David Ghiyam

Well, what's been done is called gastric bypass operation, whereby the outflow of the stomach is diverted. such that again and the stomach is comp is made smaller as well really with the same goal in mind and interesting there are some pretty profound metabolic changes that happen from that like better insulin functionality really You don't want to go there.

Well, what's been done is called gastric bypass operation, whereby the outflow of the stomach is diverted. such that again and the stomach is comp is made smaller as well really with the same goal in mind and interesting there are some pretty profound metabolic changes that happen from that like better insulin functionality really You don't want to go there.

It's kind of hard to admit because I think it's an aggressive procedure, but that's what the data shows. Similarly, again, I didn't want to spend an inordinate amount of time talking about these drugs, but I think people are really interested. I think it needs to be talked about. That's interesting. Because I think we should look at upsides and downsides of everything that's available.

It's kind of hard to admit because I think it's an aggressive procedure, but that's what the data shows. Similarly, again, I didn't want to spend an inordinate amount of time talking about these drugs, but I think people are really interested. I think it needs to be talked about. That's interesting. Because I think we should look at upsides and downsides of everything that's available.

I think that is correct. I think the more physiologic we can be in terms of interventions and recommendations, the better. One of the feared complications of these GLP-1 agonist drugs is something called gastroparesis or paresis. which means basically a total paralysis of the stomach, and that can be life threatening. So it's not common.

I think that is correct. I think the more physiologic we can be in terms of interventions and recommendations, the better. One of the feared complications of these GLP-1 agonist drugs is something called gastroparesis or paresis. which means basically a total paralysis of the stomach, and that can be life threatening. So it's not common.

It is described as one of the concerns of using these types of medications. And as we talked about earlier, in the interventional trial for Parkinson's patients, gastrointestinal issues were very, very common.

It is described as one of the concerns of using these types of medications. And as we talked about earlier, in the interventional trial for Parkinson's patients, gastrointestinal issues were very, very common.

Let me first characterize the use of a continuous glucose monitor. Let's maybe not call it a medical intervention. It's an assessment tool. Yeah, that I am very grateful is now available non-prescription, i.e., it's a way that people can really gain a fundamentally important metric about their physiology.

Let me first characterize the use of a continuous glucose monitor. Let's maybe not call it a medical intervention. It's an assessment tool. Yeah, that I am very grateful is now available non-prescription, i.e., it's a way that people can really gain a fundamentally important metric about their physiology.

And the reason I, you know, again, it's like a bathroom scale to me, which anyone can have and should have. You're learning about your body weight, you should learn about your blood sugar. Mm-hmm. So what then is this ideal diet that Dr. Perlmutter is now going to describe to your audience? And I think that we should consider the question as more along the lines of what's the ideal diet for you?

And the reason I, you know, again, it's like a bathroom scale to me, which anyone can have and should have. You're learning about your body weight, you should learn about your blood sugar. Mm-hmm. So what then is this ideal diet that Dr. Perlmutter is now going to describe to your audience? And I think that we should consider the question as more along the lines of what's the ideal diet for you?

Personalized. Right? And I don't know how to answer that question. I do know the broad strokes, and we can talk about the broad strokes, but I think ultimately, to me, an ideal diet is one that keeps your blood sugar under tight control.

Personalized. Right? And I don't know how to answer that question. I do know the broad strokes, and we can talk about the broad strokes, but I think ultimately, to me, an ideal diet is one that keeps your blood sugar under tight control.

Well, if your blood sugar spikes to 160 after a carbohydrate meal, you might think that's a high number of 160, 180, but it's not really that important because it's going to. And I think that what we look at in looking at these measurements, it's not the spike, but how quickly it returns to baseline. Interesting.

Well, if your blood sugar spikes to 160 after a carbohydrate meal, you might think that's a high number of 160, 180, but it's not really that important because it's going to. And I think that what we look at in looking at these measurements, it's not the spike, but how quickly it returns to baseline. Interesting.

how long it stays elevated, and again gets back to, if it comes back to baseline very quickly, then the area under that curve is pretty reduced. If it spikes and stays elevated for a longer period of time, then we have a larger area under the curve that translates to poor control of blood sugar, threatens insulin sensitivity, that becomes a powerful threat to brain health.

how long it stays elevated, and again gets back to, if it comes back to baseline very quickly, then the area under that curve is pretty reduced. If it spikes and stays elevated for a longer period of time, then we have a larger area under the curve that translates to poor control of blood sugar, threatens insulin sensitivity, that becomes a powerful threat to brain health.

But you were pretty healthy before you used a glucose monitor yourself, right? Well, when I started using the glucose monitor, I was very pleased with my results. But I can't be one of those do as I say, not as I do individual. A, B, my dad died of Alzheimer's and it was awful. And I don't want that to happen to me. But more importantly, I don't want my family to go through that again.

But you were pretty healthy before you used a glucose monitor yourself, right? Well, when I started using the glucose monitor, I was very pleased with my results. But I can't be one of those do as I say, not as I do individual. A, B, my dad died of Alzheimer's and it was awful. And I don't want that to happen to me. But more importantly, I don't want my family to go through that again.