Modern Metabolic Health with Dr. Lindsay Ogle, MD

PCOS (now PMOS) With Lindsay Nelson, RD

Thu, 03 Sep 2026 01:00:00 -0500

**Disclaimer**this was recorded prior to PCOS (Polycystic Ovarian Syndrome) being renamed PMOS (Polyendocrine Metabolic Ovarian Syndrome).

Learn more about Lindsay Nelson, RD at her website and follow her on Intsagram

We break down what PCOS is, how it’s diagnosed, and why insulin resistance often sits at the center of symptoms like irregular cycles, acne, hair growth, and stubborn weight gain. We also map out practical next steps for fertility, labs to ask for, and lifestyle strategies that make PCOS feel manageable instead of overwhelming.

• What PCOS is and the three diagnostic criteria
• Why irregular cycles often mean irregular ovulation and lower fertility chances
• Root causes that can block ovulation including high insulin, high testosterone, vitamin D deficiency, and stress
• Inositol as a supplement option and how it compares with metformin for some people
• How insulin resistance affects cravings and weight management plus why fasting insulin can reveal problems early
• Long-term risks including diabetes, heart disease, endometrial concerns, and higher eating disorder risk
• Conventional treatments like birth control, metformin, and spironolactone versus root-cause lifestyle work
• Diet fundamentals including fiber, anti-inflammatory foods, plate balance, and avoiding “naked carbs”
• Exercise guidance for PCOS including cycle-aware intensity, cortisol, sleep, and postpartum recovery
• Why baby-step goals make change realistic and sustainable

If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

✨Freebies✨
Anti-Obesity Medication Options
How To Prevent Diabetes
Healthy Habits Workbook
Preventative Health Checklist

🤗 Socials:
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Meet Dr. Elizabeth Montgomery, Future Obesity Medicine Physician

Mon, 31 Aug 2026 01:00:00 -0500

Schedule an appointment with Dr. Montgomery (Missouri only) here

We welcome Dr. Elizabeth Montgomery to the Modern Metabolic Health Podcast and talk about why family medicine naturally leads to treating obesity with compassion and science. We break down why our goal is better long-term health, not fast weight loss, and how personalized care builds trust and real progress.
• Dr. Montgomery’s path through Missouri and into family medicine
• Why obesity medicine aligns with whole-person primary care
• Explaining obesity as a chronic disease like hypertension or diabetes
• How hormones and brain chemistry affect weight regulation
• Correcting myths about weight loss safety and GLP-1 medications
• Why guided medical care differs from online medication use
• When obesity medications can help, especially with comorbidities
• Stigma in healthcare and removing shame from weight care
• How to know if your doctor is the right fit
• Building individualized plans for nutrition and exercise
If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

Schedule an appointment with Dr. Montgomery (Missouri only) here

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How To Stop Fighting Yourself By Planning Ahead

Thu, 27 Aug 2026 01:00:00 -0500

We break down why it can feel like you are fighting yourself when you try to change your health habits, and we show how to use simple planning to make follow-through easier. We explain forebrain vs hindbrain, then turn that insight into a practical nutrition plan that supports metabolic health and self-trust.
• forebrain vs hindbrain and why they can clash
• the motivational triad: seek pleasure, avoid pain, conserve energy
• how modern life triggers threat-scanning and anxiety
• why decision fatigue pushes you toward easy food choices
• building a nutrition plan instead of a restrictive diet
• planning 24 hours ahead or a week ahead based on your life
• making reasonable changes and using baby steps
• scheduling treats to reduce guilt and rebellion
• starting with one planned meal, especially breakfast
• prioritizing protein, water, and fiber for steadier hunger
• considering a coach, dietitian, therapist, or health professional for support
If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

GLP-1 Hypo & Hyper Responders Explained

Mon, 24 Aug 2026 01:00:00 -0500

Seeing wild success stories about GLP-1 medications can mess with your head, especially if your own scale is moving slower or not at all. We’re pulling back the curtain on what we actually see in obesity medicine: hyper responders, hypo responders, and true non-responders, and why none of those labels says anything about your effort or worth.

We talk through the real-world range of outcomes with Zepbound (tirzepatide) and Wegovy (semaglutide), including what “average” weight loss means and why those numbers usually play out over a year or more. We also zoom in on pace. Losing more than about two pounds per week can come with real medical downsides, from gallstones and dehydration to fatigue, constipation, nutrient deficiencies, and delayed hair shedding. If the weight is dropping because you feel sick or can’t eat enough protein and fiber, that’s not the win it looks like on social media.

Then we get practical about dosing and titration. We explain why the starter dose is often just a tolerability step, how to find the effective dose that controls appetite and food noise without crushing your nutrition, and why slower responders often end up with better long-term metabolic health. And if GLP-1s don’t get you where you need to go, you still have options, including combination anti-obesity medications and metabolic and bariatric surgery, especially when type 2 diabetes is difficult to manage.

If you want a safer, calmer way to judge progress and make decisions with your prescriber, listen now, then subscribe, share with someone who needs this perspective, and leave a review so more people can find evidence-based metabolic health guidance.

First Generation Obesity Management Medications

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Better Sleep For Better Metabolic Health

Thu, 20 Aug 2026 01:00:00 -0500

Bad sleep doesn’t just make you groggy. It can nudge your hormones, cravings, and food choices in a direction that makes weight loss and blood sugar control feel twice as hard. We walk through how sleep connects to metabolic health, including why poor sleep can raise hunger hormones like ghrelin, increase sugar cravings, and make “easy” processed foods more tempting when your energy and patience are low.

Then we get practical with eight sleep hygiene strategies you can actually use. We talk about locking in a consistent bedtime and wake time (yes, weekends count), building a bedroom that supports sleep with darkness, cooler temps, and less noise, and dialing in your personal cutoff for caffeine and other stimulants. We also cover timing your meals and being realistic about alcohol, since it may help you drift off but often disrupts sleep quality later in the night.

We round it out with movement and recovery habits that set you up for deeper rest: exercising earlier in the day, getting sunlight when you can, limiting long naps, creating a wind-down routine, and keeping the bedroom for sleep and intimacy so your brain stops associating bed with work stress. We also share a simple target for most adults: at least six hours of sleep and usually no more than nine. If this helps, subscribe, share the show with someone who needs better sleep, and leave a rating or review so more people can find us.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Split Dosing Zepbound

Mon, 17 Aug 2026 01:00:00 -0500

We explain what split dosing Zepbound can look like in real practice and why some patients do better with a customized plan than a standard once-weekly schedule. We also walk through pen logistics, refill timing, and the questions people keep asking so you can bring smarter, safer questions to your clinician.
• what “split dosing” means in clinic and why off-label dosing is common
• three patient groups we consider for split dosing
• lowering or “in-between” doses to reduce GLP-1 side effects during titration
• dividing a weekly dose into two injections for steadier appetite control
• why tirzepatide’s half-life can create end-of-week drop-off for some people
• using higher-strength pens for cost savings by counting clicks with clinician oversight
• priming each dose and why it matters for air bubbles
• where to get extra pen needles and how much they cost
• LillyDirect refill rules and the 45-day ordering window
• expiration guidance, room-temperature handling, and common pen concerns
If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

Buy extra Zepbound needles here

Learn more about Zepbound KwikPen

Learn more about LillyDirect

Learn more about Medicare Bridge Program

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Optimize Health On GLP-1

Thu, 13 Aug 2026 01:00:00 -0500

GLP-1 medications can feel like a breakthrough and a minefield at the same time, and the difference is often the plan behind the prescription. I’m Dr. Lindsay Ogle, board certified in family medicine and obesity medicine, and I’m sharing what I’ve learned from prescribing GLP-1 receptor agonists and hearing real feedback from patients about what helps, what backfires, and what actually makes the process sustainable.

We start with the most important step: getting established with a qualified clinician and following up regularly, especially during the first months of dose titration. I also call out common red flags, like services that provide GLP-1 weight loss meds without meaningful medical oversight. Then we zoom out to the big picture: “start low and go slow,” speak up about side effects early, and never increase a dose just because the calendar says it’s time. Obesity is a chronic condition, and GLP-1 therapy works best when it’s treated as long-term medical care, not a race to a number.

From there, we get practical with the lifestyle foundations that protect your results: hydration (and why dehydration can masquerade as nausea or fatigue), protein targets to preserve lean muscle, fiber goals that support gut health and the microbiome, and how to increase fiber gradually to avoid GI distress. We also talk about resistance training as a key tool for metabolic health, with realistic options that don’t require a gym, plus the mindset shift that helps you stay patient through plateaus and build a support team when you need it.

If this helped, subscribe, share the episode with someone who’s considering GLP-1 medications, and leave a review so more people can find safe, evidence-based guidance.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

GLP-1 Meds Before And After Bariatric Surgery

Mon, 10 Aug 2026 01:00:00 -0500

Weight regain after bariatric surgery can feel like a personal failure, but it’s often a predictable collision of biology, appetite signaling, and changing metabolism. We walk through one of the most common questions we get as obesity medicine physicians: when GLP-1 agonists fit before or after metabolic and bariatric surgery, and how to use them in a way that protects your health.

We start with the pre-op side, where GLP-1 medications may help people with class 3 obesity or very high BMI reduce surgical risk and improve conditions like type 2 diabetes, insulin resistance, sleep apnea, and fatty liver disease. We also cover practical perioperative considerations, including why many surgical teams ask patients to stop GLP-1s about a week before anesthesia to reduce aspiration risk.

Then we move into post-op strategy. Because bariatric surgery already changes your GI system and appetite, we explain why many clinicians wait 1 to 2 years before restarting a GLP-1, and what needs to be true first: stable recovery, thoughtful evaluation, and optimized nutrition. We dig into micronutrient labs, bariatric supplements, and why slow titration matters so much after sleeve gastrectomy or gastric bypass. We also break down medication absorption differences between injectable vs oral options and when non-GLP-1 weight loss medications may be a better fit.

If you care about metabolic health, safe weight management, and evidence-based guidance beyond internet noise, subscribe, share this with someone you love, and leave a review so more people can find the show.

ProCare Supplements 10% off CODE: MetabolicHealth

First Generation Obesity Management Medications

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Common Medications Linked To Weight Gain

Thu, 06 Aug 2026 01:00:00 -0500

***DO NOT STOP MEDICATIONS WITHOUT TALKING WITH YOUR DOCTOR***

Weight gain after starting a medication is common, real, and often missed in routine care, so we walk through which prescriptions and OTC drugs are more likely to contribute and why it varies by person. We also share how to ask for a full medication review and what safer, more weight-neutral alternatives you can discuss with your prescriber.

• why you should never stop certain medications abruptly and when tapering matters
• how a “brown bag” medication visit works and why we recommend it yearly for 6+ meds
• using metformin alongside a weight-promoting medication as an option to discuss
• mood medications that may contribute to weight gain and why Paxil stands out among SSRIs
• gabapentin and pregabalin for nerve pain plus seizure risk with abrupt stopping
• steroids like prednisone, weight gain risk, and why to monitor fasting glucose or A1C
• type 2 diabetes medications tied to weight gain and why newer GLP-1 and SGLT2 options matter
• beta blockers that may cause weight gain and weight-neutral blood pressure alternatives
• hormones, birth control, HRT, and the importance of individualized choices
• OTC Benadryl and how long-term use can add subtle weight gain

If you live in Missouri, I would love to help you through this. And you can schedule an appointment through my telehealth clinic, MissouriMetabolic Health.com.
If you found this information helpful, please share with a friend, a family member, or a colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a video. This will help others find the podcast that they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

All About LillyDirect

Mon, 03 Aug 2026 01:00:00 -0500

We break down how LillyDirect works for people who want GLP-1 medications like Zepbound but can’t get insurance coverage or face an unaffordable copay. We walk through the ordering flow, device choices, safe handling basics, and the pricing rules that can save you money or unexpectedly raise your cost.
• why GLP-1 access is so frustrating in the US and what is changing
• what LillyDirect is and how direct-to-consumer fulfillment works through Gifthealth
• delivery options and what to expect after your clinician sends the prescription
• Zepbound quick pen vs single-use vials and why we usually prefer the pen
• priming the pen each dose and where to get additional needles if needed
• refrigeration guidance, what to do if it reaches room temperature, and what the 30-day guidance really means
• LillyDirect pricing by dose and how higher doses change monthly cost
• the 45-day refill window, grace periods, and how late orders can raise prices
• when a copay coupon at the pharmacy may be a better long-term move
• why LillyDirect purchases do not apply to your insurance deductible
If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

Buy extra Zepbound needles here

Learn more about Zepbound KwikPen

Learn more about Foundayo

Learn more about Medicare Bridge Program

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Can You Be Healthy At Every Size?

Thu, 30 Jul 2026 01:00:00 -0500

We take on a controversial question: is obesity a disease, a risk factor, or simply a normal human variation. We explain metabolically healthy obesity, why fat location matters more than BMI alone, and how small, sustainable weight loss can restore metabolic health for many people.
• obesity stigma versus obesity as a medical disease
• why not everyone with obesity needs treatment
• visceral fat as the higher-risk fat type
• fatty liver disease as an early warning sign
• organ fat links to insulin resistance, sleep apnea, kidney strain, and heart failure risk
• subcutaneous fat and why liposuction does not improve metabolic function
• practical ways to estimate fat distribution, including waist circumference and DEXA
• how metabolically healthy obesity can shift over time
• the “tipping point” concept and individualized risk
• why a 10% weight loss can improve labs and symptoms
• finding a doctor who personalizes obesity medicine care
If you found this information helpful, please share with a friend, family member, or colleague. Please subscribe and write a review.

Find a board certified Obesity Medicine Physician: https://obesitymedicine.org/about/find-a-provider/

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Strength Training For Metabolic Health With Julie Przybyla, RD

Mon, 27 Jul 2026 01:00:00 -0500

If you’ve ever eaten “so healthy,” kept calories low, worked out hard, and still watched the scale refuse to budge, you’re not alone and you’re not broken. We sit down with Julie, a registered dietitian and personal trainer, to explain what can happen when chronic undereating becomes your default. We dig into metabolic adaptation, why constant restriction can make your body more efficient, and how symptoms like low energy, hair loss, poor sleep, and muscle loss can be signs that your plan is underfueling you.

We also go straight at the exercise mindset that diet culture sells: workouts as punishment, or movement as something you do to “make up” for food. We share simple ways to rebuild a healthier relationship with physical activity, from short walks after meals to routines that fit real life. Then we zoom in on the cornerstone habit for long-term metabolic health: strength training. Julie breaks down why women often fear getting bulky, why muscle is tied to longevity and blood sugar control, and what a realistic resistance training schedule looks like alongside cardio.

Finally, we get practical about protein, progressive overload, recovery, and sleep. You’ll hear why eating protein alone isn’t enough without a true strength stimulus, why the old “post-workout window” isn’t as strict as we once thought, and why carbohydrates can be a key performance tool, not a nutritional villain. If you want a sustainable approach to fat loss, body composition, and weight maintenance, this conversation will help you think clearly and act strategically. Subscribe, share with someone who’s stuck in the diet cycle, and leave a review so more people can find evidence-based metabolic health guidance.

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Julie Przybyla, MS, RD, CPT is a registered dietitian, personal trainer, and owner of Vibrant Nutrition & Fitness, where she helps clients improve metabolic health, build strength, and create sustainable habits without extreme dieting. She specializes in weight management, behavior change, strength-focused fitness, and supporting individuals using GLP-1 medications with nutrition, muscle preservation, and long-term lifestyle strategies. Julie combines evidence-based nutrition with realistic, approachable coaching to help clients feel stronger, more energized, and more confident in their bodies.

Website: https://vibrantnutritionfitness.com/

Instagram: https://www.instagram.com/vibrantrd/

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

The Impact Of Weight In Pregnancy

Thu, 23 Jul 2026 01:00:00 -0500

We finish our conversation on how obesity and metabolic dysfunction shape pregnancy outcomes and why a mom’s metabolic health can influence a baby’s health for life. We break down healthy pregnancy weight gain ranges, explain why pregnancy increases insulin resistance, and share practical steps for safer prenatal and postpartum health.

• obesity rates before pregnancy and why it raises risk for mom and baby
• recommended pregnancy weight gain by pre-pregnancy BMI and when most gain should happen
• risks tied to excessive gestational weight gain including gestational diabetes, hypertension, preeclampsia, clots, and C-section
• normal pregnancy changes in blood volume, heart rate, blood pressure, and clotting
• why pregnancy increases insulin resistance and how the pancreas compensates
• how high blood sugar affects mom’s future type 2 diabetes risk
• how gestational diabetes can affect baby size, delivery risk, newborn low blood sugar, and lifelong diabetes risk
• why family planning and effective birth control support healthier pregnancies
• treatment paths before pregnancy including obesity medicine, medications before conception, and bariatric surgery timing
• pregnancy strategies including nutrition, low-impact activity, prenatal screenings, and dietitian support

If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast and they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Pediatric Obesity With Dr. Lisa Tritto, MD

Mon, 20 Jul 2026 01:00:00 -0500

We talk with Dr. Lisa Tritto about why pediatric obesity is a chronic, biology-driven disease and how shame-based advice keeps families stuck. We share how we evaluate kids and teens, where mental health and ADHD fit in, and how we think about treatment options from lifestyle support to modern anti-obesity medications.
• why pediatric obesity needs a disease-based model, not willpower narratives
• how environment, genetics, stress, and family systems shape weight and health
• what first visits look like, including parent and teen questionnaires and screening for eating disorders
• the ADHD-obesity connection, including impulsivity, dopamine-seeking, and sleep disruption
• metabolic complications we commonly see, including insulin resistance, prediabetes, fatty liver disease, sleep apnea, anxiety, and depression
• how we decide on medication, including Wegovy for ages 12 to 17, Zepbound for 18 and up, and Qsymia as an accessible option
• setting expectations for long-term treatment and why early intervention can change outcomes
• why we do not set rigid weight goals and instead focus on health, function, and a healthier relationship with food
If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

Dr. Lisa Tritto is a board-certified pediatrician and obesity medicine specialist who is passionate about changing the way we understand and treat pediatric weight and metabolic health. Dr. Tritto is fellowship-trained in Pediatric Obesity Medicine and cares for children, adolescents, and young adults through her practice, Evora for Kids, which is based in St. Louis, Missouri.

Dr. Tritto takes a compassionate, science-driven approach, helping families move beyond outdated “eat less, move more” messaging to better understand the roles of biology, behavior, and mental health. She offers individualized care that may include nutrition, lifestyle support, and modern medical therapies, including anti-obesity medications when appropriate.

Her goal is to create a supportive, non-judgmental space where patients and families feel empowered to make meaningful, lasting changes.

Learn more at:
Website: evoraforkids.com
Blog: evoraforkids.com/blog-1
Instagram: @evoraforkids OR @lisatrittomd
Facebook: facebook.com/evoraforkids

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Fertility, Weight, And Metabolic Health

Thu, 16 Jul 2026 01:00:00 -0500

We walk through how underweight, excess weight, and insulin resistance can change ovulation, fertility, and pregnancy risk long before a test turns positive. We also unpack PCOS basics, why some clinics enforce BMI cutoffs, and what safer preconception weight management can look like with your doctor.

• extremes of weight affecting ovulation and menstrual cycles
• RED-S and why under-fueling can stop periods
• PCOS prevalence and diagnostic criteria in plain language
• insulin resistance driving higher insulin and higher androgens
• why weight loss can be harder with high insulin
• small weight changes improving fertility potential in PCOS
• metformin and GLP-1 medications as medically supervised options before pregnancy
• fertility clinic BMI cutoffs, success metrics, and weight bias
• pregnancy complications linked with higher starting BMI, with risks possible at any size
• bariatric surgery timing and why waiting a year can matter
• anti-obesity medications not recommended in pregnancy or breastfeeding
• topiramate birth defect risk and the need for effective birth control

If you found this information helpful, please share with a friend, family member, or colleague.
Please subscribe and write a review.

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Birth Control Option (YouTube)

Birth Control & GLP-1s (YouTube)

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Food Aversions on GLP-1 Medications

Mon, 13 Jul 2026 01:00:00 -0500

One day eggs taste fine, and the next day the smell alone is a hard no. If you’re taking a GLP-1 medication and you’ve noticed sudden food aversions, you’re not imagining it and you’re not alone. We talk through what a true food aversion is, why it can feel so intense, and why it’s different from GI side effects like nausea or vomiting that need to be managed with your prescriber.

We also dig into the surprising ways GLP-1 therapy can change taste and food reward, from dulled flavors across sweet, salty, sour, bitter, and umami to the opposite experience where sweetness becomes almost too strong to tolerate. For many people, this leads to less interest in sugar-sweetened beverages and alcohol, fewer processed foods in the cart, and more whole foods day to day, which can support weight loss and better metabolic health. But we don’t gloss over the hard part: when aversions hit protein foods like meat or eggs, meeting your protein needs can feel suddenly complicated.

You’ll hear practical, patient-friendly strategies to work around protein aversions by rotating sources (fish, poultry, and other options), slowing titration when needed, and building a support team that includes a registered dietitian. We also discuss the emotional side of taste changes and how talk therapy can help if food has been a primary source of comfort or enjoyment. Finally, we explore the “pause” these medications can create and how it can help you break habits like nightly dessert or reflex snacking and eat with more intention.

If this helped you, share it with someone navigating GLP-1 food aversions, then subscribe and leave a review so more people can find trustworthy, evidence-based metabolic health guidance.

GLP-1 Overview Video

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Plant Based Nutrition With Dr. Shayla Toombs-Withers, DO

Thu, 09 Jul 2026 01:00:00 -0500

Having practiced a plant based diet for numerous years, Dr. Shayla Toombs-Withers incorporates her lifestyle into educating others how to improve and overcome their chronic diseases as a Family and Obesity Medicine Physician and Metabolic Health Coach. She founded Essence of Health Wellness Clinic & Coaching in Chattanooga, TN to help individuals heal their bodies and improve their health using her signature Mind Body Balance approach.
Her basis for health are in line with two of her favorite quotes “an ounce of prevention is worth a pound of cure” and “let food be thy medicine.”

Website: essenceofhealthwellnessclinic.com
IG: @essenceofhealthwellnessclinic
TikTok: @drshayla
YouTube: @EOHWCvideo
Podcast: Essence of Health Tea Time

We talk with Dr. Shayla Toomes Withers about how plant-forward eating can support weight loss, blood sugar stability, and long-term metabolic health without an all-or-nothing mindset. We break down the most common plant-based pitfalls and share practical strategies for protein, travel, restaurants, and making changes that last.
• why fiber-rich whole plant foods improve fullness and help stabilize blood sugar
• using food sequencing to support portion control and post-meal glucose
• shifting the “meat and two sides” mindset toward a plant-forward plate
• clearing up protein fears with beans, tofu, tempeh, and oats
• avoiding the processed carb trap that stalls metabolic progress
• planning and self-advocacy when eating out or traveling
• using fruit and high-fiber choices to support gut health and GLP-1 constipation risk
• making it sustainable with small steps, journaling, and measurable goals
If you found this information helpful please share with a friend family member or colleague we need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

The Original Weight Loss Meds: Phentermine, Qsymia, and Contrave

Mon, 06 Jul 2026 01:00:00 -0500

GLP-1 medications are everywhere right now, but the “older” obesity medications never stopped helping real patients and they can still be the right tool when matched well. I walk through the three FDA-approved first-generation obesity management options and how I think about using them safely in modern obesity medicine, especially when cost, access, or specific symptoms like cravings are part of the story.

We start with phentermine, the original FDA-approved weight loss medication, and get practical about what it actually does: appetite suppression, typical stimulant-like side effects, morning dosing, expected weight loss, and the key reasons it may be unsafe (like uncontrolled high blood pressure, certain heart conditions, glaucoma, or uncontrolled hyperthyroidism). Then we move into Qsymia, the phentermine plus topiramate combination, including why it tends to produce more weight loss, what to know about pricing, and the topiramate-specific risks like teratogenicity, kidney stones, fatigue, taste changes, and tingling sensations.

Next, we dig into Contrave (bupropion plus naltrexone) and why it can be a great fit when food cravings, emotional eating, mood symptoms, or goals like cutting back on alcohol or smoking are front and center. I also explain the non-negotiable safety rules: no history of seizures, and no opioids of any kind, including products like kratom or 7OH, due to the risk of precipitated withdrawal. We close by talking strategy, including combining these oral options with GLP-1 therapy, using them for maintenance, and an honorable mention of metformin for insulin resistance and metabolic health.

Subscribe, share this with someone who needs clear guidance, and leave a review so more people can find the podcast and improve their metabolic health.

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Qsymia discount program

Contrave discount program

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Weight Gain During Menopause With Dr. Komal Patil-Sisodia, MD

Thu, 02 Jul 2026 01:00:00 -0500

Dr. Komal Patil-Sisodia is a triple board certified endocrinologist & women's health specialist based out of Washington state.

Website: eastsidemm.com
Instagram: @drpatilsisodia
TikTok: @dr-komal-patil-sisodia

Menopause symptom questionnaire: Greene Climacteric Scale

Menopause is a single moment on the calendar, but the real story is the long runway leading up to it and the way your whole body can change while your lab work still looks “fine.” We sit down with triple board certified endocrinologist and women’s health specialist Dr. Komal Patil-Sisodia to define menopause, perimenopause, and post-menopause in plain language, then connect the dots to what so many women actually feel: unpredictable cycles, shifting mood, sleep problems, brain fog, palpitations, vaginal dryness, recurrent UTIs, and even joint and muscle changes that can show up in midlife.

We also tackle the elephant in the room: why hormone replacement therapy became so controversial after the Women’s Health Initiative and how the headlines shaped two decades of care. Instead of absolutes, we focus on nuance and shared decision making, including why symptom relief is the primary goal, how to think about risk, and why the route of estrogen matters when discussing blood clot concerns.

Finally, we get practical about metabolic health and weight management. HRT is not a weight loss drug, but it may help body composition in some women and there’s emerging research on pairing menopause hormone therapy with GLP-1 medications like tirzepatide for improved outcomes. If you’re navigating PCOS, prediabetes, diabetes, or obesity in perimenopause, you’ll hear why individualized care beats blanket advice and how to advocate for the support you deserve.

Subscribe, share this with a friend who needs it, and leave a review so more women can find evidence-based menopause and metabolic health guidance.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Osteoporosis Screening And Prevention With Dr. Uzma Khan

Mon, 29 Jun 2026 01:00:00 -0500

Osteoporosis is one of those diagnoses that can hide in plain sight until the day a wrist snaps from a minor fall or a hip fracture changes everything. We sit down with Dr Uzma Khan, board-certified in internal medicine and endocrinology, to explain what osteoporosis and osteopenia actually mean inside the bone and why “no pain” does not mean “no risk.”

We talk through bone density screening with a clear, listener-friendly roadmap: when women should get a DEXA scan (typically starting at 65), when men should be screened (often starting at 70), and why earlier testing matters for ages 50 to 64 in women and 50 to 69 in men when risk factors show up. We cover the big red flags to bring up at your next visit, including family history, prior fractures, long-term prednisone or other steroids, smoking, vitamin D deficiency, celiac disease and other malabsorption issues, rheumatoid arthritis, diabetes, cancer therapies that lower estrogen or testosterone, and premature menopause.

Then we shift into prevention you can start today, no matter your age: building peak bone mass earlier in life, getting enough calcium from food, prioritizing protein and key minerals, and using vitamin D from diet and appropriate sun exposure to support absorption. We also share why walking helps, why resistance training is a bone-health multiplier, and how these habits overlap with better metabolic health overall.

Finally, we tackle a timely question: do GLP-1 receptor agonists like semaglutide affect bone density, or is the concern more about rapid weight loss, lower nutrition intake, and less mechanical loading on the skeleton? We discuss what current studies suggest, what remains unclear, and how to think about risk versus benefit with your prescriber. Subscribe, share this with someone you care about, and leave a review so more people can find reliable, practical health information.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Dietitian Advice on a GLP-1 with Steph Wagner, RD

Thu, 25 Jun 2026 01:00:00 -0500

Steph Wagner is a Registered Dietitian with 15 years of experience in bariatric surgery nutrition and now GLP-1 medications. She’s the owner and creator of Bariatric Food Coach, a comprehensive membership website for with resources, education and community for post-op surgical patients.

Website: BariatricFoodCoach.com
Instagram: @bariatricfoodcoach
Facebook: @bariatricfoodcoach
YouTube: @BariatricFoodCoach
Pinterest: bariatricfoodcoach

Steph Wagner joins us to explain what changes when nutrition stops being simple and starts affecting your symptoms, your labs, and your day-to-day life. We break down how dietitians support bariatric patients and people on GLP-1 medications while keeping care realistic, compassionate, and personalized.
• knowing “healthy foods” versus building a plan that fits real life
• using a dietitian when obesity and chronic disease make nutrition confusing
• insurance coverage basics for dietitian visits and why Medicare rules frustrate patients
• bariatric surgery nutrition goals compared with GLP-1 nutrition goals
• managing GLP-1 side effects with protein timing meal texture and hydration
• differences we see between semaglutide and tirzepatide tolerance
• why a daily multivitamin often makes sense when intake drops
• watching for deficiency clues and using symptoms to guide targeted labs
• reducing triggers for people with disordered eating and screening for eating disorders
• common barriers like time shame and finding a provider who feels safe
• motivational interviewing as a way to set goals you actually own
• navigating diabetes meds and when to ask about GLP-1s and SGLT2 inhibitors
If you found this information helpful, please share with a friend, family member, or colleague. Please subscribe and write a review.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Medicare GLP-1 Bridge Program

Mon, 22 Jun 2026 01:00:00 -0500

Medicare’s new Bridge program could open access to GLP-1 medications starting July 1, 2026, with an expected $50 monthly copay for eligible beneficiaries. We walk through the exact qualification rules and the practical safety steps we use when prescribing GLP-1s for adults 65 and older.

• Medicare Bridge program timeline and why it could influence commercial insurance coverage
• How Bridge eligibility differs from FDA-approved GLP-1 indications
• BMI 35+ qualification and why highest documented BMI matters
• BMI 30+ plus qualifying conditions like heart failure, resistant hypertension, or CKD stage 3A+
• How to spot CKD in labs using eGFR on a BMP or CMP
• BMI 27+ pathways including prediabetes, prior heart attack or stroke, and symptomatic PAD
• PAD basics and symptoms to bring to your clinician
• Older adult safety basics including slow titration and avoiding dehydration
• Nutrition priorities including adequate calories, protein, and micronutrients
• Strength and mobility support through PT and beginner-friendly strength training
• Why medication doses for blood pressure and diabetes may need adjustment during weight loss
• Osteoporosis screening around age 65 and why it matters during GLP-1 treatment

If you found this information helpful, please share with a friend, family member, or colleague. Please subscribe and write a review.

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More information about Medicare Bridge Program
Prior Authorization Form

Supportive GLP-1 Community:
Deb Cooperman TikTok
The Plus SideZ Podcast
Mike on a Mission TikTok
GLP1 Collective

GLP Strong (accessible exercise)

Dr. Uzma Khan, MD explains Osteoporosis

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Link Between Obesity and Inflammation with Dr. Isabelle Amigues, MD

Thu, 18 Jun 2026 01:00:00 -0500

Isabelle Amigues, MD, CEO and Founder of UnabridgedMD in Rheumatology Isabelle Amigues, MD, is a rheumatologist based in Denver, Colorado. She honed her expertise by studying in Paris, as well as at Columbia University, in New York City. At age 40 she was diagnosed with stage IV metastatic breast cancer. A timely meeting with a non-traditionally trained practitioner taught her a different approach to disease where she experienced the power of meditation, visualization, energy healing, and love. Her journey through cancer inspired her to learn more about these alternative techniques and she now blends western medicine and eastern techniques into her practice at UnabridgedMD.

Website: UnabridgedMD.com
Youtube: @Rheumatology101
Instagram: @unabridgedmd
Facebook: @UnabridgedMD
X: @UnabridgedMD

Fat tissue isn’t just “extra weight.” It can function like an immune-active organ, packed with inflammatory cells that quietly raise the baseline inflammation in your body. That one shift in understanding changes how we think about obesity, insulin resistance, and chronic disease and it may explain why conditions like rheumatoid arthritis and psoriatic arthritis can be harder to control when excess adipose tissue is in the mix.

We’re joined by Dr. Isabelle Amig, a board-certified rheumatologist in Denver and the host of Unabridged MD, to unpack what the research and real-world clinic patterns are showing. We talk about what doctors literally see in fat biopsies, why ongoing inflammation becomes “fuel on the fire” for autoimmune disease, and how obesity can raise risk and severity in inflammatory arthritis. Then we connect the dots to cardiometabolic health, including why systemic inflammation also matters for cardiovascular disease and kidney outcomes.

We also go deep on GLP-1 receptor agonists and why their impact may extend beyond appetite and weight loss. Dr. Amig shares why some patients report feeling better fast, sometimes before significant weight changes, and how emerging science suggests a direct anti-inflammatory effect at the cellular level. Finally, we address the stigma head-on: insulin resistance is common, menopause and biology play a role, and using evidence-based obesity medicine isn’t a moral failure.

If this conversation helps you, share it with someone who needs clearer health information, then subscribe and leave a review so more people can find the show.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Fatigue On GLP-1s: Why It's Happening And How To Fix It

Mon, 15 Jun 2026 01:00:00 -0500

We break down why fatigue can show up on GLP-1 medications and why the fix depends on the real cause, not a one-size-fits-all trick. We walk through four common drivers and the practical next steps that help you feel energized while still moving toward your weight loss and metabolic health goals.
• underfueling on GLP-1 due to strong appetite suppression and overly aggressive calorie restriction
• balancing calories with a slight deficit to support weight loss without draining daily energy
• macronutrient balance and why extreme low-carb approaches can leave some people exhausted
• when to consider discussing a lower GLP-1 dose with your doctor
• micronutrient basics and who needs extra attention due to absorption issues
• three key labs to ask about for fatigue: vitamin D, ferritin, and vitamin B12
• vitamin D targets, sunlight timing, food sources, and safe supplementation monitoring
• iron deficiency fatigue despite a normal CBC and why ferritin matters
• iron treatment options including food, every-other-day oral iron, and IV iron when needed
• sleep quantity and sleep quality as major fatigue drivers
• sleep hygiene fundamentals and CBT-I as first-line care for primary insomnia
• obstructive sleep apnea symptoms, home testing, and CPAP as the most effective treatment
• normal temporary fatigue during weight loss and when it signals a bigger problem
If you found this information helpful, please share with a friend, family member, or colleague. Please subscribe and write a review.

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How to improve your sleep (Dr. Ogle YouTube)

CBT-i Free App (for insomnia)

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Body Composition Analysis with Nina Crowley, PhD, RD

Thu, 11 Jun 2026 01:00:00 -0500

Nina Crowley, PhD, RD, is a nationally recognized expert in body composition and obesity care. She holds a PhD in Health Psychology and blends clinical expertise with a deep understanding of behavior change and patient-centered care. Before her current role, she led the Metabolic and Bariatric Surgery Program at the Medical University of South Carolina (MUSC), where she focused on advancing patient outcomes through multidisciplinary care. As Director of Clinical Education and Partnerships at Seca, Nina leads strategic collaborations to expand education and access in obesity and metabolic health. She also serves on the Board of Directors for the Obesity Action Coalition and hosts the podcast "In the Know with Nina," where she explores body composition, obesity care, and health innovation.

Connect with Nina Crowley, PhD, RD:
LinkedIn: ninacrowley
Twitter/X: @PsychoDietitian
Instagram: @ninamcrowley
Facebook: @ninacrowley
Podcast: In the Know with Nina
Episode with Dr. Lindsay Ogle

We talk with dietitian and health psychologist Nina Crowley about why body composition beats weight alone for understanding health, risk, and progress. We break down where BMI falls short, how modern bioimpedance works, and how to use the data without getting trapped by daily fluctuations.
• why weight and BMI miss muscle loss and hidden adiposity
• how body composition supports obesity treatment decisions and dosing pace
• why plateaus can still mean fat loss and muscle gain
• better goal setting that focuses on behaviors and fitness markers
• overview of body composition tests and what has improved over 20 years
• office-grade bioimpedance versus home scales and common accuracy pitfalls
• how often to measure so the numbers stay useful
• why a care team helps turn data into sustainable behavior change
If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Obesity Medicine Without Shame: Dr. Brianna Bingham, DO

Mon, 08 Jun 2026 01:00:00 -0500

Follow Dr. Bingham on TikTok or Instagram

We welcome Dr Brianna Bingham to Missouri Metabolic Health and talk about why obesity deserves the same respect as any chronic disease. We share how patient education, choice, and consistent follow-up change outcomes with GLP-1 medications, bariatric surgery, and long-term metabolic health care.

• Dr Bingham’s background in internal medicine and why she pursues obesity medicine
• Lived experience with obesity and how it shapes empathy and stigma-free care
• DO vs MD explained in practical terms for patients
• Our shared treatment philosophy of education, options, and informed consent
• Why dedicated weight management visits allow better history-taking and goal setting
• GLP-1 medications, side effects, and the need for credible follow-up
• Bariatric surgery as one tool in a long-term plan, not a moral verdict
• Building a support team with dietitians, therapy, training, and trustworthy online community
• Where to find Dr Bingham and how to schedule with Missouri Metabolic Health

If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How To Feel Full

Thu, 04 Jun 2026 01:00:00 -0500

Hunger is not a character flaw. It’s biology, and your body has multiple systems that decide when you feel full and when you keep thinking about food. We walk through a clear, practical framework for satiety that you can use immediately, whether your goal is weight loss, weight maintenance, or better metabolic health.

First, we talk about stomach stretch and why physical volume matters. When your stomach expands, stretch receptors send signals to your brain that it’s time to stop eating. That’s why high-volume, low-calorie foods like non-starchy vegetables can support portion control. We also connect this idea to real obesity medicine tools, including sleeve gastrectomy and the role of ghrelin, plus options like Plenity and even simple pre-meal fiber strategies that can help you feel full sooner.

Next, we dig into the protein leverage hypothesis: the idea that your body keeps you hungry until it gets enough protein for muscle, organ function, and hormone building blocks. If you’ve ever lived on carb-heavy snacks and felt hungrier than usual, this may explain it. We share an easy protein target to consider for meals and then zoom out to the bigger picture: nutrient density. If your body is missing key nutrients, it can turn up hunger to push you to keep searching for what you need, which is why whole, minimally processed foods can make appetite feel calmer and more predictable.

If this helped you, subscribe, share it with a friend, and leave a review so more people can find trustworthy, practical metabolic health guidance.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How The Zepbound Multi-Dose Kwik-Pen Works

Mon, 01 Jun 2026 01:00:00 -0500

*Watch this one on YouTube*

We break down the LillyDirect Zepbound multi-dose Quick Pen and how it differs from the weekly single-use pens many people get at the pharmacy. We share practical injection steps, storage rules, and clinician-guided dosing strategies that can improve tolerability and sometimes reduce out-of-pocket costs.
• what the LillyDirect multi-dose pen is and why it is different from single-use pens
• how the labeled pen strengths work and what you receive for a month
• checking the medication window for clarity before use
• attaching a new single-use needle each injection and disposing in a sharps container
• priming the pen and dialing to “1” for a full dose
• injection sites to consider such as abdomen thigh upper arm
• room temperature versus refrigerated storage and the 30-day window
• why you should not switch between room temperature and refrigeration
• why freezing can make medication ineffective
• split dosing concept for side effects early week and hunger later week
• counting clicks for partial dosing and marking the dial
• discussing higher-strength pen strategies with your prescriber for affordability
• where to ask questions on YouTube or by email and social channels

If you're on YouTube, please comment below or send me an email, support at Missouri Metabolic Health.com.
Follow me and reach out to me on TikTok or Instagram, Dr. Lindsay Ogle,
If you found this information helpful, please share with a friend, family member, or colleague.
We need to do all we can to combat the dangerous misinformation that is out there.
Please subscribe and write a review.
This will help others find the podcast so they may also improve their metabolic health.

LillyDirect

How to use Zepbound KwikPens

Here is the information for which type of needles to purchase for Zepbound KwikPens and this is a link to example sold by CVS and another example sold by Amazon Pharmacy.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How Coaching Can Positively Impact Your Weight Journey with Lisa Salisbury

Thu, 28 May 2026 01:00:00 -0500

Lisa Salisbury is a former chronic dieter turned coach who helps women stop obsessing over food and feel confident losing weight without counting, tracking, or diet apps. She teaches her clients to check in with their bodies instead of checking boxes—and to build lives so fulfilling that food no longer has to play the role of comforter, reward, or escape. She also supports women on GLP-1 medications as they navigate the mindset and habit shifts that come with appetite loss and rapid weight changes. Lisa hosts the top 100 podcast Eat Well, Think Well, Live Well and is a certified Health, Life, and Weight Loss Coach with a BS in Health and Human Performance.

Website: wellwithlisa.com
Podcast: wellwithlisa
Instagram: @well_with_lisa
GLP-1 Success starter kit
What To Do When You Overeat

We talk with life and weight coach Lisa Salisbury about how coaching exposes blind spots that keep weight loss and metabolic health plans stuck. We dig into scale neutrality, why “I’ll be happy when I hit my goal weight” backfires, and how mindset work supports maintenance whether you use GLP-1 medication or not.

• coaching as accountability plus outside perspective to find blind spots
• separating facts from thoughts using a cognitive behavioral coaching model
• treating scale weight as neutral data instead of a verdict
• why happiness does not automatically arrive at goal weight
• “you can’t hate yourself thin” as a mindset reset
• normal ups and downs in body image and mood across the month
• setting a mindset goal plus a weight goal and rating progress
• GLP-1 medications reducing hunger but not replacing brain work
• emotional eating in transitions like work to home or car rides
• building dopamine and comfort without food through simple self-care
• making existing routines more intentional like showers and sit-down meals
• walking outdoors after meals for mood and metabolic benefits
• identity shifts and future self thinking for long-term maintenance
• where to find Lisa and her free GLP-1 starter kit resources

If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Foundayo For Obesity Care: The New Oral GLP-1

Mon, 25 May 2026 01:00:00 -0500

LillyDirect for Foundayo
Birth Control Options: Website & YouTube

How to Manage GLP-1 Side Effects

We break down Foundayo (orforglipron), a newly FDA-approved oral non-peptide GLP-1 medication for obesity management, and explain what makes it different from other GLP-1 options. We share how to time it, what side effects to expect, what interactions to watch for, and what the clinical trial data suggests about real-world weight loss and metabolic benefits.
• what Foundayo is and why the non-peptide oral form changes dosing flexibility
• how peak effect works and how dosing time can match your hunger and food noise pattern
• common GLP-1 side effects and practical ways to reduce nausea, constipation, and reflux
• why CYP3A4 metabolism matters and which medication interactions to flag early
• oral birth control considerations and when to use backup contraception
• what to do if you miss a dose and when you must restart at the lowest dose
• Attain trial results and how Foundayo compares with semaglutide and tirzepatide averages
• who may benefit most, including needle aversion, frequent travel, weight maintenance, and those wanting a milder option
• cash pricing overview through LillyDirect and why more options improve obesity care
If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Breaking Weight Loss Plateaus With Dr. Matthea Rentea, MD

Thu, 21 May 2026 01:00:00 -0500

Dr. Matthea Rentea is a double board certified physician in Internal Medicine and Obesity Medicine. She owns the Rentea Metabolic Clinic, a comprehensive Telehealth obesity medicine clinic for residents of Indiana and Illinois. She is the host of the 20+ ranked podcast The Obesity Guide with Matthea Rentea MD.

Website: RenteaClinic.com
TikTok: @matthearenteamd
Instagram: @matthearenteamd

The scale can be cruel: you’re drinking the water, hitting protein, moving your body, and showing up week after week… and then nothing happens. That moment makes smart, motivated people feel like they’re broken. We’re not buying that story. We sit down with Dr. Matea Rentilla, a double board-certified internal medicine and obesity medicine physician, to explain what a true weight loss plateau is, how long it needs to last to “count,” and why it’s often your physiology adapting rather than your effort failing.

We dig into why body composition matters so much when scale weight is stagnant. If you’re losing fat and preserving muscle, your metabolic health is improving even if the number looks frozen. From there we get practical: a 14-day data audit that tracks what you eat and when you eat it, plus hydration, sleep, movement, and daily stress. The goal is not obsessive tracking or shame. It’s pattern-finding, then choosing one realistic 10% change you can actually keep.

We also tackle plateau myths fueled by diet culture and social media, like doubling down on restriction, adding more intense workouts, or stopping GLP-1 medications to “restart” weight loss. We talk about stress, cortisol, hunger signals, and why maintenance is not a defeat. If you want evidence-based obesity medicine guidance, a calmer mindset, and strategies for sustainable weight loss and long-term weight maintenance, this conversation is for you.

If this helped, subscribe, share with someone who’s stuck, and leave a review so more people can find reliable metabolic health information.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Gut Microbiome And Weight Loss With Alyssa Simpson, RD

Mon, 18 May 2026 01:00:00 -0500

Alyssa Simpson is a Registered Dietitian based in Phoenix, Arizona. She is the founder of Nutrition Resolution, a group practice of GI-specialized dietitians that helps people struggling with complex digestive issues get real, lasting relief while still enjoying food. She also educates and supports the public through her podcast, The Gut Health Dialogues.

Learn from and connect with Alyssa:

Website: nutritionresolution.com

Podcast: The Gut Health Dialogues

Instagram: @nutritionresolution

Free Diet Guides: nutritionresolution.com/free-meal-plans-guides/

Veggie Mash: alyssa-simpson.mykajabi.com/veggie-mash-guide

We connect the dots between gut health and weight management, showing why calorie math alone can miss what your body is actually absorbing and signaling. We also talk through GLP-1 meds and digestion so you can reduce side effects, protect your microbiome, and build a plan that fits your real life.

• how the gut microbiome affects energy harvest from food
• metabolic endotoxemia, LPS, and low-grade inflammation that disrupts insulin signaling
• appetite regulation and gut-driven hormones such as GLP-1
• common symptom patterns that suggest imbalance or low microbial diversity
• why long-term restriction can backfire on gut resilience
• when stool testing helps and why expert interpretation matters
• GLP-1 medications, slowed motility, and why constipation and bloating can worsen
• simple ways to keep plant diversity high with small portions, including the veggie mash idea
• easing into fiber and troubleshooting when fiber makes symptoms worse
• probiotics versus prebiotics and what realistic expectations look like

If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Six Habits for a Longer Life

Thu, 14 May 2026 01:00:00 -0500

We share six simple habits that improve metabolic health and support longevity at any age, without chasing perfection. We focus on practical steps you can start today to protect your heart, blood sugar, strength, and long-term quality of life.
• establishing with a trusted primary care doctor for preventive care, labs, and early detection
• moving your body daily and building toward 150 to 300 minutes weekly
• combining cardio exercise with resistance training for heart health and strength
• prioritizing adequate sleep to support mood, appetite, and daily choices
• drinking more water and using urine color to personalize hydration
• limiting added sugars by reading labels and focusing on what changes health most
• avoiding risky substances and behaviors, including smoking and excess alcohol
If you found this information helpful, please share with a friend, family member, or colleague. Please subscribe and write a review.

Home Exercise Membership: https://www.glpstrong.com/

Video Mentioned About Sleep: https://www.youtube.com/watch?v=4cBwDHNIUjQ

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Why You Need A Board-Certified Obesity Medicine Doctor

Mon, 11 May 2026 01:00:00 -0500

Find a board certified Obesity Physician: https://obesitymedicine.org/about/find-a-provider/

You can spend years blaming yourself for “not having enough willpower” when the real problem is that you’ve never had the right kind of medical support. We pull back the curtain on what a board-certified obesity medicine physician actually does, why the training pathway is so long, and how that expertise shows up where it counts: day-to-day care, medication decisions, and real metabolic health outcomes.

We start with the basics of becoming a physician and then get specific about why obesity medicine is different from a standard primary care approach. We talk candidly about weight stigma, medical trauma, and why compassion isn’t a bonus feature, it’s a clinical tool that helps patients stay engaged in care. If you’ve felt dismissed in a larger body, this conversation explains what you should expect from a clinic that’s built to treat people, not judge them.

From there, we dive into GLP-1 medications and why patients often do better with a specialist guiding the process. We discuss individualized titration, side effect mitigation, and staying current as new anti-obesity medications emerge. We also cover a topic that hits home for many listeners: cost. Prior authorizations, billing codes, and insurance criteria are confusing, and it’s common for people to pay out of pocket or get incorrectly told they aren’t covered. We share how specialized obesity care can help uncover options and reduce unnecessary spending.

We close by reframing the goal away from “perfect weight” and toward better health: improved insulin resistance, reduced inflammation, better sleep apnea symptoms, less joint pain, and more energy. Our framework is the four pillars of obesity medicine: treatment options, nutrition, physical activity, and behavior change including sleep and mental health. If this helps you, subscribe, share the episode, and leave a review so more people can find evidence-based obesity medicine and metabolic health care.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Eating More Can Support Weight Loss When You Follow These 6 Recommendations

Thu, 07 May 2026 01:00:00 -0500

“Eat less” is common advice, but it isn’t always the smartest path to better metabolic health. I’m Dr. Lindsay Ogle, a board-certified family medicine and obesity medicine physician, and I’m breaking down six specific situations where I actually recommend eating more to support weight management, appetite control, and healthier blood sugar patterns.

We start with night eating syndrome, a pattern where you barely eat during the day and then feel ravenous at night. The simplest non-medication lever can be breakfast, especially a high-protein breakfast in the 20 to 30 gram range. If you wake up with no appetite, a protein shake or bar can be an easy first step. Over time, getting protein earlier can reduce evening hunger, when stress is high and decision-making is at its lowest.

Next, we talk about what to do after you overeat. Punishing yourself with restriction the next day can keep you stuck in a binge-restrict cycle and erode self-trust. I share a more stable reset: return to your normal routine and nourish yourself. You’ll also learn a practical strategy for carbohydrate-heavy meals by eating protein and/or fiber first to improve fullness and reduce blood sugar spikes, which matters for insulin resistance, diabetes prevention, PCOS, fatty liver disease, and metabolic syndrome.

Finally, we cover why fueling matters if you want to build or maintain muscle and protect your metabolism, plus why extremely restrictive diets tend to fail. A sustainable nutrition plan can include planned treats, even dessert, so you can stay consistent without feeling trapped. If this helped, subscribe, share the episode with someone you care about, and leave a review so more people can find trustworthy metabolic health advice.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

From Bariatric Surgery To GLP-1s, Zach's Story

Mon, 04 May 2026 01:00:00 -0500

Zach Niemiec is Vice President of Patient Advocacy of ProCare Health which is a supplement store focusing on caring for patients living with obesity treated with metabolic & bariatric surgery; now expanding to cover patients taking GLP-1 medications.

Follow Zach on Instagram: https://www.instagram.com/lucky_finz/
Follow Zach on TikTok: https://www.tiktok.com/@lucky_finz
https://procarenow.com/blogs/resources/questions-before-starting-glp-1

We talk with Zach Niemiec about living with obesity from childhood through bariatric surgery, GLP-1 medications, and the confusing reality of long-term maintenance. We focus on fatty liver disease remission, stigma-free language, and how building the right care team makes progress safer and more sustainable.

• childhood obesity and diet culture pressures
• lap band removal sleeve surgery complications and weight recurrence
• unexplained symptoms leading to NAFLD and steatohepatitis diagnosis
• GLP-1 therapy decisions including semaglutide and tirzepatide
• why maintenance feels unclear and why protocols vary
• shifting focus from scale weight to body composition and health markers
• mental health support for body image dysmorphia and stigma recovery
• building a care team with primary care dietitian therapist and specialists
• using DEXA and other scans to track fat loss and muscle gain
• improving access cost education and patient advocacy resources

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

7 Ways To Prevent & Treat Nausea While On A GLP-1

Thu, 30 Apr 2026 01:00:00 -0500

Nausea doesn’t have to be the price of progress. We break down a practical, evidence-informed plan to calm your stomach while keeping the powerful benefits of GLP-1 therapies for weight, insulin resistance, and type 2 diabetes. As a board-certified family and obesity medicine physician, I explain why “start low, go slow” protects your gut, how to hold at a dose that actually works for you, and when to pause titration without losing momentum.

We get specific about daily habits that change everything: a small protein-first breakfast to prevent the empty-stomach trigger, smaller and more frequent meals that respect slower gastric emptying, and hydration strategies that beat nausea linked to dehydration and constipation. You’ll hear how to use a sugar-free electrolyte drink for more impact with less volume, and how to structure meals to keep protein, fiber, and micronutrients on track without tipping into reflux or queasiness.

When lifestyle fixes aren’t enough, we talk smart tools: short-term antiemetics around injection day, gentle OTC options like ginger or peppermint with safety caveats, and a simple experiment many patients swear by—moving injections from the abdomen to the thigh. We also map the decision points for switching medications, including why some people who struggle on semaglutide do well on tirzepatide. The goal is not just symptom control; it’s long-term adherence, better blood sugar, sustainable weight loss, and a calmer relationship with food.

If you’re ready to stay on therapy without feeling miserable, this guide gives you a clear path forward—built around comfort, data, and real-world results. Subscribe, share with someone who needs it, and leave a quick review to help more people find trustworthy metabolic health guidance.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

High-Dose Wegovy 7.2mg

Mon, 27 Apr 2026 01:00:00 -0500

A new ceiling just arrived for GLP-1 weight loss treatment, and it changes the conversation about what’s possible without jumping straight to surgery. I’m Dr. Lindsay Ogle, and I’m walking you through brand new FDA-approved high-dose Wegovy dosing that goes up to 7.2 mg of semaglutide, including what we can realistically expect, what could go wrong, and who may benefit most.

We start with the practical basics: how Wegovy dosing has traditionally titrated from 0.25 mg up to 2.4 mg, why each step is usually held for at least four weeks, and how I think about dose increases in real-world obesity medicine. Then I break down the key study behind the new dose, a 72-week randomized double-blind trial comparing 7.2 mg vs 2.4 mg vs placebo. One detail matters a lot for interpreting the results: everyone received lifestyle guidance on nutrition, exercise, sleep, and stress, so we’re truly looking at medication added on top of lifestyle intervention.

From there, we dig into outcomes and tradeoffs. Average total body weight loss reached 18.7% with 7.2 mg vs 15.6% with 2.4 mg, and about 31% of patients on 7.2 mg hit 25% or more weight loss. I also explain why weight loss tends to be lower in people with type 2 diabetes, why early treatment can lead to better results, and what side effects to watch for including the expected GI issues and a notable increase in pins-and-needles sensations at the higher dose.

If this helped you, subscribe, share it with someone you care about, and leave a review so more people can find accurate metabolic health information. What question do you have about high-dose Wegovy 7.2 mg?

Older Obesity Management Medications

GLP-1 Medication Overview

New Obesity Management Medications with Dr. Galindo

When To Increase Your GLP-1 Dose

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Fiber Goals For Metabolic Health

Thu, 23 Apr 2026 01:00:00 -0500

We break down why fiber is a metabolic powerhouse for glucose control, heart health, gut health, and fullness, then share simple ways to reach about 30 grams per day without stomach upset. We unpack soluble vs insoluble fiber, label math on “net carbs,” and practical foods, snacks, and supplements.

• soluble vs insoluble fiber and benefits
• daily fiber targets and how to track
• gradual increases to reduce GI symptoms
• high-fiber fruits, vegetables, grains, legumes
• easy add-ins like chia and flax
• smoothies, yogurt bowls, and wraps as vehicles
• net carbs, calorie math, and label pitfalls
• GLP-1 considerations and hydration with fiber
• fiber supplements as a backup option

Please share with a friend, family member, or colleague
Please subscribe and write a review

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

When To Lower Your GLP-1 Dose

Mon, 20 Apr 2026 01:00:00 -0500

If your GLP-1 dose is “working” but you feel miserable, can’t eat, or the weight is falling off too fast, that is not a win. I’m Dr. Lindsay Ogle, board-certified in obesity medicine, and I’m breaking down the most common reasons I decide to lower a patient’s GLP-1 medication dose and how we do it safely and thoughtfully.

We start with side effects, especially GI symptoms that come from slowed stomach emptying: nausea, indigestion, acid reflux, constipation, diarrhea and bloating. I also touch on less typical complaints like fatigue, headaches and mood changes, and I share when it’s reasonable to hold steady versus when moderate or severe symptoms mean you should contact your prescriber and consider dose reduction or a short break. Just as important, I explain how hydration, nutrition quality, protein intake and meal timing can reduce side effects and support better tolerance.

Next, we talk about appetite. GLP-1 therapy should bring appetite back to a healthy baseline, not erase it. If you’re skipping meals, struggling to eat, or drifting into severe restriction, the dose is too high and the risks add up: nutrient deficiencies, loss of lean muscle, fatigue and even hair loss. I also cover rapid weight loss (more than about two pounds per week on average) and why it can raise the odds of dehydration, kidney stress and gallbladder disease.

Finally, I walk through tapering after reaching goals, how I monitor hunger, fullness, food noise and blood sugars, and why my philosophy is the lowest effective dose, especially when cost is a factor. If this helped you, subscribe, share with someone navigating GLP-1s, and leave a review. What’s the biggest question you want answered about dosing?

How to Manage GLP-1 Side Effects:

Nausea: https://youtu.be/07-QFm71YMo?si=ySEQtNdf1Pph9-L2

Constipation: https://youtu.be/rog26mYgg9g?si=ER3jharJZ8F6K4GJ

Reflux: https://youtu.be/cwJfaq6CA-o

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Constipation On GLP-1s

Thu, 16 Apr 2026 01:00:00 -0500

Constipation doesn’t have to derail your progress on GLP-1 medications. We break down why these therapies slow the gut, how to spot true constipation using the Bristol stool chart, and the practical steps that restore comfort without sacrificing your metabolic goals. From hydration tactics that actually stick to a fiber plan you can build meal by meal, we map out a routine that fits real life and keeps your gut moving.

We go deeper than quick fixes. You’ll learn how delayed gastric emptying changes transit time, why thirst cues can fade on GLP-1s, and how to use clear feedback—like urine color and stool form—to adjust in real time. We outline the pros and cons of common tools: psyllium and methylcellulose for daily support, senna plus docusate for short-term rescue, and osmotic options like polyethylene glycol and milk of magnesia when you need a stronger nudge. We also explain where movement fits, why walking after meals helps, and how to phase in changes to avoid gas and cramping.

If constipation has been your sticking point, this conversation gives you a two-week action plan and a safety net. You’ll know when to escalate, what red flags demand urgent care—no gas, vomiting with minimal intake, sudden severe pain—and how to talk with your clinician about prescription options that keep you on your GLP-1. Subscribe for next week’s guide to adding more fiber without the bloat, share this with someone navigating GLP-1 side effects, and leave a review so more listeners can find practical, evidence-based help.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

When To Increase Your GLP-1 Dose

Mon, 13 Apr 2026 01:00:00 -0500

If you’ve ever wondered, “Should I increase my GLP-1 dose?” you’re not alone and the right answer is rarely just “go up because you can.” I’m Dr. Lindsay Ogle, a board-certified family medicine and obesity medicine physician, and I’m sharing the same framework I use in clinic to make GLP-1 titration decisions that are safe, personalized, and sustainable.

We start with the most overlooked rule: time. Because injectable GLP-1 medications have a long half-life, I want a full four weeks at a dose before we judge it. Then we walk through the decision points that matter most: GI side effects (nausea, reflux, bloating, constipation or diarrhea), whether you’re getting real appetite control and reduced food noise, and whether you can still eat enough protein, fiber, and overall calories to protect your energy, muscle mass, and metabolism. If a dose makes you skip meals or feel uncomfortably full after a few bites, “stronger” is not better.

We also talk about how to measure progress without getting trapped by the scale: clothes fit, body composition, waist circumference, and for metabolic goals like type 2 diabetes or prediabetes, blood sugar trends like A1C or continuous glucose monitor data. Finally, we address diet mentality, the real-world impact of medication cost, and why obesity is a chronic disease that often requires long-term treatment and a supportive care team.

Subscribe, share this with someone who’s considering a dose change, and leave a review so more people can find reliable, evidence-based guidance on GLP-1 medications and metabolic health.

How to Manage GLP-1 Side Effects:

Nausea: https://youtu.be/07-QFm71YMo?si=ySEQtNdf1Pph9-L2

Constipation: https://youtu.be/rog26mYgg9g?si=ER3jharJZ8F6K4GJ

Reflux: https://youtu.be/cwJfaq6CA-o

Advocacy Groups:

https://www.obesityaction.org/

https://glp1collective.org/

Find a board certified Obesity Physician:

https://obesitymedicine.org/about/find-a-provider/

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

What Stage Of Obesity Do You Have?

Thu, 09 Apr 2026 01:00:00 -0500

Forget the scale-first mindset. We break down why BMI misses the true story of health and walk through the Edmonton Obesity Staging System, a clear framework that matches treatment intensity to real-world risk. By shifting focus from a single number to metabolic status, we show how early action can prevent disease, how targeted therapy can simplify complex care, and why success is measured in energy, function, and longevity—not pant size.

We start by exposing BMI’s blind spots around body composition and visceral fat, then define obesity as a chronic, treatable disease recognized by major medical bodies. From there, we map each Edmonton stage to practical strategies. Stage 0 and Stage 1 emphasize prevention: structured nutrition, progressive exercise, better sleep, and stress skills to reverse early warning signs like prediabetes and borderline blood pressure. Stage 2 spotlights root-cause treatment that tackles excess adiposity and metabolic dysfunction directly, using lifestyle plus evidence-based anti-obesity medications such as GLP-1 receptor agonists to reduce multiple conditions at once. Stage 3 addresses complications—heart attacks, strokes, neuropathy—pairing urgent management with continued weight-focused therapy to halt further damage. Stage 4 focuses on dignity and function amid end-organ damage, aligning care to preserve strength, mobility, and quality of life.

Throughout, we share how to judge progress by improved labs, lower medication burden, better sleep, and daily capabilities, not arbitrary targets. You’ll learn why two people with the same BMI can have opposite risks, how staging guides smarter choices, and what steps to take whether you’re preventing disease or managing it. Ready to rethink weight and health with a science-based, compassionate lens? Follow the show, share this episode with someone who needs clarity over stigma, and leave a review so more people can find credible metabolic health guidance.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Three New Obesity Medicines With Dr. Marilyn Galindo

Mon, 06 Apr 2026 01:00:00 -0500

Today’s guest is a fellow board certified obesity medicine physician, Dr. Marilyn Galindo, founder of Leon Springs Obesity Medicine in San Antonio, Texas. Her practice is dedicated to provide compassionate and patient-centered care to individuals navigating the challenges of obesity. Dr. Galindo is also deeply committed to advocating for patients with obesity and helping them overcome the stigma and discrimination they often face.

Follow Dr. Galindo on TikTok @marilyngalindomd

Weight loss medicine is moving so quickly that it can be hard to tell what’s real progress and what’s just hype. Today we sit down with board-certified obesity medicine physician Dr. Marilyn Galindo to sort through the most talked-about “next” options and what they could mean for real people trying to improve metabolic health, reduce insulin resistance, and treat obesity as the chronic disease it is.

We dig into high-dose semaglutide (Wegovy), including why higher dosing may unlock more total weight loss for some patients, what the studies show about variability in response, and which side effects may become more common as doses rise. We also talk about the practical art of prescribing GLP-1 receptor agonists: slowing down titration when needed, preventing constipation and dehydration, and why specialist-led care can improve long-term tolerability and adherence.

From there, we explore cagriSema, a combination therapy that pairs semaglutide with an amylin analog to potentially boost satiety and support meaningful weight loss. One of the most interesting questions is whether amylin-based therapy could help with weight loss maintenance by blunting the metabolic slowdown that often follows weight reduction. If maintenance is the real finish line, this is the part to watch.

We also cover orforglipron, a daily oral GLP-1 that may bring flexibility for people who dislike injections, travel often, or need simpler planning around surgery. Finally, we address what’s still in the pipeline, why buying unapproved drugs on the gray market is risky, and how we can keep pushing back on obesity stigma with evidence-based education.

Subscribe, share this with someone who’s trying to make sense of modern obesity treatment, and leave a review so more people can find trustworthy metabolic health guidance.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Non-Scale Victories, Community, And Hope: Mike's Story

Thu, 02 Apr 2026 01:00:00 -0500

We share Mike’s journey with GLP-1 therapy, from fear and stigma to non-scale victories that restored health, identity, and relationships. We unpack how quieting food noise, lowering inflammation, and finding credible guidance create sustainable change.

• redefining success beyond the scale
• early wins from reduced inflammation and food noise
• practical non-scale victories in movement and daily life
• using TikTok to document progress and build support
• connecting beginners with credible, data-informed voices
• clarifying side effects and the value of trained clinicians
• identity shifts, confidence, and stronger relationships
• forgiveness toward self and food to heal patterns
• building a care team for long-term metabolic health

If you found this information helpful, please share with a friend, family member, or colleague.

Please subscribe and write a review
This will help others find the podcast so they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How To Spot Burnout Early And Recover With Life Coach Kayla Sweet

Mon, 30 Mar 2026 01:00:00 -0500

Find all of Kayla's amazing resources here.

Burnout doesn’t arrive overnight; it builds quietly while we tell ourselves to push through one more week. We invited coach, speaker, and author Kayla Sweet to help us map the stages from honeymoon overcommitment to chronic stress and full burnout, then show a clearer path back to balance. Together, we unpack the WHO definition—emotional exhaustion, cynicism, and reduced efficacy—and translate it into real-life signals like disrupted sleep, irritability, digestive issues, and the “I’m fine” story that hides mounting strain.

We go deeper than quick fixes. Kayla explains why productivity hacks often backfire and how true recovery depends on aligning workload, values, and autonomy. We explore the three arenas where burnout takes root—body, mind, and social systems—and how to intervene in each: nervous system regulation, mindset shifts that stop the stress loop, and boundaries that protect recovery. You’ll learn why normal labs don’t negate real distress, how to spot patterns before they harden, and what it takes to complete the stress cycle so you don’t live on cortisol and adrenaline.

For those wondering where to start, we outline practical first steps and when to call in backup. Coaching can stabilize your physiology and rebuild sustainable habits; therapy and psychiatry become vital when anxiety, depression, or trauma join the picture. We also share one of our favorite resources, Burnout: The Secret to Unlocking the Stress Cycle by Emily and Amelia Nagoski, and how its simple, science-backed tools help high achievers restore capacity and joy. If you’ve been blaming time management for a misalignment problem, this conversation offers a grounded, compassionate reset.

If this episode resonates, follow and share it with someone who needs it, then leave a quick review so more listeners can find the show. Your story matters—what’s one boundary you’ll protect this week?

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

You Reached Your Goal: How To Safely Continue Or Step Down GLP-1 Therapy

Thu, 26 Mar 2026 01:00:00 -0500

You finally hit your health target and the big question lands: do you keep taking your GLP-1 or taper off? We unpack the decision with clear, practical guidance from board-certified obesity medicine expertise, starting with the reason you started: diabetes control, obesity treatment, cardiovascular risk reduction, or sleep apnea. With two decades of data behind GLP-1s, we explain who typically maintains therapy, who may step down, and why neither path is a moral victory—just different strategies to protect health.

We walk through a measured taper that mirrors dose escalation: reduce one step about monthly, watch for red flags like rising hunger, food noise, cravings, higher glucose, or returning OSA symptoms, and pause or step back up if needed. At the lowest dose—0.25 mg semaglutide or 2.5 mg tirzepatide—we outline how to space injections to every 8–14 days, and why longer gaps can invite side effects. We also highlight the new FDA approvals that change the stakes: semaglutide for cardiovascular event reduction and tirzepatide for obstructive sleep apnea, where long-term therapy may be key to preserving benefits.

Maintenance doesn’t rest on medication alone. We detail the lifestyle pillars that keep results steady: protein-forward, fiber-rich nutrition; hydration; resistance and cardio training; high-quality sleep; and stress management routines that tame appetite and improve insulin sensitivity. Regular check-ins close the loop—so if weight trends up, glucose rises, or OSA symptoms return, you can act early, including restarting therapy without stigma. The takeaway is simple and strong: choose the route that sustains your health with the fewest trade-offs, and treat maintenance as an active phase of care.

If this conversation helped clarify your next step, subscribe, share the show with someone who needs it, and leave a quick review—your support helps more people find trustworthy metabolic health guidance.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

A Doctor’s Guide To Traveling Safely While On GLP1 Medication

Mon, 23 Mar 2026 01:00:00 -0500

Reflux video
Constipation video

Ready to travel without letting your GLP1 plan unravel? We walk through a clear, science-informed guide to staying on treatment while you explore, so you can enjoy food, move more, and feel better—without the stress of guesswork or the risk of a rough restart later.

First, we explain why continuity matters for a chronic condition like obesity and how GLP1s quiet food noise so you can be present with people and places, not stuck negotiating every bite. Then we cover storage logistics that protect your medication’s effectiveness: once a pen reaches room temperature, keep it there, avoid freezing, and respect each brand’s time window at room temp—Zepbound single-dose up to 21 days, Zepbound multi-dose up to 30 days, and Wegovy up to 28 days. We also make the case for carry-on only to guard against lost luggage and temperature swings, with optional coolers for extended trips.

From there, we switch to everyday choices that shape how you feel on the road. Hydration is foundational, and sugar-free electrolytes help on planes and long days. We talk through alcohol tolerance on GLP1s and why smaller portions of rich, spicy, fried, or sugary foods can help you enjoy local flavors without nausea or reflux. Movement anchors the trip—walking counts—and short strength sessions can boost energy and sleep. For jet lag, we share practical melatonin timing to align with local nights.

To keep your momentum, we map out a pocket-sized travel pharmacy: antacids, H2 blockers, and PPIs for reflux; loperamide for diarrhea plus electrolytes; fiber, stool softeners, polyethylene glycol, and senna with docusate for constipation; ginger, doxylamine with B6, scopolamine for boats, and prescription ondansetron ODT for nausea. We close with a crucial safety note: if you pause therapy for more than a week, talk to your clinician before restarting so you adjust the dose safely.

If this guide helps you feel ready for your next trip, subscribe, share it with a friend who’s traveling on GLP1 therapy, and leave a quick review so more people can find practical, trustworthy metabolic health advice.

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From Added Sugar To Fiber: Smarter Carbs For Metabolic Health

Thu, 19 Mar 2026 01:00:00 -0500

We break down carbs through a metabolic lens and show how two simple checks—avoid added sugar and choose fiber—can steady insulin, support weight goals, and improve daily energy. You’ll hear practical label tips, why drinks are a trap, and how to enjoy fruit without the sugar crash.

• why insulin control shapes energy and appetite
• added sugar as a driver of glucose spikes
• fiber’s role in satiety, gut health, and lipids
• label reading for sugar and fiber
• the problem with sweet tea and juice
• how to choose whole fruit over smoothies
• simple swaps to reduce cravings and stay full

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Sweet Tea vs Extra Sweet Tea nutrition facts

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Heartburn and GLP-1 Treatments

Mon, 16 Mar 2026 01:00:00 -0500

Heartburn doesn’t have to derail your progress. We unpack what acid reflux really is, how to tell when it’s crossed into GERD, and why GLP-1 medications can spark short-term symptoms even as they set you up for long-term relief through weight loss and lower abdominal pressure. Drawing on clinical experience, we get practical about what actually works: smarter dosing, smaller dinners, and timing your meals to let gravity and motility work for you.

We dive into the mechanics first—how the lower esophageal sphincter is supposed to hold the line, what happens when abdominal pressure rises, and why a hiatal hernia changes the anatomy in ways that invite backflow. Then we connect the dots to GLP-1 therapy. Short-acting agents tend to delay gastric emptying more than long-acting injectables, increasing the chance of early reflux. The fix often isn’t to quit; it’s to slow the titration, consider switching to a longer-acting option, and use targeted food and behavior strategies while your body adapts.

You’ll hear a clear, stepwise plan to calm symptoms fast. We cover portion sizing, spacing fiber across the day, and avoiding high-fat, high-volume meals during dose changes. We call out common triggers—tomato sauces, citrus, spicy dishes, chocolate, caffeine, alcohol—and share why hydration helps. For medication support, we explain when a PPI like omeprazole is the right tool, how to time it 30 to 60 minutes before meals, where H2 blockers like famotidine fit for milder cases, and when antacids are useful as on-demand rescue rather than a daily habit.

By the end, you’ll know how to keep the benefits of GLP-1 therapy without suffering through nightly burn. If this guide helps you or someone you care about navigate reflux and stay the course, tap follow, share the episode with a friend, and leave a quick review to help others find it. Your support helps more people improve their metabolic health with clarity and confidence.

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Rethinking Dietary Fat For Metabolic Health

Thu, 12 Mar 2026 01:00:00 -0500

The low‑fat era promised leaner bodies and healthier hearts, yet so many of us ended up hungrier, more tired, and no closer to our goals. We take a clear-eyed look at why “eat less fat” missed the mark for metabolic health and how insulin—not fat alone—often drives weight gain, cravings, and energy crashes. With a practical, science‑based breakdown, we explain how to use dietary fat to your advantage for satiety, steady blood sugar, and sustainable weight management.

We start by reframing fat’s role in the body: hormone production, sturdy cell membranes, skin health, and protection. Then we unpack calorie density versus hormonal response, showing why nine calories per gram doesn’t tell the full story. You’ll learn how carbohydrates, especially refined grains and added sugars, spike insulin, while fats have a minimal direct effect. We share how pairing carbohydrates with healthy fats can slow glucose absorption, smooth out spikes, and keep hunger in check between meals—key for conditions like type 2 diabetes, prediabetes, PCOS, and fatty liver disease.

Next, we get specific about fat quality. Unsaturated fats from olive oil, avocados, nuts, seeds, and fatty fish align with the best‑studied eating pattern for long‑term health: the Mediterranean diet. We offer a balanced, non‑dogmatic view on saturated fats—where moderate intake can fit for many people—and draw a firm line on trans fats, which harm cardiometabolic markers across the board. Throughout, we translate the science into everyday choices: building plates with protein, colorful produce, and healthy fats; using whole‑food carbohydrates in modest portions; and noticing how satiety and energy improve when insulin stays steadier.

If you’re ready to replace fear of fat with an approach that actually supports metabolic health, this conversation will help you make confident, satisfying choices at every meal. Subscribe for more evidence‑based guidance, share this episode with someone still stuck in low‑fat myths, and leave a review to help others find tools that work.

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A Doctor’s Guide To GLP-1 Use

Mon, 09 Mar 2026 01:00:00 -0500

We walk through a full GLP-1 primer: how these meds work, who qualifies, what to expect, and how to avoid the common pitfalls that derail success. We also share dosing strategy, travel tips, and why restarts should be slow and guided.

• brief history of GLP-1s and why newer agents lead care
• eligibility criteria and insurance pathways including OSA indications
• how GLP-1s steady glucose and insulin without hypoglycemia
• appetite, food noise, and gastric emptying explained
• side effect prevention with small meals and hydration
• foods to limit during starts and dose increases
• timing the weekly dose for lifestyle fit
• follow-up metrics beyond weight alone
• safe plans for dose interruptions and restarts
• travel guidance and where to find injection tutorials

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Cash Pay GLP-1s:

LillyDirect is $299 (2.5mg), $399 (5mg), $449 (7.5 & up) per month for brand name Zepbound

NovoCare is $199 (first two months) then $349 per month for brand name Wegovy (weekly injection)

NovoCare is $149 (first two months) then $299 per month for oral Wegovy (pill)

Costco sells lower dose Ozempic pen for $200 which will last 8 weeks at starting dose of 0.25mg and 4 weeks at 0.5mg dose. Cost increases to $350 for 1mg dose and $500 for 2mg dose. You do NOT need a Costco membership to use their pharmacy.

Advocacy Groups:

https://www.obesityaction.org/

https://glp1collective.org/

Copay Assistance:

https://www.panfoundation.org/

Injection Instructions

This is a link to an instructional video on how to use Zepbound safely.

This is a link to an instructional video on how to use Wegovy safely.

This is a link to an instructional video on how to use Mounjaro safely.

This is an extremely corny

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Protein For Satiety, Strength, And Longevity

Thu, 05 Mar 2026 01:00:00 -0600

We explore why protein is central to metabolic health, how to set daily targets, and how to protect muscle on GLP-1 medications with smart meals and strength training. We share practical sources, timing tips for satiety and blood sugar, and easy ways to increase intake.

• defining protein’s role in muscle, organs, and metabolism
• managing appetite and muscle on GLP-1 medications
• linking muscle mass to independence and longevity
• setting daily targets: 100 g baseline and 1–2 g/kg range
• tracking current intake and adding 10 g per week
• hitting 20–30 g per meal to suppress ghrelin
• using protein-first to stabilize blood sugar
• leveraging the thermic effect of protein
• animal and plant protein sources that fit your taste
• using protein powders and high-protein desserts

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Obesity And Cancer Risk Explained

Mon, 02 Mar 2026 01:00:00 -0600

Help Quitting Smoking

Find a board certified Obesity Physician

What if the biggest levers for lowering cancer risk were already on your to‑do list? We unpack the real numbers behind smoking and obesity, separate hype from evidence, and explain how hormones, insulin signaling, and chronic inflammation turn excess adiposity into a cancer‑friendly environment. The goal isn’t fear; it’s clarity and action you can take now.

We walk through the 13 cancers linked to obesity and highlight where the evidence is strongest: a sevenfold rise in endometrial cancer with severe obesity, doubled liver cancer risk in the presence of fatty liver disease or viral hepatitis, higher rates of postmenopausal breast cancer, and increased colorectal cancer risk. You’ll hear why women face a greater overall link due to estrogen pathways, how early‑onset and long‑duration obesity compound lifetime risk, and why cancer mortality rises at higher BMI even when the tumor’s cause lies elsewhere. Along the way, we cut through confusion on screening: mammography starting at 40, colorectal tests beginning at 45 with options from colonoscopy to FIT, one‑time hepatitis B and C screening, and targeted liver ultrasound when MASLD or viral hepatitis is present. For pancreatic cancer, we flag symptoms that warrant imaging despite the lack of routine screening.

We also get practical about prevention. If you smoke, cessation remains the single strongest step to reduce cancer and cardiovascular risk. For weight and metabolic health, think protein‑forward, fiber‑rich meals; resistance training to protect lean mass; better sleep; treatment for sleep apnea; and evidence‑based medications or surgery when appropriate. These changes lower insulin and estrogen exposure, tame inflammation, and shift your internal chemistry away from tumor growth. Our conversation is candid, compassionate, and grounded in what actually moves the needle for real people with busy lives.

If this resonated, follow the show, share it with someone you care about, and leave a quick review—your support helps more listeners find evidence‑based guidance they can use today.

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Advocacy and Support for GLP-1s with Amanda Bonello

Thu, 26 Feb 2026 01:00:00 -0600

The GLP-1 Collective supports individuals using GLP-1 medications by removing barriers to access, offering financial assistance, educating and empowering patients, and building a community where no one feels alone in their journey.

Website: https://glp1studio.substack.com/
TikTok: https://www.tiktok.com/@amanda.bonello?lang=en
Instagram: https://www.instagram.com/amanda.bonell0/
LinkedIn: https://www.linkedin.com/company/glp1collective/posts/?feedView=all

This conversation was recorded May 2025, therefore some details may be outdated. However, the lessons learned and resources shared are still impactful and important.

Searching for help during a GLP-1 shortage, Amanda Bonello ran into a maze of half-truths, stigma, and unsafe workarounds—and decided to build the resource she couldn’t find. We sit down with Amanda, CEO and founder of the GLP1 Collective, to explore how a patient-led movement is taking on barriers to safe, affordable access while giving people a trusted home for education and support.

We unpack the stakes behind the headlines: when insurance cuts coverage without warning, many patients don’t chase “summer abs”—they fight to walk without pain, keep inflammation in check, and hold onto hard-won health. From black market peptides and DIY mixing to cross-border pharmacy runs, scarcity pushes vulnerable people toward risky choices. We talk through why access is a health equity issue, how stigma keeps treatment underground, and what patent thickets and prior authorizations mean for real lives.

There’s real progress here, too. The Collective’s petition has drawn tens of thousands of signatures and national media attention, and a HIPAA-compliant prescription access program is ready to launch once it meets a $20,000 funding threshold. The model is direct and accountable: verify a prescription, load a restricted-use card for pharmacy medications, and keep patients on therapy safely. Alongside that, the team offers monthly support groups, live Q&As with obesity specialists and dietitians, practical “newbie kits,” daily updates via Discord, and a fall advocacy trip to Washington, DC to put patient stories in front of decision-makers.

If access, safety, and dignity in obesity care matter to you, this conversation is a roadmap and a rallying cry. Subscribe, share this episode with someone who needs it, and leave a review to help more listeners find evidence-based metabolic health guidance.

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Hair Loss - Why It Happens & How To Treat It

Mon, 23 Feb 2026 01:00:00 -0600

PCOS Video

PCOS Podcast

We unpack why hair loss often follows stress or rapid weight changes, how to spot emergencies that need a dermatologist, and which treatments actually help. We clear up the GLP-1 myth, outline key labs, and share practical steps to protect regrowth.

• scarring versus non-scarring hair loss and when to refer
• pattern recognition for autoimmune and androgenic causes
• telogen effluvium timing and common stress triggers
• GLP-1 medications as indirect contributors via restriction and speed of loss
• essential labs: TSH, vitamin D, ferritin and when to add more
• biotin’s interference with lab accuracy and how to pause safely
• nutrition priorities: calories, protein, iron, vitamin D
• minoxidil topical and oral options, pros and cautions
• finasteride and spironolactone for hormonal drivers
• realistic timelines, pet safety, and avoiding low-value supplements

What has been your experience with obesity treatment, GLP1 medications, and hair loss? What has been beneficial for you? What questions do you still have? Please comment below if you are watching on YouTube, if you are listening on the podcast platform, then you could always email any questions to Support@MissouriMetabolicHealth.com. And please follow me on Instagram and TikTok. If you found this information helpful, please share with a friend, family member, or colleague. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

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Long-Term Safety of GLP-1s vs Risks Of Untreated Obesity

Thu, 19 Feb 2026 01:00:00 -0600

Are GLP-1 medications safe long term—or are we reacting to headlines and bias? We open with a clear, step-by-step look at how drugs reach the market, from discovery through Phase 4 surveillance, to ground our conversation in facts rather than fear. With two decades of real-world use behind GLP-1s, we unpack what the data actually show: common GI side effects that are usually manageable, rare contraindications tied to medullary thyroid cancer families, and concerns like pancreatitis that haven’t held up as causal signals.

From there, we zoom out to the comparison that matters most: the risks of treatment versus the risks of doing nothing. Untreated obesity drives type 2 diabetes, high blood pressure, stroke, heart failure, kidney disease, fatty liver advancing to cirrhosis, sleep apnea, blood clots, osteoarthritis, and higher rates of several cancers. When you weigh decades of harm against the well-characterized profile of GLP-1s, the balance tips toward treatment—especially as evidence grows for benefits beyond weight, including cardiovascular protection, liver health, kidney outcomes, and sleep apnea improvements.

We also tackle the social friction around these medications: the idea that weight loss should be “earned” through struggle. Obesity is not a willpower problem; it’s a complex, biological disease shaped by hormones, neurocircuitry, genetics, and environment. GLP-1s help correct those pathways, enabling meaningful, sustained loss for people who’ve tried everything. Even if it feels “easier,” the true measure is better health and longer lives. If you’re wrestling with concerns, we invite you to reflect on the evidence, examine weight bias, and join a conversation rooted in science, empathy, and outcomes.

If this episode helped you think differently, share it with someone you care about, subscribe, and leave a review so more listeners can find evidence-based metabolic health. Your feedback guides future topics and keeps the conversation moving forward.

Podcast Mentioned: How to manage side effects of GLP-1 agonists

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From Overwhelmed To In Control: Korrie's Journey With GLP-1 Medications

Mon, 16 Feb 2026 01:00:00 -0600

Korrie was suffering with overwhelming thoughts about food every seven to ten minutes. This wasn’t a willpower problem, it was a gut-brain biological problem. We invited her to unpack what changed when a GLP-1 finally quieted that background noise—and what went wrong along the way. From a rough start on semaglutide to finding a sweet spot with tirzepatide, her path shows how dose, molecule, and support can make or break outcomes.

We walk through the messy, real decisions patients face: access barriers, compounding variability, and trying to stay safe when guidance is scarce. Korrie shares how rapid early loss cost her muscle until she raised protein and started tracking body composition. Then we go beyond the usual side effects to name the ones people whisper about: a bubbly mouth feel post-injection, plugged ears during active loss, and a stubborn, dose-related apathy that looks like laziness but isn’t. By separating apathy from anhedonia, she mapped a clear, dose-dependent pattern—then proved it by stepping down to 12.5 mg and feeling her executive function snap back online.

Maintenance takes center stage as the longest phase of the journey. Korrie explains how stable weight, quiet hunger, and freedom from sugar spirals changed daily life. No more ultra-processed “diet” foods, no more fear of a cupcake, and no more reactive hypoglycemia. We talk practical playbooks: logging weekly appetite and mood, hydrating, hitting protein for lean mass, and working with a clinician who adjusts doses based on function, not just the scale. Personalization is the theme—some thrive on lower doses, others need higher, and future incretin options promise even better matching to biology.

If you’re curious about GLP-1s, battling constant cravings, or stuck between side effects and results, this conversation offers clarity, nuance, and hope. Subscribe, share this episode with someone who needs it, and leave a review to help others find credible, compassionate metabolic health guidance.

Follow Korrie on TikTok: https://www.tiktok.com/@korrie.take2

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Obesity Is A Chronic Disease

Thu, 12 Feb 2026 01:00:00 -0600

The story you’ve heard about weight—try harder, eat less, move more—misses the underlying biology. We expose the pathophysiology of obesity as a chronic, relapsing disease, showing how hormones, brain circuits, and adipose tissue actively defend a higher set point. That’s not a character flaw; it’s biology shaped by human history and amplified by modern food, stress, and sleep patterns. Once you understand weight defense and homeostasis, the path to better metabolic health looks very different: treatment becomes proactive, sustained, and tailored.

We unpack clear medical definitions from the AMA, WHO, and OMA, then translate them into plain language that respects people and rejects stigma. Using everyday analogies—especially the comparison to high blood pressure—we explain why effective care continues long term. If a therapy lowers blood pressure, we don’t stop it; if a therapy improves weight regulation, glucose, and blood pressure, we keep it going. That shift reframes success from short bursts of loss to stable, realistic outcomes: improved energy, better labs, lower sleep apnea risk, less joint pain, and reduced cardiometabolic risk.

You’ll hear a practical breakdown of prevention versus treatment. Nutrition, movement, sleep, and stress skills are essential at every stage, but established obesity usually needs more. We cover how anti-obesity medications target appetite and satiety pathways and why bariatric and metabolic surgeries change gut signaling and insulin sensitivity. Most importantly, we focus on individualized plans that put health outcomes first and dignity at the center. If you’re ready to move past myths and embrace evidence-based care, this conversation offers clarity, compassion, and a roadmap you can use with your clinician.

If this resonates, follow along for more metabolic health insights, share the episode with someone who needs it, and leave a quick review so others can find evidence-based, stigma-free help. Your story and questions guide future topics—join the conversation and tell us what you want to explore next.

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Why Most Diets Fail And What Actually Improves Metabolic Health

Mon, 09 Feb 2026 01:00:00 -0600

Diet trends promise quick results, but your biology has a different plan. We unpack why hunger surges, metabolism adapts, and ultra-processed foods make willpower a weak strategy, then chart a clearer path built on insulin-aware eating, steady satiety, and sustainable routines. Along the way, we put intermittent fasting, keto, low-fat, vegan and vegetarian, and gluten-free claims under the microscope, separating marketing from mechanisms and sharing what actually helps day to day.

I walk through common sticking points I see in clinic: fasting that ends in late-night binges, low-fat swaps that spike added sugar, plant-based choices that miss protein and fiber, and gluten elimination used as a one-size fix. Then we pivot to practical, evidence-backed frameworks. DASH and Mediterranean patterns consistently improve heart and metabolic health with more vegetables, legumes, fish, nuts, and olive oil, and fewer refined carbs and sugary drinks. Even if the scale moves slowly, the markers that matter most trend in the right direction.

You’ll leave with simple levers to pull this week: eat within a reasonable 12-hour window, cut routine snacking, anchor each meal with lean protein, load up on fiber-rich plants, and choose healthy fats that keep you full. Add sleep, strength training, and a quick check on medications that influence weight, and you have a plan your biology can live with. If this conversation helps you rethink your approach, subscribe, share it with someone who needs clarity, and leave a review so others can find their way to better metabolic health.

Dr. Shayla Toombs-Withers Podcast (plant forward nutrition)

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How To Manage GLP-1 Side Effects

Thu, 05 Feb 2026 01:00:00 -0600

We explain how to tolerate GLP-1 medications without miserable side effects while still reaching weight and metabolic goals. We share dosing strategy, real-world tips, and when to switch medications or choose other tools.

• GLP-1 approvals for diabetes and weight management
• Mechanism behind nausea, constipation and reflux
• Start-low, go-slow dosing with patient control
• Long-term benefits for heart, kidneys and liver
• Injection site swap from abdomen to thigh
• Hydration and electrolyte timing across injection days
• Breakfast first, smaller frequent portions, more protein
• Avoid greasy foods, excess sugar and reflux triggers
• Fiber targets, stool softeners and cautious senna use
• Movement to aid gut motility
• Considering a switch from semaglutide to tirzepatide
• Alternative therapies including bariatric surgery

Please share with a friend, family member, or colleague
Please subscribe and write a review
This will help others find the podcast so they may also improve their metabolic health

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From Diet Culture To Obesity Care: Deb's GLP-1 Journey

Mon, 02 Feb 2026 01:00:00 -0600

What if the loudest voice in your head—the one negotiating every bite—suddenly went quiet? That’s the turning point Deb describes as she moves from a lifetime of diets and rebound weight to genuine relief on a GLP-1. We dig into what “food noise” feels like day to day, why puberty-era dieting can seed decades of struggle, and how treating obesity as a chronic disease—not a moral test—opens the door to lasting health and peace of mind.

We walk through the practical side of modern obesity medicine: individualized dosing and titration, how to recognize when hunger signals return, and why the “right dose” is simply the one you tolerate that restores satiety. We also tackle a hot question head-on: should you pause medication for holidays or vacations? Deb’s answer is grounded and liberating. When a therapy supports metabolic health, steady mood, and freedom around food, staying consistent protects both your body and your bandwidth to enjoy the moments that matter.

Beyond the scale, we explore identity, mental space, and the surprising ripple effects when food stops running the show—more curiosity, more creativity, and the confidence to try new things. You’ll hear concrete advice for anyone starting a GLP-1: stop comparing timelines, track non-scale wins, journal your milestones, and lean on a supportive community to counter shame and misinformation. This is an honest, stigma-free guide to GLP-1 therapy, metabolic health, and the mindset shift from white-knuckling to well-being.

If this conversation resonates, follow the show, share it with someone who needs it, and leave a quick review so more listeners can find evidence-based obesity care and real-world support.

Follow Deb's journey on TikTok: @debcooperman

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Common Questions About Obesity Management Meds Answered

Thu, 29 Jan 2026 01:00:00 -0600

Confused by the headlines about weight loss medications? We break down the four questions everyone asks: Are they safe, do they work, do you qualify, and how long should you stay on them? Drawing on years of family and obesity medicine practice, we lay out practical, patient-first guidance that puts your health at the center, not hype.

We start with safety and the GLP-1 class used for weight management, addressing common GI side effects, how slow dose titration reduces symptoms, and when these drugs should be avoided. We compare the real-world risks of untreated obesity—diabetes, cardiovascular disease, fatty liver, sleep apnea, certain cancers—to the side-effect profile most patients experience, and we explain the rare situations where GLP-1s aren’t appropriate. From there, we get specific about effectiveness: average weight loss ranges for newer agents versus older options, and how tailored prescribing can align a medication with your biology, comorbidities, and goals.

Eligibility and access are where medicine meets policy. We clarify medical qualification criteria by BMI and weight-related conditions, then tackle the insurance maze, including prior authorizations, employer-driven benefit decisions, and what to ask HR if your plan doesn’t cover anti-obesity meds. Finally, we reframe obesity as a chronic condition that often needs long-term therapy. You’ll learn why stopping treatment commonly brings hunger back, what a careful taper could look like for select patients, and how to pair medication with nutrition, movement, sleep, and stress strategies for durable metabolic health.

If this conversation helps you or someone you love, subscribe to the show, share it with a friend, and leave a quick review so more people can find credible obesity care guidance. Your support helps us push back against misinformation and empower sustainable health change.

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Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Oral Wegovy, Explained

Mon, 26 Jan 2026 01:00:00 -0600

We unpack the new FDA‑approved oral semaglutide for obesity and cardiovascular risk reduction, explaining how it compares to injections, how to take it correctly, and who should or should not choose the pill. We also cut through supplement hype, detail pricing access, side effects, and practical routines that drive results.

• Indications and differences from prior oral semaglutide
• Why SNAC matters and supplements fail
• Access pathways, insurance notes, and current pricing
• Oral vs injectable efficacy and serum levels
• Exact instructions for timing, water volume, and spacing
• Stepwise dosing from 1.5 mg to 25 mg
• Expected weight loss ranges and response rates
• Managing nausea and constipation with simple tactics
• Who benefits from oral therapy and who should avoid it
• Consistency, adherence, and environmental considerations

Please share with a friend, family member, or colleague
Please subscribe and write a review

Wegovy Pills via NovoCare

Safe and Sustainable Sharps Disposal

How to Manage Constipation on a GLP-1

How to Start a GLP-1

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Metabolic Syndrome, Explained Clearly

Thu, 22 Jan 2026 01:00:00 -0600

We explain what metabolic syndrome is, why it predicts heart disease, and how to treat the root causes with practical steps and targeted medications. We share the five criteria, simple lifestyle wins, medication options like metformin and GLP-1s, and how to monitor progress.

• definition of metabolic syndrome and why it matters
• the five diagnostic criteria using waist circumfirence, blood pressure, glucose, triglycerides, HDL
• links to cardiovascular risk and insulin resistance
• nutrition priorities for whole foods, protein, fiber, and lower sugar
• exercise targets and the role of muscle
• weight loss goals of 5 to 10 percent body weight
• medication options including metformin and GLP-1 agonists
• monitoring every six to twelve months with a trusted clinician
• long-term focus on prevention and quality of life

If you live in Missouri and want a doctor who focuses on root causes, I’m accepting new patients at MissouriMetabolicHealth.com. Subscribe for my weekly videos to learn more about improving your metabolic health. Please share with a friend, subscribe, and write a review.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How to Choose A Protein Shakes To Reach Your Goals

Mon, 19 Jan 2026 01:00:00 -0600

Learn More About Protein: https://drlindsayogle.kit.com/protein

Feeling full on a few bites and still missing your protein? That’s the trap many GLP‑1 users fall into, and it quietly chips away at muscle, energy, and metabolic resilience. We zoom in on a simple fix: make protein and fiber the headline of every meal, then use pre‑made shakes as a smart assist when time or appetite is tight.

We start by setting a practical target near 100 grams of protein per day and show how to spread it across meals to stabilize blood sugar and satiety. From there, we open the fridge and compare eight ready‑to‑drink shakes with a physician’s eye: protein per bottle, added sugars, fiber, calories, taste, and value. Expect clear winners and one clear pass. SlimFast High Protein and Muscle Milk bring surprising fiber; Premier Protein and Ensure Max are dependable, budget‑friendly staples; Alani Nu trades on taste with solid macros; Fairlife Core Power offers balance while the Elite version delivers a true meal‑replacement level 42 grams; and Orgain proves you can go organic without sacrificing performance. Along the way, you’ll learn how to read labels fast, why added sugars undercut satiety, and how to pair shakes with whole foods to protect lean mass and feel better on GLP‑1 therapy.

By the end, you’ll have a short list that fits your goals, your budget, and your taste buds, plus a routine you can repeat on busy mornings, road trips, or gym days. If two options tie, we nudge you toward the cheapest one and show how buying in bulk saves money without compromising nutrition. Have a favorite we missed or a question about hitting your protein target? Share your pick and tag us, then subscribe, leave a review, and send this to a friend who could use a steadier, stronger start to their day.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Understanding Insulin Resistance And Why It Matters

Thu, 15 Jan 2026 01:00:00 -0600

***CORRECTION*** A1c of 6.5% or greater is diagnostic of Type 2 Diabetes (Dr. Ogle misspoke @6:45)

Diabetes Prevention: https://drlindsayogle.ck.page/diabetes

Ever wondered why carb cravings feel relentless or why weight feels harder to manage than it used to? We dig into the real mechanics of insulin resistance and map the path from normal glucose to prediabetes and type 2 diabetes, making sense of the numbers your doctor orders and the signals your body sends. With clear language and practical examples, we turn confusing lab ranges into meaningful next steps.

We break down fasting glucose and A1C—what they measure, the exact cutoffs, and when each test makes the most sense—so you can walk into your next appointment informed and confident. You’ll learn who should get screened earlier, from those with family history or gestational diabetes to anyone noticing skin tags, acanthosis nigricans, irregular cycles tied to PCOS, or surging hunger and carb cravings. Most importantly, we explain why catching elevated glucose early protects your heart, kidneys, nerves, eyes, and brain over the long haul.

Treatment has evolved. Not everyone with type 2 diabetes needs insulin, and newer options can lower blood sugar, support weight management, and reduce cardiovascular and renal risk. We connect these therapies to everyday habits that move the needle—protein-forward meals, short walks after eating, strength training, better sleep, and cutting sugary drinks—so you can build a plan that fits real life. If you’re worried about your risk or already in the prediabetes range, you’ll leave with actionable steps and a path to healthier numbers.

If this conversation helps you or someone you care about, subscribe, share it, and leave a quick review. Your support helps more people find reliable guidance and take charge of their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How To Pick A Protein Bar That Supports Metabolic Health

Mon, 12 Jan 2026 01:00:00 -0600

Learn More About Protein: https://drlindsayogle.kit.com/protein

Tired of “protein” bars that read like candy? We put eight popular bars under a metabolic microscope and lay out a simple plan to choose options that actually support appetite control, muscle maintenance, and better blood sugar—especially if you’re on a GLP-1 and struggling to hit your daily protein. No hype, just clear criteria: 20 grams of protein for a true meal assist, minimal added sugars, smart fiber for satiety, and a gut-friendly sweetener profile.

We start with why protein is non-negotiable for metabolic health, then explain how GLP-1 appetite suppression can make protein targets harder to reach. From there, we compare GoMacro, KIND Protein, and RXBAR as nutritious snacks that fall short for protein supplementation. We break down Clif Builder’s as a solid protein source with a sugar load better suited for endurance days, not desk days. Finally, we spotlight four strong contenders—Quest, First Form, Pure Protein, and Think—covering calories, carbs, fiber, sugars, and sugar alcohols so you can match the right bar to your goals and your gut.

You’ll leave with practical rules to shop fast: aim for 20 grams of protein per bar, favor fiber if you need help hitting daily targets, watch added sugars, and test your tolerance to sugar alcohols. We also share when to use bars as a meal stand-in, when to treat them like a snack, and how to keep whole-food protein at the center of your day. Have a favorite flavor or a brand we missed? Share it with us. If this guide helps you choose smarter, subscribe, leave a quick review, and pass it to a friend who’s ready to upgrade their protein game.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Keeping Weight Off For Good

Thu, 08 Jan 2026 01:00:00 -0600

Ever wonder why some people keep weight off for years while most drift back within months? We dug into the National Weight Control Registry and our clinic playbook to map the real-world habits that turn short-term results into long-term health. No fads, no quick fixes—just the daily moves that quietly stack wins: food choices that reduce hunger, walking that protects muscle and mood, and morning routines that steer the day before cravings get loud.

We start by reframing the goal from dieting to durable health. You’ll hear how nearly all long-term maintainers changed their food environment, simplified meals, and used protein to stabilize blood sugar. We talk about why walking an hour a day is the unsung hero of maintenance, how brief post-meal strolls blunt glucose spikes, and where light strength work fits to preserve lean mass. We also break down the breakfast advantage, the surprising power of a weekly weigh-in as a neutral compass, and the benefits of guarding your evenings from endless screens to make room for movement, prep, and sleep.

From there, we get personal: how to build joy and support outside of food so stress doesn’t hijack your plan, and why self-compassion beats perfection when life gets messy. We address medications with nuance—how to taper, space doses, or switch agents for maintenance without shame—and explain the biology of appetite that makes ongoing support both reasonable and effective. The throughline is simple: create a life where healthy defaults are easy, flexible, and repeatable.

If this conversation helps you or someone you love, share it with a friend, hit subscribe, and leave a quick review. Your support helps others find trustworthy guidance and build a maintenance plan they can actually live with.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Medication Adjustments During Weight Loss

Mon, 05 Jan 2026 01:00:00 -0600

We walk through how weight loss changes care plans for thyroid disease, type 2 diabetes, blood pressure, reflux, and sleep apnea. The goal is simple: treat the weight, then tailor the meds so you stay safe, feel better, and reduce long-term risk.

• reasons to monitor conditions during weight loss
• how thyroid doses shift with body weight
• adjusting insulin and sulfonylureas to prevent lows
• using CGMs to guide safe diabetes changes
• spotting low blood pressure symptoms and tapering meds
• reassessing reflux therapy and step-down plans
• rechecking CPAP or BiPAP needs and pressure settings
• the value of regular labs, home data, and follow-up

If you found this information helpful, please share with a friend, family member, or colleague
Please subscribe and write a review

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How to Determine Your Goal Weight

Thu, 01 Jan 2026 01:00:00 -0600

Chasing a number on the scale can feel like progress until it collides with your real life. We unpack a better path: choosing a goal weight that protects your health, fits your routines, and holds up for the long haul. With clear examples and practical guardrails, we show how to move beyond BMI and toward metrics that actually predict metabolic well-being.

We start by demystifying BMI—why it can be useful for trends yet misleading as a target—and explain how factors like age, ethnicity, muscle, bone density, and existing conditions reshape risk. From there, we shift to health-first goals: improving blood pressure, cholesterol, A1C, sleep apnea, energy, and mobility while reducing long-term risks like cardiovascular disease and stroke. You’ll learn why body composition analysis, whether DEXA or a validated bioimpedance scale, offers a truer picture of progress as fat mass decreases and muscle mass holds or grows.

Together, we define “best weight” as the weight you can live well in and maintain with sensible habits—consistent nutrition, resistance training, regular movement, quality sleep—and, when appropriate, long-term medications managed with your clinician. We also draw a clear line between health goals and aesthetic goals, inviting honest reflection about motivation while protecting your well-being from extreme tactics. Expect practical tips to preserve muscle during fat loss, interpret plateaus, and set up follow-up rhythms that keep you on course without obsessing over every fluctuation.

If you’re ready to trade shape shifting for health building, this conversation gives you a roadmap anchored in data and compassion. Subscribe, share with someone who needs a saner approach to weight, and leave a review to help more people find tools for better metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Raising Metabolism With NEAT: Small Daily Moves That Change Your Health

Mon, 29 Dec 2025 01:00:00 -0600

We explore how non-exercise activity thermogenesis boosts daily calorie burn and why small, frequent movement can unlock stalled progress. We share step targets, practical tactics for desk jobs, and the wider metabolic, heart, joint, and mental health gains.

• what NEAT is and how it works
• how NEAT fits into total daily energy expenditure
• examples of daily movement that raise NEAT
• step goals, tracking, and gradual progression
• strategies for sedentary jobs and busy parents
• metabolic, cardiovascular, and joint benefits
• using outdoor movement and microbreaks
• how NEAT supports long-term weight maintenance

If you found this information helpful, please share with a friend, family member, or colleague
Please subscribe and write a review

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Understanding Binge Eating Disorder

Thu, 25 Dec 2025 00:00:00 -0600

We unpack how to recognize binge eating disorder and why it differs from overeating or emotional eating. We share a compassionate, team-based roadmap that blends therapy, nutrition, and medication options to improve metabolic and mental health.

• Medical definition of binge eating clarified
• Distinction between holiday overeating, emotional eating, and binge episodes
• Prevalence and why it often goes undiagnosed at any weight
• Genetic, psychological, and environmental contributors
• Myths debunked about willpower, weight, and gender
• Complications including depression, anxiety, and metabolic disease
• Treatment model using CBT, dietitian support, and non-restrictive plans
• FDA-approved and off-label medications, side effects, and monitoring
• Long-term goals focused on remission and relapse prevention

Please share with a friend, family member, or colleague
Please subscribe and write a review
This will help others find the podcast so they may also improve their metabolic health

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

A Doctor’s Guide To Starting Exercise In 2026

Mon, 22 Dec 2025 00:00:00 -0600

My recommendations for at home resistance training programs are:
-- Peloton ($12.99 option): https://www.onepeloton.com/app-membership
-- GLP Strong: https://www.glpstrong.com/
-- The FIT Collective: https://www.thefitcollective.com/musclesandmindset

Resolutions promise big change, but the body keeps the score on what we can actually sustain. We’re taking a fresh, evidence-based look at exercise as a lifelong tool for health, not a crash strategy for the scale. As a board-certified family and obesity medicine physician, I lay out a practical plan for starting or upgrading your movement routine in 2026—one that protects your heart and brain, builds strength and bone, and preserves independence without burning you out.

We unpack why exercise alone rarely drives major weight loss unless you’re training for hours a day, and why it still matters profoundly for metabolic health, mood, and longevity. You’ll get a clear safety checklist to follow before you begin, plus a simple progression: pick one enjoyable activity you can do this week, lock in consistency, and then either add minutes or add a day. We target the widely recommended 150 minutes per week, with an eye toward 300 minutes for even greater benefits, and we show how short sessions stack to reach those totals without hijacking your schedule.

From brisk walking, cycling, or dancing for cardio to bodyweight moves, bands, and light dumbbells for strength, we cover the mix that preserves muscle, boosts bone density, and improves insulin sensitivity. We also highlight balance and flexibility work—think yoga or Pilates—to reduce falls and keep daily movements smooth. If time is your biggest barrier, you’ll hear practical home options and trusted programs like the Peloton app, Fit Collective, and GLP Strong that offer short, scalable classes designed for real life. The result is a plan that prioritizes safety, enjoyment, and steady progress so you can maintain weight, feel better, and stay active for decades.

If this conversation helps you rethink movement, share it with someone who needs a nudge, then hit follow and leave a quick review. Your support helps more people find realistic, science-based guidance for metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

A Doctor’s Guide To PCOS: Symptoms, Diagnosis & Treatment Options

Thu, 18 Dec 2025 00:00:00 -0600

PCOS isn’t just a “hormone problem.” It’s a metabolic condition with real-world effects on cycles, skin, hair, weight, and fertility—yet it shows up differently for every woman. We dig into how genetics, lifestyle, and environmental triggers intersect, then explain the exact diagnostic criteria without the confusion that birth control can add. From there, we map practical pathways that meet you where you are, whether your top goal is clear skin, regular periods, weight stability, or getting pregnant.

We break down the two-of-three rule for confirming PCOS and translate androgen signs like jawline acne, chin hairs, and hair thinning into plain language. Treatment gets specific: combined hormonal contraceptives for hormone balance when pregnancy isn’t the goal, spironolactone for acne and hirsutism with safety guardrails, and topical minoxidil 5% for hair loss with simple, effective application tips. On the metabolic front, we compare metformin and inositol, highlighting how each supports insulin sensitivity, weight management, and more predictable cycles, and where fertility-focused therapy may need to layer in ovulation agents, IUI, or IVF.

You’ll also get a realistic lifestyle framework that actually fits a busy life: fewer added sugars, high fiber and protein at meals, cutting habitual snacking in favor of three satisfying meals, and adding consistent movement to improve insulin resistance. I share my own PCOS journey to show how small changes compound over time and how medical tools can complement those habits to calm symptoms and restore confidence. Subscribe, share this episode with someone who needs a straight guide to PCOS, and leave a review so more people can find trustworthy metabolic health advice.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Birth Control, Weight, And GLP-1s

Mon, 15 Dec 2025 00:00:00 -0600

We explain how common birth control methods affect weight, why LARCs are often the most reliable and weight neutral choice, and how tirzepatide can reduce pill effectiveness during dose changes. We also lay out safer options for higher BMI, emergency contraception that still works well, and practical backup strategies.

• weight gain risk with depot medroxyprogesterone
• modern low-dose pills mostly weight neutral with PCOS benefits
• patch and ring similar efficacy and side effect profile to pills
• LARCs as effective, reversible, weight neutral options
• condoms for STI protection and pregnancy prevention
• Phexxi as user-controlled non-hormonal option
• emergency contraception timing and Ella for higher BMI
• estrogen and clot risk factors to review with a clinician
• tirzepatide reducing oral contraceptive absorption during titration
• backup methods and planning around GLP-1 dose changes

If you found this helpful, please share with somebody who may benefit from this information, as well as subscribing so you don't miss next week's episode. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How Wegovy And Zepbound Impact Hunger, Fullness, And Weight

Thu, 11 Dec 2025 00:00:00 -0600

Check out YouTube for demonstration of how GLP-1 pens work: https://youtu.be/J4LzMNEzyTs?si=WPtv6s-iekjlkXfz

We explain how weekly injectables like Wegovy and Zepbound reduce hunger, increase fullness, and support weight maintenance while clarifying names, mechanisms, side effects, and safety. We share practical tips for easing GI symptoms, how pen injectors work, and the key thyroid cancer contraindication.

• why GLP-1 and GIP meds quiet food noise
• how fullness and slower gastric emptying aid portion control
• semaglutide and tirzepatide naming and approvals
• average weight loss outcomes and variability
• common GI side effects and simple mitigations
• ease of weekly pens and dosing clarity
• important contraindication for medullary thyroid cancer
• the role of lifestyle alongside medication

Please share with a friend, family member, or colleague
Please subscribe and write a review

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Health Risks of Rapid Weight Loss

Mon, 08 Dec 2025 00:00:00 -0600

Chasing quick results can feel rewarding, but rapid weight loss on GLP-1 medications comes with trade-offs that can quietly erode health. We dig into what “too fast” really means, why a threshold of more than two pounds per week raises concern, and how weight change is inherently nonlinear. The real aim is metabolic health—treating adipose tissue dysfunction—not a race to the lowest number, and we share a practical framework to keep progress steady without compromising safety.

We walk through the biggest red flags: severe nausea, vomiting, diarrhea, dehydration, and signs of disordered eating like extreme restriction or urges to purge. We also spotlight medical conditions that can masquerade as “great progress,” from malignancy and chronic infections to inflammatory and malabsorptive GI disease such as Crohn’s, ulcerative colitis, and celiac. Once the serious causes are ruled out, we map out how to navigate hyper-response to GLP-1s with dose adjustments, tighter monitoring, and nutrition strategies that protect muscle, bone, and energy.

Expect clear, actionable guidance: protein-forward meals to safeguard lean mass, hydration and fiber to support digestion, multivitamins as a bridge when intake dips, and resistance training to preserve strength. We explain why rapid loss increases the risk of gallstones and delayed hair shedding, and how chronic restriction can depress resting metabolic rate, making long-term maintenance harder. With a team-based approach—physician, dietitian, and trainer—you can align medication benefits with sustainable habits and keep health at the center.

If this resonates, follow the show, share it with someone focused on metabolic health, and leave a review to help others find it. What’s one metric beyond the scale you’ll track this week?

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Learn How Older, Low-Cost Medications Help Curb Hunger, Reduce Emotional Eating, And Support Metabolic Health

Thu, 04 Dec 2025 00:00:00 -0600

We walk through proven, affordable weight loss medications that target hunger, emotional eating, and insulin resistance. We explain phentermine, Qsymia, Contrave, and metformin with real benefits, risks, and who they fit best.

• Why older oral options remain effective and affordable
• How phentermine suppresses hunger and typical side effects
• Qsymia’s combo benefits and the lower-cost split strategy
• Topiramate cautions including pregnancy, kidney stones, and brain fog
• Contrave for emotional eating and when not to use it
• Metformin for insulin resistance, prediabetes, PCOS, and type 2 diabetes
• Practical expectations for weight loss percentages
• Safety, follow-up cadence, and telehealth flexibility
• How to match a medication to your primary barrier

Please share with a friend, family member, or colleague
Please subscribe and write a review
This will help others find the podcast so they may also improve their metabolic health

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Grace Over Guilt: Practicing Self-Compassion Around Holiday Eating

Mon, 01 Dec 2025 00:00:00 -0600

Holiday food shouldn’t come with a side of shame. Dr. Lindsay Ogle sits down with registered dietitian Melissa Mitri to rethink willpower, ditch all-or-nothing rules, and build sustainable habits through self-compassion. We zoom in on what actually keeps people consistent—short recovery after slip-ups, a growth mindset, and small daily choices that align with long-term health. Melissa brings clear strategies you can use at your next gathering, from the power of the pause to choosing the two or three dishes that truly matter, and savoring them without guilt.

We break down why compassion is not “soft”—it’s a research-backed tool that helps you rebound faster and avoid the spiral that follows harsh self-talk. You’ll learn how to swap restriction for addition: add protein for steadier appetite, add fiber and water for fullness, add brief post-meal walks for better glucose control, and add mindful savoring to boost satisfaction. We also explore honest tracking without judgment, building trust with your coach, and celebrating non-scale wins like calmer meals, better energy, and fewer all-or-nothing episodes.

By the end, you’ll have a practical plan for holidays and beyond: pause before you plate, pick what you love, eat slowly, release the guilt, and return to your baseline habits the next day. Health is built on patterns, not perfection, and the 80–20 rule leaves room for joy while protecting progress. If this conversation helps you breathe easier around food, tap follow, share it with someone who needs a kinder approach, and leave a quick review to help others find the show.

_____________________

Melissa Mitri, MS, RD is a registered dietitian and owner of Melissa Mitri Nutrition, a virtual private practice specializing in sustainable weight loss for women. She helps women achieve lasting results through personalized, science-based nutrition strategies that fit their real lives—without restriction or guilt. In her practice, Melissa also supports clients using GLP-1 medications and empowers them to build healthy habits for long-term success. She believes everyone has the power to improve their health, one small habit at a time.

Connect with Melissa:

Instagram: https://www.instagram.com/theweightloss.dietitian/

LinkedIn: https://www.linkedin.com/in/melissa-mitri-ms-rd-9539789/

Website: https://melissamitri.com/about/

Article written by Melissa that was mentioned: https://www.loseit.com/articles/why-self-compassion-is-key-for-weight-loss/

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

5 Things To Know BEFORE Starting A Weight Loss Journey

Thu, 27 Nov 2025 00:00:00 -0600

We break down the core principles of sustainable weight management, from why personalization outperforms one-size-fits-all advice to the simple nutrition habits that consistently move the needle: fewer ultra-processed foods, more protein and fiber, plenty of vegetables, and enough water to support appetite and energy.

We also tackle a big misconception: exercise is priceless for health and weight maintenance, but it’s not a reliable weight-loss lever by itself. You’ll hear how daily movement protects muscle, supports insulin sensitivity, boosts mood and sleep, and why many long-term maintainers average about an hour of activity—often just walking. Expect a candid look at plateaus and set points too. Progress isn’t linear, and the body needs time to adapt; we share how to stay steady, make small adjustments, and measure wins beyond the scale.

Mindset matters as much as macros. Harsh self-criticism rarely creates change, but compassionate accountability does. We share language shifts that reduce all-or-nothing thinking and help you bounce back after lapses, plus the value of surrounding yourself with support and, when appropriate, partnering with an obesity medicine clinician for safe, effective care. Above all, health comes first—never trade well-being for a smaller size. If you’re ready to simplify, personalize, and commit to what you can do for years, this conversation will help you map a path that lasts.

If this resonated, subscribe, share it with someone you care about, and leave a quick review so more listeners can find tools for better metabolic health.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

How To Pick Health Insurance That Covers Obesity Treatment In 2026

Mon, 24 Nov 2025 00:00:00 -0600

The plan you choose this enrollment season can decide whether your obesity treatment moves forward or stalls out. We unpack the entire decision path so you can compare plans with confidence, avoid hidden exclusions, and secure access to the care that actually changes health.

We start by simplifying the moving parts that shape what you’ll pay: premiums, deductibles, coinsurance, copays, and the out-of-pocket maximum. Then we get tactical with FSA and HSA strategies to soften early-year costs, especially if you’re on a high-deductible plan. From there, we focus on what matters most for obesity care in 2026—how to find and interpret the exclusions list, read the drug formulary correctly, and confirm whether FDA-approved medications for obesity, Wegovy (semaglutide) and Zepbound (tirzepatide), are truly covered. We explain why Ozempic and Mounjaro listings usually apply only to type 2 diabetes, not obesity, and show you where to look for the fine print that determines approvals and denials.

You’ll also hear how plans define eligibility, including BMI thresholds and the role of weight-related conditions like hypertension, sleep apnea, dyslipidemia, prediabetes, and diabetes. We share the documentation that strengthens prior authorization—initial BMI, weight trajectory, supervised lifestyle records, and dietitian notes—and how to request written confirmation from HR, brokers, and insurers. If a plan blocks “weight loss treatment,” we cover what to ask for, how to appeal with evidence, and where to find advocacy resources and templates that improve your chances. And if coverage isn’t available this cycle, we map out practical next steps with board-certified obesity medicine care, nutrition, activity, stress, and sleep, plus smart use of FSA/HSA funds to bridge the gap.

If this guide helps you choose better, share it with someone making benefits decisions right now. Subscribe and leave a review so more people can find clear answers and take control of their metabolic health.

Links mentioned:

https://www.FSAstore.com

Https://www.obesityaction.org

https://www.obesityaction.org/wp-content/uploads/INSGUIDE713-1.pdf

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Restriction Causes Harms At Any Size: Atypical Anorexia

Thu, 20 Nov 2025 00:00:00 -0600

Most people picture anorexia as a body that looks frail. We pull back the curtain on a form that hides in plain sight: atypical anorexia—true restriction, real medical risk, and a brain consumed by food rules, occurring at any body size. With registered dietitian Isabelle from Bamboo Nutrition, we unpack how emotional eating can mean both eating to self-soothe and restricting to numb, why culture normalizes harmful patterns, and how those habits can quietly harden into an eating disorder or a relentless diet cycle.

We walk through the practical difference between emotional eating and a clinical disorder, then flip the script on “you can go days without eating” myths that put larger-bodied patients in danger. Physiology doesn’t care about size: restriction stresses the heart, hormones, and mind in everyone. You’ll hear clear signs to watch for—dizziness, cold intolerance, missed periods, hair changes, obsessive food thoughts—and why waiting for the “right” label can delay the care that prevents complications.

Ready to seek help but overwhelmed by options? Isabelle shares a simple, reliable path: contact an eating disorder treatment center and ask for their vetted outpatient providers. We outline how a team-based, weight-neutral approach works in practice—therapist plus dietitian, steady re-nourishment, skills for distress, and medical monitoring—to restore safety and rebuild trust with food. If you’re in Missouri, Bamboo Nutrition offers coordinated therapy and nutrition care; if not, use their strategy to find local specialists who truly understand atypical presentations.

If this conversation challenged your assumptions or gave you language for your experience, share it with someone who needs it, then subscribe and leave a review so more people can find evidence-based, compassionate help.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Fatty Liver Disease: The Hidden Epidemic

Mon, 17 Nov 2025 00:00:00 -0600

We break down metabolic-associated steatotic liver disease, why it’s so often missed, and how to catch it early with the right labs and imaging. We explain simple steps to lower risk, the medications with the best evidence, and when to see a specialist.

• What MASLD is and how it progresses
• Why incidental imaging findings matter
• ALT, AST, platelets and what they mean
• Using FIB-4 to estimate fibrosis risk
• How common MASLD is in adults and people with type 2 diabetes
• Evidence-based treatments, from GLP-1s to bariatric surgery
• Lifestyle targets including 5–10% weight loss
• When to ask for GI or hepatology referral

Please share with a friend, family member, or colleague
Please subscribe and write a review

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Beyond BMI: How is Obesity Defined?

Thu, 13 Nov 2025 00:00:00 -0600

We break down what obesity means in clinical terms and how to measure risk with more clarity. We compare BMI, waist circumference, body fat percentage, and the Edmonton Obesity Staging System to show how each tool informs smarter care.

• BMI strengths for population screening
• BMI limits for individuals and for women
• Waist circumference thresholds and why visceral fat matters
• Clothing fit as a practical proxy for central adiposity
• Body fat percentage cutoffs and testing methods
• Edmonton Obesity Staging System from stage 0 to 4
• How staging guides prevention, treatment, and goals
• Early action to reduce medications and avoid complications

If you don't already follow me on Instagram, I post there multiple times per week and I would love to have you follow me
If you found this information helpful, please share with a friend, family member, or colleague
Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Breastfeeding And GLP-1s

Mon, 10 Nov 2025 00:00:00 -0600

Check out the full study here: https://pmc.ncbi.nlm.nih.gov/articles/PMC11397063/

Diab H, Fuquay T, Datta P, Bickel U, Thompson J, Krutsch K. Subcutaneous Semaglutide during Breastfeeding: Infant Safety Regarding Drug Transfer into Human Milk. Nutrients. 2024 Aug 28;16(17):2886. doi: 10.3390/nu16172886. PMID: 39275201; PMCID: PMC11397063.

What happens when cutting-edge metabolic care meets the realities of breastfeeding? We take a clear-eyed look at a small but important study on semaglutide that found no detectable levels of the medication in breast milk from eight mothers, and we translate the data into practical guidance you can use. Beyond the lab results, we get real about the trade-offs: how appetite suppression can quietly undermine maternal nutrition, milk supply, and infant growth if the plan isn’t carefully managed.

We walk through the study’s methods and why the relative infant dose estimate of 1.26% sits well below commonly accepted safety thresholds, while also calling out the study’s limits: small sample size, only semaglutide tested, and no direct data on higher doses or tirzepatide. Then we zoom out to the bigger picture. Postpartum women managing type 2 diabetes or obesity need tools that stabilize glucose, protect cardiometabolic health, and support sustainable energy—without compromising a baby’s nutritional needs. That balance is possible with intentional choices.

You’ll hear a practical framework for decision-making: consider a lower restart dose, build a tight care team (pediatrician, dietitian, obesity medicine physician, OBGYN or family doctor), monitor infant growth and maternal intake, and track markers like A1C, weight trends, and symptoms of under-fueling. We highlight nutrient priorities for lactation—protein, iron, iodine, choline, DHA, calcium, and overall calories—and we share signs it’s time to adjust the plan, from fatigue and hair loss to decreased milk supply.

The takeaway is nuanced but hopeful. The absence of detectable semaglutide in milk reduces one major concern, yet responsible care still hinges on nutrition, dose, and close monitoring. If you’re navigating GLP-1 therapy while breastfeeding or planning a pregnancy, this conversation equips you to ask sharper questions and collaborate with your clinicians on a plan that protects both mom and baby. If this resonated, subscribe, leave a review, and share the episode with someone who needs a balanced, evidence-informed perspective.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Why is it so hard to lose weight?

Thu, 06 Nov 2025 00:00:00 -0600

We unpack why weight loss is hard, how set point and hunger hormones push back, and what tools make maintenance possible. We move from biology and environment to medications, mindset, and practical support so you can protect your metabolic health for the long term.

• evolutionary biology driving energy conservation
• modern food environment increasing calorie density and reward
• weight set point and metabolic adaptation mechanisms
• evidence from The Biggest Loser metabolic study
• ghrelin and hunger increases after weight loss
• role of anti-obesity medications for chronic management
• mindset shift from motivation to dedication in maintenance
• value of coaching, groups, and medical support

Please share with a friend, family member, or colleague
Please subscribe and write a review
This will help others find the podcast so they may also improve their metabolic health

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

5 Secrets to Know When Taking a GLP-1

Mon, 03 Nov 2025 00:00:00 -0600

Ready to start a GLP-1 but not sure what happens after you leave the pharmacy? We walk through the five essentials most people wish they’d heard on day one—how to inject without fear, how to store and warm the pen for comfort, and how to rotate sites to prevent irritation. You’ll hear why a personalized titration plan matters more than a preset calendar, when it’s wise to pause at a lower dose, and how to taper down or restart safely if life gets in the way.

We also tackle two high-stakes areas often overlooked. If you’re taking tirzepatide, we explain how starting and dose increases can reduce the effectiveness of oral birth control for about four weeks, and which non-oral options stay reliable. Planning a procedure? Because GLP-1s slow gastric emptying, we outline why many surgical teams ask you to hold the medication for one to two weeks before anesthesia, and how to coordinate the safest restart afterward to avoid heavy nausea and aspiration risk.

Travel doesn’t have to derail your progress. Zepbound can remain at room temperature for up to 21 days and Wegovy for up to 28, which means most trips only require keeping the pen in your carry-on and avoiding a return to the fridge once it warms. For longer itineraries, a small med cooler is all you need. Along the way, we share simple habits to curb side effects—hydration, protein-forward meals, smaller portions, and mindful pacing—so you can get the benefits with fewer bumps.

If you found this helpful, subscribe, share it with someone starting a GLP-1, and leave a review so others can find clear, evidence-based metabolic health guidance. Your feedback helps us keep these conversations practical and honest.

👩🏼‍⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com

🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg