you know, say like, good is everyone to ok, retiring into a microphone. sorry. check out the award winning outcome. don't hold back the there everywhere on social media injections, talented as a miracle, weight loss, drugs. who for years, luciano casto had been suffering from obesity. after a series of unsuccessful diets, in 2009, he decided to have gastric bypass surgery. but while he did initially shut 50 kilos,

he gradually put that weight back on credit, the cravings and desires return quickly. no, because the surgery is on your stomach, it is not your brain for yourself. oh zip. i don't to do much of the next task. when i'm sad, i use food to cope $2.00. when i'm stressed out, it comes me down. got another comment. obviously feeling really good. i treat myself with something to eat and ready to go and prevent missing money. she might not make a bite. i do still have the occasional nipple, but ever since to bypass surgery, i don't really get hungry anymore. so going with, you know, if you put this urge to eat, so this constant desire, it's still there too. sure. it's an obsession. and it's always there hold on as clear as day and deep inside may cannot get somewhere in

the country when i take the medication, i don't think about food at all for the 1st 2 or 3 days. i'm sure i simply don't think about it is if you don't need the knowledge, i find it amazing because it works. i'm quite up as good as a function. i think for the support re, the medication means i can sometimes have breakfast and don't eat again. and don't think about it until the evenings are now. and for several days, most of us could you recall spa luciano stops thinking about food because of an injection that slows down the empty end of the stomach. it reduces his appetite by tricking his brain into thinking that he's already eaten. it may makes the effect of a naturally occurring hormone glucagon, like peptide one or g l p one. this is how the hormone works with healthy people. eating triggers the release of g l, p one,

which signals food intake to the brain. the brain tells us we're full and we stop thinking about food and people with obesity, production of this hormone is impaired, and those cravings can be prevented by injecting an artificial g l. p one. to sit another vision that was done, it tells the body that you've just eaten all that that's not actually true in the body, does not take any action in response to the resulting whiteness to the same substance was originally developed to help diabetes patients to control their blood sugar levels, by stimulating the pancreas to produce more insulin. the weight loss was an unintended coincidence. people with type 2 diabetes last weight as soon as they began treatment with the medication. the dirty topic, nobody wants to talk about on a consultation. the most frequently reported side effects are gastro intestinal

issues such as vomiting and diarrhea. there have also been cases all the rare of a swollen pancreas. i have had the worst diarrhea like i am being wet. there are currently 2 lee red blue tides on the market. look towards the insect center and to simon glue tides olympic. and we're going to be in switzerland only 6 and uh, and with g o. v are approved for losing weight, whereas those intake and vic toes are generally reserved for diabetes. patients. there's is b r g o p one x for just a few minutes. it's being rapidly broken back down by the d p p for enzyme. so to slow down this process, artificial g l p one is given a modified structure. those changes to the certain amino acids make g, l, p one resistance to the d, p, p for enzyme or plus fatty acids attached to the g, l p one molecule. this results in binding longer to albumen, a transport protein,

and no longer being immediately removed by the kidney. so waste that so while g l p one in its natural form is only out there for a matter of minutes with lira glue tides, it's a dead end with stomach low tides a whole week and next tuesday, next option. so me artificially made g l p one is a revolution for people frustrated with trying a series of diets to no avail. as a 6 foot to i was 40 years old here carrying all that weight was a huge burden. a saw then most today i feel so much younger. the diplomacy? i went on my 1st diet when i was still a child. so 11 or 12 ago, i was given an appetite suppressant which helped me to lose 20 or 25 kilos. before i'd even hit puberty and thank you, have them in the next 50. after trying one diet after another to lose weight. now

the fonts decided to have surgery eastern by 2005. i'd reached a state that doctors call morbid obesity. html beats that only tell them that i was fitted with a gastric sand and it was so bad that i could no longer keep up with my child according optimum and i was unable to get out of my car. so we chose the gastric band instead of a bypass fee. i was afraid of having surgery that could not be reverse to you know, by the boss. disclosure the client, the 2nd for do you have it. but the gastric band itself had a detrimental effect on her health. in 2021, she had to have surgery for a hernia and then did take the opportunity to have a gastric bypass because it has been 5 times in my life. when i've lost between $20.35 kilo's, which we fail due to due to evacuate when each time i gradually gain weight again to a new record level. all over the course of 40 years will buckle seeing that progression

on a graph is emotional for me. it was called testifying the hawks, they did a move on for me to found the mention of any weight loss, including people with a high initial wage causes of body to panic that i, for the organ smart tv, it will do anything to get that way back increasing all feeding of hunger and reducing the feeling of satiety agent's office on the phone, the head you your how that software. it also reduces energy consumption. body forces us to eat more in order to re gain weight are cool. so me, chris, for her ponder prompt you to down while dieting the body switches to defense mode, to try to build up the lost weight fairly quickly. this results in what's called the yo yo effect, which has a negative impact on our fat or adipose tissue and harms the cells. so don't have cuz she repeated changes in weight exacerbate the condition of the rates at the

fluctuations. the more negative the effect on adipose tissue to several things less of the ongoing changes can close the tissue to hot, resulting in fi, braces to desktops. and todd and tissue has only a very limited response to weight loss interventions. additional thermal function for the default kind of looking for after the bypass surgery, the phones lost only 17 kilos. instead of the expected 40 for searching said there was nothing more he could do for her and preferred her to an endocrinologist. he in turn prescribed her g l, p one base drug most sony's as, excuse me, there's a regimen you have to solve the, when you start with the injections, there's only the extra one i felt a bit nauseous to begin with. although nothing serious is it dumped the bathtub? yeah. the end of your job, but i started to eat less as the dose increased. after 3 weeks,

i got used to it and the nausea was gone. there's a will do twice to measure which you have to treat. and i noticed that i have to go to the bathroom very quickly after eating something fatty pulled off is that it cannot be no toilet decision motion. and after too much sugary food, i'd get dumping syndrome, which involves something hot flashes. and i wanted to put you into i started eating healthcare and it just felt good. almost like magic. i was working and was very busy. and the way just tumbled off without me even noticing your boss had this on i . they saw this on sancho tional home as well. my re foss changed her diet. she didn't seem to lose her appetite or stop enjoying her food. the university of geneva conducted a study examining the impact of artificial g l, p one on patients appetites. notice that on the on if you don't

sketch shows, car results, confirm something not previously shown by any other research group that artificial g p one and above all layer glue tide, do not limit our patients enjoyment or food. so maybe come up no by one to produce heat. um we compared results with a group of people who are given a placebo on a pan. concluded that while this medication leads to weight loss and lowers blood sugar levels, that it does not compromise the pleasure of eating the media to proceed. i'm only the foss shed 18 kilos without losing that feeling and attained a weight. she didn't dare to dream of $66.00 and a half kilos comes you have done for you do. when i reached my idea of weight, i wondered if i could now stop taking the medication. campbell on the scene of the endocrinologist said she would 1st check with the senior physician because they

haven't had that many cases and didn't know the drug that well, excuse me, the demo law over well, except something money. see judge, you mean you after a 10 minute wait, she said okay, stop taking it and we'll see what happens. but i wasn't happy with that. and so that wasn't an answer. i found acceptable to another post because cuz jacoby next it 1000 of it, the one crucial questions surrounding the drug is how to stop taking the injections. experience so far suggests that patients start gaining weight again immediately afterwards. but experts do not yet have sufficient data on that experience. yeah, problem and i'm on the tablet, there aren't any proper guidelines yet for discontinuing the drug on exactly how to proceed, what kind of the time spent and so on poking you have to try and do it step by step in so far as as possible. some good dose needs to be reduced gradually while

keeping a close eye on the patient. sometimes the on off method helps you not push on off a lot of the sentence with the occasion. so requires the patient can inject the drug to ensure a better regulation of food intake that say a birthday or dinner party and not please have him on the day locked in fat norton at this method. the on off method has not been scientifically proven to see decreases, and it by enough to push, i'm going to prove it. it's don't defeat mall, but it can help them to control their eating behavior for an entire evening. and welcome both money amount that you know, and that's why the false was given no such advice. there are few specialists who are permitted to prescribe the drugs and in many cases they have in sufficient training. take them off the i need to i did a lot of reading online on the subject, the situation and i came across other women who said their doctor had recommended

taking a tiny micro dose for the rest of their lives. is that something that got me thinking and seemed to make sense of obesity is a disease this that you know, my dad, he said i was tired of being told that i should just stop it. that happened 5 times because he said the heck for i don't rely anything i saw it's time for something more permanent. i reckon this is the solution for me. oh, micro dose. that's what he shuffled. why? so? because i see so we can be called to on a lot of people dream of shedding some weight in time for their summer vacation. ideally with no major effort and no diet and that prospect spread like wildfire on social media, leaving experts alarm no plan. i get it submitted, come on to have it in this truck should only be given to patients with morbid obesity, but it's not suitable for just losing

a few pounds because summer is approaching anyone to fit into your swimsuit, put on the hands on it might have been a today. yeah, i see if you skip, it's also risky because there were no studies yes. on the effect of these substances on people who are not. so based on that kind of, on a visiting is sca we're currently unable to say whether treatment would need to be long time in order to maintain the way to achieve 2 departments we've kind of come see or did you start getting away from me. but those warnings tend to get drowned out. i mean, the flood of video is being posted online. yeah, and she can get on the there's a growing market, so it 60 doctors and other experts require more training on obesity and how to treat it throughout the countries. otherwise it will just be falsely used as a miracle cure in switzerland. you need a body mass index of 30 or higher to get a prescription for artificial g, l, p one more a, b,

m i of at least 27 for patients with a related illness. the brought in your body cd with no follow up care or professional support. you get mediocre results or none at all. but with massive side effects. yeah. because the physical on their side effects that can become uncontrollable. once the patient discontinued, the injection is the desire to eat can return immediately and with greater intensity. here at the obesity center at geneva university hospitals, they take a multidisciplinary approach to evaluate the an approach where doctors work together with nurses, nutritionist, psychologist and art therapist. so at the moment they should be do dentist? alcohol? i mean, i'm interested in a psychologist opinion, and this is evidently about eating disorders and snacking is often an important

factor in los football and books. don't play supposedly to explore here. the key. have you tried to find out what the concrete pattern is? there's do some click on whether he snacks frequently or knows when exactly the craving start. christy's m o. l s i meant that i said, well, i'm also interested to hear from the nutritionist. what do you think there's obviously a lack of balance there do this. i think you need a lot of. wow, with obesity patients, we initially only see the tip of the iceberg. so a specialist, our 1st task is to learn what we don't yet know present bear with the pass caching the little busy day and only then you can, we prescribe medication and maybe they can also change behavior, but should not be the 1st option. there is no magic wand permit and talk to you soon. it by and by you, especially. both pediatricians and obesity. specialists have declared war on abnormal or excessive fat accumulation that presents

a risk to health. around one and 3 children in europe is overweight or obese. in switzerland, special physical activity courses are now being offered to youngsters effective with the top head 1st, we try to see if a healthy or diet brings any progress but also exercise which is also important to to, to, to help us out. both pediatricians in switzerland have recently had an additional drug at their disposal. they started prescribing lee red blue tides to children, age 12 or older information. initially, the drug was thought to only be of direct benefit to a friends group of obese patients. they're not bodies to this party, but when given to the younger people, it can help them if they've lost their mobility. so can we be able to use for the one that gets given new hope to some who had given up the issue and this new option helps avoid the dangers of discrimination knocked down activities affect hope you

don't want when he's control 22, we talk to them at length to be sure that it works, which is the objective. the point is not in simply prescribing something to use to put feelings. we want to see them getting a genuine benefit in their lives. if you've had, don't know the, in february, march, april, may, june, july eltoff was about, i was a bit overweight compared to other kids, but not necessarily because of what i was eating me and my sister always got the same food for ma mazda on the same portions, so i really can't say why that happened back when was the zip su april. cool. let's you see his pediatrician. back then also happened to be an obesity specialist . he had her admitted to a program where she was supported by

a dietary advisor and took part in regular exercise routines. visit legend. they've done that this year. i did gymnastics on thursdays and fridays, so maybe a day is i went swimming to the to the book of digits. there were lots of games, but it was really demanding to some i did keep my weight stable, but i didn't actually lose weight. but it did at least help me to stop pushing any more on the time i did. i post up on the top country for the g p, a more money. i've adjusted to eating less. i just stopped having such a big portions with online because i wanted to. i didn't to eat or drink any sugary things for 18 months later, jack eliza shavers, reset the pediatrician, so me losing weight to my own and wanted to help me do new things. he suggested taking sacks and, and off to thinking about it. i said, why not just it's this yeah. of next it, the probation department. leticia is still under going treatment and her weight is

still decreasing. ringback so artificial g, l p one appears to be effective among both adults and children. could this be the miracle product? that's the plants. everything else on the market provided it's administered correctly. the obesity unit at the university hospitals on is jointly headed by a surgeon and an endocrinologist. they help patients to see the bigger picture. to, to fix this, we now have a treatment option where there used to be non criminal, but for severely abuse patients who didn't want surgery. practically all we could offer were diets and psychological support, companion detection of take what it was, a quantity of what i'm gonna go for that. okay. pools. but for us, this new class of medication is ground breaking. a game changer that has helped a lot of patients to get on the phone, another bus from to pull some of them pin all their hopes on the new drug function

. but there's a risk of that feeling if the treatment is not supervised, we'll say this a waste of them the i'm of these patients might tend to spare and break off contact with the doctor, or therapist. really for the to the of a clue. call me to tell or because and you have to help them. that's a huge danger of it too, because it's a sound logic. if i'm going to say that it's close and audrey on his case, she did have the right supervision with her obesity treatment, choosing not to have an operation. she was given lyric lou tied to the fox report slip 1st. i thought i could manage without surgery. how soon? so dr. 5, the suggested i try 6 and michael said, and i was able to lose weight, the zip group, but unfortunately, not enough. may pacifism all this, like how long did you take sex and come in at all?

it helped me to lose about 7 kilos, and i think i was on it for 9 months. that was in 2018 and pulled up a victim it for you also provided with dietary advice or psychological counseling. yes, of course it. did. you have any adverse effects to the injections looks to where you use a bill that was fine, but the results were not as i had hoped to see. so i had surgery in november, so you look at how some of those, all of us will have a look to see whether there are any problems with your abdominal wall and want to hear the best. who wants to have some patients have a good response to these treatments, but without those at 70 motorists or even negative appeal. and then we have no long term data for that surgery as an effective solution for which we do have sufficient data as having given his toner to cool. in the case of patients with a range of co morbid diseases and considerable obesity,

all task is to recommend the most suitable treatment orders and say, and sometimes that means surgery to present to quite a while. i showed you by a quick look more present because i don't watch together conflicts and key to the most effective treatment is quality support. accept. many obesity centers do not have the capacity to meet demand making it vinyl for all nursing and care staff to have training on the subject. but while there is a shortage of qualified staff, business is booming for the drugs makers. market leader novo nordics profits grew so rapidly that it was responsible for a notable increase in denmark's g d p. associated be all 6, g o, p one drugs are today's golden goose, and the 4880 novo and eli lilly are at the top subcommittee. come, but there are over 50 obesity drugs currently in development or more specifically after completely underestimating the market. the competition has now woken up with

most of this give me some, i'll shoot you all told of some of the home bound, which is gaining attention for its potential to provide powerful results in treating obesity. so i have some breaking down your orders, the new eli lilly obese, the medication, i want more and i know i shouldn't zap about actually was of the ball. i'm going to tell you if a new drug is not superior to its predecessor with a new product, we'll drop in price and you don't earn anything. did you know each? there's huge competition to have the best new product. but you know, as soon as you felt the development of artificial g, l, p one is still in its infancy, while the market is booming, obesity experts say the new drugs are not a solution to the problem for you. i'm the owner of this house. oh yeah, and girl triumeq the food industry still has a lot of work to do. i mean, literally the seo, the same goes for politicians whose duty it is to help us improve the ingredients

of products on sooner. does that anymore? we'll say today be a, we know that certain foods contain a lot of sugar, which you could see and because that makes them taste better if it makes them sell better by proof, be some will actually substitute for this. we, as a society, could decide to limit the amount of sugar and so did rings. we could introduce restrictions on advertising that specifically targets the young or vulnerable, or if they all fancy or sugary products. but unfortunately, no action is being taken. evidently, we've been catering to the interests of the food industry, which is good news for investors and so it produces. and now it seems invested in pharma companies to prevention in a world where obesity is so widespread is pretty much at david versus goliath situation. in the us, at least the drug option seems to have prevailed. the criminal amount of children

obesity cases have tripled within the last 1520 years to law certificate. you click the american academy and pediatricians has thrown in the towel for 30 because it always advocated prevention for children the privilege to attend. because that didn't work. it's now focusing on treatment from the, from the human multiple ocean, for example, before the american academy of pediatricians has approved with goals for children, age to 12 and older suffering from obesity and surgery. for those 13 and older even weight watchers, no one for focusing on promoting a healthy lifestyle in order to lose weight has joined to the crowd. now with big move by weight watchers a big move for weight watchers, watchers soc making major games this week. the school do we controls we want years, arguments were being heard less and less. beyond that then came g o, p one. some of the people had always been told that it would take

a superhuman effort to achieve their goal. so it was actually, and suddenly here was an injection that you administered once a week and it worked better weight watchers was on the brink of bankruptcy. you must most of you to see the phillips with this with, you know, so will fail. don't they tried to combine their traditional expertise for patients hoping to lose weight, and as with a g o p one solution, you know, it was a sho digit bill for the football news for anyone looking to lose ways. what is artificial? g l p one is known to be effective in treating obesity. why isn't it prescribed to all overweight people? yes, yeah, i see. it is extraordinary that we can now imagine using a medication as a preventive measure against obesity. despite knowing that the solutions can be found it out immediately, environments can not, didn't put digits, we have to protect people from excess calorie intake, especially the most vulnerable such as children to do this we can. okay. now,

do we need more exercise to physically moved in the solution? is that but instead we're moving completely in the wrong direction, pick model. but despite some reservations for now, there seems to be no stopping these new weight loss. drugs the to the giving voice to traumatize. this is the journey to building the independent radio.

the destruction of muscle cannot hold them back because the dear on these frames had a big vision in my family said, don't come back again. why don't come back? returning to the ruins of most of the in 15 minutes on the w. i keep getting the goosebumps because of the heat. i did not even know when it was possible. and the trouble is leah collapse from he took. so was 10 in these capital new danny with 10 because he's up to 50 degrees celsius. being outside can be life threatening. what can people do to cope with extreme ego, india? and 19 minutes on d w, the

. this is dw news live from berlin, gillian, astonished out of prison. we can, exp says it's founder, has left the u. k. court documents to show he's agreed to plead guilty to violate thing us espionage law, is deal limits. a sentence to the 5 years he's already served. it's also coming up, rush out points the finger at us after ukrainian missile attack in hockey, 5 crimea criminal, blames the us for supplying themselves. and vows to respond. plus, germany's foreign minister calls for permanent and a violent.