Doctor Reacts To David Dobrik's Weight Loss

David Dober just came back with his new Vlog and so many of you are asking me to comment on his body transformation so let's watch it as well as his documentary on the entire process let's get started I want to do the Zeal transformation with you okay I was like I really have to figure myself out the reason that I like really decided to do this is my friend Joe over here my really good buddy texted me and goes can I say something with love honor and then he doesn't even send me anything he just sends me a picture of me on FaceTime and then I go I know I'm too fat everyone has a different motivation for what drives them to want to make changes in their body some it's appearance others it's their health to me the reason why I recommend it to many of my patients is because of their health ideally I'm trying to optimize them to have the greatest chance of success and when people say well you can carry more weight and still be healthy that is true totally it can happen but the idea of carrying excess weight why it's a problem is down the line it creates excess health risk moving forward in the future so I don't just think about are you healthy now and are overweight it's are you healthy now and will continue to be healthy or are you facing increased risk this is my before body or if you're watching this video in four years it may be my current body after I relapse oh my God it's worse than I thought what do you mean worse than I thought that's basically what I look like right now I feel really uncomfortable standing like this in front of you do please put your shirt back on I was up close like a viewer would be and it's prettying bad this is a lot of body shaming happening right here and I'm not entirely a fan of this he's probably not carrying that much excess weight where it's going to be healthwise problematic if he says I prefer to look a different way and I want to get healthier and I want to look more muscular that's one thing but like making fun of his appearance it might not be bad for him but it can be triggering for others and when you're making content for millions of people you got to factor that in I know people come after me for being pad phobic when I talk about weight loss in general but I think when a doctor is talking about carrying excess weight and that excess health risk that comes with it that's different than when someone is just poking fun at their appearance oh so a dexa scan is a body composition scan the way we use dexa scans in medicine is more so for bone density testing to make the diagnosis of osteoporosis or osteopenia but what's cool about dexa scan is that it's also become the gold standard for body composition which tells us how much muscle tissue lean muscle mass as well as body fat is present and through there we can do a little bit of a calculation decide what someone's body fat percentage is there are actually some error rates with it and I know people say it's the gold standard and that's true hydration status sex disease State the type of machine you're using this current software update that it has all play a role in its accuracy and whether or not it changes from scan to scan so it's important to keep that in mind and not just rely on that as the sole indicator for your health your percentage of body fat on the Dex scan is going to be 27. 8% o is that good no my brother that's obese no it's not is it actually I believe the W does 25% for males I don't have a numerical goal where I'm like I want 9% body fat or I want to weigh 160 lbs I don't think that like unless you're training for a very specific goal like for example if you're a marathon runner and you're doing it professionally you need to chase a certain time that makes sense if you enjoy the passion of chasing something specific you can do it but healthwise I don't ever push someone to get to a specific body fat percentage because we don't yet have good correlations as to what number is actually perfect for you it's more of a single number that we look at in combination with all the other numbers and aspects that are going on in your life and Health in order to decide whether or not you're optimized mine is all visual like if I'm okay to look in the mirror at myself that's fairly normal and should not be [Music] [Applause] judged go so if he's going straight from being sedentary going and starting to do miles right away maybe may not be ideal unless he's comfortable with that kind of mileage if you start too quickly you can develop soreness you can develop injuries so much so that it demotivates you to continue working out and it's all about being continuous and remember exercise is not the end all be all for weight loss it's more about the diet the that's pretty good for someone just off the couch a lot of the people that do these Transformations like kind of give up the fun part of their life no eating good fun things from time to time and like that's what I don't want to do I want to make sure like whatever I become or however good shape I get to like I want to make sure I can maintain it yeah that's that's the problem when people think about Transformations they think about it as a point in time as opposed to making a lasting healthy lifestyle change so it's good that he has that in the back of his [Music] mind oh my Lord that's the biggest I've ever been in my entire life I've never seen people who normally weigh themselves with their shoes on so in order for him to retain muscle and lose only body fat we're going to be aiming for about 200 g of protein a day 200 g of protein he's 180 it's a little bit over a gram per pound it's fine there's been some arguments about getting one per kilogram of body weight one per pound of body weight some people do more ideally you should be keeping your protein intake pretty high if you're trying to minimize muscle loss when you are losing weight and you still will lose muscle when you're losing weight no matter how much protein you take in it's just part of the journey that's why people who are doing this professionally have periods where they're bulking where they're shredding it's not just year round they're fully ripped all the time perfectly because that's not sustainable this type of high-intensity interval training has been shown to be really beneficial specifically for fat loss because it helps grow muscle but it's not this longstanding cardio workout where you are also losing muscle so the idea is mixing up workouts where you're doing strength training high-intensity interval training or moderate continuous training where you're basically walking three-speed 12 incline for 45 minutes that sort of mix is usually the best outcome for someone who's just generally trying to get into good shape like well who's your dream body oh my dream body Tom Holland when he's ripped when he's ripped RI Tom Holland the problem when people look at Celebrities and I've done this myself I I've went to the gym and hold a picture of Chris Evans or something and be like that's going to be me like he was in Captain America a lot of times it's not realistic they get paid to look like that so their lives are surrounded by dieting exercising with professionals sometimes anabolics are involved or they'll say that they need testosterone replacement what have you so don't think that those are realistic bodies that they're walking around year round with it's just not true in the majority of cases unless they have amazing genetics or something uh the number is you went from 27. 8 to 25.

2 Wow you went from 46 lb of fat to 41 lb of fat and wow you gain 4 lb of muscle this is the thing when you start an exercise program the scale might not change as quickly initially it might because you might lose some water weight but then it plateaus because then you start gaining muscle but losing fat so you're creating a different composition of your body but the numbers on the scale don't change and sometimes that demotivates people so it's important to look in the mirror and make sure that you're seeing the change as well as knowing your performance in the gym is improving I ordered 30 strip bucket for the ride airplane ride cuz we have two layovers how many calories do you think are in there in a 30 strip bucket 12,000 his whole Mantra is that he wants to get fit eating whatever he wants maybe it'll work maybe it won't it it's not about maybe it will maybe it won't it's it's about making sure the calories are correct people like to dunk on calories in calories out and show every example in which it doesn't apply but the reality is it still applies if someone has a condition that impacts how much they're burning like if someone can't exercise that's still impacting calories out if someone has a condition where they have hyperphagia syndrome where they're overeating food that's still excess calories in but if you control the amount of calories in and you control the amount of calories out you will uh see results obviously I can see some changes my shirt off like getting good lighting I could take a look a solid picture but like with my shirt on I mean look at me nothing's changed Health has changed that's the benefit it's so wild cuz if I came up to someone I was like hey you want to live longer everyone will say yes and then I'll say Okay exercise they'll go but will I look better you're going to live longer he's losing progress because of his diet how many french fries am I allowed to eat none bro put it down David dead ass the fact that he's eating the french fries and drinking the Cocola is not inherently a problem the issue when you're consuming these refined carbs quick digesting carbs sugars is that they're easy to overc consume they make you hungrier quicker so they don't keep you satiated so as a result they're easy to overeat and when you're overeating and you're constantly hungry and you're getting these swings and crashes it makes your diet usually unhealthier he's trying to prove to me that his method works so good and this is not great obviously for cholesterol High saturated fat not healthy fat either so my goal going into this Dex scan is anything around 16. 6 15. 7 wow good work yeah yes this is great news being that you travel for 2 months but like you can't do what you did last month dude it'll go down again I promise you okay so the next goal would be well I'm traveling again and this one's going to be the worst one cuz I'm going to get sloshed this next week something people don't consider is yes when you consume alcohol it has calories so it's easy to drink more calories especially with sugary alcoholic beverages but when you are inebriated you are drunk you tend to overon consume food in general and lose sense of how much food you're consuming so it's easy to to drink pick up 1,000 calories just from the drinks and then afterwards to say oh I'm so hungry and just massively binge another th 2,000 calories and if you do that often enough that's not going to be healthy for your [Music] body today's scan you're at 16.

4 and the previous scan last month 30 days ago you're up 15. 7 you gained a pound of body fat and you lost basically 2 lb of muscle you know they're doing so many of these dexa scans normally you wouldn't be super concerned about the amount of radiation exposure cuz it's basically the amount that you would get getting an x-ray but if someone's getting an x-ray like every month I I would be like do you really need that because those things add up and while traveling and being on an airplane does expose you to radiation as well it's like you you want to limit that especially if it's not for medical reasons like if you're getting an x-ray to check for a fracture CU you might need to intervene that makes sense but here it's purely for entertainment so I don't know he's been drinking whatever he wants he's been eating whatever he wants and you can only get so far with that type of mindset I told you multiple times that if you're not like tracking what you're doing you'll reach a point of diminishing returns which is exactly what's happened and your way is my way or the highway and this is where it's gotten you tracking isn't absolutely necessary tracking is valuable to get an idea and a sense of what's in typical Foods cuz it's easy to underestimate let's say sugar content of some foods or overestimate protein content of what you would call a healthy food so I like tracking to get a sense of things or if you just need help cuz your life is so busy tracking is valuable but it's not for everyone we stopped seeing results for about 2 months and in order to get him back to structure and discipline we created the 75-day David do challenge the plan consists of these four key elements number one diet so so far David's been eating meals that are high in calories but low in protein McDonald's Taco Bell Subway these are just like the unhealthiest Foods again I'm not saying like you can't have one of these meals every now and then it's just like consuming them every day like that is just forget about the weight metabolically it's unhealthy we're going to replace those meals with healthier Alternatives that have the same calories but much higher protein these four meals is what you going have plus this plus a shake every day every day number two calorie tracking the ultimate goal is to consume fewer calories than what you burn to achieve this David will have to be tracking his meals number three workouts David's going to be working out every day specifically 30 minutes of steadystate cardio on a treadmill it's funny that we just talked about this you also don't need to work out every day you definitely want to include a rest day if they're saying just going for a mild walk as exercise that's fine but you need to incorporate some rest days in there and finally number four no soda what no soda at all no diet soda no regular soda I can't have a Diet Coke you can't have any type of coke I have like five Diet Cokes a day I wonder why they're telling him to cut out Diet Coke specifically the goal of this challenge is to build consistency and self-control so if he does that every single day for 75 days straight he should be able to build enough habits to be able to last a lifetime that's not necessarily true and that's not my opinion that's not just what I see in my practice that's just not what the evidence shows big day baby final dexa scan today I'm done tomorrow eating all the fast foods Wing Stop no no no okay so much for that if he stays for 75 days he's going to build up great habits regardless of the number for this final dexa he crushed the 75 day challenge exactly that's why the Dex of thing doesn't matter it doesn't matter matter treat the patient not the lab value if you're a person think about how you feel if you're a doctor think about treating the patient your first scan you at 27. 8% body fat now I am at a whing 11 11 months later oh my God I why would you say it like that you are down to 13.

1 w wow that's half but again that information is strictly only for the wow moment like nothing else and you know what else could have created that wow moment a photo of before and after without all the radiation you went from 46. 4 LB of fat to 20. 5 lb of fat see you later fat losing a total of 25.