Episode 8

The 411 on Ozempic/Semaglutide with Dr. Emily Passic

Today I’m talking with Dr. Emily Passic about semaglutide, also know as Ozempic of Wegovy. I had a ton of questions and concerns about it and I’m sure you do too, so I wanted to bring on an expert who really understands how this drug should and shouldn’t be used, who it is and is not for, and can answer all our burning questions.

Dr. Emily Passic, ND, MsAy. Dr. Passic is board certified in Naturopathic Medicine and holds a Masters in Ayurvedic Science from Bastyr University and has been practicing since 2016. She works at an integrative pediatric and family practice in Kirkland, WA. She has spent time in India learning from some of the top Ayurvedic doctors and incorporates multiple modalities for treating chronic conditions. Her passions include cardiometabolic health, longevity medicine, mold and mycotoxin illness, full body detoxification, chronic infections, chronic pain and female hormones. She utilizes dietary intervention, supplement management, lifestyle modifications and peptide therapy. Please note her medical license is only in Washington state and she cannot prescribe outside the state. 

Dr. Passic owns and operates a nonprofit organization called Allow Healing Nonprofit. These consultations are virtual visits only (no in-person option). www.emilypassic.weebly.com

She also sees patients in person at Centered in Wellness, a concierge practice in Kirkland, WA. www.centeredinwellness.com

Some important notes on semaglutide: Semaglutide can be a very safe and effective tool in weight loss if done correctly. Patients should be doing appropriate detoxification as losing fat can cause toxins to circulate which can be very damaging to the body and brain. If managed properly, the benefits of semaglutide go beyond weight loss and include improved cardiac health, neuroprotection and decreased GI inflammation.  Semaglutide is not for those with low body weight, children and those with current or history of thyroid cancer or an endocrine condition called MEN(2).   

Disclaimer:

This podcast and website represents the opinions of Jeannie Oliver and her guests to the show and website. The content here should not be taken as medical advice. The content here is for informational and entertainment purposes only, and because you are unique, please consult your healthcare professional with any medical questions.

This website or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony.  No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website.

In no way does listening, reading, emailing or interacting on social media with our content establish a doctor-patient relationship.

Privacy is of utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient/client confidentiality.

Views and opinions expressed in this podcast are our own and do not represent that of our employers. While we make every effort to ensure that the information we are sharing is accurate, we welcome any comments, suggestions, or correction of errors.

 

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Music credit: Funk’d Up by Reaktor Productions

A Podcast Launch Bestie production

Transcript
Jeannie Oliver:

Hey there.

Jeannie Oliver:

Welcome to the Nutrition Edit podcast.

Jeannie Oliver:

I'm your host, Jeanie Oliver, and today we're gonna be talking about semaglutide,

Jeannie Oliver:

otherwise known as Ozempic or wavy.

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This is a really buzzy drug out there right now, and I had a ton

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of questions and concerns about it, and I'm sure you probably do too.

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So I wanted to bring on an expert, somebody who really understands

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how this should and shouldn't be used, who it is and is not for.

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And can really answer all of these questions for us.

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So today my guest is the brilliant Dr.

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Emily Paek.

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Dr.

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Paek is board certified in naturopathic medicine and holds a master's in

Jeannie Oliver:

Ayurvedic science from Basi University.

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She has been practicing since 2016 and she works at an integrative pediatric and

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family practice in Kirkland, Washington.

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Dr.

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Pasek incorporates multiple modalities for treating chronic conditions, and she

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has spent time in India learning from some of the top Ayurvedic doctors there.

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Her passions and focuses include cardiometabolic health, longevity

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medicine, mold and mycotoxin illness, full body detoxification, chronic infections,

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chronic pain, and female hormones.

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She also utilizes dietary intervention, supplement management, lifestyle

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modifications, and peptide therapy, which is where Semaglutide falls.

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So I am really excited for you to hear this interview with Dr.

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Pasek.

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Just keep in mind that you should never take medical advice from

Jeannie Oliver:

this podcast or any other, and always refer to your own licensed

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practitioner with any health concerns.

Jeannie Oliver:

All right.

Jeannie Oliver:

On that note, without further ado, let's jump into the episode with Dr.

Jeannie Oliver:

Emily Paek.

Jeannie Oliver:

Hey, so welcome back to the Nutrition Edit everybody.

Jeannie Oliver:

I'm your host, Jeannie Oliver, and my guest today is Dr.

Jeannie Oliver:

Emily Paek.

Jeannie Oliver:

Emily, welcome to the show.

Jeannie Oliver:

Thanks, Jeannie.

Jeannie Oliver:

I'm so happy to have you here.

Jeannie Oliver:

Yeah, I'm excited to be here.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So, full disclosure, Emily is a close friend of mine, has been for years and

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is just an amazing, brilliant woman.

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I may be slightly biased, but it's just, it's true, it's true.

Jeannie Oliver:

Bias aside, tell us a little bit about your background, because you have,

Jeannie Oliver:

gosh, background nutrition, you've got fitness, you've been a doctor for how

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many years now have you been practicing?

Jeannie Oliver:

Um, I graduated in 2016.

Jeannie Oliver:

Okay.

Jeannie Oliver:

Yeah.

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and have always, Been in health and wellness.

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I mean, aside from my bachelor's in business, I quickly realized

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the business world was not for me.

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I was losing years off my life in business.

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so about 20 years ago I went to nutrition school and I was

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also a fitness instructor.

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So I was doing fitness, you know, 20 years ago or whatever, and, got my clinical

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nutrition certificate and then, went to teach on cruise ships and do all that.

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So, you know, that's what got me really fueled in, the way that people look at

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the body from all over the world really, because the people that work on ships and

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come on ships are from all over the world.

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And so I, I was outta my bubble, right?

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

So we all, we're all kind of in our bubble and I was living in San Diego

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before that, which is a true bubble.

Jeannie Oliver:

Yes.

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And so, on ships, it was interesting because I was a fitness instructor,

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but I was giving classes on health and detox, and that's what kind of got me

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interested in environmental medicine.

Jeannie Oliver:

Yeah.

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And I, there was a naturopathic physician on my ship too.

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Uh, she was a body worker.

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so after ships I went to massage school.

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And so what I found was, was that I was trying to come at healing and

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wellness from every angle I could.

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It was like fitness and massage and nutrition.

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And that's when I realized like, I really need to go to medical

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school and fill in a lot of gaps here and, and take biochemistry

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and learn anatomy at, to its core.

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so that's kind of my background and how it all came together and my focus was,

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has really always been environmental medicine and, um, just overall health.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And I always mentioned that I've had my own health adventures and

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you only, you don't have to share about that if you don't want to.

Jeannie Oliver:

Um, but I know that you have as well, so, yeah.

Jeannie Oliver:

You know.

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Absolutely.

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And I think that that has made me a better doctor.

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and for all the doctors I know that have gone really deep into certain

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areas, even big doctors that, run the longevity world have their own story.

Jeannie Oliver:

And so for me, mine was, was just some serious chronic illness with no diagnosis.

Jeannie Oliver:

Mm-hmm.

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And it's a really lonely place to be when you are very ill and you don't

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have a diagnosis that fits in a box, it doesn't have a, a code that the

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insurance company likes, and there's no specialist that knows what you

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have there was a point where I had.

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10 or 11 or 12 doctors, and nobody knew what was wrong with me.

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And so that's where I started just searching and digging and treating myself.

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and that's how I got interested in all this because I had to do every diet

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known to man it seems like, and take out every food and add every nutrient

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and do all these different supplements.

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And I did all the weirdest things that you can imagine.

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And I finally got better.

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But, I did look into what seemed like every corner of health trying

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to figure out what was wrong with me.

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And so, that has helped me a lot because I have patients come in who

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are in that same boat and, and they feel alone because nobody really knows

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what's wrong and their doctors are not spending enough time with them.

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naturopathic doctors.

Jeannie Oliver:

Yes.

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Functional medicine doctors, yes.

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But, these are the people that, You know, Western medicine fails them.

Jeannie Oliver:

Yeah.

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And I've had so many, I mean, myself included, I've had so many clients who

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have been told it's all in their head.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

It's all psychosomatic, um, at worse.

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Mm-hmm.

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Where they've been just dismissed.

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Mm-hmm.

Jeannie Oliver:

Oh yeah, I got that diagnosis too.

Jeannie Oliver:

I was given antidepressant and, you know, a lot of people get put in

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the fibromyalgia box or whatever it is, and it's really unfair.

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And, and no one's really listening to them until they find a doctor who will sit down

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and take a, a really complete history.

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And the history is generally gonna give you the answer.

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You know, there's a lot of tests out there too.

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But, but honestly, you go back to the beginning of medicine, when, when they

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started learning the review of systems and the physical exam, the answer was,

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was in what the patient's telling you.

Jeannie Oliver:

Right.

Jeannie Oliver:

And that can take some time.

Jeannie Oliver:

Right.

Jeannie Oliver:

And I think most doctors in mainstream medical, they're, you

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know, I, I mention this often that I feel their hands are tied.

Jeannie Oliver:

They can have the best of intentions, but when you have 15 minutes or eight

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minutes to see a patient, what can you do?

Jeannie Oliver:

You know, it's, they're so limited.

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and it, system fills them as well.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

So, yeah, that's one of the cool aspects that I wanna get into when we talk today.

Jeannie Oliver:

And I'm so excited to talk to you about this because obviously it's

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a really hot topic right now and, everyone is touting ozempic as this

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miracle drug, and so people are getting it in, possibly dubious ways.

Jeannie Oliver:

And I think that this is really gonna be an interesting talk because things

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can be helpful, harmful, or neutral, I think, depending on how they are used.

Jeannie Oliver:

Who is managing your care, if anyone.

Jeannie Oliver:

how things are prescribed, what you're doing in your lifestyles, you

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know, outside of just popping a pill or taking an injection every day.

Jeannie Oliver:

So I'm looking forward to getting into that with you.

Jeannie Oliver:

And I know people have a lot of questions and misconceptions about

Jeannie Oliver:

this, as did I, and it was really enlightening to talk to you some more.

Jeannie Oliver:

So let's dive into this and talk about Semaglutide or

Jeannie Oliver:

what is also known as Ozempic.

Jeannie Oliver:

and you can go ahead and, and take the reins on this.

Jeannie Oliver:

I think there are a couple other names for it as well, is that correct?

Jeannie Oliver:

There is also Wego V and Resus and, okay.

Jeannie Oliver:

And then Semaglutide is part of TIR Peptide.

Jeannie Oliver:

So for, for all intensive podcast purposes, we can just.

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Reel it all in and say Ozempic.

Jeannie Oliver:

Okay.

Jeannie Oliver:

Or semaglutide, although I will say the difference in how I'm using it.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

I'm really curious to hear about that.

Jeannie Oliver:

So tell us a little bit about what it is and you know, what it was designed

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for and why it's the hot new thing now.

Jeannie Oliver:

Yeah, so it's a GLP one agonist and basically what this does in a nutshell

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is it improves your insulin sensitivity.

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And the thing that we focus on a lot is in, in our type of medicine, in

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naturopathic medicine, functional medicine is insulin resistance.

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Because insulin resistance is the precursor to diabetes.

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So even if someone doesn't have diabetes or even pre-diabetes,

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but they have insulin resistance, that is a pretty bad marker.

Jeannie Oliver:

And you can run this in a basic blood panel.

Jeannie Oliver:

Yeah.

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Insulin resistance is going to increase aging and most all chronic disease.

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And so that's why this is, this is a preventative medicine step.

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And so as this GLP one agonist, it sensitizes your cell to glucose basically.

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So the way that we, the way that we talk to patients about this is, over

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the course of your life, you will be exposed to more toxins, have more

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inflammation, take lots of antibiotics, create a lot of this, inflammation,

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and that will cause this insulin insensitivity or insulin resistance.

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And so basically what that looks like is your body constantly

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pumping out more insulin.

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And so you have this glucose in your blood and the glucose

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wants to get into the cells.

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And so we think about this cell and you've got the insulin, which

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is allowing the glucose to go into the cell to be used for energy.

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If, Those insulin receptors become resistant, that sugar

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and that glucose cannot get into the cell and be used for energy.

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And that's what creates elevated blood glucose, which we all

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know is just circulating around.

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So they're just knocking on the door and then your body's

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pumping out more and more insulin.

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And so now you've got elevated insulin.

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Elevated blood glucose, and no energy.

Jeannie Oliver:

Yep.

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So this sensitizes your insulin receptors so that that glucose

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can get into the cell and be used.

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And so it decreases.

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That insulin resistance, and this is what I'm measuring on a lab.

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I say, how much insulin re resistance do you have?

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And it's like a number, is it 29?

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Is it 50 or is it way up there?

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And it's 60 or 70.

Jeannie Oliver:

okay, when you say the labs to, um, are you looking at fasting insulin, C-peptide?

Jeannie Oliver:

No.

Jeannie Oliver:

No.

Jeannie Oliver:

What do you look at?

Jeannie Oliver:

It's actually called insulin resistance.

Jeannie Oliver:

It's an, it's an IR score.

Jeannie Oliver:

Okay.

Jeannie Oliver:

And so it's on, it's on an extended lipid panel.

Jeannie Oliver:

Okay.

Jeannie Oliver:

So lipid panel's, like a cholesterol panel.

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But the last thing on this, this N M R panel it's called, is an, IR score,

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which is insulin resistance score.

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So it's just one number.

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I of course also draw, a fasting blood glucose, a fasting insulin, and an a1c.

Jeannie Oliver:

And if I am afraid they have diabetes, I draw a C peptide.

Jeannie Oliver:

Okay.

Jeannie Oliver:

makes sense.

Jeannie Oliver:

Thanks for clarifying that.

Jeannie Oliver:

Yeah, it does.

Jeannie Oliver:

Absolutely.

Jeannie Oliver:

So this insulin resistance, and just to clarify for people too, when you say,

Jeannie Oliver:

Hey, you have no energy, you know, we need to get this glucose actually into the

Jeannie Oliver:

cells so that we can use it for energy.

Jeannie Oliver:

We're talking about mitochondrial function there, correct?

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Right?

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Speaking to that, just a little more, the mitochondrial dysfunction.

Jeannie Oliver:

Well, yeah.

Jeannie Oliver:

I mean just, just their job for, you know, in the cell of converting

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that, that glucose into a tp.

Jeannie Oliver:

Right.

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Which is our energy for everything.

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We do it.

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It goes into a t p and, and actually what I wanna highlight is that the place that

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uses a lot of that glucose is your brain.

Jeannie Oliver:

Yes.

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And so, kind of important, this, this is really important, but also,

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one of the things about semaglutide, which, you know, we can, we can sort

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of get into, is neurologic function.

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And the thing that I, that I see with Semaglutide, in the future of

Jeannie Oliver:

Semaglutide, which, you know, if you kind of wanna talk about where it came

Jeannie Oliver:

from, my understanding was that it was originally studied as an Alzheimer's drug.

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And it's not, it's not an Alzheimer's drug now, but it is in clinical

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trials in phase three clinical trials.

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which is really easy to look up on clinical trials.gov.

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So it's, it is absolutely being used because we know that Alzheimer's

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is called type three DI diabetes.

Jeannie Oliver:

Yep.

Jeannie Oliver:

So we have this insulin resistance specifically in the brain.

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The brain uses a ton of glucose for energy and there's no access to it

Jeannie Oliver:

because we're insulin resistant.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So that will be a conversation for 2026 when those trials are done,

Jeannie Oliver:

because this is years of, trials with semaglutide for Alzheimer's.

Jeannie Oliver:

but that's currently where it's being tested.

Jeannie Oliver:

So what I think is interesting is that, you know, everyone's using ozempic

Jeannie Oliver:

semaglutide for weight loss, but they're actually doing this dramatic benefit to

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the rest of their body, cardiovascular system, their brain, um, even just

Jeannie Oliver:

utilizing glucose in their muscles, their liver, because it's used everywhere.

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so the fact that, um, fatigue is one of the most common complaints

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in every single doctor's office.

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Office.

Jeannie Oliver:

We have to have my office too.

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Insulin resistance.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

It's one of the top three complaints.

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So, this is imperative that we're checking for insulin resistance when,

Jeannie Oliver:

when anyone complains of fatigue.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And I'd love to point out too that.

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as we talk through this obviously semaglutide, Ozempic

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is not right for everybody.

Jeannie Oliver:

We'll get into who it's right for, who it is not.

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But assuming you're someone who it is not right for, or maybe you don't have a,

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you know, a lot of excess fat you wanna lose, you don't wanna spend money on

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something like this, whatever it may be.

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You can address insulin resistance with diet and movement alone.

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You do not need a drug to do it.

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You know, that's something that I am constantly focusing on with people is

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one of the first things that I address is, let's get your blood sugar regulated.

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Let's help you move away from any insulin resistance, gets your

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cells more insulin sensitive.

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We can do that through moving our muscles.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Moving our muscles and eating all leg glycemic diet so that our blood glucose

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isn't spiking all over the place and constantly elevating that, insulin.

Jeannie Oliver:

So, tell us about that.

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Tell us who.

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At least in the setting of where you're using this in, in your practice, who are

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the people who are the best candidates for this, and who are people who maybe

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this would not be appropriate for?

Jeannie Oliver:

it's a broad question because people come to me wanting to

Jeannie Oliver:

lose weight sometimes, right?

Jeannie Oliver:

Sure.

Jeannie Oliver:

So there are some people that actually want it, that ask for it,

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because now everybody knows about it.

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If you've watched the news for five seconds.

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and there's people that I actually recommend it to because I'm looking

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at their labs and what I say in my office is you're looking in the

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mirror and I'm looking at your labs.

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So we have maybe two different agendas, but, we meet in this place

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where I wanna do what's most safe for the patient, which means, you know,

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people who are underweight, it's not really, they're not a candidate, right?

Jeannie Oliver:

if they're clinically underweight, but if they wanna lose weight, I

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will draw all the labs before I even consider semaglutide, just to make

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sure that those markers are all good.

Jeannie Oliver:

Like it's healthy for them to actually lose more fat.

Jeannie Oliver:

there are people who have cardiovascular disease, this would be appropriate

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for them because it is so healthy for your cardiovascular system.

Jeannie Oliver:

insulin resistance affects your heart and your vessels.

Jeannie Oliver:

And so even if that's the main consideration for that person, I'm

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going to recommend it for them.

Jeannie Oliver:

Provided it's safe for them to lose weight, right?

Jeannie Oliver:

Sure.

Jeannie Oliver:

So every single person's situation is different.

Jeannie Oliver:

in the wake of a global pandemic, It is shocking how much anxiety, depression,

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and suicidality are out there.

Jeannie Oliver:

And yeah, maybe they just wanna lose 15 pounds because it is just

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another level of depression for them.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

And I support that.

Jeannie Oliver:

I fully support that because maybe they've been trying to lose weight.

Jeannie Oliver:

I mean, Jeanie, I'm sure that you've seen people where they're doing

Jeannie Oliver:

all the right things and they just are at a standstill with weight.

Jeannie Oliver:

Yes.

Jeannie Oliver:

And I wanna help them get over that hump.

Jeannie Oliver:

And if it means one year on semaglutide and they've finally broken that

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barrier and lost that 10 or 15 pounds or whatever it is, I will teach

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them in that year, okay, this is how we're gonna change your lifestyle.

Jeannie Oliver:

But maybe they were just too depressed to even get there before.

Jeannie Oliver:

Sure.

Jeannie Oliver:

I understand that.

Jeannie Oliver:

So we do a lot of education when it comes to.

Jeannie Oliver:

Starting it and being on it because their dietary habits are gonna change.

Jeannie Oliver:

their emotional patterns around eating is gonna change because Yeah.

Jeannie Oliver:

I wanna dive into that a little deeper too, so, yeah.

Jeannie Oliver:

Right.

Jeannie Oliver:

Keep that in your back pocket.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So, one of the things that I really want to highlight in terms of who's a

Jeannie Oliver:

candidate is, people with a lot of toxins.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

And we can save the whole detox conversation, like the

Jeannie Oliver:

in-depth one for another day.

Jeannie Oliver:

But I never talk about semaglutide without talking about detox, because Yeah.

Jeannie Oliver:

Of the extraordinary, uh, damage it could do if you start bursting a bunch

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of fat cells and your toxins run rampant.

Jeannie Oliver:

And I'm so glad that you are bringing this up because even if somebody is

Jeannie Oliver:

like, Hey, I wanna go on a ke ketogenic diet, I always encourage or support them

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through detoxification prior to that.

Jeannie Oliver:

So tell us why that's so important.

Jeannie Oliver:

That is amazing.

Jeannie Oliver:

And thank you for that, because not enough people are doing it.

Jeannie Oliver:

it's easy to do certain things with weight loss, and that's the

Jeannie Oliver:

thing about semaglutide in Ozempic is it's, it's relatively easy.

Jeannie Oliver:

You have to give yourself a shot once a week.

Jeannie Oliver:

So maybe that's hard for some people, but that's relatively easy.

Jeannie Oliver:

A detox is hard.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Um, if you're doing it right.

Jeannie Oliver:

And so the thing is, our body's really smart and it stores toxins

Jeannie Oliver:

in fat cells to protect our brain.

Jeannie Oliver:

So a lot of toxins can cross the blood brain barrier, including heavy metals.

Jeannie Oliver:

In metals or we're talking mercury, cadmium lead.

Jeannie Oliver:

Yeah, mercury lead, cadmium.

Jeannie Oliver:

Aluminum.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Aluminum.

Jeannie Oliver:

Yep.

Jeannie Oliver:

and so your body stores these toxins in fat cells and so it, it, it's, your body's

Jeannie Oliver:

doing the best thing it can at that time.

Jeannie Oliver:

And so before we embark on a weight loss program, and we know

Jeannie Oliver:

that semaglutide can be really effective for losing a lot of weight.

Jeannie Oliver:

Uh, if you do it right, it's not excessive weight loss.

Jeannie Oliver:

So we can talk about dosing, but, what's happening is that your body's

Jeannie Oliver:

gonna start, you know, bursting fat cells, toxins are gonna come out.

Jeannie Oliver:

So what I do for everyone is I make sure that they are a good candidate.

Jeannie Oliver:

Meaning when's the last time they did a detox with me?

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

Because, a lot of patients, because I have, I have two practices, but

Jeannie Oliver:

one of them is a concierge practice.

Jeannie Oliver:

We are in person.

Jeannie Oliver:

I see patients four days a week in a clinic.

Jeannie Oliver:

I have a telemedicine practice where I see patients remotely.

Jeannie Oliver:

So the people I see in person, most of them I've done a detox with, especially

Jeannie Oliver:

if they came to me wanting to lose weight.

Jeannie Oliver:

I said the first thing we're gonna do is detox.

Jeannie Oliver:

And it's still what I say.

Jeannie Oliver:

The first thing we're gonna do is detox.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And, and now that semaglutide is, is, uh, we can then add that on,

Jeannie Oliver:

but not until the detox is done.

Jeannie Oliver:

And so I first draw labs, extensive labs, and then we do, the toxin solution.

Jeannie Oliver:

So it's a really specific detox.

Jeannie Oliver:

It does the gut, the liver, the kidneys, and then if you

Jeannie Oliver:

want an extra like ninth week.

Jeannie Oliver:

So it's essentially an eight week detox.

Jeannie Oliver:

so we wanna make sure everything is moving because the last thing you

Jeannie Oliver:

want is for someone to start, bursting fat cells and exploding toxins out

Jeannie Oliver:

through their body when their liver isn't functioning appropriately.

Jeannie Oliver:

Right?

Jeannie Oliver:

Uh, or they have the wrong mix of bacteria in their gut.

Jeannie Oliver:

Mm, because endotoxins are a really big thing.

Jeannie Oliver:

Endotoxins are basically when you've got, a bunch of toxins in your body

Jeannie Oliver:

from a lifetime of toxic exposure or just living on the planet really.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

You're living on the planet.

Jeannie Oliver:

Just life on earth.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Let's be real.

Jeannie Oliver:

So, um, especially in America.

Jeannie Oliver:

Right?

Jeannie Oliver:

Exactly.

Jeannie Oliver:

So, so we do this detox and usually people lose 10 to 20 pounds on the detox.

Jeannie Oliver:

And I've done this for years.

Jeannie Oliver:

I mean, I dunno, the whole time I've been in practice.

Jeannie Oliver:

So, the toxin solution was written by Joe pno, he's the founder of BA Year.

Jeannie Oliver:

So like left pno, I find no other.

Jeannie Oliver:

Detox that compares to this.

Jeannie Oliver:

And so, so I walk them through that and I meet with them every week that

Jeannie Oliver:

they're on it to make sure that they are feeling good, or if they're feeling

Jeannie Oliver:

bad, it's the right kind of symptoms.

Jeannie Oliver:

It's like, Hey, your liver is working really hard on detox right now.

Jeannie Oliver:

And, um, yes, I know that detox is a very heavy word and there are

Jeannie Oliver:

people that say like, detox doesn't exist, but I, I am not on that.

Jeannie Oliver:

page detox does exist and we have Yeah.

Jeannie Oliver:

So many toxins we need to actually help your detox organs function better.

Jeannie Oliver:

and so this is why the detox aspect is important.

Jeannie Oliver:

We've seen people have some pretty bad symptoms of rapid weight loss, not

Jeannie Oliver:

through semaglutide, but other things.

Jeannie Oliver:

and they've had some pretty bad neurologic symptoms.

Jeannie Oliver:

Oh, I've seen that so often.

Jeannie Oliver:

Especially when I was working in a clinical setting.

Jeannie Oliver:

And I do have a, a client who recently, Did a trial, I think it was before we

Jeannie Oliver:

were working together of the ozempic without doing any of that beforehand.

Jeannie Oliver:

and I had a really bad experience with it just felt rotten immediately.

Jeannie Oliver:

And so, you know, I think that this is another really important piece

Jeannie Oliver:

that, look, this is not something that you just take on a whim.

Jeannie Oliver:

This is something that you need to prepare your body for.

Jeannie Oliver:

It needs to be administered in an appropriate, you know, caregiving

Jeannie Oliver:

setting with the right practitioner who really knows what's going on.

Jeannie Oliver:

And.

Jeannie Oliver:

How to prepare your body for it.

Jeannie Oliver:

And I think that detox has become such a dirty word because people

Jeannie Oliver:

don't really understand it.

Jeannie Oliver:

They think of, oh, just a master cleanse, or, you know, something that's just some

Jeannie Oliver:

ridiculous calorie restricted crash diet.

Jeannie Oliver:

It's not actually detoxification at all.

Jeannie Oliver:

Right.

Jeannie Oliver:

And so it's given it a bad name.

Jeannie Oliver:

Right.

Jeannie Oliver:

And people will be so much more successful on semaglutide once they've actually

Jeannie Oliver:

detoxed because now their body will feel safe to let go of those toxins.

Jeannie Oliver:

Yes.

Jeannie Oliver:

And move through the appropriate channels.

Jeannie Oliver:

Right.

Jeannie Oliver:

Move through the gut, the liver, the kidneys, I mean,

Jeannie Oliver:

let's not forget the skin.

Jeannie Oliver:

Right.

Jeannie Oliver:

The largest detox organ.

Jeannie Oliver:

Yes.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

It's one thing to mobilize toxins out of our fat cells.

Jeannie Oliver:

It's Right.

Jeannie Oliver:

A completely different thing to get them out of the body.

Jeannie Oliver:

Right.

Jeannie Oliver:

I talk about this all the time.

Jeannie Oliver:

Like, you gotta pull 'em out and you gotta get them out.

Jeannie Oliver:

Then that's step one, step two, That is absolutely so important

Jeannie Oliver:

so that people don't feel bad.

Jeannie Oliver:

And I think that that is the reason people are feeling.

Jeannie Oliver:

So there's a couple pe a couple reasons people are feeling so bad.

Jeannie Oliver:

And when I say people, I'm, I'm not talking my people like mm-hmm.

Jeannie Oliver:

People who go and get ozempic from a group home.

Jeannie Oliver:

Did you know that you can get it on a group and you can never see a doctor

Jeannie Oliver:

and, buy it, and no one's following you.

Jeannie Oliver:

And, and no one's looking at any labs Blows my mind.

Jeannie Oliver:

And, and certainly not talking about any of this.

Jeannie Oliver:

So, that is why I think it's out there that the side effects can

Jeannie Oliver:

be so bad because for one, people are just, they're titrating up too

Jeannie Oliver:

quickly and nobody's following them.

Jeannie Oliver:

Meaning increasing the dose.

Jeannie Oliver:

Right.

Jeannie Oliver:

Actually, you shouldn't be nauseous every single day for weeks.

Jeannie Oliver:

Right.

Jeannie Oliver:

Or you shouldn't be constipated, not even for one day.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And that is, you know, then you're just re recirculating these toxics.

Jeannie Oliver:

Oh God.

Jeannie Oliver:

I know.

Jeannie Oliver:

Constipation is the last thing that you want when you're releasing toxins.

Jeannie Oliver:

Right, exactly.

Jeannie Oliver:

And so you need to have the right tools.

Jeannie Oliver:

And I say to my patients, like, tell me right away if you're constipated.

Jeannie Oliver:

I mean, text me on the weekend and tell me, because I wanna get on this.

Jeannie Oliver:

And so I give them the tools to make sure that doesn't happen.

Jeannie Oliver:

And to make sure that their bowels are moving appropriately before we even start.

Jeannie Oliver:

Like, I will not start them on semaglutide if they're constipated from the beginning.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Cause that's not, they're gonna feel terrible.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

It's not gonna be good for them.

Jeannie Oliver:

They're also gonna feel bad.

Jeannie Oliver:

And so I think with the right dietary counseling people won't feel as

Jeannie Oliver:

bad, including not eating too much.

Jeannie Oliver:

so this is where this part of this, emotional eating

Jeannie Oliver:

happened, you know, like this.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Do you wanna talk about that?

Jeannie Oliver:

Well, you know, one of the questions that I had for you before we started

Jeannie Oliver:

this, and we were talking about doing the episode together, was because what

Jeannie Oliver:

I had heard from multiple sources, And you mentioned you've been using

Jeannie Oliver:

this in your clinic for three years.

Jeannie Oliver:

For most people this is this brand new thing that's only been, you know, a matter

Jeannie Oliver:

of months on our radar on the market.

Jeannie Oliver:

But one thing that I had heard was, well, it only works while

Jeannie Oliver:

you're taking it not beyond.

Jeannie Oliver:

And when you stop taking it, you'll gain all the weight back and then some,

Jeannie Oliver:

you're losing muscle mass during it.

Jeannie Oliver:

And the only mechanism by which it works is basically appetite suppression,

Jeannie Oliver:

which obviously that's not the case as you're explaining, like, no,

Jeannie Oliver:

there's all these other benefits with insulin sensitivity and cardiovascular

Jeannie Oliver:

benefits and things like this.

Jeannie Oliver:

and then my other question about that was, So this is kind of a two-parter

Jeannie Oliver:

and, and we'll come back to that as far as, you know, long-term management

Jeannie Oliver:

of this, how people can move off of it if they don't wanna take it forever.

Jeannie Oliver:

All of those things.

Jeannie Oliver:

But another one of my main concerns, first of all, it, it's the loss

Jeannie Oliver:

of lean muscle mass, right?

Jeannie Oliver:

Anytime that we go on a severely calorie restricted diet, your body

Jeannie Oliver:

wants to metabolize or burn muscle because it's an easier thing to burn

Jeannie Oliver:

often than fat is, especially if you are insulin resistant and you

Jeannie Oliver:

don't have that flexible metabolism where your body can easily burn fat.

Jeannie Oliver:

And when we lose lean muscle mass, we're very effectively slowing

Jeannie Oliver:

down our metabolism, right?

Jeannie Oliver:

And it's just terrible for us in, in a multitude of ways, and especially for,

Jeannie Oliver:

you know, women, we lose muscle mass as we get older at a much more rapid rate.

Jeannie Oliver:

It's harder to build back.

Jeannie Oliver:

We don't want that.

Jeannie Oliver:

So that was one of my main concerns.

Jeannie Oliver:

So I want you to speak into that.

Jeannie Oliver:

And then the emotional eating piece is huge too, because from

Jeannie Oliver:

my perspective, I never want to see people go for the bandaid.

Jeannie Oliver:

You know, often the people that I work with, they have been using the

Jeannie Oliver:

bandaid approach their whole lives for decades, treating essentially

Jeannie Oliver:

the symptoms of excess weight.

Jeannie Oliver:

Those are symptoms of trauma response, emotional eating, addiction as a result

Jeannie Oliver:

of trauma and emotional eating, right?

Jeannie Oliver:

So, you know, in my mind I'm thinking, well, this isn't

Jeannie Oliver:

addressing any of those root causes.

Jeannie Oliver:

If we're gonna go upstream and really look at the root causes of

Jeannie Oliver:

why is this person carrying excess weight, or eating emotionally, et

Jeannie Oliver:

cetera, where is that coming from?

Jeannie Oliver:

People don't just sit down and, and bingey because it's, you know, they

Jeannie Oliver:

feel like it one day out of nowhere.

Jeannie Oliver:

Like there's always something deeper going on there that's driving that mechanism.

Jeannie Oliver:

And so yeah, in whatever order you wanna address those things, go for it.

Jeannie Oliver:

So, so it actually does stop cravings because it works on the

Jeannie Oliver:

dopamine system of the brain.

Jeannie Oliver:

And so this is the reward system.

Jeannie Oliver:

And food is absolutely a really common addiction.

Jeannie Oliver:

And pick, pick your food.

Jeannie Oliver:

You know, like for some it's, you know, fried food and some it's alcohol and

Jeannie Oliver:

some it's sugar and some it's chocolate.

Jeannie Oliver:

And you know, because I've been using Semaglutide for three years

Jeannie Oliver:

and it was, we used Liraglutide before there was Semaglutide.

Jeannie Oliver:

So even before Semaglutide we were using a different peptide

Jeannie Oliver:

similar to it did the same things.

Jeannie Oliver:

I have seen so many different things and no two people are the same.

Jeannie Oliver:

That's what I'm Right.

Jeannie Oliver:

Of course, I can tell you for sure that no two people are the

Jeannie Oliver:

same that do semaglutide, saga yesterday and, I said, you know,

Jeannie Oliver:

how about how's your alcohol intake?

Jeannie Oliver:

Because I also, I saw his liver enzymes go down, which I will say

Jeannie Oliver:

in, um, maybe a hundred percent of people liver enzymes go down.

Jeannie Oliver:

And so that's great.

Jeannie Oliver:

improved.

Jeannie Oliver:

Liver function is always good.

Jeannie Oliver:

That's, that's incredible.

Jeannie Oliver:

because, yeah, their liver's just not having to work as hard.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

And, and I'm counseling them on what to eat and we're, you know, of course like

Jeannie Oliver:

you were always talking about organic and, and you know, grass fed and everything.

Jeannie Oliver:

And so they've improved their diet.

Jeannie Oliver:

as a baseline, but, I ask about cravings and everyone tells me their

Jeannie Oliver:

cravings are, they're like, I just don't feel like drinking anymore.

Jeannie Oliver:

Like, in the beginning it didn't make me feel good.

Jeannie Oliver:

And I'm like, well, it's cuz I told you not to drink in the beginning.

Jeannie Oliver:

Like, you're really not supposed to have alcohol when you're titrating up because

Jeannie Oliver:

it is such a quick source of sugar.

Jeannie Oliver:

And so it makes people feel really bad.

Jeannie Oliver:

Mm.

Jeannie Oliver:

And they don't wanna do that again.

Jeannie Oliver:

You know, like, it's like a, it's like a bad night of drinking in college,

Jeannie Oliver:

and you're like, oh, shame on you.

Jeannie Oliver:

Right?

Jeannie Oliver:

And so you just, you, you kind of learn that it doesn't make you feel good.

Jeannie Oliver:

And so this is the same thing.

Jeannie Oliver:

So whether it's sugar, whether it's fried foods or chocolate, they realize

Jeannie Oliver:

it actually doesn't make me feel good.

Jeannie Oliver:

And that if that was their coping mechanism, they need to

Jeannie Oliver:

find another coping mechanism.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And now it, it frees them up to do that because they're not hitting that

Jeannie Oliver:

dopamine button anymore, at least while they're, where they're on it.

Jeannie Oliver:

And people are generally gonna be on it for long enough to learn

Jeannie Oliver:

other coping mechanisms and learn.

Jeannie Oliver:

That they don't need those foods and for some it's, binge eating.

Jeannie Oliver:

And so you can't binge eat on semaglutide.

Jeannie Oliver:

You just can't.

Jeannie Oliver:

Right.

Jeannie Oliver:

You're, you're not hungry.

Jeannie Oliver:

So it does slow your gastric emptying.

Jeannie Oliver:

which is why for some people, if they're prone to constipation, that's

Jeannie Oliver:

the first thing that we talk about.

Jeannie Oliver:

So it's slows your gastric emptying, you feel full longer.

Jeannie Oliver:

This is part of why people get reflux.

Jeannie Oliver:

They eat too much, so I counsel them too.

Jeannie Oliver:

Mm.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

Start with half, like, eat half of what you normally eat.

Jeannie Oliver:

Wait 20 minutes and see if you're still hungry, because you will

Jeannie Oliver:

feel bad if you eat too much.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Not indication that came in and said, you know, for three weeks in a row,

Jeannie Oliver:

I just had to finish that last bite.

Jeannie Oliver:

And I threw up.

Jeannie Oliver:

Oh, wow.

Jeannie Oliver:

And the next week it happened again.

Jeannie Oliver:

I just had to finish the last bite and I told myself I probably shouldn't, and I'm

Jeannie Oliver:

not hungry, but I'm so conditioned Yes.

Jeannie Oliver:

To clean the plate or, yeah.

Jeannie Oliver:

God, that's so common.

Jeannie Oliver:

Well, she did it for three weeks in a row, and then she said, I, I'm finally

Jeannie Oliver:

ready to tell myself I don't need to eat the last bite, because Yeah.

Jeannie Oliver:

That's not fun to eat too much.

Jeannie Oliver:

So for her, this is a lifetime of clean your plates, you know, and, and,

Jeannie Oliver:

and hearing that so damaging voice.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

And I think that this is a really interesting aspect to me because one

Jeannie Oliver:

thing that I've always encouraged my clients to do is to, what I call,

Jeannie Oliver:

create new rituals, create new sources of self-soothing, comfort, pleasure

Jeannie Oliver:

in your life that don't have to do with food or alcohol because mm-hmm.

Jeannie Oliver:

Look, our brains are hardwired to find pleasure in food so that we

Jeannie Oliver:

will keep eating and stay alive.

Jeannie Oliver:

There's, you know, we, we talk about food addiction, I think.

Jeannie Oliver:

I wanna clarify that a little bit because, you know, if I refer to food

Jeannie Oliver:

addiction, I'm talking about using food in a way that is detrimental.

Jeannie Oliver:

As humans, we are like, of course we have to eat, we are eaters,

Jeannie Oliver:

like this is part of being a human.

Jeannie Oliver:

We are naturally drawn to food.

Jeannie Oliver:

It is emotional, it should be pleasurable, it should be

Jeannie Oliver:

social, and all of these things.

Jeannie Oliver:

I mean, there's so many aspects to it, right?

Jeannie Oliver:

And so there's nothing wrong with that.

Jeannie Oliver:

But when it becomes something that we are using in a way that is harmful

Jeannie Oliver:

to our health or to us emotionally, that's when, we're tipping the skills

Jeannie Oliver:

into like, okay, this, this isn't as healthy relationship, it could be.

Jeannie Oliver:

And I think that this is really interesting because it can be really

Jeannie Oliver:

hard for people to voluntarily remove that source of pleasure and

Jeannie Oliver:

self-soothing, but because this, in this situation, They're not getting

Jeannie Oliver:

the effect of it, like you say.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

it almost forces them to be like, oh, here are these emotions, you

Jeannie Oliver:

know, here's what's going on.

Jeannie Oliver:

Because I know for me, I used to just not want to experience

Jeannie Oliver:

the unpleasant emotions.

Jeannie Oliver:

So what do we do?

Jeannie Oliver:

We anesthetize with whatever it's Yeah.

Jeannie Oliver:

And if we can't do that, we have to face that on some level and find out a

Jeannie Oliver:

another way, hopefully a healthier way.

Jeannie Oliver:

Right.

Jeannie Oliver:

And there is deal with it.

Jeannie Oliver:

This now global pandemic of loneliness.

Jeannie Oliver:

Yes.

Jeannie Oliver:

and this has just like, this research was published last

Jeannie Oliver:

week or something like mm-hmm.

Jeannie Oliver:

After the pandemic.

Jeannie Oliver:

And, and this is where it's like people's alcohol consumption just

Jeannie Oliver:

went through the roof and then Yeah.

Jeannie Oliver:

And then all of this, anxiety and depression and now the loneliness factor.

Jeannie Oliver:

And so feeding that with.

Jeannie Oliver:

Food, alcohol, what have you, is, is just a downward spiral.

Jeannie Oliver:

And I think that this helps people come out of that a little bit,

Jeannie Oliver:

whether it's semaglutide or some, some other kind of whatever you

Jeannie Oliver:

are doing in your practice, right?

Jeannie Oliver:

Like with counseling on the whole people are, are all one being, you know, yeah.

Jeannie Oliver:

This mind body, this, this one person.

Jeannie Oliver:

And so, that has to be part of the conversation, which is why

Jeannie Oliver:

buying some glut tide on Groupon is not going to help you, right.

Jeannie Oliver:

Address the root cause.

Jeannie Oliver:

It's just not Right.

Jeannie Oliver:

Right.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And so let's talk a little bit about the food piece of this, because you know, I

Jeannie Oliver:

always encourage people, and I know you do too, because we have such a holistic

Jeannie Oliver:

approach in, in our practices, it's not just about food, it's not just about

Jeannie Oliver:

getting treatment or a prescription, like we should be addressing mental health.

Jeannie Oliver:

and seeing the appropriate.

Jeannie Oliver:

Professionals are getting the support where we need it.

Jeannie Oliver:

so, you know, I would definitely encourage you if you're listening

Jeannie Oliver:

and you're someone that struggles with depression or anxiety, get that

Jeannie Oliver:

support for your mental health as well.

Jeannie Oliver:

Whether you are or not taking something like this, like I think that that's

Jeannie Oliver:

an important layer to include.

Jeannie Oliver:

so that said, moving on from there, let's talk about the nutrition piece a little

Jeannie Oliver:

bit because again, like one of my concerns with this was loss of, lean muscle mass.

Jeannie Oliver:

So how can people prevent that and, what are ways that they can

Jeannie Oliver:

make sure that they're eating an appropriate amount of not just

Jeannie Oliver:

calories, but getting that nutrient density that they need in their food.

Jeannie Oliver:

How do you address that?

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So my example back to, if you're gonna eat some chips on the way home from work,

Jeannie Oliver:

you're gonna be too full for dinner.

Jeannie Oliver:

Like have a half an avocado.

Jeannie Oliver:

That's, you know, if, if, if I had to choose, pick your nutrient dense food

Jeannie Oliver:

because you actually might be surprised in how not hungry you are for the next meal.

Jeannie Oliver:

So nutrient density is something that, you know, because I'm a naturopathic doctor,

Jeannie Oliver:

I've already talked about nutrition with all the patients, and so this is,

Jeannie Oliver:

it's not news to them that we're talking about nutrition and like you and like

Jeannie Oliver:

most nds we're, we are focusing on, you know, organics, non gmo, grass fed,

Jeannie Oliver:

things like that and not eating foods that you're allergic to or sensitive to.

Jeannie Oliver:

So, right.

Jeannie Oliver:

Um, so that's, that's kind of a base, that's sort of the, the

Jeannie Oliver:

low-hanging fruit in terms of health.

Jeannie Oliver:

And so that, Is, I'm generally just reminding most of my patients about that.

Jeannie Oliver:

But if a patient is new to me that I have to start from the beginning, right?

Jeannie Oliver:

With, here's what to eat, what not to eat for you if you wanna feel good.

Jeannie Oliver:

And so that, that takes some digging sometimes in terms of how they

Jeannie Oliver:

feel in terms, what they're eating.

Jeannie Oliver:

So, sometimes I send people to you for that.

Jeannie Oliver:

So, I do think that not losing muscle, that's a really tough question because

Jeannie Oliver:

it depends on how much semaglutide someone's gonna take and for how long

Jeannie Oliver:

and how much weight they have to lose.

Jeannie Oliver:

And I have to, I, I have to, I have to be the doctor in the room.

Jeannie Oliver:

So if this person is on the brink of a heart attack, yeah.

Jeannie Oliver:

I will choose losing weight first and building the muscle later if

Jeannie Oliver:

I had to choose one or the other.

Jeannie Oliver:

Sure.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Like, and, and there, there are patients where their cardiovascular.

Jeannie Oliver:

Risk factors are very high and they're not gonna lose weight rapidly in

Jeannie Oliver:

a dangerous way because if I have them on the right dose, they're

Jeannie Oliver:

gonna lose one to two pounds a week.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

That's a really healthy range.

Jeannie Oliver:

Monitor that.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

We're always monitoring that we're taking their weight every time or when they call

Jeannie Oliver:

in or they need another prescription.

Jeannie Oliver:

We we're always getting the weight and we have a body fat scale

Jeannie Oliver:

that tells us our lean muscle.

Jeannie Oliver:

Nice.

Jeannie Oliver:

what I think I'm gonna start doing, and I'm not doing right now because I

Jeannie Oliver:

just saw this patient yesterday, who has one of those scales at home that

Jeannie Oliver:

measures, you know, the biometrics.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And if you have a recommendation on that, Jeanie, I'd love to hear it.

Jeannie Oliver:

I just, because I can look at this guy's, his metrics from, from every day and

Jeannie Oliver:

like trends, it'll show me the trends.

Jeannie Oliver:

Whereas if, if I take it in the office every so often, it's not as good as if I

Jeannie Oliver:

have all of his data on his phone from, you know, where his muscle mass is at

Jeannie Oliver:

his, Visceral fat, things like that.

Jeannie Oliver:

and to answer that really quick before we keep going, I don't have a

Jeannie Oliver:

particular device that I recommend.

Jeannie Oliver:

What I typically do with my clients is I have them go and ac get an actual DEXA

Jeannie Oliver:

scan or body spec, some sort of scan that's gonna give them a really detailed,

Jeannie Oliver:

accurate body composition assessment.

Jeannie Oliver:

And then they can invest in one of the at-home product scales to kind

Jeannie Oliver:

of monitor it from there on out.

Jeannie Oliver:

And then maybe they go back for the more expensive, full-blown scan, you

Jeannie Oliver:

know, every six months or once a year, or, you know, possibly even quarterly,

Jeannie Oliver:

depending on what their goals are.

Jeannie Oliver:

But when they can get that really accurate baseline, they're able to

Jeannie Oliver:

kind of determine what's the percentage of, Error here, or what's the accuracy

Jeannie Oliver:

difference between this and my home scale?

Jeannie Oliver:

Cause if they can do that within a matter of days, they kind of know, oh, hey, if

Jeannie Oliver:

this told me I'm, you know, 35% body fat, and I get home and it says I'm 32, I know

Jeannie Oliver:

that there's about a 3% margin of error.

Jeannie Oliver:

And then they can go from there and kind of track that daily.

Jeannie Oliver:

So that's typically what I do on that.

Jeannie Oliver:

But I do think that those scales can be a really helpful ongoing tool.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

that's great.

Jeannie Oliver:

and I'm actually curious, so what kind of scan do you send

Jeannie Oliver:

them for, aside from a dexa.

Jeannie Oliver:

Oh, there's another, it's still a dexascan, but it's called Body Spec.

Jeannie Oliver:

So it kind of just depends the area that you're in and which, you

Jeannie Oliver:

know, which company is doing it.

Jeannie Oliver:

Um, okay.

Jeannie Oliver:

Yeah, I've heard of that.

Jeannie Oliver:

Um, shout out to Dexa Fit Seattle cuz I love those guys.

Jeannie Oliver:

They do a great job, but yeah.

Jeannie Oliver:

Okay.

Jeannie Oliver:

No, that's great because I have a coworker who, who sends people for

Jeannie Oliver:

that, and I only just heard about it this week, so actually I'm new to that.

Jeannie Oliver:

we are just using a tanita scale in the office.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And I don't know how accurate it is.

Jeannie Oliver:

I mean, I, I would like to find the most accessible, you know, accurate

Jeannie Oliver:

device that people can use on their own.

Jeannie Oliver:

not all my patients are in the state of Washington, so I can't

Jeannie Oliver:

always send them to a place.

Jeannie Oliver:

So that's, you know, one thing I'm curious about, many gyms

Jeannie Oliver:

will offer that service as well.

Jeannie Oliver:

there's one that's commonly used.

Jeannie Oliver:

I, I'll try to look it up and put it in the show notes.

Jeannie Oliver:

because I do think that that's a really important part is the muscle.

Jeannie Oliver:

and so counseling people on eating enough protein, of course, you know, solid,

Jeannie Oliver:

healthy protein sources and because they're gonna get full quick, I mean,

Jeannie Oliver:

I just, I wanna prioritize amino acids and, calories that are gonna be used

Jeannie Oliver:

to benefit their body, not just wasted.

Jeannie Oliver:

Which of course, again, is back to naturopathic medicine, natural medicine,

Jeannie Oliver:

like don't waste your calories.

Jeannie Oliver:

So, yeah.

Jeannie Oliver:

Um, people figure it out pretty quickly too, I think, when

Jeannie Oliver:

they're actually on semaglutide.

Jeannie Oliver:

so does that answer that question?

Jeannie Oliver:

It does.

Jeannie Oliver:

And I think the important difference to point out there is, in our

Jeannie Oliver:

typical sort of dieting world, we're told to just eat less.

Jeannie Oliver:

Oh, you can still eat all the foods you love, meaning

Jeannie Oliver:

processed, typically nutrient.

Jeannie Oliver:

devoid or empty calorie foods, so to speak, just eat less of it.

Jeannie Oliver:

Right.

Jeannie Oliver:

Okay.

Jeannie Oliver:

Well, the problem with that is that you're already not eating a particularly

Jeannie Oliver:

nutritious diet, and now you're just reducing the calories overall.

Jeannie Oliver:

So now you're getting even less nutrition because it there wasn't

Jeannie Oliver:

enough nutrition in the first place.

Jeannie Oliver:

So, I don't care what you're doing anytime that you're trying to lose

Jeannie Oliver:

body fat, gain lean muscle, you need to increase your protein.

Jeannie Oliver:

You need to make sure that what you're eating is actually feeding your body and

Jeannie Oliver:

giving you the nutrients that you need.

Jeannie Oliver:

But if you're gonna have a reduced calorie intake, it's even more crucial that

Jeannie Oliver:

you're not eating empty calorie foods.

Jeannie Oliver:

Right, exactly.

Jeannie Oliver:

And luckily, they're not gonna crave it as much because it's not

Jeannie Oliver:

gonna hit the dopamine button.

Jeannie Oliver:

Right.

Jeannie Oliver:

And so what I find is it's, it's sort of built in that people

Jeannie Oliver:

don't feel as good on those foods.

Jeannie Oliver:

the chocolate example, did you hear that one?

Jeannie Oliver:

There was a recent person, no, that was eats chocolate every day and

Jeannie Oliver:

was nauseous every day for the first maybe two weeks on semaglutide.

Jeannie Oliver:

And, you know, I thought this is weird because my patients never

Jeannie Oliver:

stay nauseous for every single day.

Jeannie Oliver:

Like, what is she doing?

Jeannie Oliver:

Stop eating the chocolate.

Jeannie Oliver:

And literally that day the nausea went away.

Jeannie Oliver:

I mean, your body is telling you, I don't, this doesn't make me feel good.

Jeannie Oliver:

That's so interesting.

Jeannie Oliver:

And is it because, I mean, we all know that that chocolate like cacao

Jeannie Oliver:

can be a, you know, it's definitely stimulates that dopamine production

Jeannie Oliver:

and or, you know, most people think, oh, it stimulates endorphins.

Jeannie Oliver:

That's what we hear.

Jeannie Oliver:

You know, it's an endorphin thing.

Jeannie Oliver:

And so is it that your body's getting kind of an overload of that so it doesn't want

Jeannie Oliver:

more or what's causing the nausea piece?

Jeannie Oliver:

I'm not sure I can answer that, but that is what I thought was so interesting

Jeannie Oliver:

about this particular person is that her go-to thing is chocolate.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And the body just said, I actually don't want that.

Jeannie Oliver:

And I have not had any patients in the last three, four years that have

Jeannie Oliver:

said I couldn't eat any chocolate.

Jeannie Oliver:

it's like there was some internal mechanism that knew

Jeannie Oliver:

that this is the thing Mm.

Jeannie Oliver:

That she has every single day.

Jeannie Oliver:

And all of a sudden that reward system of the brain just didn't want it anymore.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And I, I can't even explain the mechanism, but what I can say is that

Jeannie Oliver:

for each person, their vice, that is what becomes something they don't crave.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

That's fascinating.

Jeannie Oliver:

Feel good.

Jeannie Oliver:

So that, that I found was interesting because.

Jeannie Oliver:

We all have a vice.

Jeannie Oliver:

Yes, yes, that's true.

Jeannie Oliver:

Definitely.

Jeannie Oliver:

And I would, I would count chocolate as, although I don't know, chocolate for

Jeannie Oliver:

me is what I call a preemptive cheat.

Jeannie Oliver:

I can have really high cacao dark chocolate, which is

Jeannie Oliver:

relatively low sugar, you know?

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Comparatively to milk chocolate or something like that.

Jeannie Oliver:

and have a few pieces of it.

Jeannie Oliver:

And that just does the trick for me and it actually prevents

Jeannie Oliver:

me from wanting to go Yeah.

Jeannie Oliver:

Eat something that I might be tempted to go overboard with.

Jeannie Oliver:

You know, it's definitely not something where I'm like, oh my God, I can't, I

Jeannie Oliver:

can't wait to have my chocolate right now and I have to have lots of it.

Jeannie Oliver:

Right.

Jeannie Oliver:

That might be very different.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So, yeah.

Jeannie Oliver:

But that's a really interesting aspect of that's fascinating.

Jeannie Oliver:

so, you know, you mentioned like nausea.

Jeannie Oliver:

If people are eating these things that aren't necessarily ideal, are there any

Jeannie Oliver:

other limitations or side effects to semaglutide that we should know about?

Jeannie Oliver:

So when we're talking about the limitations, let's talk about the

Jeannie Oliver:

difference between semaglutide, which I'm talking about compounded semaglutide.

Jeannie Oliver:

So I use a compounded medicine and I can adjust the dose however I want.

Jeannie Oliver:

And I talk to my patients in terms of units, not in milligrams,

Jeannie Oliver:

because it's too confusing because they're, it's too similar.

Jeannie Oliver:

Once you look at an insulin syringe mm-hmm.

Jeannie Oliver:

They're like, am I talking milligrams?

Jeannie Oliver:

And, and it's, it's too confusing.

Jeannie Oliver:

So I speak to them in units, but they're dosing themselves at home.

Jeannie Oliver:

and I can start with the tiniest dose.

Jeannie Oliver:

Like it's literally like the tiniest amount of medicine.

Jeannie Oliver:

If they get nauseous on that first tiny dose, I might pull it back a little bit.

Jeannie Oliver:

And when you're dosing with one of these dosing pens, something that's, you know,

Jeannie Oliver:

covered by insurance or not covered by insurance, but you're getting ozempic,

Jeannie Oliver:

it's set as a certain milligram, right?

Jeannie Oliver:

So you get a, 0.25 milligram pen or a 0.5 milligram pen.

Jeannie Oliver:

The limitation is that that's where we're running into

Jeannie Oliver:

shortages, like drug shortages.

Jeannie Oliver:

And so for people who still want their ozempic, but they're out of

Jeannie Oliver:

a certain, like the manufacturers out for that time being mm-hmm.

Jeannie Oliver:

They'll just skip to the next highest dose.

Jeannie Oliver:

Oh boy.

Jeannie Oliver:

Okay.

Jeannie Oliver:

So there's no personalization with that, right?

Jeannie Oliver:

Right.

Jeannie Oliver:

That is, that's a huge limitation because some people will say, well, I'm not

Jeannie Oliver:

losing weight on 0.25 milligrams anymore.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So they'll, they'll maybe the 0.5 isn't available.

Jeannie Oliver:

They'll, they'll jump up to, oh my one milligram, or, and

Jeannie Oliver:

that could be a huge increase.

Jeannie Oliver:

That's huge.

Jeannie Oliver:

And I would never do that to a patient.

Jeannie Oliver:

I had a patient do it on accident once and it was not pretty.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

I mean, we need to make sure that the, dosing is very accurate and that's

Jeannie Oliver:

why we're checking it all the time.

Jeannie Oliver:

My patients on semaglutide generally have my cell phone number.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

and I wanna make sure that they're successful on it.

Jeannie Oliver:

Meaning what I tell them is, successful semaglutide management is weight

Jeannie Oliver:

loss at one to two pounds a week.

Jeannie Oliver:

If you're using it for weight management.

Jeannie Oliver:

Again, I'm not always using it for that.

Jeannie Oliver:

Sometimes I'm using it for brain protection, for cardiovascular

Jeannie Oliver:

disease, you know, insulin resistance outside of weight loss.

Jeannie Oliver:

And so, right.

Jeannie Oliver:

I say if you're using it for weight loss, effective dosing is one to two

Jeannie Oliver:

pounds per week and no side effects.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And yeah, you might have a little bit of nausea.

Jeannie Oliver:

I will prescribe them a Zofran for nausea, which they usually take one

Jeannie Oliver:

little tablet and the nausea's gone.

Jeannie Oliver:

So, you know, maybe when they dose again next week, it might come back for a half a

Jeannie Oliver:

day and it takes Zofran and it goes away.

Jeannie Oliver:

So I feel like that's pretty benign.

Jeannie Oliver:

I, I certainly don't wanna be, you know, a naturopath who prescribes a drug

Jeannie Oliver:

and then gives another drug for that.

Jeannie Oliver:

But when, what I do see is that the overall benefit to decreasing your

Jeannie Oliver:

insulin resistance, like for a better, cause we're doing something so healthy

Jeannie Oliver:

for your body that we're only using that sort of, take a drug for another

Jeannie Oliver:

drug only while we're titrating up.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

Until they get to their therapeutic dose and they're not gonna need that anymore.

Jeannie Oliver:

that's what I've seen.

Jeannie Oliver:

And so that titration is a really important, like three months or so.

Jeannie Oliver:

because those side effects can occur.

Jeannie Oliver:

so limitations for me.

Jeannie Oliver:

it, it's really about if something is not available, if they have

Jeannie Oliver:

ozempic and it's not available.

Jeannie Oliver:

So it's part of why I don't even prescribe ozempic, well, most of my

Jeannie Oliver:

patients would not get it covered.

Jeannie Oliver:

Let me just say that I don't even know if I have a single person in my practice with

Jeannie Oliver:

actual type two diabetes because I turn them around when they have pre-diabetes.

Jeannie Oliver:

Yes.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

You're preventing that in the first place.

Jeannie Oliver:

Right.

Jeannie Oliver:

And for people who don't know, just to clarify, um, what compounding

Jeannie Oliver:

means, so they're what we call compounding pharmacies, and they

Jeannie Oliver:

can actually put together the, you know, drug or whatever it is that

Jeannie Oliver:

you're using in a customized dose.

Jeannie Oliver:

Is that correct?

Jeannie Oliver:

that is accurate.

Jeannie Oliver:

So I can get whatever dose I want in, whatever, you know, milliliters I want.

Jeannie Oliver:

So how much of that drug do I wanna get and I can decide what the patient

Jeannie Oliver:

gets, not the insurance company and not the Walgreens pharmacy.

Jeannie Oliver:

Right.

Jeannie Oliver:

So you're paying out of pocket for it, but you're actually able to

Jeannie Oliver:

increase or decrease at a very specific personalized amount versus just

Jeannie Oliver:

jumping up to the next whatever, twice the dose or, or whatever it may be.

Jeannie Oliver:

Right.

Jeannie Oliver:

And they're paying out of pocket and it's, not even close to

Jeannie Oliver:

being the price Ozempic is.

Jeannie Oliver:

So I, wow.

Jeannie Oliver:

I mean, if I had to guess, I think Ozempic is 1100 a month.

Jeannie Oliver:

Oh my God, that's wild.

Jeannie Oliver:

Um, it used to be 1600, depending.

Jeannie Oliver:

Okay.

Jeannie Oliver:

Depends on which of them you're talking, you know, between Mago, bels,

Jeannie Oliver:

Ozempic, they're somewhere around there, you know, maybe 1100, maybe 1600.

Jeannie Oliver:

1300.

Jeannie Oliver:

semaglutide compounded is more like 200.

Jeannie Oliver:

So it's not, you're still paying less.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And you're getting everything that comes with that.

Jeannie Oliver:

If someone, like a naturopathic or functional medicine doctor is prescribing

Jeannie Oliver:

it, which is all the things that, that we're talking about, which is the,

Jeannie Oliver:

watching for side effects, appropriate dosing, detox, all of these things.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And it's just another reminder that how something is used and the context

Jeannie Oliver:

and the care that you're getting around it makes all the difference.

Jeannie Oliver:

Right, right.

Jeannie Oliver:

That's fascinating.

Jeannie Oliver:

when we talk about people that may need to use this, first of all, if someone starts

Jeannie Oliver:

using it, do they have to use it forever?

Jeannie Oliver:

And if not, like how do people navigate this when you're talking about long-term

Jeannie Oliver:

use or transitioning off of it?

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

That's a, that's a really good question, and that is one of the most popular,

Jeannie Oliver:

bashes I see on Ozempic and Semaglutide in the, in the news and Google.

Jeannie Oliver:

so I've had only a couple patients come off of it because they lost the weight

Jeannie Oliver:

they wanted to lose and they actually didn't wanna lose any more weight.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

And, well I guess probably more than that half, but this is, I'm talking in the

Jeannie Oliver:

last like two months, I mean, recently.

Jeannie Oliver:

So the people that I've worked with, we have access to a peptide,

Jeannie Oliver:

which is called cjc Epi Morelin.

Jeannie Oliver:

So we can, you know, talk that in another podcast.

Jeannie Oliver:

But it's a peptide that also helps weight loss by stimulating

Jeannie Oliver:

growth hormone, basically.

Jeannie Oliver:

So it helps you build muscle, muscle.

Jeannie Oliver:

So in the two patients most recently that have said, okay, I actually don't

Jeannie Oliver:

wanna lose any more weight, but what I'm really focused on is building more muscle.

Jeannie Oliver:

And I take cjc at Erlin, I really like it for it's an anti-aging peptide.

Jeannie Oliver:

Um, because I'm focused more on building more muscle.

Jeannie Oliver:

I don't actually wanna lose any weight.

Jeannie Oliver:

so then I've switched them to C J C because they want the anti-aging effect

Jeannie Oliver:

of peptides and, and they kind of maxed out on their semaglutide, I guess.

Jeannie Oliver:

So, so for me, switching, not that everybody has to switch to another

Jeannie Oliver:

peptide, but we need to do something to stimulate, and these are people

Jeannie Oliver:

that are exercising, I mean personal trainers, what have you, like exercising

Jeannie Oliver:

well, like really, on a very healthy level and have a great diet and mm-hmm.

Jeannie Oliver:

And a good supplement routine, like everything.

Jeannie Oliver:

Um, but they just want a little bit of like oomph on, on anti-aging

Jeannie Oliver:

and, and really we do a lot of anti-aging in the clinic.

Jeannie Oliver:

and so yeah, increasing muscle is anti-aging an absolutely, or

Jeannie Oliver:

I should say pro, Healthy aging.

Jeannie Oliver:

Right.

Jeannie Oliver:

And, like you and I were saying, and when we were talking in the beginning is

Jeannie Oliver:

that, muscle is the currency of health.

Jeannie Oliver:

Yes, absolutely.

Jeannie Oliver:

This is like the motto of the peptide company.

Jeannie Oliver:

So where most of my education comes from is my boss, Dr.

Jeannie Oliver:

Cynthia Keller, who is a triple board certified functional

Jeannie Oliver:

medicine MD pediatrician.

Jeannie Oliver:

and she works for Dr.

Jeannie Oliver:

Seeds, who is sort of the head honcho of all peptides.

Jeannie Oliver:

So if you look up Dr.

Jeannie Oliver:

Seeds or you watch any of his videos, you'll, you'll find out that

Jeannie Oliver:

anyone who's learned about peptides either learned directly from him

Jeannie Oliver:

or someone who learned from him.

Jeannie Oliver:

And the, the book he wrote is called Peptide Protocols.

Jeannie Oliver:

So yeah, so everything that, that I know has come directly downstream from Dr.

Jeannie Oliver:

Seeds to Dr.

Jeannie Oliver:

Keller.

Jeannie Oliver:

and then she teaches us in the clinic about really healthy.

Jeannie Oliver:

Management of peptides, meaning it has to be utterly safe before

Jeannie Oliver:

we're gonna give anybody a peptide.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Like that is number one.

Jeannie Oliver:

Because as we are seeing with semaglutide, this is like unsafe

Jeannie Oliver:

management of peptides and mm-hmm.

Jeannie Oliver:

And drugs, frankly.

Jeannie Oliver:

it's kind of abuse of, power.

Jeannie Oliver:

well it's greed, right?

Jeannie Oliver:

I mean, anytime that there's like potentially a miracle weight loss

Jeannie Oliver:

drug, I mean, everyone's gonna be like, money, money, money.

Jeannie Oliver:

They see the dollar signs and that's a huge driver for that, right?

Jeannie Oliver:

Right.

Jeannie Oliver:

Yeah, no, absolutely.

Jeannie Oliver:

And, the way that we dose peptides is like, we do one peptide at a time.

Jeannie Oliver:

We get really good at it.

Jeannie Oliver:

We make sure the safety, Profile is of the utmost importance.

Jeannie Oliver:

And, and then we see, okay, if, if we're using this on all of our patients

Jeannie Oliver:

for, you know, whatever autoimmunity, like, let's see how it works.

Jeannie Oliver:

And so we have in increased the number of peptides that we've used over time

Jeannie Oliver:

by focusing on one at a time and, you know, spreading it out, all using it on

Jeannie Oliver:

our patients and then coming back as a team and saying, here's what worked and

Jeannie Oliver:

here's when it didn't work, and here's when it really worked and here's the

Jeannie Oliver:

dosing that's best because mm mm-hmm.

Jeannie Oliver:

You know, peptides are not new.

Jeannie Oliver:

They've been around a hundred years.

Jeannie Oliver:

I mean, insulin is a peptide.

Jeannie Oliver:

It's been around for a hundred years.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So like, it's not new.

Jeannie Oliver:

They're used in, in all over Europe.

Jeannie Oliver:

I mean, if you have a stroke and you live in, Germany, you're gonna get

Jeannie Oliver:

a peptide infusion in the hospital.

Jeannie Oliver:

I mean, this is not new science at all, right?

Jeannie Oliver:

It's we're just late to the game here in the us and.

Jeannie Oliver:

Peptides are naturally occurring in the body.

Jeannie Oliver:

Correct?

Jeannie Oliver:

Absolutely.

Jeannie Oliver:

So this is just using them therapeutically, right?

Jeannie Oliver:

there's isolating them and using them, right?

Jeannie Oliver:

Yeah, exactly.

Jeannie Oliver:

There's strings of amino acids, not long enough to be a protein.

Jeannie Oliver:

Got it.

Jeannie Oliver:

Right.

Jeannie Oliver:

So the Yeah, natural, I mean like made in your body.

Jeannie Oliver:

So this is not, this is why as a naturopathic physician, I feel

Jeannie Oliver:

like, I can still call myself a naturopath, even though this is

Jeannie Oliver:

a description I might be writing.

Jeannie Oliver:

There's a, you know, there's a lot of things I have to think about.

Jeannie Oliver:

I, I want to do like nature cure medicine.

Jeannie Oliver:

I also need to live in the current time, you know, in 2023 where

Jeannie Oliver:

we have a lot of toxic exposure.

Jeannie Oliver:

And you know what, 80,000 chemicals in circulation, only a couple hundred unreal

Jeannie Oliver:

have actually been tested for safety.

Jeannie Oliver:

Like, yep.

Jeannie Oliver:

That's where the, the missing.

Jeannie Oliver:

Pieces is this is the safety of all these chemicals that we're

Jeannie Oliver:

inhaling and, you know, eating and absorbing our skin every day.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And I think when we bring that back to the concept of, of fat loss and

Jeannie Oliver:

excess weight and obesity, you know, it, this is not about fat shaming.

Jeannie Oliver:

This has to do with the fact that excess fat in itself can be inflammatory.

Jeannie Oliver:

Absolutely.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Right.

Jeannie Oliver:

So, you know, we don't want that, I mean, on the most baseline level, if

Jeannie Oliver:

we can look at it as just adding extra stress to your joints, it's not healthy.

Jeannie Oliver:

Like the body doesn't really want that.

Jeannie Oliver:

Right, right.

Jeannie Oliver:

So, doing what's healthiest for our bodies, this doesn't mean like, you're

Jeannie Oliver:

gonna be unhealthy if you have an extra handful of pounds on, like we're talking

Jeannie Oliver:

about, you know, more extreme cases.

Jeannie Oliver:

so anyway, that's a whole other conversation, but I just think it's

Jeannie Oliver:

important to point out that this is not about fat phobia at all.

Jeannie Oliver:

No, no.

Jeannie Oliver:

Not at all.

Jeannie Oliver:

And like I said, I'm looking at the labs.

Jeannie Oliver:

Exactly.

Jeannie Oliver:

That person can decide if they want.

Jeannie Oliver:

Yep.

Jeannie Oliver:

If they're coming to me for weight loss, that's, that's really up to them.

Jeannie Oliver:

I'm just trying to help them be more healthy in the most

Jeannie Oliver:

healthy way that we can do it.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Which is why I don't just willy-nilly write a prescription for semaglutide.

Jeannie Oliver:

And I have a patient I checked in with today who came to me for Semaglutide

Jeannie Oliver:

and I said, you're not a candidate for Semaglutide until you do a detox and

Jeannie Oliver:

I'm gonna walk you through the detox.

Jeannie Oliver:

I'm gonna hold your hand.

Jeannie Oliver:

I'm gonna talk to you every week about the symptoms you're having.

Jeannie Oliver:

And, today she said, you know, I was having these really bad headaches when

Jeannie Oliver:

I started the liver aspect of the detox.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

And I said, well, okay, we're gonna stay on the liver.

Jeannie Oliver:

Yep.

Jeannie Oliver:

Um, this is someone who was a former drug user and, We're staying on that

Jeannie Oliver:

liver detox until you don't have any more symptoms, because that means

Jeannie Oliver:

that your liver is really working hard right now to, to clean up shop.

Jeannie Oliver:

Right.

Jeannie Oliver:

And, um, so we're gonna go slower on the detox, but once we finish this detox,

Jeannie Oliver:

which, you know, started at six weeks, but for her manned up being three months, then

Jeannie Oliver:

that semaglutide is gonna go a lot better.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And, that's really what it's about.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

I, I love that Emily.

Jeannie Oliver:

I love that there's this whole different perspective on this, and I think it's

Jeannie Oliver:

really, really crucial that people understand the differences there.

Jeannie Oliver:

it's the same reason that if someone comes to me and I can see that they're a

Jeannie Oliver:

totally healthy body fat percentage and they wanna lose 30 pounds or something,

Jeannie Oliver:

like No, like if you wanna address body image issues and your relationship with

Jeannie Oliver:

food and you know, your mindset, awesome.

Jeannie Oliver:

You know, if you wanna really like dial in to eating healthfully and working

Jeannie Oliver:

out in a way that, you know, promotes optimal health in your body, great.

Jeannie Oliver:

We can talk about that.

Jeannie Oliver:

But I'm not going to just jump in and do the weight loss piece

Jeannie Oliver:

when, that's not necessarily where, where one needs to start.

Jeannie Oliver:

That's not really the issue.

Jeannie Oliver:

That's just Right, right.

Jeannie Oliver:

A symptom of other things.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

That's, that's amazing.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So, share any tips for people who may not have access to someone like you or care

Jeannie Oliver:

like you, but maybe they have sort of tried everything and are really, I have

Jeannie Oliver:

one client, for example, who has been, and obviously, you know, I am not a doctor.

Jeannie Oliver:

I don't diagnose and treat.

Jeannie Oliver:

I address things like lifestyle and nutrition and movement.

Jeannie Oliver:

so I'm not in a place where I would be prescribing anything like this

Jeannie Oliver:

or even recommending it to people.

Jeannie Oliver:

But she definitely is someone who I would refer to you.

Jeannie Oliver:

and she would be, I think, in the ideal candidate.

Jeannie Oliver:

But for people who maybe don't have access to functional medicine,

Jeannie Oliver:

naturopathic doctors, I'm using her as an example because she's seen

Jeannie Oliver:

regular MDs, her doctors within the mainstream insurance system and they

Jeannie Oliver:

keep trying to push this on her.

Jeannie Oliver:

But they are not doing any of these detox protocols beforehand.

Jeannie Oliver:

They are doing probably pretty high dosage, treatment straight out the gate.

Jeannie Oliver:

So what would your tips be for people that are in that position?

Jeannie Oliver:

if they don't have access to getting it and working with someone like you,

Jeannie Oliver:

that's gonna take this more whole person, holistic approach to the treatment.

Jeannie Oliver:

but maybe, you know, it is something that they could benefit from.

Jeannie Oliver:

okay.

Jeannie Oliver:

So I can't prescribe outside the state of Washington.

Jeannie Oliver:

Right?

Jeannie Oliver:

So I see patients in other states and I do detox, I do all kinds of things,

Jeannie Oliver:

but I, I only have a medical license in the state of Washington, so I

Jeannie Oliver:

can't prescribe outside of Washington.

Jeannie Oliver:

but I see patients for detox, for weight loss, things like that.

Jeannie Oliver:

so I'll, put them through the toxin solution detox.

Jeannie Oliver:

So your question is a little bit opposite.

Jeannie Oliver:

It's kind of, Well, let's just say that they can get semaglutide, but not a

Jeannie Oliver:

functional medicine or, or a naturopathic doctor who's gonna do a detox protocol.

Jeannie Oliver:

I would still say go out and buy the toxin solution and do it.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

It's, it's meant for people.

Jeannie Oliver:

It's not meant for doctors.

Jeannie Oliver:

It is meant for the lay person, and it is a step-by-step detox.

Jeannie Oliver:

Safe for everyone.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

It means safe for everyone.

Jeannie Oliver:

He wrote this book for everyone, and it's not like, take this supplement

Jeannie Oliver:

with this brand name on it.

Jeannie Oliver:

It is, here's the nutrients that you're gonna need for the liver

Jeannie Oliver:

portion of this, and it is gonna be like n a c 600 milligrams,

Jeannie Oliver:

vitamin C one gram twice a day.

Jeannie Oliver:

So that doesn't have a name of a, a supplement company on it,

Jeannie Oliver:

because he knows that that book, you know, in 50 years, that's gonna be

Jeannie Oliver:

irrelevant because those supplements.

Jeannie Oliver:

Might not be around.

Jeannie Oliver:

So it's so that you can go and get those.

Jeannie Oliver:

Because now we have access to, we can get anything on online now, right?

Jeannie Oliver:

So you can, yeah.

Jeannie Oliver:

Not that I ever want my patients to buy supplements on Amazon, but this is not it.

Jeannie Oliver:

Right?

Jeannie Oliver:

We're right.

Jeannie Oliver:

But if we were talking to someone who really wanted to do a, a solid

Jeannie Oliver:

job of like prepare for the weight loss and do the protocol, like I'm

Jeannie Oliver:

recommending it, people can do that.

Jeannie Oliver:

They can just buy this book and go.

Jeannie Oliver:

Chapter by chapter, and he explains why, why are you taking

Jeannie Oliver:

vitamin C during a liver by detox?

Jeannie Oliver:

Why are you trying to eat more beets and sunflower seeds and leaky greens?

Jeannie Oliver:

What do those do for the liver?

Jeannie Oliver:

And he explains every single recommendation.

Jeannie Oliver:

And Joe Pizzorno's focus is research-based, right?

Jeannie Oliver:

Which is, you know, evidence-based, research-based medicine about

Jeannie Oliver:

environmental detox, endotoxins.

Jeannie Oliver:

You know, he talks about what is an endotoxin?

Jeannie Oliver:

Why do people with the most insulin resistance have the most endotoxins?

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

Right?

Jeannie Oliver:

This is a huge correlation there.

Jeannie Oliver:

So the book is written for people who know nothing about health.

Jeannie Oliver:

I've never seen a naturopath, have never done functional medicine.

Jeannie Oliver:

So that's my recommendation.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Cool.

Jeannie Oliver:

Well, and I'll throw in a shameless self plug here too, that I do.

Jeannie Oliver:

It's shorter.

Jeannie Oliver:

It's only 21 days, but I do a 21 day.

Jeannie Oliver:

My reboot, your about detox is, is following essentially

Jeannie Oliver:

those same principles.

Jeannie Oliver:

I would say it's even maybe a step before that.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

It's a good primer for that.

Jeannie Oliver:

That just gets people to shift what they're eating in a way that

Jeannie Oliver:

supports those organs of detox and helps to kind of open those, those

Jeannie Oliver:

pathways and a really gentle way.

Jeannie Oliver:

and, offer supplements through that as an option.

Jeannie Oliver:

People don't have to do it, it's really just a food-based approach,

Jeannie Oliver:

but I use pretty much his, I mean, that's kind of the protocol that I'm,

Jeannie Oliver:

that I've built it on for the very reason that, you know, you're right.

Jeannie Oliver:

It works, it's tried and true, it's evidence-based.

Jeannie Oliver:

Um, so that's something that you could do too, whether it's with me or someone else

Jeannie Oliver:

that's taking a really, nutrition-based or food-based approach from this, because

Jeannie Oliver:

I think people may have a hard time doing some of those things if they're.

Jeannie Oliver:

Eating a standard American diet out the gate.

Jeannie Oliver:

So, you may approach something that's a little bit more of a

Jeannie Oliver:

gentle shift in what you're eating.

Jeannie Oliver:

and even just, you know, lifestyle shifts, like your stress, what

Jeannie Oliver:

kind of exercise that you're doing.

Jeannie Oliver:

Like, I don't let people do really heavy strenuous exercise when they're

Jeannie Oliver:

detoxing because often it just kind of works against 'em and they can

Jeannie Oliver:

feel really just depleted and awful.

Jeannie Oliver:

so anyway, I just wanted throw that in there, but yeah.

Jeannie Oliver:

being followed by someone is ideal.

Jeannie Oliver:

Like not doing it on your own.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

You know, so since everyone has access to you, that's amazing because you

Jeannie Oliver:

addressed the exercise piece as well, which doesn't happen in the book.

Jeannie Oliver:

That's mainly about supplements and food and other ways to detox, like

Jeannie Oliver:

skin brushing and sauna hydrotherapy, massage, things like that.

Jeannie Oliver:

So, yeah.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And hey, if we can do it, all of it, awesome.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Well that's fantastic.

Jeannie Oliver:

So, God, you shared so much great information today.

Jeannie Oliver:

Is there anything else?

Jeannie Oliver:

So in addition to the detox piece before they start something like this, what about

Jeannie Oliver:

when somebody wants to titrate down off of something or stop using it eventually?

Jeannie Oliver:

Like let's say that they get to their goal weight and they're like,

Jeannie Oliver:

okay, kind of done with this now.

Jeannie Oliver:

And maybe they can't do another peptide option, but they're like,

Jeannie Oliver:

okay, I just wanna get off of this.

Jeannie Oliver:

I can't pay for it anymore.

Jeannie Oliver:

Um, what would you recommend for them in that scenario?

Jeannie Oliver:

Right.

Jeannie Oliver:

So I usually have them titrate down, like let's say they got up to 20 units.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

I try to talking units to my patients cuz that's how we roll.

Jeannie Oliver:

So they might go back down to 10 units.

Jeannie Oliver:

And then they might go every other week until they're slowly off of it.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

It's really just a slow titration off.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Um, just gradually reducing the dose.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Right.

Jeannie Oliver:

Because, if they do stop cold Turkey, that might not be good for them.

Jeannie Oliver:

They might see, because we're talking brain chemistry in some of this, right.

Jeannie Oliver:

With, with dopamine.

Jeannie Oliver:

Like, I wanna make sure that they can maintain, their

Jeannie Oliver:

healthy lifestyle and diet.

Jeannie Oliver:

And so I'm gonna see them regularly during that weaning off phase.

Jeannie Oliver:

So, um, so that's how I've recommended patients sort of come off of it.

Jeannie Oliver:

you know, I've had patients stop cold Turkey and it wasn't, it wasn't

Jeannie Oliver:

terrible, but, some of those people really, the people that didn't see the

Jeannie Oliver:

benefit in semaglutide never used it.

Jeannie Oliver:

Right.

Jeannie Oliver:

You, you can make the best.

Jeannie Oliver:

Treatment plan for your patient, but if they don't do it, it's not gonna work.

Jeannie Oliver:

Right?

Jeannie Oliver:

Yeah, exactly.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

So, so there's people who have said, well, I have my semaglutide,

Jeannie Oliver:

it's still in the fridge.

Jeannie Oliver:

I haven't used it.

Jeannie Oliver:

So yeah, those people have stopped cold Turkey, but they didn't

Jeannie Oliver:

actually really regularly use it.

Jeannie Oliver:

so I'm generally doing a weaning off approach.

Jeannie Oliver:

And, I haven't not seen this big influx of weight come back mm-hmm.

Jeannie Oliver:

On anyone.

Jeannie Oliver:

So the, the fact that that is the big thing that they're going to

Jeannie Oliver:

highlight on the news, you know, How long were those people on it?

Jeannie Oliver:

And did anyone give them any dietary counseling or, you know, right.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Did anything actually change during the time that they were on it or are

Jeannie Oliver:

they going back immediately to the lifestyle that they were living, the

Jeannie Oliver:

diet they were eating previously.

Jeannie Oliver:

one other quick thing, cause I know we're running out of time and I

Jeannie Oliver:

wanna be respectful of your time, but one thing that we men or you

Jeannie Oliver:

mentioned to me is the H C G diet.

Jeannie Oliver:

And I would love for you to just tell us your opinion on that, because

Jeannie Oliver:

that's something that I just, it just made my skin crawl when it was like

Jeannie Oliver:

the big thing and a lot of doctors were pushing it, even naturopaths.

Jeannie Oliver:

And I just, it never sat well with me.

Jeannie Oliver:

And I'd love to hear your take on that kind of, in a comparison,

Jeannie Oliver:

lens to what we're talking about now with the semaglutide.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And I wanna be clear, I definitely don't recommend H C G at all and, never have

Jeannie Oliver:

and never really quite understood why my people were prescribing it anyways.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

what I have seen a 100% is that people that have done H C G, and I'm not

Jeannie Oliver:

saying this is for a hundred percent of people, but for the a hundred percent

Jeannie Oliver:

of the people that I've seen do it Right, they've gained the weight back.

Jeannie Oliver:

Yep.

Jeannie Oliver:

I've seen the same.

Jeannie Oliver:

Which to me, the the, the name for that is just yo-yo dieting.

Jeannie Oliver:

Exactly.

Jeannie Oliver:

That is not metabolism, caloric restriction and muscle loss.

Jeannie Oliver:

Yep.

Jeannie Oliver:

So it's a no for me.

Jeannie Oliver:

a hundred percent, there's no comparison to me for, I mean, that the whole goal

Jeannie Oliver:

is just caloric restriction, aside from changing your, your, your brain chemistry.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

And that's coming at it from a true just appetite suppression period.

Jeannie Oliver:

Nothing else, no other benefit that does not have these cardiometabolic

Jeannie Oliver:

effects and the benefits that we see with some glut at all.

Jeannie Oliver:

It's not improving your insulin resistance, it's not improving

Jeannie Oliver:

your overall health, your heart function, your vessels, your

Jeannie Oliver:

brain, your gut, your inflammation.

Jeannie Oliver:

I mean, semaglutide does all of that.

Jeannie Oliver:

So yeah.

Jeannie Oliver:

Awesome.

Jeannie Oliver:

Thanks for clarifying that.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

I think that's, that's an important thing.

Jeannie Oliver:

so tell us more about where people can find you and I know you work in a

Jeannie Oliver:

concierge practice, so who can see you assuming that they're in Washington state.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

Um, and if not, if there's anything else that you recommend they check out.

Jeannie Oliver:

Um, Yeah, so I'm at a concierge clinic called Centered in

Jeannie Oliver:

Wellness in Kirkland, Washington.

Jeannie Oliver:

And, uh, this is concierge.

Jeannie Oliver:

So you pay a monthly fee to join the clinic and be a member, and then you

Jeannie Oliver:

have access to the services, if you don't want the pediatric services.

Jeannie Oliver:

So that's a, that's another part of the practice.

Jeannie Oliver:

So Dr.

Jeannie Oliver:

Keller sees pediatric patients.

Jeannie Oliver:

Uh, her concierge fee is more, and there's quite a long wait list.

Jeannie Oliver:

Mm-hmm.

Jeannie Oliver:

Um, but to be a member and to be not part of the pediatric practice,

Jeannie Oliver:

you have access to everything else.

Jeannie Oliver:

We do a lot of, like I said, longevity medicine, anti-aging.

Jeannie Oliver:

I do a lot of detox, chronic infections like yeast,

Jeannie Oliver:

parasites, uh, SIBO if you will.

Jeannie Oliver:

I do a lot of body work.

Jeannie Oliver:

I still, specialize in physical medicine injuries.

Jeannie Oliver:

Things like that.

Jeannie Oliver:

and, we have neurofeedback, we have bio sound, which is, treatment for, anxiety.

Jeannie Oliver:

P T S D, insomnia.

Jeannie Oliver:

and we have massage and we have acupuncture.

Jeannie Oliver:

So, if you wanted to come to the clinic, that's what we do.

Jeannie Oliver:

And, I do bill insurance here, but I also, it's also a concierge rate.

Jeannie Oliver:

my own and operate a nonprofit called Allow Healing.

Jeannie Oliver:

And this is my weekend job.

Jeannie Oliver:

So I see patients in all your free time.

Jeannie Oliver:

You're amazing woman.

Jeannie Oliver:

Um, free time when I'm not with my kids.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

and, uh, I see patients across the country.

Jeannie Oliver:

On telemedicine only.

Jeannie Oliver:

So I don't bill insurance.

Jeannie Oliver:

I'm cash based, but I am a nonprofit, which means, uh, my

Jeannie Oliver:

rates are pretty affordable.

Jeannie Oliver:

And, so I, I function a little bit more as a, if I see you outside the state

Jeannie Oliver:

of Washington, I'm not functioning as a doctor because I, I, again, I right

Jeannie Oliver:

license, but I am more of a health coach.

Jeannie Oliver:

but I do detoxes and, and supplements and I, I treat a lot of mold toxicity.

Jeannie Oliver:

We didn't even talk about that cuz we don't have to.

Jeannie Oliver:

But, one of my specialties is mold illness.

Jeannie Oliver:

Yeah.

Jeannie Oliver:

Mold toxicity, and everything that comes along with that.

Jeannie Oliver:

So, it's another episode I'd love to do.

Jeannie Oliver:

Those are, those are the, the, the two places you can find me.

Jeannie Oliver:

Awesome.

Jeannie Oliver:

Cool.

Jeannie Oliver:

Well thank you so much for taking the time to talk with us today.

Jeannie Oliver:

This has been so enlightening and interesting and hopefully

Jeannie Oliver:

super helpful for all of you out there who are curious about this.

Jeannie Oliver:

Um, I feel like it's on everybody's radar at this stage.

Jeannie Oliver:

and now you are armed to come at it with.

Jeannie Oliver:

The right mindset and tools and hopefully at the right team.

Jeannie Oliver:

So thanks Dr.

Jeannie Oliver:

Emily, and thanks for joining us today, everybody, and we'll see you next time.

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About the Podcast

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The Nutrition Edit

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About your host

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Jeannie Oliver

Jeannie is a Certified Nutrition Coach, NASM Personal Trainer and classically trained chef. She helps high performing women improve their overall health, optimize their energy and performance, and discover what it's like to feel good in their own skin - all while enjoying delicious food and creating sustainably healthy lifestyles.