Dr. James O. Hill
speaker
409 appearances
1 recordings
1 series
first heard Jul 2026
last heard 2 Jul
Dr. James O. Hill’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.
Appearances
So those two things are very different, and I'm excited now because the medications can help people reach the weight loss goal, and I think we can do a much better job of using lifestyle to help them keep it off.
So what happens is the way the medications work, put simply, is they make you satisfied on far less food.
So we can do a lifestyle program and say, when do you reduce your food intake by 25%?
You could do it, but you're hungry.
With these medications, you naturally reduce your food intake by that much, and you're not hungry.
People say, I forget to eat.
I'm not hungry.
I don't desire food anymore.
With that degree of food restriction, what happens is you lose a lot of weight.
When you lose weight, most of that will come from fat, but not all of it.
Some comes from a tissue that's nonfat, which we call fat-free mass.
A big part of fat-free mass is muscle.
One of the big questions with the medications is, are you losing more muscle than you would expect?
When we do a lifestyle program, for example, people will lose roughly 70% of their loss will be fat, 30% from lean.
It varies a little bit.
And so they're looking at with the medications, there were some early indications that maybe you're losing more muscle than you would have thought.
And there's a huge amount of research going on with that right now.
The question isn't answered, but more and more of the research is actually suggesting that
It's not as big a problem as we thought.
Yes, you're losing muscle, but it may not be the most functional part of muscle.
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