Logo
    Search

    Are weight loss drugs too good to be true? – with Johann Hari

    enJune 07, 2024

    Podcast Summary

    • Semglutide risksSemglutide, a weight loss drug, offers significant weight loss but carries 12 potential risks, including impact on shame, willpower, and overall health. Consider risks and benefits before use.

      The use of weight loss drugs like Semglutide (Zempic) comes with potential risks beyond just weight loss. International best-selling author Johann Hari, in his new book "Magic Pill," explores the implications of these drugs, which have been shown to produce significant weight loss but also carry 12 potential risks. Hari's personal journey with the drug led him to investigate its effects on various aspects of health and well-being, including shame, willpower, and overall health. The drugs, while offering a quick fix for obesity, may challenge our understanding of these concepts and potentially lead to unknown adverse effects. It's essential to consider the potential risks and benefits before deciding to use these drugs.

    • Weight loss drugs risksConsidering both risks of obesity and drugs, make an informed decision on weight loss drugs use based on individual circumstances and long-term implications.

      The decision to use weight loss drugs involves weighing the risks of obesity against the risks of the drugs. The speaker, who has personally used such drugs, encourages individuals to assess which risks apply to them and make an informed judgment. The use of these drugs can lead to significant weight loss, but it's important to understand that they work by affecting the brain and can have profound impacts. These drugs can be seen as a "magic pill" in the sense that they can lead to weight loss that feels miraculous, but they also come with risks and potential side effects. It's crucial to consider the long-term implications and make an informed decision based on a thorough understanding of the facts.

    • Weight loss drugs risksWeight loss drugs can lead to malnutrition and muscle loss, especially for individuals with eating disorders or normal/skinny weights. Obesity also poses significant health risks, increasing chances of cancer, dementia, and diabetes. Consider both risks before deciding.

      While weight loss drugs can grant your wish for a slimmer body, they come with unpredictable and sometimes negative consequences. For instance, they can lead to malnutrition and muscle loss, especially when taken by individuals with eating disorders or those starting at normal or skinny weights. Moreover, obesity itself poses significant health risks, including increased chances of cancer, dementia, and diabetes. It's crucial to consider both the risks of the drugs and the risks of obesity before making a decision. Additionally, maintaining a balanced diet and ensuring proper nutrition is essential for overall health.

    • Heart attack, cancer, diabetes reductionBariatric surgery and certain drugs can reduce the risk of heart attacks, cancer, and diabetes-related deaths, but surgery comes with higher complications and drugs can affect emotions and potentially lead to depression and suicidal thoughts.

      Both bariatric surgery and certain drugs have been shown to significantly reduce the risk of heart attacks, cancer, and diabetes-related deaths. However, bariatric surgery comes with a higher risk of complications, including a nearly quadrupled suicide risk, which is still relatively low. The drugs, on the other hand, can radically interrupt eating patterns, potentially bringing unconscious emotional drivers of eating to the surface. Some experts have raised concerns about possible depression and suicidal thoughts associated with these drugs, although this is a contentious issue. Ultimately, the decision between bariatric surgery and drugs depends on an individual's specific circumstances, risks, and benefits.

    • Weight gain and sexual assault60% of women in a program gained extreme weight after experiences of sexual assault or abuse, serving as a protective psychological function, but weight loss drugs may bring up complex emotions and potential harm

      There is a significant connection between extreme weight gain and experiences of sexual assault or abuse. Dr. Felite's research found that 60% of women in a program had made their extreme weight gain after such experiences. This phenomenon, known as "overweight as overlooked," can serve as a protective psychological function. However, the use of weight loss drugs can bring up complex emotions and feelings of shame, guilt, and vulnerability. These drugs may not provide the magical transformation some people expect, leading to disappointment and potential psychological harm. It's essential to consider the deeper psychological implications of weight, food, and weight loss drugs, especially regarding the societal stigma surrounding weight and the potential for suicidal thoughts after bariatric surgery.

    • Long-term risks of weight loss drugsWeight loss drugs may have unknown long-term effects on mental health and brain chemistry, especially for young people and those with eating disorders. The root cause of obesity is the food system, and addressing it requires promoting healthy food choices, outlawing ultra-processed foods, and preventing the normalization of obesity.

      While weight loss drugs offer a solution for some individuals struggling with obesity, they come with potential long-term risks to mental health and brain chemistry, which are not yet fully understood. The speaker expresses concern about the potential impact on young people, particularly those with eating disorders, and the possibility of unknown side effects that may only surface after prolonged use. The root cause of obesity lies in the food system, and addressing it requires efforts towards promoting healthy food choices, outlawing ultra-processed foods, and preventing the normalization of obesity. The speaker emphasizes the importance of understanding the historical context of obesity, which was once rare but has become increasingly common due to changes in the food supply system. The speaker's personal struggle with the decision to take weight loss drugs highlights the complex nature of the issue and the need for ongoing research and prevention efforts.

    • Food neophobiaConsuming processed foods can impact our ability to recognize feelings of fullness, leading to overeating and obesity. This phenomenon, known as food neophobia, can make it difficult to return to healthy eating habits once unhealthy ones have been adopted.

      Our diets, particularly the consumption of processed foods, can significantly impact our ability to recognize and respond to feelings of fullness. This can lead to overeating and obesity. The experiment conducted with rats illustrates this point, as they became obese when introduced to a Western diet, but refused to eat when only given healthy foods after a period of unhealthy eating. This phenomenon, known as food neophobia, can make it challenging for individuals to return to healthy eating habits once they have adopted unhealthy ones. It's important to recognize the potential long-term consequences of our dietary choices and strive to make healthier options more accessible and desirable. Additionally, understanding the root causes of our eating habits and seeking help when needed can be beneficial, but it may not be enough to overcome the physiological effects of a poor diet.

    • Food, health, and weight loss choicesExamine societal norms and personal risk assessment to make informed decisions about food, health, and weight loss, prioritizing long-term wellbeing.

      We all face uncertainty when it comes to our health and wellbeing, and the choices we make are influenced by various factors, including personal risk assessment and societal pressures. Johan's book, "Magic Pill," offers insights into the complex relationship between food, health, and weight loss, and encourages a critical examination of our eating habits and societal norms. While some may find success in drastic measures like intermittent fasting or bariatric surgery, others may prefer a more gradual approach, such as increasing healthy fats and maintaining muscle mass. Ultimately, the key is to make informed decisions based on reliable information and to prioritize our long-term health and wellbeing. As Liz said, "It's never too late to start making positive changes."

    Recent Episodes from The Liz Earle Wellbeing Show

    What your sex life might be missing, with Charlene Douglas

    What your sex life might be missing, with Charlene Douglas

    Does talking about sex make you uncomfortable? Psychodynamic and psychosexual therapist Charlene Douglas joins Liz on this podcast to reveal why we’re so afraid about seeking help for our sex lives.


    Charlene, who you may recognise as the therapist from Married At First Sight UK, shares why we should really interrogate our relationship with sex and consider therapy, plus she shares the one thing that will improve your sex life.


    Liz and Charlene also discuss why pleasure is often left out of the conversations about sex (especially during sex education), whether there is ever a place for pornography, and common issues couples come up against in their sex lives in midlife.


    Links mentioned in the episode:




    Hosted on Acast. See acast.com/privacy for more information.


    Weight loss to love: how to manifest your dreams, with Dr Sabina Brennan

    Weight loss to love: how to manifest your dreams, with Dr Sabina Brennan

    Do you believe in the power of manifestation? Neuroscientist, health psychologist, and author Dr Sabina Brennan joins Liz to share why this ‘woo’ practice might actually have more science to it than expected.


    Whether you're looking for love or want to hit your health goals, Sabina shares how the power to manifest our dreams is within us all. Meanwhile, Liz shares her own experiences of manifesting a relationship with the help of her daughters.


    Sabina also reveals how visualisation can help us through challenging scenarios and talks Liz through ‘intentional blindness.’


    Links mentioned in the episode:

     



    Hosted on Acast. See acast.com/privacy for more information.


    How to balance stress and live longer, with Dr Torkil Færo

    How to balance stress and live longer, with Dr Torkil Færo

    Do you wear any kind of fitness tracker? On this podcast, Dr Torkil Færø joins Liz to share how wearable pieces of tech can help us better understand our heart rate variability (HRV), and ultimately live a longer and healthier life.


    Torkil explains what our HRV can tell us about what's going on in our bodies - and how it this number can even alert you to serious health issues such as heart attacks and disease.


    Liz and Torkil discuss how we can optimise our HRV with our diet, exercise and lifestyle tweaks such as cold showers, supplements and fasting - plus, the impact alcohol can have here.


    The episode also covers how having a positive attitude to ageing may be able to help you live longer.


    Links mentioned in the episode:




    Hosted on Acast. See acast.com/privacy for more information.


    Vaginal oestrogen could save your life, with Dr Rachel Rubin

    Vaginal oestrogen could save your life, with Dr Rachel Rubin

    With more than half of women experiencing at least one urinary tract infection in their lifetime, Liz chats to urologist and sexual medicine specialist Dr Rachel Rubin to reveal why UTIs must be taken more seriously.


    Rachel shares the realities of how dangerous UTIs can be, plus how the lack of knowledge on this common infection is just another example of medical misogyny.


    Rachel talks Liz through the symptoms of genitourinary syndrome of menopause (GSM) and how vaginal oestrogen could be lifesaving.


    Links mentioned in the episode:




    Hosted on Acast. See acast.com/privacy for more information.


    Get fit in just 11 minutes, with Lavina Mehta

    Get fit in just 11 minutes, with Lavina Mehta

    Struggle to find the time to fit in your workouts? Award-winning personal trainer Lavina Mehta joins Liz to share how you can get fit with just 11 minutes of exercise every day.


    Lavina talks Liz through exercise ‘snacking’ and why this can be a better approach for midlife women, plus why we should exercise for sanity not vanity and prioritise strength over cardio. Liz and Lavina also reveal a simple trick to help mitigate glucose spikes after meals, and try out a live exercise snacking session.


    Links mentioned in the episode:




    Hosted on Acast. See acast.com/privacy for more information.


    Finding love online in midlife, with Garance Doré

    Finding love online in midlife, with Garance Doré

    Have you ever used dating apps or websites? Beauty brand founder and author Garance Doré joins Liz to chat about how they both found love in the digital landscape. Garance reveals why she doesn’t fear heartbreak, and how our parents’ behaviour often influences our own with our partners.


    Liz and Garance also talk through their experiences of being in relationships with a significant age gap, and how this affects their perception of their own ageing bodies.


    Links mentioned in the episode:



    Hosted on Acast. See acast.com/privacy for more information.


    Are weight loss drugs too good to be true? – with Johann Hari

    Are weight loss drugs too good to be true? – with Johann Hari

    Can a 'magic pill' can fix the obesity epidemic - or are we creating even more problems? Author Johann Hari joins Liz on this podcast to discuss the benefits - and 12 potential risks - of new weight loss drugs, such as Ozempic.


    Johann reveals his motivations to use weight loss drugs personally, plus talks through shocking statistics on the realities of being overweight on our health.


    He also shares some of the positive effects that may come with these anti-obesity drugs beyond fat loss, along with the risks - including malnutrition and eating disorders.


    Meanwhile, Liz questions the true cost to our health here and whether we’re opening a Pandora’s box of unknown adverse effects when considering these drugs.


    CONTENT WARNING: This episode contains bad language and frank chat about suicide, sexual assault, and eating disorders, so please take care while listening.


    Links mentioned in the episode:



    Hosted on Acast. See acast.com/privacy for more information.


    Why your UTIs keep coming back, with Dr Kate Stephens

    Why your UTIs keep coming back, with Dr Kate Stephens

    Do you struggle with urinary tract infections (UTIs)? Dr Kate Stephens, a doctor of microbiology specialising in the human microbiome, joins Liz to share how we can better support our vaginal microbiome and avoid recurring UTIs.


    In this episode, brought to you in partnership with Optibac, Kate and Liz discuss the common causes of UTIs and why perimenopause and menopause often leave us more vulnerable to them.


    Liz and Kate talk through the best bacteria strains for intimate health, and address old wives’ tales - like whether cranberry juice can fight a UTI.


    Links mentioned in the episode:




    Hosted on Acast. See acast.com/privacy for more information.


    Are we too shy of the sun? - with Dr Leland Stillman

    Are we too shy of the sun? - with Dr Leland Stillman

    Have we become too shy of the sun or are we right to be extra cautious? Dr Leland Stillman joins Liz to share why he believes current advice about sun exposure is only skin deep.


    Leland discusses his perspective on how light impacts our eyes and our overall wellbeing, and Liz questions whether we can really avoid damaging our skin when seeking more sunlight.


    Leland shares how he keeps his skin safe in the sun plus how light may impact the gut, while Liz asks whether a vitamin D supplement is the same as getting it from light itself.


    Links mentioned in the episode:




    Hosted on Acast. See acast.com/privacy for more information.


    Healthy fats, weight loss and ‘reversing’ diabetes, with Eric Edmeades

    Healthy fats, weight loss and ‘reversing’ diabetes, with Eric Edmeades

    You’ve likely heard of pre-diabetes. But what about post-diabetes? Serial entrepreneur and Wild Fit founder Eric Edmeades joins Liz to share why we need to change our approach to type 2 diabetes - along with the practical changes needed to reverse it.


    Liz and Eric discuss why we should view type 2 diabetes as more of an injury rather than a disease with a life-long sentence, plus why it’s important to distinguish between pre- and post-diabetic in healthcare plans.


    They also cover the benefits of ketosis and autophagy, the importance of cutting down on sugar for our health, and other lifestyle changes that we can make to cut the risk of pre-diabetes.


    Links mentioned in the episode:




    Hosted on Acast. See acast.com/privacy for more information.