Weight & Measure
Weight & Measure
Michael Donnelly-Boylen and Zach Niemiec
Weight & Measure with Mike and Zach is an obesity podcast featuring conversations with patients, obesity medicine physicians, metabolic & bariatric surgery experts, researchers, dietitians, and advocates. We explore GLP-1 medications, obesity management medications (OMMs), weight loss medications, bariatric surgery, nutrition, body composition, obesity research, patient advocacy, insurance access, and long-term obesity treatment. Every episode combines lived experience with clinical expertise to support patients and healthcare professionals.
What Should I Eat on a GLP-1? Dietitians Answer Your Biggest Nutrition Questions
What should you actually eat on a GLP-1?Social media is filled with advice about protein, electrolytes, collagen, greens powders, supplements, and "must-follow" nutrition rules. But how much of that advice is actually supported by evidence?In this episode of Weight & Measure, Zach Niemiec and Mike Donnelly-Boylen are joined by registered dietitians Gianna Beasley, MS, RD, CPT and Melissa Mitri, MS, RD to separate GLP-1 nutrition facts from fiction.Whether you're taking Zepbound (tirzepatide), Mounjaro, Wegovy (semaglutide), Ozempic, Saxenda, or another obesity management medication, this conversation provides practical, evidence based guidance to help you build healthy, sustainable nutrition habits.You'll also hear valuable insights for people who have undergone metabolic & bariatric surgery and are using GLP-1 medications.• The biggest GLP-1 nutrition myths on TikTok, Instagram, Reddit, and Facebook• Why eating less does not always mean better nutrition• How much protein do GLP-1 patients really need?• Electrolytes, collagen, creatine, greens powders, and supplements: what's worth your money?• Why many patients become afraid of food after starting GLP-1 medications• Weight loss plateaus: what they really mean• Why losing weight doesn't automatically mean you're well nourished• When to work with a registered dietitian• Nutrition after metabolic & bariatric surgery while taking GLP-1 medications• What to do if insurance forces you to stop your medicationIf you're looking for trustworthy information about GLP-1 nutrition, obesity medicine, bariatric nutrition, weight loss medications, body composition, protein intake, or long-term obesity care, this episode is for you.Gianna Beasley, MS, RD, CPTRegistered Dietitian and Certified Personal Trainer specializing in obesity care, GLP-1 nutrition, metabolic health, and body composition.Melissa Mitri, MS, RDRegistered Dietitian specializing in sustainable nutrition, GLP-1 therapy, obesity care, and helping patients build lifelong healthy habits.🎧 Spotify:https://open.spotify.com/show/45vJYXZC0ciTNpfwoc9CVI🍎 Apple Podcasts:https://podcasts.apple.com/us/podcast/weight-measure/id1886848263🎵 Amazon Music:https://music.amazon.com/podcasts/183597e3-d4de-4d93-a7c0-55f0cc6018bd/weight-measureNew episodes featuring leading experts in:• Obesity Medicine• GLP-1 Medications• Metabolic & Bariatric Surgery• Nutrition• Exercise Science• Patient Advocacy• Body Composition• Obesity ResearchEvery week on Weight & Measure.#GLP1 #Zepbound #Wegovy #Ozempic #Mounjaro #Tirzepatide #Semaglutide #Obesity #ObesityMedicine #BariatricSurgery #MetabolicBariatricSurgery #Nutrition #Dietitian #WeightLoss #Protein #BodyComposition #GLP1Nutrition #WeightAndMeasure #RegisteredDietitian #ObesityCare
Aug 10
1 hr 19 min
GLP-1s Aren't "Skinny Shots": Retatrutide, CKM & the Future of Obesity Care
GLP-1 medications have become some of the most talked about drugs in medicine—but are they really just "skinny shots"?In this episode of Weight & Measure with Mike and Zach, we sit down with two of the most respected voices in obesity care to separate fact from fiction and explore where obesity treatment is heading next.Joining us are:Ted Kyle, RPh, MBA – Founder of ConscienHealth and one of the nation's leading advocates for evidence-based obesity policy and public education.Katherine Saunders, MD, DABOM – Obesity Medicine physician and nationally recognized expert on GLP-1 medications, emerging obesity therapies, and comprehensive obesity care.Together, we discuss why GLP-1 medications are changing much more than body weight, how obesity medicine is shifting its focus toward overall health, and why the next generation of therapies—including retatrutide—could reshape obesity treatment once again.• Why calling GLP-1s "skinny shots" misses the bigger picture.• How GLP-1 medications are changing healthcare, society, and the conversation around obesity.• Why obesity is a chronic disease—and why that idea still faces resistance.• What CKM (Cardiovascular, Kidney, and Metabolic Health) means and why it's becoming a new framework for treating patients.• The latest research on access to obesity care and what the "secret shopper" study revealed.• How social media has influenced public understanding of obesity, for better and for worse.• The science behind glucagon agonists, amylin agonists, and combination therapies.• Why retatrutide has generated so much excitement—and why experts caution that more weight loss doesn't automatically mean a better medication.• How GLP-1 medications fit alongside metabolic and bariatric surgery as part of comprehensive, individualized obesity care.• What today's obesity experts hope we'll understand differently about GLP-1s twenty years from now.Whether you're living with obesity, taking a GLP-1 medication, considering metabolic and bariatric surgery, following the latest research on retatrutide, or simply trying to better understand obesity as a chronic disease, this conversation provides practical, evidence-based insights grounded in science—not stigma.• Ted Kyle, RPh, MBA• Katherine Saunders, MD, DABOMGLP-1 • GLP-1 medications • Retatrutide • Tirzepatide • Semaglutide • Ozempic • Wegovy • Mounjaro • Zepbound • Obesity Medicine • Obesity Care • Chronic Disease • CKM • Cardiovascular Kidney Metabolic Health • Metabolic and Bariatric Surgery • Weight Loss Medications • Anti-Obesity Medications • Emerging Obesity Therapies • Glucagon Agonists • Amylin Agonists • Comprehensive Obesity Care • Weight Bias • Obesity Advocacy • Patient Advocacy • Evidence-Based MedicineIf you enjoyed this conversation, be sure to subscribe to Weight & Measure on YouTube and follow us on Spotify, Apple Podcasts, and Amazon Music so you never miss future conversations exploring the science of obesity, GLP-1 medications, metabolic and bariatric surgery, and the future of evidence-based obesity care.More Science. Less Stigma.
Aug 3
1 hr 12 min
BONUS EPISODE: OAC Your Weight Matters 2026: Conference Highlights, Expert Reactions & Key Takeaways
What were the biggest conversations coming out of the OAC Your Weight Matters Conference?In this special episode of Weight & Measure, hosts Mike Donnelly Boylen and Zach Niemiec are joined by an outstanding panel to discuss the most impactful moments from the conference, including the latest conversations in obesity medicine, GLP-1 medications, bariatric surgery, patient advocacy, exercise science, and comprehensive obesity care.Joining us are:Jay Hutchins, Host of the Cheers to This PodcastGianna Beasley, RD, CPTRenee Rogers, PhDRobyn Pashby, PhDTogether, we discuss:Key takeaways from the OAC Your Weight Matters ConferenceThe future of obesity medicine and comprehensive obesity careThe role of GLP-1 medications and other obesity management medicationsBariatric surgery and long-term obesity treatmentExercise, nutrition, and behavior change for people living with obesityPatient advocacy and reducing weight stigmaWhy obesity is a chronic disease that deserves evidence-based careThe latest research and conversations shaping the future of obesity careWhether you're a person living with obesity, a bariatric patient, obesity medicine clinician, registered dietitian, exercise professional, or healthcare provider, this episode offers practical insights from one of the nation's leading obesity conferences.Topics Covered:ObesityObesity MedicineGLP-1 MedicationsBariatric SurgeryMetabolic & Bariatric SurgeryComprehensive Obesity CareExercise ScienceNutritionPatient AdvocacyWeight StigmaOAC Your Weight Matters ConferenceObesity Action Coalition (OAC)Chronic DiseaseLifestyle MedicineWeight ManagementSubscribe to Weight & Measure on Apple Podcasts, Spotify, Amazon Music, or wherever you listen to podcasts for conversations with leading experts in obesity medicine, bariatric surgery, nutrition, advocacy, and metabolic health.
Jul 27
1 hr 22 min
Starting a GLP-1 or having Bariatric Surgery? Get the care you deserve.
Do You Have Comprehensive Obesity Care? GLP-1s, Obesity Medicine & Bariatric Surgery ExplainedWhat does comprehensive obesity care actually mean?For many people, obesity treatment is often reduced to a single intervention, whether that's a diet, an obesity management medication (OMM), or metabolic & bariatric surgery. But effective obesity care is much more than any one treatment. It is a personalized, evidence-based approach that combines medical care, nutrition, physical activity, behavioral health, sleep, medications, surgery when appropriate, and long-term follow-up to support lifelong health.In this episode of Weight & Measure with Mike and Zach, we're joined by Dr. Carolynn Francavilla, MD, MFOMA, DABOM, the 2025 Obesity Medicine Association Clinician of the Year, and Dr. Rebecca Andrick, DO, DABOM, FOMA, two leading obesity medicine specialists who are helping redefine what patient-centered obesity care should look like.Together, we answer one of the most important questions facing patients today:Do you have comprehensive obesity care?We explore why obesity is recognized as a chronic disease, how obesity medicine has evolved beyond "eat less and move more," and why long-term success often requires multiple evidence-based tools working together. We also discuss where obesity management medications (OMMs), including GLP-1 and GLP/GIP therapies, fit into treatment, how metabolic & bariatric surgery complements medical care, and why individualized treatment plans lead to better patient outcomes.Whether you're living with obesity, considering treatment options, supporting a loved one, or working in healthcare, this conversation will help you better understand what high-quality, comprehensive obesity care should include and what every patient deserves from their healthcare team.• What comprehensive obesity care really means• Why obesity is a chronic disease, not a personal failure• How obesity medicine has evolved beyond "eat less and move more"• Where obesity management medications (OMMs), including GLP-1 and GLP/GIP therapies, fit into treatment• The role of metabolic & bariatric surgery in comprehensive obesity care• Why multidisciplinary care leads to better long-term outcomes• Nutrition, physical activity, sleep, and behavioral health as essential parts of treatment• How patients can advocate for evidence-based obesity care• Weight bias, stigma, and improving the patient experience• Measuring success beyond the number on the scale• The future of obesity medicine and comprehensive obesity careDr. Carolynn Francavilla, MD, MFOMA, DABOMBoard-Certified Family Physician2025 Obesity Medicine Association Clinician of the YearDr. Rebecca Andrick, DO, DABOM, FOMABoard-Certified Obesity Medicine PhysicianFellow of the Obesity Medicine AssociationMike Donnelly-BoylenZachary Niemiec, MBA🎧 Subscribe to Weight & MeasureFollow Weight & Measure on your favorite podcast platform for conversations with leading physicians, researchers, registered dietitians, patient advocates, and individuals with lived experience as we explore the science of obesity, obesity medicine, GLP-1 medications, metabolic & bariatric surgery, nutrition, advocacy, and long-term obesity care.Spotify:https://open.spotify.com/show/45vJYXZC0ciTNpfwoc9CVI?si=HicpBPlwQEWD9RhM3t8BjAApple Podcasts:https://podcasts.apple.com/us/podcast/weight-measure/id1886848263Amazon Music:https://music.amazon.com/podcasts/183597e3-d4de-4d93-a7c0-55f0cc6018bd/weight-measure?ref=dm_sh_iwSFqgfpShmLX8vRQR2ZxyJ5yIf you enjoyed this episode, please subscribe, leave a rating and review, and share it with someone who could benefit from learning more about comprehensive obesity care.#Obesity #ObesityMedicine #ComprehensiveObesityCare #GLP1 #GLPGIP #ObesityTreatment #MetabolicBariatricSurgery #WeightManagement #PatientAdvocacy #WeightAndMeasure
Jul 20
1 hr 23 min
GLP-1 TikTok: Helping or Hurting Patients? | Wegovy, Zepbound, Ozempic & Social Media
Is GLP-1 TikTok helping or hurting patients?Millions of people living with obesity turn to TikTok every day for information, support, motivation, and community. But as obesity management medications like Wegovy®, Zepbound®, Ozempic®, and Mounjaro® become increasingly common, social media has also become one of the most influential sources of obesity treatment information.So who is shaping the conversation?In this episode of Weight & Measure, hosts Mike Donnelly-Boylen and Zach Niemiec are joined by Dr. Danna Kashlan of Johns Hopkins Medicine and Dr. Lindsey Ogle for an important discussion inspired by Dr. Kashlan's research presented at the 2026 American Diabetes Association Scientific Sessions.Her research, "Who Shapes the GLP-1 Narrative on TikTok?", examined highly engaged GLP-1 content and found that patients, not healthcare professionals, are driving much of the conversation online.Together, we explore the growing influence of social media on obesity care and ask an important question:Is GLP-1 TikTok helping patients, hurting patients, or both?• Why GLP-1 TikTok has become one of the largest online communities for people living with obesity• The benefits of peer support, shared lived experience, and patient advocacy• The risks of misinformation, comparison culture, unrealistic expectations, and viral health advice• How healthcare professionals can better understand the online communities their patients participate in• How patients can identify trustworthy obesity medicine information online• Why lived experience and evidence based medicine should work together, not compete• The future of obesity care in the age of social mediaWhether you're taking Wegovy®, Zepbound®, Ozempic®, Mounjaro®, another obesity management medication, considering treatment, supporting someone living with obesity, creating health content online, or working in obesity medicine, this episode offers an honest and balanced conversation about one of the fastest growing influences on modern obesity care.Weight & Measure with Mike and Zach is a live panel series bringing together leading obesity medicine physicians, researchers, advocates, and people with lived experience for thoughtful conversations that bridge science, clinical care, and the patient experience.New episodes premiere live on On The Pen before being released on all major podcast platforms.Spotifyhttps://open.spotify.com/show/45vJYXZC0ciTNpfwoc9CVI?si=HicpBPlwQEWD9RhM3t8BjAApple Podcastshttps://podcasts.apple.com/us/podcast/weight-measure/id1886848263Amazon Musichttps://music.amazon.com/podcasts/183597e3-d4de-4d93-a7c0-55f0cc6018bd/weight-measure?ref=dm_sh_iwSFqgfpShmLX8vRQR2ZxyJ5yDownload the ProCare Health Non-Surgical Weight Loss & Obesity Management Guide to support patients using obesity management medications (OMMs):https://procarenow.com/pages/non-surgical-weight-loss-obesity-management-program
Jul 9
1 hr 17 min
When Obesity Medicine Gets Personal: Physicians Living with Obesity on GLP-1s, Bariatric Surgery, Med School & Patient Care
What happens when the obesity medicine physician is also living with obesity?In this episode of Weight & Measure, hosts Mike Donnelly-Boylen and Zach Niemiec are joined by Dr. Matthea Rentea, Dr. Catherine Toomer, and Dr. Brianna Bingham for an honest conversation about obesity, GLP-1 medications, bariatric surgery, weight stigma, and the realities of treating a disease while also living with it.Together, they discuss their personal obesity journeys, what medical education often gets wrong about obesity, and how lived experience has shaped the way they care for patients. The conversation explores obesity treatment, long-term weight management, bariatric surgery, GLP-1 medications, and the future of obesity medicine.Topics include:• What medical education still gets wrong about obesity• How lived experience changes patient care• GLP-1 medications and obesity treatment• Zepbound, Mounjaro, Wegovy, and Ozempic• Tirzepatide and semaglutide• Bariatric and metabolic surgery• Weight stigma in healthcare• Patient-centered obesity care• Long-term weight management• Obesity advocacy• The future of obesity treatmentDr. Matthea Rentea shares lessons from her personal journey and insights from hundreds of conversations through The Obesity Guide Podcast. Dr. Catherine Toomer discusses maintaining significant weight loss for more than twenty years while helping patients navigate multiple generations of obesity treatment. Dr. Brianna Bingham offers her perspective on bariatric surgery, obesity care, and how personal experience influences clinical practice.Whether you are taking a GLP-1 medication, considering bariatric surgery, living with obesity, supporting a loved one, or working in healthcare, this episode provides a perspective rarely heard in medicine: physicians discussing obesity through both clinical expertise and lived experience.FREE EDUCATIONAL RESOURCE FOR HEALTHCARE PROFESSIONALSIf your practice provides non-surgical weight loss, obesity medicine, GLP-1 therapy, or comprehensive obesity care, download ProCare Health's Non-Surgical Weight Loss & Obesity Management Guide:https://procarenow.com/pages/non-surgical-weight-loss-obesity-management-programABOUT WEIGHT & MEASUREWeight & Measure is hosted by Mike Donnelly-Boylen and Zach Niemiec. The podcast brings together people living with obesity, healthcare professionals, researchers, advocates, and industry leaders to explore obesity care, obesity medicine, bariatric surgery, GLP-1 medications, patient advocacy, weight stigma, and the future of treatment.KEYWORDSobesity, obesity medicine, GLP-1, GLP-1 medications, obesity treatment, obesity care, obesity management medications, OMMs, Zepbound, Mounjaro, Wegovy, Ozempic, tirzepatide, semaglutide, bariatric surgery, metabolic surgery, gastric sleeve, gastric bypass, weight stigma, patient advocacy, obesity advocacy, chronic disease, obesity physician, obesity specialist, lived experience, patient-centered care, Matthea Rentea, Catherine Toomer, Brianna Bingham, The Obesity Guide Podcast, Weight & Measure
Jun 23
1 hr 26 min
GLP-1 Maintenance: Why Keeping Weight Off Is Harder Than Losing It
You Lost the Weight. Now What? GLP 1 Maintenance, Mindset, and Long Term SuccessMany people focus on how to lose weight.Far fewer talk about what happens after.For many individuals using GLP 1 medications, pursuing Bariatric & Metabolic Surgery, or making significant lifestyle changes, reaching a goal weight is not the end of the journey. It is the beginning of a new challenge: maintaining weight loss long term.In this episode of Weight & Measure with Mike and Zach, we explore one of the most important and least discussed topics in obesity care: long term weight maintenance.Joining us are:• Leslie Golden, MD• Robyn Pashby, PhDTogether, we discuss why weight recurrence happens, why it is not simply a matter of willpower, and what people can do to build sustainable strategies for long term success.Topics include:• Why keeping weight off is often harder than losing it• The biology behind weight maintenance and weight recurrence• GLP 1 maintenance strategies after active weight loss• Long term use of obesity medications• Hunger, metabolism, and the body's response to weight loss• The psychological challenges of maintaining weight loss• Identity changes after significant weight loss• Fear of weight recurrence and how to navigate it• Perfectionism and all or nothing thinking• Emotional eating, stress, and coping strategies• Building sustainable habits for long term success• Bariatric and metabolic surgery considerations during maintenance• Why body composition may matter more than the scale• The mindset shift from losing weight to living at a lower weightOne of the most overlooked realities of obesity treatment is that maintenance is not just a physical challenge. It is also a psychological one.How do you trust yourself after years of weight cycling?How do you respond when the scale moves up?How do you stop living in fear of regaining the weight you worked so hard to lose?Whether your journey includes Wegovy, Zepbound, Mounjaro, GLP 1 medications, Bariatric & Metabolic Surgery, nutrition changes, physical activity, or a combination approach, this episode provides evidence informed insights to help you navigate the next phase of your journey.Weight & Measure with Mike and Zach is a live conversation series bringing together patients, clinicians, researchers, and advocates to discuss obesity medicine, GLP 1 medications, Bariatric & Metabolic Surgery, patient advocacy, and long term health.Keywords: GLP 1 maintenance, weight maintenance, weight loss maintenance, weight recurrence, obesity medicine, obesity care, Ozempic, Wegovy, Zepbound, Mounjaro, Foundayo, semaglutide, tirzepatide, obesity treatment, Bariatric Surgery, Metabolic Surgery, health psychology, emotional eating, weight cycling, body composition, obesity medications, long term weight loss.
Jun 17
1 hr 29 min
Medicare Bridge GLP-1 Coverage: What Older Adults Need to Know About Wegovy, Zepbound & Obesity Care
Medicare, GLP 1s, and Fear: What Older Adults Need to Know | Angela Fitch, MD, Tracy Zvenyach, PhD, MS, RN, and Deb CoopermanAs Medicare coverage for obesity treatment continues to evolve, many older adults are asking the same questions:Can Medicare cover GLP 1 medications like Wegovy or Zepbound? Who qualifies for the Medicare Bridge Program? What should adults over 65 know before starting obesity treatment?In this episode of Weight & Measure with Mike and Zach, we explore the rapidly changing landscape of obesity medicine, Medicare access, and GLP 1 treatment for older adults.Joining us are nationally recognized obesity medicine physician Angela Fitch, MD, obesity policy expert Tracy Zvenyach, PhD, MS, RN, and patient advocate Deb Cooperman to discuss what seniors, caregivers, and healthcare professionals need to know about starting GLP 1 medications later in life.Topics discussed include:• Medicare coverage for GLP 1 medications• The Medicare Bridge Program and who may qualify• Wegovy, Zepbound, Mounjaro, and other obesity medications• Obesity treatment after age 65• Weight loss, muscle loss, and body composition in older adults• Nutrition strategies while taking GLP 1 medications• Side effects and medication expectations• Mobility, strength, and healthy aging• Caregiver and family support during treatment• Access, affordability, and obesity care policy• Bariatric and metabolic surgery considerations• Long-term obesity management and maintenanceWhether you are considering Wegovy, Zepbound, Mounjaro, or another obesity treatment, this episode provides evidence-informed insights to help older adults make informed decisions alongside their healthcare team.Resources:• CMS Medicare Bridge Program Information: https://www.cms.gov/glp-1-bridge.pdfWeight & Measure with Mike and Zach is a podcast and live video series bringing together patients, clinicians, researchers, advocates, and policymakers to discuss obesity medicine, GLP 1 medications, Bariatric & Metabolic Surgery, weight management, access to care, and metabolic health.Subscribe for future conversations covering obesity treatment, Medicare policy, weight loss medications, metabolic health, patient advocacy, and evidence-based obesity care.Keywords: Medicare GLP 1 coverage, Medicare Bridge Program, Wegovy Medicare, Zepbound Medicare, Mounjaro Medicare, obesity medicine, obesity treatment for seniors, weight loss after 65, obesity care, metabolic health, obesity advocacy, Angela Fitch, Tracy Zvenyach, Deb Cooperman, Weight & Measure podcast.
Jun 5
1 hr 14 min
GLP-1 and Bariatric and Metabolic Surgery Patients How Do You Become an Advocate
GLP 1 and Bariatric and Metabolic Surgery Patients How Do You Become an AdvocateWhat does it actually take to become a patient advocate in obesity care?In this episode of Weight and Measure, we bring together leading voices across obesity medicine, patient advocacy, and policy to explore how individuals move from lived experience to meaningful impact.As obesity continues to be recognized as a chronic disease, the role of patient advocacy is becoming more critical in shaping access to care, influencing policy decisions, and improving long term health outcomes. From GLP 1 based therapies to Bariatric and Metabolic Surgery, patients are no longer just participants in care. They are becoming active drivers of change.Joining the conversation are:• Robert Kushner, MD• Michele Tedder, RN• James Zervios• Tracy Zvenyach, PhD, MS, RNTogether, we break down how advocacy actually happens in the real world.This episode covers:• How patients learn to navigate healthcare systems and advocate for better care• Where clinical intent and lived experience can disconnect• The role of GLP 1 therapies in expanding awareness and access to obesity care• How Bariatric and Metabolic Surgery patients are shaping advocacy efforts• The impact of patient voices on policy, insurance coverage, and treatment access• How organizations like the Obesity Action Coalition support advocacy development• Why community and shared experience are critical to building confident advocates• The importance of events like the Your Weight Matters Convention in empowering patientsWhether you are a patient, clinician, or healthcare professional, this episode provides a clear look at how advocacy is evolving and why it matters for the future of obesity care.GLP 1 advocacy, bariatric surgery advocacy, metabolic surgery advocacy, obesity advocacy, patient advocacy, obesity care, GLP 1 medications, Ozempic, Wegovy, Mounjaro, obesity medicine, healthcare policy, insurance coverage, Obesity Action Coalition, Your Weight Matters Convention, chronic disease advocacy, patient voice, metabolic healthLinkshttps://www.obesityaction.org/YWM Regional: https://www.yourweightmatters.com/YWM National: https://www.ywmconvention.com/?utm_source=zach
May 5
1 hr 22 min
GLP-1 Not Working? Weight Loss Plateau, and What Happens Next
GLP-1 not working like before? You’re not alone.Many people using GLP-1 medications such as Ozempic, Wegovy, or Mounjaro reach a point where weight loss slows, fatigue increases, and progress feels stalled. This phase is often referred to as a weight loss plateau, but it is frequently misunderstood.In this episode of Weight and Measure, we break down what is actually happening during this stage of the GLP-1 journey and how both patients and clinicians can better navigate it.Zach and Mike are joined by Angela Fitch, MD and Robyn Pashby, PhD to explore the physiological, behavioral, and clinical factors behind stalled progress and what it means for long-term care.This episode covers:• Why GLP-1 medications can feel like they have stopped working• What a weight loss plateau really represents• GLP-1 related fatigue and how to approach it• When to adjust treatment plans and expectations• The shift from weight loss to long term metabolic health• Why body composition matters more than the number on the scaleThis phase of treatment is where many patients begin to question the process, but it is also where the focus shifts toward sustainability, health outcomes, and long-term success.If you are navigating a plateau, supporting patients on GLP-1 therapy, or working in obesity care, this episode provides practical insight into what comes next.GLP-1 plateau, GLP-1 not working, Ozempic plateau, Wegovy stopped working, Mounjaro weight loss stall, GLP-1 fatigue, weight loss plateau, obesity care, metabolic health, body composition, weight management, obesity medicine
Apr 25
1 hr 29 min
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