El Podcast de Marco Antonio Regil - 419.-Obesidad, metabolismo y efecto rebote | Lo que nadie te explicó - Dr. Claudio Vicenzo

Episode Date: February 23, 2026

¿Te ha pasado que haces “todo bien” y aun así sientes que tu cuerpo te lleva la contraria? En este episodio con el Dr. Claudio Vincenzo, hablamos de obesidad sin juicio, como enfermedad crónica y multifactorial, el sesgo y estigma que te rompe por dentro: El círculo de culpa, estrés, cortisol, hambre, y por qué el “efecto rebote” tiene base biológica. A veces el problema no es el cuerpo, es la historia que nos contamos. Por eso cree una clase gratuita para romper esas barreras y empezar a diseñar la vida que deseas.👇🏻https://marcoantonioregil.com/vida-podcast/ *Importante: Nuestros invitados son expertos en sus temas y reflejan su conocimiento y su punto de vista, siendo conscientes de que cada una de las opiniones es totalmente personal. La información, datos, comentarios, estadísticas que se presenten en el Podcast de Marco Antonio Regil, son de exclusiva responsabilidad de quienes las emiten y no representan, necesariamente, el pensamiento de Marco Antonio Regil o de la producción del podcast.

Sub and back to get a problem is a lack of a lot of a

problem. It's a problem of a lot of going to confluing about funn't when you get overspoken,

when you're stresses, you know, you're in a level psychological mental, we're going to

have more risk of a anxiety. It's something I was like, simply nasi

with those conditions. Every moment of the patients, it can get to

get to get a person, we we're we're trying to put to get to get

to time, Marco, you can't be doing intermittently. Is normal? It's expected. The producer

me said, my life, Ben, me was going to say a but I'm to say a man.

A world of a man. My name. I mean, I feel so much. The podcast of Marko Antonio Regil.

It's a production of alma matters.com and all his rights are reserved episode 419. I and in my

family we're in my family, we I always, I remember that in the refrigerator of my mom and the tias, there was a diet pegged in the refrigerator. Because it was like a problem eternal of the family where all of us were, or we're trying to to be back of peso. And it was to doveting and

go to peso and rebutar and do you. To get a diet and to do you, we've invited to Dr. Claudio Vichensso, Fyrentine, we'll give us an applause with much carino, to the doctor, medical, with master's sciences medics, with more of 10 years of experience in the manage of obesity and of diabetes. It's a new thing. It's a

perception. It's a, it's a reality that has a damage to much people in the world. The obesity is a disease is a chronic. It's multifactorial. Unfortunately, is treatable. It has signos, has a symptom, has a form of diagnostics, has a form of traters.

At the final of the case is a new thing that's characterized by an amount in the tissue adiposo. In the tegid muscle, that's going to disfunctioner and will generate a lot of complications.

more of 200 that if you want to talk about that. We're talking about about the impact emotional and psychological that has in the people that we're

people who are people very famous opera, no? The case, the case most known as a level world, I've

subied and have subied and back up the peso, me have been critiqued when I have been when I've

been really that's a thing of what I'm that's, I'm not I'm a problem,

it's a way, how much the the time to do you get to the fact of the

of the fault of force of Voluntat. You're talking a point important is to start up and back to get a

problem, the weight the weight of the obesity as a thing, I mean, it's a thing of

a form of not a thing of a form of a form a problem a chronic in

where they're a confluing many aspects, the genetic, the

media and the things that we do we do we do not we can do that

part cultural, it has to be also with the part physiologic. It's saying, are many factors that confluen that are going to

have to have a more high. So, not is as a time of force of the voluntat. Now, also what you

have said, I've been critiqued for sub-of- weight, me have been critiqued for being a problem that's a

thing, that's the sexgo and the stigma. What is, let us, the sex-go and the sex-go? The sex-go

are these attitudes negative that we've been to the patients that have seen to be given

with obesity. The stigma is just this of evaluation social that we're doing the patients that we're in with the end of the end of the impact

that's not negative that they're both the sexgo as well the in the state, and also in the treatment, at the final

of the countas those demotivant, those maintain in that cycle vicious of living with the disease. Yeah.

Now, this sexo and stigma comes of who the family, of the family, of the family, of the family,

of the family, or also of the medical? It's very desafortunated, and there are various statistics on respect in the

literature medical, is very desafortunated to know that the major part of the case this sesgo and this stigma come in the professionals of the health, of the family of the patients, of the companions, of the

companyers of the family of the time. Imagineate, of who can't think that can come to this type of the juicios, is

where they're where they're basically going. Well, and what it emotionally and the autoestima

of the person that is doing is terrible. The fact is that it's a lot of a negative in the desenlaces of these patients. For example, at level psychological mental, we're going to have almost 2.5

times more risk of a risk of anxiety. Depression. Obviously, these desmotivations. Burguenza public. This impact clinically to the patients. Why? Because they enter in a period of stress and this also is demonstrated in the literature

in where there's an amount of cortisol, an increase circulant in the patient. And this also can't to get to to be a more physically.

So this part of the sexue and the stigma are importantatism because we have to

work with these factors to be a better a better or a better than a better

because when you're a good because you stresses you do a bad so you

you're you're you're you're to buy a lot of different to be

a lot of a place or no you want to go to you're a play.

You're going to start. You start to keep to find out and this is a problem because it's a

problem because it's a problem. So, part is of the point of that you have a patient that who goes to get to get to

pay the person that we've that many we're not not very much this sysgo to this stigma. What is

the case with the patients is the stress, the anxiety the depression then they suspendens the interventions

they're they're doing Here is called internalization of the sesque is when the patients are the people, I live

so I'm my fault. It's my fault to have been subbed of the person, it's my fault of

this circle vicio of the patient that has a disease, and no is a circle and no, it's the circle,

and obviously as a moment has a different, it's negative in the health. Now, how

we're we're doing that because, I mean, I can't talk about more more than me,

right? I don't talk to the to the to the mind to nobody but, well, most times, I feel

that's my because I'm to eat more. I'm going to eat emotionally. There's much people who eat emotionally

and here we're going to another rubro that is how our body the appetite. The regulation of our

appetite is is made made mainly by the Cerebr. In the Cerebr, we have primarily three zones

that are to have a relevance in the conservation and the balance of the energy. One of those zones,

just the part mesolimbica is the encargated of the recompense, of the part of the best of the

care of your own not this at final of this is to eat a emotional us generate

a sensation of a badestard that unfortunately this type of the emotional

is that bring to all the barriers that we have our body to have

to be social and I'm a example that I think that we have a lot

to be you, you're coming with your food, your plate your the same

Cerebrough you say, hey, we're going to get to the part of the part of the you have to

feel a really, but someone people need a postre. And then the postre gets to

the center of the and you say, no, I don't want, because I'm not you

just the hand in the cup and you start, and you're a try to try to

try that you say, you're a good, and when you're not you're you're

two or three cut R to you to come emotional and the recompens

that us generate certain food so it's a lot of the thing that

our time to try to get to get to get to get to get to get us totally, debilies

of the force of the or you get a lot of a day of a long of the time, I don't have

food in the house, and then you know, you know, you know, you know, you know,

well, then, so, well, those tachito, a burghers, a burrita, a burrita,

me go to me going to come and I know, I know that I'm that I'm

I don't do. And then I'm compensed with food. Totally. And there's where, well, convince me of the

contrary. I mean, it's my fault. The most voiceicita, the same voiceicita in

the mind that says, trachate the hamburger pere postre. It's the same that then you

don't know, that's a power of that's not, you know, that's a person, you know,

you know, you know, because you did you do you know? And so it's very interesting how you

you're actually is to have done to show in the literature that much people that

a lot of the day is a guarding stressors in the body, at the final of the

time it's eliminate during the time with the type of food that's always that's

it's like I'm it's like I'm like I'm like a thing, so it's a

thing. So, so at final of you talk to you talk about

to three parts of our energy corporate, there's a last part that is the lovular as a

function executive. And it's that part that that's part that makes that are good or

bad as this is a final of to work to work with psychotherapy to have a more relation

with the American in general culturally we have a relation well a way to be a way to be

many of the things that the year and we're we're we're not for nothing,

seven of seven of every five people in a lot of United same

history. Totally. The fact is that the countries with the world of the

world we're talking to the United, Mexico, Chile, Brazil, so, so.

Now, the Europeans, for example, you know, you know, those Europeans, that I know have a

relation normally different with the food, that in the States United and America

Latina. Totally. Like, like they, they, they, they, come,

to try, to do you do feel, to do get, some bit, they're and here,

like us like to task us. And apart the type of food of the food of course, when you

see, like all this part of Mediterranean of Europe, the people tend to consume food that's

more than as aseate of olive, pescados, etc. And at final of the kind of

the type of food is different. Much fruits and vegetables. Many especially

also, talking of that region, the prevalence of obesity has been going to have been

more restaurants of Comida the United's they're opening also

overing in Asia and in the United in the countries Arab and the publices

that's yeah. And the problem of this food, the final of the count's is

every more studies and there's many more more than that they have been

with the food about the things how come we've been in the last we

have been really important with the time of the community

rapid we've introduced many many ultra-processed, the immediatess of the things,

a rise of the pandemic, how many we have RAPI, Uberites, etc., and we are there we're doing food, we're

to get to get to get to get back. Yeah, you know, you know, that's the restaurant in

your house. Completo. That's the does it's more dangerous. And those habits

have been modificing. And we talked about much of the obesity like the obesity,

is multifactorial. Some many things, you know I'm like, genetic, etc.

But this part media environmental, of how we do not we're doing a really, because

yeah, because we're not we're doing things that are doing things that are going to get to get a resistance to

insulin, that we're going to get into a cycle of eat, but also the way we we've got

that we've changed much, and I to do it before I'm that I've been a way, in the

bicycle, in the patina, etc. that is something that we're not we've been we're not

we've been people, we're people who no has the facility

to start to do that that's to do that to be in a city like the

country, I think the tormenting perfect for these the problem.

Now the the cause of stress, correct? Correct. And the stress

not to do to do to do to get to the stress, the

correct. Because, because you do you have a carthos

that ultimately also also also is much of the also

also to eat more, at the final of the way. And the same happens when when we're in

the more. I'm the riego. I mean what I'm I'm sorry. I'm sorry. The fault me stressa

because I'm I'm sure. I'm not, blah, blah, blah, blah, blah. I don't have force of

and that's me make more hungry. You make that's a more so it would be more

a bit more a burrita, no, a tortilla of the cartelel and not feel me

to make sure to come At final of count as I think in terms of the food there are to be good

there's that we're so I'm that's that when you do you know what I'm not

not saying but at final of you know to try to get that to get

to get that we get to so at more more to be more more than the

day during the time during the time so much being so much

the things of the CULPA. Solta the Culp. And

talking of the question, the part of the Cessue and the stigma,

it's there are there in many countries to find out to get this part

of the sexgo and the stigma. There's many there. For

example. For example. If you like a doctor, I'm a cycle. How I

feel like a problem? I'm a diet I'm a person, I'm rebut, I

get the history of my life. How you know? As professionals of the

health, the first is to make this reflection and this, to have a self-conciences of that

all the human we can't have sexue and stigmas to get to get to get in the

extremes and the end the end the eating a restitiv and, you know, you'll

you'll be more, you'll be to come as as you revotas. Because there there's

so rebutt this part of the rebote is very interesting because we

have associated with certain points very specific. To start, the word rebutte is a word that in medicine, no, we use reganance of peso. No, obviously. No, obviously. Never, medical has said a rebroad. But you're

much. You're going to surprise to this reganance of peso has a basic basic super important. Is normal? It's expected. One of course that the patients pierced in the person, and we can't be like a mechanism of defense

of the body, ante the desnutrition, for so to say, or until the per die of a example. You, you do you,

you know, you're a good food, you know, you're activities during

some years, because you're a better little bit of you know, and you're to get to get to

and at time, and you're to perceive more more desire of eating, there's

certain things that's that's to get to get to get to be to get

to get us, and then sometimes those, so, a little three, four kilos that you

had been you have been you've got to reganar. There's a realtoxic for that before we're

we're that the reganance was associated to the type of intervention we do you don't

how you get a pay for see if you not you do you do you you're

you're those interventions that initially did you do you do you're the first certain

hormonas perifer which us do do you help to make sacyed

they're to start to disminue. So, you you're so you have done

that's done to get done to get used to get to get to get. And then there's a

form specific that is produced in the stomach, that's that's that they're that's that's

that's the end up the then that's you're there's in where you start a

more of more desire to eat. Encema, when we we're our our

our task metabolic basal, that is our metabolism, it's a diminuidly literally. So if you're

accumuling kilos peridivis, you're going also disminuiting also the tax metabolic basal. And that's the torment

perfect for that the patients reganen the peso the person that's that's not more getting

more. Per die person, I'm in getting to pay, it's a sign of

emergency. And it is, and it's probably because there are that we have since

many years. When anteriorly we didn't know if we were to eat to come

to get to the day and we're to be able to get to be a lot of there's a lot of

things of so that so that we could be in the literature it's like a

point, like if were a termostato in where you know, in where you have a

little califaction a so, it's the same ambient the same the quarter

and when you're to 24 to 23, the air the air, the califaction is chan

another way to get a lot of it's too. It's so. So, so that's rapid as your pain.

So, so it's the appetite and so is the piece. And so then sometimes you can't you know,

there's there's a not that I'm not that I'm not that you don't know there's, there there's a

there's there. There's there's a question and does do you guys and it's

after seven and 11 years and you you're surprised that people that per die of

10, at the 10 years, had re-gannated not only the personal the issue, but the issue.

And so, biologica. It's biology. But why? It's biology. How? At the final of this

part of the cascada hormonal that you get more appetite and to have more so it's very

interesting. Here is the incustice doctor. This is a whole. Okay,

this is a point important. There people that the food, not a

problem. No, it's, not, no, it's, not a time. And there's,

and there's a group, that's a time in our life, we've intended, all, and a little

it's not it, and then it's, and you know, you know, and why? And why? My comadre,

no? Every patient is different. Every patient has, different, balances, energies,

different, every, the patients with the patient's different, have been different, for the

reasons different, for the which they have a major or a way or a how,

how, how? Dentro of the obesity and in many diseases, there are phenotyp that are like

types of patients, let's say so, in where every phenotypo, then it has

to be with a cause a more specific about because they live with excess of

so. So, for example, there, a phenotypo of an phenotypo in where

the patient are more emotional, etc. I, I have those two.

Yeah, when we we can't make a better a better the way. I mean, to tell you, I'm going, the patient's, I'm sure, and you're, it's a lot of different. It's not, you know, it's different. And for sure, and for so, no, it's not all the people, sub it's much of power. It's not, you know, it's not, to be able to, so, you know, to do it, so it's important. It's important for that, and I think, is part of, you're here with, to start to start to be here with a professional of the health,

that could help us just with this theme of excess of I think it's a good. I think it's a good I think of the recommendation always. First of

before the podcast I'm going to question to ask you you're doing the life that really you're really in your

or the life that you think you think you do you're you're doing your routine you know

you're not you're not you know you know you're not you know you're not to manifestar

those things that you're when you when you when you're when you your mind, you say, because

you're asking that's that's too, it's too late, you're not time for dreams, and you know, I'm very old,

very old to start a little new, no I'm not time, no I'm going money. I'm not

you know that this is I'm Mark Antonio Rehiel, and for so I'm invite you to come

to a master class gratuit in that we can't more about more more about

the time. The class is rompe the barred and design the life that you desire.

It's great, and at final, there's a special. Inscribett now right right now

right and Marko Antonioregil dot com diagonal Lida. Repetto Markontoniorogil

com diagonal Vida and now we're going with the podcast So, so a

sometimes is genetic, a veces, it's things emotional a sometimes is your type

of a environment. Medioamient There's people there's people that are people

that are less delgated to say so beautiful that not sound to a gordon

but yeah, but there's naturally we're more fullerals. There's more there's compositions corporalal

different and obviously also quantity of a mass distinct, quantity of muscle distinct. And the

is that is different. And we know that someone is more more more than

someone that apparently not should because it's more more because already

we've been said that the obesity is a thing that's a

because it's a excess of the tissue adipos. But the disfunctiona. What does

this? It's a very gross mode, no, so it's in where they're going to

get the complications that's that's the there's there are more delgated, that have a

person, we'd say more back, but that they have a depositioning disfunctioning

totally. So, so there patients that are very people, and that's there's

people, they're they're pre-diabety resistance of insulin, the agadogas, So, also the

theme of the peso, is an indicator that correlational with the complications. Sin embargo, you can't find patients

that have been more basinsational, more inflamado, and that even so they're going to get a personer. There are people who

can't be able to there's a problem with this correlation between the weight of the problems, the

is very well described in the literature. There are patients that have people in pesos more more

elevated, in where, for example, the tissue adipos probably not has dysfunctioned and then

those patients that are in a laboratory clinical, and they're doing so that glucose is good, sugar in

the sugar in the same, lipidos, cholesterol, triglycerio is there now. Now,

here I'm to make a cutation. Because this term, of what he's known before

obviously as an kind of now, now go to more in desuso. For two

factors primarily, there's a study in in the United of around 200

patients where they were in a only 40 of 1,200 complied criteria of metabolic

of a disease. What mean this? This means that means that we don't

we're looking in the place correct, the complications. I'll put an example.

A couple. a few a couple of a course in a

technology of a course of in where, at the final of the life, as a life,

as a medical, as a way, you go to you do you do you see a

kind of the function epitical, you can be in or less suspect if you

have a other thing, you know, that is very associated to the obesity and the diabetes.

Now, in that course, we've learned we just that there's a number of

patients that they have in the person a phyborosies in the ligado of

the ligado that is empeorando, that no they're not any factor or proof alterated in the same.

So, it's what I mean, a lot of we can't say, the patient is quite, but at the more we're not

we're looking in the place. Because you can't have those laboratories sanos, but if by

image, you know, you know, so at final of that's, that's not is to be

not as not as so there's time to talk about the amount of a other

there. There's a other between the patients that have a person that have a person who's non-of-pesside with and without

and the patients that were not even sanos are those that were still in a risk increased of a problem

so there's so there can be people who can be a better but are the men who's there's not

to confiarsely correct, there has been much controversy and much discussion at the long of

the obesity in this aspect in the last in the other international is it

also obesity preclinical. It's about you have an excess of a piece of

a excess of a muscle physical but your your tissue of the posto still

not dysfunction and then there has been a reunion of an global in where they

have said then then so if it's obesity preclinica is that

patient still not not not and obesity clinical

that is when the patient has been very controversial. This has been

very controversial because many medical and experts a level world, they're going to you're going to

you're going to you're going to do you're going to you're going to not you know mean that's not going to be able to present to other

conversations. Totally. Okay, so I have to record that my body has the memory metabolic.

That's the dietas no function. More than more than a diet what we have to do we have to

learn to learn a amountitious. A bit. The problem of this you mentionas of the

dietas that are relatively restrictives, keto, allos, etc. is that is that

is that unfortunately not are not quite how much you can you're doing

intermittently or in a diet to getto pass two or three months and the people

the people the people because not is sustainable to have to be able to be

so so at final of the time you know that's more to learn

to learn to get a to have a diet that that's so

that you guys, that come and you see that come savourous and no have a bronch with the alimentation. And I if I'm something that I'm like I,

simply in a condition, but not is my fault. No, it's a force of a voluntat. No, it's

a force of a voluntary. It's something. Totally. That me I'm, that I'm, I need more

more food. Totally. That's my other friend, to you put, to me put 10 tacos, me come the

10. No, a less that leech, you want to come to do you And in

case, people or amos that they're not the time and they're not that they're just that they're

just to be able to they're feeling not they're doing not they're doing the other taco to get us. There are many factors confluing

there, there's a cultured but not it is a voluntary. No, it's a

of a voluntation. There's there. There's a question, when we're doing something when you're

going to say something that you there's a organo, that there is there can the doctor that we know

we're not we're that he's that's up that's up the person that's

the rest of the world and that's a signal very important and when when it when the

obesity for what the organ it's that you say you we're going to

I'm I'm going to I'm I'm a moment to be talking about the obesity

the yeah the the language the language got and the language is the via respiratory

to be a infiltration of grass I'm in engorda how? So, as you

hear you what you do you see is the next. We're we're going we're

what we we're what we're doing with the activity physical of day or the exercise.

So this balance ideally should be perfect that no it's. All

what we we're we don't we need of what we're we going to

guard. It's excess. In the long. Not in the language? It's a lot. In the series? We're going to guard it in different organs. First, we can go to the tissue subcutaneous, it can go to the tissue visceral. One of the tissue of visceral

begins to suffer, we're going to add acids grasos to different structures of the body respiratory. And there can go, the language and the

part of the pancreas. But the language, where, here afloire? In the part yeah more posterior. Ah, where not see? Where not see.

Ah, okay. So, you've heard you know that one of the most of the symptoms,

symptoms, pardon, or signos is that the patients doormen mal. So, so what

is that the patient is a question, and here is the pressure, a problem that the abdomen is a

problem that then the patients, then the patients are to have to be getting a painer of

the swenka of the same, that are these pauses respirator the night and that

said, of the past, today is a fact that going to get to

get a risk of the risk cardi-metabolical of the patient. Also, it's the body respiratory.

And, there's a way there's a amnation of the brain of the swen in where

they're making in the way respiratory and they're done to do a

amount of the amount of the amount of the infiltration of grass in the

way respiratory. So, I'm gourd I'm in gorgado my gargant. You're going to get a major

accumulation of that's of the mechanically, it's so mechanically it's a way, during the night. And you

start to do you get to do that you're going to you can't cause ronquido? You can't cause

respiratoria that you're talking about that are talking about we're not we're all

they're all they're so they're so they're not I'm not I'm but it's

but it's to have to be it. It's good to know how to it's one of the symptoms. So, so if I don't doorme if I don't know if I'm wrongquered

and all, the good news is that can't solution? The bad idea the power of the first thing that's the

things that do you know the episode of apnea. And then it does it does a patient that

he has a patient that five, 10, 15% of your personal and you you have a patient

you can be a patient or the patient and a your husband or a wife or a father. Of course. At the final of So,

so it's so it's it's great. And it's a grass, no? Because

peso, muscle, so is peser but it's not in the weight. Totally. The term is

the percentage of body. It's the thing I'm it's the body. There's a

muscle. And more than a piece optimal, because anteriorly, we know,

but at final of this, this is to get more more than to get a piece

a good or the better that we can't get to find out and that's the first thing that's that's possible

that's a maintainable in the time and that's that's a realist. And that's realista

for my body, my type of body, for me, my complexion. Not all we don't we're

doing with people's European. So, so if so, so, no. Every person is

different. And, and I'm talking to the patients with the patient's and I

think we we talked when me Invitastes that this is a system that's a time that is a system that is a year every moment of

the life of the patients, those can get to get a or to pay or to payorce, so it's matrimonio,

divorce, perididas family, graduations of school, peridates of work, or a new job,

change, a new, that's, every change, so every effect the effect the person, so.

Because, because it's because it's emotionally not, we can't not affect emotionally

like the peridities family, the divorce, etc. At the final of the patients are

subpoing and changing of the time and then that's a last of five, 10, 15

years, so nobody doesn't to be 10, 50 kilos, to be 100, 150 in

a year. And so also, about the realism and the expectations that you

say, is a moment, also we also, we have to see, the period of

the process to to get to get to a better a better quality of

But it's that we go up a little, no? Because our margin is for example, here to be able

to get a to the end of the time, then the margin your area where you're going to be more, more pesadita

and then we go to go to a little bit to get a little, then there's control as if still you're

so you're more, and you get as you're in a new range. Sure, because then the thermostato

is up going, it's subient so if earlier you you're used your your

Cerebro, your body, a I'm about a about a

lot of time, you know, if you get to do you get to the 25 to more

more than the time. So, to the $0. So, that's in where you

going to get to that that's that's, that's you're going to get to

get to get a to get to the question of the year, doctor. Quintam.

How we do how are the advances scientifics? let us, for favor,

of the therapy and what is the difference with the other therapies. When you have a patient in your consultory, I imagine you

see the multi-disciplinary and I'm doing this, this, more this, more this, more this. We're not going to put us a diet. Putt a diet and do

do you do that's exercise. There's just you're just making in the carlider or in the gymnasia and you're

to get in the rebate. Okay. Sackanos to there, doctor. The abortage of this

a CERNEDCORNICD, overpeas, obesity, has to be multidisciplinary, as you know, we need to be

to do you know, to you know, the program, are five pillars, those that are primordiales. The first is the nutrition.

The nutrition, the habits, no? In general, the habits alimentisios, we have to make sure,

and obviously the guides of practice clinical, we're recommend, and so that's a expert that

can help obviously, to selection the quantities and the types of the food adequate for the patients that live with obesity.

So, pillar number one, the nutrition always will be important. It's saying, the restriction caloric today is one of the pillars fundamental for the

period of the weight of the risk, and get it to get it to the other extreme in where the consumer caloric

is less than the gasto caloric that we have. That's, that's, so it's obvious. Piedranular.

Second, the exercise or the activity physical, because are distinct. The exercise is a movement rhythm

rhythm, systematic, etc. Now, many times we've talked about the exercise

aerobic. And then there's people that want to have a more and it and the

elliptica, in the comminada, in the bicycle, in the time. In class

of Zumba. In class Zumba, that is very good. At the final of

the health cardiopulmonar, the exercise aerobic is fundamental. But not

it is all. Today we know, and also is part of the evolution that has been in

the science. Today we know we're more of the effects beneficial that has the exercise in

our body. So, for example, today, make an aerobic, and then aerovica,

is to be distribute the days of the time, for to do more to do three days

of cardio, but also to make two or three days of force, for mass muscle,

but for because part of the organs in our the body that have a to have a

metabolism is the muscle. Oh, but it's really that the nutrition is like the 70%? There's a

very different depending on the long of the process. Those are important but it's important what we're more

more than the exercise. Because many times you say, I'm going to my tachito and then you

would be done during the gymnasium. The initial, the food is a power more important.

The alimentation is the base. One that you you're making the person and

you're is almost the important the activity physical. The activity is categorized as one of the

most of the strategies to maintain the pressure and then so it's force and cardio. Foursa cardio and eat cardio and

eat well we're doing. It's the basic. I think we all to make more to the multidisciplina because this yeah we know

but no we do we do do we do do we do we do. You have done I've gotten to try to generate more

ingress, just to cause more stress and agotament? Travahs and you work, and it's sufficient, and your life personal is suffering. Even your perr is already of who is you

and think that you're a visitant occasional? Imagine to get more money without having to sacrifice your time and energy. Cree me,

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we're we're we're part psychotherap that is a through the

therapy cognitive conductual or at through the psychotapia of the

animals. That's what the difference of that therapy of that therapy cognitive and conductual the... The psychotapia

of the food is what is the final of count as we know we adopt we need a more relation with the

work and the part of conductual is a program that's a moment and that makes make better decisions in

health. So at final of count as for example, traveling the function executive,

well, you know to be a posture that's in the center or simply you know, you're quite

the clas the antio and you do you'll be the therapy cognitive conductual. It's a time to have a accompaniment

psychotaputical at the long of your process of the process of and the process

has to be very relevant so. It's been in the studies. How aggregate therapy

cognitive conductual does a more a major a period of weight of and also

also help to make a period of the time of the therapy conductual, not the therapy in the

therapy in where I'm when I'm not a car, and I'm not that's a time.

No, that's that type of therapy. That's another type of therapy. Although, if you

can't talk of certain factors that you can't, then that that's a desire to

not. But it's not focused in that. No, it's specifically in the

psychanalysis in the psychology no. That is another thing. It's

is, is focused in your conduct. It's a bit, when I'm when I'm going to work

at the 6 of the night 7, I do you know a tracones. I, I'm going in the

dinner and more or less in the food, but when I get to my night, I'm

I feel only, solo, so I think I so, and that's, that medical,

that's a psychotheraper will be to be to be to manage your conduct,

exactly. In the the moments of the day or days of the days of the holidays or

that you have, what you have to eat what you don't have to eat

to go to do you know to get to a lot of not to get to you know, not pegate to what you

know, we know, that's nutrition, good, exercise, cardio, muscle.

So, that is where that is a specialist and you does, you do

to make to make a way to you know, to be totally. That is just the

part conductual. And today in Mexico we're in Mexico we're psychotrapia, the

animals, that can help a lot of the patients to have, you know, this better relation with

the food, or a more system executive, that take decisions much more than those patients.

So it's a speciality. Yes, it's a ram of the psychology, that at final of

you know, it's, involucra much study posterior to the psychology. Okay, and then.

And then, what other multidis we have? We have we're we're a fourth

pillar, that are the medications. Okay. That, unfortunately, in the last probably 20 years, we've been an innovation very important in the medications.

Yes. Of something we've been arastrando, Marco, of last nine years, more or less, when they started a lot of medications that more than, more than the time.

If they were some of the years. So, hormone atyroidea, analogs of amphetamine. It's, 50, 60, 70s, at final of count, they're doing

more damage than the benefit. And we've seen in the last 30 years, over all the

last 15 or 20, an advance important just in two things. One, in the

understanding of how functioned the physiology of the obesity. Is to say,

to understand today this cascada biologic of the which you talk about

a moment, et cetera. Entendal it, has led to the

investigators to have more objectives therapeutic to manage the excess of the second place.

We've been seen the apparition of therapies. Fortunately, that today are much more efficaces,

are sure, and that they're going to help to maintain this restriction caloric. It's

the help that the patients need in many cases to be to be the restriction

caloric that you said at the what you have the medications moderns

that not they're to To start, are mechanisms of action distinct.

Today, the medications more new for the management more to make to make a result of

hormones, that will help to have a more sati a lot of a bit of the

vacuement gastric, is we're going to have more control of the glucose

also, and at final of the final of this, obviously related

with an adequate nutrition, obviously the activity physical, we're are

to permit to to to make and to make sure the

problem we're in the mechanisms of the action more years

for the many years that are the analogs of amphetamina

what they were increment the quantity of adrenaline or

adrenaline circulant in the court and this so at the

patient so that the kind of a kind of a state

and that are the lot are those And at final of

count, this, was generate exitation, insomni, tremble, et cetera. So in general,

those medications of the years, then the final of when it's going to

the market for the security. So we we're in a moment quite good,

with good therapies. The GLP is the most common, no? The GLP1

justly this is a hormona, a hormone pertentientient to something

that's a first time that one is that's that's probably probably, probably, probably, for there in 1, it was a secretina. For there, of the years 70s or 80s, so, it's to know more of the incretinas,

not only the GLP, but also the GLP, which are the ones that can't have an adequate equilibrium energetic in the carbohydrates, is that actuarine in the pancreas, helping us to metabolize the sugar, with the insulin, and the mass,

but that also have an effect at the level of the system nervoso central, in where you said in those regions of the cerebr, particularly in the

hypotalam, in where us are going to help to feel more satisfiches, to have more asi-edat,

to have a petito. So, GLP1 and GIP are these hormones, at final of the

countas, that are that are that are to be able to and that can be able to have a

effect that's, that are other effects that are receptors for these incretina

in many parts of burpocorazons, rinions, in the part of the recubrism of the arteries, et cetera. So, so, are medications, at the final of count, innovators, secure, and super-completes. Now, without, there's much

people that's it's a auto-recetant, that's, and, uh, and, uh, and they're to do it, and, uh, is, that's, uh, is, that's, is, that's, it's a, it's not to say that any person can't buy, to do you, administer to, so, you know, to have to be careful. To, I mean, to say, in case, in that these medications,

and all the medications that are controlled like these, have to have a prescription medical. Because the medical has to be the patient,

has to be what is the medication that is the person, perfilarroar adequately, be where

the medication in the plan of the patient. So, with all the other than, and then

then say, then to you to talk this medication, a tito to this, to talk this, take your

prescription, you, you're going to do that the second to that's

something that's something not that's there's there's there's some kind of

these and the other people not only the only the other the

other than for obesity or not for obesity there there's much auto prescription

and that you know that's the can't get a risk

the risk to put the health the but that's

only only part of a treatment because if you

don't you that exercise, no you're going to a therapy and just you want to you're just like the

medication for like, well, yeah, like the pastillas that's that's like to get the hungry, no.

And the worst is that you're going to have been the effect expected. I've heard a

I've seen, no, is that I used that I used that me not me not it's not,

I'm, how it's it's, no, well, it's that I go to the

family and I'm put it, and the so, so, so, so,

like there maybe effect, but the is that no me functioned, no, I know I'm so I'm

so. There's a person who people who you say that's that you know,

that's the problem of the experience of the patients with the pharmacos. If not

those prescribes with a plan multicipinar the patient not will have been effect.

And at final of the patient that is a content to contendto as a

with you, with the other people that's the I'm, I don't want to to be

to go to a possibility of the the I have force, I mean, I feel like defectuoso if I have to recurricular a medicament, because I'd be able to

only, without medication. Volvement, we'll get to the initial of this conversation, fithet. That's a sesgo internalized. That is, is to say, the patient, culpandosy, to have to have, that part of that is malicium, a medical. So, like, I'm going to be devaluated, if me have to put, do you know,

don't do you. That's a much, eh, even with the professionals of the health, and that's, you're saying to the patients, you're why you're using that's more you're more you're more

you're more that's part of the sex-asue and the stigma so at final of the question you know to be to

the interventions and not I'm only only only the second that's the syrugy variatrica that's important

also at the literature is the more interventions of these five pilares to the patient

to be better to be more not not mean that you use a you use a tachachach

because that's a tauting because it's a tacho you went for the Fasil. And that's

like that's not so you're doing to the biology. What is the surgery, what does in the medications,

what does the psychotrapia conductal, etc., is to help to navigate in this cascada

biologica that the only that is like is like is not that notary

that's a not much, you know, does it, you know, yeah, it's like this, for that person is very

easy because no entient, not has that biology, those anxieties, those gains of more and more and more

food. The medication like you help to help get to pair to the terrain. To navigate to just this

biology that you can't to make the restriction caloric and maintain the person that at

final of what we we're looking for the patients is reducing risk of complications

associated to the obesity etc. So, it's is a disaffortunated

what is that the fact that's that you're not a therapy conductal,

it's just how we're just as we're doing the obviously the thing. But the fifth,

yeah the kind of I know a person and has done the surgery and has

been to get to get to get to because it is a biology too.

The surgery variatrica also is a method infalible. At

final of the we'd say syrugy restrictive. And also the proceedings

that put in a globito into the those bands, the globos and all of those

those are going to in the past. There's some some some

there's some those two procedures of radiatic more

made sure is the mangastric that's the most realized and then the

bypass gastric now now the now the techniques and have

evolutioned much also too a lot of the time. Every bit with less events adverse,

with less complications. At the final of the time it's this, before it's a lot of

because you make more the small the stomach or you move in the tubery in the stomach

to come less. But today the bypass has a effect metaboric very important

because augmenta the concentrations of GLP1 after the surgery and

those it's this has to have to with the stimulus

the the animal in the intestine, they're in the last the first years. So, for that's the patients not only they're not only they're a

majoria metabolic very important. For that's not to be it as something that we don't have to use. So it's the

same, it's the same, it's has done to in the amount of the GLP 1. Ultimately, the GLP1

is the that makes feel me more sassiating. More sasiating, at the final of so.

And there are There are humans that biologically have more GLP1 and other that we're going to talk about the

initial of the talk about the talk about. But, for example, we know that patients with diabetes, for example,

can have altered the system of incretinas and not have the concentrations adequate of GLP 1

or even that have conservated, not have the effect desired of the GLP 1.

So, so these pharmacos have been to restitue a hormon that was,

uh, yeah, yeah, in a amount or functioning in the

world. But what I'm intended is that you don't recommenderies not the syrugy, or the

medication, and the other than the therapy, for the course, that there's exercise,

that there exercise, that there's, definitely. Because if no, just, you're going to

do it about the time, you're going to get a lot of the time, and I'm

past gastrico, and at the final of the You know, you'll reganning a

amount of a lot of because for the surgery variatricer Mark, there's a protocol well-established. So, the

syrujanos various and all the equipment that have in the clinic are being in the patient at the

long of the time. If you only you just do you're you're going to

get a person, so as you're just as the pharmaco and not more, or as if

you get a piece of the style of the diet and exercise, you're going to

there's always holistically, and do you but it's the problem of the pharmacical. The pharmacic,

I don't go to do to make in a surgery. I'm going to a program. But the pharmacos

you'd surprise. You'd not in all the cases, at the final of the patient's you know,

then it's important, just to choose, to get in the time of the pharmacos, the GLP1 is one of the substances

substance active, is, no? Well, it's one of the blancos

therapeutices But is one of those ingredients that has As a molecule, the molecules what are you

entering to the body is activate the receptors of GLP1 in the cellep1 is a receptor

that I have done. The GLP1 is an hormone that you have you have done

with many receptors for that same hormone that we have that we have been

that the GLP1 and there other that are other receptors there have some

there GLP 1, there are medications that activate GIPGLP1, there are medications that a future will be there, that there are much investigation

in the camp that will be three receptors, four receptors. So, apparently the future for the part of pharmacotrapia

of the obesity is focused in the agonists duals, triples, quadruples, etc. There are two points that I

have identified that are that are that are that are to start to make to make

have motivated. One, they're full of energy, you know, you're

betters the quality of the market, you know, not they're not so much those, patients that

not they're not so much, that they don't be soles, that part anymical, those

they're motivated, for them to get to be the second. The second, that's

the part to buy Ropap. People that get and you say, look,

I, these, I've I've bought a last, I've

had I mean a little more, I say, I'm going to because at times the patient

not a number in the vascular but a size, change the composition corporal. And something is,

this is what I need to for the next month, to buy them to a time probably more than

more engaged with all the part multidisciplinary of the we've got to talk

yeah, you know, you remember many in my life, that you put a

a jacket even to not just to tap to the loja because no, you know

you know, you know, you know, and it's a reality and we we need to we're just a question, oh,

it's a supervisial well, no, no, no, supervisial, it's my autoimaging, is how I feel and that's important.

And that's a very much is how it is a question, is a problem of sexgo and stigma. So, if you

think you, we'll never we'll come to this conversation and I think that's, and we

look people that really can help to help professionales of the health, is what I

would I would just I Because the fact we're a We're in a We're

We're in We're in We're in We're in The body So we're To get a Of a

So let's We're able We're doing We've got to look It's a It's a It's a

Cormor It's a Cormor I'm a Reconso in my career Was that we

We're gonna We're We're gonna We're Seen Mexicanos Chienererererer Yeah, it's We're

We're gonna We're Abrebre-old With a Magererer My Vida My Vida My Vida

Ben me you're going to say, but you have to say, okay, Mary and I gotren me said, you come this

and I'm going to my face. And he said, my love, my love, I said, my name of the people

people, the name of the people, the people do you know, most people do you know, much people do you know,

you know, you want to you, you know the car Vosos me gave the every time my worded me,

no, so that's the same, with the sack, serrarder, so I mean yeah. I mean

retackable and it's no, it's not it's not it's not it's been you know

no, how you you know, how you know what I'm a point and then it was a time

I'm going to me feel like so much so like Mark Antonio no can't be a so you know

you know and you and get another time and just no more control all the

you know but in this moment then I had soled had a a Tristence,

I'm other emotions. And it's very easy to do you myself

feel like, you know, like, like, something is bad in you. Like,

that's constantly. Like, like, yeah, that's, and I was,

I was really, was a therapy. It was sanar injuries, I'm,

I'm I'm, I'm feel, I'm I'm still, you can't feel

to be too through and then so, the things, not

don't even they Unden more still So this what you mean you think you

can't because it's a it's a mess of things, the therapy is a

love property. If you have a money to pay your therapy is a

great investment. Now what what has to not the facilities economic

to get to the therapy because we know of all levels but

there people but there people that can't be important

the thing of generalized is important so there just

therapy for all the presuppos like as as there many of there's medications

and there in the nutrition so it's to get to get so it can

be a through clinics and the things they have medical

medivis in where they can't receive help there there

there there there also there can also there there

there have there many good in our country. So, that would

be one of the options. Two, obviously, all this part to look help with professionals of the

health, that can just make sure this treatment multidisciplinary to the bolstio of each one of

the patient. And at final, not demotivars. No, demotivars because all this

part, there is there's not necessarily mean that means that you come a almon

all the day and you have to get to get to $1, $1, $1,000

$1, form of the way of they're going to they're going to reventing the bolstil of the activity physical we can do out there. There's a

there to be a carl, there's to be a good but to getcharse with the service for the service of the therapist or see how how you do you ask, is to get to get from here and normally

if you solos those problems internal, you're going to get a better money normally. And right you're going to

the therapy, for example, psychological. But for example, also, also, too prescribire activity physical or

exercise, also is an art. So, today the medical that's people who are to be

in front areas metabolicals, are people are people and one could say, well, pay a

a consulta also to a person, it's a possibility, but example, the UNAM,

has programs at final of the group of different different to help to the patients

acuters, I don't remember well when they're going to be some times a week. In Mexico,

in the place in where we're going to be looking to not I'm no, I'm not to get

to get to how you know, the time of the medical to me the thing of the time of

this is come a little bit a little bit that you can't help you. It's an liviance

That's logical. That's You can't You're doing to contain that that we've been talking about the last

hour and quarter. And that you chose you. That's not you know, and you did you know. And you're

doing it. But also the theme. The medication if not you can't be the way that you

can't be this is very curious because the year and I think it's one of my comments

of my because of the access to the medication, that's a core responsibility, but at But at final of

count, also something important to mention to is that the year we're in

a year of people who people who have been in obesity and we have two groups. The group of

the patients treated, so we want to talk about, or the group of

the patients not not done. So, so the group of the patient tratados,

invertian in a consults with a medical, investian in a gymnasio,

invertian probably in some maybe in we know how we did the

question, but I'm they'd have $5,000 $5,000 $1,000. You veysed to the group of the not

tratados that not going to be in medical, because casually they'd have been approximately

$3,500 pesos in jabones, pastillas, liquidos. So, then the

inversion, a lot of we say, no, well, I'm going to get to a lot of

a lot of people, but is people that has been the conscience to say, oh, this,

this, that I'm going to this, this, to try to control my peso, with things,

probably naturists, miracle, etc., is, there's a difference of the 20% in the inversion in the interest. So,

at a bit is to make, obviously, if we can't cover it with those costs that we're we're doing

the way incorrect and see this like an investment. Yeah, or be, where you

see, no, I don't think, I don't have money for the therapy or for the medication or for the

gymnasio or all. but you have money for the bottle of tequila and the concert of bad bonny so then

also also, also also, then have to do a important is this for me? Right, and to be, okay,

if no me can't, how do I'm like I'm how I'm administer my life? And there are

there are there there are times that are more accessible to the bolsio of the

patient. So, we're much interventions to put to make to make sure passes

more salubated. That's for those that have that problem. Because there

a lot of people that no has that problem and that's we can do. We have the privilege

to be able to do. So, we have to do you. Well, with that we're doing to do, whatever more than you. I think,

Marco, Antonio, really, I'm really to appreciate the space. It was an honor.

For someone for a time you know, during the time. I'm, I'm here with my abelita,

Dimmel, Dimmel. Dimmel. No, no, we're going to say so, but,

Dimmel, but I've various programs at the long of my adolescence. So, So, so, so.

So, no, no, it's all right. And he says, my abelita he's a little and he said, but, but I don't care

a, be a bit of the little bit of the little bit. No, no, my God, I'm very

I'm really really, I'm really, where you're doing, you know, I'm doing in Coahuila?

No, no, I'm in the city of Mexico. In the city of Michigan, where, where you're in a

we're not, we're not, we're not, I'm not, I'm not, I'm supposed specifically in other

activities. In investigation, in science, but not you're not doing consult. Okay, okay, perfect. Well, then, then, no, but then, no, we'll look them, because no consult. But how we're a, how we're doing a medical adequate? Well, for that, that's, it's a good

that's a great question. Today, and I think we're talking about, there's a little bit, there's a foundation that's called Obeckyides. Obesiedied is an advocacy group of patients and of medics. They're doing a labor super

noble, to try to stigmas, quits, and to make sure the quality of attention of the patients.

In the page of Ovesidities dot org, they're a directory of medical. So, so are

medical that have passed a certain level of certification in the manho of obesity.

That could be one of the forms to find someone that can't help. There's

there. There's an certification international that's SC-O-P-E, SC-O-P, that is

the organization World of the World of the Society of the World Obesity Federation. There's also a directorio of

people in Mexico for a country that's certified in scope, that is an training of certification of obesity. There also

can find a lot of numbers that can be, for the person to help. And the people that we're in America

Latin or in the States what they're to look is to a medical, a one or a medical,

that has certification official in the thing of the obesity.

A medical that has had an training to a exercise specific. And that can help

them to a medical that can refer to a professional that can try the problem of over

weight of and if when you get to you know, we're going to create habits,

not dietas, we're to do exercise mass muscular, cardio, we're going to go

to be a therapy cognitive conductual, maybe we we're using a medication and if

not you talk of those things, then you're you're in the person correct. We could

we have to remember that every person is distinct, then it's a different. But if you're a disciplinary. So, you need to do you need to do

think of the skinner, check out if you have a legato, get a, get a second with the medical that we can't

get a better to help. I can't give a testimony of that's a because I'm a question of the doctor

Alejandra Logan that has been in Guadalajara already. Justantly I've just over

just I've just over here just in what in what you're saying and me made to do do you know all the body

to see, there's a there's a in a little organ, before anything we've got to check us the

car's, blah, blah, blah. And I'm just doing that program and I'm trying to find the equilibrium. I know the doctor

not, I know, Alejana Loker? Well, I see those are going to be in Guadalajara but

I'm atient for SUM in any other in any this time let us give us the doctor

Clio much thanks, Thank you, my God. Thank you, Mark.com. Thank you for our person. Thank you.

For us to be my, as Mark Antonio, Regil, me can't be in all the social and here in the channel

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If you did that episode and you know someone that you would you would be there this conversation

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thank our public thank you thank you thank you Thank you.