Stan Efferding

Well, I think that's an important topic because a lot of people presume to think that weight gain or weight loss is is really a matter of discipline. And in fact, while it's your responsibility, you are, you meaning people in general, are kind of dealt a different deck of cards. And not everybody has the same hunger signaling. This is one of the biggest underlying problems with weight loss.

Well, I think that's an important topic because a lot of people presume to think that weight gain or weight loss is is really a matter of discipline. And in fact, while it's your responsibility, you are, you meaning people in general, are kind of dealt a different deck of cards. And not everybody has the same hunger signaling. This is one of the biggest underlying problems with weight loss.

Well, I think that's an important topic because a lot of people presume to think that weight gain or weight loss is is really a matter of discipline. And in fact, while it's your responsibility, you are, you meaning people in general, are kind of dealt a different deck of cards. And not everybody has the same hunger signaling. This is one of the biggest underlying problems with weight loss.

And I said this many years ago in a rant that I did about the Samoan population and the obesity epidemic here. Genetically speaking, some people tend to respond to like ghrelin, the hunger hormone, or leptin, the satiety hormone, leptin resistance, differently. Somebody might think it's easy for them to maintain a calorie deficit or maintain a normal body weight. Other people struggle.

And I said this many years ago in a rant that I did about the Samoan population and the obesity epidemic here. Genetically speaking, some people tend to respond to like ghrelin, the hunger hormone, or leptin, the satiety hormone, leptin resistance, differently. Somebody might think it's easy for them to maintain a calorie deficit or maintain a normal body weight. Other people struggle.

And I said this many years ago in a rant that I did about the Samoan population and the obesity epidemic here. Genetically speaking, some people tend to respond to like ghrelin, the hunger hormone, or leptin, the satiety hormone, leptin resistance, differently. Somebody might think it's easy for them to maintain a calorie deficit or maintain a normal body weight. Other people struggle.

With a term that's been coined recently, ghrelin, called food noise. And some people just think about food. It just overwhelms them constantly throughout the day. And if you're going to successfully diet, you can't set yourself up for failure by constantly being voraciously hungry.

With a term that's been coined recently, ghrelin, called food noise. And some people just think about food. It just overwhelms them constantly throughout the day. And if you're going to successfully diet, you can't set yourself up for failure by constantly being voraciously hungry.

With a term that's been coined recently, ghrelin, called food noise. And some people just think about food. It just overwhelms them constantly throughout the day. And if you're going to successfully diet, you can't set yourself up for failure by constantly being voraciously hungry.

There's going to be, you're going to have some level of comfort or discomfort, but that process is going to require that you understand that your client is going to need to be able to make this part of a lifestyle that's sustainable in order for them to do that. They can't constantly be thinking about food.

There's going to be, you're going to have some level of comfort or discomfort, but that process is going to require that you understand that your client is going to need to be able to make this part of a lifestyle that's sustainable in order for them to do that. They can't constantly be thinking about food.

There's going to be, you're going to have some level of comfort or discomfort, but that process is going to require that you understand that your client is going to need to be able to make this part of a lifestyle that's sustainable in order for them to do that. They can't constantly be thinking about food.

So these satiety signals, this hunger dysregulation, I hate to bring this up right off the bat, but what has made this even more obvious is these new medications, the GLP-1 agonist, the semaglutide, Wagoviozempic, What they are very successful at doing, and this isn't an endorsement by any means, there's certainly pros and cons to any medication.

So these satiety signals, this hunger dysregulation, I hate to bring this up right off the bat, but what has made this even more obvious is these new medications, the GLP-1 agonist, the semaglutide, Wagoviozempic, What they are very successful at doing, and this isn't an endorsement by any means, there's certainly pros and cons to any medication.

So these satiety signals, this hunger dysregulation, I hate to bring this up right off the bat, but what has made this even more obvious is these new medications, the GLP-1 agonist, the semaglutide, Wagoviozempic, What they are very successful at doing, and this isn't an endorsement by any means, there's certainly pros and cons to any medication.

But what they're very successful at doing is interrupting food noise. They suppress hunger. And that's why people who go on these medications experience such an incredible success. Average long term weight loss, dietary adherence over two years and in multiple human studies is about two percent weight loss. Not significant. After two years, losing weight isn't that hard.

But what they're very successful at doing is interrupting food noise. They suppress hunger. And that's why people who go on these medications experience such an incredible success. Average long term weight loss, dietary adherence over two years and in multiple human studies is about two percent weight loss. Not significant. After two years, losing weight isn't that hard.

But what they're very successful at doing is interrupting food noise. They suppress hunger. And that's why people who go on these medications experience such an incredible success. Average long term weight loss, dietary adherence over two years and in multiple human studies is about two percent weight loss. Not significant. After two years, losing weight isn't that hard.

Most people go on a diet, lose weight initially, but gaining it back is the problem. The vast majority gain back. As much, if not more, over 50% for the first year and somewhere north of 80, as much as 95% within two to three years of the weight is gained back. Long-term dietary adherence, about a 2% weight loss on average over two years.

Most people go on a diet, lose weight initially, but gaining it back is the problem. The vast majority gain back. As much, if not more, over 50% for the first year and somewhere north of 80, as much as 95% within two to three years of the weight is gained back. Long-term dietary adherence, about a 2% weight loss on average over two years.