- 25 minutes ago
Speaking at the India Today HealthWealth Summit, cardiologist Dr Ashok Seth and obesity specialist Dr Anoop Misra discussed the growing burden of heart disease, obesity and hidden metabolic risks. They highlighted early screening, healthy lifestyle habits and the need to identify potential heart problems before complications develop.
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00:00Let me tell you that if there are two doctors in the country who have seen more heart disease,
00:09and if there are doctors who have seen more diabetes, they can't be more than them.
00:14These are doctors who will not get an appointment, but their insights are a path breaking
00:21on not just how you and how we can fix our health, how we can keep our heart diseases
00:27and diabetes, but overall health can also be improved.
00:33So I am so so glad that both of you could join us today.
00:36I will start with a very simple question.
00:42Heart disease and diabetes, do you think which one of the biggest villains is for India?
00:54I will start with you.
00:58First, I will tell you that when you did a podcast, you said that you don't get an appointment,
01:06so many people are scared of me that you don't get an appointment, why do you see the podcast?
01:11I will tell you that you don't get an appointment.
01:13You can get an appointment.
01:14Your question is very clear.
01:16And look, one thing that has started with heart disease, that is the disease.
01:26There is no doubt about it.
01:28And the disease, whether it be in childhood, or whether it be in stress, or whether it be in stress,
01:39or whether it be in疲
01:39It will lose your heart and heart is important.
01:42And Dr. Seight will tell you.
01:44So until the first question is the thing about childhood,
01:49I am seeing that somebody has tipped me,
01:52and 50% people at the college are in law.
01:54But I am seeing that no one is very big,
01:56And it is a very good thing, and it means that you are doing your diet and all that you
02:04are doing.
02:05So, those who keep your body clean at the beginning,
02:10do not have blood pressure, do not have cholesterol, do not have diabetes,
02:16do not have liver disease, and do not have problems of heart.
02:20So the first thing is we should see our body,
02:23we should see our body, this is the first thing.
02:26Dr. Seet.
02:28First of all, I will tell you this,
02:30Youngsters, you stay and listen to our stories.
02:34This is not a problem of diabetes and heart disease.
02:38And if we have to understand it,
02:41we are worried that this is a problem of youngster's problem.
02:47In fact, this is not a question and answer session.
02:53In fact, I will tell you that, Dr. Noof has said that,
02:58yes, they do not get an appointment.
03:00So, I was told that,
03:02you get to get a podcast for 2 hours of time every day.
03:06But the patient is curious.
03:08I think this is the right time to let everybody know,
03:13that when we do podcasts,
03:15maybe you do not know about it,
03:16but the waiting period also goes into months.
03:19Dr. Seet and Dr. Mishra,
03:22we have to fix a date on a month after a month.
03:24After that, we get a podcast.
03:26So that those who are not able to get something,
03:28they will be able to learn something.
03:29But,
03:30that is a very important thing, Dr. Mishra,
03:32we have heard that,
03:33heart disease,
03:34which is the biggest killer of the world,
03:36and the biggest killer of the world,
03:40there are 50% deaths from heart attacks in the world,
03:45and some ten years ago,
03:47there are the biggest killer of the world in the world.
03:49This is the biggest killer of the males and females,
03:52and this is the biggest killer of the youth.
03:54And what is its cause?
03:56The diabetes is increasing,
03:58so that's why they said,
03:59that the beginning of the world,
04:02it is very important.
04:04But it is the only beginning of the diabetes.
04:08And there are many other beginnings,
04:10which you need to know very importantly,
04:14which we need to know.
04:15Because we understand the disease process,
04:17we understand the problems,
04:20but the risk factors,
04:22because it is increasing.
04:24And in the youth,
04:27twice,
04:28twice,
04:29200% rise,
04:30in the past 15 years,
04:32there are some causes.
04:34And those causes,
04:35our understanding,
04:36our understanding,
04:37is very important,
04:38if we have to save heart disease.
04:41That's why you are thinking,
04:42how many things happen,
04:44that,
04:44that,
04:45that,
04:46that,
04:46that,
04:46every young person,
04:48who are dancing,
04:49has collapsed in the gym.
04:51Heart attack.
04:52In the gym.
04:52At the gym.
04:53You mean,
04:54we are healthy,
04:55we are going to do the gym,
04:57how much have a heart attack.
04:58In fact,
05:00there are so many waves
05:00on the youth and heart attacks.
05:03So that's why I will say,
05:04that,
05:05that,
05:05important diabetes is a risk factor.
05:07But if I have 7 risk factors as well,
05:10that have changed in the past 15 years,
05:12changed, it is clear that our diet has completely changed, smoking has increased, alcohol has increased,
05:19we have more exercise, which we call, reduce heart-healthy exercise, stress has increased,
05:26motapa has increased, and the most pollution and covid has killed us. This is a combination
05:35of diabetes, this is a combination of heart disease.
05:40That's a wonderful sort of summary of things that one needs to keep in mind. But Dr. Mishra,
05:45you said that young people are looking fit, but not to see fit. In India, there is a phenomenon
05:52that we call toffee, thin outside, fat inside. This is very peculiar, only in Indians, and
06:00moreover, they get in our subcontinent logo. So, the youngster who likes to see fit for
06:37their blood reports. But what will you tell us about to stay fit for your blood reports?
06:38Fat, does not see fit. The fat inside, does not see fit? In the fat inside the fat, does not
06:46see fit. The fat inside the liver, does not see fit. And the doctor often says that that the fat
06:51I don't see the fat on the back-to-back.
06:54So, look, there are various types of things.
06:56All these are invisible things,
06:59which only a doctor can assess and see which is important.
07:07So, we are talking about fat,
07:10but the other thing, Sonan has told you,
07:12is very important,
07:13that you are watching,
07:14but if we are testing strength,
07:18then you will know that your strength is less.
07:19So, the other thing is that the muscle has come.
07:22So, one is the fat and one is the muscle.
07:25So, the muscle is traditionally less.
07:28Now, many people have said that
07:32there have been famines in our history,
07:36which meant that you had low protein all throughout,
07:41and we are largely vegetarian.
07:44So, our protein intake is less,
07:46and our muscles are less,
07:48and that's why we are not able to produce
07:50too many world-class athletes,
07:52because our muscles are not very good.
07:56Now, people think, Sonan,
07:58is that fat is the culprit.
08:01That is not the point.
08:03Point is that your muscle and fat both are culprits.
08:07And muscle, so balance is like this.
08:10Muscle is less, fat is more.
08:12So, totally lopsided balance here.
08:16If fat is less,
08:18and the power of muscle is less,
08:20then we are going to be fit.
08:22So, even if our BMI,
08:25which is height or weight in kg,
08:29weight in kg,
08:29that's what happens.
08:33So, it's called kg per meter square,
08:35that's what we are saying.
08:36So, it's a little bit bigger,
08:40and we are getting fit.
08:41So, I think that is something very good for our metabolism,
08:45for our liver, for our sugar, and for our heart.
08:48Right.
08:49Dr. Seet,
08:50we have treated heart diseases for many years.
08:54That, after a year, it will happen.
08:56After a year,
08:58there will be diseases in heart.
08:59There will be diabetes.
09:01We will eat drugs,
09:02and the car will be running.
09:04Fundamentally,
09:06what, after COVID-19 in India,
09:08this thinking is changing?
09:09Now, people are saying,
09:11that we only have to do drugs.
09:13Tell us how to avoid these diseases from diet.
09:17Don't manage it.
09:18Don't do it.
09:18Avoid it.
09:20Look, heart disease starts from childhood.
09:26If you have a tendency of cholesterol,
09:30it starts from childhood.
09:34That's why we say,
09:36that if you have to test cholesterol in India,
09:39then you have to test cholesterol in India for 10 years.
09:44You are saying great.
09:45You have to test cholesterol in 10 years.
09:46For every child,
09:48you have to do the same things.
09:50The one thing is echo,
09:51which will explain a congenital heart disease.
09:54Therefore, some people have sudden death.
09:57The other one is to do blood tests.
10:00The second one is to test them again.
10:03and those who don't get frustrated,
10:06they keep doing it for 5 years.
10:08But the important thing to understand is that
10:11yes, awareness is very important.
10:14Nadda Sahib said himself,
10:16did they know their body?
10:20What does it mean to know their body?
10:22We say,
10:24look at my muscles, I go to the gym every day.
10:26There are many people who are going to the gym every day
10:30and all of them are watching before wearing a shirt
10:33that I have many good muscles.
10:37What is really health?
10:39They don't know their body.
10:40Because silent killers are the same.
10:43Cholesterol has increased,
10:45which may be familial,
10:47which has been passed on to your parents.
10:49And you don't know.
10:52Diabetes has increased,
10:53which has increased in children.
10:56It has increased by 3 or 5 times.
10:59because they are silent killers.
11:01And BP,
11:03which is the height of 30% of the adult population,
11:06doesn't know their body.
11:08So when they said this,
11:09it means that they have to know their risk factors.
11:12And if you have to control your own,
11:15you can easily control it.
11:17There is no need for rocket science.
11:19There is no need for it.
11:20That if it is the same thing,
11:22that BP,
11:23cholesterol,
11:25and sugar
11:26is in our hands.
11:28If it is in our hands,
11:29if it is in a big mouth,
11:30it is in our hands.
11:33And the thing will be done in these two things.
11:36If we have done this,
11:38then positivity will come like this,
11:40then stress will be done.
11:41We will leave alcohol like that,
11:43because we are health conscious.
11:45I will come in one minute for alcohol.
11:48So actually,
11:50it is not rocket science.
11:52That's why he said,
11:53that you know your body,
11:55exercise,
11:56and understand the things.
11:57So,
11:58heart disease will reduce.
12:00You will lose risk factors.
12:01And by the way,
12:02do not understand the weight lifting and muscle.
12:06It is good.
12:07Do the gyming.
12:08Be health conscious.
12:10You should know that
12:11health consciousness is a good thing.
12:13But you should also know that
12:15what health is heart healthy exercises,
12:18and what heart is unhealthy exercises.
12:20You know,
12:21many times when people say this phrase,
12:23and today it is very famous to say,
12:27you know,
12:28listen to your body.
12:29If I say this phrase,
12:31two different people,
12:32then it can be very different.
12:34If I say this phrase,
12:35listen to your body,
12:36then he says,
12:36today I am going to eat jelly.
12:39If I say this phrase,
12:41listen to your body,
12:42he says,
12:43today I am going to eat jelly.
12:45Correct.
12:45So this phrase,
12:46listen to your body,
12:47can be very tricky.
12:49Dr. Mishra,
12:51you are famous for this,
12:53that when people come to your clinic,
12:55you ask them to give them
12:55and ask them,
12:57tell me,
12:58what did you eat in breakfast?
12:59And then you are going to ask them,
13:02how big it was,
13:03how big it was,
13:03how big it was,
13:04how big it was,
13:04how big it was.
13:05So,
13:06all of the diseases,
13:08like we have said,
13:09the biggest diseases of India,
13:11heart disease and diabetes,
13:13if it is starting from the mouth of the mouth,
13:14so,
13:15what do you say is right,
13:16that the mouth of the mouth of the mouth,
13:18like Dr. Said said,
13:20and if fitness is in our hands,
13:22then the mouth of the mouth is starting from our mouth.
13:26You will not believe,
13:27you have talked about paratha,
13:28when I started,
13:30so,
13:3090% of people say,
13:31today I am eating paratha.
13:33So,
13:34there is a universal answer.
13:36So,
13:37Paratha is healthy for them.
13:38It is healthy,
13:40and the size of the mouth is better.
13:42Who thinks that paratha is bad?
13:46Some people think that,
13:47very few people think that.
13:48Very few people think that.
13:49So,
13:50you think that paratha is a good thing.
13:52Well,
13:53you are not wrong.
13:54Look,
13:55I mean,
13:56if you say,
13:57that if we give someone to the food,
14:00or sit in the table,
14:02and give them a diet,
14:04that if you eat this diet,
14:05then that would never happen.
14:07And,
14:08I also differ this,
14:09that there is no solution for it.
14:11We have to see it in the long term.
14:13So,
14:14when we have to see it in the long term,
14:15we have to change their habits
14:16a little bit.
14:18We don't have to do this,
14:19that,
14:20in the morning,
14:22you have to eat the vegetables,
14:24and then you have to eat the rice.
14:26It is not possible.
14:28So,
14:28we will make that paratha in the right place.
14:31We will make that paratha.
14:33We will make that paratha.
14:33And,
14:34we will say,
14:34in the week,
14:36five days,
14:38there will be other things
14:38that we will tell.
14:39What are healthy things?
14:41You have to eat oats,
14:43you have to eat nuts,
14:44you have to eat nuts.
14:45We will tell these things.
14:46And,
14:46we will say,
14:47two days,
14:48you have to eat paratha.
14:49So,
14:49we do this,
14:51which we start with children,
14:53and go to school.
14:54All people,
14:56ninety-nine percent,
14:58believe me.
14:59And,
15:00I will say,
15:01that this is not a solution for one day.
15:03But,
15:03you have to be happy.
15:08You have to be happy.
15:09You have to be happy.
15:09sir.
15:10This is because we have to keep a long time.
15:12We have to keep a long time.
15:13We have to keep a long time.
15:14We have to keep a long time.
15:14So,
15:14you have to make a habit.
15:16So,
15:17that is why people believe.
15:18Yes,
15:18Dr. Seath.
15:19I just wanted to say,
15:20I have to say,
15:21I have to say earlier,
15:22that you have said,
15:23thin outside,
15:24fat inside.
15:26To understand that,
15:27it is very necessary for you.
15:28In fact,
15:28you go home,
15:29your parents,
15:31your family,
15:32your family,
15:33this thing,
15:34that this judgment,
15:36is in your assessment,
15:38easily.
15:39We say,
15:40if the waist
15:41is more than 90 cm,
15:44or 36 inches,
15:46and women is more than 32 inches,
15:48which is called 80 cm,
15:51they come to obese,
15:53and they come to fat.
15:55And,
15:55if I give you statistics,
15:57then,
15:5740% of the adult population,
15:59either overweight,
16:01or obese,
16:01in Hindustan.
16:04It is important,
16:05that,
16:06you say,
16:06how can the waist of 6 foot,
16:07how can the waist of 6 foot?
16:10Yes,
16:11it has also said,
16:13height to waist ratio.
16:15In fact,
16:16if it is 0.5,
16:17then,
16:18it is more than 0.5,
16:19then again,
16:19it is more than 0.5.
16:20But,
16:21it is not in isolation,
16:23but,
16:23it is an easy statistic,
16:25which you can understand,
16:25and family,
16:27you know,
16:28you can take it,
16:28Indian statistics,
16:30and,
16:31and,
16:32aim for that,
16:33but,
16:34along with,
16:34other risk factors,
16:36so,
16:36that's why,
16:36those numbers,
16:37are important,
16:39to think about,
16:41depending on the weight of the fat,
16:42and,
16:42and,
16:42where the talk,
16:46around,
16:47diabetes,
16:48control,
16:49and everything else,
16:49of the fat,
16:50look,
16:51fat is essential for the body.
16:54You have heard,
16:56that you don't eat fat,
16:57you don't eat proteins,
16:58you don't eat proteins,
16:59you remove it,
16:59actually,
17:00it is not the fat which is bad,
17:02our brain is fat,
17:04our nerve cells are fat,
17:07our hormones are fat,
17:10we can't do it without fat,
17:12we can't do it without fat,
17:14neurological system will fail,
17:16but,
17:17it is the type of fat,
17:18so,
17:18the fat is not bad,
17:20the fat is made in the body,
17:22that is the most important,
17:23the fat is made in the body,
17:25which fat is made in the body,
17:26fried,
17:28or baked,
17:29that is very important,
17:31and what is the fat,
17:32fat is essential for the body,
17:34it is just the type of oil,
17:35so,
17:35we say,
17:36that they don't eat samosas,
17:38and they don't eat,
17:39they don't eat,
17:40but,
17:41if they are baked,
17:42then eat it daily.
17:44You said a very good thing,
17:46that people go to the house,
17:48and talk to their parents about it,
17:50and change their eating habits.
17:52Today,
17:52there is a new trend,
17:53that everyone goes and says,
17:55that you start eating protein,
17:58in your diet,
17:59in your diet,
18:00if you are vegetarian,
18:01your B12 will be less,
18:02please,
18:03eat your eggs,
18:04food.
18:05Fads.
18:05So,
18:06in the house,
18:08politics divided,
18:10people divided,
18:10food choices divided.
18:13So,
18:14before I come to you,
18:15Dr. Zaid,
18:15Dr. Mishra,
18:16is it essential,
18:17that all the vegetarians,
18:18have to take a protein supplement?
18:21And I will also,
18:22say at the same time,
18:23Dr. Mishra,
18:24this is a book,
18:25and if I am saying anything,
18:27then I am saying it,
18:28I am saying it.
18:31that is very common,
18:33and Dr. Mishra,
18:34has told me,
18:35that I am saying it.
18:36But,
18:36first,
18:37I will talk about fat,
18:38which oil is more used to use,
18:40meat is used to use,
18:41meat is used to use.
18:42meat is saturated fat,
18:43it will also go in the heart,
18:45arteries,
18:45liver,
18:47all the parts,
18:48and it will go there,
18:49and it will not go out there,
18:50and it will go out there.
18:50And in the same way,
18:52there is palm oil,
18:53or coconut oil,
18:54so,
18:55when I talk about fat,
18:56people are scared of me,
18:58they are scared of me,
18:58they are scared of me,
18:59they are scared of me,
19:00and when I talk about coconut oil,
19:02South Indian oil,
19:03they are scared of me,
19:05but the fact is the fact,
19:06the fact is the fact,
19:06the science is the science,
19:08so,
19:09you have to,
19:10simple oil,
19:11mustard oil,
19:12is the best oil,
19:13still,
19:14cheapest and the best,
19:15but if you are not cost conscious,
19:18then you can use olive oil,
19:20canola oil,
19:21rice brown oil,
19:21you can use it,
19:23and if you make a little paratha,
19:24in fact,
19:25beneficial for you,
19:27not detrimental for you.
19:29Look,
19:30as far as protein is,
19:3012% total of protein,
19:34we take from India,
19:36which,
19:38if you talk about America,
19:40it is 19 to 20%,
19:42but it is the meat in the morning,
19:44the meat in the morning,
19:44the meat in the evening,
19:44the meat in the evening,
19:45the meat in the evening,
19:45we are 30-40% vegetarian,
19:48and the rest of the non-veg,
19:50in the evening,
19:51we take one or two times,
19:52so,
19:52look,
19:53protein is not necessary for us,
19:55but
19:56high protein,
19:57you can tell us,
19:58like,
19:58you are talking about common food,
20:01in the rice,
20:02in the rice,
20:03in the rice,
20:04you will leave the rice,
20:05in the rice,
20:05there is also a protein,
20:06and if you get the rice,
20:07the protein will double,
20:09the protein will reduce the rice,
20:10and the glycemic index will reduce,
20:12and also,
20:13look,
20:14soybean is the best protein,
20:16top-line protein,
20:17which has all amino acids,
20:19and the absorption is maximal,
20:21soya protein,
20:21and soybean,
20:22if you buy it from the farm,
20:24it will be processed,
20:27but these are providing you,
20:30leucine,
20:31which will increase the muscle strength,
20:33if you can eat it,
20:35you will eat it daily,
20:36and you have chia seeds,
20:40you have flaxseed seeds,
20:41it is very important,
20:43it is very important,
20:43nuts are very important,
20:44so,
20:45look,
20:45there are so many sources,
20:47people say,
20:47you cannot eat protein,
20:49no,
20:50there are so many sources of protein,
20:52right kind of protein,
20:54you increase it,
20:55like,
20:55today,
20:56there is a high protein yogurt,
20:59very good,
21:00you eat it,
21:01it will save the diabetes,
21:02and it will also give the protein,
21:04so,
21:05we can do this,
21:06we don't need any extra protein powder,
21:10yes,
21:11some time,
21:12we give people,
21:13who are not able to eat it,
21:14who are not able to eat it,
21:15who are not able to eat it,
21:16who are not able to eat it,
21:18who are not able to eat it,
21:18who are not able to absorb it,
21:20who are not able to eat it,
21:21but this is not,
21:22the word is supplement,
21:24it cannot be understood,
21:26as the only source of protein,
21:28I think that's where the problem really starts,
21:30but,
21:30Dr. Seet,
21:31I have to ask your question,
21:32which I am sure,
21:33in my house,
21:34and I have a lot in my house,
21:36that,
21:36that,
21:37our parents' generation,
21:39they say,
21:40drinking today's food is very complicated,
21:43you are calculating protein,
21:45fat,
21:46carbohydrates,
21:48we are calculating that,
21:48we live like that,
21:50we live like that,
21:52we live like that,
21:52this is your generation's problem,
21:56so,
21:56are we too obsessed with our food?
22:02easily rest,
22:03I can eat it,
22:04I can eat it easily,
22:05the first thing,
22:06that,
22:06that,
22:06those people really eat fruits and vegetables,
22:09that was very clear,
22:11the food was clean,
22:13the food was made,
22:15the food was made,
22:15the fiber was made automatically,
22:18the fiber was made,
22:19the food was not refined,
22:21the wheat is not bad,
22:24the food was made,
22:25we have,
22:25the whole husband,
22:26the harvest is filled with the food,
22:28so,
22:29it is the type,
22:31today,
22:31people ask,
22:32I'm eating food,
22:34outlawed,
22:35should,
22:36that,
22:37one or two hours in the day, no one understood what happened in the day.
22:41So, this was what happened. And then, there was a lot of exercise.
22:45We had to go to school. We had to go to school.
22:48We had to go to school. We had to go to school.
22:50We had to go to washing machines. We had no grinder.
22:52We had to work from our hands.
22:53We had to go outside. We had no TV.
22:57In fact, the whole world had to sleep peacefully.
23:00We had no stress.
23:02We had no stress.
23:05We had no stress.
23:07It was a non-competitive world.
23:10So, think about how much heart disease has increased at that time.
23:18So, this is one thing.
23:20Secondly, the second thing is the fads.
23:22The fads have also increased.
23:24Today, this is a fashion.
23:26One of the fads came,
23:27It was said that,
23:28in 24 hours a day,
23:30you have to fast for 22 hours.
23:33Eat only 2 hours.
23:36Now, you think,
23:38that these fads,
23:39you will have listened to it.
23:41And, that is,
23:41they are unnatural fads.
23:42The body was not made for these things.
23:44God created a little body,
23:46so that,
23:47you have to be careful towards what you are saying on fasting.
23:51Not to say it.
23:52That's one day.
23:54Okay.
23:54But, fasting toh hai.
23:55I mean, sorry.
23:56Not to carry on these sentiments.
23:58But, in general,
23:59I am talking about the fads of eating regularly.
24:04Today, of course, is a holy day.
24:05In fact,
24:06sometimes I just feel,
24:07that these are the good days,
24:08where we, at least,
24:10we synchronize our bodies.
24:13Which are the holy days of our religion.
24:17Now,
24:17getting back to all these fads,
24:20and those fads are popularized.
24:22They are popularized,
24:23they become an inherent,
24:24temporary phase,
24:26in which there are a lot of arguments in the house.
24:28And then, of course,
24:29there is a lot of hearsay.
24:31And, I would say,
24:33enough of media doctors,
24:35or should we say,
24:36social media doctors.
24:38So,
24:39that's why,
24:39simple stuff is this,
24:42that,
24:42simple,
24:43there is no complexity in this food.
24:46The food is made in the house,
24:48which is made in the right oils.
24:50The oils have already told them.
24:53They have to make it in the rice.
24:53They have to make it in the 5-5 days.
24:56There is no taboo.
24:59Now,
24:59eat the food that is made in the house,
25:01which is non-vegetarian,
25:02they will get the protein from non-vegetarian dishes.
25:05And,
25:06they have told them,
25:08they have told them,
25:09I actually,
25:10in a whole day,
25:11I don't have breakfast every day,
25:13but what do I eat?
25:14High-protein milk in the morning.
25:17And,
25:1725 grams of high-protein milk,
25:20in a bottle,
25:20in a night,
25:21and then,
25:22I eat at night.
25:23My proteins,
25:25actually,
25:25actually,
25:26even if I don't eat any non-vegetarian,
25:30I eat at night.
25:32But,
25:32I can still take 80 grams of protein in a day.
25:35That is very important to understand,
25:38for vegetarians.
25:40So,
25:40in a way,
25:41everything is put to rest by understanding,
25:43that our lifestyle has changed,
25:45our attitudes have changed,
25:47our exercise has changed,
25:49and our food has changed completely.
25:52And,
25:52that is why.
25:53Dr. Seth has told his diet,
25:55what he hasn't told,
25:56that he is very blessed genetically also.
25:59His father,
26:00till at the age of 102,
26:01last time I checked,
26:02was in the gym.
26:03Yes.
26:04So,
26:04you are genetically blessed as well.
26:06While that really happens.
26:07On 15th November,
26:08he will be about 130 years.
26:10Lovely.
26:11Lovely.
26:12Dr. Mishra,
26:12you want to share your diet as well.
26:14Who are you taking protein,
26:16dahi or protein milk?
26:17Look,
26:18I will tell you,
26:19that my breakfast,
26:22I will say,
26:23that it is a blue zone breakfast.
26:25Does anyone know the blue zone here?
26:27No,
26:27it's front,
26:29it's front,
26:30no.
26:31Dr. Serene will not go,
26:32so who will go?
26:35Can we have a mic here please?
26:38This gentleman who is raising his hand.
26:40Okay.
26:41Look,
26:41the blue zone,
26:42yes,
26:42I guess that,
26:44but that's not enough.
26:45One person is not enough.
26:46Blue zone is where people live up
26:49from 100 years.
26:51And in the blue zone,
26:52the number one zone is in Nokinawa,
26:55Japan.
26:56So,
26:56I have put my breakfast name,
26:58Blue zone breakfast.
26:59What do you think about that breakfast?
27:01There are four chambach oats,
27:03soya milk.
27:06Soya milk,
27:06you add three chambach oats,
27:08you add chia seeds,
27:09and the nutrients are on the bottom of it.
27:12And then,
27:13you add some salt,
27:14you add some salt,
27:16you add some salt.
27:17you add some salt,
27:19you add some salt,
27:20And then,
27:20yes,
27:21last,
27:21last thing,
27:22blueberries.
27:23Blueberries,
27:23expensive but excellent fruit.
27:27Blueberries,
27:287-8,
27:29it is so delicious,
27:30power packed,
27:32high protein,
27:33high fiber,
27:34and omega-3,
27:35all of these things.
27:37I eat this.
27:38No bread,
27:39no bread,
27:40yes,
27:41I eat one egg with it.
27:42So,
27:43this breakfast,
27:44it will be run for me all day.
27:47Then,
27:47I eat some soup,
27:49egg,
27:50and a little bit,
27:51and some time I eat some bread.
27:52Look,
27:53I indulge some bread in the evening.
27:55I have some rice.
27:57I eat some rice.
27:57I eat some rice.
27:57Dr. Mishra,
28:03I am not sure if Dr. Sitt agrees with this rice at night.
28:39Dr. Sitt, if I can interrupt you there and tell you a little bit about how the new fads that
28:47have come in and you spoke about how
28:50people are going to eat one meal a day or 22 hours of fasting, which Dr. Sitt has not told
28:56you, I will tell you.
28:58These are the people who often use weight loss injections and don't want to tell the world about it.
29:04So this is the elephant in the room. So I have to ask you, weight loss injections are revolutionary.
29:12They have saved many people's lives. Their life has also increased.
29:17But what is the impact for heart health?
29:23In fact, the strange thing is that this is a very important thing.
29:29For diabetes, heart disease, liver disease, joint disease, sleep disorders,
29:40is a very important thing. It changes metabolism in many ways.
29:48Not only weight loss, not only weight loss.
29:51There are other actions that we are understanding slowly.
29:55That we are understanding slowly. But interesting thing is that it is the need for people.
30:01We say that you are the need for people.
30:04Take it. Take it. Take it. Take it. Take it. Take it.
30:07Take it. Take it. Take it. Take it. Take it. Take it.
30:08And by the way, I will tell you that our first line drug has got for heart disease.
30:13that if someone has a mutapa and in Hindustan, by the way,
30:18the mutapa's definition is not in the western world.
30:21I have explained to you that the mutapa's definition in Hindustan,
30:25when 42% of people in mutapa, 4 out of 10, are running from internal mutapa,
30:32which we would say is abdominal obesity or internal obesity or visceral fat,
30:37so you can imagine how much it is,
30:39if there is a heart disease, that if we have deaths from heart attacks,
30:45we can reduce 20% on top of what we are giving.
30:50So, this will be a first-line drug.
30:52But when we say that your mutapa is blocked or you have a heart attack,
30:57and we want to prevent your heart attack again with this injection,
31:01then people don't take it.
31:02And the next person comes, who doesn't need it,
31:06and then people ask, you were pregnant before,
31:10and you had pregnant, and you had pregnant.
31:11They say, I am exercising daily.
31:13And we get to know that the weight-reducing injection
31:17was not necessary.
31:18I am sure people are coming in Dr. Mishra's clinic.
31:20So it is opposite.
31:21They are coming in, but you need diabetes for Dr. Mishra.
31:24They should exercise, they should take weight-reducing,
31:26and they should protect heart disease, they should not take it.
31:29You are absolutely right.
31:30Those who need it are scared, and those who do not need it
31:34are lining up in front of hospitals and doctors to get that drug.
31:38But I am sure this is the problem you are facing, Dr. Mishra.
31:41Who is it for?
31:42Can you tell us?
31:43Because they are exceptional drugs, and who is it not for?
31:47Look, it is like that, before I tell you,
31:49I am sure that our children are here,
31:51probably do not know anything,
31:52that these drugs have been running for many years,
31:55and there is not such a new drug.
31:57And it was a drug in the beginning of diabetes,
32:01but we have seen that we have a lot of weight loss,
32:03and the recent ones are much more powerful.
32:06So, the recent ones, like the semaglutide,
32:08or terzacodyte,
32:09is known as the name of Ozmpekyya Munjara,
32:12we have used this last two or three years.
32:14We are using this last two years.
32:16And the remarkable weight loss,
32:2110 kg, 15 kg, 20 kg, 25 kg,
32:24we have seen this last two months,
32:27and it has 25 kg of weight loss.
32:28Now, if it has been normal weight,
32:31then it says,
32:322-3 kilos, and it will be less than 2-3 kilos.
32:33Now, we will think about it.
32:36So, look, we will think about this question,
32:39who does not need it.
32:41Look, BMI is one of the criteria,
32:43in India, from which these are short-term effects,
32:46and they are given to 27 and 30 BMI.
32:50And in India, there is also a little bit of BMI,
32:53but the fact is that,
32:55and I will not say anything about this,
32:59and I am not doing gender discrimination,
33:03but they are very close to this,
33:05and they call the doctor,
33:06and they say,
33:06we will reduce our weight,
33:08and when I calculate the BMI,
33:10then I know that there are normal BMI,
33:11and they say,
33:12we will reduce our weight,
33:13and give it an injection.
33:13So, when I say this to these people, they come to a small clinic who is doing something
33:22about weight loss and claims, they give them.
33:27Or they get over-the-counter or micro-dose.
33:31That is, if there is no dose, they take half dose.
33:35All these are irrational, wrong, side effects, major problems.
33:45And with these other peptides, which are totally not coming, they use it.
33:51Right, right.
33:52We have talked about a lot of other things.
33:53I think another thing is that we have to do.
33:55The reason, the right people who we advise medically,
34:00that it will change your metabolism, it will benefit from heart attacks,
34:05you will have less joint replacements,
34:09you will have obstructive sleep apnea or other disorders,
34:14you will have less weight, liver disease.
34:18People are afraid that we have cautioned the public, which is correct,
34:26but we have cautioned that it is dangerous.
34:28Actually, the dangerous word is wrong.
34:31It is to take supervision.
34:33So that's why, yes, someone is a tough one,
34:36someone needs to be better,
34:38they are trying to be better,
34:40they are trying to be less weight,
34:42this could actually be an impetus,
34:44that it can be an inspiration,
34:45that if I have a little bit of weight,
34:47then I can change my exercise, habits after that.
34:51The thing is, is supervision,
34:53the thing is that medical supervision,
34:55it is not dangerous.
34:55In fact, we have only a few criteria,
35:00that we have seen that there is no history of thyroid cancer in the family,
35:05we have seen that there is no gallstones,
35:07we have checked that if there is pain in the stomach,
35:10then tell us,
35:11maybe there is vomiting, nausea,
35:14eye issues.
35:15Eye issues.
35:15Eye issues.
35:16We have cautioned that,
35:18we have asked the patient,
35:19and the patient says,
35:20tell us.
35:21So supervision is the main thing,
35:23not that the drugs are bad,
35:25dangerous, etc.
35:26And that is why,
35:28what they want,
35:29they keep in mind.
35:30Right.
35:31Well, I am very glad that you have talked about this.
35:34I think that in this session,
35:34we have covered a lot of things.
35:36How is food,
35:37when is food,
35:38how much movement is needed.
35:39And I think,
35:40when you talk about these things,
35:41you don't have any celebrity on Instagram,
35:45but if you listen to the doctors,
35:47it reinforces your belief,
35:49in what is the right way to go forward.
35:51And so I am so glad,
35:52that both of you made the time today.
35:54Ladies and gentlemen,
35:55please put your hands together,
35:56for Dr. Anoop Pishra,
35:58Dr. Ashok Seth,
35:59one of the finest,
36:00our country has.