The Megyn Kelly Show - Explosive Prince Harry Allegations, and Wellness Tips for 2023, with Tom Bower, Dr. Ehsan Ali, and Dr. Layne Norton ｜ Ep. 465

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00:00:30.700 Welcome to The Megyn Kelly Show.

00:00:32.540 Your home for open, honest, and provocative conversations.

00:00:42.140 Hey everyone, I'm Megyn Kelly.

00:00:43.760 Welcome to The Megyn Kelly Show.

00:00:45.260 In just a bit, we're going to go on a deep dive

00:00:47.340 with two experts talking about how you can reach your 2023 goals.

00:00:51.220 I am motivated after having read these packets

00:00:53.720 in preparation for these segments.

00:00:55.020 And you are going to feel motivated too.

00:00:57.780 How to figure out the right diet for your body.

00:01:00.000 And the right exercise program.

00:01:01.700 And how to stick with it.

00:01:02.920 You know how like all you need to lose those pounds

00:01:05.740 that have been haunting you?

00:01:07.180 It's just like a little kick in the pants.

00:01:08.900 A little motivation.

00:01:10.620 I'm feeling it.

00:01:11.460 I wasn't feeling it before.

00:01:12.600 I'm feeling it.

00:01:13.640 And I'm going to give you that gift in just one minute.

00:01:15.820 But we've got to start today with just a bit on

00:01:17.940 the Weiner-in-Chief, Prince Harry.

00:01:20.620 His upcoming memoir has been obtained by several news outlets now.

00:01:23.720 After Spain, some book place in Spain printed it saying nobody told us it was on.

00:01:29.340 It was embargoed until next Tuesday.

00:01:31.220 Put it on the shelves and we were off to the races.

00:01:34.040 Now several news outlets have the book.

00:01:36.240 And the headlines from it are coming out fast and furiously.

00:01:38.840 Oh, unbelievable.

00:01:40.100 Some of the stuff he's saying.

00:01:41.580 Prince Harry reportedly details a physical fight with William.

00:01:45.220 Accuses William and Kate of being behind his decision to wear that Nazi uniform to a Halloween

00:01:51.680 party 18 years ago.

00:01:53.760 He wants you to know it's not his fault.

00:01:55.440 He would say it's his brother's fault.

00:01:56.680 That too is his brother's fault.

00:01:58.080 And he even takes a swipe at his own late mother, Princess Diana.

00:02:02.300 With what's coming out, there's almost no way the palace can ignore these accusations

00:02:06.260 and remain silent, say many pundits, though that strategy has been working for them thus far.

00:02:12.240 Joining me now to discuss all of it is Tom Bauer, author of Revenge, Meghan, Harry and

00:02:18.200 the War Between the Windsors.

00:02:20.080 Tom, thank you so much for being here.

00:02:21.760 So lots to get to.

00:02:23.380 But what's your overall reaction to the headlines that we've seen so far?

00:02:26.680 Well, it's sensational.

00:02:28.320 And I must say I predicted it because I thought that for the 20 million dollars that Random House

00:02:34.140 paid, they wanted a lot for their money and they've got it.

00:02:37.520 It is explosive, is hugely damaging to the British royal family and to Britain's reputation,

00:02:45.300 and just is the latest in the salvos from the Sussexes, starting with Oprah Winfrey, then

00:02:51.600 the Netflix series, newspaper interviews, podcasts, and now this.

00:02:56.140 And it can only get worse.

00:02:57.700 It's hard to imagine how, because some of the headlines here are so ungracious about his

00:03:04.860 brother, the future king of England, his father, the sitting king of England. 0.97

00:03:09.100 He wants you to believe his father is an unfeeling jerk who, on the day he was born, declared great 0.99

00:03:16.240 to Princess Diana. 0.99

00:03:17.720 Now I have an heir and a spare.

00:03:19.400 My job here is done, that when he told the boys that Princess Diana had died, he went into

00:03:27.500 their room.

00:03:28.960 William was 14, I think, and Harry was 12.

00:03:34.320 And that when he told them, my dear boy, your mom has died.

00:03:38.560 She's been in a car accident.

00:03:39.680 He didn't even hug Prince Harry.

00:03:42.520 I mean, he clearly wants us to see his father as a cold, just cold hearted fish.

00:03:48.560 Well, first of all, how would he know what Prince Charles, as he then was, said to Diana

00:03:56.700 on the day of his birth? 0.95

00:03:57.980 I mean, that's ridiculous. 0.74

00:03:59.220 He's got no evidence for that at all. 0.94

00:04:01.540 And as for the way in which he was told about the death, I mean, it was traumatic.

00:04:08.140 Eyewitnesses disagree with that interpretation.

00:04:10.980 I think more interesting about their relationship is Charles apparently joking, inverted commas,

00:04:16.480 with Harry, that perhaps Charles is not Harry's father.

00:04:21.440 And that, I think, as I raised in my book, there is this story.

00:04:26.220 It's not to do with a man called Hewitt, who's an army officer who did have an affair with

00:04:31.240 Diana.

00:04:32.700 It's about an unknown or unnamed lover that Diana had between the two births.

00:04:38.620 And that has always been a subject of contention, that Prince Charles or King Charles is not

00:04:46.300 really Harry's father, which Harry has now brought up.

00:04:50.320 You know, this is really hugely explosive and very damaging for the royal family.

00:04:55.880 And what does he say about Harry? 0.96

00:04:58.720 I mean, what a traitor. 0.96

00:04:59.540 Exactly. 0.87

00:05:00.820 Well, I'll get to that one second.

00:05:01.840 But on the subject of Prince Charles and this joke, he says, oh, this is a remarkably unfunny

00:05:07.440 joke, given the rumor circulating that my actual father was one of mummy's former lovers,

00:05:12.540 Major James Hewitt.

00:05:13.520 And he goes on to say that's because of his flaming ginger hair.

00:05:17.100 But he says another cause of this rumor was sadism.

00:05:20.300 And he says, never mind that my mother didn't meet Major Hewitt until long after I was born.

00:05:23.760 OK, so this is a rumor that we all read in the tabloids.

00:05:25.960 He does look like Hewitt, but you're saying the timing didn't work out.

00:05:29.500 There may have been another lover.

00:05:30.800 But but just to finish the point, I as a parent, this is what you do, because the full context,

00:05:37.180 he says that the father was saying, who knows if I'm really the Prince of Wales?

00:05:42.280 Who knows if I'm even your real father?

00:05:44.500 He's showing him that humor is a way to deal with these nasty rumors that he could laugh at

00:05:50.080 himself.

00:05:50.580 Who knows if I'm really the prince and who knows?

00:05:53.460 It's a it's a gift.

00:05:54.880 He's trying to train his child to deal with the negative press, something clearly hairy

00:05:58.940 to this day refuses to learn.

00:06:02.080 Well, that's one interpretation.

00:06:03.640 But I mean, I think it's far worse.

00:06:06.400 I think he is sowing seas of doubt in every direction he can.

00:06:11.260 And whether it's about his cocaine habit, killing 25 Taliban, he claims all these allegations

00:06:19.660 I mean, the fight with William, which is bizarre, because the photograph of Nottingham Cottage,

00:06:26.000 where he allegedly fell and hurt his back, breaking the dog water bowl.

00:06:30.540 The water bowl is made of metal. 0.73

00:06:33.400 And then Meghan apparently telling Kate that she's got baby brains.

00:06:39.360 I mean, the point about all this is that Meghan was intent on establishing her own domination in the royal family. 1.00

00:06:49.120 And when that didn't work and she finally decided or early decided she was going to leave, she opted for revenge against those who didn't give what Meghan wants. 0.97

00:07:00.460 As Harry famously said, what Meghan wants, Meghan gets. 0.95

00:07:04.820 And she's getting it now.

00:07:06.300 It is.

00:07:06.740 She is.

00:07:07.660 All my research shows that throughout her career, she has been an agent of destruction. 0.85

00:07:13.820 And she is very cleverly now through Harry this time.

00:07:17.880 And undoubtedly, there'll be a Meghan book, too, one day.

00:07:21.720 Sowing destruction amongst the royal family.

00:07:24.900 I mean, this is very, very damaging stuff and explosive.

00:07:27.760 The lack of accountability of taking any responsibility for his role in any of this is remarkable on Prince Harry's part.

00:07:36.040 He he doesn't in any form that we've seen in the leaked excerpts say I had a role in it, too.

00:07:41.160 And the the argument that he had with Prince William at Nottingham Cottage Cottage in 2019 is a perfect example.

00:07:48.460 I'll take the viewers through what was weirdly suddenly leaked to The Guardian,

00:07:53.540 a left wing newspaper that Dan Wooden, our friend and reporter at GB News, points out, wants to abolish the monarchy.

00:08:02.540 So it's pretty interesting.

00:08:03.660 This excerpt was very clearly leaked to The Guardian by Prince Harry's people.

00:08:08.600 That's my supposition.

00:08:10.140 It's not proven.

00:08:10.740 He talks about a 2019 fight scene, OK, where it was his London home, 2019, where Harry says William called Meghan difficult, rude and abrasive,

00:08:22.020 which Harry then said was a parroting of the press narrative and that he expected better of Prince William.

00:08:28.260 He says Prince William grabbed me by the collar, ripping my necklace.

00:08:32.120 Why was he wearing a necklace?

00:08:33.100 Some of us would like to know.

00:08:34.180 OK, Tony, Tony Windsor grabbed me by the collar, ripping my necklace and knocked me to the floor.

00:08:40.360 He says that resulted in a visible injury to his back because he landed on a dog bowl that then shattered.

00:08:47.200 I don't know what kind of dog bowl he's got.

00:08:48.700 Most of us have plastic dog bowls.

00:08:50.220 OK, that can't cut you cut up your back, but whatever.

00:08:52.220 He's a Windsor.

00:08:52.940 So perhaps it's made of, you know, glass.

00:08:55.060 I don't know that William had come over there in the first place to talk about, quote,

00:08:59.600 the whole rolling catastrophe and arrived, quote, piping hot to me so far.

00:09:04.840 Tom, this tells us William was angry behind the scenes.

00:09:08.040 He was angry at Harry and Meghan for a reason.

00:09:11.140 But the reason goes unaddressed.

00:09:13.160 Harry just puts it all on William's anger and how he was this poor victim who, after allegedly being grabbed by the collar and shoved down by his big brother,

00:09:21.260 doesn't fight back this this guy who killed 25 Taliban, as he claims, doesn't, you know, shove his brother back, doesn't, you know, tell him to get the hell out and then go talk to his wife.

00:09:32.240 He called his therapist.

00:09:33.820 He called his counselor, which I'm sorry, but feels the whole thing incredibly emasculating for this guy who clearly wants us to see him as a tough guy.

00:09:42.320 Well, and raises so many questions.

00:09:47.120 I mean, we don't know whether he hits it back or not.

00:09:49.860 But at that stage in 2019, William had good cause to be furious with Meghan and Harry.

00:09:56.680 They had, after all, bullied their staff who had submitted many complaints.

00:10:03.080 They clearly were intent on leaving.

00:10:05.860 All the fears that William, Charles and the whole family had had about Meghan had come true.

00:10:10.840 She was, she'd leaked by then to the People magazine, her complaints and the letter to her father.

00:10:18.540 She had started a legal action.

00:10:20.960 She clearly was being, as I say, an agent of destruction. 0.90

00:10:25.940 And William went across there because he was furious.

00:10:29.280 And as you rightly say, Harry doesn't say whether he's guilty or not.

00:10:33.520 But we know that by then Harry was equally intent on leaving.

00:10:37.620 He was delighted by the thought of going to California.

00:10:41.080 It was just a matter of how the so-called victims could portray themselves.

00:10:45.680 I think this is the interesting point of all this.

00:10:48.660 Harry and Meghan, for the last three years, two years, have portrayed themselves as victims.

00:10:53.900 But they're the aggressors.

00:10:55.700 They're the ones who constantly lob bombs at the royal family, whether through opera or Apple or Netflix or now the book.

00:11:02.900 And all the interviews, it really is an astonishing act of treachery, in my view.

00:11:09.120 And he has a couple of admissions to that effect without apparently realizing that he's admitting that bad behavior.

00:11:15.240 The one where he admits we now get some new details from him about that infamous fight between Meghan and Kate, where the papers said that Meghan made Kate cry.

00:11:27.200 Meghan went on Oprah and said, it was the reverse.

00:11:30.200 She made me cry and she came back to apologize for it.

00:11:34.320 This is the quote she said to Oprah was, the reverse happened.

00:11:37.220 It made me cry and really hurt my feelings.

00:11:40.080 It was a really hard week of the wedding and she was upset about something, but she owned it and she apologized.

00:11:47.380 Well, now we learn from Harry that what, according to him, happened was there was a discussion about the timing of the wedding rehearsal and the flower girl dresses.

00:11:56.140 And Kate was very upset.

00:11:57.980 Quote, Meghan said Kate must have baby brain because of her hormones. 1.00

00:12:02.780 It caused a huge row because Meghan was told she wasn't close enough to Kate to discuss her hormones. 0.97

00:12:07.840 And this is not the way people spoke to each other within the royal family.

00:12:11.120 Meghan felt the fallout was not her fault, according to somebody who's reviewed the book.

00:12:15.820 But, you know, this doesn't make her look good.

00:12:17.700 So that's Meghan insulting Kate. 0.99

00:12:19.300 And secondly, Tom, this is from Prince Harry, who says his second argument with William and with Prince Charles at the time, Prince now King,

00:12:29.380 was in twenty twenty one after Prince Philip's funeral where the the now king.

00:12:34.600 But then Prince said, look, boys, please don't make my final years of misery.

00:12:38.660 And he writes as follows.

00:12:40.100 Stand by.

00:12:41.000 I looked at Willie.

00:12:42.340 He calls his brother Willie.

00:12:43.360 Will calls him Harold.

00:12:44.660 Really looked at him, perhaps for the first time since we were little, taking in every detail his familiar scowl, which had always been the norm in his dealings with me.

00:12:53.400 He says his brother's baldness was alarming.

00:12:57.480 That's in quotes and, quote, more advanced than mine and said his resemblance to their mother had faded.

00:13:04.020 Describing his brother once his best friend as, quote, his polar opposite.

00:13:08.040 He said, my dear brother, my arch enemy.

00:13:11.620 How do we come to this?

00:13:12.920 I felt overwhelming tiredness.

00:13:14.440 I wanted to go home.

00:13:15.160 So it's OK for Megan to rip on Kate's baby brain and it's OK for him to mock his brother's baldness. 1.00

00:13:22.460 But we are supposed to dismiss reports that this is a couple of bullies as completely made up to make them unfairly look like villains.

00:13:31.300 Well, let's unpack this very briefly. 0.63

00:13:34.220 I mean, this is the hypocrisy of the whole operation.

00:13:37.360 You have got two people who claim to be victims who have now clearly become the aggressors, as I said.

00:13:43.240 But they have intended to destroy Charles and William.

00:13:50.000 But the whole point is, at that funeral in Windsor, if you remember when they came out of the chapel, Kate made huge efforts successfully that Harry and William would walk up the hill together in an attempt that the two of them could somehow be reconciled, despite all the horrible incidents that have occurred before.

00:14:11.520 And it clearly failed.

00:14:13.200 But even worse than that, the duplicity of the Sussexes is another point here.

00:14:18.940 When they came for the Queen's funeral and they had that alleged reconciliation outside the gates meeting all the well-wishers who were clearly mourning for the Queen.

00:14:29.900 By then, Harry had written his book.

00:14:33.880 Harry and Meghan had done their Netflix series.

00:14:37.220 They knew exactly all the terrible things they were going to say about Kate and William.

00:14:42.500 And yet, standing there with their smiles and everything, they completely concealed what they had actually done.

00:14:49.220 And that is the duplicity of this couple.

00:14:52.360 It is quite shocking.

00:14:53.480 You know, Harry and Meghan are brilliant actors.

00:15:00.240 And the victims are Kate and William in this case.

00:15:04.560 In that moment, which he does write about, again, this is where he was staring at William's baldness and seeing how little he resembled their mother.

00:15:11.820 He says, in this exchange, Harry accused William and Charles of effectively gaslighting him by denying he understood why Harry and Meghan had left for the U.S.

00:15:23.840 Harry said at Frogmore Cottage, Willie, this was supposed to be our house.

00:15:27.760 We were going to spend the rest of our lives here.

00:15:29.880 William replied, you left, Harold.

00:15:32.720 Harry said, yeah, and you know why?

00:15:34.500 And his brother shot back, honestly, no, Harold, not really.

00:15:38.220 Harry then turned to Charles, who was looking at me with an expression that said, me neither.

00:15:42.960 He said he felt like they didn't know him and they were not in a position to listen to them.

00:15:48.640 And I'm thinking about this, Tom, thinking, of course, they probably feared you were recording all of this and were going to put it in your book or in your Netflix deal, which, as you point out, had already been struck and was in process.

00:16:01.220 Why would they open up to him in this circumstance?

00:16:04.240 Well, Meghan, we must remember one other point about all this, that, of course, this is the writing of a ghostwriter.

00:16:11.300 This isn't Harry, really.

00:16:13.220 This is Harry as told by a professional writer who is sensationalizing the material he's been given.

00:16:21.020 And there's no reason why we should believe it to be like this at all.

00:16:24.220 I mean, they have a history, the Sussexes, ever since the Oprah Winfrey interview, where there were 17 lies assessed in what they told.

00:16:34.480 And the Netflix series was filled with inaccuracies and outright untruths, too.

00:16:40.560 So there's no reason to actually believe what Harry has now put in his book.

00:16:45.440 Random House cleverly chose an outstanding writer to do a, oh, I am a victim story.

00:16:53.820 And that's what he has done.

00:16:55.160 He's earned his money.

00:16:56.880 But it doesn't mean it's the truth.

00:16:59.760 Well, it's funny because back to that first fight that he writes about in 2019, where William allegedly attacked him.

00:17:05.380 And he has William, before he walked out, saying, he writes, he turned and called back, you don't need to tell Meg about this.

00:17:12.960 And Harold responds, you mean that you attacked me?

00:17:16.340 Response, I didn't attack you, Harold.

00:17:18.580 I don't believe that.

00:17:19.940 It doesn't sound real that Prince William would say, you don't need to tell Meg about this.

00:17:23.800 Like he was somehow terrified that Meghan Markle would find out what happened.

00:17:28.540 Absolutely.

00:17:29.420 Absolutely.

00:17:30.180 I mean, the whole point is, by then, the relationship had broken down.

00:17:33.380 That's why they were planning already their exit to Canada and then to California.

00:17:38.600 But it sounds good, doesn't it?

00:17:40.520 And put it in.

00:17:41.460 And who can dispute it other than William?

00:17:43.780 And I think this is the point now.

00:17:45.260 We've got to the stage where you say in the introduction that the palace had kept quiet, but they can't keep quiet for much longer.

00:17:54.120 The damage has got to somehow be stopped.

00:17:56.520 And I do think that William will have to, in one way or another, give an interview, giving his point of view, trying to silence this constant campaign from Montecito against the royal family, because there's no end to this.

00:18:12.520 There's no end of inventions.

00:18:13.660 There's no end of confessions, allegations and accusations.

00:18:18.100 I mean, it is really quite sensational.

00:18:20.640 In the history of Britain, it's never happened before.

00:18:22.880 I don't think the history of any royal family has had to put up with this sort of vitriol.

00:18:29.080 Well, it's so unfortunate.

00:18:30.160 I mean, who among us hasn't had a brawl or some sort of unfortunate exchange with a sibling?

00:18:35.740 I mean, that's that's called life. 0.80

00:18:38.220 You don't run to a publisher and put it all in print with the intention of hurting the person, talking about how he's always scowling at me and how he used the press agencies within the palace to hurt me and his unattractive, bald head.

00:18:53.980 And he looks nothing like our mother.

00:18:55.440 I mean, he hates his brother.

00:18:57.180 That's the big reveal that we've seen so far.

00:18:59.340 He can't stand Prince William.

00:19:01.280 Yes.

00:19:01.840 But, you know, the tragedy and it is a tragedy and all this is that until Meghan appeared on the scene, Harry and William were very, very close friends.

00:19:10.140 And they're known as the three musketeers with Kate.

00:19:13.180 They were an extremely happy group, the three of them.

00:19:16.720 And when Meghan arrived in her first appearance in public with the three, it was meant to be the Fab Four.

00:19:22.840 And on stage, it began to unravel as Meghan began saying how she would use her new status to campaign. 0.99

00:19:31.960 And William and Kate said that, you know, that is not what the royal family does.

00:19:35.680 And even Harry said, well, marriage first.

00:19:38.620 And Meghan then snaps, well, we can multitask.

00:19:42.880 There's no need to wait.

00:19:44.540 And that's the point.

00:19:46.380 She, Meghan, has a history of disturbing relationships with the family.

00:19:53.840 And as predicted by many people, she has now destroyed the relationship between Harry and his family.

00:20:00.420 What's surprising is whether the question really is whether Harry realizes himself how he has completely cut himself off and whether if something goes wrong in his own marriage, which is possible, whether he'll be able to survive.

00:20:16.140 I mean, what does he then do?

00:20:17.580 I mean, it's quite extraordinary that he thinks that this can somehow go unchallenged and without an answer.

00:20:26.340 But I've got to tell you one thing, which is very important to understand, that King Charles hates confrontations.

00:20:33.180 He is riddled with guilt about what happened to his marriage and his children.

00:20:37.860 And it's very hard to see what that he will do the right thing, which is to challenge his son's recollection.

00:20:46.980 That's the problem.

00:20:48.040 They are hiding at the moment, in my view, in Buckingham Palace.

00:20:52.020 They're hoping it will go away and it won't.

00:20:55.920 And these two are cashing in on these stories and they're making hundreds of millions of dollars.

00:21:00.980 So there's no reason to think they'll stop doing that.

00:21:03.400 That's it's it's very lucrative for them.

00:21:06.600 One of the allegations that, you know, is is an eye opener is Harry alleging that William and Kate were not only totally delighted with his Nazi costume, but were behind it, were the reason he wore it in the first place.

00:21:20.880 He says that they howled with laughter when they saw him dressed for this 2005 party.

00:21:26.860 Harry was 20.

00:21:28.060 William would have been 22.

00:21:30.380 And that the Sun newspaper published this front page photo of him dressed as a Nazi soldier.

00:21:35.020 The picture was taken at this costume party with a native and colonial theme.

00:21:39.380 William was also a guest.

00:21:40.400 He dressed as a lion.

00:21:42.600 And this is obtained by page six.

00:21:44.840 Harry writing that when he chose the outfit, it was a toss up between two costumes, a pilot or a Nazi.

00:21:50.660 Quote, I phoned Willie and Kate.

00:21:52.660 Asked what they thought.

00:21:53.960 Nazi uniform, they said.

00:21:55.840 Harry writes, adding that when he went home and tried it on for them, they both howled worse, worse. 0.92

00:22:01.020 Uh, worse even than Willie's leotard that he was going to wear way more ridiculous, which again was the point.

00:22:07.220 Then while he's calling this one of the biggest mistakes in his life, in his Netflix series, um, he goes on to say that, uh, let's see.

00:22:17.280 Well, basically that they enjoyed it and that they wanted it, that they would, that they would coax him into it.

00:22:21.260 So, this dovetails with, I guess, a royal historian, Robert Lacey's publication in 2020, where he suggested the first sign of trouble between the brothers came then, at this moment, back when, uh, 2005, when Harry was 20.

00:22:35.680 When Harry was resentful, he bore the brunt of public outrage over his Nazi costume, even though William helped choose it.

00:22:42.320 To me, what that tells me, Tom, and you're the expert at this, is that Harry talked to Robert Lacey for Robert's book and was trying to get this story out there for a while now, since, since the rift after Meghan.

00:22:53.680 Well, I don't think, um, Harry didn't speak to Robert Lacey, I don't think that, but what I do think is that Harry's friends put that round at a very late date.

00:23:03.240 What is surprising is it took 10 years for this story to emerge, and there's no doubt that, uh, at the time of this great furore, if that was true, that it was the idea of the Cambridges, that would have leaked out to Harry's friends and been told to a newspaper.

00:23:22.760 And for all these years, that hasn't come out.

00:23:26.940 So I think, once again, one has to treat this with some skepticism.

00:23:33.260 Why now?

00:23:34.540 Uh, you know, it's so easy for Harry to say that, and so difficult for William and Kate to deny it, because then it really does become a fight in the gutter, uh, and he gets away with it.

00:23:47.140 And of course, the ghostwriter would be thrilled with that exchange.

00:23:50.260 Well, that's a problem if they give an interview, Prince William, nevermind King Charles, you can't go tit for tat on this kind of thing because you lose.

00:23:58.320 I mean, any attention to them, any response by the palace will be welcomed with open arms by Meghan and Harry.

00:24:06.160 It's just another day in the news cycle.

00:24:08.400 So I understand the palace's instincts to just ignore these small people who right now are just trying to make a dime on their association with, with William, with, with Charles.

00:24:19.320 Do you think it's tipped out?

00:24:20.980 Like we've reached a tipping point where that calculation no longer works?

00:24:24.780 I do actually, because I think that, uh, after the Netflix series and now this sympathy for the Sussexes will grow outside Britain and outside various areas in the United States, like the East coast.

00:24:37.300 I think across Africa and Asia, which is very important for Britain and the Commonwealth, and even in Europe, um, there will be sympathy for the Sussexes.

00:24:47.440 People will believe what Harry has said, and most important of all, we'll see how the CBS and the ITV, British ITV interviews go down.

00:24:58.040 Will the journalists interviewing Harry really challenge him about the veracity of what he is saying?

00:25:05.480 Will they really say to him, come on, we can't believe you, for example, didn't hit back at William in the row in the cottage kitchen?

00:25:13.520 I mean, if he is not challenged, then we know once again, he has orchestrated a wonderful puff piece, just like this book and just like the Netflix series, just like the opera interview.

00:25:25.260 I mean, this is, this is an amazing Hollywood production.

00:25:28.400 It's not over, it's been going on now for two years.

00:25:32.780 There's more to come.

00:25:34.320 There's a lot of money to be earned by the trashing of the Royal Family, by Netflix, Random House, uh, CBS, all of them.

00:25:42.740 Uh, and at the moment, the Royal Family is just sitting there, uh, silent lemons, having to be beat, accept all the beatings.

00:25:50.620 I don't think they can carry on for much longer like that, silence.

00:25:53.680 What do you mean?

00:25:55.580 I mean, I understand Meghan Markle's arrival on the scene exacerbated this problem tenfold, but I don't know that it is true that she caused all of it because according to the reports, the book, which is called Spare, is essentially about his resentment in being the spare.

00:26:13.340 The Guardian writes about, they say, Harry's resentment of being the spare is the unifying theme of his book through chapters on his childhood, his schooling, career as a royal, in the British Army, his relationship with his parents, with his brother, his life with Meghan through courtship, wedding and marriage, and so on.

00:26:28.740 Early on, he recounts the story of how his father, again, said to Diana, wonderful, now you've given me an heir and a spare.

00:26:34.480 My work is done.

00:26:35.240 And Harry actually says to ABC News, Michael Strahan, in another interview that's going to air on Monday, there's always been this competition between us, weirdly.

00:26:45.240 I think it really plays into, or always played into, about the heir and the spare.

00:26:51.460 That's a dynamic he was born into that he doesn't seem able to accept.

00:26:56.040 Well, you're absolutely right.

00:26:59.620 I mean, rivalry between siblings is not unique in the royal family.

00:27:04.360 And there's no doubt that Harry had to take a lot of the blame for some of the things that William got up to in his teenage years.

00:27:12.360 It was deliberately, the blame was put onto Harry when they had alcohol-fueled parties and drugs in a cellar in the High Grove home of Prince Charles, he then was.

00:27:24.680 But, you know, there's a big difference of that resentment, which comes naturally from the heir.

00:27:32.160 And it's not just the royal family, but obviously in industries and country estates and things that always the eldest son inherits.

00:27:39.920 The youngest children always feel resentment.

00:27:42.700 But there's one thing to feel that, but with all the privilege that Harry had, with all the protection he had, he could have found an alternative way of life.

00:27:53.220 He didn't have to set about destroying his family because he felt resentful.

00:28:00.460 The problem with Harry is that clearly on his own admission, he is a disturbed man.

00:28:06.120 He caused his head being sort of occupied by chaos.

00:28:10.920 And he's not very intelligent.

00:28:12.500 He hasn't got a job to do.

00:28:14.460 He couldn't stay in the army because they couldn't promote him.

00:28:17.200 He wasn't clever enough.

00:28:18.560 And even getting into the army, they had to falsify his results, exam results.

00:28:24.080 So the real problem is a Harry problem.

00:28:27.000 It isn't the royal family problem.

00:28:29.260 It's a problem of a young man who was tormented, who couldn't in any way find reconciliation.

00:28:36.060 And it must be said, was saved to some extent by Meghan.

00:28:40.440 He was looking for a savior.

00:28:42.280 She knew it.

00:28:43.140 And she played it very, very well.

00:28:45.700 And that has now come to haunt the royal family because Meghan, having rescued Harry, brought him to California, shown him an alternative life, which is much nicer than being cooped up in the royal palace, has also said, this is how we're now living.

00:29:04.200 And I'll become famous.

00:29:05.320 And she has.

00:29:06.080 And she's very clever.

00:29:07.960 And she is winning.

00:29:09.520 That's what, of course, annoys the British more than anything. 0.91

00:29:13.200 Having welcomed her with open arms at the wedding, having made a multiracial wedding ceremony of it all, given her everything they could give her, she's turned around and bitten the hand and chewed off a huge chunk of it. 0.93

00:29:26.940 She can't stand the British people. 0.99

00:29:28.440 She thinks they're racist. 0.98

00:29:29.240 Her Netflix documentary says exactly that, that everybody who voted for Brexit, they're racists.

00:29:36.500 And it's no accident this this movement happened at the same time she came into the royal family and was spurned, allegedly because of her race, about which most people didn't even know that she was mixed race until later in the relationship.

00:29:48.380 In any event, he he has no empathy for anyone but himself.

00:29:53.520 He doesn't in any way, at least according to what we read so far, have a moment of I understand my older brother's in a very difficult position.

00:30:01.200 He's in a very difficult position and is under enormous pressures to support this institution while still becoming a man and becoming a husband and maintaining a role as a big brother.

00:30:11.740 Um, and he even takes a swipe at Princess Diana in this regard.

00:30:17.740 Again, this is according to the UK Sun, which is also now obtained a copy.

00:30:21.880 He says, um, Diana, of course, notably discussed Charles's affairs in her 1995 panorama interview, which has been very controversial.

00:30:30.500 William says no one should cite it anymore.

00:30:32.340 Harry continues to.

00:30:33.880 Um, and in that panorama interview, she famously said there were three of us in this marriage.

00:30:38.720 So it was a bit crowded.

00:30:40.020 Harry blasted his mother's statement as wrong, claiming, quote, my my mother's sentence that there were three people in her marriage was legendary.

00:30:50.000 But her calculations were wrong.

00:30:52.460 William and I were left out of the equation.

00:30:55.540 I have to say, Tom, it's just a strange place to go.

00:30:58.260 She was she was discussing her marriage with him and the husband's infidelity.

00:31:04.120 I mean, yes, there might be a place for a woman in that position to say he cheated on the whole family. 1.00

00:31:08.960 But I think most women would be thinking about themselves in that moment.

00:31:12.760 So I'm not sure what he's up to there.

00:31:15.140 Well, I think you're going to ask the ghostwriter that I mean, it's another line which has been inserted.

00:31:20.780 I really don't think Harry has dissected and understood panorama interview and why she did it and the background and the consequences, which were a disaster for Diana.

00:31:31.580 It is what, in the end, forced her exclusion from the royal family.

00:31:37.200 They were furious, rightly understandably so.

00:31:40.000 But she felt I mean, Diana sought the press.

00:31:43.840 I mean, this is this is the crazy thing where every day there's a new allegation.

00:31:48.620 Last week, it was that Harry blamed the media for his mother's being killed by Buckingham Palace leaking in the same way as they leaked against Meghan.

00:31:57.620 Now he is leaking against the people he claimed to be the orchestrators of his mother's downfall and his exile from Britain. 0.94

00:32:08.600 Everything is hypocritical.

00:32:11.060 Everything is so confused because in the end, this isn't the truth.

00:32:16.620 This isn't the real man speaking.

00:32:18.460 This is a very, very clever package and endless speculation about a man who really isn't worth much speculation.

00:32:28.040 He is in the end disloyal to his family.

00:32:32.180 And can there be a greater sin and disloyal inventing things?

00:32:37.240 I mean, the hurt in Buckingham Palace and Kensington Palace must be immense tonight.

00:32:43.060 Think about Prince William having his, you know, receding hairline mocked and elevated to this level, having his private discussions with his brother,

00:32:54.880 whether it's the argument in the cottage or next to their grandfather's grave revealed in a public book.

00:33:02.880 The moment where Harry writes about how he wondered if Queen Camilla, then just Camilla.

00:33:10.820 They didn't want Charles to marry her.

00:33:13.520 I remember wondering if she would be cruel to me.

00:33:16.440 I mean, he was 20.

00:33:17.640 What, right?

00:33:18.340 If she'd be cruel to you when they were getting married, he was 20 years old.

00:33:21.740 If she would be like all the evil stepmothers in the stories. 0.93

00:33:24.860 And then he goes on to add, Willie had been suspicious of the other woman for a long time, which confused and tormented him.

00:33:32.560 Again, how dare he reveal that?

00:33:34.120 How dare he share his brother's confidences over Camilla?

00:33:38.300 When those suspicions were confirmed, he felt agonizing remorse for not having done or said anything before.

00:33:43.660 To me, these are the biggest betrayals, Tom.

00:33:45.800 It's not even the fight.

00:33:47.280 It's it's William's expressions of vulnerability or sadness or confusion over really difficult topics like Camilla, the mother's death, the grandfather's death, the breaking up of the family that he has now put in black and white in print for a paycheck.

00:34:03.920 That's what resonates with me as unforgivable.

00:34:06.300 Well, yes, you're right.

00:34:08.220 But you see, the background to this really is that Harry felt enormously jealous of his brother.

00:34:15.760 William, after all, spent eight years unmarried with Kate and was very careful before he married her so that there wouldn't be the same mistake as his father had made and mother.

00:34:28.040 And they were a very happy couple.

00:34:29.820 They are.

00:34:30.280 And they've got lovely children.

00:34:31.340 And there was Harry, a bachelor in a two room, two bedroom house on the estate next to William and Kate, who are living in a 20 room apartment and happily including Harry, of course, too, but much more stable, much more focused on the future.

00:34:52.120 And that gnawed at Harry and Harry now is getting his revenge.

00:34:58.440 And that's why the book is called Revenge is all about getting his own back.

00:35:03.140 Meghan getting her own back for the happiness of the Cambridges.

00:35:07.900 And I've got to tell you, there's one other very important issue, which perhaps is in the book.

00:35:12.120 We don't know.

00:35:12.900 But one of the reasons, of course, that William was so furious with Meghan was that Meghan had seized on a story that William was having an affair with a mutual friend of theirs.

00:35:25.720 I don't believe it's true, but it was huge gossip in London at the time.

00:35:30.660 And apparently, allegedly, Meghan raised that with Kate to needle her. 0.98

00:35:35.940 And that is part of the reason why William was so incandescent, that his wife was being told by Meghan, asked by Meghan, what's it like being cockled?

00:35:48.160 What's it like being betrayed by William?

00:35:50.340 Now, that is the story.

00:35:52.340 I wasn't there.

00:35:54.380 There's no doubt that the affair has been increasingly written up.

00:36:00.820 Whether it went on, I'm told it didn't happen.

00:36:03.460 But Meghan seized on that to harm the woman who she was so jealous of as well. 0.83

00:36:09.760 And there are many more currents to come.

00:36:12.900 There are many more allegations to appear of why these four people fell out so spectacularly.

00:36:20.860 I think William should come out with a book that is called Air.

00:36:26.000 And then just rebut it all, tell his own stories.

00:36:29.640 Let's put it out on the table, American style, and let the people decide.

00:36:35.340 Tom, what a pleasure.

00:36:36.600 Thank you so much.

00:36:37.440 Truly read Tom Bauer's book, Revenge.

00:36:40.120 It's worth every word.

00:36:42.460 It's fascinating.

00:36:43.620 I listened to the audio book and I read part of it as well.

00:36:46.220 But I cover to cover via audio.

00:36:48.380 And it is kind of delicious, kind of intriguing, kind of horrifying.

00:36:52.960 And honestly, you see this book and so much of it proves true.

00:36:56.340 Tom, thank you.

00:36:57.660 Pleasure.

00:36:58.920 Much, much more on this story to come.

00:37:00.540 But next, we turn to 2023 and you.

00:37:03.100 And you.

00:37:03.680 Are you just kind of hoping, like, I'd like to do a little better?

00:37:06.700 Don't want to be one of those people who's like, I'm going to work out five hours a day,

00:37:09.840 seven days a week.

00:37:10.580 I'm never going to eat another calorie.

00:37:12.580 No, no.

00:37:13.800 That's not where we're going.

00:37:15.120 What is reasonable?

00:37:16.540 And by the way, how is every celebrity now 25 pounds thinner?

00:37:19.840 That's next.

00:37:22.620 Are you looking to make a fresh start this year?

00:37:27.260 Maybe you're reevaluating your health, your wellness choices.

00:37:30.520 Well, we've got a couple of experts who will discuss with us the latest health crazes and

00:37:34.140 medications, what's working, what's not, what's safe, what's not.

00:37:37.820 And we're going to be taking some of your calls.

00:37:40.460 My first guest is a doctor to the stars.

00:37:43.360 He's widely known as being a favorite of professional athletes and actors who must look and feel and

00:37:49.100 do their very best for their jobs.

00:37:50.920 So we're excited to discuss some of these celebrity treatments, as well as things every single

00:37:55.380 one of us can do to live our best lives and feel better and look better.

00:38:00.240 Dr.

00:38:00.540 Essan Ali is the founder and CEO of the Beverly Hills Concierge Doctor.

00:38:05.900 And he won't confirm it.

00:38:08.400 But the reports are he has he has advised everyone from Ariana Grande to Liam Hemsworth and Justin

00:38:15.380 Bieber.

00:38:15.780 So the very most famous, most beautiful, most fit of us have reportedly turned to Dr.

00:38:22.760 Ali when they need good advice.

00:38:24.860 All right, doc.

00:38:25.240 Thank you so much for being here.

00:38:26.920 So overall, right now, people feeling like I want to be more in shape.

00:38:31.700 I want to lose weight.

00:38:33.560 But I'm tired.

00:38:34.880 And I don't really want to work that hard for it.

00:38:37.600 How like what do we do with that attitude with those people?

00:38:41.760 Hi there.

00:38:42.260 Good afternoon.

00:38:43.700 So that is a very popular question.

00:38:46.380 I get asked this all day, every day, especially since, you know, New Year's 2023.

00:38:50.780 I always tell people there's no substitute for the basics.

00:38:54.700 You've got to eat healthy.

00:38:55.720 You've got to exercise.

00:38:56.840 You've got to put the work in.

00:38:58.420 But I get it.

00:38:59.240 There's people who do all that.

00:39:01.200 They're still not able to lose the weight.

00:39:02.940 They're stuck in a specific weight or they can't work out.

00:39:05.600 They don't have the time.

00:39:07.060 I'm sure you've heard about this numerical drug out in the market.

00:39:10.620 Everybody's been using to help achieve your weight loss goals.

00:39:13.740 So semaglutide, which is the generic name for ozempic, as well as some other medications

00:39:19.660 that are out.

00:39:20.280 So Manjaro is another one that came out in May 2022.

00:39:24.040 Generic name for that is trisepetide.

00:39:26.380 They're medication that people are injecting once a week, and it dramatically helps you

00:39:30.600 achieve your weight loss goals.

00:39:32.000 People are losing anywhere from five to 10 pounds per month on it.

00:39:35.640 And it works amazingly.

00:39:37.900 I see excellent results on patients every time they come in for follow-ups.

00:39:41.700 All right.

00:39:42.300 Yes, I do want to talk about those because I will confess, like literally every woman I

00:39:46.220 know in Connecticut and then when I was in Montana has said ozempic, ozempic, ozempic.

00:39:51.600 It seems like everybody is taking this drug so much so that there's a shortage of it now

00:39:55.960 for real diabetics, according to what I read, who are frustrated that people who just want

00:40:00.260 to lose weight are getting it.

00:40:02.060 And if you really need to lose weight, I like this drug for you, right?

00:40:06.980 But it's like the vanity, the vanity, like the thin women who are taking it, I guess I 1.00

00:40:10.980 can see why people are upset that their diabetes drug, any event.

00:40:14.500 They're trying to make more, more, more, more, more, more.

00:40:16.620 The thing that I've heard about, I don't know if there's a difference between ozempic,

00:40:20.740 Wegovy is the other one.

00:40:24.000 There's a couple of other ones out there.

00:40:26.960 Is there, is there, first of all, let's start.

00:40:28.940 Is there any real difference between them?

00:40:31.240 So Wegovy and ozempic, two different manufacturers, two different brands, but the active ingredient

00:40:36.400 is both the same semaglutide for both different brands.

00:40:39.360 So just different companies.

00:40:42.000 Manjaro is a different company, different active ingredients.

00:40:46.000 That's terzepatide.

00:40:47.840 And then there's a handful of other companies.

00:40:50.300 There's Saxenda, also Victoza.

00:40:53.260 Both of those, the active ingredient is liraglutide.

00:40:56.920 But in short, they all kind of do the same thing.

00:41:00.120 Manjaro, they boast that they act on two receptors as opposed to one receptor, which is what

00:41:05.740 all the other ones do, semaglutide, which is the generic Rosembeg, Wegovi.

00:41:11.200 So Manjaro has been shown to be more promising, provide more potent results compared to the

00:41:16.200 others.

00:41:16.440 The others work well also, but Manjaro tends to be more potent.

00:41:20.720 That's the literature shows.

00:41:22.460 Oh, well, that sounds promising.

00:41:25.220 The knock on these drugs, and I don't know about that last one, Manjaro, but the knock

00:41:30.320 on these other drugs is they could cause thyroid cancer, which it's nice to be thin, but you

00:41:35.960 don't want to get thyroid cancer.

00:41:37.900 Absolutely.

00:41:38.580 So there is a black box warning.

00:41:40.620 In rodents, there have been reports of thyroid cancer forming.

00:41:44.840 There are no reports from what we know as of now in humans developing it, but for patients

00:41:49.460 who go on it, whether you're diabetic or whether you're using it for weight loss purposes, you

00:41:53.160 know, I do let everybody know that that is one of the warnings.

00:41:56.120 So if you have a history of thyroid cancer or family history of thyroid cancer, you know,

00:42:00.440 it's probably not the best option for you.

00:42:02.800 It wasn't reported in rodents, but the good thing is it has not been reported in humans

00:42:06.860 yet, but something to be aware of and mindful of.

00:42:08.800 Well, are these drugs that I realize they're only recently being used sort of, I guess,

00:42:12.820 off-label for weight loss, but have the diabetics been on these drugs for a long time, and are

00:42:18.720 diabetics coming up with thyroid cancer?

00:42:21.900 So great question.

00:42:23.540 These new category of medications are fairly new.

00:42:26.400 They've really only been out for a couple of years.

00:42:29.000 Nozampic is one of the first ones.

00:42:31.080 So diabetic patients have been treated traditionally the way they have been, whether it's with insulin

00:42:35.980 or other diabetic oral medication, it's not as if most diabetics were being treated with

00:42:42.400 this.

00:42:42.620 This is all brand new.

00:42:44.000 But yes, I understand the frustration if a diabetic can benefit from this, and there's

00:42:48.140 a shortage, I would understand why they would be frustrated.

00:42:52.720 But the diabetics who are on it, no. 0.96

00:42:54.880 From what I understand at this point, there have been no reports of humans developing thyroid

00:42:58.920 cancer from these medications.

00:43:00.980 Is it one of those things where like the little rats who got the thyroid cancer were giving like

00:43:04.700 overwhelming doses, and then they got the cancer?

00:43:07.580 You know what I mean?

00:43:08.000 Is it like if you keep your dose low, you're less likely to get cancer?

00:43:12.760 You know, great question.

00:43:13.860 I don't have the answer to that.

00:43:15.320 They just tell us that there's reports of rodents getting thyroid cancer.

00:43:18.380 So whether it's a low dose or high dose, I'm not sure.

00:43:21.060 But it's promising to know that it hasn't happened in humans yet.

00:43:25.020 Yes, but it's still young.

00:43:26.500 I mean, that's the problem.

00:43:27.300 It is.

00:43:27.780 It is.

00:43:28.100 How long can you stay on these medications?

00:43:30.660 Exactly.

00:43:31.020 So, you know, if you're diabetic, they stay on a main sense dose and they continue to stay

00:43:35.820 on it for management of their diabetes and their glucose levels.

00:43:39.260 For people who are using it for weight loss purposes, typically they take it short term,

00:43:43.440 two, three, four months, and then they stop.

00:43:45.760 But that is one of the things we need to be aware of because we don't know what may happen

00:43:48.860 down the line.

00:43:49.960 Okay.

00:43:50.400 So that brings me to my question about what happens when they stop.

00:43:53.200 Last year, Andy Cohen tweeted out, everyone is suddenly showing up 25 pounds lighter.

00:43:57.540 What happens when they stop taking Ozempic?

00:43:59.720 Is there a rebound?

00:44:02.240 From my experience, I do have a pretty large number of patients on it, whether it's for

00:44:06.960 diabetes or weight loss.

00:44:08.960 I think most people have maintained the weight off once they stop, as long as they continue

00:44:14.720 to follow a healthy lifestyle.

00:44:16.480 Of course, if you're going to all of a sudden stop working out, just indulge in high calorie

00:44:21.260 foods, the weight will come back on.

00:44:22.840 I did have two patients that naturally have always been overly obese that did continue

00:44:29.320 a maintenance dose.

00:44:30.420 But for the larger portion, most people just stop the medication and have been able to

00:44:34.520 maintain the weight off.

00:44:36.040 Wow.

00:44:36.500 All right.

00:44:36.940 Let's talk about that other drug.

00:44:38.200 Like the one you mentioned, the terzepatide.

00:44:41.200 Landaro.

00:44:42.320 Okay.

00:44:42.700 And that's the same thing as Manjaro, right?

00:44:44.460 Correct.

00:44:45.280 So Manjaro is the brand name and then terzepatide is the generic.

00:44:48.880 So that one, it says taken in higher doses.

00:44:52.820 This is from the New York Post.

00:44:53.840 Taken in higher doses, it has been shown to aid weight loss by curbing appetite, just like

00:44:58.020 the others do, and food intake, while streamlining the way the body breaks down sugar. 0.99

00:45:03.760 Do those other drugs do that second thing?

00:45:06.620 So the other ones, they act on something called GLP, which is a hormone that stimulates like

00:45:13.040 insulin management and a reduction of ucagon, which is a different hormone.

00:45:18.260 But Manjaro, which is terzepatide, in addition to GLP, acts on GIP, which has more important

00:45:24.340 effects with suppressing your appetite, suppressing your hunger, early satiety, meaning whenever

00:45:30.000 you do eat, you fill up a lot faster.

00:45:32.400 So terzepatide's claim to fame is that it acts on that receptor that the other ones don't

00:45:37.280 act on.

00:45:38.100 The Post article suggests this one's like a game changer, because they're saying in a

00:45:42.360 clinical trial, participants who took a higher dose of terzepatide lost up to 22.5% of their

00:45:47.860 body weight, or about 52 pounds over the course of 72 weeks.

00:45:52.520 We, Gavi, and Saxenda, the other ones we were discussing, reduced body weight by around

00:45:57.820 15% and 5% respectively.

00:46:01.640 So, I mean, that sounds like a real game changer.

00:46:05.540 And they say this one's already approved by the FDA to treat diabetes under that name Manjaro.

00:46:11.840 But is it about to get approved for weight loss?

00:46:15.580 From what I understand, they're trying to fast track it to get an FDA approval to treat obesity

00:46:20.360 as well.

00:46:20.860 So, you know, we'll see what happens.

00:46:23.040 But it is working great.

00:46:24.520 I've seen excellent results on it.

00:46:26.080 And if we can get an FDA approval for it, I think it's going to be an amazing drug for

00:46:29.380 people.

00:46:30.380 Why would you take those others?

00:46:32.040 Why would you take those others when you can take this Manjaro, which acts on the both

00:46:35.400 receptors and sounds like it's going to get approval for this purpose before the other

00:46:40.220 ones do?

00:46:41.580 You know, it's a great question.

00:46:42.580 Um, I think if somebody was to do their research and see which one works better towards appetite

00:46:49.820 really would be the better option.

00:46:51.800 Um, I think it comes down to a lot what insurance will cover and what it doesn't cover.

00:46:55.660 Um, and the medications are very expensive.

00:46:58.600 So for people who choose to pay out of pocket, I mean, it's close to a thousand dollars a

00:47:02.000 month.

00:47:02.980 Um, so I think finances will play a large role and what insurance will cover.

00:47:06.900 So if your insurance, it's so crazy that insurance won't cover this for obese people.

00:47:11.320 I get, if you're a skinny person, you should pay out of pocket.

00:47:14.060 If you're an obese, obesity is like the heart of every illness we're dealing with in the

00:47:18.300 hospital and your office is like yours.

00:47:19.860 How can insurance say that this is just a vanity drug for people who are obese?

00:47:24.640 I think they're trying to save money for themselves.

00:47:26.720 It comes down to that.

00:47:28.160 Oh, it should be approved.

00:47:29.500 Of course they always do.

00:47:30.700 It should be.

00:47:31.680 Will it be?

00:47:32.280 Do you, what do you, what are the odds?

00:47:34.060 I think there's promising for Manjaro to get covered for weight loss because of the effect,

00:47:38.440 you know, the effects that it has and the potency behind it.

00:47:41.300 We'll have to wait and see.

00:47:42.500 Does Manjaro also cause the thyroid cancer?

00:47:45.200 Maybe I'm like, okay, there's a lane.

00:47:46.820 There is a black box warning on that as well.

00:47:50.020 Come on.

00:47:50.820 We need one without the black box warning.

00:47:52.720 I mean, more, more accurately, we, we need one that doesn't have those risks.

00:47:55.760 It's not the warning.

00:47:56.600 That's the problem.

00:47:57.920 It's fascinating.

00:47:58.760 And it's, I mean, look, you know, we'll talk about this after the break, but a lot of 0.99

00:48:02.480 people just say, get off your ass, go work harder, eat less. 0.98

00:48:05.540 But for a lot of people, genetics play a massive role in their body composition. 1.00

00:48:09.980 It's not that easy.

00:48:10.940 Stand by because Dr. Ali stays with us.

00:48:12.860 And in our next hour, he's going to take some of your calls.

00:48:15.580 Don't forget, you can find this show live on Sirius XM Triumph channel 111 every weekday

00:48:19.640 at noon east.

00:48:20.320 The full video show by subscribing over at youtube.com slash Megan Kelly and audio podcast

00:48:25.860 wherever you get your podcast for free.

00:48:27.340 So Dr. Ali, we had a discussion during the break about whether we would take one of these

00:48:36.420 drugs, knowing that it could potentially cause thyroid cancer, but the odds don't appear to

00:48:40.200 be high.

00:48:40.680 And we had a split decision.

00:48:42.020 I said I would do it.

00:48:43.040 And Debbie, Canadian Debbie, my producer said, no way.

00:48:46.400 And I say, as you get older, it gets a lot harder to keep your weight in check.

00:48:50.800 I mean, I understand the vanity piece of it, but I said, Canadian Debbie, you stand by because

00:48:55.660 there are other options that Dr. Ali can talk about outside of diet and exercise.

00:49:00.340 We know about those that could potentially help somebody looking to lose weight.

00:49:04.320 And this is very interesting to me.

00:49:05.740 Hormone therapy, growth hormone, and something called NAD therapy.

00:49:11.420 So let's take them one by one.

00:49:13.140 What hormone therapy?

00:49:14.340 Isn't that what you do when you go through menopause?

00:49:16.040 Yes, it's similar to that.

00:49:18.800 Now, these are, you know, I just want to say kind of off-label use, but very popularly

00:49:23.220 used for several years.

00:49:24.560 So when people think hormone replacement therapy, they may think of like a postmenopausal woman 1.00

00:49:29.140 who's having hot flashes.

00:49:30.640 And that's one category.

00:49:32.580 Obviously, at that age for a woman, she's not producing hormones anymore. 1.00

00:49:36.560 And then she starts, you know, hair becomes brittle and thin, skin changes, her energy levels

00:49:41.480 change, you start putting on weight, mood changes, you know, libido changes.

00:49:46.040 So we will put them on low doses of estrogen and progesterone to help get them back to like

00:49:51.200 the pre-menopausal levels.

00:49:52.560 And it makes a significant improvement both physically and mentally and with your weight.

00:49:58.600 Now, men will also do hormone replacement therapy, obviously not with estrogen or progesterone,

00:50:04.020 but testosterone replacements.

00:50:06.080 And it's actually much more common than people realize.

00:50:08.860 And people may think that, you know, guys who are just trying to do steroids or injecting,

00:50:14.260 you know, testosterone, but that's not the case.

00:50:16.420 A lot of men do have low testosterone.

00:50:19.140 And as men age and after the age of 40, their testosterone levels naturally decline, which

00:50:24.680 can cause, you know, fatigue, weight gain, loss of muscle mass, you know, libido issues.

00:50:30.960 And testosterone replacement therapy is a great way to help with all those things as well.

00:50:35.300 Um, it's also a couple of my friends who have gone through menopause were telling me that

00:50:41.500 they're doing this sort of alternative hormone replacement therapy, not like a patch, but

00:50:46.160 I don't know, some sort of a cocktail, but there's includes some testosterone like for

00:50:50.660 the women. 0.81

00:50:52.500 Correct.

00:50:53.080 Yeah, I'm just going to get to that.

00:50:54.420 So, um, women will have a low dose testosterone, much less than what a man would have. 0.51

00:51:01.520 And low doses of testosterone will help with like their energy levels, maintaining muscle

00:51:07.620 mass, preventing, you know, the position of fat on your body, preventing weight gain,

00:51:12.540 helps libido.

00:51:13.760 You know, obviously I want to say this, there's risks and benefits with everything.

00:51:17.520 So it's something you want to discuss with your doctor.

00:51:19.580 But if you're a good candidate, testosterone has been shown to be beneficial to women in

00:51:23.740 low doses as well.

00:51:24.860 When they're postmenopausal.

00:51:26.380 Are you covered in acne and like new hair and muscles?

00:51:29.140 So that is what testosterone causes the high doses.

00:51:33.520 And for that reason, obviously a woman will take a very, very low dose. 0.99

00:51:36.960 No acne or hair growth should not occur if it's being given properly.

00:51:41.700 Okay.

00:51:42.700 Okay.

00:51:43.220 And that's interesting.

00:51:43.940 So a woman who's of menopausal years would know, okay, now's when I should go in and get 0.99

00:51:49.080 tested to see where my heart, but what, what age should a man do that?

00:51:53.160 You know, I feel so with men, it's different.

00:51:55.540 It really depends on how you're feeling.

00:51:56.960 Um, a lot of guys come in after the age of 40 and they routinely want to test and will

00:52:01.960 test what their levels are.

00:52:03.160 So I think that's a good age range.

00:52:04.600 You know, if you're a man going into your checkup, um, or alternately, if you're younger

00:52:08.660 than that and you feel like you may have signs, symptoms of low testosterone, which is, you

00:52:12.980 know, like fatigue or like low libido, low energy levels, you're unable to lose weight

00:52:17.540 or you're putting on weight, um, too easy.

00:52:20.480 So that is a good time to go and get tested.

00:52:22.080 Okay.

00:52:23.560 Now what is, I mean, growth hormone, isn't that what you give kids who are not, you know,

00:52:29.560 who are like extremely short for their age?

00:52:32.580 So yes, you're absolutely right.

00:52:34.480 Growth hormone is approved for different conditions where children don't have enough growth hormone

00:52:39.120 and to use the health, promote growth.

00:52:41.580 Um, HGH, the short term for it, it's off label use.

00:52:45.400 Um, it's not something that's medically indicated.

00:52:47.900 I'm just going to say from what I know, from what patients have been doing for years, it's

00:52:52.160 been shown to have a lot of benefit if medically supervised.

00:52:55.060 And again, it's off label.

00:52:56.680 So HGH is used by both men and women, various ages to help with putting on muscle.

00:53:02.760 Uh, now it's dose dependent and it depends on what your goal is.

00:53:05.780 If you're a man who wants to put on muscle or reduce body fat, they will do a higher dose

00:53:10.060 of growth hormone.

00:53:11.100 Um, women who are postmenopausal will use it for anti-aging purposes because it does 1.00

00:53:16.940 help promote, you know, new skin, healthier skin, more collagen, prevent wrinkles, keeps

00:53:22.340 your hair looking nice and fluffy.

00:53:23.900 That's supposed to help with your energy levels as well, improve your mood, prevent body fat,

00:53:28.740 keep you at a lean body percent.

00:53:30.240 So it does have those benefits.

00:53:32.040 Um, there's risks with it as well, just like anything else, like something not for everybody.

00:53:36.400 Um, but those are some of the benefits with it, which makes it so popular amongst people

00:53:41.040 especially here in Los Angeles.

00:53:42.740 All right.

00:53:42.940 Now the, I've heard the knock on HGH is it can make you look weird.

00:53:47.920 It can give you like a long sloped forehead.

00:53:51.940 Um, there's some, I can't remember the name of the football players, but they're said to

00:53:55.580 have, I guess they're open about having used it and they've got these long slopey foreheads

00:53:59.660 and they have a brother who didn't take it, who looks nor I don't, this is total speculation.

00:54:04.340 This is like beach conversation I've had.

00:54:06.000 So forgive me if it's wrong, but it can HGH give you that look.

00:54:09.540 You are absolutely correct.

00:54:11.120 That condition is called agromegaly.

00:54:12.980 Now in high doses, doses that you should not be using, but if you're abusing it can

00:54:17.800 cause that.

00:54:18.600 And as well as other side effects with it.

00:54:20.940 So, you know, if somebody is interested in using growth hormone, they should for sure

00:54:24.880 talk to their doctor about it or an endocrinologist.

00:54:27.940 Um, and if they decide after weighing the risks and benefits, that that's the route to go.

00:54:32.460 You want to make sure it's being medically supervised and you're not just buying it from

00:54:35.880 some person off the streets and using a dose that could be harmful for you.

00:54:39.460 Cause that is one of the risks.

00:54:41.200 Okay.

00:54:41.600 All right.

00:54:41.980 So that's HGH.

00:54:43.320 What about NAD therapy?

00:54:45.580 What's that?

00:54:46.800 So NAD is a popular treatment.

00:54:49.940 That's fairly new as well.

00:54:51.420 Past couple of years.

00:54:53.340 NAD works on something called mitochondria. 0.80

00:54:56.280 We all have mitochondria in our body.

00:54:58.040 That's where our energy is produced.

00:54:59.740 So NAD acts on the mitochondria to help improve the energy production.

00:55:05.440 And with that comes multiple other benefits.

00:55:08.100 Um, so number one, if you suffer from fatigue, chronic fatigue, this is the natural way or,

00:55:13.440 you know, a way to help improve your natural energy levels without having that speedy, overly

00:55:17.460 caffeinated, um, side effect.

00:55:19.940 In addition to that, it's been studied and shown to have significant benefit on just your nervous

00:55:24.760 system, your mood, your mental health, uh, helps depression, supposed to be good for

00:55:30.680 your red blood cell system.

00:55:32.360 The red blood cells carry oxygen to your body.

00:55:34.460 So it helps optimize that.

00:55:35.860 It has anti-aging purposes behind it.

00:55:38.500 Um, it's used to treat people who suffer from chronic pain.

00:55:41.500 So there's multiple different benefits from it.

00:55:44.080 Um, and as of right now, what we know that it's safe, there's no risks and people will

00:55:49.020 either get an infusion of it, um, or just an intramural, much better shot, similar to like a B12

00:55:54.140 shot, um, you know, throughout, you know, several different sessions of it.

00:55:58.040 And, you know, it helps with all those different aspects.

00:56:01.540 I should mention those other weight loss drugs we were discussing.

00:56:04.300 That's a once a week, like an EpiPen injection in like your, in your arm or your belly or your

00:56:11.120 leg.

00:56:11.800 Correct.

00:56:12.140 And this is an IV potentially.

00:56:14.900 So the NAD, you have two methods of using it.

00:56:17.780 Well, actually there's more.

00:56:18.720 It started off as an intravenous administration.

00:56:21.020 So it's an infusion right into your bloodstream.

00:56:23.300 So that's the most potent, fastest way to get it into your system.

00:56:27.180 But, you know, alternately for people who don't want to sit there and get an infusion

00:56:30.600 or they just don't like IV, you can inject it with just a quick shot into your, you know,

00:56:35.000 your glute or into your shoulder.

00:56:37.300 Um, they also now have nasal sprays that you could do.

00:56:40.300 They also have creams or patches.

00:56:41.940 So there's other methods of using it as well.

00:56:44.520 And what are the benefits?

00:56:45.080 This is going to make you feel younger and better and lose weight or not?

00:56:49.160 No.

00:56:49.360 Um, it doesn't necessarily help so much with weight, maybe a touch, but not anything significant

00:56:54.700 with weight.

00:56:55.460 But, you know, it's promising for anti-aging purposes, improved mood, improved energy,

00:57:01.120 healthy fatigue.

00:57:02.580 Um, it's good for your nervous system.

00:57:04.460 Um, how often do you get it?

00:57:07.380 It's different.

00:57:08.120 So like if somebody is doing an infusion and if they choose to do a very high dose infusion

00:57:12.760 and sit there for eight hours, I would say like once or twice a year, if you're going

00:57:16.740 to do, you know, like a quick intramuscular injection once a month, um, I have patients

00:57:22.460 who come in every month to get it, whether it's like a low dose IV or intramuscular injection

00:57:26.860 and they feel the benefits and they keep coming back to continue getting it.

00:57:30.520 It's actually become pretty popular amongst your regular population as well as, you know,

00:57:35.280 Does this cause cancer?

00:57:37.200 What is there?

00:57:37.560 Is there any downside to doing all that?

00:57:38.860 No, there's no reports of it causing cancer.

00:57:41.220 You know, it's something that we already have in our system.

00:57:43.220 So we're just amplifying it by increasing the levels.

00:57:46.500 Hmm.

00:57:46.920 This kind of reminds me of the facial where they take out your own blood.

00:57:50.080 I don't know.

00:57:50.360 They take blood out of your arm and then they mix it and they put it back on your face.

00:57:53.420 I, that using your own bodies, you know, I don't know.

00:57:58.220 I'm not sure what they're using.

00:57:59.960 Yeah.

00:58:00.260 So that's PRP, which is completely different, but this, you know, they're not extracting

00:58:03.720 it from your body, but you're injecting something to help optimize your NAD level.

00:58:07.860 Okay.

00:58:08.460 All right.

00:58:08.800 Let's get a caller in because we have some interesting calls coming in.

00:58:10.980 Ken in Florida has a question for you.

00:58:12.640 Hi, Ken.

00:58:13.320 What's your question for Dr. Ali?

00:58:16.100 Hey, Megan.

00:58:16.900 Thanks for taking my call.

00:58:18.260 Dr. Ali, I'm a 51 year old diabetic.

00:58:20.860 I've been on diabetes medication for about eight or nine years.

00:58:25.100 My endocrinologist has never mentioned this Menjaro.

00:58:29.100 And I'm just curious, other than what y'all were discussing about the potential for thyroid

00:58:34.980 cancer, why would my endocrinologist have never mentioned this drug previously?

00:58:41.380 Great question.

00:58:42.280 You know, I don't know how long your endocrinologist has been in practice.

00:58:46.260 It is a fairly newer medication.

00:58:47.840 Menjaro has only been out for about a year.

00:58:50.060 So a lot of physicians may not be aware of it yet, or some physicians might be reluctant

00:58:55.340 because it is newer.

00:58:56.980 A lot of physicians may choose to wait a couple of years before prescribing something.

00:59:01.560 So we have more evidence as to what's going on.

00:59:03.720 But I think you should bring it up, whether if not Menjaro, some of the other brands like

00:59:07.660 Ozempic or Regovi, but they work great.

00:59:10.960 And it's been shown very promising for diabetics.

00:59:13.420 Awesome.

00:59:13.960 But it's something you should ask.

00:59:15.680 All right.

00:59:16.200 Let's go to Kim in North Carolina, who's got a question for you as well.

00:59:19.180 Hi, Kim.

00:59:19.640 What's your question?

00:59:22.260 I was about to make a phone call for an appointment at a weight loss clinic.

00:59:26.500 They say they do blood work and run tests with a full physical.

00:59:30.860 What type of tests should I make sure they run?

00:59:33.700 And are there conditions that should absolutely not use these type of weight loss drugs?

00:59:41.240 Great question.

00:59:42.160 So the labs I typically recommend is the same labs you would normally get during a physical.

00:59:46.660 Check your kidney function, your liver function, check your sugar levels, green for diabetes,

00:59:52.760 your immune system, your red blood cell count, checking your thyroid function.

00:59:57.220 So those are some of the basic labs that you usually do.

01:00:00.040 They want to make sure you get all that done.

01:00:01.780 So any absolute contraindications from what I believe, if you're a dialysis patient or if

01:00:07.080 you have poorly functioning kidneys, it might not be a medication that is for you.

01:00:12.160 So you want to make sure you're getting your kidneys evaluated.

01:00:15.120 And also, I read, Doc, that it's something like if you have a history of thyroid cancer,

01:00:19.300 this one may not be for you.

01:00:20.600 Is there a way of monitoring your thyroid to make sure you're not getting cancer while you're

01:00:24.340 on this thing?

01:00:24.820 Um, great question.

01:00:27.180 So you can get thyroid ultrasounds done, um, periodically to look for any new nodules or

01:00:33.220 masses or tumors that are growing.

01:00:35.320 Um, and that's a quick, easy, uh, way to go ahead and evaluate for thyroid cancer.

01:00:40.660 Hmm.

01:00:41.240 Okay.

01:00:41.680 Let's go over to Minnesota where Roxy, I like your name, Roxy. 0.78

01:00:45.800 What's your question for Dr. Ali?

01:00:48.300 Hi, Megan.

01:00:49.200 Thank you very much.

01:00:50.420 Um, my question is this, I'll be 70 and, uh, family history of diabetes and I've been

01:00:56.940 a diabetic for about 20 years.

01:00:58.900 I've, I weigh 156, could lose 20 pounds.

01:01:02.680 You know, I'm not overweight, but this drug has me interested.

01:01:05.660 And I just talked to my endocrinologist yesterday, A1C74.

01:01:10.160 But what I've been told by some is that if I just lose that 20 pounds or so, I could get

01:01:16.480 rid of the diabetes.

01:01:17.640 What's your thought?

01:01:18.520 Great question.

01:01:21.160 Yes.

01:01:21.640 So weight loss is known to help improve your glucose levels and help manage your diabetes.

01:01:26.960 And so if you lose the weight, you should be able to get your diabetes improved.

01:01:31.340 Um, and since you are diabetic and it sounds like your A1C is high and it's not controlled,

01:01:37.040 you are a good candidate for one of these medications.

01:01:40.460 And because you're going to be taking it for diabetes, it will also cause weight loss.

01:01:44.800 I think you would be a good candidate.

01:01:46.060 Now make sure you're healthy, you don't have any kidney problems, um, talk to your doctor

01:01:50.120 about it.

01:01:50.500 But I think you are a good candidate for it.

01:01:52.800 You might want to look into it.

01:01:54.120 Roxy, you could probably get it covered by insurance as opposed to paying a thousand or

01:01:58.780 1300 bucks a month.

01:02:00.200 So that's near in the sweet zone.

01:02:02.540 Thank you for calling my dear.

01:02:03.680 Uh, let's go to Maggie in Pennsylvania. 0.96

01:02:05.460 Who's got a thought, Maggie.

01:02:06.680 Hi, what's your thought or question for Dr. Ali?

01:02:10.340 Hi there.

01:02:11.060 I was reading about the Olympic, um, I'm hypoglycemic, so I don't think that would be a good fit for

01:02:15.560 me.

01:02:16.120 Uh, I have to tell you about a year ago, I'm 73.

01:02:18.700 A year ago, I started working out with the trainer 30 minutes, three times a week and,

01:02:23.760 um, swimming.

01:02:24.900 And then she helped me with my nutrition to get off the sugar because I, I do need to

01:02:29.860 eat frequently.

01:02:31.060 So I've, I've learned to eat good things that satisfy me.

01:02:36.220 And to me, it's worked.

01:02:37.880 I mean, I feel so, so, so much better, um, that there is a way I think outside of taking

01:02:43.640 these things to, to, to feel good.

01:02:46.960 Well, and that's a good one.

01:02:48.100 You say that you're, uh, how old are you?

01:02:50.580 73, did you say?

01:02:52.580 73.

01:02:53.260 Yeah.

01:02:53.440 Yeah.

01:02:53.920 So that's, I mean, that's important because I think most people who are a little older

01:02:57.180 think I can't do it.

01:03:00.240 No, well, it's 30 minutes a day, three days a week.

01:03:03.300 By the time I get there, it's over 30 minutes, weight training balance.

01:03:07.720 Um, and then she works with my nutrition. 0.97

01:03:09.600 And so I do think, you know, people that want to take the chance and go, you know, take the

01:03:14.860 medicine, that's fine if it works, but there is a good way to just get off that sugar and

01:03:19.760 feel satisfied.

01:03:20.660 And, and, and I would say, doctor, if you're still going to eat the same way they've got

01:03:25.860 you to be heavy, what's the purpose of doing this?

01:03:29.860 Mine, why not just have liposuction, maybe start all over again and then, you know, try,

01:03:36.120 try a different venue.

01:03:37.280 You're absolutely right.

01:03:40.200 There's no substitute for diet and exercise.

01:03:42.440 And that's what I tell everybody, like, this isn't a substitute for that.

01:03:46.280 Um, and that is for sure the first line recommendation.

01:03:49.560 There are plenty of people who are doing that though.

01:03:52.640 And because of their just genetic makeup or their metabolism, I have plenty of patients,

01:03:57.640 you know, they're like a 45 year old, 50 year old woman comes in, she's had multiple

01:04:02.300 children.

01:04:03.520 Um, she's menopausal. 1.00

01:04:04.840 She just cannot lose the weight, has a dietician, sees a nutritionist, has a personal trainer.

01:04:09.400 So this is something that helps them kind of get through that.

01:04:13.240 Um, and then there's other cases too.

01:04:15.500 Like I have a patient who has, yes, go ahead.

01:04:18.280 I was just going to say, can I ask you, because one of the things, uh, 60 minutes did a report

01:04:21.800 on these drugs recently, you know, the, the diet drugs we discussed, and they interviewed

01:04:25.840 a doctor who said diet is actually not the biggest contributing factor to obesity.

01:04:30.060 The number one cause of obesity is genetics.

01:04:35.200 Ah, that's not good news for some of us.

01:04:38.140 Is that true?

01:04:39.540 Then they go on to say there's a 50 to 85% likelihood you will be obese if your parents

01:04:46.060 are obese.

01:04:46.780 Is that true?

01:04:48.620 I don't know about that percentage, but yes, genetics do play a large role.

01:04:53.500 Um, you know, I see plenty of patients, family members, friends who are very healthy.

01:04:58.480 They eat balanced meals, they work out regularly, but it just doesn't, isn't enough.

01:05:03.520 Your genetics play a huge role in, you know, your weights and how you metabolize your food,

01:05:08.880 processed sugars.

01:05:10.440 It's such a bummer.

01:05:11.480 And that's why these weight loss drugs could really be a gift if they don't cause cancer.

01:05:16.620 And we'll find out, I guess.

01:05:18.380 I don't know how, how many years do you think it'll take for us to know whether they cause

01:05:21.580 cancer?

01:05:21.940 You know, I think like five years is a good estimate.

01:05:27.120 If five years go by and there haven't been any reports of human thyroid, human developing

01:05:31.600 thyroid cancer, that's a pretty safe number.

01:05:34.060 Okay.

01:05:34.500 And they've been out for two?

01:05:36.760 Um, and Dara's been out for one and then Ozempin and the other ones have been out for

01:05:40.100 about two.

01:05:41.220 Okay.

01:05:41.860 All right.

01:05:42.260 Well, it's very good to know.

01:05:44.180 Dr. Ali, last thoughts on like the diets that are out there, the importance of like, what

01:05:50.900 is the bare minimum we need to do?

01:05:53.120 Like if, if I came into your office and said, all right, I don't want to take the drugs and

01:05:56.360 I want to do something, but it's hard to get excited.

01:05:59.180 Like what's the bare minimum you would tell me I have to start doing?

01:06:03.340 I tell people you've got to start doing cardio exercise at least three days a week for at least

01:06:10.220 30 minutes sessions.

01:06:11.840 And I think there's a lot of misconception.

01:06:13.720 I ask patients when they come in, okay, great.

01:06:15.520 Do you exercise?

01:06:16.220 And everybody says, yes, I do.

01:06:17.860 I ask them, okay, tell me your exercise regimen.

01:06:20.220 And then they tell me, well, I wake up and I have to walk to the kitchen from my bedroom

01:06:24.000 and then from the kitchen, I walk to my car in the garage and then I drive to the grocery

01:06:27.180 store and then I walk into the grocery store and I'm like, okay, great.

01:06:30.140 And then where's the workout?

01:06:31.100 They're like, well, that is my workout.

01:06:32.180 I tell them that's not exercise.

01:06:34.680 Yeah.

01:06:35.460 You have to do something where your heart rate's 120 to 140 beats per minute.

01:06:40.220 Consistently for at least 30 minutes.

01:06:42.440 I tell them three days a week at the very minimum, you've got to start with that.

01:06:46.520 And then managing and watching what you're eating as well.

01:06:48.580 You've got to have a well-balanced diet.

01:06:50.420 I think people don't understand that either.

01:06:52.520 And I tell them, do you eat?

01:06:53.580 Or I ask them, I say, do you have a healthy diet?

01:06:55.820 And everybody always says yes.

01:06:57.300 And then I'll get into specifics.

01:06:58.580 I'll be like, great.

01:06:59.000 Tell me what you had for breakfast, lunch, and dinner.

01:07:00.900 And they start off with, well, in the morning, I had a three-egg omelet with bacon.

01:07:04.500 And at lunchtime, I had two slices of pizza.

01:07:07.940 But I did have salad.

01:07:08.900 So salad's healthy.

01:07:10.380 And then at dinner, I had a burger, but I didn't supersize it.

01:07:13.820 So I think people think they know what a healthy diet is and what exercise is, but they really don't.

01:07:19.540 And you want to make sure you're actually doing it the proper way.

01:07:23.160 Is there a diet you like?

01:07:24.300 You know, like keto, Mediterranean, whatever.

01:07:27.520 Is there one that you like?

01:07:28.280 No, I'm actually very healthy myself.

01:07:30.500 I grew up very chubby as a child.

01:07:32.180 I'm a little traumatized.

01:07:33.480 I follow a very healthy lifestyle, and I've tried all the diets.

01:07:36.820 I think a keto diet works great.

01:07:38.520 I modify a little bit, though.

01:07:40.540 The keto diet typically is, you know, no carbs, high fat, high protein.

01:07:44.200 I feel like a modified keto diet is great where you have lower fat.

01:07:47.960 You don't want to, you know, put so much fat into your body, which has risks with it down the line.

01:07:52.520 So high protein, low fat, low carb works great.

01:07:55.600 Intermittent fasting has been very, you know, shown to be very beneficial.

01:08:00.960 I've tried that as well myself.

01:08:02.280 That works great.

01:08:03.700 The Mediterranean diet also works great.

01:08:06.300 Those are my three favorite diets to try.

01:08:08.740 And they're sustainable.

01:08:09.760 You can do them long term without harming yourself or feeling like fatigue or just worn out.

01:08:15.640 Can I ask you about intermittent fasting?

01:08:17.060 Because I'm a big fan of that.

01:08:18.120 I do from 8 p.m. to noon most days.

01:08:20.240 But then there was some there were headlines about a month or two ago about how, no, it's dangerous.

01:08:26.200 It's it's I can't remember if it said it's causing heart attacks or if it's just not working or cause you to gain weight because then you overeat.

01:08:33.620 I don't know.

01:08:34.220 I'll tell you, I asked my doctor about that.

01:08:36.060 And he said, no, I wouldn't trust that those headlines.

01:08:39.340 He's got all of his patients doing it, but I haven't done a deeper dive on it since then.

01:08:43.740 So did you see that those headlines and what do you make of intermittent fasting question?

01:08:47.640 You know, I think when somebody takes things to the extreme, you're going to see various issues.

01:08:53.080 But if you're doing it the proper way, I think intermittent fasting is great.

01:08:57.000 The way, you know, the way you're doing it after dinner, just don't eat anything.

01:09:00.540 You skip breakfast and then you have like an early lunch and then you're having a healthy lunch, healthy dinner, staying very well hydrated throughout the day as well.

01:09:07.800 I feel like it's very safe.

01:09:09.000 I have not had any patients have issues with it.

01:09:11.520 I love it.

01:09:11.900 I'll tell you, if I see the numbers creeping up on that scale and I go hardcore on my intermittent fasting, like I don't have the snack in the morning that I think doesn't count, whatever, it comes right off.

01:09:20.780 I mean, that's just the truth.

01:09:21.940 It's like you can see the difference in a week for sure.

01:09:24.860 If you have to be vigilant and sometimes you have to have some diet soda, which I realize is controversial, but it works.

01:09:31.200 All right, Doc, it's such a pleasure meeting you.

01:09:32.800 Thank you so much for being here.

01:09:34.640 You're welcome.

01:09:35.540 Thank you.

01:09:36.040 To be continued.

01:09:36.700 Yeah, I'm sure we'll call on you again.

01:09:38.020 And we continue the conversation on wellness in the new year next.

01:09:41.760 Another doctor joins us and I'm going to be taking your calls.

01:09:44.140 Looking forward to keeping this rolling.

01:09:48.680 My next guest is Dr. Lane Norton, nutritional scientist, natural professional bodybuilder and founder of the Carbon Diet Coach.

01:09:57.780 He's here to share how you can work toward and stick with your health goals throughout this year.

01:10:03.160 And we will continue to take your calls.

01:10:05.800 All right, Doc, thank you so much for being here.

01:10:07.580 So I know that you were listening to our last segment.

01:10:10.700 What do you make of that very depressing, that very depressing stat of if your parents are obese, you're overwhelmingly likely to be obese, too?

01:10:20.920 Yeah, so great question.

01:10:22.260 This is kind of my wheelhouse.

01:10:24.180 And I will say that research was drastically misrepresented.

01:10:30.160 Yes, both parents who are overweight or obese, you are 80 percent likely to be overweight or obese yourself.

01:10:36.560 But the idea that that's genetics, there are genetic components to obesity.

01:10:42.940 Most of them tend to be on the appetite side of things.

01:10:46.540 For example, people who are overweight or obese, they tend to not have as great of a satiety signal from the foods they eat.

01:10:54.680 They get a greater reward from the foods they eat compared to, like, your average person.

01:11:00.120 And so there are some genetic components to that.

01:11:02.560 But when you look at unpack genetics, you know, our genetics didn't shift in a generation.

01:11:08.520 And the reality is obesity is basically a one or two generation problem.

01:11:13.120 Before 1950, it's not that it didn't exist, but it was very, very minimal.

01:11:17.980 And now we have almost half the population.

01:11:20.200 So our genetics didn't change in that period of time.

01:11:23.840 What happened, if you look at the research, is people began eating more calories and doing less physical activity.

01:11:29.540 Now, genetics really only loads up the gun for obesity. 0.98

01:11:34.860 It's kind of behavior and lifestyle that pulls the trigger.

01:11:37.260 But we do live in an environment where, you know, we have access to highly palatable, hyper-processed foods.

01:11:44.520 And it's much easier to overeat now than even, say, in the 1950s when you had things like baked goods and whatnot.

01:11:51.360 But you had to walk to a store.

01:11:53.000 You had to cook them yourself.

01:11:54.040 There's a much higher barrier to entry.

01:11:55.540 So this idea, this idea that 80% of people that it's a genetic thing, the research doesn't show that.

01:12:07.160 In fact, if you look at people who are overweight or obese and you look at their metabolic rate, if anything, they have a higher metabolic rate than people who are lean.

01:12:17.020 Now, a lot of that is explained by the fact that obese people have a higher overall body weight.

01:12:21.400 So they have a higher metabolic rate just to pull around all that tissue.

01:12:25.300 But even when you standardize for their lean mass, they have at least the same metabolic rate as people who are lean.

01:12:34.540 And so this idea that it's genetics, yes, there are some things on the appetite side.

01:12:40.040 But this idea that obese people have, like, slower metabolisms and whatnot, while you can't have people with, like, thyroid problems and those sorts of issues that can slow metabolic rate, on a population level, genetics don't really explain the differences, at least in terms of metabolic rate and energy expenditure.

01:12:59.040 But there is some data that it may impact satire.

01:13:02.000 I feel like, you know, I definitely have a long line of overweight people in my family.

01:13:07.640 My mom loves it when I talk about this.

01:13:10.600 But can I tell you, I don't feel like I suffer from a never-ending urge to eat.

01:13:15.860 I feel like if anything makes me overeat, this may sound weird, but it's like an oral fixation.

01:13:22.040 Like, you know, I need to be, like, sipping on something or eating something.

01:13:27.540 Or I don't know, but it's, like, very gratifying to be, like, eating or drinking something, even if I'm not hungry or thirsty.

01:13:35.600 Well, and so what's very interesting is a lot of people get really hung up on hunger and appetite.

01:13:40.860 And they say, well, this diet, for example, ketogenic diet reduces hunger, or intermittent fasting reduces hunger, or all these different things.

01:13:48.960 And at the end of the day, by the way, none of these diets come out any better for long-term weight loss.

01:13:54.040 They all have approximately the same statistics.

01:13:57.700 Individual diets may be better for certain individuals.

01:14:00.460 If, for example, you like intermittent fasting and you just find it easy to stick to, that's a great reason to do it.

01:14:05.780 But it doesn't really come out as being better than, like, regular continuous calorie restriction.

01:14:11.900 But, you know, the problem is so much of this stuff gets washed up in all the messaging that it's difficult to pick it apart.

01:14:21.440 And one of the things I'll tell people is hunger isn't the only reason people eat.

01:14:25.580 People eat for a lot more reasons than hunger.

01:14:28.320 I mean, think about the last time we went to a social event that didn't have food.

01:14:32.580 There's so many different cues.

01:14:34.120 There's social cues.

01:14:35.300 There's psychological cues.

01:14:36.860 Some people end up eating as a comfort due to stress.

01:14:40.840 Some people end up not eating when they're stressed.

01:14:43.220 So it's very, very different.

01:14:44.820 And I think hunger is a big part of it.

01:14:47.820 In fact, the GLP-1 memetics, the last doctor was talking about, the reason they work is because they cause you to eat less.

01:14:55.500 So they don't increase your metabolic rate.

01:14:57.940 They don't turn you into a magical fat-burning machine.

01:14:59.940 You just have less appetite and you eat less, which is a great thing.

01:15:04.580 And I think that they're great drugs with a lot of promise.

01:15:07.700 But I think a lot of people get hung up on the idea of, oh, something's going to turn us into just like fat-melting machines.

01:15:13.120 And a lot of it's just on the consumption side.

01:15:16.540 But appetite isn't the only reason.

01:15:18.740 We even see this in people who have gastric bypass.

01:15:21.820 Some people will, like, hack their way around gastric bypass by consuming more liquid calories or whatever it may be.

01:15:28.040 So at the end of the day, these drugs, gastric bypass, a lot of what's happening is it's just kind of forcing you into lifestyle changes by causing you to consume less energy.

01:15:38.920 What do you make of my approach on the days I really want to go hardcore on my intermittent fasting?

01:15:43.680 Because, you know, normally I'll have my coffee and I'll have heavy cream in my coffee, which I think is okay.

01:15:50.040 And a little bit of sugar, not much, but I'll have some.

01:15:53.800 In any event, if I go hardcore, then I won't have, like, a handful of berries or sometimes I'll have, like, a very small snack.

01:15:59.560 If I'm hardcore, I don't do that stuff.

01:16:01.200 But I will have a Diet Coke.

01:16:03.300 And I asked my doctor about it because he likes intermittent fasting.

01:16:06.780 And he was like, it's fine.

01:16:08.340 And I was like, well, isn't it supposed to be very controversial?

01:16:11.080 Like, the diet is over it.

01:16:11.980 And he said, it's no worse than following the number 17 bus for a block down the street on your feet.

01:16:17.840 Like, it's fine.

01:16:18.880 What do you think about that?

01:16:21.500 This is actually something I talk about quite a bit and kind of known for.

01:16:25.820 So I think there's a very large pushback against artificial things just due to this naturalism fallacy that it's something that's natural must be better for us.

01:16:35.880 And indeed, like, whole foods, kind of as nature intended them, are very satisfying.

01:16:43.240 They have less calories.

01:16:45.620 They're more difficult to overconsume.

01:16:47.020 But people take that logic and extend it way too far.

01:16:50.660 And diet soda has actually been shown to be a pretty powerful weight loss tool.

01:16:55.540 So in research studies where they have people take sugar-sweetened beverages like regular soda and replace it with diet soda, they see weight loss.

01:17:06.380 And in fact, in one study, they actually did a comparison of sugar-sweetened beverage replaced with water or sugar-sweetened beverage replaced with diet soda.

01:17:16.560 This was what's called a network meta-analysis, which is a very large study.

01:17:19.880 And they found that diet soda, or they refer to it as low-calorie-sweetened beverage, but essentially the same thing, actually performed better than water.

01:17:29.640 Now, diet soda isn't like a fat burner or anything like that.

01:17:32.900 But what it indicates is people just end up eating less because they're getting that sweet satisfaction somewhere else.

01:17:39.260 That's why they're better than just the flavored seltzer, which I also like.

01:17:44.180 But a diet soda fills you up more than just a flavored seltzer.

01:17:49.560 You feel like you're getting, I don't know, something more.

01:17:52.320 Yeah, and a lot of people have concerns about cancer.

01:17:56.600 What I'll say is there was actually just a study published this past week where they found no association with artificial sweeteners and cancer mortality.

01:18:06.700 And you can find some epidemiology that does show that.

01:18:09.660 You can also find studies in rodents where they give really, really high doses of artificial sweeteners, and they see weird things happen.

01:18:16.840 And what I'll tell you is if you give four or five times the normal dose of Tylenol, it can kill you.

01:18:21.360 So just because you're showing something happening in lab rats when you're giving really high doses, that doesn't really say much for what happens in human beings.

01:18:31.000 And when it comes to the actual randomized human control trials, they really haven't seen any negatives.

01:18:37.120 Now, what's been very popular recently is to say, well, it negatively affects your gut microbiota.

01:18:41.780 That research is still really new.

01:18:43.960 We don't understand enough about the gut microbiome.

01:18:46.420 And I've spoken to a few different gut microbiome experts who I know.

01:18:49.940 And they said, you know, on the list of things that they're concerned about with gut microbiota, diet soda is pretty far down there.

01:18:56.860 And in fact, in some of these studies, they actually showed that artificial sweeteners increase the population of certain species of bacteria that we think are actually good for the gut.

01:19:08.380 So we do know that things like sucralose can change your gut microbiome.

01:19:12.940 What we don't know is if that's a good, a bad, or a neutral change.

01:19:17.920 And what I will say is if that diet soda can help you lose 20, 30, 50 pounds, regardless of these small things that might be happening, it's hard to argue that you're a less healthy person for having used diet soda if that tool helps you take off a significant amount of weight.

01:19:34.340 Well, and even, you know, I'm not intermittent fasting for weight loss anymore.

01:19:38.920 I'm just doing it for health and weight maintenance.

01:19:42.380 And I and all these studies I read say that these extended periods of not eating are very healthy for you.

01:19:47.500 So if a diet soda can help you extend that by two hours, that's sort of my thinking.

01:19:53.000 Let me ask you this.

01:19:53.660 One of the things I know you're big on is you need to be consistent.

01:19:57.580 Like one of the keys to losing weight, keeping off its consistency.

01:20:01.280 Can I tell you, this is so hard, because if you're like me and you generally eat well, right, and you'd have to be to stay relatively thin.

01:20:09.560 Sometimes you go on a two week break over Christmas, right, or you get to the weekend and you're like, yay me.

01:20:16.080 You know, this is my chance to indulge.

01:20:19.240 And I always look around at these like bone thin women and I'm like, she doesn't do that. 1.00

01:20:23.860 She's not doing what I'm doing. 0.86

01:20:25.180 And, you know, like she's not rewarding herself with the rich dessert or the second helping.

01:20:31.300 And I think I'm going to be more like that other woman. 0.96

01:20:33.140 And then I think it's so hard.

01:20:34.580 I want it.

01:20:35.500 So how how do you become more consistent?

01:20:39.420 So I think trying to make it into your habits as opposed to just relying on willpower, you know, building in habits is much more sustainable than anything else.

01:20:50.420 And one of the things I will say is, you know, trying to just rely on, OK, I'm never going to indulge.

01:20:56.560 I'm never going to.

01:20:57.000 It's probably not a reasonable expectation.

01:20:59.540 What needs to be better managed is when I indulge, how do I indulge responsibly without going crazy?

01:21:06.620 You make a really great point, which is when you're looking at the calendar year, we know that obesity is something that happens throughout adulthood.

01:21:14.500 And if you break down how much weight people gain during adulthood, it ends up being like an excess of like 20 to 30 calories a day or something like that.

01:21:24.740 But the thing is, people don't gain weight linearly throughout the year.

01:21:28.100 That's not how it happens.

01:21:29.040 In fact, the research shows that people pretty much don't put on weight except for almost exclusively the six weeks between the near the end of November and January 1st.

01:21:39.840 One hundred percent. It's like Halloween, Thanksgiving, Christmas.

01:21:44.940 And if you've got kids, Halloween is a factor.

01:21:46.900 All this candy comes in. You might not buy it at the store, but it's sitting right there.

01:21:49.680 It's like you're minding your own business.

01:21:51.260 The almond joy is eyeing you, begging to be eaten.

01:21:53.880 It feels rude to ignore.

01:21:55.520 But that kicks it off.

01:21:57.120 And then, boom, next thing you know, you're five to seven to 10 pounds up.

01:22:01.260 Yeah. And I think, you know, on average, the research shows in adulthood during that time period, people put on anywhere from like one to five pounds and typically don't take it back off during the year.

01:22:13.300 So you're getting this weight gain kind of in chunks and then it's not coming off.

01:22:16.940 So one of the things I tell people is, you know, just trying to practice avoidance, it can work, but tends to not work as well because, you know, people are also thinking about their quality of life.

01:22:28.880 Well, I don't want to never go out for dinner.

01:22:31.440 I don't want to never indulge in an ice cream or a birthday cake with my kid and whatnot.

01:22:36.840 The problem is people, if they tend to try to practice black and white rules and that works really poorly with food.

01:22:42.620 And in fact, there's some evidence that can actually lead to eating disorders.

01:22:46.480 So one of the things I really try to tell, you know, our members, our clients is, hey, listen, you know, these diets, intermittent fasting, keto, whatever, they all work the same way, which is people eat less.

01:22:59.920 It creates a calorie deficit and they lose weight.

01:23:03.720 Now, so you can pick your form of restriction.

01:23:06.920 So, for example, for you, intermittent fasting is something that has been easy for you or, you know, easier, feels more sustainable, completely reasonable reason to do it.

01:23:15.720 For other people, they say, I get so hungry that I just end up binge eating at night.

01:23:19.160 Well, for them, maybe not so much.

01:23:21.500 But no matter what you choose to do, you need to keep a flexible mindset, which is I can have some treats.

01:23:28.420 I can have some more calorie-dense food, but I need to be aware that I'm doing that and compensate appropriately, which I tend to think about things as like a weekly budget, for example.

01:23:38.340 So if you go, for example, you've got a Christmas dinner coming up, well, then maybe you eat a little bit less earlier in the week and maybe the day of your Christmas dinner, you eat a little bit less earlier in the day.

01:23:47.940 You focus on something like mostly protein and keep your carbohydrate and fat sources low, you know, and that way you're creating room in your budget because I really like to use monetary examples.

01:23:57.540 For example, if your budget is, say, you know, $1,500 a week and you're great, the first six days you only spend $600, but on the seventh day you spend $1,000, you're still blowing your budget, right?

01:24:11.880 So if you can create the necessary room in your budget for these days that you know you might be consuming more, then you can actually still move towards your goals.

01:24:22.840 But one of the things I really tell people, too, is like, don't try to actively engage in weight loss during the holidays.

01:24:28.500 That tends to ruin holidays and weight loss.

01:24:31.720 I really get our clients to try and focus on weight maintenance. 0.82

01:24:35.220 I say, listen, most people gain weight during this time.

01:24:37.960 If we can just get you to maintain your weight during this time, you're actually ahead of the curve because we always can focus on weight loss later.

01:24:44.120 I like that.

01:24:46.040 So my husband, Doug, always says, and he's thin, and he always says, if you feel yourself getting too heavy, cut a meal in half or cut a meal out.

01:24:54.380 And that's his general approach to eating.

01:24:56.960 And it always works for him because, you know, it's just what you're saying.

01:24:59.460 You know, you feel things getting a little too expansive, shrink it down a little bit.

01:25:04.240 You don't have to go hardcore.

01:25:06.060 You don't have to skip three days of eating.

01:25:07.900 Cut one meal out or cut one meal in half and see how that works.

01:25:11.080 It works well for him.

01:25:12.060 So what I know that you're sort of big on the look, you could do the low fat, the high protein, the whatever.

01:25:19.180 You could cut out all processed foods.

01:25:21.420 You know, the bottom line is kind of what it's always been.

01:25:25.600 You need to take in fewer calories if you want to lose weight.

01:25:30.400 But you're also you're also a proponent of exercise saying there's there's it's not true that you don't need to exercise to maintain a good way.

01:25:39.440 Because like I will say that I have believed that if I'm trying to lose weight, I shouldn't exercise because exercise will make me hungrier and I'll overcompensate for whatever calories I burn.

01:25:49.680 So on a population level, if anything, it looks like the opposite might be true.

01:25:57.940 Now, I'm not saying that there's not individual variability.

01:26:00.200 There absolutely can be.

01:26:01.520 And I have spoken to people who say, hey, if I exercise, you know, it makes me hungrier.

01:26:05.600 That is totally that can be a possibility.

01:26:08.180 But in the population studies, when we look at intake, what we actually see is exercise tends to have a satiating effect.

01:26:15.040 So it's not that you have less appetite, but your body tends to respond better to satiety signals.

01:26:21.100 And so people who exercise, they actually don't tend to compensate up to a certain point.

01:26:27.080 If you're doing like intense hours and hours of activity.

01:26:30.620 Yes, you will start eating more.

01:26:32.100 But in terms of like light to moderate exercise, people don't tend to compensate for that.

01:26:40.600 And in the most rigorous randomized control trials, we do see people who exercise tend to lose weight.

01:26:48.440 And you don't have to do it.

01:26:49.780 You don't have to exercise.

01:26:51.580 But if we're talking about overall health, I mean, exercise is one of the only things that will actually improve your metabolic health without even losing weight.

01:26:58.420 You don't even have to lose weight.

01:26:59.600 If you just start exercising, you'll improve your metabolic health.

01:27:02.100 And it stays off.

01:27:03.680 Sorry, go ahead.

01:27:04.740 It stays off.

01:27:05.480 So if you lose weight and you're an exerciser, you have a way better chance, I've heard you say, of keeping off that weight.

01:27:14.400 Yeah.

01:27:14.740 So that's what I was just about to say was if you look at long-term studies of the people who lose weight and keep it off,

01:27:20.560 we're talking less than probably 10% of people who attempt weight loss lose weight and keep it off for years.

01:27:25.920 One of the top three most common things is they exercise regularly.

01:27:29.660 So people who lose weight and keep it off, over 70% of them engage in regular exercise.

01:27:35.240 Now, part of that could be the appetite satiety effect.

01:27:38.020 Another part of that could also be the fact that if you're exercising, you're not thinking about eating food during that time, right?

01:27:45.620 Like a lot of people would be out of boredom as well.

01:27:48.140 And when people tend to get into exercise and they tend to feel better, they tend to just start bringing in other healthier habits just by default.

01:27:55.720 So, and yes, there is a calorie burn portion to it, but the actual calories you burn during exercise appear to be pretty minimal, to be honest.

01:28:05.480 You do burn some, and obviously if you're exercising intensely for three hours a day, you'll burn quite a bit.

01:28:11.060 But for most of us who don't have that period of time to work out, the actual calorie burn you get from exercise is pretty small,

01:28:17.060 but the effect on satiety and your lifestyle appears to have a pretty good payout.

01:28:22.360 So for people who are sitting there right now saying, you know, I want to, I don't know, it's okay, I don't have a gym membership.

01:28:28.080 I don't want to drive to the, like, what can people do literally today on eating and exercising to just flip the switch?

01:28:36.820 So the first thing I'll say is in this systematic review, I'm looking at different characteristics of people who lose weight and keep it off.

01:28:48.340 One of the main things that stood out to me was they talked about having to develop a new identity and addicts talk about this.

01:28:56.720 So if you're somebody who's addicted to drugs or alcohol, you can't hang around the same friends.

01:29:00.880 You can't go to the same places because your entire lifestyle was constructed around that addiction.

01:29:05.440 Now, I'm not saying these are necessarily food addicts, but if you're somebody who's overweight or obese,

01:29:10.460 you've lived your life in such a way that your habits and your behaviors are conducive to that.

01:29:16.620 And if you're going to change those, you basically have to create a new person.

01:29:19.860 So one of the things I'll say is think about the person that you want to become.

01:29:24.540 You're not going to be able to get to become that person while dragging your old habits and behaviors behind you.

01:29:30.720 What you're going to have to do is think about what do I believe that this person does?

01:29:36.100 What are the daily habits and behaviors of that person?

01:29:39.420 And then how do I retroactively put those into place so that I become this person?

01:29:45.400 And I think that's really powerful.

01:29:47.200 So you don't say, I have to go to the gym.

01:29:49.460 You say, I'm someone who goes to the gym.

01:29:51.540 I'm someone who exercises or I'm somebody who eats healthy.

01:29:55.040 That's part of who I am.

01:29:56.620 Now, at first, you're going to be lying to yourself to get there.

01:29:59.520 But over time, you can get there.

01:30:02.480 And what I will say is it doesn't have to be I go to the gym.

01:30:06.520 I train hard for two hours a day.

01:30:07.880 I mean, that's me because I love it.

01:30:10.360 But if you're somebody who doesn't like going to the gym, just do whatever gets you in there.

01:30:15.300 If that's a spin class, great.

01:30:18.020 Or if that's being at home on a Peloton, great.

01:30:20.580 If that's going for a walk for 30 minutes a day, great.

01:30:23.840 But do something.

01:30:25.960 And even when we look at like intense exercise is almost always better.

01:30:32.120 But going for a walk is still better than doing absolutely nothing.

01:30:36.560 And if we look at the data on mortality, we see a very, very sharp decline in the risk of mortality going from sedentary of 2,000 to 4,000 steps per day up to 8,000 steps per day.

01:30:48.780 Now, that's not because steps are magical, but it's just because moving your body is therapeutic for your health.

01:30:55.960 So I would say.

01:30:57.060 But what if you do the new identity?

01:30:59.460 You do it.

01:31:00.060 But then you're like, I'm hungry.

01:31:01.560 I'm hungry.

01:31:02.360 I'm so hungry.

01:31:03.640 I know I already ate, but I want to eat in that moment.

01:31:06.760 Then what?

01:31:08.100 Well, I mean, some of these weight loss drugs have been helpful.

01:31:10.080 We talked about versatility to, you know, choosing low calorie filling foods, you know, fruits, vegetables,

01:31:17.020 vegetables, lean sources of meat, animal products, those sorts of things.

01:31:21.160 But then beyond that, understanding that that temporary discomfort will pass.

01:31:26.740 You don't remain hungry forever.

01:31:28.580 It will pass.

01:31:30.000 And I do the same thing.

01:31:32.240 You know, it's the great dichotomy of life.

01:31:34.200 Whatever makes you comfortable in the short term will make you uncomfortable in the long term.

01:31:38.940 Whatever makes you uncomfortable in the short term actually tends to make your life easier in the long term.

01:31:44.020 So you have to be willing to trade out that short term discomfort for long term gain.

01:31:49.100 And I think what a lot of people, especially overweight or obese, struggle with is they've tried so many things and they've kind of gone back that they feel like, oh, I can't trust this process because it's not going to work.

01:32:01.740 And so they bail on it early.

01:32:03.200 And I will say you have to buy in.

01:32:05.320 You have to trust the process.

01:32:06.340 You have to put the work in without having a guaranteed outcome.

01:32:09.900 But if you put the work in, you have a much better chance that you're going to get that outcome.

01:32:14.560 I like that idea.

01:32:15.420 I'm just thinking about yourself as this different person as opposed to I will lose 10 pounds or I will work out five days.

01:32:21.100 It's like I am the kind of person who lives this way.

01:32:25.200 And that's what I'm committing to.

01:32:27.500 Absolutely.

01:32:28.040 I have a friend.

01:32:28.620 He's a Hollywood actor named Ethan Supli.

01:32:31.320 You may know of him, but he lost over 300 pounds.

01:32:34.160 And he has a saying whenever he posts up on his Instagram, he'll say, I killed my clone today.

01:32:39.340 And I asked him, I said, is this what you're talking about?

01:32:42.540 Like this creating of a new identity.

01:32:44.300 And he said, that is exactly what I'm talking about.

01:32:46.580 Because within me, there is the current version of me and there's still the old version of me who wants to come back.

01:32:53.360 And every day I have to kill that clone version of myself if I want to maintain what I have.

01:32:59.060 I like that. 0.67

01:33:00.380 Let me get a call in.

01:33:02.020 Eric in Missouri has been waiting on the line for a bit.

01:33:03.920 Eric, hi.

01:33:04.420 What's your thought or question?

01:33:06.940 I was on Munjaro.

01:33:08.660 Not was.

01:33:09.380 I am currently.

01:33:10.860 I started it back in July.

01:33:13.320 Just wanted to let everybody know that you really have to force yourself to drink on that first box of medication.

01:33:20.060 And I thought the medication was almost killing me.

01:33:24.220 I was sick.

01:33:24.980 It was pure dehydration.

01:33:27.960 It is so powerful that it for the first week I really had to force myself to eat and I didn't even notice that I wasn't drinking.

01:33:37.100 Wow.

01:33:37.820 Did you lose weight?

01:33:39.880 77 pounds with four boxes.

01:33:42.400 Oh, my goodness.

01:33:43.920 Okay.

01:33:44.480 So that's the thing.

01:33:45.460 It sounds like a miracle, Worker Lane, like so many people could use that little bit of help.

01:33:52.000 I don't know.

01:33:52.340 Do you think the risks outweigh the rewards on these drugs right now or not?

01:33:57.560 That's, you know, I think for somebody who's very obese, again, you're just managing risks.

01:34:03.900 So right now we don't know that it causes any of these things that have been proposed like thyroid cancer or cardiovascular disease.

01:34:09.280 But I would say that if somebody loses 70 pounds on the drug, it's hard to argue that it wasn't a net positive.

01:34:15.240 What I will say is what he's referring to, there are some people who do get quite a bit of nausea.

01:34:21.440 And that can be possibly part of the reason that people eat less.

01:34:25.520 But that is one of the side effects is pretty severe nausea.

01:34:28.240 And some people end up vomiting as well.

01:34:29.880 But, yeah, if somebody loses 70 pounds on it and they were overweight or obese, it'd be hard for me to argue that they're not better off now than they were before.

01:34:39.620 But, again, we're just going to need more long-term data.

01:34:42.580 All right.

01:34:42.820 Your name is Dr. Lane Norton.

01:34:44.440 If people want to read more of your thoughts, there's Fat Loss Forever.

01:34:48.940 There's the Complete Contest Prep Guide.

01:34:51.700 Is there another place they can go, Lane, to get more of your thoughts?

01:34:55.200 Yes, my website, biolane.com.

01:34:57.120 We also have a nutrition coaching app.

01:35:00.060 So I help write the algorithm for this app that will help people lose weight or gain muscle, whatever they want to do.

01:35:05.200 And it's in both app stores.

01:35:06.480 It's called Carbon Diet Coach, and it's excellent.

01:35:08.740 Oh, I like that.

01:35:09.540 Oh, I may be checking that out later today.

01:35:11.660 Lane, such a pleasure.

01:35:12.580 Thank you, sir.

01:35:13.740 Thank you.

01:35:16.540 Thanks for listening to The Megan Kelly Show.

01:35:18.660 No BS, no agenda, and no fear.

01:35:27.120 Thanks for listening to The Megan Kelly Show.

The Megyn Kelly Show - January 05, 2023

Explosive Prince Harry Allegations, and Wellness Tips for 2023, with Tom Bower, Dr. Ehsan Ali, and Dr. Layne Norton ｜ Ep. 465

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