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O programa “Checkup SOD” discute a crescente pressão estética sobre os corpos finos, especialmente nas redes sociais, onde celebridades como Maiara, Luya Posse e Yasm Brunette têm gerado polêmica com suas silhuetas emagrecidas. O endocrinólogo Gisele Lorenzone e a nutricionista Isabel Lessa ressaltam que a busca por um corpo esculpido pode ter consequências graves para […]
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00:00Olá, bom dia.
00:02O nosso check-up está começando agora,
00:04um programa que se coloca com os grandes experts de saúde em Espírito Santo.
00:13O exaltamento de fatos de corpo sempre foi presente em nossa sociedade.
00:17Não foi mais fácil de ser.
00:20Mas você já viu que recentemente os filhos de algumas pessoas no social media
00:25estão ficando mais fina e mais fina?
00:3035kg less and lots of criticism.
00:33Ever since singer Mayara from the duo with Mariah lost weight,
00:37her image has been the subject of news and comments from fans.
00:47Other celebrities who have also recently drawn attention for their thinness
00:51are singer Luya Pasi and model Yasum Brunette.
00:57Could all of this be for health reasons?
00:59Personal well-being or aesthetic pressure?
01:05Everyone is free to choose the body they want to cultivate, of course.
01:12But social media full of increasingly thin celebrities,
01:16countless diet tips that have gone viral on the internet
01:18and even the super popularization of weight loss medications
01:22have contributed to many people making mistakes.
01:27To achieve a thin body, they put their health at risk.
01:36The power of the media to induce is enormous,
01:39as demonstrated by influencers who are generating this type of search for weight loss beyond what is normal.
01:48And we need to be careful, because sometimes being thin does not reflect health.
01:55The endocrinologist explains that some body types are naturally thinner.
02:00There can be no dictatorship of body shapes.
02:04There is a limit to how functional and healthy weight loss can be.
02:11We have a body mass index limit, and if you have a value below 18.5,
02:16you are not within the normal range.
02:20There are individuals who are born with a thin body composition.
02:25If you do not have this genetic makeup and want to get close to these,
02:29you have to be very careful.
02:31So,
02:32Tiffany is constantly searching for a thin body.
02:37For me, thinness is a crucial point in my life, right?
02:41I deal with it because it is very much linked to my emotions,
02:45because if I am not thin, I am not happy, I am not well, I am desperate with my body.
02:52She admits that she is exposed to extremely restrictive diets.
02:57Mainly internet diets, because sometimes we go,
02:59Oh, you know, ah, we see someone,
03:02an influencer who posted and without any follow-up, without anything,
03:06we just do it.
03:07We
03:07need to be very careful.
03:10Excessive weight loss has consequences for our health.
03:14The
03:14individual is more prone to infections, okay?
03:19A deficit of lean mass makes the individual more vulnerable.
03:25The individual can become more easily dehydrated, right?
03:34They can develop a psychiatric condition such as anorexia,
03:38in the case of women,
03:39cessation of the menstrual cycle,
03:41with damage to bone mass.
03:46Welcome to Checkup Sod.
03:49Obesity is a disease that affects 31% of the adult population in Brazil.
03:54What is most striking is that 68% of the Brazilian population is totally overweight.
04:01This is data from the World Atlas of Obesity.
04:04That is why losing weight is more than vanity, it is necessary for your health.
04:10In today's health checkup, we spoke with endocrinologist Giselle Lorenzone and nutritionist Isabel Lessa.
04:17Welcome.
04:19Thank you, Alice, for the invitation to talk about a topic that is always current, right?
04:23And that I love.
04:25Thank you for inviting me to be here.
04:27It's a very important topic, right?
04:29I'm also very happy to be here, to be able to share a little bit about this subject.
04:33Now, folks, we know that the cult of thinness is back in full force,
04:38especially on social media.
04:40And we want to know if, from a medical point of view,
04:43there is any risk in this incessant search for a thin body.
04:46So, doctor, can it be a desire?
04:49There's no problem in constantly wanting a thin body.
04:52Yes.
04:53A thin body is not for everyone, right?
04:56Well, so we have to know the limits to which we can go with this search for thinness.
05:03Thinness has come back in full force until a few years ago,
05:06it was a different way of looking at women.
05:10Nowadays, it's back with more force and women are trying at all costs to be thin.
05:17But we have to take into consideration, especially our body type,
05:21we have to evaluate the risks of this weight loss.
05:24If we will lose muscle mass at the same time,
05:27if we will only lose fat,
05:28if we will lose more fat than muscle,
05:30because all of this impacts our lives,
05:32not only at the moment, but over time,
05:35especially for women who are going through menopause,
05:38who go through a more complicated process.
05:42Yes, the risk is that the whole cost was what caught my attention in your answer.
05:47What is this cost that the body and other issues that affect our quality of life
05:51will be impacted?
05:53So whenever we think about losing weight,
05:55I think we think directly about our diet, right, guys?
05:59And then we want to know from our nutritionist,
06:02will this aesthetics, this pressure influence our diet?
06:05What are the main dietary mistakes that we observe?
06:09In those who are looking to lose weight quickly,
06:11because they thought about losing weight,
06:13we think,
06:14I'm going to cut out.
06:16I don't think anyone thinks,
06:18I'm going to add something.
06:20What am I going to cut out and how am I going to cut out?
06:22That's the strategy.
06:23Aha!
06:24One of the main mistakes is precisely this.
06:26Focusing on what I'm going to cut out,
06:28how I'm going to cut out,
06:30and believing that only food,
06:32only food,
06:32is largely responsible for obesity, right?
06:37So, it's not just food.
06:39We need to look a little beyond calories,
06:41food, right?
06:43When we talk about food,
06:45we're talking about something that is very complex
06:47and that several external factors influence our diet.
06:50So, the way I eat,
06:52what I eat,
06:53my food choices,
06:54they will be influenced by my psychological factors,
06:57by my emotions,
06:58by social and environmental factors.
07:00So, it's very common for us to see this movement.
07:03I want to lose weight,
07:04I'm going to shut up.
07:05And then I start cutting everything.
07:07Cutting out sugar,
07:09fat,
07:09getting rid of sweets.
07:11But I don't look at what's behind the choices
07:13that this person is making.
07:14Could it be that I'm eating too much
07:16because of some emotion that I'm trying to vent?
07:19Could it be that where this lack of control
07:21that I'm having in my diet is coming from?
07:23So I believe that one of the main mistakes is this.
07:26Focusing on calories,
07:27focusing on cutting out foods
07:29and not looking at what is behind the real problem
07:31that the person has with food.
07:34Guys,
07:34does drinking liquids with meals
07:36make you gain weight today here at Checkup Sod?
07:39Because now we are going to answer
07:41people's questions on the streets.
07:42Let's look at the first question.
07:44My name is Josiana.
07:46I would like to know if it is necessary
07:47to completely cut out sugar to lose weight.
07:50Talking about sugar is like messing
07:52with a lot of grandmothers,
07:53a lot of mothers.
07:54So tell me this story.
07:56You have to cut out sugar
07:57if you want to lose weight.
07:58You don't have to completely cut sugar
08:01out of your diet to lose weight.
08:03What will make weight loss happen
08:05is a calorie deficit,
08:06that is,
08:07consuming fewer calories than we burn.
08:10And it is possible to achieve this calorie deficit
08:12without having to cut out
08:14all the sugar from our diet.
08:15No,
08:16nothing radical.
08:17I feel sad if I can't eat a roll.
08:19Then the nutritionist teaches that it is possible.
08:22There is a right way,
08:23right?
08:23You can lose weight by eating bread.
08:25Sure,
08:25absolutely.
08:26Bread will really help in this process.
08:29Because I'm just going to add
08:31that when we do it radically
08:32and cut out foods randomly,
08:34without any guidance,
08:35we increase our anxiety
08:36and can often lead to a compulsive eating pattern
08:39that didn't even exist before.
08:42And then,
08:43you think you're doing it right
08:44and you're doing everything you've ever done,
08:46and you'll
08:47pay the price.
08:48Now,
08:49we're in the era of magic diets.
08:51Many diets promise fast weight loss,
08:54such as ketogenic,
08:55low-carb,
08:56intermittent fasting.
08:58Are they safe,
08:59doctor?
09:00These are types of diets.
09:01This has to be assessed
09:03individually for each person.
09:06Some people adapt well,
09:08while others don't adapt
09:09and will have serious side effects
09:11if they don't follow up
09:12and don't do it correctly.
09:14So it's not for everyone,
09:16okay?
09:17So there are some people,
09:18some patients for whom
09:19we need to restrict their diet,
09:21at least at the beginning of the treatment.
09:23Maybe a ketogenic diet,
09:25maybe a ketogenic diet,
09:27but these
09:30are strategies that your doctor
09:31will choose based on your routine,
09:33based on what you eat,
09:34the physical activity you do,
09:36what your goal is,
09:37but it's not for everyone.
09:41Now,
09:41doctor,
09:42it's interesting,
09:43right?
09:43You who are at home,
09:44we're going to talk about weight loss.
09:46We bring in a nutritionist,
09:47an endocrinologist.
09:49I think many of you
09:51can't even understand
09:52the difference
09:52and the function
09:53of each of these specialties.
09:55When we're talking about weight loss,
09:57how is this division,
09:59doctor?
10:01So,
10:02the endocrinologist
10:03will cover obesity,
10:04obesity as a disease,
10:06and may provide
10:07some dietary guidance,
10:08requesting some tests
10:10that we deem necessary
10:11for a more detailed evaluation,
10:13such as,
10:14for example,
10:15blood sugar,
10:16cholesterol,
10:16to see if there is
10:18any fat in the liver,
10:19which we also need to treat,
10:21to use any medication
10:22that we deem necessary,
10:23if we think that the patient
10:25is indicated
10:25and if he will benefit
10:26from that medication,
10:28okay.
10:30The roles are similar
10:31in some points,
10:32right,
10:33Isabel,
10:34but the endocrinologist
10:35evaluates if there are
10:36any diseases
10:37associated with obesity.
10:39Anyway,
10:39we look more
10:40at the disease aspect,
10:42if we need medication,
10:43request some tests
10:44to evaluate as well.
10:46In addition to the safety issue,
10:48these diets really work
10:50in the long term.
10:51That's what we want to know.
10:52What is the rebound effect?
10:54We were bringing up
10:55this issue of compulsion here.
10:58The rebound happens
10:59because of compulsion.
11:01What happens when we talk
11:03about weight loss
11:04that we can maintain
11:05throughout life?
11:06Because we don't just
11:08want to achieve it,
11:09we want to be able
11:10to maintain it.
11:11That's right.
11:12When we talk about
11:12this issue of rebound,
11:13it's the famous
11:14yo-yo effect.
11:15And why does it happen
11:17when a person goes
11:17into a calorie deficit,
11:19right,
11:20because of diets
11:21like low-carb,
11:22ketogenic
11:23and other famous diets
11:24like the soup diet,
11:25right?
11:26They will lose weight
11:27because this calorie
11:28deficit happened.
11:30But for this weight loss
11:32to be maintained,
11:33this person also needs
11:34to maintain
11:34this eating pattern.
11:37And many times
11:38these diets
11:39are so restrictive
11:40that people can't
11:41maintain it for very long.
11:43So,
11:44they will be able
11:44to lose weight
11:45in the first or second month.
11:46But when they can't
11:47stand eating
11:48in small quantities anymore,
11:49cutting out food groups
11:51that they really like,
11:52they will go back
11:52to eating the way
11:53they did before,
11:54because at no point
11:55in the ketogenic diet,
11:56the low-carb diet,
11:58did they learn
11:58to actually make good choices.
12:00They just restricted,
12:01and they restricted
12:02in a way
12:03that they can't
12:03maintain that in
12:04their social life.
12:06So you can't go out
12:07to eat pizza
12:08with your family anymore,
12:09because that's not
12:10allowed on that diet.
12:11You can't learn
12:12to make choices,
12:13right?
12:14And then,
12:15as she had said,
12:16there was the issue
12:16of anxiety, right?
12:18Anxiety increases
12:19during this period
12:20of restriction.
12:21And then what will happen?
12:22I always say
12:23that what is forbidden
12:24is tastier.
12:25And then when we
12:25forbid chocolate,
12:26I forbid pizza,
12:28I forbid a hamburger.
12:29It's natural
12:30for our body
12:31to make these foods
12:32appear in our minds,
12:33in our memories,
12:34with great intensity,
12:36increasing the desire
12:37to eat that thing.
12:38Now we're going
12:39to show you
12:39how therapy
12:40can help
12:40with weight loss.
12:42Check out the report
12:43by Gabriel Cavallini
12:45and Diego Cimel.
12:50Bruno weighed 157 kilograms
12:52when his health
12:53started to show signs
12:54that he needed
12:55to lose weight.
12:57In November of last year,
12:59I had a spike
13:00in my blood pressure.
13:03I arrived at the health center
13:04here in the neighborhood
13:05with my blood pressure
13:06at 22 by 1, right?
13:09And I had already
13:10had this type of blood pressure
13:12a few times,
13:13but this was the peak for me.
13:16If the first step
13:18seemed difficult to take,
13:19the 34-year-old barber
13:21found the strength
13:21he needed in his family
13:22to take it.
13:25Seeing Bruno the way he was,
13:27feeling sick all the time
13:28and that bothering me,
13:29and me getting in touch
13:30with his sister helps me,
13:32because it's hard, right?
13:34Well, I don't know
13:35where Bruno will end up.
13:37So, we have to do something.
13:40Bruno went to the doctors
13:41and initially decided
13:42to have bariatric surgery.
13:44To do that,
13:45he would need to lose 15 kilogram.
13:47That's when his routine
13:49changed completely.
13:50He controlled what he ate,
13:52started weight training
13:53and went back to practicing
13:55sports like kickboxing.
13:56Within a month,
13:57he had lost the 15 kilograms
13:59he needed to have the surgery,
14:01but that's when he decided
14:02to go another way.
14:03I think if I can stretch
14:05a little more,
14:06I'll be able to do more,
14:07right?
14:08So, in the five months
14:09that I've been there,
14:10we've already managed
14:11to lose 33-34 kilogram.
14:14Well, I ended up
14:15distancing myself
14:15from the bariatric process.
14:17Well, because I think
14:18I can do it this way
14:19naturally, right?
14:22For many people,
14:24the initial stimulus
14:25to start losing weight
14:26comes from aesthetics,
14:27what they see
14:27when they look in the mirror.
14:31But with Bruno
14:32it was very different,
14:33because even though
14:34he was overweight,
14:35his self-esteem
14:36never really suffered.
14:38Because I always
14:39looked at myself
14:40in the mirror
14:40and felt good,
14:41I always like what I saw,
14:43right?
14:43I'm even a plus-size model,
14:45right?
14:46Well,
14:46I've always sold
14:47my image well,
14:48so that also got
14:49in my way a little.
14:51The fact that
14:52I don't think I'm ugly,
14:53right?
14:55Well,
14:55it got in my way
14:56a little in terms
14:57of taking care of myself,
14:58since the change
14:59in routine,
15:00five months
15:00and 32 kilograms
15:02have gone by.
15:03Vanessa,
15:04who embarked
15:05on this mission
15:05with him,
15:06also lost 22 kilogram.
15:08If it was hard
15:09to start now,
15:10Bruno doesn't
15:11want to stop.
15:12He got the hang
15:13of it.
15:13In 2024,
15:1525,000 men
15:16and 105,000 women
15:17were diagnosed
15:18with obesity
15:19in the public health
15:20system of Espirito Santo.
15:21Despite the higher
15:23number among women,
15:24diagnoses among men
15:25have been growing
15:26year after year,
15:27with an 80%
15:28increase between
15:292022 and 2024.
15:32Practicing physical
15:33activities is essential
15:34for those who need
15:35to lose weight.
15:36For personal trainer
15:38Daniel,
15:38the secret is to
15:39start slowly
15:40and with good guidance.
15:42Setting up a workout
15:43according to the goal.
15:46Well,
15:47many times people
15:47want to lose weight,
15:49but we also have to
15:50deal with some pathology.
15:51Sometimes the person
15:52has high blood pressure
15:53or diabetes.
15:56So we do the workout
15:58specifically for your needs
15:59and the goal in one case
16:01would be to lose weight.
16:04Each case is different,
16:05each person has their
16:06own difficulties
16:07and sometimes the biggest
16:08obstacle can be
16:09inside your head.
16:12This anxiety leads you,
16:14right,
16:15to overeating,
16:16right,
16:16or the opposite.
16:19Some people eat more
16:20when they are anxious
16:21and some people
16:22completely stop eating
16:24when they are anxious.
16:26Sometimes the psychologist
16:28will even get involved
16:29in organizing this routine
16:30in a very specific way.
16:32And if adopting
16:33healthy habits
16:34is good for the body,
16:35the mind will also
16:36be grateful.
16:37Bruno and Vanessa
16:38can attest to that.
16:40Even the couple's
16:41relationship has improved
16:42since they started exercising.
16:49People,
16:49we know that the use
16:50of weight loss medication,
16:52the famous little pens,
16:53has grown a lot
16:54in recent years.
16:55Before,
16:55it was the pills
16:56that generated
16:57a lot of fear.
16:58Nowadays,
16:58it seems like
16:59it's going to be magical.
17:00It seems like
17:01all you need is money
17:02to be able to invest
17:03in the pen,
17:04inject it
17:04and lose weight healthily.
17:06Is that true,
17:07doctor?
17:07The pen is for everyone.
17:09These little pens,
17:10they are really
17:11very effective.
17:13They help a lot
17:14with weight control,
17:15but that's not all.
17:18What people need
17:19to understand
17:19is that these pens
17:20are there to help.
17:24If you take the medication,
17:26but if you don't
17:26learn how to eat,
17:27don't do regular exercise,
17:29just like any other treatment,
17:30you will gain weight again.
17:34So they are effective.
17:35Because we see
17:36a person who is 44,
17:38suddenly you find
17:38someone who is 36,
17:40and then you say,
17:41my god,
17:41I didn't even recognize you.
17:44It works very well.
17:47They have results,
17:48the results are excellent,
17:50really,
17:50but the person
17:51has to be aware
17:52that he needs
17:52to change everything.
17:56Depending on the patient,
17:57it is not for everyone,
17:59the doctor has to evaluate
18:00whether he has an indication,
18:01whether he can use
18:02the medication or not,
18:03but he has to be aware
18:05that this alone
18:05will not solve the problem.
18:08So much so that
18:09we hear a lot about
18:09face peak,
18:10for example,
18:12this.
18:13We will lose weight
18:14and lose fat
18:16and lose muscle.
18:17We can't choose.
18:18I even joke that I say
18:19we could come with a button,
18:20right?
18:21I want to lose only fat.
18:22I want to lose more,
18:23but lose everything,
18:24but lose everything.
18:25So if you now have a manjarro,
18:27then I heard
18:27that there are people
18:28who bring it from Paraguay
18:30to be able to use it,
18:31but it cannot be used here.
18:33How is that?
18:34Because there are a lot
18:35of counterfeits
18:35of these medications.
18:38Unfortunately,
18:39we are seeing a lot
18:40of counterfeits,
18:41a lot of compounded
18:42tiripatide,
18:43which is the name
18:44of the medication,
18:45even though the medication
18:46has not even arrived
18:48in Brazil.
18:50There is no patent infringement,
18:52so we do not know
18:53what is being done,
18:54what is being sold,
18:55what is in these bottles.
18:58So,
18:58we have to be very careful
19:00with what we apply.
19:01We need to know the origin.
19:03If not,
19:04the only tiripatide medication
19:06that exists is Mandiro.
19:08So if you are compounding
19:09it anywhere else
19:10and we do not know the origin,
19:12we are taking a risk.
19:13And in Brazil,
19:14it still cannot be used.
19:16Oh,
19:16it has not arrived in Brazil yet.
19:18It is not being used in Brazil,
19:19but it is approved by Anvisa,
19:21okay?
19:23But it has not yet arrived
19:25in pharmacies here in Brazil
19:26to be sold.
19:29People,
19:29we want to know
19:30if those who are using
19:31weight loss medication,
19:32whether these PANS
19:34or any other medication,
19:35should follow a specific diet
19:37or nutritional care
19:38that Dr. Giselle
19:39has already explained,
19:40but we want to know
19:41from the nutritionist
19:42what these care measures are,
19:43as Dr. Giselle explained,
19:45right?
19:46These medications,
19:47they do not teach the person
19:49to eat in a way
19:49that sustains this weight loss.
19:52So,
19:52when we talk about
19:53the application
19:54of these medications,
19:55the use of these medications,
19:57what will happen
19:58is that they act
19:58on certain pathways
19:59in our body
20:00to suppress appetite,
20:01right?
20:02to reduce the absorption
20:03of a certain nutrient
20:04and contribute
20:05to a caloric deficit.
20:07But we have to take
20:08into consideration
20:09that our act of eating
20:10is totally influenced
20:11and determined
20:12by our eating behavior,
20:13which is the way
20:14we behave in front of food,
20:16right?
20:18So,
20:18in order to maintain
20:19this weight loss,
20:20in addition to using
20:21the medication,
20:22we also need to take care
20:24of this eating behavior.
20:26So,
20:27it is very common
20:27for me to see patients
20:29in my office
20:29who have started
20:30taking medication,
20:31even though their appetite
20:32is suppressed,
20:34but continue to have
20:35excessive eating behavior,
20:36because our diet
20:37is also greatly influenced
20:38by our mentality,
20:40by our psychology.
20:41So,
20:42it is important,
20:43even while taking medication,
20:45to have nutritional monitoring,
20:47to make adjustments
20:47to your diet
20:48and also to your eating behavior
20:50so that it is a
20:51multidisciplinary effort,
20:52right?
20:53Medication alone
20:54will not sustain weight loss
20:55for the rest of your life,
20:57just as,
20:57right?
20:58Just taking care of your diet
20:59when you have some issue,
21:01right?
21:01Some disease,
21:02some associated comorbidity,
21:04without medical monitoring
21:06will also not be enough.
21:07So,
21:07this work is very important.
21:09Multum.
21:09Let's take a quick break,
21:11folks.
21:12I'll be back in a little while
21:13to talk about myths and truths.
21:15Our specialists will tell you
21:17which supplements
21:17help you lose weight.
21:19Wait for me.
21:33We're back with health checkup.
21:35Let's talk about myths and truths
21:37when it comes to weight loss.
21:39We want to know
21:40if drinking warm water with lemon
21:42on an empty stomach
21:43helps you lose weight.
21:44Myth or truth?
21:46Myth.
21:46Drinking warm water with lemon
21:47in the morning
21:48will not help you lose weight.
21:49What will happen is that
21:50if you drink warm water
21:51with lemon in the morning,
21:52you will start your day
21:53feeling more hydrated.
21:55The lemon will provide you
21:56with some vitamin C,
21:57but it will not make you lose weight.
21:59And supplements are essential,
22:01doctor,
22:02for losing weight.
22:03We want to know
22:04who bought the supplement.
22:06It's in the kitchen.
22:07Does it help or not?
22:09No, supplements are not for losing weight.
22:13Supplements are a complement
22:15to the diet that we have
22:16in those moments
22:17when we can't eat,
22:18can't make a certain type of meal.
22:19We add the supplement
22:21to help us maintain the diet.
22:24Now, folks,
22:26we know that detox juice
22:27was a big fad.
22:28Many people still like to drink it.
22:31I'm going to detox my body.
22:32It will help you lose weight.
22:35Detox juice alone
22:36will not promote weight loss.
22:37What happens is that
22:38it is a juice
22:39that is very rich in nutrients
22:40because of the ingredients
22:41that we put in that juice,
22:42especially the most famous one,
22:44which is the green one, right?
22:45So we will have
22:46a large amount of nutrients there
22:48that will be very good for our body.
22:50They will make our body more nourished,
22:52but they will not be responsible
22:53for our weight loss.
22:55The health department recommends
22:57that obesity treatment
22:58begins in basic units.
23:00Then, in more serious cases,
23:02the patient can be referred
23:04for specialized care.
23:06Bariatric surgery is an option
23:08that is best indicated
23:09only in specific situations,
23:11right?
23:12Folks,
23:12after years of clinical treatment
23:14and never as a first option.
23:16I'll stop here.
23:18You can watch it again
23:19on Folia Vitoria's YouTube.
23:21Next week,
23:21there will be another
23:22health checkup at 1030.
23:23I'll be waiting for you.
23:25Thank you, doctor.
23:26Thank you again
23:27for the invitation, Alice.
23:28Thank you.
23:29I appreciate the invitation
23:30to be here.
23:31Have a good Sunday.
23:32Thank you.