))
Clickbait! Why do we only want to hear the bad things about the new GLP-1 medications?
Manage episode 386114972 series 3531512
Contenu fourni par Matthew Weiner, MD and Zoe Schroeder, RD, Matthew Weiner, MD, Zoe Schroeder, and RD. Tout le contenu du podcast, y compris les épisodes, les graphiques et les descriptions de podcast, est téléchargé et fourni directement par Matthew Weiner, MD and Zoe Schroeder, RD, Matthew Weiner, MD, Zoe Schroeder, and RD ou son partenaire de plateforme de podcast. Si vous pensez que quelqu'un utilise votre œuvre protégée sans votre autorisation, vous pouvez suivre le processus décrit ici https://fr.player.fm/legal.
In the world of weight loss, there’s no shortage of buzzwords, fad diets, and conflicting advice. But the reality is that sustainable weight loss isn’t about quick fixes or extreme measures. Instead, it requires a comprehensive understanding of how the body regulates weight and metabolism. Dr. Matthew Weiner, a weight loss surgeon and specialist, emphasizes the importance of educating yourself on all aspects of weight loss—from surgery to nutrition and the role of medications like GLP-1 agonists (e.g., Wegovy and Zepbound). Let’s dive into the science of weight loss and how understanding the bigger picture can lead to long-term success.
The Role of Education in Weight Loss
Education is one of the most vital tools for any weight loss journey. As Dr. Weiner points out, "If you get the patient as educated as possible, you're going to be so much more successful and have such a better experience." Many people are bombarded with misinformation from social media and the news, making it harder to sift through what actually works. This is why we advocate for a scientific, fact-based approach to weight loss.
Debunking Common Myths: Calories in vs. Calories Out
One of the most persistent myths in weight loss is the idea that "calories in vs. calories out" is the key to losing weight. This model suggests that if you simply eat less and move more, you’ll lose weight. However, this concept oversimplifies a complex system. The body’s metabolic rate, appetite, and energy expenditure are all interconnected. When you eat fewer calories, your metabolic rate slows down as your body tries to maintain its current weight—a concept known as the “set point theory.”
The body is designed to resist weight loss, much like it resists holding your breath for an extended period of time. The same principle applies to extreme calorie restriction; eventually, your body’s natural survival mechanisms will take over, making long-term restriction unsustainable.
The Importance of Context in Weight Loss
Not all calories are created equal, and context matters significantly in weight loss. The body responds differently to nutrient-dense foods compared to processed, calorie-dense options. Surgery and medications like GLP-1 agonists can help regulate appetite and metabolic hormones, but they must be paired with proper nutrition for effective results.
GLP-1 Medications: A Game-Changer for Appetite Control
The introduction of GLP-1 medications, such as Wegovy and Zepbound, has been a breakthrough in obesity treatment. These drugs help regulate appetite and slow down gastric emptying, making you feel full longer. However, some of the media coverage around these medications has been misleading. For example, an article from Rolling Stone highlighted cases of gastroparesis (a condition where the stomach empties more slowly) in users of these drugs. Dr. Weiner clarifies that this slowing of the stomach is actually one of the medication’s intended effects—allowing patients to feel full on smaller amounts of food.
The key to success with these medications is adjusting the dosage and pairing them with a balanced, whole-food diet. Trying to eat large, high-fat meals, such as fast food, while on GLP-1 medications can exacerbate side effects like nausea. Patients who focus on lean proteins, vegetables, and whole foods, on the other hand, tend to see the best results.
Nutrition: What Should You Be Eating?
When it comes to diet, a whole-food-based approach is crucial. Processed foods, high in sugar and unhealthy fats, can disrupt the body’s natural hunger signals, making it harder to regulate appetite. In contrast, whole foods like vegetables, fruits, lean proteins, and beans help nourish the body and support weight loss efforts. Adding more nutrient-dense foods to your diet helps crowd out less healthy options, making it easier to meet your weight loss goals without
Chapitres
1. Introduction (00:00:00)
2. In the News (00:01:38)
3. Stomach paralysis with GLP-1's (00:03:10)
4. Nutrition after VSG to fight GERD (00:07:42)
5. Are weight loss stalls normal after surgery? (00:10:59)
6. Bypass with IBS (Irritable Bowel Syndrome) (00:14:02)
7. Can I drink oatmilk? (00:17:24)
8. Weight regain from the "Perfect Storm" (00:19:29)
9. Am I eating enough calories? (00:24:07)
10. Wrap up (00:28:14)
43 episodes
Partager
