Episode 34: Our GLP-1 Deep Dive pt 2 (featuring @bypasskass)

WEBVTT

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Good morning, Steph and Cass. Good morning. Excited

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to welcome you both back to another episode of

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Bariatric Banter Podcast. Cass is back. Cass

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is back. This is our two -part GLP -1 special.

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We told you we were bringing a guest on for this,

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someone who's been on it. before bariatric surgery

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who can answer some of those questions that we

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had about it. But this is episode, I can't remember,

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30 something. Almost 40. 36, 37, 30 something.

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30 something. Podcast is now almost my age. But

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welcome back to part two of our GLP -1. deep

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dive and like you heard at the very beginning

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we are so excited to be joined by the one and

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only Cass again so for those who don't follow

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her find her bypass Cass on TikTok she's on Instagram

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she has a great little community she's building

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as well which like you should definitely talk

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about on here but she shares all of her bariatric

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journey on social there's great recipes there's

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clothing that she buys, that she thrifts, there's

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recipes, there's just like day -to -day life

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struggles, highs, lows. She's been a great source

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for Steph and I of just like support, inspiration,

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and we're excited that she's going to come on

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and talk about GLP -1s with us. So welcome. Thank

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you. Yeah, it's one of those things that I like,

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the GLP section of my life gets kind of overshadowed

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by the bariatric. portion of my life right and

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so I don't actually talk about it that often

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with people other than when when people ask what

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what was your timeline of your bariatric surgery

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I do like to preface to people I did try the

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GLP route before having bariatric surgery so

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um and I've had people in my life since who talked

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to me about do I do bariatric surgery or try

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GLP ones and Yeah, it's crazy the amount of success

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we are seeing people have on GLP -1s. I'll be

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sharing a little bit differently for me, but

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there is a crazy amount of success that's to

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be had with it. So, yeah. Awesome. Well, we released

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our first episode and Steph and I just kind of

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went through what we knew about it. And we prefaced.

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Listen, we're not experts. We are both not on

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it yet. And we had some things. We got some feedback.

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I would say there were one, maybe two people

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that maybe weren't thrilled that we were talking

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about GLP -1s. Not that they were against it.

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They thought that we were not. um, in support

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of it. They thought they thought we were, what

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did they say? I can't remember the word that

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they thought we were naughty, naughty, um, about

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GLP ones. And that was not our intention because,

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and again, it's Steph and I, if you listen to

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this podcast, you know, we're going to debate

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things and we have strong opinions on things,

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but we always say we're not experts and we're

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going to go find people who can be experts. And

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that's why we brought you on, but we just talked

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about. the rise of them we are not against them

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we have both stood on that no no judge no judgment

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from we love that you use them we are not against

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them some of our concerns were um people getting

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them without having support systems that's not

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everyone we weren't saying everyone but there

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is a growing amount of people that we know in

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canada who've been able to get things without

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needing blood work or needing a dietician or

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even having like a doctor they do a virtual next

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steps Yeah, and we love telehealth. Telehealth

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has been an incredible innovation. Oh my God,

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I have used them. Somebody got mad at me for

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this. Me too. I'm not a virtual doctor. I think

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virtual doctors are incredible. What I was saying

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was seeing one for 15 minutes to get Ozempic

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and then not having a support system after was

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concerning to me. I didn't say it was bad. It's

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just, I think this is one of those things where

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to be successful, you need to have a team. Obesity

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is a disease. You need a specialist to help you

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walk through it. So when you're doing telehealth

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and, you know, they're maybe not checking in

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with you the way you would with any other specialist

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where you've got like parameters. If there's

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no parameters, where's the bar, right? I think

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that's where you guys were kind of leaning into.

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It's just, it's a cautionary tale. That's what

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it is. It's some people have done this shit on

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their own and they've done a really great job

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without that support, just going through telehealth.

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And then it's a cautionary tale of what does

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this look like without it though? Because you've

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gone through a virtual doctor, which was also

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my case too, where it was like, we're upping

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your dosage. You're going to just, it was all

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phone calls when I was on mine. So I could, and

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here's the part of that too. I could say whatever

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I want to that person on the phone. Yeah. And

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we've said that about the bariatric world too,

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right? All of our follow -ups are on the phone.

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And when they say, what's your current weight?

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I can make up whatever damn number I want. I

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could be 125 pounds if I wanted to. Like, I don't

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see, they don't see them in person either. And

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that's, I think that's concerning. And that's

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the bariatric, that's my world. That's the bariatric

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world is I think that's ridiculous. You see me

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for surgery and then none of my follow -ups are

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in person. I haven't talked to them in months.

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And we've talked about like support. Well, you

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should be honest. Yeah, but we're obese individuals.

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I'm not trying to say all obese people do this,

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but we're very good with hiding things and downplaying

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things. We're good at lying. We're good at lying.

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Let's be honest. We're good at lying. Because

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we lie more specifically. We lie more around

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us. So it's easy to stand on that scale and go.

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Oh, 186. I'm 180, guys. Like, you know, whatever.

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I'm just going to shave a few pounds off. I don't

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want them to be disappointed in me. I don't want

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them to feel like I'm failing. Right. So it's

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the same. It's the same thing. Right. So we're

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not saying it's GLP -1 specific that we don't

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necessarily think these virtual appointments

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are the best route. I've used telehealth. I used

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telehealth. Personal story here, TMI. Sorry,

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Mom. I used. telehealth to get on birth control

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i hadn't been on birth control for years like

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since before i was married and then we were going

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away to mexico for our anniversary and i was

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supposed to get my period right in the middle

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right for our trip and i was like screw that

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no no freaking way i used telehealth to get birth

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control and was shocked at how they she literally

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prescribed me three months worth of birth control

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in two minutes i was like okay okay cool but

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again online virtual for a UTI recently. Like

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you can do a virtual in through shoppers. And

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I was like, I think I have a UTI. And like, I

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put some shit in the computer. I took a picture

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of a test. Here you go. And they were like, yeah,

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you can come pick up your description. You're

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going to meet someone for shoppers. And I was

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like, so we're not saying this is GLP -1 specific.

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I was like, we're not trying to gang up on GLP

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-1. We're saying in general, in healthcare as

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a whole, you need support. You need follow -ups.

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You need guidance. You need direction, especially

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when it comes to medicines and things that are

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altering your body. We just think it's important

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that you have somebody making sure you're okay

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and making sure you're on the right track, right?

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That's what it comes down to. What to look for.

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The side effects. That you would ask questions

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to. How much weight am I going to lose? And what

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am I going to feel like in my first week? Am

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I going to shit my pants? I was given a run through

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of like, these are some like top side effects.

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all right, we're good. Like it was very minimal,

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right? And I'll get into a bit deeper that gallbladder

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ended up being an issue while I was on it. So,

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and I didn't know that that was connected. I

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had like, I had no clue for at least four of

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my visits to the ER that that was even connected.

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And I couldn't, the ER didn't connect it either,

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which is crazy. So this might help someone too,

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who's experiencing, I'll describe what it's like,

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but like. They wouldn't even know what that looks

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like when you're having gallbladder attacks.

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So, and it is connected with rapid weight loss.

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So, yeah. And that's the thing. Like, a lot of

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this, sure, comes on from GLP -1, but is actually

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a result of your rapid weight loss, which can

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happen to us, too. Like, there's a lot of people

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have their gallbladders removed after bariatric

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surgery. Like, it happens. It's a common side

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effect. You can get stones after bariatric surgery.

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You can have issues. Acid reflux. Yeah. You can

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have blood sugar issues. You can have blood pressure

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issues. Like a lot of it is the rapid weight

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loss. So sometimes I do think it's a bit unfairly

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lumped onto GLP -1s. Like GLP -1s cause this.

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Well, it exacerbated that, but it was rapid weight

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loss that caused it. So sometimes I, because

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I do know, and I hope we never contributed to

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this, there is a lot of fear around starting

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these. And I think a lot of it is like, what's

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going to happen to me? And we'll get into like

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long term versus short term in a few minutes.

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But I think also it's things like this, right?

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Oh, I've heard everybody that's on it has their

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gallbladder removed. Well, majority of people

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that had bariatric surgery also fucking have

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their gallbladder. Yeah. The biggest common thing

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is what Steph said. Majority of people that have.

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end up having revisions for acid reflux. Acid

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reflux. About your surgery. So, like, it exists

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in our community, guys. There's lots that people...

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It's not GLP -1 specific. No. So don't let that...

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It's weight loss. Yeah. Yeah. Absolutely. And

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I wonder, Cass, if you had bariatric surgery

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first versus, like, would you have encountered

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the gallbladder stuff too, right? Because it

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happens... Yeah. Right. You don't know. Yeah.

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It's all about like my I find mine happened a

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little backwards because I had my gallbladder

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out prior to surgery. So, yeah, my story is a

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little bit backwards compared to most people's.

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Do you want me to kind of run through starting

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during how that works? Give your give your history.

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OK, so when I had a friend who had had bariatric

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surgery and I was really tempted to go that route.

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But at that time, my doctor had referred me to

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an obesity clinic and that obesity clinic gave

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me all my options with bariatric surgery on the

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table. Right. But obviously, GLP -1s were right

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there with it and said, do we want to kind of

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give this another kick in the can and try the

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GLP -1s? I do find it a little shocking to me,

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though, that this was through an obesity clinic

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who had a lot of support resources, a lot of

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support resources. And I had those with my bariatric

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surgery route through them. However, I will say

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I did not feel I had that when I was on the GLP

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-1. And I'll explain that a bit more. But, yeah,

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I've taken three different types because I stalled

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on all of them. Oh, jeez. Um, so I can share

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the types, right? Like, I don't know. Like on

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social, we can't share the name, but in the podcast

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we can. Okay, so I did Contrave, which is a pill.

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I did Sexenda, which is an injection daily. And

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then Ozempic, oh yeah, that one was not great.

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And then Ozempic was once a week. Yeah. Right?

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Daily sucks. Yeah, daily would not be a win for

00:11:19.610 --> 00:11:23.009
old Hannah. Yeah. Let's just knock Contrave right

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off the hop. Did nothing. Didn't feel anything

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with it to be just for my body. Is it similar

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to Metformin? Yeah. Oh, yeah. That would be nothing

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for me either. Me neither. I stopped taking it.

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Same family. Yeah, nothing. Did nothing. Did

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nothing else. Yeah, I know. I was like, okay,

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I'm getting side effects and no actual what it's

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intended for. Absolutely not. Hard pass. Yeah,

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hard pass. Hard pass. Sexenda, though, and Ozempic,

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I will say were great. Again, my experience on

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them was I just, when I would stall for an extended

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period is when my doctor. I don't know if this

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is protocol now or if they would just look at

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dosage changes, but I'm thinking I was at, this

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is a while ago, but I had kind of capped out

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at the dosages when they moved me over. And we're

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like, okay, we're going to put you on a different

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drug. I don't know if that's the right protocol,

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but I was a bit of a guinea pig in all using

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all of these different drugs. And I was just

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now that I look back, I'm like, why was I so

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OK with that? But you don't know any different

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at the time either, right? Like you trust that

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they're doing what they should be doing and that

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they know what they're doing. I just wanted to

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I just wanted to feel better. I wanted to be

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able to have my mobility back. I wanted to be

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able to get off my CPAP. Like that's just like

00:12:40.529 --> 00:12:43.330
long term. I was just like. Do it. I want to

00:12:43.330 --> 00:12:46.850
get there. So I will say, essentially, I had

00:12:46.850 --> 00:12:49.750
me, was it like every two months, they would

00:12:49.750 --> 00:12:52.330
just do a quick phone call. It was never longer

00:12:52.330 --> 00:12:56.710
than like 10 to 15 minutes of just if I'm experiencing

00:12:56.710 --> 00:13:00.690
side effects, how am I feeling? And Ozempic,

00:13:00.690 --> 00:13:02.610
well, that was the one I had the longest stint

00:13:02.610 --> 00:13:06.090
on. So we'll talk about Ozempic. I did overall

00:13:06.090 --> 00:13:10.740
lose 20 pounds. When I was on it. So I was very

00:13:10.740 --> 00:13:13.059
happy with that. People were starting to notice

00:13:13.059 --> 00:13:15.299
at that point that I'd lost weight and were pointing

00:13:15.299 --> 00:13:17.720
out like, hey, we're seeing a difference in you.

00:13:17.820 --> 00:13:20.360
Keep it going. And that felt so good at the time.

00:13:20.919 --> 00:13:22.820
What dose were you on? Do you mind if we ask?

00:13:22.860 --> 00:13:27.320
Because people are curious about that too. No,

00:13:27.340 --> 00:13:28.919
that was a while ago. So I actually don't remember.

00:13:29.159 --> 00:13:30.820
If you don't remember, we can share on social.

00:13:31.000 --> 00:13:33.279
But that comes up too is people want to know

00:13:33.279 --> 00:13:36.580
like. and, you know, what were you on? Yeah.

00:13:37.320 --> 00:13:38.740
And I totally get that. And the fact that it

00:13:38.740 --> 00:13:42.360
was your third medication that you had tried,

00:13:42.460 --> 00:13:44.139
right? So that could have impacted something.

00:13:44.240 --> 00:13:46.039
Let's say technically second because, like, we

00:13:46.039 --> 00:13:48.340
all get the pill. We all get the metformin pill

00:13:48.340 --> 00:13:49.899
at some point or obesity pill. That's supposed

00:13:49.899 --> 00:13:51.799
to do something and does dickle. And that doesn't

00:13:51.799 --> 00:13:54.539
do anything. I'd say, like, the injectables are

00:13:54.539 --> 00:13:57.110
different. Yeah. Totally different wavelength.

00:13:57.289 --> 00:14:00.289
So yeah, no, it was, uh, yeah, I can't recall.

00:14:00.350 --> 00:14:02.509
I could actually just go back into probably my

00:14:02.509 --> 00:14:04.190
medical history though and let you guys know.

00:14:04.429 --> 00:14:08.190
But yeah, I was on it. I do know that, um, it

00:14:08.190 --> 00:14:11.809
was every two weeks they had me increasing the

00:14:11.809 --> 00:14:15.149
dose. Wow. Okay. Yeah. I don't know what that

00:14:15.149 --> 00:14:19.159
had to do with. That is fast. It was fast. It

00:14:19.159 --> 00:14:20.600
was fast. And I don't know if that had something

00:14:20.600 --> 00:14:22.600
to do with my weight at the time. Cause remember

00:14:22.600 --> 00:14:25.299
at that time I was 263 pounds. Like I was at

00:14:25.299 --> 00:14:28.840
my highest. I have no idea if that's a factor,

00:14:29.000 --> 00:14:31.379
like not a doctor here, but I just told, did

00:14:31.379 --> 00:14:33.360
what they told me to do. So I think that did

00:14:33.360 --> 00:14:35.779
have a factors into the side effects, which are,

00:14:35.799 --> 00:14:38.820
we all know like diarrhea. Your girl had to be

00:14:38.820 --> 00:14:44.190
near a bathroom. And I do recall. Even I work

00:14:44.190 --> 00:14:46.809
at the time knowing I need to be like in the

00:14:46.809 --> 00:14:49.610
office. Near a bathroom. Right near the washroom.

00:14:49.710 --> 00:14:51.750
This would have been pre -COVID, right? This

00:14:51.750 --> 00:14:54.809
would have been. like in an office days. Oh no.

00:14:54.850 --> 00:14:57.450
In office days. Oh God. In office. There goes

00:14:57.450 --> 00:15:01.250
Cass to the washroom again. Yeah. Like, yeah,

00:15:01.389 --> 00:15:03.110
definitely something going on with her because

00:15:03.110 --> 00:15:06.750
she's super regular. So yeah, it was, it was

00:15:06.750 --> 00:15:09.909
different, but this ties, I think this ties into

00:15:09.909 --> 00:15:12.110
actually, and it's super important that my diet

00:15:12.110 --> 00:15:15.289
did not change. Which is a big thing. In terms

00:15:15.289 --> 00:15:18.090
of supports, I was not seeing a dietician. I

00:15:18.090 --> 00:15:21.769
was not seeing any kind of therapist or mental

00:15:21.769 --> 00:15:24.990
health counselor at any time. And it wasn't actually

00:15:24.990 --> 00:15:28.289
offered to me at all when I got on these medications.

00:15:28.809 --> 00:15:31.789
I didn't, to me, when you're someone that's so

00:15:31.789 --> 00:15:34.250
new, you don't even know to ask for something

00:15:34.250 --> 00:15:36.210
like that. You don't know what you don't know.

00:15:36.840 --> 00:15:38.759
I didn't know. Yeah, I didn't know it would be

00:15:38.759 --> 00:15:41.440
available to me. I didn't know I could ask. And

00:15:41.440 --> 00:15:44.080
then everybody I know has that fear of if I do

00:15:44.080 --> 00:15:45.940
ask, maybe I have to pay for it. And then if

00:15:45.940 --> 00:15:49.220
I pay for it, like now I'm paying for this drug,

00:15:49.320 --> 00:15:51.960
I'm paying for this, like, you know. But look,

00:15:52.159 --> 00:15:56.000
in hindsight, if I would have had someone that

00:15:56.000 --> 00:15:58.340
at that time, like when I had bariatric surgery,

00:15:58.419 --> 00:16:00.759
said, what's your understanding of nutrition

00:16:00.759 --> 00:16:05.299
facts? Let's talk about do you read them currently?

00:16:06.779 --> 00:16:09.500
Like, what does that mean to you? Like they did

00:16:09.500 --> 00:16:11.580
when I had bariatric surgery. We really deep

00:16:11.580 --> 00:16:14.639
dived into what was my understanding? What do

00:16:14.639 --> 00:16:17.220
I look at? What should I be looking at for my

00:16:17.220 --> 00:16:19.940
height and weight? We did not do that when I

00:16:19.940 --> 00:16:22.899
got on. So that was bariatric surgery. We did

00:16:22.899 --> 00:16:26.799
not do any of that when I got on Ozempic. Not

00:16:26.799 --> 00:16:29.700
to cut you off, you were at a weight loss clinic.

00:16:29.960 --> 00:16:32.080
You weren't great. I was with an obesity clinic.

00:16:32.320 --> 00:16:36.379
Which is crazy. Wow. That's crazy. It doesn't

00:16:36.379 --> 00:16:38.539
make sense, does it? It doesn't. It really doesn't.

00:16:38.539 --> 00:16:41.980
No, no, no. Yeah. I don't I don't get why that.

00:16:42.039 --> 00:16:43.940
And I don't know if those resources are just

00:16:43.940 --> 00:16:46.539
funneled into their bariatric program. It's possible.

00:16:46.759 --> 00:16:50.379
But I just wish it should be standard. Like it

00:16:50.379 --> 00:16:52.679
should just be the norm when when obesity is

00:16:52.679 --> 00:16:56.080
the overarching area that this clinic focuses

00:16:56.080 --> 00:16:58.460
on. You think that would be a standard focus

00:16:58.460 --> 00:17:02.740
of any program that they're offering? I really

00:17:02.740 --> 00:17:06.240
like was just, it was night and day. It was night

00:17:06.240 --> 00:17:08.259
and day. I'm going through the same clinic for

00:17:08.259 --> 00:17:12.640
my bariatric program and my, and my, the Ozempic.

00:17:12.640 --> 00:17:14.740
And I'm like, why is it so different with how

00:17:14.740 --> 00:17:17.180
I'm being handled? I like, I only noticed once

00:17:17.180 --> 00:17:19.539
they shipped me off to the bariatric side where

00:17:19.539 --> 00:17:23.420
I was like, this is so different. This is so

00:17:23.420 --> 00:17:24.859
different. There should be foundational things

00:17:24.859 --> 00:17:27.019
that are standard across the board when you're

00:17:27.019 --> 00:17:31.109
looking at, right? It's crazy. Yeah, so my eating

00:17:31.109 --> 00:17:34.009
habits didn't change beyond the fact that it

00:17:34.009 --> 00:17:38.170
was insane, the lack of hunger that I faced,

00:17:38.230 --> 00:17:40.450
the food noise that went away. I've heard this.

00:17:42.140 --> 00:17:45.539
It is comparable to how you feel out of surgery,

00:17:45.720 --> 00:17:48.460
for me anyways. It was very comparable. Once

00:17:48.460 --> 00:17:50.940
the medication, I'd been taking it long enough

00:17:50.940 --> 00:17:53.799
to get the full effect. Yeah. Yeah, my portions,

00:17:54.019 --> 00:17:56.859
I'd have, I actually started intentionally making

00:17:56.859 --> 00:17:58.859
smaller portions because I was wasting so much

00:17:58.859 --> 00:18:02.440
food. Right. Because I kept, I'd make my usual.

00:18:02.519 --> 00:18:04.319
Here's the thing too, we didn't talk about portions

00:18:04.319 --> 00:18:07.640
like this. So I'd make my usual and I'd get a

00:18:07.640 --> 00:18:10.220
few bites in and then this like disinterest just

00:18:10.220 --> 00:18:12.279
like hits you where you're like. I'm not interested

00:18:12.279 --> 00:18:13.779
in eating. I don't want to eat. I'm not hungry.

00:18:14.660 --> 00:18:17.880
I'm good. So that would happen. So I started

00:18:17.880 --> 00:18:20.440
reducing my meal sizes. And then, like I said,

00:18:20.460 --> 00:18:24.059
that 20 pounds slowly started to come off. And

00:18:24.059 --> 00:18:27.700
I really don't really attribute that to changing

00:18:27.700 --> 00:18:29.819
how I ate at all because I was not checking.

00:18:30.000 --> 00:18:32.559
I wasn't focusing on protein. There was no meal

00:18:32.559 --> 00:18:35.519
checking nutrition facts at that time. None of

00:18:35.519 --> 00:18:37.880
that was happening. However, I had greatly reduced

00:18:37.880 --> 00:18:44.150
my portions. 20 pounds with that came off. Yeah.

00:18:44.329 --> 00:18:49.769
So, but I did experience nausea quite sporadically.

00:18:49.769 --> 00:18:51.950
I found it was mostly when the increase happened.

00:18:52.029 --> 00:18:55.150
I would usually have a day where I was more nauseous

00:18:55.150 --> 00:18:57.809
and then it would go away. And I only had one

00:18:57.809 --> 00:19:00.529
day I can recall where I quite literally called

00:19:00.529 --> 00:19:03.430
into work because I woke up, I had like a sip

00:19:03.430 --> 00:19:05.930
of coffee or something, instantly felt like I

00:19:05.930 --> 00:19:09.920
needed to throw up. But it was one day out of

00:19:09.920 --> 00:19:12.180
a whole thing of like taking this medication

00:19:12.180 --> 00:19:14.819
and it never happened again. And feeling nauseous

00:19:14.819 --> 00:19:16.839
when you increase a dosage makes sense with any

00:19:16.839 --> 00:19:19.359
medication, like as soon as you change it, right?

00:19:19.519 --> 00:19:22.220
I was on antibiotics and I was like, the room

00:19:22.220 --> 00:19:26.019
didn't spin in and I feel like death. That's

00:19:26.019 --> 00:19:28.380
common. But yeah, like the disinterest in not

00:19:28.380 --> 00:19:29.740
eating anything. Like there's somebody I work

00:19:29.740 --> 00:19:32.119
with that started Monjaro and I've been talking

00:19:32.119 --> 00:19:34.480
to them and they were saying the same thing.

00:19:34.519 --> 00:19:36.940
They're like. we're talking about what they were

00:19:36.940 --> 00:19:38.859
eating and they were basically saying that, yeah,

00:19:38.859 --> 00:19:40.440
like, oh, I just don't want to eat. Like I'm

00:19:40.440 --> 00:19:42.220
not hungry. And they were so excited. And I was

00:19:42.220 --> 00:19:44.660
like, okay, I get that. That feeling of not thinking

00:19:44.660 --> 00:19:47.400
about food for somebody who always thinks about

00:19:47.400 --> 00:19:50.700
food is phenomenal and so exciting and fantastic.

00:19:51.140 --> 00:19:54.519
But I said, that's also the thing that you have

00:19:54.519 --> 00:19:56.799
to be careful of is that you are, you are still

00:19:56.799 --> 00:19:58.980
eating and that you are still getting protein

00:19:58.980 --> 00:20:01.319
and that you're not going all day, not fueling

00:20:01.319 --> 00:20:04.599
your body because you're so excited. by the fact

00:20:04.599 --> 00:20:09.279
that you don't want to eat, but then people don't

00:20:09.279 --> 00:20:12.259
eat, right? And that's where then we see other

00:20:12.259 --> 00:20:14.079
problems. And I think that's too where some of

00:20:14.079 --> 00:20:15.519
these side effects that we hear about come into

00:20:15.519 --> 00:20:18.819
play. It's not necessarily the GLP -1. It's the

00:20:18.819 --> 00:20:21.259
fact that people aren't fueling their bodies.

00:20:21.299 --> 00:20:22.500
They're not getting their vitamins. They're not

00:20:22.500 --> 00:20:25.519
getting their proper nutrition because they're

00:20:25.519 --> 00:20:28.859
not eating, right? Yeah. And that's so that,

00:20:28.859 --> 00:20:31.940
and I agree with you. That's the thing is it's

00:20:31.940 --> 00:20:33.759
the other things that'll come up and like, there'll

00:20:33.759 --> 00:20:36.299
be people going, oh yeah, well, if you're not

00:20:36.299 --> 00:20:38.339
eating, I guess you'll be tired. For me, the

00:20:38.339 --> 00:20:41.880
bigger red flag that I'm signaling is you're

00:20:41.880 --> 00:20:44.160
not developing good eating habits. So you're

00:20:44.160 --> 00:20:45.819
not eating now because you don't feel like eating

00:20:45.819 --> 00:20:47.940
and that's all right. All that wears off and

00:20:47.940 --> 00:20:52.460
you start binging or you go back to eating a

00:20:52.460 --> 00:20:55.359
ton of stuff. This is like surgery in my mind,

00:20:55.400 --> 00:20:57.220
I would think. And Cass, like, tell me if I'm

00:20:57.220 --> 00:20:59.299
right here. You're going to have a period of

00:20:59.299 --> 00:21:00.960
time where you're not hungry. And that's your

00:21:00.960 --> 00:21:03.059
period to make new choices that you hopefully

00:21:03.059 --> 00:21:04.880
stick with because eventually the medication

00:21:04.880 --> 00:21:08.859
tapers off in your system and you'll go back

00:21:08.859 --> 00:21:10.920
to wanting to eat all the time. But if you took

00:21:10.920 --> 00:21:13.759
that grace period to make better life choices,

00:21:13.779 --> 00:21:17.359
you'll hopefully feel full when that comes back.

00:21:17.460 --> 00:21:19.039
But if you're not eating and you're eating once

00:21:19.039 --> 00:21:21.799
a day, when that noise comes back, you're probably

00:21:21.799 --> 00:21:23.700
going to be like. fuck it, I'm eating all goddamn

00:21:23.700 --> 00:21:26.220
days. You can't sustain that. Yeah. No. It's

00:21:26.220 --> 00:21:29.339
like building the foundation, right? It's fully

00:21:29.339 --> 00:21:32.099
a honeymoon period. It's really what it is. Being

00:21:32.099 --> 00:21:34.799
on the medication was like being on a really

00:21:34.799 --> 00:21:39.319
nice honeymoon of like, this is great. Like I

00:21:39.319 --> 00:21:41.640
have so much control around food. I've never

00:21:41.640 --> 00:21:45.619
experienced this before without any of the actual

00:21:45.619 --> 00:21:47.900
day -to -day work. What it looks like when you're

00:21:47.900 --> 00:21:49.880
off the honeymoon. What does that look like?

00:21:49.960 --> 00:21:52.700
What does it look like when, you know, the hunger

00:21:52.700 --> 00:21:55.200
is there, your little sweet tooth is kicking

00:21:55.200 --> 00:21:59.259
in and you're not. But one thing I just found

00:21:59.259 --> 00:22:01.519
so great about the bariatric program was just

00:22:01.519 --> 00:22:03.400
even understanding, we just talked about consistency

00:22:03.400 --> 00:22:07.880
with meals. That is so integral. I've even noticed

00:22:07.880 --> 00:22:10.019
with myself, the days that I am ravenous and

00:22:10.019 --> 00:22:13.119
not in control of myself are the days that I

00:22:13.119 --> 00:22:16.579
did not prioritize consistent eating. So I skipped

00:22:16.579 --> 00:22:19.299
my breakfast. I skipped a snack. I skipped, or

00:22:19.299 --> 00:22:21.420
I had a really, really late lunch. And then by

00:22:21.420 --> 00:22:23.559
dinner time. It's getting hot here. Is there

00:22:23.559 --> 00:22:27.759
somebody looking at me right now? I had a blood

00:22:27.759 --> 00:22:29.880
sugar attack and the day that I had a blood sugar

00:22:29.880 --> 00:22:32.519
attack, I had not eaten for most of the day.

00:22:32.539 --> 00:22:35.039
And I had the nerve to tell Steph, I don't fucking

00:22:35.039 --> 00:22:37.599
know where this came from. Oh my God. And what's

00:22:37.599 --> 00:22:40.700
the first thing we, the first reply? Cause you

00:22:40.700 --> 00:22:43.359
didn't eat anything. Cause you're not consistently

00:22:43.359 --> 00:22:45.660
fueling your body. I don't think you're eating

00:22:45.660 --> 00:22:48.319
enough. Yeah. And we've learned how important

00:22:48.319 --> 00:22:51.160
that is. Right. And that's like, it's, it's like

00:22:51.160 --> 00:22:53.460
you said, and it's the same, the GLP -1 and the

00:22:53.460 --> 00:22:55.700
surgery. This is, there's so many overlaps, but

00:22:55.700 --> 00:22:58.759
it's about building the consistent habits and

00:22:58.759 --> 00:23:02.180
the consistent foundations before you get into

00:23:02.180 --> 00:23:04.420
the program. And I know people talking about,

00:23:04.460 --> 00:23:07.259
well, you had 11 months before your surgery.

00:23:07.299 --> 00:23:09.079
Like, what the heck? Like, what did you do? Why?

00:23:09.200 --> 00:23:12.059
And I was like, yeah, because there's, it's the

00:23:12.059 --> 00:23:15.720
pre -work that you have to put in place. So that

00:23:15.720 --> 00:23:19.240
when you get to the point of starting that medication

00:23:19.240 --> 00:23:23.380
or that surgery or whatever it is, that you already

00:23:23.380 --> 00:23:25.380
have those habits in place. You've already built

00:23:25.380 --> 00:23:27.539
that foundation. So you don't have to worry about

00:23:27.539 --> 00:23:29.779
that. You've already got that in place. Now you

00:23:29.779 --> 00:23:31.440
can focus on the other stuff. And that's just

00:23:31.440 --> 00:23:34.420
it. If you're going on the GLP -1s, but you're

00:23:34.420 --> 00:23:37.460
still eating like shit, you still don't understand

00:23:37.460 --> 00:23:39.960
about healthy eating, or like we're saying, you

00:23:39.960 --> 00:23:43.299
just stop eating. And you're missing such an

00:23:43.299 --> 00:23:46.700
integral component of what you need to be success.

00:23:46.880 --> 00:23:48.480
And then that's just it. Then you stop it. And

00:23:48.480 --> 00:23:50.019
all of a sudden you're like, holy shit, I'm hungry

00:23:50.019 --> 00:23:53.200
all the time. But you've never worked on. Yeah,

00:23:53.279 --> 00:23:55.440
but I've never worked on the food noise and why

00:23:55.440 --> 00:23:58.039
that's there. Yes. According and like I'm sure

00:23:58.039 --> 00:23:59.859
Cass can tell us if we're right or wrong. It

00:23:59.859 --> 00:24:02.779
comes back even without stopping. Yeah. Yeah.

00:24:03.640 --> 00:24:06.259
I think there's a demographic of people, too,

00:24:06.339 --> 00:24:09.500
that will hear this and think, oh, my gosh. I

00:24:09.500 --> 00:24:11.839
can eat whatever I want and I'll still lose weight

00:24:11.839 --> 00:24:15.660
because I won't be as hungry. You're woefully

00:24:15.660 --> 00:24:17.680
missing the point here, which is that... You're

00:24:17.680 --> 00:24:20.519
still putting shit in your body. Yes, yes. You're

00:24:20.519 --> 00:24:22.680
not fueling your body properly. You're not doing

00:24:22.680 --> 00:24:25.000
it consistently enough. And it catches up with

00:24:25.000 --> 00:24:29.420
you. And I think that's a good... I can smoke

00:24:29.420 --> 00:24:32.119
because I haven't gotten lung cancer yet. So

00:24:32.119 --> 00:24:34.019
like no one in my family, they'd all be fine.

00:24:34.200 --> 00:24:38.269
Shit catches up with you and... I will be honest.

00:24:38.490 --> 00:24:40.869
And fuck, OK, I did not want to have this conversation.

00:24:41.430 --> 00:24:44.690
It catches up with you. I have not had the best

00:24:44.690 --> 00:24:48.190
eating habits this year just due to not feeling

00:24:48.190 --> 00:24:50.589
the best. And OK, so after pneumonia, I got to

00:24:50.589 --> 00:24:52.670
kind of have a free pass to eat whatever I wanted

00:24:52.670 --> 00:24:55.700
because. everything was so low I had gone two

00:24:55.700 --> 00:24:58.440
weeks with with nothing because I couldn't physically

00:24:58.440 --> 00:25:00.619
my body was just shutting down so they were like

00:25:00.619 --> 00:25:02.680
you want to have a donut you want to want to

00:25:02.680 --> 00:25:04.059
have some chips like you want to have can you

00:25:04.059 --> 00:25:05.740
have some high fat because like at that point

00:25:05.740 --> 00:25:07.400
they were like please just get her something

00:25:07.400 --> 00:25:09.460
high calorie because they would give me the food

00:25:09.460 --> 00:25:12.519
trays and I'd go I can't eat all this I'm a bariatric

00:25:12.519 --> 00:25:14.539
patient with like super restriction because I'm

00:25:14.539 --> 00:25:16.279
sick and they were like try some sandwich and

00:25:16.279 --> 00:25:17.740
I was like I can't the bread's fucking killing

00:25:17.740 --> 00:25:20.460
me so they would sneak me in like do you want

00:25:20.460 --> 00:25:22.710
a cookie Would you like some chips? And then

00:25:22.710 --> 00:25:27.670
it kind of just went downhill from there. I reintroduced

00:25:27.670 --> 00:25:29.450
sugar into my diet, which I probably shouldn't

00:25:29.450 --> 00:25:32.630
have. And I have gained some weight. So I have

00:25:32.630 --> 00:25:35.609
regained. I'm dealing with regain. But the bigger

00:25:35.609 --> 00:25:37.049
thing is I'm dealing with blood sugar issues.

00:25:37.289 --> 00:25:40.069
So it's not drastic. It's not dire. But I've

00:25:40.069 --> 00:25:41.829
been having a bit of issue balancing my blood

00:25:41.829 --> 00:25:45.009
sugar, keeping it up, basically. It will drop

00:25:45.009 --> 00:25:47.069
pretty quick. I'm not hypoglycemic. It's not

00:25:47.069 --> 00:25:50.069
dropping into low numbers at all. We'll go from

00:25:50.069 --> 00:25:51.970
like a seven straight down to a four in like

00:25:51.970 --> 00:25:54.970
15, 20 minutes. You can feel that. It's very

00:25:54.970 --> 00:25:57.970
scary. So for the last three months, I thought

00:25:57.970 --> 00:26:00.490
something's wrong with me. My blood pressure.

00:26:00.910 --> 00:26:02.670
I'm going to faint. I'm going to pass it. Like

00:26:02.670 --> 00:26:04.509
something's off. And we've been doing all these

00:26:04.509 --> 00:26:07.230
tests and everything has come back fine. So we

00:26:07.230 --> 00:26:10.490
did a glucose monitor. And I'm not hypoglycemic.

00:26:10.549 --> 00:26:12.789
I want to preface that. But it's pretty obvious

00:26:12.789 --> 00:26:15.569
to see like stuff is definitely triggering a

00:26:15.569 --> 00:26:19.660
very high rapid drop. And it's because I've reintroduced

00:26:19.660 --> 00:26:23.559
sugar into my diet. And it's like crazy how quick

00:26:23.559 --> 00:26:26.099
my body, being on low sugar for the last three

00:26:26.099 --> 00:26:29.160
years, kicks the sugar out of my system. So if

00:26:29.160 --> 00:26:31.980
I have some gelato or popcorn is a trigger for

00:26:31.980 --> 00:26:33.839
me. But if I have a cookie or something really

00:26:33.839 --> 00:26:36.740
sweet, it's scary to see how quickly I rock it

00:26:36.740 --> 00:26:39.880
up and how quickly it brings me right back to

00:26:39.880 --> 00:26:43.220
like 4 .55. Wow. And it's not a fun feeling.

00:26:43.860 --> 00:26:45.859
So with all that being said, I've gained weight

00:26:45.859 --> 00:26:47.819
because of this, because I can't figure out how

00:26:47.819 --> 00:26:50.339
to balance my blood sugar. And I over ate. I

00:26:50.339 --> 00:26:52.859
started overeating because I was like, I need

00:26:52.859 --> 00:26:55.220
to see it up high, you know, so it's not down

00:26:55.220 --> 00:26:58.140
low and crashing. I need it to be. And I over

00:26:58.140 --> 00:27:00.880
course corrected. I have since gained 12 and

00:27:00.880 --> 00:27:03.359
a half pounds. And for a bariatric patient, that's

00:27:03.359 --> 00:27:08.200
a lot of weight to gain. I am going to be starting

00:27:08.200 --> 00:27:12.170
Ozempic. not for weight loss. Like it will be

00:27:12.170 --> 00:27:13.650
for weight loss. Don't get me wrong. I need to

00:27:13.650 --> 00:27:16.509
lose those 12 pounds. Those need to go. But the

00:27:16.509 --> 00:27:19.170
doctor is putting me on it for blood sugar specifically.

00:27:19.410 --> 00:27:22.329
And most people use it for high blood sugar.

00:27:22.589 --> 00:27:27.089
It should, in theory, regulate that stuff does

00:27:27.089 --> 00:27:29.869
not shoot out of my body so quick. His speculation

00:27:29.869 --> 00:27:33.190
is that the high sugar and other stuff I'm eating

00:27:33.190 --> 00:27:36.390
is dumping. And it's called dumping when we're

00:27:36.390 --> 00:27:38.769
this far out of surgery, which happens one to

00:27:38.769 --> 00:27:41.069
two hours after eating, which is why I'm not

00:27:41.069 --> 00:27:44.269
seeing usually reactive hypoglycemia is within

00:27:44.269 --> 00:27:46.309
30 minutes of eating a meal. You go straight

00:27:46.309 --> 00:27:49.730
down. And that's not me. I go up. But then eventually

00:27:49.730 --> 00:27:51.750
there comes a point one to two hours after eating

00:27:51.750 --> 00:27:55.170
where it goes back down. We go. He thinks it's

00:27:55.170 --> 00:27:58.910
delayed dumping and a GLP -1 from what he has

00:27:58.910 --> 00:28:01.970
explained slows your digestion. So it holds the

00:28:01.970 --> 00:28:04.930
food in your stomach extra long. And it kind

00:28:04.930 --> 00:28:08.789
of suppresses insulin and slowly breaks down

00:28:08.789 --> 00:28:11.309
your food so that you feel full longer. You don't

00:28:11.309 --> 00:28:12.990
want to eat because it's not moving through your

00:28:12.990 --> 00:28:15.789
system. So his theory is if you go on this, you

00:28:15.789 --> 00:28:18.250
probably will be more stable and won't be feeling

00:28:18.250 --> 00:28:21.029
the highs and the lows as much. But then he said,

00:28:21.049 --> 00:28:24.349
you need to eat consistently six times a day.

00:28:24.450 --> 00:28:26.150
You need to be watching what you're eating. You

00:28:26.150 --> 00:28:27.730
need to get back into tracking what you're eating.

00:28:27.809 --> 00:28:29.730
And then he said, you need carbs. You need to

00:28:29.730 --> 00:28:32.289
start eating carbs. I don't want you to go crazy,

00:28:32.410 --> 00:28:34.720
he said. but you are not eating enough carbs.

00:28:34.799 --> 00:28:37.019
And how are you going to balance? Protein is

00:28:37.019 --> 00:28:39.400
not going to balance your sugar. Sugar can't

00:28:39.400 --> 00:28:42.940
balance itself. You need carbs to stabilize what

00:28:42.940 --> 00:28:47.599
you're eating. So I would love to know, like,

00:28:47.640 --> 00:28:49.140
I just need to know, like, what am I getting

00:28:49.140 --> 00:28:52.839
into? I will say I'm scared, guys. I'm really

00:28:52.839 --> 00:28:56.029
anxious to take this. I'm anxious because I've

00:28:56.029 --> 00:28:58.230
had such bad health anxiety this year. I'm anxious

00:28:58.230 --> 00:29:00.390
that I'll go on it and have like low blood sugar

00:29:00.390 --> 00:29:03.109
the whole time. I'm anxious that I don't like

00:29:03.109 --> 00:29:05.509
injecting myself and I'll faint because I faint

00:29:05.509 --> 00:29:08.190
at the sight of blood. I get really lightheaded

00:29:08.190 --> 00:29:11.750
getting my injections are so. So as somebody

00:29:11.750 --> 00:29:13.529
who I can talk to you about injecting yourself.

00:29:13.630 --> 00:29:15.670
So I did fertility treatments for a year and

00:29:15.670 --> 00:29:19.130
a half and started on a pill, which I was like,

00:29:19.130 --> 00:29:21.390
oh, yes, because I was the biggest needle fold

00:29:21.390 --> 00:29:26.119
in the world. I, I'm not even kidding. I used

00:29:26.119 --> 00:29:28.880
to have to have multiple people hold me down

00:29:28.880 --> 00:29:32.720
for an injection, like multiple people for an

00:29:32.720 --> 00:29:35.440
injection blood work. I would have like the biggest

00:29:35.440 --> 00:29:37.740
panic attacks for weeks leading up to it. I have

00:29:37.740 --> 00:29:40.480
to get it done at home. I can't go. It was insane.

00:29:41.680 --> 00:29:43.880
When we started fertility treatments and then

00:29:43.880 --> 00:29:45.400
we got to the point where, first of all, I had

00:29:45.400 --> 00:29:47.339
to go for blood work like multiple times a week.

00:29:47.400 --> 00:29:49.200
And I said to them, like, I can't do this. Nope,

00:29:49.539 --> 00:29:51.359
I'm out. I can't. He's like, Steph. I was like,

00:29:51.420 --> 00:29:54.460
I can't do this. And I would be like crying and

00:29:54.460 --> 00:29:55.720
shaking. And I was the person that would sit

00:29:55.720 --> 00:29:57.119
there and be like, just wait. Just wait a minute.

00:29:57.200 --> 00:29:58.259
Just wait a minute. Just wait a minute. I'm not

00:29:58.259 --> 00:29:59.500
ready. Just wait a minute. Just wait a minute.

00:29:59.880 --> 00:30:02.180
And then when they said you have to go to injections,

00:30:02.579 --> 00:30:06.319
like, I lost. I was bawling. And she's like.

00:30:06.759 --> 00:30:10.579
I know it's hard to deal with the fact that you've

00:30:10.579 --> 00:30:12.119
got to this point. I'm like, no, it's the needle.

00:30:12.200 --> 00:30:14.099
I don't care that I'm doing it. It's the needle.

00:30:14.579 --> 00:30:19.019
Honest to God. It's so insanely small. And now

00:30:19.019 --> 00:30:21.099
I still physically couldn't do it to myself.

00:30:21.259 --> 00:30:24.680
I just couldn't physically bring my arm to my

00:30:24.680 --> 00:30:27.200
body to do it myself. I would have to have somebody

00:30:27.200 --> 00:30:29.630
else do it. But literally it became like a joke.

00:30:29.670 --> 00:30:31.170
It was like, who wants to give Steph her injection

00:30:31.170 --> 00:30:33.470
today? Because I'd be in public sometimes, right?

00:30:33.630 --> 00:30:36.130
So like my dad did it. My sister, I remember

00:30:36.130 --> 00:30:38.150
one day we were at one of our, the German club

00:30:38.150 --> 00:30:39.809
we belong to. And I was like, oh shit, I got

00:30:39.809 --> 00:30:43.670
to take my, I take my injection. And I said something

00:30:43.670 --> 00:30:44.930
about like, who wants to do it? And I remember

00:30:44.930 --> 00:30:48.089
my sister -in -law being like, can I do it? Can

00:30:48.089 --> 00:30:50.990
I do it? And I was like, yeah. And she like,

00:30:51.069 --> 00:30:53.250
her eyes went out. She was so excited to be able

00:30:53.250 --> 00:30:55.849
to do this. But as somebody else had to do it,

00:30:55.869 --> 00:30:58.829
but honest to God. Didn't feel a thing. It became

00:30:58.829 --> 00:31:03.650
so nonchalant. Not a big deal. I could do it.

00:31:03.849 --> 00:31:08.549
It's so shallow. It's so, so, so tight. No, finger

00:31:08.549 --> 00:31:11.410
pricks are worse. Finger pricks are way worse

00:31:11.410 --> 00:31:14.309
than these. But I've gotten used to it. I do

00:31:14.309 --> 00:31:15.809
it like a champ. If you can do a finger prick

00:31:15.809 --> 00:31:19.549
and you can do a glucose monitor, you will have

00:31:19.549 --> 00:31:24.309
zero. Zero. issues with this. My pharmacist,

00:31:24.309 --> 00:31:26.970
I loved how she handled when she saw that I was

00:31:26.970 --> 00:31:28.430
my first time taking it. She took me to a private

00:31:28.430 --> 00:31:30.349
room, showed me all the recommended injection

00:31:30.349 --> 00:31:33.930
sites. So I'll say that I got more support from

00:31:33.930 --> 00:31:36.150
the pharmacist than I did while I was on the

00:31:36.150 --> 00:31:38.009
drug. And that's what I wanted to tell you, but

00:31:38.009 --> 00:31:40.170
I wanted to wait to announce that I was going

00:31:40.170 --> 00:31:43.309
on it. My pharmacist was incredible. He showed

00:31:43.309 --> 00:31:45.049
me how to prime it, what it looks like. They

00:31:45.049 --> 00:31:46.609
have a tester there and everything. And I was

00:31:46.609 --> 00:31:48.839
like, whoa, this is... So there's my other thing.

00:31:48.920 --> 00:31:51.420
This is not just like take a needle away. You

00:31:51.420 --> 00:31:54.019
go. This is fucking complicated. Like you have

00:31:54.019 --> 00:31:57.720
to do the two click prime. And then there was

00:31:57.720 --> 00:31:59.480
the injection site thing. And he taught me the

00:31:59.480 --> 00:32:02.259
OK trick. And he was like, you put you do the

00:32:02.259 --> 00:32:04.859
OK symbol. You put the circle over your belly

00:32:04.859 --> 00:32:07.259
button and anywhere your longest finger reaches

00:32:07.259 --> 00:32:09.700
is far enough away for your injection. And I

00:32:09.700 --> 00:32:11.740
was like, fucking dope. I wouldn't have known

00:32:11.740 --> 00:32:15.039
this. No, below your belly button, below your

00:32:15.039 --> 00:32:17.460
belly button for me, I found was best. I remember

00:32:17.460 --> 00:32:19.619
the first day Devin gave me my, the fertility

00:32:19.619 --> 00:32:22.660
injection. He did it above the belly button and

00:32:22.660 --> 00:32:26.460
it was so excruciating. I bawled and I said,

00:32:26.559 --> 00:32:28.339
yeah, I was like, I'm not, I'm not doing this.

00:32:28.420 --> 00:32:30.059
I can't do this. Pretty much my lower stomach

00:32:30.059 --> 00:32:32.579
was my go -to and I've got a lot of surface area

00:32:32.579 --> 00:32:35.910
there. Anything below the belly button, I would

00:32:35.910 --> 00:32:38.430
pinch the flab below the belly button and wouldn't,

00:32:38.430 --> 00:32:40.569
did you not feel a thing? Yeah. Go below the

00:32:40.569 --> 00:32:43.650
belly button. So I'm not, that'll be okay. You'll

00:32:43.650 --> 00:32:46.349
be so fine. I'm on the lowest dose. There's no,

00:32:46.349 --> 00:32:48.829
there's no thought of increasing because again,

00:32:48.849 --> 00:32:51.990
we're doing this for blood sugar reasons. And

00:32:51.990 --> 00:32:53.849
if it doesn't work, it doesn't work. Like it's

00:32:53.849 --> 00:32:55.569
not one of those, let's keep increasing and see

00:32:55.569 --> 00:32:57.490
if it helps. Like it would be one of those, if

00:32:57.490 --> 00:32:59.829
it's going to help, it's going to help at 0 .25

00:32:59.829 --> 00:33:03.289
to stable because I'm not. bad it's not like

00:33:03.289 --> 00:33:05.710
I'm oh my god I'm in the threes I am consistently

00:33:05.710 --> 00:33:09.289
at like 4 .55 so it's fine um but we'll just

00:33:09.289 --> 00:33:10.890
see if it kind of helps stuff and then he was

00:33:10.890 --> 00:33:13.369
like I know you want to lose more weight he's

00:33:13.369 --> 00:33:15.210
like so maybe this will help motivate you to

00:33:15.210 --> 00:33:17.109
you know keep going because I did explain to

00:33:17.109 --> 00:33:19.730
him like 12 pounds I know people are going to

00:33:19.730 --> 00:33:21.940
roll their eyes 12 pounds is a lot And I'm feeling

00:33:21.940 --> 00:33:24.559
it and I don't like it. And I'm not my normal

00:33:24.559 --> 00:33:27.180
self. I'm not my normal, active, out there, outgoing

00:33:27.180 --> 00:33:29.640
self. And I know that there's a lot of reasons

00:33:29.640 --> 00:33:31.460
for that, not just weight gain. It's, you know,

00:33:31.460 --> 00:33:34.680
having a hard recovery year and, you know, just

00:33:34.680 --> 00:33:38.059
dealing with all of that. However, like he's

00:33:38.059 --> 00:33:40.019
very supportive of my doctor. He said, this might

00:33:40.019 --> 00:33:43.480
help motivate you to, you know, keep going because

00:33:43.480 --> 00:33:45.960
12 pounds is a lot. And he blessed his heart

00:33:45.960 --> 00:33:47.599
because he didn't say anything. I brought it

00:33:47.599 --> 00:33:49.000
up. I was like, so I've gained weight. He goes,

00:33:49.039 --> 00:33:55.119
yeah, I know. And I was like, he weighs me every

00:33:55.119 --> 00:33:57.440
time I come in. So he knows, but he didn't bring

00:33:57.440 --> 00:33:59.759
it up. He didn't mention it at all. And I said,

00:33:59.819 --> 00:34:02.160
I'm not happy about this. And I said, I don't

00:34:02.160 --> 00:34:04.019
want to come in here and have that 12 pounds

00:34:04.019 --> 00:34:06.759
be 20 or 30 or 40. And he went, no, you're, you

00:34:06.759 --> 00:34:08.599
wouldn't let that happen. Like you're not that

00:34:08.599 --> 00:34:10.679
type of person. And I said, yeah, he has confidence

00:34:10.679 --> 00:34:13.219
in you. I'm quite pissed. And he's like, see

00:34:13.219 --> 00:34:15.949
this right here. this is good. This is a good

00:34:15.949 --> 00:34:17.690
reaction. And I was like, yeah, I don't want

00:34:17.690 --> 00:34:19.570
to be 12 pounds heavier. And I should be, you're

00:34:19.570 --> 00:34:22.190
being, um, and that's the thing. All of us, we

00:34:22.190 --> 00:34:24.969
were honest with ourselves, right? Like we would,

00:34:24.969 --> 00:34:28.369
we would dumb it down to, well, maybe I'll weigh

00:34:28.369 --> 00:34:29.949
myself next week. It'll come down. Like it's

00:34:29.949 --> 00:34:32.150
fine. Right. And you keep doing that, playing

00:34:32.150 --> 00:34:34.309
that little temporary. There was that day that,

00:34:34.309 --> 00:34:36.750
uh, my scale was broken and I messaged. Oh my

00:34:36.750 --> 00:34:43.329
gosh. Guys. Tell Cass. I almost took a very long

00:34:43.329 --> 00:34:45.869
walk off the short pier after that day. But I

00:34:45.869 --> 00:34:48.289
couldn't figure out. I stepped on the scale.

00:34:48.309 --> 00:34:50.989
It was up 10 and a half pounds. And I went, oh,

00:34:50.989 --> 00:34:54.710
my God, death. You are dying. And so I got really

00:34:54.710 --> 00:34:57.210
angry about that. And I went, what the fuck is

00:34:57.210 --> 00:34:58.869
going on with this scale? So I was going to throw

00:34:58.869 --> 00:35:00.630
it out and order a new one off Amazon. So I went

00:35:00.630 --> 00:35:02.630
in to pick it up to see what it was to order

00:35:02.630 --> 00:35:06.179
a new one. And I lifted it up. And under the

00:35:06.179 --> 00:35:09.699
scale, my motherfucking dog had shoved a bunch

00:35:09.699 --> 00:35:12.719
of shit. So there was like half chewed dog toy

00:35:12.719 --> 00:35:16.579
ear, a bunch of like all that stuff. And it had

00:35:16.579 --> 00:35:18.980
lifted. Your scale has to be level and flat to

00:35:18.980 --> 00:35:22.280
work, guys. My scale was not level. And I was

00:35:22.280 --> 00:35:26.750
like, are you? And he knew because I went. Whoa.

00:35:26.829 --> 00:35:29.429
And he like took off running. So I took the scale

00:35:29.429 --> 00:35:31.409
out of the bathroom. I cleaned everything out

00:35:31.409 --> 00:35:33.530
from under it. I put it on the kitchen floor,

00:35:33.650 --> 00:35:36.769
on the tile, on its own tile so that it was flat,

00:35:36.869 --> 00:35:39.090
stood on it and was back to where I was supposed

00:35:39.090 --> 00:35:40.769
to be. And I was like, cause I messaged Steph

00:35:40.769 --> 00:35:43.190
and I was like 10 and a half pounds gone. Like

00:35:43.190 --> 00:35:45.510
now I'm still 12 pounds heavier. So before you

00:35:45.510 --> 00:35:48.070
panic guys, check your scale. Clean your scale.

00:35:48.409 --> 00:35:52.190
But I'm going to start Ozempic. The health anxiety

00:35:52.190 --> 00:35:55.079
is real. There's a... I don't use the glucose

00:35:55.079 --> 00:35:57.260
monitor anymore because I don't need it. I'm

00:35:57.260 --> 00:35:59.480
not I don't have reactive hypoglycemia. I'm not

00:35:59.480 --> 00:36:02.699
hypoglycemic. I had a few few incidences that

00:36:02.699 --> 00:36:05.019
I can trace back to not eating for almost a full

00:36:05.019 --> 00:36:08.159
day and having just like bad life choices. The

00:36:08.159 --> 00:36:11.420
12 pound gain is me. It's not moving as much

00:36:11.420 --> 00:36:13.599
as I used to, which isn't really the biggest

00:36:13.599 --> 00:36:16.579
issue. We know diet is because I'm still exercising.

00:36:16.760 --> 00:36:19.519
And I swear you don't have to run 10 kilometers

00:36:19.519 --> 00:36:21.840
a day to maintain your weight loss. So I know

00:36:21.840 --> 00:36:24.340
in my heart it's not because I'm not running

00:36:24.340 --> 00:36:27.039
10K every week that I've gained weight. It's

00:36:27.039 --> 00:36:30.079
my eating habits. They have gotten a little lax.

00:36:30.079 --> 00:36:33.550
I've stopped. recording what I'm eating and I

00:36:33.550 --> 00:36:35.610
think I'm underestimating what's going in and

00:36:35.610 --> 00:36:37.909
out. And then I overate because I was worried

00:36:37.909 --> 00:36:39.789
about blood sugar and I didn't need to be. It

00:36:39.789 --> 00:36:43.320
was just an anxiety. reaction that I need to

00:36:43.320 --> 00:36:45.320
eat way more because of my blood sugar. In fact,

00:36:45.320 --> 00:36:47.880
eating more fucked my blood sugar up because

00:36:47.880 --> 00:36:52.380
it was like, what is happening? I'm resetting.

00:36:52.380 --> 00:36:54.559
I'm going back to meal planning and paying attention

00:36:54.559 --> 00:36:57.360
to things. I'm feeling better. We're walking

00:36:57.360 --> 00:36:59.460
because I'm going to slowly reintroduce running

00:36:59.460 --> 00:37:02.480
because running makes you hungry, makes you furiously

00:37:02.480 --> 00:37:05.179
hungry. So I was like, maybe. we should pause

00:37:05.179 --> 00:37:08.119
for a bit till we get the ozempic and the eating.

00:37:08.400 --> 00:37:10.820
And then you won't feel as bad about eating more.

00:37:10.960 --> 00:37:14.320
Cause like when I run, I have to eat more. I

00:37:14.320 --> 00:37:18.539
can't sustain running five to 10 K on my bariatric

00:37:18.539 --> 00:37:22.079
diet alone. It just isn't working. So I'm walking,

00:37:22.139 --> 00:37:25.519
we do six, Bo and I do six K a day and it's awesome,

00:37:25.599 --> 00:37:29.329
but we split it. Little Bobo. without all being

00:37:29.329 --> 00:37:31.530
said I'm anxious as fuck because I don't have

00:37:31.530 --> 00:37:33.309
the blood sugar monitor in my doctor's like you

00:37:33.309 --> 00:37:36.349
don't need it at all and I was like yes I do

00:37:36.349 --> 00:37:37.750
because I need to know what it is at every second

00:37:37.750 --> 00:37:39.929
of every day because what if it's low so I'm

00:37:39.929 --> 00:37:44.000
trying to learn to listen and trust my body I'm

00:37:44.000 --> 00:37:46.219
worried to take Ozempic that like, what if I

00:37:46.219 --> 00:37:48.019
take it and my blood sugar drops? That is not

00:37:48.019 --> 00:37:50.619
a known issue. That is not a known complication.

00:37:50.780 --> 00:37:53.380
That is literally not what it does. It does not

00:37:53.380 --> 00:37:57.280
lower blood sugar. What it does is stabilizes

00:37:57.280 --> 00:38:00.679
it by slowing digestion. I know this. I can repeat

00:38:00.679 --> 00:38:02.980
that to myself, but there's still a voice in

00:38:02.980 --> 00:38:04.840
my head that goes, you're going to take it and

00:38:04.840 --> 00:38:06.719
your blood sugar is going to fucking drop. So

00:38:06.719 --> 00:38:12.400
I'm trying to. As bariatric people, too, I feel

00:38:12.400 --> 00:38:15.079
there's a little bit of like a stigma of like

00:38:15.079 --> 00:38:17.960
being almost a failure of a bariatric patient

00:38:17.960 --> 00:38:20.960
because you get the help after the fact. But

00:38:20.960 --> 00:38:24.400
the thing is, I think we I think none of us none

00:38:24.400 --> 00:38:27.039
of us aim with that goal. And then this is where

00:38:27.039 --> 00:38:30.039
the fact that obesity is a lifelong thing that

00:38:30.039 --> 00:38:31.960
we're going to be fighting against that we forget.

00:38:32.570 --> 00:38:35.190
You know, it creeps up on us that we forget,

00:38:35.289 --> 00:38:38.690
oh, shoot, yeah, this is something. We all wish

00:38:38.690 --> 00:38:41.349
we could be that person that does not have to

00:38:41.349 --> 00:38:44.170
think about what goes in. Like, we all just want

00:38:44.170 --> 00:38:45.829
to be, we all know that we all have a person

00:38:45.829 --> 00:38:47.570
in our life who does not have to think about

00:38:47.570 --> 00:38:50.900
what goes in. And they faith in. It's so much

00:38:50.900 --> 00:38:52.219
of it is mental. And we've talked about this

00:38:52.219 --> 00:38:54.239
before. People think that, OK, you had surgery,

00:38:54.400 --> 00:38:56.780
you lost whatever you lost. You look great. You're

00:38:56.780 --> 00:38:59.699
skinny now. Why? Why is that not the end of the

00:38:59.699 --> 00:39:02.440
road? Right. Right. Because so much of it is

00:39:02.440 --> 00:39:04.960
mental and so much goes back to the eating habits

00:39:04.960 --> 00:39:08.219
and the food noise and that that that is the

00:39:08.219 --> 00:39:11.699
biggest part. The weight says the physical, the

00:39:11.699 --> 00:39:14.139
weight loss is such a small part of what goes

00:39:14.139 --> 00:39:16.420
into this. Right. And that's where people, I

00:39:16.420 --> 00:39:19.780
think, don't understand why then. People turn

00:39:19.780 --> 00:39:22.239
to the GLP -M because, yeah, we lost weight and,

00:39:22.280 --> 00:39:24.639
yeah, we feel better and, yeah, we look good.

00:39:24.980 --> 00:39:28.739
But we still need help with the mental side,

00:39:28.820 --> 00:39:30.880
the other side, the food noise side, the control

00:39:30.880 --> 00:39:36.179
side. I gained when I got off the GLP -1. So

00:39:36.179 --> 00:39:39.820
just so y 'all know, gallbladder attacks, started

00:39:39.820 --> 00:39:41.679
having those, didn't realize it was connected

00:39:41.679 --> 00:39:45.079
to rapid weight loss. Also, now that I think

00:39:45.079 --> 00:39:46.519
about it, that was not really the conversation

00:39:46.519 --> 00:39:48.980
I was having at the ER was that, oh, I've lost

00:39:48.980 --> 00:39:51.260
20 pounds. Could that be it? They thought I was

00:39:51.260 --> 00:39:53.380
having kidney stones. I went in about three,

00:39:53.420 --> 00:39:55.739
four times before they figured out it was gallbladder

00:39:55.739 --> 00:39:59.500
attacks. Worst pain I've ever experienced in

00:39:59.500 --> 00:40:03.590
my life. It's excruciating. So anybody out there

00:40:03.590 --> 00:40:05.369
who's trying to figure out what's going on, if

00:40:05.369 --> 00:40:07.489
you're having it to me, I described it as like

00:40:07.489 --> 00:40:10.289
back pain, but it's not like musky. It doesn't

00:40:10.289 --> 00:40:12.670
feel muscular. It feels almost like nerve pain

00:40:12.670 --> 00:40:17.030
or something. Yeah, it's sharp. So there's that.

00:40:17.050 --> 00:40:18.969
Or you end up getting kind of a pain in your

00:40:18.969 --> 00:40:21.329
chest. It almost mimics. It's scary. It kind

00:40:21.329 --> 00:40:24.590
of feels like a heart attack. But yeah, gallbladder

00:40:24.590 --> 00:40:27.510
attacks. And I ended up having my gallbladder

00:40:27.510 --> 00:40:30.989
out. So when I was going for that surgical process,

00:40:31.449 --> 00:40:34.949
we just decided to discontinue use. And then

00:40:34.949 --> 00:40:37.889
I gained all my weight back and some following

00:40:37.889 --> 00:40:40.190
that process. And that's because I did not have

00:40:40.190 --> 00:40:44.460
the habits in place to sustain. And I think you

00:40:44.460 --> 00:40:46.539
mentioned something that's important to let people

00:40:46.539 --> 00:40:50.179
know here, like rapid weight loss is not rapid

00:40:50.179 --> 00:40:52.380
weight loss is 100 pounds. Rapid weight loss

00:40:52.380 --> 00:40:55.320
is any weight in a short period of time. Well,

00:40:55.420 --> 00:40:57.619
20 pounds quickly counts as rapid weight loss,

00:40:57.679 --> 00:41:00.119
guys. So for those who are early in this process

00:41:00.119 --> 00:41:02.440
or journey thinking, well, I can't have a gallbladder

00:41:02.440 --> 00:41:05.099
attack. I have only lost 10 or 20 pounds. Yes,

00:41:05.119 --> 00:41:07.840
you can because it's speed. And so I have heard

00:41:07.840 --> 00:41:11.440
when people do lose on GLP -1s. And some don't.

00:41:11.440 --> 00:41:14.400
And that's some don't. It's not you of the failure.

00:41:14.519 --> 00:41:16.860
Some bodies just don't respond to it. I've heard

00:41:16.860 --> 00:41:20.480
people lose rapidly at the beginning, surgery

00:41:20.480 --> 00:41:23.360
and then taper off. But I've seen people say

00:41:23.360 --> 00:41:27.460
like 20, 30 pounds in like a month. And I'm like,

00:41:27.539 --> 00:41:31.420
whoa, that is crazy. But then I realized like

00:41:31.420 --> 00:41:34.500
they are not bariatric patients. They are people

00:41:34.500 --> 00:41:36.099
who are starting weight loss and have stopped

00:41:36.099 --> 00:41:38.820
eating like they used to eat. Okay. That does

00:41:38.820 --> 00:41:40.920
make sense, right? Like it's not the drug that

00:41:40.920 --> 00:41:42.940
is shedding the weight. It's the not eating.

00:41:42.980 --> 00:41:45.820
That is the weight loss. It's what comes with

00:41:45.820 --> 00:41:49.880
the drug. Yeah. And I think a few things can

00:41:49.880 --> 00:41:51.780
exist at the same time too, right? Like we've

00:41:51.780 --> 00:41:55.420
seen some incredible, incredible creators show

00:41:55.420 --> 00:41:59.000
they doing the lifestyle changes, maintaining

00:41:59.000 --> 00:42:03.139
it on a GLP. Incredible. I can't share that was

00:42:03.139 --> 00:42:05.280
my experience because I didn't figure out the

00:42:05.280 --> 00:42:08.699
nutrition piece, which was huge. But then also

00:42:08.699 --> 00:42:12.119
like, I'll just share my dad. My dad's lost about

00:42:12.119 --> 00:42:17.099
80 pounds on Ozempic and he's maintaining it

00:42:17.099 --> 00:42:19.360
and he's way more fit than he used to be. He

00:42:19.360 --> 00:42:21.860
goes and does all the, what is that called? He's

00:42:21.860 --> 00:42:25.360
a CrossFitter now. That's amazing. Yeah, he's

00:42:25.360 --> 00:42:28.559
doing all the CrossFit stuff. So it's just, and

00:42:28.559 --> 00:42:32.460
I'd actually say genetically. the weight comes

00:42:32.460 --> 00:42:36.280
from his side of the family so he's always my

00:42:36.280 --> 00:42:38.619
dad the biggest I remember him being as a kid

00:42:38.619 --> 00:42:41.280
was about 300 pounds like he was a big guy and

00:42:41.280 --> 00:42:44.820
he's only 5 '10 he's not a tall man so um and

00:42:44.820 --> 00:42:48.099
now uh he's at a healthier range where he's probably

00:42:48.099 --> 00:42:53.920
like 230 I think he's around 220 so yeah he's

00:42:53.920 --> 00:42:56.869
uh he's He's very active now. And again, it's

00:42:56.869 --> 00:43:00.750
just he, I see him too. He's on the right path

00:43:00.750 --> 00:43:03.389
with the nutrition piece. So I wouldn't say he's

00:43:03.389 --> 00:43:05.030
completely got it figured out, but he's on the

00:43:05.030 --> 00:43:08.550
right path for being a man that's on Ozempic

00:43:08.550 --> 00:43:10.610
and it's really working for him. And a lot of

00:43:10.610 --> 00:43:13.230
weight has come off and he's sustaining it. At

00:43:13.230 --> 00:43:15.389
this moment in time. So I think it's a it's a

00:43:15.389 --> 00:43:18.130
mine was not such a happy news story about it.

00:43:18.329 --> 00:43:21.210
But I think there is there is there is to say

00:43:21.210 --> 00:43:23.389
some people do well without the support. But

00:43:23.389 --> 00:43:25.969
I wish I desperately wish I had it so I could

00:43:25.969 --> 00:43:27.949
have maintained and maybe I wouldn't have been

00:43:27.949 --> 00:43:30.110
a bariatric patient should it have been different.

00:43:30.389 --> 00:43:33.070
Yeah. And even if you don't necessarily need

00:43:33.070 --> 00:43:36.219
it. Just having it there so that you can leverage

00:43:36.219 --> 00:43:38.500
it. You can use it. The fact that like having

00:43:38.500 --> 00:43:40.079
it offered, having it be part of the program,

00:43:40.199 --> 00:43:42.659
having it be part of the foundation so that you

00:43:42.659 --> 00:43:44.420
can lean on it and leverage it when you need

00:43:44.420 --> 00:43:46.780
it. And if you're sustaining and you're good,

00:43:46.920 --> 00:43:49.800
awesome, amazing. But if something happens, you

00:43:49.800 --> 00:43:52.019
can go back to it. So at least I think that,

00:43:52.059 --> 00:43:54.320
like you said, at least if you would have even

00:43:54.320 --> 00:43:58.090
had it available to access would have been. And

00:43:58.090 --> 00:44:00.269
I'd love to see it become a bigger part of the

00:44:00.269 --> 00:44:03.710
bariatric program. Like having like an info session

00:44:03.710 --> 00:44:07.329
on, because I do feel like a failure. I do feel

00:44:07.329 --> 00:44:10.269
like, how am I not doing everything I used to

00:44:10.269 --> 00:44:12.010
do in the first year? Like, how did I let it

00:44:12.010 --> 00:44:14.409
get to this point? Like, why do I need to go

00:44:14.409 --> 00:44:17.710
on this? But then I realized like, maybe we're

00:44:17.710 --> 00:44:20.829
custom built for it because I have the diet stuff

00:44:20.829 --> 00:44:22.949
down. I know the exercise routine. I know how

00:44:22.949 --> 00:44:25.409
to eat well. And I know how to balance my meals

00:44:25.409 --> 00:44:28.780
now. I'll probably be successful with this because

00:44:28.780 --> 00:44:31.659
I have that background and that training and

00:44:31.659 --> 00:44:34.239
I know what to do with it. But like a lot of

00:44:34.239 --> 00:44:37.119
bariatric people are on it a lot. And I don't

00:44:37.119 --> 00:44:38.539
think there's anything wrong with that. I think

00:44:38.539 --> 00:44:42.059
it's a wonder drug, a miracle that helps people.

00:44:42.539 --> 00:44:46.760
Surgery can get you so far. But I think it's

00:44:46.760 --> 00:44:48.900
in the nicest way rare that we see people who've

00:44:48.900 --> 00:44:51.420
hit their. absolute lowest goal weight. There

00:44:51.420 --> 00:44:54.420
are bariatric influencers who have, but I find

00:44:54.420 --> 00:44:56.139
most end up getting to a place where they're

00:44:56.139 --> 00:44:58.920
like, oh, I'm happy here. It's not the goal weight

00:44:58.920 --> 00:45:00.840
necessarily, but like they're fine. And then

00:45:00.840 --> 00:45:03.360
they adopt GLP -1s when like food noise comes

00:45:03.360 --> 00:45:05.900
back in or other things happen. And that helps

00:45:05.900 --> 00:45:08.019
them get to that actual goal weight that they

00:45:08.019 --> 00:45:11.119
were looking for. And I don't think there's anything

00:45:11.119 --> 00:45:14.199
wrong with that because I see it. I'm trying

00:45:14.199 --> 00:45:19.190
to anyway, see it as like. a safety net for myself

00:45:19.190 --> 00:45:20.730
I guess maybe safety that's not the right word

00:45:20.730 --> 00:45:25.329
but like I know I'm not giving into my bad habits

00:45:25.329 --> 00:45:27.349
like I know I've still adopted a really good

00:45:27.349 --> 00:45:29.329
lifestyle but the food noise is still there and

00:45:29.329 --> 00:45:31.510
when things get stressful or for example when

00:45:31.510 --> 00:45:34.449
I think I'm sick there's this tendency to like

00:45:34.449 --> 00:45:36.670
throw that out the window because I have to focus

00:45:36.670 --> 00:45:39.809
on a medical thing and overeat because of low

00:45:39.809 --> 00:45:42.150
blood sugar which you know wasn't a thing but

00:45:42.150 --> 00:45:45.389
with this It's almost going to be there to be

00:45:45.389 --> 00:45:47.230
like, I know that you're dealing with a chronic

00:45:47.230 --> 00:45:50.150
lifelong addiction and I'm going to help you

00:45:50.150 --> 00:45:54.090
not have that addiction noise so that it doesn't

00:45:54.090 --> 00:45:55.909
come back. Because there will be times where

00:45:55.909 --> 00:45:59.070
you get sick. A family member gets sick. There's

00:45:59.070 --> 00:46:01.210
a death in the family. You lose your job. There's

00:46:01.210 --> 00:46:03.989
going to be life stressors that happen. And again,

00:46:04.030 --> 00:46:06.769
we're women. We're women about to hit menopause.

00:46:07.590 --> 00:46:09.510
Hopefully not for many more years because we're

00:46:09.510 --> 00:46:11.349
not that fucking old. But still, we're women

00:46:11.349 --> 00:46:13.329
about to go through like a huge change in our

00:46:13.329 --> 00:46:15.170
body. And I think that's the other difference

00:46:15.170 --> 00:46:18.429
is women are continuously changing, either giving

00:46:18.429 --> 00:46:20.889
birth to children for the first time, perimenopause

00:46:20.889 --> 00:46:24.630
or menopause. That does a huge number on your

00:46:24.630 --> 00:46:27.030
energy levels, your mental health, your physical

00:46:27.030 --> 00:46:29.989
changes in your body. So maybe it is smart to

00:46:29.989 --> 00:46:32.070
teach people in the bariatric program, especially

00:46:32.070 --> 00:46:35.750
those under the age of 40. about the options

00:46:35.750 --> 00:46:39.130
available post to help us through those times

00:46:39.130 --> 00:46:42.309
in our life because that is another fear i have

00:46:42.309 --> 00:46:44.469
is menopause which will be coming you know hopefully

00:46:44.469 --> 00:46:46.969
for us when we're in our 50s but i know some

00:46:46.969 --> 00:46:48.969
women that i work with and others that are going

00:46:48.969 --> 00:46:51.070
through it and they've admitted like it's a roller

00:46:51.070 --> 00:46:53.789
coaster of not wanting to do anything and not

00:46:53.789 --> 00:46:55.730
being as active as they used to be in their bodies

00:46:55.730 --> 00:47:00.050
kind of just doing weird things so there's nothing

00:47:00.050 --> 00:47:03.329
wrong with taking vlp1 i hope I never came across

00:47:03.329 --> 00:47:07.269
as being anti -GLP -1. And being snotty in the

00:47:07.269 --> 00:47:09.630
last episode was just making me very scared because

00:47:09.630 --> 00:47:12.210
I have known for a month that I need to go on

00:47:12.210 --> 00:47:15.309
this. And there was a lot of internal, you're

00:47:15.309 --> 00:47:19.070
a failure, go fix this yourself. What is wrong

00:47:19.070 --> 00:47:21.590
with you? How did you get here? There was a lot

00:47:21.590 --> 00:47:24.769
of, and still is, a lot of struggle with me internally

00:47:24.769 --> 00:47:28.599
about needing to go on this. I think it should

00:47:28.599 --> 00:47:30.699
be a part of the bariatric program. I'll swear.

00:47:30.760 --> 00:47:34.960
I think that if this was more common, I would

00:47:34.960 --> 00:47:37.639
feel less guilty about needing to take it. Yeah.

00:47:38.280 --> 00:47:40.380
Yeah, we don't hear about it. We don't hear about

00:47:40.380 --> 00:47:44.619
it enough. And I fully admit that because of

00:47:44.619 --> 00:47:47.380
the lack of support and just me not being, I

00:47:47.380 --> 00:47:49.059
think that's what I appreciate so much about

00:47:49.059 --> 00:47:51.320
you, Hannah, right now is that you just want

00:47:51.320 --> 00:47:54.900
to feel educated before taking something. And

00:47:54.900 --> 00:47:58.460
education is power while you're on it. And I

00:47:58.460 --> 00:48:01.519
did not have that education. And guess what?

00:48:01.559 --> 00:48:03.579
It was a Band -Aid. It was a band -aid over the

00:48:03.579 --> 00:48:05.380
overall problem and it was just hiding under

00:48:05.380 --> 00:48:07.719
the surface the whole time, you know? So if we're

00:48:07.719 --> 00:48:10.659
not addressing the roots and you're being honest

00:48:10.659 --> 00:48:12.900
with yourself and you're able to look internally

00:48:12.900 --> 00:48:16.000
as to what are the things I need to do and then

00:48:16.000 --> 00:48:20.400
how does this help broach that, that is perfect

00:48:20.400 --> 00:48:24.320
where I did not. I stayed exactly the same. And

00:48:24.320 --> 00:48:26.199
it must have been terrifying for you to go through

00:48:26.199 --> 00:48:29.630
the gallbladder attack and not... understand

00:48:29.630 --> 00:48:31.530
that it was related what the heck is going on

00:48:31.530 --> 00:48:33.510
not that it would have made it less painful but

00:48:33.510 --> 00:48:35.170
there would have been a comfort in you being

00:48:35.170 --> 00:48:38.590
able to go oh it's related to my gym I'm not

00:48:38.590 --> 00:48:41.969
dying because that is also where I have is I

00:48:41.969 --> 00:48:44.630
like to be educated so that if something comes

00:48:44.630 --> 00:48:48.949
up I logically know that it's okay this is a

00:48:48.949 --> 00:48:50.690
side effect you're gonna go get help with it

00:48:50.690 --> 00:48:52.889
like that must have been so scary for you to

00:48:52.889 --> 00:48:55.070
not oh yeah and then doctors being like we think

00:48:55.070 --> 00:48:57.010
it might be a kidney issue we don't know and

00:48:57.010 --> 00:48:59.230
then it wasn't by like I said the third or fourth

00:48:59.230 --> 00:49:01.429
time I went into the ER they figured it out and

00:49:01.429 --> 00:49:03.570
at that point too I'm like is it because I've

00:49:03.570 --> 00:49:06.489
let my weight go so bad that I'm like these things

00:49:06.489 --> 00:49:09.050
are happening like I just like I could not figure

00:49:09.050 --> 00:49:11.670
it out right so and then it was just a it was

00:49:11.670 --> 00:49:15.179
just such a common thing But I didn't hear people

00:49:15.179 --> 00:49:17.119
talk about it and it wasn't explained to me at

00:49:17.119 --> 00:49:20.679
the time. So that it was a potential. I do find

00:49:20.679 --> 00:49:22.980
even when I remember actually even the bariatric

00:49:22.980 --> 00:49:25.099
program, when they talked about gallbladder attacks,

00:49:25.320 --> 00:49:27.239
they didn't describe what it feels like. They

00:49:27.239 --> 00:49:29.239
just said, oh, gallbladder attacks. Next slide.

00:49:29.719 --> 00:49:32.800
They just say possible side effect, but no idea

00:49:32.800 --> 00:49:35.800
what it is. No. Yeah. It's just answers, right?

00:49:35.860 --> 00:49:38.179
Just having answers to things. They do a bad

00:49:38.179 --> 00:49:41.500
job of also explaining that. just because you

00:49:41.500 --> 00:49:43.300
don't have it in your first year doesn't mean

00:49:43.300 --> 00:49:44.940
it's not going to happen. Like they do a really

00:49:44.940 --> 00:49:47.579
bad job explaining that a lot of us develop things

00:49:47.579 --> 00:49:50.360
two or three years post -op. Like I had to learn

00:49:50.360 --> 00:49:53.719
on my own that reactive hypoglycemia is a super

00:49:53.719 --> 00:49:56.519
prevalent common reaction at the three -year

00:49:56.519 --> 00:49:59.000
mark after bariatric surgery. I'm starting to

00:49:59.000 --> 00:50:01.739
hear that a lot. 30 % of us develop reactive

00:50:01.739 --> 00:50:04.760
hypoglycemia that long after bariatric surgery.

00:50:05.079 --> 00:50:07.219
So that's the other thing that's like. maybe

00:50:07.219 --> 00:50:09.659
talk about options for us because we all won't

00:50:09.659 --> 00:50:11.800
have side effects in the first year. We can develop

00:50:11.800 --> 00:50:16.780
things later in the journey. Yeah. So, but I

00:50:16.780 --> 00:50:18.699
will end it because we went a bit over, but this

00:50:18.699 --> 00:50:20.559
was a great topic and cast. We absolutely love

00:50:20.559 --> 00:50:21.940
having you on and we're going to have you on

00:50:21.940 --> 00:50:25.039
again, but I think we'll just add everybody's

00:50:25.039 --> 00:50:27.760
very quick thoughts on GLP ones, whether it's

00:50:27.760 --> 00:50:31.139
Ozempi, Magiarno, the other ones, I can't think

00:50:31.139 --> 00:50:32.920
of their name. I just like Ozempi. Whatever they

00:50:32.920 --> 00:50:37.130
are. Is it a thumbs up, thumbs down? Do you recommend

00:50:37.130 --> 00:50:39.829
it? Do you not recommend it to people listening?

00:50:39.949 --> 00:50:42.230
I think people want to know, should they do it

00:50:42.230 --> 00:50:44.369
before or after bariatric surgery? Should they

00:50:44.369 --> 00:50:46.349
do it in general? We are not medical experts,

00:50:46.530 --> 00:50:50.070
but after these two deep dive conversations,

00:50:50.369 --> 00:50:53.530
what do you guys think about GLP -1s? I'm on

00:50:53.530 --> 00:50:57.550
the fence. We have tools available. We're in

00:50:57.550 --> 00:51:01.449
a day and age we have them. Use them. get educated

00:51:01.449 --> 00:51:04.750
on it and also just make sure you have the right

00:51:04.750 --> 00:51:06.750
supports in place, whether that's in home or

00:51:06.750 --> 00:51:10.289
outside of the home. It should be both. Yeah,

00:51:10.329 --> 00:51:13.510
I'm on the fence. We didn't get into it today.

00:51:13.550 --> 00:51:14.829
We talked about a little bit before the podcast,

00:51:14.889 --> 00:51:16.369
but I have a different view. I'm somebody who

00:51:16.369 --> 00:51:18.489
did inject myself with medication for fertility

00:51:18.489 --> 00:51:23.230
treatments for years. And I have dealt with the.

00:51:23.920 --> 00:51:25.760
long -term side effects of that that were not

00:51:25.760 --> 00:51:28.139
disclosed, that were not known, that are not

00:51:28.139 --> 00:51:30.519
common, that nobody told me about. So I have

00:51:30.519 --> 00:51:33.659
a bit of a jaded view on this type of thing.

00:51:33.760 --> 00:51:38.099
So my view is different. I don't know. Do I think

00:51:38.099 --> 00:51:40.099
that it can really help people? Yes. Do I think

00:51:40.099 --> 00:51:41.940
that it's another tool in the tool belt? Yes.

00:51:41.980 --> 00:51:44.139
Do I know that it has done amazing things for

00:51:44.139 --> 00:51:46.840
people? Yes. Does that mean it's for me? I don't

00:51:46.840 --> 00:51:49.619
know. So I'm on the fence. I definitely, again,

00:51:49.760 --> 00:51:51.780
like I said last episode and like Hannah said,

00:51:51.840 --> 00:51:53.539
if we came off snooty, that's not our intention.

00:51:53.940 --> 00:51:56.179
I have no judgment on anybody who does it. If

00:51:56.179 --> 00:51:58.360
it works for you, I am super pumped for you and

00:51:58.360 --> 00:52:00.239
super happy for you and proud of you for doing

00:52:00.239 --> 00:52:03.679
what you need to do to look after yourself. But

00:52:03.679 --> 00:52:07.889
I'm on the fence. I think I'm... leaning towards

00:52:07.889 --> 00:52:10.449
for it but on the fence if i ever come across

00:52:10.449 --> 00:52:12.630
as judgmental or snotty just know it's my own

00:52:12.630 --> 00:52:16.030
insecurities and fears coming through um i think

00:52:16.030 --> 00:52:18.050
that it's an amazing tool i think it should be

00:52:18.050 --> 00:52:20.230
talked about in the bariatric program i think

00:52:20.230 --> 00:52:22.550
it should be discussed because i do think a lot

00:52:22.550 --> 00:52:26.550
of us end up going on it at the end um i am scared

00:52:26.550 --> 00:52:31.320
to take it because i I hate feeling ill. So I

00:52:31.320 --> 00:52:33.579
just I don't want any negative side effects.

00:52:33.639 --> 00:52:35.860
And I wanted to live a life where I wasn't on

00:52:35.860 --> 00:52:38.440
medication. But I think that that's, you know,

00:52:38.440 --> 00:52:41.179
wishful thinking. I think medication is very

00:52:41.179 --> 00:52:44.159
good for a lot of people. So I think I'm leaning

00:52:44.159 --> 00:52:46.840
towards. Yeah, I think it's good. Do you take

00:52:46.840 --> 00:52:48.920
it before or after? Do whatever is best for you.

00:52:49.000 --> 00:52:50.860
I don't think that one is better than the other.

00:52:50.880 --> 00:52:52.920
I don't think bariatrics, the gold standard and

00:52:52.920 --> 00:52:55.599
Ozempic isn't. I think if you don't have the

00:52:55.599 --> 00:52:58.449
support in place, like Cass said. bariatric should

00:52:58.449 --> 00:53:00.269
have that support in place. So maybe do that

00:53:00.269 --> 00:53:04.210
first and then look at Ozempic. Both have side

00:53:04.210 --> 00:53:06.230
effects, both have long -term side effects, that's

00:53:06.230 --> 00:53:08.610
for sure. So do, I think, what is best for you,

00:53:08.670 --> 00:53:11.409
but I'd say do it, but make sure at a minimum,

00:53:11.469 --> 00:53:14.130
if you're not a bariatric patient, you have a

00:53:14.130 --> 00:53:16.889
therapist, a doctor, and a dietician. And I know

00:53:16.889 --> 00:53:18.909
people will say it's so privileged and how, you

00:53:18.909 --> 00:53:20.829
know, we don't have access to that, but even

00:53:20.829 --> 00:53:23.110
if it's one session to just get a meal plan or

00:53:23.110 --> 00:53:25.590
something in place. don't leave it up to the

00:53:25.590 --> 00:53:27.289
internet because I think there's a lot of misinformation

00:53:27.289 --> 00:53:29.349
on the internet where people are going to tell

00:53:29.349 --> 00:53:31.730
you they barely eat or they eat once a day. A

00:53:31.730 --> 00:53:34.210
good friend of mine wants to start it and reached

00:53:34.210 --> 00:53:35.869
out and said, what are your thoughts on it? And

00:53:35.869 --> 00:53:37.670
I was very supportive about taking it because

00:53:37.670 --> 00:53:39.929
I know I'll be taking it. And she said, well,

00:53:39.989 --> 00:53:42.199
I work with someone. And she only eats once a

00:53:42.199 --> 00:53:43.980
day. And I don't want to do that. And that scares

00:53:43.980 --> 00:53:45.699
me. And that terrifies me. And that feels like

00:53:45.699 --> 00:53:48.079
an eating disorder. And I think there's a lot

00:53:48.079 --> 00:53:49.820
of people out there who feel that that's normal.

00:53:50.000 --> 00:53:53.019
So get a dietician who can actually walk you

00:53:53.019 --> 00:53:57.519
through a Ozempic or GLP -1 dietician that can

00:53:57.519 --> 00:53:59.760
walk you through what it should look like. And

00:53:59.760 --> 00:54:02.019
then please, whether that's virtual or in person,

00:54:02.159 --> 00:54:04.679
see a doctor often. Maybe get some blood work

00:54:04.679 --> 00:54:06.960
done. Make sure you're on vitamins and minerals.

00:54:08.059 --> 00:54:10.119
do everything we do as a bariatric patient while

00:54:10.119 --> 00:54:11.619
you're on ozempic and i think that will help

00:54:11.619 --> 00:54:14.199
you be really successful with it but i'll document

00:54:14.199 --> 00:54:16.619
my journey on it by the time this episode comes

00:54:16.619 --> 00:54:19.019
out i will have already started it i'm hoping

00:54:19.019 --> 00:54:21.940
for a smooth smooth process that gives me some

00:54:21.940 --> 00:54:25.179
peace and not anxiety um and maybe gets me back

00:54:25.179 --> 00:54:28.199
to feeling like my old self so on the fence but

00:54:28.199 --> 00:54:30.860
leaning towards uh yeah i think it i think it's

00:54:30.860 --> 00:54:35.849
beneficial to a lot awesome Well, like always,

00:54:35.989 --> 00:54:38.449
thank you both for joining us on this episode

00:54:38.449 --> 00:54:41.369
of Bariatric Banter Podcast. We'll see everybody

00:54:41.369 --> 00:54:43.769
next week with another great episode. And let

00:54:43.769 --> 00:54:46.230
us know what you thought about our GLP -1 deep

00:54:46.230 --> 00:54:48.929
dive. And if you agree, disagree, if you're on

00:54:48.929 --> 00:54:51.550
it, if you're not on it. And thank you, Cass.

00:54:51.690 --> 00:54:54.090
We love having you here. Thanks for coming back.

00:54:54.489 --> 00:54:56.989
And if people want to join your community, what

00:54:56.989 --> 00:54:58.449
is the name of it? How do they get involved?

00:54:59.260 --> 00:55:02.079
Okay. So I did start a private group. We all

00:55:02.079 --> 00:55:04.960
have struggled with, um, I think the Facebook

00:55:04.960 --> 00:55:09.800
groups available to us. Um, so I, yeah, I certainly

00:55:09.800 --> 00:55:14.579
have being terrible and like at the end of the

00:55:14.579 --> 00:55:17.099
day, nobody on there is a doctor. I have actually

00:55:17.099 --> 00:55:19.980
had someone who reached out and, uh, um, I'll

00:55:19.980 --> 00:55:22.380
give a little shout out to Rachel here. Um, if

00:55:22.380 --> 00:55:24.980
you want, um, her name is Rachel. Um, I think

00:55:24.980 --> 00:55:27.239
it's Rachel 2 .0 on Instagram. I'll confirm that

00:55:27.239 --> 00:55:28.909
with you guys. You guys should follow her. She's

00:55:28.909 --> 00:55:33.849
excellent, but she has gotten a bunch of certificates

00:55:33.849 --> 00:55:35.590
and stuff, and she said she wants to participate

00:55:35.590 --> 00:55:39.659
in the group more. So she, yeah, she's great.

00:55:39.719 --> 00:55:41.219
And she's really wonderful to talk to. And she's

00:55:41.219 --> 00:55:45.519
Canadian. We love that. Yeah, we love that. So

00:55:45.519 --> 00:55:47.699
the Bloom Room, I just created a space where

00:55:47.699 --> 00:55:50.559
I wanted people to find and be able to find the

00:55:50.559 --> 00:55:52.960
niches they need help with. That's more organized.

00:55:53.320 --> 00:55:55.719
It's a platform. I did it on the platform Discord.

00:55:56.699 --> 00:55:59.099
And yeah, so you can find everything you need

00:55:59.099 --> 00:56:01.960
from maybe you're someone who's more into strength

00:56:01.960 --> 00:56:03.880
training. Maybe that's not your jam and you like

00:56:03.880 --> 00:56:06.880
cardio. I'm trying to encourage people to use.

00:56:06.920 --> 00:56:08.760
see a flyer deal and you want people to know

00:56:08.760 --> 00:56:11.019
about it, share it there. I'm also not going

00:56:11.019 --> 00:56:13.539
to block people from sharing a coupon code because

00:56:13.539 --> 00:56:16.460
I'm sorry, I want to save money too. I don't

00:56:16.460 --> 00:56:18.860
care who's... I don't care who's getting a commission

00:56:18.860 --> 00:56:23.019
for it. I want to save money. So share your codes,

00:56:23.239 --> 00:56:25.780
self -promote. I'm fine with that. And then also

00:56:25.780 --> 00:56:28.820
there's just such a lack of like finding other

00:56:28.820 --> 00:56:31.000
people that are on a sober journey or finding

00:56:31.000 --> 00:56:32.400
other people that are struggling with mental

00:56:32.400 --> 00:56:35.380
health. So I find when we can connect with people

00:56:35.380 --> 00:56:38.519
that are on the same wavelength as us, whether

00:56:38.519 --> 00:56:40.840
you want to. do that on Discord or you want to

00:56:40.840 --> 00:56:43.059
take it off. I don't care. I just want us to

00:56:43.059 --> 00:56:45.460
be able to connect because that's a power that

00:56:45.460 --> 00:56:48.119
we all have. So yeah, the Bloom Room, I have

00:56:48.119 --> 00:56:51.099
access to it. If you send me, if anybody wants

00:56:51.099 --> 00:56:52.820
to find me online, you send me a DM, I'll make

00:56:52.820 --> 00:56:54.960
sure you get one year free access. Otherwise,

00:56:55.099 --> 00:56:59.739
it is also available on all my links and it'll

00:56:59.739 --> 00:57:03.650
hook you up for, it's $5 a month. I love it.

00:57:03.949 --> 00:57:06.409
But I will hook anybody up who reaches out to

00:57:06.409 --> 00:57:08.210
me directly with a one year free access because

00:57:08.210 --> 00:57:10.210
I want you to get a feel for if it's the right

00:57:10.210 --> 00:57:12.769
space for you. Yeah, I love it. The Broom Room.

00:57:12.969 --> 00:57:15.269
Head over to Cass's Instagram or TikTok to find

00:57:15.269 --> 00:57:17.590
the links. Steph and I are in there. So maybe

00:57:17.590 --> 00:57:20.409
we'll have a bariatric little side channel if

00:57:20.409 --> 00:57:22.730
you want to talk about the podcast. But let's

00:57:22.730 --> 00:57:24.969
get a LP1 convo going, guys, because I need support.

00:57:25.150 --> 00:57:27.329
I need to start feeling good about this choice.

00:57:29.159 --> 00:57:30.920
Thank you for joining us, Cass. We love having

00:57:30.920 --> 00:57:33.219
you here. And the Bloom Room is a wonderful community

00:57:33.219 --> 00:57:35.119
that we're really excited to get more people

00:57:35.119 --> 00:57:38.219
into. So thanks for joining us on this long episode,

00:57:38.320 --> 00:57:40.059
guys. It's like the old days. Welcome to the

00:57:40.059 --> 00:57:42.980
60 Minute Club. We'll be back next week with

00:57:42.980 --> 00:57:44.820
some more episodes. Reach out to us. Let us know

00:57:44.820 --> 00:57:47.119
what you want to hear. We love all of our listeners.

00:57:47.219 --> 00:57:49.260
Thank you for following us. And like always,

00:57:49.340 --> 00:57:51.179
thank you, Steph and Cass, for being here with

00:57:51.179 --> 00:57:53.699
me. Thanks, ladies. Bye.