减肥神药的副作用：每月数百美元买未经检验的网售补剂，医生为何
字幕摘录
| 时间 | 英文 | 中文 |
|---|---|---|
| 0:00 | Imagine a medical miracle, like a drug that just gives you your life back. | 想象一下一个医疗奇迹 就像一种能让你重获生命的药物 |
| 0:05 | Right, a drug that helps you drop a lot of weight or protects your heart. | 对 一种能帮你减肥或保护心的药 |
| 0:09 | Exactly. | 没错 |
| 0:09 | It sounds amazing, right? | 听起来很棒,对吧? |
| 0:10 | But there is a catch. | 但有一个陷阱。 |
| 0:12 | There is always a catch. | 总是有收获。 |
| 0:14 | Yeah, a really big one. | 是啊,一个真正的大。 |
| 0:15 | This miracle drug can trap you in bed. | 这种神奇的药物能把你困在床上 |
| 0:18 | That is, unless you spend hundreds of dollars a month on, well, untested internet pills. | 也就是说,除非你每月花费数百美元 在未经测试的网络药丸上。 |
| 0:23 | It is a wild situation. | 这是一个野生的情况。 |
展开字幕全文（472 条）
| 序号 | 英文 | 中文 |
|---|---|---|
| 1 | Imagine a medical miracle, like a drug that just gives you your life back. | 想象一下一个医疗奇迹 就像一种能让你重获生命的药物 |
| 2 | Right, a drug that helps you drop a lot of weight or protects your heart. | 对 一种能帮你减肥或保护心的药 |
| 3 | Exactly. | 没错 |
| 4 | It sounds amazing, right? | 听起来很棒,对吧? |
| 5 | But there is a catch. | 但有一个陷阱。 |
| 6 | There is always a catch. | 总是有收获。 |
| 7 | Yeah, a really big one. | 是啊,一个真正的大。 |
| 8 | This miracle drug can trap you in bed. | 这种神奇的药物能把你困在床上 |
| 9 | That is, unless you spend hundreds of dollars a month on, well, untested internet pills. | 也就是说,除非你每月花费数百美元 在未经测试的网络药丸上。 |
| 10 | It is a wild situation. | 这是一个野生的情况。 |
| 11 | It really is. | 没错 |
| 12 | So welcome to today's Deep Dive. | 欢迎来到今天的深渊 |
| 13 | We are looking at a really fascinating chain | 我们正在寻找一个非常迷人的链条 |
| 14 | reaction today. | 今天的反应。 |
| 15 | We have a great article from the South China Morning Post to help us out. | "南华早报"有一篇好文章帮助我们. |
| 16 | Yes, we do. | 没错 |
| 17 | Our mission today is to show you how a massive breakthrough in weight loss drugs is | 我们今天的任务是告诉你 减肥药物的大规模突破 |
| 18 | doing something totally unexpected. | 做一些出乎意料的事 |
| 19 | Right. | 对 |
| 20 | It is quietly creating a billion dollar boom in the vitamin industry. | 它悄悄地在维他命工业中创造了10亿美元的繁荣。 |
| 21 | Exactly. | 没错 |
| 22 | An unregulated vitamin industry. | 维他命行业不受管制 |
| 23 | And, you know, doctors are suddenly very, | 而且,你知道,医生 突然非常, |
| 24 | very worried about it. | 非常担心 |
| 25 | It is a perfect example of modern medicine creating brand new problems. | 这是现代医学制造新问题的完美例子。 |
| 26 | Yeah. | 对 |
| 27 | We have this highly successful treatment, but that success is changing how people buy | 我们的治疗非常成功 但成功正在改变人们的购买方式 |
| 28 | health products online. | 健康产品在线. |
| 29 | Before we get into the vitamins, we need to talk about the drugs themselves. | 在进入维生素之前,我们需要谈谈药物本身。 |
| 30 | Right. | 对 |
| 31 | The famous ones. | 诸名者. |
| 32 | 你可能听说过Ozempic或Wigovy等品牌。 | |
| 33 | Yes, they are everywhere right now. | 是的,他们现在到处都是。 |
| 34 | These belong to a class of drugs called GLP-1s. | 这些属于一种叫GLP-1的药物. |
| 35 | Let me explain that term really quickly. | 让我解释一下这个术语。 |
| 36 | Basically, a GLP-1 is a popular new type of medication. | 基本上,GLP-1是一种流行的新型药物. |
| 37 | Exactly. | 没错 |
| 38 | Doctors mostly prescribe it for weight loss. | 医生大多是开减重处方的 |
| 39 | And they also use it to treat | 他们也用它来治疗 |
| 40 | type 2 diabetes. | 2型糖尿病。 |
| 41 | Right. | 对 |
| 42 | And these drugs, I mean, they are a huge medical breakthrough. | 这些药物,我是说, 它们是一个巨大的医学突破。 |
| 43 | Oh, absolutely. | 当然 |
| 44 | They are incredibly effective. | 它们非常有效。 |
| 45 | They help treat obesity. | 他们帮助治疗肥胖症。 |
| 46 | They manage blood sugar for diabetes patients. | 他们管理糖尿病患者的血糖. |
| 47 | And they even lower the risk of major heart disease, right? | 他们甚至降低了重大心脏病的风险,对不对? |
| 48 | Yes, they do. | 是的,他们这样做。 |
| 49 | They truly change lives. | 他们真的改变了生活。 |
| 50 | And so many people are taking them. | 这么多人正在服用它们。 |
| 51 | 我在看J. P. Morgan的一些数据 | |
| 52 | The big bank, right? | 大银行,对不对? |
| 53 | Right. | 对 |
| 54 | What do their numbers say? | 他们的号码怎么说? |
| 55 | Well, in 2025, about 10 million Americans used these GLP-1 drugs. | 在2025年,大约1000万美国人使用这些GLP-1药物. |
| 56 | 10 million. | 一千万块 |
| 57 | That is already a huge group of people. | 这已经是一大群人了。 |
| 58 | It really is. | 没错 |
| 59 | But the future projections are just shocking. | 但未来的预测却令人震惊。 |
| 60 | Oh, yeah? | 是吗? |
| 61 | How high do they go? | 他们有多高? |
| 62 | J.P. Morgan expects that number to reach 25 million users by 2030. | J.P. Morgan预计到2030年这一数字将达到2 500万用户。 |
| 63 | Wow. | 珃 |
| 64 | 25 million. | 两千五百万 |
| 65 | Yeah. | 对 |
| 66 | That is nearly 10% of the adult population in the U.S. | 这占美国成人人口的近10%. |
| 67 | That means millions of people are completely changing their body chemistry. | 这意味着数百万人正在彻底改变他们的身体化学. |
| 68 | Right. | 对 |
| 69 | But before we get to the whole vitamin boom, we have to talk about the cost. | 但是,在我们进入整个维他命繁荣之前, 我们必须谈谈成本。 |
| 70 | You mean the physical price these patients are paying, right? | 你是说这些病人付出的体力代价,对吧? |
| 71 | Exactly. | 没错 |
| 72 | There is a hidden tax on the body with these miracle drugs. | 尸体上藏着这些神奇的药 |
| 73 | And that hidden tax comes as intense side effects. | 而这种隐性税作为强烈的副作用而出现. |
| 74 | It does. | 没错 |
| 75 | The article shares a really powerful story. | 这篇文章分享了一个非常强大的故事。 |
| 76 | It is about a woman named Allison Vecchio. | 是关于一个叫艾莉森·韦奇奥的女人的 |
| 77 | Right. | 对 |
| 78 | She's an emergency room nurse down in Florida, I think? | 她是佛罗里达的急诊室护士吧? |
| 79 | Yes, Florida. | 是的,佛罗里达 |
| 80 | She calls these drugs a reset button for her life. | 她称这些药物是她生命的重置按钮. |
| 81 | Because the weight loss helped her so much. | 因为减肥对她很有帮助 |
| 82 | Exactly. | 没错 |
| 83 | But that reset came with a really heavy physical price. | 但那个重置的物理价格非常高。 |
| 84 | We have to look at the biology to understand why that happens. | 我们必须研究生物学才能理解为什么会这样。 |
| 85 | Right. | 对 |
| 86 | How do these drugs actually work in the body? | 这些药物如何在体内实际起作用? |
| 87 | So these GLP-1 drugs work by copying a natural hormone. | 因此这些GLP-1药物通过复制一种天然激素而起作用. |
| 88 | Okay. | 摆 |
| 89 | A hormone. | 荷尔蒙 |
| 90 | Okay. | 摆 |
| 91 | And what does it do? | 这有什么用? |
| 92 | Well, it targets the parts of your brain that control your appetite. | 它瞄准了控制你胃口的大脑部分 |
| 93 | So you just do not feel hungry. | 所以你只是不觉得饿了。 |
| 94 | I see. | 原来如此 |
| 95 | But it also does something to your stomach, right? | 但它也会伤害你的胃,对不对? |
| 96 | Yeah. | 对 |
| 97 | That's the second part. | 这是第二部分。 |
| 98 | It drastically slows down your digestion. | 它会大大减缓你的消化速度 |
| 99 | Your stomach empties much, much slower. | 你的胃会空空 慢得多 |
| 100 | And that biological process is what causes the terrible side effects. | 生物过程是造成可怕副作用的原因。 |
| 101 | Exactly. | 没错 |
| 102 | Allison suffered from severe stomach issues. | 艾莉森患有严重的胃问题. |
| 103 | And her fingernails became super brittle and weak. | 她的指甲变得超软弱 |
| 104 | Right. | 对 |
| 105 | She also experienced total exhaustion. | 她还经历了完全疲惫。 |
| 106 | The weakness was just intense. | 弱点很严重 |
| 107 | She said sometimes she could not even leave her bed. | 她说有时甚至不能离开她的床。 |
| 108 | Because she had a severe nutritional deficit. | 因为她营养严重不足. |
| 109 | A nutritional deficit. | 营养不足 |
| 110 | Meaning she was not getting enough nutrients. | 意味着她没有足够的营养。 |
| 111 | Exactly. | 没错 |
| 112 | Patients feel so full that they barely eat anything. | 病人感觉很饱 几乎什么都不吃 |
| 113 | Oh, I get it. | 哦,我懂了,我懂了,我懂了,我懂了,不过... |
| 114 | Yeah. | 对 |
| 115 | Because they eat so little, they miss out on basic vitamins from their food. | 因为他们吃得很少, 他们错过了食物中的基本维生素。 |
| 116 | Right. | 对 |
| 117 | The body just lacks the building blocks it needs. | 尸体只是缺乏它所需要的构件。 |
| 118 | It cannot maintain healthy muscle or hair or nails. | 它不能保持健康的肌肉或头发或指甲。 |
| 119 | That makes sense. | 这有道理。 |
| 120 | That is why she felt so incredibly weak. | 这就是为什么她感到如此令人难以置信的软弱。 |
| 121 | So to fix this problem, patients turn to supplements. | 为了解决这个问题,病人会转向补充剂。 |
| 122 | They try to rebuild those missing building blocks with extra pills. | 他们试图用额外的药丸重建那些缺失的构件. |
| 123 | Right. | 对 |
| 124 | Allison started taking a whole daily mix of extra products. | 艾莉森开始每天服用额外的产品组合. |
| 125 | Yeah. | 对 |
| 126 | She takes extra fiber for her stomach issues. | 她胃部问题需要额外的纤维 |
| 127 | And she takes collagen to repair her nails and her skin. | 她用 col来修补她的指甲和皮肤. |
| 128 | She also drinks electrolytes just to get some basic energy back. | 她还喝电解质,只是为了获得一些基本能量. |
| 129 | She basically relies on these daily supplements just to get through the day. | 她基本上依靠这些日常的补品来度过这一天. |
| 130 | It is kind of sad. | 这是种悲伤。 |
| 131 | The drugs fix her weight problem. | 药物解决了她体重的问题。 |
| 132 | But she needs all these | 但她需要这些 |
| 133 | supplements just to feel normal enough to go to work. | 补充剂只是觉得正常 可以去工作。 |
| 134 | It totally changes the economics of her health care too. | 这完全改变了她的保健经济学。 |
| 135 | It really does. | 确实 |
| 136 | This creates a brand new financial burden. | 这造成了全新的财政负担。 |
| 137 | How much is she spending on these extras? | 她花多少钱买这些额外? |
| 138 | Buying this daily mix costs Allison between 100 and 300 US dollars out of her own pocket | 艾莉森每天要花100到300美元 买这套套套装 |
| 139 | every single month. | 每个月。 |
| 140 | Wow. | 珃 |
| 141 | That is a lot of money. | 这是一大笔钱。 |
| 142 | It is. | 没错 |
| 143 | Because health insurance might pay for the actual prescription drug. | 因为健康保险可能支付 实际处方药。 |
| 144 | Right. | 对 |
| 145 | GLP的那个 | |
| 146 | Yeah. | 对 |
| 147 | But insurance does not pay a single penny for the supplements. | 但保险不支付 一分钱的补助。 |
| 148 | Not at all. | 一点也不 |
| 149 | You have to buy those yourself just to survive the side effects. | 你得自己买这些 只是为了幸免于副作用 |
| 150 | You know, think of taking these new drugs like buying a high-performance sports car. | 想想这些新药 比如买一辆高性能的运动车 |
| 151 | Okay. | 摆 |
| 152 | I like this analogy. | 我喜欢这个类比。 |
| 153 | Walk me through it. | 带我穿过它。 |
| 154 | Well, the GLP one drug is this powerful new engine. | 嗯,GLP的一药 是这种强大的新引擎。 |
| 155 | It drops the weight. | 减其重. |
| 156 | It runs perfectly. | 它运行的完美。 |
| 157 | Right. | 对 |
| 158 | It does its job very well. | 它的工作做得非常好。 |
| 159 | Exactly. | 没错 |
| 160 | But soon you realize this new engine burns so hot, | 但很快你意识到这台新引擎燃烧得如此热 |
| 161 | it completely drains your oil and coolant. | 它完全消耗了你的油和冷却剂。 |
| 162 | Ah. | 摆 |
| 163 | I see. | 原来如此 |
| 164 | So to keep the whole machine from breaking down, | 所以为了防止整个机器崩溃 |
| 165 | you have to constantly top off your system. | 你总得从你的系统上爬下去 |
| 166 | You are forced to buy expensive premium fluids every single month. | 你每个月都不得不购买昂贵的溢价液体 |
| 167 | Yes. | 对 |
| 168 | Insurance pays for the sports car. | 保险支付运动车费用. |
| 169 | But it does not pay for all that extra coolant. | 但它不支付所有额外的冷却剂。 |
| 170 | That analogy fits the biology perfectly. | 这个类比完全符合生物学 |
| 171 | The high-performance engine needs constant maintenance. | 高性能发动机需要不断维护. |
| 172 | And it is expensive maintenance. | 这是昂贵的维修。 |
| 173 | So patients are forced to find creative ways to pay for it. | 因此患者被迫寻找创造性的方法来支付费用. |
| 174 | And this is where the internet changes everything. | 这就是互联网改变一切的地方。 |
| 175 | It really does. | 确实 |
| 176 | Because insurance will not help. | 因为保险是没用的 |
| 177 | Users are finding a modern loophole to fund their relief. | 用户正在寻找一个现代的漏洞来资助他们的救济. |
| 178 | They are turning to social media, right? | 他们正转向社交媒体,对吧? |
| 179 | TikTok创作经济. | |
| 180 | Exactly. | 没错 |
| 181 | Let's look at another example, a woman named Terri Hart. | 让我们再看看另一个例子 一个叫泰瑞·哈特的女人 |
| 182 | She is the 52-year-old from Kansas, right? | 她是来自堪萨斯州的52岁,对吧? |
| 183 | Yes. | 对 |
| 184 | That is her. | 这就是她。 |
| 185 | She started taking a GLP-1 drug in 2023. | 她于2023年开始服用GLP-1药物. |
| 186 | And she had similar problems? | 她也有类似的问题吗? |
| 187 | Oh, yeah. | 对 |
| 188 | She experienced horrible nausea and just extreme fatigue. | 她经历了可怕的恶心和极度疲劳。 |
| 189 | So to fight those feelings, she built her own supplement routine. | 所以为了对抗这些感情,她建立了自己的补充常规. |
| 190 | She takes magnesium, vitamin B12, and daily electrolytes. | 她服用镁,维生素B12,以及日常电解质. |
| 191 | And how much does her routine cost? | 她的日常费用是多少? |
| 192 | It costs her about 110 US dollars every month. | 她每月要花费110美元 |
| 193 | So how does she cover that heavy cost? | 那她要怎么支付这么沉重的费用? |
| 194 | She uses social media. | 她使用社交媒体. |
| 195 | Terri在TikTok上有12,000多名追随者. | |
| 196 | Okay, wow. | 好吧,哇呜。 |
| 197 | That is a solid audience. | 这是一个坚实的观众。 |
| 198 | Right. | 对 |
| 199 | She shares her daily struggles and her victories with the weight loss drug. | 她以减重药分享日常的挣扎和胜利. |
| 200 | And people watch her journey. | 人们看着她的旅程。 |
| 201 | Yes. | 对 |
| 202 | And she earns a commission by promoting the vitamin products that help her feel better. | 她通过推广能帮助她感觉好点的维他命产品来赚取佣金. |
| 203 | Right. | 对 |
| 204 | This is the affiliate marketing model that drives this whole behavior. | 这是推动整个行为的附属营销模式。 |
| 205 | Explain how that works, just simply. | 简单解释一下如何运作 |
| 206 | Basically, when Terri talks about a specific magnesium pill, | 基本上,当泰瑞说到一种特殊的镁片, |
| 207 | she shares a link with her audience. | 她和观众有共同的联系 |
| 208 | Okay, a special link. | 好吧,一个特殊的链接。 |
| 209 | Right. | 对 |
| 210 | If a follower buys the pill through her link, | 如果一个追随者通过她的链接购买了避孕药, |
| 211 | the vitamin company pays Terri a small percentage. | 维他命公司给泰瑞一个小比例 |
| 212 | Oh, I see. | 原来如此 |
| 213 | So she funds her own health care by sharing her routine. | 所以她通过分享她的日常活动来资助自己的保健事业. |
| 214 | Exactly. | 没错 |
| 215 | She is definitely not alone in doing this either. | 她肯定不是一个人这样做的。 |
| 216 | No, she is not. | 不,她没有。 |
| 217 | Even Alison Vecchio, the Florida nurse, does the exact same thing. | 连佛罗里达州护士艾莉森·韦奇奥也一样 |
| 218 | Does she have a big following? | 她有大追随者吗? |
| 219 | She has 25,000 followers. | 她有25000个追随者. |
| 220 | She is even a member of TikTok Shop's Health Pro program. | 她甚至还是TikTok商店健康方案的成员。 |
| 221 | What is that program? | 这是什么程序? |
| 222 | It is a special program designed just for licensed health professionals to sell products. | 这是一项专门方案,仅供有执照的保健专业人员销售产品。 |
| 223 | Wow. | 珃 |
| 224 | So the financial scale of this trend must be massive. | 因此,这一趋势的财政规模必须很大。 |
| 225 | It is huge. | 这是巨大的。 |
| 226 | The numbers reveal a major shift in how consumers buy things. | 这些数字表明,消费者购买物品的方式发生了重大变化。 |
| 227 | You mentioned data from the Nutrition Business Journal earlier. | 你之前提到营养商报的数据 |
| 228 | Yes. | 对 |
| 229 | Their data is crazy. | 他们的数据是疯了。 |
| 230 | In 2025, TikTok Shop generated over one billion US dollars in supplement sales. | 在2025年,TikTok Shop产生了超过10亿美元的补充销售. |
| 231 | 十亿 dollars. | |
| 232 | In a single year. | 一年之内 |
| 233 | I know. | 我知道,我记得 |
| 234 | That is almost hard to comprehend. | 这几乎难以理解。 |
| 235 | It is a massive market. | 这是一个巨大的市场。 |
| 236 | That one billion dollars represents 5.4% of all online supplement sales. | 这10亿美元占网上补充销售总额的5.4%。 |
| 237 | Wow. | 珃 |
| 238 | So a single social media app is now acting like a primary pharmacy. | 所以,一个社交媒体的应用软件 正在像一个初级药店。 |
| 239 | Exactly. | 没错 |
| 240 | A pharmacy for millions of patients managing drug side effects. | 为数百万病人提供药房 管理药物副作用 |
| 241 | You know, I want to push back gently on this idea for a second. | 你知道,我想轻轻地推后 这个想法一秒钟。 |
| 242 | Okay, go ahead. | 好吧,继续。 |
| 243 | What are you thinking? | 你在想什麽? |
| 244 | Well, is this really a bad thing? | 这真的不好吗? |
| 245 | You mean people selling vitamins online? | 你是说网上卖维他命的人? |
| 246 | Yeah. | 对 |
| 247 | I mean, traditional medicine gave these people a miracle drug, | 我的意思是,传统医学给了这些人一种奇迹药, |
| 248 | but it left them feeling sick and exhausted. | 但他们却觉得不舒服和疲惫。 |
| 249 | That is true. | 没错 |
| 250 | Doctors often do not have great answers for the side effects. | 医生往往对副作用没有很好的答案. |
| 251 | Right. | 对 |
| 252 | So aren't these users simply building a helpful online community? | 那么这些用户难道不就是建立一个有帮助的在线社区吗? |
| 253 | They are definitely sharing real, lived experience. | 他们绝对是分享 真实,活的经验。 |
| 254 | Yes. | 对 |
| 255 | They are finding practical solutions together when the medical system fails them. | 当医疗系统失灵时,他们正在共同找到切实可行的解决办法。 |
| 256 | I agree that community support is highly valuable. | 我同意,社区支持是非常宝贵的。 |
| 257 | Finding validation online helps people feel less alone. | 在网上寻找验证有助于人们减少孤独感。 |
| 258 | But you still see a problem with it. | 但你还是觉得有问题 |
| 259 | I do. | 当然 |
| 260 | Relying on lived experience becomes very dangerous when we look at the actual products. | 当我们观察实际产品时,依靠活的经验变得非常危险。 |
| 261 | What do you mean? | 你说什么? |
| 262 | The core medical concern here is safety. | 这里的核心医疗关注是安全。 |
| 263 | The problem is that no one is checking what is actually inside those vitamin bottles. | 问题是没人在查那些维他命瓶里到底有什么 |
| 264 | Oh, I see. | 原来如此 |
| 265 | The contrast between the prescription drugs and the vitamins is pretty wild. | 处方药和维生素的对比相当疯狂. |
| 266 | It is a huge difference. | 这是一个巨大的差异。 |
| 267 | Think about the FDA. | 考虑一下FDA |
| 268 | That is the Food and Drug Administration, right? | 那是食品药品管理局 对吧? |
| 269 | The U.S. government agency that ensures food and drug safety? | 确保食品和毒品安全的美国政府机构? |
| 270 | Yes. | 对 |
| 271 | They force pharmaceutical companies to do years of strict clinical testing. | 它们迫使制药公司进行多年严格的临床试验. |
| 272 | Right. | 对 |
| 273 | Before a drug like a GLP-1 ever hits the market. | 像GLP-1这样的药物在上市之前 |
| 274 | Exactly. | 没错 |
| 275 | They have to prove it is safe. | 他们必须证明这是安全的。 |
| 276 | They have to prove it actually works. | 他们必须证明它真的有用。 |
| 277 | The rules for prescription drugs are very, very strict. | 处方药的规则非常,非常严格. |
| 278 | But dietary supplements do not need that FDA pre-approval at all. | 但膳食补充剂完全不需要FDA预先批准. |
| 279 | Really? | 真的吗? |
| 280 | No pre-approval? | 没有预先批准? |
| 281 | None. | 无。 |
| 282 | The U.S. vitamin industry is essentially a Wild West. | 美国维他命工业本质上是野生西部. |
| 283 | So a company can just put a powder in a bottle, design a nice label, and sell it? | 这样公司就可以把一个粉末放进瓶子里,设计一个不错的标签,然后把它卖掉? |
| 284 | Yes, they can. | 是的,他们可以。 |
| 285 | They do not have to prove to the government that it works. | 他们不必向政府证明它有效。 |
| 286 | That is crazy. | 太疯狂了 |
| 287 | It gets worse. | 情况越来越糟了 |
| 288 | They do not even have to prove the ingredients are what they claim on the label. | 他们甚至不需要证明这些成分是他们在标签上声称的。 |
| 289 | Oh, wow. | 哦,哇呜。 |
| 290 | So millions of patients are taking these totally unverified powders. | 数百万病人正在服用这些未经验证的粉末。 |
| 291 | Right. | 对 |
| 292 | They use them to cope with a very powerful prescription drug. | 他们用它们来对付一种非常强大的处方药. |
| 293 | I can definitely see why doctors are raising red flags about this trend now. | 我很清楚为什么医生们 正在举起这个趋势的红旗。 |
| 294 | The medical community is deeply concerned. | 医疗界对此深感关注。 |
| 295 | The article quotes Dr. Jonathan Bonnet. | 文章引用了乔纳森·博内特博士的话. |
| 296 | Right. | 对 |
| 297 | He is a clinical associate professor at the Stanford University School of Medicine. | 他是斯坦福大学医学院的临床副教授. |
| 298 | Yes. | 对 |
| 299 | He states the fundamental problem very clearly. | 他非常明确地指出了根本问题。 |
| 300 | What does he say? | 他说什么? |
| 301 | He says, if you do not know exactly what you are taking, | 他说,如果你不知道 你究竟拿了什么, |
| 302 | you cannot possibly know the risks you are taking. | 你不可能知道自己在冒什么险 |
| 303 | That is a really scary thought. | 这是一个非常可怕的想法。 |
| 304 | It is. | 没错 |
| 305 | If the bottle says magnesium, but nobody ever checked it, | 如果瓶子上写着镁 但没人检查过 |
| 306 | how do you know it is really magnesium? | 你怎么知道这是真正的镁? |
| 307 | You do not. | 你没有。 |
| 308 | This lack of oversight creates a huge risk for false advertising. | 这种缺乏监督的现象给虚假广告带来了巨大的风险. |
| 309 | The potential for tricking people is very high. | 骗人的潜质很高. |
| 310 | The article mentions Rob Fried, right? | 文章提到罗布・弗里德,对不对? |
| 311 | Yes. | 对 |
| 312 | He is the CEO of a company called Niagen. | 他是一家叫Niagen的公司总裁 |
| 313 | He warns specifically about this danger. | 他特别警告这种危险。 |
| 314 | What is his main worry? | 他主要担心什么? |
| 315 | He points out that supplement companies can simply hire an army of TikTok influencers. | 他指出,补充公司可以简单地雇用一支TikTok影响者的军队. |
| 316 | Right. | 对 |
| 317 | They can pay these creators to make any health claim that will sell products. | 他们可以付钱给这些创造者,让他们提出任何健康要求,以出售产品。 |
| 318 | An influencer could literally just hold up a bottle of sugar pills. | 一个影响者可以把一瓶糖丸子拿起来 |
| 319 | And tell their followers it cures stomach pain. | 并告诉他们的追随者 它能治愈胃痛。 |
| 320 | And desperate patients will buy it because they trust the creator's lived experience. | 绝望的病人会买下它,因为他们相信创造者的生命经验. |
| 321 | Exactly. | 没错 |
| 322 | And this business is just exploding right now. | 这件事情正在爆炸 |
| 323 | The numbers are wild. | 数字是疯狂的。 |
| 324 | Total U.S. supplement sales hit 74 billion U.S. dollars in 2025. | 2025年美国补充销售总额达到740亿美元. |
| 325 | 74 billion. | 740亿. |
| 326 | And the GLP-1 user base is driving a massive portion of that growth. | 而GLP-1用户基础正在推动这一增长的很大一部分。 |
| 327 | Even big retail stores are changing how they do business. | 连大零售店都在改变经营方式. |
| 328 | Right. | 对 |
| 329 | They are completely restructuring their health sections to capture this new demand. | 他们正在彻底重组其卫生部门,以抓住这一新的需求。 |
| 330 | Stores like Target and The Vitamin Shop are seeing massive sales growth. | 像"目标"和"维生素店"等商店的销售量出现大规模增长. |
| 331 | What kind of products are selling best? | 哪一种产品销售最好? |
| 332 | They're reporting huge jumps in sales for specific products like fiber and creatine. | 他们报告纤维和油菜等特定产品的销售额猛增。 |
| 333 | Which are exactly the supplements driven by GLP-1 users trying to survive their daily side effects. | 这正是GLP-1用户驱动的补充 试图在日常副作用中生存下来 |
| 334 | It is such a strange situation. | 情况很奇怪 |
| 335 | Total paradox. | 总悖论. |
| 336 | It really is. | 没错 |
| 337 | You have millions of people taking one of the most highly tested | 你有上百万人 接受过最严格的考验 |
| 338 | prescription drugs in human history. | 人类历史上的处方药。 |
| 339 | Right. | 对 |
| 340 | Strictly regulated by the government. | 严格政府监管. |
| 341 | But to tolerate it, they rely on entirely untested, unregulated supplements. | 但是,为了容忍它,它们依靠的是完全未经检验、不受管制的补充。 |
| 342 | It is a crazy mix of strict science and total guesswork. | 这是一个疯狂的组合 严格的科学和完全猜测。 |
| 343 | Because millions of deaths for patients are buying these untested pills, things have to change. | 因为数百万患者的死亡 正在购买这些未经测试的药丸, 事情必须改变。 |
| 344 | Right. | 对 |
| 345 | Big stores are cashing in and the government is finally trying to step in. | 大店正在兑现 政府终于要介入了 |
| 346 | The FDA wants to re-white the safety rules. | FDA想重现安全规则. |
| 347 | It seems like the regulatory system is just trying to catch up to the internet. | 似乎监管系统只是想赶上互联网。 |
| 348 | Yes. | 对 |
| 349 | Right now, supplement companies use a massive legal loophole. | 现在,补充公司使用 一个巨大的法律漏洞。 |
| 350 | I read about this. | 我读过这个 |
| 351 | They can create a new product and just declare it safe? | 他们可以创造出一种新产品 并宣布它安全吗? |
| 352 | Basically, yes. | 基本上没错 |
| 353 | They declare that their ingredients are generally recognized as safe. | 他们宣称其成分被普遍认为是安全的. |
| 354 | This massive loophole is known as GRAS, right? | 这个巨大的漏洞被称为GRAS,对不对? |
| 355 | G -R -A | |
| 356 | That is right. | 没错 |
| 357 | Companies are essentially policing themselves. | 公司基本上是自己维持治安。 |
| 358 | So they can put a new ingredient in a bottle. | 这样他们就可以把新的成分放进瓶中. |
| 359 | They declare it is safe all on their own. | 他们自己宣布安全 |
| 360 | And they can bring it to market without ever even notifying the FDA. | 他们可以不通知FDA就把它带回市场 |
| 361 | That is a major gap in the safety net. | 这是安全网中的一个重大缺口。 |
| 362 | It is huge. | 这是巨大的。 |
| 363 | So the FDA is proposing a new rule to fix it. | 因此,FDA提出一个新的规则来修复它. |
| 364 | What would the new rule do? | 新规则会做什么? |
| 365 | It would completely remove that hidden pathway. | 它会完全清除隐藏的路径。 |
| 366 | Companies would lose the option to just quietly declare their own ingredients safe. | 公司会失去选择 悄悄地宣布自己的成分安全 |
| 367 | I see. | 原来如此 |
| 368 | They would have to actually face government review before selling. | 在出售前,他们必须面对政府的审查。 |
| 369 | Yes, exactly. | 没错 |
| 370 | But naturally, the vitamin industry is deeply divided on this issue. | 但自然,维他命工业在这个问题上分歧很大. |
| 371 | Let's look at the side that supports the strict new FDA rule first. | 让我们先看看支持严格的FDA新规则的一方. |
| 372 | Okay. | 摆 |
| 373 | Jacqueline Maslin is a great example. | 杰奎琳·马斯林是一个很好的例子。 |
| 374 | She is the CEO of a vitamin startup called Body of Work. | 她是一个维他命启动公司的首席执行官 名叫"工作体" |
| 375 | And she fully supports closing this loophole? | 她完全支持填补这个漏洞? |
| 376 | Yes. | 对 |
| 377 | She wants to raise the standards of her own industry. | 她想提高自己行业的标准. |
| 378 | That makes sense. | 这有道理。 |
| 379 | She argues this rule will stop the bad actors in the market. | 她认为这个规则会阻止市场中的不良角色. |
| 380 | Right now, a shady company can put a tiny, | 现在,一个可疑的公司 可以放一个小, |
| 381 | completely useless amount of a famous ingredient in a pill. | 药丸里有名的成分 完全没用 |
| 382 | Oh, I see. | 原来如此 |
| 383 | They put just enough in the bottle so they can print the magic word on the label. | 他们把足够多的瓶子,这样就可以在标签上打印出神奇的词. |
| 384 | Exactly. | 没错 |
| 385 | Then they sell it to a desperate patient for a high price. | 然后,他们卖给一个绝望的病人 价格高昂。 |
| 386 | So Maslin believes a strict FDA review process is the minimum safety standard we should demand. | 因此马斯林认为严格的FDA审查程序是我们应该要求的最低安全标准. |
| 387 | It is a very strong argument for consumer protection. | 这是保护消费者的有力论据。 |
| 388 | It stops fake products from reaching the shelves. | 它阻止假产品到达货架 |
| 389 | But not everyone agrees. | 但不是每个人都同意。 |
| 390 | Right. | 对 |
| 391 | The major trade group argues the exact opposite. | 主要的行业集团则认为恰恰相反。 |
| 392 | Right. | 对 |
| 393 | The Council for Responsible Nutrition. | 负责任的营养理事会。 |
| 394 | Right. | 对 |
| 395 | They are a really powerful voice for the supplement industry, right? | 他们是一个非常强大的声音 补充产业,对不对? |
| 396 | Very powerful. | 非常厉害 |
| 397 | And they argue strongly against this new FDA rule. | 他们强烈反对新的FDA规则。 |
| 398 | Why do they hate it so much? | 他们为什么这么讨厌? |
| 399 | They warn this rule will cause massive administrative delays. | 他们警告说,这一规则将造成大量行政延误。 |
| 400 | Delays? | 延迟? |
| 401 | Like it will take too long to get products to the stores? | 像它会花费太长 产品到商店? |
| 402 | Yes. | 对 |
| 403 | They say it will take the FDA months, or even years, | 他们说要花几个月甚至几年的时间 |
| 404 | to review thousands of common ingredients. | 以审查数千种常见成分。 |
| 405 | Wow. | 珃 |
| 406 | Years. | 岁月. |
| 407 | They believe it will completely freeze the market and hurt good businesses. | 他们相信这会完全冻结市场,伤害好企业. |
| 408 | They argue the government does not have the resources | 他们认为政府没有资源 |
| 409 | to review every single vitamin powder out there. | 检查所有维生素粉 |
| 410 | And they believe the delay will keep helpful products away | 他们相信拖延会让有用的产品远离 |
| 411 | from the patients who need them right now. | 从患者 谁需要他们现在。 |
| 412 | This brings up a really critical statement from the U.S. Department of Health in the article. | 这引起了美国卫生部在文章中真正批判性的陈述. |
| 413 | What did they say? | 他们说什么? |
| 414 | Well, they want to ensure product safety, obviously, | 他们想确保产品安全 |
| 415 | but they also want to support consumer choice. | 但他们也想支持消费者的选择。 |
| 416 | Those are two very different goals right now. | 现在这两个目标非常不同。 |
| 417 | Exactly. | 没错 |
| 418 | So I have a focusing question for you here. | 所以我有个重点问题要问你 |
| 419 | Go for it. | 来啊 |
| 420 | How do we actually balance these two demands? | 我们实际上如何平衡这两个要求? |
| 421 | How do we keep the supply chain safe from bad actors | 如何保证供应链的安全 不受坏角色的伤害 |
| 422 | while still giving consumers the freedom to quickly buy | 给消费者快速购买的自由 |
| 423 | the products that actually make them feel better? | 让他们感觉好点的产品? |
| 424 | Finding that balance is basically the defining public health challenge of this decade. | 找到这种平衡基本上是本十年的公共卫生挑战。 |
| 425 | It seems almost impossible. | 这似乎几乎不可能。 |
| 426 | It is tough. | 这是艰难的。 |
| 427 | The regulatory system moves in months and years. | 监管系统在数月和数年中移动. |
| 428 | They need time to study the signs. | 他们需要时间研究迹象 |
| 429 | Right. | 对 |
| 430 | Safety takes time. | 安全需要时间。 |
| 431 | But the TikTok marketplace moves in hours and days. | 但是,TikTok市场 移动在时日。 |
| 432 | Exactly. | 没错 |
| 433 | Consumers want immediate relief and influencers provide immediate answers. | 消费者希望立即得到缓解,而影响者则立即提供答案。 |
| 434 | Bridging that speed gap is incredibly difficult. | 缩小速度差距是极其困难的。 |
| 435 | It really is a clash of two totally different worlds. | 这真的是两个完全不同的世界的冲突。 |
| 436 | Let's sum up the incredible journey we've taken today. | 让我们总结一下我们今天所经历的不可思议的旅程. |
| 437 | Yes, please. | 是的,谢谢。 |
| 438 | Walk us through it one more time. | 再说一遍 |
| 439 | We started with the revolutionary weight loss drug, | 我们从革命减重药开始 |
| 440 | a true medical breakthrough that helped millions of people. | 一个真正的医疗突破 帮助了数百万人。 |
| 441 | But that drug created a severe crisis of physical side effects. | 但这种药物造成了严重的身体副作用危机。 |
| 442 | Patients felt terrible and stopped eating. | 病人感到可怕,停止了饮食. |
| 443 | Right. | 对 |
| 444 | And this daily pain created a billion-dollar TikTok supplement economy. | 而这种日常的痛苦创造了十亿美元TikTok的补充经济. |
| 445 | Regular people became health influencers just to fund their own relief. | 普通人成为健康影响者只是为了资助自己的救济。 |
| 446 | And now that booming online market is forcing the U.S. government | 而现在,繁荣的在线市场 正在迫使美国政府 |
| 447 | to rewrite fundamental safety rules. | 改写基本安全规则。 |
| 448 | It is amazing. | 这是惊人的。 |
| 449 | One medical invention changed social media, | 一个医学发明改变了社交媒体 |
| 450 | transformed retail stores, and challenged government laws. | 改造了零售店 挑战了政府的法律 |
| 451 | It touches almost every part of modern life. | 它几乎触及现代生活的每一个部分. |
| 452 | As we wrap up our deep dive today, I want to leave you with one final thought. | 今天我们结束深度潜水时 我想给你留一个最后的想法 |
| 453 | What is it? | 这是什么? |
| 454 | Think about the strange situation of modern health care we explored today. | 想想我们今天探索的现代保健的奇怪情况。 |
| 455 | Okay. | 摆 |
| 456 | We have engineered one of the most sophisticated, | 我们设计了一个最精密的, |
| 457 | highly regulated prescription drugs in human history. | 人类历史上的处方药管制很严 |
| 458 | A true miracle of science. | 真正的科学奇迹 |
| 459 | Yes. | 对 |
| 460 | But the only way patients can tolerate taking it | 但只有这样病人才能忍受 |
| 461 | is by relying on a completely unregulated, | 是依靠一个完全不受管制的, |
| 462 | billion-dollar shadow economy of internet vitamins. | 互联网维他命的百亿影子经济. |
| 463 | It makes you wonder. | 这让你觉得奇怪。 |
| 464 | It really does. | 确实 |
| 465 | Are we actually treating the whole person, | 我们是否真的对待整个人, |
| 466 | or are we just trading one health problem for another? | 或者我们只是把一个健康问题换成另一个问题? |
| 467 | That is the big question that the medical field | 这是医学领域的大问题 |
| 468 | will be debating for a very, very long time. | 将会辩论很长很长一段时间。 |
| 469 | Thank you so much for joining us on this deep dive today. | 非常感谢你今天加入我们的深潜行动 |
| 470 | We hope you gained some valuable insight and, you know, | 我们希望你得到一些有价值的见解,你知道, |
| 471 | maybe you will look at those vitamin bottles a little differently next time. | 也许下次你会用不同的方式看那些维生素瓶 |
| 472 | We will see you on the next deep dive. | 我们下次深潜时见 |
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