The Weight Debate: Ozempic, Lifestyle Choices, and What’s Next in Medicine

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Coming up on this episode of the
healthy, wealthy, and wise podcast.

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You did mention something about,
um, some affiliation with the

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weight reduction or something.

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Oh,

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BCD medicine.

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Yes, absolutely.

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What are your thoughts on, um,
you know, Ozempic and, and all of

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the other weight reduction drugs?

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Sure.

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I think they're

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welcome to the healthy, wealthy,
and wise podcast with Dr.

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William T.

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Choctaw, MD, JD.

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This podcast will provide you with
tools and actionable information.

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You can use to help live a more
healthy, wealthy, and wise life.

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It's powered by the over 50 years of
medical experience of this Yale university

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medical school trained surgeon, who is
also a Western state law school trained

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attorney with executive experience being
a former mayor of Walnut, California,

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as well as the current chairman of the
nonprofit servants arms and as president

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of Chaka medical group, Yale incorporated.

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This is the leadership masterclass
edition already in progress.

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I noticed you mentioned,

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um, um, how, um, uh, God has influenced
some of the things that you've

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done with, and that sort of thing.

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Tell me about your, your spiritual
walk and, and how that is a part

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of, um, uh, what, what you do.

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Oh, uh, it's a very big part of my life.

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You know, I don't think it would have
been, Nearly as easy to try to get

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through COVID and get through the
programs that we were going through

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without having God in my life.

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I think he was really, um, he, he was
blessed me with health during that time.

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Uh, he blessed me with, uh,
discernment and with wisdom to help,

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you know, lead, uh, our, our team.

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Um, And so it's critical, you
know, I think again of finding

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a way to ground yourself.

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And that was 1 of the ways I was able to
do that was to be able to remember that I

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know I'm a child of God and I get to talk
to him and make requests of him and ask

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him to watch over our family, friends or
university or students, faculty, staff.

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And, and yet know that, you know,
his promises in the word are clear,

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uh, that he will not leave me alone.

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Uh, and he will be by
my side at all times.

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And so that's very reassuring
during difficult times.

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Absolutely.

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Absolutely.

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And I think, um, it is that spiritual
strength that a lot of times we may

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take for granted or we may not tend
to as much as we should, um, either

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because, well, you know, I'm too tired.

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I don't want to go to church today
or whatever, whatever excuse we come

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up with, but it is just as vital, if
not more vital than the nutrition and

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other things that we talked about.

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Um, you know, how we, what, what
we believe affects how we think,

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how we think affects how we feel.

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Uh, we feel affects how we act, right?

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So it starts with that belief system.

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Um, and if that belief system is
not working, change it, you know,

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uh, but, but it starts there.

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Um, and that's why I believe that
we're the, the biggest arbitrators

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of, of what ultimately happens to us.

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And we're in control of that.

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We can blame other people, but it's
really the person in the mirror.

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Right.

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It really is the person in the mirror
in terms of how we handle it and how we

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get through it and that sort of thing.

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And many times we won't understand,
um, I know certainly I don't

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understand a lot of things, but I,
what I've learned is I don't have

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to, I don't have to know everything.

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I don't have to be able to figure it
out, you know, or draw designs about how

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I'm going to do this operation tomorrow.

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Right.

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A lot of times I don't have to do that,
you know, uh, Uh, but, but, but that,

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that's sort of the way life is and
that's where the good Lord set it up.

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And, and we're part of a bigger
plan, you know, and our goal is

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to, um, fulfill our role, you know,
to walk our path and do our best.

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Um, and I, I think that that's in my
mind, that's where leadership comes in

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because I think if one is blessed with
opportunity and ability to lead, uh,

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that with that comes a certain duty.

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Yeah.

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To

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actually lead, to, to actually help
others and, you know, like, like

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what you're doing with the students
getting involved with the, the COVID

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issues and that sort of thing, all
of which were put in your path.

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You didn't ask for that.

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Neither did you know it was
going to happen, but you were

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able to rise to the occasion.

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It would rise to the occasion and,
and, and God bless leaders like

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yourself and that sort of thing.

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Uh, because those of us who were sort
of over that hill, you know, we sort of

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looked at you guys to sort of take it over
and make it better, um, and everything.

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So, um, what, what, what,
what do you see next for you?

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Uh, well, you know, uh, we continue to
expand our services at Purdue university.

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So one of the things that
we're doing is working on, uh,

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telehealth and a text care program.

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So it allows more 24 seven service
to our, um, to our patients.

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So that way, you know how it is when
people feel sick, it's sometimes, you

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know, one o'clock in the morning, we
actually have folks that are on and

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able to take care of those calls.

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And so we're developing
a 24 seven service.

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347 program through, um,
the company that I work for.

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And they, uh, we're really
expanding and I think we're

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getting some really good results.

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We're expanding also the amount of clinics
that we have through the university.

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So, we now have three
clinics that we offer.

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Purdue has, or the university
has multiple different campuses.

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So, um, And we're starting to build
more and more clinics in those areas.

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So I get to help oversee those as well.

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So I think looking at, uh, also, uh,
continuing to build my leadership skills,

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you know, there's always more to learn
to be able to try to continue to stay

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on top of the latest and greatest,
which is a difficult thing to do.

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It's a moving target, but I think knowing
that, you know, You're, you have to know

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that you're a lifelong learner when you
go into medicine and that's exactly,

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um, you know, where, where I'm at now is
just, uh, okay, where, where do I get my

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next level of, uh, continuing education?

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Um, and just continue to learn,
you know, uh, you know, God, God's

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in control and he's gonna, he's
gonna continue to guide me and,

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and I'll, I'll follow as diligently
as I can and as faithful as I can.

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Excellent.

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Excellent.

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Well, listen, I want to thank
you for, um, uh, sharing your

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very valuable time with us.

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Any, any, any words of wisdom you want
to leave us with, um, uh, let me say

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that you're, you're speaking to, um,
over, you know, thousands of people

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around the world, um, and, um, uh,
in any thoughts you want to share.

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Sure.

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Uh, you know, I think it's, uh, we
talked about, you know, spirituality,

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religion and our belief system.

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I think that is key.

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I think you're, you're a hundred
percent right that we need to know,

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um, where our strength comes from.

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And I think knowing that through
thick and thin through any difficult

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situations, uh, we need to be able
to find our strength in, in, in God.

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Um, and I think that is critical,
uh, for our direction and, and that

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sometimes when things are unknown.

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Uh, when, when we don't know where we're
headed or what's happening or, um, uh,

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we know that that God's in control and
that we can have faith and trust in him.

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And we don't need to be anxious,
just like the good word says.

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Um, and we need to just have faith
and trust, uh, in, in, in what's

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going to happen is God's will.

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Yeah.

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Yeah.

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I agree.

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I agree.

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Jesse, you have any questions
for Esteban before we let him go?

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You're on mute.

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Not really.

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Although, uh, you did mention
something about, um, doing, uh,

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having some affiliation with the
Uh, weight reduction or something.

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Oh, BCD

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medicine.

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Yes.

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Absolutely.

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Yeah.

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What are your thoughts on, um,
you know, Ozempic and, and all of

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the other weight reduction drugs?

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Sure.

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I think they're, they're actually a
really good tool to use right now.

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I think it's another great, most of
these medications came about from, um,

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diabetes medication control, right?

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Getting the sugars down,
getting our A1C down.

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And what we're finding
is with more and more.

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Research not only does it lower
your sugars and keep you healthy,

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it helps to minimize heart attacks.

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It seems to minimize, uh,
damaged with the kidneys.

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That's usually associated with diabetes
seems to lower risk for heart attacks.

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And now, just recently, dementia that
we're seeing some suggestion that it

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seems to lessen the risk for dementia.

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So I think these are
really good medications.

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Are they the, you know,
the The silver bullet?

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No.

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Um, I think we, you know, we, we're going
to have more and more medicines that come

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down that are going to be even better.

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But I think this is a really good
tool to utilize in the right patient.

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Not everyone should be on it.

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Uh, that's why they have, um, you
know, certain guidelines for who should

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get it and who should not get it.

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But I think, at least in my experience,
I've been able to use them with our

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patients and seeing some amazing results.

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And what I like to do is
get people off medicines.

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And this is one of those medications
that Maybe you're still in

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that ozempic, but guess what?

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You're off your blood pressure pills,
you're off your cholesterol pills,

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you're off all these other pills because
you've been able to control things.

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You know, a lot of pathology, a lot
of disease comes from many times,

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um, being overweight sometimes or
not, not being physically active,

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uh, or not having good nutrition.

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And so, So by working on those three
things, and it shouldn't be just the

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medicine, it should be the medicine and
the physical activity and the eating well,

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because that's what makes it all complete.

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The medicine by itself, it does some,
but it's not going to be able to do as

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amazing as if you do all those things
put together, because someday we'll

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like to get you off of that medicine.

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Right.

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And so we need to have some good
habits in place at that time.

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Uh, but I think it's, you know, it's a
really good medicine to use right now.

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But like I said, it's not for everyone.

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So there are some reasons
not to give that medication.

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And, and, you know, uh,
physicians are well known or are

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well aware of what those are.

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And if you're the right
candidate, they'll recommend it.

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If you're not the right candidate,
just trust that there are some

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things, um, that, that, you know,
it's not recommended to continue.

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One of the, one of the reasons, one
of the things that I'm mentioning

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is, um, uh, medullary thyroid cancer.

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That's one of the things that if you
have any history of thyroid cancer,

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you're not a good candidate for
that particular medication, uh, in

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particular medullary thyroid cancer.

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So those are the sort of things
that just need to be aware.

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Um, but for most, I would say
easily 98 percent of the patients

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that I've, um, that have either
requested it or I offered it to them.

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They're a great candidate for that.

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And I've seen some really good results

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on the MBA side of that.

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These drugs are costly work behind
trying to get the reduce the cost.

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Absolutely.

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You know, that's, uh, you know,
there's a, there's a whole process

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behind getting a medication approved.

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And so the pharmaceutical
companies, of course, put a, um,

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and, and I know that, uh, Dr.

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Choctaw knows the correct term
for it, but you have like a

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patent or something that would.

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You know, keep the price
at a certain level.

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But from my standpoint, I
don't worry about that stuff.

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I try to get it as coverable
for the patients best we can.

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Thankfully, we do have some, you
know, pharmacy prescription cards

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that can help lower the cost.

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We do have a lot of employers that
are looking to try to bargain with

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the pharmaceutical companies to
help get the costs down as well.

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And then, of course, one can always choose
to use the HSA cards to try to use some of

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the costs or to offset some of that cost.

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I think.

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What we're going to see is because all
this research is coming in showing that

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there's so much benefit to it, not just
with those who have diabetes, but those

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who have, um, um, other issues like severe
osteoarthritis, uh, like I mentioned,

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uh, dementia or things like that.

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I think more insurances
are going to cover it.

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I think you're going to see probably
Medicare eventually, hopefully, uh, will

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come on board and say, you know what, I
think this is, this is going to lessen

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the risk for someday having an open heart
surgery or lessen the risk for a stroke,

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uh, or, or if I can prevent dementia,
that would be a great way to do that.

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Yes.

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Um, so I think those sort of studies, once
we start getting more and more of this,

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uh, you know, research data back, I think
we'll start seeing that, that insurances

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will start coming on board saying,
wait, there might be some, some benefit

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to this outside of what we thought.

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Um, and they might, I think I'm,
I'm hopeful that they'll approve it.

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That's great information and I think a
lot of people will get hope from what

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information that you've just shared.

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Thank you.

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Absolutely.

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Uh, any, any other questions

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Esteban?

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Uh, No, just thank you for having me.

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00:12:32,689 --> 00:12:35,931
You know, I really appreciate the
chance to, to see you guys and, and,

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uh, talk to you guys about some of
the current issues that are going

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on and, and just having a chance to
tell you a little bit about myself.

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I really appreciate that.

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00:12:43,010 --> 00:12:47,390
Well, you are absolutely, uh, welcome and,
and you're always welcome to come back.

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You can look at this as your forum.

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00:12:49,730 --> 00:12:52,670
Oh, and if there's an issue
that you, you, you just want

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00:12:52,670 --> 00:12:54,140
to talk about, you can do that.

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00:12:54,530 --> 00:13:00,380
Uh, but, uh, you've done a lot to expand
our knowledge and our skillset and.

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Information that we can sort
of share with the public.

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Um, and so with that, have a blessed day.

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Thank you.

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00:13:07,465 --> 00:13:07,495
You

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too.

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And, and give a hug to the family for me.

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Will

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00:13:09,470 --> 00:13:09,800
do.

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, likewise.

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Please stay out everyone.

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Alright, take care

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00:13:13,255 --> 00:13:13,735
.
Bye-Bye.

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00:13:13,735 --> 00:13:14,015
Thank you.

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00:13:14,015 --> 00:13:14,495
Bye-Bye.

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00:13:14,495 --> 00:13:14,775
Take care.

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00:13:15,020 --> 00:13:15,470
Thank you.

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00:13:17,870 --> 00:13:21,050
Thank you for listening to the Healthy,
wealthy and Wise podcast with Dr.

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00:13:21,050 --> 00:13:23,330
William t Choctaw, md JD.

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00:13:23,330 --> 00:13:28,150
You can listen to this and any
of the other previous episodes.

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00:13:28,240 --> 00:13:30,910
Leave a comment or pose
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00:13:30,970 --> 00:13:35,890
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00:13:36,310 --> 00:13:41,530
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00:13:42,190 --> 00:13:45,790
It's also available wherever
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00:13:46,360 --> 00:13:50,380
Be sure to follow, like, share, and
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00:13:50,560 --> 00:13:54,819
Then tune in for the next episode of the
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00:13:54,819 --> 00:14:00,880
William t Choctaw, M-D-J-D-A production
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00:14:00,970 --> 00:14:01,240
See?