OZEMPIC EXPERT WARNING: 12 Risks You Need To Know | Johann Hari x Rich Roll

Rich sits down with Johann Hari, New York Times bestselling author, journalist, and speaker, to talk about his yearlong personal experience taking the controversial weight loss drug Ozempic, the drug’s potential to curb obesity, the downsides like cancer risks, gastrointestinal issues, mental health impacts, and more. To read more about Johann and peruse the full show notes, go here👉🏾bit.ly/richroll834
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TIMESTAMPS
00:00:00 Intro
00:02:14 Johann Hari's personal experience with Ozempic
00:03:08 Discussion on the effectiveness of weight loss drugs
00:06:01 Johann Hari's decision to try Ozempic
00:07:41 Mechanism of action of weight loss drugs
00:09:59 Debate on the long-term effects of weight loss drugs
00:11:32 Consideration of weight loss drugs in the context of the obesity epidemic
00:12:39 Johann Hari's personal history with food and obesity
00:14:29 Risks of weight loss drugs vs. risks of obesity
00:15:21 The impact of diabetes
00:16:14 Obesity and the use of weight loss drugs
00:17:28 Weight measurement and drug decision
00:18:59 Benefits of weight loss drugs
00:21:04 Comparison of drug and lifestyle medicine
00:23:51 Drug's artificial solution to obesity
00:26:21 Impact of processed foods on obesity
00:31:29 Balancing environmental causes and drug use
00:32:18 Sponsor Break
00:33:24 Willpower and personal responsibility
00:39:19 Effects of processed food
00:41:26 Fast food and unhealthy food environment
00:47:58 Biological setpoint theory and weight gain
00:51:30 Effects of weight loss drugs on the brain
00:53:23 Long-term risks of weight loss drugs
00:54:36 Concerns about giving Ozempic to children
00:56:06 Negative effects and side effects of Ozempic
00:56:40 Psychological impact and emotional eating patterns
01:02:09 Challenges in changing eating habits
01:06:12 Sponsor Break
01:07:22 Potential long-term use of weight loss drugs
01:11:51 The pregnant friend encounter
01:12:28 Exercise and fitness relationship
01:13:17 Risks and potential negatives
01:15:05 Motivations and aesthetic benefits
01:17:23 Risks for individuals with lower BMI
01:19:15 Impact on people with eating disorders
01:22:03 Regulatory oversight and prescription practices
01:23:41 Corporate interests and societal impact
01:26:11 Personal stories and ethical dilemmas
01:29:33 The potential risks of weight loss drugs
01:30:54 Unforeseen consequences of new technologies
01:31:51 Unpredictable effects of weight loss drugs
01:33:09 The potential widespread use of weight loss drugs
01:34:03 The impact of weight loss drugs on addressing root causes
01:38:07 The potential transformative impact of weight loss drugs on addiction
01:42:43 The implications of pharmaceutical solutions for addiction
01:47:55 The role of emotional signals in personal growth
01:48:53 Rob and Paul's Charitable Work
01:49:53 The Tragic Death of Pickett
01:50:38 The Growth from Pain
01:52:08 The Value of Earned Experience
01:53:40 The Concept of Suffering and Growth
01:55:49 The Cultural Stigma of Obesity and Cheating
02:00:12 The Responsibility for Personal Choices
02:04:04 Closing Remarks
02:05:27 Credits
* * * * *
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Hi I'm Rich Roll. I'm a vegan ultra-endurance athlete, author, podcaster, public speaker & wellness evangelist. But mainly I'm a dad of four. If you want to know more, visit my website or check out these two the NY Times articles:
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[@richroll]

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[@melaniecatchpole6024]

Alright, full transparency and accountability Yesterday I watched this and I was really angry at you rich because I felt you weren’t taking the struggles we face and our traumatised backgrounds into consideration Having had the night to think on it I’ve come full circle. I’ve deleted my comment that said as much and I would like to learn to eat and do the three months that you talked about just shut off the food noise was learning a new way of living. How do I do that?

[@janicebourdage3567]

Rich, I am consciously choosing to only keep my remarks in the positive, remarking only on what I experienced and observed with Johann. He came across as intelligent, realistic, open-minded, transparent, well-researched, non-defensive, highly focused, and very compassionate. He also demonstrated excellent listening skills, marked by a wonderful sense of humor. At no point did I sense he was pushing any sort of agenda. What he did not evidence was defensiveness and a holier-than-thou attitude. No matter what was presented to him, his response was so open, so well-informed, and so compassionate towards the human condition, that I found it very inspiring and a lesson to all of us on how to dialogue in an intelligent and responsible manner about controversial subjects.

[@BlushingForeigner]

Couldn't agree more. I appreciate his compassion and nuance on this topic.

[@Coopernicuss]

Well said Janice.

[@SilviaPunkinMathis]

I completely agree. Well said, Janice. I would also offer that the fear of judgment isn't limited to people who take Ozempic, Munjaro, or Wegovy. We live in a society, particularly the part fueled by social media that can be 'graceless' and fully judgemental. This same vitriol is leveled at folks who achieve anything beyond what 'we' believe is possible for us. #kindness #grace

[@nicholaskoenig3106]

Holy MACKeral...what a well said comment. #impressed 😊

[@rachelwallace2392]

I’m really glad this comment is at the top. I have never had such a hard time watching and listening to Rich. Of course we all have our values and prospectives, but he was frequently countering data with personal opinion and ideology and THAT feels both unhelpful and limiting. If you are ever so certain of your own perspective that you can’t hear data with curiosity and compassion then you’re stuck. Shaming someone into anything with the “come on man” attitude is WHY it doesn’t work. Talk about triggering. This is the first time one of his interviews has really triggered me. I’m tremendously impressed with how Johann stayed open and managed to steer clear of defensiveness not only of himself but of the data.

[@_alex_y.not_]

Rich's audible pain when he heard about 6yr old kids getting on Ozempic mirrored mine entirely. Oh man. That is alarmingly dire.

[@welanduzfullo8496]

whats the issue with that? the drugs have been developed since the early 90s the first drug trails were in 2000 and the first glp1 agonist have been approved in 2005, semaglutide's saftey and efficacy trials started in 2006 and approved in 2008. This drug class and type has been around for 20+ years, we know the long term side effects, effectiveness and safety. The hole "wE dOnT kNoW tHe loNg tErm sAfTey pRoFile oF tHeSe dRugs bRo" cope narrative is soooo fkkkingggg dummbbbbb

[@wonderlizz]

Ditto Wtf! Kids should not be able to take something like this. Are they taking it and sitting in front of a screen?

[@welanduzfullo8496]

@@wonderlizz they actually should be able to take something like this without question

[@Mikathedog100]

You don't know who these kids are. They may have prader willi, they may have another chromosomal abnormality that affects how they manage food. They may be on large amounts of prednisolone for another issue....You just don't know...

[@infinitedreaming222]

I had food noise in elementary school it was definitely related to trauma and there was no resources to stop the cycle. If I could have not ate school lunch and breakfast maybe it will would saved me from now having to take it to treat my pcos and finally get the weight moving down.

[@melissadelaney8643]

i took ozempic over 3 years and slowly lost 30 kilos. i am plant based and do a lot of yoga, walking and meditation. i've been off ozempic for 5 months and maintained a 'healthy' weight. for me, ozempic helped me to implement structure around my approach to eating, i consciously used my time taking the drug to train my body and my brain with aim to continue and build on the experience of weight loss. my relationship with food now is around joy, pleasure, a sensual experience, nutrition, health, longevity. i'm determined to continue my love of food (compared to the past disordered relationship) for the rest of my life. also, i had a supportive medical doctor and monthly meetings with her.

[@bobjary9382]

Why are we getting obese ? LiikeHari mentions briefly, photos of ordinary folk from the 70s are not obeae they look like track stars compared to 2024 man. And this is down to our industrialised food system . We dont need drugs , we need to stop being half dead wage slaves

[@heyalexiajanee]

That's awesome! I'm struggling. Do you have any extra? 😂 I pray you continue on your journey in good health

[@melissadelaney8643]

@@heyalexiajanee hi alexia, thank you so much. I appreciate your kind thoughts and support. i'm in australia and there is a shortage here. i've stopped taking it since january and so far so good. i'm plant based and do a lot of walking and yoga and meditation which helps me stay focussed. & listening to a lot of motivational pod casts is good. it is a constant practice for sure.!! xo

[@heyalexiajanee]

@@melissadelaney8643 oh that's awesome! I was plant-based for awhile but fell off. Gotta get back on track because I really love fruit. I'm here in the US where there appears to be a shortage too. It sounds like you're doing good on it. I say utilize all the tools you can in life🤗

[@fratusd]

That's absolutely amazing and that's what this drug is meant for this guy doesn't seem to be changing his diet at all and kind of doesn't really seem to care and he just rather take the pill forever a shot whatever

[@danielbristow3178]

I think Rich is being appropriately skeptical, but I also think his guest was very intelligent, self-aware and appropriately self-depreciating. Enjoyed this conversation although I’m scared for the future. 🙈

[@presterjohn1697]

When Johann said, "I'll be taking ozempic for the rest of my life," I believe with all my heart a pharmaceutical executive got his wings.

[@alisonbates4186]

Ha ha such a great comment

[@JrayAloha]

Until there’s a shortage &/or and civil action lawsuits. Then all these Ozempic-for-weight-loss addicts will have to address their true weight issues

[@presterjohn1697]

@@JrayAloha Spot on. We've been here before with recalled poison pills. Fools rush in where angels fear to tread.

[@marilynbarker3257]

Such a great comment !! Lol

[@ColeLynn]

This makes no sense. It doesn’t take a rocket scientist to understand that you have to take accountability. If you have an eating disorder seek help. Not ozempic. If you’re lazy accept it and do something about it. I said what I said.

[@kardste8114]

I appreciate your guest’s honesty and transparency. Hard to admit he had M and Ms for breakfast- but he is sharing his truth and being vulnerable. I admire that! 👍💜

[@anro2697]

Was it hard to admit though ? Feels like he got a free pass to eat fried chicken and m&ms for brackfast.

[@-_M___M_-]

never seen Rich this mad about a subject. and i get why. great interview!

[@Chick4choice]

Nurse with extensive experience administering glp-1 meds to type 2 diabetics. Also used to be morbidly obese in my 20s. Diagnosed in my late 20s with hypothyroidism and eventually was diagnosed with hashimotos….so auto immune based hypothyroidism. Got a lap band in 2008 and lost close to 80lbs. Went to nursing school and started educating myself deeply on nutrition. Deflated my lap band during nursing school due to some side effects….maintained my weight loss, because, ta-daaaaaa the band was a tool that gave me time to educate myself and practice new habits. Eventually got down to close to 200lbs on a 5’10” frame eating low carb and exercising regularly. Got a tummy tuck to remove a hanging skin apron along with having my lap band removed as I didn’t feel I needed it any longer. Continued to maintain my weight loss and had long ago (well over a decade) had stopped fast food, sodas, processed foods for the most part. But still…. According to my bmi I am still obese. Still needed to lose 30lbs. Started tirzepatide 6 weeks ago on a fluke after seeing coworkers drop with it. I was already doing IF and longer fasts (dr. Fung) so this medication really just helps me extend my fasts so that I am now mostly OMAD. Already down 13lbs. Plan to use until I reach my goal weight of 180lbs. Mainly eating protein, walk and lift weights to maintain my muscle mass. Haven’t been nauseous. Touch of indigestion with spicy foods. Some constipation. Plan to continue for a total of 3-6 months. But again, using it as a TOOL! Not a quick fix.

[@meaningfulmakings]

Wish there was a community where people who want to use it as a tool (as I do) could support, motivate and inspire each other. BMI of 36. Seeing my Dr tomorrow to discuss taking Ozempic/Wegovy l/ ???? All I hear is you have stay on it for the rest of your life. Really? I got sober in AA. They tell you you will drink again if you don’t go to meetings. I stopped going to meetings at 8yrs sober. I’m now 26 years sober now - so perhaps people telling you that you have to take it for the rest of your life is not true either. Thanks for sharing. 💕

[@michaelparker3096]

Same view here I just started it never even heard of the craze just saw it on the news a couple of weeks ago. It really is a tool it's freed me from food addiction and is allowing me to change my lifestyle. It's given me freedom to make better choices and start building better habits. It's taken the edge off.

[@based8223]

Hypothyroidism, what a cope for fattys

[@hardcoreherbivore4730]

This drug bothers me on such a deep level. After being addicted to meth, cigarettes, and alcohol. Finally realized it was discipline or death. WFPB has been tremendous, my doctors now laugh at my health concerns. Just know, getting started is the hardest part. Staying the course is much easier once you’re seeing results. That outcome also silences your critics.

[@tmtb80]

Agree. Any drug that changes people's dopamine/serotonin networks can have very different outcomes and long lasting effects. Eek. Scary.

[@Change_Everything]

I’m in recovery from Heroin and recently. I was at an addictions conference and there was panel of suboxone doctors. I grilled them on something similar. I literally said I get why this is harm reduction and communities and individual lives improve but how much success have you had with ppl that want to get off the drug? He squirmed and avoided the question and I pressed. Eventually he said in the last 15 years of prescribing suboxone, only 15-20 ppl have successfully got off it and he said most drop out of the program, and I was like …you mean relapse? Astonishing…the medical community forever addressing symptoms and not the problems

[@alleyinn1]

Are your addictions more important than others' addictions (i.e. food)?

[@hardcoreherbivore4730]

@@alleyinn1 No, they’re both a component of the same root cause. The meth addiction was unique in that it was very clear that I was accelerating my own mortality. Sometimes I miss that feeling. Makes you dance as though it’s your last opportunity. I’m fortunate, as that lesson taught me that I can beat this feeling of emptiness. Food is more subtle, the repercussions often take decades to form. As such, the patterns can be much harder to break.

[@infinitedreaming222]

Well when you slip… because all of you white knuckling addicts do.. GLP1’s will be here to help you since it’s able to help ALLLLLL of what you mentioned. A lot people don’t lose weight on it but are able to find peace in other areas of their life that are not working - wake up.

[@ash231]

As nurse, I've recently cared for multiple patients who have been hospitalized due to uncontrollable vomiting after their ozempic dose was increased. I had one patient who came in already severely dehydrated, and then proceeded to dry heave for the next 48 hours. Nothing helped but time. And he was under the care of a doctor the entire time leading up to this hospitalization. Keep that in mind before trying these drugs folks. I don't know about you but dehydration and dry hevaing until the vessels in your eyes burst sound like a hard no to me.

[@bettyglick2679]

Agreed. I also work in healthcare and have seen horrific consequences from these medications. All while not addressing the root issues. All it does is make it okay to continue eating horribly, just less of it. It is not easy, but it is simple.. eat simple Whole Foods, get outside, move your body..

[@shelleybuerer4502]

Have you seen people die of heart disease, complications of diabetes too?

[@bettyglick2679]

@@shelleybuerer4502 the root cause of this is poor food and lifestyle choices as we all know. Drugs are a great bridge, but not an indefinite solution. If not used as just a bridge to changing the root cause, all it does is more deeply perpetuate the problem. It becomes a vicious cycle and more people will continue to suffer from heart disease, stroke, cancer, diabetes, most of which is preventable through lifestyle changes. But these meds make it ok to continue doing all this. Of course there are people that benefit from these meds. I fully know the sequela of all these diseases, I see it daily. But big pharma cannot be a forever fix.. they want us sick forever.. $$$

[@ash231]

@shelleybuerer4502 Of course. I use to worked in a cardiac unit, so I've seen more heart disease than most. But few people actually put the effort into trying a heart healthy diet, ozepmic is not the best option or even the first line option.

[@janemoffitt8078]

Same thing happened to my cousin. She would get horrifically sick but she didn’t care..crazy!

[@evilsensei8262]

Here I am losing weight (close to 1.5 lbs a week) following the plant based caloric density method. Lots of beans, legumes, potatoes, grains and vegetables with no oils/high caloric density foods/processed foods. I used to think I would never lose weight, be skinny. My BMI now is 23.6, aiming for a bit lower and i will go in maintenance mode. Exercise: 7k-10k a day, will start using weights in a few months. I am happy that I never used ozempic. Almost did. Was bombarded by ads even at the movies.

[@akc1739]

That’s fantastic. Can you pls point me to any websites or YT channels you follow?

[@OnceUponATimeLori]

Same! 27 lbs and normals stats now. 1 year and 3 months in for me. So glad I addressed my own issues, learned to cook, grow food, and changed my relationship with self care.

[@mobydog99]

​​@@akc1739 Try "Well Your World" and Chef AJ, among others. So many share their weight loss processes.

[@shozzy_id]

Congrats!

[@darcey55]

Same, I lost 75lbs over 15 months eating WPFB no oil. I’ve maintained is easily for a year since. I just wish everyone knew how effective this way of eating is for weight loss. I had to go digging for the info and still had no idea how easy it would be until I started. Keep in mind I was overweight from about age 9-42 and trying every possible diet during that time. I truly believe this would work for almost anyone.

[@saraoblakspeicher]

As a former elite athlete, will power has never been lacking for me. But after my second child, my hormones went haywire, I gained 40+lbs eating less than my kids, and all my dr said was, "You're tall, you carry it well." I am one of those individuals who invested a ton of money in trainers, mindset work, nutritionists, and plant-based diet. Aka lifestyle change. It worked a bit but then bounced right back (and then some). Over and over again. All this to say, naturally-fit people, people with great genetics, etc. claiming obese people should just get their shit together is like millionaires shouting that the poor should just get it together. Or those with many kids suggesting that those with fertility issues should just get themselves together. Bottom line - it's not all that cut and dry, black and white, much less simple. What's worse, it's never about the person's best interest, only what drives corporate, pharma, healhcare profits (which are also institutions funding carefully designed "studies" to support their mission).

[@teedee643]

Exactly! Im in the same boat. Deficit, Exercise and weight training 5-6 days, eat clean, trainers… but also, fibroids and peri and female hormones out of wack causing constant gain! Willing to try this to get the weight under control before I become at risk!! No one understands female hormones, even doctors and what they do, they treat it with vitamins that may work for a short time or other meds…

[@lhoising]

Same. I never was an elite athlete but am tall and have more muscle than most women. I used to do yoga like 2x per day and walk 4-5 miles and eat vegetarian or Mediterranean or keto and it never really worked. I didn't gain weight sometimes but I didn't lose. Until I lived in South America a year and I just melted away. And I ate more "junk" but whole foods (empanadas and papa rellenas yum). I had less stress. I could nap. It wasnt sustainable I need to go back to a "real job" in the states. And the only time I've been thinner and actually felt better was that time in South America. This whole get skinny and glow and have more energy hasn't been my experience. If anything my metabolism slowed and made me more tired when dieting. This medecine takes that away for me. I also this far have almost no side effects. I am changing lifestyle factors that I can. And I kind of hope if it takes a year to lose the weight, I can stabilize it a year at maintenance and overcome adaptive thermogenics. But this guy thinks in 3 months you've changed enough habits has never just been starving all the time. I am almost 3 months in trying to stay at the lowest dose and I am still hungry often, it's just kind of muted a bit and I can sit here with it. But it is a struggle every day. There is no way someone feeling how I am can just change in 3 months how their biology has been trained to be for 40 years.

[@mapsrcool1]

Rich, congrats to you for pushing back - and doing it diplomatically but strongly. IMHO it doesn't take a genius to know that this will not end well.

[@NVSTGTE]

I really appreciated how honest Johann was. It gave me a great perspective of both sides of the Ozempic debate. I loved this podcast.

[@megalosing5900]

My motivations are solely health. I’m celibate over a decade. I’m in a walker and I’m disabled. I’m trying to get out of the walker. You can say all you want but I need to everything I can to get rid of my extra 150 lbs.

[@jodestella2746]

Hang on … you can… you will.. visualize your success as you start your favorite hobby… doing something like knitting, making jewelry…drawing, writing or whatever… the fun in you will start to show. 💙oh yes, vote blue .

[@nonchablunt]

a good therapist can help.

[@Toonces666]

If you give Ozempic to your children, you are nuts.

[@sandytw5229]

If you over feed & under nourish your children, you should be educated…..

[@sarahrobinson3934]

JoHann's response/story about that was heart wrenching, though. I could only feel compassion for the mom AND child in that scenario and not judgement..

[@QuiveringNow]

We've already drugged our children with countless harmful medications. It wouldn't make any difference.

[@marypereira1008]

Who says we are not trying to untangle the knots, Rich? I.appreciate so much your guest's honesty.

[@faemakes4988]

This conversation was a remarkable example of the ability of humans to discuss a sensitive topic they may not fully agree on. I have so much respect and admiration for both participants and thank Johann for his bravery, sense of humor and willingness to be vulnerable. My dream is that one day we push back and stop supporting the conglomerates getting fat off our unhealthy choices so they can be replaced by real food, healthy options instead.

[@kathleenc5345]

I love seeing 2 intelligent people disagree and talk about why they have different opinions. I’ve directed people to this podcast as a model for how we can talk to people who disagree with each. Thank you!!!!!!!

[@artwillvideos]

Is Hari an expert, or a salesman? It seems as if the industry needed someone to say “well it’s kinda bad, but still there’s a lot of good with Ozempic”. Hari is the perfect choice. He’s skilled in that respect. I just don’t buy it. He weaves a lot of heart-tugging tales and name drops lots of “brilliant scientists” (receiving grant money from where?), and deftly avoided just going through one by one the list of 12 reasons NOT to take Ozempic. Over 70 mins in, still hadn’t gone there. Also, NEVER talked about the actual cost to users (RR did mention the $13 billion in annual profit by the drug maker). He claimed that by 44 he had never cooked anything (🤔), still eats KFC, and recently had a bag of m&m’s for breakfast. This is not the guy to get nutrition, health, or weightloss ideas from.

[@CreateSmarter]

100% spot on. This is exactly how I feel about him and his answers throughout. NOBODY IN THE WORLD should be reading a health-related book by a 44 year old man who has never cooked anything and had a bag of m&m's for breakfast.

[@ivanak7149]

I agree with you totally, but I don't think he's trying to be a nutritionist.. I think he's just trying to justify using a huge plaster over his real problem, which he has tried solving many times in the past. I feel sorry for him, genuinely. It must be close to impossible changing your habits for the better in the toxic environment he lives in. I would get out of there pronto.

[@davidr1431]

@@ivanak7149For many, “getting out of there” means getting out of your family, your job, your genetics and your personal history.

[@MyBodyTV]

Ozempic= food industry & pharma 🤝

[@thenextgreat8652]

👆

[@eslom1489]

Yes, both devils benefit.

[@giftedtodance]

I was thinkin the food industry would not benefit due to people eating very little and very minimum. Less revenue for the food industry.

[@LWin-ps8jp]

​@@giftedtodanceThe packages are getting smaller and more expensive. The food industry will not lose money. Plus this drugs will continue to rise in price with part of the population not being able to afford it. This isn't the first drug that's side effect is weight loss and the food industry didn't collapse then.

[@andyharperarbo138]

I learned that my coworker was taking this drug, she stated she had a hard time eating anything in the morning and keeping anything down. She lost all kinds of weight too. Then I ran across the possible side effects from this drug, and decided to warm her. She said she was aware, but wanted to lose more weight. She hasn't been to work in months.... I don't believe she will make it back either. There are other alternatives besides drugs people!!

[@MarthaHenson-zp1kw]

Chemical starvation 45:38

[@nurselisafoy]

People need to decrease their dose of they can’t eat!

[@andyharperarbo138]

@@nurselisafoy People shouldn't be taking this medication period!

[@tralasong]

I'm only halfway through the video but have appreciated Johann speaking on this topic before. I wanted to say that as a woman who has struggled with my weight [not obese levels, mind you] most of my life I would have jumped at the chance to take this Magic Pill. The body image issues were pretty deeply set. [I just turned 59.] But after digging into some emotional and mindset issues I recently lost 60 lbs without even thinking about it - as I was focused on and determined to essentially re-program my very unhealthy thinking. I didn't even know that was an option. I didn't imagine or expect weight-loss would be an additional result/benefit of these changes. I shudder at the thought of where I'd be had I gotten ahold of Ozempic instead. I believe there is a place for it for some people. But we should all proceed with caution and anyone choosing this route - have proper guidance and care. Thank you both for this conversation. xo

[@notesfromleisa-land]

Thank you for sharing your success story.

[@leeniehasentered]

I have the same feelings of not being hungry when I do intermittent fasting and limit sugar and carbs. It's like once you break the sugar cravings, you are freed from the addiction of junk food and frequent eating. You also feel great and have a clear mind and good energy. It's free too!

[@davidr1431]

Yes and a change in that direction seems much more in line with mitigating the risks of using this drug eg LCHF will naturally include more bioavailability protein to address the muscle loss, will naturally have much less fibre meaning you don’t have to drink as much water to avoid constipation, and will change your eating habits away from the way of eating that got you where you are, and will naturally regulate your hunger she’s satiety signals as you come off the drug.

[@healthyspineyoga5079]

At 1:43 Rich nailed it. "Aren't we here to grow and learn"

[@juliemidgley5287]

Incredibly interesting, and brilliant conversation. I have to say that Johann Hart is truly one of my all time favorite guests. Each and every podcast that you have shared together, is outstanding. Johann's research is above and beyond...his expressive and profound way of sharing his insight truly is one of a kind. THANK YOU BOTH, this Rich Roll, as always is pure magic.

[@Wendys_lovinglife]

This conversation is incredible! I'm listening as I'm getting ready and cleaning the house on a Saturday morning and keep finding myself rewinding segments to listen to them again. Insights galore! I'm 57 and very healthy and fit and dedicated to lifelong health and wellbeing but I have sisters and other family members who are obese and have tried these drugs and intermittent fasting and other things but they always give up on them the very first moment of discomfort (and one of my family members is a doctor). I think I need to read Hari's book because I do grapple with survivors guilt but I have a lifetime of making good choices and taking setbacks as challenges not excuses to quit.... Just every moment of this conversation was a lightbulb moment for me and I want to thank you for these videos. They are moving and nudging me and challenging me in little and large ways every single time.

[@HurricaneIrene07]

Humility is key

[@regmirvis]

Incredible conversation. A stellar example of a polarizing discourse that did not descend into any nastiness but rather showed utmost respect to learn and understand more. Lastly, I have three Rich Roll words that will forever stay with me: deleterious kind of indicia

[@user-lx4ep5xr3e]

I totally agree with Rich. As a naturopathic physician who has interned with True North Health Center (fasting clinic in Santa Rosa, CA), and who has been in practice for over 23 years - I am very resistant to prescribing these drugs because they only treat a symptom. I was trained to look for and treat the cause, the cause is obviously the food environment and people are not taught to eat real, natural, whole foods, and are not taught to cook and prepare healthy meals. We also have to find ways to integrate movement into our day. It is necessary to create a healthy environment around ourselves, our families, and our communities so it is actually designed into our daily lives, ie The Blue Zones. As the interview goes on - he makes excuses for his poor eating- he sounds like so many of my patients - they are just not willing to change - it's too hard. I really think it is pathetic that humanity has come to this point where people need a drug to control their eating.

[@Mikathedog100]

It makes sense though, that people struggle. The last two world wars were essentially fought over fear of food shortages. Starvation was very much an issue all over the globe. It really hasn't been that long that we've been surrounded by an endless supply of cheap, extremely high calorie food. It's no surprise that people are going to struggle with it.

[@Change_Everything]

Pathetic is a poor choice of words. I’m sure you have struggles and addictions just like the next human

[@user-lx4ep5xr3e]

@@Change_Everything No where in my comment did I say that people were pathetic, the whole situation is pathetic.Maybe I should have said sad, or tragic.

[@MikeCollinsCinemaMercantile]

Rich literally picked the worst example he could find to support his viewpoint. This guy does everything a doctor tells you not to do. You are told to cut out crappy food, drink way more water, exercise, move your body, lift weights. Eat more protein and whole foods. You like Rich and this episode because he lines up with your worldview. Listen to him on alcohol. Because he has an addiction problem he thinks everyone should swear off alcohol.

[@Mikathedog100]

@@MikeCollinsCinemaMercantile well, no, because of the studies on alcohol, he believes people shouldn't drink; because of the immense long term studies on a predominantly wholefoods plant based diet, he thinks you should eat that way. It's not just because he has a "feeling." It's a fact.

[@heatherayris1685]

I just watched this episode and am so grateful for both men in this discussion. I have been WFPB for the last 7 years, and struggled with my weight since I was a 7 year old child, I am now 57. A family member at the time had grabbed my stomach and called me fat. I am also just, just figuring out how to finally drop my excess with. I have about 35 more lbs to go and I have lost 90, if Ozempic had been an option for me even 10 years ago I would have jumped on it. I also have 2 diabetic daughters, 1 of which is on the drug and I am worried about her. I find this conversation extremely difficult. Not just because of the seemingly ‘simple’ solution of finding out what the root cause is, but also the fact that so many like myself have lived as an obese person for over 45 years. 45 years of feeling the debilitating shame and discrimination of being overweight. Consider 45 years of trying daily, hourly to fight the chatter in my head that leads me to eat more than my body needs, and then fight the result of that. We wear our challenges on our body’s as overweight people, we walk in this world as public examples of our inability to conquer our weaknesses. Being obese is not a personal challenge, it’s one that’s fought under the lens and public criticism every time we walk out our front doors. I am so grateful I seem to at the moment have figured out this weight loss rollercoaster, but if I haven’t, my 46th or 47th year will most likely be on one of these drugs. I am grateful for such thoughtful, and respectful debate, you are both examples more of us should aspire to.

[@bettyglick2679]

I sympathize with the guest however with all the resources he has, he is still addicted to processed food. Therapy and more intention on changing your food environment is first step to breaking daily bad habits that lead to obesity. Like they mentioned, these drugs just decrease the amount of junk food you eat, they don’t do anything to change food habits and nourish your body and brain with nutritionally dense foods…

[@j2jenison]

I would also assume that our level of individualism makes drugs like Ozempic even more appealing. Lifestyle change always works better in community - look at the Blue Zones and those who receive help in forms of community and sharing meals together (True North and the Esselstyn family). Ozempic doesn't require you to receive help and accountability from other individuals. It doesn't require much of you at all.

[@studentaccount4354]

It has unintended consequences like suffering from cancer. I think making real change by eating Whole Foods plant based in conjunction with other lifestyle changes is healthier.

[@ash231]

Oh this is such a good point

[@bettyglick2679]

This is a great point

[@alexandrakrasko383]

There’s a huge active Ozempic community- people on Reddit forums giving each other advice of how to decrease side effects, proper nutrition, maintenance etc. Also, realistically how many people trying to lose weight naturally are doing it in a community? Not any that I know of. There’s reason to be critical of the drug, but the whole “people don’t want accountability” is overblown. Just because something is made easier, doesn’t make it inherently bad.

[@ash231]

@alexandrakrasko383 Well weight watchers comes to mind for communities, they even had in person meetings for decades

[@presentlybikepacking2535]

You're basically starving yourself, and what little you do eat, if it's non nutritional food, your body is both starved and poisoned. How much crueler can we be to ourselves??

[@lhoising]

I am currently on a similar drug. I'm not starving. I'm eating 500 cals below tdee which is how anyone who loses weight does it. Only I was doing it for years before I got the medicine and losing 0-.1lb/week. Now I'm losing a doctor recommended 1-2 lb/week. I've also always ate a ton of veg and had extensive gardens, can my own food etc and still gained the weight. The thought that you're starving if you take and all obese people are gluttons eating buckets of KFC. No offense to Johanns lived experience but I've never eaten buckets of KFC. I am using my time not starving 24/7 to eat more whole foods because I have a kid who I don't want to become obese. But we already ate probably 60+ percent whole foods. I just was hungry 24/7. Stomach grumbling hungry.

[@Biohackthefat]

You can actually mimic GLP one activation in the gut by eating the right types of foods and timing those foods properly throughout the day!

[@WFPB_4_Life]

👏👏👏👏👏

[@Change_Everything]

You will get full after eating a chicken breast or 2 that isn’t covered in teriyaki. When it’s covered in sugar, you don’t get full

[@bettyglick2679]

Yes! If you eat Whole Foods… nutritionally dense meals… you will be much less hungry!

[@ellesab4873]

Oh my! You have completely missed the point of what was being said in this podcast. At the end of the day it’s not just about the food or the hunger. It’s the same as what’s at the root of any addiction. The emotional component that is not talked about or addressed. And obese people are then shamed for their addiction. I’m hoping to see some love and compassion brought to food addiction as we’ve seen when it comes to other addictions like alcohol 😢

[@bettyglick2679]

@@ellesab4873 I agree with your comment! It’s a real addiction. These drugs are an amazing option. I don’t think they should be taken indefinitely. The root cause of food addiction and obesity for that specific person should be identified and treated 🙏🏻

[@wendymarie612]

Please, please, PLEASE, get Dr. Susan Pierce Thompson on the show!! She teaches and researches Food Addiction and has a lot to say about these drugs and food addiction.

[@orzabelle]

He's a great guest - humble and reflective and a good listener.

[@n33n33pdx]

Lower income people don't always have time reflect amd look inward and grow. They're in survival mode.

[@mcrisantasj8242]

What an enjoyable and inspiring podcast! Love that they can agree to disagree in an intelligent and non-judgmental way. Touching moments when Johann shared the story about his friend and Rich talked about growing, learning and evolving, etc. are part of resolving our deeper issues. Thank you!

[@reneespring834]

100% team Rich on the ozempic topic. Bandaid on top of bandaid. Pharmaceuticals are part of the problem, not the solution. It is like a bad sci-fi movie in real life.

[@johnmoore333]

I currently take ozempic, im 6 ft and I had been around 250 for the last 10 or 20 years but I had recently gotten up to 270 and I was pre diabetic with horrible addiction to sugar and just eating in general, I drive a truck all day so I would just eat out of boredom, I started at the beginning of the year and upped my dose monthly until i had gotten down the 240 and then I stopped taking it to give my body time to recover and reset for a month I noticed that my eating habits have changed I won’t eat sugar because I don’t want to be sick I use monk fruit in my coffee and I just ate better in general I have just recently re started taking it 3 weeks ago and it makes me feel better.

[@carolgerber6375]

Such a GREAT interview! Loved the guest and of course, Rich! Thank you.

[@marie-linedeslauriers4339]

Thank you Rich for having all these people ….always interesting !

[@lisamarielindenschmidt649]

I was very moved by this conversation. I have a person very dear to me starting Ozempic today and I have all kinds of trepidations around it, but am also quite conscientious about having to be compassionate about his choices. Both Rich and Johann were respectful in their dialogue and not afraid of asking the deeper questions. This conversation gave me a lot to think about. I especially appreciated the discussion around reiterating personal agency around changing the food system and the reality of dysfunction solutions to a dysfunctional problem. I sincerely hope the people choosing to take this drug have the resources to hand to deal with the side effects (including exposing old pain) that will undoubtedly arise. Thank you, Rich, for another brilliant podcast.

[@lauram5846]

I am significantly overweight and have very complicated feelings toward these weight loss drugs. I found this interview extremely informative and I appreciated both being respectful of the other. I eat 80% WFPB with some success and am ready to commit 100% after seeing this. I've been offered these drugs by my PCP but declined due to the horror stories I've heard and especially how it changes your brain chemistry. And what is the point if you just gain it all back? But, MAN, I'd love the "food noise" to die down and believe me I've been tempted after a lifetime of dieting (I'm now 65), but there's not nearly enough long term research for me and I have to admit even though I'm very overweight, it feels like it's cheating with drugs and I'm not learning what is causing this in the first place. That's what I'm working on now. And then when Johann says he goes to KFC and eats M&M's, he kinda lost me there, though I did appreciate all his insights. I have to say I share Rich's point of view here and I plan to go 100% into a plant based lifestyle (maybe calorie counting with it to help as the "eat all you want" does not work for me). By far it's the healthiest way to lose weight and stay fit. Great interview I VERY MUCH appreciated.

[@sandytw5229]

18 years of research exists….

[@andyschulgasser8694]

You are brilliant to think for yourself and recognize this drug is not to be trusted, nor is any drug, and it’s very sad that big Pharma pushes on all the doctors to push on people, at the same time they are the ones pushing all of the toxic foods and drugs to get people addicted. When big Pharma is the cause of all disease, they are not the cure. Rich Roll Did everything the natural way, and we should all go back to nature. Big Pharma battles us all the way. They don’t want to risk losing their billions of dollars if everyone went to natural and healthy.

[@x.y.7385]

Carnivore...

[@julielincoln3789]

Yes! I have found a whole food plant base diet to be the most nurturing way to eat. I feel great and have kept my weight the same for over 5 years now. Most people have "snack attacks" per Chef AJ, but on a primarily whole food plant based diet your body can recover quickly. Thankfully we now have podcasts like Rich Roll's and Cef AJ's who educate and encourage others about a healthy lifestyle. Drugs for weightloss may be a tool for some if they can handle the side effects and they then can move towards a healthier life style. Either way lifestyle changes are needed to promote good health and longevity. That is where personal responsibility is needed. Thanks Rich for a great interview.

[@jenniferduncan2074]

Keep with it Laura and I would love to have a conversation with you about this. The horror stories usually only tell part of the story. Best wishes to whatever you choose is right for YOU.

[@radfordkapp]

I am taking Ozempic and have lost 30 lbs and experienced some of the same changes as Hari describes. What is frustrating me about this conversation is no one is introducing the fact not everyone who is overweight eats like Hari. I had the misfortune of being raised in a household with lots of chips, dips and Keebler, but I turned into a nature loving flower child and have been eating vegetables and fruits, grains, beans, etc in a healthy way since my 20s, and I've never been able to lose more than a few pounds here and there. I've always walked, hiked, canoed and practiced yoga since college but remained overweight. Then I was diagnosed with diabetes. I became more strict with diet, no sugar, no complex carbs, stopped even casual drinking, added workouts and more vigorous walking and lost four lbs in 90 days. Why then, did I not have the results Rich predicts? Ozempic has changed my life when food and exercise were doing little to move the diabetes needle. My A1c last week was 6%.

[@MikeCollinsCinemaMercantile]

Rich think everyone should eat plant based because he does. He also thinks no one should drink alcohol because he has addiction issues. Apparently he thinks obese people should just show some self discipline. Nothing against his guest who is there to promote a book but to call him an expert is crazy. There are so many well spoken and reputable experts he could have on if he wants to have an honest discussion about GLP1 medications.

[@limitisillusion7]

Do more strength training. Put on muscle to improve metabolic health

[@SilviaPunkinMathis]

I have been 100% plant-based, and vegan for over twenty years. I lift heavy and walk 8 miles a day, and practice kettlebell swings (ala Tim Ferris). I have practiced intermittent fasting for over ten years. By all accounts, I am healthy internally and have been for many years but... I have lost as much as thirty pounds, but keeping it off has always been difficult. I have struggled with that since I was a child. I will admit that I have also had a disordered way of seeing my body. The point is I am not morbidly obese. My BMI bounces between 25 and 30, but my body fat is only 25% (I am Black and Indian), so I carry weight differently. I can weigh 160 and wear a size 6. However, I have never consistently maintained my ideal weight where I look and feel my best. I am not saying these drugs are the answer but at this point in my life, I am willing to give them a try while maintaining my fitness regimen, and plant-based way of eating. I would love to know the outcome for those who practice a plant-based, whole-food way of eating, and a consistent workout regimen? I am going to pick up Johann's book and see what I see.

[@Mikathedog100]

I guess this is when calorie counting comes in. I don't know...I'm obviously not you, but whenever I've worried about weight I've counted calories to the gram. Weighed and counted absolutely everything that enters my mouth. I know not everyone can do that, but it has never let me down.

[@Kayte...]

​@@Mikathedog100 I basically have to do the same except I can't be bothered to actually count calories. I decrease my overall food consumption instead. Eat slower, smaller portions, and no seconds, and avoid eating as I cook. No snacking in-between meals except for an apple or orange. I basically have to skip a meal to actually lose weight. I have yet to figure out how much I can eat once I get to my ideal weight without gaining because I haven't gotten there yet. I get close but then too much food shows up here or there. Plus I really love food! I'm 67 and active, do physical labor so no weakling.

[@lisaa5026]

Constructive conversation. I think the subject matter warrants this deep dive analysis. I appreciate the rigorous honesty from both. Well done!

[@ileanagabrielacardenas2882]

Rich Roll is on point as always, this other guy tho, saying no one under 27 bmi should be on this drug, and he is doing exactly that! It’s heartbreaking

[@sarahrobinson3934]

Was his point about no one under 27 BMI for those STARTING to take it? Like those who want to lose weight for swim-suit season?

[@leelaa219]

He was obese when he started taking it. He still takes a maintenance dose.

[@nonchablunt]

you are wrong.

[@4TheBees2024]

Will read Magic Pill. Thank you for this conversation. Totally activating. Grateful to hear insights and appreciate the part of me that judges obesity and food habits (heard in voice of Rich’s personal responsibility success story and our cultural food/drug schizophrenia vs my longtime inability to learn and untangle this knot of turning to food )Two of my friends are doing great on ozempic, feel free, helping diabetes and heart disease. I am watching, listening to their freedom of not being hungry . Understand Johann and Oprah with TLC and those of us who have worked hard to unsuccessfully change eating habits,heal obesity, and have continued to fiercely battle hunger to varying degrees since adolescence. I appreciate hearing Johann’s concerns for people w eating disorders. Johann and Rich are mirroring deep inner conversations of my inner dilemma solving how to live in our culture and time without inner food war and healthy peace

[@ulyanasergeeva8778]

He repeats himself from the previous podcast, like almost identical conversation, as if his brain cannot come up with any new original answer. Totally agree with Rich’s point of view, plant based whole foods, forming new habits, day to day choices.

[@TechOutAdam]

Bingo.

[@ruthhorowitz7625]

I eat whole plant based foods and I still struggle with my weight.

[@megalosing5900]

You watch 1 you watch them all. The difference is the interviewer.

[@donventura2116]

​@@ruthhorowitz7625plan every meal and measure your meals to the gram, weigh weekly, adjust calories up or down accordingly. Also may need to focus on adding more muscle and improving metabolism. Also recognize, some people just carry more fat than others. The bmi range at which a person can be considered healthy is slightly different for each individual. Worry less about your shape and more about organ health and body function. If you can exercise with intensity, sleep easy, have clean bloodwork, and the only thing worth mentioning at a physical exam is your weight then consider yourself functional and healthy. Who cares if you don't match the ideal beauty standard.

[@HereForToday42]

less carbs, more protein, more weight training to build muscle. A lot of plant people still eat too many carbs

[@lisafrequency55]

I am a person who was a 45 + year vegetarian who has converted to a carnivore diet. I was not considered to be obese at all but I did lose about 20 lbs in less than a month. I do believe the stress of losing my older brother who is next to me in age(I am the 2nd oldest in birth order in my family) may have caused me to lose more weight than I would have had I not experienced his passing at the same time. that I changed my diet. Most of the weight I lost was inflammation not fat. My level of pain in my body has gone down to almost zero since being on the carnivore diet. I do miss eating bread, rice and potatoes and I have eaten an occasional piece of bread or a small amount of potatoes and the next day I totally feel the effects of eating these carbs in that my body hurts in all the usual places that it hurt before I started carnivore diet. SUgar really makes me hurt and most of my life I have avoided sugar and all sweeteners of all kinds even honey and all the so called "natrural and artificial sweeteners. Addiction runs rampant in my family my mother was obeses all my life, my father drank and smokedall my other syblings have been addicted to hard street drugs. I was addicted to alcohol and cigaretes until my early 30's which I went cold turkey and stopped and got pregnant after one year clean. .I have no doubt that the obesity of Americans is by design of big pharma and big agra What I call it is evil that the ones in control who designed this health system of bad health did it intentionally to destroy health. Just in looking at my own family I can anylise that surgar and refined carbs are causing all the health problems I am the only one in my family who did not have to die or go to prison because of my addictions.The main thing I did to get off alohol was quit eating anything that had any added sweetners. I have kept a garden for at least 50 yearsI now, I do not grow vegetables. When I was a child m parents struggled to have enough money food was one of the things that was cut back on. We ate a lot of pancakes because we were poor and flour and sugar was cheap. I can remeber how bad it made my stomach hurt to eat so much flour and sugar. I started refusing to eat it at a very yound age. My mother loved eating cakes and candy It was very difficult for me to stand against carbs and my whole family when I was a child. I began reading at a very early age and started reading accademic text books on physiology, antomy and nutrition at under 6 years old I wanted to be a doctor with all my heart. By the age of 10 I knew that the medical system was so ccorrupt that I just felt like it was a machine that would grind me down to nothing. I did enter the health care system as a professional eventually but I hated the system and felt that the most I could do is plant little seeds. It amazed me how many people in the field know of the corrution yet, do very little to nothing to fight it. They see what happens to people who buck the system. They ususally lose their license to practice which is the first step in ensuring compliance to the corruption. We need to get dr frankensien and vald the implaler out of medicine for good. Doctors need to stand up and take the oath of do no harm into their soul. This is a fight against good and evil right and wrong fight the good fight all you good doctors.

[@robyniaea5172]

Rich, you bring up such important aspects of this movement, especially including lifestyle education early on if a person makes the choice to use these drugs. Bravo for your insight and genuine concern for fellow humans. I also applaud Johann for being transparent and respectful. He has done his research. It’s difficult not to feel conflicted when we all know if people ate a healthy PB diet and moved their bodies. It’s the old pleasure trap.

[@rucing1011]

This guy, Mr. Johann uses so much common sense, self results, and research... he seems to paint a picture where we just get it!! Thank you, both for the conversation!!

[@HealthyEmmie]

Loved this convo! As a decade long WFPB gal, I have no desire to ever touch Ozempic. Scary to think about how it effectively slows down + shuts down your body….

[@micheleferreira6337]

Huge respect for both of you. I am an avid Rich Roller. I just can't understand why the family heart disease was not the driving force to address the weight in the first place. It seems an excuse to use it as the reason to take and continue on the drug.

[@GreenTurtle181]

He’s talking like an addict saying it’s not his fault and it’s the outside world. Rich was superb pushing back on him. He’s not taking the opportunity to learn anything new. The man who made his name writing about addiction. He has no intention of coming off it.

[@Crisjovi1]

I really love Johann Hari's work, but Rich did an amazing job confronting everything that's wrong with this drug. Great talk!!

[@amherst410]

This was a great interview and I appreciate listening to different perspectives. Wegovy turned off my "food noise". It enabled me to make healthy food choices without fail and helped me stop eating after dinner. (The only downside was that it didn't make me want to exercise.) Unfortunately, although prescribed by my doctor at UCLA AND covered by my health insurance, I could not fill my prescription due to scarcity issues. I finally went through a Zoom company, and I'm back on a compounded GLP-1 injection paying out-of-pocket. My awesome UCLA medical insurance was useless because so many people who don't qualify for the drug are taking it.

[@TwiggyKeely]

I relapsed back into severe anorexia after going on ozempic. I was in recovery for 11 years. I was at a BMI of 18 and got ozempic SO easily. Now I'm so underweight with a BMI of 14 and I have a feeding tube in my nose. I love that doctors are endorsing and encouraging eating disordered behavior because its better to be dead than fat!!! It feels like they're giving us the go ahead for extreme restricting and I love that I am not getting thrown into treatment because everyone around me is on it and they are anorexic now too! I love it so much!!! Thank you to whoever invented this, it's amazing for getting rid of all of the nasty, disgusting. gross ass food they used to have to eat twice a day. Im finally free from food! I literally never have to eat again!!!!! ❤

[@cyruskhambatta4178]

Brilliant work. Thanks for the insights into both the benefits and risks of Ozempic - very well communicated

[@FreeRadicals9478]

I loved Johann’s previous books. All of them. But this is just sad. He literally writes books about addiction and then takes a dangerous, fast lane to getting lean drug with horrible side effects instead for confronting the roots of his addiction? My goodness, every “expert” is “do as I say, not as I do.” Nothing (and no one) to believe in man.

[@northwestcoast]

Love Johann; he’s completely authentic and honest about his own food addiction. Very relatable 👍

[@user-dt1vz4ce2w]

He is looking healthy and happy 😃👍🌹I am not agreeing to have this drog but my sister has got and is happy,healthy,but she has to do exercises to recover and maintain her muscles and to be a life stile thing 🤔 isn’t to bad 😊

[@teresakersten9090]

I loved this conversation so much - even when i had no real emotional investment in the topic. It was a master class in healthy discourse, with so much compassion and grace. Johann was so engaging. I loved him. 10/10

[@SuzanneShaw-tk4np]

Bravo! I loved your questions, Rich. Thank you both for your honesty.

[@pamelastone7531]

ABSOLUTELY YOUR BEST INTERVIEW EVER RICH… and your interviews are nothing short of epic always, but this one was in the stratosphere. Thank you for executing, examining and expressing yourself in the brilliant and honest way you did on this topic. It was so powerful the way you would question or counter various information as it was presented. This interview really allows the audience to get a vast perspective of the different benefits and risks involved in the use of this drug. Absolutely outstanding.

[@vaunniethayer1484]

Another thing to keep in mind, it is very easy to gain weight over time. On average over the last 20 years I have gained an extra three pounds a year. Doesn’t sound like much except over 20 years I am 40-50pounds overweight. It’s like debt, it creeps up on you while you’re paying attention to other things. I guess the advice here is to stay on top of it.

[@davidr1431]

Yes, but the question of this drug is for those people who haven’t kept on top of it and now can’t get on top of it.

[@jasmines.2829]

Lifestyle practice, gyms, water, ... we talked about all that for last 50 years and some folks just getting bigger, sicker, sadder, this is deep, encourage folks to use these drugs short term to reset, relearn and get their health back

[@davidr1431]

Yes. Criticising their use without factoring in the chance they give to change the causes of obesity (food choices/activity choices/other lifestyle choices) is to throw out the baby with the bathwater.

[@marianasalles242]

Such a beautiful man Rich and his wife🙏🏻✨🌍💚

[@bettyglick2679]

Thank you bringing truth to this. Appreciate you Rich

[@musibatty]

Rich looks fantastic!!!

[@arelbywrites]

He’s a fox!

[@johannatheone]

He is getting more good looking for every podcast

[@hillfarm7044]

I think the first 5 seconds of Rich speaking sum up why people take this drug, "...you look so handsome.." People will think they are paying someone a compliment, but it can also be taken as, "you looked like crap before." I found Rich a little too judgy one this one. Also I don't think Joann meant it but I did laugh when he made the comment about not writing a book that says, "I did this, why can't you do the same." 🤭 More compassion needed for what different folks' experience is.

[@Hear4thescience]

Thankful for the immigrants parents who knew how to cook real food. Thank you Rich for pushing back. Childhood obesity comes from diet. You control your 8 year olds diet. Just don’t buy shit. Don’t have shit in the house. Give your kid whole foods. She can’t get in the car and drive to kfc on her own. This is so crazy to me. Would you give your dog a weight loss drug or would you just change its diet?

[@ivanak7149]

Great point!

[@KathleenGage-ot7we]

Fabulous episode. I know a few people who are going the Ozempic way and it does concern me. My solution to healthy weight is a whole food plant based diet. What is sad is that both with a WFPB and a drug like Ozempic, there are some socioeconomic groups that have access to neither. The convo was engaging and an eye opener. Great job bringing the spotlight to this topic Rich.

[@BlushingForeigner]

To clarify, the way "semaglutide" lights up the brain is because the molecule - GLP-1 RA - treats metabolic dysfunction. Semaglutide as well as Tirzepatide (Novo Nordisk's drug is the former, Eli Lilly's is the latter) are currently being studied (phase 3 trials I believe) for their protective abilities in early-Alzheimer's patients. It's a GOOD thing that these GLP-1s reach the brain. The working theory is testing if GLP-1s can improve cognition and brain function by strengthening the functional integrity of neurons, fighting inflammation and improving vascular health to slow the progression of the disease. This theory builds on what researchers found in the way semaglutide improves the progression of Type 2 diabetes, a disease of the pancreas also correlated with metabolic dysfunction.

[@Eatsleeprun_rescuecats]

How is he so successful. All I hear are excuses… the drug has not changed his issues with food. Drugs never do neither does surgery…

[@lisablanchard8915]

I will take Rich Rolls approach ..a healthy natural lifestyle with good habits not only helps you long term with good side effects...but helps our environment and animals...say no to Big Pharma...say yes to mother nature

[@brendablyze3622]

I would guess you don’t have a weight issue ?

[@davidr1431]

@@brendablyze3622…yet.

[@Romero480]

Really appreciate your thoughtful and critical contributions to this conversation, Rich. I cannot agree with the logic of the guest, so many flaws in his reasoning, he was all over the place.

[@broculorevoltado1955]

Thank you both for this episode! ❤These type of conversations are extremely important. I am a doctor and i have interned in bariatrics surgery and internal medicine, and i have seen the extreme amount of people that are morbidly obese. I have seen first hand the positive impact these treatments have on people’s quality of life. I definitely agree that a lot of people should take these drugs. However i agree with Rich! We need to use these treatments has a gateway to reframe the diet and lifestyle. We actually do this in the hospitals I interned in, and we saw lots of people adhering to a better lifestyle, most even came of the drugs. We also don’t know the full way of working mechanisms of these drugs. I think the only way to change these obesity epidemic is by educating and lobbying for a better food system. I also am worried about the pharmaceutical part of these problem. The pharmaceutical companies have shown use, time and time again, they will stop at nothing in order to make a profit. So it worries me that they will lobby against environmental changes because they know that by doing nothing they are guaranteeing the need for these drugs! What an amazing and important episode! Thank you both❤️❤️❤️

[@TinaA8863]

I really value you pushing back on all the arguments Mr. Roll. As it may be incredibly helpful to people who truly struggle with their weight, it should definitely be given only when having a full plan that entails exercise, nutrition plan, possibly therapy etc. To continue feeding your body trash is not going to solve the problem and having to use any medication for a lifetime is just a shame (if it is preventable). I have also struggled with my weight since I was a teenager. My weight has been going up and down for the passed 2 decades (I am 34). Although I’ve lived with insecurities and discomforts, I recognise daily that I am responsible for that. I can afford healthy food, I am surrounded by places that allow me to exercise without even having to spend money on gym memberships. I can’t blame it on anyone else, but myself and I tend to get my shit together as well and take care of myself, but my “excuse” is that I struggled greatly with my mental health and depression the last 7 years and chronic physical pains. This all is connected to my mental health and so for the last 2 yrs I have been going to therapy and it has helped me immensely. I also started exercising again at the beginning of the year and try to eat well. A huge part for why we are here is the food industry, but education and taking responsibility for oneself plays a massive role. Families should come together and fix this problem at their local schools. Parents need to educate themselves and their children on nutrition. There is soo much we can do in small and large communities to support one another. And the way to fight back on all those companies feeding us poison, is by educating ourselves, changing our behaviours one-step-at-a-time and not buying their products. Magic pills are just another poison offered to us to fill their pockets and destroy our lives. I was listening to your conversation and was not in the mood at all to go for a run this morning, but as I listened to you guys speak, I thought: “D, get the fuck out and running.” There is no way we can allow drugs like that to win and for us to lose. No fucking way. And finally- I find it nuts how easily and casually we talk about drugs being tested on animals. Testing heroin, alcohol, etc. on rats… Humans are just despicable. Not a thing we won’t do … I really appreciate this conversation. It is so important and thank you for writing the book. This is the third interview I have heard about this with Johann and it’s the first time he was actually being challenged. I think he appreciated that, even if it makes us feel uncomfortable at times when people hold a mirror up in our face. Johann I appreciate you and thank you for sharing your research. Love, D

[@davidr1431]

Yes to everything you say except that the implication that to solve their problem overweight people should “just…” and then follow it with exactly the thing they can’t do. Accepting everything you say about changing the circumstances that got you where you are, this drug is not a magic pill to avoid needing to do that, it’s the missing ingredient that allows you to do it.

[@stacyurban4970]

This is such BS! Take responsibility, Mr. Hari! This drug will turn out to be a nightmare- just like all the other quick fixes humans have come up with. Good grief.

[@susank5289]

Thank you RR and JH for a spirted discussion!

[@meisenhut31]

Just a point of clarification semaglutide is a GLP-1 Receptor agonist, not a GLP-1 agonist. It is a GLP-1 analog and basically mimics GLP-1 and binds to the GLP-1 Receptor.

[@Seanonyoutube]

I think the title is a little misleading, calling him an “ozempic expert” as he isn’t actually an expert on the drug itself, more so he is exploring the overall societal and epidemiological implications around the ubiquity of these drugs. Nevertheless it was an enjoyable episode and he has some interesting reflections on this topic.

[@jasonwisinski6793]

Can’t say enough great things about your podcast Rich. I stalk to see if you have a new one out all of the time. 😂

[@bettyglick2679]

Ozempic and similar drugs postpone facing the real issue, like Rich is trying to point out throughout the whole interview. It is HARD, but Ozempic is not the solution long term. It can be a great bridge. But it is a bandaid. The beginning is very challenging but stick to it.. the incredibly positive change you will feel is indescribable when we face the root of the problem by eating whole foods.

[@HereForToday42]

I liked Rich's suggestion to possibly take it for 90 days, and use that time to really focus on the life long habit changes and new healthy choices- that 90 days of intense focus could then allow going off the drug and also getting healthier and losing the weight

[@lindapruitt2656]

It was such a break through for me to adopt a Mediterranean Diet as a Diabetic. I have used strict keto /carnivore for 10 years to control blood sugar. I was so scared but I started eating FRUIT and legumes...my number remained stable HOLY CRAP!!!!!!

[@angiecapps690]

My husband is a diabetic and was on Ozempic for 8 weeks, and he started throwing up on and off for the last two weeks and went to the ER twice. It says it can start at 8 to 12 weeks your body can't tolerate it so you get sick, but they said it will go away but it didn't. My husband said he had never been that sick in his life, he even broke a rib throwing up. When he would get up he would get dizzy and sick at his stomach so beware it isn't for everyone.

[@helenhelen3940]

I'm worried about Johann, I think in the long run Ozempic won't do any good to him.

[@potterylady44]

Rich...ever think about having Dr. Doug Lisle on your show? Maybe you have already lol. I need to get into your shows. If you havent had him please consider it❤.

[@ivanak7149]

Omg, he would be a great guest! Alan Goldhammer has been on the show and talked about The Pleasure Trap already and True North. Speaking of which, if I lived in the States and had a weight problem, I'd ship myself off to the centre asap. Free of toxic environment and the food is all unprocessed, free of oil, salt and sugar.

[@kathaleenparker326]

Dr Doug Lisle and Rich Roll would be a fun interview.

[@kevinlucken8558]

I find people (in general) who don’t stop talking…and continue to blather on and and on, know deep down the decisions they’ve made are ultimately wrong

[@ivanak7149]

I felt like that about the guest.. I'm sure he's a very intelligent person, but things he's saying just don't add up

[@angieklein4837]

That's the way he talks all the time. He is an amazing person. Writes great books.

[@jobeth5344]

But it is a podcast, and he is the guest. He is expected to talk, probably for a set amount of time.

[@newfguy1826]

Rich, your cautious instincts regarding the unproven safety of GLP-1 agonists are spot on. Hari's almost flippant acceptance of the long term safety of these drugs is a bad example for the public. He is NOT an expert and should not present himself as one

[@monikalippert9507]

First, this was a wonderful interview full of incredibly thoughtful comments about the complexity of being human. Amazing the many directions you can go when talking about a single topic like ozempic. I chose to listen to this discussion because I recently began volunteering with an eating disorder organization where much concern is expressed surrounding ozempic, as you rightly discussed. In that regard, and within the broader picture of food habits, obesity and disease, etc., I wanted to mention the work of pediatric endocrinologist and researcher, Dr. Robert Lustig. I saw him on the Huberman Lab podcast, and have listened to some of his lectures as well. He is working to educate people and governments about the effects of processed foods and sugars (fructose, in particular) on our bodies. I was thinking about Dr. Lustig's work while hearing about the findings of other scientists that Johann mentioned, So much information; how to assimilate it all!? Thanks for sharing. Great conversation!

[@BodyByBenSLC]

What gets under my skin about these drugs is losing weight and healthy eating and exercise. It's not looking better that is the real benefit it's mental calluses a person develops. Saying no to food and being a little hungry and having swore muscles and doing it again the next day is the real gift. When you look in the mirror and know "I did that". This drug will sell billions and everyone will be just as miserable.

[@MikeCollinsCinemaMercantile]

Well as someone actually on a GLP1 you clearly have no idea how this works. Maybe the guy Rich chose to bring on because he's opposed to these medications isn't the best example. They curb your hunger and keep you satiated longer. Most people on them eat far less. You also need to eat way more protein, whole grains and fruits/veg. And you need to lift weights so you don't lose lean muscle so don't tell me or anyone else we should feel a little hungry or have sore muscles. Walk a mile in someone else's shoes before spouting off.

[@davidr1431]

Saying “why don’t you just….” as a solution to a problem is saying “I can do this, why can’t you”. Can you accept that not everyone is as good as you?

[@junanneownbey623]

Hi everyone. I had the gastric sleeve two years ago. I was 405 pounds. (Mind you I was always a normal weight until I was 34.) I am also mentally ill. I now weigh 175 pounds. I was a product of 14 plus mental medications over the years that now have been shown to increase hunger and also cause metabolic syndrome. Now at 55, I’m back to my healthier weight. I was warned that I would pick another vice after surgery. I may not be the norm, but this is the best I’ve felt physically in 20 plus years and chose no other vice. My point is if you don’t discover and repair your mind, there is nothing that will help be it a shot, surgery or any thing else. God bless everyone.

[@henrimonette5399]

Thank you very much for the podcast M. Roll. Greatly appreciated. I was wondering, do you have any knowledge of the relation between the use of Ozempic and the condition known as sarcopenia. To me, the idea that such a drug could lead to not only fat loss but also significant muscle loss is quite alarming. I'd be curious to hear your opinion on this.

[@richroll]

We discussed this in the podcast

[@Hollysuzette33]

Wonderful discussion between you two. It verified my worst fear that just like bariatric surgery, it's a way to keep eating the sad diet. That doctor he mentions would rather have have aides than diabetes...he would rather have aides than improve his odds with diet and lifestyle...it's common knowledge that this is effective.

[@keiperkins]

A few videos into your vlog, and this is the best one yet. Great dialogue and call to action.

[@Cytogrrl]

There is such a stigma attached to this drug. My physician wants me on this mendication. I have resisted it for a year and I finally decided to take it. I'm feeling hopeful that this will help me. I am supported by mental health therapy, lifestyle medicine, nutritional counseling by a dietician, and physical therapy. My primary care physician feels that this foundation will help me be sucessful. I have several health conditions that will be improved by losing weight and only time will tell how I fare on this path.

[@janemoffitt8078]

I could listen to this guy all day. Such an interesting speaker and of course the English accent!

[@davidr1431]

Except he has changed his “better” and “wetter” to “bedder” and “wedder”. To my English ears, this stands out. He is very inderesting though.

[@petrathornewill1761]

Rich good that you are pushing back. It comes back to education about that healthy food is not an alternative. We all always say we need to look after ourselves so we don’t get fragile when getting old but a lot of ppl do t really know what that would mean

[@tinarodriguez6510]

Great conversation and both have made good points. I do believe our culture tends to want immediate gratification in all things. This is an individual journey and I have no judgement towards the people who need it and take it. The ramifications on youth is the scariest bit.