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00;00;01;14 - 00;00;05;15

Announcer

And now America's Healthcare Advocate, Cary Hall.

00;00;05;19 - 00;00;24;16

Cary Hall

Hello, America. Welcome to America's Healthcare Advocate show broadcasting coast to coast across the USA here on the HIA radio network. My producer behind the camera, Mr. Dave Thiessen, and our producer doing the audio here at Audacy Studios is Darren Wilhite. This is your show, America. We want to thank you for listening and also watching us on YouTube.

00;00;24;16 - 00;00;52;28

Cary Hall

And the 15 podcast platforms are on, and making us one of the most listened to talk shows in the country. We are now on 237 affiliates who want to welcome KYSL AM and FM 104.9 in Alexandria, Louisiana. We're on their Saturday mornings at 8:00. We're very happy to be on the radio there and want to welcome them to the America's Healthcare Advocate family, and thank them for becoming part of our broadcast team here at America's Healthcare Advocate.

00;00;52;28 - 00;01;15;22

Cary Hall

If you want to follow me on Facebook and Twitter X, you can do that. America's Healthcare Advocate is the Facebook page and the Twitter page. Also, if you are chronologically challenged and you are looking for Medicare insurance and help with Medicare, maybe trying to understand the Medicare alphabet, you can call the good folks over at RPS Benefits by Design, the lovely Carolee Steele will be happy to help you.

00;01;15;22 - 00;01;38;00

Cary Hall

877-385-2224. Anywhere in the country doesn't matter where you are, they'll be happy to help you. And if you're looking for employer sponsored health care, Maria Ahlers at RPS Benefits by Design. She is the chief operating officer there, and she will be happy to speak with you as well. By the way, they just, I just got a call from a client yesterday who they wrote a policy for in Pasco, Washington.

00;01;38;03 - 00;01;57;24

Cary Hall

So when I say anywhere in the country, I mean anywhere in the country. All right. Joining me in studio today, and this is a show that I've wanted to do for some time, and it was slightly difficult to get booked. But we but we got it done. Joining me in studio today is Doctor Courtney Younglove and Alexandria Lee, a nurse practitioner from Heartland Weight Loss.

00;01;57;25 - 00;02;16;24

Cary Hall

Welcome to the show, both of you. Thank you for finally being able to get this together. Mean you have busy schedules? Yes. If you're wondering why I'm doing this, it's a personal thing to me. And that's. That's why I chose to do this. So I turned 75 in May, and I have been battling weight for about the last five years.

00;02;16;24 - 00;02;38;10

Cary Hall

Okay. I've I've never had this problem in my life. You know, I workout, I've kind of a bit of a gym rat, I exercise, etc., etc. but I could not get my weight down. I was at like 251 pounds is the most I ever weighed and I'm pulling my hair out. So initially I had gone to see my doctor and the first doctor, and she recommended that I do Ozempic.

00;02;38;13 - 00;02;52;02

Cary Hall

she also talked about Wagovy but she said, Ozempic was easier to get. And she wrote me a prescription. So I had a little trepidation about that. So I went and I did some research and I'm like, I don't think I want to take this stuff. And I don't know what the long term effects of this are going to be.

00;02;52;03 - 00;03;08;20

Cary Hall

I don't know, this is something I want to do. So then things kind of drifted along and I went to see my primary care doctor, Doctor Bosarth and she said, you know, I think I told her that I didn't want to go on either one of the drugs, and she wasn't suggesting that. She said, but I think, I think you need to go talk to these people over at Heartland Weight Loss.

00;03;08;20 - 00;03;21;14

Cary Hall

Yeah. Okay. All right. I'll go talk to them. But, you know, I don't know about this. Okay. This is going to be a lot of smoke and mirrors. I don't think this is going to do, but I'm going to do it. I'm going to go see. So I go for the first appointment, and I meet with the nutritionist Lisa.

00;03;21;14 - 00;03;41;03

Cary Hall

And then I meet with Alex, okay? And I come away from this thing and I'm going, you know what? I think I can do this. I got a plan. I've got some help here. I've got a I've got a measurement system. I've got some accountability. it's not radical. All right. And, it's working. This morning, I weighed 237 pounds.

00;03;41;04 - 00;03;58;03

Cary Hall

Okay. And we're going to talk about that and how I got to that. And we're also going to talk about things like muscle mass, fat loss and all the rest of it. But that's why I asked doctor. And that's why I asked Alex to come on the show a little bit about him. Alex is a nurse practitioner. She graduated from the University of Kansas Medical Center in 2020.

00;03;58;11 - 00;04;18;23

Cary Hall

She has completed research projects that entail identifying undiagnosed depression in diabetic patients with chronic wounds. She was fortunate enough to have the opportunity to be able to practice obesity medicine at Heartland Weight Loss, where she is able to focus her interest in the field. She is currently working on obtaining her obesity medicine certificate, and she is a great nurse practitioner.

00;04;18;23 - 00;04;40;02

Cary Hall

I must say. Doctor Younglove is a physician. She is a dual board certified obesity medicine and obstetrics and gynecology. She is only one of about 100 clinicians in the United States that has earned her OMA fellowships in the field of obesity medicine, one of the highest honors bestowed upon clinicians who demonstrate dedication and commitment to the clinical treatment of obesity.

00;04;40;02 - 00;05;06;04

Cary Hall

and obesity related diseases. Doctor Younglove is the founder and medical director of Heartland Weight Loss Obesity Medicine. She practices at her clinics in Overland Park and Lawrence, Kansas. I go to the one in Overland Park. She was the chief medical officer at Journey's Metabolic Digital Therapeutic Solution for value based organizations impacted by current metabolic health crisis. Doctor Younglove is incredibly passionate, and you will find that out today about what she does and about obesity in this country.

00;05;06;04 - 00;05;17;29

Cary Hall

So let me just start out with something. There is an epidemic of, of of obesity in this country. There's an epidemic of type two diabetes in this country. Is that not correct, doctor? Okay. And why is that?

00;05;18;02 - 00;05;31;09

Dr. Courtney Younglove

It comes down to lifestyle. It's our food has changed. Our movement has changed. Our stress levels have changed. Our sleep has changed. All of the things that keep us healthy have shifted, and our bodies aren't responding to them. Well.

00;05;31;11 - 00;05;36;19

Cary Hall

Okay. So when you say shifted, is it safe to say that a lot of this is behavior related.

00;05;36;21 - 00;05;47;26

Dr. Courtney Younglove

Yes. Okay. Yes. Not in an individual responsibility type of way, but the the normal behavior, the normal way of living today is very obesogenic. It promotes obesity.

00;05;47;28 - 00;05;53;06

Cary Hall

Okay. So talk a little bit about that. Why is it that I've never heard that term before. Obesogenic.

00;05;53;06 - 00;06;19;23

Dr. Courtney Younglove

So yeah promoting obesity. Yeah. Convenience convenience yes. Yes I mean when we shifted from growing food and making it ourselves to processing it to make it convenient to eat on the go and do all the other things we want to do in life. We changed our food system. We added things, we took away things. We changed what we were eating, how we got it, and it really it just dramatically changed what was going into our bodies.

00;06;19;25 - 00;06;24;27

Cary Hall

And so Alex is that does that does that relate to when you go to the grocery store now you.

00;06;25;03 - 00;06;25;25

Alexandria Lee

Hundred percent.

00;06;25;27 - 00;06;26;10

Cary Hall

Okay.

00;06;26;14 - 00;06;56;16

Alexandria Lee

Like sometimes I remember well, after I first started working, I stopped, I went to the grocery store and it was like, oh my gosh, 90% of this is like poison in a way. you know, there's really true, like the outer aisles. It's the produce. It's the cheese, it's the meat. And then you're done and everything else, it's going to be always going to be considered a weight positive or like a convenience factor, I think is what most people struggle with.

00;06;56;18 - 00;07;13;00

Alexandria Lee

You have two working households now, three kids, your education system still 8 to 3, which really is only supporting like one parent working full time. And a lot of families are relying on convenience.

00;07;13;02 - 00;07;30;02

Cary Hall

You know, it's really funny you said that made me think of something. So when we have our grandchildren from time to time, we will have pizza for the grandchildren. Okay. All right. So I went to the store, to the HyVee to buy frozen pizza because I'm like, I'm tired of ordering this stuff and having it delivered and all the rest.

00;07;30;03 - 00;07;53;15

Cary Hall

I'm just going to get frozen pizza. I have never seen so many items. Different brands have one item and there are like eight freezer freezer boxes to floor to ceiling doors filled with all these different pizzas. I mean, some of them are from Italy, some there's Red Baron, there's I mean, I was like, I know what what do we do here to get a pizza?

00;07;53;19 - 00;07;56;17

Cary Hall

Yeah. I mean, so to eat, I mean that's just pizzas.

00;07;56;17 - 00;07;56;27

Alexandria Lee

Yeah.

00;07;57;02 - 00;08;07;17

Cary Hall

And then you go into these sections of the grocery store for the pre-prepared frozen foods. You see all of this stuff. And that's exactly what you're talking about. I'm a right doctor.

00;08;07;19 - 00;08;09;29

Dr. Courtney Younglove

And it's just become very normalized to eat those things.

00;08;10;01 - 00;08;19;27

Alexandria Lee

And you look at the ingredient list and it's 50 ingredients long, whereas, you know, dough is flour and water and egg like.

00;08;19;29 - 00;08;21;18

Cary Hall

Flour, water and sugar.

00;08;21;20 - 00;08;24;22

Alexandria Lee

Sugar. So.

00;08;24;25 - 00;08;42;24

Cary Hall

We're talking a lot about sugar okay. But but it's it is remarkable now that I'm paying attention okay. That when I go to buy something like I went to buy yogurt and I was like, I had to find a specific yogurt. Yes. It said sugar free. Yes. And then I had to read it to make sure it really was sugar free.

00;08;42;26 - 00;08;55;05

Cary Hall

It was sugar free. Okay. And I'm eating it now. And yes. Yeah. So, so it it is kind of amazing how, we've kind of conditioned to this and that's basically what you're saying is.

00;08;55;05 - 00;08;56;06

Dr. Courtney Younglove

Become very normalized.

00;08;56;06 - 00;09;14;18

Cary Hall

Yes. And the normalize is what's going back to what I said in the opening. This normalization of the way we're eating is what's caused this crisis that we're dealing with in obesity, type two diabetes, type two diabetes, babies and children. all the rest of these issues surrounding obesity. So we come back to the break. We frame the problem.

00;09;14;18 - 00;09;36;25

Cary Hall

Now we're going to start talking about the solution. You're listening to America's Healthcare Advocate broadcasting here on the HIA radio network coast to coast across the USA. If you want to learn more about Heartland Weight loss, go to the website heartlandweightloss.com. Stay tuned. We'll be right back after the break.

00;09;36;27 - 00;10;06;28

Steve Kuker

The golden rule treat others as you want to be treated. I'm Steve Kuker and this is one of the founding principles of my firm, Senior Care Consulting. Since 2002, a value statement has included. Honor our mother and father. Respect our elders. Care for those in need, and treat your family as our own. We've been honored to help hundreds of families make one of the most difficult decisions they could ever make.

00;10;07;03 - 00;10;38;03

Steve Kuker

Serving them in their greatest time of need. If you're looking for someone who can provide you experienced and objective guidance when searching for a senior care community, reach out today and discover the services of Senior Care consulting at 913-945-2800. Know your options and choose with care at SeniorCareConsulting.com.

00;10;38;06 - 00;10;44;03

Steve Kuker

00;10;44;06 - 00;11;01;16

Cary Hall

Welcome back. You're listening to America's Healthcare Advocates Show broadcast from coast to coast across the USA. I'm remind you all of these shows are posted up on YouTube. I think we're about 800 and some thousand views on YouTube right now, if I remember correctly. Dave, am I right or wrong? Right? I'm right. There you go. Once in a while, right?

00;11;01;16 - 00;11;25;01

Cary Hall

And we're on 15 podcast platforms, so I don't care if it's Spotify, Amazon. It doesn't really matter. We're on it. Audacy iHeart radio, etc. we're out there on all 15 podcast platforms, and we put these shows up there because people find them interesting and educational. And if you want to tell somebody about this, maybe you've got a spouse, a friend, a loved one that's struggling with this issue, like I was with weight.

00;11;25;01 - 00;11;43;02

Cary Hall

And this is something that I find interesting to listen to. So that's why we put those up there in studio with me. Doctor Courtney Younglove and Alex Lee. She is a nurse practitioner at Heartland Weight Loss and Doctor Younglove is the founder and director of Heartland Weight Loss. And we're talking about that issue. We're talking about obesity and people struggling with weight.

00;11;43;08 - 00;12;03;09

Cary Hall

And my little journey with regard to how it's working. If you want to learn more about this, the website is heartlandweightloss.com. You can also call them at 913-620-1616 right here in Overland Park. All for Metcalf. Great people. It's a great facility and they do a really wonderful job. So let's just talk about the clinical experience.

00;12;03;12 - 00;12;23;13

Cary Hall

So you're the one that designed this and put it together. I you know I had a lot of trepidation about doing this going. And I'm like, okay, this is going to be a lot of hocus pocus and smoke and mirrors and it's anything but that. It's very practical. The people you're talking to, Lisa, is great. I call her the Thought Police because she makes sure you can't have that.

00;12;23;13 - 00;12;40;16

Cary Hall

You need to do this. You need. But that's what... But that's important because it sets the parameters. It helps you. So talk about how when you walk in the door, what this is like and what it means for people and why you think. Because that that place is always busy when I'm in there. So obviously what you're doing is working.

00;12;40;16 - 00;12;43;27

Cary Hall

Talk a little bit about why you designed it this way and what it does, doctor.

00;12;43;29 - 00;13;08;24

Dr. Courtney Younglove

Well, when I got into the field of obesity medicine in 2014, I realized that most obesity had been addressed in personal circles in commercial areas in a very judgmental way. There's a lot of bias and stigma that patients with obesity have dealt with throughout their whole lives, and I didn't want to do that. I wanted to treat the disease of obesity in a medical setting, with credibility, with respect, with no bias.

00;13;08;24 - 00;13;30;05

Dr. Courtney Younglove

And so I really crafted that very intentionally to be a place that was relaxing, that was comfortable, that made people feel welcome, and that really addressed the disease under a medical umbrella the way it should be addressed. So I hired people with high credentials, and we really sat back and said, how do we treat this disease from beginning to end?

00;13;30;07 - 00;13;36;17

Dr. Courtney Younglove

Doing it well, very, very thoughtfully. And that that kind of guided everything we did from that point forward.

00;13;36;20 - 00;14;02;28

Cary Hall

And so that experience, the you know, I remember when I first walked into your office and I sat down with you and after about the first 20 minutes, I'm like, this is going to work. You gave me confidence in what I could do, okay? And, you know, it wasn't it wasn't Weight Watchers or some other, you know, cardboard food in a box shipped to your door nonsense with with some, some washed up movie star or whatever the case may be.

00;14;03;02 - 00;14;22;23

Cary Hall

You know, it was a program, and, and, and we'll talk about this in a third segment, but you suggested I go on and I'm like, oh, and then you explain that. So talk a little bit about that because that taking that fear away for me and making me feel comfortable with what I was going to do, had a hell of a lot to do with why I'm like, I could make this work.

00;14;22;24 - 00;14;40;29

Alexandria Lee

Yeah, well, how when you know more, you do better. And so a lot of it for me is an education standpoint. I look at metformin any more, the more research I do about it, I almost I think it's anti-aging. I think it's neuroprotective.

00;14;40;29 - 00;14;41;21

Cary Hall

That’s not why I took it...

00;14;41;21 - 00;14;42;19

Alexandria Lee

Not why you took it.

00;14;42;19 - 00;14;43;06

Cary Hall

On you. Okay.

00;14;43;06 - 00;15;07;18

Alexandria Lee

But it also it also helps modulate insulin. Really really. Well and insulin we know is an energy storage hormone. it's a fleeting hormone. So it can be hard to track. But metformin does a really good job at working behind the scenes, in getting you metabolically healthier.

00;15;07;21 - 00;15;11;05

Cary Hall

So. But the metformin was not a silver bullet, doctor. No, no.

00;15;11;05 - 00;15;12;08

Dr. Courtney Younglove

No, there's no silver bullet.

00;15;12;13 - 00;15;29;28

Cary Hall

Okay. So talk about how that's coupled with the rest of the program. When you come through and you sit down, you fill out the paperwork, you go to all those little questionnaires, okay? And you do all of that stuff, and then you go and you sit down with Lisa, and then you go in and talk to Alex. You've got two different you're dealing with your nutritionist, okay.

00;15;29;28 - 00;15;42;15

Cary Hall

And you set up a plan. My plan is I meet twice a month, okay? And because I wanted I didn't want it to be once a month. I want it to be twice. You can you can do this any way you want. You can do once a month, twice a month. I think you can do three times a month if you want to.

00;15;42;19 - 00;15;44;05

Cary Hall

But, you know, I'm kind of just.

00;15;44;05 - 00;15;44;13

Dr. Courtney Younglove

At least.

00;15;44;13 - 00;16;00;22

Cary Hall

Twice. Yeah. So I did twice a month. And it's working really well for me. So talk a little bit about that. And you know how you. So now we've got a nutritionist, we've got a nurse practitioner that can prescribe medication etcetera etcetera. yeah. That model if you will.

00;16;00;26 - 00;16;25;08

Dr. Courtney Younglove

So even though we call ourselves Heartland Weight Loss and we say we practice obesity medicine, what we really practice metabolic medicine and metabolic medicine is fixing metabolic health. And the biggest driver of poor metabolic health, which 93% of us suffer from is insulin, this hormone, insulin that rises and insulin is a fat storage hormone. That's its entire goal, is to get things out of the bloodstream into the fat cells.

00;16;25;08 - 00;16;40;18

Dr. Courtney Younglove

I mean, that's that's the primary effect that it has. It's also inflammatory. There's there's other things that happen. But so if we look at what we're trying to do in the crafting of the design of Heartland Weight Loss, it's an insulin lowering clinic. Everything we're trying to do is lower insulin.

00;16;40;20 - 00;16;41;07

Cary Hall

That's it.

00;16;41;08 - 00;16;56;16

Dr. Courtney Younglove

That's that's not. But that's a simple that's the simple. Yeah. Get the insulin down and then protect the liver. Feed the gut. There's a couple of other things we throw in there. because you can bring insulin down using artificial sweeteners, but it hurts the liver and it hurts the gut. So we don't we don't really go there.

00;16;56;16 - 00;16;57;27

Dr. Courtney Younglove

We kind of bring it down to.

00;16;57;28 - 00;17;14;15

Cary Hall

Lisa is very clear that you don't do artificial sweet because I like I like sweet tea. Yeah. I'm like, well, okay, I only buy tea that I used to only use to only buy tea that was sweetened with cane sugar. I never used so I'm like, well, then, you know, can I, can I switch the ones that that are, that are using the sweetener.

00;17;14;16 - 00;17;15;03

Cary Hall

No.

00;17;15;03 - 00;17;17;12

Dr. Courtney Younglove

You can. Yeah. And but it's not going to help your insulin. No.

00;17;17;12 - 00;17;29;03

Cary Hall

So so where you're going I didn't do it. I figured out a way around it okay. So so that's very interesting. So because I've never heard that before insulin is a fat storage. That's what it does. It stores the fat and.

00;17;29;10 - 00;17;31;26

Dr. Courtney Younglove

It stores things in the fat cells. Yes. Stores energy.

00;17;31;26 - 00;17;39;17

Cary Hall

And then as you age, for those of us that are chronologically challenged, okay, that becomes harder and harder to get rid of.

00;17;39;20 - 00;17;59;17

Dr. Courtney Younglove

Well, when insulin's up, you can't pull energy out of fat cells. It's like a it's like a swinging door. When insulin is up, the fat cells are locked. There only they can only put things in. And so when we're chronically elevating our insulin throughout the day by eating sweets, by eating simple carbohydrates, by eating ultra processed foods or artificial sweeteners, we can't access that stored fat.

00;17;59;19 - 00;18;03;15

Dr. Courtney Younglove

So as we need energy, we are driven to go seek it out.

00;18;03;17 - 00;18;04;12

Cary Hall

To go get more.

00;18;04;12 - 00;18;09;22

Dr. Courtney Younglove

To go get more. Yes, it's hunger, it's cravings, you name it. You're seeking out energy.

00;18;09;24 - 00;18;12;12

Cary Hall

And so that's why you just compound the problem.

00;18;12;12 - 00;18;13;03

Alexandria Lee

00;18;13;03 - 00;18;22;27

Dr. Courtney Younglove

So if we can lower the insulin you can access that stored fuel, which is why you can move through the day without having all of those cravings, without all those hunger signals.

00;18;22;29 - 00;18;40;06

Cary Hall

That's a is it. That's fascinating. Yeah it is but I've never heard described that way. So it's really interesting that that you're laying it out like that. So we're coming up on the break here. But we come back in this next segment. We're going to go into you know why the metformin, what the program is, how it works and how it all comes together.

00;18;40;06 - 00;18;52;25

Cary Hall

Because there are a lot of pieces to this that they do. It's not something you have to worry about, but it's what they do. And they they give you the material, the information to do it. And I think you're going to find this part fascinating because this is really where the rubber meets the road, if you will.

00;18;52;25 - 00;19;23;23

Cary Hall

Then it all comes together. It works. If you want to learn more about this it’s heartlandweightloss.com, the phone number is 913-620-1616. Stay tuned. We've got a lot more. The doctors in the house. We'll be right back after the break. You're listening to America's Healthcare Advocate broadcasting here on the HIA radio network. Coast to coast Cross, USA.

00;19;23;25 - 00;19;42;28

Cary Hall

Welcome back. You're listening to America's Healthcare Advocate Show, broadcasting coast to coast across the USA. Here on the HIA radio network. You can find out more about us by going to the website AmericasHealthcareAdvocate.com. Shows are posted it up there. There’s a ton of information up there. If you have a question send me an email.

00;19;43;02 - 00;19;57;28

Cary Hall

If you do it right off the website. Yes, I get a lot of them. Yes, I answer each and every one of them. Not every day. But I answer the okay, so if you send me an email, you have a question, a comment, a topic. I'll be happy to get back to you and respond to any way that I can.

00;19;57;29 - 00;20;15;08

Cary Hall

So once again, America's Healthcare Advocate dot com. All right. In studio with me Doctor Courtney Younglove and Alex Lee. She is a nurse practitioner. Both of them are at Heartland Weight Loss. That is the weight loss clinic that I am going to. And I have had some pretty significant success with and we're talking about that today if you want to reach out to them.

00;20;15;08 - 00;20;30;01

Cary Hall

And by the way, you know, if you're dealing with this like I was, you might want to take a look at this because it really is something it works and it's not a whole bunch of drugs and and buying a whole bunch of stuff they try to sell you. It's a totally different approach. It works phenomenally well.

00;20;30;01 - 00;20;56;19

Cary Hall

The website is Heartland Weight loss dot com. The phone number 913-620-1616 they've also got a clinic in Lawrence. So either or if you're interested. All right. So let's go Alex. So so you know, I came and I sit down with you and let's talk about this process and then how we got to the metformin piece and, and where I'm at now, like how just start with when you walk in the door and the first thing you do is you go on that scale with the two handles and.

00;20;56;19 - 00;20;57;21

Alexandria Lee

Body comps scale

00;20;57;22 - 00;20;58;06

Cary Hall

That's what it's.

00;20;58;06 - 00;21;24;04

Alexandria Lee

Called body comp scale. So the body comp scale gives us a lot of different data points and their data I mean, nothing's set in stone, but it's data. it gives you your weight, it gives you a BMI. What I really like is that it gives you a percent body fat. So people can weigh different weights and have vastly different percent body fat, which is why I try to educate patients on.

00;21;24;04 - 00;21;41;10

Alexandria Lee

So Cary, for example, and I don't remember your numbers off the top of my head, but but between your first body comp and your second, I told you you didn't lose any weight, but you dropped your percent body fat by like 4%. Yeah. Which is amazing. And he gained muscle.

00;21;41;10 - 00;21;43;25

Cary Hall

That right there. That's all she had to say. And I was up.

00;21;43;27 - 00;22;08;23

Alexandria Lee

And so it was done. I mean, he was doing it. the other thing that is helpful that Courtney has crafted is that part of when we present the food to the patients, we present them in a category that's a weight positive food, a weight negative food, or a weight neutral food. And you really took to that where we could make very practical changes.

00;22;08;23 - 00;22;15;16

Alexandria Lee

But, you know, if you decide to do X, it's a weight positive moment. You move on from it.

00;22;15;18 - 00;22;23;24

Cary Hall

You don't call it A, you don't say it's a fat moment or so. So I'm going to cheat, I was told, is not to choose. No. So yeah.

00;22;23;24 - 00;22;34;05

Alexandria Lee

Yeah. And you really took to that and you made small steps and I'm mean, I do think you were a hyper responder. I think I did very well.

00;22;34;06 - 00;22;37;05

Cary Hall

I’ve never been called that okay.

00;22;37;08 - 00;22;41;09

Alexandria Lee

But it was helpful. And you're completely out of obesity range.

00;22;41;12 - 00;22;47;19

Cary Hall

Yeah. Which is OK, So that's fascinating because the last time I was in yeah, we did the, the what is it called body.

00;22;47;19 - 00;22;47;29

Alexandria Lee

Comp.

00;22;48;00 - 00;22;50;01

Cary Hall

The body comp. And you said to me.

00;22;50;03 - 00;22;52;28

Alexandria Lee

Yeah your body fat percent below 30.

00;22;53;00 - 00;22;53;28

Cary Hall

Yeah. And

00;22;54;00 - 00;22;54;16

Alexandria Lee

that’s awesome!

00;22;54;19 - 00;23;13;11

Cary Hall

and there's a chart. This thing prints this out okay. And she goes through and she marks all of it. And she said, well I have news for you today. You're complete. You're out of the obesity category now that fell out of the chair. Okay. And of course, the first thing I did when I got back in the truck to hit home was I called my daughters, I called my wife, I said, yeah, I believe this.

00;23;13;13 - 00;23;33;09

Cary Hall

Okay. the fat man is no longer the fat man. So it but but but it had to do with the other thing that and I said this to you and to your credit was it gave me structure. Okay. You know I spent a significant amount of time in the military. I was a police officer you know, before I started my own companies did my own thing.

00;23;33;15 - 00;23;54;00

Cary Hall

So I'm used to structure. Okay. And trying to do this crap on your own, whether it's taking, you know, getting the which I would never do the food in a box at your front door. because the Osmonds decide. You know what? Whatever. I mean, to me, that's just like. You must be kidding me. you know, or some of the other nonsense that's out there.

00;23;54;08 - 00;24;08;24

Cary Hall

And, and that's kind of a segue to this whole issue with Ozempic and with Wagovy. I'm going to go to you on this. I had great trepidation about even getting into that. And I said to you off here, when I came into the studio, I told you that I chose not to. And she said, that was really smart.

00;24;08;24 - 00;24;11;05

Cary Hall

Tell me why you said that.

00;24;11;08 - 00;24;37;00

Dr. Courtney Younglove

I mean, these are wonderful drugs. They help control hunger, which a lot of people really struggle to implement. The changes that are needed to fix their metabolic health. So if you can tamper down that hunger and provide patients the space to do the work. Beautiful. just taking the drug to get rid of hunger and not doing that work, it's not very helpful because you've just put a Band-Aid on the hunger hormones.

00;24;37;04 - 00;24;54;20

Dr. Courtney Younglove

And the minute you remove the Band-Aid, the hunger hormones are going to come back with a vengeance. I mean, that's physiology. And if you put the damper on the hunger, hormones don't change the eating patterns. You just eat less of the same stuff that you eat before. Chances are really good that you're going to lose that muscle mass.

00;24;54;22 - 00;24;55;14

Cary Hall

That's interesting.

00;24;55;14 - 00;24;56;17

Dr. Courtney Younglove

And that scares me.

00;24;56;20 - 00;25;15;29

Cary Hall

Okay, so how important because you talked about when you did my. Yeah, did my muscle because I work out three times a week and I do a pretty significant work. It's about an hour and a half. I do a pretty significant workout, but I still lift weights. I we have a Pilates reformer that I work out on, and I have a treadmill that I work out on.

00;25;15;29 - 00;25;23;27

Cary Hall

Yeah. So I didn't know this. I mean, I knew, but I didn't know this muscle mass thing, especially as you age, is really important to talk about why that is.

00;25;24;00 - 00;25;49;00

Alexandria Lee

So muscle stores carbohydrate. So in theory, the more muscle you have, the more places excess carbohydrate can go instead of your liver just shedding it as fat. It's also one of the biggest things of mortality. As we age, we lose muscle. So I always tell patients, if you fall, I want you to get up. I want you to strength train.

00;25;49;00 - 00;26;11;10

Alexandria Lee

What happens with sometimes with the GLP-1’s that I've been seeing and I've been very honest with people, is that when you're not strength training, eating enough protein so the muscle can build right. Sometimes on that body comp, you lose a little bit of lean and a little bit of fat. And I tell people that 1 to 1 ratio, that's what starving looks like.

00;26;11;12 - 00;26;31;14

Alexandria Lee

So people may be losing weight, but you're losing the protective. You're losing that muscle, which is so protective from a metabolic health standpoint. And so it gives you where on your birthday you can eat the piece of cake and not be a 5 pound weight gain the next day, you know.

00;26;31;17 - 00;26;48;12

Cary Hall

Yeah. So that's critical, right? I mean, yes, just the way that Alex explained it, that's how she explained to me when I came in and I'm like, oh, the light went on, Duh. Okay, I kind of knew this stuff, but I didn't really have it refined like that.

00;26;48;12 - 00;27;03;11

Dr. Courtney Younglove

Yeah. That's the difference between weight loss and obesity medicine. It's really understanding the entire disease and not just focusing on the number going down on the scale. And that's the fear of these drugs being deployed without the guardrails in place.

00;27;03;12 - 00;27;12;19

Cary Hall

Oh, I've got I can't tell you how many friends I've got, but male and female husband or wife, they're on these drugs have dropped weight like crazy and and.

00;27;12;19 - 00;27;14;13

Alexandria Lee

You will lose lean faster than fat.

00;27;14;13 - 00;27;18;03

Dr. Courtney Younglove

Yes you will, especially if your insulin is up and you can't access the fat.

00;27;18;09 - 00;27;35;02

Cary Hall

Okay, this is Patty because there's a big article on this in this in the Wall Street Journal I don’t know, a month ago about both these medications. And this is actually written by someone who was on the thing. And the dilemma they had was they've been on it for a year. And they said, now what am I going to do? So yeah, I can't keep taking this forever.

00;27;35;02 - 00;27;55;25

Cary Hall

What am I going to do now that I've been taking it? And that was that was kind of the light it went on whenever of his first told to try this, I'm like, yeah, it's a quick fix, but is it really? And there was no explanation like what you just heard Alex do with me where she talked about fat, she talked about muscle and all those components and then the foods that you get you.

00;27;55;25 - 00;28;01;09

Cary Hall

So talk a bit about that because there's a whole host of lists with the foods and how much you should eat.

00;28;01;09 - 00;28;10;01

Alexandria Lee

So weight negative foods consist of protein, water, vegetables. And you eat as much of this as you would like to your heart's content.

00;28;10;03 - 00;28;12;07

Cary Hall

That's right. As much as you want.

00;28;12;10 - 00;28;14;24

Alexandria Lee

With a minimum, you have to have a minimum, right?

00;28;14;25 - 00;28;15;21

Dr. Courtney Younglove

Food, dietary protein.

00;28;15;23 - 00;28;17;06

Cary Hall

That's never a problem for me.

00;28;17;08 - 00;28;39;22

Alexandria Lee

No, weight-neutral foods, I always say, are there to help with variety and they consist of fruit and healthy fats. So your even your dairies are a healthy fat. And there's some research that says that they may actually be cardio protective and fats fairly insulin neutral. It doesn't spike. So like for so long we were afraid of fat.

00;28;39;22 - 00;29;00;06

Alexandria Lee

And this is what Courtney was talking about. Our foods changed. They took the fat out and replaced it with sugar. Oh. So like they took out a new, fairly insulin neutral substance. It didn't taste very good. It wasn't satiating to anybody, but sugar was, so they replaced it. And now everyone has high insulin.

00;29;00;09 - 00;29;17;01

Cary Hall

So this and this is this is amazing. When you start become cognitively aware of the stuff that I go to the market now I pick something up like the yogurt and I'm I how many of these things do I have to look at before I find it's in everything?

00;29;17;03 - 00;29;18;25

Dr. Courtney Younglove

That's very intentional.

00;29;18;27 - 00;29;19;12

Alexandria Lee

We brand.

00;29;19;13 - 00;29;21;28

Cary Hall

What do you mean by that. You say it's and is intentional.

00;29;22;00 - 00;29;40;05

Dr. Courtney Younglove

Well it lights your brain up so it lights up the hormone dopamine which is your pleasure hormone. And even if you don't taste the sugar you do get that hormonal rush of this is good. I mean think about when you look at a breakfast sandwich, two pieces of English muffin with some egg and sausage in between it versus looking at a plate of eggs and sausage.

00;29;40;07 - 00;29;44;11

Dr. Courtney Younglove

Your brain lights up just with that biscuit or that muffin.

00;29;44;17 - 00;29;44;29

Cary Hall

It's got.

00;29;45;00 - 00;29;57;28

Dr. Courtney Younglove

Because it's got an A, it's going to quickly turn to sugar, and your brain knows that it's very conditioned. But if you add sugar to pasta sauce, you're going to like it better whether or not you taste the sugar. So then you're going to seek it out again. It's very, very intentional.

00;29;58;00 - 00;30;20;27

Cary Hall

It's remarkable, isn't it? If you want to learn more, the website is heartlandweightloss.com. These folks really do know what they're doing or what they're talking about. And they can make a difference. The phone number 913-620-1616. We'll be right back after the break. You're listening to America's Healthcare Advocate broadcasting here on the HIA radio network.

00;30;20;29 - 00;30;27;17

Cary Hall

Coast to coast across the USA. We'll be right back.

00;30;27;19 - 00;30;44;01

Cary Hall

Welcome back. You're listening to America's Healthcare Advocate show, broadcasting coast to coast across the USA here on the HIA radio network. Hey, you know, you think this is interesting? Fascinating. Maybe you want to tell your husband about it. Maybe he's a couch potato. Maybe you want to tell your daughter about it. Maybe it's your aunt. Your grandmother.

00;30;44;01 - 00;31;04;02

Cary Hall

I don't know, but I'm going to tell you it's worth your time to go to the website. heartlandweightloss.com. I am I'm running this show nationally obviously. You know, if you're listening to me in Alexandria, Louisiana, you're not going to run up to Heartland Weight Loss. But I'm hoping this is giving you an educational starting point.

00;31;04;07 - 00;31;25;02

Cary Hall

And there are facilities like this wherever you live. Okay. But you need to make sure this is the kind of facility they are, and they're not somebody trying to sell you 15 products that they're going to make money on, trying to tell you you're going to lose weight that way. It needs to be a program like the one we're talking about here, where they take you as an individual and put a plan together that's going to work for you.

00;31;25;02 - 00;31;36;04

Cary Hall

So let's just kind of segue way to that. A size 44 overcoat, as I like to say, doesn't fit everybody. So this is individualized. The way you do this is that this is how you design this.

00;31;36;07 - 00;31;47;08

Dr. Courtney Younglove

I mean, obesity is a disease. Pre-obesity or overweight is a disease. And everyone's approach to that disease and the way their body manages it is different. It requires individualization.

00;31;47;10 - 00;32;07;05

Cary Hall

Okay. And so that starts when they come into your facility. You do the evaluation and then you sit down with Lisa and you and then you go sit. So that's a thing you've got to we haven't talked much about that. Let's talk about the side that Lisa does, the nutrition because that's really interesting to me. You know, she's the one that gave me all the lists.

00;32;07;05 - 00;32;17;13

Cary Hall

And I tease Alex, I called her the Thought police because she's the one to. No you can't do that. But but that it gives you parameters. Talk a little bit about that part of it.

00;32;17;13 - 00;32;35;06

Dr. Courtney Younglove

The nutritionist is the foundation of all of it. If we don't turn the lever of nutrition, all the other levers that need to be turned are really hard to turn and not nearly as effective. If you can turn the nutrition of the nutrition lever, then we can start turning the medication lever and the sleep lever and the stress level and the movement levers.

00;32;35;08 - 00;32;40;26

Dr. Courtney Younglove

Those are all very important, but it's the base is that nutrition. So we really start with that.

00;32;40;28 - 00;32;45;26

Cary Hall

So you've said this a couple of times. We haven't touched on it. Why are you talking about sleep when it comes to weight loss.

00;32;45;28 - 00;32;46;18

Cary Hall

The is curious to me.

00;32;46;19 - 00;33;02;21

Dr. Courtney Younglove

I mean there's an absolute correlation between poor sleep and weight gain. It's mostly a cortisol. It's the other hormone that we really focus on cortisol. Chronic cortisol elevation, which is your stress hormone promotes weight gain especially in the visceral region. Abdomen.

00;33;02;24 - 00;33;06;00

Cary Hall

How interesting. Okay. That's I've never heard that before.

00;33;06;05 - 00;33;06;14

Dr. Courtney Younglove

Yeah.

00;33;06;15 - 00;33;29;24

Alexandria Lee

There was a study that they sleep deprived people, for a week. And by the end of the week there are all insulin resistant. So. And then I think I looked at that and I think back to my own, like poor postpartum days. No wonder it was so hard for me. You're not sleeping, you're grabbing whatever again, the convenience portion of it.

00;33;29;24 - 00;33;34;06

Alexandria Lee

And it just kind of reverberates this cycle.

00;33;34;09 - 00;33;40;00

Cary Hall

And then and, and, you know, the further into it you get, the less you're able to break the cycle.

00;33;40;00 - 00;33;40;24

Dr. Courtney Younglove

It's a spiral. It's a.

00;33;40;24 - 00;33;41;18

Alexandria Lee

Spiral.

00;33;41;21 - 00;33;54;03

Cary Hall

Okay. And so the process that you've implemented at Heartland takes that into account, along with all the other things that the that we get into whenever we when we come into the program.

00;33;54;07 - 00;34;13;21

Dr. Courtney Younglove

It's not enough to just say eat better, move, sleep more, get rid of your stress. A lot of people struggled. I mean, I struggle to implement a lot of those things, right? So that becomes the personalization piece of how do we systematically try to implement those things as best as we can. And some people need medication. Some people need baby steps to get to those things.

00;34;13;21 - 00;34;19;07

Dr. Courtney Younglove

Some people can dive in and embrace it and move forward. It's it's very individualized.

00;34;19;09 - 00;34;26;03

Cary Hall

Yeah. Cause you always ask me this is interesting. I just thought of this. You've asked me, many times: “Are you are you hungry?”, “Are you being hungry?”

00;34;26;08 - 00;34;45;01

Alexandria Lee

Yeah. I'm. Yeah, I want to. I always want to make... You shouldn't be hungry. I don't want you to be hungry. I don't want you to go through life hungry. It's not a I don't want that for anyone. Yeah, and when you're in weight loss, it's not getting enough protein. It's very easy to go hungry. And that's not sustainable.

00;34;45;04 - 00;34;52;21

Cary Hall

Yeah. So that so you know so that gets back to that. And Lisa talked about this and you talked about it too was eating the right amount of protein.

00;34;52;21 - 00;34;54;06

Dr. Courtney Younglove

Yeah.

00;34;54;09 - 00;34;55;28

Cary Hall

Why is that important.

00;34;56;01 - 00;35;15;00

Dr. Courtney Younglove

Well so dietary protein when it hits the small bowel releases certain hormones GLP-1 being one of them. That's one of those hormones that's in those new drugs. It creates satiety a feeling of fullness, closest kind. And there's these hormones that feedback that say, okay, you've gotten it. And so many of us, especially women, aren't getting enough protein.

00;35;15;01 - 00;35;20;16

Dr. Courtney Younglove

They're chronically truly hungry, mean. And it's very hard to make lifestyle changes when you're hungry.

00;35;20;20 - 00;35;21;13

Alexandria Lee

Or fiber.

00;35;21;19 - 00;35;23;19

Dr. Courtney Younglove

Or fiber. Yeah. Fibers huge.

00;35;23;22 - 00;35;43;08

Cary Hall

So so it's a combination of the two. So then that goes back to and I've done this I've had these I've done shows and talked about tissue before. And this mostly relates to heart issues that I had. Doctor Tracy Stephens on who's chief cardiologist in Saint Luke's, is this whole issue with going into the grocery store. And you go around that you do you do you do the vegetables, the fruits.

00;35;43;11 - 00;35;53;12

Cary Hall

You go to the meat counter, the chicken counter, whatever the fish counter. Those are the thing that's where you shop. And then I then you you can go to dairy and do dairy. And if you do those three things and stay out.

00;35;53;12 - 00;35;54;25

Alexandria Lee

Of the middle.

00;35;54;27 - 00;35;55;17

Dr. Courtney Younglove

Yeah, the processed.

00;35;55;17 - 00;35;59;17

Cary Hall

Foods sell the processed foods because the processed food, you called it poison.

00;35;59;20 - 00;36;21;28

Alexandria Lee

Yeah. I mean, it took my breath away a little bit when I first started working in this field, and I walked into a grocery store and I realized, oh my gosh, like what? What? I didn't know first 32 years, it just I mean, it was just like, I yeah, I mean, I was like, yeah, I can't even describe it.

00;36;21;28 - 00;36;24;26

Alexandria Lee

It kind of stopped me in my tracks. Yeah.

00;36;24;29 - 00;36;31;10

Cary Hall

And that's coming from somebody. It's a nurse practitioner. Okay. So I mean, if you didn't know, how the hell are people like me?

00;36;31;10 - 00;36;36;01

Alexandria Lee

You're you're not taught that in school. You're taught caloric deficit move more.

00;36;36;05 - 00;36;36;29

Dr. Courtney Younglove

Yeah.

00;36;37;01 - 00;36;41;04

Cary Hall

Yeah. And and what are they serving these kids in school. Oh.

00;36;41;08 - 00;36;46;21

Dr. Courtney Younglove

Processed foods. Yes. Yeah. Yeah. Don't even get me started. I tried to fight that battle.

00;36;46;23 - 00;36;53;17

Cary Hall

Yeah. Oh, it's about know. So this is this is an education thing. And that's why it's so critically important that people understand. And then.

00;36;53;17 - 00;36;54;14

Dr. Courtney Younglove

It's an implementation.

00;36;54;14 - 00;37;11;16

Cary Hall

Thing. You have me again. You know, it's it's having a program that you can connect to and you can make it work. And that's I think that's what you guys do. And you are exceptionally well. And so and I thank you both for coming in today and taking the time to do this. You know, I hope you've learned something from this.

00;37;11;18 - 00;37;25;21

Cary Hall

I certainly have. That's the reason I did this, the reason I wanted them to come in here and do this show was you. And why we're going to run a coast to coast is because this is a problem, that it's an epidemic in this country. And yeah, a lot of people know about it. A lot of people struggle with it.

00;37;25;21 - 00;37;40;19

Cary Hall

They don't know the answer. You know, maybe, maybe a weight loss drug is something you need to do, but you need to do it under the supervision in a, in a situation like this where it's somebody that understands obesity, it's a weight loss clinic where they're going to do their best to make sure that you can become the person you want to be.

00;37;40;19 - 00;37;55;21

Cary Hall

And I will tell you that this has made a big difference for me. it's made a difference. My energy levels made a difference in my sleep. It's made a difference overall. And I battled this for a long, long time before I found the solution to it. I'm very happy that I did. If you want information, you're here in the Metro.

00;37;55;28 - 00;38;17;26

Cary Hall

heartlandweightloss.com. The phone number 913-620-1616. And now I'll leave you with this thought from Albert Einstein. The one who follows the crowd will get no further than the crowd. The one who walks alone is likely to find himself in places no one has ever been. Remember, friends, it's a funny thing about life.

00;38;17;26 - 00;38;37;26

Cary Hall

If you refuse to accept anything but the very best, you most often get it. Thank you for listening to America's Health Care Advocate show Broadcast here on the HIA radio network. Coast to coast across the USA. Goodbye America.

00;38;37;29 - 00;38;42;04

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