Mark Bell's Power Project - Can Obesity Be A Chronic Medical Condition? - Sam Miller || MBPP Ep. 1046
Episode Date: March 13, 2024In episode 1046, Sam Miller, Mark Bell, Nsima Inyang, and Andrew Zaragoza discuss whether or not Obesity can be labelled as a medical condition. Follow Sam Miller on IG: https://www.instagram.com/samm...illerscience/ Official Power Project Website: https://powerproject.live Join The Power Project Discord: https://discord.gg/yYzthQX5qN Subscribe to the Power Project Clips Channel: https://youtube.com/channel/UC5Df31rlDXm0EJAcKsq1SUw Special perks for our listeners below! 👟 BEST LOOKING AND FUNCTIONING BAREFOOT SHOES 🦶 ➢https://vivobarefoot.com/powerproject 🥩 HIGH QUALITY PROTEIN! 🍖 ➢ https://goodlifeproteins.com/ Code POWERPROJECT to save up to 25% off your Build a Box ➢ Piedmontese Beef: https://www.CPBeef.com/ Use Code POWER at checkout for 25% off your order plus FREE 2-Day Shipping on orders of $150 🩸 Get your BLOODWORK Done! 🩸 ➢ https://marekhealth.com/PowerProject to receive 10% off our Panel, Check Up Panel or any custom panel, and use code POWERPROJECT for 10% off any lab! Sleep Better and TAPE YOUR MOUTH (Comfortable Mouth Tape) 🤐 ➢ https://hostagetape.com/powerproject to receive a year supply of Hostage Tape and Nose Strips for less than $1 a night! 🥶 The Best Cold Plunge Money Can Buy 🥶 ➢ https://thecoldplunge.com/ Code POWERPROJECT to save $150!! Self Explanatory 🍆 ➢ Enlarging Pumps (This really works): https://bit.ly/powerproject1 Pumps explained: ➢ https://withinyoubrand.com/ Code POWERPROJECT to save 15% off supplements! ➢ https://markbellslingshot.com/ Code POWERPROJECT to save 15% off all gear and apparel! Follow Mark Bell's Power Project Podcast ➢ https://www.PowerProject.live ➢ https://lnk.to/PowerProjectPodcast ➢ Insta: https://www.instagram.com/markbellspowerproject ➢ YouTube: https://www.youtube.com/markbellspowerproject FOLLOW Mark Bell ➢ Instagram: https://www.instagram.com/marksmellybell ➢https://www.tiktok.com/@marksmellybell ➢ Facebook: https://www.facebook.com/MarkBellSuperTraining ➢ Twitter: https://twitter.com/marksmellybell Follow Nsima Inyang ➢ UNTAPPED Program - https://shor.by/untapped ➢YouTube: https://www.youtube.com/c/NsimaInyang ➢Instagram: https://www.instagram.com/nsimainyang/?hl=en ➢TikTok: https://www.tiktok.com/@nsimayinyang?lang=en Follow Andrew Zaragoza on all platforms ➢ https://direct.me/iamandrewz #PowerProject #Podcast #MarkBell #FitnessPodcast #markbellspowerproject
Transcript
Discussion (0)
More than 2 billion adults are overweight or obese.
And already, we're already close to 80% or more are metabolically unhealthy.
Obesity kills more people than malnutrition.
This isn't just solely a weight loss issue.
This is a conversation around cardiovascular disease.
Can you define for us obesity is a disease?
There's still a disease component in that the body is dysfunctional.
We need to be so careful that when that label is applied,
someone doesn't just kind of put on this veil of brokenness.
There's not real evidence of people being addicted to food, is there?
They will feel like you are addicted.
Do we know anything about like the momentary dopamine release
when it comes to hyperpalatable foods?
100%, there are studies that will show that you can do certain things
to the profile of a food, increase enjoyment,
sensations, desire to overeat that food and consume it regularly. All right, man. Well, it's great to have you on
the show today, Sam. I think it'd be good to kind of dive into what everyone's talking about,
which is these GLP-1 inhibitors. People might know it as Manjarno or there's a bunch of other
Ozampic, a bunch of other names. So I think it would be
cool to kind of kick things off with some of this. Yeah, for sure, man. Thoughts on it.
So GLP-1s or GLP-1 agonists are popular weight loss medication. If you've heard of some of
Glutide, Ozempic, that's really the class that we're talking about in category. And we've seen
it initially, you know, while it was promoted for folks who are overweight and obese, we were even
talking earlier this
morning about how now it's being recommended by the American Association of Pediatrics,
even for childhood obesity and children who are overweight. So something that could potentially
be powerful for folks who are either pre-diabetic or have significant metabolic issues, but it's
grown so much in popularity. We're even seeing mainstream publications and news media outlets talking about it and not really showcasing some of the side effects or dangers of medications, which anytime we're adding something to our body or considering adding an exogenous compound, really need to consider, okay, there are some positives potentially, but what are the implications of long-term use?
And I don't know that we have the full picture of that yet based on the research that we have
and how we're kind of seeing this play out in real time.
Anyway, we have Oprah Winfrey on the show here today.
So Andrew, if you can sync up her mic
so she can give us her view.
I have her via satellite.
Yeah, thanks, Oprah.
Appreciate it.
All right, Oprah, don't be shy.
I know you all have been seeing the headlines
and it's blowing up your social media feeds.
The new weight loss drugs. Everybody's talking about Ozempic, Wigovi, Manjaro.
Will they change the game on the health battle? Hundreds of millions are fighting every day.
More than two billion adults, two billion adults, that's one quarter of the world's population, are overweight or obese.
And it's estimated that by 2035, that number is going to reach more than half the world's population are overweight or obese. And it's estimated that by 2035,
that number is going to reach more than half the world.
Yes.
Today, in most countries, y'all.
Pause.
What brings you so much excitement about this, Doc?
I was like, this is great.
We're winning.
Yeah.
Everybody's getting fat.
It's not just America anymore.
We get blamed for everything.
What do you think?
Right now, it's like, what, 68% of the United States, right?
Something like that, yeah. What do you think it'll now it's like what, 68% of the United States, right? Something like that, yeah.
What do you think it'll be by then, like 80%?
Oh my gosh.
And already we're already close to 80% or more are metabolically unhealthy.
So even if you're not obese, we still have individuals who may not appear to be physically obese or excessively overweight.
But if you were actually to look at their internal health markers and look at their labs. Like if you were to look at markers of
fasting insulin, different markers of prediabetes, A1C, their lipid profile,
potentially check their blood pressure, someone may have some sort of indicator that they are
in a declining state of metabolic health. So that number, definitely true from an obesity
perspective, but just because you're not obese doesn't mean you don't have internal health
issues. And that's a big consideration as well.
I didn't know this until preparing for this show. Obesity kills more people than malnutrition.
That was a while ago too. So in 2020, I actually had a tweet about this, guys, during COVID, which was basically the statistics around obesity and then the fact that our solution to it is to come out with a new flavor of Doritos.
So, you know, we look at this and it's like, this is something that's also what flavor was it?
You remember?
Probably Cool Ranch.
Oh, that one's really good, though.
Classic, classic.
So weird, we're all fat.
So classic, classic.
So when we have this- So weird, we're all fat.
So we have this conversation realizing,
yes, that is an obesity statistic,
but how is this impacting things like our immune system
and our overall health and what's happened,
you know, in recent or last three to five years,
really, right?
So I think these statistics are important,
but also understand when we're listing this information,
number one, you may not fall
into the obesity statistic yet. That doesn't mean you're in a good state of health. We've still got
problems that need to be addressed and need to be fixed. Number two, this isn't just solely a weight
loss issue. This is a conversation around cardiovascular disease, this conversation
around longevity, lifespan, healthspan, and what we were talking about with children too.
And right now, all of this,
the conversation we're having around GLP-1s,
we have so much funding being shifted
towards this pharmaceutical conversation,
not realizing or not accounting for
really what needs to be done
from a nutrition and fitness perspective too.
Yeah, I buy some stock in some of these things.
I mean, look, the numbers are in your favor.
Might as well buy some stock in it, right?
Keep it rolling.
So you all know I've been on this journey for most of my life.
My highest weight was 237 pounds.
I don't know if there is another public person whose weight struggle
has been exploited as much as mine over the years.
So I am ready for this conversation.
With me, our top expert, and this audience has some interesting questions and opinions.
And I know many of you watching have on your mind as well.
So questions like, is being overweight a lack of willpower or is obesity a medically treatable disease?
Are these new drugs a miracle cure, a silver bullet for weight loss?
Can anybody take them?
Are they safe?
Can you pause for a moment?
237 pounds, I'm not aware of like her height,
but like what does get somebody in the category of being obese?
So usually it's a combination of,
we're typically looking at body composition and then overall chart like relative to
um
You know both body weight height. Sometimes we're still using bmi
Um in the fitness industry, obviously we talk about things like body fat or you'll go get a dexascanner you have skin calipers
Typically when we're talking about someone being overweight or obese, it is just uh, pretty much their weight at a given height for the most part.
But then when it comes to this conversation where we really have to go beyond just words like being
overweight or obese is the conversation around metabolic syndrome. And really what we're saying
is the percentage of the world and the United States that is metabolically unhealthy. And
that's where we bring in these other more precise measurements. And these aren't just necessarily internal health or
lab readings either. This is, you know, even looking at your waist circumference,
you know, you can get your blood pressure tested. It can be very, very simple, just blood pressure
cuff. That is an accessible biometric that does not necessarily require this, you know, sort of super
advanced testing or anything like that. So, um, obesity is largely a conversation around scale
weights. However, what we need to understand is what's happening in someone's progression when
they're adding that scale weight, what, how the body is adapting to the accumulation of fat and
adipose tissue. Because, you know, for, for, um, I don't know if you're trying to go by like definitions or something, right. Let's just, let's hypothetically say that 237 pounds does put you in
that category. And that does deem that you're obese. It's like, well, how much weight do I need
to lose to get out of this category? And for Oprah, I would imagine it would have probably
been around 30 pounds, um, which probably wouldn't take that long a time. And it could be challenging.
If she's about average height, I would say Oprah spent more time in what was probably the overweight
category than obese. And then looking at it, right, we don't have body fat percentage statistics
around Oprah. But even when I think about that, you know, it's like the change from one spot to
another for most people, I'm not talking about like morbidly obese and stuff like that.
The change for most people, we're talking about probably just a small percentage of your body weight, like maybe 10%, which may not be a small percentage.
Do you want to pull up like two different definitions?
It's just interesting.
I guess what I'm thinking in my head is that the 20 or 30 pounds of weight loss that you may have acquired may not be all
that much healthier, but in the long run, it will be. So it's like, you don't need to just lose the
weight. We need a strategy so that you can kind of keep it off. Right. And that's where I think
people start to have the conversation around willpower and also where the medications come in,
in terms of keeping it off is if you are down-regulating
those hunger cues and you're able to regulate your cravings, then therefore we're consuming
less calories and that's going to help sustain the weight loss. So we still have to account for
our total daily energy expenditure, energy intake. And what's challenging for these overweight
individuals is we have a lot of energy availability on our body. So when we
store body fat or adipose tissue, we are storing calories. And that plays into our, typically what
happens as we become increasingly insulin resistant, we have leptin resistance, we have a
lower than predicted TDEE or a lower than predicted total daily energy expenditure, which is the
calories that you're burning from daily movements. So where this may come into play is if we have a lower than predicted TDE, it is helping people
get to that lower calorie intake where their expenditure can actually get in excess of that
for weight loss purposes. But again, we have to weigh sustainability when we have the conversation
around side effects versus just the sustainability around regulating your hunger. It will make weight loss more sustainable from the fact that you will
not be hungry, which is going to help you lose weight. Now, is that something you should do
long-term? That's probably more of a personal decision and you have to take into account your
health history and also how the side effects are impacting you as well. And I think that's
a mistake we've been making is we've been, there are a lot of people have been losing weight and maybe losing weight kind of quickly and losing weight aggressively.
And then you're in this constant state of like, what happens if you, if you get into an accident,
you know, you, you twist your ankle, you fall down, something happens. And now your energy output
is diminished quite a bit. And you still never really learned how to actually control your food.
And you still never actually learned
how to react to your hunger signals and so on.
Yeah, that's why people say it's very hard to out-exercise
like really poor nutrition.
But in those, kind of in those examples,
when we're thinking about yo-yo dieting, for example,
a lot of people will say,
we don't have a weight loss problem,
we have a weight regain problem. And some of that has to do with the sustainability
of the nutrition or the diet, which is, I've kind of this saying, which is your diet either
needs a level of sustainability where we don't need an exit strategy or we need an exit strategy.
So let's say if you were trying to meet for powerlifting, or if you were in a weight restricted
MMA class of some kind,
you would have your plan to cut weight. And then we'd have to have an exit strategy after that,
to be able to get back to a better place for health and training performance.
So we do this in athletics and we do this when, uh, from a coaching perspective,
having some seasonality or nutritional periodization, almost like periodizing or
training, having a plan for things.
But when we don't have that plan, the problem is people get to a place where their calories are
super low. They have a hard time increasing energy expenditure, you know, as a result of being largely
at this very restrictive place with their calories. And they have this, the question is,
where do I go from here? Because they've gotten the weight off, they've kind of raced to the
bottom with their calories. And then it's, you And then it's natural to want to eat more food to just kind of sustain
that, but people don't. What happens is they end up eating more food and they gain weight and then
they think they need to hop on the next diet and so on and so forth. And then every time we're
yo-yo dieting, a lot of times we're creating metabolic adaptations that make it a little bit
more challenging to lose weight and keep it off again in the future. So definitely can be challenging from, we do have a yo-yo dieting
issue for sure, and a sustainability problem when it comes to the fitness industry as a whole.
So happy to have you all here. So happy to be here. Okay, let's start with this. 10 years ago,
the American Medical Association declared obesity a chronic disease. Now, a lot of us miss
that, but many people can't wrap their brain around what that really means. So, Dr. Fatima,
I read that you played a central role in that designation a decade ago. Can you define for us
what it means that obesity is a disease? Absolutely. Why do we call obesity a disease?
We call it a disease because there is malfunction in how the body is operating.
And there's two primary pathways of the brain that actually regulate weight.
One pathway is our anorexigenic pathway.
When we hear anorexigenic, what do we hear?
We have less food intake and less food storage.
Now, we have a different pathway of
the brain. And when patients have overweight and obesity, they're typically upregulating the
orexigenic pathway of the brain. Orexigenic is the opposite of anorexigenic. That pathway
supports storage of adipose. Adipose is a fancy word for fat. And I just threw out a lot of
vocabulary there. Yeah. But that tells us that there is dysfunction
in how the body is regulating weight. And it's good. The question, even though there are pathways
for all of this, I wonder if she's going to bring in the idea that there's still a choice in, you
know, what these people make because, or what people make, because we are very hungry individuals.
We love food, but we still sometimes make certain choices
to put ourselves in good positions.
Like they're still dependent on the choice you make.
You did this on a recent show, didn't you?
You were talking about how you would just crush
like a whole sleeve of Oreos.
I can, yeah.
You can, yeah, you could, but you choose to keep it away.
You know, choose not to buy it.
Choose not to buy it, right?
So that is part of the conversation
that I think we need
to acknowledge is that there are folks who have pursued healthier living, despite the fact that
they do still want to eat some of those things and, or have a desire to kind of, you know,
I'd love to, you would love to, right. It would be my pleasure. So, you know, you have,
have this conversation. I think you make a really
good point around that is that there's still a choice now where we have to be very careful with
labeling and things like disease is this idea of it can create a very fixed mindset in individuals
where you're like, I have a disease, I'm broken. I have this label. I'm seeing this a lot in not only the fitness industry,
medical community, and every sort of area and intersection point and corner across those two
industries. It's, we give someone a label, they feel broken. Then we sell them a solution to
their brokenness and around and around and around we go. And we continue to look outside of ourselves
for these answers when in reality it takes power away from the individual.
And when we do that,
we're basically pointing blame over here,
saying, here's this problem, you have this disease.
And as a result of that,
it's a very challenging conversation
around personal responsibility.
Because if you accept personal responsibility,
you now have the freedom that you acknowledge that every choice that you make for the rest of your life plays
into this conversation. However, it's also incredibly scary because it means that you got
yourself into the situation, but it's empowering because it means you can get yourself out.
So it's terrifying and it's hard, but it's also very freeing in a way too. So we can confront this conversation.
And that is really the harsh truth.
And that friction point is being able to face that and say,
okay, the way I've lived my life for the last 10, 15, 20, 30, 40 years has gotten me to where I am now.
Now, I don't need to spend 10 years, 20 years, or even 30 years
getting my health back on track.
It could happen in a fraction of the time.
And there is a choice that plays into it. Now, in terms of her depiction of what's going on
in terms of the different pathways, it's also sometimes referred to as we have the homeostatic
and hedonic eating system. So when someone gains adipose tissue or fat tissue, sometimes we have
a hard time with that. So typically we have both hormonal or physiological signals that help to regulate
digestion and also just mechanical. So chewing, chewing your food longer, the actual environment
in which you eat your meal, and then the actual expansion of your stomach. Those are mechanical
aspects of digestion that help with those feelings of fullness, which is here's where the choice part
plays in. If I choose to eat nutrient dense food, that's relatively filling and low calorie,
I'm working with that
mechanical component of digestion. I may also have some dysregulation from the hedonic eating
perspective, right? But I still played a role in getting there too, right? So it is a challenging
conversation and I'm not, this isn't here to, there's still a disease component in that the
body is dysfunctional, right? We need to be so careful that when that label is applied, someone doesn't just kind of put on this veil of brokenness and then refuse to take
action in terms of their own life. I think it really starts, it almost becomes a cultural
conversation of us becoming, you know, kind of a victim in our own lives where, you know, with this,
how can we have the conversation around, Yes, obesity does lead to health complications and there is dysfunction and therefore it is labeled as a disease,
but you, the individual still have the ability to change and make, you make a difference in
your own life. Now, whether you choose to do that with medication or without medication should be
your own choice and you should have the ability to make informed consent. And the issue is,
I don't know that people are reaching a state of informed consent because they don't have all the information around medication. They don't
have all the information around, I mean, there's a lot of information available on social media
about nutrition and training and things like that. It's not all good information, but I do want people
to get to a place where they can make an informed choice about their health that works best for them
while also understanding that we still played a role in getting to where
we are currently in terms of that status quo. It's so multi-layered. It's super multi-layered.
And then it becomes this, that's why it's, it's a conversation around physiology. It's a
conversation around psychology. It's a cultural conversation. It's, uh, you know, for some people
too, it was, it's how you were raised. It was what your parents fed you. It was what it was
available as a child environment. What about what your mother ate when you were raised. It was what your parents fed you. It was what was available as a child environment.
What about what your mother ate when you were developing?
Yeah, what your mother ate.
Yeah, I mean, we see this on both sides.
We know this with crack babies.
You know, you know this with drugs, right?
That the child's addicted to the drug.
I mean, we don't know that much down the road of like what a baby is connected to.
But I would imagine what the mom eats probably is a huge...
I think ultimately what needs to be recognized is a huge, I think, I think
ultimately what needs to be recognized in all of this is that we're not eating food is the biggest
problem. We're most of the time when people get themselves in these compromised positions,
in my opinion, it's because they want to induce some self-harm. I don't know why, I don't know
what it is. Maybe they don't look at it that way. But in a lot of cases, I think it has to do with trauma and people are making a choice to bury themselves in pizza because it feels better.
Like I love pizza. I would love, I would love to do that, but I choose not to do it too often
because I know, I know what it does to me. I know the other, the other side of it.
And I think we need to get to some of the, we got to get to some of the root
cause of some of these things. And I don't think, I understand why they're trying to label it as a
disease or not a disease or it's an addiction or it's not an addiction. But it really doesn't
matter. I think people are making these poor choices and they need to figure out why. Yeah.
Yeah. And then have, and this is where there's that fine line of, we need to take enough ownership to
feel empowered to make a change in our life and understand that we have a level of responsibility
in terms of our own health, but also your loved ones around you and your community and people who
count on you to show up as a healthy person. But, you know, there is that conversation around
parenting, what you were fed, how you were raised. You know, we have a generation of kids where it's like, your mom thought slim fast was healthy. And
you know, even looking at like my, my childhood, right. It was like, well, you can have this box
of cereal, but you can't have this one. Right. But it was completely like looking back on it,
like makes no sense. Right. It's like, okay, you can have Cheerios and frosted mini wheats,
or you can have this, but you can't have apple jack, but then you turn it around and it's like the frosted Cheerios and the
Apple Jacks are basically like very similar macronutrient profile, right?
So just understanding that, yes, part of this was you may have been misled by people you
loved or people who thought they were doing what was best for you, but they actually were
not because of the information that was available to them or what was passed down generationally.
I do also think people turn to food. It can be a mechanism for dealing with life's challenge or thinking that
we're sort of dealing with life's challenges. I'm not necessarily an expert on that by any means to
understand how, you know, individually, I'm sure this is where we have to look at health from a
more holistic perspective. As much as that word
gets thrown around a lot. Yes, your mental health is going to be impacted by your physical health
and your physical health is going to be impacted by your mental health. We can't really separate
those entirely. So if you do have something in your life that you haven't been able to work
through and that's impacting your relationship with food and impact with the relationship with
exercise, that's important. That's why even very early on when trying to convey this concept to clients and other coaches, I kind of talk about,
okay, we have our daily practices, things like, okay, how we exercise, how we eat, do we go for
a walk? Do we get enough sleep? We have our perceptions, which is like how I view exercise,
how I view food, how I view the world, my mindset about things, my attitude, how I experience life.
And then that's going to impact
my physiology, which is basically my internal health or metabolic status quo, if you will,
because it's a by-product of those two things. Now, some people have very skewed relationships
with food. They have a skewed relationship with exercise. And we see this on the other end of the
spectrum too, with chronic dieting. There are women who've been told since they were seven
years old that they need to be on a diet. And so they're constantly restricting food. It's not the obesity conversation, right? Doesn't get
that type of attention, but there are people who have had equally as bad advice, but it's led to a
lifetime of restriction and exercise is this sadistic thing, or like almost like it's a very
vicious pattern of engaging. And like, I need to, you know, I have to train every single day.
I can't take a day off or I need to,
I can only eat 1200 calories.
And that's also coming from a place of
how did your parents talk to you about food and exercise?
How did you, did you learn to prepare meals at home?
But I do agree there's earlier on in your comment,
before we talked about the childhood component,
you mentioned we're not eating real food.
And so people are blaming like steak and eggs and fruit for issues caused by frappuccinos
and things you'll get in the middle of the grocery store that are, you know, kind of
prepackaged, hypercaloric, not very high micronutrient density.
They're very tasty, very easy to overeat and have large quantities without even really
thinking about it doesn't really help in terms of any type of feelings of fullness or satiety. So that's definitely
playing into it too, is how people are getting there. And it's, we're certainly not, most people
are not overeating or overindulging in single ingredient whole foods that are filled with
protein and overeating fruits and vegetables or having single ingredient
carbohydrate sources even too. Before we actually continue on this clip, I am curious on what you
think about the idea of demonizing foods, because I understand why people are against demonizing
food. You know what I mean? Like we will sometimes eat junk food, but we're in full understanding
that it's not going to send us the signals of feeling full, that these are foods that were made so that you would easily be able to overeat them.
So when we do speak about these foods to most people, we're not trying to make them sound like
you can eat them just like you can eat a potato or steak or eggs or rice. Because if you don't
handle these foods responsibly, you can be in a very bad situation.
If you don't understand that, like, like what they, so what are your thoughts on the idea of
demonizing junk food? That whole statement is just like user discretion is advised.
You know, it's like, but, but it's true though, right? We have a level of,
if we are going to, part of it is knowing yourself and having a level of self-awareness to understand, how does this food make me feel? Am I very likely to overeat it? Do I need to take some sort of
precaution in terms of moderating my intake or consumption, whether it's
buying a different size bag of the food, or maybe you get like a single serving instead of buying
the family pack, right? So I don't necessarily like to demonize foods.
I like for people to make informed decisions
around nutrition,
where it's foods exist on the spectrum
of relative macro and micronutrient density.
We have foods that are super high in calories
and macronutrients that are very low in micronutrients.
So that could be something,
like if you were to plow through that sleeve of Oreos,
right, we're going to consume a fair amount of calories
without a ton of vitamins and minerals.
You're not getting a ton of protein or fiber or anything like that.
We have to understand what that food is coming with.
And it's basically prepackaged instructions for my metabolism.
That is a very different set of instructions than, okay, you know, Mark had some filet and it was eight ounces of steak is going to provide a certain amount of
protein or I ate three whole eggs, right? I'm getting the essential fatty acids, the protein,
choline, other micronutrients as well. So instead of demonizing or having this black or white
viewpoint or a on off switch of yes, no, good, bad, it's really this gradient spectrum dimmer
dial or almost like a radio
that we can kind of turn up in the direction of our goals or what it is that we're trying to do.
If you were swimming like Michael Phelps and consume, you need to eat eight, you know,
six to 8,000 calories a day or something. Maybe some foods that are more calorically dense could
be aligned with what you're currently doing. And you can get away with it so long as you still have a foundation of single ingredient, whole foods. I want to say
for most of y'all, this isn't you. For most of you, this is not you. People are like, yeah, yeah.
It's not you, dog. Yeah. So for most people, we need that foundation of single ingredient,
whole foods is just an easy way to think about it, right? So you're consuming enough
protein to help to, I kind of talk about the five M's when
it comes to nutrition metabolism. So we want to, you know, we need to manage appetite. We have to
maximize adherence. We need to maximize our digestion or absorption of that food, which is
our gut health. So we have to have a conversation around that. We want to be mindful of micronutrient
density. And then the last M is just to mitigate metabolic adaptation. So that's the chronic
dieting, or when we talked about like your wife under eating
or potentially not fueling for performance.
So those five M's,
we can make individual decisions around our goals.
So let's say you guys were talking
about resilient jujitsu earlier,
probably not the time
if we're trying to achieve optimal performance
with training and we're also expending
a ton of calories with BJJ,
maybe that's not the best time to be incredibly restrictive with our calories. So we kind of use
these as guidelines or a guiding framework to making decisions about our nutrition that work
best for us as people. So I take, I view a lot of things on kind of a spectrum. Even this
conversation around obesity is disease, right? We have our status quo. We have optimal health over
here. That's a preventive
lifestyle medicine stuff. That's health optimization. That's a conversation we have
sometimes about like Merrick health and everything, right? That's like moving from okay to optimal is
on one side of the spectrum. Then we have from the status quo, you can move to like dysfunction or
maladaptation. And then we can progress towards disease when we continue to make those bad
choices. With food, we have
essentially this, you know, you start each day, you have this slate of decisions that you make.
Each food decision you make is going to impact your food decisions at future meals. You talk
about this a lot in terms of how you try to get in a lot of protein earlier in the day and minimize
calories, but basically like more protein leverage, right? You've talked about that concept a lot.
So for you, you're using that. So let's like kind of refer back to them, using that to maximize your
adherence, you're managing your appetite, and you're also using it to make better food choices
at future meals. Because we sometimes look at dieting and eating in isolation, like, oh, I'm
just eating this thing right now. Well, no, that thing is going to impact your next meal that you
eat and your hunger, like how hungry are you going into that meal? How do you feel going into that meal? What's your energy level like? What's your
blood sugar like? Each meal decision impacts subsequent meal decisions. And that's why
sometimes when we look at just, you know, we demonize the food. It's like, okay, you labeled
this as bad, but do we, do we understand how this is actually playing out in real time in someone's
life? The reason you think it's bad is, okay, it's higher
calorie, it's impacting your blood sugar, and it's playing into your ability to make good food
choices at your next meal. Because now you just want to, if you open the thing of Oreos or Doritos
or Pop-Tarts or whatever, you just want to keep eating that thing. You're not like, oh yeah,
I definitely want to go meal prep at home now and consume this like super balanced portion.
That's usually not how it works
for most people. It's like almost like food, that packaged food is like that gateway drug to more
of that food or bad decisions at future or less favorable decisions at future meals when it comes
to their nutrition. So I'm glad you mentioned that. I don't know that there's a right answer
for that. I just think people are already super confused as it is, but labeling something as bad, especially if they have this kind of weird
relationship with it in the first place, like from a psychological perspective, I'm not sure
that that's great, but we do need to understand that like, this is not the best choice, obviously.
Right. I think here in the United States, you know, they're going to put as much information
and as much research as possible in proving that obesity is whatever, like fill in the blank.
They'll prove it's a disease just so they can westernize it with medicine.
Right.
Like that's the way I look at it.
And I just, we're just in an unfortunate situation.
You have to be your own doctor.
Well, think about it for a minute.
Let's take a little segue from, because I totally, I agree with some aspects of that
is if we look at it, what has happened as these numbers are climbing from a, you know, whether you're overweight,
whether you're obese, have metabolic dysfunction, we have created one of the largest from a business
perspective. So one of the largest total addressable markets. So if you were an angel investor,
your private equity, you're going to look at something from, okay, what is the potential
total addressable market for this product? You know, how, what is the desire for that product or demand? So supply and demand conversation
around economics. While we have super high supply of individuals who are unhealthy, you know,
metabolically unhealthy, overweight, and obese. We have a lot of people who, you know, would want
to use either their own financial resources or insurance for a quick fix to make this better or
easier. We have a ton of
money being poured in from a marketing perspective to also increase that demand. And you have this
massive supply of humans who will use the product continuously over a period of time.
And what else helps with a product, right? Is when it's not like it's consumable, it's not a single
use item. This is a recurring transaction that's going to happen
over a long period of time. So what have we just created? That's like a massive business
conversation of a total addressable market of a lot of people who are metabolically unhealthy,
overweight and obese. You have a lot of money being pumped into awareness or marketing behind
these given drugs with less attention being paid to other solutions that don't cost
that much, mind you. Like I can't charge you to go for a walk outside, you know, like you're
going to have, what are you going to have like a easy pass or toll thing attached to you that when
you go for a walk, they just scan you and you're like, okay, you paid your toll. Don't do that,
they're going to charge for the medication. And what happens when you put someone on a statin drug at age 40 and they take it until they live to be 88 or 92 years old?
You've had someone who's been a customer for half their life.
When you have GLP-1, you put someone on it, like the 12-year-old we referenced earlier.
Okay, well, if the American Association of Pediatrics has people starting at a young age, what have you just done?
Talk about lifetime customer value.
That's insane. So it's not that we can't, and I want to make it very clear for
the listener. Like I am not anti novel intervention, like novel science, novel research
interventions using Western medicine for acute care or life-saving scenarios. There are going
to be times where you're going to be really glad if you live in a first world country, you can go to an emergency room, or you're going to be glad that
you can get that surgery, or if you need certain life-saving medications, that's true. And there
may even be instances beyond the scope of what we're talking about in today's podcast to where
this might be the most appropriate thing for someone to do. And as long as they're making an
informed choice about it and they know the consequences, they need to do what's best for them.
And I totally support that.
But the problem becomes when we make it such this mainstream thing and there's this widespread uptake, an ignorant uptake in many cases, people are naive.
They don't understand the long-term side effects or consequences.
And where I really get kind of pissed about is when you're involving kids.
It's one thing for an adult to make a choice for themselves, but how many people are going to, you know, take their kids to a pediatrician or take their kids to a doctor
and the kid's not making an informed, they don't necessarily understand the science behind this.
And so we have a, there's like a ethical conversation around this to integrity conversation
from a, you know, one of the oaths of Western medicine is to do no harm, right? But I don't, I don't know that we can be
in good faith really doing that when we're starting to bring this, the pharmaceutical
conversation, like permeating these younger age groups is really of greater concern to me. So
if you're 47 years old and you're, you've been overweight your entire life, and this is going
to be the thing that gets you started, you you started and keeps you eating healthy and exercising, and you use this for a
short period of time while doing some of these other lifestyle behaviors, cool. That's not my
place to place any judgment on that whatsoever. But it's when we're taking it out of that context
and someone who's not a hundred pounds overweight, or you just have seven pounds to lose and you want
to get this injection. That's where we're on a very slippery slope.
That's all I'm trying to convey is just, it's a slippery slope. It's hard to draw the line.
And there are people who are not making informed choices around it. So that's just, just, just to
create a little bit of broader perspective. So it doesn't seem like I'm the guy just like
demonizing everything that's, that's out there aside from, from training and nutrition. I
understand that it's difficult for people and some people may make the choice to use this.
But the kids thing really kind of sets me off.
Yeah.
I think this medication is great.
But yeah, it does raise a lot of questions.
And it is important that people understand, you know, what's happening.
It sounds like some people, it sounds like their digestion is getting like paralyzed.
Yeah.
So it slows GLP-1.
So this wouldn't happen necessarily with your body's normal feedback mechanisms, but when you add exogenous GLP-1 or semaglutide
ozempic, whatever brand name it is that you're taking, we are slowing motility. When we slow
motility, and you'll see this with individuals who are like hypothyroid, for example, or people
who are struggling with constipation and small intestinal bacterial overgrowth.
The problem with slowed motility is,
so things are not supposed to stay in your gut.
They should leave your gut
and we need appropriate transit time.
When we don't have that appropriate transit time
and motility, things begin to sit there
that shouldn't be sitting there
and you end up with bacterial overgrowths
that can be problematic in terms of then compounding
some of these metabolic health concerns that we have.
So if you are in a place with slowed motility, you're constipated.
Now, all of a sudden, that constipation is going to increase your risk for small intestinal
bacterial overgrowth or having certain things.
We basically in our gut have commensal or good bacteria.
We have opportunistic bacteria, sometimes referred to as more like bad bugs.
And that can start to lead to unfavorable symptoms and side effects.
Like you mentioned, some people struggling with bloating or distension or they're having
gas or other digestive side effects.
It can certainly be a problem that happens when you're dealing with slowed motility and
the potential for gut dysbiosis over the long haul, which then it will increase.
If you have that dysbiotic gut environment, it is going to increase systemic inflammation in the body too, and impact signaling to your
brain in other ways, because we're not, you know, weight loss and this conversation around
this medication doesn't exist in isolation from other conversations around our health.
Just to put things in perspective, because you were talking about having a customer for life
and just how lucrative this stuff can actually be. I have a relative that was prescribed, I believe Ozempic with insurance. It
was like two or 300 bucks a month. Not that bad. But then after a certain amount of time,
the insurance stopped paying. And so it was going to be $7,000 a month for him to continue with the
same prescription. So it was like, well, obviously he can't continue on with that. So like, I have to keep checking up and making sure that he's okay.
But I was like, holy shit. Like, of course they're going to want to be pushing this if it costs that
much. Obviously, yes, insurance is covering, you know, majority of that when he had it covered,
but someone's still getting paid. And that's just wild to me to think that something that can cost
that much, like just for weight loss. You know what I mean?
Wild.
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Going on in our brains, and it's influenced by the world around us.
Our genetics, development, environment, behavior all play a role
in our body's dysfunction or
dysregulation of our adipose, that organ that is fat. So what I'm hearing is that it's a brain
thing. Yes. And this is a question. I remember many years... Can you pause for a second? So it
is a brain thing, but it's also... So your fat doesn't just sit dormant on your body. So the
chemical signals that come from muscle tissue is very different than what comes from fat tissue. So I just want the audience to be aware. Yes,
there is, your brain is very much involved here, but part of it is there's signaling coming.
Like we have a very, very different chemical messengers. Like, so if on your phone, you've got
text, Facebook message, Instagram messenger, maybe you've got something else you use like
WhatsApp or whatever each. So these are different signals or different messages that are coming through,
almost like a different channel, if you will. It is a lot more metabolically beneficial and
metabolically healthy to have that muscle tissue that is going to impact the signaling that's going
on across your body versus fat tissue. So yes, it is your brain, but part of the equation is
where's the signal coming from? Your fat tissue also has those, it is your brain, but part of the, part of the equation is where's the signal
coming from? Your fat tissue also has those chemical messages coming off of it as well.
Where does a GLP-1 come from? So GLP-1, sorry, I'm gonna have to pause for a second.
Gotta look it up. It probably comes, I was going to say it probably comes from the gut,
right? So you actually have a combination of... Your gut controls your brain in my opinion,
because if all of us were starving,
we would probably try to kill each other for food.
So I got so far into the drug conversation
that I'm pretty sure it's between the gut and the liver.
Yeah, basically you have intestinal epithelial endocrine cells
that create pro-glucaucagon like peptide.
Now you need to just answer it like that. Yeah, for sure. Ready? Go for it. Yeah. So GLP-1 in
your body endogenously is a peptide hormone basically coming from your intestinal tract.
So a lot of this signaling when we're talking about hormones is going to be like a gut liver
connection, but we also have the gut brain connection as well. But the difference in this conversation
is we're kind of overriding that intestinal production or the intestinal epithelial cells
with what's coming from this injectable from the pharmaceutical.
It's unbelievable technology, really. But just to your point, it's not just the brain. There's
a lot of other things in action. And the gut is one of them.
Years ago on the Oprah show, I don't know, decades ago now, when I was first having this conversation trying to explain to the public why alcoholism was a disease.
And many people did not believe that alcoholism was a disease.
They just thought people over drink and that why don't
you just put the bottle down? So how is this somehow relatable to that? Because is every,
is every alcohol. Now there's not any reported cases of people like, there's not real evidence
of people being addicted to food, is there? This is where there's a lot of arguments, right? And you could, you could pull research to support either side, I think, because if you talk about the physiological
ramifications of gaining that weight over time and eating food, uh, there's definitely, so also,
you know, one of my best friends, you know, has talked about this food addiction conversation.
He was addicted to heroin for like eight years and he definitely makes like,
it draws a strong line,
has kind of lived to tell the tale.
So I think we need to be careful
when we start comparing food to drugs and alcohol,
number one,
so kind of separate conversations.
Now, the hormonal cascade that's happening
and what's going on in terms of your physiology,
high blood sugar,
we're in this hyperglycemic environment all the
time, inability to regulate our cravings. It will feel, probably if you were living in that body,
in that life- It feels like you have no control.
It will feel like you have less control and it will feel like you are addicted.
Now, the actual mechanisms by which this is happening, very different than say an opiate
or alcohol. But yeah, you could not eat for seven days and not die.
Correct.
Right. Whereas with an opioid or alcohol, you could die.
Yeah. From overdose you're saying?
No, not from overdose, from stopping.
Oh.
There's like only a couple of drugs in the world
that if you stop taking them.
You mean like severe withdrawal symptoms,
basically if someone going through that.
You don't have like withdrawals from food necessarily,
but you might have, I mean, it might have some weird impact with, you know,
I guess sugar and things like that. People might have changes in terms of like, if they were
to completely withdraw, like if it was a more extreme case and they were just eating a lot of
these prepackaged hyperpalatable foods. I feel like people have even started to demonize like in our kind of fitness industry, people are like, well, you can't call food process
because even oatmeal is processed. Right. It's like, okay. So if we're talking about,
yeah, we're talking about a food that has a laundry list of ingredients, probably even some
things are harder to pronounce. It's fairly high in calories. It's not very micronutrient dense.
We're not getting a ton of antioxidants, low in protein. There's my definition for your processed food. It's like, if you were to remove someone from that intake,
they will physically and mentally feel it, right? So to them, it will feel like a type of withdrawal.
Now, I don't think that's a fair, I just, maybe this is just personal preference or conversation
way that I educate around nutrition and food. I try to keep that conversation separate from
drugs and alcohol. I believe that all of them deserve their appropriate attention, but I have
yet to see someone who's really an expert in all three weaving them together. Most people who
specialize in addiction and treatment in this one arena are not nutrition experts. And a lot of
people who are great with nutrition are not exactly the person that you would go to for like opiate
education, right? So I think we need to respect that both conversations
are serious and someone may go through a level of physical changes or what feels like withdrawals
and that there are certain things about food that make them hyper palatable in a way to where they
feel addicting. But I think to give appropriate weight to each of these topics, it's like,
I think it gets a little messy when we try to mix them together. Does that make sense?
It does. And I think exactly what you're saying makes a lot of sense. And with food,
it's these habitual habits that someone is, you know, tied to their video games or tied to their
TV or tied to watching the Super Bowl and eating buffalo wings.
It's like these...
There's triggers.
A lot of association to a party, birthday party, Christmas, so on.
Yeah, there's a compounding effect that happens from decisions that we make every day in our life.
I think that's very different.
So I remember even hearing my friend's story, you know, how he kind of ended up on that path was just a
result of pain medication. Right. And so that's, that's what set him on that path. Most people for
food, it's not the single event where he can remember the interaction with the person. And
all of a sudden it happens. It's probably a slow build for most people. I'm just saying that for
the vast majority of people, whether it's lifestyle factors or, you know, you're eating,
you know, I remember eating 3D Doritos sitting in a beanbag
chair playing Madden as like the husky kid, the chubby kid, right? But we have the ability to
change that and steer towards different choices over time. So where I would say the difference is,
is that usually the progression with food and obesity and lack of exercise, it's this progressive
conversation. This is like, instead of progressive overload the right way in the gym, we're doing it
like with negative lifestyle behaviors. And it's just day after day after day. I don't think most
people are, you know, waking up one day and then all of a sudden there's this, what feels like an
addiction. It's because you've been doing it for years and years and years of your life. And so now there's
this weight of, you've created this weighted average of behaviors that you've repeatedly
engaged in over the course of your life. And now the fat tissue and hormonal dysregulation is
making it harder to change that behavior. So it's still, this is where the disease conversation
comes in and where people are beginning to label it. The accrual of that fat tissue will make it harder to change the behaviors.
I don't think anyone should be arguing that. The constant thing that's been beneficial for
all of our health has been intaking enough protein, but also intaking quality protein.
And that's why we've been partnering with Good Life Proteins for years now. Good Life not only
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I have a question real quick on that.
Yeah, of course.
Do we know anything about the momentary dopamine release
when it comes to hyperpalatable foods? You know, like those. There's definitely people from a food scientist
or from like a food science perspective that will study what's happening at like more of a brain
chemical level. I won't say that that's my specialty. I'm really more of like a physiology
endocrine nutrition guy, but there's definitely going to be a reaction. And I'm sure if you were
to you could find studies to support
that like people are having reactions.
Like for example, why people like soft drinks,
sugar, caffeine, there's properties to it
that make people want to consume that over time.
There is a neurological component to it as well.
And that certainly will play into it.
But most of these people are doing both, right?
They're eating the prepackaged foods
with a lot of ingredients.
They're also consuming sodas with caffeine and a lot of calories. It's a multi-layered conversation
that's also bleeding into lifestyle. And then it's making it harder to do some of these other
things too, like exercise, preparing your meals. It's a snowball effect, right? It's really more
of that snowball effect where I think some of the other compounds we're talking to, or even when
they're referencing drug addiction, to me, yes, there is a snowball effect, but there's a lot more of that rapid
addictive response and just a level of severity. I don't know. Maybe it's just,
I went to too many dare classes as a kid, but like the level of severity of that conversation
to me is just a little bit different than the repeated consumption of food, high calorie drinks,
beverages, you know, over time. Yeah, I do believe there are some studies relating dopamine to particular foods. And I think
it goes beyond just the food being like flavorful. It has to do with the chewiness,
the mouthfeel of everything. And there are food additives that will make something more palatable
for sure. So yeah, there's studies, maybe I didn't specifically address that enough.
100%, there are studies that will show
that you can do certain things to the profile of a food.
You make it more hyperpalatable,
increase enjoyment, sensations,
desire to overeat that food and consume it regularly.
And I think that's what's going on in our society today.
I think we're desensitized,
and it probably doesn't matter a ton
on whether it actually is an addiction
or isn't an addiction.
We still need to figure out how do we help these people.
But the way I see it, like,
and probably because I turned into a halfway
of a crazy person of studying this stuff for so long,
I kind of see it like people are doing lines
all over their house.
You know, I kind of look at it like Wolf of Wall Street,
like every meal, everything you do for some reason
has to be so over the top.
Everything you do has to be so hyper palatable to fill in whatever.
I don't know what people are trying to fill in necessarily, but it's not good.
And they're overdoing it.
Those foods are not giving you the signals that you need, as you were mentioning many times.
They're not giving you the signals that you need to learn to stop.
The unfortunate aspect also is it always feels good. It feels incredible. many times, they're not giving you the signals that you need to learn to stop. Right.
The unfortunate aspect also is that it always feels good.
It feels incredible.
That's a good point.
You know what I mean? It works.
Think about, because we've had conversations with different individuals who have talked
about part of the reason why they're overweight is because when they have different emotional
type of triggers, the thing that makes them feel good is opening up that fucking Ben and
Jerry's and having, you know, the
whole thing or quite a bit. And then they'll open
it up later on too because it constantly feels
good. Why only have one? Get two different flavors.
Why don't you get some cookies with that shit? You know what I mean?
But the thing is, it constantly feels
It's, everybody's eating
all the time. Eating is normal, right?
And you can constantly have this thing
that makes you feel good, makes you feel happy,
makes you feel warm inside.
I know that the food addiction thing isn't something that we can say,
but the thing is, again, the percentage of people who are overweight or obese
is consistently going up, and the food that they're eating,
it's fucking amazing.
We might as well just say it's addicting since everyone struggles with it,
even us, right?
And that's the thing is that you could,
so what I was saying is you could make arguments in either direction,
meaning there's research to support the notion
that you could go online and say, hey, this is like super addictive.
So we definitely have study support,
the role of like dopamine and food reward and reinforcement.
Like there's research there.
I think where the arguments happen
is when people make the drug and alcohol comparison.
And regardless of the science, like this is where it's like, I feel like sometimes we've got to separate the coaching from the
research. And I do like when we find new information and stuff, if someone feels like it is,
or their reality is like, hey, this is addictive for me, or it feels really good,
or if it feels really good, I mean, like you said, it feels good. People are repeatedly
engaging in this. It tastes good. It feels good.
It's easy to do, right?
So it's cheap.
It's cheap.
You know, it's cheap.
You know, I think there was actually from one of the other clips that we were referencing
earlier, there was an excerpt that like most of food stamp money, I think goes towards
liquid beverages like soda.
So a lot of the program for, the program for basically helping people to be able
to buy their groceries here in the States is going towards things that are actually promoting,
or they are a little bit more obesogenic in nature because they are so easy to over-consume,
hyper-palatable, high calorie, not very nutrient dense. And that disproportionately affects folks
who are at lower socioeconomic
status. So that's a conversation here too. A whole nother conversation.
A whole nother conversation. The guy next door being obese could have a negative impact on you
in some ways because of healthcare and the stress that it puts on our economic
and things like that. Like it just gets to be a massive story.
It's super multilayered for sure.
Wild.
Just more stuff to throw on that fire um because we were
talking about like whether someone's addicted or not um let's say that they potentially are but
they're like in denial we'll just go there with it um how do we change the mindset of that person
that said that has like almost a self-entitlement of like oh but i deserve to have this i deserve
cake on my birthday i deserve deserve to go out Friday night and
have a beer. Like, how do we change that? Because right. Like it's not illegal. Um, it's a thing
that everybody's doing, but we're up here saying like, well, but if you change your, your habits,
you're going to get healthier. But they're like, but I deserve to eat this way. Cause it's my
choice. That's the push that just doesn't want to change though. So is that what it is? It's a
slippery slope. It's like, I'm not saying that you can't ever enjoy
like it's your four-year-old's birthday party and you're going to occasionally do something like you
guys have said, occasional deviations, but it's like you made an informed choice that you were
going to do it. You knew the consequence of it. And you said, Hey, I like this. Like I still eat
this from time to time. The problem is, is if you've been doing that for
decades, right, where are we going to start? Like, where do we draw the line? And I think
my perspective is a little bit different in that I follow a lot of folks and like more of the
personal development community, a little bit more intense stance on just like food, drinking,
exercise, like any pick, like anyone who's going to yell at you here on like this platform,
then all the way to like, I would say almost like too much of like a fitness sensitivity
conversation around, uh, or like, we're not really, uh, blaming people for, for where they
currently are. We're having a lot of forgiveness and we're going to bubble wrap people with
everything. It's like, I think we need to find a middle ground as a society where it's like,
I'm not going to bubble wrap you and say that this is okay to do every day for the
rest of your life. I'm also not going to necessarily scream at you and say that you can't ever do this
like on your birthday or that you can't go on vacation or you can't enjoy something that
you like. Maybe there's a, because with food, there's also a community component, right? There's
a, you know, we, we look at the actual environmental context
of the meal. I do not have a problem with someone sitting with their family and having something,
maybe there's a recipe that your grandma used to make. You make it from home and you enjoy that
with people that you love and you're sitting down and tentatively eating. That's different. Like
this is a very different conversation. Yeah. That may be a high calorie food that may have sugar in
it. That is not the same thing. This is where I think sometimes even in research, right, we lose context for the real world.
If I had a client who is like, hey, my great grandma has this recipe for birthday cake,
blah, blah, blah, blah, blah.
And like, this is this tradition and we always do this in my family.
That is different than you going through a drive-through and eating something in the
afterschool pickup line while you wait to get your kids on Tuesday at 2 45 PM. That's not the same. Like they're very
different things. And I think we need to also help educate people that like, because we are,
our metabolism is adaptive and it is malleable and can shift over time, but it does
kind of respond to this weighted average of our behaviors and the lifestyle that we live.
So if you're always doing that, if you're always eating these snack foods in the car, and then when you get home from work,
or you're going to the cafeteria at your workplace and, oh, you know, Sally brought donuts today,
it becomes an everyday thing and we never break that cycle. So it's not the once in a time that's
the problem. It's that the once became once a day,
which became, you know, once an hour.
And now you're just doing it all day long.
So, and I don't know that I have all the answers on this,
but I think part of it is being able
to have some difficult conversations,
but also giving people some grace
and also not like being a total asshole about it.
But there is a middle ground
between bubble wrapping people and being like,
oh, this is okay, you can continue to do this.
It's like, I'm letting you slowly kill yourself.
And then on the other end of the spectrum,
someone who has lived that more disciplined lifestyle
and has come to appreciate that discipline
from repeatedly engaging in their behaviors
and has reaped the rewards
of repeatedly making those choices,
they have such a different perspective
of how it has enhanced their life
that they cannot fathom and understand
why someone is still in that place.
Or maybe they've never even been in that place to begin with.
So there's these two polar extremes
when I'm just like,
we still need to get these people healthier
or we're gonna continue to have these conversations
that we're reacting to with Oprah right now, right?
Yeah.
Yeah, thanks for your time, Oprah.
Was she giving away a car today?
I hope so.
Oh, man.
Banks is not an alcoholic.
Every person that overeats is not necessarily have obesity as a disease.
Can you explain that?
Why for some, they're just overeaters and some it's a disease
because of the brain thing, right? Absolutely. Well, it's about how much we take in and how
much we store. So we all have those friends. My husband is here in the audience. He's this friend
of mine who can eat whatever he wants and he doesn't really store that. And you're like,
how is that even possible? And then we have those people that look at pizza and they're like, my gosh, I just looked at it and I feel like I stored it.
Sam, I feel like I can feel heat coming from the table right now.
There's definitely something to be said.
There's emerging research about different phenotypes.
We have basically thrifty or spendthrift phenotypes.
different phenotypes. We have basically thrifty or spendthrift phenotypes, and there's certainly a component of what you've done throughout your life, your environment, and some hereditary
factors that may play into your energy expenditure metabolic rate. But we're missing the fact that
in this particular conversation that's being had, again, there's no conversation around what is
contributing to total daily energy expenditure. How many of those factors are in your control, right? So when we look at energy expenditure,
we have basal metabolic rate or resting metabolic rate, non-exercise activity, thermogenesis. So
even you fidgeting with that pen right now, you're burning energy, right? May not be as much as if
you were going and dragging the sled in the gym, but you're burning energy. So fidgeting, you know,
even if I'm blinking during this podcast, non-exercise activity
thermogenesis, and we also have the thermic effect of feeding. So when we eat protein,
we consume a portion or we're essentially burning, not consuming, excuse me. We're essentially going
to have a higher percentage of that calorie amount that we're consuming is burned off in the process.
Now, in addition to thermic effect of food, we have exercise activity as well. Now in this
conversation of looking at pizza, no one has mentioned components of energy
expenditure or moderating the pizza intake, right?
There's a difference between, did we have a slice of pizza?
Do we have three slices?
Did we eat the whole thing by ourselves?
Very different conversation.
And I think it's fine to use some of these mainstream expressions or colloquial phrases
like, oh, I looked at that food and I gain weight. But like, no, you didn't. Like you, you ate the food and
based on that serving that you had along with the rest of your lifestyle, you gained weight.
So I think it's a little misleading when we have that conversation.
There still is a little bit of play within the genetics and the framework of somebody having
X amount of muscle mass and so on. So I also think sometimes hereditary factors are blown out of proportion. I think you have a
baseline view, view your hereditary factors and genetics as a baseline to work with. There,
there's a small percentage of the population where there are going to be certain instances that do
significantly impact someone's ability to be physically active. This is not a conversation
that is not sensitive of that. I do understand that. But there are a lot of people, able-bodied
people who have influenced their metabolic rate and energy expenditure through their repeated
habits and behaviors over their lifetime. And they've also eaten food in such a way that they've
created a metabolic environment that is not as conducive to regulating their hunger and cravings and is not as conducive to optimal energy expenditure and regulating their
weight, right? Which is why they have a harder time. Some of these things, many of these things
we control. And so if you think of it, we have this baseline, we have our environments, how we
were parented, what we ate as kids, how active we were. We have our choices as an adult.
All of these things are leading to the expression of that baseline or essentially epigenetics.
And that's a huge part of the conversation.
So yes, to your family or your genes or your hereditary factors, we're learning more about
that.
We're testing for certain things.
There are going to be things that you can optimize through understanding your genetics.
So for example, let's say for methylation, maybe you need certain micronutrients that
are going to optimize that.
I think genetics play a large role in certain genetic predispositions, whether it's
cardiovascular disease, cognitive decline, maybe optimizing things earlier in life or
taking a preventive approach to healthcare.
I think you can look
at genes and have a conversation around that. Again, what I worry about when people blame
just genes or blame their DNA, it's the labeling again, right? It's the same issue with labeling
when we say, okay, obesity is this disease and you have it. It's like, you know, you caught it or,
you know, you developed it. They do that a lot with heart disease. And they're like, well...
And again, I do understand that genetics can be a big factor in a lot of things.
In the makeup of someone's muscle tissue, in the makeup of the cells, in the makeup of so many things.
It can be a factor.
But a lot of times, I think what people don't realize is that your parents...
You get your genetics through your parents,
not necessarily from your parents. So you're only a tiny portion of your actual parents
because it has so much more to do with like your hereditary. But then as you mentioned,
epigenetics, like what you're doing while you're here on this planet is probably the biggest
factor. So your entire family could have all died from heart attacks year after year after year
for a century. But you
can change that. And we don't need to be geneticists to understand, and you guys have seen this play
out in real time and fitness and in coaching and folks that maybe you've trained with in the gym.
There are people that make the most out of the potential they have. Like if you view genetics
and hereditary factors as like your baseline or almost like potential that we could achieve,
or from a disease mitigation perspective or lifespan and longevity conversation,
we could look at it as to what percentage can I reduce my risk factors for this thing?
So if I know I have something, engaging in the appropriate nutritional practices, training, like regular exercise, getting outside, walking, sleep, all of those things can help reduce some of my overall risk.
Because we're really talking about a percentage conversation.
This is, again, coming back to so much in fitness, so much in health.
We have this light switch mentality, this on-off, you're going to get this or you're not, or you have this or you don't.
this on off, you're going to get this or you're not, or you have this or you don't.
It's really more of a percentage risk reduction conversation through,
you can do a lot by changing your nutrition. You can do a lot by exercising. And those are the only, we have to bring it back to our locus of control, which is what can I actually do to change
my circumstances right now? Like you can't necessarily control that baseline and what was passed through
your parents, but you can reduce your risk and what the rest of your life is going to look like
based on your current behaviors and choices. So I'm all for, if you want to use preventive
health screenings or genetic considerations, and you want to use that to optimize your health or
from a preventive stance, I think that's great. And there's even things that you can identify, you know, through basic lab testing.
So like some people don't realize this and you guys have your friends at Merrick where
it's like maybe they didn't realize they weren't methylating properly.
They add a couple supplements from that perspective and they're able to really optimize that process
in their body simply by looking at things that they wouldn't know.
Maybe their homocysteine, maybe certain micronutrients that you can see in your overall serum labs. So there are things that we can do
to take a forward-looking approach versus using genetics as a scapegoat, right? I'm very wary of
any time that we're using those labels, we're using these things as a scapegoat, we're inherently disempowering ourselves.
And we're like, I don't, what I do doesn't really matter. This thing is holding, like,
I am the puppet, like to, to, you know, in the middle of this operation, which
I think is, again, this is like a, that's a very dangerous place to be because now you're,
you're not even the main character in your own life. Right. So.
It's interesting when it's like
with the statement she just said,
like, oh, someone who can just look at pizza, right?
And not gain any weight.
If somebody says that,
it's like the reason why that person
probably eat pizza and not gain any weight
is like you said,
what are they doing outside of eating the pizza?
Maybe there's someone that does move around quite a bit.
Maybe there's someone who does exercise.
Maybe they have all these other things in check.
So when they eat pizza, it's a non-factor, right? Whereas you
don't do shit. Like you sit around potentially, you're probably potentially sedentary. Maybe you
don't exercise much. Maybe when you indulge in pizza, it just ends up being excess calories.
So what can you do to change that? You can potentially start exercising. You can do all
these things that are within your control,
not just your genetics.
Yeah, and we're talking about this conversation
with men and women.
Well, what if, so what's interesting is,
so in this conversation, we're talking about weight loss.
Haven't talked that much about Weight Watchers,
but it's famous that Oprah's gone on very many
calorie-restricted diets in her battle
to try to keep weight off over the years.
If I have someone who's repeatedly restricted calories and they've gone through some metabolic adaptation, what tends
to happen is as we diet for a long period of time, our body naturally becomes more frugal with its
energy expenditure through down-regulating things like our thyroid hormone, we may see
lower testosterone, we're going to up-regulate our adrenal axis. This is just a natural thing
that our body does as a
survival mechanism, as part of our adaptive physiology, basically meaning what's going on
metabolically will change and shift as a result of stimulus. That stimulus metabolically is usually
energy, a form of calories. What does that energy availability look like in terms of our environment
and stress? So stress is not just perceived stress, but we also have maybe some internal
health issues and things as well.
That's really how I just try to get people
to understand metabolism to begin with
is it's a conversation around stress and energy,
which I almost wish I would have like gone back
to the beginning.
Can we like Tarantino this podcast?
So with metabolism, we have to look at stress and energy.
So what she's talking about here
in this pizza conversation,
so pizza would be part of energy intake.
What you're mentioning is energy expenditure,
which impacts our net in terms of what's happening.
But if someone's repeatedly dieted
and she's talking about,
well, if I look at pizza, I gain weight.
My husband can eat all of this.
Well, maybe you've consistently been eating 1,100 calories
and now that pizza put you in a place
where on that day you consumed a you know, a significant more calories,
yeah, more calories, but you're also doing that multiple times a week over time. And so you have
now consumed energy in excess of what you are burning. And this is where the law of thermodynamics
plays in. And we see arguments between different camps on social media. There's like the, uh, the
folks who are all about hormones, holistic health, like balance things out.
Like they talk about metabolism, they talk about gut health, and you have to do these things to
lose weight. And then you have people who are just strictly energy in, energy out, calories in,
calories out, but they both impact each other. So when I restrict calories for a long period of
time, I impact what's going on with my metabolism, my hormones. Or if I eat in excess for a long
period of time, that is going to impact what's going on metabolically and with my hormones.
So in this conversation, one of the biggest problems is we lack context.
And so then we're going on national television and telling people, I look at pizza and I gain
weight. And how many women are watching this, raising their hand, being like, oh, me too, girl,
me too. And then, you know, then the husband is like to get it. Oprah.
And the husband is like to get it.
Oprah.
So then the husband, you know, maybe he's resistance training.
Maybe he consistently can maintain his body weight on 3,200 calories a day or something.
Right.
Maybe he's a larger individual already. If you're, you know, six, three, 230 pounds and you exercise regularly, you have a little
bit more wiggle room in terms of your intake before you are going to see the detriments of that pizza, right? And so it's understanding
the nutrition is, needs to be individualized in a way. There are general broad sweeping
recommendations we can make like, hey, you should probably eat adequate protein, right? There are
broad general recommendations we can make, but the specifics of nutrition
need to be applied within the context of a person's life. And that's why we have so many
conversations around the lack of sustainability with nutrition is we're taking this mainstream
media topic or conversation and applying it to someone in their life, but it doesn't work for
them and their lifestyle. And they're like, well, I've tried keto and intermittent fasting and all
these different things. And that didn't work for me. Okay. So it's, it's applying principles from
nutrition within the context of someone's life. And that's how we actually achieve that sustainable
success. So you're saying we should be eating pizza. Let's pause for a second. I got to take a
pee. If you're someone that's taking supplements or vitamins or anything to help move the needle in terms of your health, how do you know you really need them?
And the reason why I'm asking you how do you know is because many people don't know their levels of their testosterone, their vitamin D, all these other labs like their thyroid.
And they're taking these supplements to help them function at peak performance.
performance. But that's why we've partnered with Merrick Health for such a long time now,
because you can get yourself different lab panels like the Power Project panel,
which is a comprehensive set of labs to help you figure out what your different levels are.
And when you do figure out what your levels are, you'll be able to work with a patient care coordinator that will give you suggestions as far as nutrition optimization, supplementation,
or if you're someone who's a candidate and it's necessary,
hormonal optimization to help move you in the right direction so you're not playing guesswork
with your body. Also, if you've already gotten your lab work done, but you just want to get a
checkup, we also have a checkup panel that's made so that you can check up and make sure that
everything is moving in the right direction if you've already gotten comprehensive lab work done.
This is something super important that I've done for myself.
I've had my mom work with Merrick.
We've all worked with Merrick.
Just to make sure that we're all moving in the right direction
and we're not playing guesswork with our body.
Andrew, how can they get it?
Yes, that's over at merrickhealth.com slash powerproject.
And at checkout, enter promo code powerproject
to save 10% off any one of these panels
or any lab on the entire website.
Links in the description as well as the podcast show notes.
You know, I don't like a lot of marinara sauce on my pizza.
I don't know about you guys.
It's got to be not too sweet.
Yeah, yeah.
Sometimes it's sweet.
Yeah.
And like, why?
Why don't you guys like sweet marinara sauce on your pizza?
I don't know.
It doesn't, I don't know. Like it's like American. Childhood trauma. Hmm? Childhood trauma. sweet. Yeah. And like, why? Why don't you guys like sweet marinara sauce on your pizza? I don't know. It doesn't.
I don't know.
Like, it's like American.
Hmm?
Childhood trauma.
Probably.
Yeah.
Probably.
Childhood trauma.
What, uh.
I'm guessing you both probably like coconut candy.
Oh, we're just going to hit play again probably in a second.
Yeah.
Yeah.
But I was kind of digging that.
Woodstock's is a little too sweet.
They can be a little.
But I really like Woodstock pizza.
Is Woodstock pizza still open?
Yes.
And we're going to go there every day at the new spot.
Are they right next to us?
We're not that close, but I'm still going to go there.
Dude, what was the name of that pizza place that was close to here?
Remember?
And they shut down.
Smokey, what was it?
It made no sense.
This pizza place, luckily for us, they closed down before we actually moved in this facility
because we would all be like 900 pounds right now.
They had a pulled pork.
Yeah.
They had pulled pork pizza.
It had like a weird like, it was like a barbecue sounding name, but it was pizza.
And there was no one in there.
It was like Wild West something.
Yeah, that's what it was.
And it had like, it looked like it was like for little kids or something because it had like, I don't know, a big playroom in there and shit like that.
But then there was never any kids in there.
There was nobody ever in there.
That place was weird.
It was like some sort of front or something.
They completely missed the park.
Yeah, yeah, yeah.
Very questionable.
Cool.
We'll just start off here, then.
All right.
Hit play.
You guys ready?
Yep.
Where are you, husband?
Husband is in the back corner over there.
Yeah.
Husband has a name thank you
cory oh thank you cory can eat apple pie at 11 o'clock at night and he's able to do this his
body defends a very lean set point he's able to eat what he wants and his body just defends that
again we need to be careful with body fat set points the whole concept of um you of somatotypes and all these different things.
You're continuing to have a conversation that is basically in training for folks that there's this
extra friction, extra resistance, you're stuck the way you are, you have this label. And again,
that's not super helpful from a health behavior change perspective because people need to
understand just how adaptable they are.
Again, and if you look at him too, like he seems like a decently fit guy,
may or may not resistance trainer, do some form of exercise. So, I mean, again, cool. You had
Corey stand up in the background, but like he's special and can eat, you know, pie at 11 PM.
Yeah, exactly. And that's, that's another thing too, is now, now we're bringing in like nighttime
meeting conversations around this and like, it's just kind of perpetuates a lot of the
same myths and miseducation that are so common when it comes to the mainstream fitness and
nutrition conversation. It's just really difficult for people to break some of these habits. You
know, I think that, you know, probably after around 7 p.m. for most people is where the danger
comes in. And it's probably where
most of the calories are consumed, probably where most of the sugar is consumed. Not that people
don't wake up and have a donut and people don't wake up and have a bagel and some of these other
things. But, you know, I think in comparison, like their food throughout the day is probably like
kind of modest and they probably are getting like to almost like a caloric maintenance. But at night, I think is where people are doing the most damage. What are your kind of modest and they probably are getting like to almost like a caloric maintenance.
But at night I think is where people are doing the most damage. What are your kind of thoughts on
that? To be honest, I've seen, I've seen it really run the gamut. So people with conventional nine
to fives, you know, sometimes it is what happens after five and they go home and you know, that's,
that's where they're consuming calories. Other times it's, oh, we have a work lunch today
and we're going out to XYZ restaurant.
We're consuming this meal or,
oh, so-and-so brought cupcakes.
So I think sometimes in-person work environments
can impact calorie consumption.
Usually I would say it is a little bit less common,
especially when people have kids
and they're getting out the door.
People aren't having these massive breakfasts necessarily, but I do see a lot of folks who will
go through a drive-through or grab a coffee that actually has a ton of extra calories added to it
with different sweeteners and things that's contributing to it, or it's got full cream and
the works. And, you know, so using, think like a Frappuccino, for example. So basically they're
consuming that higher calorie beverage. That's not going to fill them up or anything. Not going
to fill them up or anything like that. And then it leads to, again, rather than just saying this
timeframe is the issue. I do agree with you for the most part that many people come home from work
and because they're bored or they're sitting around or they're watching TV or Netflix,
people will mindlessly eat while consuming various
meat, whether it's social media, watching Netflix, there's a lack of attentive consumption of food.
So that is part of it. But there are other people where the day just starts off on a slippery slope
and we've already consumed upwards of 500 calories in not very filling foods or drinks that then
create, okay, at the next meal,
well, I'm already hungry a little bit before lunch, so I'm going to grab this other thing.
And then I'm hungry again, or I grab this because it's convenient or I'm on the go.
And we continue to live our lives in a way that perpetuate our existing metabolic health.
But for a lot of people, there's definitely a tendency to overeat at night, but I would say
it depends. I mean, some people, you know,
there's also people who go to the gym after work
or they're at their kids' soccer practices
and they're staying out of the house.
But for the person who is in the house
and keeps bad food in the house,
see, I'm guilty of just slipping right there.
I think it's easier.
For me personally, it's easier for me to just kind of say,
like, some of these things are bad.
Yeah.
I think there's like bad words.
You know, there's words that I just won't say anymore because I'm like, those seem bad. They offend
people. They hurt people. I don't want to be on that side of things. I'm just not going to say
them. And then in terms of bad food, it's not like I'll never eat them again, but it's just easier
for me to kind of put them in that category for, again, for me personally. Yeah. And just say like,
those are foods that I don't want within arm's reach because I'm probably going to eat them.
Let me add on to what you mentioned there too. I totally get, because people always
mention the relationship with food and people's relationship and I get it. Psychologically,
you don't want people demonizing food and giving it a sort of power because when some
people do that, it just tends not to go well. But yeah, the reason why I don't necessarily
care about saying that this food is bad because nutritionally, it's actually not that great for you.
If we're going to compare it with a whole food, Doritos are not good for you.
They're not healthy for you.
Maybe they can be somewhat good for your mental health.
If you have a little bit of Doritos and you portion it out, it makes you feel good and you manage it well, that's good.
Because we can all do that and we all do that.
But that doesn't change the fact that that food isn't a health food.
It doesn't have micronutrients.
It's just macronutrients.
It's highly palatable.
It is not good.
It's not good.
Not even really food.
And again, that's different to say, I think, you know,
and really where I would probably err on that is just being like,
that is not a healthy choice.
Or like, that's not the healthy thing to do.
One of my friends, who I was very fortunate
to spend time with earlier on in the industry
kind of refers to it as, his name's Jade.
So Jade refers to it as kind of like buffer and-
Data?
Yeah.
Okay.
Yeah, yeah.
So Jade kind of,
and he gets like a lot of shit online sometimes,
but I do think there's certain things that Jade has done
that I really like his terminology around.
He's articulate in the way he shares things.
So kind of the idea of a buffer would be something that helps you feel more full and less likely to overeat versus certain things, maybe triggers for people. So like, if you're
going to go eat the whole jar of peanut butter, you took something that, yeah, you could have
consumed it in a moderate amount or even almond. There are things that are marketed as health foods
like granola that are still easy to over-consume, right? You could are marketed as health foods like granola that are still easy
to over-consume, right? You could over-consume calories in granola and almond butter. And you
could go to, you could go to Whole Foods or something and it's paleo and whatever, but you
can still eat a lot of it and it's still really tasty. So I think it's, again, what is the context?
Because there's still some people where if they've been super restrictive their whole life or you know the last 10 years there are also men and women where they were eating 900 calories and
now maybe taking the bite of a donut is like a big step for them in getting out of some of these
restrictive tendencies but then there are other people where it's like all right we've been we've
been doing this every day like this is not not contributing to our, like this is not a good choice, right?
And being able to be honest about that.
So I'm 100% on the same page.
And that's where I do like the language around,
is this preventing me from overeating
or overeating in the future in terms of calories?
Or is this something that's actually helping me
to moderate my intake and making good choices overall?
So I don't know. I think at the end of the day, it does become a little bit of like dancing around
internet trolls and social media opinions and other coaches who have their preferred vernacular
versus just being able to say what something is. But again, I still come back to kind of that
context too. And I agree with you a hundred percent, like Doritos are not going to be the healthy thing,
but then there are even foods that are labeled as healthy.
Like when you go into, or you go to a health food store,
you're going to sprouts or whole foods.
And there's still things that you could very easily overeat
and get a crap ton of calories
in a really short amount of time in a short stint
because they're still very palatable.
They taste really good.
And it's still very, very energy dense food, right?
So that's where I think it's like
you could have that conversation all day long.
But I think one way to kind of look at it sometimes
is with these foods,
like my favorite is a peanut butter cup.
I love peanut butter cups.
But anytime I've ever eaten peanut butter cups,
I've never eaten them
and been like,
that was really satisfying.
Wow, that was incredible.
And why I say that is because all it led me to want
is more peanut butter cups.
I mean, you eat one
and you're already thinking about the next one.
I mean, I've even had it to where I'm like chewing on one
and I have another one in my hand
and I'm like, how did this happen? I turned into like a monster, you know? I'm like chewing on one and I have another one in my hand. And I'm like, how did this happen?
I turned into like a monster, you know, turns like an animal going through these foods.
And so for me, you know, I kind of recognize some of that in myself.
And so it's really a good idea for me to limit those things.
And if I am going to eat those things, I need a little bit of an exit strategy away from it.
I need to think about how much of this am I going to buy, you know,
and like what's the reason.
So for some people, though, like my wife is a crazy person
because she can eat.
She can like eat a cookie and eat it over the course of like an hour.
One cookie?
Yeah.
How big is this cookie?
Just like a normal-sized cookie.
It's like it's not a cookie cake?
Yeah, it's not a cookie cake.
What's a cookie cake? I want one it's not a cookie cake yeah what's a cookie cake yeah i want
one yeah cookie cake sounds amazing but yeah she could like nibble on it and like leave it there
and then like i don't know it's crazy i'm like how do you do that but she doesn't have the same
so i think knowing yourself is a really important thing but i think for some people that have had
trouble some people that have been overweight or struggle with their diet, I think you have to kind of look at some of these foods,
these hyper palatable foods as a little bit of a trick.
Yes, it's gonna do all these things for you.
Yes, it's probably hitting your dopamine receptors.
There's probably a party going on in your head
and probably it feels absolutely incredible,
but it's really not gonna lead
to what you want it to lead to.
It's not gonna make you feel full.
And that's just a bigger conversation around self-awareness.
And so for you, like that's the case.
For your wife, not as much.
And I've seen this a lot too in my own life.
I have family members or friends or in relationships where it's like,
you can have a bite of this and walk away.
Not everybody has the ability to successfully do that, right?
And so that's why I think the exit strategy is big
or just understanding yourself enough to know
what puts you in a little bit of that precarious situation
where you got the peanut butter cup in one hand
and then the other hand
or we're sitting in front of the cookie.
And like, for me, that probably-
I get super excited.
And I think of all the different ways
I can combine it with other stuff.
I'm like, oh, I think there's some ice cream in the freezer.
I take the ice cream and then like, I think there's whipped cream
still. So really this episode
is just about how fitness
is like, we're all really just have this
like inner trouble. There's a fat kid
inside of us.
There's a guy,
you know, there's a 12 year old from the Husky section
who still wants to eat.
Just crying in the corner, eating.
But I think, and that's important though, because when you know yourself, you can begin to, like, you can't make the best choice for you until you know how, like, you have to have lived some life and been through that situation and come out on the other side successfully or unsuccessfully to begin to approach that
like as, you know, in a more graceful capacity, right? Versus your wife who can sit there and
eat a cookie for an hour. I probably couldn't do that, but I know myself enough to know, okay,
so if I were to have that food, what does that need to look like for me to where I don't feel
like crap or I upset my stomach or I eat too much, or I'm doing something
that's not aligned with what my goals are. Right. So even just beginning to do that as a, as a sign
of maturity around food and even in your life. Right. But there's that, the same thing could be
said for, um, there are other behaviors that are also a slippery slope that are not food. Um, and
we still need to have that self-awareness.
So I think the biggest thing to draw from,
you know, Mark's commentary there
is just really around adopting the strategy
that's going to work best for your life.
And that's why we have to be less dogmatic
about certain diets, certain foods,
and really understanding if this enables you
to achieve your goals, whatever those goals are,
then like, cool, try it on for size.
And so much, we lose like this experiential component
of nutrition and fitness.
And we see this with training modalities too.
Like people basically,
people like to argue about training on the internet also,
but it's like, try something on for size.
If it works for you, cool, do it.
That doesn't mean you need to coach everybody else to
do that too, but it's knowing yourself to say, hey, I tried this and this, I've tried this thing.
I tried this other approach and this one actually worked best for me. So I'm going to stick with it.
So for you, you came across like, I'm going to eat a lot of protein and lower calories earlier
in the day. And that works for you. Some people prefer they skip breakfast and they're able to do that.
And then we can get into the arguments or this research says this, because there's a different
conversation around what's optimal versus getting someone out of this place where they're watching
Oprah talk about someone being 100 pounds overweight or the conversation that we had
about GLP-1 agonists earlier, right? It's being able to kind of separate that. I think we have
to isolate it in order to be able to have an effective conversation. And I'll say this,
what's optimal right now isn't something that's going to be optimal forever. Because I remember
when I was in my early twenties, like I decided, okay, I'm not going to have any of this shit in
the house because I have a tendency of overeating certain things. It's got older. I found certain
things that like I could eat some of it.
It is junkie type food,
but I didn't feel the need to eat a lot of it.
So I brought those things around,
but there's still just certain things
I don't keep at arm's reach.
So it's not like you have to,
once you do something,
it's what you have to do forever.
But for some people,
for some people who are in a situation
where they are very overweight,
they do feel drawn to eat certain things a lot.
You might want to distance yourself
from something for a period of time.
Because I think it might be confusing for people
where they hear some people say,
there's nothing wrong with this stuff.
You could have it in moderation, et cetera.
They try to have it in moderation.
It never sticks.
And then they feel like,
I need to be able to have it in moderation
if I'm going to be able to be successful with this.
You may need to go a period of time without it.
It's like, you know, you're abstaining from that thing and that's okay.
And if that, but there's also different personalities too, right? Like what, if you
were growing up and there was a side of, like, if you had some friends who lived on a certain side
of town and every time you hung out with those friends, you got in trouble, your parents or your
grandparents or whoever raised you would probably be like, Hey, you know, maybe we're actually going to go do this thing after school, or you're going to go to,
uh, you know, afterschool activities or extended day or basketball, or you're going to go play on
this playground or, Hey, maybe don't go over there for a little while. Right. You kind of lay low
and that's what you would do. But when it comes to, we, we like psych ourselves out with this
food conversation versus looking at other common sense principles in life and just being able to do that. Now, maybe you're also, maybe you were super
influential in your friend group and you didn't have to completely stay away and you were able to
go hang out with those friends and you're like, hey guys, actually like, let's not cause trouble
today. Let's go play basketball instead. Or let's go, let's go to this field over here and we're
going to do this thing over here. Maybe you convince them to go to the gym or something.
There are some people that can do that.
And there are other people where it is a better idea to just like stay a
little bit out of trouble for a while and revisit it later on.
And like you said,
what works now may not work forever.
And if something's not working now,
it doesn't mean that it wouldn't work in the future.
And,
you know,
I say I'm even probably an example of that.
What you mentioned in your twenties, I had I'm even probably an example of that. What you mentioned
in your 20s, I had to do that for a period of time too, but now definitely been able to do it.
And something to be said about the more time you spend in the industry and the longer you've
trained, the more experience you have around food and nutrition. It's even like people who have
tracked their macros previously who don't currently because they have a much greater,
now are they eating intuitively? I don't know. Maybe they're just, they know the portions for
their body that actually work and they've measured their food enough times to know that this is a
serving size. I don't know that that's fully intuitive eating, right? So it's, it's understanding
how to try things on for size, see if it works just like you probably, you know, even back more
so with powerlifting, trying certain approaches, uh what worked and then saying, hey, this is working for me.
I'm going to stick with it versus I'm going to adjust as we go.
And so much of training and nutrition, it's the iterations.
It's the fine tuning.
It's the adjustments.
It's not, I have a perfect plan on paper and this is going to work forever.
And that's, that just gets lost sometimes on social media.
Yeah.
What's changed for me is like, I can have, you know, we have other food in the house. We have like other options. There's
other people in the house. They don't all want to eat the exact same way that I do. And so there's
other food in the house, but like, I'm not enticed by that food. Like I'm not, you know, we usually
have ice cream in the freezer. I love ice cream, but I've got myself to a point where it's like,
I'm used to eating steak. I'm used to eating eggs, various forms of meat, fruit. I feel satiated and
satisfied from a lot of the foods that I eat. And I think ultimately it'd be great for a lot of
people to be able to get themselves to a point where their diet just feels like it's just part of their lifestyle.
Maybe much like something else that they do during the day that doesn't seem so cumbersome,
you know, but it's hard to get to that point when you're all the way on the other side.
And then something else that gets lost, if somebody who regularly watches TV like this,
they don't understand that there is a bit of an agenda and there are some theatrics behind all this.
Because how we started talking about this, Oprah referenced, I forgot the guy's name, but like, oh, he can eat pie at 11 o'clock at night.
Does he actually do that? We don't know.
But they're saying that and they're now pushing that.
And so people watching are like, damn, he can do that and not gain weight.
Like, oh, obviously he has something that I don't have.
I can't wait to hear what they say is like the cure for whatever the heck I'm struggling with.
But it's like, okay, but they are, it's a show, right?
They are trying to create entertainment and stuff.
And it sucks that people can't think for themselves to realize that or understand like, oh, wait, I wonder what it is exactly that they're like pushing here. And even media figures and celebrities who have been in
this situation or kind of paired themselves with organizations and talked about their journey,
whether it's about health or anything else, there is a strong financial tie or compensation to,
you know, their affiliation with these different products or organizations. So sometimes when you
are seeing this stuff on news media, understanding like what's driving this and why is this their
message, I think is super important too. So we were talking about pharmaceuticals earlier, but
it could be the same thing for various programs, products, supplements, like the list goes on.
And so it's important to know kind of like you're saying, Andrew, where you get your information
from and why might they be presenting it in that way?
Let's keep it rolling.
Lean set point.
If I were to do the exact same behaviors,
I would store more excess adipose.
My body is more predisposed to storing more fat.
Damn sure mine is.
Is that the word I've been looking for?
Adipose.
I'm an adipose storer.
Okay.
All right.
All right.
So that is a scientific fact.
That's a scientific fact.
That some people's bodies operate differently than others.
We can accept.
You agree with that?
I would say some people's bodies operate differently than others,
but we do play a role in the operation of our bodies.
So think about it.
If I get adequate sleep tonight, my body will operate differently tomorrow than if I don't get adequate sleep.
So this is where it's hard.
It's really, really challenging to separate.
Yes, you have some baseline metabolic function and sort of maybe predispositions that you're working with.
But at the same time, I could make a choice today, right now, and also five hours from now,
10 hours from now, that will impact how my body behaves tomorrow. Resistance training is going
to impact my insulin sensitivity at future meals. So I do agree with some of this. Also, there was a point before
they shifted back to Oprah where she said, I'm an adipose storer. Well, technically we all could
be adipose storers if we consume excess calories relative to our overall expenditure. And you might
send that signal to the body so much that you do become proficient at it. Right. Again, this is
kind of a
compound effect of repeatedly consuming those calories over time. Now, one thing she did say
is if I do the same behaviors, but what's the difference between Corey? Well, Corey looked
like a guy who's like six, two, maybe 200 pounds. Um, her husband is larger than her.
You do need to equate for the differences in someone's size and physical activity level is very, very important as part of this conversation. So even,
and you'll even see this, like sometimes when people get married and initially put on some
weight, it's, it's, we can't necessarily do the same behaviors as the person next to us. We do
need to figure out what works for us. And just because he ate three slices of pizza, it doesn't
mean you should eat three slices of pizza. It's finding that there's an individual
dose response. Um, and just like, yeah. Why can a young kid, like a kid when they're 13, 14,
and they're growing, you start to see them eat like shockingly, uh, enormous amounts of food.
But at that point in their life, a lot of times there's a lot of activity going on as well.
amounts of food. But at that point in their life, a lot of times there's a lot of activity going on as well. A lot of activity, they're growing, you know, but I can't just because maybe my nephews
are doing that. It doesn't mean I can do that while we're related. We have similar genetics
or something, right? But no, I can't, you know, I can't necessarily do that. So there are a couple
of things. There's the behavior aspect, the adipose storage aspect. Technically we would all,
if we changed our lifestyle, like the three of us having this conversation, if we changed our lifestyle, you know, we would potentially make ourselves more likely to store adipose tissue.
Let me say this real quick, man.
If I ate the way that I want to eat, I would be, dude, dude, dude, I'd be 280 in like two months.
Like if I ate the way I truly just want to eat.
I just want to see it.
I know.
I'm just saying.
I want to see how you eat.
The thing that I think is somewhat unfortunate about like she said it as a joke, I'm an adipose store.
But you saw the response of the audience.
You saw everyone's like, I relate to it.
And even in my head, I'm like, if I ate the way I just wanted to eat all the time, I'd be like, I'm an adipose store too.
Because it's like, but that's the thing. You can't always just eat what you want to eat all the time, I'd be like, I'm an Adipose store too. Because it's like,
but that's the thing. You can't always just eat what you want to eat. And don't get me wrong.
I enjoy what I eat. I enjoy the food I eat. It's a personal choice. It's a decision.
And it's not difficult for me to eat the food I eat. It's not like I'm fighting something.
You saw what I weighed.
If I really wanted to eat what I wanted to eat, bro, I'd be so fucking heavy.
So it's not like you're special.
She's not special in any way.
It's just, again, I think for a lot of people,
I won't say everybody,
for a lot of people,
it does come down to the decisions that you make.
And that is in your control.
A lot of these statements, it's unfortunate.
These statements are out of my control.
It's all, I don't have control over this.
It's being done to me
and it's because of who I,
it's because of what I am
and like what I'm dealing with,
not because of the choices I make.
You also can't replace,
that makes it hard.
You also can't replace
what somebody has done
like over a lifetime.
So maybe in this guy's case
or in Seema's case,
like you played soccer
when you were young
and we've talked about
on the show before,
you never really got fat.
Like you gained some body fat, you didn't feel good. You're, you had an injury, a couple of things like that,
but you never, you never wasn't fat fat. I was 275, but no, I wasn't as big as you. Yeah. Right.
Right. And, and no one would ever say that you're fat. Cause you, when you were doing that,
you were power lifting and you were just massive. Yeah. But the point being is that there's some
people that, um, they never fat, like throughout their entire life.
But it's not just because of food choices.
It's also because of movement.
And it's not because they were gifted something.
In some cases, some people might have more of a propensity to be thinner than another person.
We already know that.
But there's also activity. And usually the thinner person,
the person that maybe started out a little thinner or had better options at home, maybe mom or dad
was paying attention to the foods that they ate. Your kid at six, seven years old is probably going
to want to play sport because they're probably driven to want to move around because they feel
really good. Whereas the other child maybe, you know, already gained
some body fat and they're a little bit behind. So there's definitely different situations and
different scenarios. But I think when I think of like, I can think of some kids that I went to
school with and they were, they were like ripped and I'm probably exaggerating my head how ripped,
but I remember one kid in particular, him and his brother, they were like kind of shredded.
But, you know, I used to, I used to see those kids all the time,
played football with them, a bunch of stuff, super athletic. And those two together would always,
not really exercise together, but they'd always challenge each other. And both of them wrestled and they would wrestle each other. And they're always doing like pull-ups and push-ups and arm
wrestling. They were just both super active. So I think that we have a tendency to not think about
what was someone's upbringing. You know, if someone did sports most of their life and they
never gained body fat in the first place, their body, even as they're older, might utilize food
and might utilize energy slightly differently than somebody else. And especially if those actions are continued. Yeah. And when she said the Adipose store thing,
and I do agree that with the context of your lifestyle growing up and how your parents feed
you and how active you are, and if you're self-confident, you get in sports, stuff like that.
But let's think about if we were to go back a thousand years or beyond, like before we had the
wide availability
of you can literally pick up a smartphone
and you have the ability to order,
whether it's Uber Eats, Instacart,
like especially if you're here in the United States,
if you're listening abroad,
there's still a high amount of convenience to food.
Not only is it convenient and quickly accessible,
but there are foods that we would not have had access to
that in terms of the calorie density of those foods and the fact that we do not have to work to consume any of it.
So adipose storage conventionally from a basic physiology perspective is storing energy. It's
actually not disadvantageous to survival. The problem of when it became, when we became so dysfunctional is
the overabundance and ease of consumption and convenience, as well as just the fact that
certain foods exist now that did not exist hundreds of years ago. So yes, there's the
movement part. Yes, there's the nutrition part, how we were raised, but there are also societal
changes that have happened and cultural changes that have happened that have led to the increased availability of these foods.
Then combine that with ease of consumption, accessibility, and they taste really good.
And this is where it kind of supercharges the issue overall. But a long time ago,
if you happen to be foraging and coming across some food, storing some energy wasn't necessarily a bad thing. The reason it became a bad thing is it's now so easy. And at least if you had to do that
thousands of years ago, there was a level of activity that happened to at least go get the
food. And then we wouldn't eat for a period of time to where the overall average of caloric
consumption would have changed. So that's more of like the evolutionary anthropology stance on some of the issues related to nutrition and metabolism. And then people will
argue that as well, but there's certainly some differences just in, Hey, like we didn't have
Uber Eats before or Instacart. Like you could Instacart, you know, you were talking about
sleep of warriors earlier, a cookie or whatever. You could Instacart that right now and have it
within a very short period of time,
consume those calories, no problem.
All the while you're totally sedated with your TV on,
ordering off your phone with your laptop open.
Right, it's like people aren't even going to the store
to walk the aisles to get the food.
It's like, that's even a difference
in energy expenditure.
Small, right?
They just start feeding it to you.
Yeah, it's like compounded over time.
So the Adipose
story thing, like, okay, I understand where she's coming from there. She's had her personal health
journey. She's had some challenges related to weight loss. It may feel like you are, that is
your end of one experience. That is how you feel. That is your reality. But I do think it's dangerous
like when you're a celebrity or you're someone who has a lot of influence and people want to
relate to you. They want to be, Oprah is a very relatable character.
Part of what made her such a celebrity figure in the first place, she's very relatable. And so
people who aspire or find her to be this inspirational character and like, Oh, Oprah's
got the same struggles and challenges that I do. It's a, that is a lot of influence, right? Over
someone's health, fitness, and nutrition. So that's where we got to lot of influence right over someone's health fitness and nutrition so that's
where we got to be careful yep let's finish it out is that right we can see that absolutely and
for those of us who are adipose stores no matter how many times because you all have watched me
diet and diet and diet and diet it's a recurring thing because my body always seems to want to go back to a certain...
I don't mean to nitpick every single thing that she says,
but you've seen me diet, diet, diet, and diet, right?
What does that mean?
Yo-yo?
Yeah.
Not sustainable?
Well, yeah, and it means she was off a diet.
But what did that look like when she was off?
When she was off, she was probably eating crappy food. And there's a difference between perpetually pursuing a
deficit or like trying to diet versus actually a lot of people feel like they are dieting and
they are exerting effort towards a certain nutritional strategy. Now, whether you are
successfully dieting is a different thing, right? So if she was dieting for the purposes of weight
loss, she was probably trying to restrict her calories. There are many people, countless people,
I see this online all the time, who feel like they are always dieting or in a diet phase,
but they are not successfully losing weight. So they are being restrictive to a certain degree,
but what is the outcome of that strategy? And then she's basically dieting,
stopping, dieting, stopping. Well, what are you doing again in that season when you're not dieting?
Is that intake moderated or did you go off the rails because you were restricted before
and it lacks sustainability? So now when you weren't dieting, you're in this period of
overconsumption. I think that was a great point. And that is a tough thing because a majority of
these celebrities, when they do go on these weight loss diets, they're typically crash diets.
They're typically done so that they lose weight very, very quickly.
She'd been part of like big campaigns where she's, you know, lost 50 pounds and did it in front of
the whole world. In X amount of weeks though. It's not lost 50 pounds in a year. It's lost 50 pounds
in eight weeks, 12 weeks, et cetera. Then what happens when you've crashed your calories so low
that you lose that amount of weight, then you start eating the amount of food or close the amount of food
you're eating. And this is where it's more broadly applicable to, I think your listener base is like,
I would say that there's obviously a lot of folks who listen to this are interested in health,
fitness and exercise. They haven't necessarily, there are probably many listeners who are not
overweight or obese themselves. And so the, where this conversation applies either for them or
someone they care about or a friend is we have a lot of people in the fitness industry or followers
of the fitness space and social media space who are doing still crash dieting, following fad diets,
hopping from the latest trend to the next thing and not understanding the consequence of what
happens metabolically when we do that and
how metabolic adaptation plays into that long-term success and people not correcting that. So yeah,
Oprah was a prominent figure associated with Weight Watchers and it was always 50 pounds in
X time or we did this or I lost this many dress sizes in whatever time horizon versus that
conversation of, okay, and did we keep it off?
Did we keep it off?
And also it's not like we were pulling a blood panel on Oprah and saying, well, your thyroid
hormone also did this and this is what happened as a result.
So there is a problem here in one understanding, not all of her diets were successful, varied
in time horizon.
They certainly weren't sustainable because we're still having this conversation 20, 30 years later, right?
I mean, and she looks good.
Like, obviously she's taken some approaches
that have really helped her.
She looks better now than certain decades past.
Yeah.
Right, so there's something going on for sure.
I also wonder how much lifting, you know?
Yeah, so actually this is a great point.
Yeah, do you even lift?
How much you bench, Oprah? So the conversation around that. Well, just because we know that lifting can
add some sustainability, like people that have lost weight and been able to keep it off,
they've been shown to have certain types of habits. And one of them was lifting weights.
I think another one was just like weighing yourself. Like there's a bunch of little things
sprinkled in there. From the sustainability perspective, yes.
Exercise is a great weight maintenance tool,
but primarily, so nutrition is a key driver
of the weight loss,
but exercise and resistance training are great tools
to help sustain that weight loss over time
or to build that capacity to eat more calories
and sustain a reasonable weight range
compared to before. A lot of people still have the mindset of I need to burn more calories. I'm reasonable weight range compared to before.
A lot of people still have the mindset of,
I need to burn more calories.
I'm gonna exercise.
I'm looking at the Apple Watch to see what's going on.
They're tracking their fitness
and they're not looking at the calories.
And so they over consume.
So that's a problem.
But yeah, for Oprah, I mean,
we've never documented her exercise journey
as much as we've documented her nutrition
and weight watching journey.
Yeah, Mark. And like, how long should somebody be dieting and adopting this lifestyle?
Yeah, you got to do it for a long time. You got to do it for as long as you can, really. So,
you know, if you try a diet, I think it makes sense to try to move into some other nutritional
protocol. You try one and it's not feeling right or it feels too restrictive or maybe some people do
keto and it makes them feel sick or it messes up their stomach move away from that and move into
you know research stuff look into something else and just continue to poke around you know years
ago um stan efforting mentioned this recently on a podcast and i kind of even totally forgot about
it but years ago i created operation get less fatterist and it was something that I posted on Facebook. And what it was is it was a
series of four different styles of diet. And you would do one diet per month over the course of
four months, because I started to recognize that a lot of the people that I knew and a lot of
friends, a lot of family, they tend to gain a lot of weight around the holidays. So I was like,
if I start this maybe in like, you know, September or October or something like that,
then by the time, you know, the new year rolls around, some of these people may not have the
same problem they had in the past where they're gaining, you know, four to six pounds every year
and not really even paying attention to it. And that included like a bodybuilding style diet,
keto diet, carnivore diet. And it was just kind of, you know,
because I think you do have to find,
you do have to figure out like what's going to suit you,
what's going to fit you, what's going to feel good for you.
Personal preferences are a large part of it.
And I do think for someone,
if they're newer to the industry listening to this,
a lot of folks may be more seasoned
or they've followed a program before.
This is where having an expert
or having a coach in your corner can help bring awareness. Because a lot of people don't know what to look
for to define if something is working or not, right? They don't know the statistics to measure.
They don't know how, if you don't have that level of awareness, you need someone to help you along
the way. Even if it's just, I mean, we're also just more likely to be successful when we are
surrounded by people who are pursuing that same goal. So having accountability or having someone on our
team. So whether it's a coach or not, or just someone who's along for the ride with you,
it does exponentially increase your likelihood of success. I do like the trying different things on
for size. I think where some, you had already been in the fitness industry at that point and
been consistent with your training and done a lot of things consistently,
where I would worry about that rotational style diet.
And this is why sometimes things like calorie cycling
and or carb cycle,
like certain approaches that work for some
don't always carry over to others
is because certain people haven't adopted the ability
to be consistent with the first thing.
And so they're just starting to cement some of those behaviors
and then they switch.
It's why sometimes for less advanced trainees, it's helpful to actually do a deload versus like
a full rest day or rest week. It's just like put some more reps in reserve or reduce the volume or,
but I still want them going to the gym because we're cementing the pattern and the behavior of
going to the gym, even if we're not training super intensely. So with nutrition,
I may not completely flip that on its head. If the person is just starting to gain some momentum, I think it could work for someone like Mark, because for you, it gave you a little bit of
variety and you had also been in the industry long enough to kind of understand the inner workings
from a fitness and nutrition perspective of what would make that successful and monitoring your
intake over time. And some people need that variety too. That's another thing too. There's a lot of people
who kind of crave that level of variance, um, where certain people I think would maybe fall
off the wagon somewhere in there after the, the initial bodybuilding, the keto.
Mm-hmm.
And weight.
Oh, that was literally it.
It's like that was it perfect
well what do you think are um you know if you had to kind of sum some of this up um
um what are some what are like a couple key ingredients you think
with somebody having some sustainability and being able to lose weight
so when i look at that, I kind of,
so you and I agree on protein as a big one.
So when I go back through the five Ms I mentioned earlier,
and this is how I kind of break it down
in Metabolism Made Simple,
is we have to have things,
because if we're constantly hungry,
if we cannot manage our appetite,
we're going to struggle with any particular diet.
So there's a level of personal preference,
but then also understanding what works from both research and practical application
to drive success. So I have to be able to manage my appetite and I have to be able to do something
that is preferential to me. So there's this idea of flexible restraint that's been discussed in
research. So it's, I have a little bit of
discipline and a little bit of structure, but I also have the ability to rotate certain foods
within that structure. So that's also something I talk about in terms of personal preference.
So if we're kind of breaking it down, first I need key ingredients. So when it comes to managing
hunger, for example, attentive eating is a big one. Adequate protein, hydration.
There's a lot of people who are not adequately hydrated
that feel like they are actually hungry.
Is there anything more to attentive eating
than just like paying attention?
So lack of distracted eating, chewing your food.
So I would view it as some people just miss
like very accessible big rocks.
So like they're driving and they're eating, right?
That's like, let's wait and try to actually enjoy the meal. Another thing could be, um, even the like size of
plates and bowls and things that you're using and actually, you know, sitting down and enjoying that
meal. I think community, there's a lot of, um, both anecdotal and research or clinical evidence
around, uh, people consuming food with loved ones
and that having a positive effect as well. I realize that's not for every single person
practical at every single meal, but when you can enjoying something with a friend or family member
or even a coworker that you like could be something that works. The main thing for
attentive eating though is yes, like getting off of technology, not binge watching Netflix while you're eating your largest calorie serving of the day,
chewing your food. Those are really the biggest ones. And then some of the actual components of
nutritional structure would be this idea of like flexible restraint, protein intake.
You know, fiber is a topic of debate, I think recently between folks who have gone like
full carnivore and then you have plant-based people where it's like, we think fiber is amazing
and then other people are like, you don't need fiber. So I think there's finding a sweet spot
based on your digestive tolerance of not everybody can handle like super, super high fiber intake.
It'll lead to digestive distress. But if you have no fiber intake, that's probably not great
either. So there is a middle ground. Fiber can be important for overall digestive
health, but also managing that appetite as well. So those things will play into the overall
nutritional success. And then I think carbohydrates and fats, we're going to shift based on activity
level and personal preference. So some people enjoy more of a protein and fat-based diet.
You've referenced using that in the past. Other people who enjoy more of a protein and fat-based diet. You've
referenced using that in the past. Other people who enjoy carbohydrates, we're going to adjust
that dietary fat intake, but we still want to be mindful of our omega-6 to omega-3 ratio
and getting the appropriate amount of monounsaturates, polyunsaturates, and saturated
fats. So this becomes a different conversation if we're speaking in terms of athletic performance,
health optimization, and longevity, or are we talking about we're speaking in terms of athletic performance, health optimization,
and longevity? Or are we talking about we're just doing this for physique goals, aesthetics,
hypertrophy? Because there's going to be a slight shift in dietary style to accomplish those goals. And it's very hard to chase multiple rabbits. So it's like, let's pick a priority.
And then the common themes across those are gonna be the things we discussed today.
But as you get more refined,
you can get in the nitty gritty of,
okay, what are we doing in terms of carbohydrates?
The type of carbohydrates, dietary fat,
are we combining,
like are we having mostly protein and fat meals?
Are we having higher protein and carbs around training?
That's going to impact someone like an athlete
significantly more than someone who's just like a lifestyle dieter trying to keep their weight off.
So depending on how in the weeds you want to go, we can certainly chat about that.
What's the strategy for the individual who has dieted themselves into oblivion? So let's just
say that they still have 75 to 100 pounds to lose, but they're currently eating 1500 calories
and the weight is not dropping.
Because a lot of people,
they've gotten to the point where like,
I'm still eating so little and all I can do,
the only place I can feel is I can just eat less food,
but I'm barely eating.
What do they need to do now?
So this is where there's a conversation
and our industry has different terms for it,
but this is the idea of like a recovery or reverse diet,
maintenance phase, or just periodization as a whole. Sometimes we also need to divide that out
into, there's going to be different individuals in that camp. There's people who are accurately
tracking their food, who truly are eating a very low amount of calories. And I have a sensitivity
towards this because I've been a person who has worked with and coached individuals who
had other coaches be like, I don't believe you're not doing this. And they're tracking their food.
They're taking pictures of their food. They're like, it's on the food scale. And the person's
like, you're lying. You're doing all these things. And that's really, really bad from that
perspective. So you need to kind of trust and verify there. So we want to look at someone's overall understanding
of moderating their intake.
And are we missing like condiments, liquid beverages?
Like, do we have a decent idea of portion control?
And then there's the conversation of exercise.
Some people eating 1500 calories are not training
to where the reason it's so hard for them
is we haven't gotten our energy expenditure
in a place where it's easy to lose weight. So this is a conversation of both increasing energy
expenditure, but also if we have been a season of dieting for a long time and we've been training,
we may want to take a little bit of a break from that and then re-approach. So some people will
need to stair-step their weight loss loss they will have periods of and you
even see this with like other areas of life like building a company sometimes you have more rapid
growth sometimes you're going to stabilize sometimes you're going to more rapid growth
you're going to stabilize with weight loss people expect it to be this super linear straight down
thing and it's not always that way sometimes you will plateau sometimes you need to stair step your
way down you'll definitely gain weight here and there too. You may gain weight here and there. Sometimes it's
just water and sodium differences or a little bit of inflammation, or maybe you ate a meal later
than normal, or you change times at like all these different things, or you haven't pooped yet today.
For women, your menstrual cycle can impact your weight. So understanding there's little things
that are going to drive that difference. But if you've been repeatedly restricting calories and you've hit a point where you've hit a bit of a plateau, it may be
a good idea to adjust your intake and maybe increase it ever so slightly or work back towards
whatever your new maintenance might be. The problem is the longer that we push in one direction,
and this is where we lose steam and we run out of runway. If all we're ever doing is
eat less exercise more versus if we spend a season and let's eat more, uh, but exercise more.
So increase expenditure. Then I also have the ability to come back to a, a different stimulus
of maybe I'm actually going to reduce training stress a tiny bit, but I'm going to bring food
down as well. And then maybe I increase things like walking, non-exercise activity, and then, or I change, maybe my resistance training is a little
less intense, but I have some cardiovascular exercise coming into play. So we can use all
of these as tools and then match them up for the best stimulus for the person. But the problem
usually in the case that you're describing is either we've been absolutely kind of smashing one particular stimulus
for a really long time,
or we actually have some inaccuracy
in what we're doing
and that's impacting the result overall.
Yeah.
I think you want to work your way
towards being like an output machine,
you know, being like,
being sturdy, being strong
and being able to exercise hard, being able to put in a good
effort. Like just on my run today, it's a wazer for me to run faster yesterday and today because
both days I had 75 carbs and around 75 grams of protein before I, you know, about an hour and a
half before I ran. And so having a little extra fuel, just a little small bump up in not even necessarily calories, because that wasn't
really super calorie dense, but just getting just a little bit of extra energy somewhere in the day
can really solidify having much stronger workouts. Yeah. So, and you're also someone I would put in
more of an athlete camp, right? With your training history, you know, you've certainly got a lot of training
experience and your training age is going to be very different than some of the people who are,
you know, watching that content in terms of Oprah. So this is where the context of nutrition comes
into play for you. Peri-workout nutrition, probably pretty important. What you eat pre
or post training may impact that because you've already got the other 24 hours of the day figured
out where now we can move into this more specific conversation around what is optimal for Mark's recovery. What is the
best pre-workout meal that seems to feel good to where we perform really well? We have stable
blood sugar and you can start to get into these more individual considerations of nutrition.
Some people have never been consistent enough across a 24-hour container or seven-day container
to begin to work on these smaller items like the
75 grams of protein and 75 grams of carbs per training, observing how you feel and then
monitoring it. Most people never get that far, which is a super common issue. I do agree with
the output machine minus the caveat of maybe there's a small percentage of the population where
they view output machine as like, I'm going to go to orange theory with my
friends, like every single day and do high, you know, high intensity interval training.
Yeah, not overdoing what you're prepared for. Yeah.
Yeah. Not, you know, not exceeding our recovery capacity there most of the time. And so for...
I think there's a little knob on the side here. I think your mic, your mic got a little flaccid,
I think. You can do it on both sides. So if you just...
It happens to everybody. Thank you.
Got it.
To where, you know, for that population,
there are people who are,
their output is not necessarily the right output for the type of goal they're trying to achieve.
So if we're just looking at aesthetics,
physique, weight loss,
combination of resistance training,
you may need a little bit of cardiovascular exercise
sprinkled in here.
And then nutrition as a driver for restricted calories overall.
But some people are kind of abusing that
and they're hammering that stimulus of like,
think group exercise classes or high intensity trainer.
They're always doing intervals or it's always a bootcamp
versus actually building that strength base and building muscle mass over time. Because we do
have a lot of people too in this conversation around obesity, they are under muscled. It's not
just a body fat issue. It's also we're lacking muscle tissue and that's impacting overall
resilience too. So we do need to build muscle because it does have those benefits from the
chemical messaging perspective, but it's also helping from an insulin sensitivity perspective,
a longevity perspective, frailty as we age.
And you've even seen this physically
in how someone shows up.
When you're well-muscled,
even if you have a little bit of body fat,
very, very different than if I'm just storing a ton of fat
around my midsection, I have a lot of visceral fat.
So visceral fat is incredibly problematic, excuse me,
and detrimental towards your long-term health.
So when we look at that-
That's fat around your organs, correct?
Yeah, fat around your organs
is really gonna be a problem.
And so for a lot of the people that we're talking about
within the context of GLP-1s and stuff,
that is a risk factor for their long-term health.
So different conversation around the fat storage
and just the metabolic advantages really of building muscle.
Thank you for your time today.
Appreciate it.
Where can people find you?
So people can find me.
I am Sam Miller Science on just about every major platform.
That's also my podcast as well.
So sammillerscience.com.
The program I reference for health and fitness professionals
is Metabolism School.
So that's metabolismschool.com. And then the book is metabolism made simple. If you guys want
to check out an audio copy, I checked with my web guide before I came here. I was like, dude,
we need this to actually work. Don't crash this. A free nutrition book.com should get you your copy
of metabolism made simple. If you have any issues, guys, you can send me a message. I'll try to help
you out. That's the audio version. If you want the paperback, you can go to metabolismmadesimple.com
for that. And that's pretty much it, guys. I appreciate you having me and letting me share
with your audience. Thank you so much. Strength is never a weakness. Weakness is never strength.
Catch you guys later. Bye.