Rogan interviews Jelly Roll again

 https://youtu.be/UWz6_CXt5T8?si=n9qLfNCCq-psBiRW

Several years ago, I had a subscription to a streaming service called Hulu and one night I watched a documentary about Jelly Roll, a rock n roll, CW, funky fat performer.  It was an engaging story--fat kid grows up to be a modestly good performer and along the way becomes a felon.  Fast forward, he became obese, but still quite popular.  He had periodically dieted but the first time he appeared on Joe Rogan's podcast he had lost about 120 lbs--now he's lost over 300 and so this interview is about how his life has changed and how he's controlled his addiction.   I'm not sure when it was recorded, but it aired around December 10.

I asked Co-pilot what his style is called: "Jelly Roll is a multifaceted performer known for his unique blend of country, rap, gospel, and Southern rock music. He has gained significant recognition in the country music scene, winning awards such as the CMT Music Awards for "Son of a Sinner" and "Need a Favor" and being nominated for a Grammy Award for his album "Beautifully Broken". Additionally, he has made appearances in WWE, showcasing his passion for the sport and performing at major events. Jelly Roll's music often reflects his personal experiences, resonating with fans who appreciate his authentic storytelling and soulful delivery.

Semaglutide and weight loss for diabetes or obesity

I recently saw a photo (mid-2023) of Oprah on Dr. Peter Attia's web site (promotes health, longevity, exercise, etc.) and noticed how thin she was. I heard she'd been on one of the GLP-1 drugs (semaglutide[Ozempic, Wegovy]) and had stopped the "healthy" diet promotions. That article was a "members only" read, but here's what she told People magazine.

“The fact that there’s a medically approved prescription for managing weight and staying healthier, in my lifetime, feels like relief, like redemption, like a gift, and not something to hide behind and once again be ridiculed for,” Winfrey stated. “I’m absolutely done with the shaming from other people and particularly myself.”

I wonder if the thin Oprah will be as popular as the fluffy Oprah?

Some researchers question the safety, and others who are not researchers (me) think it's too expensive.

Because it also lowers the risk of some other dangerous health conditions, how much should the taxpayers be chipping in? Ozempic is FDA approved for type 2 diabetes and Wegovy is FDA approved for weight loss with or without diabetes. This matters for insurance, but there is a cost either way. Someone pays. Someone makes a profit.

 
Remembering how Hormone Replacement Therapy drugs were called a "miracle" about 30 years ago to prevent heart attack, stroke, dementia etc. as well as hot flashes, then were dropped in 2022, I'd be a bit cautious. That's a personal opinion.

Here's a video, useful for its recency with a voice over to help with pronunciation.

https://youtu.be/DTOcV8uFZyw?si=Hpi5yoWnPJpaDMxr

Yes, it’s time--again

As an adult, I've lost a lot of weight--20 lbs. in 1960, 20 lbs. in 1982, 10 lbs. in 1987, 20 lbs. in 1993, 10 lbs. in 1998,  20 lbs. in 2006-07 and 30 lbs. in 2015.  Plus some tune ups along the way. In Spring 2019 I was doing a little tune up because I’d gained back about 15 lbs.  Then our son became ill and I put another 15 pounds on with stress eating. So here we go again.

Caloric labeling, does it help obesity?

One of the advantages of all my education is that I know "Death by Chocolate" has more calories than a dish of carrots. I don't know if the labeling requirements under Obamacare ever went into law, but. . .

"the impact of such labeling requirements on BMI, obesity, and other health-related outcomes is trivial, and, to the extent it exists, it fades out rapidly. For example, menu mandates would reduce the weight of a 5’10” male adult from 190 pounds to 189.5 pounds."

I do go online and read the menus before I go to a new restaurant. Many of them label the calories and carbs and fat. And before I go to a holiday lunch or party, I do a two meal fast, which medically is very good for you. 

https://www.cato.org/publications/policy-analysis/menu-mandates-obesity-futile-effort

http://dailyburn.com/life/health/nutritionist-guide-intermittent-fasting/

Exercise and IER/fasting exert complex integrated adaptive responses in the brain and peripheral tissues involved in energy metabolism. As described in the text, both exercise and IER enhance neuroplasticity and resistance of the brain to injury and disease. Some of the effects of exercise and IER on peripheral organs are mediated by the brain, including increased parasympathetic regulation of heart rate and increased insulin sensitivity of liver and muscle cells. In turn, peripheral tissues may respond to exercise and IER by producing factors that bolster neuronal bioenergetics and brain function. Examples include the following: mobilization of fatty acids in adipose cells and production of ketone bodies in the liver; production of muscle-derived neuroactive factors, such as irisin; and production of as yet unidentified neuroprotective “preconditioning factors” (Dezfulian et al., 2013). Suppression of local inflammation in tissues throughout the body and the nervous system likely contributes to prevention and reversal of many different chronic disease processes.http://www.jneurosci.org/content/34/46/15139

http://www.jneurosci.org/content/34/46/15139

The lean and green diet

I haven’t seen much about a meat and vegetables only for weight loss, but we are expecting a guest soon who told me she will be bringing her own food.  It’s a meat/veggies diet—ONLY.  No dairy, carbs, fruit, or caloric dense foods. That wipes out a lot of desserts and casseroles, strawberries and/or blueberry shortcake, and the Wednesday night picnic doesn’t it?  Also can’t find much about it on the internet except to warn you which important nutritional needs you don’t get, like calcium and folic acid. But she says she’s lost 52 lbs and 29 inches, so after her battle for a lifetime, I’ll certainly accept her word.

My mantra on weight loss is “Eat less; move more.” ELMM.  Works whether you just eat Twinkies, Paleo, gluten free, periodic fasting or Mediterreanean. But it has to work for you.  Snacks make me hungry—or am I hungry and then snack?  Perhaps when she meets her goal, she could add fruit or nuts (which I love).

We often go out to eat with a thin couple in their early 80s.  I have never seen them order anything but a large salad.

Here are some examples of Lean and Green meals I found:

• Big salad with vegetables (basically any vegetable of your choice, you can get creative), grilled chicken (or any lean meat of your choice), and dressing (just be mindful 1 tablespoon of olive oil has 110 calories, and a couple tablespoons of the average dressing has around 100 calories).
• Salmon with string beans and asparagus
• Top Sirloin steak (preferably grass fed, has 1/3 the saturated fat) with spinach
https://www.builtlean.com/2010/03/18/go-lean-and-green-for-fast-fat-loss/

Body building sites I checked said vegetables are “free,” and you can eat all you want. I’d go for fresh, just from common sense.  Sometimes those bagged carrots taste like wood, and bags of salad mixings, although quick and easy, have also been recalled for bacteria.

U.S. spending on diabetes

 

When I saw the figure in "US spending on personal health care and public health, 1996-2013"  JAMA 2016;316(24:2627-2645, I was surprised.  Diabetes was listed as the highest health care spending in 2013 with an estimated $101.4 billion.  If you look at other sources, it is sometimes listed as 6th or 7th.  I've never seen it as number one.

But most articles agree.  For a huge part of the population it is self inflicted and preventable.

Keeping a healthy weight is important. The Diabetes Prevention Program found that weight loss and increased physical activity reduced the chance of prediabetes turning into type 2 diabetes by 58 percent. For people 60 years or older, the reduction was 71 percent. For overweight people, losing five to seven percent of body weight through exercise and healthy eating could prevent the onset of type 2 diabetes. http://www.healthline.com/health/type-2-diabetes/statistics#4

Healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes.  Diabetes can be treated and its consequences avoided or delayed with diet, physical activity, medication and regular screening and treatment for complications.   World Health Organization fact sheet.

Other key findings from the paper include:   
This article on line is easier to read, provides a summary.

• Women ages 85 and older spent the most per person in 2013, at more than $31,000 per person. More than half of this spending (58%) occurred in nursing facilities, while 40% was expended on cardiovascular diseases, Alzheimer’s disease, and falls.
• Men ages 85 and older spent $24,000 per person in 2013, with only 37% on nursing facilities, largely because women live longer and men more often have a spouse at home to provide care.
• Less than 10% of personal health care spending is on nursing care facilities, and less than 5% of spending is on emergency department care. The conditions leading to the most spending in nursing care facilities are Alzheimer’s and stroke, while the condition leading to the most spending in emergency departments is falls.