20 Years to Gain. 12 Months to Lose.

20 Years to Gain. 12 Months to Lose.

20 Years to Gain. 12 Months to Lose.

Check out the video on 20 Years to Gain. 12 Months to Lose..
Hello everyone welcome to Tuesday night it's Dr baz and we are live here on YouTube I am going to pick up this week where I left off last week talking about set points and why they are so important in your weight loss Journey it is a critical step that is not often talked about really difficult to explain when you get into the endocrine and chemistry.

Side of it and there are all kinds of obstacles like psychological issues that play into this uh before we do that we're going to start with some traditions which is checking my numbers I am uh happy to say that I've done a great job on my fast I did peek at my numbers right before this and they were.

Not great I mean my glucose was great but my ketones are just in the drink I think it might have to do with stress I am launching a big uh big start date tomorrow and I know it's been keeping me awake so I am sure that even though my glucose is 51 and ketones are counting down here ah there we go uh I love seeing how all of you are checking in.

And where you're from it really does help me uh just to get to know the ones that show up yeah it was 0.6 about 10 minutes ago and 0.7 doesn't surprise me but this was about 59 59 or 60. so it's on the drop which usually means these are going to be on the rise so if I would do nothing between now and the end of the show which is when I recheck them.

I'm pretty sure these would rise but um who knows depends on if my slides work and if I have any stress during the show I suppose during the show I am going to drink some water plus um my new favorite thing which does not have anything in it except ketones um I don't do this any other time uh during a fast because I'm usually pretty.

Good at my fast actually I did do it this time I got I got really irritated yesterday and instead of eating I added some ketones all right so um I keep popping these open and getting them um last time it got me in the eye so I'm.

Just using a scissors while in front of everybody so that that doesn't happen again all right and it is lemony so if you guys do not like lemon um be careful with this uh it is also pure ketones they are liquid ketones nothing else I designed this to strengthen the other uh ketones in a can the.

Powdered ketones because you can only get them so sour before newbies just can't deal with it they are still used to the sweet stuff so I like to put this in the Ketone powders when I need some when I want something sweet and I just like it more sour more tart than I did that's a not an uncommon thing for uh for for keto people to like it more sour.

Just looking at some of the folks from Cocoa Beach I actually uh drove up to almost to Cocoa Beach yesterday or this past weekend we were coming home from a wrestling tournament and said oh my gosh that lady Mary comes to uh see us every well several Tuesdays out of the month for our support groups here at eight o'clock in the morning and when I saw.

How far away Cocoa Beach in Florida is from Tampa I had a higher level of respect even more I know I looked at it on the map but it was just it was a long ways every Tuesday we're going to mention Mary and her story a little bit in our in our slides tonight but several other folks checking in from where you're at I love.

To see that hi to the midwesterners my my people and without delay four minutes after we are getting into the message because this is a ton of information and I do want to get through it uh I am I'm very interested in uh trying to see if this message connects with you like I think it will so uh let me get over to my iPad.

Yeah there you go and this time my pencil does work just checking there yeah good deal all right so we are going to start with this this concept that when people lose weight and they come in to see me um they and I will ask them about well what is your weight loss over the last um or what is your weight gain excuse me.

Over the last several years and if they're uh 38 years old or North so let's just get into those late 30s early to mid 40s and you've got they've got a weight problem um I'll ask them well how how did the weight problem come about where is that um uh where are you in the lineup for how your weight has been over the last.

Decade and they'll say Doc you know there is a time or two in my life where the weight shot up by about 10 pounds but other than that it is this gradual process and when when you ask them to map it out um they they look at their weight gain as this rather steady line many times they can identify like a spot.

Um uh let's see here a spot or two uh where they've they can they know that stress impacted their weight gain but for the most part they're like a few pounds every year it just gradually came on this is what happened and if you look at several of the studies that track people really well like the nurses health study or.

Um the cohorts that are not just a recollection in in patients brain but actually measuring their weight over time uh we know that weight gain is not uh what they think it is this is the reality of weight gain that they will start out with uh that High School weight usually they can all remember what they were or what approximately.

What they were at the time when they graduated high school and when that graduation um happened uh they often a few months later went to college or at least left home it's in that Freshman 15 that it's not an accident that is usually about what happens when uh they don't have.

Anybody regulating their food and God forbid they're eating college food which is all isn't it all ramen noodles and all processed carbs but they'll gain that weight at the beginning of their college career and then it's quite stable it is quite stable and it's during this phase that we are going to spend time educating you.

What's happening there what went on when they weren't noticing they tried to lose a little weight and maybe it went down a little bit but it it returned back to a baseline that is pretty predictable and the next thing that usually happens is they graduate from college a few years later and another 15 pounds happen and so now they're up 30 pounds from where.

They were but honestly they kind of look like everybody else they look like everybody at the workforce in fact they're usually the younger ones so they look pretty lean compared to the rest of the workforce and if you look around America that's true uh next that happens is a stress happens where they say I'm going to get married and in that.

Marriage they will they'll they'll work for uh the weight loss that they know there's another important picture in life coming they're not just girls boys and girls want to look good at that wedding picture and they will work to lose weight um but right after that weight loss comes this uh Return of the weight that.

Was there originally and then usually some more and the next stressor can be a house and the next one's a kid and the next one's a sick parent or they got ill or they lost their job they are when tracking what happens during weight gain it is a burst of waking and then a plateau a burst of weight gain and then a plateau and that isn't.

Um uh it isn't fair but it is true um not anywhere close to what happens with what what their memory of was it their memory was of it and that is a rather oh this was gradual doc a few a few pounds each year so this is compared to how people will Market.

What the way weight comes off and almost all of the advertisements are at least two pounds a week our program doesn't just lose one pound a week it loses two pounds a week our coaching is so many dollars per year you can buy for the whole year we're going to stick with you till it's until you're at your goal weight.

And UNF and usually their marketing looks like this this is what you're going to do two pounds a week this is when we can plot that you're going to be at the right weight and we have all these things to make sure that you get there um that's that's not how people lose weight well that's not true that's not.

How people lose weight that want to keep it off but if you're trying to have a great business model for weight loss you tell people they're going to lose two pounds of weight a week you help them to stay on track for two pounds of weight a week and then watch what their body is doing in the background what their body has a has adapted to and you are you're.

Not playing the same game uh if you're doing one to two pounds of weight loss a week it is definitely a um a process of things that are whispered from cell to cell they are whispered inside your brain uh that when I look at the different ways people lose weight um I I get geeked out on things like.

This um where instead of um focusing on the scale um what what what advisors of weight should be looking at is what is that stomach distension when you have food intake what is that.

Cholecystic kind of doing what is your left and doing pyy oxy uh the cytokines what are the microorganisms in your gut they should also be measuring the signaling in your brain of the hypothalamus how is it responding to leptin how much do the change in temperature exercise and up in the the response your body has to a change in.

Glucose how quickly does your body send a message to your gastric system for motility as well as enzyme secretion what is the noise signal coming from the adipose tissue and how loud is that in the storage mode versus the empty mode um and where where else are you getting your improvements and setbacks uh documented and if you're just looking at.

Weight Loss one to two pounds a week I'm telling you you're missing all that it gets even more complicated when you get into the nitty-gritty of when they are in a maintenance phase of uh weight loss how well how well did their brain adapt when they are depriving of nutrients there are several mechanisms in here that are designed to hold on to.

Nutrients to hold on to energy uh when they are um when they're when they're adding um when they're restricting energy there are several signals that say starvation is the norm starvation is what the body is protecting against and as that starvation signal continues.

Um the patients not readjusting any of these set points that were a different body a different set of mechanisms when they were 18. when you look at what they call the early uh stages of relapse which means they're gaining back the weight that's where the body says I give up I can't White.

Knuckle it anymore I can't do this anymore um those improvements in the body are are signaling back and forth and fighting to say wait a minute they're depriving us from calories wait a minute um we need the calories oh but we're trying to lose weight and so when people come in and they're.

Asking doc I want to lose weight what they're really asking for is they they want to lose uh they want to lose fat that's that's number one they also do not want to lose muscle and if you look at the signal that most people are after that they're like can you do it yesterday can you hurry up and do this uh and although one to two.

Pounds sounds like this you know reasonable uh very balanced very um uh mature approach to weight loss um I'm here to tell you that rapid weight loss is actually a better and more sustainable process.

Sounds a little extreme so let's get into why I say that all right so I have an example of the reality of weight loss of what should be happening let's just make sure I've got my notes in front of me and I'm saying all the things I said I was going to say uh yeah so the key thing is when they're losing one to two pounds a week that.

Reset of metabolism is constantly downshifting it is constantly lowering the signal for uh for for family for metabolic restriction we know the the energy rate that it takes to maintain this Mass we know the amount of endocrine hormone brain signals gut gut signals that it takes to keep a steady state and the.

Body is always reaching for a steady state that is that is human nature that is mammalian nature that is that is scientific nature a steady state is what it what is trying to be achieved uh when when you want weight loss that's going to happen for the the long haul this is a pattern of weight loss that is sustainable.

That when I look at um mapping out setting expectations for a patient coming in saying yes you are 50 years old and you are 80 pounds overweight um that can we do it in a year or two and the answer is absolutely but it is not two pounds a week it is not coming in and saying I'm going to drop that.

Scale and change just a couple of little metrics on the mass side of this equation and guarantee that in two years it's all going to be off because if I do that well I'm making a customer for life and the amount of medical problems that arise when you start doing that um well again I'm an internist so medical problems are my thing I guess I.

Got a customer for life but if you do not want to be addicted to me if you want to actually graduate from seeing doctors I need an intense weight loss and then I need your body to stabilize and that I need an intense weight loss and then I need your body to stabilize and I need an intense weight loss and stabilize and intense weight loss and.

Stabilize and you get the pattern that the interval in between these weight loss is not every other week we do an intense weight loss I need you to actually lose the weight and then there's some tricks there's some important things we're going to get to in the show so I want to take a.

Minute to um to share that uh this patient lost weight uh in a way that was exactly the way I would want her to lose weight now if you have been watching the show this is just the best story I'm going to click on um this link and I am going to post it.

In our in our little um chat here I think I can still do yeah perfect um if I'm really fancy I think I can Pin It To The Top pin message okay so um.

There it is and I will have that in the show notes as well if you're watching this on replay but I think the pinned one still stays at the top because this is a great story of somebody who had a I'm in the in the science and in the in the business of helping people get Peak brain performance this is a patient with Down Syndrome no and their brains age.

Faster that Mary is uh her mother who drives from Cocoa Beach to be part of a support group and she started that one year ago this week she said she heard I was doing a free support group I said just show up I will give you I will advise you and within a week of what we I was telling a week or two of telling her what to do she said can I do this.

For my daughter who's lost over a hundred pounds over the last I think it was four to five years um but she has terrible dementia now she has super anxiety uh she is she's 24 7 full-time care and um I uh so that this this uh this picture here February 20 that's in the.

Future that's still six weeks away at the time that this was happening a year ago um her daughter was in a really bad place and not uncommon for Down syndrome but you can see her daughter now who is the star Angel in the Christmas Pageant this past uh December and she's actually responsible for one of the other uh gals.

On stage with her to just be a mentor or a chaperone so she went from from being not able to hardly leave the house to go to a social setting to being able to regulate her anxiety on stage and really have her cognition back now the reason I posted the link there is I have been working with Chris Palmer to get this published in a uh a a series of articles.

About the ketogenic diet and its case studies and this one is on brain function now I don't get paid for any of this and neither does Chris these are case studies and um there's a game that's played with case studies and that is the more you refer people to read about your case study the more clicks that are on that.

Link the better it is for her for her story uh and Mary the gal who's from Cocoa Beach here on the chat um you know what they have had a new lease on life because their daughter's brain is working better so I didn't know if I'd get chose there was thousands of of case studies that got submitted a couple dozen that got selected and Mary.

Knows all about the incredible level of edits that were taken to get past to get submitted but uh I highly encourage you just to share that on the behalf of Mary and the people that I've been watching but I tell you her story not because she was great at um weight loss but because uh um.

I mean her approach to weight loss was very similar to what I want patients to do which is I want them to drop weight and then stabilize and then drop weight and then stabilize you'll read in that case that she didn't do several things right that are the best metabolic preservation that her brain didn't get the rescue because of some of the.

Chemistry things but for sustainable weight loss they did exactly the right thing which was drop weight and then there would be months without losing any weight and then they would they would rev up or change things and they'd drop weight and then she would stabilize and it's in that pattern that she was really setting up her daughter for success for.

Her metabolism but also for sustainable weight loss do I think that that patient will gain back the weight I do not and that's not always what I say when I can see metabolism shut down energy is slump and and really having no joy in the life on the other side of being healthy they just can't can't find the joy yeah relapses in their future so I'm going to.

Try to explain a couple things that were hap that actually were not happening in that patient but happen in the ideal patient when they lose weight and they sustain it so I'm going to go back to my slides and I just want you to hang with me these slides are they're a little busy but um and I do a really good job of unpacking them when I'm.

Giving a lecture but this is not a lecture this is just a YouTube okay it's a kind of a lecture but this is not the lecture that unpacks these slides so the first thing I want you to notice is that that y-axis shows uh blood sugars from 60 all the way up to 140 and that range of blood sugars is a pretty healthy level when you look along the x-axis.

Along the bottom here you're going to see time so morning tonight on this presentation and most of the presentations I do glucose little fellas are in red and when I look at average blood sugars we want them to be around a hundred if you can get it a little better that's that's that's nice but you're going to see that the averages.

Change in patients and that really is one of those predictors of long-term health um the other the other y-axis is ketones and you're going to see our little ketones represented by that I have a scale from zero to three on this one but when you look at how that changes in our.

First patient we scale it up to blood sugars that start as low as 40 and they go to 120 and the ketones that go from zero to um to two because this is a 110 year old boy and he lives on the edge of malnourishment his resources for food are less and he has a really good metabolism uh actually if I could have.

All my American Kids uh have a metabolism closer to Willy's they would not need to see the internist before they turn 15. you'll notice that if I'm tracking the red that's the blood sugar in Willy he's going to have that little bitty bump in the morning which is his morning blood sugars he's going to see three times during the day where he eats.

And that that range of time that he eats is from about seven in the morning it's just before the peak of the day and then really is done eating by 4 30. there are lots of hours in the night when he doesn't have food and you'll see that his range of How High his glucose gets during that day ranges from as you know as low.

As the almost 60 and his um his peak of just over a hundred so his blood sugars were really well controlled in fact they're kind of on the edge if I was to look at um what his ketones are doing uh oh this is his eating window opens 6 a.m or just after so it's about a uh a 10 hour.

Eating window when I look at the production of ketones and this is the other fuel he has it's not zero it's hanging out at 0.5 most of the time it does peak up during the night time when he doesn't have resources of glucose and this is why if I was going to look at the ratio of using carbohydrates and ketones.

Um well Willie wins Willy does a great job of using one resource switching to the other and switching back that he has three meals per day which are rather processed but he also has eggs and he has some uh has access to chicken and and lots of fat actually so his health because of that narrow eating window and Portion sizes in his in his life are.

Small his metabolism is pretty good all right so we're gonna move on to somebody that you probably all can relate with oh and that's that one I'm sorry um uh this is a 55 year old and if you've read keto Continuum you'll know that David is not Willy he's not willing his blood sugars uh range from uh 80 to 160 and that he.

Starts out his day with a blood sugar almost as high as the highest one that Willie had um David is one of our folks that's gained 80 pounds over the last uh 20 years uh maybe 30 years he's not not 20 pounds he's gained almost 100 pounds over the last 20 years is that I said um that he starts eating pretty easy in.

The morning um but even before his first bite of food his cortisol bumped his blood sugars up to 120 that every time he does eat he shoots his blood sugars over 160 and in the world of problems uh his eating window spans more than 12 hours a day his endocrine system has been adapting to this pattern of eating his.

Production of ketones is zero during the day there are no ketones being made and he might get a burp that I literally mean a burp of ketones made right before his cortisol rises in the morning his average blood sugars are much higher than Willy's they are in the diabetic range if he went to his doctor it would be an A1C of you know like a 6.5 and.

Um he comes in and says doc I want to lose weight and so he goes from keto Continuum number one which is standard American diet that's exactly what he was at Taquito Continuum number two which is where we dropped those carbohydrates to 20 total or less and notice the blood sugars are less and as he progresses to um the more advanced stuff that we teach.

On this channel that I teach in those classes he starts to do something that Willie did and that is his ketones are no longer at zero his ketones are available his body's ability to produce and use energy from fat is adapting and um well if you've read keto Continuum you know that um David listened to me.

About one fourth of the time he ended up listening to me all the time but he would start out saying ah that doesn't matter I'll be fine and then he was 55 years old with 80 pounds extra that he needed you'll notice there was some there was some uh morning coffee that uh that raised his blood sugars and his morning cortisol is still plenty High I.

Mean the cortisol raises his blood sugars to be high but he's got this tool in the background of ketones and that's really his um Saving Grace that we're not going to go into today when you look at David's weight loss um uh that that image that I just went through is his uh approach to.

Um to what was happening on a daily basis but if I'm going to look at his weight loss over the months to the years to say looking where can I help him lose weight um by the way if you do have questions about what I'm asking I've seen a couple come up on the side um I really want to answer those.

Questions at the end of this I'll be typing in your questions to this specifically if you've been to my 21 day course where I teach this stuff or you have questions about the 21 Day course those are going to be the first questions answered on our live tonight so that weight loss threshold what's happening with David is he started out.

On the standard American diet and as he went Keto he produced a bunch of ketones and he had incredible weight loss at first and as that keto process continued as his body adapted he now has a little superpower on his side that he can reach for ketones um but.

Um unlike when he was in this Zone where always the uh the glucose fuel was always being used way more frequently and had much higher practice in fact if I was really drawn the best line for this it would probably be that his ketones were way down there he probably didn't have any ketones for most people on a standard American diet especially.

When they're as overweight as um as David was or you get 50 pounds overweight you get 30 pounds overweight and then you hold it there for years um that is where people get trapped saying I am losing one to two pounds a week I've done this six times I've lost the weight it keeps coming back why does.

It keep coming back and it in part is because you're not having this part oopsie let me try that again so you're not having this section the section where yep there is no weight loss but they are oscillating in and out of ketosis they're oscillating in and out of ketosis and I don't mean every day so those previous videos or those.

Previous slides showed Wow when he eats When Willy eats he stays in that that stage of ketosis and when he sleeps his ketones take over because his glucose drops that's what normally happens but in David's case um it had been so long since he made a ketone when I go through every single stage of what was happening into David.

You will see that he makes a bucket of ketones and then these adaptions start to happen just like with every other mechanism inside the human body it's going to reach for a line of stability that he stresses the system out by pushing those ketones up his glucose goes down uh and then you get in a stage like I'm.

In like I showed up at this show tonight uh with a glucose the glucose of 50 something um 51 and the Ketone was 0.7 isn't that right um yeah 51 and uh yeah 0.7 so that that is in a you could say it is stall like oh am I supposed to do something about that is that okay that I'm there.

Um Dr my doctor boss ratio is terrible now you you have to be following along in the story of where has that number been what is it that um what am I trying to accomplish here and um and that's that's what I find in this Zone where they're not losing weight they're in a stall you can call it a stall but there's something magical.

Happening on the inside of their body and I like to point out that when they're really looking for an improvement it is that when they get to this stall here and they want the next step that's what we teach in the workbook the keto Continuum the online course and it's specifically what we use in our 21 day course that is going on.

Sale tomorrow unless you want to pre-book and that is those are my my favorite people because I know how many people are going to be in the class and I get to hand pick your coaches so the reality of weight loss is the same the same uh graph that I I just did a.

Minute ago and it is showing that when weight loss is happening um it in this in this Plateau part are where those lines that glucose comes and ketones comes I don't mean like every day that I'll have ketones and glucose that are flipping back and forth I am metabolically flexible David was.

Metabolically flexible right after that wave of ketones and he's in that zone and his body will do a a remarkable number of things to stabilize and it's during this section that there are three things he does need to do in order to have sustainable weight loss so let's get it let's get to it what are those sustainable things that you need.

For weight loss so I'm going to tell you what what what why two pounds a week does not work and really what I'm going to teach you is the three things backwards and then forwards that the first thing is they smolder on the edge of that chemistry shift this is that starvation mode that people say how do I know Dr Vaz that my metabolic rate isn't.

Dropping every time I um I click on um uh you know this you know the the change of of scale that isn't changing too much but um my two pounds of wheat two pounds of weight loss a week is just happening at a smidge level and how do I know that I'm not shutting down my metabolism and one of the ways that you.

Can watch that we teach in this course is uh you got to have ketones that you can recruit that your ketones need to come to your rescue and that needs to be on a rhythmical timing not just once a month not just once a year but in a place where you can really um watch your metabolism working and when they smolder on the edge of a.

Chemistry shift that's when they spend more time with glucose as their primary Fuel and that their ketones I don't think we will see the sort of do ketones are absent that's what smoldering looks like and before David had met me he was on a diet that was.

Um um not called protein power it's called um oh I'm totally blanking on the name of that anyway it was a popular weight loss program about 20 years ago where they would put them on shakes they would put them in ketosis for like a week or so.

And then they would let them have have you know more and more carbohydrates and so he would he would they would get into ketosis for like the first week and a half drop about 10 pounds and then they would add back so many carbs that they never made ketones again that's just a tease of weight loss and what's happening.

After that is this starvation mode that is found in weight loss plan after weight loss plan because in the background all of that chemistry that I mentioned uh in the last one has to happen in that stabilization phase your body has to get used to this new set of rules and if you go to the weight loss process without a time of stabilization.

You're going to slide backwards you're going to have a withdrawal I mean you're going to have a return of the weight so looking at cholecystic ion and leptin peptide ghrelin you're looking at hormones of satiety that those hormones of satiety are have to be recruited to help you without that your weight plan your weight gain plan will return two.

Pounds a week does not work because there is no time for this endocrine reset that has to be programmed and and found now most of the time this happens without people noticing as long as they have step one we're gonna get back to that this is what you should not be doing this is what does not work so if you smolder doesn't work if you don't.

Give this endocrine time time the time it needs to reset you're going to gain the weight back and there has to be an identity shift this is really powerful in um when I when I teach addicts when I walk with addicts out of their addiction um we tell them you need new friends you need new.

Hangouts you need new Past Times is that a word pastimes uh need new habits what I'm telling them is they need a new identity and I I love a couple of uh um thought leaders influencers in this world where they say uh every day at the gym uh I I kill my identity I I killed my identity today and it's because that's a haunting place that takes you.

Back to the habits you used to have today for the check-in of our group um I I try to use a check-in question to get everybody to engage and so I said do you have a process in your life that every time you get to the oh my goodness uh do you have a process in your life that every time uh you're doing really.

Well you're resetting behaviors but there's this one thing that you just you can't seem to shift and stay on the other side of it it'll do it well for a little while and then you give it up and you do it well for a little while and then you give it up and and I always start by sharing what mine was um and it it is uh a it is such I.

Remember doing this with addiction patients as well that it's such a powerful moment um to say no no here are the places where I do a great job and I am fully embracing who I am but there's this one spot and every time I am with this one person and every time I'm in this place and every time I'm in this environment.

Every time I feel this emotion the the identity of who I was as a child as I was as a you know young wife uh that comes back and I become the person that does those behaviors uh and to watch the the room share that moment is I mean those are places where identifying that makes all the difference in people who have.

Um uh who've relapsed again and again who've gone down the weight loss and then gone back up finding finding that identity finding one of those places and saying this is a habit I want you to work on I want to make sure that uh I said fat based hormones hormones of satiety are one thing and fat based hormones are the other one this is just.

A slide saying these are the other places that definitely are resetting during those plateaus that if you've been following along you know that Joel is one of the folks uh who I've been using his example he comes to group he did correct me this morning that he's not five six he's six one In fairness I meet the guy when he we're sitting down.

So I should have just always Round Up always round up so um but he just dove into the ketogenic diet and did not feel well and it was about at six weeks where he did feel well where I could guarantee this was better this was this was better this was better these are all of uh the you know.

His progesterone sorry that that probably is not changing him but uh truly uh when people are fat based uh when they are in a ketogenic State when they have that access to uh fat circulation and the insulin suppressing these are the hormones that are resurrecting and they do not improve in a day they take time so.

Here are the three major rules for people that have sustained weight loss number one they have an intense start it is not this casual thing that I'm going to start on Monday and then I'm going to gradually get into this first thing they begin with intention they are mentally and emotionally prepared for weight loss and without a doubt I have seen this go.

Bad a lot of times where people say uh I they have the mentality they have the uh the the the the start date but you can tell about everything in their mind and their heart that they're really not ready that they're not surrendered I've seen it work out well when they have a very committed accountability partner whether that's.

Their spouse whether that's a um you know um Biggest Loser they start out very committed and they've got a coach they've got a an intense group that gets them past day one to day two on to day three feeling proud of themselves by the end of the week they they have they're in a Vortex of the of the right.

Um the right magic the right motivation so if you're not good at finding that motivation the the tribe you're around is really really important for that intense part that you can find other places we're going to get to that in the next next section that don't work out that you don't have to have but so the first one is they have an intense start.

Date uh they have they are mentally and emotionally ready to do this the second thing is that they expect the INF the intense phase to end that if you watch what happens to every weight loss plan that is um the two pounds per week uh it it dwindles their impact dwindles and it's.

Not just the metabolism that's responding it is that you can only hit Peak Performance for a period of time and then you need to find your Baseline find your your I don't want to say Comfort because people turn into comfort food they really do set reset when I look at weight loss plans that are going to last forever.

They lose weight and then they hold and then they lose weight and then they hold and in that season of losing weight they're not alone they have a partner they have a system they have a spouse I don't care who they use but it is intense and it is a limited time where you say really do it correctly for this period of time we lead you through that.

In the 21 days when I do this 21 day course I know better than to do it more than twice a year because I'm the one leading it and that's about all I can say you've got to be intentional it's got to be an intense commitment and then it needs to be over and what we wrap into that uh is some of this education that you're getting tonight but also we.

Talk about how important it is that you're going to feel a sense of satiety when your hormones improve uh where they are at on the keto Continuum how long they've been overweight is part of what we calculate to say where are they going to run into problems where are they going to have the troubles and the next thing we talk about and we.

Do lots of psychology inside this class is to kill that old identity the question I like to ask when I'm in person with the patients is can you live with this new identity the rest of your life and the the story I shared this morning my personal story was is something that I still can't let go of it is it is a.

Place that I keep trying to figure out how can I have both how can I have that moment that I still love but I know it it isn't um it I keep I keep doing more carbohydrates more really you know more full off the wagon than I should um and but I have a tough time saying could I give that up for the rest of my.

Life uh and it it it's very real it's very emotional um but that that is a place where I say I'm not going to work on that then I'm not if I can't find this image in my mind that says I can be this much better for the rest of my life and last year we did a series uh the first I think it was 12 or 16 uh live shows in 2022 were all.

About how do you use Atomic habits how do you take a habit and have it stack it how do you take that and then uh link it to something better how do you take it and link it to something less and um I really find that when I'm looking at a goal and I can see that it's way too big it's way too big they're gonna crash.

Um the first question that I can help them see that it's too big of a goal is can you adopt this identity and really important sometimes I don't get to use the word identity but with you I'm using it can you adopt this version of you for that if they stutter if they have a reaction like let's pick a goal that you can.

Succeed at because we'll get the weight off we'll we'll deal with that but it is truly where when they pick a change that is too big that will relapse so I need to pick one change and then hold on to it and this is where that area where they after that intense Improvement which is what we do for the 21 days and we set forth several tools that you're.

Gonna need in order to stabilize and hold the adherence of every one of these late weight loss programs Fades with time uh meaning if you're trying to stay that intense for the whole year if you're trying to say two pounds a week two pounds a week two pounds a week not only do your hormones not catch up the emotion of who you are you cannot change.

Identities that quickly and hold them um and so I like to uh to end with uh this final statement and that is that when I'm looking at helping people get through not just a um not just an intense.

Um Improvement in their metabolism I am looking for them to write a love story now love is this this mutual agreement about our future um when you fall in love with somebody it's a it's this it's it's this promise of the future and what it's going to be.

Um and when I am trying to to help somebody through a weight loss program I need them to find the version of them the the future version of them that they love not that they idolize those marriages don't work uh not that they uh command to that they're just a strict I follow.

The rules I follow the rules I follow the rules those fail to I need them to work on that love relationship in every one of these plateaus yep the chemistry is improving yep that cholecy kind is getting better yep that's the Tidy hormones are getting better but each time this Plateau they.

Want to go into another intense version I say yep I can I can lead you through an intense change in metabolism no problem we can do it intensely for three weeks and then I can send you on your way um we do this as a group in the 21 Day metabolic challenge but what I'm really hoping to inspire in the coaches that I.

I mentor and then the the students that are in this room is that the the success comes with imagining the love of you that is in your future and that it is stable so that it is attainable that it is genuine so I don't uh I don't.

Um say that with um with a um a casualness because if I if I had to put weight that's fun if I had to put more emphasis on where the power of losing weight is yes I love teaching you about your mitochondria and metabolism and hormones.

Um but what I I really think uh is one of the most powerful things that happened in the first 21 day course and I have plans for it to happen in the next one is that there is this mirror neuron process that I've been working on in my life and I I I've been through plenty of tragedies and plenty of heartbreaks and plenty of setbacks and.

Plenty of injustices to have some pretty good practice at Grace and how do I forgive me and and go and show up and try again the next day how do I create an environment that that when I get ticked off and I get frustrated and and I I get that with myself uh how do I say all right find the version of you.

That you can love tomorrow and it sounds a little squishy but uh it truly is something that happens when I learned this from another female doctor who had gone through some huge setbacks oh and she she was the most impressive example of how to use her persistence her faith her intelligence and really setting this process of improve just a.

Little bit and then hold and hers didn't have to do with weight hers had to do with behavior changes that are too long for this show Let me give one more uh uh thing I want to make sure before we go to questions so in our um first of all the end screens for tonight.

I want you to uh there is a six minute end screens of some really cool stories that I've never shared on YouTube so I would love it if you push that end screen YouTube loves it if you push that end screen but the second thing I want to click on are is that this uh pre-booking for our 21 days is still open for another few hours and then I'm.

Going to turn it off and what the pre-booking looks at is that if you want me to personally select your coach and you want um the improvements or you want the first shot at the time slots that fit your schedule this is a live show I mean this is a live program we it is not pre there are some pre-recorded things in.

There that I need everybody to learn but uh which took me over a year to write and has a lot to do with the slides about Willie and David that I showed tonight but um you can learn a lot more about this in the um in the video here yes it's 27 minutes long but it's very good about what you get.

Um I I like to point out a couple things that um in this schedule that we have here it shows you that before the class we set up a few things that we didn't do as good the first time we're doing a lot better this time here's the schedule of Monday through Friday what we're doing I am your first.

Morning huddle everyday live that um it really does show you if you want to look inside a clinic and see what do I do how do I do this and if you if you pre-sign up which again ends in a couple hours it doesn't change the price it just changes your access for which um which uh coach you get and which time.

Slot you get because there are definitely some popular ones and once the rooms are full we just have to have you go to a different coach so um the other part that's really amazing is to read what folks had to say about this course uh it truly has changed my outlook this week I get to go to a conference called low carb.

Low carb USA but it's in Boca Raton Florida and I get to share with other doctors how how I think medicine could be done and I truly am grateful for people who have said yes there's two sets during the year of this course that I lead people through an intense Improvement in their metabolism I deliver a mirror.

Neuron uh and if you've been studying with me long enough you know that means you can't learn a behavior as an adult unless you can see it so you're in a group of how do you do this perfectly what is the most advanced way for the stage you're at to hike up your metabolism and then watch the medical problems reverse and I.

Don't say that with tongue-in-cheek this is AB I mean this is absolutely one of the places I hope to spend the rest of my career is leading people through this course to say I don't want you on my I don't want you here for the rest of your life just like I don't want my addiction patients for the rest of their life I want them to get better and get on with.

Their life and that's what medicine was supposed to be about but somewhere we got tied up in prescriptions and ordering labs and and you don't need a doctor to do ketogenic diet in this class you get to see what is the most advanced level that I do with my patients and what I hope to be doing is planting hundreds of seeds.

Those are called patients those are called students in communities across the country to say here's how she does it inside her clinic and that's what we teach inside this course so sales go on a sale tomorrow we do have a cap on the number of students and we only sell this course for seven days so we close sales next Wednesday.

All right I would love to know what you thought of that um that Peak inside my uh assessment for how do you lose weight um and how important it is to have those stalls we are going to uh go into questions here let me hop over and um okay I have sorry I had to click over here and find the questions oops that's.

Not the one I was looking for here we go all right Karen writes in and said should we participate in the 21 Day course if we were in the first one so that is a great question um it is designed to give you the intense 21 days and I'll tell you one of the biggest negative reviews at the end of.

That course was I want it to go on longer I want it to go on longer and although I could have probably figured out a way to take people's money and get them in there longer it's the same thing that happens inside an addiction Clinic is that you are my job is to give you the tools to do this on your own and when I hold the responsibility forever.

Um it denies you owning that responsibility owning that you can do this but we know that not everybody Launches on the first time through we also know that when people come in they come in at different levels what we do with beginners much different than what we do with folks like like Joel Joel who comes.

In and just tumbles into keto and has some really tough setbacks but corrected course corrected but not everybody gets course corrected they kind of get muffled in that first section if they don't really do a few things that they gotta back up and do correctly um.

And what we've seen and what we've heard from a lot when we had everybody fill out a survey and then we've you know contacted dozens of the students to say here's what we we think how are you doing what is um what's your commitment since then and we know that people were able to get better and then some held pretty well.

And some slipped back and then what we're trying to do is say now go to the next level now that thing you thought you couldn't do last time uh come with us again and try to do it again and we've learned that not only do you get better at that that little thing I was telling you about saying can you see yourself in the future when you are.

The the weakest one in your group meaning that you were all in classrooms last time if you showed up in the classroom and you felt like everybody else was more advanced but you learned so much and you got the you know you got the value of what what happens inside that intense positive peer pressure and you learn the things and you've got the.

Video that that that's all there but this time around there'll be 10 new cases maybe you'll be one of those cases but this time around maybe you're not that identity of the weakest one in the group the one who is the least amount of of Keto of advanced maybe this time you're the mentor and that's where your identity gets a little.

More solid so when people ask should they take this again I need you to look at your life and say are you as healthy as you need to be are you stable and you need a boost or are you stable in saying I'm good I don't need to oversell this I only have slots for the people who really want this and I know that as I stand in.

Front of physicians in the next few days and say how do I think what what do I think could be some of some of the the processes or policies or um you know best practices that could be used in today's world I know that um it's you know I I really think God has had the brakes on some of the things.

I've needed to restart the clinic here in Florida and I'm Matt I get I got mad I got ticked I got frustrated I got I felt like this is an injustice and then I sat back and said why what am I supposed to be learning here what what am I supposed to be doing that I can enjoy and when that 21 day course came along uh and I had this dream that I.

Could do this that I could say could I make the kind of impact if they weren't in my clinic if they were part of the group and I am humbled to show you how I can't wait to show the other Physicians you can do this we could do this this works and I only have one one class but and I I had all this data and I told them we.

Do not keep your data past the course we will stop doing it after the course and so before I I took averages of Hump what were their blood glucose improvements what was their Ketone improvements what are they how much weight did they lose how many prescriptions did we stop I didn't keep track of any of that I was just so concerned with saying.

Control for uh for what I said I'd do and you know honor this is the first time somebody said can I share your data on a screen publicly inside your classroom nobody's ever asked patients to do that before and oh my gosh was it so powerful uh all right so here's some other questions um so good questions could you should.

You take it again I think you need to look at your life you need to look at what is it you need and we don't we're not looking for partial commitment part of that is the finances associated with it uh we are asking for people to pay attention to show up this is not a casual commitment um and you will not feel a casual.

Improvement thing I click the wrong one again when does the next class start good question uh last time we uh we took uh students right up to the day before class started and it was complete chaos the first two days and maybe three days in in class so we are taking students starting on tomorrow the 11th and we are closing the doors on the 18th in seven.

Days um but class doesn't start till the following Monday which is the 23rd of January and it's a 21 day course now you'll get into the class before that as far as the the platform that we use to communicate and to teach so you'll meet your coach you'll get you'll there's one task in there that you can do before.

Class starts on Monday which is to introduce yourself and um and then there's quite a community that is uh that just becomes a life of its own that I really like and it's not on Facebook not on Facebook I like that it's not on Facebook um so good question it starts on the 23rd but we are opening the enrollment.

Here and getting um getting the again dang it um okay next question uh is how do you know in the course if a stall uh okay how do you know in the course of a stall that it's the time to move to another intense phase okay perfect so there are that's a.

Really good question Patty um when looking at those times when um they're at a they're at a stable level and um I don't know if you saw if you can probably rewind the the slide or the the video and go back and say look how much uh how many different step Downs there were in a year uh the slide that I'm.

Thinking about was a two-year course and I think there was like seven step Downs so they lose weight and they stabilize and they lose weight and they stabilize so in that stabilization first of all you need a few weeks to stabilize hormones at the beginning that's why 20 when you look at the keto Continuum it is not an accident that I.

Say drop to 20 total carbs and then don't look at anything else and then this magical moment comes where they miss a meal I am depending on that I am depending on the signal that says hey their hormones are working their satiety was real they did not eat when they usually would eat and that's powerful.

So um when I look at several of the metrics that are um they're stalled is it time for another level um timing of the hormones is at least a couple of weeks at this stabilized weight and I say a couple of weeks.

Because there's been a few people who are really metabolically pretty healthy meaning they haven't had the weight on there for 30 Years or or they've been in a good phase and they had chemotherapy and then and now they're now they really need their metabolism to to really boost up in between now and the next time well we'll need chemo.

Um so it's it's those Seasons where a couple of weeks of just stable I do not want gain I don't just stable um most of the patients who've had the weight on for a long time it's a it's a fistful of weeks before I want them hitting another intense phase but that's the metrics there is also an.

Emotional side and a supportive side again in envisioning what it is that you have adopted for this identity if you've been somebody who crashes and burns and crashes and burns and crashes and burns and now you crashed now you're at the stable level and now you're ready for the next level and you're ready to go again you're ready to go again I don't.

Believe you I don't believe that you are truly in the identity that says okay you got what you're doing you're comfortable where you're at and you've got the support and emotional Reserve to do the next step and so when I look at people's stalls yes there is a Time Factor two weeks is as fast as I would do it.

And again usually there's a medical reason I'm trying to push them for that A Fistful of weeks is usually what it takes to get stabilized and then you can take on another intensity and usually they're they're little steps inside the keto Continuum you know I know folks like Joel showa I keep picking on him uh show up and they're.

Like I want to eat for only 15 minutes a day and then I open the eating window up and then like but now I want to fast for 72 hours every week and I'm like Slow Down slow down take these in steps because what's happening is you do shift who you are every one of the steps and if you race to the bottom there's no steps left and so I need the adjustments.

Being made that you take up an intensity and again sometimes it's not as much weight loss as it was you know waistline decreased over that for you know that intense time so definitely looking at the metrics of uh emotional supportive and how stable are they and the vision they have for the love of themselves in the next few.

Weeks all right last question here um oh actually that was the last question my bad so I will I do want you to know that the end screen tonight is a video that you have not seen so I would love it if you give praise to these patients who told their stories uh and they're they're not weight loss stories they are.

I mean there's some weight loss but there's some unbelievable Change Your Life share them with people who have these problems um this video is unlisted so the only way you get to it is through this end screen and I just hope you appreciate uh how vulnerable these patients were when they showed that oh I'm gonna check my.

Numbers um see how I'm doing I I have a little headache I don't know if that's from the sneezing I don't have I ever sneezed on a live show before um uh so yes Valerie writes in and says is the cost just under a thousand dollars the answer is yes it is we are.

Um I'm looking for the um the twice a year commitment that if I was budgeting uh how to get off of prescription medications uh it's this type of course that has the leadership the supervision and uh the the um the metrics to help people really move the needle we are not looking for a casual student we want people that are.

Absolutely ready to do this and um and that's how I think the results are also we were working with people who are ready for this commitment because it is it's it is um I only do this twice a year for a reason oh my gosh so my blood sugar is down to 42.

Okay that's why I have a little headache I don't think that's from sneezing but I feel fine people and my ketones yeah definitely like if you only have this much glucose you gotta have some ketones so that would be um part of it is the keto um pucker up but it has been since Sunday morning since I had any calories so uh.

It was a little bit of an egg so that's enough for tonight we will see you next week I do have uh an update of what I'm going to be sharing in my poster on uh at this conference which won't be live there's no way to look at it the only way you're going to get it is here next week so I'll see you then and I really.

20 Years to Gain. 12 Months to Lose.
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