Debating Ozempic and Tiktok Health Advice

People ask me a lot about what I think about these medicines like Ozempic and Mounjaro, these weight loss medicines.

Hi, everybody, and welcome to the podcast. This is Generations md. My name is Stephanie, and I'm joined.

Here by my colleague, Dr. Sarah Davis.

Who'S also my mother.

Hi. Hello. How you doing?

I'm good. I know everyone is waiting to hear how I'm doing in med school, but unfortunately, this episode is gonna drop a couple weeks out from when we're recording, so I still haven't started yet. So the anticipation continues.

The anticipation continues. But, you know, don't worry, people. We will answer all your questions about Stephanie's first few weeks in med school coming up soon.

Yes. So don't fret, everybody. But in the meantime, I'm still just chillin' and I'm here, so. Yeah.

Yay. But, yeah. Okay. Do you have some things that you want to discuss today?

No, I got nothing.

Okay, well, I have some things.

I promise when I actually start, I'm gonna have more things to talk about. For now, I'm just, you know.

Well, I don't mind talking.

She's a yapper.

Okay, so here was a study that I saw, and it says most of Generation Z using TikTok for health advice. Survey suggests. And it goes on to say most of Generation Z is turning to TikTok to seek health advice, citing quick responses and free advice, a recent survey found. The poll, which was conducted by zing coach, found 56% of Gen Z respondents used TikTok for wellness, diet and fitness advice, and that a large share of them use the platform as their main form of health advice. Among those surveys, 34% said they use TikTok to get most of their health advice, making it more than twice as popular as the other options listed. 14% said they got their advice from friends, 13% said Google, and 11% said qualified doctors.

Okay, well, I mean, I want to bring up the point that where most of us are young and healthy.

True.

So most people aren't really going. Don't really have even a GP that they go to.

Okay, that's fair. That's fair.

So, like, most of what they're getting is honestly probably from the Internet. Yeah.

And I mean, it's. It is interesting, though, because we kind of expected that with, like, Google. Okay, so you're having some symptom and somebody's gonna Google it. I mean, and really, like, way back, because, you know, Google, I was around long before Google was, and I remember this being, like, a fear that, oh, well, people aren't going to come to their doctor anymore. They're just going to Google everything. And so kind of like understood that. But it's interesting to me to have like, it's three times more likely that they get it from TikTok, which TikTok? You don't really. I mean, I guess you can search. Do you search things on TikTok?

Well, yes and no. I mean, also like TikTok show up when you Google things. Also, I feel like people are saying they. People aren't necessarily like going and seeking out health advice. Maybe, but maybe it appears and then it ends up on their algorithm and then all of a sudden they're getting like a lot of health advice on TikTok. You know what I'm saying?

Yeah. Do you think that the algorithm, like if you watch a TikTok from somebody legitimate, say like an MD, such as myself and such as you, someday, do you think if you watch those kinds of videos that then you get more. No. You think it's still get more like, then get more advice from other similar people with actual credentials?

No, no, because I think like anybody can get on there and act like they have credentials. So like, maybe because I even. Because. So I tried to switch my algorithm on like the generation's MD account to. So that I was just following like other medical professionals and like, so that the idea was so that like pe. Those. I would show up on those sort of people's pages and stuff. And even when I was like trying to curate my algorithm, I was just looking at. I. I literally did specifically this. I was just liking like videos from people in healthcare or students and like that sort of thing. And I did, I curated my algorithm. So it was, it was those sort of videos. But still I still had like random people, like, who like just said like they were into nutrition or into this, like, when really, like, I mean, I don't know if it was completely misinformation, but you know.

Yeah, they, they certainly could have been part of the mib for sure. Yeah. But you know, you can't outsmart the TikTok algorithm. Maybe you can. I don't know.

What do you mean about curating it? Yeah, yeah, I did that.

Okay. You think that you're smarter than TikTok?

Well, I mean, like, I was literally purposefully doing it. I like, knew exactly what I was doing. And it didn't take that long either. Probably like 10 minutes. And now.

Yeah, and now it's all.

Because now I have, I have two accounts. I have one that I Watch videos.

That I actually have all your trash on.

Well, I. I just watch videos that.

I actually enjoy, which are not medical. The videos that I make, which I.

Know is kind of bad, but. Yeah, I don't. Why would I want to watch that in my free time, but shout out.

To the people who do. Right. Because this is, I mean, you know, this is informational. Plus it's, you know, so much fun to watch.

Well, the podcast space, I think, is different than when I'm scrolling on TikTok. I want complete mindlessness.

Yeah, no, that's true. That's true. So, but, you know, just reading this study, I think it's. It is very interesting and it's something that really people in the medical world need to pay attention to that. This is where people are getting their advice. And so it was. It's a little bit. I don't know. I'm not sure if I should feel good or bad about it in some ways. I think, well, by doing this, that maybe I can have kind of a bigger reach for some of the things that I talk to people about rather than just my very small practice. And we talked about when we interviewed other doctors who do teaching and how that's one of the ways that they feel like they can get a bigger reach by not just seeing patients, but by training medical students and kind of training the next generation. And so this is your outreach to the community? This is my community outreach.

Just like your community outreach on Saturday night.

That's right.

We didn't talk about the party. We should have talked about the party.

Party. Okay, well, we can still talk about the party.

Yeah. You're doing the right thing, getting out there, being able to, like, post videos on social media as a doctor. Other doctors should do that. It's so much harder, though, for, I think people, most people in the medical field, to like, be able to make successful content and stuff when. I don't know, the type of people who sell vitamins and who. They're business people and their whole thing is marketing. And those people are a lot more likely to be successful and get to and reach a wider audience than somebody who maybe has focused all their life on becoming a doctor.

Well, it's also. It's easy to tell people things that they want to hear. Yeah, that's true, too. And this is gonna solve all your problems. I mean, that's great. I. You know, it's nice to have those things, but they don't really exist. But. But if you wanna sell something fake and just say a bunch of fake things about it and you know, and you have a nice face to look at and a good fun personality. Yeah, you're gonna, you're gonna win hands down against people like me. Hey, Celine Dion. Celine Dion, that's right.

No, but yeah, which is like a bummer. So it feels like an uphill battle. But I think to your point, I think it's important for doctors to understand that and for more to talk about that and rather that than being like, don't get your info from social media rather than just like telling people not to do it, then get on there.

Yourself and like, and get some information out there. You know, get the right information out there and you know, to be totally fair, I mean think about what a beat down it is to go into the doctor's office. You gotta make an appointment, you gotta show up, you gotta wait, you gotta, you know, have health insurance, you got to get taken back there for, finally checked in and then finally you get to ask your question. And it's just rather than just sitting there at home at 3 o' clock in the morning scrolling along, it's just how can you possibly compete with that?

I think too especially when we're talking about like Gen Z. So younger people have a lot more. It's not chronic health conditions, it's not like life or death stuff. It's not like, I don't, it's more kind of, not in, not invalid things but maybe stuff that is making their life a little more uncomfortable. It's a lot easier to kind of like find community in somebody who maybe has like a specific same issue that you're having. And do you know what I'm saying?

Well, yeah, and sometimes it's, it's, what you're saying is it's not a life threatening condition.

They're not going to go into the doctor for it.

Right. It's just, it's too small to, to bother about. It might be bothering them at 3 o' clock in the morning, but they're not, they're not gonna make an appointment and go in for it. Yeah, yeah, I think that's, I think that's true. But yeah, it's just, I think it's an important survey and it's good to, it's just good to think about that.

Yeah. But talking about the person who is selling vitamins, I saw your other thing about multivitamins.

Yeah. So this, this was kind of funny to me. You know, I've never been a big person. People ask me all the time about different supplements. They're like, should I take this supplement, and I'm not generally a big fan of supplements, but just recently, I had checked my vitamin B12 level, and it was low, which is kind of weird, because usually the only people that get low vitamin D B12 levels are people who are strict vegans, because B12 does come from animal products. And then there's a couple other conditions that can make people's B12 low, but mine has never been low. And so I was like, that's kind of weird. Well, maybe I should start taking a multivitamin. And so I got these little multivitamin gummies, which are kind of delicious.

I saw some in your pantry.

Did you have some? No. Well, they're good. And it's easy to remember to take them because you open up your cabinet and you're like, mm, that looks like a nice, tasty snack. So then you take one or two. So I just started taking these, and then I see this thing that the headline is, multivitamins could potentially shorten your lifespan.

Oh, my goodness.

And I was like, wait, what? And so this was it said. A new cohort study published in JAMA analyzed data from nearly 400,000 participants over 20 years and found that the use of multivitamins wasn't associated with longevity, building on what experts already suspected. But they also found a 4% increase in mortality among those who use multivitamins, although there's no clear reason why this was the case.

Well, okay, that's a bit of a stretch.

The headline is a little deceiving.

Yeah, for sure.

I really don't think that taking a multivitamin is actually going to harm you in some way.

It seems like maybe the types of people who taking multivitamins maybe have, you.

Know, other chronic diseases. Yeah, I mean, you can.

Or not taking care of their chronic diseases properly and just taking multivitamin instead.

And I think you do see that a lot where people say, you know, well, I don't want to bother to eat healthy. I'm just gonna eat whatever I want, and I'm just gonna pop a multivitamin every day.

Yeah.

So I feel like that's probably the explanation, but they don't really. I mean, the. This was just an observational study, so they really weren't trying to figure out exactly why that would be, but it certainly didn't help. And so that was. I mean, that was really the purpose of it. Although, I don't know. I mean, I feel so much more energetic when I. When I pop those yummy gummies. Okay. No, I really don't but, you know, and I guess. I guess it also depends, like, why you're taking the multivitamin. If you actually are deficient in something, then maybe it could be helpful if you're just taking it because you're like, oh, that seems like a good idea. I don't know.

Well, it's interesting that you. Because I feel like your response has always been, well, it can't hurt, right?

You're like, that's usually what I think.

You know, if people are taking it in addition to doing, like, the other things they're supposed to do, taking their medicines and, you know, like, having balanced lifestyle, then you're like, okay, well, it can't hurt.

But it could maybe. Could. Maybe I'll start telling them that. Yeah. But I mean, you should see some people come in with bottles and bottles and bot. Bottles of all of these different supplements, and they are expensive. I mean, each one can be, like, 50 bucks for this bottle of it. And they come in and got all these different bottles of things, and they're like, okay, this has this. You know, do you think I should take this? I'm always like, you know, because I went to the gnc, whatever, vitamin store, and they told me that my hair was thinning, and so I needed to take this. And, you know, it's just so frustrating because, like, you know, I don't want to tell people not to take something if they really, really believe in it and they really think that they're gonna feel good. And if I look at the ingredients and it doesn't look like it's gonna be anything harmful, then I usually say, I don't think this is gonna help anything, but I don't think it's gonna hurt. If you want to take it, feel free, and you will have some very expensive urine.

Yeah, that's what. Yeah. Well, I mean, this goes back to the, you know, competing against the marketing people at the GMC versus competing against the doctor. Like, I don't know.

I mean, it's just. It's such a lovely thought to just be like, whatever symptom you have. You can just go into this store and somebody will just hand you a bottle and be like, hey, oh, is your skin dry? Here, take this vitamin. Is your skin lax and wrinkled? Here, Here, take this. Are you. Do you have headaches? Do you have trouble sleeping? Do you have, you know, do your knees ache?

I mean, it's marketing genius, right? Like, and then also just, like, curating to a certain, I don't know, demographic of person that's gonna spend that much money to be able to like, fix their minuscule issue.

Well, fix their aging, which is what a lot of things are. Yeah, yeah. So anyway, be careful of the multivitamins, everybody.

Capitalism, man.

Yeah. I mean, if they're not, if they're not truly harmful. Now there is a whole nother level and I know we've talked about some of that stuff before then, but sometimes they, you know, I've got somebody on this, on a statin for their cholesterol. It's working well. We're very happy with their numbers, everything's going good. And then they come in there and then somebody tells them, oh, no, you don't need to take, take that, take this thing instead. And then that's when we really get into trouble because now they're stopping what I know and is evidence based. That's going to help them. And then they're taking basically a sugar pill.

Yeah.

So that is frustrating.

That's harmful and frustrating. Yeah.

People ask me a lot about what I think about these medicines like Ozempic and Mounjaro, these weight loss medicines, and I, I think that they're really quite fascinating. Here's the thing. So these are the GLP1 agonists. So they work in the body to increase GLP1. Doesn't really matter what that is. For our purposes, we're not going to go into the biochemistry here. When they first came out, or they've been around for actually quite a while, we were using them in people with diabetes. We found this other side effect that people were losing weight. But honestly, I had other patients on it and I didn't really think that much about it. It was nice, you know, people were losing like maybe ten pounds and it wasn't that big a deal, but they were happy because some of the diabetes medicines can cause people to gain weight. So if it, you know, and that's really hard for people who are diabetic and they're really, they're struggling with that anyway, so when they could lose some weight from this medication, they were, they were happy about it. Okay, blah, blah, blah. But then all of a sudden this stuff starts coming out like, oh, no, these can help people lose weight, even who don't have diabetes. And like, what is, you know, what's going on there? And people were getting really excited about it. And then I was like starting to roll my eyes. That was like my initial reaction because I've been through this before. We had fen phen and it was such a, it was such a difficult thing because those, those Medications did have some pretty severe side effects and then we found those side effects even were worse when they started using them broadly. But all those medicines did was just speed up your metabolism and so you weren't solving any underlying problem that the person had. You were just speeding up their metabolism. And so obviously there's gonna be various side effects with that. It's generally not gonna be good for your body for a lot of reasons. And it was like, oh, then every patient was coming in and they were like, I want to lose weight, can you prescribe me those medicines? And it was really, I just found the whole thing frustrating because like I said, I didn't think it was very healthy for them. So I didn't really want to prescribe a medicine that wasn't healthy, but that was just going to have them lose some weight that they wanted to lose. And then of course the whole thing blew up because then they did find these bad side effects and then all these people got sued and lots of nightmare stories about that. So anyway, so I'd come through that, you know, once in a while something comes on the market and it's supposed to be just the greatest thing since sliced bread and you're all. And I'm always just like, ugh, okay, Waiting for the other shoe to drop. So when these first came out, that's kind. I was like, alright, let's just see what happens. But I will say these medicines are actually more exciting than almost anything that I've seen in my career so far.

But like with fen phen and stuff, how long was it until they took it off the market and decided and people got sued and everything?

I don't know the exact timeline but honestly there were tons of signs that it was not good.

I mean, people still have terrible side effects from the GLP1s though.

Well, not, they're not like they're not getting all these heart problems, GLP ones.

I mean, I guess.

Now all medicines have side effects. Like it's having side effects. But also we have been using these for a long time in people with diabetes. So it's not like these just came out last week and then all of a sudden millions and millions of people were on it. People have been using these for years and years. So we do have more data on those long term side effects. But again, yes, lots of things have side effects. And these are not medicines to give to somebody to lose five pounds. Like that's not so why not?

Why shouldn't everybody just be on it?

For a couple of reasons. I mean, number One, having a medicine for somebody to lose five pounds just is not really necessary.

Why, doctor? No, really, I mean, say. Cause there's millions and millions of people who are like very, very small who continue to use these medicines.

Okay, that's just because some people are misusing the medicines doesn't mean that the medicines are bad.

Well, then why are they misusing them? Like, why is that bad?

I just don't think that small people need to be losing five pounds. It's because, you know, that is. Now you're talking about somebody with body dysmorphia or somebody who has a completely different issue. And that medicine is not going to solve their problem because as soon as they lose that five pounds, they're going to want to lose five, five more pounds.

Yeah, but also, like, people's bodies are a certain weight for a certain reason. So I just think like the idea of having these like weight loss medications, and I'm balancing the thing with like one, I think people should be able to do whatever they want. Okay, whatever. If you want to lose weight, that's fine. But also, like, there's a reason why people's bodies are a certain size. And I think that all of these medicines just contribute to the idea that like, the human body should be a certain potential particular size, which is absolutely not true. And that goes back to the BMI thing and back to doctors just talking about how like, oh, you're overweight. Okay, let me prescribe you this GLP1, because you need to be in this certain quote, unquote bmi, because that's an average of what humans should be. So I just think like, all of that contributes to just the bigger problem and the bigger issue. You know what I'm saying?

I do know what you're saying, but I do think you're approaching it with some bias. I mean, the, you know, the fact is when a patient comes to me and they are a much larger size than they want to be and that they feel good in not just for society, but they feel uncomfortable because their knees are wearing out and they are having a lot of problems. They also tell me, and again, I'm just going by what they are telling me me and I'm listening to my patients and trying to respond to what they are telling me. And what they are telling me is that they are addicted to food. They cannot stop thinking about food. And it's not because they're hungry. They can eat a nice big meal, they're eating plenty of calories, but they feel and they think about food Constantly, constantly, constantly, they're trying to do something else. They're in the middle of just thinking about this food. And when they start on these medicines that that food chatter in their brain all of a sudden quiets. Now, how exactly that Mechanism happens from GLP1, I have no idea. I don't know why that would be. And I think that there's going to be tons more research about how that works in the brain and how the gut and the brain are interacting with each other. But these people are telling me that now they go and they eat just a nice normal meal and they're eating plain. They are not dieting. They are not starving themselves. They are eating what they feel like is an adequate amount of food. And then they finish their meal and then they're fine. And they don't think about food until it's time for their next meal, which is a completely appropriate amount of time. And so, like, to me, I feel like they are getting that whatever it is that somehow got turned off in their brain somewhere along the way. And so I just feel like we're basically replacing these things that, you know, should have been there all along.

But what about all the people who talk about how it just makes them not hungry anymore?

Nobody's ever said that to me. I prescribe this to people. They never tell me it. They. They're hungry. They eat.

Okay. I mean, like, I, I'm just.

It's not an appetite suppressant. That's not how it works. The.

I mean, I know people personally in my life who are my age who are on Ozempic, who just do their shots and don't eat and that.

Okay, so that is a complete misuse. That is not the medicine. Just because somebody is misusing a medicine doesn't mean that the medicine is not appropriate for other people.

Okay, No, I, I mean, that makes sense, I guess, but I'm still talking. Like, let's go back to underlying condition then. Like, what's the underlying issue here? And like, are we actually, like, fixing that by doing that?

Well, and again, I think that we're, we're gonna find out more as time goes on, but. But it seems to work. Not by. I mean, what they tell me is that, no, it doesn't change their. It doesn't, it doesn't change their appetite. But the reason that they ate had nothing to do with being hungry. I mean, this is what people tell me. They say, you know, no, I used to eat all the time and it had nothing to do with being hungry. It was feeling like this Sort of craving of like, I need this thing. There is a cookie in the, you know, up in the cabinet. And I know exactly where that cookie is. And I cannot stop thinking about that cookie. And now, okay, I'm gonna go finally have that cookie. But I'm not gonna eat just that cookie. I'm gonna go eat that and then I'm gonna go and find 10 more. And just that, that inability to stop just like kind of analogous to somebody who's an alcoholic versus somebody who's not an alcoholic. You know, somebody who's an alcoholic cannot stop with that one beer. They have to drink 10 more. I mean, not always, but, you know, that's. That's kind of the thing. Whereas other people who don't have that.

Yeah, but isn't that just a binge eating disorder? Like, why are we treating that with a GLP1 and then having them lose weight instead of like, actually like solving their mental health disorder?

Well, I mean, if there were some easy. I mean, a lot of these people have been in treatment for binge eating disorders for years and years and years, and they're still doing that treatment. And nobody's ever saying not to do that. So, I mean, you could kind of say that, well, okay, if you have anxiety, shouldn't you just do therapy and not take medication? Well, if the medication helps as well, why would you not do both?

Yeah. Okay, well, so who would you prescribe this medicine to versus not prescribe this medicine to?

So it's the, the people that I feel. And would you bring.

If somebody comes in and is overweight and does not have a, and does not complain about their way as an issue, would you bring up this medication to them?

I don't do that. I mean, anybody who is, quote, overweight or in a larger body or whatever you want to say, those people. I never ever tell a person that they are overweight or, you know, they people. Nobody needs to hear that. That's never helpful to anybody. So I wouldn't say that and I would never say that somebody needs to take this medicine. I mean, you have to just like any medicine, you have to have a lot of buy in from the patient for anything that they're going to want to take. And the, the side effects of this medicine are, you know, you, I mean, sometimes people will. It can. It delays gastric emptying, so you can have it where you get this basically an ileus so your gut is not working and it kind of stops. And people can have like terrible intractable vomiting, which is a pretty miserable side Effect. And I have seen that happen to patients, but they still are so happy with some of the other things about the medicine, specifically, like, kind of the mental health stuff of that medicine that they'll tell me, yeah, that's okay. I mean, obviously you want to avoid that happening with somebody's vomiting, but that doesn't make them never want to take the medicine again. They just want to then take it properly and avoid that happening. But what I'm saying is I would never tell a patient, oh, yeah, you need to take this medicine unless they were diabetic. If they're diabetic, then that's a whole different story.

Yeah, no, yeah, I get it. I think, like, it's a nuanced subject, and I do agree that, like, I think if it's helpful to people, that's amazing. And I think people should be able to, like, have the autonomy to do whatever they want to do. But I still think, like, overlying big picture and stuff. And, like, the narrative that I see, like, on just, like, my side of the people who are my age, people who are in smaller bodies, people who don't necessarily have that same sort of mental, like, health issue at all. And, like, people are getting prescribed these medications to lose a couple pounds and to suppress their appetite and all of that. And, like, the narrative around it that I've seen is, like, okay, like, let's get people to the quote, unquote, right body size that, like, everybody needs to. To be. And just, like, back to. It just seems like we've taken a step back to, like, skinny is the best thing. And you have to, like, acknowledge that narrative and especially just, like, things while discussing this medication.

And I think that's fine, but I think it's unfair to put that all on the people who really are benefiting from this medicine. And the second thing is that, you know, there are people who really do benefit from this medicine, and then they get kind of shamed that they're basically taking the easy way out. Like, oh, you know, you should just have willpower. You should just do diet and exercise. You should do all of these things, and you shouldn't have to rely on this crutch of a medicine. And to me, that's just very analogous to antidepressants. Some people really need antidepressants, and there's nothing wrong with taking those. And they shouldn't have to say, like, well, you should do this naturally.

I still like. But I just. To throw it back at you, like, I still think that just, like, you can't make the same analogy of like being mentally stable and not being depressed the same as being in a certain body size. You know what I'm saying? Like, that just goes back to that narrative that everybody should be this equal.

But I'm not even talking about their body size. I'm talking about what's going on in their head that is now that the side effect is it's creating them to be in this larger body. But I mean, I have patients that have taken these medicines and haven't really lost a lot of weight, but they're still very, very happy with the medicine because it has changed their chatter in their head and they feel mentally much, much better. So. And if it's doing that, then that's really helping them.

I think that's the right way to discuss the medication rather than coming at it with like this idea of being in a specific body size.

I think that there. I can't deny that there are lots of people that are doing that. And that's just gonna happen when you have a medicine that has this thing. You know, people are gonna want to use it in that way. But I don't think it's fair to take it away from the people who really are benefiting from it just because all of these people are misusing it and, you know, using it in, you know, in ways that are very mentally and physically unhealthy for them. But I just, I really don't like the idea that, you know, people are kind of shamed for using the medicines when they are using them appropriately, and it's really helping them in a lot of ways. I don't think it's fair to like to try to say that these medicines are bad or that these people are weak willed or anything else. And you really see people kind of clash on these things just because they're coming at it from all these different things. You have to just look at each patient on a case by case, individual basis and try to come at it from a, you know, to not shame them and to, you know, to try to do what's best for them mentally and physically.

I agree.

Okay.

Okay, let's wrap it up. On a lighter Note.

We.

So Dr. Davis got out into the community on Saturday and we had a party. I had my med school going away party. So it was a really good time. It was a really successful party.

Do you think it was successful? Yes, it was a lot of fun.

Yeah. So we made these cards of different diagnoses and then Dr. Davis put some medicine in these syringes, quote, unquote medicine. So we had people pick a card and they got a, quote, diagnosis, and then she gave them a colorful syringe to be able to quote, unquote, treatment with their treatment on it.

So, so we just kind of said, here, pick a disease, any disease. And a lot of them, just for fun, were STIs, you know, because it's just fun to be like, hey, you've got chlamydia.

Yeah, so it was, it was a really fun party. But yeah, so you use that as an opportun to really educate the youth.

I did. You know, when they came in, you know, and said that they had chlamydia, I said, okay, well, here is a treatment. But the best treatment is prevention. And you can do that by using safer sex practices. And they were really happy for me to talk to them about that.

You feel good about really getting into.

The community and doing their job? Yeah, people seem to listen. I don't know, I think, you know, I think it's gonna change. I did also emphasize, like, this treat, this is not actually a real antibiotic care. So if you happen to just coincidentally have chlamydia right now, this isn't going to treat it. So hopefully that message was clear.

Well, that could get confusing, especially being.

A doctor and all.

I'm going off to medical school, so talk to you guys when I am a full on MS.1 and you know where to find us. Follow that journey close more closely on tick tock@generationsmd. Follow us on Instagram @generationsmd and we'll talk to you when I'm an MS.1.

Woo.

Bye.

Sam.