Dr Mike as someone who was 600 pounds thank you for not being judgmental. You speak clearly in a medical context. I would have loved for a Dr to speak to me like this when I was 600 pounds 5 years ago. I am now down to 310 pounds and am fighting every day.
I'm ashamed they don't teach de-escalation and communication at med school. I have seen a lot of brilliant doctors failing miserably at human conncection.
@LiverpoolianBeat some people look at being fat kinda like being gay. Like it’s just who you are and there’s nothing you can do about it and if you don’t show undying support or disagree they take offense and say you are fat shaming or “fat-phobic”. These types of gremlins can mostly be found online.
It’s because people these days call anything fat shaming. Nobody wants to hear anything except “You are perfect in every way and don’t change.” And that is how we are where we are in today’s society. Dr. Mike handles it beautifully. People just don’t want to hear it.
@@ebrach121 I've been overweight to morbidly obese my whole life too and I've never been shamed by a doctor for my weight (them pointing out your weight and telling you risks and encouraging weight loss isn't shaming a patient btw), but I've had issues dismissed because it was attributed to my weight instead of conducting a thorough investigation. I don't continue to see doctors like that though.. Most doctors I've seen (and I've seen a lot for all kinds of issues) mention it once and have been very supportive and kind. Do you just let your doctor talk at you without you setting boundaries? What help are you actually wanting? The suggestion of a low carb diet is completely sound.. What I've found from being large and being around other big people.. they are some of the worst people when it comes to taking offense if they're told they should lose weight, even if they're told out of fear for their health. How you take things is ultimately a YOU problem. So maybe self reflect as well and ask yourself honestly if you're willing to put in all the work required to lose weight.
I've been over weight my whole adult life and yes the bullying is definitely the worst especially from doctors, it seems to me that no matter what you go to see a doctor about they will blame your weight. I was born with rheumatoid arthritis and was diagnosed at around 5 years old but according to one doctor my weight has caused my arthritis when I pointed out to him that I'd had the arthritis since I was a baby he replied you must have been a fat baby😡 you would think that a doctor would understand that rheumatoid arthritis is an autoimmune disease and my weight had absolutely nothing to do with it. I was swimming and riding horses every day till I was 21 and had an accident that left me in a wheelchair for several years my weight skyrocketed I'm now back on my feet and slowly losing the weight but it's hard work
Love your respectful commentary and thanks for calling out the 1200 calorie diet Dr. Now gives to the people without ANY time to adjust to that low of a calorie intake. No idea how the patients do it, huge respect to them!
I did the slow down myself , slowly eating lesser sweet stuff until it was no longer so pleasant and my body got used to enjoy the fewer Times of sweet snacks even more. At Hard times I fall back in eating the entire bag of stuff. But I'm aware of it and stop it after or reduce the overall Carbs Empty Calories of the Day after this. But I need lot Mental Energy. But over Years I reduced my Apettie very natural. Currently I need to eat more and frequently , but I hate the feeling of a Full stomach so much
I've often wondered that myself. For somebody who has a food addiction and then taking them down to a 1200 calorie diet, Dr Mike's right, it's setting them up for failure
Honestly just any lowering of calories would probably cause some weight loss in extreme situations like this. Going from 4000 calories to the bare minimum of 1200 is just pretty extreme, it's literally coming from overeating to undereating. Also there should be some talk with a dietitian who would recommend healthier replacements for food, for example fruit instead of candy, etc. The show has aged so poorly these days in terms of medical recommendations.
I think why he gives such a low calorie count is to work on getting less calories- I think Dr Now knows that many won’t get this low of calories, but drastically reducing what they consume will get them started on weight loss. Plus many need to drop weight as fast as they can because they are in dire circumstances.
@@PROVOCATEURSK Do you know what homophobia is? Is it a fear of gay people? No. Its being discriminatory to that group of people. The same type of language is used for discrimination against those of a larger weight. Very ironic that you were acting all high and mighty when being wrong yourself.
@@PROVOCATEURSK Yes I absolutely do and that’s precisely my point. Dr. Mike has been accused of being fat phobic in the past, which is absurd. Hence, my previous statement that he is in fact, not fat phobic based on his genuine nature and care demonstrated in this video, in addition to his other uploads. Maybe your intent to debate with people should be directed towards those who falsely accuse him of being fat phobic and not me.
The fact that I see more care and sadness in his eyes regarding this person than judgment is exactly why I think Dr. Mike is an incredibly good, trustworthy doctor. Thank you! ❤
I've been following you since you started posting. I'm 67 - you are the most authentic compassionate Dr. I've watched. You taught me to be my own advocate & happy to report I have an awesome PCP & Cardiologist. They both welcome my questions. I'm in good hands. I can't thank you enough!
I was someone who struggled with my weight my entire young adult life. I used to talk to myself like the TLC doctor talks to his patients, thinking that shame would somehow motivate me. Well, it didn’t. In fact, I ended up very overweight and I still feel the damage to my joints. It was only after I started talking to myself like Dr. Mike is talking here-using compassion and understanding to get to the root of my issues-that I saw improvement. I’m down to a healthy weight, and can truly say that mindset changes everything. Be kind to yourself. Bullying won’t help you.
I feel like a lot of RUclips comments also think shame will motivate. It won’t. It’s sad to see how common it is to see people shame strangers on how their life is, when they don’t know why it’s like that. Even under this video is full of comments saying that “people get triggered and call you fatphobic if you don’t validate everything they do” which is so black and white.
99% people who are at that weight is due to mental illness, trauma response or addiction to cope with certain situations. There is a reason you don’t see rich or even middle class people, who have access to help and health insurance, deal with these situations. They do not have to resort to having to use the bathroom or showering naked on national TV for help to pay for surgery and therapy. I cringe when I read how gym bros are claiming “they just need to eat keto/carnivore, snort protein powder and do CrossFit.” It’s much deeper than that. If you don’t focus on the root of the problem, the person will never get better.
99% of people also ignore that fact that the tobacco industry (you know, the ones who gave out free cigarets to soldiers in battle in WWI and WWII to addict them) took over the food industry, and used the same tactics to addict people to their highly processed and addictive foods. That makes it even harder for people. Rich people have access to cooks, better foods, and plastic surgery too. With that addition, I agree with you 100%
One thing I've noticed about my 600 pound life folks- Mental Health is not an afterthought. Mental health is the most important part of the process that should be done from day one BEFORE surgery
Doctor Mike, I am absolutely sobbing at your commentary right now. There is nothing more validating and encouraging than to hear a real medical professional saying out loud the thoughts I have had about these types of shows and even real life medical experience I’ve had. As an overweight woman, daughter of an overweight woman, I have so many negative experiences with doctors and weight and hearing your educated compassion is such a monumental relief that people like you can deal exist. Thank you.
I’m really glad medication like ozempic can help people like this who are struggling so much because of uncontrollable food cravings. She’s showing up and taking care of her kids, I hope her and people struggling like her can get back some control over their lives.
I have a diabetic friend who can't get hold of it because they're selling it to people for weight loss. It's mental. They should only give it to people like this, people so morbidly obese that their life is in danger, not any random person that just wants to lose 10 pounds.
@@babybear9443at my heaviest I was 353, my family wanted me to get ozempic because I was pre diabetic, but my doctor and dad convinced me to try just an appetite suppressant like Phentermine first. I’m glad I did because it curbed the cravings to the point I didn’t need it anymore and I didn’t have to use ozempic. I’m now 310 a few months later
Hey Dr. Mike! My name is Angel. Im 20 years old and I had bariatric surgery last year (Aug 2023). With the introduction to all of these new meds i completely regret having the surgery. I was never really an active person and I also used food as a coping mechanism for my depression and anxiety. After I had gotten the surgery my body went into shock from losing weight too fast and I lost mobility in my legs. I wasn't able to walk and I needed to do physical therapy for around 7 months to regain mobility. I'm still trying to lose weight and guide myself in the right direction. Thank you for giving a non judgmental point of view as a doctor covering this topic. We need more doctors like you!
The amount of clarity and reducing food noise when I was on Ozempic - was absolutely amazing. I lost over 20kg in 10 months (141kg to 121kg) and my pre-diabetic state was reversed. I still need to reduce a significant amount of weight., but I wish there was a medicine that would help with the food noise by itself. Even though I work with psychodietitan and now being off Ozempic - this noise in head came back with such force I cannot describe it with words. It is sometimes overwhelming to the point that nothing helps.
Set some personal or professional goals for yourself to keep you mind distracted with different things or noises. It's hard but when you have too much free time you can become your own worst enemy. Even playing with your kids or volunteering in different places will help a lot!
That's amazing. My friend started ozempic and it isn't getting rid of his noise. He's using a different name medication but it's like that. I wonder if he would switch
I'm on a med to help reduce food noise... topiramate or something like that. It's been great! Edit: it is generally used as an Anticonvulsant but my doctor told me it can also reduce food noise when taken with phentremine (which i am)
@@maritoh.6710 I do agree on that so-sooo much. I started to incorporate additional stuff to do around my daily basis - even to reduce amount of self-destructive thoughts, which in my case before went straight to emotional overeating. I still have to work on changing my job situation and that is a plan for next year:) Thanks for sharing this advice!
@@RecoveryAndLife I mean in the one sitting at school that they showed she had 3 pizzas. That's at least 4,500 cal in one sitting. Getting her on a 2,500 cal diet would have been better, but still hard.
@@TheSirGoreaxe Aren't 2500 still on a calorie surplus? A healthy woman needs ~2000 a day. Not sure how it looks for her since moving requires more energy but she also barely moves as a result.
@@Nephalebut she was moving. She was working and taking care of her kids still. Either way, having such a high weight means every part of your body is working harder meaning your basal metabolic rate is higher. Simply existing each day at 600 lbs burns around 3,000 calories a day.
If anything that's just gonna set her body into starvation mode. On top of rapidly lowering her metabolism there will also be mental effects. Before it was her mind telling her she needed more. Now her body will actually be in agreement with that.
Mike hit it with the "you still have to eat food to survive, imagine having an alcoholic need to have a few drinks a day, but not overdrink" Food addiction is a real thing
"My doctor prescribed therapy for me to deal with my trauma and food addiction but I definitely don't need it so I'm going to stop seeing him while I fight this battle with my mental health that the surgery wasn't a magic fix for." Girl. No one gets that big and doesn't have serious trauma. Therapy will help. My goodness.
Yes therapy is the right way to deal with this - but it's not easy and can be very frustating, time and strenght consuming finding the right one... In something as intimate as therapy you have to be lucky to match with your therapist. Otherwise it isn't helpful at all but can even be harmful.
@@triciaramgoolam4045 she clearly said not going to therapy. this is a known factor that people with problems suddenly gets defensive when asked to take therapy. having Mental problems is still looked at as a bad thing and the affected person starts thinking that people will call me crazy if i take therapy.
It's a case of "worst guy you know makes a good point." Therapy would be good, but I can understand not wanting to take any more 'instruction' from that doctor.
Per lack of diet advice, as in what she should be eating, do remember this is a cut for television. It's entirely possible that Dr. Now goes into a lot more detail either off camera or just outside of what made the cut. ALSO Dr. Now on The Checkup would be really interesting!
I’ve seen stories from these people after and they do give more info, paperwork on what they can eat that’s low carb and 1200 calories included. Still 1200 calories from someone who was maintaining at 4000.+
Do not believe that guy a thing, nor believe his knowledge, because judging by his look, he is also overweight, not extremely, but it shows. People need to listen their own advice, or go and "upgrade" their knowledge about the matter. Not everyone is affected the same with universal advice. Someone can lose weight for example even if consuming 2k calories, someone can lose weight even if eating junk food, someone may need different type of exercise. People have different variables.
What else do you expect Dr now to do? He gives the nutritionist, physical therapist and psychiatrist he even arranges for some patients to stay at the hospital where they provide all their food if he feels they would benefit from it. He genuinely cares about theses people. Apart from these he has sent some patients to an eating clinic where their food intake is controlled. Given a a guidance and resources, it’s honestly up to the person themselves to choose which way to go. I admit it’s a good Tv for the rest of us. But when I see how their kids and people around them suffer just because they can’t stop eating, I can’t help but get frustrated
The way you react to these just shows how much of a compassionate person and doctor you are. You encourage people to live their best life in such a caring and considerate way. Both you and your family should be proud you're such a good man.
The world would be a better place if all doctors were like you, Dr. Mike. You treat these people with complete and total compassion and no judgement. You explain everything so clearly, and take their quality of life into consideration before their appearance, which is probably such a game changer for so many patients. Please keep up the awesome work! :D
I agree. I live in the UK and wish I had Dr. Mike as my doctor because I have seen so many doctors about my weight, and they just do not care at all. They will not even refer you to the right specialists. As a child, I was referred to an epilepsy specialist for my weight, which did nothing than cause trauma due to the abuse and mistreatment I received from that doctor.
Seeing videos like this breaks my heart..we lost my father in law during covid, he was over 500lbs, his organs couldn't handle him being sick and everything shut down. His girlfriend was over 400 and her organs also shut down and she passed away too. We found out we were pregnant exactly a week after they passed. It took a while to get over the anger because we told him SOOO many times that he needed to lose the weight so he could be around for his grandkids but he missed it, by a damn week. He had plans for weight loss surgery but cancelled them when he found out he could only be on a liquid diet for a little while after. Ugh it's so sad. If you're this same boat PLEASE seek help and lose the weight..your kids and grandkids want you around as long as possible
As an RN who works with people with obesity and who used to be morbidly obese it is helpful to hear you discussing this subject with kindness and sensitivity. It's hard to not overwhelm people with information because there is a lot to know.
Thank you Lauren for saying that, it means a lot. I think everyone has their own challenges, and it takes real courage to face them, like you have. Honestly, your story is motivating. What keeps you going on tough days? I’m always curious about what inspires people to push forward.
@HenryCharme I am always looking for information. I look online, I've talked to my doctor, I checked out my health insurance to see if they have any programs I can utilize. I found out I can talk to a nutritionist for free and immediately signed up for the service. We talk about my challenges due to my schedule, what kinds of things I struggle with physically and emotionally. My problem is I like her suggestions but I have days where I can get it together and days where I don't always do great. I am not on a specific diet. My nutritionist gives me ideas and asks that I make small changes.
@@BalzersEdits they get an extra $1k for it. No joke, I know someone from this show and it’s horrible how they exploit people in this show. Some don’t want it but they have the choice between using the bathroom or showering naked.
Funny story from someone who had childhood epilepsy. The only thing that induced my seizures was deep breathing. Sports, she’s down. Being told to deep breathe to calm down, lights out. My brain still has subconscious control over when I do this. Nothing will happen but my brain keeps telling my body that we’re going to black out.
I don't know any med-youtuber who is as respectful, professional, patient, intelligent and emphatic as Dr. Mike. I wish that everyone got a doctor like you. Greetings from Germany, we love you. ❤ Thank you so much for your work!!
I got on the scale today with the opposite struggle of too little weight. Thankful not an ill low degree yet, but heck it's close to that. And without any intentions to be there. Weight and food can be such difficult topics. It's rough no matter which side of the spectrum you fall onto. What a timing you have Dr. Mike!
If there is no other health issue, just fast metabolism, just eat 3k calories, or add up calories gradually, skinny people do add weight more slowly, but it is a good thing that they can change their diet however they like, and can meal cheat because excess carbohydrates will just provide even more energy for exercise, should not spare on eating fats, but also would need lots of protein to build muscle.
Underweight? I am one of them too. Just 106 lb as female adult. My bone is so easily visible. And I do not have ability to feel growling from my belly so I forgot when I should eat something as few days without food. ARFID make me a difficult time to eat something without vomiting. I do not know how little I eat in calories but it can be 0 calories sometimes. It get bad that my body getting numbness and weakness. In fourth days which is my first time and last time that I go without food ended riding wheelchair as I am too weak to move my body. I easily get hurt so badly by lightly hits. I get few black spots where it was hit. I am very easily to get sick since I do not eat balance meal often. And have depression cause me lost interest in food. I try eat more food but easily gets full with just small amount of food. As half of burger or mini burger. By way, I usually cook by myself, not go to restaurants thank to ARFID.
I love how you approach this, with no judgement to her. There's a lot of guilt and shaming when we're fat and people can be really cruel when they talk about it. The way you discuss this, especially how you're aware that food is a cultural thing, especially for latino families - I am Brazilian and I can confirm. I wish all doctors - and even people who aren't doctors but love to discuss other people's health, often uninvited - had the same level of respect and thoughtfulness as you do.
Thank you for addressing food addiction. Regardless of whether or not it is a "real" addiction, like you said, it behaves that way and has the same effects on a person's life
Thank you Dr. Mike for approaching the subject delicately and with a reasonable medical point. These types of programs always bring tears to my eyes, I know it must be complicated for the patients. I just pray that they all achieve their goals and are happy or happier than they already were. Greetings to all and to Dr. Mike from Spain 💜
Food addiction is what I'm struggling with right now, I've been binge eating so long that it's just how I eat now. Doctors like Mike are desperately needed, who have compassion and empathy for the patient. It's the only thing that will help when it gets to this degree. ❤ Thank you for these vids! It's nice hearing a doc actually sound caring, gentle, and loving.
8:44 He does give them recommendations! If you dig into the show, you'll see the patients have very detailed instructions of what they should and shouldn't eat and what exercises they should do. That's why his program is so successful in the first place. He gives detailed instructions and clear goals, not just "well lose some weight".
Awake and already went to the gym...thanks for the motivation ❤it is hard being that big but it's not impossible to change. 50 pounds down since August, I couldn't walk more Than 2 minutes without getting out of breath now i can jog, I can run up the steps without stopping, I spent 2.5hrs at the gym lifting weights and cardio. Do not give up! I still have severe food cravings and want to give up but I go to the gym every day if I don't I workout at home and I try to eat natural unprocessed foods high in protein and fiber. U might feel like giving up or u might lose hope but remember u are amazing and worth taking care of yourself ❤
I agree with you Doctor Mike, the show and the doctor on it are very old school methodology - it may even be old episodes. Thank you for your ongoing compassion, education, and care. Happy New Year to you!
Happy New Year to you, too! It’s great that you’ve been watching and reflecting on those methods, it’s fascinating how approaches to health and nutrition evolve over time. What’s been the most surprising or thought-provoking thing you’ve noticed from the show or Dr. Mike’s insights?
Her daughter is an absolute gem with all she does for her mom. Helping clean her legs, volunteering to walk with her. I hope the daughter has a strong support network of her own that keeps watch over her and supports her like she supports her mom.
Unfortunately no, these kids miss out on being kids because they are busy wiping their parent’s bum, bathing them and not to mention serving them food because they can’t even get up to get it for themselves.
Thanks for keeping us updated! I feel sympathy and empathy for our country. low income people are suffering to survive, and I appreciate Victoria Anne Leonard. You've helped my family with your advice. imagine investing $30,000 and receiving $95,460 after 28 days of trading.
I began investing in stocks and Def earlier this year, and it is the best choice I've ever made. My portfolio is rounding up to almost a million and I have realized that when a stock makes it to the news, chances are you're quite late to the party, the idea is to get in early on blue chips before it becomes public. There are lots of life changing opportunities in the market, and maximize it.
Having a healthcare provider like you who has this type of approach (non-judgmental, unbiased, understanding and caring) is literally life changing. I had one for about 3 years and followed her to every clinic she transferred to across my state until she suddenly up and quit a couple months ago. I miss truly miss her. So now I’m on the hunt again for another provider, but finding another one like her is SO damn rare to find. But thank you, Dr. Mike for all that you do and HOW you do it❤
I extremely dislike my 600lb life. It does not show even a fraction of what it takes to be approved for weight loss surgery. And it leaves a door open for people to make nasty comments and cast judgement on these people who are struggling. There is nothing easy about weight loss surgery. Also thank you to Dr. Mike for a non judgmental review/reaction to this show.
It is designed that way because, patients need to prove that they have changed their lifestyle/ eating habits otherwise if they continue to eat the way they do , there is a risk of complications. The stomach could bust open and result in death. And don’t forget stomach stretches again if you keep eating the way you do before surgery. So, the challenges that are put there is for your own good.
Hey, Dr. Mike! I’ve been a fan of yours for about a year now, and your advice from your videos has helped me finally get a diagnosis for severe widespread pain that I’ve been suffering with for 3 years now. I was finally diagnosed with Orthostatic Hypotension and Fibromyalgia just a few months ago. Your advice has helped me so much and helped me not give up on the medical system. Thank you from the bottom of my heart! ❤
I feel like the doctor did not communicate well at all. She needed help not only setting up a helthy diet, but also training regime and he should have explained, why therapy is helpful on her journey. Otherwise she might slip once, maybe during a stressful period, and go "well, everythings lost" and give up on her new regime.
Dr. Mike notes that he gives a diet and exercise program. It's in the papers he gives them and often their caretaker, too. He does ask them if they need anything to even just call. He offers therapy, physical therapy, dietician, etc. He really prefers they ask vs. force them. I've watched *a lot* of this show. You can see he's trying so hard to get them to say they need help. Or to recognize what their main issue is. Yeah, many times, his 'bedside' manner could use work. Comparing earlier episodes to current ones is very eye-opening. (Edited typos.)
I 100% agree! You can't help someone if they are not up to fight for themselves! He knew she had a bigger issue but in the end she didn't want to go to therapy so it's her choice, he can only go as far as the patients let him.
He even lets them stay in hospital for months if he feels they are in bad shape ( bad hygiene, infection and bad overall health). He also sends them to eating clinic as a last resort. I have seen him arrange accomodation for those patients who are homeless. We need more doctors like him who tells it how it is not cuddling the mentally weak patients. Not many understand why theses surgeries have challenges to get. Stomach could bust open after surgery if they stuff their face like they used to. Stomach doesn’t stop to stretch after surgery. What people don’t know is surgery isn’t magic, but it’ll help you achieve your goals easily if you put in the work ( change eating habits)
11:52 As recently as one hundred years ago, alcohol was the only way to guarantee safe drinking water for a lot of people. The percentage of alcohol needed to kill microbes is incredibly low, but it meant that children were exposed to alcohol at a very young age.
Dr. Mike you are so nice. You could have shamed this person and been like "just go to the gym and eat healthy wtf is wrong with you", but instead you were sympathetic and really were kind when you totally did not have to be. You are an angel. I love your channel!
The fact that you addressed that food addiction is actually a problem was amazing! A lot of people think that we are fat by choice but the honest truth is that we have a problem and is not easy to just give up food without some kind of help. Thank you for the validation!
But you don’t need to give up food do you? You just need to work on minimising the amount of intake, or minimise carb and sugar. If you like that fullness feeling, eat steak with butter until you are stuffed. You will thank me later. Oh and follow Dr Ken Berry on RUclips watch his videos and try it .
i’m going to have a very different opinion on this because i’ve suffered with extreme anorexia for 12 years and i actually just came out of treatment 4 months ago. so tw now. it’s one thing to do this to yourself but it’s a completely different thing when you involve children. 1:39 that girl can’t be older than 15 she should NOT have to clean her moms private areas. its selfish on the mothers part. how did she even manage to have kids and raise them properly?? if you can’t care for yourself you shouldn’t be allowed kids.
Dr Mike, ty for being so logical and empathetic. My best friend is a big lady and through her ive learned how deep and complex weight issues can run psychologically, and how people, including some doctors, will treat an obese person. Thank you for not being like that :)
I was once 195 pounds and couldn’t stay on a 1200 calorie diet while exercising (without a GLP-1 that helped me lose over 50 pounds). I don’t how she’s supposed to do that at 3x the weight.
I wonder if it's a thing that they know they're going to do things like snack or blow up the portions so they say 1200 because everyone underestimates their intake when they don't weigh it all out. Because at those sizes even being sedentary and eating 3500 calories a day would still lead to weightloss.
That’s an incredible achievement, you must have worked so hard to lose over 50 pounds! It’s no small feat, especially when dealing with the challenges of a strict diet and exercise routine. It really shows how much determination you have. Do you think GLP-1s could make a bigger difference if they were more accessible? I’d love to hear your thoughts on what could help others in similar situations.
Such a thoughtful reaction to this condition. Thank you for not being judgmental and showing kindness. Speaking medical truth with being compassionate. Well done 👏👏👏
Planning your route, I’ve been there. That was me in college. I planned classes around my mobility. I appreciate your sensitivity when it comes to these topics.
It is now known that reducing calories drastically throws the metabolism a curve ball that is handled terribly, both during the diet AND post dieting. Great video, Dr Mike!!
"Dr. Mike, I always appreciate your thoughtful approach to health and well-being. Your breakdown of My 600-lb Life is so insightful, especially the way you emphasize the importance of mental health alongside physical health. It’s crucial to remember that these are real people, not just numbers on a scale, and your compassionate perspective really helps raise awareness. Keep up the great work!"
Hey Dr. Mike! Agree totally with what you say about the difficulty of food addiction versus other things. I tell people that telling a food addict to "just eat less" is like telling an alcoholic, "Yeah, I need you to go the bar three times a day, but only drink 2 beers each time."
I absolutely LOVE how Dr Mike is a sensible doctor, always thinking of how to better approach people. How to heal and/or help without making someone feel bad. How to make the treatment accessible, feasible.
I think these patients always have to talk to a psyvhologist from the beginning of the treatment. Many of these have psychological problems what the reason is for their excessive weight. Even if they don't have problems it is always good to talk to a professional who can support them in their weightloss.
Maybe they need to consult a psychiatrist as well. I have a loved one who is obese and with chronic kidney disease and his nephrologist recommended that. On the other hand, I noticed I'm eating less than 1600 kcal a day since I started psychiatric medication and that wasn't my goal but a side effect of the treatment, I'm less hungry and I find junk food/sweets less appealing so I see how it might benefit people who have a food addiction.
10:38 as someone who has gastric bypass i remember being fine for about a month. You have zero food cravings and you are so focused on the prescribe diet you are very numb. However, I remember breaking down crying around week 4-5. Bad day at work and my usual coping mechanism was gone. I cried out of frustration, embarrassment, shame all of it. It was bad. But eventually I adjusted.
I had surgery in 2003. I remember feeling the same way a few months after surgery. Such a powerful emotion, that even 22 years later, I remember that awful feeling. Hope you're doing well!
I had gastric sleeve surgery in 2023 I have lost 130lbs to date … I have arthritis in my knee my weigh loss has made it possible for me to have a job now and my mobility has improved significantly. My sleep is better everything. Best decision I have made
I had a basic nutrition class in college and it was enough to know you can't recommend a 1200 kcal/day diet to everyone, even when they're very obese. There are several formulas to know how many calories would be a "calorie deficit" in your individual case and it rarely equals 1200 (in the last 10 years I bet there are new calculations that take into account her ethnicity too). I remember our professor making us write down hours of sleep, how many hours we spent sitting/standing up, time cleaning the house/walking to places/caring for children/studying among other things.
I have to say your content is amazing. I enjoy learning as much as I can, but I’ve always had a hard time learning anything medical. I’m so squeamish and I possibly have a touch of hypochondria, I usually start feeling depressed, sick and generally bad learning anything medical, but the way you produce this type of content is perfect for me. I never get the squeamish depressing feelings I normally get. So Thankyou dr.mike for making the most digestible medical content.
props to the first lady for her perseverance and for taking care of the kids despite her situation. and props to Doctor Mike to giving advice from a medical standpoint in a non-offensive way!
I’ve struggled with my weight for the majority of my 26 years of life and I always appreciate the way you handle this topic. You’re the reason I have really started consulting doctors and striving for a healthier life/body. Thank you, Doctor Mike! 💜
the way they treat this as her just being lazy and eating as if she doesn't care it's insane. it needs to be a tiny steps treatment. very insensitive of this doctor who's treating her, cmon, give her the tool she needs instead of telling her what to do. it's a disorder, a medical condition like any other. i'm sorry for the way these doctors treat her, she's clearly a special and beautiful soul, she deserves better! praying for you honey, you'll get there! sending you and your family lots of love ❤
Dr. Mike always reminds me why I wanted to get into medicine. I switched my major to wildlife biology because animals are better than people but I still want to be there for my fellow humans.
I love watching Dr Mike because he keeps it so real. I’m pre diabetic and have a BMI close to 50. I’ve been seeing an endocrinologist to monitor my a1c see a nutritionist work out but still can’t lose weight , I’ve had 5 doctors recommended and even prescribe be the weight loss medications but the big bad guy (insurance) won’t cover it unless I meet that diagnosis for type 2 diabetes. Soooo? In order to get my A1c and weight under control to PREVENT getting that diabetes diagnosis….i have to be diabetic to get the medication i need. It sucks truly, I’ve had so many doctors say I would greatly benefit from weight loss medications but insurance won’t even approve it. How can I be healthy when insurance won’t give me access to something that can improve my life.
Hello Sarah, that sounds like a practical approach. Do you find having a specific list helpful, or do you prefer more flexibility when it comes to food choices? I imagine it can be tricky to balance what’s good for your goals with what you enjoy eating. What’s been your go-to meal or snack lately?
@ Ah, I see! Dr. Mike’s videos are definitely fascinating, he has a way of getting straight to the point. Honestly, I think it’s interesting to watch how he helps people turn their lives around. So, if you’re not watching for personal advice, is it more about the motivation or just the drama of it all? Either way, it says a lot about you that you’re so curious about people’s journeys.
@HenryCharme the program dr Mike is talking about is the program I am talking about. The doctor in the program is called dr now & I was saying to dr Mike that dr now gives them a food list like yogurts to eat as dr Mike was not sure if he did. Dr Mike is wonderful to watch & with 22 medical conditions of my own I have come across some horrible doctors, I'm in the UK but if I was in the USA I would definitely try & get dr Mike & his dogs haha. Sorry for the misunderstanding
@ No problem at all! It’s really interesting to hear about your experience with Dr. Now’s program and Dr. Mike’s insights. It sounds like you’ve had quite a journey with your health, especially managing so many conditions. I can only imagine how tough it must be to find the right doctors. What’s been the most helpful part of your health journey so far? And if you could have any doctor, Dr. Mike or anyone what would be your ideal approach to your care?
I love this so much, you addressed every single problem I have with Dr. Now's approach to weight loss with his patients, especially the sudden drop to 1200 calories a day. I'm relatively healthy (compared to a few years ago, I have Crohn's that's currently in remission after getting an ileostomy) and I will pass right out trying to be even moderately active on 1200 a day. I can't even imagine trying to do literally anything while carrying an extra 500ish pounds around. I wish he would give more credit to his patients, instead of following every praise with a BUT. And when someone doesn't meet his expectations he can get outright vicious. You'd think he would realize that overweight people are exposed to disparaging comments by people every single day, and obviously that isn't the way to motivate someone. You have yourself a new subscriber!
Hello Madalena, It sounds like you’re thinking about someone important. Is it someone you’re close to? I believe taking care of ourselves can be a challenge sometimes, especially with everything life throws at us. What do you think helps you stay focused on self-care?
I really understand the weight loss doctor’s point of view. I believe the psychiatric aspect is very important. He has years of experience. I have friends who have had at loss surgery, diets can be restrictive, cravings don’t really go away, feeling of fullness happens. Usually after the first successful year, it can be difficult to continue the regimen. Exercise, and psychiatry regimens, as well as supportive families can help with success . I wish the best for those who face this journey.
That is what I finally had to tell myself. There will always be a "Holiday" or "Special Occasion" or "Just this once" around the corner. You can't be successful if you treat these as excuses to delay (or break) a new lifestyle rather than learn how to navigate them in a healthy manner.
Dr Mike as someone who was 600 pounds thank you for not being judgmental. You speak clearly in a medical context. I would have loved for a Dr to speak to me like this when I was 600 pounds 5 years ago. I am now down to 310 pounds and am fighting every day.
Whattt that's amazing, good for you :)
I'm ashamed they don't teach de-escalation and communication at med school. I have seen a lot of brilliant doctors failing miserably at human conncection.
congratulations!! keep fighting 💪
Keep going! Well done so far too! ❤
congratulations! you are doing very good that’s very tough and not a lot of people can do that!
i still find it crazy people say he's fat shaming. He consistently addresses this issue with genuine care and respect. We love you Doctor Mike❤️
What's fat-shaming is the fact that TV networks put these programs up as entertainment.
Omg really? Thats wild, I had no idea people say that. He’s literally the most reasonable person when it comes to this stuff
@LiverpoolianBeat some people look at being fat kinda like being gay. Like it’s just who you are and there’s nothing you can do about it and if you don’t show undying support or disagree they take offense and say you are fat shaming or “fat-phobic”. These types of gremlins can mostly be found online.
It’s because people these days call anything fat shaming. Nobody wants to hear anything except “You are perfect in every way and don’t change.”
And that is how we are where we are in today’s society. Dr. Mike handles it beautifully. People just don’t want to hear it.
If be fair I think those are a small number I feel like 95 percent of his fans will say he is not.
I'm just impressed that she can manage to go to work and take care of five children, many people in her situation doesn't do half of what she does!
For sure, mad props to her
As long as she's still mobile there is a lot of hope for her life to improve.
It's pretty impressive
Doctor mike Please play FNAF great game is like playing horror movies
Bro I'm skinny and muscular and I tremble in fear of having to do all that, this woman is as sad of story as it is admirable
I've been heavy my whole life. The worst part about it is the bullying, from everyone. Espically the doctors. Thank you for talking nicely.
Exactly what I came here to say. ❤❤ They don't give us ANY actual help. "Low carb" diet is all we get.
@@ebrach121 I've been overweight to morbidly obese my whole life too and I've never been shamed by a doctor for my weight (them pointing out your weight and telling you risks and encouraging weight loss isn't shaming a patient btw), but I've had issues dismissed because it was attributed to my weight instead of conducting a thorough investigation. I don't continue to see doctors like that though.. Most doctors I've seen (and I've seen a lot for all kinds of issues) mention it once and have been very supportive and kind. Do you just let your doctor talk at you without you setting boundaries? What help are you actually wanting? The suggestion of a low carb diet is completely sound.. What I've found from being large and being around other big people.. they are some of the worst people when it comes to taking offense if they're told they should lose weight, even if they're told out of fear for their health. How you take things is ultimately a YOU problem. So maybe self reflect as well and ask yourself honestly if you're willing to put in all the work required to lose weight.
I've been over weight my whole adult life and yes the bullying is definitely the worst especially from doctors, it seems to me that no matter what you go to see a doctor about they will blame your weight. I was born with rheumatoid arthritis and was diagnosed at around 5 years old but according to one doctor my weight has caused my arthritis when I pointed out to him that I'd had the arthritis since I was a baby he replied you must have been a fat baby😡 you would think that a doctor would understand that rheumatoid arthritis is an autoimmune disease and my weight had absolutely nothing to do with it. I was swimming and riding horses every day till I was 21 and had an accident that left me in a wheelchair for several years my weight skyrocketed I'm now back on my feet and slowly losing the weight but it's hard work
I’m so sorry that has happened to you, please don’t let anyone gaslight you about your experiences
@@ebrach121nobody ever told you to exercise?
Love your respectful commentary and thanks for calling out the 1200 calorie diet Dr. Now gives to the people without ANY time to adjust to that low of a calorie intake. No idea how the patients do it, huge respect to them!
I did the slow down myself , slowly eating lesser sweet stuff until it was no longer so pleasant and my body got used to enjoy the fewer Times of sweet snacks even more. At Hard times I fall back in eating the entire bag of stuff. But I'm aware of it and stop it after or reduce the overall Carbs Empty Calories of the Day after this. But I need lot Mental Energy.
But over Years I reduced my Apettie very natural. Currently I need to eat more and frequently , but I hate the feeling of a Full stomach so much
I've often wondered that myself. For somebody who has a food addiction and then taking them down to a 1200 calorie diet, Dr Mike's right, it's setting them up for failure
Yall don’t get it??? They’re morbidly obese… they don’t have TIME to take it slow
Honestly just any lowering of calories would probably cause some weight loss in extreme situations like this. Going from 4000 calories to the bare minimum of 1200 is just pretty extreme, it's literally coming from overeating to undereating.
Also there should be some talk with a dietitian who would recommend healthier replacements for food, for example fruit instead of candy, etc. The show has aged so poorly these days in terms of medical recommendations.
I think why he gives such a low calorie count is to work on getting less calories- I think Dr Now knows that many won’t get this low of calories, but drastically reducing what they consume will get them started on weight loss. Plus many need to drop weight as fast as they can because they are in dire circumstances.
Shame on everyone who calls him fat phobic. This man ain't even judgemental at all
What? He’s so kind! He’s being educational and understanding! Who is saying that?
@@dianaahakim2001 trolls
@dianaahakim2001 I saw on this other vid on tik tok
@@Masa_Moth tiktok will forever spout nonsense, it's tiktok after all
Why even shame them, they stupid. Im proudly fatphobic your feelings are irrelevant. Lose weight and forget the politics.
FURTHER EVIDENCE THAT DR. MIKE IS NOT FATPHOBIC 💯 He’s a compassionate licensed physician
Do you know what phobia means? Clearly not.
@@PROVOCATEURSK Do you know what homophobia is? Is it a fear of gay people? No. Its being discriminatory to that group of people. The same type of language is used for discrimination against those of a larger weight. Very ironic that you were acting all high and mighty when being wrong yourself.
Fatphobia isn't even real. It's just fat people who don't want to be held accountable for their crappy life choices
@@PROVOCATEURSK Yes I absolutely do and that’s precisely my point. Dr. Mike has been accused of being fat phobic in the past, which is absurd. Hence, my previous statement that he is in fact, not fat phobic based on his genuine nature and care demonstrated in this video, in addition to his other uploads. Maybe your intent to debate with people should be directed towards those who falsely accuse him of being fat phobic and not me.
@@PROVOCATEURSK your own English language yet your so bitter enough to completely unable to comprehend what you're reading about. Ashame.
The fact that I see more care and sadness in his eyes regarding this person than judgment is exactly why I think Dr. Mike is an incredibly good, trustworthy doctor.
Thank you! ❤
I've been following you since you started posting. I'm 67 - you are the most authentic compassionate Dr. I've watched. You taught me to be my own advocate & happy to report I have an awesome PCP & Cardiologist. They both welcome my questions. I'm in good hands. I can't thank you enough!
I was someone who struggled with my weight my entire young adult life. I used to talk to myself like the TLC doctor talks to his patients, thinking that shame would somehow motivate me. Well, it didn’t. In fact, I ended up very overweight and I still feel the damage to my joints. It was only after I started talking to myself like Dr. Mike is talking here-using compassion and understanding to get to the root of my issues-that I saw improvement. I’m down to a healthy weight, and can truly say that mindset changes everything.
Be kind to yourself. Bullying won’t help you.
Congrats! Honestly! 🎉 And you are so right, shame talking to oneself does not help. Makes the bad feelings worse.
That doctor on my 600lb life drives more people to carry on eating in a destructive way because of his attitude towards them
A little compassion goes a long way
I feel like a lot of RUclips comments also think shame will motivate. It won’t. It’s sad to see how common it is to see people shame strangers on how their life is, when they don’t know why it’s like that.
Even under this video is full of comments saying that “people get triggered and call you fatphobic if you don’t validate everything they do” which is so black and white.
@pemanilnoob Yes!
99% people who are at that weight is due to mental illness, trauma response or addiction to cope with certain situations. There is a reason you don’t see rich or even middle class people, who have access to help and health insurance, deal with these situations. They do not have to resort to having to use the bathroom or showering naked on national TV for help to pay for surgery and therapy. I cringe when I read how gym bros are claiming “they just need to eat keto/carnivore, snort protein powder and do CrossFit.” It’s much deeper than that. If you don’t focus on the root of the problem, the person will never get better.
99% of people also ignore that fact that the tobacco industry (you know, the ones who gave out free cigarets to soldiers in battle in WWI and WWII to addict them) took over the food industry, and used the same tactics to addict people to their highly processed and addictive foods. That makes it even harder for people. Rich people have access to cooks, better foods, and plastic surgery too. With that addition, I agree with you 100%
@ absolutely agree. My grandma was even told that cigarettes were healthy and would keep her skinny…. Ugh I hate lobbyists
Yeah that's the equivalent of telling a heroin user to just stop taking it.
If you don't treat the underlying cause...
Yes, if we file plain old "dumb as bricks" under mental illness (applies for some)
Uhm rich people ARE the ones who suffer from it the most. 😂 try again
One thing I've noticed about my 600 pound life folks- Mental Health is not an afterthought. Mental health is the most important part of the process that should be done from day one BEFORE surgery
Doctor Mike, I am absolutely sobbing at your commentary right now. There is nothing more validating and encouraging than to hear a real medical professional saying out loud the thoughts I have had about these types of shows and even real life medical experience I’ve had. As an overweight woman, daughter of an overweight woman, I have so many negative experiences with doctors and weight and hearing your educated compassion is such a monumental relief that people like you can deal exist. Thank you.
Ignore all the negative feedback and just keep working hard to do what you believe in. Keep fighting!
When Doctor Mike gets upset, that shows even more his passion and care for people's health. I liked this video very much!
I love how he reacts and talks about things like this in a respectful way he's doing great ❤
Judgement and shame kept population in check since the beggining of time.
Agreed. He’s so compassionate
I’m really glad medication like ozempic can help people like this who are struggling so much because of uncontrollable food cravings. She’s showing up and taking care of her kids, I hope her and people struggling like her can get back some control over their lives.
So you are glad rich people get help. Got it.
@@wellhellothere6347I'm seeing you all over this comments section and all you do is complain.
@@wellhellothere6347🤡
I have a diabetic friend who can't get hold of it because they're selling it to people for weight loss. It's mental. They should only give it to people like this, people so morbidly obese that their life is in danger, not any random person that just wants to lose 10 pounds.
@@babybear9443at my heaviest I was 353, my family wanted me to get ozempic because I was pre diabetic, but my doctor and dad convinced me to try just an appetite suppressant like Phentermine first. I’m glad I did because it curbed the cravings to the point I didn’t need it anymore and I didn’t have to use ozempic. I’m now 310 a few months later
Hey Dr. Mike! My name is Angel. Im 20 years old and I had bariatric surgery last year (Aug 2023). With the introduction to all of these new meds i completely regret having the surgery. I was never really an active person and I also used food as a coping mechanism for my depression and anxiety. After I had gotten the surgery my body went into shock from losing weight too fast and I lost mobility in my legs. I wasn't able to walk and I needed to do physical therapy for around 7 months to regain mobility. I'm still trying to lose weight and guide myself in the right direction. Thank you for giving a non judgmental point of view as a doctor covering this topic. We need more doctors like you!
I'm so sorry that happened to you! I wish you the best
I didn't even know that could happen.
Thank you for acknowledging how difficult these extreme changes are and that not everyone will be able to succed under these conditions.
The amount of clarity and reducing food noise when I was on Ozempic - was absolutely amazing. I lost over 20kg in 10 months (141kg to 121kg) and my pre-diabetic state was reversed. I still need to reduce a significant amount of weight., but I wish there was a medicine that would help with the food noise by itself. Even though I work with psychodietitan and now being off Ozempic - this noise in head came back with such force I cannot describe it with words. It is sometimes overwhelming to the point that nothing helps.
Set some personal or professional goals for yourself to keep you mind distracted with different things or noises. It's hard but when you have too much free time you can become your own worst enemy.
Even playing with your kids or volunteering in different places will help a lot!
Possibly look in to hypnotherapy….could help to be hypnotized to not crave foods that are unhealthy or eating too much.
That's amazing. My friend started ozempic and it isn't getting rid of his noise. He's using a different name medication but it's like that. I wonder if he would switch
I'm on a med to help reduce food noise... topiramate or something like that. It's been great!
Edit: it is generally used as an Anticonvulsant but my doctor told me it can also reduce food noise when taken with phentremine (which i am)
@@maritoh.6710 I do agree on that so-sooo much. I started to incorporate additional stuff to do around my daily basis - even to reduce amount of self-destructive thoughts, which in my case before went straight to emotional overeating. I still have to work on changing my job situation and that is a plan for next year:) Thanks for sharing this advice!
I’m 175lbs eating at 1,600 to 1,900 calories and that’s hard to sustain for me on its own. They want this lady to eat at 1,200?
Yea I mean she was probably easily hitting 4000 cal a day, I don’t see how just cutting that in half wouldn’t still be beneficial. 1400 is extreme
@@RecoveryAndLife I mean in the one sitting at school that they showed she had 3 pizzas. That's at least 4,500 cal in one sitting. Getting her on a 2,500 cal diet would have been better, but still hard.
@@TheSirGoreaxe Aren't 2500 still on a calorie surplus? A healthy woman needs ~2000 a day. Not sure how it looks for her since moving requires more energy but she also barely moves as a result.
@@Nephalebut she was moving. She was working and taking care of her kids still. Either way, having such a high weight means every part of your body is working harder meaning your basal metabolic rate is higher. Simply existing each day at 600 lbs burns around 3,000 calories a day.
If anything that's just gonna set her body into starvation mode.
On top of rapidly lowering her metabolism there will also be mental effects.
Before it was her mind telling her she needed more. Now her body will actually be in agreement with that.
I really appreciate how well spoken Dr. Mike is and how much he cares about subtlety when it comes to patient communication. Words have power.
Mike hit it with the "you still have to eat food to survive, imagine having an alcoholic need to have a few drinks a day, but not overdrink"
Food addiction is a real thing
"My doctor prescribed therapy for me to deal with my trauma and food addiction but I definitely don't need it so I'm going to stop seeing him while I fight this battle with my mental health that the surgery wasn't a magic fix for."
Girl. No one gets that big and doesn't have serious trauma. Therapy will help. My goodness.
I think she is continuing the therapy, but isn't going to see Dr. Now.
@@triciaramgoolam4045 I don't believe she went to the therapist at all, or she went a handful of times and decided it wasn't helpful and quit.
Yes therapy is the right way to deal with this - but it's not easy and can be very frustating, time and strenght consuming finding the right one...
In something as intimate as therapy you have to be lucky to match with your therapist. Otherwise it isn't helpful at all but can even be harmful.
@@triciaramgoolam4045 she clearly said not going to therapy. this is a known factor that people with problems suddenly gets defensive when asked to take therapy. having Mental problems is still looked at as a bad thing and the affected person starts thinking that people will call me crazy if i take therapy.
It's a case of "worst guy you know makes a good point." Therapy would be good, but I can understand not wanting to take any more 'instruction' from that doctor.
Per lack of diet advice, as in what she should be eating, do remember this is a cut for television. It's entirely possible that Dr. Now goes into a lot more detail either off camera or just outside of what made the cut.
ALSO Dr. Now on The Checkup would be really interesting!
He gives them a diet, written down, (basically no carbs high protein) and exercises. Even in bed excerises!
@@nailsofinterest Which has been done for 100 years, and has been shown to be useless by itself.
I’ve seen stories from these people after and they do give more info, paperwork on what they can eat that’s low carb and 1200 calories included. Still 1200 calories from someone who was maintaining at 4000.+
Do not believe that guy a thing, nor believe his knowledge, because judging by his look, he is also overweight, not extremely, but it shows. People need to listen their own advice, or go and "upgrade" their knowledge about the matter. Not everyone is affected the same with universal advice. Someone can lose weight for example even if consuming 2k calories, someone can lose weight even if eating junk food, someone may need different type of exercise. People have different variables.
What else do you expect Dr now to do? He gives the nutritionist, physical therapist and psychiatrist he even arranges for some patients to stay at the hospital where they provide all their food if he feels they would benefit from it. He genuinely cares about theses people. Apart from these he has sent some patients to an eating clinic where their food intake is controlled. Given a a guidance and resources, it’s honestly up to the person themselves to choose which way to go. I admit it’s a good Tv for the rest of us. But when I see how their kids and people around them suffer just because they can’t stop eating, I can’t help but get frustrated
The way you react to these just shows how much of a compassionate person and doctor you are. You encourage people to live their best life in such a caring and considerate way. Both you and your family should be proud you're such a good man.
The world would be a better place if all doctors were like you, Dr. Mike. You treat these people with complete and total compassion and no judgement. You explain everything so clearly, and take their quality of life into consideration before their appearance, which is probably such a game changer for so many patients. Please keep up the awesome work! :D
I agree. I live in the UK and wish I had Dr. Mike as my doctor because I have seen so many doctors about my weight, and they just do not care at all. They will not even refer you to the right specialists. As a child, I was referred to an epilepsy specialist for my weight, which did nothing than cause trauma due to the abuse and mistreatment I received from that doctor.
Seeing videos like this breaks my heart..we lost my father in law during covid, he was over 500lbs, his organs couldn't handle him being sick and everything shut down. His girlfriend was over 400 and her organs also shut down and she passed away too. We found out we were pregnant exactly a week after they passed. It took a while to get over the anger because we told him SOOO many times that he needed to lose the weight so he could be around for his grandkids but he missed it, by a damn week. He had plans for weight loss surgery but cancelled them when he found out he could only be on a liquid diet for a little while after. Ugh it's so sad. If you're this same boat PLEASE seek help and lose the weight..your kids and grandkids want you around as long as possible
I'm so sorry for your loss. I hope your family is healing and finding peace
I’m really sorry for ur loss❤...I hope that ur father in law and his girlfriend will rest in piece ♥️
I hope you heal from the blame you seem to put on him. It is very sad.
less and less people have kids these days, let alone grandkids...
@unclebozo9845 it might be less and less but there's still millions born every year and you should try to stay healthy for yourself and them
As an RN who works with people with obesity and who used to be morbidly obese it is helpful to hear you discussing this subject with kindness and sensitivity. It's hard to not overwhelm people with information because there is a lot to know.
12:00 As a recovering addict, I like this comparison between alcohol and drug addiction vs food addiction because you can't just quit eating food.
at what weight did you realize you were an addict? 200, 300, 400, 500, 600 pounds?
@@VD-cc4hx Ah, I apologize for my ambiguous comment; I am an addict in terms of struggling with drug abuse, including alcohol, not food.
Only there's no evidence you can be addicted to food and psychology does not recognize food addiction
Eating disorders, like restricting (which causes binging) can be similar to addiction
Thank you for being compassionate towards people who struggle with their weight.
Thank you Lauren for saying that, it means a lot. I think everyone has their own challenges, and it takes real courage to face them, like you have. Honestly, your story is motivating. What keeps you going on tough days? I’m always curious about what inspires people to push forward.
@HenryCharme I am always looking for information. I look online, I've talked to my doctor, I checked out my health insurance to see if they have any programs I can utilize. I found out I can talk to a nutritionist for free and immediately signed up for the service. We talk about my challenges due to my schedule, what kinds of things I struggle with physically and emotionally. My problem is I like her suggestions but I have days where I can get it together and days where I don't always do great. I am not on a specific diet. My nutritionist gives me ideas and asks that I make small changes.
1:17 Why are they recording her shower...
For shock factor. I agree that it is unnecessary
I mean she almost definitely signed up for showing her life on the show but I do agree that it’s unnecessary
What is she gonna do, chase after them?
@@BalzersEdits they get an extra $1k for it. No joke, I know someone from this show and it’s horrible how they exploit people in this show. Some don’t want it but they have the choice between using the bathroom or showering naked.
To show how they live and how hard it is. Plus the shock factor. This show is awful to the people that join it
I learn from ur channel more than I do from my classes. Thank you !
Funny story from someone who had childhood epilepsy. The only thing that induced my seizures was deep breathing. Sports, she’s down. Being told to deep breathe to calm down, lights out. My brain still has subconscious control over when I do this. Nothing will happen but my brain keeps telling my body that we’re going to black out.
I don't know any med-youtuber who is as respectful, professional, patient, intelligent and emphatic as Dr. Mike. I wish that everyone got a doctor like you.
Greetings from Germany, we love you. ❤ Thank you so much for your work!!
I got on the scale today with the opposite struggle of too little weight. Thankful not an ill low degree yet, but heck it's close to that. And without any intentions to be there.
Weight and food can be such difficult topics. It's rough no matter which side of the spectrum you fall onto. What a timing you have Dr. Mike!
It's very important for people to remember that both ends of the scale are dangerous. Stay strong and i hope you are OK ❤
Have you talked to your doctor? Drastic weight loss without trying can be a concern for other health issues. Just thought I’d mention it.🩵
If there is no other health issue, just fast metabolism, just eat 3k calories, or add up calories gradually, skinny people do add weight more slowly, but it is a good thing that they can change their diet however they like, and can meal cheat because excess carbohydrates will just provide even more energy for exercise, should not spare on eating fats, but also would need lots of protein to build muscle.
Underweight? I am one of them too. Just 106 lb as female adult. My bone is so easily visible. And I do not have ability to feel growling from my belly so I forgot when I should eat something as few days without food. ARFID make me a difficult time to eat something without vomiting. I do not know how little I eat in calories but it can be 0 calories sometimes. It get bad that my body getting numbness and weakness. In fourth days which is my first time and last time that I go without food ended riding wheelchair as I am too weak to move my body. I easily get hurt so badly by lightly hits. I get few black spots where it was hit. I am very easily to get sick since I do not eat balance meal often. And have depression cause me lost interest in food. I try eat more food but easily gets full with just small amount of food. As half of burger or mini burger. By way, I usually cook by myself, not go to restaurants thank to ARFID.
I love how you approach this, with no judgement to her. There's a lot of guilt and shaming when we're fat and people can be really cruel when they talk about it. The way you discuss this, especially how you're aware that food is a cultural thing, especially for latino families - I am Brazilian and I can confirm. I wish all doctors - and even people who aren't doctors but love to discuss other people's health, often uninvited - had the same level of respect and thoughtfulness as you do.
Thank you for addressing food addiction. Regardless of whether or not it is a "real" addiction, like you said, it behaves that way and has the same effects on a person's life
Thank you Dr. Mike for approaching the subject delicately and with a reasonable medical point.
These types of programs always bring tears to my eyes, I know it must be complicated for the patients.
I just pray that they all achieve their goals and are happy or happier than they already were.
Greetings to all and to Dr. Mike from Spain 💜
Yessir Mike posted again, have a good watching time everybody
Food addiction is what I'm struggling with right now, I've been binge eating so long that it's just how I eat now. Doctors like Mike are desperately needed, who have compassion and empathy for the patient. It's the only thing that will help when it gets to this degree. ❤ Thank you for these vids! It's nice hearing a doc actually sound caring, gentle, and loving.
8:44 He does give them recommendations! If you dig into the show, you'll see the patients have very detailed instructions of what they should and shouldn't eat and what exercises they should do. That's why his program is so successful in the first place. He gives detailed instructions and clear goals, not just "well lose some weight".
Yes! He does amazing job with these people. I would have cancelled majority of them if I was in his position because I don’t have the patience.
Dear Dr. Mike, thank you for all the work you do! Happy new year, and may the universe bless you with at least double the love and care you spread!
Awake and already went to the gym...thanks for the motivation ❤it is hard being that big but it's not impossible to change. 50 pounds down since August, I couldn't walk more Than 2 minutes without getting out of breath now i can jog, I can run up the steps without stopping, I spent 2.5hrs at the gym lifting weights and cardio. Do not give up! I still have severe food cravings and want to give up but I go to the gym every day if I don't I workout at home and I try to eat natural unprocessed foods high in protein and fiber. U might feel like giving up or u might lose hope but remember u are amazing and worth taking care of yourself ❤
Keep doing your best. I hope you reach a goal you're happy with and can maintain. I'm struggling to stay on track myself but trying.
I agree with you Doctor Mike, the show and the doctor on it are very old school methodology - it may even be old episodes. Thank you for your ongoing compassion, education, and care. Happy New Year to you!
Happy New Year to you, too! It’s great that you’ve been watching and reflecting on those methods, it’s fascinating how approaches to health and nutrition evolve over time. What’s been the most surprising or thought-provoking thing you’ve noticed from the show or Dr. Mike’s insights?
Her daughter is an absolute gem with all she does for her mom. Helping clean her legs, volunteering to walk with her. I hope the daughter has a strong support network of her own that keeps watch over her and supports her like she supports her mom.
Unfortunately no, these kids miss out on being kids because they are busy wiping their parent’s bum, bathing them and not to mention serving them food because they can’t even get up to get it for themselves.
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crazy how a video posted 3 minutes ago is on my reccomended :sob:
w video ngl keep it up
Having a healthcare provider like you who has this type of approach (non-judgmental, unbiased, understanding and caring) is literally life changing. I had one for about 3 years and followed her to every clinic she transferred to across my state until she suddenly up and quit a couple months ago. I miss truly miss her. So now I’m on the hunt again for another provider, but finding another one like her is SO damn rare to find.
But thank you, Dr. Mike for all that you do and HOW you do it❤
I extremely dislike my 600lb life. It does not show even a fraction of what it takes to be approved for weight loss surgery. And it leaves a door open for people to make nasty comments and cast judgement on these people who are struggling. There is nothing easy about weight loss surgery.
Also thank you to Dr. Mike for a non judgmental review/reaction to this show.
It is designed that way because, patients need to prove that they have changed their lifestyle/ eating habits otherwise if they continue to eat the way they do , there is a risk of complications. The stomach could bust open and result in death. And don’t forget stomach stretches again if you keep eating the way you do before surgery. So, the challenges that are put there is for your own good.
Hey, Dr. Mike! I’ve been a fan of yours for about a year now, and your advice from your videos has helped me finally get a diagnosis for severe widespread pain that I’ve been suffering with for 3 years now. I was finally diagnosed with Orthostatic Hypotension and Fibromyalgia just a few months ago. Your advice has helped me so much and helped me not give up on the medical system. Thank you from the bottom of my heart! ❤
I feel like the doctor did not communicate well at all. She needed help not only setting up a helthy diet, but also training regime and he should have explained, why therapy is helpful on her journey. Otherwise she might slip once, maybe during a stressful period, and go "well, everythings lost" and give up on her new regime.
Dr. Mike notes that he gives a diet and exercise program. It's in the papers he gives them and often their caretaker, too. He does ask them if they need anything to even just call. He offers therapy, physical therapy, dietician, etc. He really prefers they ask vs. force them.
I've watched *a lot* of this show. You can see he's trying so hard to get them to say they need help. Or to recognize what their main issue is.
Yeah, many times, his 'bedside' manner could use work.
Comparing earlier episodes to current ones is very eye-opening.
(Edited typos.)
I 100% agree! You can't help someone if they are not up to fight for themselves! He knew she had a bigger issue but in the end she didn't want to go to therapy so it's her choice, he can only go as far as the patients let him.
He even lets them stay in hospital for months if he feels they are in bad shape ( bad hygiene, infection and bad overall health). He also sends them to eating clinic as a last resort. I have seen him arrange accomodation for those patients who are homeless. We need more doctors like him who tells it how it is not cuddling the mentally weak patients. Not many understand why theses surgeries have challenges to get. Stomach could bust open after surgery if they stuff their face like they used to. Stomach doesn’t stop to stretch after surgery. What people don’t know is surgery isn’t magic, but it’ll help you achieve your goals easily if you put in the work ( change eating habits)
early?! i genuinely love your videos dr mike, ive learned so much from them and thank you!
Thank you Dr. Mike. You always keep it real and never judge. 😊❤️🙏
11:52 As recently as one hundred years ago, alcohol was the only way to guarantee safe drinking water for a lot of people. The percentage of alcohol needed to kill microbes is incredibly low, but it meant that children were exposed to alcohol at a very young age.
Dr. Mike you are so nice. You could have shamed this person and been like "just go to the gym and eat healthy wtf is wrong with you", but instead you were sympathetic and really were kind when you totally did not have to be. You are an angel. I love your channel!
I love how Dr Mike doesn't judge until he knows the situation
The fact that you addressed that food addiction is actually a problem was amazing! A lot of people think that we are fat by choice but the honest truth is that we have a problem and is not easy to just give up food without some kind of help. Thank you for the validation!
But you don’t need to give up food do you? You just need to work on minimising the amount of intake, or minimise carb and sugar. If you like that fullness feeling, eat steak with butter until you are stuffed. You will thank me later. Oh and follow Dr Ken Berry on RUclips watch his videos and try it .
i’m going to have a very different opinion on this because i’ve suffered with extreme anorexia for 12 years and i actually just came out of treatment 4 months ago. so tw now.
it’s one thing to do this to yourself but it’s a completely different thing when you involve children. 1:39 that girl can’t be older than 15 she should NOT have to clean her moms private areas. its selfish on the mothers part. how did she even manage to have kids and raise them properly?? if you can’t care for yourself you shouldn’t be allowed kids.
Dr Mike, ty for being so logical and empathetic. My best friend is a big lady and through her ive learned how deep and complex weight issues can run psychologically, and how people, including some doctors, will treat an obese person. Thank you for not being like that :)
I was once 195 pounds and couldn’t stay on a 1200 calorie diet while exercising (without a GLP-1 that helped me lose over 50 pounds). I don’t how she’s supposed to do that at 3x the weight.
I wonder if it's a thing that they know they're going to do things like snack or blow up the portions so they say 1200 because everyone underestimates their intake when they don't weigh it all out.
Because at those sizes even being sedentary and eating 3500 calories a day would still lead to weightloss.
That’s an incredible achievement, you must have worked so hard to lose over 50 pounds! It’s no small feat, especially when dealing with the challenges of a strict diet and exercise routine. It really shows how much determination you have. Do you think GLP-1s could make a bigger difference if they were more accessible? I’d love to hear your thoughts on what could help others in similar situations.
Great video! Wishing this lady the best on her journey.
as soon as i saw new vid i dropped everything
I hope it wasn't your grandma's china plates.
fr
Such a thoughtful reaction to this condition. Thank you for not being judgmental and showing kindness. Speaking medical truth with being compassionate. Well done 👏👏👏
This is so sad, hope they’re doing better
They're not
Planning your route, I’ve been there. That was me in college. I planned classes around my mobility.
I appreciate your sensitivity when it comes to these topics.
It is now known that reducing calories drastically throws the metabolism a curve ball that is handled terribly, both during the diet AND post dieting. Great video, Dr Mike!!
"Dr. Mike, I always appreciate your thoughtful approach to health and well-being. Your breakdown of My 600-lb Life is so insightful, especially the way you emphasize the importance of mental health alongside physical health. It’s crucial to remember that these are real people, not just numbers on a scale, and your compassionate perspective really helps raise awareness. Keep up the great work!"
Hi doctor Mike I love your videos and you have given me great inspiration to become a doctor and I think you are a very kind and funny person👑
Hey Dr. Mike! Agree totally with what you say about the difficulty of food addiction versus other things. I tell people that telling a food addict to "just eat less" is like telling an alcoholic, "Yeah, I need you to go the bar three times a day, but only drink 2 beers each time."
There needed to be a photosensitivity warning 3:14
Came to the comments to say this.
I absolutely LOVE how Dr Mike is a sensible doctor, always thinking of how to better approach people. How to heal and/or help without making someone feel bad. How to make the treatment accessible, feasible.
I think these patients always have to talk to a psyvhologist from the beginning of the treatment. Many of these have psychological problems what the reason is for their excessive weight. Even if they don't have problems it is always good to talk to a professional who can support them in their weightloss.
Maybe they need to consult a psychiatrist as well. I have a loved one who is obese and with chronic kidney disease and his nephrologist recommended that.
On the other hand, I noticed I'm eating less than 1600 kcal a day since I started psychiatric medication and that wasn't my goal but a side effect of the treatment, I'm less hungry and I find junk food/sweets less appealing so I see how it might benefit people who have a food addiction.
A bottomless well of respect for the clear, kind, passionate, and humane way he addresses these issues.
One person is glad and the other cringes. I am the one who cringes at being treated like an infant. 🤷🏻♀️
10:38 as someone who has gastric bypass i remember being fine for about a month. You have zero food cravings and you are so focused on the prescribe diet you are very numb. However, I remember breaking down crying around week 4-5. Bad day at work and my usual coping mechanism was gone. I cried out of frustration, embarrassment, shame all of it. It was bad. But eventually I adjusted.
I had surgery in 2003. I remember feeling the same way a few months after surgery. Such a powerful emotion, that even 22 years later, I remember that awful feeling. Hope you're doing well!
I had gastric sleeve surgery in 2023 I have lost 130lbs to date … I have arthritis in my knee my weigh loss has made it possible for me to have a job now and my mobility has improved significantly. My sleep is better everything. Best decision I have made
I had a basic nutrition class in college and it was enough to know you can't recommend a 1200 kcal/day diet to everyone, even when they're very obese. There are several formulas to know how many calories would be a "calorie deficit" in your individual case and it rarely equals 1200 (in the last 10 years I bet there are new calculations that take into account her ethnicity too). I remember our professor making us write down hours of sleep, how many hours we spent sitting/standing up, time cleaning the house/walking to places/caring for children/studying among other things.
I have to say your content is amazing. I enjoy learning as much as I can, but I’ve always had a hard time learning anything medical. I’m so squeamish and I possibly have a touch of hypochondria, I usually start feeling depressed, sick and generally bad learning anything medical, but the way you produce this type of content is perfect for me. I never get the squeamish depressing feelings I normally get. So Thankyou dr.mike for making the most digestible medical content.
I lost 50 lbs with the help of dr Mike
Dr.Mike is a very amazing person for shedding some light on the stuff some people dont tend to care about.
Doctor Mike just makes going through life better
you saved my life dr. mike tysm
help i thought u said dr. mike tyson 😭
@McNugget_plays hahaha
@McNugget_playssame bro 🤣
@McNugget_plays😂😂
@McNugget_plays you need help cuz ur Jake Paul 😂😂
props to the first lady for her perseverance and for taking care of the kids despite her situation. and props to Doctor Mike to giving advice from a medical standpoint in a non-offensive way!
I’ve struggled with my weight for the majority of my 26 years of life and I always appreciate the way you handle this topic. You’re the reason I have really started consulting doctors and striving for a healthier life/body. Thank you, Doctor Mike! 💜
As a person who is fighting extreme obesity. The pain just piles on the depression. The depression is overwhelming.
6:18 isn't that the doctor that was rude in a different one of these videos
I think it is
Oh, it is
Yea it is!
the way they treat this as her just being lazy and eating as if she doesn't care it's insane. it needs to be a tiny steps treatment. very insensitive of this doctor who's treating her, cmon, give her the tool she needs instead of telling her what to do. it's a disorder, a medical condition like any other. i'm sorry for the way these doctors treat her, she's clearly a special and beautiful soul, she deserves better! praying for you honey, you'll get there! sending you and your family lots of love ❤
Cant believe people say mike is fatphobic.Its his literal job to care for parents and hes entertaining and educating us,FOR FREE!!!
Thanks for this video, you show it's possible to treat the subject with care and still give good health advise.
Dr. Mike always reminds me why I wanted to get into medicine. I switched my major to wildlife biology because animals are better than people but I still want to be there for my fellow humans.
hello clone! i'm the exact same. human medicine and animal medicine are highly interconnected
He is a liar!!!! I got soooo disappointed about him til i found out about the things that he did!!!
Way to devalue humanity. Gross.
@@smallbeginning2how many holocausts did animals do
I love watching Dr Mike because he keeps it so real. I’m pre diabetic and have a BMI close to 50. I’ve been seeing an endocrinologist to monitor my a1c see a nutritionist work out but still can’t lose weight , I’ve had 5 doctors recommended and even prescribe be the weight loss medications but the big bad guy (insurance) won’t cover it unless I meet that diagnosis for type 2 diabetes. Soooo? In order to get my A1c and weight under control to PREVENT getting that diabetes diagnosis….i have to be diabetic to get the medication i need. It sucks truly, I’ve had so many doctors say I would greatly benefit from weight loss medications but insurance won’t even approve it. How can I be healthy when insurance won’t give me access to something that can improve my life.
Already know its a banger
She seems like such a sweet person, I really like how giving she is and how much she helps the children in her life.
8:51 he gives them a list of what to eat like yogurts etc
Hello Sarah, that sounds like a practical approach. Do you find having a specific list helpful, or do you prefer more flexibility when it comes to food choices? I imagine it can be tricky to balance what’s good for your goals with what you enjoy eating. What’s been your go-to meal or snack lately?
@HenryCharme I watched dr nows videos. I'm in the UK & I'm not overweight I just watch the videos
@ Ah, I see! Dr. Mike’s videos are definitely fascinating, he has a way of getting straight to the point. Honestly, I think it’s interesting to watch how he helps people turn their lives around. So, if you’re not watching for personal advice, is it more about the motivation or just the drama of it all? Either way, it says a lot about you that you’re so curious about people’s journeys.
@HenryCharme the program dr Mike is talking about is the program I am talking about. The doctor in the program is called dr now & I was saying to dr Mike that dr now gives them a food list like yogurts to eat as dr Mike was not sure if he did.
Dr Mike is wonderful to watch & with 22 medical conditions of my own I have come across some horrible doctors, I'm in the UK but if I was in the USA I would definitely try & get dr Mike & his dogs haha. Sorry for the misunderstanding
@ No problem at all! It’s really interesting to hear about your experience with Dr. Now’s program and Dr. Mike’s insights. It sounds like you’ve had quite a journey with your health, especially managing so many conditions. I can only imagine how tough it must be to find the right doctors. What’s been the most helpful part of your health journey so far? And if you could have any doctor, Dr. Mike or anyone what would be your ideal approach to your care?
I love doctor mikes videos because they have lots of information in them and they help my learn more stuff
I’m trying to watch the video and I broke my glasses walking I’m winking through one lens to watch
Wtf 😆🤣
@ I don’t wanna spend 90$ ughhhh
Dude might just need someone to talk to
@@mickylord21 ?
@@mickylord21 🤔🤨
I love this so much, you addressed every single problem I have with Dr. Now's approach to weight loss with his patients, especially the sudden drop to 1200 calories a day. I'm relatively healthy (compared to a few years ago, I have Crohn's that's currently in remission after getting an ileostomy) and I will pass right out trying to be even moderately active on 1200 a day. I can't even imagine trying to do literally anything while carrying an extra 500ish pounds around. I wish he would give more credit to his patients, instead of following every praise with a BUT. And when someone doesn't meet his expectations he can get outright vicious. You'd think he would realize that overweight people are exposed to disparaging comments by people every single day, and obviously that isn't the way to motivate someone. You have yourself a new subscriber!
Beautiful face ! pray she can keep up and look after herself 💪🙏
Hello Madalena, It sounds like you’re thinking about someone important. Is it someone you’re close to? I believe taking care of ourselves can be a challenge sometimes, especially with everything life throws at us. What do you think helps you stay focused on self-care?
I really understand the weight loss doctor’s point of view. I believe the psychiatric aspect is very important. He has years of experience.
I have friends who have had at loss surgery, diets can be restrictive, cravings don’t really go away, feeling of fullness happens. Usually after the first successful year, it can be difficult to continue the regimen.
Exercise, and psychiatry regimens, as well as supportive families can help with success . I wish the best for those who face this journey.
i am about to start my weight loss journey, but i dont know when to start. now i feel like this is the right time, no more "tomorrows" 😂😂
That is what I finally had to tell myself. There will always be a "Holiday" or "Special Occasion" or "Just this once" around the corner. You can't be successful if you treat these as excuses to delay (or break) a new lifestyle rather than learn how to navigate them in a healthy manner.