The Pound of Cure Weight Loss Podcast

In this episode of the Pound of Cure Weight Loss Podcast, Julie shares her transformative journey with weight loss, detailing her struggles with insurance, medication, and the emotional toll of her experiences. She discusses the challenges of finding the right dosage of GLP-1 medication, the positive side effects she has experienced beyond weight loss, and the importance of understanding inflammation in weight management. Julie emphasizes the need for a supportive healthcare system and the liberation she feels from finally being in control of her health and relationship with food. Learn more about our Platinum Program here.

In this episode of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and Zoë discuss various topics related to weight loss, including the challenges surrounding obesity drugs, the impact of antidepressants on weight gain, and the effectiveness of bariatric surgery compared to GLP-1 medications. They emphasize the importance of individualized patient care, the flaws in the healthcare system, and the need for a comprehensive approach to weight management that includes nutrition, medication, and surgery when necessary. Learn more about the Platinum Program here.

In this episode of the Pound of Cure weight loss podcast, Zoë and Dr. Matthew Weiner address various listener questions regarding weight loss strategies, particularly focusing on post-surgery weight regain, the importance of fiber, the role of protein shakes, and the challenges faced by non-responders to weight loss treatments. They also discuss the broader issues within the healthcare system, including the impact of pharmaceutical companies and the need for reform. Learn more about our Platinum Program here. Chapters: 00:00 Introduction to Weight Loss Q&A 01:02 Post-Surgery Weight Regain and Lifestyle Changes 07:13 Protein Shakes and Weight Loss Stalling 12:16 Understanding Non-Responders to Weight Loss Medications 20:09 Addressing Healthcare System Issues 29:34 Future of Weight Loss Care and Community Support

In this episode of the Pound of Pure Weight Loss Podcast, hosts Zoë and Dr. Matthew Weiner discuss the evolving landscape of weight loss medications, particularly focusing on GLP-1 medications and the implications of recent changes in compounding laws. They explore the concept of microdosing these medications, highlighting its potential benefits and the importance of personalized patient care. The conversation emphasizes the need for innovative dosing strategies and the future of weight loss treatments in conjunction with nutrition and lifestyle changes. Interested in learning more about our Pound of Cure Platinum Program? Click here.

In this episode, Kelly shares her transformative journey through weight loss and bariatric surgery. Starting from her struggles with weight since childhood, she discusses her decision to undergo gastric bypass after experiencing the limitations of a lap band. Kelly reflects on the emotional challenges of weight regain and the pivotal moments that led her to seek a more effective solution. Post-surgery, she describes a complete lifestyle overhaul, emphasizing the importance of nutrition, exercise, and a positive mindset. The conversation highlights the significance of understanding obesity as a disease and the need for self-compassion in the weight loss journey. Learn more about how to become a patient with our nationwide Platinum Program here. Chapters 00:21 Kelly's Journey to Bariatric Surgery 01:41 The Emotional Impact of Weight Loss and Regain 08:27 Transitioning from Lap Band to Gastric Bypass 09:26 Life After Gastric Bypass: A New Beginning 16:46 Maintaining Weight Loss and Lifestyle Changes 20:42 Nutritional Strategies Post-Surgery 25:04 The Hormonal Connection in Weight Loss 29:39 Shifting Perspectives on Food and Nutrition 31:35 The Role of Exercise in Weight Management 33:49 Transformative Experiences and Self-Perception 34:23 Advice for Those Considering Weight Loss Surgery 37:29 The Importance of Research and Persistence

In this episode of the Pound of Cure Weight Loss Podcast, hosts Matthew Weiner, MD, and Zoë engage in a Q&A session addressing listener-submitted questions. They discuss various topics including the importance of dietary choices post-bariatric surgery, the implications of protein shake consumption, the recurrence of hiatal hernias after gastric bypass, the role of GLP-1 medications in weight management, and the differences between type 1 and type 2 diabetes. The conversation emphasizes the need for personalized care and long-term support in weight loss and health management. In this conversation, Dr. Matthew Weiner discusses the impact of GLP-1 medications on diabetes management, particularly focusing on their role in weight loss and insulin sensitivity. He explains the complexities of treating type 1 and type 2 diabetes and introduces the Platinum Program designed to streamline patient care and reduce costs. The discussion also touches on the integration of AI in diabetes management tools and the challenges faced in enhancing these technologies. Learn more about our Platinum Program here!

In this episode, Dr. Matthew Weiner and Zoë discuss their predictions for weight loss trends in 2024, including the rise of ZepBound over Ozempic, the ongoing debate between plant-based and keto diets, and the challenges of insurance coverage for GLP-1 medications. They also explore the increasing role of AI in weight loss management and the future of compounded medications in the healthcare landscape. In this conversation, Zoë and Dr. Matthew Weiner discuss the complexities of weight loss, the evolving landscape of fitness trends, and the integration of GLP-1 medications with bariatric surgery as a new standard for obesity treatment. They explore the societal shifts in caffeine and alcohol consumption, the potential of AI in meal planning, and the future of dietary products related to GLP-1s. The discussion emphasizes the importance of individualized approaches to health and nutrition, while also addressing the challenges and expectations surrounding weight loss treatments. Learn more about our Pound of Cure Platinum Program here.

In this episode of the Pound of Cure Weight Loss Podcast, Zoë and Dr. Weiner discuss significant updates in the weight loss medication landscape, including the end of compounding medications and the implications for patients. They explore nutritional strategies for those transitioning off medications, the emerging trend of microdosing medications, and the long-term effects of Ozempic. The conversation emphasizes the importance of combining medication with lifestyle changes for sustainable weight loss and introduces an innovative AI nutrition app designed to support users in their weight loss journey. Sign up for our upcoming free webinar HERE!

In this episode of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and Zoe Schroeder, RD, chat with Coach Dart—a seasoned fitness coach and vegan bodybuilder. This dynamic conversation explores vegan bodybuilding, injury prevention, the importance of flexibility, and why hiring a fitness coach can transform your fitness journey. Meet Coach Dart: From Personal Trainer to Vegan Bodybuilding Pro With a decade of experience in personal training, Coach Dart specializes in High-Intensity Interval Training (HIIT), athlete training, weight loss, and competition prep. Dart’s journey into veganism began eight years ago, transforming his health and fitness. A plant-based diet significantly improved his digestion, recovery times, and energy levels, proving that a vegan lifestyle supports intense athletic training. Dart’s Nutritional Foundation: Vegan Bodybuilding: Fueling Performance Naturally Dart dispels the myth that plant-based diets can’t provide adequate protein for bodybuilding. He emphasizes that vegan nutrition is not only sufficient but also optimal for muscle recovery and growth. Key Tips: 1. Hydration: Crucial for recovery and peak performance. 2. Simplicity: Whole, unprocessed foods build sustainable eating habits. The Importance of Hiring a Fitness Coach Fitness coaches offer accountability, motivation, and expert strategies. Dr. Weiner and Dart highlight how professional coaching ensures proper form, tracks progress, and prevents injuries. Top Benefits: Avoiding Injuries: Pro Tips from Coach Dart Preventing injuries starts with warm-ups and knowing your limits. Dart advocates for progressive overload and the importance of recovery days. Injury Prevention Strategies: How to Become More Flexible: A Beginner’s Guide Flexibility enhances physical performance and reduces injury risks. Dart emphasizes incorporating daily stretching and practices like yoga for long-term benefits. Steps to Improve Flexibility: Holistic Wellness: Connecting Veganism and Mental Health Dart shares how a plant-based diet complements mental clarity and recovery. By reducing inflammation and encouraging mindful eating, veganism fosters both physical and mental health. Takeaways This episode underscores the value of sustainable habits, whether you’re curious about vegan bodybuilding, looking to avoid injuries, or aiming to enhance flexibility. Tune in to the Pound of Cure Weight Loss Podcast to hear more about Dart’s inspiring journey and practical advice for lifelong wellness.

Welcome to episode 58 of the Pound of Cure Weight Loss Podcast, where Dr. Matthew Weiner and Zoe Schroeder dive into cutting-edge obesity treatments like GLP-1 medications (like Ozempic and Mounjaro) and their role alongside bariatric surgery and nutrition. This episode delivers insights into new research, nutrition strategies, and the future of affordable Semaglutide production. GLP-1 Medications vs. Bariatric Surgery: A Data-Driven Comparison A recent study presented at the American Society for Metabolic and Bariatric Surgery examined 40,000 participants’ weight loss outcomes across three approaches: lifestyle changes, GLP-1 medications, and bariatric surgery. Lifestyle changesGLP-1 medicationsBariatric surgeryDr. Weiner emphasized that combining these tools often yields the best results, rather than choosing one in isolation. “When used strategically, they complement each other to lower your metabolic setpoint effectively,” he explained. Addition vs. Restriction: A New Approach to Dieting Most diets focus on restriction, which fails over time. Instead, Zoe advocates for an addition mindset, emphasizing nutrient-dense foods like vegetables, lean proteins, and healthy fats. “When you focus on what you can add rather than what you must cut out, it naturally crowds out less healthy choices and fosters a sustainable, positive mindset,” she explained. Semaglutide’s Global Impact and the Rise of Generics Dr. Weiner highlighted a groundbreaking development in the global production of Semaglutide. Due to a favorable ruling in India, generic versions could be available by 2026, potentially lowering costs significantly. “This could be a game-changer for millions who currently can’t access Semaglutide,” Dr. Weiner noted, though challenges like cold-chain transport and international legality remain. Nutrition Strategies for GLP-1 Success For those using GLP-1 medications, Zoe shares essential dietary tips to optimize results and minimize side effects: vegetables, fruits, lean proteins, nuts, seeds, and legumes“This unprocessed, nutrient-dense diet mirrors the advice we give post-bariatric surgery patients,” Dr. Weiner added. Key Takeaways 1. GLP-1 Medications: Transformative but most effective when paired with proper nutrition and, in some cases, surgery. 2. Restriction Diets Are Outdated: Adopt an addition mindset to foster long-term, sustainable success. 3. Bariatric Surgery’s Durability: Surgery offers unmatched long-term weight loss results, especially when integrated with other tools. 4. Affordable Semaglutide Is Coming: Generic production in India could reshape global access by 2026. Final Thoughts Episode 58 reveals the synergistic power of combining GLP-1 medications, bariatric surgery, and the right nutrition strategies. If you’re ready to take control of your metabolic setpoint, this episode provides the tools and insights you need.

In this Q&A-packed episode of the Pound of Cure Weight Loss podcast, Dr. Weiner and Zoe answer listener questions about navigating post-surgery challenges like dumping syndrome, food noise, and pregnancy after weight loss surgery. Here are the highlights: How to Lower Your Set Point Without Food Noise Sabotaging You Listener Rain asked about dealing with chocolate cravings after losing just five pounds. The team shared practical tips: Balanced MealsCurb Sugar CravingsWhen to Consider MedicationsConsidering Gastric Bypass Revision Surgery Priscilla asked about revising her sleeve gastrectomy to address severe reflux and weight regain. Dr. Weiner outlined key points: Improved SafetyRisksBenefitsWhat is Dumping Syndrome? Dr. Weiner explained that dumping syndrome, common after bypass surgery, occurs when sugary or fatty foods enter the small intestine too quickly. To manage it: Should You Avoid Drinking After Eating? A listener wondered whether post-op patients must separate eating and drinking. Dr. Weiner dispelled the myth: No Universal RuleListen to Your BodyPregnancy After Weight Loss Surgery Amanda sought advice on preparing for pregnancy post-surgery. Key recommendations included: Vitamin AdjustmentsMindful NutritionManage RisksKey Takeaways This episode provides actionable advice for navigating challenges like dumping syndrome, food noise, and post-op pregnancy: Join the Conversation Submit your questions for future episodes and let Dr. Weiner and Zoe guide you with science-backed strategies for success after weight loss surgery.

In this heartfelt episode of the Pound of Cure Weight Loss podcast, Dr. Matthew Weiner and Zoë explore Raquel’s inspiring story of transformation. Raquel shares her experience undergoing gastric sleeve surgery, navigating emotional and spiritual healing, and embracing her cultural roots, including the meaningful gifting of an Ojo de Venado. Her journey exemplifies resilience, recovery, and the powerful connection between medicine and spirituality. Gastric Sleeve Surgery: A Key to Recovery Raquel’s path to healing began with her decision to pursue gastric sleeve surgery, a life-changing step to address obesity, chronic pain, and limited mobility. Weighing over 387 pounds and coping with trauma from the tragic loss of her husband and struggles with addiction, she found hope through Dr. Weiner’s guidance. The surgery not only enabled her to lose weight but also paved the way for essential double knee replacement surgeries, significantly improving her quality of life. Ojo de Venado: A Spiritual Connection A standout moment in this episode is the gifting of an Ojo de Venado by Raquel to Dr. Weiner. This sacred Yaqui symbol of protection and blessing was offered to Dr. Weiner on the day of her surgery as a gesture of gratitude and trust. For Dr. Weiner, wearing the Ojo de Venado became a source of grounding and strength during challenging times, embodying the interconnectedness of patient and caregiver. Recovering from Trauma: Finding Strength Through Healing Raquel’s life is a testament to overcoming adversity. After the loss of her husband, addiction, and the temporary loss of her children, she found recovery through a Native American program. Her determination to heal extended beyond physical transformation, as she regained custody of her children, pursued a meaningful career, and embraced her cultural identity. “Healing from trauma isn’t just about the events—it’s about finding strength and purpose in their aftermath,” she reflects. Spirituality in Medicine: Honoring Cultural Practices This episode highlights the profound role of spirituality in healing. Raquel shares how practices like sage cleansing and the Ojo de Venado provided comfort and focus during her journey. Dr. Weiner emphasizes the importance of recognizing and incorporating diverse cultural practices in healthcare, fostering a deeper bond between patient and caregiver. Life After Gastric Sleeve Surgery: A New Chapter Now nearly two years post-op, Raquel has lost over 150 pounds, achieved mobility through knee surgeries, and embraced a healthy lifestyle. Beyond her personal success, she dedicates her life to helping others as a domestic violence facilitator, embodying her philosophy: “We go through these things, we fight, we heal, and then we teach.” Conclusion: Resilience and Renewal Raquel’s story, shaped by gastric sleeve surgery, cultural traditions like the Ojo de Venado, and recovery from trauma, inspires hope for those on similar paths. This episode serves as a reminder of the strength found in resilience, community, and embracing holistic approaches to healing.

In Episode 55 of the Pound of Cure Weight Loss podcast, Dr. Matthew Weiner explores the complex causes of obesity and shares innovative strategies for achieving lasting weight loss. Drawing from decades of experience as a bariatric surgeon and his deep understanding of physiology, Dr. Weiner delivers actionable insights into weight loss surgery, GLP-1 medications, and the power of healthy food. Understanding the Root Cause of Obesity Obesity is not just about overeating or inactivity—it’s deeply tied to our evolutionary biology. While our ancestors thrived with fat-storing mechanisms, modern diets rich in processed foods have disrupted this balance. These diets push our body’s metabolic thermostat to a higher "setpoint," making weight loss increasingly difficult. The Metabolic Thermostat: A Key to Weight Regulation Your metabolic thermostat regulates body weight, hunger, and metabolic rate. It aims to maintain a specific "setpoint," making it hard to lose weight with calorie restriction. Efforts to lower calorie intake often backfire as the body slows its metabolism and increases food noise (cravings and hunger). Why Does the Setpoint Increase? Processed Foods:Weight-Gaining Medications:Hormonal Shifts:Four Proven Ways to Lower Your Setpoint Dr. Weiner outlines four key strategies for achieving sustainable weight loss: 1. Focus on Healthy Food Adopting a diet rich in fruits, vegetables, nuts, seeds, beans, and lean protein is more effective than calorie counting. These whole foods support long-term metabolic health and help reset the body’s physiology. 2. Build Muscle Strength training helps alter fat storage mechanisms and improves overall metabolic health. While not as powerful as other methods, maintaining muscle mass can complement other weight-loss efforts. 3. Leverage GLP-1 Medications Medications like Wegovy and Zepbound mimic hunger-regulating hormones to reduce food noise and lower the setpoint. These drugs are highly effective when used long-term, achieving up to 25% total body weight loss in some cases. 4. Weight Loss Surgery Bariatric procedures such as gastric bypass or sleeve gastrectomy lead to hormonal changes that lower the setpoint. When paired with GLP-1 medications, surgery can result in transformative weight loss of up to 50% of total body weight. The Importance of Combining Treatments Dr. Weiner emphasizes the power of integrating healthy eating, GLP-1 medications, and weight loss surgery. This approach customizes weight-loss strategies to individual needs, enhances results, and provides durable, long-term weight control. Support and Community: Keys to Success Dr. Weiner highlights the value of support networks and peer-led groups. These resources, paired with professional nutritional guidance, help patients stay motivated and achieve their weight loss goals. Takeaways: Obesity is a complex condition that requires a multifaceted treatment plan. Combining weight loss surgery, GLP-1 medications, and healthy food provides the best path to success. For more resources, visit Pound of Cure Weight Loss to join support groups and access expert insights.

In Episode 54 of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and Zoë Schroeder sit down with Dr. Ethan Larson, a plastic surgeon specializing in lipedema care. Together, they delve into the complexities of lipedema, available treatment options, and the transformative role of plastic surgery for lipedema. What is Lipedema? Dr. Larson explains that lipedema is a chronic condition that primarily affects women. It manifests as an abnormal accumulation of fat in the legs, arms, and sometimes the abdomen, often triggered by hormonal shifts like puberty or menopause. Unlike normal fat, lipedema fat does not respond to diet or exercise, leaving patients frustrated. Key Facts About Lipedema: Lipedema Treatment Options While diet and exercise support overall health, they do little to address lipedema fat. Dr. Larson highlights lymphatic-sparing liposuction as the most effective treatment, designed to: The Role of Plastic Surgery for Lipedema Plastic surgery for lipedema is more than cosmetic; it’s a functional solution that addresses discomfort and mobility challenges. Dr. Larson answers common questions about the procedure: Does the fat return?How much fat can be removed?What about risks?Comprehensive Lipedema Care Effective lipedema treatment often requires a multidisciplinary approach: Dietary Adjustments:Surgical Interventions:Patient Advocacy:Addressing Barriers in Lipedema Treatment Dr. Larson discusses systemic challenges, including: He stresses the importance of awareness and advocacy to improve access to care. When to Consider Plastic Surgery for Lipedema Dr. Larson advises patients to stabilize their weight for at least three months before surgery. For those using GLP-1 medications like Wegovy or Mounjaro, he recommends completing weight loss before planning surgery to ensure long-term success. Lipedema Support and Resources Organizations like the Lipedema Foundation are vital for raising awareness and advocating for systemic change. Dr. Larson encourages patients to utilize resources like Lipedema.org to connect with knowledgeable specialists and support networks. Final Advice for Lipedema Patients Dr. Larson’s key recommendations: 1. Get Diagnosed: Work with a specialist to confirm your condition. 2. Set Priorities: Identify treatment goals to guide your care plan. 3. Plan Ahead: Ensure long-term weight stability and realistic expectations. Connect with the Experts Visit www.larsonplasticsurgery.com or www.poundofcureweightloss.com to learn more

In Episode 53 of the Pound of Cure Weight Loss Podcast, Dr. Weiner and Zoe dive into meaningful topics, from celebrating non-scale victories to understanding the limits of BMI and exposing the troubling influence of pharmacy benefit managers (PBMs) on healthcare costs. This engaging episode not only informs listeners about these issues but also empowers them to advocate for a better, patient-centered healthcare system. Celebrating Non-Scale Victories on Your Weight Loss Journey Weight loss is about more than numbers on the scale, and non-scale victories (NSVs) are a powerful reminder of the progress often missed. Dr. Weiner and Zoe discuss these achievements, which include everything from improvements in flexibility to walking up stairs without fatigue. Zoe suggests keeping a running list of NSVs to stay motivated, especially during weight loss stalls. This practice can give you a balanced perspective on success, showing that even small victories matter. Tracking NSVs is a great way to remember that you’re moving forward, even when the scale doesn’t reflect it​​. The Limits of BMI as a Health Measure The Body Mass Index (BMI) has been widely used to assess health, but it’s far from perfect. Dr. Weiner and Zoe critique the BMI’s shortcomings, explaining how this 200-year-old formula, which simply compares weight to height, fails to account for muscle mass, body composition, and other essential factors. Dr. Weiner points out that BMI often mislabels individuals, especially those with high muscle mass, as “overweight.” They discuss alternatives, like the Body Roundness Index (BRI), that consider waist and hip measurements, offering a more nuanced health picture. Dr. Weiner underscores the importance of moving beyond BMI and adopting more accurate, holistic measures​​. Pharmacy Benefit Managers: Putting Profits Over Patients In their discussion on pharmacy benefit managers (PBMs), Dr. Weiner and Zoe reveal how these intermediaries have shifted from helping lower drug prices to prioritizing profits. PBMs now control nearly 80% of pharmacy claims, often inflating prices to serve their bottom line. For example, PBMs have been known to hike up the cost of drugs like Zytiga from a wholesale price of $229 to as high as $6,000, placing a heavy burden on patients and taxpayers. Dr. Weiner argues that PBMs’ monopolistic practices highlight the urgent need for more transparency and regulation in healthcare. By better understanding the role PBMs play, patients can advocate for policies to lower drug costs and improve access to care​​​. How to Advocate for a Patient-Centered Healthcare System In the final segment, Dr. Weiner and Zoe encourage listeners to take an active role in changing healthcare. They urge you to research healthcare legislation, support representatives pushing for lower drug prices, and vote for candidates focused on putting patients over profits. Advocacy, they emphasize, is essential for reforming healthcare to make it more accessible and affordable for everyone​​. Episode Takeaways This episode tackles the critical issues of weight loss success, BMI’s limitations, and the role of PBMs, leaving listeners with actionable steps to navigate the healthcare system and celebrate their own achievements. Episode 53 of the Pound of Cure Weight Loss Podcast is a must-listen for those interested in health reform, practical weight loss advice, and a more compassionate approach to healthcare.

In Episode 52 of the Pound of Cure Weight Loss Podcast, we delve into Vanessa Ruiz’s (@myvanety) personal and transformative journey with sleeve gastrectomy, her experiences with body dysmorphia, and her decision to include compounded semaglutide in her weight management plan. Her story provides insight into the challenges many face with obesity treatment and the importance of the “Choose Your Hard” mindset. Vanessa’s Journey to Sleeve Gastrectomy Vanessa grew up struggling with weight, influenced by family dynamics and cultural pressures around food. In her 20s, life changes, depression, and a PCOS diagnosis caused further weight gain, prompting her to pursue a sleeve gastrectomy in Mexico. Despite undergoing the surgery during the pandemic and navigating limited post-op care, she took her recovery into her own hands by researching and preparing herself, leading to successful early results. The Role of Compounded Semaglutide in Long-Term Success Three years post-op, Vanessa began to experience weight regain—a common hurdle for many sleeve gastrectomy patients. Compounded semaglutide, a variation of GLP-1 medication, became essential in helping her control food noise and support her appetite regulation, enhancing the long-term success of her sleeve gastrectomy. This medication, while not a replacement for lifestyle changes, provided Vanessa with the support to maintain her achievements, highlighting its importance in post-surgical weight management. Navigating Body Dysmorphia After Weight Loss A surprising challenge for Vanessa was body dysmorphia, a disconnect between her physical transformation and her self-perception. Despite her progress, Vanessa struggled to see herself as others did, facing persistent negative perceptions about her appearance. Therapy and mindfulness practices proved valuable in helping her manage these emotional hurdles, emphasizing the importance of psychological preparation for those undergoing significant weight loss. Advice from Vanessa: “Choose Your Hard” Vanessa’s motto, “Choose Your Hard,” speaks to the importance of making difficult but rewarding choices. She shares how the challenges of surgery, weight regain, and mental health management all contribute to a healthier life—a difficult but preferable alternative to the hardships of obesity. Her message encourages listeners to face the tough journey with resilience, as the outcome is worth the struggle. Building Community and Support Vanessa’s story also highlights the critical role of community support. By connecting with others facing similar experiences, she found encouragement to push through both the successes and setbacks. Final Thoughts: Empowering Yourself for Sustainable Health Vanessa’s journey offers a realistic look at the emotional and physical dedication needed to achieve weight loss success after a sleeve gastrectomy. For those managing body dysmorphia, considering GLP-1 medications like compounded semaglutide, or simply seeking encouragement, her story is a testament to the power of determination and the strength that comes from “Choosing Your Hard.”

In Episode 51 of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and dietitian Zoe Schroeder tackle listener questions on NAION vision, mocktail ideas, limited weight loss after a sleeve gastrectomy, and managing the “murky middle” phase after surgery. Here’s a quick recap of the insightful advice and tips offered in this Q&A episode. Understanding NAION Vision Risks with GLP-1 Medications The episode kicks off with a question about the connection between GLP-1 medications (like Ozempic and Wegovy) and NAION vision, a rare eye condition that can cause sudden vision loss. Dr. Weiner explains that NAION is often linked to low blood pressure, a risk that can increase with weight loss. He advises patients on GLP-1 medications to monitor for symptoms like dizziness upon standing, as these may indicate hypotension and increased NAION risk. Adjusting blood pressure medications may be necessary as weight drops. Key Takeaway: If you’re taking GLP-1 medications and blood pressure medicine, monitor your blood pressure closely. Weight loss may require medication adjustments to lower the risk of hypotension and NAION. Mocktails: A Fun, Alcohol-Free Way to Celebrate After Surgery The next question dives into mocktails, a perfect option for those who want to celebrate without alcohol after gastric bypass surgery. Zoe shares ideas for tasty, sugar-free mocktails, like mixing sparkling water with hibiscus tea and adding frozen watermelon cubes for flavor. She also encourages listeners to use fancy glasses and creative garnishes to make the drink feel special. Mocktail Idea: Hibiscus tea with sparkling water and frozen watermelon cubes makes a refreshing, celebratory drink that’s low in sugar and calories. Key Takeaway: Mocktails can help you enjoy social occasions without alcohol. Use sugar-free ingredients and fun presentation to keep them bariatric-friendly and festive. Limited Weight Loss After A Sleeve Gastrectomy A listener who had a sleeve gastrectomy but lost less weight than expected wonders why their experience differs from others. Dr. Weiner explains that weight loss results vary widely, with some patients experiencing more dramatic changes than others. He emphasizes the importance of combining surgery with lifestyle changes and, if necessary, GLP-1 medications to amplify weight loss. Key Takeaway: Every weight loss journey is unique, and surgery alone may not guarantee specific results. Combining surgery with lifestyle changes and, if needed, GLP-1 medications can enhance weight loss success. Navigating the Murky Middle Phase of Weight Loss After Surgery The episode concludes with advice on navigating the “murky middle” phase around six months after surgery. This stage involves adjusting to a slower weight loss rate and a returning appetite. Zoe suggests shifting from a protein-focused diet to one rich in vegetables, fruits, and nutrient-dense foods to avoid the “portion control trap,” where patients eat small portions of high-calorie foods, risking long-term regain. Key Takeaway: Use the murky middle to build healthy habits with nutrient-dense foods, setting up a foundation for sustainable weight loss and maintenance. Conclusion: Small Changes for Long-Term Success In Episode 51, Dr. Weiner and Zoe underscore that bariatric surgery and GLP-1 medications are tools, not quick fixes. By making mindful adjustments and focusing on healthy eating, patients can set themselves up for long-term success.

This episode of the Pound of Cure Weight Loss podcast follows Denise’s inspiring journey through bariatric surgery, bodybuilding, and discovering the transformative power of muscle and strength. Joined by Dr. Weiner and Zoe, Denise shares how she’s redefined her goals and found lasting wellness, showing that post-surgery life is about much more than just weight loss—it’s about building resilience and confidence. A Fresh Start with Bariatric Surgery Denise’s journey began in 2018, six years ago, when she moved to North Carolina and sought bariatric surgery to improve her health. She invested time in therapy beforehand to address anxiety and its impact on her relationship with food, which helped her approach surgery with full commitment. Within a year, she lost 110 pounds and transformed her mindset about food and body image. Shifting Focus: From Weight Loss to Building Muscle and Strength As Denise reached her lowest weight, she realized her new goal was not just to stay lean but to build a strong, muscular physique that reflected her resilience. She shifted from focusing on the scale to prioritizing muscle growth, redefining her goals based on body composition and the satisfaction of seeing her body change. By accepting a slight increase on the scale as a sign of muscle gain, Denise embraced her evolving body and set the foundation for a balanced, sustainable fitness journey. Creating a Consistent Bodybuilding Routine for Success Supported by her husband, a personal trainer, Denise started with three full-body workouts per week and a daily walking goal of 10,000 steps. This gradual start allowed her to build confidence, focusing on proper form and avoiding injury. As she progressed, Denise increased her workout frequency and noticed significant changes in her muscle tone and strength, finding new motivation as her goals evolved. Nutrition for Muscle and Strength After Bariatric Surgery Achieving muscle and strength after bariatric surgery required a new approach to nutrition. Denise learned to incorporate carbs strategically, pairing them with protein and healthy fats to fuel her workouts. Tracking her food intake helped her develop a balanced relationship with food and allowed her to fuel her body for optimal strength gains. Long-Term Goals: Muscle and Strength for Healthy Aging Now nearly 50, Denise continues to set and achieve fitness goals with the long-term view of staying healthy as she ages. She trains four days a week, with muscle-building as her strategy for healthy aging. Dr. Weiner calls muscle “the fountain of youth,” noting how Denise’s commitment to strength training will help her maintain her health and vitality for years to come. Denise’s journey is a powerful reminder that bariatric surgery can be a gateway to lasting health and strength. Her experience shows that muscle-building and mindfulness can help post-surgery patients thrive, offering them a foundation for confidence, resilience, and a strong future.

In Episode 49 of the Pound of Cure Weight Loss Podcast, Dr. Weiner and Zoe examine the steep costs of obesity medications like Wegovy, the influence of pharmacy benefit managers (PBMs), and the role of big pharmaceutical companies in shaping healthcare. Highlighting recent Senate hearings led by Bernie Sanders with Novo Nordisk’s CEO Lars Fruergaard Jørgensen, this episode sheds light on how the current system prioritizes profit, often at the expense of patients’ access to care. Wegovy Cost: Breaking Down High Prices in the U.S. Wegovy, a GLP-1 medication, costs around $1,349 per month in the U.S., while in other countries like the U.K., prices are as low as $92. Dr. Weiner explains that this discrepancy illustrates a broken healthcare model, where the U.S. market fuels corporate profit but leaves millions unable to afford essential treatments. With 72% of Novo Nordisk’s revenue coming from U.S. sales, the company’s pricing strategy relies on American consumers, who are left paying significantly more for the same medications. Big Pharma’s Influence on Policy and Profits This episode delves into Big Pharma’s control over drug pricing, particularly the stark contrast between their research and development costs and their profits. For example, while Novo Nordisk spent $21 billion on R&D, they spent twice as much—$44 billion—on stock buybacks and dividends. Dr. Weiner highlights how political influence plays a crucial role, with both major parties receiving substantial donations from pharmaceutical companies, leading to stalled efforts in drug price regulation and patient access. Pharmacy Benefit Managers (PBMs): Hidden Gatekeepers Driving Up Costs PBMs, the intermediaries between insurers and pharmacies, are supposed to negotiate better prices, but Dr. Weiner and Zoe point out that they often drive costs higher through hidden fees. In many cases, PBMs have financial incentives to push higher-priced drugs, creating a “pay-to-play” system that limits patient access. For example, PBMs profit by taking a percentage of negotiated drug price savings, meaning higher drug list prices generate greater profits for them. Dr. Weiner underscores how PBMs complicate and inflate pricing, making it even harder for patients to get GLP-1 medications through insurance. Do We Need Health Insurance Companies and PBMs? Dr. Weiner questions the necessity of insurance companies and PBMs in the healthcare system, arguing that they don’t provide direct patient care yet extract billions from the system. He suggests that healthcare can function without these financial middlemen, allowing for a more transparent, patient-centered system where costs are lower and patients have better access to needed treatments. The Morality of Obesity Treatment Costs The episode closes with Dr. Weiner and Zoe discussing the stigma surrounding obesity and the moral implications of restricting access to life-changing medications like Wegovy. They emphasize that obesity is a complex, chronic disease requiring comprehensive treatment, not simply a “lifestyle” issue. Dr. Weiner advocates for recognizing obesity treatment as essential, which could lead to a shift in how these medications are accessed and covered. Final Takeaways While the healthcare landscape remains challenging, Dr. Weiner believes patient advocacy, legislative changes, and innovation can improve access to these life-saving treatments. This episode offers insights into navigating the current system while emphasizing the need for systemic change to prioritize patient health over profits.

In Episode 48 of the Pound of Cure Weight Loss podcast, Dr. Matthew Weiner and Zoe Schroeder explore the future of compounded GLP-1 medications, the dangers of the health halo effect, and debunk common diet myths that often lead to confusion for those trying to lose weight. Compounded GLP-1 Medications: A Controversial Solution on the Brink of Extinction Dr. Weiner and Zoe kick off the discussion by addressing the fate of compounded GLP-1 medications. Medications like Zepbound and Wegovy, FDA-approved for obesity, have faced shortages, leading to the rise of compounded alternatives. These non-FDA-regulated versions, sourced from China and mixed in US compounding pharmacies, have been a lifeline for patients who can't access the brand-name medications. However, Dr. Weiner highlights that these compounded versions may soon become unavailable due to regulatory changes. Compounded GLP-1 medications can only be produced during shortages of the original drugs and with supply stabilizing, their production may soon be banned. Patients currently relying on compounded alternatives will need to explore other options, such as the Pound of Cure Weight Loss Platinum Program. Diet Myths: Dispelling Common Misconceptions Dr. Weiner and Zoe also tackle pervasive diet myths, particularly the belief that weight loss is simply a matter of calorie counting. This outdated “calories in, calories out” philosophy ignores the body’s hormonal responses to food. They explain that hormones like GLP-1, ghrelin and leptin play crucial roles in regulating hunger and metabolism, which is why focusing purely on calorie restriction often leads to failure. Another myth they address is the idea that fat is the enemy. While processed and animal fats should be avoided, healthy fats from sources like avocados, nuts, and seeds are vital for long-term weight management. Additionally, Zoe clarifies that not all carbs are bad — distinguishing between refined carbs and whole-food sources like vegetables and legumes is key for sustained energy and weight loss. The Health Halo Effect: How Marketing Tricks Consumers The health halo effect is another topic of discussion, focusing on how food marketing can deceive consumers into making poor health choices. Labels such as “organic,” “vegan,” “low-carb” or “gluten-free” often create the illusion of health, even when the products are filled with sugar or unhealthy ingredients. Dr. Weiner and Zoe stress the importance of avoiding these traps by focusing on real, unprocessed foods like vegetables, lean proteins, fruits, nuts, beans and seeds. This approach helps ensure that you’re making choices that genuinely support your health and weight loss efforts, rather than falling for misleading marketing. Conclusion In this episode, Dr. Weiner and Zoe offer valuable insights into the future of compounded GLP-1 medications, clarify persistent diet myths, and explain how the health halo effect misleads consumers. As the regulatory landscape changes and food marketing continues to evolve, staying informed and focusing on a balanced, whole-food diet is crucial to achieving long-term success in your weight loss journey.