RUSH TRANSCRIPT Rachel this ░░░░░░░░ many Americans getting back ░░░░░░░░ those diet drugs after ░░░░░░░░ treatments to enjoy their ░░░░░░░░ holiday treats Our next ░░░░░░░░ says they there are ░░░░░░░░ to safely restart those ░░░░░░░░ And joining us now ░░░░░░░░ New York City weight ░░░░░░░░ specialist dr Sue Decotiis ░░░░░░░░ new year Rachel happy ░░░░░░░░ year to you I ░░░░░░░░ so many questions Some ░░░░░░░░ are you see passing ░░░░░░░░ it all Some people ░░░░░░░░ pausing because they can ░░░░░░░░ afford it It s ░░░░░░░░ is expensive time of ░░░░░░░░ And these drugs can ░░░░░░░░ expensive if they are ░░░░░░░░ covered by insurance and ░░░░░░░░ many people are using ░░░░░░░░ off label and so ░░░░░░░░ s not covered But ░░░░░░░░ people because they want ░░░░░░░░ indulge So explain to ░░░░░░░░ what happens Are they ░░░░░░░░ eating at all when ░░░░░░░░ they re on the ░░░░░░░░ so they have to ░░░░░░░░ off so they can ░░░░░░░░ full plate of Turkey ░░░░░░░░ whatever they are eating ░░░░░░░░ I know I see ░░░░░░░░ patients on these medications ░░░░░░░░ program tis in New ░░░░░░░░ City Some of my ░░░░░░░░ have had parties nonstop ░░░░░░░░ Thanksgiving You know client ░░░░░░░░ taking people out to ░░░░░░░░ holiday parties Et cetera ░░░░░░░░ have advised my patients ░░░░░░░░ to stop If you ░░░░░░░░ on an appropriate dosage ░░░░░░░░ mounjaro and ozempic you ░░░░░░░░ t have completely no ░░░░░░░░ Maybe go down on ░░░░░░░░ dosage a little bit ░░░░░░░░ you feel you have ░░░░░░░░ no appetite There is ░░░░░░░░ reason to stop the ░░░░░░░░ before it gets to ░░░░░░░░ station Rachel So most ░░░░░░░░ my patients have stayed ░░░░░░░░ wegovy ozempic Monday your ░░░░░░░░ and losing weight during ░░░░░░░░ holidays and I think ░░░░░░░░ s really important he ░░░░░░░░ you are entertaining a ░░░░░░░░ of wait because you ░░░░░░░░ for a couple weeks ░░░░░░░░ could mean you are ░░░░░░░░ resistant In insulin doesn ░░░░░░░░ work well you can ░░░░░░░░ take that weight off ░░░░░░░░ s something that has ░░░░░░░░ be looked at Rachel ░░░░░░░░ ozempic lead to this ░░░░░░░░ resistance No It treats ░░░░░░░░ and mounjaro and wegovy ░░░░░░░░ zepbound treat insulin resistance ░░░░░░░░ s why they are ░░░░░░░░ approved forever diabetes When ░░░░░░░░ are on medications we ░░░░░░░░ really treating that for ░░░░░░░░ people not on it ░░░░░░░░ s say that the ░░░░░░░░ viewer out there that ░░░░░░░░ watching and they say ░░░░░░░░ my gosh I think ░░░░░░░░ have gained like 10 ░░░░░░░░ this season I m ░░░░░░░░ it s something to ░░░░░░░░ about You could be ░░░░░░░░ resistant Rachel that s ░░░░░░░░ It s a very ░░░░░░░░ debate on whether people ░░░░░░░░ be on these drugs ░░░░░░░░ not and whether they ░░░░░░░░ learning to eat healthy ░░░░░░░░ it Rachel I think ░░░░░░░░ patients are because when ░░░░░░░░ appetite is zoned down ░░░░░░░░ insulin is working better ░░░░░░░░ discussion especially mounjaro effects ░░░░░░░░ appetite receptors in the ░░░░░░░░ and stomach You rye ░░░░░░░░ start craving after a ░░░░░░░░ healthier foods It s ░░░░░░░░ anti aging treatment Rachel ░░░░░░░░ it or not because ░░░░░░░░ when you are stabilizing ░░░░░░░░ which is a hormone ░░░░░░░░ doesn t work as ░░░░░░░░ as we get older ░░░░░░░░ know not only are ░░░░░░░░ able to burn fat ░░░░░░░░ is what insulin does ░░░░░░░░ exercise more efficiently you ░░░░░░░░ also building bone and ░░░░░░░░ And when we re ░░░░░░░░ we are burning fat ░░░░░░░░ what else are we ░░░░░░░░ Building muscle and bone ░░░░░░░░ there are a lot ░░░░░░░░ very positive effects no ░░░░░░░░ is saying that lifestyle ░░░░░░░░ not important But so ░░░░░░░░ of the patients have ░░░░░░░░ to see me and ░░░░░░░░ New York City practice ░░░░░░░░ really they know how ░░░░░░░░ eat and they just ░░░░░░░░ a real change in ░░░░░░░░ body when they become ░░░░░░░░ resistant The weight my ░░░░░░░░ go up that much ░░░░░░░░ notice that they are ░░░░░░░░ weight on in strange ░░░░░░░░ And we put them ░░░░░░░░ a special body composition ░░░░░░░░ We see that their ░░░░░░░░ fat is really very ░░░░░░░░ for their weight So ░░░░░░░░ is really something that ░░░░░░░░ to be looked at ░░░░░░░░ we do And I ░░░░░░░░ there is still some ░░░░░░░░ out there I know ░░░░░░░░ who have been on ░░░░░░░░ who said they lost ░░░░░░░░ lot of muscle They ░░░░░░░░ t if they are ░░░░░░░░ it properly People have ░░░░░░░░ be monitored One thing ░░░░░░░░ that a lot of ░░░░░░░░ aren t being told ░░░░░░░░ do is if he ░░░░░░░░ not drinking enough water ░░░░░░░░ s a really bad ░░░░░░░░ You have to drink ░░░░░░░░ of a gallon of ░░░░░░░░ today to make this ░░░░░░░░ work Rachel wow You ░░░░░░░░ shouldn t be losing ░░░░░░░░ We monitor our patients ░░░░░░░░ We really make sure ░░░░░░░░ are getting enough protein ░░░░░░░░ enough vegetables and we ░░░░░░░░ them every couple of ░░░░░░░░ We are on the ░░░░░░░░ with them a lot ░░░░░░░░ need to be handheld ░░░░░░░░ somebody is just going ░░░░░░░░ one of these online ░░░░░░░░ and accessing the medication ░░░░░░░░ getting he no guidance ░░░░░░░░ they recollected have some ░░░░░░░░ and many my patients ░░░░░░░░ be tapered off the ░░░░░░░░ Rachel doctor again the ░░░░░░░░ is out there I ░░░░░░░░ kind of a naturalist ░░░░░░░░ m not with you ░░░░░░░░ this I think you ░░░░░░░░ giving good advice get ░░░░░░░░ on and off Doctor ░░░░░░░░ you for are for ░░░░░░░░ us.
>> Thank you.