Full transcript
Why I changed my mind on GLP1 meds
0:00[Music]
0:00The weight loss game has changed
0:02forever. Some of you might remember a
0:03viral video I did where I had to stop
0:05taking a Zmpic only two weeks after
0:07starting it because I lost too much
0:08weight. But what a lot of people didn't
0:10see is about 3 weeks before that video,
0:12I posted another video saying why I
0:14hated ampic, why people should never do
0:16it, and that they should look really
0:18carefully at the side effects and
0:20negative consequences of these drugs.
0:22So, what changed? After I released the
0:23first anti-mpic video, there was a
0:25comment. The person said, "James, love
0:27your content, but you're wrong about
0:29these drugs. It quite literally saved my
0:31life." The only way to find out whether
0:32he was right or I was right was to take
0:34some glutide. And although nothing I say
0:35in this video is medical advice, it's
0:37important we understand it. What are
Peptides 101
0:39weight loss drugs? What are GLP-1
0:41medications, what are people injecting
0:43into themselves? Well, the answer to
0:44that is a peptide. Now, I've done videos
0:46before about different peptide use. And
0:47for any of you wondering, a peptide is a
0:49short chain of amino acids. The first
0:50peptide I tried was something calledin.
0:53And that's something called a growth
0:54hormone secret. And people use that to
0:56increase their levels of growth hormone.
0:57That peptide gets your body to produce
0:59more indogenously rather than you
1:01injecting it externally. Indogenous
1:03means having an internal cause of origin
1:05and exogenous means having an external
1:07cause of origin. Now, I wouldn't use any
1:09of these at the moment because as I'm
1:10currently on TRT, for whatever reason or
1:12mechanism unknown to me, my growth
1:14hormone is incredibly high. And for any
1:15of you that are TRT curious, there's a
1:17link in the description called
1:18checkyoubloods.com. I'm on a mission to
1:19help men get their levels of
1:20testosterone checked. But anyway, one of
1:22the peptides that often comes within is
1:24something called CJC1 1295. And that
1:26helps with IPIN simply. They're often
1:28paired together. When you take them in
1:29the evening, you get a little bit of a
1:30hot flush. It's quite a nice feeling.
1:31Did I feel much of a difference? Not
1:33really. Then one of the most common
1:34peptides people talk about is BPC57,
1:36which is used to help people recover
1:37from injuries. BPC stands for body
1:39protection compound. Now, human clinical
1:41trial evidence to BPC57 is limited, but
1:44I have taken it. I tore my MCL in
1:46jiu-jitsu a year and a half ago, and
1:48although I would say it helped, that is
1:49anecdotal. That is not evidence because
1:51for me to actually have a standpoint of
1:53to the efficacy of BBC57, I would have
1:55needed a control which means I would
1:56have need to torn an MCL and not taken
1:58BBC57 and torn an MCL and taken BBC57
2:01and compared. It's worth noting that
2:03just because I was injecting myself with
2:04a compound that I would think would work
2:06would have had a massive impact on its
2:08own placebo and BBC57 is often paired
2:10with TB500 which is thomycin beta 4. And
2:13this helps with wound repair, muscle
2:15recovery and inflammation. Again, often
2:17when you get BPC57 and TB500, they are
2:19together. Some people think that the
2:21pills are best. Some people think the
2:22injections are best. For me, I don't
2:24know why I seem to think that if you
2:25inject yourself, just from a
2:27psychological standpoint, again, you're
2:28going to think it works better. The same
2:29reason that bottles of wine that are
2:31heavier, people perceive as more
2:32expensive. The way you administer
2:34something that you think is going to
2:35work has a massive impact. And if you
2:37don't think that the placebo effect is
2:39massive, all you need to do is look up
2:41something called a sham surgery. But
2:42quite literally, say someone's got a
2:44knee problem, you could put them under
2:45anesthetic, make an incision in the
2:46knee, stitch it back up, tell them that
2:48you fixed the knee, and there's a
2:49staggering amount of people that would
2:51recover from that surgery and go, "Wow,
2:52everything's fixed because they think
2:53it's going to be fixed." Same way that
2:55no SIBO effects. Anyway, we're getting
2:57distracted from the video. So, before we
2:58get to the new king in town, let's touch
Semaglutide
3:00on to semiglutide to begin with.
3:01Semaglutide, the peptide name. It's also
3:03marketed as we go or their brand names.
3:06Now, my knee-jerk reaction was to hate
3:07this, probably because I'm a personal
3:09trainer. I have one of the world's
3:10largest coaching apps. For some of you
3:12that may or may not be aware, I've got
3:13an app called Affordable Online
3:15Coaching. For over 7 years now, we've
3:16had over 100,000 people use the app, and
3:18we've got people results like this,
3:19this, and even this. I'd love to say it
3:21was me, but it was actually my amazing
3:23coaches. We have memberships from £10 a
3:24month, and there'll be a link in the
3:26description where you can download the
3:26app. We give you a 7-day free trial. And
3:28if you think that I've broken any of my
3:29promises about this being a great app,
3:31there's a 2e money back guarantee period
3:32as well. So, if you're currently doing
3:33your own workouts, great. Ignore what
3:34I'm saying. and we'll get back to the
3:35video. But if you're someone that needs
3:36maybe a little bit of accountability,
3:38check out the app. Do the free trial.
3:39Thanks. Let's get back to the video.
3:40Straight away, I thought if this drug
3:41does everything, it's going to put me
3:42out of business. It's an insecurity.
3:44Same reason I'm wearing a hat cuz I'm
3:45going bored. It's an insecurity. And I
3:47often find that the majority of people
3:48online that are saying terrible things
3:50about these new medications, people that
3:52feel threatened by it. Two types of
3:53people. Those that make money from it
3:54and then people that have a certain
3:56amount of status from the way they look.
3:58For instance, the reason a six-pack is
4:00valuable is because not many people have
4:02a six-pack and it's very difficult to
4:03obtain, especially if you've got mid
4:05genetics. Same reason that people get
4:07hair transplant surgeries. To be in your
4:08late 30s and to have an impeccable
4:10hairline increases your level of status
4:12because people are making a snapshot
4:14decision at your levels of competence
4:15and people like to be good at things. We
4:17have hierarchies of who's better at
4:18what. It's why you have a belt system in
4:20jiu-jitsu. It's why any of you football
4:21fans will get giddy around a Premier
4:23League football player. It's all status.
4:24Now, people out there with incredible
4:26physiques, great hairlines, they get
4:28access to a lot of things in life cuz
4:30they look a great way. And it's good for
4:32them that the rest of the world is fat
4:33and out of shape. If you don't believe
4:35me, think about this. If you were to
4:36give someone a payriseise, it would make
4:38them happy. But if you were to give
4:39everyone in that department a pay rise,
4:40it wouldn't because it's not the payrise
4:42that makes them happy. It's them getting
4:43ahead whilst others remain behind that
4:45makes them happy. Any of you that have
4:47read this book by Will Store will know
4:49what I'm talking about. Status is around
4:50us everywhere. A lot of men, mostly
4:52those with good genetics, really hated
4:53the fact that when I started taking
4:55NTRT, I was a bit more jacked because if
4:56they're here because of genetics, and
4:58I'm there through administering small
4:59doses of testosterone, it means the
5:01rarity of their aesthetics are
5:03diminished, reducing its status. So, if
5:05you're someone that's a little bit dry,
5:06haven't got much personality, not much
5:08banter, but you look like a Greek god,
5:10and then suddenly other people are
5:11getting access to drugs that they can
5:13take without having to put too much
5:14effort in, you're going to feel
5:15threatened. Whether it's access to
5:16mates, whether it's engagement on social
5:18media, you are going to feel threatened.
5:20There's an interesting thing here where
5:21bodybuilders are now shaming other
5:22bodybuilders that are using GLP-1
5:24medications. They're saying, "You should
5:25suffer. You're cheating." And people are
5:27saying, "Hold on a second, but you're
5:28taking anabolic steroids." And they
5:30would argue, "Yes, but anabolic steroids
5:31give me the ability to suffer more. And
5:33with the dieting and chloric
5:34restriction, you should be suffering.
5:35You can't take steroids and a GLP-1
5:37medication and mitigate suffering on
5:39both sides." So, for any of you that get
5:40a knee-jerk reaction or people that
5:42really, really hate these drugs, it's
5:43more often than not a loss of status
5:45that they're worried about than anything
5:47else, not the actual drug itself. Now,
5:48in a snapshot, when I took a Zenic, I
5:50administered it on a Sunday night. I
5:52woke up the Monday morning and I felt
5:53nothing. I thought, I've obviously got
5:54the dose wrong. Maybe my maths isn't
5:56that good. Whatever it is, where did I
5:58make the mistake? It was only at lunch
6:00when I went to have a meal that I ended
6:01up putting half the meal back in the
6:02fridge, went to walk the dog, and it was
6:03only walking the dog that I was like,
6:04"Wa!" Never for my first meal of the day
6:07would I eat half and put half back. I
6:08was like, "Who was that guy?" And one of
6:10the things I concluded was although
6:11there was quite a bit of nausea from
6:12ampic semiglutide if I was to force down
6:15a protein shake or overeat at a meal
6:17sometimes it would feel a little bit
6:18nauseous. But as a net nauseous scale it
6:20wasn't that far more because most
6:22evenings at night I overeat. For me
6:24whenever I see people leave food on the
6:25plate I think they've got a mental
6:26illness. And for me unless I'm literally
6:29complaining about the amount I've eaten
6:30I've not eaten enough. So semiglutide
6:32for me was very interesting but the
6:33weight loss concerned me. So enter into
Tirzepatide (Mounjaro): s
6:35the frey mangaro. Maro is a brand name
6:37for tisepide. And just before you all
6:39lose your as to James, why did you
6:42get this? It's a controlled drug.
6:43Earlier this year, I'd have hernia
6:45surgery. I was on the sofa one night and
6:46I was like, what's that in my belly
6:47button? And then I was like, hold on.
6:49This is my insides. Went to see a
6:50specialist. He fiddled around my belly
6:52button. He said, "Come back when it's
6:53worse." It got worse to the point that
6:54my insides would be sticking out my
6:56belly button. I couldn't push them back
6:57in. Gross. So, when I booked in to get
6:59the hernia surgery, I couldn't train.
7:00Didn't really feel like eating well. Sat
7:01on the sofa. How you all would if you
7:03were having to have surgery for acute
7:05injury. And my weight ballooned. And
7:07when I hit 100 kgs, I was like, I should
7:09do something about this. Now, I knew
7:11that I was going to be out of action
7:12where sofa bound for like a week and
7:14then not training for two months, maybe
7:16even 10 weeks. I knew I was going to get
7:18fat. So, I went through proper channels,
7:20qualified on the BMI to get my first
7:22dose of majaru. And here's a picture of
7:24just when I finished surgery. And then
7:25this is a picture about 10 weeks later,
7:27probably the leanest I've ever been.
7:29Now, here's something to really make
7:31clear. From a health perspective, not
7:32gaining weight was great, but from a
7:34mental health perspective, there's only
7:35two things that really balance my mental
7:37health on a daily basis. How I feel as
7:39far as physical looks and like strength,
7:41fitness, and how productive I am.
7:43They're the only two things. So,
7:44although I was working and filling my
7:45productivity cup, being injured, if I
7:47was a fat mess, it would have a massive
7:49impact on how I felt about myself, thus
7:51negating my mental health. So, to get to
7:53a 10-w week period after surgery, being
7:56in the best shape I've been in for
7:57years, having no instances of binging or
8:00gluttony, eating well, feeding my body
8:02what it needed to repair, and putting
8:04myself in a perfect position to start my
8:06rehab was amazing. And I'm allowed to
8:08say that cuz that's my own personal
8:09experience. And if I train today and
8:11blow my ACL, I will take these drugs
8:13again. If for whatever reason in my
8:15life, I'm going to gain weight and I'm
8:16going to become obese, there's two ways
8:18to balance your energy balance, to
8:20exercise more and to eat less. I've
8:21always joked around and said, "If your
8:22dog got fat, you wouldn't put it on a
8:23keto diet. If your dog got fat, you
8:25wouldn't give it slimming tea. If your
8:27dog got bloody fat, you take it for more
8:28walks and you give it less meals." But
8:30when I was injured, I didn't have the
8:31ability to walk more. I only had the
8:33ability to eat less. And considering
8:34that food is a place that I go to for
8:36comfort, for pleasure, all of those
8:37things, having a drug that meant I could
8:39be in control of that was massive. So,
8:41semiglutide, without getting too much
How these drugs work
8:42into a science lesson, is a GLP-1
8:44receptor agonist. And topppatide is a
8:47dual GIP GLP receptor agonist. So just
8:50think about it in this way. Semaglutide
8:52works on one mechanism. Teptitide works
8:54on two. People on semiglutide lost about
8:5615% of their body weight. People on
8:58toeptide lost about 20 to 22% body
9:00weight. Toeptide always outperform
9:02semiglutide in head-to-head trials. Now
9:04one of the main concerns that people
9:05talk about these drugs is muscle
9:06wastage. Think about this. The majority
9:08of people taking these drugs are not
9:09fitness people. They are people whose
9:11other options would have been buriatric
9:13gastric bypass surgery where you cut
9:15people open and staple their stomach
9:16closed to get them to stop eating.
9:17People that are type two diabetic.
9:19people which are facing down obesity
9:22related diseases they're quite literally
9:23going to get premature death unless we
9:25get them to eat less. So when you look
9:26at observational studies across all
9:28these people, of course there's going to
9:29be muscle wasted. You just cut the
9:30calories in half. They don't train. They
9:31don't resistance train. For me, and keep
9:33in mind I am on TRT, the only thing I
9:35noted was an insane recmp. I didn't
9:37become weaker. I don't think I lost any
9:39muscle whatsoever. I wasn't doing DEXA
9:41scans. I wasn't doing measurements. But
9:42for me, when I looked in the mirror, I
9:44did not feel like I was getting smaller
9:45at all. I believe that through adequate
9:47protein and adequate resistance
9:48training, you can offset almost all of
9:50the muscle wastage. However, again, I do
9:52not have a control. Not on TRT. So that
9:54is a consideration to make especially
9:55when looking at my own transformation.
9:57So a rough difference is that this works
9:58on two mechanisms. Why it's better. I
10:00have no nausea on this. I do not feel
10:02sick at all. I barely notice that I'm
10:04taking the drug. If anything, when I
10:05take this, I feel like I'm meeting loads
10:08and my weight just carries on dipping.
10:09How much it costs? I pay about £250 a
10:12month. And again, I'm going through
10:13official channels to get that. As far as
10:14qualifying, you need to be over a BMI of
10:1730, which being 100 kg takes me to. So I
10:19wouldn't qualify for it now. I'm about
10:2194 12 kg. But one thing I would say,
10:23again, not medical advice, is anyone
10:25considering taking these drugs, try and
10:26find the lowest effective dose. Whether
10:28you're looking to lose weight, lose huge
10:30amounts of weight, what is the least
10:31amount of this drug you can take whilst
10:33getting the effects. I believe that in
10:35some places, some people are given
10:36dosages that are far too big. So, it's
10:37important that we look into side
10:38effects. Now, for me, although there was
10:40no nausea, there was one thing that I
10:41did not anticipate taking this drug.
10:43Whilst taking mangaro and semiglutide,
10:46you hate alcohol to the point even the
10:48thought of having a beer would make me
10:49feel sick. If anything, that was the
10:51only thing that returned my stomach,
10:52alcohol. And since stopping and
10:54discontinuing, I still have that
10:56relationship with alcohol. I very much
10:58struggle to drink now. So, if you were
10:59looking to lose weight, do not run these
11:02medications with alcohol. And that
11:04relationship to alcohol has carried on
11:05afterwards. I kind of miss being able to
11:07enjoy a beer at dinner. I just can't do
11:08it now. Again, it's personal anecdote.
11:10Now there are other side effects out
11:12there whether it's gastrointestinal so
11:14nausea, diarrhea, some people vomiting,
11:16constipation, some people can develop
11:18pancreatitis, acute kidney issues,
11:20gallbladder disease and all of these
11:22things can sound incredibly scary. But
11:23there are not many medications out there
11:24that come risk-f free. Even ibuprofen
11:27and paracetamol come with their own
11:28risks. Ibuprofen for instance that can
11:30reduce your kidney function, give you
11:31cardiovascular risk, can even give you
11:33stomach ulcers and bleeding. But we're
11:34not having that discussion when you're
11:36taking it for a rolled ankle. And the
11:37consideration that I don't think people
11:38are talking about online is there are
11:40side effects to taking weight loss
11:41drugs, but there are a lot of
11:42wellstudied side effects and
11:44life-threatening diseases that come from
11:46being obese. And for a lot of people
11:47that are going to start taking these
11:48drugs, they've got a choice. Potential
11:50nausea, potential vomiting, potential
11:51diarrhea, type 2 diabetes,
11:53cardiovascular disease, stroke. There
11:55could be potential side effects using
11:56GLP-1 medications. There are also a huge
11:59amount of side effects to being obese.
12:01So, we must look at this with a balanced
12:03opinion. These medications aren't just
12:04shortcuts. They're saving lives. They're
12:06improving people's mental health.
12:07They're improving people's physical
12:08health. They are reducing the burden on
12:09our health sectors. Not to mention this
Big picture
12:12boom from the big short
12:13>> boom
12:14>> has already started. Obesity rates are
12:16already starting to decline. Jewelers
12:17are using less gold in wedding rings.
12:19Airlines are projecting to use less fuel
12:21over the next 10 and 20 years because
12:23passengers will be lighter. We could
12:24have potentially curbed the direction of
12:27the obesity epidemic and taken care of
12:28it for good. Not to mention, these drugs
12:31are only going to get better. And I know
12:33what a lot of you are thinking. When are
12:34we going to talk about ratutide? In
12:36another video once I've tried it.
12:37Semaglutide to zeppepide ratutide. These
12:40drugs are only going to get better and
12:41get safer and have bigger trials which
12:43means the landscape of controlling our
12:44levels of atapostity and obesity are
12:46only going to improve over time. And we
12:47should be excited by that. Even if it
12:49means that some of us fitness plebs
12:50aren't going to be quite so rare to
12:52having a good rig. It means that the
12:54majority of the world get to live in
12:55better quality and be happier,
12:57contribute more to society and be less
12:59of a burden to the state. And so many
13:01people that have given up on fitness,
13:02given up on weight training, given up on
13:03personal training, taller, you insecure
13:05personal trainers are going to find
13:06their way into the fitness industry and
13:07we should celebrate that. This is great.
13:09More gyms, more fitness locations, more
13:12paddle courts. The more people we get
13:14into the fitness industry, the better
13:15for all of us. I think only 16% of the
13:18UK have got a gym membership. Imagine if
13:19that goes to 30. Double the amount of
13:21gyms, double the sporting facilities.
13:23What? Because they used a weight loss
13:24drug, of which some of them are going to
13:25keep it off. And for some that rebound,
13:27oh, but it won't work forever. they can
13:28go back on the drug. Even if they're
13:30using this for three or six months of
13:31the year, it beats their current
13:32trajectory to what they're doing with
13:34their lives. Heaven forbid, touchwood,
13:35that tomorrow I was diagnosed with type
13:381 diabetes and I had to administer
13:40insulin every time I ate for the rest of
13:41my life. You would not create an
13:43argument with pharmaceutical industry
13:44and go, "Oh my god, it's terrible that
13:46James has to take insulin. He's
13:48dependent on insulin forever." Yeah,
13:49because if he doesn't take it, he'll
13:50die. For a lot of people who don't take
13:51these, they will also die prematurely.
13:53So although I do not like the
13:55pharmaceutical industry, although I do
13:57not like a lot of things, I get up
13:59when my son gets his vaccinations. I'm
14:01like, does he really need them? I'm as
14:02paranoid about big farmer as all of you,
14:04but that doesn't mean I can't still love
14:06these drugs and what they mean for
14:07people at the same time. Now, as these
14:09drugs get better and safer, I just want
14:10to explain something that you might not
14:12have thought about when it comes to
14:13weight loss. And for this, let's go to
14:15the whiteboard. This is the amount of
14:16time this is someone's weight. So let's
14:18say using a GLP1 medication, over time,
14:20someone's going to lose weight.
14:21Traditionally, as a personal trainer, we
14:23have had to motivate people for change
14:25here, getting to eat less, adhere to a
14:26calorie deficit, to eat better, to
14:28exercise, to train, hit a step count,
14:30all of those things. But with these
14:31drugs, we can now do those exact same
14:33things here. Because getting between
14:35here and here, the drugs help them eat
14:36better, help them understand portion
14:38control, help them say no to cravings,
14:40and help them feel more inclined to
14:41train to offset muscle wastage, etc.
14:43Where do you think it is easier to
14:45motivate someone to change their life
14:47when they're at their worst, fattest,
14:49heaviest, least healthy, least energy,
14:52least motivation, or at the healthiest
14:54they've ever been in a few years? Not
14:55everyone is going to be able to keep the
14:57weight off, but a certain percentage of
14:59people will. And it's because this is
15:01the point they're starting from, not
15:03here. Now, some people will lose the
15:04weight, they'll stop using the drug, and
15:06slowly over time, they will start to
15:07regain the weight. But this gives us
15:09time to identify why did this not work?
15:11Was it routine? Was it food prep? Was it
15:14exercise? We can administer the person
15:15the medication they need again and we
15:17can bring them down to another place.
15:18But the most important thing here is we
15:20can use these drugs. We, you and your
15:22doctor can use these drugs to keep that
15:24journey of you figuring out what it is
15:26you need to do to be fit and healthy and
15:28keep you out of the red zone where
15:30you're going to be much more inclined to
15:31be susceptible to developing things like
15:33type two diabetes, stroke, heart attack.
15:35Despite what people tell you on the
15:36internet, there are three ways that you
15:38can become more healthy. Lose body fat,
15:40become fitter, eat better. These drugs
15:42at first drastically reduce body fat. So
15:44even if the person doesn't eat better or
15:46exercise more, they are healthier
15:48objectively. However, these drugs also
15:50make it easier to eat healthy foods. You
15:53actually crave fruit and vegetables
15:54more. So the amount of rubbish foods
15:56that they're eating, the amount of
15:57inflammation they get from them is
15:59reduced. Then here's all of their
16:00excuses as to why they shouldn't
16:02exercise, hit 10,000 steps a day, and
16:03join a gym. And when you're eating well
16:05and you've lost a lot of fat, those
16:06excuses are diminished as well. Although
16:08these peptides can seem like just the
16:10drug to help you eat less, it's often
16:12the first domino of change necessary for
16:14someone to hugely change and transform
16:15their life. And I think it's important
16:16that we don't take those for granted.
16:17And anyone that's ever lost fat before
16:19will tell you it is so much easier to
16:21stay lean than it is to get lean. I hope
16:23you've enjoyed that video. In the link
16:24to the description, if you give me your
16:25email address, I can send you some more
16:27information about these medications and
16:28where the right places you should source
16:30them from. And if not, and you're
16:31someone that's potentially TRT curious,
16:33this video right here will probably be
16:34one of the best ones for you to
16:35understand more about what testosterone
16:36replacement therapy is like. And this
16:38video actually delves into all the
16:39terrible things about it.