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In this episode of Skin Side Out, Dr. Zain Husain, MD, Heather Murray, PA-C, and Courtney Carroll, LE discuss their progress with New Year’s resolutions and delve into the common goal of weight loss. They explore personal wellness practices, the psychology behind weight loss resolutions, and sustainable approaches to achieving health goals. The conversation covers traditional methods like diet and exercise, and procedures such as Kybella and liposuction. Additionally, they discuss the promising effects of GLP-1 medications, emphasizing the importance of professional medical guidance. Tune in to hear expert opinions, personal stories, and practical advice on maintaining a healthy lifestyle.
00:00 Introduction and Team Introduction
00:28 New Year's Resolutions Discussion
01:40 Weight Loss Resolutions and Challenges
03:35 Sustainable Weight Loss Strategies
07:50 Personal Fitness Journey
12:31 Body Image and Media Influence
15:07 Procedures for Targeted Fat Loss
16:12 Exploring Kybella for Fat Reduction
16:59 CoolSculpting: Experiences and Efficacy
19:24 Liposuction: The Gold Standard
21:38 Gastric Bypass and Weight Loss Surgeries
23:09 The Rise of GLP-1 Medications
27:03 Maintaining a Healthy Lifestyle
28:42 Final Thoughts and Encouragement
Creators and Guests
Host
Host
What is Skinside Out?
Welcome to Skinside Out, where science meets beauty, the ultimate dermatology podcast! Dive deep into the fascinating world of skin health with expert insights, evidence-based discussions, and myth-busting truths. Each episode explores the medical, cosmetic, and surgical aspects of dermatology, while keeping you informed about trending skincare topics. Whether you’re a skincare enthusiast, medical professional, or just curious about how to achieve your best skin, Skinside Out is your go-to resource for staying informed and inspired.
Dr. Zain Husain, MD: [00:00:00] [00:00:15] Welcome to Skin Side Out, we're Science Meets Beauty. My name is Dr. Zane and I'm joined with Pa Heather and my aesthetician Courtney.
so today we're gonna be [00:00:30] discussing our New Year's resolutions. We're at the end of January, so how'd we all do? It's coming along. So let's have a little you know, deeper dive into what our New Year's resolutions were.
Courtney Carroll, LE: I think for me, um, my [00:00:45] main resolution was to read more. Um, fortunately I do have a patient that has been bringing me some books, so it is so sweet of her. I've been stockpiling them, but now I just have to get through them.
Heather Murray, PA-C: mine's going pretty well. I'm trying to be more consistent [00:01:00] with my workout routine, routine, trying to do more yoga.
Um, from a wellness perspective, I am trying to journal more. Mm-hmm. Um, I've had a lot of. Tragic losses over the last year. So, so just trying to, you know, [00:01:15] write down my thoughts, trying to improve my mental health.
Dr. Zain Husain, MD: Yeah. And this year I'm really focusing on, you know, spending time with my kids and being really engaged, avoiding screens and just being intentional with my time with them.
[00:01:30] So, um, it's really hard with screens so pervasive and everywhere, so just putting away the iPads, the, the cell phone, just really having one-on-one time together. So, um, you know, that's mine for this year, but one of the most common, um, you know, [00:01:45] resolution that we see are, you know, usually regarding weight loss.
Um, you know, with the holidays, you know, people put on a few pounds with all the festivities, great food, and a lot of people are just looking to shed a few pounds in the new year and have a healthier [00:02:00] lifestyle.
Heather Murray, PA-C: we are, are kind of wanting to focus on weight loss and try to figure out why it's such a top resolution for most people. In 2024, the Google charts did mention that 35% of people were. Trying to lose weight. [00:02:15] Um, obesity rates have tripled since the 1970s. It's related to so many diseases. Um, cancer, type two diabetes, heart disease.
I mean, the list goes on, but I think the biggest thing that. People strive for and [00:02:30] make it a resolution is because there's some sort of motivating factor. They wanna do it to be healthier for their kids, or they want to feel more self-confident. Um, so I think there's a big drive for people, um, to have that desire in the new year.[00:02:45]
Courtney, I know you were talking about you and one of your patients were talking about the struggles of weight loss as a resolution.
Courtney Carroll, LE: Yeah, I think, um, you know, it's easy in the beginning we kind of get this mentality like New Year, new me, and so we're very driven to do everything we can so [00:03:00] fast and completely change everything all at once.
So. Whether that means, um, going to the gym every single day, um, for god knows maybe two hours, and then making sure, you know, you're only eating your meats and veggies and cutting out carbs. And I think we kind of, um, plow through those [00:03:15] first couple weeks, but it's not sustainable and we end up falling off that because we haven't created this long term plan to, to basically hold us accountable.
So I think just the, the inconsistencies as far as, um. How, how [00:03:30] quickly we do things and how much we do things and it kind of dies off slowly. Um, yeah. Can be really troubling. I think sut
Dr. Zain Husain, MD: sustainability is key. Mm-hmm. Um, we have to create habits and behaviors that, you know, we sort of integrate into our lifestyles and this is something that's gonna be [00:03:45] long.
Mm-hmm. You know, long ongoing. So I do think that's really important to set realistic expectations as well. Mm-hmm. From the get go, I mean, a lot of people just want these. Huge overnight transformations. Um, and they're like literally starving themselves and like working out at the gym, like [00:04:00] when they haven't been in the gym in the past few months.
And it's just, it's not sustainable. And you know, as soon as, you know, you try it for a few weeks. You fall off the bandwagon and it can lead to, you know, even in a worse place that you were before. So I do think that that's [00:04:15] really important.
Courtney Carroll, LE: Yeah. And it can lead to even like injury, you know? Mm-hmm. I mean, if you haven't been to the gym in a couple months, especially around the holidays, we've all been there, you know, we're eating a lot more with.
We're with family. Yeah. Um, but you know, if you go back to the gym and you're just going super hard mm-hmm. You're putting yourself at [00:04:30] risk for muscle injury and just, you know, joint pain, things like that. So yeah. It's
Dr. Zain Husain, MD: not just the number on the scale. I mean, I think that's really important. Yeah.
People should really be focusing on health measures. Mm-hmm. Being healthier and, you know, whether, you know, you're looking at, you know, lab [00:04:45] markers such as like hemoglobin A1C for like, you know, your insulin resistance and your diabetic control. Um, blood pressure. Or just how you feel and you know, with certain activities, daily living activity, I think that's really important.
That's more, I [00:05:00] think, essential than just looking at an arbitrary number.
Courtney Carroll, LE: Yeah, I agree. That's kind of how I base off, um, my weight and my health is, um, I mean maybe about once a month weighing myself, but typically it's just looking in the mirror and kind of. You know, being happy with myself. Mm-hmm. Um, my jeans kind of [00:05:15] fitting the way I like in Yeah.
Like things like that that I look for. Yeah. Yeah.
Dr. Zain Husain, MD: And then, you know, like that BMI measure, like it doesn't account for muscle mass and other factors. So yeah. It can kind of skew things. It doesn't give you the full picture.
Courtney Carroll, LE: I am a big hater of the BMI. Yeah. [00:05:30]
Heather Murray, PA-C: So we kind of wanted to dive into, um, different weight loss solutions.
Um, I'll kind of start out with the tried and true the traditional methods. So diet and exercise. Um, with diet there, you know, it's, it's very well known that [00:05:45] if you're caloric deficient, meaning that you are burning more calories than you're taking in, then you know that can result in weight loss. But it also.
Can be, you know, making sure that you are also getting a balanced diet. You're not trying to fall for [00:06:00] those fad diets or crash diets like the keto, paleo, juicing, um, the Cabbage soup diet. I think you can definitely lose some weight on those, but they're not sustainable. I think too, with diet, we need to think [00:06:15] of emotional eating and eating disorders, especially in people who are trying to lose weight.
I think, you know, you definitely don't want to be. Over the top tracking every single calorie. It, you know, it could trigger any [00:06:30] sort of emotional or um, eating disorder.
Courtney Carroll, LE: definitely had my bout with like the Weight Watchers where you're putting in every single calorie of what you're eating through the day, and it is so exhausting.
Yeah. And I feel like you don't feel very like, rewarded in the end. Yeah. It's just constantly like, [00:06:45] oh, I gotta do this, do that. Mm-hmm. In the long run. I just don't think it's great for your mental health
Heather Murray, PA-C: at all. Yeah.
Courtney Carroll, LE: But,
Heather Murray, PA-C: and then the exercise too, you know, that's, you know, resistance training. Mm-hmm. Cardio, um, HIIT workouts, you know, there's always.
[00:07:00] Options that you can do to increase your metabolism that way as well. Um, have you guys tried any of these or what has seemed to work for you guys?
Courtney Carroll, LE: No, I the keto and you know, I don't eat meat, so yeah, so keto would probably [00:07:15] not work for me. And cabbage soup just sounds disgusting.
Dr. Zain Husain, MD: Yeah, I've definitely done some of the HIIT training before and it's a lot of fun, but it is a lot of stress on.
Joints.
Heather Murray, PA-C: Yeah.
Dr. Zain Husain, MD: Um, and the recoveries can be a little brutal. Um, I've also [00:07:30] done, you know, insanity. I did that with Dr. Amna, um, one summer, which was fun, but also very, very intense. Um, and I also did CrossFit too, and that was a disaster because, you know, like I, I, I got injured. Mm-hmm. Um, you know, [00:07:45] just, you're not used to, you know, doing those workouts and it's just really hard on the joints.
I have my own, um, you know, fitness journey that I went on myself. So just to kind of give you a little bit of background, um, you know, 2020, um, that was the start of [00:08:00] that global year. It was a crazy year. Um, I was one year into starting a practice, um, a dermatology practice in New Jersey.
Um, the world shut down in March. Um, then I'm at home. Um, I had to shut down my practice, um, you know, [00:08:15] furlough my employees. Just kind of try to keep my practice afloat. I had a 2-year-old I was taking care of, um, you know, with my wife and it was just really depressing. The gyms closed down. That was kind of my outlet.
I love.
Default_2025-01-15_2: Mm-hmm.
Dr. Zain Husain, MD: You know, doing fitness like I [00:08:30] always had. Huge, um, respect for exercise. You know, I played soccer track and lacrosse always kept fit, but this was the first time, like I really wasn't able to keep up with that routine anymore. I tried my best with my home gym, but you know, I just wasn't in that [00:08:45] same space.
I wasn't working at as regularly. Also, I felt like my mental health also took a toll. I think a lot of peoples did during that time. Yeah. Anxiety, um, you know, trouble sleeping, you know, probably some depression too, like, um, it was not an easy time for anyone. [00:09:00] Um, so by the end of the year, um, I was not feeling good.
Um, I looked at myself in the mirror. I'm like, who is this? Like, I don't feel like myself. Mm-hmm. I don't look like myself. I was getting winded chasing after my 2-year-old, and I was like, I'm only [00:09:15] 35. Like, how could I feel like this right now? Um, so I made a resolution right then and there, and it was actually around January when we were making our New Year's resolution, like, Hey, I am going to get in the best shape of my life.
Um, and I was really [00:09:30] motivated, so I actually did a transformation program. Um, I got the inspiration from my friends, um, who was also a dermatologist, Dr. Bon, who had done a transformation of himself. Oh, cool. And you know, like, hey, um, I joined it and it was intense, [00:09:45] like nutrition training, mindset. I mean, it was focused on all that, but like, literally like.
This was the first time I was weighing my food every meal accountable for everything that I put into my body weight training. Six days a [00:10:00] week, cardio like two to three sessions a week. And it was a lot. Um, and you know, I went through the journey over a year and a half. Um, I. Got to my goal dose and like I, it was much [00:10:15] lower dose than I, I mean weight that I was expecting to hit.
Um, based on my coach's recommendation, they're like, you know, I want you to get to 125 pounds. I'm like, I didn't weigh that. Wow. Since I was in middle school. I'm like, literally. But [00:10:30] you know, like they were able to guide me. I mean, they've done so many transformations in the past and, you know, we were able to get there, but it was a car.
Wow.
Courtney Carroll, LE: Clean. Yeah. We talk with Photoshop.
Dr. Zain Husain, MD: I don't wanna look at this, but Yeah. But I mean, [00:10:45] that's
Courtney Carroll, LE: impressive.
Dr. Zain Husain, MD: Yeah. Thanks. But you know, as you can see, like I was just not in a good place and dad bought an a. Yeah, I, I totally was encompassing. Dad bought, there's nothing wrong with the dad Bo, but, um, I just didn't wanna be, um, you know, seen as that.
And I [00:11:00] wanted to be active and healthy for my kids.
Heather Murray, PA-C: How'd you feel during this?
Dr. Zain Husain, MD: Well. I felt that I definitely moved. Better. I had more [00:11:15] mobility. I felt stronger, but I also felt miserable. Like, especially when we were on like these really low calorie days. Like some, like I was hovering around a thousand calories.
I'm like, I was like literally almost starving myself.
Heather Murray, PA-C: Wow.
Dr. Zain Husain, MD: My mood was off. I had brain fog. [00:11:30] Um, and you know, by the time I did my fitness shoot, like I was like done. Like this is not sustainable. Um, this is not something that I could continue. So I kind of feel for, you know, my patients who are on like severely restrictive diets, [00:11:45] intense programs because it's hard.
Heather Murray, PA-C: Mm-hmm. Calorie counting. The
Dr. Zain Husain, MD: calorie counting. And it was definitely affecting my mental health with that too. Um, you know, although I looked awesome, like this was the best shape I've been in my life, but it just wasn't worth it. [00:12:00] I really just wanted to kind of get back to a happier medium. So I used some of those tasks. I mean, those, um, those lessons that I've learned along the way and just incorporated them into my lifestyle, more sustainable, more friendly, and I just feel [00:12:15] like that has helped me significantly.
Courtney Carroll, LE: Yeah. Stressing that just because you're lower in your weight doesn't always mean you're gonna be at your healthiest. Yeah. Um, skinny doesn't always equate to Yeah. Um, this healthy, [00:12:30] body, you know? Mm-hmm. Yeah.
Heather Murray, PA-C: Skinny kind of seems to be coming back in style.
Mm-hmm. And I'm not crazy about that because. A lot of people that look so skinny, just don't look healthy.
Courtney Carroll, LE: Well, you see a lot of like the [00:12:45] Ariana Grande like controversy right now. Just, um, as far as that goes. And it was funny talking about, um, you know, feeling she had said on a podcast or an interview that.
Um, when she was, you know, at her unhealthiest, she looked [00:13:00] more healthy and now she feels like she's at her healthiest. Mm-hmm. But,
Dr. Zain Husain, MD: you
Courtney Carroll, LE: know, and it's hard to know what's going on behind the scenes, but
Dr. Zain Husain, MD: mean there's a little body dysmorphia as well going on. Yeah. Essentially. So it's
Courtney Carroll, LE: hard. I think, you know, like Heather said, it's kind of, you, you see this kind of trend coming back where we are getting away from that [00:13:15] kind of like Kim Kardashian like body type mm-hmm.
With like fullness and thickness and Yeah. Kind of moving back into this. Um, you know, nineties esque skinny, you know, Paris Hilton type.
Dr. Zain Husain, MD: Yeah. And you know, as a girl dad, um, I have three girls [00:13:30] and I find it concerning. Um, I want them to have. Healthy images in their mind of what, you know, healthy looks like.
Um, and these really thin, you know, portrayals in the media, I think can be really harming, especially for [00:13:45] self-esteem and for these girls trying to live up to these unrealistic expectations.
Courtney Carroll, LE: Yeah.
Dr. Zain Husain, MD: Um, actually we just watched Wicked With My Family. Mm-hmm. Like on on, on tv. Like we rented it and it was an awesome movie, but like, my daughter was like, looking at Ariana Grande, she's like, she's [00:14:00] so pretty.
Mm-hmm. I wish I could be like her. And she's only seven years old. I'm like, you know, like, I didn't wanna say anything, but those are fears that come across, you know, my mind when I see my kids growing up.
Courtney Carroll, LE: Yeah. And I know we're about to kind of get into [00:14:15] procedures, but yeah, just kind of reiterating the importance of, um, loving the skin you're in and the body.
Mm-hmm. And that I'm, we're all really big advocates. I think of, um. Of that love for yourself. But also that being said, like there are, [00:14:30] you know, things that if they can be tweaked, I mean, let's say, um, you are healthy, but we were talking earlier about genetics and how some people, um, even no matter how much weight you lose, there might still be certain areas that are.
Um, predisposed to having that fat. So, um, [00:14:45] Ella, for example, I know we're doing a lot of that. Um, as of late people are losing this weight and this area is still holding that fat. So I think that's a, a really nice, um, adjunct to some of this dieting that we're seeing.
Heather Murray, PA-C: Yeah, I think [00:15:00] diet and exercise definitely have their place, but um, you know, you have to do it.
In the right way. You don't wanna overdo it. Yeah. But speaking of procedures, there are definitely a lot of procedures that can help target. Yeah. Fat loss, weight loss. So, um, Dr. [00:15:15] Hussein, do you wanna touch on Kybella?
Dr. Zain Husain, MD: Yeah, absolutely. So like what I'm gonna mention are like targeted areas that we can treat in the office.
So. With diet, exercise, um, you know, weight training, you know, we get fat loss globally throughout [00:15:30] the body. So we're talking about more like areas, a stubborn fat deposition that we can treat. So Kybella is a, an excellent example of a treatment that we can do in the office. So it's actually synthetic deoxycholic acid.
Um, and basically it is [00:15:45] injected into the submental or double chin area to dissolve fat. And it's really interesting because it came from a concept from our own bodies. Um, the pancreas, um, has deoxycholic acid, [00:16:00] which our body uses to dissolve fat. Um, so some brilliant person, um, thought, hey, why not create a synthetic version of it and see if we can localize and target fat.
That's what they've done. And you know, we see some great results with [00:16:15] Kybella, um, with the supplemental area. Um, you know, it may take several sessions, but you can get permanent fat reduction in that area. And some patients have just that genetic predisposition. They could be doing well in terms of their fat [00:16:30] loss goals elsewhere on their bodies, but they just had the stubborn fat right here.
So it is a good option that you know you can use in that area. And I know many of my colleagues are also using it off label. Other parts of the body like bra fat, um, you know, the banana [00:16:45] rolls, um, you know, the abdomen.
Heather Murray, PA-C: What are banana rolls? Um, it's a little fat
Dr. Zain Husain, MD: that's underneath your, um, your buttock. I've never heard of that either.
Yeah. Um, so I mean, that is definitely an option for localized fat destruction. Um, along [00:17:00] that vein, um, like CoolSculpting or cryo lipolysis mm-hmm. Certain laser, um, procedures and energy based devices that, you know, heat up the, um, you know, the fat tissue can help destroy fat cells. So these are, you know, procedures that can be done [00:17:15] in the office.
But I do think that with Kybella you have a little bit more versatility in targeting and you can kind of use it in conjunction with fillers and other, you know, energy based devices to really get a nice chiseled jawline and a nice, um, you know, silhouette and [00:17:30] profile.
Courtney Carroll, LE: The results on Kybella have been significantly more than what I've seen with like CoolSculpting.
Mm-hmm. I. Used to hate doing skull sculpting, um, back in the day when I did it. Just because the patient type that you [00:17:45] wanna have is a very particular person. Mm-hmm. And. Or its cost. I really don't find that it's that efficacious in, in treating some of those areas, whereas I do think the Cabell is a nice fit.
Dr. Zain Husain, MD: Yeah, and I'm a skincare junkie and I love [00:18:00] procedures, and I've tried CoolSculpting for my abdomen. Mm-hmm. And it hurts. It hurts. Oh my God. That massage say
Courtney Carroll, LE: it's not
Dr. Zain Husain, MD: painful. I nearly passed out. Yeah. From the massage. I
Courtney Carroll, LE: was like, sick with pain. [00:18:15] It's like a pain that I
Dr. Zain Husain, MD: can't even describe it. It was like excruciating.
Wow. Yeah.
Courtney Carroll, LE: And I don't know about you, but. After like for months, like my, because you're numb for months. Mm-hmm. So like my nerve endings took months to cut. So I feel like these little zaps and it was so debilitating. I will never do that again. Yeah. And just
Dr. Zain Husain, MD: [00:18:30] from that experience, I can't have my patients go through this.
Courtney Carroll, LE: Yeah. It was not, not pleasant. Yeah. Um.
Dr. Zain Husain, MD: I mean, it works for the right patient.
Courtney Carroll, LE: Yeah. But,
Dr. Zain Husain, MD: but I don't know. It's pretty expensive. It's expensive. You have to have the perfect patient for it, like it's pinchable fat. Yeah. I dunno. And there can
Courtney Carroll, LE: be [00:18:45] a little bit of user error too, with who's Oh yeah. You're using applicators and so you really, you know, you do wanna see someone that really is knowledgeable about CoolSculpting because if those applicators are placed incorrectly, you may not yield.
The same results as, you know, you want to have.
Dr. Zain Husain, MD: Yeah. And [00:19:00] then let's not forget there's that paradoxical, um, you know, hyperlipidemia or like a localized fat deposition. Yeah. Mm-hmm. That, you know, is, is horrific because you're trying to treat. Fat and you're getting more fat develop the area of the [00:19:15] application.
Yeah. So
Courtney Carroll, LE: I am next in line for Kybella, so, all right, you got it. I just put yourself on the schedule. Yeah. Um, but liposuction two I think is really interesting. Yeah. So I'll let you touch on that.
Dr. Zain Husain, MD: Absolutely. So, I mean, [00:19:30] liposuction is considered a gold standard for body contouring. It works, um, and done in well-trained hands, um, can get beautiful results.
So, um, in fellowship, you know, I was trained in it. Um, you know, supplementals another great area to treat that. [00:19:45] Um, very nice reproducible results. Arms, legs, you know, the, um, the love handles are a great spot to do it, so I'm a huge fan of it. Um, I think that liposuction, you know, like all other procedures, um, that we're talking about, [00:20:00] need.
If you Right candidate, however. Mm-hmm. It's more for like, you know, like areas of localized fat, not visceral fat. Um, and you know, like it's a bit of a recovery afterwards. But with tus and liposuction, um, you know, really safe can be done in the [00:20:15] office. That's what we perform. And you know, you can do it just with traditional tus and liposuction.
You can do it with laser assisted liposuction where you have. You know, these devices that also heat up the, the fat tissue, um, with a laser while [00:20:30] you're doing the laser. And some of them also you can do radio frequency along with it at the same time. So there's a lot of different technologies that you can use with liposuction works great.
Um, but it's definitely more recovery. Mm-hmm. You know, potential complications as well. [00:20:45] Um, but you know, I think that it has a place, um, and I do think that for the right patient, it can be an excellent excellent procedure.
Heather Murray, PA-C: Yeah, definitely. I think, um, you know, just for anybody size, anybody type, [00:21:00] there's a way that you can use liposuction to help sculpt any area that they're interested in.
Dr. Zain Husain, MD: Yeah. And I, I mean, you know, those images that you see on, on social media with that 3D lipo sculpture with a high definition lipo. I mean, [00:21:15] they look impressive, but you know, like with the techniques and like how they're etching the skin or whatnot. I've also seen like what they look like later on and they don't look right.
Default_2025-01-15_2: Mm-hmm.
Dr. Zain Husain, MD: It's odd because they're kind of leaving like pockets of fat to come. Let's give you that definition of [00:21:30] abs and other muscles, but it just doesn't look great. Um, so I don't know if that's the best solution, but,
Courtney Carroll, LE: you know,
Dr. Zain Husain, MD: lipo does work. Yeah.
Courtney Carroll, LE: Yeah. Lipo. Um, and then, you know, some of like the, um, tried and true gastric bypass surgeries.
So [00:21:45] things like the sleeves, the, the traditional bypass, um. Those. I agree. Also kind of have that, um, that right patient for those mm-hmm. Um, those kind of carry their own risk as well though. Mm-hmm. As any surgery does. I know people have lost a significant amount of weight. [00:22:00] I I have several people in my life I know, um, who have gone through different PROEs and lost a significant amount of weight.
Um, but they're dealing with some of kind of the fallout GI upset mm-hmm. Um, certain medicines they can't take. Mm-hmm. [00:22:15] Having a supplement with vitamins, things like that. So, um, that's another method I guess, for, for weight loss, but, um, that's more, you know, yeah.
Something you'd wanna see a bariatric doctor Absolutely. About for sure.
Dr. Zain Husain, MD: And those are from morbidly obese patients? Yeah. Yeah. So it's not like [00:22:30] something that, you know. You take lightly. Yeah. I mean, there are complications associated with, you know, you may not feel well afterwards.
Heather Murray, PA-C: Yeah. And I think you have to do testing to qualify.
Yeah. You know, not everybody's a candidate. Yeah. And just realizing too that um, [00:22:45] you know, there's definitely a place, like you said, Courtney, for these procedures, but, um. Really making it important to know that these are tools, yes. To help in the toolbox is just another tool. Um, so, you know, reinforcing that [00:23:00] those lifestyle modifications, um, can maintain the results that you see with these procedures.
Dr. Zain Husain, MD: Yeah. But now we have a new tool in our tool belt, right? Yes. Um, so the GLP ones, um, it's all the rage right now and for good reason. I mean, there is so [00:23:15] much interesting. Science and technology that we're using here to help patients lose weight.
Default_2025-01-15_2: Mm-hmm.
Dr. Zain Husain, MD: Um, so GLP ones glucagon, like peptide one, agonists are these new wave of [00:23:30] medications, um, that are helping patients with diabetes, obesity, as well as other chronic conditions.
Um, and it has really changed the game and how we're treating weight loss. They regulate insulin, um, as well as sugar control, [00:23:45] and it's really remarkable. Um, you know, what we're seeing in terms of results and the weight loss. Wow.
Heather Murray, PA-C: Yeah.
Studies are showing that within a year on maximum dosing you can see 10 to 20% body weight loss. Um. [00:24:00] You know, in anybody
Courtney Carroll, LE: full transparency. I, you guys know, I've been on the semaglutide, um, since January last year, and my relationship with food has completely changed.
Before I felt like I maybe even had a little bit of like a binge eating disorder [00:24:15] where, you know, just, um, emotional eating and um, eating outta boredom and things like that came into play. Mm-hmm. And even just being on it, um, besides the weight that I've lost my relationship with food has really changed, um, in a super positive manner.
Just not [00:24:30] thinking about when's my next meal? What am I going to eat? Oh, um, I want this or I want that. It's. Really changed the game, I think, as far as some of these conditions that are kind of comorbid with, with weight gain.
Dr. Zain Husain, MD: Absolutely. And I mean, there's studies that are showing that it has [00:24:45] promise in treating addiction Yeah.
Mm-hmm. And other psych disorders, which is really impressive. Mm-hmm. Like, it's, it's, it's also like that mind body connection. And I really do think, um, there's a lot that we don't know yet. Yeah. And we're gonna learn a lot more in the future.
Courtney Carroll, LE: Yeah, I, I have [00:25:00] several friends who, um, since starting, they've quit vaping, which has been phenomenal.
Yeah. Um, it's something they tried for so long to get off of, and then, um, yeah, just different, different sugar, sweets, um, things like that. Yeah. It
Heather Murray, PA-C: can reduce your risk of heart disease too. [00:25:15]
Courtney Carroll, LE: So I've still, even some cancers, it was reducing wow. Risk of, um. You know, just seems almost like a miracle. And, you
Dr. Zain Husain, MD: know, they're really safe too.
Um, so there's a lot of safety data behind them as well. Um, it's being [00:25:30] offered, um, you know, in a variety of different medical settings. Um, so we even offer it here at our dermatology practice. But, you know, it's really important that, you know, you see a medical professional who's well trained, um, and not only just, you know, [00:25:45] prescribing the medicines, but really doing that follow up.
Um, also counseling on nutrition, exercise, and really helping to have the patient have a healthier lifestyle.
Courtney Carroll, LE: Yeah. Yeah. I mean, because some of these places you just, you don't know where [00:26:00] they're getting their medicine from and it's seems a little shady. It's almost like the wizard, like the wizard behind the curtain, you know?
Yeah. It's like, oh, here, we're just gonna sell you this medicine. And you know, you just inject it and it's. Yeah. So what, get to me, like these
Dr. Zain Husain, MD: online platforms where you're not even seeing [00:26:15] a doctor or anyone to pr and like, you're like, Hey, take your medicine. And like, you know, I don't see any oversight, any management going on and, you know, there are side effects associated with these medications.
Let's not forget that. Yeah. And who's really managing them? So it's [00:26:30] kind of scary. Um, you know, how easily accessible they are. So I really do advise like seeking someone who really has that training, that knowledge, um, so that you're doing it safely.
Courtney Carroll, LE: Who's writing there? [00:26:45] Zofran? I think it'll be really interesting to see the future, um, of, of these, but also, um, just kind of thinking about. How it relates to the skin too. Just, um, some of the, the things we've seen as far as, you know, dullness and skin [00:27:00] texture laxity, which I know we'll touch on, um, next episode.
Dr. Zain Husain, MD: I think was really important to really highlight, you know, what. Healthy bodies look like, um, healthy skin, um, and setting realistic expectations and sustainable [00:27:15] behaviors, um, in your lifestyle to really achieve the goals you're looking for.
Heather Murray, PA-C: Yeah. And just reminding everyone to use these tools as tools.
You know, always going back to those classic tried and true lifestyle modifications like [00:27:30] diet and exercise. Um. You know, they'll, it'll keep you where you're at and hopefully maintain you.
Courtney Carroll, LE: Yeah. And be kind, be kind to yourself. Um, it's, it's hard. I feel like you have a slip up one day mm-hmm. And maybe you eat, you know, a sleeve of [00:27:45] Oreos.
Yeah. Or, you know, um mm-hmm. You didn't go to the gym. And I think why people love New Year's is that just that feeling of this whole new, um. You know, obviously it's New Year that maybe, okay, I'll be a new person, but you don't have to limit it [00:28:00] to just New Year's. Um, I was actually listening to a podcast last night talking about how people associate different, um, beginnings with certain times.
So like, you know, before summer maybe, or mm-hmm. Um, beginning of the week for example. Mm-hmm. Monday. Mm-hmm. So you don't have to limit yourself just to [00:28:15] New Year's if. If you feel like, man, like I haven't been in the gym in three days. Alright. Like, tomorrow's a new day. So like, let's let get, get not every to it.
Every day's gonna
Heather Murray, PA-C: be perfect. Mm-hmm. And you might have a slip up and that's okay. Yeah. Mm-hmm.
Courtney Carroll, LE: Yeah. I agree. Um, I think sometimes we're a little too hard on ourselves. Yeah, yeah. [00:28:30] Um, you know, and just being mindful of, alright, let's, let's get back into it. Yeah. I
Dr. Zain Husain, MD: know it sounds cliche, but. Now moderation, I think is really key.
Yeah. Extremes never work out. Yeah. Just human behavior. Yeah. It just never works out. Yeah. Um, so I mean, I think [00:28:45] that's, that's a really good discussion and I do wanna stress that you know, everything that we talked about, especially with weight loss medication, the procedures, I really wanna stress that you see a trained healthcare provider.
Who is an expert [00:29:00] at those, um, you know, procedures and prescribing those medications and is able to really guide you. Um, I think that's really important. You shouldn't do this alone.
Heather Murray, PA-C: Yeah. So don't forget to listen for some upcoming podcast tips on beauty, [00:29:15] wellness,
Dr. Zain Husain, MD: hope you all enjoyed our podcast. Be sure to like and subscribe Skin Side out.