we're trying to
win the hearts of people like you, gentlemen, and then
we have all those years of sacrificing for kids, and
then when the kids leave the nest, there's this feeling of,
(06:49):
oh my god, I'm free. It's over. Honestly, my husband
Julio mentioned this to me. He's like, what are the
women doing. They're gathering. They are gathering. We go to
book clubs, to wine tastings, we go on retreats, We
do so much stuff. I wouldn't worry about the lesbian
peace because also research shows that, you know, gender orientation
(07:12):
or sexual orientation is fluid across the lifespan, and plenty
of women their estrogen goes down. Maybe their testosterone goes
up as they get older. Maybe not plenty, but some
women do act out same sex relationships later in life.
It's probably not what your wife is going have. You've
been married twenty six years. Women's probably in her fifties.
(07:36):
She's probably not going out dating. She's probably gone to
gardening groups and books. So my answer to you is,
if you want her to spend more time with you,
then do some interesting things with her. And you, guys
need to sort of rework your relationship contract and you
need to find ways to do exciting things together the
(07:57):
two of you. But let her have a girl pack important.
At a certain age, women hang out with other women.
It's really cool. Alrighty, when we come back, I have
a very special guest who's going to talk to us
about why the miracle drugs for weight loss are not
so miraculous. Sorry, bad news coming up. You're listening to
The Doctor Wendywall Show and KFI Am six forty. We
(08:19):
live everywhere on the iHeartRadio app.
Speaker 2 (08:22):
You're listening to Doctor Wendy Walsh on demand from KFI
AM six forty.
Speaker 1 (08:29):
Welcome back to the Doctor Indi Wall Show on KFI
Am six forty live everywhere on the iHeartRadio app. Okay,
it's here. The end of the year is approaching. You
know what comes next the beginning of the year, and
you know what comes with the beginning of the year.
We're all doing it. Okay, it's New Year's resolution. If
you're not doing it, like look, it means nothing. You
can start it in February, March, April, whatever. But there's
(08:51):
something about starting fresh with that new year, whether it's
making a change, setting a bunch of goals, whether it's
just making a bunch New Year's resolutions, or whether it's
about health. Some people do dry January. Last year, I
did dry February and people said that's not a thing,
and I said, yes, it is because I went wine
tasting in France in January. So can't do dry January
(09:14):
for me this year. I haven't decided. I'll let you know.
I have two more days to figure it out. But
I want to talk a little bit about all the
new weight loss drugs in the world, and I know
there are many people listening who have either tried them,
are currently on them, or thinking about if this could
support them in the new year. I'm sad to tell
(09:35):
you it's not all good news. You know, not everything
is comes with outside effects. Nothing is free in life.
As I like to say, I know that at the
beginning of the year, people are seeking rapid weight loss solutions,
but there are some experts out there who are warning
us that what are known as GLP one drugs might
carry some hidden risks. Let us meet my guests. Who's
(09:59):
going to way in pharmacist and integrative health expert doctor
Swathi veran Nasi Diaz. Did I say your name right? Yes?
She did.
Speaker 3 (10:08):
Thank you so much for having me.
Speaker 1 (10:10):
Thank you you are in Florida. No snow for you
for Christmas. But let us talk a little bit about
these drugs. How many brand names do we have now?
We have ozempic, we gov, Are there others?
Speaker 3 (10:24):
Oh yeah, there's Munjaro, Rebelsis like you think of it,
and there's more out there because now there's not just
the injectible forms that were you know, that were maybe
more familiar with, like ozempic and with goovie. There's also
oral forms even you know, other new innovative ways that
people are getting their hands on this medication.
Speaker 1 (10:43):
And there's good reason why they have become popular. We
have an estimated over one hundred million Americans struggling with obesity.
You know, when I teach my health psychology lecture on obesity,
I talk about the bio psychosocial model of this disease,
and I love to blame the food industry for creating
this problem. And now the pharmaceutical industry has stepped in
(11:07):
trying to help people. But you say that some of
these popular medications actually have some high risks. Can we
start going through what some of the potential risks are?
Speaker 3 (11:20):
Yes? And so if you know, just given the number
of people that are taking these types of medications, the
GLP one drugs, it is really important to think about, Okay,
are there major red flags? Are there major potential issues?
The first one is the gas dointestinal issue, So this
is to do with nausea, vomiting, constipation, and potentially issues
(11:41):
with the stomach not emptying properly. The second one is
about accelerated muscle loss. So people are all about losing weight,
but they don't realize that with these medications you actually
lose a combination of fat and muscle.
Speaker 1 (11:55):
So let's stop right there and talk about this muscle loss.
So what is the body actually doing. So it's my
understanding that what these medications do is just make you
feel full and not want to eat, and so the
body still needs to survive, so it's pulling nutrients from muscles.
How is this working?
Speaker 3 (12:15):
Yeah, So the way that the drugs work is that
they increase influence secretions. So when you take the drug,
you have more insulin and that helps to lower your
blood sugar level. And then also it influences glucagon secretion,
so it actually decreases the glucagon floating around in your system.
And it also suppresses appetite. Those are like the three
(12:37):
main ways that it functions. And so you know, as
you're not as hungry anymore as you're you know, losing
the weight. Part of that weight, unfortunately, is that loss
of muscle.
Speaker 1 (12:48):
So I'm sure your recommendation is that if people are
taking this medication, that they're also lifting some weights and
doing some weight bearing exercise, right to keep that from happy. Yes.
Speaker 3 (13:00):
In terms of movement, I recommend the combination of what
I call, you know, aerobic exercise, So thinking about getting
your heart rate up. That could be taking a long
walk or it could be you know, getting in the
gym on the treadmill, especially this time of your cold
in most places, and combining that, you know, getting your
heart rate up with that resistance training. So that could
(13:20):
be in the gym, it could be with the trainer
in a class, but just finding things that work for you,
that you're excited to do. But having that that blend
of the two things is important.
Speaker 1 (13:32):
And let's talk about off label misuse. What would you
categorize as off label misuse?
Speaker 3 (13:39):
Yeah, so off label misuse means that you know, off
label simply means that it is not being used in
the way that it is FDA approved.
Speaker 1 (13:49):
Yeah, and what does the FDA say? Yeah, what does
the FDA say? Who's supposed to be taking this?
Speaker 3 (13:53):
So the FDA for a zemptic and w gooviy. More specifically,
it's for people either have a BMI of over twenty seven,
so twenty seven means like medically overweight, and they have
some other additional condition that can contribute to their weight,
and so that could be you know, diabetes, it could
(14:14):
be heart disease, or they have a BMI of thirty,
which is considered medically obese. But as we both probably know,
and as many of the listeners probably know too, a
lot of people that are taking these medications do not
fall into those two categories for which the drug is
FDA approved, And.
Speaker 1 (14:32):
There are doctors who prescribe it. So if somebody walked
into their doctor and said, hey, I'm a healthy size ten,
I work out, but I really want to wear a
dress size six, doctors are writing scripts for that.
Speaker 3 (14:44):
So it is up to medical discretion. And so the
physician or the healthcare provider is able to decide based
on the patient's profile, if they want to write it.
And that is why a lot of providers are writing
it even though they you know, the patient might not
fit into those two descriptors.
Speaker 1 (15:03):
All right, So these drugs, a lot of people are
using them. Do you have any data on how many
people are using them right now?
Speaker 3 (15:09):
Oh gosh, thousands of people are using them because I mean,
people are looking for that magic bullet and that quick
six and unfortunately, losing weight is just a bit more complex.
And so we did talk about the movement, but I
also recommend you know, some nutritional interventions and also some
dietary supplements that can help.
Speaker 1 (15:29):
In fact, we have to go to a break, but
when we come back, I want to talk about two
things mental health side effects, which I really want to address,
and also what people can be doing instead, maybe that
they haven't been doing so that they don't take these drugs,
especially the off label use. You are listening to the
Doctor Wendy Walls Show on KFI AM six forty.
Speaker 2 (15:50):
You're listening to Doctor Wendy Walsh on demand from KFI
AM six forty. Bobby, Welcome back to the.
Speaker 1 (15:57):
Doctor Wendy Walls Show and KFI AM six four Pready
live everywhere on the iHeartRadio app. Right now, My guest
is doctor Swarthy Varanasi Diaz. Thank you so much for
being with us. You are a pharmacist and an integrative
health expert, talking a little bit about the downside of
all those seemingly miracle weight loss drugs. One of the
(16:21):
things we haven't addressed yet is the mental health side effects.
I've got some opinions myself, but tell me what you
are seeing as side effects.
Speaker 3 (16:34):
Yes, and so, as patients are taking these medications. There
are two different components that come to mind about mental health.
The first thing is that you know the center of
our brain that tells us if we're full or not.
Our society center is actually really closely wired to our
reward system or our dopamine system, and so if our
saciety or you know, we're feeling full quicker, that could
(16:57):
impact also the enthusiasm or ex or reward that we
feel from different you know, experiences in our life. And
so this could be you know, a lower mood, it
could be heightened anxiety, and so you know, that's something
to keep in mind. The other thing is that golp one,
at the end of the day, is a hormone that
is naturally produced in the body, and so if we
(17:18):
take these drugs, we're just increasing that hormone. And if
we're increasing a certain hormone, that can actually influence other
hormones in our body, which can then you know, influence mood.
And so just taking a gop one drug quickly actually
comes with a lot of potential, you know, mental health issues.
Speaker 1 (17:37):
You know, I do a regular segment on Australia's Today Show,
and a few weeks ago there was a guest on
just before me who was a British journalist who said
he was obese and took one of these drugs and
journaled what his experience was and when they asked him
about depression because there's been some reports that some of
(17:59):
these weightless drugs can cause depression. He had the most
interesting take on it. He said that he didn't think
the drugs themselves caused depression, but he felt that people
who over ate were self medicating with food for depression
that already existed. So he used an example he noticed
one time he went to his favorite Kentucky Fried Chicken.
(18:19):
He'd had a bad day and was feeling down, and
he ordered what he normally would order, which was an
entire bucket of chicken, and he said, he got two
pieces into it, and he was full because the drug
said you're full, don't eat anymore. And he sat there
looking at the rest of his chicken and feeling sad
that he couldn't finish it, and then realizing that he
didn't have his buddy with him anymore, which was the food.
(18:44):
What do you think about this?
Speaker 3 (18:46):
I think that that is like very much in alignment
with a lot of the reports that I'm seeing. Is
like what I mentioned was kind of the physiological side,
but that's really what patients are experiencing, is that they're
used to eating this meal. They're to going out and
eating dinner, having drinks, with their friends and then all
of a sudden, they're not getting the same pleasure or
(19:06):
excitement out of it anymore. So I've heard things like
this before, whether it's from my patients or from people
who I know.
Speaker 1 (19:14):
Yeah, food is their drug in many ways, and their
body saying you can't have that drug anymore. So let's
talk about assuming that some people are out there and
they are have tried these drugs, or they're about to
try these drugs, Let's talk about ways that they can
reduce their risks. Any ideas to prevent the stomach problems
(19:35):
you mentioned the digestive stuff.
Speaker 3 (19:38):
Yes, so just overall, if someone is looking to take
these medications, they're already taking these medications, we want to
mitigate risks as much as possible. And so we talked
a little about a little bit about movement already. In
terms of nutrition, I always recommend smaller, more frequent meals,
focusing on whole food so thinking about you know, the
(19:59):
perimeter of the grocery store and thinking about high quality
protein and enough fiber. Really Americans do not get enough fiber.
So you know that means you know, eating more produce,
thinking about the whole foods, and once we start incorporating
things like that the fiber comes.
Speaker 1 (20:16):
I teach my students. I know they have to do
those five servings of fruit and vegetables to day, and
that a serving is eight ounce. Is it's a cup? Right?
So think about a cup of spinach, a cup of
carrot's a cupa and how do you fit that in?
So I actually go through one of my daily menus
with them and show how the berries and bananas happen
at breakfast, the salad happens at lunch, the two or
(20:38):
three servings of vegetables happen around my protein at dinner.
Like you have to show people like here's how you
get the fiber in, as well as the vitamins.
Speaker 3 (20:46):
Absolutely, And in addition to those things we talked about
nutrition and movement, I know that we lead such busy lives,
especially this time of year with all the parties and everything.
So in addition to those things, I always like to
recommend some dietary supplements. So the first one is omega
three fatty acids, which we might already be familiar with,
(21:07):
and so that can amazing. So that can reduce muscle
inflammation and support protein synthesis, and we can get that
through our food like you know, chia seeds or salmon,
but we can also get that through a supplement like
some people call it the fish oil pillar, the fish skill.
So that's the first one. The second one is amino acids.
Again we can get this from our food, but also
(21:28):
from a supplement and specifically branch chain amino acids like leucine,
which can help prevent muscle breakdown.
Speaker 1 (21:35):
And the third I'm writing this down, I'm taking notes,
good doctor, Okay, what does branch chain amino acids look
like in a vitamin store or whole foods? What am
I buying?
Speaker 3 (21:47):
Yeah, so you might be able to just see am
I to say amino acids. It might say branch chain
amino acids, or it might specify a specific you know,
like a specific amino acid like a lucine for example.
That's probably one of my favorites when it comes to
preventing muscle breakdown. So those two I would definitely recommend
it be.
Speaker 1 (22:06):
Good for people. I'm sorry, I'm getting free medical advice here.
Would they be good for people who are on a
statin that causes mucket muscle weakness?
Speaker 3 (22:14):
Yes, absolutely, that would be a wonderful addition for some honest.
Speaker 1 (22:17):
Lucy, we got it. Got that one, Okay, what else
I need? I mean need?
Speaker 3 (22:23):
And the third one is something that you might not
have heard about before because it's newer, but it's highly
studied and it's called fordotropin. It's a natural compound derived
from fertilized raw egg yolk and in clinical trials it
showed that it boosted muscle protein synthesis by eighteen percent
in adults who are not exercising.
Speaker 1 (22:44):
Four to tropin f O R t I t R
O p I N yeah for too tropy.
Speaker 3 (22:51):
Actually, I'm on the medical advisory board for maos MDS
it's m Yo s MD and they have a fordotropin
product that is great and I help them with a
lot of like education on how we can help patient
support their muscle health.
Speaker 1 (23:07):
Well, what a treat to have you on the show.
You know, so many people are beginning their New Year's
resolutions in just a couple days and this information. You know,
the one pill is not a cure all for everything,
So thank you for teaching people how to do it correctly.
My guest, doctor Swarthy Veronasi Diaz, thanks for being with us.
Speaker 3 (23:27):
Thank you so much, for having me. And if people
want to find out more information about anything that I
mentioned today, you can visit MAYOSMD dot com to check
out some video and educational content there.
Speaker 1 (23:38):
Thank you appreciate it, and that brings the Doctor Wendy
Walsh Show it to a close. I want everybody to
have a happy and healthy and safe New Year. I'll
be back in twenty twenty five, which is in a
few days. Thanks so much for listening. You've been listening
to the Doctor wendywallsh Show on KFI AM six forty
live everywhere on the iHeartRadio app. You've been listening to
(24:02):
Doctor Wendy Walsh. You can always hear us live on
k FI A M six forty from seven to nine
p m. On Sunday and any time on demand on
the iHeartRadio app.
This is Doctor Wendy Walsh and you're listening to KFI
AM six forty the Doctor Wendy wallsh Show on demand
on the iHeartRadio app. Welcome back to the Doctor Wendy
Walls Show. I'm KFI AM six forty five everywhere on
the i Heeart Radio app. I am answering your social
media questions. If you have a relationship question, send me
a DM on Instagram at Dr Wendy Walsh and producer
(00:24):
Kayla will pull him out and I will read them
like this one that I'm about to read. Dear Doctor Wendy,
I always go back to a guy I have no
interest in whenever new relationships fail, I really always the
same guy. I realize this hurts him, but how much
he loves me makes me feel good about myself again.
Oh lord, what are some better coping mechanisms for hurt
(00:48):
all right? I want to say that I'm very proud
that you are aware of this pattern. That is the
first thing in every stage right of growth is like, Wow,
I'm doing something this dysfunctional, hurting somebody who loves me.
I keep going back to the same boyfriend that I
don't really like that much, but because he falls head
over heels for me. It boosts my ego and then
(01:11):
it sends me back out there. So obviously you need
to not do this again and have a conversation with
him that's full of apology. Set him free, Please set
him free, do the honorable thing. But you need to
look for other ways to raise your self esteem, and
(01:32):
therapy is a good one, a really good one. Go
inside yourself, find out how lovable you are, because nobody
can be a healthy partner in any dating relationship unless
they love themselves first. Now, some people disagree with this
whole theory, like you have to love yourself first before
you can love anybody else. You know, you don't have
(01:52):
to be completely perfect or completely whole, but you do
need to have a backbone of self esteem. Like, in
other words, do you only like yourself because that this
person you're chasing likes you? Can't you like yourself just
for you. Can't you go and accomplish things in the
world for your own satisfaction. And I think that's something
(02:14):
that you should work through with a therapist together. But
please have a conversation with that guy, and please let
it be filled with apologies. All right, Uh, Dear doctor Wendy,
my husband compliments my stretch marks and stomach roles. I
am the mother of three, and I wish we had
(02:36):
enough money for me to have a tummy tuck. I
generally think that my husband does love me and maybe
loves my stretch marks and stomach roles, but I really
hate them and it hurts my feelings. Is there a
nice way to tell him to back off? Well? Yeah,
all you have to say is, honey, thank you. I
(02:57):
appreciate that you like that about me. Maybe it reminds
you that I'm a great mother, or that I've sacrificed
for you and your genes and our kids. But I
feel self conscious about them and I don't like them,
and whenever you bring it up, it reminds me of that.
So I'm not asking you for the money for a
Tommy Duck. I'm just saying, don't bring it up so
(03:19):
I can ignore it. It'll help me feel you could
even say, help me feel sexier for you. It'll help
me feel more attractive to you. That's the nice way
to say it. Ah, Dear doctor Wendy, my ex used
to buy me whenever I want it, buy me whatever
I wanted. Oh so it was financial care. We broke up,
(03:40):
and my new interest tells me I'm too bougie and
need to come down to earth. Is it unattractive for
a woman to be materialistic? Well, this is a big question.
First of all, every woman is a gold digger. I
just want to say that very clearly. Every woman is
a gold digger. Listen, if you say you're not. If
I present to you two attractive looking, identical twin males
(04:03):
and one is poor and one is rich, it's clear
which one you're going to go for. In our anthropological past,
the woman would want a man to bring protein and
resources to the table. And if you're thinking of having
babies with somebody, showing financial sacrifice is a way of
him saying, yeah, this jewelry is a big waste of money.
But there's more where that came from, babe, Right, So
(04:23):
there's all kinds of unconscious things going on now. On
the other hand, if your only interest in men is
what they can give you financially, then it's not a
healthy relationship right now. I've always said that a relationship
is an exchange of care, and that care can take
many forms. It can be emotional support care, it can
(04:46):
be sexual care. It can be domestic care, it can
be intellectual stimulation care. And yes it can be financial care,
but not it's they're usually not all one note, right,
relationships are a combination of everything. So I also ask
you if he's criticizing you for being quote unquote too bougie,
(05:07):
meaning you're trying to be of a higher social class
than you were born into, then why don't you go
make the money yourself right and date men of that
class when you're there? Like, yes, we do. Humans can
use sex as social climbing thing. But I would say
(05:29):
too materialistic. Yes, if you're not loving a man for
everything else. That's the bottom line. Yes, it's possible to
be too materialistic, just saying, but it's okay to be
materialistic if it's part of a rainbow of things.
Speaker 2 (05:43):
Whatever.
Speaker 1 (05:44):
It's just that there are a few men that have
enough money to showcase since that financial sacrifice anymore. All right,
I think we have time for one more, Dear doctor Wendy.
My wife and I have been married for twenty six years,
our kids have all left the nest, and I notice
now that she's spending a lot of time with her girlfriends.
She goes out to book clubs, at wine bars, she
(06:07):
goes to gardening groups. She is out with women more
than she's out with me. I'm a little concerned because
one of her camping trips that's coming up. Let me
read this straight. One of her camping trips that's coming
up has some lesbians there too. Could my wife becoming gay? Okay,
(06:28):
calm down, sir, let me explain what's happening here. So
in the early part of our lives, women have a
lot of female to female competition as we're trying to
win the hearts of people like you, gentlemen, and then
we have all those years of sacrificing for kids, and
then when the kids leave the nest, there's this feeling of,
(06:49):
oh my god, I'm free. It's over. Honestly, my husband
Julio mentioned this to me. He's like, what are the
women doing. They're gathering. They are gathering. We go to
book clubs, to wine tastings, we go on retreats, We
do so much stuff. I wouldn't worry about the lesbian
peace because also research shows that, you know, gender orientation
(07:12):
or sexual orientation is fluid across the lifespan, and plenty
of women their estrogen goes down. Maybe their testosterone goes
up as they get older. Maybe not plenty, but some
women do act out same sex relationships later in life.
It's probably not what your wife is going have. You've
been married twenty six years. Women's probably in her fifties.
(07:36):
She's probably not going out dating. She's probably gone to
gardening groups and books. So my answer to you is,
if you want her to spend more time with you,
then do some interesting things with her. And you, guys
need to sort of rework your relationship contract and you
need to find ways to do exciting things together the
(07:57):
two of you. But let her have a girl pack important.
At a certain age, women hang out with other women.
It's really cool. Alrighty, when we come back, I have
a very special guest who's going to talk to us
about why the miracle drugs for weight loss are not
so miraculous. Sorry, bad news coming up. You're listening to
The Doctor Wendywall Show and KFI Am six forty. We
(08:19):
live everywhere on the iHeartRadio app.
Speaker 2 (08:22):
You're listening to Doctor Wendy Walsh on demand from KFI
AM six forty.
Speaker 1 (08:29):
Welcome back to the Doctor Indi Wall Show on KFI
Am six forty live everywhere on the iHeartRadio app. Okay,
it's here. The end of the year is approaching. You
know what comes next the beginning of the year, and
you know what comes with the beginning of the year.
We're all doing it. Okay, it's New Year's resolution. If
you're not doing it, like look, it means nothing. You
can start it in February, March, April, whatever. But there's
(08:51):
something about starting fresh with that new year, whether it's
making a change, setting a bunch of goals, whether it's
just making a bunch New Year's resolutions, or whether it's
about health. Some people do dry January. Last year, I
did dry February and people said that's not a thing,
and I said, yes, it is because I went wine
tasting in France in January. So can't do dry January
(09:14):
for me this year. I haven't decided. I'll let you know.
I have two more days to figure it out. But
I want to talk a little bit about all the
new weight loss drugs in the world, and I know
there are many people listening who have either tried them,
are currently on them, or thinking about if this could
support them in the new year. I'm sad to tell
(09:35):
you it's not all good news. You know, not everything
is comes with outside effects. Nothing is free in life.
As I like to say, I know that at the
beginning of the year, people are seeking rapid weight loss solutions,
but there are some experts out there who are warning
us that what are known as GLP one drugs might
carry some hidden risks. Let us meet my guests. Who's
(09:59):
going to way in pharmacist and integrative health expert doctor
Swathi veran Nasi Diaz. Did I say your name right? Yes?
She did.
Speaker 3 (10:08):
Thank you so much for having me.
Speaker 1 (10:10):
Thank you you are in Florida. No snow for you
for Christmas. But let us talk a little bit about
these drugs. How many brand names do we have now?
We have ozempic, we gov, Are there others?
Speaker 3 (10:24):
Oh yeah, there's Munjaro, Rebelsis like you think of it,
and there's more out there because now there's not just
the injectible forms that were you know, that were maybe
more familiar with, like ozempic and with goovie. There's also
oral forms even you know, other new innovative ways that
people are getting their hands on this medication.
Speaker 1 (10:43):
And there's good reason why they have become popular. We
have an estimated over one hundred million Americans struggling with obesity.
You know, when I teach my health psychology lecture on obesity,
I talk about the bio psychosocial model of this disease,
and I love to blame the food industry for creating
this problem. And now the pharmaceutical industry has stepped in
(11:07):
trying to help people. But you say that some of
these popular medications actually have some high risks. Can we
start going through what some of the potential risks are?
Speaker 3 (11:20):
Yes? And so if you know, just given the number
of people that are taking these types of medications, the
GLP one drugs, it is really important to think about, Okay,
are there major red flags? Are there major potential issues?
The first one is the gas dointestinal issue, So this
is to do with nausea, vomiting, constipation, and potentially issues
(11:41):
with the stomach not emptying properly. The second one is
about accelerated muscle loss. So people are all about losing weight,
but they don't realize that with these medications you actually
lose a combination of fat and muscle.
Speaker 1 (11:55):
So let's stop right there and talk about this muscle loss.
So what is the body actually doing. So it's my
understanding that what these medications do is just make you
feel full and not want to eat, and so the
body still needs to survive, so it's pulling nutrients from muscles.
How is this working?
Speaker 3 (12:15):
Yeah, So the way that the drugs work is that
they increase influence secretions. So when you take the drug,
you have more insulin and that helps to lower your
blood sugar level. And then also it influences glucagon secretion,
so it actually decreases the glucagon floating around in your system.
And it also suppresses appetite. Those are like the three
(12:37):
main ways that it functions. And so you know, as
you're not as hungry anymore as you're you know, losing
the weight. Part of that weight, unfortunately, is that loss
of muscle.
Speaker 1 (12:48):
So I'm sure your recommendation is that if people are
taking this medication, that they're also lifting some weights and
doing some weight bearing exercise, right to keep that from happy. Yes.
Speaker 3 (13:00):
In terms of movement, I recommend the combination of what
I call, you know, aerobic exercise, So thinking about getting
your heart rate up. That could be taking a long
walk or it could be you know, getting in the
gym on the treadmill, especially this time of your cold
in most places, and combining that, you know, getting your
heart rate up with that resistance training. So that could
(13:20):
be in the gym, it could be with the trainer
in a class, but just finding things that work for you,
that you're excited to do. But having that that blend
of the two things is important.
Speaker 1 (13:32):
And let's talk about off label misuse. What would you
categorize as off label misuse?
Speaker 3 (13:39):
Yeah, so off label misuse means that you know, off
label simply means that it is not being used in
the way that it is FDA approved.
Speaker 1 (13:49):
Yeah, and what does the FDA say? Yeah, what does
the FDA say? Who's supposed to be taking this?
Speaker 3 (13:53):
So the FDA for a zemptic and w gooviy. More specifically,
it's for people either have a BMI of over twenty seven,
so twenty seven means like medically overweight, and they have
some other additional condition that can contribute to their weight,
and so that could be you know, diabetes, it could
(14:14):
be heart disease, or they have a BMI of thirty,
which is considered medically obese. But as we both probably know,
and as many of the listeners probably know too, a
lot of people that are taking these medications do not
fall into those two categories for which the drug is
FDA approved, And.
Speaker 1 (14:32):
There are doctors who prescribe it. So if somebody walked
into their doctor and said, hey, I'm a healthy size ten,
I work out, but I really want to wear a
dress size six, doctors are writing scripts for that.
Speaker 3 (14:44):
So it is up to medical discretion. And so the
physician or the healthcare provider is able to decide based
on the patient's profile, if they want to write it.
And that is why a lot of providers are writing
it even though they you know, the patient might not
fit into those two descriptors.
Speaker 1 (15:03):
All right, So these drugs, a lot of people are
using them. Do you have any data on how many
people are using them right now?
Speaker 3 (15:09):
Oh gosh, thousands of people are using them because I mean,
people are looking for that magic bullet and that quick
six and unfortunately, losing weight is just a bit more complex.
And so we did talk about the movement, but I
also recommend you know, some nutritional interventions and also some
dietary supplements that can help.
Speaker 1 (15:29):
In fact, we have to go to a break, but
when we come back, I want to talk about two
things mental health side effects, which I really want to address,
and also what people can be doing instead, maybe that
they haven't been doing so that they don't take these drugs,
especially the off label use. You are listening to the
Doctor Wendy Walls Show on KFI AM six forty.
Speaker 2 (15:50):
You're listening to Doctor Wendy Walsh on demand from KFI
AM six forty. Bobby, Welcome back to the.
Speaker 1 (15:57):
Doctor Wendy Walls Show and KFI AM six four Pready
live everywhere on the iHeartRadio app. Right now, My guest
is doctor Swarthy Varanasi Diaz. Thank you so much for
being with us. You are a pharmacist and an integrative
health expert, talking a little bit about the downside of
all those seemingly miracle weight loss drugs. One of the
(16:21):
things we haven't addressed yet is the mental health side effects.
I've got some opinions myself, but tell me what you
are seeing as side effects.
Speaker 3 (16:34):
Yes, and so, as patients are taking these medications. There
are two different components that come to mind about mental health.
The first thing is that you know the center of
our brain that tells us if we're full or not.
Our society center is actually really closely wired to our
reward system or our dopamine system, and so if our
saciety or you know, we're feeling full quicker, that could
(16:57):
impact also the enthusiasm or ex or reward that we
feel from different you know, experiences in our life. And
so this could be you know, a lower mood, it
could be heightened anxiety, and so you know, that's something
to keep in mind. The other thing is that golp one,
at the end of the day, is a hormone that
is naturally produced in the body, and so if we
(17:18):
take these drugs, we're just increasing that hormone. And if
we're increasing a certain hormone, that can actually influence other
hormones in our body, which can then you know, influence mood.
And so just taking a gop one drug quickly actually
comes with a lot of potential, you know, mental health issues.
Speaker 1 (17:37):
You know, I do a regular segment on Australia's Today Show,
and a few weeks ago there was a guest on
just before me who was a British journalist who said
he was obese and took one of these drugs and
journaled what his experience was and when they asked him
about depression because there's been some reports that some of
(17:59):
these weightless drugs can cause depression. He had the most
interesting take on it. He said that he didn't think
the drugs themselves caused depression, but he felt that people
who over ate were self medicating with food for depression
that already existed. So he used an example he noticed
one time he went to his favorite Kentucky Fried Chicken.
(18:19):
He'd had a bad day and was feeling down, and
he ordered what he normally would order, which was an
entire bucket of chicken, and he said, he got two
pieces into it, and he was full because the drug
said you're full, don't eat anymore. And he sat there
looking at the rest of his chicken and feeling sad
that he couldn't finish it, and then realizing that he
didn't have his buddy with him anymore, which was the food.
(18:44):
What do you think about this?
Speaker 3 (18:46):
I think that that is like very much in alignment
with a lot of the reports that I'm seeing. Is
like what I mentioned was kind of the physiological side,
but that's really what patients are experiencing, is that they're
used to eating this meal. They're to going out and
eating dinner, having drinks, with their friends and then all
of a sudden, they're not getting the same pleasure or
(19:06):
excitement out of it anymore. So I've heard things like
this before, whether it's from my patients or from people
who I know.
Speaker 1 (19:14):
Yeah, food is their drug in many ways, and their
body saying you can't have that drug anymore. So let's
talk about assuming that some people are out there and
they are have tried these drugs, or they're about to
try these drugs, Let's talk about ways that they can
reduce their risks. Any ideas to prevent the stomach problems
(19:35):
you mentioned the digestive stuff.
Speaker 3 (19:38):
Yes, so just overall, if someone is looking to take
these medications, they're already taking these medications, we want to
mitigate risks as much as possible. And so we talked
a little about a little bit about movement already. In
terms of nutrition, I always recommend smaller, more frequent meals,
focusing on whole food so thinking about you know, the
(19:59):
perimeter of the grocery store and thinking about high quality
protein and enough fiber. Really Americans do not get enough fiber.
So you know that means you know, eating more produce,
thinking about the whole foods, and once we start incorporating
things like that the fiber comes.
Speaker 1 (20:16):
I teach my students. I know they have to do
those five servings of fruit and vegetables to day, and
that a serving is eight ounce. Is it's a cup? Right?
So think about a cup of spinach, a cup of
carrot's a cupa and how do you fit that in?
So I actually go through one of my daily menus
with them and show how the berries and bananas happen
at breakfast, the salad happens at lunch, the two or
(20:38):
three servings of vegetables happen around my protein at dinner.
Like you have to show people like here's how you
get the fiber in, as well as the vitamins.
Speaker 3 (20:46):
Absolutely, And in addition to those things we talked about
nutrition and movement, I know that we lead such busy lives,
especially this time of year with all the parties and everything.
So in addition to those things, I always like to
recommend some dietary supplements. So the first one is omega
three fatty acids, which we might already be familiar with,
(21:07):
and so that can amazing. So that can reduce muscle
inflammation and support protein synthesis, and we can get that
through our food like you know, chia seeds or salmon,
but we can also get that through a supplement like
some people call it the fish oil pillar, the fish skill.
So that's the first one. The second one is amino acids.
Again we can get this from our food, but also
(21:28):
from a supplement and specifically branch chain amino acids like leucine,
which can help prevent muscle breakdown.
Speaker 1 (21:35):
And the third I'm writing this down, I'm taking notes,
good doctor, Okay, what does branch chain amino acids look
like in a vitamin store or whole foods? What am
I buying?
Speaker 3 (21:47):
Yeah, so you might be able to just see am
I to say amino acids. It might say branch chain
amino acids, or it might specify a specific you know,
like a specific amino acid like a lucine for example.
That's probably one of my favorites when it comes to
preventing muscle breakdown. So those two I would definitely recommend
it be.
Speaker 1 (22:06):
Good for people. I'm sorry, I'm getting free medical advice here.
Would they be good for people who are on a
statin that causes mucket muscle weakness?
Speaker 3 (22:14):
Yes, absolutely, that would be a wonderful addition for some honest.
Speaker 1 (22:17):
Lucy, we got it. Got that one, Okay, what else
I need? I mean need?
Speaker 3 (22:23):
And the third one is something that you might not
have heard about before because it's newer, but it's highly
studied and it's called fordotropin. It's a natural compound derived
from fertilized raw egg yolk and in clinical trials it
showed that it boosted muscle protein synthesis by eighteen percent
in adults who are not exercising.
Speaker 1 (22:44):
Four to tropin f O R t I t R
O p I N yeah for too tropy.
Speaker 3 (22:51):
Actually, I'm on the medical advisory board for maos MDS
it's m Yo s MD and they have a fordotropin
product that is great and I help them with a
lot of like education on how we can help patient
support their muscle health.
Speaker 1 (23:07):
Well, what a treat to have you on the show.
You know, so many people are beginning their New Year's
resolutions in just a couple days and this information. You know,
the one pill is not a cure all for everything,
So thank you for teaching people how to do it correctly.
My guest, doctor Swarthy Veronasi Diaz, thanks for being with us.
Speaker 3 (23:27):
Thank you so much, for having me. And if people
want to find out more information about anything that I
mentioned today, you can visit MAYOSMD dot com to check
out some video and educational content there.
Speaker 1 (23:38):
Thank you appreciate it, and that brings the Doctor Wendy
Walsh Show it to a close. I want everybody to
have a happy and healthy and safe New Year. I'll
be back in twenty twenty five, which is in a
few days. Thanks so much for listening. You've been listening
to the Doctor wendywallsh Show on KFI AM six forty
live everywhere on the iHeartRadio app. You've been listening to
(24:02):
Doctor Wendy Walsh. You can always hear us live on
k FI A M six forty from seven to nine
p m. On Sunday and any time on demand on
the iHeartRadio app.
Dr. Wendy Walsh on Demand News
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