GLP-1s and Fasting: Another Tool, Not the Whole Toolbox

0:00sure, you can go on a exempt as one of the tools, but it can't be the only tool or you're not going to lose the amount of weight that you need to and the time frame that you need to lose it for. So we worked on nutrition in conjunction with the ozampic being different types of tools in their toolbox. And that's really my mentality with it all is that we construct a toolbox for ourselves that is personalized to what we need. And it's a GLP one going to be part of the toolbox. That's totally fine. There's no shame in that, but it can't be the only tool. Hi everyone, it's Megan Randall's here with another episode of The Fasting Method Podcast. Today I'm joined by my amazing fellows, Dr. Terry Lance, and we're going to dive into the hot topic today of GLP ones and passing. Before we get started, Terry, how are you doing? I'm doing great. Looking forward to talking about this, and I know entering into this hotbed

1:06of a topic seems a little scary, but I think it's really one that we can help normalize for people and shed some light on some thought processes that they may want to go through. So looking forward to it. Yeah, GLP ones have become a very hot topic recently or more recently, and we had the Super Bowl here in the United States. And they felt like most of the commercials were focused on GLP ones, most of these fancy commercials that even if people aren't into football or meet the music or anything else, they wanted to end and watch the commercials. Even as a Canadian, when we lived in Canada, we were all about the commercials. We were so interested. They're usually fun, but this year they were really focused on weight loss, weight loss, weight loss, and GLP ones being the key ticket. And I know when I returned to our online, like quote, quote, clinic, on the Monday after the Super Bowl, a lot of people had questions. They're following

2:09overwhelmed, pressured. Their healthcare providers have been talking to them about GLP ones for a long time. And we acknowledge weight loss and lifestyle changes aren't easy. They're not the easiest thing to do. So it's just been a real hot topic at the Fasting Method lately. What are perspective on GLP ones? And can people who are taking them fast? Do they need to worry about additional side effects if they're fasting while on GLP ones? And then of course, Terry, there's just stuff with mindset. You know, like if we are going to be working towards a healthy lifestyle, regardless of what tools you're using to get there, you have to work on mindset. And there's a whole category of that under the GLP one umbrella. So I'm really glad we can talk about it today. Before we get started into all of those details, Megan, I wonder if it would be helpful if we even went through some of the names and different reasons why someone's doctor may have talked to them

3:11about one of the medications versus another one, just so that we're all in the same playing field as we discuss these. Several of the big names that a lot of people are talking about. I have clients that come back and say, my doctor wants me to start on this medication and whatnot. Just thought it would be helpful. Ozempic and wagovii. Now, they are a very similar medication, not exactly, but they do have the same active ingredient that is semaglutide. Wagovii is for long-term weight management. That's how doctors prescribe that one. And ozempic is for type 2 diabetes. So as you're going to see in just another one that I'm going to talk about in a second here, it's really a very similar medication with two different names. One that is prescribed for weight loss and one that is prescribed for type 2 diabetes. The other set that are talked about a lot these days, a little bit newer versions that would be tersepatide is the actual medication or the active ingredient. And

4:14you hear that being talked about as manjaro. That is the one that is used to help treat type 2 diabetes. And the other form of that is called zepbound. And that one is the one that is prescribed for weight loss. So again, we see the same active ingredient prescribed. A little bit different dosing in these sometimes with different factors with them, but those are the four more common ones that people are talking about often these days. The original one is the toza. The toza came out which is years ago. I mean, it was the first one we ever started prescribing in the clinic. So it was a good 15 years ago that it was that available, that it was in Canada, that it was covered by benefits by everybody for the right patient, but it was strictly for type 2 diabetes. It was semi-glutide and it was the one that you take every single day. It was the OG shop. When a lot of

5:14patients took it every day, not only did it help with their blood glucose, as promised, since it was a diabetic agent, but people started to notice that, hey, this is giving appetite-suppressing benefits. Doctors started to notice that their patients who were taking it as a diabetic agent were also experiencing this appetite suppression and that it was resulting in some weight loss. Patients were feeling good and then that's how it all kind of caught on fire. More patients started wanting it, switching to it, in Canada at the time, you could only get it if you were a diabetic because it was a diabetic medication. We started to get physicians who were a little bit creative, you know, if someone was pre-diabetic, borderline diabetic, they started becoming some loopholes to get this medication prescribed or at least discounted, because then it would be covered if you weren't a diabetic. This medication was really the one that spawned everything. So in order to get it classified for weight loss purposes, well first

6:20after Victosa, it was a daily thing, a daily injection. No one really wants to take a daily injection, right? So then Ozanthic was the next big thing that was coming out where it was going to be the weekly shop. Just the weekly shop, making things a lot more convenient, take it on Wednesdays, go away to the cottage for the weekend and not have to worry about your shot and cold box and ice pack to make it good for travel. So Ozanthic was coming out, but then there was quick interests in weight loss. I mean we have obesity as like one of the greatest epidemics in first rural countries, especially here in the United States and then Canada too, it's a huge problem, and it's a problem that is plaguing people now. Like almost from birth it feels like these medications are now being approved for kids in elementary school for weight loss purposes. So there's a lot of interests in trying to make weight loss cold and cold easy, but profitable at the same time. So

7:20this is where we started seeing some of the other medications that Terry you just started to talk about coming out. Their chemistry was slightly different, therefore they could be legally marketed for weight loss and not just diabetes, then they could get their own coverage and through all the bureaucratic loopholes. And now we've got like a whole collection of them that are available on the market. You don't hear so much about Victosa anymore, not in places like Canada and the United States. It's pretty much been outdated and replaced by Ozanthic for diabetics anyways. It's a growing booming class of medications and they're now even stretching into the oral forms, which is something I'm getting asked a lot about lately is the oral medication caused similar side effects as injectable medication, a oral stuff, some of them are taken daily. So is that less potent than if we're just taking one larger bowl of shot like a week? It's been really interesting to watch these evolve and so many people think that they're brand new,

8:23but they're really not brand new. We have had Victosa. It's been around for probably 20 years at this point in use in a clinical setting. So it's not new, side effects are not new, understanding how it works and how it impacts patients is also not new. It feels very new for the public though, but it's not super new to healthcare providers. So Megan, one of the things I've noticed as the talk about the GLP1s has increased over time and more and more doctors are talking with their patients and these are patients that work with us at TFM. I hear a lot of people feeling a little bit conflicted and sometimes not knowing can I still do fasting while I'm taking a GLP1 or is it dangerous for me or do I need to fast if I'm taking GLP1s or should I even tell my coach that I'm taking a GLP1 because some people feel some shame thinking I should have been able to make these changes with the other strategies and I'm making a decision about the GLP1 and I feel

9:29kind of conflicted about that. So I wondered if we could talk a little bit about how does GLP1 use fit in the picture of people working on their health, working on weight loss and doing it in a healthy way using fasting and nutrition. Yeah, absolutely. You know, I feel like the public perception of it is very blacker white, especially for people who are in more of the functional or integrative space in terms of their health interests. I wanted to do things more holistically. They do feel very conflicted about taking a pharmaceutical to help them with weight loss. And so it's something that, you know, again, we end up in this black and white box, but I think very few things fit into an all or nothing black or white type of mentality. There's always a grey zone that we need to look at and before we really do any further dive into this, I do want to share with people and I share this with Terry before we started recording

10:32this episode is that my father was a very social person. He was a very social lawyer and at the beginning of the COVID pandemic, when everyone was under this infinite lockdown, I might add who is a social guy working in this hugely busy environment, paid to talk for a living. He had a secondary career as a guitar player in the evening times. It was really hard for him to be home alone, isolated, like everything was on pause. There wasn't much going on and he was seeking comfort in food and his A1C had become really great and a lot of his biomarkers, but very quickly, things started slipping in the wrong direction. And Jason called me one day and said, Megan, what do you want me to do? He's just like spiraling here because of everything that's going on and I have a telehealth with him soon. But I'm looking at his labs and I would really like to give him something short-term and like hopefully, I'll be out of this mess soon and he can go back to

11:34his structured way of life where he was being really fulfilled and not falling into food. And I think so many people fell into the same mindset issues that my dad did. And I said to Jason, I'm like, well, you know, like what's a A1C? Wasn't good. Fastened sugar wasn't good. I said, well, give him a more epic. I was like, just give it to him for a few months and Jason, like I agreed with him, hopefully in a few months, will be out of this and he can be back to his routine. But I do understand, there was a scary time too. A lot of us had no idea what was going on or what the future held. So we were finding comfort emotionally and food as we had been taught and trained to do for most of our lives. And very recently, I had another family member and it won't disclose, but they sort of have a life-threatening health situation going on and very quickly needed to lose weight. And I said to them, and they asked because their doctor wanted to put them on ozemic. And I said, sure, you can go on ozemic as one of the tools, but it can't be the only tool

12:36or you're not going to lose the amount of weight that you need to and the time frame that you need to lose it for. So we worked on nutrition in conjunction with the ozemic being different types of tools in their toolbox. And that's really my mentality with it all, is that we construct a toolbox for ourselves that is personalized to what we need. And it's a GLP one going to be part of the toolbox. That's totally fine. There's no shame in that, but it can't be the only tool. And this is where we see a lot of the problems happening and we can dive into those problems too. But it can absolutely be a tool in the toolbox, just like fasting can be and low carb nutrition can be a tool in the toolbox. And then, you know, at TFM, we help people, we guide them through some functional health issues too, like with detoxification and like improving their body's ability to detoxify lower inflammation, improve nutrient status. Like we do a little bit more

13:41sort of functional health coaching and certain aspects as well as mindset coaching to help make this sustainable. So, you know, we have a robust toolbox. The only tools, we don't just use fasting and nutrition at TFM to help people. And we try to understand the person's system, mind body, altogether and figure out a customized approach for them. And GLP ones can be part of that. And I don't think there's any shame in it. And we really try to encourage that in our community meetings and our coaching meetings and to let us know. Medications, they all have side effects to or potentially have side effects, right? So, it is really important if you're working with a coach, especially on our team or anywhere that you fully disclose what medications you might be taking. Because that helps us help you more by letting us know it's on an invitation to shame, because none of us look at it that way. But it's an invitation for us to understand what's going

14:42on in your body. So, we can help provide you with the best set of tools that you need and support you need with what you're using to get to where you want to be. And I think our approach with everything that we do is working toward overall wellness and more optimal functioning physically. So, using fasting, using our nutritional choices, using our mindset, using mindfulness, meditation, sleep, movement or exercise, all of these things. And all of those things help with GLP one, those that naturally our body makes and also while taking the medication. And again, it's the same strategies that we work with everyone to develop at TFM. And so, I think it's really clear in what you're saying, Megan, is that the approaches are not exclusive of one another. It's not, well, you either do this or you do this, whether you use a GLP one medication or whether your body is

15:48using the GLP ones that you make yourself, you need all of these other tools. So, I love that you use that reference. That's also important. Our goal at the fasting method is to help you become the healthiest version of you, to help give you as much control over your health and your future health outcomes as possible. And there is no golden ticket and there's no one tool that does that on its own. And I think a lot of practitioners, a lot of advertising and just a lot of people out there who might not be as healthy as some of you who are listening to this podcast and aware of some of these additional tools like fasting and nutrition, you know, really look at these GLP ones, kind of as the be all and the end all and the savior and the thing that's going to get them to where they need to be at the end of the day. You know, if I'm being perfectly honest with our listeners, if I had a quarter for every time someone came into a consultation and said, I must be

16:48the only person on the planet this doesn't work for. If that was the case, we would be recording this in Hawaii on the beach with a beautiful rainbow in the background, but you know, it can't be the only tool. And a lot of these people, the path is this. Their doctors suggest the GLP one. They start taking it. They're not doing anything else differently. They continue to take it. Nothing's happening. They go up on their dose and up on their dose and up on their dose. I know they're on the highest dose and they're really not feeling well. They're not really eating. They're not really fasting. They're not doing too well. And they end up at their wits end and they end up in a consultation with us. There's just so much to unpack here. And we see this a lot. We see them at this point, you know, there's muscle waste going on. There's a lot of GI side effects going on. Even if they have experienced weight loss. And so they're pretty miserable because they've lost some weight. They're not hitting their goals. But the quality of life has diminished.

17:50And these are not new side effects. They're not just, you know, new things that people who seem contrary to GLP ones are saying, again, Victoses have been around for a couple decades. So these are not new side effects. What we do is we get these individuals. We let them know that these medications are just meant to be a tool. And they can be a very effective tool. If used with other very effective tools, like fasting, for example, or goal of fasting, like when someone comes into a consultation that says, I want to fast so loose 80 pounds and to come off of maybe a blood pressure medication and maybe metformin. Monic goal is not to have them be lifelong fasters. They're putically speaking. We set out to try to do as much as we can metabolically within the course of six to 12 months through therapeutic fasting. And sometimes based on complexity might take longer than 12 months. But therapeutic fasting is meant to be a therapeutic intervention, not a life

18:50long intervention. People may fast therapeutically in the big picture periodically for disease prevention or for just sort of cellular maintenance here and there. But it's not showing up in fasting three times a week for the entire day for the rest of your life. It's just meant to be a tool that's used for a period of time. And that's like GLP once. They should be a tool that are used for weight loss for a period of time. And in between, whether it's fasting and GLP ones or fasting or GLP ones, you still need to work on the other lifestyle components. So fasting at the end of the day really helps fix us on a cellular level. That is the no-brainer. It's why is the name of the fasting method. It is the pinnacle part of it. It does fix a lot of the problem. It does break the cycle of insulin resistance. It's what causes to experience so much cellular healing. And then we eat in a certain way to help maintain that cellular healing. So we can maintain good health beyond that without eating

19:55in problematic ways that cause the insulin resistance to redevelop. We work on our mindset and our relationship with food for very similar reasons. It's just as important as the foods we eat, our relationship mindset and habits around eating as well. So the eating part and the mindset part think are the longer term things that we work on. Those are the things that we are committing to for life. Even the fasting part is what I'm trying to say is not meant to be forever. The GLP one part is not meant to be forever. There are tools eventually and we put back on the shelf. And if whatever reason in life we need to go back to them, we can. They're there. But the tools that are meant to eventually come out of our toolbox and usually it's the nutrition and the habits and mindset that become more of our regular parts of our routine on a long-term basis. So I think if you look at these as sort of four key central components for the majority of people that are coming in, the combination of them all is what gets us there. No one thing on its own gets us

21:00there. Can you out fast the bad diet? We tell people know all of the time. You can make some significant improvements in your health and your lifespan and health span with fasting. But you've got to work on the other stuff too. We've talked so much on this podcast. You just can't avoid eating because you have a bad mindset and habits around food. You also have to eat too. So we really try when we have these individuals like yes, GLP ones is not a forever intervention. But if you find they help you, we want to try to help them work very synergistically with all of our other tools. And just like fasting, we don't want it to be a forever intervention for you. We want to help it heal you and then transition you to more maintenance, quote unquote, transformation, stay. So with the GLP ones, you know, we see people coming in and pretty rough shape, but they're not working on any of the other components. They're not working on cellular healing. They're not working

22:00on changing their habits or their mindset. And then they've gotten themselves so sick on these mega doses of medication. Something I've encouraged a lot of people to talk about too is like, well, if you can't fast, but you're not really eating and you can't eat and you can't eat foods that cause GLP one naturally to be produced like protein is like the biggest GLP one driver ever. But if you're too sick and too nauseous to eat protein, then you're just giving yourself an injection of something that you could eat a steak and really enjoy and feel good about and see a lot of GLP one production just from that. So to work with the provider that maybe less is more in terms of the medication. Like what's a medication dose that I can be on and feel good and choose whether or not I'm eating and choose what it is that I'm eating. So that's one of the first things we do when someone does come into a consultation and is feeling really rough and is not getting results.

23:00Let's try to see what the dose is. More isn't always more. Even like with a lot of their review on statin we see like five milligrams be so much more preventative against a lot of things when they're prescribed appropriately versus the higher doses of it. So the minimal effective dose is really important in medicine and that's a concept that seems to just flown out the window. And it's easy to market to people that more is more from SQL companies are really great at doing that but less is more with a lot of these medications. So let's get them to a point where we can actually get you to work on your healthy lifestyle. Let's get you on a true fasting schedule that's heal you, cellularly, metabolically. Let's get you eating the right foods and instead of taking the max dose of a GLP one you take a lower mid-range dose but you can eat the steak, you can eat the protein, you can be physically active because you feel good. We'll be making up all that GLP one production naturally

24:03without the side effects from being able to have a healthy lifestyle. That's what we teach you and that's what we work on. That's been our approach with it and then if you do feel like the GLP one helps give you an edge to make these things possible then sure is a tool that works for you and if it doesn't then it doesn't. People always ask like you know we would prescribe it in three month increments in Toronto when someone felt like they needed that support and at the time we could only prescribe it to diabetics because those were the rules but of course you know the biggest benefit they were hoping to get was weight loss although it was a very effective diabetic agent. Victosa absolutely but we want to reverse their diabetes in cases that can be reversed so all this to say is you have prescribed it in these like three month increments just to kind of assess you know how people were doing with all of their lifestyle tools just like I can't tell you if it's going to take three six or 13 months to reverse your insulin resistance I can speculate and then life also

25:07kind of happens on that. We just want this to be a shorter term intervention. So a lot of people say well I'll try it for three months or I'll try it for six months and I think it's okay if it becomes nine months or 12 months as long as we're working on everything together and we are fixing that lifestyle and then that way we can drop not just the meds but the fasting and then just focus on living a healthy lifestyle for a long term. So that's how we metabolically approach the use of GLP ones and then of course the big big tool all of this is working on the mindset and the habits with your food to have a positive and healthy relationship with how often you eat what it is that you're eating why you're choosing to eat in the first place and that's really where a lot of the hard work should be done because that's how you're going to transform in the long run. You know Megan I want to go back to what you're saying about the dose and I think this is so important to because some of my clients and people that I talk to they find or they report at least that

26:12their doctor kind of says over the next four months we're going to increase your dose we're going to start you with this dose then we're going to move up the next month up the next like that's how it's going to go for everyone one size fits all versus let's start you on the lowest dose and see one how you do and if you're having effective impact let's not take you up a dose let's not just get you on the four month to the maximum dose and as you said oftentimes people just kind of quickly get to a high dose and they talk in some ways like they're happy because their appetite is gone and now they feel maybe for the first time in many many years or forever that they don't have all this food noise but it's not just they don't have food noise all the time they are struggling to eat they're struggling to feel well that is not quality of life so starting at the low dose and staying at the low dose talking with your clinician about how can we do this the lowest dose

27:16that is effective is really important because of these other side effects and if your plan is to ever come off the medication you need to learn the behavioral things to change that relationship with food while you're taking a medication like the GLP one it does tend to turn down some food noise for a lot of people it does tend to turn down some cravings so it is fat fasting but if you're only doing those behavior changes because the drug is making you do them they're not really going to stick long term and so being on a high dose that's killing your appetite and killing your food noise doesn't necessarily mean you're making active decisions to change your relationship with food it reminds me a little bit of the medication became very popular in the late 90s early 2000s I was a therapist at the time and many of my clients were coming in their doctors have put

28:16them in Zayban to stop smoking Zayban was not really developed for lifetime use it was a course of treatment like seven to 12 weeks or something but it does some similar things turns down the dopamine response turns down cravings but if you want to actually get away from those issues long term you're going to have to work on changes you're going to have to go somewhere else during your break during work rather outside to smoke just like for many people at TFM you're going to have to do something else when you get stressed out at your computer rather than going to the kitchen and grabbing a snack so again these things that are kind of created short term to help for weight loss aren't necessarily helping us develop different relationships with food different thought processes different decision making when it comes to restaurants or celebrations or alcohol or whatever so yes I do have a number of clients who report it has felt very amazing to them to have some

29:22decreased food noise but that won't carry them long term if they come off the medication and haven't also done the work this is going to sound pretty nutty probably to everybody that listens to this podcast but honestly it's the same with fasting you can't just fast five days a week in and out for the rest of your life because it's easy you can just avoid eating you set hard boundaries for yourself on this not going to eat and then the weekend something stressful happens or there's a party and the foods are all crazy that's not going to help you either in the long term avoiding eating is not going to help you either just always fasting is not going to help you either is why we've talked so much about importance in mastering time restricted eating on this podcast and in our community we are tied to tone it down a bit we need to practice eating too and so many people come in they can fast they can get results bleeding ahead of women tell me the other day

30:27that she always needs to do a five day fast it's the only way she gets a new results because she hasn't worked on the eating stuff yet it's too hard it's too complicated there's people around there's all these things that come up so it's just her preference to always do five day fast and as often as she can to try to get results that's not effective it's not effective no different than using just a GLP one all of the time and expecting that on its own without any lifestyle changes to fix your problem I'm not trying to give GLP one's grief here and you all know I love fasting thinking this is like I've faced my whole life about it it saved my life but it was a tool and I had to put in the hard work I had to figure out eating I had to figure out my relationship with food had to figure out how to celebrate differently I had to figure out how to deal with sad emotions and stress in other ways that served me better and that's just the bottom line we've got to put

31:31in the work we need to work on the hard stuff nothing worthwhile comes easily in life it's so cliche but it is painfully true and we have to put in the elbow grease so fastings the tool GLP ones are the tool at higher doses we do see a lot of GI issues we see liver issues we see thyroid issues we see people just be so low grade unwell all of the time that they can't do healthy things these medications are largely targeted to people going through hormonal changes in midlife too because that's when a lot of the weight starts to creep on and men become estrogen dominant midlife women become estrogen dominant midlife data hormonal fluctuations that causes insulin resistance that causes weight gain we end up on these GLP ones and our bodies are already prone now to losing muscle and they're prone to losing bone mass let me get ourselves into such a state and we start to experience muscle loss and bone loss and it just perpetuates other problems

32:34that make us so far rely on other medications in the health care system so why not use it at a dose that gives you an edge but still enables you to actually put in the elbow grease and do some of the other work and utilize some of the other tools like fasting and get to a really healthy place over the course of a year where you can really scale back your use of these tools or put some of them back in the cupboard just in case for later on down the road but not have to use them all of the time well recently I've been doing some recordings with Dr. Fung about the hunger code and one of his little pet concepts to keep emphasizing is the negative impact of ultra-process foods on our hunger why we're eating why things are not working well with our weight loss or why are we gaining less summer one day I was sitting outside on a patio with a friend and overheard some guests a few tables over they were talking pretty loudly and they said oh these

33:37no medications this ozampic you know this is just for people to eat whatever they want and not be responsible and I was just fuming as I was listening to this because if you care about your health something like the GLP1 has a very negative interaction with ultra-process food just like if you're not taking it so it's not a free ticket to you know just enjoy some things that you really like and who cares about those healthy foods Megan you've mentioned a few times today muscle wasting that's due to people not getting proper nutrition while taking this medication right and ultra-process foods if I don't feel well enough to eat like you said that steak and some vegetables I'm going to eat something that's just comforting to me which will fall into a more problematic category so I'm not changing my relationship with food for the better I'm not giving my body

34:39the nutrients that it needs it's not going to help me really achieve overall well-being even if it means I've lost some weight so I just think there's so much power in if you are going to be taking a GLP1 that you continue to work on all of these other tools that we've described and I can bring a lot of people great success I mean every medication out there isn't for everybody every approach out there isn't for everybody but it's something that if you sensibly it can help you get to where you need to be with the proper tools that are actually going to help you heal and recover and stay healthy in the long term because it's not going to do all of that for you unfortunately it can be used responsibly but I think the biggest thing is making sure that you're using it responsibly you're connecting with teams or resources who understand that and who can help support you with that also just make you feel comfortable and safe you know at the fasting method one of the things that's

35:46the most important to me is that people feel safe in our community I'm really understand that there's no one size fits all approach to anything there's no right or wrong we're each different individuals who need different approaches for various reasons and yeah there's bell curves right where bulk of people are going to respond certainly to one protocol but there are outliers and we know we spend a lot of time talking about those two so we want people out there listening to feel like you've got an advocate this is not a block in my situation that has school sat and tools to help you navigate this as well and Terry you mentioned like this is the titration up to the max dosage protocol that everybody gets and it's just like it's just heartbreaking it's heartbreaking when it comes to GLP ones or anything really like anything out there pharmaceutical because you don't know you don't know what a person is going to actually need a respond bus to

36:51tell you try it and you get some real feedback and you can look at the statistics and with their research says but there's always going to be people who aren't bed center of that bell curve we are seeing I was telling Terry before this episode that in our neighborhood and we live probably like I think we're ranked the highest health in like the country where I am in California in the bay area and they're prescribing this as 7 and 8 year olds now so you know that's whether you group that or not at this age we still need to be improving the quality of foods in schools the quality of foods available for these kids educating parents about what is and isn't okay for kids to eat you know I can't tell you the number of parents that just sit and watch my child because they just want to learn they know that I do something in nutrition I don't really squawk a lot about it but they've gathered you know I've done some things that are interesting

37:52that my person to be mindful of and they just sit there and watch they're like by he'll eat bone marrow and he'll eat chicken liver and lead this stuff and of course you know he sees the fun colorful packaging of some of the other stuff and wants to know what that is he's two and a half but he eats that way because we cook that way and that's how he's learned quite frankly it's pretty scary sending him to some of these schools and parties and stuff with all of the process foods but most people don't want to feed their kids garbage they just don't have their resources and tools to know what it is that they should be feeding them so you know regardless of what we're going to do to help try to beat this obesity epidemic in our youth that we've got going on today we do have to provide education we do want to try to prevent this from being the problem in the first place and we do that through food we do that through our relationship with food and having a healthy one my kid doesn't eat if he doesn't want to eat you know he doesn't have to sit there and finish to play the food we do a lot for like intuitive eating and a lot of things that we've

38:56just kind of fallen away from due to bad advice and so I think we need to start giving out the right advice and I think most people agree about that when it comes to kids so why shouldn't we agree about that when it comes to adults too you know we deserve a chance at a life free from handcuffs pharmaceuticals and doctors appointments and just filling awful all of the time I want to be a grandma to full moon party that my grandkids want to be hanging out she now want to be the life of the party I really enjoy I don't work so hard for your whole lives to just want to be sick and kind of dwindle at the end you want to live your life and enjoy it and everything you've worked hard for it's the same common sense who would put into what we want to have happened for our children we should want to have happened for us too and I think that's really how we try to approach how we help people who are on whatever type of pharmaceutical it is with fasting and nutrition

40:01in my cell just like people who come to us on insulin all right our goals to be off of it one day when it's safe but we've got to do the nutrition you've got to do the fasting we've got to do the mindset work and we can get you there I don't look at GLP ones any differently than that you know is a tool that's being used for a short term intervention hopefully and fasting will be a tool that's used for not a lifelong intervention hopefully short term in the big picture of things and then we focus on the hard stuff that's going to keep people better in the long run so regardless GLP one or insulin or anything like that our goal is to help educate you and make everything work in your favor and just help you get better and not need to rely on any of this stuff mic drop Megan I love hearing all of that from you because I think the more we can make our overall well-being on priority and not feel guilt or shame about taking care of ourselves in ways that work best for us is so important so I look forward to getting to do another episode

41:04with you again soon and until then I hope everyone does well and focuses on their overall well-being as they make decisions about what tools and how they're going to apply those tools thanks everyone for listening today we'll talk to you again soon next week another episode with a little lesson about gas bye for now