All right, thanks for tuning into the Barble Medicine Podcast.

This is episode number 27, part 2 with Spencer Nodolsky.

If you haven't listened to part number 1 yet, check out the show notes.

I've linked it there and hope you guys enjoy the show. Sometimes they come in and they've, you know, they've tried many diets. They're 400 pounds and you can just,

just talking to them like you get an idea. Do you to try again we can try more different medicines and they're kind of like I don't know those are the people it's like look they've tried and they failed so much you

You don't want to put him through that here. Here's something that's like an X factor.

The patients that become, I don't want to say obsessed, but borderline obsessed, meaning that they buy in so

much that it doesn't overtake their lives, but they just, it's a big part of their lives now. They love fitness. Those are the ones that do extremely well.

Well, it's because we're the people, we see the people who that stuff doesn't work for.

The people who that doesn't work for don't come to us for stuff, you know?

Yeah, exactly.

I think it's the way of the future.

I think we're kind of on that forefront of making it seem kind of sexy.

You know, barbell medicine, you know, like people, I think, you know, and even Cross Fit,

you know, they're coming out with their Cross Fit health thing,

and you know, I don't necessarily agree with all their messages, but they're putting, they're trying to get all physicians to Cross Fit certified if they want to. I don't know if it comes with a fee, but I know that's their initiative.

I don't think it's a bad thing getting, you know, physicians into exercise. Do you have like a top three like medications that you actually like because our

listenerships probably not familiar with with the the medications that are being used in this situation.

Yeah, top three. Number one would be something called Cusimia, which is a combination of Fentramine and Pyrami.

Unfortunately the company that made this vivis or vivis, I don't know how you say it.

I think they're going to go, I think they're going out of business.

So a lot of times use Fentramine monotherapy first to make sure that they tolerate it, about a half a tab around 15 milligrams.

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