1:37:39

In this episode of the "Cure Midlife Belly Fat" podcast, host Jorge Cruise interviews Dr. Jason Fung, a nephrologist and author of The Obesity Code and the upcoming The Hunger Code. The conversation moves beyond the traditional calorie‑centric view of weight gain, emphasizing how a person’s environment, social circles, and cultural context shape obesity risk. Dr. Fung cites studies showing that moving to high‑obesity regions or adopting friends’ eating habits dramatically increase one’s own weight, and he highlights the stark contrast in obesity rates between Japanese living in Japan versus the United States. They critique the focus on calories alone, arguing that food quality, mindful eating, and education (e.g., Japan’s school nutrition lessons) matter more. The discussion then shifts to GLP‑1 medications (e.g., Ozempic, Wegovy). Dr. Fung explains how these drugs can be powerful jump‑starts for weight loss but carry risks such as loss of muscle, gastrointestinal issues, rare vision loss, and the “Ozempic face” phenomenon where sub‑cutaneous fat is lost while visceral fat remains. He stresses the importance of an off‑ramp strategy: using GLP‑1s to manage hunger while simultaneously learning sustainable dietary habits, protein intake, and social‑connected eating, rather than remaining on the drugs indefinitely. Fasting is presented as a tool that preferentially targets visceral fat, improves hunger regulation, and can be flexible (e.g., two meals a day, skipping lunch). The hosts discuss how modern screen time, COVID‑induced isolation, and solitary eating undermine mindful eating and social cues that help regulate intake. Dr. Fung promotes his forthcoming book The Hunger Code, which expands on hormonal drivers of hunger (insulin, cortisol, GLP‑1, sympathetic tone) and differentiates homeostatic, hedonic, and conditioned hunger. He also mentions a new bone‑broth product (Era) designed for fasting support, containing 12 g of protein per serving. The episode concludes with practical take‑aways: use GLP‑1s as a temporary tool, focus on protein‑rich foods, re‑engage in social activities for dopamine, adopt flexible intermittent‑fasting schedules, and consider pre‑ordering The Hunger Code (release March 3) and the associated free masterclass.

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