Obesity
Obesity management in rheumatology [PODCAST]
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Join us for a conversation with Zachary Fellows, a rheumatologist who spent nearly four years in private practice navigating the complex intersection of obesity and rheumatic diseases. Zachary shares his journey from giving …
Are Ozempic patients on a slow-moving runaway train?
Have you ever heard of a drug called Ozempic? Just kidding. As we all know, this medicine and numerous related drugs are the rage. It is classified as a GLP-1 drug. The percentage of my patients who are taking these drugs is steadily rising. Of course, initially, Ozempic’s purpose was in diabetic management. Once it was discovered that weight loss was a “side-effect,” a new therapeutic mission was discovered. Indeed, …
How weight loss drugs are creating a medical dilemma
On my outpatient clinical rotations last year, I saw ample management of heart disease and smoking cessation counseling. I also saw the annual physicals and checkups. But what surprised me was how many patients were on medications that were just now becoming more mainstream. I’m sure you’ve heard of one in particular—Ozempic. But it wasn’t just Ozempic. There was also Wegovy and Mounjaro. These medications, in the family of semaglutides, …
Breaking the stigma: obesity and perimenopause [PODCAST]
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In this episode, we sit down with Caissa Troutman, an obesity medicine and family physician, to delve into the pervasive stigma and shame associated with obesity and perimenopause. Caissa shares her personal experiences …
How quality sleep can be your secret weapon for effective weight loss
Imagine snuggling up in bed and drifting off into dreamland after a long day. Did you know that those precious hours of sleep could be more than just time for rest? Let’s explore the interesting connection between sleep and weight loss and why getting quality sleep might just be the added push you need to shed that extra weight.
Sleep is not just about closing your eyes and calling it a …
Understanding obesity beyond lifestyle choices
Recently, media outlets and social media influencers have been on fire with stories about new “miracle” obesity drugs that promise a quick fix for people wanting to lose weight. Lost in this chatter are the life stories of millions of Americans struggling with obesity and its physical and emotional effects. A vital question is being ignored: how can we continue to allow money to determine access to treatment when many …
Addressing obesity: Is there a role for us as specialists?
I was in rheumatology private practice for just under four years as my first few years out of fellowship. During that time, too many of my patients were coming with obesity complicating a facet of their rheumatic disease. The most common example might be osteoarthritis, where excess weight directly applies force to joints like the lower back, hips, and knees, accelerating the disease and worsening outcomes. A less obvious example …
GLP-1 medications like Wegovy are effective metabolic health tools for teens with insulin resistance
Lizzie is a 13-year-old with a great sense of humor.
She tells it like it is, especially to her Mom, Jackie, who admits to being a bit of an Almond Mom (the parent who is stuck in a weight-focused diet culture). Jackie leads a very healthy lifestyle and has never had to deal with being overweight. Jackie is different from other Moms I work with because she isn’t telling me that …
The battle of the bulge: The struggle is real
The economic impact of obesity looms large, casting a shadow over both individual well-being and national prosperity. Beyond the personal struggles and societal pressures surrounding weight management, the financial ramifications of obesity ripple through health care systems, labor markets, and various sectors of the economy. In the United States alone, the annual health care costs attributed to obesity-related conditions soar into the hundreds of billions of dollars, placing a significant …
Shedding some weight on the health care crisis
In today’s world, the term “obesity” is more than just a medical diagnosis—it’s a complex issue intertwined with personal experiences, societal norms, and systemic challenges. As a seasoned family doctor, I’ve witnessed firsthand the multifaceted nature of obesity and its profound impact on individuals’ lives. But beyond the clinical observations, I carry a personal history marked by struggles with weight and body image.
I’m a family doctor, and I have been …
Going beyond the usual advice for eating healthy [PODCAST]
Beyond Ozempic: Why one size doesn’t fit all in weight loss
I grew up in Birmingham, Alabama, which is generally associated with a diet of all fried food. Prior to medical school, I thought many adults around me would eventually succumb to a diagnosis of hypertension and diabetes since they didn’t appear to think either was a big deal. However, my medical education quickly revealed that these co-morbidities were not merely inconveniences but were linked to some of the leading causes …
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Hope, healing, and challenges in eating disorder recovery [PODCAST]
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Join Jillian Rigert, an oral medicine specialist and radiation oncology research fellow. In this episode, we delve into the world of eating disorders, drawing from Jillian’s unique perspective as both a patient and a health care professional. …
The body positivity movement: Has it become toxic?
Delving into the topic of the body positivity movement requires the unpacking of many other issues facing society today. This topic cannot be looked at in a vacuum.
We live in an era where diversity and inclusion have become core values in many aspects of American life, and body positivity is a subset of that. The body positivity movement actually started in the late 1960s when women were rebelling against other …
The “Ozempic body” phenomenon
In a serendipitous encounter, I crossed paths with an old schoolmate of mine whimsically dubbed Fluffy Carol during our shared medical residency. Famous for her arresting charm and infectious smile, she was, in many ways, the life of the party if we ever had one.
Despite her endearing qualities, one mischievous fellow in our group had bestowed upon her a less-than-ideal nickname that stuck, though it was seldom uttered in her …
Breaking down weight management: insights from a bariatric expert [PODCAST]
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Join Maria Iliakova, a bariatric and general surgeon. In this episode, we’ll explore essential topics in weight management and bariatric surgery. Discover effective ways to start conversations about weight with patients, learn when to refer to a …
Ozempic: miracle drug or a band-aid for obesity?
An excerpt from Dr. T’s Drop the Fat Diet: 12 Steps to Leaner You Forever.
Semaglutide, a medication often marketed as Ozempic, Wegovy, or Rybelsus, has gained immense popularity in recent years. This is especially true in an age where diabetes and obesity are on the rise. The medication is being …
The Spandex dilemma: Does size still matter?
In today’s fashion landscape, one may wonder if size truly matters anymore. With the prevalence of spandex in clothing, determining one’s actual size has become a challenging feat. The question arises: what role does spandex play in the ongoing obesity crisis? Does it hinder our ability to make informed choices about our weight and health?
Consider this scenario: you weigh 130 lbs., but the pants you wear contain 2 percent spandex. …
COVID vaccines and weight loss medications: a tale of 2 needles
I am perplexed by two different needles which, when viewed together, illustrate the irrational themes which dominate our shared humanity. They inform me that, despite being a doctor for more than twenty years, I honestly feel dumber each day about human behavior. If, unlike me, you have somehow figured out more along the way, good for you.
The first needle which vexes me was the one stuck in my arm on …
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