On episode 614 of the 40+ Fitness, we bring on the CEO of MD Exam and discuss the new weight loss drugs that have been the recent craze.
Let's Say Hello
[00:02:13.510] – Allan
Hey, Ras. How are you doing?
[00:02:15.600] – Rachel
Hey, good Allan, how are you today?
[00:02:17.900] – Allan
I'm good. Glad to get into this week. We got a lot going on here. Just some fun stuff or should be fun.
[00:02:24.510] – Allan
We had a chili cook off this weekend.
[00:02:26.730] – Rachel
[00:02:27.900] – Allan
Well, it could have been. It could have been.
[00:02:30.030] – Rachel
[00:02:31.410] – Allan
Well, no. Okay. I was responsible for the chili, and I really put a lot into the chili. In fact, if you know me okay, guess what? There was nothing out of a jar box can.
[00:02:46.630] – Rachel
[00:02:48.150] – Allan
It was from scratch all the way through. Okay.
[00:02:51.340] – Rachel
[00:02:51.720] – Allan
Everything was all the way through. There were no cans.
[00:02:53.920] – Allan
Only thing that was in a can was the beer. I do use some beer, some dark beer in there. And that did come from a can.
[00:03:01.360] – Allan
But that's all that came from a can. All the tomatoes. I made my own tomato sauce beforehand. I had everything cut up, ready to go. And the folks that we hang out with here, they're a little bit more on the party side. So they just wanted this to be a big party. And so they were busier partying than they were focused on the fact that there was a second competition besides the best booth. And so they were so dedicated to best Booth that everything else just sort of got tossed to the side.
[00:03:34.880] – Allan
So we did win best, Booth. I had very little to do with that other than wearing a costume that was hot and comfortable for about 3 hours, but it was one of those things, so I didn't place still had a great chili. I've got some leftovers, so that's good. But it's just one of those things when you, I guess, hindsight being 2020, if you care about something, then you want to make sure that it's a no lose proposition, set the odds in your favor.
[00:04:02.670] – Allan
And being a part of this group was definitely not putting the odds of winning the chili competition in my favor.
[00:04:10.660] – Rachel
[00:04:11.870] – Allan
Yeah. Winning the booth. Absolutely. These guys were handing out fireball jello shots and everything else, which I don't know if you've ever tasted a lot of cinnamon at one time.
[00:04:21.800] – Allan
Anything you eat after it. Yeah.
[00:04:26.070] – Rachel
[00:04:28.390] – Allan
Yeah. That was the impression people had of my chili, was, OOH, this doesn't go very well with fireball. Anyway, so it was what it was. It's over.
[00:04:40.350] – Allan
I learned from it. Move on. I had a good time otherwise, and yeah, go on. And then I do want to say something. I am going to be on a kind of a panel thing. It's a summit.
[00:04:54.130] – Allan
And it's called the Women's Strength Summit. Okay.
[00:04:59.180] – Allan
And the title of this, or basically the theme of this, is Women Stronger with Age. At least that's my theme as I go into my part of it. And so this is going to be on November 2, I believe it's going to be somewhere around 10:30 11:30 on that day, I'll be being interviewed live, and there'll be a Q and A. It's Amanda Mackie that's putting this all together. And so if you're interested in getting it, I believe it's completely free. It's on November 2. I think she may be recording it. You may have to pay a little bit just to have access to the recordings, but I will be on the Women's Strength Summit, and you can learn more at 40plusfitnesspodcast.com/amanda, again, that's 40plusfitnesspodcast.com/amanda, that will take you to the page where you can get more information about the Women's Strength Summit. And as I said, I'm going to be one of the key speakers there going on sometime midmorning, so you can check that out. And again, it's 40plusfitnesspodcast.com/amanda.
[00:06:01.230] – Rachel
Sweet. That sounds awesome.
[00:06:02.980] – Allan
Yeah. So what's going on there?
[00:06:04.950] – Rachel
Well, I think you planted the seed with chili, Allan. So, over the weekend, we made a huge patch of chili ourselves, and we've enjoyed it over the weekend. And I've put a bunch in the freezer so I can pull it out throughout the winter. That's the fun part about making chili, is you can overdo it, freeze it, and it's there when you need it. When it's super cold up here in the wintertime.
[00:06:26.660] – Allan
Food prep. I love it.
[00:06:28.670] – Rachel
Yes. It was awesome. Thanks for the idea.
[00:06:31.400] – Allan
Well, good. All right, so are we ready to have a conversation about these new weight loss drugs?
[00:06:40.290] – Rachel
[00:06:58.790] – Allan
Sergio, welcome to 40+ Fitness.
[00:07:01.600] – Sergio
Pleasure to meet you, Allan. Thank you very much.
[00:07:03.990] – Allan
I'm really excited to have this conversation with you today because this topic, some of the medications, some of the things we're going to talk about today, I'm going to call them medications only because that's my vernacular and you're probably going to correct me later. But we can talk about what they are and why they're effective. But I want to talk about these because they're becoming more and more prominent. There's more and more people who are being introduced to them. I mentioned it to my wife today, and she says, well, what is that? And then when I started talking, she says, oh, that's the wigobi stuff. I'm like, yeah, that's what that is. So it's starting to kind of bubble up, and a lot of people are seeing it.
[00:07:39.220] – Allan
And I think for a lot of people, it looks like, wow, this could just be the magic thing. I don't have to exercise, I don't have to eat right. I can just take shots, and there I am. But it's much more than that. But there's a lot of value here. And so your company, MD Exam, I got on the site kind of went out there. You have kind of a quiz, it's a longer quiz that really does help someone narrow down where they stand in this. And you don't just go at this with one hammer, solves all problems. You have different levels and different things that people can choose and look at from their particular needs, not just one size fits all. And I really appreciate that because I think too many times people think, oh, there's one solution, there's one answer for me. I'm going to do what everybody else does. But you've broken it down on your website that there are particular reasons that you may or may not want to use a different approach, and you've kind of lined that out in your website.
[00:08:31.540] – Allan
So the first thing I want to kind of get into is, let's talk about these things, Ozempic, Wegovy and Rybelsus.
[00:08:42.070] – Allan
[00:08:42.660] – Allan
Now, those are one type of product. And they're built around a product called Simaglutide.
[00:08:49.830] – Sergio
[00:08:50.870] – Allan
Okay. Yeah. I'm not really good with medical terms.
[00:08:54.570] – Sergio
I'm not a doctor. I'm not a clinician. I'm just an entrepreneur with some very smart medical people around me.
[00:09:01.700] – Allan
Yeah. So let's talk about what those are and what they're doing for us.
[00:09:07.150] – Sergio
Okay, perfect. So let me jump into that real quick.
[00:09:09.390] – Sergio
So one of the biggest things that we try to do at MD exam is make sure that if you're coming to us to lose weight, first and foremost, let's not jump into the game about losing weight because it's a fad.
[00:09:22.450] – Sergio
We got to lose weight because you want to lose weight, you need to make a change in your life. A lot of people and I say this because my education level in this is what's kept me in this business long term wise.
[00:09:33.490] – Sergio
We're up and fighting against a lot of people that need to understand because there's a lot of questions. You see them everywhere. It's like, what is this? What does it do? How does it work?
[00:09:41.610] – Sergio
Semiglutide triggers GLP one, which is a gastric like peptide, which what it does is it sends and we're doing this in layman's terms. You eat as soon as you got glucose, sugar goes into your body. Your body tears it down, breaks it down. It identifies what type of sugar goes into your body, common or simple. And we go down two different routes. One of the routes it does is. It triggers and goes into your stomach. And it triggers the incontinent hormone, the GLP one. And what that does is it sends the trigger to your brain mentally wise when you're full, when you've eaten enough and it says, hey, Sergio, stop eating, you're full. And what happens?
[00:10:20.440] – Sergio
You know how America is. We eat till, hey, you get a plate of food, you eat it.
[00:10:26.060] – Allan
Starving kids in India. You know
[00:10:27.770] – Sergio
absolutely. You can't eat anything on the and that'S good and bad. But there's something that has to be taught here, which is how much food is good for us? How much calorie intake is good for us? And that's a whole nother topic because 2400 calorie intake for females are like 26 to 2000 for males at the age of 30.
[00:10:47.790] – Sergio
If you follow that rule, which is like the healthy, you fall to what America is obese.
[00:10:53.420] – Sergio
Almost 80 plus percent of America is overweight. Obesity has over, tipping 46%. The biggest epidemic right now in America is child obesity.
[00:11:04.450] – Sergio
That's got to start with education, Allan. And that's what we're here to do. We're here to educate and help people.
[00:11:10.380] – Sergio
A lot of people say, hey, this is compounded, this is this and that. I think we need to understand I'm not here to fight big pharma by any means. I'm here to educate people, help people get this what they want to call medication with a polypeptide. Let's be realistic.
[00:11:26.500] – Sergio
I am a patent holder. Our company, we do have a chemical company, we are a patent holder or a patent holder 16,700. And we're in that range there.
[00:11:34.110] – Sergio
So you can look us up if you want to find out. So we've gone the level, we've gone the extra by the way, we do have 1250 state licensed doctors on board. We have eight nurses, armps, Or, RNS, three clinicians, and we have a staff behind us to try to support as much as we can to everyone who joins us, because my goal is to follow. If we could help them lose weight by making changes that they have to make every day with either one of the two products. Let's make sure everyone understands wegovy and ozempic are the same medication that is Semiglutide. It was created so that a doctor could never be charged I'm calling a spade of spade here.
[00:12:20.380] – Sergio
I'm sorry, can never be charged for a whistleblower process class action lawsuit, which we saw in the past.
[00:12:27.710] – Sergio
Right? What was the biggest side effect to this test for diabetics was weight loss. So if doctors were going to write a weight loss medication script, let's create and write it to Wegovy. But Wegovy did not have the $25 copay. Only Ozempic did.
[00:12:45.800] – Sergio
So if you don't have the $25 coverage because you don't qualify for pre-diabetic or diabetic, you didn't have access to this. And that's where companies like myself step in, and we have other competitors that have stepped in, and we're all trying to do the right thing at the end of the day. Our insurance companies are being really battered in the space, and I want to make sure that everyone has access to it.
[00:13:11.390] – Sergio
Why is it so expensive? This is one $1600 or charging our insurance companies, and this isn't what this conversation is about. My conversation here is our company slogan is lose weight, feel great.
[00:13:25.270] – Sergio
So there is today a product on the market in Semiglutide that works on seven and a half out of ten people that will help you address what has never touched the US market before. A product that works okay,
[00:13:41.350] – Allan
just to take a step back to help folks. A polypeptide, if you don't know, is basically a series of amino acids. And basically it's in a structure that functioned very much like a particular type of hormone. It may be missing a piece or something like that, but it still generally functions. So when he's talked about hormones and he's talked about these, that's basically what's happening, is you're communicating to your brain that you're already full.
[00:14:06.350] – Sergio
[00:14:07.630] – Sergio
And that's where it starts. So that works pretty well. We see on, like I said, seven to ten out of ten people. And what happens? Everyone works a little different. Some people feel it in the first week. Some people feel it at week three. But we monitor our patients by week three to four. If you're not feeling that little change. And everyone's a little different. This has nothing to do with weight, size, color, gender. I've seen it all. I've seen someone who's taken quarter milligram too much and has had a side effect, what you want to call the half life of this, for every ten units, seven days, had a 22 day uncomfortable. The only way to fix it you need water.
[00:14:54.610] – Sergio
Water is the only way this works. And then I've had people who've accidentally taken a whole milligram CC. And you know what? How do you feel, Mary?
[00:15:03.400] – Sergio
I feel fine. Perfect. Tomorrow, Mary, you're going to get a phone call from one of our nurses to follow up. Make sure. I'm fine, right? Absolutely. My biggest thing in this, there are no shortcuts. As you know, Allan, you yourself, being a trainer in the space, I tell and I preach. I've hired every single one of my employees. We do believe in a culture here. My culture is about exercise.
[00:15:24.630] – Sergio
There is no magic pill. This thing about fentermine and these other past medications, there is no quick solution to losing weight. It didn't come overnight, and it doesn't.
[00:15:36.580] – Sergio
Like I tell everyone, I can help anybody lose weight. My goal isn't just to help you lose weight.
[00:15:40.430] – Sergio
It's to help you keep it off. That's the key. And that's where the habits have to be created.
[00:15:46.360] – Allan
Yeah. And we're going to dive a little bit into nutrition and exercise later. So basically, if someone's not hungry, then they're obviously not as interested in eating, so they eat a little less or eat less, they start to lose some weight.
[00:16:01.320] – Allan
Now, there's a couple of different things that I've heard about it. Some of these are relatively rare, some are a little bit more common. So the rare one would be that there's some issues with your stomach and you don't tolerate it well, and that could cause a little bit of problems, and even if you stop taking it, potentially little problems down the line.
[00:16:19.550] – Allan
Could we talk about that? And then the other side of it. Which, again, I think we'll get into with the nutrition and exercise, is if you're not eating enough, if you actually tried to just starve yourself and not eat at all, you're not just going to lose body fat, but you're also going to lose lean muscle mass and potentially bone density and some other things.
[00:16:37.860] – Allan
So let's talk about kind of the problem with the stomach first, and then we'll pivot over and start talking about muscle mass and lean body mass.
[00:16:48.000] – Sergio
Perfect. And let me jump into and that's a great topic. I live with it.
[00:16:51.190] – Sergio
I suffer from this the stomach side issues. So if you starve your body and a lot of Americans suffer from very simple gas. Gas is created from the lack of food sometimes, and I could go into some more medical terminology, but let's make it simple. A lot of times when you don't eat a lot, if you don't eat food or eat the wrong foods because there's a restriction of intake or wanting tea, it can create all sorts of gastric, little issues in your stomach and your intestines. And that's where it starts.
[00:17:22.340] – Sergio
Okay? I've preached to people always, you have to put a little something in your stomach. People say, I can't eat. I can't eat. You need to find a little protein bar. You know, they'll find a little something.
[00:17:32.100] – Sergio
Because that's what you get is that a common side effect for everybody? Negative it's not. Between that and the headaches. Those are typically the two biggest nausea is typically the first and headaches are the second.
[00:17:44.480] – Sergio
The biggest thing is what we try to do is make sure is how much water are you drinking? Realistically the majority of the time people are not drinking enough water. And if you want to ask me on how much water do you need to drink as an individual you need to make sure when you go to the restroom and you do number one it comes out clear. If you're taking vitamins it's one thing. But people understand it. You need to be hydrated.
[00:18:09.920] – Sergio
Come on. Because hydration also takes a big effect on how your stomach functions and your intestinal functions. And then that goes into a lot of what you've been hearing out a lot of stuff about stomach paralysis and this and that. How many subjects are we talking about? We're talking about feeding millions of people here. We're not talking about deaths. We're talking about losing weight is not easy. It's not fun. It's a challenge. It's a lifestyle. Doesn't come overnight. That's where the education comes in here.
[00:18:39.740] – Sergio
The education is critical to understand. I tell people all the time don't come in here to I want to lose weight in 30 days. We're not the right program for you. I see it in our you know we do some very interesting meetings and pull out these clouds and we get all the stuff like I took a shot last week I didn't lose any weight.
[00:19:00.520] – Sergio
But on the contrary we do have people that say hey I took a shot last week and lost nine pounds. I have thousands of that's.
[00:19:10.850] – Allan
That's kind of point is everybody react differently.
[00:19:14.210] – Sergio
I'm scared of those Allan by the way. I'm scared of those because those are the people that really they got to work at making sure that hey this wasn't magic. It's just like everyone's body's different and realize that because your body was affected a little different on how you break down this peptide inside your body and how it affects your peptide. That's the key to understanding.
[00:19:36.010] – Sergio
And that's where we are trying to different. And as we grow our business that's where we are leading to.
[00:19:42.330] – Allan
And so at MD exam they're going to have access to nurses and doctors to be having these conversations of I'm feeling this, this is going on. And they're going to get that guidance and education.
[00:19:52.910] – Sergio
Yes sir. That's correct.
[00:19:54.850] – Allan
Cool. Now there's another product and this is sort of what you I guess you kind of call this. This is the ultimate one. Okay. So this is the newer one I think. I think it's newer but they kind of came up around the same time.
[00:20:05.330] – Allan
And it's called Manjaro.
[00:20:07.400] – Sergio
[00:20:08.420] – Allan
Okay. And this is a different peptide polypeptide it's called Tirzepatide and it so it works a little differently. Can you talk a little bit about that one and why that one would be a little bit more of an intense treatment.
[00:20:24.630] – Sergio
Okay. So as we know everyone's hitting immediately. How do I take that shortcut? How do I get to that shortcut you know?
[00:20:33.200] – Allan
Oh right. And I'm telling not to take the shortcut, but I'm just saying it's just knowing that there's a higher level treatment. And this is not about I hear I hear tons about how this is the biggest thing that's hit LA in forever because you're about to do a photo shoot and you want to drop those nine pounds and, well, that actress or that model did it. It can seem like that because that's how some people are going to use it. But the reality of it we're a health and fitness show and the principle being is if you're really struggling with obesity and the other comorbidities that come along with it, this is a tool.
[00:21:11.190] – Allan
And so knowing the tool and knowing what the pluses and minuses are of a tool is valuable.
[00:21:18.210] – Allan
You don't want to take a hammer when you need a screwdriver. And I think that's the point is that maybe one of these is the screwdriver and the other is the hammer. But you've got to define what you're trying to accomplish.
[00:21:29.850] – Sergio
Well said. And let me jump in there because if you want let me give you a little bit of both so people understand how this works because I go through this all the time with people.
[00:21:39.600] – Sergio
And they think bigger is better. I think very few people understand this like I do. My sister in law is that person for FYI. So I had a past Christmas at my house with six of her friends that were not happy people.
[00:21:57.960] – Sergio
Why? Because my sister in law put them.They all want to lose weight. All qualified. She hit them up immediately with Manjoro tirzepatide.
[00:22:06.690] – Sergio
Okay. Two of them it worked on four of them were miserable at my house for Christmas Eve.
[00:22:12.820] – Sergio
I sat there and talked to them for a while.
[00:22:14.700] – Sergio
I love to hear feedback because the more I get the more I could help.
[00:22:17.560] – Sergio
So where are we going to go at this?
[00:22:19.340] – Sergio
Semaglutide is a one peptide, is a GLP one, tirzepatide which the brand name is Manjoro. It will be approved for weight loss. It is already on the books for approval. It is approved but it hasn't verbally been said.
[00:22:34.530] – Sergio
And you can look it up, you see it yourself. But that triggers two peptides, the GLP one which is the semaglutide and the GIP which is the gastric inhibitor peptide.
[00:22:45.750] – Sergio
Those two I'm going to go back down on what you said. It's the screwdriver versus the hammer.
[00:22:52.010] – Sergio
Okay. Great model. I love it there. We want to help people minimize their caloric intake, which is something else I'm going to talk about CRM which hasn't been spoken about in this space. Which is massive but we want to make sure that people have some food.
[00:23:08.080] – Sergio
Tirzepatide. It kills your hunger to the majority of people. Again, it's not the same on everybody.
[00:23:15.230] – Sergio
By week five in our program, if you haven't hit that four to six seven pound change or percentage in your weight loss, we typically move you to tirzepatide, and we've been very successful with about 90% of those. We do not allow anyone to start on Tirzepatide unless you come with an understanding or we have information that you already took it. So do people lie and try to get around it? Yes, absolutely. All the time.
[00:23:44.980] – Allan
Do I have no, people aren't going to lie.
[00:23:47.820] – Sergio
No. Why not?
[00:23:51.240] – Sergio
We do have a lot of famous people across the board.
[00:23:55.660] – Sergio
I talked to males and females, primarily females. I'm a person that's accessible. I want to help people.
[00:24:01.500] – Sergio
When people say, oh, you took my money, this is what happened.
[00:24:04.530] – Sergio
If there was so much business. What happened was when Nova NorDis pulled a $25 copay, everyone got backed up. Our company went from a three to four day delivery turnaround time after your consultation to a 55 day turnaround time. I'll take the blame for it. My setup just outgrew us real fast. We're there today and we're not only going to help as many people, but there's 144,000,000 Americans that need our help.
[00:24:31.100] – Sergio
How can we help them? Semaglutide and or tirzepatide today are expensive through big pharma, they're getting more and more economical. And a lot of know you do have to find out. Do your homework. Just don't buy it off the corner of the street. Buy from someone who has credibility.
[00:24:50.470] – Sergio
Our company is Legit script certified. You cannot just go buy your legit Script certification. That allows us to mass market as a pharmacy because we do have a physical pharmacy ourselves in Texas 503, a sterile pharmacy and a non sterile. We do specialize as well Allan in rapid dissolvables, ribelsis is a product that big pharma came out with. The problem is you have to take so much of it because it has to hit your stomach. We made a rapid dissolvable that's a couple other facilities in America making it because it helps people, because a lot of people that does it don't want the injection. They take a couple of these tablets daily. Dosage.
[00:25:30.290] – Allan
Yeah. I think that's a key point I missed before. I should have put that in the plan is that this is not just a shot. There are pill versions. There are oral versions of it as well. Okay, cool.
[00:25:40.350] – Allan
Now, up until now, kind of the final go to for someone who was obese was they'd go to their doctor and explain to their doctor they can't lose weight. And the doctors realize, okay, there is a fundamental problem here. They would go to bariatric surgery, lap bands, things of that nature. Surgery either to actually cut the stomach or to actually just put bands to restrict the size of the stomach. As a result, someone wasn't capable of eating as much.
[00:26:09.840] – Allan
And then that kind of got them to losing weight because they would eat a little bit and be full. And obviously, if they followed through with that, everything's cool.
[00:26:19.610] – Allan
But most people tend to eat a little bit more and a little bit more and a little bit more. They've still got the food issues and things like that. Can you kind of give us some of the pros and cons of these polypeptides relative to bariatric surgery?
[00:26:32.760] – Sergio
Absolutely. Okay, so two things here. Bariatric surgery will be going away. That'll be a thing in the past and the next. Technology here has taken tremendous leaps. AI, teaching big pharma the ability on how to create and manufacture medication at levels and speeds that we were never able to the next 60 months. Supposedly, there's about another 25 to 35 peptides in the works.
[00:27:03.990] – Sergio
And some of them are tIrzepatide is what we are seeing now. There's three others. Another one by Eli Lilly, two in phase, two by Pfizer, and there's somebody else. But almost every big pharmaceutical company in America's got a name brand, will have a product that will outdo anything bariatric surgery could ever do.
[00:27:24.610] – Sergio
So my answer to you, AlLan, this will be gone. But let me just say one more thing. This today is a very expensive product and or solution because the educational level I got to tip my hat to Nova NorDis. The educational level that they have put out on the market space is worldwide, is phenomenal, but they're also you've seen, they've become one of the most valued companies in this world overnight.
[00:27:50.970] – Sergio
But I will say one thing to this, is that if people don't understand that minimizing your caloric intake is an issue, we'll never get to the next level because you said it. You made a very good point. The bariatric surgery, where does it go? It's a lesson. You need to adapt your body to it.
[00:28:16.590] – Sergio
If you don't change those habits and. You don't make that effort, if you don'T make that lifestyle change, it's an issue. And let me go back to one thing you said. It's easy for me sometimes you may say to sit here and talk a lot about this. People say, oh, you don't know what it is because you're not overweight. Blah, blah, blah.
[00:28:34.510] – Sergio
I'll tell you one thing, my friend. I think the biggest thing in America is wearable depression. It's the number one mental health problem in America.
[00:28:43.410] – Sergio
You wear it 24 hours, seven days a week.
[00:28:47.110] – Sergio
Trust me, I'm out there to help people. People say, oh, you took my money.
[00:28:50.090] – Sergio
I give medication away all the time. If you can't afford it, I'll work with you. Our company works with you. You know what I'm saying? What I don't like and let me tell you one of the biggest thing that I do talking about bariatric surgery. Let's nip something in the butt real quick. I've had two patients in the last four months that are a 16 and a 17 year old female. Both parents have been ridiculed because in our state, you have to be 14 years old to have bariatric surgery. That's a big step for a parent to take for a child, a massive step. Those parents came to me, as I do have many other parents that have come to me. And I think the biggest thing that makes me smile in this business is.
[00:29:37.100] – Sergio
The smile that I put on people's faces when they see that their lives get changed by losing two pounds, five pounds, 40 pounds, whatever your goal is, it changes. These two females that came to us both came back almost all their weight. They've both been on a program here for about six day months, like seven months. The other one's almost done because the idea here is to wind yourself into a maintenance program.
[00:30:02.850] – Sergio
I don't believe in the philosophy, like, you should drive this up to the top. It doesn't work. And you're taking 2.4 milligrams. No, type one diabetics. We have two, three dozen type one diabetics that this is knocked out. This side. This I don't want to get into the medical side of this, but the bariatric surgery, if it's helped you out and there's people that have gotten beyond phenomenal success with it, so I'm not knocking it, but they do charge our insurances and tremendous amount of money. You put your body through a tremendous amount of hurt, okay?
[00:30:37.930] – Sergio
And that hurt comes from building tissue now inside your body. So now you are a person trying to cope with the recuperation of surgery. If you have you mentioned something earlier at the time of eating is critical.
[00:30:52.490] – Sergio
The cortisol, the fight or flight, the whole thing where's your body storing foods and blah, blah, blah. We go into all that.
[00:30:57.970] – Sergio
But there is a room everywhere to make this work. There's room for semaglutide, there's room for tirzepatide. Bariatric surgery is very tough. I don't want to take doctors'opinions away because I'm not a doctor. I'm sure there's many doctors who disagree with me and say, hey, no, you're wrong, Sergio.
[00:31:17.630] – Sergio
I'm not a doctor. But I do have some clinicians, and I understand this very well.
[00:31:24.830] – Sergio
I do know that this should be affordable to everyone. And Allan, I promise you this. In the next four to five years, the positive results we have from these two products alone and semaglutide will change the way people look at each other, the risk factor levels, cardiovascularly wise. And I tell you what's bothering everyone in America and all over the world.
[00:31:50.360] – Sergio
Is that when enough people take it and it minimizes their ability to eat or want to eat and makes them healthier, because it's proven everywhere they don't like that. Because for the first time in history, I think one month, these last couple of months, beverage sales are down. Food sales are down.
[00:32:11.370] – Sergio
When you touch the scales at a very small percentage, you don't like that. But five years from now this will be dirt cheap because the risk level, you want everybody on it, right? Your cardiac level has been proven now it increases by 25%. So what we're trying to do is help the person who could afford it.
[00:32:31.180] – Sergio
And help the person who can't by educating them one way or another. Our company does not bill insurances. We're a fee for service company only.
[00:32:39.860] – Sergio
But I will tell you this. I sell it as inexpensive as anybody in America. It's not because we sell a product. We're partnered with the ten largest 503 A and B pharmacies in America along as we own our. So it's critical for us to make this work.
[00:32:57.300] – Allan
So now again, I want to kind of bounce back to the concept of okay, I'm not eating or I'm not eating nearly as much as I used to. This makes nutrition really hard because we need vitamins and minerals from our food. We need essential amino acids, we need essential fats. These are things our body cannot make for itself. So we're going to need some level of nutrition.
[00:33:22.670] – Allan
How do we counsel someone to eat enough where they're getting a proper nutrition when quite frankly, they just don't feel hungry because they're reacting the way this polypeptide is encouraging them to react?
[00:33:39.910] – Sergio
Very good question. That is a very good question.
[00:33:42.650] – Sergio
And I think that's I'll be honest with you, I think that is very the trick. Tricky question, and I'll tell you why.
[00:33:49.870] – Sergio
Because we get all sorts of responses across the board. We have people that say, hey, I was doing great, everything was great and all of a sudden I just fell off the wagon.
[00:33:59.970] – Sergio
What do you mean? Well, some people's inabilities to eat caused some of the cons that we talked about before. So finding and understanding from the get go that you're going to have to find a way to change your eating habits and make sure they work because we do know where this next question is going to go to. If you don't eat properly, how do you make this effective?
[00:34:26.210] – Sergio
So much in the word that it's conducive for you that you're not tired. Because if you don't eat, you don't get the right nutritions. This is a snowball effect, right? Understand the end of the day, it'll be like, oh, I'm diet. So we do have to understand that. And I think it's one of our biggest things that we try to teach.
[00:34:42.490] – Sergio
And we're going to continue to teach. And finding people like yourselves and partnering up with everyone has a different way of thinking about how you are going to change this.
[00:34:52.590] – Sergio
People say, how do we know when and how everyone's different? But I will say something. I've been read and I try to do as much reading as possible. We have thrown out all sorts of stuff. Finding some type of protein bars, some type of bars, because they're available everywhere.
[00:35:08.760] – Sergio
These energy bars, protein bars, granola bars. They're crucial. They're crucial. I say these little bites, it's not eat it, I know it, I get it. Take a bite. Take a bite every couple of hours. Put a little timer every 2 hours, 120 minutes. No, you need to I get it. So we need to make those changes. Those are habits. Those are those couple of minute habits. It's the same thing. If you are not willing to exercise, I don't want you on this program.
[00:35:38.650] – Sergio
I don't. You're going to fail. I'm setting you up for failure. And that's where the nutrition comes in here, because let's get to that point. Let's get there and we'll deal with that. And that's critical here, because if you're not going to drink water and you're not going to do that part about exercise, and when I tell people exercise, I go very clear. When I tell people get up 15 minutes earlier, 20 minutes earlier, you don't need to join the gym. This is free.
[00:36:05.990] – Sergio
No, you don't understand. I'm 280 pounds. Not a problem. What do we got to do? How much do you do today? Where are your goals? I have people that have lost 120 pounds in a year with us and have been off now the program, for 90 days and have not gained but five, six pounds. We're doing all sorts of surveys, test. We are going to be running some interesting stuff now. So going back to your point and touching base on the nutritional factors, I think understanding that people like yourselves in education and knowledge about how do I continue to help myself while I'm on a program like this, and I say program that's sometimes taken the wrong way.
[00:36:42.450] – Allan
Yeah, quick question. This is just a curiosity question from my perspective, because one of the ways I've personally used and I've worked with various clients is on the low carb keto scale.
[00:36:54.870] – Sergio
And so it would seem to me if someone's not eating, they're effectively, let me say mimicking fasting. They are fasting, effectively. Do you find that your patients tend to get into ketosis? Is that where they end up from burning the body fat to have the energy and operate?
[00:37:12.830] – Sergio
You know what? That's a very good question. I'm not going to tell you yes or no. I've heard and seen some interesting results. We've seen, but I don't want to tell you yes on that that is true. Can they fall into it? Absolutely. Are we trying to identify, hey, what's the best way? Because remember, the way I feel and the way you feel and the way we both take our avenues is not right nor wrong. It's how you feel.
[00:37:36.930] – Sergio
I tell people if you're at a half, listen, let's go to the semaglutide route. Week one to week four is a quarter milligram. Week five to week nine or to week eight is a half milligram. Nine to twelve is a milligram 13 to 17 or 17 is one seven, and then two, four. That's what Big Pharma has seen great at. Okay, if I have a patient that's losing good weight at a half a milligram weekly, why am I moving him? No, because Big Pharma said so, and they're going to push it down your throat.
[00:38:10.340] – Sergio
No, that's where we step in and say no, because that's where we differentiate ourselves from it. So if I could tell somebody how and what to do, in a sense, we are putting all sorts of educational. We have recipes, we have all sorts of stuff that we've putting in our portal to help people on the nutritional side. But I think more than anything, it's understanding, hey, what you possibly could endure. Starting this little program. Because I think everyone's mindset's got to be set for the following hour. And how long are you going to take this for?
[00:38:42.220] – Sergio
That's something I tell people, you're not on this for life. I personally tell people, this is a four to six month window. It all depends on where you're at. So everyone might be a little different. If it's got to be an eight month window, that's fine. But I've had some people say, I quit. I stopped. Why? Guy down the street, Barber, said I lost 26 pounds in seven weeks. I freaked out. I get it. What do you have?
[00:39:11.490] – Allan
So let's take a step, because I really appreciated that you mentioned exercise. I talked offline a little bit, and you said you're an athlete. And we both agreed that even though you might not be competing at an elite level, we're all athletes and living the life that we're trying to live and the fitness level that we need for our own selves. But one of the struggles that I have and we see this with starvation studies, we see this with individuals who try to lose weight too quick, is they tend to jettison a good bit of muscle at the same time that they're getting rid of the body fat. So they're losing lean muscle mass, and in some cases, that could even be bone density. So they're weighing less, but they're not losing what they thought they were losing. They're losing both. And so I see exercise and nutrition as critical components to make sure that this weight loss is geared more towards body fat than toward the whole body.
[00:40:08.760] – Allan
What exercises do you think someone should be doing while they're going through this that will give them the best opportunity to lose what they actually want to lose, which is body fat, to get the right health outcome and actually end up stronger, better fitter when this is all said and done?
[00:40:27.030] – Sergio
Very good question. So you started off right out you nailed it right off the head. I think we're all athletes in this. This isn't you. This is everyone being an athlete. This is the journey of life.
[00:40:36.730] – Sergio
This is getting up in the morning and wanting to challenge it. And that's how I say it starts in the morning. It's an everyday thing. We've seen it. Everybody's challenges are different. Everyone's lives are different. But exercise must be a critical thing. When I tell people about exercise, I make it simple. I don't want you to go join the gym if you can God bless you. That doesn't mean anything. It doesn't mean you're going to be lose weight faster or quicker. It's the determination you have every day to spend those extra few minutes and let's go into something about exercising.
[00:41:06.390] – Sergio
You lose too much weight. What you lose in muscle density, it's very true. A little different for everybody. But two things you must understand. I talked about the components of nutrients and kind of the energy bars or protein bars and that same thing with the smoothies and shakes like that. Those are also really good ones because you can put all sorts of stuff in that and you don't need a big shake.
[00:41:29.860] – Sergio
You need a shake. And that's a meal supplement to a lot of this. But protein, the right intake. Let me say something real quick. Eating at home is critical, my friend. Eating at home is critical. I travel this country all the time. There's fast food on every corner everywhere. It's easy to eat fast food nowadays. I know it's tough when people say. Oh, you don't understand what it costs. I get it. I get it.
[00:41:57.740] – Sergio
You know what our program cost to purchase $5.66 a day for a 90 day program? I promise you I'm trying to help you out. The amount of people that go out and spend $7 $10 on coffee a day is ridiculous. It's hard to eat at home all the time.
[00:42:16.780] – Sergio
People don't want to come home and cook. People want to make life a lot easier.
[00:42:20.930] – Sergio
And that's part of the challenge in losing weight. How do you break those habits? How do you change those habits? Losing body fat and muscle mass go. Hand in hand with the majority of the time. And you hear when people say, oh. Man, it's hard in the afternoons. I'm big into the peptide space. We do work with other peptides so.
[00:42:41.510] – Sergio
We do understand how this works. I'm a big individual into. Like I got friends of mine say, hey Sergio cheater life because I've been on a couple of different peptide programs on the BPC. BPC one five seven has done great for my gastric, for my intake, for everything from my throat down the rebuilding of muscle tissue. BPC one five seven and TB 500. I'm a patient.
[00:43:08.010] – Sergio
I had surgery on my right shoulder, three screws, the whole nine yards. I had my achilles. I'm an athlete but gone through the works. And I believe in peptides because I'm a results guy. I would be sane if I didn't get results myself. And I'm not saying this is for everybody, but I will tell you something. When people come to me and say. I feel horrible, I feel like this, I tell them really nice. Have you tried to make a change in life? That's it. And it depends on that outcome. And that response is whether I jump in immediately. Because my thing is how do I put a smile on that person's face? Because at the end of all, it's about the attitude. If you got the wrong attitude, I've been trying and nothing works. Let's give it another shot. Let's try it. I got some 60 day.
[00:43:56.410] – Sergio
We're going to do something. I'm working with a lot of athletes. I'm working with the guys at the Pivot. I'm working with the guys at a couple of different places. And we're going to come up with something interesting because we are going to run a study. I am going to do some stuff that's fun. I like to make this fun. Losing weight is fun. When you lose the weight, right, you know it. You're a personal trainer. You see the personal satisfaction that people get when they lose two pounds. People are like, oh, I don't see it. Whoa, look at my watch. Wow. Yeah. It's areas that they don't see and then all of a sudden, once they believe in themselves is the key.
[00:44:30.460] – Sergio
So let's go back just real quick two things you went hand in hand is nutrition and exercise. They're critical. Is there a challenge in them when you lose a lot of weight? Yes. That is something that we must continue to educate. Find individuals like yourself to be able to educate the people out there that need that knowledge on how do I continue to build muscle? Because you know what? You might get a little weaker, but help yourselves out. The stretching part of it. A lot of people say, I can't work out. Let's stretch. You stretch properly. You got a great workout. Once you start getting that blood flow. Things change a little bit. And a lot of people say, hey. And I've learned this. This might be a dumb one, but they always say here, how do you grow like a big sense of energy boost in your life? Stand up and stretch. Lift up your shoulder. Stand up.
[00:45:16.950] – Sergio
You understand that military style thing, it works for everybody. It works. It puts it and then you're like, but let's find I don't have an answer. If you see I haven't given you a direct answer because I don't believe I have one. I don't know if there is one. Because everybody is different. But if we educate them properly, I think we could win the battle of all of us helping people.
[00:45:37.610] – Allan
Sergio, I define wellness as being the healthiest, fittest and happiest you can be. What are three strategies or tactics to get and stay well?
[00:45:47.890] – Sergio
I love that. The first one is always I tell our people. Are you committed? That's our first strategy is to commit yourself. If you are not committed to being the best person you could be, you're wasting your money, you're wasting your time, and you're wasting your energy. And then when I say, people say, I'm doing it for who are you doing this for? What are you doing this for? You have to do this for yourself, because it's about feeling good. If you don't feel good, stop. That's why I've been in several businesses. They've all been in the same space primarily, but there's a personal satisfaction asking people, how do you feel today? I feel great. That's a good feeling to get from people.
[00:46:26.490] – Sergio
So when you ask this, tactics and strategies for that is number one is commit yourself to it.
[00:46:31.640] – Sergio
Number two is make that plan. Make that daily plan. Write down those top three things that you're going to do, and people say, it's dumb, it's stupid. Make that little to do list. You're getting up in the morning, you're going to walk for 15 minutes. I'm going to eat three things. Do that. Commit yourself to it. You commit yourself to losing weight, and you do this properly. It works.
[00:46:52.500] – Sergio
It's proven. This is a game changer in life. This isn't just it's a non control. You need to exercise. This is the first time in our lifetime, I mean, obviously mine, and as I've grown up in this, because I've been involved in this 24 years, one way or another, that a doctor could write a prescription for this and say, hey, Mr. Smith or Mrs. Smith need to make sure you're exercising. Go exercise today. Start today. You know, people like, oh, I'm going to get dizzy because you've always heard that exercise and medication, that's a problem. It's always been a problem. No, sir. In this, if a man, female, son, child, whatever it is, you want to lose weight, you must commit yourself to it.
[00:47:40.630] – Sergio
This is a booster. This is a helper. People say, you're cheating now. You're not cheating in life. If you need a little help, what's a problem. That's my strategy. How do you make your body feel better? Like you said, how do you get up in the morning with a smile? I promise you, if I could help you lose a couple of pounds every week, will your life change? I have it all the time with people, all the time, and I'm pretty damn successful at it. So I think strategies, commitment, plan A, plan B is that plan A doesn't fail. That's the commitment to losing weight and is following your habits, making sure you're eating a little bit and making sure you're exercising. And by the way, if you don't drink water, this doesn't work. It doesn't work. People like, oh, I drink water. Water and the nutrients. We could feed the nutrients, but you need H20 to make this work, because the amount of water you lose in muscle and forget muscle mass. Body fat is tremendous. Your body freaks out. Your body freaks out. I tell people, hey, I lost whatever it is, seven pounds, eight pounds. How much water are you drinking? No. Eight glasses of water.
[00:48:55.450] – Sergio
You lost ten pounds and you haven't increased your intake of water, you've decreased it? No, let's increase it. And this goes back to where we started, Allan. Education. Let's educate. Let's educate our patients. Let's educate our people. How do we make America healthy? Let's make people healthy. There's nothing worse than when I travel around and see people that aren't healthy. And the worst that hurts me is when I see younger kids that aren't healthy. We could help. There's help today. There's help.
[00:49:27.800] – Allan
thank you, Sergio.
[00:49:29.630] – Sergio
Couldn't say this a while ago. Thank you. I appreciate that. Thank you very much.
[00:49:32.810] – Allan
So if someone wanted to learn more about you and MD exam, where would you like for me to send them?
[00:49:38.540] – Sergio
You could send them directly to start.mdexam.com or go to Mdexam.com.
[00:49:44.730] – Allan
[00:49:45.470] – Sergio
There's plenty of information there, and someone could always reach out to me directly at email@example.com and I'll make time.
[00:49:54.910] – Allan
Well, you can go to 40plusfitnesspodcast.com/614, and I'll be sure to have the links there.
[00:50:01.740] – Sergio
Thank you very much
[00:50:02.960] – Allan
Sergio. Thank you for being a part of 40+ Fitness.
[00:50:06.540] – Sergio
Allan, thank you for your time and I appreciate it. Hopefully you guys got some out of this and I could help you guys lose weight. Feel great. Thank you again, Allan.
[00:50:13.850] – Allan
[00:50:14.610] – Allan
Welcome back, Ras.
[00:50:15.880] – Rachel
Hey, Allan. This was really a very helpful educational interview about these amazing weight loss drugs that are being marketed these days, because I see these commercials, I see them every day. Ozempic, Wegovy, Rybelsus, Manjaro, I just saw that one this morning. I've been really wondering about what these things are, and it was interesting to have this education and listen to one of the manufacturers talk about how they work and what they're good for. So it was pretty interesting. But I do have some feelings on these things, as I imagine you do as well.
[00:50:50.880] – Allan
I do. Everybody wants the easy button.
[00:50:57.410] – Allan
Let me just do this, and then it solves the problem. And then I don't have to think about it anymore.
[00:51:02.690] – Allan
And if I had to look at this and say, okay, what does this mean? I would choose this over surgery.
[00:51:10.150] – Rachel
[00:51:11.270] – Allan
Every single time I would choose this over surgery. I just would. There are side effects, and so if you're going to go this route, you need to do your research because the side effects are not pleasant, and there are a lot of people that will start taking it and they cannot tolerate it, and they get off of it. And so there's that. The other thing that happens here that is really a struggle for me is that you're in your 40s 50s 60s you're already losing muscle and bone, sarcopenia and ostopenia.
[00:51:46.360] – Allan
And if you don't manage your nutrition and exercise as a part of this program, you will lose it faster and you will become frail sooner. Okay? I want you to hear that.
[00:52:00.630] – Allan
You will become frail, you will lose muscle mass, and you will lose bone density. So enjoy the BMI. While you sit. In a dependent care facility because you can'T take care of yourself because you don't have the muscle mass or bone density to do so. So that being said, if you go at this responsibly, then you're going to understand that these things work by making you not hungry. Meaning you're not going to eat. You will have to force yourself to eat what you do eat. Most of the time you're just not going to be as hungry.
[00:52:44.120] – Allan
If you're going to be hungry at all, it's going to be on the last couple of days. It lasts about seven days. That's the half life of this whole thing. And so basically you'll take it and for the first three or four days.
[00:52:54.940] – Allan
You probably won't want to eat anything. You might even struggle to drink enough water, okay? And then you're probably going to say. Yeah, now I can eat a little bit. Okay? But if you do that, if you effectively starve yourself, you're going to lose muscle mass and bone density.
[00:53:12.230] – Allan
So go at this with the mindset of lowest effective dose, okay? If they recommend that you start increasing the dose or you think increasing the dose is going to make this go faster, rethink that strategy.
[00:53:29.650] – Allan
Because you need protein. You need the building blocks. There are essential amino acids and essential oils in our diet. We have to get. Essential is not this thing where you're talking about the essentials, like the essential oil stuff where. It'S just pure these essential oils, essential fats and essential amino acids in nutrition means your body cannot manufacture them.
[00:53:54.730] – Allan
Okay? Your brain is 60% fat. You need these essential fats to have a healthy brain. You need these essential amino acids to build muscle and maintain muscle. So if you're not getting nutrition, you'll lose it. You'll lose your brain, you'll lose your muscle and you'll lose your bones. You just will.
[00:54:16.870] – Rachel
It's serious. And the phrase serious as a heart attack. And the reason why I say that is because if you're so severely obese or you have these comorbidities, this could be a tool in helping you lose the weight to become a healthier body. To have a healthier body. But patients need to realize that there's a big picture. There's a long game to this. And so losing weight can get you to a place. But also the nutrition, you need to eat properly. You need to have ideal movement. No matter what your size is, you have to be able to move. So there's like a big picture. And this is just one very serious tool that could be deployed, should somebody be a good candidate for it? But yeah, it's certainly not for everybody, and it is very serious.
[00:55:04.670] – Allan
Yeah. And so, yes, if you're obese or you've got comorbidities, this can be a great tool to help you drop some of that body fat, but it has to be done along with lifestyle changes. Again, I've talked to people about this that have started it or that have used it. I was talking to one guy, asked his results, and he was really excited about what had happened because he started a lifting regime.
[00:55:32.910] – Allan
He managed his protein and nutrition, and then he used his product to basically lose body fat. And he felt great. He maintained his muscle mass and he lost weight and so for him, it was a wonderful tool. Now, one of the other sides of this thing is eventually the intention is. You go off of this. Okay, I'm looking at it. You see different prices, but we're talking $1,500 a week.
[00:56:04.230] – Rachel
[00:56:05.610] – Allan
So you do the math. That's more than $6,000 a month.
[00:56:10.950] – Allan
Okay. Now, is it worth investing that for this and for a lot of people? Maybe it is, yes. Okay.
[00:56:19.210] – Allan
You're going to invest over $6,000 a month to do this, but there's going to be a time when you go off of it, unless you're just weird. And you just want to keep paying that money and going when you need to.
[00:56:30.430] – Allan
But you're going to probably go off of it. And if you haven't made the lifestyle changes, then you're going to be that friend you saw the person that got the bariatric surgery? Yeah. They lost 80 pounds and then gained 100 back because they went back and they stretched the stomach out again, eating the way that they were eating before.
[00:56:49.600] – Allan
They weren't getting the nutrition because they were eating crap food.
[00:56:52.900] – Allan
Their body kept telling them, eat more, eat more. You didn't get what we need. Eat more. And they answered with eating more of the crap versus getting the nutrition their body needed. And so you've got to make some nutritional changes and be ready for that, not just while you're doing it, but the whole time. So again, you can maintain the loss. A lot of people love to go out exercise and think that's the way you'Re going to lose weight. No, but exercise can be a key to maintaining weight loss.
[00:57:23.150] – Rachel
Well, you've seen it, Allan, with all the clients that you've had over the years. You've seen it how when people make changes in the kitchen and they combine that with weight loss or I'm sorry, exercise, and they combine that with adequate rest and recovery and sleep. I mean, there's a lot that goes into successful weight loss. And it's important to make all these changes in how you're eating, what you're eating, how you're moving, when you're moving, as well as utilizing tools like bariatric surgery or weight loss drugs like this, like serious. Weight loss drugs, not the junk you buy at the drugstore.
[00:58:02.250] – Allan
I'm all jittery. I'm all jittery. I got to be losing weight. I'm all jittery.
[00:58:07.050] – Rachel
But it's a big picture. There's a lot that goes into this. This is just not a shot, just not one thing to do. There's a lot to this. Like I said, it's a long game. You've got to look for use this now. But how healthy are you going to be a month from now or two months from now or a year from now? I mean, there's a lot that goes into it, not just
[00:58:27.220] – Allan
and the prices of this stuff will invariably go down over time as they make more, and then other versions of it come out. So the prices of this stuff will go down.
[00:58:37.560] – Allan
But again, if this is a part of your strategy, it can't be all of your strategy. There has to be the rest of it. And so if you're thinking about this from being healthy, not just what you weigh, but being healthy, you need to be smart about it.
[00:58:55.690] – Rachel
Yeah, I feel like, thank goodness this is a prescription that you need a doctor's assistance or a prescription to get it. But it would be also important to have other experts on your team, maybe spend some time with your nutritionist or some sort of an expert nearby, and also maybe get a trainer to help you in the gym. I mean, if you're going to go get to the doctor to get a shot, you might as well rely on some other experts to get you through this safely. In the long run,
[00:59:25.750] – Allan
have a plan.
[00:59:26.960] – Rachel
Yeah, absolutely. Yep.
[00:59:30.510] – Allan
All right, well, Rachel, I'll talk to you next week.
[00:59:33.270] – Rachel
Take care, Allan.
[00:59:34.370] – Allan
You too. Bye.
[00:59:35.360] – Rachel
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