00:10:23.020because he could not move from complications, from muscular dystrophy, and also had a terrible diet,
00:10:30.260let's be honest. And so one of my goals is to keep my body as healthy and as strong as possible.
00:10:38.420And so that means maintaining a certain weight level and a lot of lean muscle. Now, as women
00:10:45.500of a certain age, maintaining lean muscle is our part-time job at this point. We all eat all of
00:10:51.020the protein. People have been wearing weighted vests, apparently, now. And so this was one of
00:10:57.360my goals. I gained a lot of pounds during the pregnancy, as women do. But not just during the0.98
00:11:05.000pregnancy, because I think, too, one of the bigger conversations that I haven't seen attached to this
00:11:09.700yet, and I'm sure we will because this is like a rolling conversation, is having children later
00:11:16.420in life or what we consider later, bookends up to the beginnings of perimenopause, which we don't
00:11:25.760fully understand yet as any woman over 40 who's been to the doctor knows. So, so many of my
00:11:30.220friends, and tell me if this was true for you, are recovering from postpartum in their bodies,
00:11:35.280and it's overlapping with the early signs of perimenopause. And that, I think, is an intensity
00:11:40.420of symptoms and challenges that haven't been fully addressed in either of these conversations.
00:11:48.180A hundred percent. A hundred percent. Because I had my babies at 37, 39, and 42. Right? And so,
00:11:55.320yes, immediately after the last one, ejected herself from my body. I flew out, as I recall
00:12:01.880from the text message chain. Just fell out. She did. Immediately after that happened, I,
00:12:08.480you know, started experiencing perimenopause symptoms. And I had a GP who was not helpful
00:12:17.180with this at all, who as an older woman, and this is the case with, I think, some older doctors,
00:12:25.800she'd been through menopause and was like, this is just what we go through.
00:12:30.280This is just how it goes, which is the least useful. Every time I hear myself take that tone
00:12:36.880in any on any subject including media i try and stop myself because i'm like that's not helpful
00:12:41.980doesn't have to be this how it goes anymore it's like a weird like um badge we wear being like oh
00:12:49.560it was hard for me it'll be hard for you and it's like actually you know what progress is supposed
00:12:52.760to be like it's not hard for the next generation or as hard it's not hard as hard for the next
00:12:57.140generation and so now now that i'm i'm out of the breeding phase i'm i'm working very diligently on
00:13:05.040the you know improve my lean muscle get my get my body in a place where i am healthy where i feel
00:13:11.600good and i work out every day i changed my diet to do you know the things uh and not and i was
00:13:20.560gaining weight i was continuing to gain weight i said this to my doctor and she's like oh yeah
00:13:24.460that's just you know just age just age i mean this is with a exercise regular exercise you start
00:13:30.980regular exercise routine weight lifting as we're all doing now thanks to the reminder that we
00:13:36.140should muscle mass and women in age and bone density exactly exactly and i was like you know
00:13:41.300what screw it that was one that was one impetus and then the second impetus is that i have so
00:13:49.240many great freaking clothes and i want to fit into my thing i would say either yeah i agree no it is0.71
00:13:56.400not a small thing it is not a small thing there there should be a german word for what it feels
00:14:01.040like to fit back and i'm not talking my like size freaking twos okay from my 20s conversation that
00:14:07.040used to be like no no no commercials of like i can fit into jeans i wore when i was 25 no it's
00:14:12.740having an entire closet that fit six years ago and you're like i don't want to reinvest in all
00:14:18.020of these clothes no i don't i don't i love my clothes i have a great collection of vintage of
00:14:24.520just fabulous pieces and jeans. I have a lot of jeans that I really like. So no, this is not about
00:14:29.820fitting to my damn wedding dress. This is about I want to wear those clothes that I bought when I0.99
00:14:34.040was a grown ass woman for the rest of my life. Yeah. Yeah. Yeah. Those commercials from the0.96
00:14:39.040eight. I mean, I even stuck in the city when Miranda fits under. It's just like those commercials
00:14:44.300date back to a time where women were having their kids in their mid to late 20s. And then in their
00:14:50.72040s they were like why can't I fit into things I wore when I was 22 and I think right now style
00:14:55.080wise particularly as a person who just turned 50 I'm like my style has been set the last 15 years
00:15:00.560and it's good for me and I look in my closet and I'm like there's I want this closet I want this
00:15:08.040closet I want this closet totally totally and so with those two things in mind and that's what that's
00:15:13.240why I want to have this as a conversation because I do still think there's a lot of stigma and
00:15:19.660judgment out there. There is a reason that the majority of celebrities who who do use
00:15:25.840semiglutides will never freaking admit it. Yeah, I think, too, we're still we're still
00:15:31.740in early days a little bit. And so much of that early conversation got attached to that
00:15:36.500old like before and after and and was attached by the media. I mean, I really I veer away
00:15:44.020from all this. Like, let's just only blame the media. But when you look at all of the
00:15:47.200coverage I think we can blame the media for for sure it really it was like an excuse to go back0.69
00:15:53.080and we are in a moment that's prioritizing thin white women as anyone was you wrote about this1.00
00:15:57.480in your newsletter about the incoming Trump administration sort of appearance of women1.00
00:16:03.280um but but I I think that erased a lot of more complicated conversations around this which are1.00
00:16:11.420only percolating up right now because it became attached to a I am a celebrity who wants to be
00:16:18.200like Kate Mawson and I fast tracked it and it was in a moment where Ozempic was being
00:16:23.540people on who were diabetic and very much needed it couldn't access it couldn't get it all of that
00:16:29.820early chaos around it which I suppose is inevitable and we're also in a country where insulin is so
00:16:35.160expensive it's prohibitive for people with diabetes like this is all part of a larger conversation
00:16:39.680around hating most women who don't adhere to a particular idea but what i'm finding so keep
00:16:47.400going because i'm finding i my conversations with you about this have there's parts of it that have
00:16:51.580stuck in my head that have nothing to do yes with what we associate with the shame of taking
00:16:57.620which if you read tressie mcmillan cotton uh who's a times writer she's written so interestingly on
00:17:04.500all of this um so i haven't read i haven't read that yeah she's incredible oh okay i'll read that
00:17:09.840hold on let's take a quick break and when we get back we're we're gonna we're gonna dive in all of
00:17:13.780that hungry now now what about now whenever it hits you wherever you are grab an oh henry bar
00:17:31.620to satisfy your hunger with its delicious combination of big crunchy salty peanuts
00:17:37.440covered in creamy caramel and chewy fudge with a chocolatey coating swing by a gas station and
00:17:43.780get an oh henry today oh hungry oh henry okay okay we're back so i've been telling you about
00:17:55.500this this journey the semi the semi-glutide journey uh since i since i started it in in
00:18:02.400september and in fact we had a lot of conversations about it because i didn't start it until i got
00:18:07.320back from paris right it's funny because i remember you saying that when we were in paris
00:18:11.460and i hadn't thought about it and then i saw you i got back in october and saw you
00:18:15.440and do you want me to tell my version okay yeah tell your version of it yeah i came down for
00:18:22.340Halloween. And I just, you were just like, like a little kid, like pulling their shirt up being
00:18:28.480like, look, this is amazing. I feel my body feels less in pain and more mobile. And I feel so much
00:18:38.900more comfortable, but that's not the, I mean, that's, that's great. We're all like, we all
00:18:43.400have that thrill of fitting into clothes again. But here's the things that have interested me so
00:18:47.900much joe about what you've spoken about or what you've told me about it which is that it has it
00:18:54.460has dulled some compulsive natures in your behavior that have nothing to do with food
00:19:00.240yes you you do not um want to pick up your phone as much that you are not compelled um to like
00:19:11.560dive onto the internet as much that you're more that the food noise and i really want to talk
00:19:17.220about food noise, that the food noise in your head has been dulled to an extent that like it's
00:19:23.200freed up other brain space. And that is those are the things that fascinate like that. I have
00:19:29.460repeated the fact that you have had such a joyful experience on this is something I have been
00:19:36.180telling other people in these conversations because of these aspects to it that I don't think
00:19:40.920we fully understand yet. I think we're discovering a lot of different side effects to this
00:19:49.060that a year ago when I did research on this was absolutely not in the conversation or in
00:19:54.020the general conversation. And so that's so interesting to me because I was like, oh,
00:19:58.020especially post-election, the idea of not having the urge to pick up your phone and the idea of
00:20:03.840not having food noise in your head. Because I think for the early part of this conversation,
00:20:09.020that food noise was being attached to obesity and i think i i think there are very few women i think
00:20:20.840probably there are some women but very few women whose head is not occupied by food noise0.99
00:20:24.86024 hours a day for reasons i mean that are so expansive of the way women are punished for1.00
00:20:32.000appearance of the way we walk into a room and have to present ourselves of all of the culture that is0.96
00:20:36.340inundated towards us that we are inundated with about weight, etc., etc. So much of it unhealthy
00:20:43.300and so much of it love not to participate in. But understanding the degree of our brains that
00:20:49.020are consumed by this noise and what we're not thinking about or we're not like that men don't
00:20:56.920necessarily walk around with half their brains consumed by this. The absence of food noise is so
00:21:01.280fascinating to me. Totally. Totally. And, you know, it's interesting because I don't think
00:21:06.120I understood what food noise was going into this. Yes. Until it was gone. Until it was gone. Until
00:21:14.660it wasn't. And I do think that so much of this has been ignored because there was a lot of shame
00:21:22.540and stigma around it. And there just haven't been open conversations about it. When one of my first
00:21:29.220experiences talking about this is I showed up at a very fancy dinner in Virginia that was being
00:21:37.160thrown by Middleburg Books. I love them. They're amazing. And they were throwing me a dinner
00:21:43.500of just delicious Sicilian food for the Sicilian inheritance, for readers. And I said to people,
00:21:51.600I just want everyone to know I'm so excited about eating everything. I may eat a little bit less
00:21:57.640because because I'm on I'm on I'm on the you know I do still say Ozempic because it's like the brand
00:22:02.680name um and I I've recently found out that it is a compounded semiglutide uh that I've been taking
00:22:08.880but I'm like I'm on the thing four women at that dinner said oh my god me too but no one's ever
00:22:15.620said it out loud to me so I haven't felt like I could talk about it and and that's yet another
00:22:21.180reason that I want to talk about this. So I hadn't realized how much food noise and compulsion was in
00:22:28.220my head of like, what are you going to, what are you going to eat for lunch? Or even just the
00:22:32.160compulsion to pick things up off my kids' plates or pick up any food. Nick, Nick will eat any
00:22:37.700leftover food. He's so, I mean, this is, this is why Nick gained so much baby weight when we had
00:22:43.620the babies uh because he will eat he like has food food scarcity um like i think he really
00:22:50.420internalized a lot of the the 90s save the children campaign ads uh sally struthers because
00:22:56.640he did not grow up with his own food scarcity but somehow right and any leftover piece of food
00:23:01.600cannot be thrown out uh and yeah i think that but all of that is gone like i don't i don't think
00:23:08.600about food in the way that I used to but here's the caveat for that a lot of people ask me oh so0.54
00:23:16.760but why would you give up the joy of food oh no I still fucking enjoy food like I enjoy food so0.88
00:23:22.060much it's I it's just I'm not maybe I maybe I can put it like I don't think about the crappy food0.95
00:23:26.860and I don't mindlessly eat and so I can kind of focus on what do I really want what will I really
00:23:34.040enjoy uh i just went i was up in vermont for a reading retreat and vermont they have very good
00:23:41.540cheddar cheese up there it's a you know excellent excellent uh place to purchase very good cheddar
00:23:47.640and i love cheese so i bought i brought back pretty much like half a suitcase of cheese
00:23:52.640from vermont and i've been enjoying it and devouring it and planning my holiday cheese
00:23:58.380plates which you'll have on sunday and i still love eating i just i do eat a lot less and we
00:24:06.400can get into the nitty-gritty of how this is working in terms of food noise uh what's interesting
00:24:13.000too is the idea of food as a reward right like when you're so worn out and stressed out and just
00:24:20.480going and when you have small kids that is on another level but even in the aftermath of the
00:24:24.840election was like oh god and for me it's always chocolate i'm like i really deserve this milkshake
00:24:29.160because of this new site or i really deserve so i wonder if it takes away food as if it is reward
00:24:36.320if it returns food to um a sustenance uh and takes away that like i deserve something right now
00:24:46.300i'm gonna eat the thing that bumps up my dopamine so one of the things that we that we know these
00:24:52.140drugs do is that they they do kind of decrease the reward mechanism right of yeah food you don't
00:25:00.620get you don't even want to say it's like as high off of eating because again still still have joy
00:25:06.800still have joy here uh but i think that is one of the reasons that it tamps down on me not checking
00:25:13.940my phone compulsively and i i said this to the doctor that i'm working with and they're like
00:25:19.640Yeah, they're like, we hear that from everyone, that they're not scrolling social media as much.
00:25:23.860And I think that that is proof that these social media companies have programmed these apps to be compulsive, to be rewarding.
00:25:33.480The Times did a big piece on Ozempic impacting the junk food market.
00:25:38.780And it's that same thing of, of so much of this part of the business plan or the recipe, the literal recipe in cases is addictive quantities. Like how do we tap into the addictive side of your brain, whether it's social media, which we know taps into our addictive receptors or junk food, which we know is full of chemicals.
00:26:00.180And when you think about how little of this was available 40 years ago and the way it's gone into.
00:26:06.880So it's interesting to turn off that receptor and then realize that you don't want all of these.
00:26:11.340What is linking all of these things is their addictive nature.
00:26:14.560I also just want to emphasize that you have a healthy exercise schedule and that there's a foundation here of activity and healthy food choices underlying all of the rest that it's possible to return to.
00:26:38.900because I think a little bit of that, and this is, we're only speaking of your experience and
00:26:42.940our experiences. Totally. And I can only speak about my experience. Yes. Yeah. Part of what I
00:26:47.160think, and maybe the conversation has changed in the year because I haven't been paying as close
00:26:50.880attention to it, but part of what I think gets missed in this a little bit is if you are a
00:26:57.800person with sort of healthy habits to begin with that maybe you veered off of a little bit or
00:27:02.960getting overlaid with bad habits, that it's not learning an entire new lifestyle. It's the ability
00:27:08.620to return to a lifestyle that's long been there and maybe gotten lost along the way from time to
00:27:16.200time does that was that what it feels like totally absolutely absolutely it's just it's just a little
00:27:21.800bit easier as a reset and again i'm not thinking about any of this as necessarily as i'm losing
00:27:31.380weight like it was more I want to be comfortable in my body again yeah and because this is the age
00:27:40.060where things start to hurt too I'm very sensitive to that like knees hurt and my hip hurt and when
00:27:45.860I go running my foot hurt like and a lot of that is not overused like a lot of that is related to
00:27:52.440weight that we have long been told we inevitably gain yes yes and every friend I have a lot of
00:27:58.960friends that are that are taking semiglutides now i have a lot of the way that's i have a lot of
00:28:03.200friends i have a lot of i also have a lot of friends yeah um but and they all say the same
00:28:08.360thing oh my god my body feels so much better now my joints don't hurt as much i can go running again
00:28:16.920uh which is very very much the case for me and in fact i'm working out more and i think more
00:28:24.520efficiently than ever especially when it comes to the weights because i don't hurt yeah and i you
00:28:30.640know again going back to food noise i think i was talking with a friend or somebody about losing
00:28:39.400weight and like losing more than five pounds if you have to lose more than five pounds for
00:28:44.240health-related reasons which any doctor will say when you go there like certain pains it's like
00:28:50.480well, if you lost 10 pounds, it would help. Anything more than five pounds, you have to devote,
00:28:54.600particularly I think at this age with hectic schedules and habits and the whole other,
00:29:00.000everything else. You have to devote so much of your brain to weight loss for a six-month period.
00:29:06.720Do you know what I mean? It has to become almost a full-time job, I think, of focus because it does
00:29:12.640take focus. It's not impossible. It's certainly not impossible. And that's where this all gets
00:29:16.160tied up into who's earned it and is this cheating and all this nonsense because we so attach
00:29:21.920obesity or fatness really to shameful behavior which is a hundred percent as we know from
00:29:28.960science not true not true not true and also we love that puritan idea of well i've suffered
00:29:34.040for you know these results and this is like lifting and revealing at the same time both
00:29:43.120lifting but this idea of uh i weighed 125 pounds in my 20s um i'm just gonna throw that out there
00:29:51.160and i did not suffer for it i just smoked a lot of cigarettes and went to a lot of parties where
00:29:58.220i wore high heels so i you know i was clearly exercising by wearing these high heels and not
00:30:04.260eating because i was smoking but i was not suffering for it not suffering so i when i look
00:30:09.240at my schedule you know 15 years ago versus my schedule now and also the world limit like it's
00:30:14.720just these are all complicated conversations but i just think like part of what the shame is
00:30:19.520attached to is that you haven't earned it but part of the appeal is this can happen without it being
00:30:24.860my number one focus day in and day out for the next six months and oh yeah i don't think i don't
00:30:31.320think about it now yeah no think about it no uh all right let's take one more quick break and when
00:30:36.500I get back, I want to talk a little bit about my new relationship with alcohol and the side
00:30:42.420effects. Because there are some. There are. Okay, we're back. Now, you have experienced this
00:30:57.060directly with me. I can't really drink that much anymore. I'm a very social drinker. I'm not a
00:31:05.780i'm not a drink alone person but if we if i'm if i'm like out with a group i'm like let's tie it on
00:31:12.120and i have found my body actually whereas before i would have one drink and i would get the fizzy
00:31:20.760buzzy excited feeling and be like when's the next drink i don't get that anymore
00:31:24.720interesting which is interesting it's just interesting to look at how my body
00:31:32.280responds to these are really discussions around addiction which neither of us are doctors and
00:31:37.080this is yeah i think the thing about this is reminds me of birth control right the early
00:31:44.620birth control when birth control was introduced on the market it was life-changing in controversial
00:31:50.020ways of i mean god need me to say that it was life-changing and also it was it still is a
00:31:57.440complicated medication with side effects that we don't fully know the outcome because it's only
00:32:01.580been around you know since i was born so i think we are it's necessary to position this conversation
00:32:10.780in part of the same sphere of this is brand new and life-changing and also we still a lot of us
00:32:19.360we don't know a lot of people are like taking the risk on the outcome is worth the possible
00:32:25.960side effects we don't know where this is headed although rfk jr apparently doesn't like ozempic
00:32:31.080And I just think it's going to be interesting to see if he tries to take it off the market.
00:32:36.960That will be a death sentence for the GOP.
00:32:39.060But anyway, let's go ahead and talk about your side effects, because I think it's important to say like every same with the birth control.
00:32:45.580Like this was getting compared to Ozempic was getting compared to Fen-Fen.
00:32:49.300But I actually think the most useful comparison is birth control, because as you and I both as every woman knows, everyone's body responds differently to birth control, that there's different levels.
00:33:01.080of hormones in it. There's different estrogen, all these different things that might work better
00:33:06.080or worse for all of us. But I think, again, you know, like the perimetopause conversation,
00:33:11.700it only helps to talk about your experience to add to the larger conversation of experiences.
00:33:19.180Yeah. Yeah. No, absolutely. Absolutely. And I am a person who, and I didn't realize this till much,
00:33:24.240much later in life birth control did not agree with my body okay i genuinely think that birth
00:33:32.660control contributed and again this is just my experience but it contributed to my anxiety um
00:33:38.960a lot of like mood imbalances in in my 20s and i'm not on anything anymore because nick got snipped
00:33:49.280And I will say that my my brain and body do feel better not being on birth control.
00:33:56.920Which I just say I had the just as for a counterbalance, I loved being on birth control.
00:34:02.520My body loved it because I had such periods.
00:34:05.560My periods were out of control with cramping.
00:34:07.380And I loved it so much that when I went off of it, I was so sad to go off of it.
00:34:12.920But again, like these are two, you know, two different female bodies with two wildly different experiences.
00:34:19.580So how is the semiglutide impacting you?
00:34:23.600So it's fine now, but I will say that for the first about six weeks, and I've heard this is very common, I got very, I got nauseous, very nauseous, mostly because.
00:34:39.820It was generally. And it felt like very similar to how I experienced morning sickness, which was like a low level nausea kind of kind of all of the time. Or if I ate too much or too much of something that because your stomach empties a little bit slower. So I had a ton of French fries at the Weezer concert and also some beer.
00:35:06.720beer is not agreeing with me right now um which is probably good because when i drink beer i'm not
00:35:12.980drinking a nice michelobe ultra i'm drinking three ipas you know i have to say michelobe just when
00:35:23.300you said michelobe ultra i was like nick could have been in a michelobe ultra commercial he has
00:35:27.360that look where he could have just like sailed by on a horse or something with his like flowing hair
00:35:32.860With this flowing hair. Exactly. But I mean, much like I think that turkey is just the weak link of meat. I'm like, when it comes to beers, I'm like, I'm not drinking a water beer. Give me give me this full bodied Westkill Brewery IPA and I'll have like three and a half or four of them.
00:35:50.820So, I mean, that's, that's my own journey. But so I realized early on, kind of just like, how, how every how different things made me feel fried food didn't make me feel good. French fries were fine, but I wasn't going to devour a whole thing of French fries all at once.
00:36:13.000I think, you know, anything fried in like oils and stuff wasn't agreeing with me. And also because I wasn't paying as much attention to eating generally. Sometimes I would forget to eat, which is a thing that never happened before. And that would make me nauseous. And so that was rough for the for the first six weeks. And also, I mean, I can't overdrink. That's the thing.
00:36:37.340uh i i would immediately be sick uh if i had more than more than two drinks which is not a lot of
00:36:45.780drinks for me so i remember on halloween yeah the next day was uh rough going for you in a different
00:36:53.040in a different kind of rough going different kind of rough going exactly exactly i don't get the
00:36:58.480nausea as much anymore um and yeah i mean now i don't actually feel any side effects at all but
00:37:07.100those were those were very very apparent early on and to the extent that i was like oh do i want to
00:37:13.100stop this and what level of because as i understand it you start at like 2.5 and after four weeks you
00:37:18.900level up to a higher dose yes yes exactly exactly so now i've leveled up um i think it's 0.25 i think
00:37:26.700it's 0.25 and then 0.5 uh and then i lingered at 0.5 for a while i'm now at 0.8 i think uh and and
00:37:36.200Honestly, my goal with this is to pretty soon just kind of taper down, to taper down and to not be on it forever, of which the doctors that I'm working with say they think that's totally possible.
00:37:53.860yeah yeah that we haven't touched on yet one is that you are doing this in consultation with your
00:37:59.460physician and a program that injects it for you because there's two ways to get it right now which
00:38:07.500is through a pen which is really just like a syringe being shielded so you don't know that
00:38:12.320you're giving yourself an injection and then there's also you get syringes and a vial and
00:38:18.660you inject it yourself or you have someone else inject it but you've been doing this in consultation
00:38:23.120with physicians. Totally. I did. I did. And one of the reasons that I did that is because
00:38:29.220of the muscular dystrophy aspect of this, right? I wanted to make sure that I wasn't losing
00:38:36.840muscle mass as we went through this. And if I was, I was going to stop immediately.
00:38:42.260So I did a full body scan of measuring the lean muscle to make sure that we're staying at good
00:38:52.420levels. And now I actually have more lean muscle now than I did before. Again, I work out, I do a
00:38:59.040lot of weightlifting almost every, not every day, but I do some form of exercise every day. And I
00:39:08.280also take creatine supplements to maintain the muscle. So I mean, again, those are things that
00:39:14.280just work for me. And so that's one of the reasons that I decided to work with a doctor to do this.
00:39:20.820Because everybody, I mean, I think too, I'm part of the research I did on this last year. So again,
00:39:26.000this is not as up to date and I'm far from being a physician, but the necessity of getting the same
00:39:32.380way before you go on birth control pill, you'd have to see a doctor and get blood tests is
00:39:37.800necessary for this too. I think for what you say, like, do you have, is there thyroid issues? I
00:39:42.980have a friend who was thinking about this, but was, you know, has a number of complicated,
00:39:48.900like not complicated but it's like we're also in our early i'm in my i'm 50 now this idea of like
00:39:54.780your body's experiencing all these changes the physical beforehand is to determine whether some
00:39:59.780of these changes are as far as we know to connect to paramenopause or is it thyroid issues or the
00:40:05.740heart like it's it's not a thing that you just are like oh i'm gonna do this it sounds great
00:40:10.560it's not like a caffeine pill somebody took in the 80s which was complicated in and of itself
00:40:14.680this is i so jesse jesse spano i'm so excited i'm so excited like to really think through this is
00:40:24.620like you wouldn't just go on a birth control pill without talking to a doctor you wouldn't go on
00:40:28.860this and that brings us to the very american conversation of this is for most people not
00:40:36.200covered by health insurance which is in and of itself very expensive um and so these there are
00:40:43.020financial realities to this is expensive and i think there's one conversation to be had around
00:40:49.940like um again like health is wealth and wealth is health and who gets access to these and who
00:40:59.600does it benefit and who is again continues to be shamed for um obesity and also is this just
00:41:08.800to, you know, when you spend money on this, because the prices are dropping. I remember
00:41:12.720having a conversation about this recently with my doctor who was like, so many more
00:41:17.140things are coming on the market. And this again is like the birth control pill, that
00:41:20.300it's driving down the initial crazy cost of it to more accessible as we learn more and
00:41:26.460more people are bringing it onto the market and weighing it against like, what am I spending
00:41:31.240on food? What am I spending on alcohol? What am I spending on clothes? Like, do I want
00:41:35.940So I think all of these are complicated conversations, but the cost is a real consideration because for most people, remember, you know, Samita at the Cut wrote about this a year ago of like getting the coupon and that drops the cost to $700 a month, which for a lot of people, I mean, we live in New York, $700 a month is not like a third of everyone's normal rent.
00:41:59.660but for most people that is like it's rent it's rent or a mortgage payment and then you know once
00:42:07.280that 12 months runs out if you're a person who needs this because again ozempic is i you know
00:42:13.020was was created for diabetics and thinking about that in insulin or again thinking about it in
00:42:18.140birth control you can't take birth control for six months and get off it it stops you know like
00:42:21.960for a person who needs this as a maintenance thing for real health issues the cost of it is
00:42:28.060is astronomical astronomical and then there's a conversation as you say of going off of it after
00:42:33.660six months which i think is the new era we're moving into because initially the conversation
00:42:38.040around it was like you have to take this forever and i actually think for a lot of people
00:42:42.760you're you're hearing and this is anecdotal this idea of i need it as a reset
00:42:47.660but then you want it as a like a one-time reset not as a i'm going to use it every two years when
00:42:56.000things get out of control reset because i think that probably has physical implications that we
00:43:00.700don't are not yet aware of either but like we're in such a flux moment of not knowing
00:43:05.580this so if it's like can you do it for six months suck up the cost get yourself back on track and
00:43:11.320stick with it is going to become a conversation for a lot of people i think yeah and we're gonna
00:43:16.340see we're gonna see we're gonna see like we don't know this is you were very much at the
00:43:20.660crest of this sort of um i am a guinea pig my friend like the way where it's like is if you
00:43:27.720have healthy habits that you can stick with and if this is a reset headed into second half of life
00:43:35.840and you understand it is that and that the cost of it really drives that home then is that how
00:43:41.180this becomes useful i don't think anybody knows i don't think anybody knows i don't i don't think
00:43:46.180anyone knows all right let's take one more quick break and then we're going to come back and we're
00:43:48.860going to tie it all together and wrap it up okay we are back i do want to tell you one more
00:44:01.700compulsive behavior that i don't do yeah i don't pick my face anymore really really i don't know
00:44:09.420that i knew that you picked your face to begin with but it's interesting yeah yeah yeah yeah i
00:44:13.040am a zip picker okay and like i mean the tiniest little blackhead i will go to town on it and i
00:44:20.720don't do it anymore and i only just realized that recently that's amazing i know again i mean like
00:44:26.380we don't know what's happening in our lives right now it's so crazy no i also it's coming at a crest
00:44:31.120too where we've only recently in the last five years it feels like really started taking mental
00:44:36.560health seriously to a degree that it like moved into the culture, into mainstream culture. And
00:44:43.120that we've only in the last five years started taking paramenopause seriously, whereas moved
00:44:48.380into the mainstream culture and that all of these things are happening simultaneously. So it's like
00:44:53.660this, this, all of these things that so many people have been struggling with for so long
00:44:59.620are just beginning to be taken seriously. And you're seeing a lot of the conversations around
00:45:03.800semi-glutides being like, oh, maybe it impacts depression. Maybe it impacts anxiety. And I think
00:45:09.480we're like still new on so much of this. We don't even know how these things overlap or hormonally
00:45:14.740or how our brains work. And so it's like, wow, this thing is making me do three things at once.
00:45:21.100And then that contributes to the idea it's a miracle drug when maybe it is, you know,
00:45:25.280there have been miracle drugs this century. Birth control pill is one insulin, all of the
00:45:30.460antibiotics you know vaccine i love yeah i love my zoloft okay there we are you know where we're
00:45:38.600headed is another discussion but so it's all these overlapping things where it's like oh my god and
00:45:44.160it's like well there hasn't been enough research to determine how all this functions prior to the
00:45:49.220area um or also just research on women generally okay generally just generally generally and you
00:45:57.820One of the things that I was sick of being told when I talked to some of my more traditional
00:46:05.360doctors was, this is just your life now.1.00