your understanding on the insulin secretion from GLP-1 is wrong - which is very common. the release of insulin gets faster when the beta cell GLP-1 receptors get triggered. but not more insulin. it is less insulin. there studies regarding this and the show a very nice graph. that shows a higher insulin spike but it was way shorter. and the AUC (area under the curve) showed that the total amount of insulin was lower over a longer period. this is part of the weight loss. with more total insulin you get fatter and not slimmer!

@@stefanweilhartner4415just

😊

@@stefanweilhartner4415ah very interesting. Thanks for enlightening!

Wow Thomas is looking really old in his face these days, not as bad as Paul Saladino but still aging quicker than his actual age. Maybe he should change up his diet (more fate needed), put less strain on his body with workouts and stop fasting.

That’s great. A lot of these people won’t understand what you were experiencing and will call you lazy. Sometimes we just need the little extra push and as much help as We can get. Yes these medications may have side effects that we don’t even know about. But in your case you had to make a choice between a death diagnosis, and a medication that could help you get started in the right path. I believe you made the right choice. My only advise to you is to use this medication as a tool to teach you how to eat correctly and start exercising slowly till your life is completely changed and you no longer need any medication. The point of this medication should be a help to transform your habits.

Should try just eating meat for a month. It might sound crazy but that's how I lost 30kg and turned my life around

@@Jason31256I know a vegan who did the same thing!

Very happy for you!

Yea good luck with the long term side effects ….

You, or your deceased loved one, took Ozempic most likely.

That’s already on tv. I work in healthcare and those ads run constantly. It’s for people who experienced organ system damage due to Ozempic.

Yep

👍

no kidding

same here

💯

Five years ago I commuted to work, sat most of the day, ate out nearly every day, and ended up hitting the heaviest weight I've ever been (215 lbs, 5'9"). I started to lose it before the pandemic hit, but when it did I found myself working from home, where I've been ever since. I started preparing my own meals, working out regularly, walking frequently, and jogging. Lost about 10 lbs a year and now am about the same weight I graduated from high school at (several decades ago), and feel like I'm 30. Basically the cure, or the fix, is to retire from our sick society and take control of your life. Unfortunately the number of people who want to do this is fairly small, and the number who can is even smaller. Now that a combo meal at McDonalds is about $20, a lot more people may be pushed in this direction. They may find it burdensome, but it will be the best thing that ever happened to them, as the pandemic was to me.

@@davidkusner5637 congrats!! I was them. There was something always preventing me from just doing it. I took a week made my diet plan, which is really a lifestyle change not a diet and started losing 10 pounds a month. I eat a lot of proteins, spoonful of vegetables with each meal, eggs, half of avocado, nuts, etc. I recommend people take their time and prepare the change. You have to follow certain eating habits on Ozempic anyway. Gradually introduced intermittent fasting and walking. Nothing over the top But it made a big difference in my life. Good luck everyone.

I need to do this again it feels so good to not me suffering from inflammation

He would be better off fasting.

Wow I didn’t know it was that much.

Yo this hit hard and is so true! We always strive for the easier way, while deviating from the more feasible way avenue.

“My ex” Good decision 👍

You can get it way cheaper than that. I'm talking less than $120 per month

Awesome you are making so much progress. My wife says it helps her not to think about food so much. I think we are all so different and if it helps people get started and see some quick progress they will stick with it.

@righthalfthetime-do4nt thanks! I can definitely agree with your wife about the not thinking about food part. It's been a game changer for me. Everyone has different health goals and journeys, but I will say watching Thomas's videos help keep us all pointed in the right direction, which is just a better/ more healthy version of ourselves.

​@@RollingRocke"Everyone has different health goals and journeys," exactly, well said. I used to be obese and although I didn't take Ozempic, the diet that worked for me _worked for me_ and we're all different. Congratulations on your weight loss, isn't it a great feeling!

Come back in 2 years to tell us how your life is then.

Dropping muscle mass won’t kill you. Obesity will. Once you can move better you can gain appropriate muscle mass back. Consider all the social influencers promoting calorie restriction for longevity. They are not worried about above average muscle mass. It’s all about nutrition and movement.

Logically its lost at the same rate, take Ozemoic with Oxandralone to save muscle...Including you heart

Great question!

The new discovery is OZEMPIC reduces heart issues but 25%.. so…

You might want to do your research because GLP-1 agoists are extremely Cardiac-Protective! I am Type-2 Diabetic and my doctor prescribed me Mounjaro last fall. Aside from all the improvements I have experienced specifically regarding diabetes before I had even lost ten pounds my blood pressure had gone from 165/90 down to 123/78 which was absolutely stunning.

Years ago I had a Dr that put me on a cocktail of off label meds for weight loss. I was skinny for the first time in my adult life. I felt like crap though. And when I stopped them, I gained most of the weight back. This was my personal experiment on why there's no magic pill for me. I needed lasting changes to my lifestyle, healthier eating, more movement & therapy for my stress in an abusive relationship. Everyone is different & I can see the benefits for someone who's so overweight that it's life threatening. As with any medication, each person most weight the pros & cons in their individual situation. These sorts of videos give more information on making the decision that's right for you. For me, it's a no. I'd never use anything like this again.

If they had focused on nutrition and resistance training initially, they would not need these medications. But you can't get some people off the couch.

What was the long term side effects? Or don’t they talk about it in medical literature? Don’t trust them after COV-VID lies.

​@angelaadams3625 that is not true and very ignorant of you.

Had a whole lot to do with the fact that drs don't get hardly any nutritional training in medical school and because they ONLY know how to use meds to treat people, they just ASSUME they're being lazy, when they're just given wrong dietary advise.

​@@steelergr1975Agreed a lot of weight gain is tied to genetics and aging also obese people will burn less resting calories then those with normal BMI after exercise making it less efficient, no to mention post exercise hunger.

well done. you're a good role model for others in your life hopefully.

You were dumb enough to get fat dont brag that you lost it.

It depends on how you diet. Rapid weight loss means you will typically retain less muscle. Slow controlled weight loss who is hitting their macros while on a slight caloric deficit will retain far more muscle.

I’m curious. It seems many people gain the weight back when they quit. Were you able to avoid that? If so, that’s awesome.

@@Sacarat no, didn’t gain it back. It gave me the kickstart I needed and I didn’t get Ozempic face. One of the best side effects was the aversion to alcohol.

Good for you the only thing I want to add is that it seems like the reason why people lose so much weight is because even a binger like me could not eat if I wanted to 🤢🤮. I guess all I’m trying to say is it’s still calorie restriction it’s just easier to restrict when you can’t keep food down or want to eat!

@@ryanlewandowsky2077 I think it works at a more scientific level to do with controlling glucose levels and glucose spikes. I have never been a big eater or eaten poorly. I am a woman and in my forties so there are always hormonal challenges. What actually piled my weight on was a severe burn out which was actually a physical burnout not a mental one. It landed me with crippling anxiety which is never bad in my life. It all hit me in a week. Then my doctor over prescribed me with anxiety meds. 40mg which was double what I should have been on. At the time I had no clue. If he had me on 100mg I would have done what he said. Then I broke my ankle… this wasn’t a case over uncontrolled eating. But I do get your drift this is the case for some. Reducing alcohol was probably a huge factor because it prevents fat loss. Though I wasn’t drinking huge amounts it was regular red wine with my meal kind of thing. I have an added complication which I’ve only just sealed with medically. It’s called LIPOEDEMA. Most doctors, at least in Australia don’t know what this condition is. It affects 1 in 10 women. It’s genetic. I am not going to explain this but for any women who read this and have fat they cannot lose on their legs, hips and butts, including arms eventually (there are more factors) look up this condition. It’s taken me 40 years of wondering what was wrong with me for no matter how hard I worked out or healthy I ate I could not lose this weight. This is scientific so please do your research. Perhaps your spouse struggles this way. Honestly, knowing what this condition is, is a game changer. I will say it again LIPOEDEMA.

I have no problems on Oz. No side affects. Lose it slowly, high protein and exercise. I started slowly.. better than all the health issues with obesity. I like it.

Mounjaro is the best one. Least side effects. Im on it now and only issue I have is acid reflux the first few days of the shot. A1C is down to 4.7 and Ive lost 36 pounds.

Thanks for your testimonial. I was always curious but scared. Glad I haven't tried it out.

Please have a ct scan of your liver and pancreas. Same thing happened to my sister. Please get checked. A liver function blood test isn’t conclusive, don’t rely on thi😢test. You must look at the ct scan

I lost 40+ pounds through time restricted eating and regular dog walking (always did the dog walking-just made sure to take one 4-5 mile long walk most days). Over 65. No side effects.

I’m sorry this happened to you. Sounds painful and scary.

Haha. And all you had to do is start exercising and stop eating like a 🐖.

Fellow Mounjaro taker here. I think quite often men underestimate the devastating effects of hormone imbalances that are unique to women, resulting from problems or changes in our reproductive systems. These problems present immense challenges for weight loss. In general, men have an easier time losing weight than women anyway, but you add something like PCOS or menopause to the mix, it's damn near impossible to lose a significant amount of weight without practically killing yourself. Mounjaro has been a gamer-changer for me as well, but I also agree that these drugs aren't for everyone and if you can do it yourself, it's better. Every individual has to make their own risk/benefit assessment and determine if going on one of these drugs is right for their situation. For me it was, do I keep watching my weight and A1C climb despite my best efforts and keep getting sicker and sicker, or do I take a chance on one of these drugs to help me take back control? I don't know what the effects will be long term, and I'm nervous about that, but for now I feel I made the right decision.

@@ladykilgore2337 APPLAUSE. The anti-Ozempic ppl, like the anti-GH ppl, want everyone to do things the "natural" way, but that is not possible for everyone. This "natural" crowd overwhelmingly consists of men, and typically younger athletic men -- like Attia. A male athlete like Attia cannot understand how difficult it is for people who do not have his enormous advantages.

@@alan2102X I mean no disparagement to men overall nor to anyone who has the ability to do it naturally, but there is definitely a disconnect experientially. Thank you for your kind support. ☺

Mounjaro did not work for me - I ended up twice in ER with excruciating pain - developed gallbladder stones. I would not recommend it to anyone. I get that many are losing weight on it but the pain I went through was worse than giving birth. If you are lucky that you get to lose the weight and not develop such a bad side effect then you are really lucky. I guess one will not know until they try, each body is different. If you do not have insurance never take the chance because the ER visits are extremely expensive around $30K per visit!

@@ForPeaceOnly Gallstones are not an uncommon thing in people losing weight very rapidly. How many GLP-1 adverse effects are due to ppl taking high doses and losing weight too fast? IDK, but probably a lot.

Is that a typo, or do you really take ammonia?

​@@higherresolution4490You need Ammonia only when you are Not Eating a Proper Human Diet 🥩🐟🧈🥓🥚 He obviously is a VEGAN

Yup. U def should have resistance training and eat enough proteins and healthy fats to minimize muscle loss

@@higherresolution4490 Probably aminos

@@higherresolution4490 He is likely referring to AMINOS, zero chance he takes ammonia 🤡🤡🤡

After a lifetime of believing that, I started intermittent fasting, zero sugar and super low carbs. At age 64, I was slowly dying with long covid, so did this for health. It improved my health VASTLY, and as a bonus, I lost 2 sizes, and take zero meds (now I'm 66).

@@jennifermarlow. Yep. The key seems to be SHORT PULSES, like IF, or water fasting for 3-4-5 days, stuff like that. Or extreme calorie restriction for similar periods. Longer extreme restriction can cause problems, but the short stuff works good. Go hard and heavy for a short time, then back off and stabilize, then go hard and heavy again.

@@jennifermarlow.that’s awesome! The point may still stand though. When you lose weight you lose muscle, and probably bone density as well. Maybe you didn’t. Hopefully you didn’t lose bone density at 66 years old. That’s very important. Load bearing activity increases bone density🙂

@@jennifermarlow. Then you can keep on believing that because thats what you did. Breakfast is a scam, literally.

I believe that those who take shortcuts doing hard things miss at least half of the benefit of the result. Building the proper mindset necessary for long-term success carries over into every other aspect of your life. Persistence, endurance, discipline above and beyond what most people around you posses.

Not sure Thomas cared about accuracy and science....he has a team...they make scripts for him....hes here to make money....he's not someone you should take health advice from.....he's on steroids and starves himself.

But it didn't seem to say anything about lean mass, the highlight just mentioned body weight

@@defeqel6537 why would you get advice from Thomas delauer at all? The guy is an actor...not an intellectual....he takes steroids and starves himself.to stay lean because this is.HIS MONEY He doesn't care.about health and is just reading scripts that his team makes for him

That highlighted section was talking about overall weight loss not muscle loss. Don’t know why he highlighted that part when not talking about that but, anyway.

WOW

Yeah I caught that too!

15.3kg x 2.2 = 33.66lbs

Don’t worry, keep the protein intake high and move forward. If you start feeling badly or see any red flags, stop.

You are in a similar situation to my mother, she also had a hysterectomy and low doses of semaglutide (given by me) have really helped her kickstart her weight loss.

Good don't skip exercise,and get off ASAP

@@-whackd That's sad. I would not risk stomach paralysis, and though my mother was an abuser, I wouldn't even do that to her. People are losing their common sense. smh

Because they're a sponsor... 🤑

Yeah, only people I see really complaining about it are the edge cases (which every medicine has) and people who haven't ever taken it. Study after study is showing its effectiveness and potential life extending benefits. Everything from reduction in cardiovascular disease, diabetes, brain deterioration and even addiction to nonfood substances.

​@@nicholascolletta1777 The person you are replying to is the edge case.

Rip to your kidneys. Not only are you taking that trash but throwing 160g of protein on top

@@MiLitioN Protein doesn't damage the kidneys.

@JasonBuckman ok my man. When you wanna come back to reality let us know.

My doctor put me on the keto diet rather than on Ozempic. I'm down approx 10 lb, which is t an issue. Ozempic was primarily meant for managing diabetic hyperglycemia. The diet works at least as well, as I have no more high blood sugar, my thoughts are clearer, and I'm happier.

Weight loss just makes you healthier if you lose fat and protect muscle. This is important to reverse insulin resistance. Thinking that it is weight loss itself that makes you live longer is pure ignorance.

For actual diabetics. Not for people who want to take the lazy way to lose 15 pounds.

Blah blah blah...No one cares

@@nik07nik you're right, not many people care to take care of themselves and prefer a life a mediocracy, I don't blame you, it's easier to follow the herd which has become obese by choosing highly processed foods over healthy foods. It's funny that people care enough to seek out life altering drugs and fad diets but not enough to take a few minutes and learn the staples of being healthy.

@@Girthquake9 Sorry pal, just read thorough these post and everyone want to talk about their weight loss (horrible term it should be fat loss) Bragging about getting out of problem they created by their own sloth, gluttony and stupidly .

@@nik07nik while I agree it's not much to brag about, it can hopefully be a motivating success story for others that keeps them away from prescription drugs

@@Girthquake9 it’s the virtue signaling culture… Look at me look at me look at me… You don’t mention that you were the fool who got yourself into that place to begin with

Yes most ppl who start at higher doses have the most side effects.

Thank you!! Ozempic is a tool, not a replacement for better food choices and exercise. I have taken Ozempic for quite a while now, with no ill effects. My A1c went down, and I lost weight. ANY medication comes with a certain amount of risk. I wish people would educate themselves as far as pros and cons and not jump on the villifying Ozempic bandwagon.

Yeah, it’s obesity treatment so only obese people should use it and it’s temporary. It’s a means to an end, it’s a valuable medicine for some people. It’s effective and comparativly safe

​@@user-nz4ux4cw2z It's for diabetes.

Yes it's worse, but not actually exercising and using these drugs long term is worse. A lifestyle change is mandatory for actual results.

Amen.

Or having the muscle mass of a 80yo

If the drug is still patented, you can bet your ass they receive kickbacks for prescribing it.

Semaglutide is not patented. It is not even a drug, but an endogenous peptide produced by the body. The delivery method (the auto injector) is patented. You can easily get semaglutide prescribed from a compounding pharmacy and do the small injections once per week yourself, and it will cost you about twenty bucks a month.

It is the delivery method that is patented--the auto injector. Semaglutide is actually affordable if you have a doctor prescribe it from a compounding pharmacy and inject yourself. I'm talking about $20 bucks per month for a reasonable dose. The reason why the compound semaglutide is not patentable is because it is an endogenous peptide produced by our bodies.

No we don’t receive a kickback. That’s illegal. It works in over 95% of our patients. There are patients that just cannot tolerate it. But I would like you to realize that doctors are human and in reality, you can take a lower dose to start out. Have you ever drank 1/2 of a container of water by chance? You probably have. It’s the same thing with medication. You don’t always need a full tablet of medication (that’s why tablets are sometimes scored?) or a full typical dose. Everybody has different amount of GLP receptors. Humans are inherently lazy because we don’t have to hunt or gather for our food. On top of that, our food is of rather poor quality. Your body is actually going after nutrients - First - so the cells and the system can operate well overall. Then probably calories. But there is plenty of stored energy in a body to last quite a while. it’s much easier and more effective to eat a diet that is more vegetarian based. Good quality meat or eating eggs in moderate amounts. With our patients, we generally want them to eat around 0.6 to 0.8 g Protein per pound of weight per day, drink 100 ounces of water per day and get 30 minutes of strength training with full body three days per week. It doesn’t have to be super intensive. When you have a catabolic state that these medications can cause (since you’re eating less) - your body goes into a state of distress, thinking it’s dying. So the adrenal stress is already being caused by diet so aggravating it with overtraining will make it worse. *Moral of the story is that think of this medication like a full plate of food. You don’t have to eat the whole plate and you don’t have to take the full dose in the beginning. It has a click dosing system…

@@trentknight8661 jeez, Doc, tell me everything you know. Yes, I started with a small dose. Yes, my portions with Whole Foods were smaller. Always included leafy greens and fibrous veg. And, 3-4 days of painful and difficult constipation. I refuse to take trendy medications and advice on health issues from Oprah or Kelly Clarkson.

That is very true.

People are always going to hate.

True. May maybe if a really young person lost slowly, they may not start looking gaunt. When I was 34, I began yoga and working, eating better again, and lost some weight. I remember my dad saying, "you've lost enough weight, you're starting to look gaunt."

If people were actually prepared to do those things, they’d lose weight without it and without the associated risks.

Wow, and statins are killing MILLIONS. The UK (and NHS) has really gone to a dark place. Sad, just like here in Canada.

Good catch - lean tissue doesn't necessarily mean ONLY muscle. You also lose vascular tissue, cellular membranes, and even your organs shrink a little bit as you downsize the rest of your body.

@@katarh right, but my point is the numbers he "quotes" are wrong, not only is he saying LBs rather than KG, making me doubt he really even read this stuff, but that figure isn't referring to lean mass, it's referring to total weight, so there is no way to know how much was lean or not. It's such a blazing error I don't know how it let this get released on youtube.

It’s common sense obese people, who CLEARLY ARENT WEIGHT TRAINING OR EXERCISING, are losing muscle.. along with fat.. BECAUSE EVERYONE who looses weight looses muscle.. I enjoyed the video but when he’s pushing some supplements at the end.. I start to ask questions.. 😂😂😂😂

Well obviously the doctor was wrong... he thought that you did not have the stamina for fatlose yourself.... But you did obviously... NOT. Why the fuck go to a doctor if you know in advance what to do WITHOUT a doctors advice. THE DOCTOR WOULD NOT RECOMMEND THIS IF YOUR ARE NOT OVERLY OBESE!

But this might put big Pharma and Thomas out of a job😉

@@amydean269 highly doubt it.

this is what happens when people abuse a drug meant for diabetes, not weight loss

I’m so happy u have no idea what ravenous hunger feels like. My bias is very natural based. I literally do everything “right”. Nothing suppresses my appetite. My input always matches my out. All Zep Bound does is reduce my hunger to a normal person. But like I said I have everything else dialed in. I used it for a year and lost 70lb while maintaining my strength and muscle. I haven’t taken it in 6 months and haven’t gained an ounce. And guess what….my hunger hasn’t come back.

@@geekspeak1066 Comment was related to society as a whole, and not individuals: If we as a society, were focussed on addressing root causes it may have become apparant what ravenous hunger may be attrbutable to (deficeincies, gut microbiom etc.) If it were me, I would still speak to a high quality functional medicine doctor to possibly get some answers

It's going to be a lifesaver for many people.

Facts💯

If you need to lose 150lbs, exercise and nutrition may not be sufficient, at least not in a reasonable timeframe.

Repopulate your gut microbiome with good quality probiotics.

It was lbs on the muscle loss. The highlighted portion is showing total weight loss in KG