LEVELS – A Whole New Level cover image

LEVELS – A Whole New Level

#226 - How do weight-loss medications affect metabolic health? And will Ozempic and other GLP-1s actually solve the obesity crisis? | Dr. Rob Lustig & Dr. Casey Means

Aug 17, 2023
Dr. Rob Lustig and Dr. Casey Means discuss weight-loss medications like Ozempic and how they affect metabolic health. They delve into the mechanisms of action for these drugs, their potential benefits and limitations, and the high cost associated with them. The podcast also addresses the need to address the food industry's role in the obesity crisis, concerns about using these medications in children, and the importance of individualized treatment. Additionally, they discuss the impact of tracking glucose levels, optimizing metabolic health, and the importance of education and support for long-term success in weight loss.
51:15

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Quick takeaways

  • GLP-1 receptor agonist medications like Ozempic do not fix the underlying metabolic dysfunction and can have potential long-term health concerns, so they should be used as a short-term jumpstart in conjunction with a comprehensive lifestyle program.
  • GLP-1 agonists like Ozempic are expensive, do not fix the underlying metabolic dysfunction, come with potential risks and side effects, and should be used judiciously as part of a larger, comprehensive approach to metabolic health.

Deep dives

GLP1 Agonists and Their Limitations

GLP1 agonists like ozempic and wagovii are medications used for weight loss and diabetes management. They work by stimulating the release of insulin and suppressing appetite. However, these medications do not fix the underlying metabolic dysfunction and can cause side effects like nausea, vomiting, and potential long-term health concerns such as pancreatitis, thyroid cancer, and pancreatic cancer. Additionally, using these medications as a stand-alone solution is not effective, as weight regain occurs once the medication is stopped. Therefore, they should be used as a short-term jumpstart in conjunction with a comprehensive lifestyle program that focuses on dietary changes and physical activity to address the root causes of metabolic health issues.

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