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Sign up for our Nutrition Program! It's available to anyone, anywhere. www.poundofcureweightloss.com/nutrition In Episode 11 of the Pound of Cure Weight Loss podcast, Dr. Weiner and co-host Zoe cover the essentials of weight loss medications, with a focus on Mounjaro, insurance coverage for weight loss meds, and the benefits of combining GLP-1 medications with bariatric surgery. This episode dives into practical advice for navigating insurance barriers and understanding how a multi-modal approach can help achieve sustainable weight loss results. Why Are Weight Loss Meds Covered by Insurance So Limited? Dr. Weiner opens with a discussion on the hurdles in getting weight loss meds covered by insurance. Many insurers only cover GLP-1 medications like Mounjaro for diabetes treatment, not obesity, due to the misconception that weight loss is simply a “lifestyle choice.” He explains that Mounjaro is effective because it controls food noise, helping patients manage weight long-term by working with the body’s natural hunger-regulating hormones. Dr. Weiner encourages listeners to advocate for their right to medical support in their weight loss journey, noting that GLP-1 medications are a crucial part of this approach. The Power of Combining Mounjaro with Bariatric Surgery for Lasting Weight Loss Dr. Weiner highlights the potential of combining Mounjaro with bariatric surgery to create lasting weight loss outcomes. Unlike traditional dieting, Mounjaro aids patients by lowering hunger and reducing cravings, making it easier to maintain healthy habits post-op. Adding GLP-1 medications like Mounjaro to a bariatric surgery regimen helps prevent weight regain and supports a stable, lower weight set point, which is critical for long-term success. Why Focusing on the Set Point is Better than Counting Calories for Weight Loss Dr. Weiner discusses the metabolic thermostat concept, explaining why simply cutting calories isn’t enough for durable weight loss. Instead, lowering the body’s weight set point is essential. GLP-1 medications like Mounjaro reduce food noise, helping patients naturally control cravings and manage their weight without the intense hunger that often follows calorie restriction. This supports a balanced approach to weight management, helping patients maintain a healthy relationship with food. Navigating Food Noise and Hunger with Accountability and Support Support systems and accountability play key roles in successful weight management. At Pound of Cure, the support groups and virtual sessions offer structure and motivation for patients, especially those managing post-op food noise. Zoe advises that a diet rich in whole foods, such as vegetables, lean proteins, and fruits, helps patients feel fuller longer, making it easier to reduce cravings. This focus on nutrient-dense foods is essential to the Pound of Cure philosophy of long-term success. Exploring New Weight Loss Tech In a lighter segment, Dr. Weiner examines a new weight loss technology: a vibrating capsule that suppresses appetite by stimulating the stomach. Although intriguing, he cautions that this may cause nausea rather than true appetite control. Dr. Weiner recommends sticking with effective treatments like Mounjaro and bariatric surgery for now. Audience Q&A Dr. Weiner and Zoe address questions on managing hunger versus heartburn post-op and how to approach “cheat meals.” They recommend reframing indulgences as “treats” rather than “cheats” to foster a positive relationship with food. This sustainable mindset aligns with the Pound of Cure’s approach to weight management. Conclusion Dr. Weiner and Zoe close by highlighting the importance of combining surgical, nutritional, and pharmacological support to lower the body’s metabolic set point. With comprehensive support, patients can achieve long-term weight loss, effectively manage food noise, and lead a healthier lifestyle. Chapters: 00:00 Disclaimer 00:21 Intro with Dr. Matthew Weiner & Zoe Schroeder 01:00 We Are Hiring! 02:49 In the News - Ingestible Vibrating Pill for Weight Loss 07:45 Patient Story: BJ 26:02 Nutrition Segment - Treat or Cheat 28:48 The Economics of Obesity - Why your insurance won't cover weight loss meds 33:28 What is the physiology behind weight loss? 37:05 Am I experiencing food intolerance, heartburn, or satiety 1 month post-op? 41:49 Food Craving +++++ Take Dr. Weiner's online classes (many are free): https://courses.poundofcureweightloss.com/ Social Media: https://www.facebook.com/APoundofCure https://www.instagram.com/drmatthewweiner/?hl=en https://www.tiktok.com/creator-center/content Books: A Pound of Cure https://www.amazon.com/gp/product/B00AEYQYDE/ https://www.audible.com/pd/A-Pound-of-Cure-Audiobook/B09T777LSW How Weight Loss Surgery Really Works https://www.amazon.com/gp/product/1688128808/ The Bariatric Diet Guide and Cookbook https://www.amazon.com/Bariatric-Diet-Guide-Cookbook-Weight-Loss/dp/1615649875/

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Become a member to watch the full episode, plus gain immediate access to our entire back catalog of AMA episodes! Subscribe now: https://bit.ly/3Hfq0kV In this “Ask Me Anything” (AMA) episode, Peter and Bob discuss all things related to GLP-1 agonists—a class of drugs that are gaining popularity for the treatment of obesity. They cover the discovery of these peptides, their physiology, and what it is they do in their natural state. Next, Peter and Bob break down a recently published study which showed remarkable results for weight loss and other metabolic parameters using a once-weekly injection of the GLP-1 agonist drug semaglutide, also known as Ozempic, in overweight and obese patients. Finally, they compare results from the semaglutide study to results from various lifestyle interventions and give their take on the potential future of GLP-1 agonists. In this sneak peek, we discuss: 00:00 - Intro 00:10 - Remarkable results of a recent study in overweight adults 02:15 - Key background on insulin, glucagon and the incretin effect to appreciate the effects of semaglutide In the full episode, we also discuss: -What is GLP-1 and how does it work? -2021 semaglutide study: remarkable results, side effects, and open questions; -Semaglutide vs. lifestyle interventions: comparing results with semaglutide vs. lifestyle interventions alone; -Closing thoughts and open questions on the therapeutic potential of semaglutide; and -More. Read the show notes for this episode here: https://bit.ly/3nbZYac -------- About: The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 35 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more. Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). Learn more: https://bit.ly/3kBNdUG Subscribe to receive exclusive subscriber-only content: https://bit.ly/3Hfq0kV Sign up to receive Peter's email newsletter: https://bit.ly/30mqvII Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle

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