The Dr. Francavilla Show: Recent Episodes

Dr. Francavilla

Carolynn Francavilla, MD is Board Certified in Family Medicine and a Diplomate of the American Board of Obesity Medicine. She owns and operates Green Mountain Partners for Health and Colorado Weight Care. Dr. Francavilla is a nationally recognized obesity expert, lecturing on the topic obesity as well as through her own platform HelpYourPatientsLoseWeight.com. She serves on the Obesity Medicine Association Board of Trustees. She is an Assistant Professor at Rocky Vista University and Volunteer Faculty at the University of Colorado School of Medicine. She is passionate about helping people lose weight to treat and prevent medical problems. Dr. Francavilla has learned that losing weight and keeping it off is complex and not a matter of will power, but biology, and seeks to help others finds healthy longterm solutions to their weight.

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.co

Ever wonder why two people can eat the same lunch and have completely different blood sugar reactions? Or why someone can be a "normal" weight and still be dealing with insulin resistance, while someone else in a bigger body has picture-perfect labs?

Turns out, the number on the scale has been stealing the spotlight from something way more important this whole time — metabolic health. Dr. Lindsay Ogle, a board-certified family and obesity medicine physician and founder of Missouri Metabolic Health, breaks down what metabolic health actually means, why it's so often missed, and what it really takes to get the full picture of what's going on inside your body. She works with adults throughout Missouri to treat and prevent conditions like diabetes, fatty liver disease, metabolic syndrome, PCOS, and obesity, using a mix of lifestyle optimization and safe, effective medications — with a mission of helping people live longer, fuller lives.

Topics Discussed:

What Is Metabolic Health?
What Is Metabolic Syndrome?
Why One Root Cause Can Explain Many Diagnoses
How Doctors Actually Test for Metabolic Health
How Metabolic Dysfunction Is Treated
Are CGMs Worth Using?
You Are Not to Blame

Press play on the full conversation with Dr. Lindsay Ogle to get the complete picture on what your body's really trying to tell you.

Connect with Dr. Ogle:

Website:https://missourimetabolichealth.com/
Podcast: Modern Metabolic Health
YouTube: Metabolic Health with Dr. Lindsay Ogle, MD
Instagram: dr.lindsayogle
TikTok:Lindsay Ogle, MD

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Do you know what happens in your body when you eat a meal? Or did you, like most of us, make it to adulthood without anyone explaining the basics?

If that question made you pause, you're not alone. Most "healthy eating" advice arrives in fragments — a rule from one diet trend, a warning from another — without ever adding up to a full picture of how food actually works in the body.

Protein, carbs, fat, vitamins, minerals, phytonutrients: these aren't competing categories to master one at a time. They're a system. Once you understand how the pieces fit together, meal planning stops feeling like guesswork and starts feeling like common sense.

This episode covers exactly that — what each macronutrient is doing for you, why micronutrients matter even in small amounts, and how to build a plate that supports your body without obsessing over any single food or number. No fad diets, no miracle foods. Just the fundamentals, explained clearly.

Topics discussed:

Macronutrients: The Building Blocks of Your Diet
Protein: Why Your Body Needs It
Carbohydrates: Choosing Better Sources of Energy
Fat: Why It's Essential for Good Health
Caloric Density: Why Some Foods Contain More Calories Than Others
Micronutrients: The Vitamins and Minerals Your Body Needs
Whole Foods: Why Variety Matters More Than Individual Nutrients
Building a Balanced Plate for Better Nutrition
Reducing Added Sugar Without Feeling Restricted
Eating More Protein to Stay Fuller Longer
Focus on Adding Healthy Foods Instead of Restricting Them
Creating Healthy Eating Habits That Last

Your plate is the one thing you control every single day — three times a day, for the rest of your life. Every meal is a chance to give your body what it actually needs instead of guessing, restricting, or chasing whatever the latest trend says to avoid. This episode hands you the framework to make that choice easier, meal after meal. Press play and find out how to make it work for you.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have You Ever Wondered If Your Telehealth Weight Loss Clinic Is Actually Giving You Real Medical Care, or Just a Prescription?

This episode dives into a JAMA study that's been generating serious buzz throughout the obesity medicine community, and once you hear what it uncovered, you'll understand exactly why. Researchers conducted a "secret shopper" investigation, sending someone posing as a patient to 49 different telehealth clinics offering obesity management medications, simply to see what kind of care they'd actually receive. The findings shed light on where the gaps really are in this rapidly expanding area of healthcare, and they back up what a lot of obesity medicine providers have suspected for quite some time.

We're unpacking what comprehensive obesity care is truly supposed to look like, and how you can figure out whether the care you're getting, or the care you're offering, actually holds up. And there are two calls to action woven throughout: if you're someone taking these medications or considering starting them, we'll walk through how to find a provider who's doing this the right way. And if you're a clinician providing this kind of care already, consider this your reminder to put yourself out there more, because there are patients who genuinely need access to someone doing it well.

Topics Discussed:

The JAMA Study Raising Questions About Obesity Telehealth
The Missing Piece in Many Telehealth Weight Loss Programs
Convenience Shouldn't Replace Comprehensive Medical Care
The Importance of Clinical Oversight in Telehealth Prescribing
What Comprehensive Obesity Care Should Look Like
Where to Start If You're Considering Weight-Loss Medication
How to Find High-Quality Obesity Care

This episode covers a lot of ground, from the specific numbers behind the study to what a truly thorough evaluation should include, and what red flags to watch for if you're navigating this kind of care yourself. Whether you're a patient trying to figure out if your provider is doing right by you, or a clinician who wants to understand where the industry is falling short, this conversation breaks it all down in a way that's genuinely worth your time. Press play to catch the full episode and get every detail we covered.

Want to see the data for yourself? You can check out the full JAMA study here:

https://www.sciencedirect.com/science/article/pii/S2667368123000165

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Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if the biggest thing standing between you and your health goals wasn't food, or exercise, but the screen you're holding right now?

Today we're talking about screen time — how too much of it affects your health, your weight, and what you can actually do about it. I've got five problems screens create, and five solutions to go with them, so stick with me.

Screen time isn't something I bring up with patients as often as I probably should, but it shows up in two specific places in my practice. The first is during a comprehensive annual wellness visit, where I think about screens the same way I think about substances like alcohol, tobacco, or marijuana — something we tend to overuse, often to numb out or fill a void, and something we can usually cut back on to genuinely improve our health. The second is in weight maintenance. Once a patient reaches their goal weight and we shift into maintenance mode, I walk through a handout built around the National Weight Control Registry — a long-running study tracking people who lost 30 or more pounds and kept it off for at least a year. One of the most telling data points from that registry: 62% of people who successfully maintained their weight loss were watching less than 10 hours of TV a week. That's still over an hour a day, so there's plenty of room for your shows — but it tells us something real about the role screens play in long-term success. Today we're getting into exactly why.

Topics discussed:

The Sneaky Way Screen Time Is Draining Your Daily Movement
Why Screen Time and Snacking Go Together More Than You Realize
The Hidden Link Between Blue Light, Sleep, and Weight
The Stress Connection Nobody Talks About With Screen Time
The Real Cost of Letting Screens Eat Your Free Time
One Easy Shift That Actually Cuts Down Screen Time
Try the 30/30 Rule to Break Up Long Periods of Sitting
Keep Screens Out of Mealtimes
Set a Screen Curfew Before Bed
Pair Screen Time With Movement

There's a lot packed into this one, and every piece builds on the last. We'll get into why your favorite show might be quietly killing your daily movement, how it sneaks into your snacking and sleep without you noticing, and how something as small as the 30/30 rule or a bedtime curfew can start turning that around. Press play and find out where your screen time might be costing you more than you think.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wonder why losing weight can suddenly feel impossible in your 40s or 50s, even when nothing about your diet or workout routine has changed?

That's exactly the question this week's episode sets out to answer, with guest Dr. Angela Glasnapp joining the conversation. Dr. Glasnapp is a board-certified bariatric surgeon, obesity medicine specialist, and menopause practitioner with New York Bariatric Group, and for more than 16 years, she's helped patients improve their health through evidence-based treatment for obesity and metabolic disease, blending surgical, medical, and lifestyle approaches into one comprehensive strategy. As her practice evolved, she noticed a significant gap in care for women navigating perimenopause and menopause, which led her to bring that expertise into her practice too.

In this episode, we cover:

The First Step to the Right Treatment Is Just Getting the Full Picture
Bariatric Surgery Eligibility, Explained
Can Bariatric Surgery and Weight Loss Medications Be Used Together?
Understanding the Weight Set Point Theory
Why Dr. Glasnapp Expanded Her Practice to Menopause Care
How Hormone Therapy and GLP-1 Medications May Work Together
A Comprehensive Approach to Women's Health

Dr. Glasnapp breaks down everything from choosing the right treatment path to the science behind weight regulation, and why menopause deserves a much bigger seat at the table in obesity medicine.

This episode is packed with the kind of info that could totally change how you think about weight, hormones, and what "stuck" really means. Tap play and let it all sink in, one lightbulb moment at a time.

Connect with Dr. Glasnapp:

Instagram:primeforwomen
Website: NEW YORK BARIATRIC GROUP

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever feel like exercise gets treated as this magic weight-loss tool, when really that's not even its main superpower?

Here's the truth: most people don't lose significant weight from exercise alone. Your body is smart (annoyingly so) — it adapts, burns fewer calories than you'd expect, and can even nudge you to move less throughout the day or eat a little more to compensate. So if you've ever felt discouraged because the scale didn't move despite all your effort at the gym, you're not doing anything wrong. That's just physiology doing its thing.

But here's the part that matters even more: exercise isn't about the scale, and it never should be. It's genuinely one of the most powerful things you can do for your overall health, no matter your weight. It also plays a major role in maintaining weight loss once you've achieved it, arguably a bigger win than losing the weight itself. Exercise was never meant to be a punishment for how you look, it's a tool for feeling stronger, sleeping better, and building a body that can support you for the long run.

This week's episode dives into five new conversations we should all be having about exercise, from the real sweet spot for strength training to the surprising ways your muscles work behind the scenes:

Topics discussed:

The Sweet Spot for Strength Training, According to Research
The Case for Mixing Up Your Workouts
Muscle Mass vs. Muscle Function: What Actually Matters on GLP-1s
The Minimum Effective Dose: How Little Exercise Actually Counts?
The Endocrine Organ You Didn't Know You Had

Press play to catch the full breakdown, plus practical ways to nudge your own routine forward, no matter where you're starting from.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What If Your Weight Struggle Was Never About Willpower?

What if the reason some people struggle with their weight their entire lives has nothing to do with what they're eating or how hard they're trying — and everything to do with their DNA? It's a question that doesn't get asked nearly enough, and today, we're finally diving into it.

For so many people living with severe obesity, the missing piece of the puzzle isn't a better diet plan or more motivation. It might be written right into their genetic code — and that changes everything about how it should be understood and treated.

Today's guest is Dr. Jesse Richards — board-certified in internal medicine and obesity medicine, Director of Obesity Medicine at the University of Oklahoma School of Community Medicine, and the person his colleagues call when they have questions about the genetics of obesity. His research covers genetic obesity, GLP-1s, and novel treatments for obesity and substance use disorders. Safe to say, he knows this space better than almost anyone.

In This Episode, We Cover:

What Sparked Dr. Jesse's Interest in Genetic Obesity
Why Some People Are Born With a Stronger Genetic Drive Toward Obesity
The Genetic Syndromes Behind Severe Obesity That Most People Have Never Heard Of
It's Not in Your Head — But It Is in Your Biology
Why Genetic Test Results Are Only Part of the Story

This is just the surface — give the full episode a listen to get into everything we covered and more.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if Medicare finally made GLP-1 medications for weight management more affordable — could this be the moment that changes access for millions of people?

Today, we're talking about something that's been years in the making in the world of obesity care: the expanded coverage of anti-obesity medications for patients on Medicare. Starting July 1st, eligible Medicare beneficiaries have a real opportunity to access GLP-1 receptor agonist medications at a much more affordable monthly cost through a new federal program — and for many patients, this could mark a major shift in access to treatment that's historically been limited or completely out of reach under Medicare's coverage rules.

This change didn't happen overnight. It comes after years of advocacy, policy discussions, and ongoing efforts to get obesity recognized as a chronic medical condition that deserves treatment just like any other disease. In this episode, we break down where this program came from, how it connects to the bigger picture of obesity care, who it applies to, and everything you need to know about eligibility, covered medications, and how the process actually plays out in real life.

Topics discussed:

How the Bridge Program Could Expand Access to Obesity Medications
For the First Time, Medicare Is Opening the Door to Obesity Medications
The BMI and Health Condition Criteria
Why the Reason for Your Prescription Matters Just as Much
The Details That Make a Real Difference — Prior BMI and Lifestyle Support
The List of Weight Loss Medications Covered by the Bridge Program

Want the full breakdown? This episode covers all the details on eligibility, covered medications, and what this program could mean for you or someone you love navigating Medicare and obesity treatment. Find it wherever you get your podcasts — and if it helps, share it with someone who might need to hear it too.

Resources mentioned in this episode:

GLP-1 Prescribers Guide — CMS
Medicare GLP-1 Bridge Program Details — CMS

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if the reason so many people struggle on GLP-1 medications isn’t the medication itself — but the way it’s being dosed?

Today we’re diving into something that could genuinely change the way you think about GLP-1 therapy: custom dosing. And there is honestly no one better to talk about this with than Dr. Ian Justl Ellis.

Dr. Ian is a board-certified physician, certified personal fitness instructor, and the creator of the MyLevel GLP-1 Precision Dosing Engine. He’s also the founder and CEO of VOA Fit, where he provides highly personalized concierge care through advanced GLP-1 therapy, hormone optimization, and peptide protocols — all paired with real-world fitness and nutrition strategies. Before transitioning into obesity medicine, he spent a decade in emergency medicine.

What makes his perspective especially valuable is how he bridges clinical expertise with lived experience in weight management. His work doesn’t just focus on prescribing GLP-1s, but on optimizing how they’re actually used in real-world patients. And that’s exactly what this conversation is about — how dosing strategy can completely change outcomes.

Topics discussed:

Why GLP-1 results may depend more on dosing than the medication itself
Dr. Ian’s early belief in discipline — and why it eventually broke down
When personal struggle turned into a medical reframe of obesity
The first experience with GLP-1s and the reality behind the results
Why “dose” isn’t the full story — understanding GLP-1 drug levels
Moving from standard protocols to individualized GLP-1 leveling
How personalized GLP-1 dosing works in real patients
The future of GLP-1 therapy: a more responsive, guided model of care
Rethinking weight loss: from fixed doses to adaptive biology

There’s a lot more nuance to GLP-1 therapy than standard protocols tend to show, and this episode really breaks down what happens when dosing becomes personalized rather than fixed.

So if you want to understand how this approach actually works in practice — and why it might completely shift how we think about weight management — tune in to the full episode.

Connect with Dr. Ian:

Website:voafit.com,
Instagram: voafitmd
Learn about MyLevel: voafit.com/mylevel
Book a Consult: go.voafit.com
Meet Our Clinic: voafit.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What If the Lowest Dose Isn't Actually the Safest Dose?

If you've spent any time in weight loss or wellness spaces online, you've probably come across the term microdosing — and chances are, it was framed as the smarter, gentler, more mindful way to use GLP-1 medications. But is that actually true? That's exactly what we're digging into today.

In this episode, we cover:

Is "Microdosing" GLP-1s Actually a Thing? — Where the term came from, why it took off, and whether it holds up clinically.
The Right Dose Is the One That's Actually Working for You — What therapeutic dosing actually means and how to know if yours is doing its job.
Weight Loss Is a Side Effect, Not Always the Goal — Why the scale isn't the only thing worth tracking — and what to measure instead.
There Is No Prize for the Lowest Dose — The real cost of staying subtherapeutic and why "less is more" doesn't always apply here.

There is no prize for taking the lowest dose. The goal isn't to stay as low as possible, and it isn't to push as high as possible either. The goal is to find the dose that actually works for you — for your body, your health conditions, and your specific outcomes. Check out the full episode and give it a listen — it's worth your time.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered if counting calories is actually worth your time — or if it's just another diet trap dressed up in a tracking app? In this week’s episode, we talk about just that, and the answer is more nuanced than a simple yes or no. Calories are real, they matter, and paying attention to them can be genuinely useful — but the way many people approach calorie counting is often where things go sideways.

Here's the thing though — calories are calculated using a lab device. Which means it doesn’t take into account how the body actually processes those calories. You digest food, respond to it hormonally, and process it completely differently depending on what you're actually eating, not just how much. Protein burns some of its own calories just through digestion. Fiber doesn't get absorbed at all. And the same 100 calories from apple juice versus a whole apple with peanut butter will hit your body in completely different ways — one spikes your blood sugar and leaves you hungry again fast, the other keeps you full and satisfied for hours. Same number on paper, totally different story inside your body.

That's why the old "calories in, calories out" model, while not entirely wrong, is a pretty significant oversimplification. Your metabolism adapts, your hunger hormones shift, and the quality of what you eat plays just as important a role as the quantity. Calories are one important piece of the puzzle — but they're far from the whole picture.

In this episode, we cover:

Why Not All Calories Are Created Equal
Macros, Metabolism, and Why Your Body Isn't a Machine
Log Like a Scientist, Not a Judge
When You've Already Done the Work
Ditch the "I Blew It" Mentality

There's a lot more where this came from — tune into the full episode and you might just walk away thinking about food completely differently.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Tripling the dose of Wegovy sounds intense — so why are researchers doing it, and who is it actually for?

For a long time, 2.4 mg weekly was considered the ceiling for Wegovy. But a newer option quietly entered the conversation: Wegovy HD, a 7.2 mg weekly dose of semaglutide. And despite how big that jump sounds on paper, there surprisingly hasn't been that much discussion around it yet.

As weight management treatment continues to move fast, higher-dose options are starting to expand what's possible — not necessarily for everyone, but for the right patient in the right situation.

In this episode, we're breaking down what we know so far about Wegovy's new 7.2 mg dose — the data, the side effects, and who it may or may not be right for:

Why Wegovy's dose just tripled — and what the clinical data actually shows
What GI side effects really look like at 7.2 mg, and when they're most likely to hit
The unexpected skin sensation side effect that showed up in the higher-dose trial
How to know if you're actually a good candidate for the higher dose
Who the 7.2 mg dose is approved for — and who it isn't

The goal isn't to push everyone toward a higher dose. It's to make sure that if this option is relevant to you or someone you care about, you actually know it exists — and you have the full picture to bring into that conversation with your doctor. Tune into the full episode for the complete breakdown, because weight management treatment is moving fast, and being informed is the first step to making the right call for your health.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are You Being Too Hard on Yourself? Here's What Your Doctor Actually Sees

"When was the last time you actually gave yourself credit for how far you've come?"

That question has been sitting with me for a while now — and after a string of patient visits that all pointed to the same thing, it felt like the right time to talk about it. This week I'm stepping away from the guest format to have a more personal conversation about something I see constantly in my clinic: people who are making real, meaningful progress but are way too hard on themselves to notice. So consider this episode a pep talk, because honestly, you probably deserve one.

In this episode, we talk about:

Why Metabolic Adaptation Makes Weight Loss Harder Over Time
When Hunger Fights Back: Understanding Appetite Adaptation
How Black-and-White Thinking Gets in the Way of Progress
Comparison Is the Thief of Joy — And Your Health Journey Deserves Better

I also share two songs I genuinely think should be on your playlist — the kind you put on when you need a little push to keep going. If you've been feeling stuck, discouraged, or like you're somehow falling behind, this one's for you. Listen to the full episode wherever you get your podcasts. And if it speaks to you, share it with someone who needs a reminder that they're doing better than they think.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever done everything right — the workouts, the meal plans, the early bedtimes — and still felt like your body was quietly working against you?

Most people assume the answer is a stricter routine or a better diet. But what if the missing piece has nothing to do with either? What if it goes all the way back to something that happened to you years, maybe even decades, ago?

This episode gets into trauma — what it actually is, how it silently rewires the body's biology, and why it keeps showing up in conversations about weight, health, and the way people experience care from their providers. It's a topic that's easy to sidestep, but one that deserves a real, honest look.

Joining the conversation is Dr. Meghan Tierney, a board-certified family physician, obesity medicine specialist, and Menopause Society certified practitioner. She is the founder of Sorrel Health and Wellness in Seattle, Washington, where she supports women in midlife navigating perimenopause, menopause, and metabolic health — using evidence-based, weight-neutral care that weaves together medical treatment, mindfulness, and self-compassion.

Here's what we talked about:

What trauma actually means — and why it's probably broader than you think
What trauma does to your body — the real biological changes that happen underneath the surface
Food, coping, and why it's not your fault — understanding the connection between difficult experiences and eating behavior
Stress, sleep, and the nervous system — why the body gets stuck, and what that looks like day to day
What you can actually do about it — practical, compassionate approaches that go beyond willpower and discipline

The pattern keeps showing up: people dealing with persistent weight and health challenges who have also lived through difficult experiences. This isn't a coincidence — it reflects real shifts in biology, and understanding it changes everything about how care can be approached.

Tune in to the full episode to hear the complete conversation with Dr. Meghan Tierney. Whether you're a patient trying to make sense of your own health journey, or a provider looking to show up more fully for the people in your care, this one is worth your time.

Connect with Dr. Meghan:

Instagram: meghantierneymd
Website:Sorrel Health &l Wellness

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What If You Could Get the Benefits of a GLP-1 — Without the Needle?

That's exactly the question Foundayo is answering — and it's one that a lot of patients have been waiting to ask. For years, one of the biggest barriers to GLP-1 therapy has been the injections. Not everyone is comfortable with self-injecting, not everyone has the time to manage refrigeration and travel logistics, and not everyone needs the most powerful medication on the market. So when a new oral option enters the picture, it's worth paying close attention.

In this episode, Dr. Becky Andrick joins the show to break down everything you need to know about this brand-new medication. Dr. Andrick is a fellow of the Obesity Medicine Association, associate clinical professor at Rocky Vista University, founder of the Colorado Obesity Society, and the founder of Weigh to Wellness, a private weight loss practice in Denver. She also happens to be the physician who first inspired our host to pursue obesity medicine — making this conversation as personal as it is clinical. These two experts go way back to residency, back when the entire obesity medicine toolkit was like, basically just phentermine. Watching this field evolve together over the past 14 years gives their conversation a depth and perspective that's hard to find anywhere else.

In this episode, we cover:

What makes Foundayo different from every other GLP-1 on the market
Who qualifies — and who should stay away from it entirely
The side effects you can expect and exactly how to handle them
What the clinical trial data actually says about real-world results
Why keeping the weight off is the harder battle — and how to win it

No matter where you are in your weight loss journey — whether you're brand new to all of this, already on a medication and wondering what else is out there, or simply trying to make a more informed decision for your health — this conversation was made with you in mind.

Hit play and tune in to the full episode above.

Connect with Dr. Andrick:

Website:Weigh To Wellness Denver
Instagram: wtwdenver

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if something being talked about as “cutting-edge” in health spaces… isn’t actually well understood yet?

I’m excited to talk about a topic that keeps coming up everywhere right now — peptides.

They’re being discussed in clinics, online forums, and social media feeds, often with a mix of confidence and confusion. The problem is, the conversation has gotten so loud that it’s hard to separate what’s actually known from what’s just being repeated. So instead of trying to cover this alone, I wanted to bring in someone who can help ground it in real clinical experience and science.

Joining the conversation is Dr. Michael Albert. He’s a board-certified internal medicine physician and a diplomate of the American Board of Obesity Medicine. He trained at Cedars-Sinai Medical Center in Los Angeles, where he served as a Kenmar Fellow and faculty member, and he went on to found the medical weight management program at the Weight Loss Center.

He currently serves as a clinical assistant professor of medicine at the University of Oklahoma Health Sciences Center and is the co-founder and chief medical officer of Accomplish Health, a nationwide telehealth practice focused on comprehensive obesity medicine and medical bariatrics. His work is centered on translating medical evidence into practical, patient-centered care and improving how conversations around obesity are handled in clinical settings.

Beyond his clinical work, Dr. Albert is also widely known for his educational content online, where he shares clear, science-based explanations to an audience of more than 300,000 people across platforms.

So with that context in place, we’re breaking down peptides — what they actually are, what the science says, and where the gaps still are.

Topics covered in this episode:
• What peptides actually are (explained simply)
• Why people are starting to trust new, unproven treatments over well-studied ones
• Why there’s so little reliable human data on popular peptides right now
• What “FDA categories” for peptides really mean (and what they don’t mean)
• Why some peptides can affect more than one system in the body (and why that matters)
• Whether it ever makes sense to use peptides in real-world medical situations
• The real research history behind BPC-157 and why it keeps coming up

If you want the full breakdown and the reasoning behind each of these points, check out the full episode where we go deeper into how peptides actually work in the body, what the current evidence really shows, and where the biggest gaps in understanding still are.

Connect with Dr. Albert:

Instagram: michaelalbertmd
Website: Michael Albert, MD
Tiktok: www.accomplish.health
Youtube: Michael Albert MD
LinkedIn: Michael Albert MD
Bsky: Michael “Mike” Albert MD

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show<

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered if weight loss surgery and medication are actually better together — or if choosing one means giving up the other?

That question sits at the center of one of the most important — and honestly most misunderstood — conversations happening in metabolic health right now. Most people approach weight loss like it's a multiple choice test: pick surgery, pick medication, pick diet and exercise, and stick with your answer. But the reality is so much more nuanced than that, and the patients who tend to do best are almost never the ones who commit to a single path.

Dr. Jessica Cutler is the kind of clinician who genuinely gets that. As both a bariatric surgeon and an obesity medicine specialist at Mercy Medical Center in Baltimore, Maryland, she works on both sides of this care in a way that's pretty uncommon — and incredibly valuable for her patients. She completed her medical degree at the University of Pittsburgh, her general surgery residency at Monmouth Medical Center in New Jersey, and went on to fellowship training in bariatric and minimally invasive surgery at Albany Medical Center in New York. That combination of surgical expertise and medical management in one provider is exactly why she's here — because this conversation needed someone who sees the full picture, not just one piece of it.

In this episode:

Clearing Up the Misconceptions About Bariatric Surgery
You Might Qualify for Bariatric Surgery — And Not Even Know It
Bariatric Surgery and Type 2 Diabetes: There's Way More to This Story Than Weight Loss
GLP-1s Changed Everything — Here's How Good Bariatric Care Adapted
The Best of Both Worlds: Why Surgery and Medication Work Better Together
What Bariatric Surgery Can — and Can't — Do for You
The Gut Feeling We Can't Ignore: Bariatric Surgery and Your Microbiome
The Future of Weight Loss Medicine Is Closer Than You Think — But the Body Is Still Surprising Us

And if this conversation snippet shifted how weight loss is usually seen — or made things feel a bit clearer — there’s a lot more in the full episode. Go give it a listen for the complete discussion and all the details.

Connect with Dr. Jessica:

Instagram: mercybariatrics
Website: mdmercy.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.c

What does it really look like to make healthy choices for your weight and overall health when money is tight, resources are limited, and access to care isn’t always equal?

This conversation focuses on how to support nutrition, movement, and medical care in a way that actually fits real life—especially when working within a budget.

Joining the discussion are two incredible health advocates. First is Dr. Mollie Cecil, a family physician and obesity medicine specialist based in West Virginia. Through both her clinical work and personal experience, she’s seen how these challenges show up in underserved communities. Her work focuses on making obesity care more accessible, regardless of income, location, or insurance.

Second joining is Emily Shreve, a registered dietitian working in medical weight management and family medicine. Her background includes diabetes care and patient education, and her focus is on turning evidence-based nutrition into guidance that people can realistically follow in their day-to-day lives.

In this episode, the conversation centers on:
Eating well on a budget and navigating food insecurity
How food preparation impacts nutrition
Simple ways to stretch nutrition further without overspending
Staying active without needing a gym
Access to weight loss medications, including real-world options and tradeoffs
What it looks like to address food insecurity in everyday life

Together, they share a grounded look at what sustainable health choices can actually look like when resources are limited.

To understand how these pieces come together, listen to the full episode.

Connect with Emily:

LinkedIn:Emily S

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if the real breakthrough in weight loss isn’t just the medication—but how it’s actually used day to day?

This week’s conversation features Dr. Ken Fujioka, a longtime leader in obesity medicine who has helped shape the field from its early days to where it is now. As Director of Nutrition and Metabolic Research and Obesity Telemedicine at Scripps Clinic, with over 150 clinical trials and 125+ published studies, his perspective brings both depth and real-world clarity to the GLP-1 conversation.

We talk about how medications like semaglutide and tirzepatide have changed obesity care—making meaningful weight loss more achievable while improving overall health. But just as important, we get into the realities behind the trend: the risks of improper use, the rise of unregulated access, and why proper medical guidance still matters.

Here’s what we cover:

How GLP-1 medications are transforming weight loss and metabolic health
The risks of getting these medications from untrained or non-medical sources
Why dosing should be slow, steady, and individualized
What “non-linear” weight loss actually looks like in real life
How to pair the medication with nutrition, protein, and smarter food choices
The role of strength training in protecting muscle and bone
Why supplements like calcium and fiber may be needed
How food tracking can be used as a tool for awareness—not restriction

If you want a clearer, more grounded understanding of how GLP-1s are really being used in clinical practice today, the full episode with Dr. Ken Fujioka goes much deeper into all of this.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Why do so many people on GLP-1 medications feel like they’re doing everything right but still feel lost when it comes to food and long-term success?

This week, we’re diving into something many people on GLP-1 medications are navigating right now: how to build sustainable nutrition habits during treatment, and what it actually takes to set yourself up for long-term success—both while on the medication and beyond.

We’re joined by Dr. Aliza Olive, a pediatric ICU physician, mom based in Cleveland, and co-founder of GLP-1 Enhanced, a company focused on providing practical, real-world nutrition guidance for people on GLP-1 medications and those transitioning off them. She’s also the author of GLP-1 Meals Made Easy, a cookbook designed to simplify eating and remove the guesswork during treatment.

In this conversation, Dr. Olive shares insights from both clinical experience and real-world practice, highlighting the most common challenges people face—not just with weight loss itself, but with maintaining progress, managing side effects, and feeling confident in their everyday nutrition decisions.

We also break down practical strategies that matter most on GLP-1s, including protein for muscle preservation, fiber for digestion and constipation support, and simple meal structure that actually works in real life. The discussion also touches on what long-term maintenance requires and why support during treatment matters just as much as after.

Topics covered in this episode:

What Happens After GLP-1 Medications: Why Guidance Still Matters
What Makes the Transition Off GLP-1s So Uncertain
Why Hunger Feels Different After GLP-1 Treatment
Protecting Muscle During Weight Loss: The Role of Protein
Fiber on GLP-1s: The Simple Habit That Helps with Constipation and Keeps Digestion on Track
GLP-1 Meals Made Easy: What’s Inside the Book and Why It Was Created

For the full discussion and a more in-depth look at what it really takes to build sustainable habits on GLP-1s, tune in to GLP-1 Meals Made Easy with Dr. Aliza Olive.

Connect with Dr. Aliza :

Website: GLP1 Enhanced
Instagram: glp1enhanced
Tiktok: glp1enhanced
Facebook: GLP1ENHANCED

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered why stress can feel so overwhelming even when nothing “major” is happening—and why the exact same situation can feel energizing for one person and totally draining for another?

Stress is something that shows up in everyone’s life, literally every single day, but the way we understand and respond to it can completely change how it actually feels in the body and mind. In this episode, we look at stress not just as an external pressure, but more as a nervous system response—something shaped by perception, emotion, energy, and capacity.

To help unpack all of this, we’re joined by Dr. Anissa Cordova, PhD, a psychotherapist and resilience coach specializing in stress regulation and emotional wellbeing. She’s been a colleague in our clinic for the past year, and her work beautifully weaves together health psychology, HeartMath research, and nearly 30 years of meditation practice.

Dr. Cordova’s approach centers on something really important—but often overlooked—the heart–brain connection, and how it influences resilience, clarity, and emotional regulation. And honestly, what makes her perspective so valuable is that it’s not just theoretical. It’s super practical, deeply compassionate, and focused on tools people can actually use in everyday life.

In this episode, we explore:

Stress: Understanding How the Nervous System Responds
Resilience: Building Capacity and Recovery
How to Stabilize Your Nervous System and Manage Stress in Everyday Life
Simple Daily Practices to Support Your Nervous System and Stay Grounded
Why Managing Your Energy Matters More Than Avoiding Stress

She shares simple, grounded tools to help you understand stress and calm your nervous system in real time—because while stress is universal, how you respond to it can change how life feels from the inside out.

If this resonates, keep listening to hear the full conversation and start applying these tools right away.

Connect with Dr. Anissa :

Website: anissacordovaphd.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wonder why you literally can’t stop thinking about food?

For a long time, weight management advice was basically “eat less, move more.” But honestly, it’s way more complicated than just willpower. Biology, hormones, metabolism, and your brain all totally play a role in why we eat and how our bodies handle weight.

Family physician and obesity medicine specialist Dr. Laure DeMattia has decades of experience, both in the clinic and with her own weight journey. She’s also the author of The Four Food Cues: Why Your Brain Won’t Shut Up About Food and How to Fix It, which dives into the biological and behavioral signals that influence our eating habits—basically, why our brains are always nudging us toward snacks.

Dr. DeMattia breaks down how understanding food cues, using frameworks like CHEF—Cravings, Hunger, Energy, Fullness—and knowing the role of medications like GLP-1s can make weight management way more doable, compassionate, and honestly less stressful.

In This Episode, We Cover:

Why This Book Was Written – The story behind Dr. Demattia’s book and why sharing real, science-based info is so needed right now.
Why Food Is Always on Your Mind – Cravings, energy dips, delayed fullness… why your brain is basically obsessed with snacks.
From Cravings to Fullness – Using the CHEF framework to notice your body’s signals without obsessing over every single calorie.
Why Taking Care of Yourself Matters for Your Kids – Little self-care habits actually teach your kids that looking after yourself is normal.
GLP-1s: Amazing for Some, Not Everyone – Medications that help curb hunger, but not a one-size-fits-all thing.
Shifting the Goal: From Thinness to Health – Forget chasing the scale—focus on strength, energy, and just feeling good in your body.

Understanding your food cues and all your options is about curiosity over blame, and science over shame. Whether it’s using CHEF, trying GLP-1s, or exploring other approaches, Dr. DeMattia gives patients ways to approach weight management that actually fit real life.

Want all the deets and full insights? The conversation is totally laid out in the episode.

Connect with Laure:

Book: The 4 Food Cues: Why Your Brain Won't Shut Up About Food and How to Fix It
Youtube: Navigating Obesity with Dr. D

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Curious how sleep and weight might be more connected than you think?

Not long ago, obesity wasn’t widely recognized as a medical condition. Treatments were limited, and many people assumed weight loss was all about willpower. But (thankfully!) research has shifted that understanding: obesity is a complex disease shaped by biology, environment, hormones, and metabolism.

In this episode, sleep medicine specialist Dr. Usama discusses the connection between sleep, metabolic health, and obesity. Dr. Usama is triple board-certified in sleep and obesity medicine and practices with MultiCare Health System in the Seattle area. He also serves as an adjunct clinical assistant professor at A.T. Still University School of Osteopathic Medicine and as visiting foreign faculty at King Edward Medical University in Lahore. His work focuses on sleep apnea, obesity, and cardiometabolic health—conditions that often overlap.

In this episode, we talk about how sleep, weight, and metabolic health are deeply connected—and why treating them together can make a real difference.

In This Episode, We Cover:

Zepbound and Sleep Apnea – Why weight loss alone isn’t enough, but Zepbound may help reduce apnea severity and improve adherence to CPAP therapy.
How Zepbound Works Beyond Weight Loss – Potential effects on airway dynamics, brainstem breathing centers, metabolism, and even cravings.
Why Treating Sleep Apnea Matters – Untreated sleep apnea affects your heart, brain, weight management, and long-term health. Combining therapies provides better outcomes than relying on one approach.
Sleep Isn’t Optional – Sleep is when your brain consolidates memories, your muscles repair, and your metabolism resets. Learn strategies to reclaim restorative sleep, including CBT-I and practical sleep hygiene tips.
Legs That Won’t Quit: Restless Leg Syndrome (RLS) – Understand the signs, causes, and effective treatments including iron therapy, medications, and nerve stimulation technology.

Improving sleep, weight, and metabolic health isn’t about perfection—it’s about alignment. When your daily habits support sleep, metabolism, brain function, and long-term health, the body responds in powerful ways. Even small, intentional changes can create momentum and meaningful results.

Connect with Usama:

LinkedIn: M. Usama, MD FACP DiplABOM
Substack: The Sleep Physician’s Playbook
Facebook: Sleepwarriormd
Instagram: usama_aman
X: SleepwarriormdX

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Thinking about cutting back on alcohol—but not sure if it’s really necessary?

For years, we were told that moderate drinking, especially red wine, might support heart health. A nightly glass felt harmless—maybe even beneficial. But the research has shifted.

We now know alcohol doesn’t improve longevity or heart outcomes and may increase the risk of cancer, liver disease, sleep disruption, weight gain, cognitive decline, and hormonal imbalance. In this episode, we break down what the science actually shows—clearly, calmly, and without guilt.

If you’ve been wondering whether alcohol is affecting your sleep, metabolism, brain health, or long-term risk, this conversation will give you clarity.

In this episode, we cover:

Alcohol and Cancer Risk – Why alcohol is classified as a Group 1 carcinogen and what “no safe level” really means.
Heart Health: The Red Wine Myth – What newer data shows about blood pressure, atrial fibrillation, stroke risk, and why alcohol is not recommended for cardiovascular protection.
Brain Health and Cognitive Function – How even moderate drinking impacts gray matter, cognitive decline risk, and daily mental clarity.
Sleep Disruption – Why alcohol may help you fall asleep faster but quietly damages REM sleep and restorative rest.
Fat Loss and Metabolism – How alcohol adds hidden calories, pauses fat burning, increases cravings, and shifts key hormones.
The Silent Liver Risk – How alcohol compounds fatty liver disease and accelerates long-term liver damage.
Hormonal Effects – The impact on cortisol, insulin sensitivity, testosterone, estrogen, fertility, and immune resilience.
Cutting Back Without Missing Out – Realistic strategies for social settings, simple swaps, and how to reduce alcohol without isolation.

Reducing alcohol isn’t about perfection—it’s about alignment. When daily habits support long-term health goals, the body responds in powerful ways. Even small, intentional changes can make a meaningful difference.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever worry that losing weight with GLP-1 medications will mean losing strength too? You’re not alone. Many people want to see the scale go down—but they also want to stay strong, protect their metabolism, and feel capable in everyday life. That’s exactly what this week’s episode explores.

I’m joined by Dr. Ali Novitsky, CEO and founder of The Fit Collective. She combines expertise in obesity medicine with practical strength training strategies, focusing on building a healthier, more functional body—not just a smaller one. With both personal experience and clinical insight, she shares realistic ways to maintain muscle while losing weight on GLP-1 medications.

In this episode, we cover:

GLP-1s and Muscle Loss: The Facts – Why the fear is often overstated and what actually causes muscle loss.
Strength Training Made Simple – How resistance work can fit any lifestyle, from bands to bodyweight moves to everyday activities.
Exercise That Actually Sticks – Why focusing on how movement makes you feel is the key to long-term consistency.
Plateaus Are Normal – How to handle them without frustration and see progress beyond the scale.

Whether it’s intentional protein intake, simple resistance exercises, or reframing exercise for enjoyment, Dr. Novitsky’s approach gives practical strategies that work. Ready to protect your strength, support your metabolism, and feel capable in your body while losing weight? Discover all of her insights in this episode.

Connect with Ali:

Instagram:alinovitskymd
Facebook: Ali Novitsky MD
LinkedIn: Ali Novitsky, MD
Website: www.thefitcollective.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

Have you ever wondered which weight loss medication is actually right for you? With so many options out there—new GLP-1 medications like Wegovy and Zepbound, oral versions hitting the market, and older prescriptions—it can feel totally overwhelming.

In this episode, we break it all down: how much weight you might realistically lose, how other health conditions factor in, cost considerations, who should avoid certain medications, and even how combination therapy can sometimes make sense.

Over the years, I’ve covered these topics in different ways. One of my favorite episodes was with Dr. Angela Fitch, where we explored all the available medications at that time. Since then, new therapies like Zepbound and oral Wegovy have emerged, changing the landscape even more. This episode isn’t meant to replace a one-on-one conversation with an obesity expert—that’s still the gold standard—but it gives the information you need to start thinking about what might fit your goals, your body, and your lifestyle.

By the end, you’ll have a clearer picture of how these medications work, who they help most, and how to approach the decision thoughtfully and safely. Obesity is a medical condition, and like any condition, it deserves expert care—so let’s dive into your options.

Topics Covered:

How Much Weight Can You Really Lose on GLP-1 Medications?
The Other Medications That Still Play a Role in Weight Loss
Wegovy vs. Zepbound: How Much Weight Loss Do You Actually Need?
Why Weight Loss Is a Struggle—and How the Right Medication Makes the Difference
Results Matter—But So Does the Price Tag
Who Should Avoid Certain Weight Loss Medications
Choosing the Right Weight Loss Medication: Pills, Injections, and Personalized Approaches
Do You Really Need More Weight Loss?

By the end of this episode, you’ll have a clear understanding of the different weight loss medications, how they work, who they help most, and what to consider when choosing the right approach for your goals and health.

For a deeper dive into each medication, real-world results, and expert insights on tailoring a plan that’s safe, sustainable, and effective, the full episode is ready for you—it’s packed with everything you need to make an informed decision about your weight loss journey.

Referenced Episodes:

Can a test tell me if Wegovy or Zepbound will work for me? With Dr.Andres Acosta of Phenomix
Medications for Weight Loss with guest, Dr. Angela Fitch,
Phentermine and Qsymia - What You Need to Know About These Weight Loss
Oral Wegovy: All You Need to Know About This New Medication, with Joseph Zucchi

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever found yourself mindlessly reaching for chips, popcorn, or sweets and wondered, “Why do I keep doing this even when I know better?

You’re not alone—and that’s exactly what this week’s episode dives into.

I’m joined by Connie Bennett, a self-described former sugar and carb addict who has transformed her struggles into a mission to help others. Connie is a transformational speaker, TEDx presenter, journalist, and bestselling author of Sugar Shock and I Blew My Diet. Now What? She’s also a certified health coach, DreamBuilder coach, life coach, and Bounce Back Boldly coach, and the creator of National Bounce Back Month.

For more than seven years, Connie has researched why people eat the way they do—and which practical strategies actually work to regain control without relying on willpower alone. She’s seen it all, from emotional triggers like grief, breakups, or trauma, to the constant temptations of what she calls the “junk food jungle.”

In this episode, we cover:

National Bounce Back Month: Giving yourself a guilt-free reset.
Why We Really Overeat: Understanding emotional and environmental triggers.
Sugar, Processed Carbs, and the Truth About Feeling Good: How they affect the brain and cravings.
Stop Relying on Willpower: Using goal-driven strategies to eat intentionally.
The FAST Technique: Quick strategies to interrupt cravings and take back control.

Whether it’s sugar, processed carbs, or emotional eating, Connie’s approach gives practical, guilt-free strategies that actually work. Ready to understand your triggers, bounce back boldly, and take control of your food choices? Find all of Connie’s insights and actionable tips in this episode.

Connect with Connie:

Instagram:conniebennettauthor
Facebook: Connie Bennett
Book link: I Blew My Diet! Now What? The Easy, Proven 21-Day Plan to Drop Pounds & Bounce Back Boldly
LinkedIn: Connie Bennett
Website: www.connieb.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

None

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Feeling overwhelmed by all the health advice out there? Wondering what actually makes sense for your body, your life, and your goals?

In this episode, we’re sharing how to filter through the advice, tips, and trends on social media that can make it feel like you’re falling short. Joining me for this conversation is Dr. Heather Hammerstedt, an emergency medicine physician, lifestyle medicine physician, menopause medicine physician, and integrative nutrition coach. She’s also the CEO of Whole List, where she and her team help women understand their brains and bodies, and pair that knowledge with food, health, and behavior change.

Dr. Hammerstedt’s journey began in medical school, where her interest in holistic health led her to Healing with Whole Foods by Paul Pitchford – only to realize that approach wasn’t part of the curriculum. She later became a certified health coach through the Institute of Integrative Nutrition in New York City and has spent over 22 years guiding people through nutrition, behavior change, and lifestyle medicine. About eight years ago, she founded Whole List and expanded her work to include perimenopause and menopause, supporting midlife women navigating careers, family responsibilities, and unexpected changes in their bodies and moods.

In this conversation, we cover:

Lifestyle medicine: why it’s powerful, personal, and not a cure-all
Medication as a tool, not a shortcut—and how it fits alongside lifestyle care
The problem with “everyone should” health advice, especially for midlife women
Why rigid nutrition and exercise rules often create stress instead of results
Why the basics matter more than quick fixes when it comes to long-term health

At the heart of this episode is a simple idea: health works best when it’s individualized. Instead of following what’s trendy or flashy, this conversation focuses on building habits that are realistic, sustainable, and supportive of long-term health.

Ready to cut through the noise? Listen to the latest episode now and learn how to build a health approach that actually fits your life.

Connect with Dr. Heather:

Instagram:mommaemdoc
Facebook: Heather Hammerstedt
LinkedIn: Heather Hammerstedt MD MPH

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered why the government issues dietary guidelines—and what they really mean for what ends up on your plate every day?

The 2026 Dietary Guidelines for Americans, released this January, aren’t just suggestions for personal meals—they guide federal nutrition programs like school lunches, military meals, and other initiatives for both children and adults. In short, they influence what millions of people eat and even shape U.S. agriculture.

Signed off by Secretary of Health Robert F. Kennedy Jr. and Secretary of Agriculture Brooke Rollins, these guidelines balance both nutrition science and agricultural policy. That’s why conversations about them can get a little complex—and often spark debate.

In this episode, we break down the 2026 guidelines in practical, real-world terms, highlighting what matters most for everyday healthy eating. Topics we cover include:

Why Food Conversations Always Spark Debate (Even With Evidence)
Why the 2026 Dietary Guidelines Get It Right: A Practical Look at Healthy Eating
Macronutrients Made Simple: How the 2026 Guidelines Work for You
Eating for Your Microbes
Eating for Health: Why Fruits and Vegetables Get Top Billing in 2026
Fats Demystified: How to Eat Well Without Overthinking It
Limiting Processed Foods and Added Sugars in the 2026 Guidelines
Why Cutting Back on Alcohol Can Boost Your Health
Evidence-Based Guidance for Moms and Babies

Whether you’re curious about proteins, fats, gut health, or even prenatal nutrition, this episode gives you a clear, evidence-based look at what the new guidelines really mean for your daily life.

Hit play and see what the 2026 guidelines really mean for your plate—without the confusion.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What gets overlooked when we talk about weight, health, and body image?

In this episode, we explore the emotional, social, and medical realities of living in a larger body—beyond the scale or appearance.

My guest is Dr. Megan Tierney, a family physician, obesity medicine specialist, and founder of Sol Health and Wellness in Seattle. She supports women navigating perimenopause, menopause, and metabolic health changes with care that blends medical management, mindfulness, and self-compassion.

We cover:

Living in a Larger Body: What Often Gets Missed – The everyday challenges, hidden stress, and societal pressures people in larger bodies face.
Choosing What Feels Right for Your Body – How to make intentional health choices while respecting your body and autonomy.
Making Space for Bodies to Change – Why body positivity isn’t about staying the same and how to honor body evolution.
Why Weight Is Not Just Willpower: The Role of Trauma in Health – How trauma, stress, and environment shape our relationship with weight.
Living Better, Not Just Lighter – Focusing on overall well-being, mental health, and thriving beyond the numbers on a scale.

This episode offers practical insights, compassionate guidance, and strategies to navigate health, body image, and self-care in today’s complex world. Whether you’re exploring your own journey or looking to better understand these challenges, this conversation is full of clarity, support, and actionable takeaways.

Connect with Dr. Tierney :

Facebook: Meghan Tierney and Sorrel Health and Wellness
Instagram: meghantierneymd and sorrelhealthandwellness
YouTube: Sorrel Health and Wellness
Linkedin: Meghan Tierney, MD DABOM, MSCP

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wondered what’s really changing the game in weight loss treatments?

Well, oral Wegovy might be it. Unlike other GLP-1 medications that require weekly injections, this is the first long-term weight-loss pill in its class. For many people, taking a daily tablet just feels way more doable—it’s flexible, lowers mental barriers, and makes managing weight something that can actually fit into everyday life.

In this episode, my guest is Joseph “Joe” Zucchi, a physician assistant and personal trainer with over a decade of experience in obesity medicine. He leads a multidisciplinary team in Salem, New Hampshire, helping patients achieve sustainable weight loss through a mix of fitness, nutrition, and medical care. Joe has been recognized for his work—leading his center to win awards, writing for outlets like the Wall Street Journal, MedPage Today, Healthline, and Doximity, and advocating for patient access to treatments like Zepbound. His insights make it clear that oral Wegovy isn’t just another pill—it’s part of a thoughtfully designed, patient-centered approach to obesity care.

In this episode, we break down everything you need to know, including GLP-1 medications in simple terms, the future of oral Wegovy, what counts as success on the pill, side effects to expect, the technology behind it, how to take it properly, safely transitioning between pill and injection, who benefits most (and who should avoid it), and cost, coverage, and what to expect in 2026. If you’ve been curious about how oral Wegovy works and whether it could be right for you, this episode walks through it all in practical, real-world terms.

Connect with Mr. Zucchi:

Linkedin:Joseph Zucchi, PA-C
X: JPZfitness
Instagram: transitionweightloss

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wonder how testosterone really affects men’s weight and overall health? Testosterone isn’t just about sex drive—it plays a role in metabolism, muscle mass, energy levels, and where the body stores fat. Yet it’s also one of the most misunderstood hormones, with plenty of myths and oversimplified advice floating around online.

In this episode, we take a deep dive into testosterone, weight, and metabolic health with Dr. Khashayar Farzam. Together, we cut through the noise to talk about what testosterone actually does, why low levels and obesity often show up together, and how hormones, weight, sleep, and inflammation are closely connected.

What makes this conversation especially useful is its real-world focus. We break down safe ways to diagnose and manage low testosterone, the benefits and risks of therapy, why a holistic approach matters, and common myths about testosterone therapy that need to be left behind.

Understanding testosterone goes beyond lab results or quick fixes—it’s about seeing how hormones, weight, and metabolic health work together. When these pieces are addressed as a whole, men are better equipped to make informed, safer decisions about their health.

Press play on the full episode to hear everything we covered.

Connect with Dr. Farzam :

LinkedIn::Dr. Khashayar Farzam, CCFP, DABFM, DABOM
Website: doctorfarzam.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever feel like time just keeps slipping away, no matter how hard you try to stay on top of things?

As 2025 winds down, it’s the perfect moment to pause and think about stepping into 2026 with more intention—without the pressure of rigid resolutions or endless to-do lists.

Earlier this year, I came across a book that quietly reshaped how I—and many people I’ve shared it with—approach time, productivity, and priorities. Four Thousand Weeks: Time Management for Mortals by Oliver Burkeman isn’t your usual productivity guide. It’s not about cramming more into your calendar or hacking every hour of the day. Instead, it challenges the constant pressure to do more, optimize everything, and stay endlessly “on top of things.” Its lessons aren’t seasonal; they apply whether it’s January, June, or December.

In this episode, I’m sharing ten mindset shifts inspired by the book that actually help reduce stress, ease overwhelm, and bring attention back to what truly matters. These aren’t about getting more done—they’re about being honest with your time, prioritizing what counts, and approaching life with more clarity, compassion, and humanity. From slowing down to saying no and embracing imperfection, these lessons can help you enter 2026 feeling grounded, intentional, and fully present.

If you want to dive deeper into all ten mindset shifts and practical ways to make 2026 feel more intentional, the full episode is waiting for you. Tune in and give yourself the gift of clarity, focus, and a little more calm.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wonder why postpartum weight loss can feel so unpredictable—and what’s actually considered normal?

It’s a question so many new moms have. In this episode, we’re breaking down what really happens to weight, metabolism, and overall health after pregnancy, without the pressure or unrealistic expectations.

I’m joined by Dani, a family nurse practitioner and one of our obesity experts, who’s also training to become a certified lactation counselor. Dani is deeply passionate about supporting postpartum women—especially those who are breastfeeding—a group that’s often overlooked when it comes to guidance around weight, nutrition, and recovery.

Together, we cover the realities of postpartum weight changes and dive into the topics that matter most, including closing the postpartum support gap, understanding normal weight patterns after pregnancy, the hormonal side of appetite and metabolism, breastfeeding and weight, and how to care for yourself after a baby. We also talk through practical ways to eat well during this season, when to consider weight management medications, what the emerging data says about GLP-1 medications during breastfeeding, and recovery and weight support for moms who aren’t breastfeeding.

We also explore how hormonal shifts influence hunger and metabolism, safe and realistic approaches to weight support, and practical strategies that help new moms feel supported—not rushed—during this intense and transformative period.

Follow the full episode for a deeper, more honest look at postpartum wellness and the support moms truly deserve.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wonder how much your liver really affects your overall health and weight?

The liver plays a central role in metabolism, yet its importance is often underestimated.

In this week’s episode, we spoke with Dr. Rajvanshi, a board-certified gastroenterologist, hepatologist, and obesity medicine specialist at Valley Medical Center in Riten, Washington. Beyond his clinical practice, he’s a health technology entrepreneur, developing AI tools to support obesity medicine for both clinicians and patients, and he is actively involved in the Obesity Medicine Association.

Topics we covered include:

The Liver: More Than a Detox Organ
Liver Damage Can Be Reversed
Fatty Liver to Fibrosis: What You Need to Know
Why Fatty Liver Screening Is Essential
Supplements vs. Real Nutrition for Liver Health
Alcohol’s Impact on Your Liver
Modern Treatments: Resmetirom, Semaglutide, and Liver Health

Many people think of the liver simply as the body’s detoxifier, but it’s far more complex and vital. It supports metabolism, nutrient processing, and overall health. Understanding and maintaining liver health is key to long-term wellness, especially when it comes to weight management and metabolic health.

Dr. Rajvanshi’s approach highlights a modern principle in medicine: treat the root causes, not just the symptoms. By addressing liver care alongside metabolic health and obesity medicine, clinicians can help patients prevent serious complications, reduce the need for invasive treatments, and improve quality of life.

For a deeper dive into how these insights translate into real-life health and weight outcomes, the full conversation is well worth a listen.

Connect with Dr. Rajvanshi.:

LinkedIn:Pankaj Rajvanshi, MD, Dipl. ABOM

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

How much does weight really influence heart health?

For years, cardiologists have seen how carrying extra weight can raise the risk of diabetes, high blood pressure, inflammation, and high cholesterol—the major drivers of heart disease. Losing weight can help, but the harder part has always been keeping it off, since many people end up regaining it over time.

In this episode, Dr. Alo, often known as “America’s cardiologist,” joins the conversation. With decades of experience and licenses to practice in multiple states, he has become a trusted voice in both cardiology and obesity medicine. He’s seen how modern tools like GLP-1 medications and structured lifestyle changes can reshape the journey for people dealing with weight and cardiovascular risk. His perspective shows why addressing obesity is now central to long-term heart protection.

We dig into everything that influences heart health today. We talk about how weight and GLP-1 medications affect cardiovascular risk, what weight loss truly does for the heart, and why lowering LDL is still one of the strongest ways to prevent heart attacks. Dr. Alo also explains statins, how they work, their safety, and who benefits from them, along with other cholesterol-lowering options and newer therapies focused on stabilizing plaque.

We also cover phentermine and its impact on the heart, the cardiovascular benefits seen with GLP-1s, and the role of exercise in long-term heart protection.

If you’re curious about how all these pieces—weight, medications, cholesterol management, and lifestyle—work together to support better heart health, stay for the full episode. It pulls everything together into a clearer view of long-term wellness.

Connect with me:

Youtube: Dr Alo
Website: https://www.dralo.net/store

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Should I take a GLP-1? Real Patient Scenarios and Expert Guidance

Trying to figure out if a GLP-1 medication is right for you can feel overwhelming. With options like Wegovy, Zepbound, Ozempic, and Mounjaro, it’s not just about weight—these medications can also support heart health, liver function, sleep, and blood sugar. Understanding who truly benefits takes the guidance of an expert.

Joining me today is Danielle Marston, or Dani, a board-certified nurse practitioner specializing in obesity medicine, weight management, and nutrition counseling. Dani holds a certificate of advanced education in obesity medicine through the Obesity Medicine Association and provides comprehensive care at our clinic, Colorado Wake Care at Green Mountain Partners for Health. She’s here to explain how GLP-1s work, their benefits, and who they can help the most.

Through real patient scenarios and practical advice, Dani shows how obesity care can be personalized, evidence-based, and approachable.

Whether you’re curious about starting a GLP-1, considering other treatment options, or just trying to understand what’s available, this episode gives you a clear roadmap to make informed decisions and find a plan that actually fits your life.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you noticed how the holidays can make it harder to stay on track—whether it’s with food, movement, routines, or even your intentions?

This season brings travel, celebrations, full schedules, and plenty of temptations. In this episode, we’re covering the areas that often pose the biggest challenges:

Enjoying traditions while staying on track
Setting realistic health goals for the holidays
Rethinking holiday drinking
Holiday tips for GLP-1 users

We’ll share practical ways to enjoy holiday food without guilt, set goals that fit this time of year, make mindful choices around alcohol, and navigate the season effectively if you’re on GLP-1 medications. Movement is also part of the discussion—what counts, what’s realistic, and how to keep it manageable even during the busiest weeks.

Taken together, these strategies create a balanced, flexible approach to the holidays—one that protects your progress while letting you fully enjoy traditions, memories, and moments that matter most.

Hear the full episode to learn strategies for enjoying the holidays without derailing your progress.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wondered what it’s truly like to live with type 2 diabetes every day?
It’s more than tracking numbers or following a meal plan—it’s the quiet, constant awareness that stays with you from morning to night.

This week’s episode dives into that reality with someone who knows it best: Danielle Batiste—a proud mom and veteran, who lives with type 2 diabetes. She has turned her diagnosis into a mission to help others live with confidence and grace. Through her Instagram page Diabetes Made Better and her book Let Go My Glucose: Winning with Type 2, she shares practical tools, motivation, and real-life insight to help people thrive—not just stay in range, but live fully.

In our conversation, Danielle talks about the emotional ups and downs of diabetes, the power of mindset, and how connection and community can make all the difference. She also shares the strategies that help her manage stress, use modern tools like continuous glucose monitors, and stay in tune with what her body needs.

Whether newly diagnosed, living with diabetes for years, or supporting someone who is, Danielle’s story offers both perspective and encouragement. Check out the full episode to discover the habits, mindset shifts, and tools that help her live better with diabetes.

Connect with Danielle:

Instagram:diabetesmadebetter
Website: diabetesmadebetter
Glucose Goal Planner
Book:Let Go My Glucose: Winning with Type 2
Book:Diabetes Made Better

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Let Go My Glucose: Winning with Type 2

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What comes to mind when hearing the word diabetes?

For many, it sounds like one single condition—something that happens when blood sugar gets too high. But type 2 diabetes is much more complex than that, and it’s far more common than most people realize. About one in seven adults in the U.S. has diabetes, while roughly one in three lives with prediabetes. Even if it doesn’t affect someone directly, chances are it impacts a family member or close friend.

This topic hits close to home for many, including myself, after a relative reached out being newly diagnosed. That conversation reminded me how overwhelming those first moments can feel—when questions start piling up about what diabetes really means and how to move forward.

In this week’s episode, I’ll talk about type 2 diabetes—what it really is, how it’s treated, and how lifestyle plays a major role in managing it. We’ll also look deeper into how it affects the body beyond blood sugar and why bariatric surgery has become such a powerful option for some patients. It’s a condition that deserves more attention—not only because it’s so widespread, but because with the right approach, it’s manageable and, in some cases, even reversible.

If this is something that affects you or someone close to you, I encourage you to listen to the full episode. We’ll walk through everything step by step—from understanding the science to finding the tools that make everyday life a little easier.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever noticed how mood and weight seem to affect each other?

How depression can change your appetite, or how anxiety can make it hard to eat regularly or stay active? It’s not a coincidence. The connection between mental health and weight is deep, complex, and often overlooked in traditional care.

Joining me today is Dr. Robyn Pashby, a licensed clinical health psychologist, author, and nationally recognized expert in the psychological and behavioral treatment of obesity and obesity-related chronic health conditions. She’s also the founder of Health Psychology Partners in Washington, D.C., and serves on multiple boards and committees in the obesity medicine space.

In this episode, we explore how mental health and weight are connected in ways that go far beyond surface-level explanations. Dr. Pashby talks about the science behind mood and metabolism, what happens when mental health medications affect weight, and why trusting your own body’s signals matters. We also look at how medications can change the gut microbiome, how food noise fades but shame noise often lingers, and why addressing disordered eating and stigma is key to true healing.

There’s so much insight in this one—especially if you want to understand the connection between mood, behavior, and weight. Dive into the full episode to hear the rest of the story.

Connect with Dr Pashby:

Instagram:robynpashbyphd
Website: Health Psychology Partners
Youtube: "What We Carry" – full talk by Dr. Robyn Pashby on mental health and weight.
Book: The New Food Fight: How the Weight Management and Eating Disorder Fields Became So Divided and What We Can Do About It

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

None

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.co

Ever wonder what level of exercise you’re really at?

It’s not just about how often you hit the gym or how many steps you take—it’s about understanding where you are in your movement journey and how to build from there. In this week’s episode, we’re unpacking exactly that, because finding your starting point is key to creating a routine that actually fits your life.

Exercise isn’t one-size-fits-all. For some, it’s a daily walk or quick stretch between meetings; for others, it’s strength training or high-intensity intervals that keep things interesting. We’ll talk about how much movement your body really needs, how to find your “sweet spot” between effort and rest, and why balance—between cardio, strength, flexibility, and recovery—matters more than perfection.

You’ll also get a better sense of what stage of exercise you might be in, whether you’re just starting out, getting back into a groove, or ready to take things up a level. The goal isn’t to follow what everyone else is doing—it’s to move in a way that feels sustainable, energizing, and right for you.

So if you’ve been wondering where you stand or how to take that next step, this one’s for you. We’re keeping it simple, practical, and yes, a little fun. Catch the full episode to find out how to build a routine that actually works for your body and lifestyle.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever notice how travel can completely throw off your routine—especially when you’re on a weight loss plan?

Between airports, restaurants, and unpredictable schedules, it can feel like all your progress is at risk the moment you pack your bags.

In this episode, we’re tackling one of the biggest challenges my patients—and honestly, I—face when it comes to staying consistent: travel. Whether your trip is for work, vacation, or a bit of both, this one’s for you.

We’ll cover:

Smart eating while traveling
Planning for balanced meals on the go
Staying active during your trip
Traveling smoothly with your medications
Why you shouldn’t change your dose before traveling
Keeping your healthy habits going while away

I’ve learned a lot from my own travels—speaking at conferences, attending events, and doing advocacy work—and I’ve seen what works for both me and my patients who want to enjoy their trips without losing progress.

We’ll get into simple, practical strategies to stay consistent with nutrition, movement, medication, and mindset—the four pillars I use in obesity medicine. And as a bonus, I’ll share key tips for anyone using Wegovy or Zepbound: how to pack them, store them, and stay on track with dosing while you’re away.

So if you’ve got a trip coming up and want to come home feeling good, energized, balanced, and still on track, this episode will walk you through exactly how to make that happen.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Did The Biggest Loser actually help people—or did it just sell a story that wasn’t built to last?

Looking back, the show sits at a crossroads of entertainment, cultural attitudes toward weight, and evolving science. When it first aired in the early 2000s, it felt fresh and inspiring. Producers, trainers, and contestants all shared a genuine intention to help people transform their lives.

Of course, it was still reality TV—full of drama, public shaming, and humiliating moments that were never acceptable. At the time, many viewers believed the show was making a difference, but with hindsight, there’s a lot to unpack about its intentions, methods, and lasting impact.

In this week’s episode, “Reflections on The Biggest Loser,” we dive into:

What the Show Was Trying to Do
The Harm of ‘Tough Love’ in Weight Loss
The Myth That Weight Loss Fixes Your Life
Separating Identity from Weight
Extreme Doesn’t Mean Healthy
Why Blaming Yourself Doesn’t Move You Forward
Metabolic Adaptation Is Real — and It Matters

We explore what really happened behind the scenes, share surprising research on contestants’ journeys, and discuss the lessons we can take from it today.

Curious to hear the lessons and data that might surprise you? Tune in to hear the full story behind the episode.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

What does it really look like to set realistic expectations with weight loss medications like Zepbound and Wegovy?

That’s the focus of today’s episode, and I’m joined by someone who knows this topic inside and out—Ana Reisdorf, a registered dietitian with over 15 years of experience. Ana is the founder of the GLP-1 Hub, where she provides resources, education, and support for people using GLP-1 medications. She also hosts a podcast dedicated to helping patients navigate the ups and downs of this journey.

In our conversation, Ana shares why setting realistic expectations is so important—from understanding how dosing really works, to rethinking nutrition, and even reframing what progress looks like beyond the scale. She also points out common mistakes, like rushing to the highest dose too quickly or overly restricting food, and offers practical guidance on how to avoid them.

We talk about:

Why balanced nutrition is essential when taking weight loss medications
Why the right dose isn’t always the highest
Managing expectations and comparisons with weight loss medications
Rethinking “responders” and “non-responders” in weight loss medications
Protein obsession vs. balanced nutrition
The role of fiber and balance in GLP-1 nutrition
Why GLP-1 medications aren’t a shortcut—and how to use them effectively
How obesity and malnutrition can coexist

At the heart of this conversation is Ana’s message that success with GLP-1s isn’t just about losing weight—it’s about improving health, nourishing the body, and creating a sustainable approach.

Catch the full episode for more of Ana’s insights and practical advice that can guide your own journey.

Connect with Ana:

Website:GLP-1 Hub
Facebook: GLP-1Hub
Instagram: glp1hub
Youtube:GLP-1 Hub

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if ADHD isn’t just about focus or impulsivity—but about long-term health too?

Research shows that when ADHD goes untreated, the risks extend beyond day-to-day struggles. Some studies even suggest a higher chance of conditions like dementia later in life. That raises an important question: how should ADHD be managed, not just for today, but across a lifetime?

This week, I’m diving into that conversation with my colleague and friend, Dr. Carl Knopke. He’s the Medical Director at Inland Empire Weight Loss in Riverside, California, and a family physician specializing in obesity medicine. Over the years, he’s shared his expertise at professional conferences, connecting the dots between obesity, mental health, psychiatry, endocrinology, exercise, and nutrition.

Together, we’ll unpack the realities of ADHD:

What ADHD really is
Why treatment often begins with medication
Why it’s more than just trouble paying attention
How ADHD can be a strength, not only a struggle
The connection between ADHD, stress, and weight
Why treating ADHD helps with impulsive eating
The role of treatment in long-term health

We’ll explore how treatment really works, and why it’s not only about improving attention but about opening the door to better choices, healthier routines, and stronger long-term health.

Tune in to the full episode for insights that could change the way ADHD is understood and treated—for today and for the future.

Connect with Dr. Knopke:

Website:Inland Empire Weight Loss

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if something as simple as your breath could calm stress, sharpen focus, and even support long-term health?

It sounds almost too simple—but breathwork is one of the most powerful and accessible tools for wellbeing. For centuries, traditions around the world have described breath as the bridge between body and mind. Now, modern science is showing how deeply it impacts emotional balance, resilience, and even longevity.

Today’s guest, Jessica Dibb, has spent years blending this ancient wisdom with medical insight. As an psychospiritual educator and breathwork facilitator, she’s seen how even a few intentional breaths can reset the nervous system, bring calm in the middle of chaos, and create lasting changes in health.

Together, we dive into:

The healing science of breathwork
How to move from stress to calm in just three breaths
Stories of transformation through breathwork
Using breathwork as a partner in health
Simple daily practices for lasting wellbeing

And if you want to see how Jessica guides these practices in real time, head over to YouTube to watch her demonstrate the breathing techniques.

This episode is a reminder that the breath is always with us—waiting to support calm, clarity, and healing. Don’t miss the chance to actually watch Jessica’s breathing guidance on YouTube, and for the full conversation, tune in to the complete episode.

Connect with Jessica:

Jessica’s Book Breathwork and Psychotherapy: Clinical Applications for Healing and Transformation. Available on Amazon, Barnes & Noble, and many local bookstores.
Email (general): breathworkandpsychotherapy@gmail.com
Email (school): essence@inspirationcommunity.org

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered why two people can follow the exact same weight loss plan, yet get completely different results?

One may see quick progress while the other struggles to move the scale at all. It can feel frustrating, discouraging, and even unfair. Without self-compassion, those moments often spiral into guilt or the belief that success isn’t possible.

That’s why today’s episode is so important. I’m joined by Melissa Mitri, MS, RD, a registered dietitian, weight loss expert, and the owner of Melissa Mitri Nutrition, a virtual practice that helps people achieve lasting results. Melissa also works as a freelance writer and health consultant, sharing her expertise in nutrition and wellness with a wide audience. In her practice, she takes a refreshing approach that focuses on what to add to the diet for better health and satisfaction—rather than just what to cut out.

In our conversation, Melissa and I explore the powerful role of self-compassion in weight management. We talk about how it influences not only food and exercise choices, but also decisions around whether or not to use GLP-1 medications as part of a weight loss plan.

If you’ve ever felt stuck in cycles of guilt or frustration on your health journey, this episode will help you see why being kinder to yourself might be the missing piece

Connect with Melissa:

Instagram:theweightlossdietitian
LinkedIn: Melissa Mitri, MS RD
Website: melissamitri.com

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Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wonder why the same weight loss plan can work wonders for one person but barely move the needle for another?

Or why some people respond really well to medications like Wegovy, while others struggle with side effects or see minimal results? That’s exactly what precision obesity medicine aims to answer—and today, we’re diving into it with one of the world’s leading experts.

We’re joined by Dr. Andres Acosta, a true pioneer in obesity medicine and the creator of the obesity phenotypes concept. He’s board-certified in internal medicine, gastroenterology, hepatology, obesity medicine, and nutrition. At the Mayo Clinic, he co-directs the Nutrition and Obesity Research Program and leads the Precision Medicine for Obesity program, focusing on matching the right treatment to the right patient with fewer side effects.

Dr. Acosta’s research is supported by the National Institutes of Health, with more than 145 peer-reviewed papers in top journals. His work has been featured in The New York Times, TIME, CNN, and NPR, and he’s earned “40 Under 40” recognition and co-founded Genomic Sciences—just a glimpse of his many accomplishments.

If you’ve ever felt frustrated by trial-and-error weight loss or wondered if there’s a more scientific way to find what actually works for you, you’re going to want to hear what Dr. Acosta shares in this episode.

Connect with Dr. Acosta:

Mayo Clinic:mayu.edu
Phenomix Sciences: Website

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Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered what it would be like to live without the constant mental chatter about food?

For many, those thoughts never seem to stop. From planning the next meal to feeling guilt after eating, food can take up an overwhelming amount of mental space. It’s exhausting, and for some, it feels impossible to break free.

This ongoing noise, now widely known as food noise, is more than just hunger or cravings—it’s the mental weight of always thinking about food, and it can affect every part of daily life. In this episode, we’re diving deep into the mental weight of food noise, why it happens, and how dieting history often fuels this constant chatter. We also talk about where the term “food noise” came from, how it’s reshaping conversations around weight and eating, and what the latest research is teaching us about the biology behind it.

But we don’t stop there. We also share practical ways of taking action against food noise—from mindset shifts to medical support—and explain why GLP-1 medications are helping so many people finally quiet the noise, giving them the mental space and freedom they’ve been missing.

If you’ve ever felt stuck in that cycle, this episode is for you. Listen to the full episode to get the complete discussion and actionable insights.

Article link: https://www.nature.com/articles/s41387-025-00382-x

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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered why, no matter how many diets you’ve tried, the results never seem to last?

You lose the weight, feel good for a while, and then somehow find yourself back where you started, sometimes even heavier than before. It is a frustrating and exhausting cycle that leaves so many people feeling stuck and defeated.

This is the reality that Lisa Goldberg, a nationally recognized nutritionist and behavioral weight-loss expert, has been helping her clients overcome since 2001. As a coach, speaker, and author, Lisa has dedicated her career to guiding people in shifting their mindset, breaking free from emotional eating, and ending the cycle of yo-yo dieting once and for all. Her work goes beyond simply giving out meal plans or counting calories. Instead, she focuses on helping people understand their behavior, build self-awareness, and create habits that are sustainable in the long run.

In this episode, Lisa shares practical strategies and insights to help change the way you think about food and your relationship with it. She explains how to recognize emotional triggers, how to rebuild trust with yourself, and what it takes to approach eating in a way that feels more balanced and freeing. Her perspective offers a refreshing shift from quick fixes to a mindset-driven approach that supports lasting change.

If you are tired of the endless diet cycle and ready to start creating a healthier, more consistent approach to eating and living, this conversation is one you do not want to miss.

Connect with Lisa:

Website:Lisa Goldberg Nutrition
The Weightless program

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Instagram: doctorfrancavilla
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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever been told that your weight is just a matter of willpower?

Or that if you simply “tried harder,” you’d get the results you want? Maybe you’ve even heard that using medication or surgery is “cheating.” If so, you’re far from alone, and it’s time to call BS on that idea.

If you’ve ever felt shame or guilt about your weight, know this: it’s not your fault. Obesity is a complex, chronic disease shaped by biology, hormones, genetics, and environment, not a personal weakness. While healthy eating and exercise are always important, they are often not enough on their own. That’s where medical tools like medications and surgery come in, not as shortcuts but as treatments grounded in evidence.

Over the past few weeks, I’ve had experiences that reminded me why this conversation is still so important. Some were inspiring, like connecting with state leaders working to expand access to obesity care. Others were frustrating: clear signs that weight bias still exists in medicine and media alike.

In this episode, I will share three stories that show how weight bias appears in everyday life and why challenging it matters. These examples might make you shake your head, but I hope they also give you the words to push back and remind yourself that your health deserves recognition at every step forward.

Catch the full episode to hear all three stories and get practical ways to challenge weight bias in your own life.

Article: Questioning the Cause of Obesity

Podcast Episode: What Are Obesogens with Dr. Younglove

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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wish meal planning didn’t feel like such a chore?
You might be surprised at how ChatGPT can help.

In this episode, we’re trying something a little different and way more practical. We’re digging into how you can use ChatGPT to make nutrition planning easier, more personalized, and actually doable.

I’ll be honest. I didn’t jump on the ChatGPT train right away. But once I started using it for meal planning, grocery lists, and recipe tweaks, I saw just how useful it could be—not just for me, but for my patients too.

Whether you're working with a doctor or dietitian, or following your own plan, ChatGPT can help you:

Customize meals based on your goals and preferences
Build a smarter grocery list
Swap ingredients for healthier options
Make better choices when eating out

If staying consistent feels tough or you’re looking for a little extra support, this might be exactly what you’ve been missing.

Stick around for the full episode, I’m sharing the exact ways I use it, plus tips to help you get started with your own plan today.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered why getting obesity medications like Wegovy or Zepbound feels sooo complicated and honestly, kinda impossible sometimes?

Between high costs, confusing insurance rules, and endless paperwork, even patients who qualify often struggle to actually start treatment.

To help us break it all down, I’m joined by Dr. Nikita Shah, a board-certified obesity medicine physician and founder of WeightSense in Orlando, Florida. She focuses on practical, health-first weight care and also serves on the Medical Society of Central Florida board and the Obesity Pillars Journal editorial board. She’s all about helping patients find real-world solutions that actually work.

In this episode, we cover everything you need to know about accessing obesity medications, including:

Why obesity is a real medical condition, not a personal failure.
How cost and insurance create the biggest hurdles.
The different coverage rules for medications like Wegovy, Zepbound, and Ozempic.
What prior authorization really involves—and how to get through it.
Affordable medication options like Qsymia and Contrave.
Why most compounded anti-obesity medications aren’t the safest choice.

If you’re ready to finally understand the process, cut through the confusion, and learn the smartest steps to get started, listen to the full episode now!

Connect with Dr. Shah:

Instagram:nikitashahdo
Website: Weight Sense
Blog Mentioned: Understanding Insurance Coverage

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever held back from starting something just because you couldn’t do it perfectly?

That hesitation, the pressure to get everything just right, can quietly influence so many parts of life. At first, it might not seem like a big deal. But over time, that all-or-nothing mindset can keep you stuck and hold you back from real progress.

In this episode, we’re digging into the ways perfectionism gets in the way of moving forward. We’ll cover:

Why perfectionism often keeps people stuck and how letting go of it can help
Why “good enough” is often the smarter, more sustainable choice
How chasing the “perfect” diet can stop you from making any progress at all
Why waiting for the perfect workout plan is usually just a form of delay

Whether you're building new habits, working toward a goal, or trying to stay consistent, the urge to get it exactly right can easily become the biggest roadblock.

We’ll talk about where that pressure comes from, how it shows up in everyday decisions, and most importantly what to do instead.

Tap play to hear the full breakdown and learn how to move forward even when things aren’t perfect.

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Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if pregnancy wasn’t treated like a pause button on a woman’s health?
What if those nine months weren’t just about waiting for a baby but also about real support, smart guidance, and evidence-based care that actually centers the person who’s pregnant?

That’s the conversation we’re having today.

Pregnancy often gets sidelined in women’s health. There’s so much focus on fertility and postpartum, but what about the time in between? It matters. A lot.

In this episode, we dig into:

Why weight during pregnancy isn’t something to avoid talking about
How we can rethink nutrition without shame or stress
What to do when the usual guidance is missing
Safe ways to stay active while pregnant
The truth about pregnancy food “rules”
How clinicians who aren’t OBs can still support patients well

My guest, Dr. Kimberley Sampson, is a board-certified OB/GYN who’s also certified in lifestyle and obesity medicine. She’s the chair of OB/GYN at Southwestern Vermont Medical Center, teaches at Dartmouth University, and serves as VP of the New England Obesity Society. She brings both clinical expertise and compassion to the table—and she’s not afraid to challenge outdated norms.

If you’ve ever felt like pregnancy care forgets about the actual person going through it—you’re going to want to hear this.

Tune in now and let’s talk about what better care during pregnancy really looks like.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

How Are Your Goals Really Doing?

Have you checked on your goals lately? We’re already halfway through the year, and if that makes you think, “Wait, how did we get to July so fast?” you’re definitely not alone. This is usually when goals start collecting dust, feel a little out of reach, or maybe even get forgotten altogether.

But instead of dropping them or beating yourself up, this is actually the perfect time to pause, take a breath, and reassess what still matters to you. Goals aren’t meant to add stress; they're meant to give your life a sense of purpose and direction.

I’ve always been big on setting goals. Honestly, I think it’s one of the main reasons I’ve been able to build the kind of life I truly wanted. Maybe goal setting isn’t really your thing, or maybe you’ve never sat down to formally do it. That’s okay. I’d still encourage you to give it a try. It doesn’t have to be complicated or overwhelming. Even a few simple intentions can make a huge difference.

In this episode, I’m breaking down how doing a mid-year check-in can help you see progress you might have completely missed. I’ll also talk about why tracking your goals matters so much because without keeping tabs on where you are, it’s hard to know how far you’ve actually come. And just as important, I’ll cover why it’s perfectly okay to tweak your goals or even let some go. Life changes, and your goals can too.

So if you’re looking for a little inspiration to see how your own goals are shaping up, give this episode a listen. You might walk away with a fresh perspective on what’s working, what needs adjusting, and maybe even feel that gentle nudge you need to keep moving forward one step at a time.

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Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever wondered why some people seem to drop weight quickly on medications like Wegovy or Zepbound, while others barely budge?

The truth is, weight loss isn’t as simple as eating less or moving more and even powerful medications don’t work the same for everyone. Results often depend on how these drugs are used, the lifestyle habits that support them, and individual factors like metabolism, other health conditions, and how well the body tolerates treatment.

That’s why it’s important to rethink what “success” really means. For many, losing just 5% to 10% of body weight can make a huge difference, improving blood sugar, blood pressure, and cholesterol enough to lower the risk of serious health issues—even if the scale doesn’t land exactly where they hoped.

In this episode, we’ll cover:

What success really looks like on Wegovy or Zepbound
Why type 2 diabetes makes weight loss harder, even with GLP-1s
How alcohol use is one of the top reasons people don’t see expected results
The role of habit snacking and how it can stall progress
What to do when side effects get in the way
When these medications alone aren’t enough
And what to explore if nothing seems to be working

Hit play to find out the top reasons people fall short on Wegovy or Zepbound, how to spot them, and what might finally help you see progress.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.co

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if the secret to aging well isn’t more exercise but moving better?
Welcome to this week’s episode. As many of you know, I’m on a mission to help my patients move more and manage stress better—and today’s guest brings a wealth of insight on both.

I’m joined by Vicki Gold, a retired physical therapist with decades of experience in mind-body fitness and well-being. She’s also the author of Aging Safely, Wisely, and Well: A Movement and Mindset Guide for Older Adults, a practical program designed not just for seniors but for anyone who wants to improve how they look, feel, and function as they age.

In this conversation, Vicki introduces her simple yet powerful ABC Mind-Body System: alignment, breathing, and centering. We talk about the importance of core strength and how common exercises like crunches can be harmful for people with osteoporosis or osteopenia. She explains what a safe and truly supportive core routine looks like, and why breathing well is one of the most underrated tools for reducing stress and improving mobility.

You’ll also hear how these basic principles—when practiced consistently—can create a strong foundation for moving with more ease, feeling more balanced, and staying active through every stage of life. And if you’re not sure where to start, don’t worry. Vicki shares simple ways to build these habits into your day without overwhelming yourself.

🎁 Special Gift for Listeners:
Vicki is offering a free gift to podcast listeners! Just visit her website thera-fitness.com or contact her at vicki@thera-fitness.com to receive it. Trust me, you’ll want to know more.

📘 Want to learn more about Vicki and her book?
Visit thera-fitness.com to explore her work and listen to an 8-minute audio introduction to Aging Safely, Wisely, and Well.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if the most important part of pregnancy care actually happens before you're even pregnant?

Most people start thinking about their health after that positive test, but the time leading up to conception, the preconception period, is just as important, and honestly, often overlooked. It’s a powerful window to support long-term health, not just for the parent and baby, but for future generations too.

In this week’s episode, I’m joined by Dr. Amy Luu, a board-certified family medicine physician and obesity medicine specialist. I’m lucky enough to work with her at Green Mountain Partners for Health in Colorado, where she cares for patients of all ages. She’s especially passionate about helping women navigate the changes that come before, during, and after pregnancy.

We talk about preparing for pregnancy through health habits, the role of weight and medications, and why things like sleep, nutrition, and even vaccines matter more than people realize.

Topics we cover:
• Preconception Health Basics
• Weight and Fertility
• Medications to Consider
• Preparing as a Couple
• Sleep, Nutrition, and Recovery

Whether you’re actively planning a pregnancy or just curious about how to take better care of your body, this episode is packed with insight and encouragement.

Let’s get into it.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Why is it still so hard for women to get the healthcare they deserve?

In this episode, we’re diving into some of the biggest challenges women face in medical care today—from being dismissed or misdiagnosed to the lack of support around weight, PCOS, perimenopause, pregnancy, and menopause. We’ll talk about why obesity care shouldn’t stop during pregnancy, the lesser-known breastfeeding challenges women with obesity face, and why early support during perimenopause matters more than most people realize.

Whether you're a woman trying to navigate your own care or someone who supports women in any capacity, this conversation is a must-listen.

Today, I’m so excited to be joined by Sandra Christensen,a board-certified nurse practitioner, obesity specialist, and founder of Integrative Medical Weight Management in Seattle, Washington. She’s a Master Fellow of the Obesity Medicine Association, a Fellow of the American Association of Nurse Practitioners, and currently serves as president of the Washington Obesity Society. She’s also an associate editor for Obesity Pillars and author of A Clinician’s Guide to Discussing Obesity with Patients. In 2022, she was named Clinician of the Year by the Obesity Medicine Association.

Tune in to the full episode to get the full picture and hear what every woman deserves to know about her health.

Connect with Dr. Christensen:

Website: Integrative medical weight management.com
LinkedIn: Sandra Christensen

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Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever tried a health tip you saw on social media—only to later find out it wasn’t really supported by science?

You’re not alone. In today’s episode, we’re breaking down the myths, misinformation, and half-truths that flood our feeds with Dr. Farah Deshmukh, a board-certified internal medicine and obesity medicine physician. Dr. Deshmukh completed a two-year fellowship in obesity medicine and nutrition at Northwell Health in New York and now leads the Obesity and Lifestyle Medicine Program at Hackensack Meridian Health in New Jersey. She also researches how social media shapes what people believe about nutrition and weight—and today, she’s clearing up some of the most common misunderstandings.

We cover topics like why supplements often get hyped online and why it’s important to ask who’s behind those claims and what their goals are. We talk about the rise of compounded GLP-1 medications being promoted as safe and affordable, even though many are unregulated and illegal. We also address the common belief that “Big Pharma just wants to make money,” and why that idea can be misleading. Plus, we discuss trending drugs like sublingual tirzepatide that are widely talked about online but aren’t approved or even available yet. And finally, we look at supplements labeled “natural”—why they might seem harmless but aren’t always worth the cost.

Online health advice is everywhere, but knowing what’s true takes time and trusted experts.

Listen to the full episode now to get the facts and protect yourself from misinformation.

Connect with Dr. Deshmukh:

Website: Hackensack Meridian Health

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Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever thought about what’s actually going on when a child is dealing with obesity not just physically, but emotionally and socially too?

In this episode, we’re getting into pediatric obesity and all the layers that people don’t always see. Like, it’s really not just about eating too much or not getting enough movement. There’s way more to it.

I’m chatting with Dr. Lisa Tritto, a board-certified pediatrician and obesity specialist at Evora for Kids in St. Louis, Missouri. She’s been in general pediatrics for over 20 years and even did a full-year fellowship in pediatric obesity at the University of Minnesota. And honestly, not many clinicians have done that.

We talk about what really shapes pediatric obesity, how doctors track and treat it, the meds that are usually used, and how to actually give helpful nutrition advice without making kids feel bad. We also get into how to talk to kids about weight in a way that supports their relationship with food and keeps their self-esteem intact.

So yeah, if you want to understand this better and learn how to really support kids going through it, go check out the full episode.

Connect with Dr. Tritoo:

Website: Evora for Kids

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever lost a lot of weight like 40, 50 pounds or more and noticed some unexpected changes in your body?

In today’s episode, we’re talking about the surprising (and sometimes downright weird) side effects that don’t get mentioned much when it comes to major weight loss—whether it’s from lifestyle changes or medications like Zepbound or Wegovy.

For example, some people develop Eustachian tube dysfunction, which can make your ears feel blocked or pop unexpectedly. Sitting might even feel uncomfortable now that the fat cushioning your tailbone is gone.

Then there’s “slimmer’s paralysis”—a temporary nerve irritation that can pop up when the fat around certain nerves disappears. You might also spot new lumps or bumps, or find yourself feeling colder than usual since fat helps keep you warm.

Other changes can include lower blood pressure and shifts in your menstrual cycle as your body adjusts.

Want to hear more about these lesser-known effects and how to deal with them? Tune in to the full episode!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

What if your gut is the key you’ve been missing in your weight and wellness journey?
Gut health is talked about a lot these days, but what does it really mean? And why does it matter so much when it comes to losing weight or simply feeling better overall?

Here’s the scoop: gut health basically means how well your digestive system is functioning. A big part of that depends on the balance of bacteria living in your gut, also known as your gut microbiome. This tiny ecosystem inside you plays a major role—it affects digestion, mood, immunity, inflammation, and yes, even your weight.

When everything is in balance, your body absorbs nutrients properly and runs more smoothly. But if that balance is thrown off, you might experience gut dysbiosis. This can disrupt nutrient absorption, cause inflammation, and even lead to something called leaky gut—where your gut lining becomes too permeable, letting things into your bloodstream that shouldn’t be there.

Here’s the catch: all of this can make losing weight tougher. Inflammation puts your body in survival mode, which means fat loss isn’t a priority. So improving gut health isn’t just about digestion—it’s about giving your body the best chance to thrive.

So today, I have Erica Gutierrez joining us. Erica is a functional registered dietitian with 20 years of experience using an integrative approach to feeling good in your body. She specializes in digging deeper to uncover root imbalances to optimize gut health and metabolic health.

In this episode, we’ll break down everything—from gut dysbiosis and leaky gut to inflammation and their effects on weight. Plus, we’ll cover practical tips like meal timing, food variety, what healthy bowel movements look like, how certain medications affect your gut, and where GLP-1 meds come into play.

Dive into the full episode to get all the details and start supporting your gut for better health, more energy, and a natural glow from the inside out.

Connect with Ms. Erica Gutierrez:

Website: https://weighlessmd.lpages.co/erica-gutierrez-rd/

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

Ever wonder how you can get more movement into your day without committing to a full workout?

There's actually a concept gaining popularity that's simple but effective: exercise snacks. This idea, which I first heard about from a medical student last year, is all about adding short bursts of activity into your day—not protein shakes or post-workout treats, but quick, easy movements that fit into your schedule.

Why does this matter? Well, research shows that these small bursts of activity can improve heart health, metabolism, and help regulate blood sugar. When it comes to metabolism and weight, these mini workouts really do add up. Plus, they’re an easy way to break up long periods of sitting—something many of us could use.

In this episode, we’ll talk about what exercise snacks are, the science behind them, and share ideas for adding them to your daily routine. It’s not about finding the perfect workout, but simply moving more when you can.

Tune in to the full episode to learn all about how these small efforts can make a big impact!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

Ever find yourself stuck after a setback, unsure of how to move forward?

We’ve all been there. Failure can be tough to talk about, but it’s something everyone experiences. Whether it’s a personal struggle or a professional setback, how we respond to failure often shapes our future more than the failure itself.

As an obesity medicine physician, I see this often with my patients. They come in feeling discouraged after a failed attempt at improving their health—maybe a diet didn’t work, a medication didn’t help, or they lost motivation along the way. But here’s the thing I’ve learned: failure isn’t the end. It’s just a part of the process. And when we reframe it, it becomes a stepping stone rather than a roadblock.

Even in moments of success, like being named Clinician of the Year by the Obesity Medicine Association or hitting a milestone of 100,000 podcast downloads, I’ve faced personal setbacks. Life has a way of mixing the good with the difficult. This is why resilience is so important—not by ignoring failure, but by learning to see it differently.

In today’s episode, we’ll dive into practical ways to reframe failure so that it no longer feels like a dead end but instead becomes a valuable learning opportunity. Whether you're facing challenges in your health, career, or personal life, these tips will help you move forward with confidence and clarity.

Don’t miss out—listen to the full episode to learn how to turn failure into a stepping stone toward success.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

Why does starting a GLP-1 medication like Wegovy or Zepbound sometimes feel like your body—and your emotions—are on a whole new ride?

If you’ve just started one of these meds, you might already be noticing some changes: that queasy feeling that sticks around a little too long, the bloating that makes jeans feel like a bad idea, or maybe even some unexpected mood shifts that leave you feeling off. Sound familiar?

You're not imagining it. Nausea, reflux, constipation, diarrhea, and yes—even mood changes—are all common side effects people experience when adjusting to GLP-1 medications. And while it can feel a little overwhelming (and honestly frustrating), these symptoms are usually temporary—and more manageable than they seem.

In this episode, we’re talking about all the stuff no one really prepares you for: why these side effects happen, how your gut and brain are connected during this adjustment phase, and the small, practical changes that can actually make a difference. Whether you're in your first week or slowly increasing your dose, this info can help you feel more grounded—and a lot less stressed.

Tap in for simple, science-backed advice to help you feel better, physically and emotionally.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever been in a situation where someone seemed way too invested in whether or not you ate something?

Like… why do they care that much if you skip the cake? It can feel strange, even frustrating, when someone pushes food on you like it’s their personal mission.

Today, we’re getting into the topic of food pushers, social pressure, and how to respond when someone keeps nudging—or outright guilting—you into eating something you’d rather not. Maybe you’re not hungry. Maybe it doesn’t align with your goals. Or maybe you do want it, but you’ve made a decision not to eat it right now. Whatever the reason, your choice should be respected.

This kind of pressure shows up everywhere—at office parties, family dinners, holidays, even relaxed get-togethers with friends. Sometimes it's playful and casual: “Just try a bite!” Other times it’s layered with guilt: “I made this especially for you.” Either way, it can put you in a really uncomfortable spot when you're just trying to stick to what feels right for you.

If you’ve ever felt awkward, judged, or unsure about saying no to food, you’re not alone—and this episode is definitely for you. We’re sharing six practical tips to help you stay confident, reduce the tension, and keep your peace (and your plate) intact. Let’s get into it.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever been told what to eat—but not how to actually make it?
That gap between nutrition advice and real-life cooking is exactly what culinary medicine aims to fill. It’s the bridge between knowing what supports your health and actually making it work in your kitchen and your lifestyle.

In this episode, we’re diving into the practical side of healthy eating—through the lens of culinary medicine. You’ll hear from registered dietitian and public health expert Christina Badaracco, who leads culinary medicine training programs nationwide and recently co-authored a new cookbook called Mix It Up.

We talk about:

What culinary medicine really means (and why it matters)
How teaching kitchens and group cooking programs help build skills and confidence
Common barriers to cooking and how to overcome them
Creative ways to bring culinary medicine into healthcare, community settings, and even your own home
Christina’s journey writing Mix It Up and how it’s designed to help beginners and hesitant cooks eat better without the overwhelm

We also dig into a big question: how can patients eat well—even when they’re eating less, such as during treatment with medications like Wegovy or Zepbound? Christina shares the thinking behind flexible recipes, ingredient swaps, and why making every bite count doesn’t have to mean complicated cooking.

Whether you’re a provider, patient, or just someone who wants to feel more at home in the kitchen, this conversation will leave you with tools, ideas, and a fresh perspective on food and health. Press play now to get started.

Connect with Ms. Christina:

Book: Mix It Up
Co-Author’s Website: Olivia Thomas
Website: Christina Badaracco
Linkedin: Christina Badaracco, MPH, RDN, LDN
Information about teaching kitchens: Growing the Value of Teaching Kitchens to Promote Healthy Cooking and Lifestyle Behaviors
Teaching Kitchen Collaborative members: https://teachingkitchens.org/member-list/
Teaching kitchen training toolkit: https://teachingkitchens.org/toolkits/
Characteristics of Current Teaching Kitchens: Findings from Recent Surveys of the Teaching Kitchen Collaborative

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Struggling to find compounded versions of Semaglutide and Tirzepatide? You're not alone. As these medications become harder to access, many patients are left wondering, "What's next?"

In this episode, we sit down with Joe Zucchi, a physician assistant, personal trainer, and clinical supervisor at Transition Medical Weight Loss in Salem, New Hampshire. Joe walks us through the current shortage of compounded medications, what’s really going on behind the scenes, and why safe, FDA-approved alternatives are more important than ever. But it’s not just about medication. We dive into why obesity isn’t just about willpower, discussing how it’s a complex issue that goes beyond simple behavior choices. Joe also sheds light on the issue with compounded GLP-1 medications and the risks involved. Plus, he shares practical tips on how to make exercise work for you, whether you're just getting started or looking to refine your routine.

Joe’s approach to weight management is unique, combining fitness, nutrition, medical treatments, and even an on-site marketplace stocked with healthy, portion-controlled foods. His clinic’s well-rounded approach ensures that patients receive the support they need for long-term success, no matter where they are on their weight management journey.

Tune in to hear Joe’s expert insights and find out how to stay on track with your goals. Don’t forget to listen to the full episode!

Connect with Mr. Zucchi:

Linkedin:Joseph Zucchi, PA-C
X: JPZfitness
Instagram: transitionweightloss

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Should You Really Be Worried About a Weight Plateau?

Weight plateaus often get a bad reputation, but they’re not always something that needs to be “fixed.” In many cases, a plateau is simply your body settling at a stable, healthy weight. The idea that weight must always be decreasing isn’t realistic—after all, the goal isn’t to reach zero. At some point, the body naturally stabilizes, preventing unhealthy weight loss.

Rather than stressing over the number on the scale, it’s worth taking a step back and looking at the bigger picture. Is this plateau a real problem, or is it just your body settling at a healthy place? Before deciding to push past it, there are important factors to consider—like what’s actually sustainable and what truly supports long-term well-being.

Want to learn more? Tune in to the full episode, where we break down how to recognize a true plateau, when (or if) it needs to be addressed, and what really matters for lasting health. Listen now!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Join Our Supported Fasting Group – March 23-28!

Link: Prolon 5-Day Fasting Mimicking Diet (FMD)

Struggling to find time for your health?

Between work, family, and an endless to-do list, things like meal prep, workouts, and self-care often take a back seat. But what if time isn’t really the issue? What if it’s about how we use it?

That’s exactly what I’m diving into today with Molly Lupo, a Doctor of Nursing Practice and adult nurse practitioner. Both of us have heard patients say, “I just don’t have time.” And we get it—life is busy. But Molly is here to share strategies that can help make health a priority, no matter how packed your schedule is.

A little background on her: Molly spent 12 years in oncology before founding Lupo Preventive Medicine and Lupo Wellbeing in 2020. She saw the need for better solutions for women’s health and now blends lifestyle and obesity medicine to help with everything from nutrition and movement to sleep, energy, and mindset.

In this episode, we’ll cover practical ways to reclaim time, remove distractions, and create a plan that makes prioritizing health feel doable.

Tune in now for all the insights from Molly Lupo!

Connect with Molly Lupo:

Website: Molly Lupo
Instagram:mollylupo
Facebook: More Than Weight Loss with Dr. Molly

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Join Our Supported Fasting Group – March 23-28!

Link: Prolon 5-Day Fasting Mimicking Diet (FMD)

What is FMD?

The Prolon 5-Day FMD is a science-backed, patented program designed to activate cellular clean-up pathways while still allowing you to eat. Order your 5-day fasting kit by March 22, 2025, to ensure you receive it in time and get access to our group fast!
Learn More: Listen to our episode: What Is Fast-Mimicking with Renee Fitton

Zepbound or Wegovy—Which One Should You Choose?

That’s what we’re diving into today. Which medication is the better fit? What are the pros and cons? Plus, there are some important updates—new approved uses, cost changes, and more.

Before we get started, a quick note: I’m recording this on March 12, 2025, and things are evolving quickly with these medications. Labels, indications, and guidelines may change, so if you're listening in the future, be sure to check for the latest information.

Also, for full transparency—I do have a financial interest in these medications, particularly Zepbound. I believed in it early on, invested in Eli Lilly before its release, and now work as a speaker for the medication, sharing information with doctors. That said, my goal isn’t to push one over the other but to lay out the facts so you can make the best decision for yourself.

Here’s what we’ll cover today:

Wegovy vs. Zepbound: A Guide to Choosing the Right Weight Loss Medication
Approved Uses – What are these medications officially approved for?
Which Leads to Greater Weight Loss? – A look at the data.
Side Effects of Wegovy and Zepbound – What to watch out for.
Key Differences in Side Effects – How these medications compare.
The Role of Cost and Insurance Coverage – Affordability matters.
Exploring Other Options – What else is out there?

Be sure to listen to the full episode because there’s a lot to unpack here. The differences between these medications aren’t always straightforward, and factors like cost, availability, and side effects can play a big role in your decision. By the end, you’ll have a clear picture of which one makes the most sense for you. Let’s get into it.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Join Our Supported Fasting Group – March 23-28!

Link: Prolon 5-Day Fasting Mimicking Diet (FMD)

What is FMD?

The Prolon 5-Day FMD is a science-backed, patented program designed to activate cellular clean-up pathways while still allowing you to eat. Order your 5-day fasting kit by March 22, 2025, to ensure you receive it in time and get access to our group fast! Learn More: Listen to our episode:What Is Fast-Mimicking with Renee Fitton

Are You Eating Enough on GLP-1 Medications?

GLP-1 medications help manage weight by reducing appetite, but what happens when hunger disappears completely? Many people on these medications end up skipping meals or going long hours without eating—but is that really a good idea?

Joining me today is Dr. Su-Nui Escobar, a clinical nutrition expert and registered dietitian nutritionist who specializes in helping people on GLP-1 medications optimize their nutrition.

While these medications can support weight loss, proper nutrition is still key to maintaining energy, preserving muscle mass, and supporting overall health. The goal isn’t just to eat less—it’s to eat wisely. From prioritizing protein and fiber to building balanced, sustainable meals, we’re diving into the best nutrition strategies for long-term success.

Don’t miss out—listen to the latest episode now to get all the insights!

Connect with Dr. Escobar:

Website: nutritionforweightlossmeds.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Join our supported group fast from Sunday, March 23rd, to Thursday, March 28th!

Link: Prolon 5-Day Fasting Mimicking Diet (FMD)

Make sure to buy your 5-day fasting kit so it arrives by March 22, 2025, and you get invited to our group fast!

Fasting has been practiced for centuries, often for religious or cultural reasons. But beyond tradition, research shows it can support longevity, metabolism, and overall health. The good news? You don’t have to give up food entirely to experience its benefits.

In this episode, I’m joined by Renee Fitton, a registered dietitian and Director of Education & Healthcare Sales at ProLon. We dive into fast-mimicking, a five-day program designed to provide the benefits of fasting while allowing you to eat. ProLon’s nutrition kit includes carefully selected foods that keep the body in a fasting state, supporting cellular renewal, fat loss, and metabolic health—without complete deprivation.

We cover:

How ProLon works
The science-backed health benefits
Fat loss—especially in key areas like visceral, abdominal, and liver fat
Reversing biological age
ProLon’s impact on weight and Type 2 diabetes

If you're looking for a structured way to support your health without extreme restriction, tune in to the full episode!

Checkout ProLon:

Instagram: prolon
Facebook: prolon
Website: prolonlife.com
Tiktok: prolonfmd

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Why does overeating happen—even when we know we don’t need more food?

Is it hunger, emotions, or just the fact that food tastes too good? If you’ve ever found yourself mindlessly snacking, eating past fullness, or struggling to make choices that align with your health goals, this episode is for you.

We’re breaking down the real reasons behind overeating—whether it’s ignoring hunger cues, eating out of emotion, or simply loving the taste of food too much. Plus, we’ll cover a fourth reason specific to binge eating and how it’s different from general overeating.

More importantly, this episode isn’t just about why it happens—it’s about what you can do about it. I’ll share practical, sustainable strategies to help you enjoy food without overdoing it.

Tune in now to get the full breakdown and start making small changes that actually stick!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Is Metabolic and Bariatric Surgery Really Safe and Effective?

For this episode, we dive into one of the most common questions surrounding weight management. Bariatric surgery can be a game-changer for many, but there are a lot of misconceptions and questions. Let’s address them all.

In this episode, I’m joined by Dr. Kyle Thompson, a bariatric and foregut surgeon at St. Joe's Hospital in Denver. With a general surgery residency at St. Joe’s and a fellowship in minimally invasive and bariatric surgery from the Minnesota Institute for Minimally Invasive Surgery, Dr. Thompson brings years of expertise in the field. He’s also the chair of Surgical Subspecialties at St. Joe’s and serves on the boards of the Denver Academy of Surgery and the Colorado Obesity Society.

Dr. Thompson explains the safety and benefits of bariatric surgery, highlighting how it’s not only a proven weight loss option but also an effective solution for managing conditions like diabetes, sleep apnea, and heart disease. He covers the most common surgeries like the Sleeve, Gastric Bypass, and SADI, and why bariatric surgery can provide long-term results.

Along with addressing common concerns, Dr. Thompson combats the stigma around obesity treatment and underscores the importance of treating obesity as healthcare, not a shortcut. He also emphasizes the value of finding the right support before and after surgery to ensure lasting success.

For more expert insights from Dr. Thompson, be sure to listen to the full episode and get a deeper understanding of bariatric surgery and its benefits.

Connect with Dr. Thompson:

Website: Saint Joseph Hospital

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What if weight loss didn’t have to be an endless cycle of restriction and frustration?

For years, diet culture has pushed quick fixes and temporary results. But there’s a better way—one that prioritizes lasting health without the constant struggle.

In this episode, Dr. Alexandra Sowa breaks down how GLP-1 medications are reshaping weight management. As more people demand healthier food options, a cultural shift toward better eating habits is emerging.

Dr. Sowa, a dual board-certified physician in internal and obesity medicine, is the founder of SoWell—a brand dedicated to supporting GLP-1 users. SoWell offers the first complete supplement system designed to address the unique needs and side effects of GLP-1 medications. If you’re looking for fiber, protein, or electrolytes tailored for GLP-1 users, check out her supplements here: SoWell.

Beyond her clinical work, Dr. Sowa is the author of The Ozempic Revolution, a comprehensive guide to evidence-based weight management and metabolic health. With a background in public health, a medical degree from NYU, and a passion for patient education, she blends science, compassion, and practical solutions.

Dr. Sowa is leading a revolution in obesity medicine, challenging outdated weight loss narratives and helping patients make real, lasting health changes.

Connect with Dr. Sowa:

Book: Ozempic Revolution
SoWell Supplements: GetSoWell
Instagram: alexandrasowamd
Website: Alexandra Sowa MD

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

None

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

With the recent release of The Lancet’s consensus article, the conversation around obesity treatment and care is evolving. To explore the implications of this shift, I’m joined by Dr. Robert Kushner, a respected expert in the field who has dedicated his career to advancing obesity medicine.

Dr. Kushner is a professor at Northwestern University Feinberg School of Medicine and the author of over 250 publications and several books on nutrition and obesity. He also co-founded the American Board of Obesity Medicine, contributing to the foundation of obesity care. His latest book, Patient-Centered Weight Management, offers healthcare professionals practical insights. With his extensive experience, Dr. Kushner continues to shape the direction of obesity treatment.

In this discussion, we examine the differences between clinical and preclinical obesity and address the important question: should preclinical obesity be treated? Dr. Kushner also explains why a new approach to obesity assessment is essential for the future of healthcare.

Be sure to stick around until the end for my takeaways and thoughts on how this impacts healthcare. Want to dive deeper into this discussion? Tune into the full episode and let’s unpack it all together!

Connect with Dr. Kushner:

Website: https://drrobertkushner.com/

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

The Lancet Diabetes and Endocrinology Commission just released a new article updating the definition and diagnosis of obesity, and today, we’re going to dive into all of it. This has been a topic I’ve been thinking about for a while, and when this article dropped, it felt like the perfect opportunity to spark the conversation.

I’ve spent quite some time reading through the article and reflecting on its findings, but honestly, I’ve been wanting to talk about the topic of obesity for a while. Now, with this article in hand, I’m even more motivated to break things down and share my thoughts on where we go from here.

In this episode, we’ll talk about:

The OMA definition of obesity
Why the language we use around obesity matters, especially in clinical settings
The Lancet Consensus and its impact on the conversation
Rethinking obesity assessment: why BMI isn’t the only measure
The new classification of obesity into clinical and preclinical categories
Navigating the gray areas in obesity risk and treatment
The overlooked factors in weight management

Be sure to stick around until the end for my takeaways and thoughts on how this impacts healthcare. Want to dive deeper into this discussion? Tune into the full episode and let’s unpack it all together!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Could Zepbound revolutionize the way we treat sleep apnea?"

Sleep apnea affects millions of people worldwide, and for the longest time, treatment options have been limited to devices like CPAP machines or surgical interventions. Now, Zepbound, a groundbreaking treatment, offers a new approach specifically designed for obstructive sleep apnea. This innovation brings fresh possibilities for managing a condition that has long been challenging to treat.

To dive deeper into this development, I’ve invited Dr. Jeremy McConnell, an expert with a unique background that bridges sleep medicine and obesity medicine. This is the perfect opportunity to explore this transformative treatment with someone who truly understands its potential.

We also discuss:

CPAP Intolerance
Breaking Down Sleep Apnea
Key Signs and Questions for Identifying Sleep Apnea
The Health Risks of Untreated Sleep Apnea
Effective Treatment Options for Sleep Apnea
How Weight Loss Impacts Sleep Apnea
Zepbound as a Treatment for Sleep Apnea

Dr. McConnell is a diplomate of both the American Board of Obesity Medicine and the American Board of Family Medicine. As a master fellow of the Obesity Medicine Association—one of only about ten in the world—his expertise is unmatched. He also holds a certificate of added qualification in sleep medicine, making him uniquely equipped to discuss this topic.

He’s the co-founder and board chair of the Florida Obesity Society, as well as the founder of Florida Sleep Specialists and Discover Health. With his deep knowledge and experience, this conversation promises to shed light on Zepbound’s potential to transform sleep apnea management.

Ready to learn more? Tune in to the full episode to hear Dr. McConnell’s insights and join the conversation on managing sleep apnea effectively.

Connect with Dr. McConnell:

Website for weight management program: discovermyhealth.com
Website for Sleep Management: sleepmanatee.net

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Obesity Is Not an Temporary Condition
Why do some still treat it that way?

In this episode, I welcome Dr. Angela Fitch back to explain why obesity should be seen as a chronic disease that requires long-term management, not just a temporary challenge. She discusses the risks of using medications like Wegovy and Zepbound intermittently without proper guidance.

Dr. Fitch, a physician and the immediate past president of the Obesity Medicine Association, brings years of expertise to the conversation. She also served on the Clinical Management Committee of The Obesity Society and is currently the Chief Medical Officer and founder of Knownwell, where she’s helping reshape obesity care.

We dive into why treating obesity as a short-term issue—where patients are expected to go it alone after receiving initial treatment—can be harmful. Plus, we explore what comprehensive, long-term obesity care looks like and why it’s key to sustainable health.

Hit play on the full episode to catch everything!

Connect with Dr. Fitch:

X: Angela Fitch, MD
Facebook: knownwell health
Website: Knownwell.co
Instagram: knownwellhealth
Linkedin: knownwell

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Starting medications like Zepbound & Wegovy can feel overwhelming without the right information. I understand that most doctors prescribing these medications don’t have the luxury of spending 20 minutes explaining what patients can expect. That’s why I created this episode—to provide you with the insights you need.

In my practice, I frequently guide patients through starting medications like Zepbound and Wegovy, offering them a clear understanding of what to expect such as:

Who the GLP-1 medications are for
Who Should Avoid GLP-1 Medications
Why Long-Term Use with GLP-1 Medications is needed
Side Effects that you might encounter
How to minimize Side Effects
A brief guide to Injections
What to Eat While on Medication
The role of Exercise with this GLP-1 medication

This episode serves as a more personal way to communicate that information, helping patients feel more prepared and informed.

So, here’s a condensed version of the conversation I have with patients regularly. It’s like you’re sitting down with me, receiving the same advice I’d give in person. Share this with someone else who is taking these medications. For prescribers, it could make your life a little easier by providing a resource you can share—whether it’s this episode—so you can offer more depth without needing to cover everything in a short clinical visit.

Listen to the full episode for a deeper dive into each topic and how it can make your experience with these medications smoother.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

🎁 Stay on track this season with my Holiday Game Plan! 🎁
Download now: Holiday Game Plan

What’s Next for You in 2025?

Let’s dive into the possibilities for the upcoming year. What do you want to accomplish? What transformations are you ready to embrace?

Whether it’s hitting a fitness milestone like running a 5K, building a new habit like reading one book a month, or pursuing a career achievement like securing a promotion, we’ll set powerful New Year’s goals together.

I’ll walk you through the SMART Framework to create actionable, results-driven goals and help you craft a plan for success. Along the way, I’ll share inspiring insights to keep you motivated. Let’s make 2025 a year of progress and purpose!

Be sure to listen, and let’s make 2025 your year of growth and achievement!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

🎁 Stay on track this season with my Holiday Game Plan! 🎁

Download now: Holiday Game Plan

Trigger Warning

This episode focuses entirely on eating disorders.

Contrary to the common belief that only very thin individuals struggle with eating disorders, I’m joined by Dr. Kara Pepper, who shares that eating disorders come in all shapes and sizes.

Dr. Pepper is an Internist and Executive Coach based in Atlanta, GA. She runs a hybrid telemedicine and in-person practice focused on patient autonomy, clinical excellence, and compassion. She also offers executive coaching and is the founder of Micropractice Mastermind, a community for physicians in solo practice.

In this episode, Dr. Kara and I delve into a controversial aspect of the conversation around eating disorders, exploring signs, biases, and how to distinguish an eating disorder from normal eating behaviors.

Listen to Dr. Kara Pepper shed light on this often-misunderstood topic, offering fresh perspectives on eating disorders and their overlooked forms.

Connect with Dr. Pepper:

Instagram/Threads:karapeppermd
Facebook: Kara Pepper, MD
Website: karapeppermd.com
Podcast: It’s Not Just You with Dr. Kara Pepper

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

🎁 Stay on track this season with my Holiday Game Plan! 🎁

Download now: Holiday Game Plan

The secret to aging well lies in preserving musculoskeletal health—but it doesn’t happen by chance. Why?

Look around at those who seem to age gracefully—patients, family members, or friends. What do they have in common? They’ve made movement a way of life. Whether it’s golfing, walking, playing tennis, or simply staying active around the house or neighborhood, they’ve embraced intentional movement as a non-negotiable part of their routine.

Science backs this up: regular exercise doesn’t just keep us moving; it reduces chronic diseases, eases pain, and, most importantly, helps us stay functional as we age. The key? Purposeful and consistent activity.

In this episode, I’ll break down why this is so critical and share practical ways to weave intentional movement into your life for a healthier, more vibrant future.

If you’re ready to start exercising but don’t know where to begin, GLP Strong is here to help. This entry-level strength training program is designed for anyone new to strength training or returning after years away.

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🎁 Stay on track this season with my Holiday Game Plan! 🎁

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I get it—the ketogenic diet has taken a lot of heat lately. It’s not the first choice for most people these days, but that doesn’t mean it’s without merit. It played an essential role in weight loss and health when options were limited, and for certain people, it can still offer real benefits.

Lately, I’ve noticed a wave of criticism about the ketogenic diet in my Facebook groups and conversations with colleagues. But I stand by the idea that it has its place.

So, let’s dive into what the ketogenic diet is, how it functions, and its advantages and drawbacks. I’ll also talk about who might find it beneficial. You might have given it a try or know someone who has. It’s a diet that comes and goes in popularity, but its value is worth a closer look.

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🎁 Stay on track this season with my Holiday Game Plan! 🎁

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Is Phentermine being overlooked as a weight management option?

While it’s been around for decades, newer medications like Wegovy and Zepbound have taken the spotlight. Yet, Phentermine—and its combination with Topiramate, known as Qsymia—remains an effective choice for many.

In this episode, we’re taking a closer look at these medications. We’ll explore how they work, who might benefit from them, and how they compare to newer treatments. These medications have a long history of use and can still play an important role in weight management today.

By the end of this discussion, you’ll have a clearer understanding of whether Phentermine or Qsymia could be a good option for you or your patients. Welcome to the Phentermine and Qsymia episode!

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🎁 Stay on track this season with my Holiday Game Plan! 🎁

Download now: Holiday Game Plan

Are you losing weight too quickly with medications like Zepbound or Wegovy? How can you tell if it’s going too far?

With the rise of weight loss medications like Zepbound and Wegovy, this question is more important than ever. While these medications can lead to significant weight loss, it’s crucial to understand what healthy weight loss looks like and how to monitor your progress. There’s no one-size-fits-all answer, but recognizing the signs of excessive weight loss and knowing how to gauge your health is key.

In this discussion, I’ll also briefly touch on the right calorie intake with these medications. I even have a dedicated episode diving even deeper into this question: How many calories should you eat (Especially if on Wegovy or Zepbound!)

Additionally, I talked about the importance of maintaining muscle during weight loss. Losing muscle can slow metabolism, weaken strength, and impact bone health over time. That’s where GLP Strong comes in! Designed for patients on weight loss meds, this program helps preserve muscle mass while you lose weight.

If you're concerned about rapid weight loss on medications, don’t miss the full episode!

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🎁 Stay on track this season with my Holiday Game Plan! 🎁
Download now: Holiday Game Plan

Struggling to navigate the holiday season without derailing your progress?

The holidays bring joy, connection—and plenty of temptations. But what if there’s a way to enjoy the festivities without losing sight of your goals?

In this episode, practical strategies take center stage. Whether it’s setting intentions, managing indulgences, or sticking to your plan, you’ll find ideas you can actually use during holiday parties, family dinners, and everything in-between.

Ready to head into the season with a solid plan? Don’t miss out—listen to the full episode and set yourself up for success this holiday season!

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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

“My legs felt terrible. So, I cried a little. And then, I carried on.”

In this episode, I’m diving into the lessons I took away from running the New York City Marathon. Just like the grueling 26.2 miles of a marathon, the journey of weight management is a long, often challenging process. There are moments when it feels tough, and the progress can be slow, but staying committed to a few key principles helps keep that end goal in sight.

I’ll be sharing how these principles apply not just to running but also to sticking with a long-term health journey, even when things get hard.

So, if you’re ready to hear more about these marathon-inspired lessons and how they can support your own journey, tune in to the full episode. I promise it’s packed with insights that go beyond running – it’s about finding resilience, staying focused, and keeping your motivation alive, one step at a time.

If you're interested in how these marathon lessons can apply to your own path, be sure to check out the full episode. It’s packed with practical takeaways that go well beyond running – it’s about staying resilient, maintaining focus, and keeping your goals in sight every step of the way.

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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Hit a wall in your weight loss efforts?

Plateaus are something most people face at some point. It can be frustrating to see the scale stall, especially after all the effort you’ve put in. But understanding that this is a normal part of the process can help you find ways to move forward.

In this episode, I’ll tackle some frequently asked questions about weight plateaus, including:

When should you consider that you’ve hit a plateau?
What should you do about weight fluctuations?
Why do weight loss plateaus happen?
Tips for managing a weight loss plateau.
What I do for my patients who experience plateaus.

If the weight just won’t budge, this episode is for you. Remember, a plateau doesn’t mean you’re not making progress—it’s just part of the journey. The insights and tips shared today will help you navigate this challenging phase. So, stay tuned, and let’s figure out how to overcome those plateaus together!

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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

“Good” Food vs. “Bad” Food: Can food truly be classified into just two categories?

In this episode, I’m excited to challenge that notion. This topic is close to my heart, and I don't think we've discussed it in this way before. The diet industry and diet culture have made us overly obsessed with the idea of good versus bad foods.

Today, I want to explain how some foods are more beneficial for achieving certain goals than others. We’ll explore how to evaluate foods based on how you feel after eating them, assess your performance with different foods, and gain insight into what foods work best for your body.

I’ll also touch on gut health and how to recognize potential triggers. One category of foods that often causes gut issues, such as constipation, diarrhea, and bloating, is high-FODMAPs.

Understanding how different foods affect our bodies can empower us to make better choices for our health and well-being.

If you want to dive deeper into this topic and discover how to tailor your diet to suit your goals, be sure to listen to the full episode.

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Claim your complimentary gift of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ready to kickstart your gut health journey?

Start here with this episode! Dr. Adam Perlman, Chief Medical Officer at Pendulum Therapeutics, joins the conversation to discuss their probiotics, designed to support gut health and metabolic conditions, including the microbiome’s role in digestion and weight management.

Bringing a wealth of expertise, Dr. Perlman was previously the Director of Integrative Health and Wellbeing at the Mayo Clinic in Florida and Medical Director of Employee Wellbeing. Before that, he held the role of Associate VP for Health and Wellness at Duke University Health System, overseeing Duke Integrative Medicine and the Duke Diet Center.

In this episode, Dr. Perlman delves into the gut microbiome’s influence on appetite and metabolism, highlighting the importance of Akkermansia, a keystone bacterium essential for gut health. We also explore fascinating studies on the gut microbiome’s impact on weight management and insulin resistance, including experiments with genetically identical twins. Additionally, we discuss how the gut influences cravings and satiety and share tips on nurturing gut health for overall well-being.

Want to dive deeper into the science of plant-based appetite suppressants? Listen to the full episode with Dr. Ed Walker now!

If you’re thinking of purchasing from Pendulum, use the code FRANCAVILLA at https://pendulumlife.com/ for a great discount.

Check out Pendulum:

Instagram: pendulumlifeco
Website: pendulumLife

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Website: Dr. Francavilla Show
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Check out the Medical Weight Loss Summit, launching on October 15th, 2024, which I collaborated on with Dr. Talks!

Link: Medical Weight Loss Summit — Dr. Francavilla Show

What’s changing in the field of obesity medicine?

Keeping up with the changes in obesity medicine can be a bit tricky, which is why Dr. Mike Albert, a board-certified specialist in internal and obesity medicine and co-founder of Accomplish Health, is here to share his insights. Accomplish Health is a telehealth practice focused on providing comprehensive obesity care. When he's not working, Dr. Albert educates over 300,000 followers on social media about all things obesity.

In this episode, Dr. Albert dives into the latest advancements in obesity care, especially the rise of GLP-1 medications. These new treatments are shaking things up and offering more effective options, but with big companies getting involved, there’s concern about whether quality care is getting lost in the rush for profit. He points out that these hormone-based therapies use hormones from the gastrointestinal tract to help regulate appetite and energy, and they’re actually more potent than the hormones our bodies naturally produce — all thanks to some cool advances in biotechnology.

The discussion also covers how we’re shifting our view of obesity from just focusing on weight loss to recognizing it as a complex chronic disease with metabolic implications. It’s a big change that highlights the need for a more comprehensive approach to treatment.

If you’re curious about the latest trends and insights in obesity medicine, be sure to tune in to the latest episode.

Check out Calocurb:

Instagram:michaelalbertmd
Instagram: accomplishhlth
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Website: Accomplish Health
X: Michael "Mike" Albert, MD
LinkedIn: Michael Albert MD

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Check out the Medical Weight Loss Summit, launching on October 15th, 2024, which I collaborated on with Dr. Talks!

Link: Medical Weight Loss Summit — Dr. Francavilla Show

Ever wondered if there’s a plant-based appetite suppressant that mimics the GLP-1 mechanism?

With the rising demand for GLP-1 medications like Wegovy and Zepbound, the supply is struggling to keep up.

In this episode, we welcome Dr. Ed Walker, who has a PhD from the University of Auckland focusing on the antioxidant effects of berry fruits. He now researches how plant compounds can enhance health, specifically investigating nature-derived appetite suppressants.

Over the last 13 years, Dr. Walker has dedicated his work to exploring plant-based solutions that reduce hunger and promote healthier food choices. His efforts led to the development of Calocurb (Amarasate), a novel appetite suppressant derived from New Zealand hops, which shares some similarities with the GLP-1 mechanism.

Join us as we discuss the discovery of this compound, its mechanisms of action, and its potential benefits. Dr. Walker also shares insights from several clinical trials investigating how hop extract influences appetite regulation and its potential as a natural supplement for weight management.

Want to dive deeper into the science of plant-based appetite suppressants? Listen to the full episode with Dr. Ed Walker now!

Check out Calocurb:

Instagram: Calocurb
Website: Calocurb

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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Check out the Medical Weight Loss Summit, launching on October 15th, 2024, which I collaborated on with Dr. Talks!

Link: Medical Weight Loss Summit — Dr. Francavilla Show

Wow, the 100th episode! I’m so excited to celebrate this milestone with you today!

In this special episode, we’re going to revisit some key topics on maintaining a healthy weight and overall well-being, including the 'Weight Care 8'—a set of guiding principles I use with my patients to treat obesity in a sustainable, thoughtful way.

I’m also thrilled to talk about GLP Strong, a strength training program I launched a few months ago to help people move better and feel stronger. This initiative is perfect for everyone and especially those on GLP medications. With full-body resistance training offered twice a week, GLP Strong is a fantastic way to boost fitness.

And to make this episode even more special, I’m introducing the Medical Weight Loss Summit!

Launching on October 15th, 2024, this is a project I collaborated on with Dr. Talks. It’s like the podcast on steroids, featuring interviews with more than 40 experts from various fields, including obesity specialists, naturopathic doctors, chiropractors, PhDs, and more. Together, we cover a wide range of topics related to weight and health.

I’ll be sharing three key highlights from the summit in this episode, so stay tuned!

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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

The multifaceted world of type 2 diabetes can sometimes be hard to comprehend. In this episode, I’m joined by Dr. Lindsay Ogle, a family practice physician based in Missouri. She specializes in metabolic care, weight loss, and obesity through virtual telehealth services, focusing on treating and preventing conditions like diabetes, prediabetes, PCOS, fatty liver disease, high cholesterol, metabolic syndrome, and obesity.

Dr. Ogle and I delve into important topics related to type 2 diabetes, such as understanding treatment options, lifestyle changes, and other key insights.

This episode answers critical questions like:

Why is it important to treat diabetes early?
What is the connection between diabetes and weight management?
Why are new medications like GLP-1 agonists and SGLT2 inhibitors beneficial for both diabetes and weight control?
Can patients on insulin transition to these new medications?
Who are the candidates for bariatric surgery?

Tune in to hear the full discussion and discover how the latest developments in diabetes care could impact individual health.

Connect with Dr. Ogle:

Instagram:dr.lindsayogle
Facebook: Lindsay Ogle
Website: Missouri Metabolic Health
Youtube: Dr. Lindsay Ogle - Family & Obesity Medicine

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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Today, it's all about the debate surrounding the cost of obesity treatment. This issue is especially frustrating. Unlike other medical conditions, like heart attacks or cancer—which are treated without much hesitation despite their high costs—obesity treatment often faces scrutiny and resistance due to its price tag.

To get past these challenges, we need to rethink how we approach obesity treatment. It's worth asking why we're quick to invest in treatments for other serious health issues, but hold back when it comes to obesity.

A lot of this comes from the idea that people are "responsible" for their weight, leading some to believe the cost of treatment shouldn’t be covered. But to truly move forward, we need to rethink this approach.

I’ve offered other key takeaways on this topic that can help navigate the many obstacles in obesity treatment. Tune in to the full episode for more.

If you’re ready to take action and explore solutions, the Obesity Action Coalition is a great resource. You can visit their website to find tools and information on how to advocate for better obesity treatment coverage.

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A significant part of the controversy stems from the belief that individuals should bear the financial burden of their weight-related health issues because they are deemed "responsible" for their condition. This perspective overlooks the fact that addressing obesity is not only about individual responsibility but also about ensuring equitable access to necessary medical care.

To get past these challenges, we need to rethink how we approach obesity treatment. It's worth asking why we're quick to invest in treatments for other serious health issues but hold back when it comes to obesity. Changing this mindset could lead to better coverage and support for those who need treatment.

For those interested in taking practical steps to address weight management, the Obesity Action Coalition offers valuable resources. Their website provides tools and information for advocating improved coverage for obesity treatments, empowering individuals to take control of their health journey.

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

A lot of people get caught up with the number on the scale or BMI when thinking about their health, but there’s so much more to it. Today, I’m chatting with Bradley Davie about why body composition is a game-changer. Bradley, who holds a degree in Kinesiology and Physical Education from the University of Maine, has been a health coach since 2011. For the past eight years, he’s been helping companies integrate InBody’s Health Assessment Tools, including body composition analyzers, blood pressure monitors, and grip strength testers, into varies clinics across the country.

InBody has earned its reputation for delivering top-notch technology to measure body composition. Their devices go beyond the basics, providing insight into muscle mass, body fat, and even water distribution—offering way more valuable information than a typical scale or BMI.

Bradley and I break down why understanding body composition gives you a much clearer view of your health than just primarily focusing on weight. We also dive into how InBody technology works and cover the basics of using it to get the most accurate insights.

If you're interested in how body composition can change the way you approach your health, be sure to check out the full episode!

Want to try the home composition scale Dr. Francavilla uses? Here’s her code to get 15% of InBody’s home scale: 15% off InBody Dial H30

Connect with Bradley Davie:

Website:Harmony Health
Podcast: Beyond The Scale
SoundCloud: RYA

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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

This episode is my opportunity to balance things out after sharing all the advice I give my patients but don’t always follow myself in the first part of the 'Confessions from an Obesity Physician' series.

Now, in this second part, I'm focusing on the five key habits that I consistently maintain and encourage my patients to adopt. I'll explain why these habits are important and how I make them work in my everyday life.

I want to highlight that the guidance I provide isn't just based on my personal experience—it's rooted in evidence-based practices and backed by medical research. I believe in a balanced approach that combines scientific data, such as studies on medications, diets, and exercise, with the unique needs of each patient. Even if a particular strategy is strongly supported by evidence, it doesn't necessarily mean it's the perfect fit for everyone, and that's perfectly fine.

Get the full picture by tuning into the complete episode and uncover more insights.

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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

As an obesity expert, I usually give a lot of personalized advice to help my patients reach their health goals. These tips are super effective for weight management, but here’s the surprising twist—I don’t always follow them myself! It might sound a bit shocking, but even though I know what works, I sometimes find it hard to stick to my own advice.

In this episode, I'm opening up and sharing five things I regularly tell my patients to do that I don’t always manage to do myself. I’ll dive into my own experiences and explain why I sometimes stray from the advice I give others.

We’ll also talk about why some advice that’s perfect for many people might not be the best for everyone. Plus, we’ll discuss how you don’t have to get everything right to stay healthy or manage your weight. Sometimes, being flexible and finding what works for you is the key!

I hope this gives you a peek into my own journey and shows that even the experts don’t always follow every piece of advice. If you're curious to hear all the details and learn why I occasionally stray from my own recommendations, make sure to listen to the full episode. You’ll find some helpful insights, and who knows, you might discover that being less than perfect is just what you need to reach your goals.

Connect with me:

Instagram: doctorfrancavilla
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Website: Dr. Francavilla Show
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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you still dealing with sugar cravings even while on GLP-1 medication?

In this episode, I'll dive into why sugar cravings can persist when you're taking GLP-1 medications like Wegovy or Zepbound. I'll explain what's going on in your body and share five practical tips to help you manage these cravings if they’re still giving you trouble.

We'll also break down how GLP-1 medications work. These meds mainly affect the gut, helping you feel fuller and more satisfied, which can naturally cut down on hunger and cravings for some folks. But here's the thing—they don't specifically target cravings, particularly sugar cravings. So while many people notice a drop, it’s not unusual for some cravings to stick around because GLP-1s don't directly address them.

That’s just a sneak peek of what we’ll be covering. If you want to get the full scoop on managing sugar cravings while on GLP-1 medication, be sure to listen to the episode. I’ll be sharing all the details and tips you won’t want to miss!

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Website: Dr. Francavilla Show
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Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Life often follows certain rhythms—goal-setting, practicing gratitude, building relationships, and even bad habits all have their own cycles. Understanding these patterns is crucial, especially when trying to incorporate new habits or break old ones. Recognizing how your body works helps you seamlessly integrate new habits and prevent bad ones from becoming routines.

Did you know weight gain has its own pattern too?

In this episode, we’ll explore what drives eating and overeating, how to recognize these patterns, and how to choose the right plan for you—whether it's weight loss medications, dietary changes, or new exercises. I’ll also discuss Dr. Andres Acosta’s four eating patterns: The Hungry Brain, Emotional Hunger, Hungry Gut, and Slow Burners, which he identified through fascinating scientific methods.

While 85% of people fit into one of these eating patterns, about 15% don’t. Who are these 15%?

Wondering which eating pattern fits you best?

Listen to the full episode to find out. I also delve into a fascinating concept not covered in Dr. Acosta's research: sensory-specific satiety. Discover how taste, texture, and the act of chewing contribute to feelings of fullness and satisfaction.

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Instagram: doctorfrancavilla
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Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever felt like you're eating all the right things but still dealing with bloating, inflammation, and discomfort?

It's frustrating, right? You follow all the guidelines, but your body doesn't seem to cooperate.

Or maybe you're sticking to a balanced diet, yet the scale keeps going up. You put in the effort, but the results just aren't there. If this sounds familiar, today's episode is just for you.

We'll dive into what healthy eating really means. We'll start by discussing how to notice the immediate effects of food on your body, like how you feel right after eating. This can give you important clues about what works for you and what doesn't.

Next, we'll talk about personalizing your diet to fit your unique lifestyle and needs. It's not just about following generic advice but finding what truly aligns with your reality and goals.

Finally, we'll explore how to identify trigger foods that might be causing issues, so you can make more intentional choices that support your overall well-being.

By the end of this episode, you'll have a clearer understanding of how to make healthy eating work for you. So, tune in fully to this episode and discover practical strategies for achieving your nutrition goals.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

GLP-1 agonists like Wegovy and Zepbound are making waves, but their growing popularity brings some serious concerns. Reports have highlighted potential side effects such as blindness, stomach paralysis, and even suicidal thoughts.

In this episode, we'll dive into:

The risk of blindness associated with these medications
Severe gastrointestinal (GI) side effects
The potential risk of suicide with semaglutide

We’ll break down the data, explore the science behind these risks, and pinpoint what’s contributing to them. We’ll also discuss the common side effects of GLP-1 meds and what to watch for. Understanding these potential issues will help you navigate your experience more effectively.

Want to get the full picture on GLP-1 agonists? Listen to this episode to uncover the real risks and stay informed!

Connect with me:

Instagram: doctorfrancavilla
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Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you feeling constantly tired, gaining weight, feeling cold even when it's warm, and/ or losing hair?

If your thyroid levels are in a normal range but you're still experiencing these symptoms, you might have subclinical hypothyroidism. This means your thyroid stimulating hormone (TSH) levels are slightly elevated, but your thyroid hormone levels are normal. It’s often without symptoms but can progress to clinical hypothyroidism and some may be more sensitive than others.

In this episode, we're joined by Dr. Dana Gibbs, a board-certified ENT and thyroid surgeon, and founder of Consultants in Metabolism. She’s passionate about thyroid treatment and specializes in helping people with Hashimoto's disease, complex thyroid conditions, and chronic fatigue.

We'll discuss how your thyroid affects your overall well-being and why diagnosing thyroid issues can sometimes be confusing. We'll explain why your symptoms might not always match the test results and how to treat imbalances of T3 and reverse T3 hormones. We'll also cover how to handle side effects and related conditions, as well as the emotional triggers and cortisol release that can impact your thyroid health.

Gain control over your thyroid health and boost your well-being with this insightful episode. Tune in and listen to the full episode now!

Connect with Dr. Gibbs:

Adrenal/thyroid supplements guide: www.danagibbsmd.com/guide
Website: Dana Gibbs MD

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
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GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever felt like a single slip-up derails your entire weight loss journey?

Week after week, you've been making mindful eating choices, selecting healthier options, and staying active. Then, life intervenes. You reach for comfort food, and suddenly, getting back on track feels out of reach.

If setbacks have left you feeling lost and unsure of how to move forward, this episode is for you. We'll delve into practical strategies to help you regain your momentum. I'll share five actionable tips that go beyond just health and diet—they're versatile enough to enhance any area of your life. Plus, I'll include real-life examples to make these strategies even more effective.

Let’s convert setbacks into stepping stones for success together. Make sure to listen to the whole episode to discover all the valuable tips and health strategies.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wonder why some people breeze through their to-do lists while others struggle to get anything done?

In today's episode, we'll explore how understanding personality types, as outlined by Gretchen Rubin in The Four Tendencies, can potentially help you manage your weight—or help others manage theirs. These insights into Upholders, Questioners, Obligers, and Rebels can provide valuable strategies tailored to your or someone else's unique approach to goals and expectations, offering new ways to stay motivated and achieve success in health and fitness goals.

Rubin's framework categorizes people into four personality types:

Upholders: They readily meet both inner and outer expectations, making them proficient at sticking to plans and goals, including those related to weight management.
Questioners: They meet inner expectations but question outer ones. For weight management, they need reasons and justifications for their health choices.
Obligers: They meet outer expectations but struggle with inner ones. They may excel with external accountability, making them responsive to support and encouragement in weight management efforts.
Rebels: They resist both inner and outer expectations and thrive on spontaneity and freedom. For weight management, they may benefit from non-traditional, flexible approaches.

By identifying your or someone else's tendency, you can tailor strategies to maximize motivation and overcome challenges in achieving health goals. Understanding these dynamics can make a significant difference in how effectively you approach weight management and overall well-being.

Ready to dive deeper? Listen to the full episode for further insights!

Visit Gretchen Rubin's website to explore her Four Tendencies framework: Gretchen Rubin - https://gretchenrubin.com/four-tendencies/

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you finding that your mental health medications are affecting your weight?

It's a common concern for many patients. Mental health issues have surged over the past decade, with the National Institutes of Health (NIH) reporting in 2024 that 57.8 million adults are affected by some form of mental illness. As a result, people have pursued various treatments, such as psychotherapy, behavioral therapy, medications, and other interventions.

Today, we're discussing the effects of mental health medications—meds like antidepressants and mood stabilizers—on patients' weight. Yep, we're talking about the dreaded weight gain that often comes with these meds, and it's a concern that definitely deserves some attention.

Joining us to shed light on this topic is Dr. Amy Motamed. She is an outpatient psychiatrist based in Bethesda, Maryland, and she's got a special interest in helping patients who struggle with excess weight, especially since a lot of psychiatric medications can contribute to this issue. We'll be touching on GLP 1 medications like Wegovy and Zepbound too.

Make sure to tune in to the full episode to understand how these medications can impact weight, mental health, and overall well-being.

Connect with Dr. Motamed:

Website:Old Georgetown Mental Health Associates
Email: drmotamed@ogmha.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wondered how many calories your body burns without hitting the gym? Turns out, exercise isn't the only effective calorie burner!

For busy folks who struggle to fit in daily workouts, how can you still burn those calories? Let's break it down.

In this episode, we'll dig into NEAT—Non-Exercise Activity Thermogenesis. It's all about the calories your body uses through everyday activities, like walking, cleaning, or just staying active

We’ll also discuss different ways our body burns calories from BMR to TEF, highlighting how each component contributes to our daily energy expenditure and overall metabolic activity.

And as a bonus, I've shared some practical tips to increase your NEAT effortlessly in your day-to-day life.

So, whether you're trying to maintain a healthy weight or simply boost your energy levels, these insights and strategies can make a real difference.

Dive into this episode to discover the secrets of NEAT—Non-Exercise Activity Thermogenesis—and learn practical steps to boost your daily calorie burn effortlessly.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

In today’s episode, we explore a breakthrough in heart health with Wegovy (semaglutide). These have shown a 20% risk reduction in heart disease in at-risk individuals, according to the SELECT trials of Fall 2023.

Heart disease is the leading cause of death for both men and women, and 80 to 90 percent of cases are preventable through healthy lifestyle choices like diet, exercise, regular check-ups, and stress management.

Joining us is Dr. Tracy Paeschke, a double board-certified cardiologist and health coach with expertise in heart disease prevention.

She shares insights into preventive strategies, stress's impact on heart health, advanced testing, personalized statin therapy, and specific considerations for managing heart health in women. We also dispel the myth that heart disease predominantly affects males. Heart disease stands as the leading cause of death for women, and we delve into its prevalence and unique challenges in our discussion.

To uncover more insights into heart disease prevention and the latest breakthroughs in cardiovascular health, listen to the full episode now!

Connect with Dr. Paschke:

Website:: Heart Health Prevention Wellness
Email: info@hearthealth.care

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Feeling stuck in your weight loss journey?

You kicked off your weight loss journey strong—consistent routine, pounds shedding weekly, and fitting into smaller clothes. But suddenly, progress halts. You've hit a plateau, and now you're unsure of what to do next.

If this sounds familiar, this episode is for you. We'll dive into the root causes of weight loss plateaus, what happens to your body during this phase, and how to break through it.

I also explain the science behind water weight, glycogen, and other contributing factors, and discuss the duration of weight loss progress with certain medications and interventions such as phentermine, Contrave, GLP-1 agonists like Wegovy and Zepbound, as well as bariatric surgery.

Tune in to uncover every detail about overcoming this common hurdle and get back on track with your weight loss goals.

Don’t miss out—your breakthrough awaits!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
Strength Training Program: GLP Strong

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Did you know that stress can profoundly impact our weight?

Yes, we've all been there—reaching for sweets or salty foods when we're under stress. But have you ever looked into the science behind this behavior? The release of the hormone cortisol during stressful experiences can disrupt hormonal balance, leading to issues such as increased appetite and unhealthy food cravings.

This episode explains all about how and why stress affects our weight and eating behaviors, root causes of stress, chronic diseases affected by stress, and practical steps to reduce it and improve overall health.

Joining us is Dr. Robyn Tiger, a distinguished physician specializing in diagnostic radiology and lifestyle medicine. Through her practice, Stress Free MD, Dr. Tiger integrates her expertise in medicine, yoga, therapy, meditation, and life coaching to provide holistic care.

Dr. Tiger and I also discussed the Blue Zones, regions known for their high number of centenarians. We explored the factors contributing to their long lifespans and how we can apply these insights to our daily lives.

To explore more about how stress impacts weight and discover practical solutions for well-being, listen to the full episode!

Connect with Dr. Tiger:

Instagram: stressfreemd
X: StressFreeMD
Website: Stress Free MD
LinkedIn: Robyn Tiger MD, DipABLM

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Using weight loss medications like Wegovy or Zepbound?

While rapid weight loss from medications like Wegovy or Zepbound is often what people are after, it can also lead to muscle loss. Keeping your muscle is super important because it's metabolically active, which means it helps you burn more calories even when you're just chilling. This boosts your overall metabolism and aids in weight management.

That's why resistance training is a must to keep your muscle and strength. If you're on these meds and want to kickstart your fitness journey, this episode is just for you.

I introduce my entry-level strength training program, 'GLP-Strong,' designed specifically for those who need to preserve muscle while on weight loss medication.

In this episode, I’ve invited two of my partners, Shaun Parris and Stephanie Burke. Shaun, the owner of CrossFit Common Fortitude in Lakewood, Colorado, has over 10 years of training experience and focuses on helping people stay healthy and active into their senior years. Stephanie, a CrossFit Level 1 Trainer and former paramedic, now works in emergency preparedness. She specializes in training large-body athletes and is passionate about improving health and well-being.

We talk about:

Exercise Guidelines
In-depth explanation Resistance and Strength Training
GLP Strong with GLP 1 meds

If you're curious about our new program, GLP Strong, tune in to the full episode where Shaun Parris and Stephanie Burke provide a comprehensive overview. Discover how this beginner-friendly program is tailored for everyone, right in the comfort of their own home.

Check out the GLP Strong website to delve deeper into what our program offers.

Link: https://www.glpstrong.com/

Connect with Shaun and Stephanie:

Instagram:cfcommonfortitude
Facebook: CrossFit Common Fortitude
Website: CROSSFIT COMMON FORTITUDE

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

GLP-1s like Wegovy and Zepbound have been on everyone's lips. These so-called 'miracle drugs' gained more attention after Oprah discussed them on her recent episode titled 'Shame, Blame, and the Weight Loss Revolution.' She mentioned that they were a key player in helping her lose weight.

But the big question on everyone's mind is: How long should one stay on Wegovy or Zepbound? Is it a lifetime commitment?

In this episode, Dr. Linda Anegawa will answer this question. She is the Chief Medical Officer for Noom and has over 20 years of experience in academic primary care, bariatrics, and leadership in digital health startups. Since becoming certified by the American Board of Obesity Medicine in 2014, she has developed weight loss and lifestyle medicine programs in both traditional healthcare settings and telemedicine.

We also discussed common misconceptions about these drugs, including the risks associated with starting and stopping them, potential dependency issues, and a range of other important information. We delved into how these medications work, their side effects, and the long-term implications for those considering or currently using GLP-1s like Wegovy and Zepbound. By addressing these topics, we aim to provide a comprehensive understanding for anyone interested in these weight management options.

Tune in to the full episode to grasp a deeper understanding of these medications.

Connect with Dr. Anegawa:

Noom Website: https://www.noom.com/
NoomMed Website: https://www.noom.com/med/
NoomWeight Website: https://www.noom.com/lp/weightLossGoal
Noom Instagram: https://www.instagram.com/noom/
Noom YouTube: https://www.youtube.com/channel/UCXwV4vaTOZu6YRa5xxKKtnw
Noom TikTok: https://www.tiktok.com/@noom
LinkedIn: Linda Anegawa, MD, FACP, Dipl. ABOM, NBPAS

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Weight loss is an emotional rollercoaster. From the excitement as weight drops, to the inevitable setbacks and frustrations, the emotional landscape of weight loss is vast and varied. In this episode, we’ll explore all of them with Dr. Maribeth Orr, a fellow obesity physician from Heartland Weight Loss in Lawrence, Kansas, who specializes in patients aged 12 and up.

Dr. Orr has her own personal struggle with obesity, starting during her medical residency, and she'll share her insights on what to expect during your weight loss journey.

She also provides a refreshing perspective on tackling the ups and downs of weight loss, which she lovingly calls "Embracing the Suck." This approach encourages individuals to face the challenges head-on, helping them navigate the journey with resilience and determination. Additionally, we'll talk about how a support system can propel you forward in your progress and where to find it.

Weight loss is undeniably a journey filled with emotional highs and lows. However, with the right mindset and support, you can successfully navigate through it all.

Join us for the full episode as we delve into Dr. Maribeth Orr's personal journey and explore her unique approach to weight loss.

Connect with Dr. Orr:

Instagram: maribethorr
LinkedIn: Maribeth Orr, D.O., DABFM, DABOM
Facebook: Maribeth Malburg Orr
Website: Heartland Weight Loss

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

In this episode, we review the link between Joint Inflammation, Stress, and Weight, exploring how excess weight can impact rheumatologic conditions.

I'm joined today by Dr. Isabelle Amigues, a physician and rheumatologist based in Denver, Colorado. Dr. Amigues trained in both Paris and at Columbia University in New York City. She's also the host of the Unabridged MD podcast and is an accomplished researcher, authoring multiple book chapters and scientific articles, as well as being a sought-after speaker.

Dr. Amigues and I also discussed how medications like GLP-1 receptor agonists and metformin can help manage inflammation, especially in patients with obesity dealing with rheumatic conditions.

Lastly, we touched on the interconnectedness of our physical and mental well-being. Dr. Amigues shared her personal story of battling stage 4 cancer and the impact of stress reduction techniques on healing both the mind and body.

Connect with Dr. Amigues:

Instagram:unabridgedmd
Podcast: UnabridgedMD (on all platforms)
Website: unabridgedMD
Youtube: Rheumatology 101 by Isabelle Amigues, MD, MS.
TEDx talk: https://youtu.be/VfbMljfqdlo?si=lrVXkQtDcAEjFoPV
Tiktok: UnabridgedMD

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Sometimes, our inner critic can be quite harsh and demanding, especially when it comes to ourselves. This inner dialogue often leads to self-blame, self-criticism, and feelings of shame and judgment. These negative emotions can hinder our ability to make positive changes in our health and our lives.

In weight management, maintaining a positive mindset is crucial. A cheerful outlook not only boosts motivation but also helps in overcoming obstacles more effectively. When we approach our fitness journey with positivity, we're more likely to stay committed, make healthier choices, and ultimately achieve our goals.

In this episode, I'll be discussing a few mindset shifts that can transform your thinking from negative to positive, leading to increased productivity in achieving your health goals. Tune in to the full episode to learn more!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

In this episode, we're joined by Dr. Ethan Lazarus, former president of the Obesity Medicine Association and a key figure at the American Medical Association. Together, we're diving into the significant transitions in the world of obesity medicine over the years, covering treatments, medications, exercise, nutrition, and, of course, mindset.

Dr. Lazarus is a true pioneer in the field, with over 20 years of experience as an obesity physician and owner of the Clinical Nutrition Center in Greenwood Village, Colorado. He's seen it all and played a significant role in advancing the field.

We'll also be touching on the ongoing issue of "Weight Stigma." Despite the years passing, it's still a major concern, and Dr. Lazarus will shed some light on it.

So join us as we explore the ever-changing landscape of obesity management and get a glimpse of what lies ahead in healthcare. Dr. Lazarus's insights will be our compass as we navigate through the complexities of improving health and wellness

Connect with Dr. Lazarus:

Facebook:Clinical Nutrition Center
LinkedIn: Ethan Lazarus

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

The Most Important Meal of The Day: BREAKFAST!

Let's talk about it!

Are you ready to join the breakfast club?

In this episode, I'll persuade you by sharing the top reasons why eating in the morning can positively impact your weight loss journey.

The data released by the National Weight Control Registry reveals a striking trend: a majority of individuals who have successfully lost weight and kept it off are incorporating breakfast into their daily routine. Specifically, 78 percent of those who have lost 30 pounds or more and maintained it are consuming breakfast every day.

I'll also be sharing some easy breakfast ideas to help you kickstart this journey.

So, if you're interested in learning why I'm all about breakfast, listen to the full episode and feel free to take down some notes!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Need some tips to amp up your weight management strategy?

You got it! In this episode, I'll be dishing out three tips that I recommend to my patients daily but haven't discussed yet on this podcast.

3 Nutrition Tips I Give Every Day:

Number 1: 80/20 rule.

Number 2: Give yourself permission.

Number 3: Stop fighting hunger.

These strategies depart from typical internet advice, aiming for a balanced approach to nutrition while also embracing life's simple pleasures. They encourage an inner dialogue aimed at making better, more helpful decisions, and offer ways to support your body rather than working against it.

If you feel that my tips could benefit you, don't miss out on the full episode!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Strength training has surged in popularity over the past few years. Countless individuals who've embraced it can vouch for the incredible benefits they've experienced firsthand.

But do we really know what strength training truly is? And what about the science behind it?

This episode is here to uncover everything about strength training. I’ve invited Dr. Carrie Holland. She’s a physician, certified coach and CEO, and she’s all about empowering women to own their wellness journey. With expertise in personal training, health coaching, and life coaching, she's your go-to for a holistic fitness approach

We talk about how our beliefs about ourselves impact our fitness journey and how we can improve them. Dr. Holland highlights the lifelong benefits of strength training for maintaining functionality as we age. She also offers practical tips for beginners to start strength training and establish regular habits.

If you're interested in learning more about strength training, be sure to listen to the entire episode. You won't want to miss the opportunity to kickstart your fitness journey.

Connect with Dr. Carrie Holland:

Instagram:carriehollandmd
Facebook: Fit Life with Carrie Holland, MD
Website: Home - Fit Life with Carrie Holland, MD (carriehollandmd.com)
Linkedin: Carrie Holland, MD CPT
Youtube: Carrie Holland MD, CPT

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you caught the latest Oprah Special?

In Oprah's recent episode: Shame, Blame, and the Weight Loss Revolution, she talked about a lot of issues related to weight. And in this episode, I want to share my insights and perspective on the topics she discussed to help break them down and explain why they matter.

Oprah discussed how individuals with obesity often blame and shame themselves. She shifted the mindset by highlighting the importance of understanding why people gain weight. It's not solely about eating behavior, lack of activity, and definitely not about intelligence or willpower. She emphasized that knowing the science behind it, or simply put, understanding the biology, plays a major role in how we manage weight. This new perspective might help us stop blaming ourselves and start being kinder when it comes to managing our weight.

Another interesting thing that Oprah shared was her own experience with weight loss medications, saying they not only helped her lose weight but also made it easier to stop thinking about food all the time.

Oprah also discussed the challenges people face in accessing weight management medications. She invited executives from the pharmaceutical industry to shed light on the major hurdles, which they identified as insurance coverage and medication supply shortages

Her episode shows that there are still a lot of barriers that people face when it comes to getting the help they need to manage their weight. As we move forward, it's crucial for us to speak up and push for changes that make it easier for everyone to get the support they need for better health.

If you're interested in advocating for improved Medicare coverage- start here https://www.obesityaction.org/troa/

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Want to know the connection between the brain and weight loss?

Well, in this week's episode, Dr. Caissa Troutman joins me. She delves into the details of the inner workings of our brains when it comes to metabolism. We'll chat about the various brain components linked to metabolic function and how we can sync up our behavior, eating habits, and nutrition to this rhythm to reach our desired outcome.

Dr. Caissa Troutman is the founder of WEIGHT reMDy, a direct care weight wellness practice. With a background as an obesity medicine physician and culinary medicine specialist, she offers expertise in healthy eating, diet, and weight loss. Having personally overcome obesity with a 32% weight loss, she empathizes with her patients' struggles. Dr. Caissa Troutman's current focus is on menopause and brain health.

We also address multiple angles on how to approach weight loss. From understanding different hormones such as Ghrelin (hunger hormone), Leptin (satiety hormone), Insulin, and Cortisol (stress hormone) and how they influence our bodily functions, offering insights into their management.

Join us for this insightful discussion on the intricate relationship between the brain and weight loss. Listen to the full episode!

Connect with Dr. Caissa Troutman:

Instagram:weightremdy
Facebook: WEIGHT reMDy
Website: https://www.weightremdy.net/

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever found yourself pondering the best way to manage your nutrition?

Let's explore the world of meal prepping through 6 insightful methods. It's more than just about cooking in bulk and repeating meals – it's a journey filled with possibilities.

Imagine this: planning and preparing your meals ahead of time becomes your key to success. And did you know about that intriguing study by Gollwitzer and Sheeran in the Psychological Bulletin? It highlights the importance of detailed planning, painting a picture of how mapping out your meals can lead you straight to victory. Could meal prepping be the missing puzzle piece you've been searching for in your health and weight goals?

But there's another benefit worth noting – meal prepping not only saves time but also saves money. Fascinating, isn't it? Let's delve into the world of meal prepping and uncover its secrets together.

Discover additional tips and strategies by tuning in to the entire episode on effective weight management.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Women journey through adolescence, adulthood, pregnancy, perimenopause, and menopause, each phase marked by hormonal shifts that can impact weight management.

Today's episode delves into Zepbound and Wegovy, offering insights into what women should understand about these medications across various life stages. This discussion encompasses guidance for women with PCOS, those seeking to conceive, navigating pregnancy, and facing the challenges of perimenopause and menopause

Joining me is Dr. Stephanie Persondek, a double board-certified expert in obstetrics and gynecology and obesity medicine. With over 15 years of experience in OBGYN and a certification in obesity medicine obtained in 2021, Dr. Persondek leads Inclusa Health and Wellness. She is dedicated to women's health across all life stages and actively educates future healthcare professionals through university teaching positions and authoring materials for McGraw Hill and ABC Board Review.

If you're eager to uncover the full scope of Zepbound and Wegovy's impact on women's health across various stages, be sure to tune in to the entire episode. Dr. Persondek delivers detailed insights, offering elaborate explanations tailored to each stage. Discover how women can effectively manage their weight through every phase.

Connect with Dr. Persondek:

Instagram: inclusapnw
Facebook: Inclusa Health & Wellness
Tiktok: inclusapnw

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What is lipedema, and what can be done to address it?

This week, we explore lipedema, a condition characterized by abnormal fat build up in regions like the legs and arms, leading to swelling, pain, and tenderness. It predominantly affects women and is believed to have a genetic component.

Unlike typical weight gain, fat associated with lipedema is stubborn to respond to diet and exercise. Treatment options encompass compression therapy, physical therapy, and, in some instances, surgical intervention.

Joining us is Dr. Nicholas Pennings, a distinguished figure in the field. Dr. Pennings serves as an associate professor of family medicine at Campbell University and is a board-certified physician specializing in obesity medicine. He has contributed to establishing standards of care for lipedema in the U.S. and continues to impart knowledge to healthcare professionals through his affiliation with the Obesity Medicine Association

We also dove into crucial topics including:

Challenges in Conventional Weight Loss Interventions for Lipedema
Understanding and Treatment
Prevalence of Lipedema

If you're seeking deeper insights into lipedema, don't miss out on this episode. Dr. Pennings' expertise on this condition is truly invaluable and can offer tremendous help to those grappling with it!

Connect with Dr. Pennings:

LinkedIn:Nicholas Pennings, DO, FOMA, FACOFP, FAAFP

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

More information about Lipedema

https://www.lipedema.org/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8652358/
https://www.fatdisorders.org/

Claim your complimentary gift of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you curious about how an expert in obesity medicine can help you choose the right weight loss medication?

Well, you're in for a treat!

Join us in this episode as we welcome Dr. Beverly Tchang, a distinguished figure in the field of obesity medicine. She is serving as an assistant professor of clinical medicine at Weill Cornell Medicine in New York, brings a wealth of expertise as a triple-boarded specialist renowned for navigating the complexities of weight management. Holding positions as Program Director of the Obesity Medicine Fellowship and President of the Tri-State Obesity Society, her insights are awesome.

In this discussion, we'll delve into the process of selecting the ideal weight loss medication under Dr. Tchang's guidance. Additionally, we'll unravel the science behind obesity and shed light on effective management strategies.

We'll also explore the changing perceptions within the medical community regarding obesity. The shift aims to dismantle the stigma and foster a compassionate approach to individuals struggling with weight.

We've covered a plethora of valuable insights, so be sure to listen to the entire episode! Remember, managing obesity goes beyond “managing” the numbers on a scale; it involves adopting a holistic approach that considers individual health contexts and challenges.

Connect with Dr. Beverly Tchang:

Twitter: BevTchangMD
LinkedIn: Beverly Tchang
Weill Cornell Medicine

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

The journal Nature recently published a groundbreaking study on obesogens – substances that may contribute to obesity. In this episode, we're diving into this topic. We'll discuss the various types and theories about what might be causing weight gain, breaking down different models to help you understand this complex topic throughout the episode.

And I've invited Dr. Courtney Younglove, MD, to provide her insights and offer a more in-depth explanation of this topic. Dr. Younglove is a board-certified physician specializing in obesity medicine, obstetrics, and gynecology. With nearly twenty-five years of clinical experience, she earned her fellowship from the Obesity Medicine Association in 2021.

We also looked into how obesogens and environmental triggers play a role, especially their impact on vulnerable populations like pregnant women and their children. Additionally, we delve into the biochemical aspects of obesity, uncovering some fascinating insights and what they really mean for us.

If you're keen on diving deeper into obesogens, tune in to the full episode. Here, you'll not only gain a better understanding of this topic but also discover the importance of shifting the narrative on obesity.

Connect with Dr. Courtney Younglove :

Instagram:heartlandweightloss
Facebook: Heartland Weight Loss
LinkedIn: Journeys Metabolic
LinkedIn: Heartland Weight Loss
LinkedIn: Courtney Younglove, M.D., FOMA, FACOG, DABOM

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

If you'd like to read the full article on obesogens, you can click on this link:

https://www.nature.com/articles/s41366-024-01460-3

Claim your complimentary gift of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you contemplating whether to get weight loss medication or surgery?

If so, then this episode is for you. I'm going to walk you through some key mindset shifts that can help you break free and feel more comfortable in your own skin. I’ll discuss a few strategies to tackle those mindset hurdles that can sometimes get in the way of finding safe and effective treatments.

I also share success stories of people I’ve worked with, detailing how surgery, weight loss medication, and other weight management treatments, along with investing in their weight loss journey, have given them greater freedom to enjoy overall health and life

So, tune in if you want to learn more and discover how these transformative journeys can inspire and guide you towards a healthier, more fulfilling lifestyle

Quick note for those seeking a weight loss doctor or professional in the Colorado area: consider working with my amazing team at Colorado Weight Care.

For those residing elsewhere in the country, I recommend seeking a physician who has successfully passed the American Board of Obesity Medicine exam. Alternatively, you can explore members of the Obesity Medicine Association to find a qualified expert who can guide you to the right path.

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Snag your complimentary PDF of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wondered if the key to unlocking your peak fitness and optimal health might just be hiding in the mysterious world of sleep?

Well, get ready for a deep dive into an episode that uncovers the captivating connection between a good night's rest and your overall well-being.

I'm here with the incredible Dr. Audrey Wells, a seasoned sleep medicine physician and pro mindset coach on a mission.

Together, we're taking you on a fascinating journey, chatting about the nitty-gritty links between sleep, weight, and circadian rhythm. We'll spill the beans on circadian rhythms and eating patterns, nudging you to embrace your unique chronotype for a personalized wellness journey.

But wait, there's more – we're pulling back the curtains on how screens mess with our sleep and demystifying the intriguing link between weight and obstructive sleep apnea. And just to spice things up, we're exploring cool alternatives to CPAP for sleep apnea, going way beyond the ordinary.

I'm excited to announce that Dr. Audrey Wells will be hosting the Sleep Summit, scheduled to take place from February 6th to the 13th. This week-long online educational program will include enlightening interviews with a diverse range of experts. I'm honored to be one of the guest speakers for this event!

Want to join Dr. Wells’ Free Sleep Summit- https://summits.drtalks.com/sleep-apnea-summit/

Get ready for a laid-back yet transformative experience as we join forces to unlock the mysteries of sleep together!

Connect with Dr. Audrey Wells:

Facebook Business Page: Super Sleep MD
Facebook Sleep Apnea Private Group: Super Sleep MD: A CPAP and Sleep Apnea Community with Dr. Wells |...
Instagram: supersleepmd
LinkedIn: Super Sleep MD
Pinterest: Super Sleep MD
YouTube: Super Sleep MD
Website: supersleepmd.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Fitness routines often face challenges posed by unpredictable weather, whether it's the chill of winter, the haze of smoky conditions, or the intensity of scorching heat.

In this episode, we explore seven fun and practical strategies to keep you active and engaged, regardless of the weather conditions.

Sustaining year-round physical activity is essential for maintaining overall health. The National Weight Control Registry suggests a minimum of 150 minutes of exercise per week, achievable through 30 minutes of activity on five days. For added health benefits, it is recommended to strive for approximately 300 minutes weekly, equating to about an hour per day, five times a week. The rewards of this commitment to regular exercise are undoubtedly valuable.

Ready to conquer the challenges of weather and stay active? Tune in to this episode for practical tips. Your journey to a healthier and more active lifestyle starts here!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

This week's episode focuses on various eating behaviors, addressing topics ranging from food addiction and sugar cravings to emotional eating.

I've invited Dr. Angela Zechmann, a distinguished obesity medicine specialist with a remarkable 16-year career. As a board-certified physician in preventive and obesity medicine, Dr. Angela has made a positive impact on numerous patients and families. Her compassionate approach, combined with extensive experience, has established her as a trusted authority in weight management.

She shares her knowledge about food addiction, sugar cravings, and the impact of processed food on eating behavior, discussing what to do about these issues and how to recognize them. Following that, our conversation delved into emotional eating—why it happens and methods to overcome it.

Dr. Zechmann and I also talk about the tough task of cutting down on processed foods versus balancing it with eating more natural foods. She then tells us about her three-step plan that really works in helping detox and handling cravings, benefiting both her and her patients.

If you're intrigued by Dr. Zechmann's three-step strategy and wish to develop a healthier relationship with food, tune into this insightful episode.

Connect with Dr. Angela Zechmann:

Linked In: Angela Zechmann, MD MPH
Facebook: Angela Zechmann, MD
Website:www.journeybeyondweightloss.com
Podcast: Keep The Weight Off
Youtube: Dr. Angela Zechmann

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Happy New Year!

In this episode, I'll be sharing 7 tips on habit formation, which seems fitting as many people aim to start new habits at the beginning of a new year.

They say when building a habit, two main factors come into play: starting the habit (instigation) and carrying it out (execution).

Our primary focus is on instigation because executing a task becomes more challenging without the habit in place. Forming a habit is more about getting started than finishing the task. Success involves minimizing decision-making by automating actions, making them habitual, and boosting the chances of reaching our goals. And that’s what I’ll be sharing.

7 Tips for formating Habits:

1.Positive Pairings & Break Negatives
2.Routine and Scheduling
3.The Chain Method for Consistency and Motivation
4.Rewarding Progress in Habit-Building
5.Alarm Reminders for Habit Formation
6.Easy Habits for Long-Term Commitment
7. Accountability in Building Habits

Get ready to unlock the secrets of habit development in this episode! I've prepared a surprise that's sure to elevate your understanding. Tune in for a thrilling journey into mastering the art of building habits!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Did you know that Polycystic Ovary Syndrome (PCOS) affects around 8–13% of women globally, yet shockingly, up to 70% remain undiagnosed? It's a significant concern as PCOS stands as a leading cause of anovulation and plays a crucial role in infertility.

People affected by PCOS are approximately twice as likely to experience challenges with obesity compared to those without the condition. The primary factor behind this is 'insulin resistance’.

So, is the common belief that excess weight causes PCOS accurate? I've invited Dr. Basma Faris to answer this question and shed light on this prevalent syndrome affecting women.

Dr. Faris is a board-certified Obstetrician-Gynecologist with over two decades of healthcare experience. Starting as a registered dietitian, she now focuses on caring for individuals dealing with Polycystic Ovary Syndrome (PCOS).

On this episode, we delve into various aspects of PCOS:

The Complex Relationship Between PCOS and Obesity
Managing PCOS Through Proper Nutrition
Potential Harm of Plastic Containers for Individuals with PCOS
Exploring Medication Options for PCOS
Overall Strategies for Effective PCOS Management

Join us for an in-depth discussion with Dr. Basma Faris as we uncover essential insights into PCOS and its effective management strategies.

Connect with Dr. Basma Faris:

Instagram: drbasmafaris
Facebook: Basma Faris, MD
Website: PollyPrep MD

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Snag your complimentary PDF of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Does the 'calories in, calories out' formula truly reflect how our bodies absorb and utilize energy from the food we eat?

In this episode, I'm digging into the truth about calories and what really goes down after we eat. I'm chatting about how different foods mess with our hormones, our bodies, and the whole calorie game—how we absorb and burn those suckers. Plus, I'm calling out the oversimplified adage of 'calories in, calories out.’

I'll also share some helpful tips on figuring out how many calories to aim for, especially when considering weight loss medications such as Wegovy (semaglutide) and Zepbound (tirzepatide).

If you're curious about the world of calories, this episode is a perfect listen!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever questioned the true benefits of taking supplements and wondered why you're using them?

In today's episode, we're focusing on an essential aspect of health: supplements. Joining us is Dr. Sejal Desai, MD, a double board-certified specialist in Obesity Medicine & Family Medicine. We're delving into this topic to educate people on how to wisely choose supplements, particularly those related to weight loss and overall wellness.

We'll address key considerations when selecting a multivitamin and delve into various forms of supplementation, including meal replacements and their efficacy. Additionally, we'll explore the impact of potent weight loss medications like Wegovy and natural dietary supplements on your health.

Dr. Desai will discuss selecting the right supplements that suit your needs and maximize absorption. She will also provide guidance on researching and finding trustworthy supplements personalized for your health.

Join us as we unravel the complexities surrounding supplements and their role in weight management.

Connect with Dr. Sejal Desai:

Instagram: @tulamedicalweightloss
Facebook: Tula Medical Weight Loss & Wellness
Website: www.tulawlw.com

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you found weight loss to be particularly challenging while managing diabetes?

In today’s episode, we have Dr. Harold Bays, an esteemed expert in endocrinology and internal medicine, specializing in obesity medicine. He is recognized as a Diplomate of the American Board of Obesity Medicine. Now is currently serving as the Chief Science Officer for the Obesity Medicine Association and Editor-in-Chief for Obesity Pillars.

We delve into the intricate world of diabetes, specifically concentrating on type 2. Unpacking the puzzle of weight loss hurdles with this condition, we navigate through the compelling reasons behind this struggle. Moreover, our conversation ventures into the captivating realm of diabetes-related comorbidities, unraveling their origins and intriguing connections.

Dr. Bays also elaborates on why diabetes mellitus and obesity are multifactorial conditions influenced by age, gender, socioeconomic status, psychology, and various other factors.

Tune in to this episode for a deeper understanding of this condition and to learn effective management strategies.

Connect with me:
Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you seeking ways to increase your vegetable intake without resorting to salads?

In this episode, I delve into 7 different methods to seamlessly incorporate more veggies into your diet, sharing my favorite styles from snacks to main dishes. Some may even surprise you!

Embracing a diet rich in vegetables can be immensely beneficial for your health, particularly if you're aiming to lead a healthier lifestyle or shed extra pounds. Vegetables offer exclusive phytonutrients that surpass the benefits of traditional vitamins and are packed with fiber, crucial for digestive health and effective weight management. They play a key role in keeping you full, reducing the need for calorie-dense foods.

Stay tuned for actionable tips and insights on how to effortlessly integrate more vegetables into your daily meals!

Connect with me:
Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Snag your complimentary PDF of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you intrigued by the new weight loss medicine called Zepbound?

In this episode, I'll delve into the mechanisms behind Zepbound, also known as Tirzepatide or Mounjaro, designed to aid weight loss. Joining me is Dr. Alicia Shelly, a board-certified physician specializing in internal and obesity medicine.

She hosts the 'Back on Track: Achieving Healthy Weight Loss' podcast and leads the vibrant Thrive for Life YouTube channel. Dr.Shelly's expertise, showcased in CNN, Fox 5 News, Upscale Magazine, and Shape.com, positions her as a leading advocate for healthier lifestyles and corporate wellness.

During our discussion, we covered the drug's benefits, mentioned studies with impressive findings, addressed potential side effects, and discussed methods to obtain this weight loss medication.

For deeper insights into this innovative weight loss medication, be sure to catch this episode!

Connect with Dr. Alicia Shelly:

X and Instragram: @drshellymd
LinkedIn: Alicia Shelly, MD FACP DABOM
Facebook: Dr. Shelly MD
Tiktok: drshellymd
Website: drshellymd.com

Did you grab the special anniversary gift I shared last week? If not, it's available here for you to claim!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Celebrating Our 1-Year Anniversary!

Claim your special gift: https://www.thedrfrancavillashow.com/anniversary-gift-form

What an incredible journey it's been! As we reach our 1-year milestone, my heart is full of gratitude for your unwavering support. Thanks to your contribution, we've crossed the remarkable milestone of 20,000 downloads!

To express my deepest appreciation, I'm excited to share a special gift with you – the 'Gift: Weight Care Guide.' Please click the link above to claim your special gift.

Beyond mere tips, it's a journey towards sustainable, long-term wellness, perfectly aligned with the heart of our podcast. Dive into it with engaging activities designed just for you.

In this episode, I delve into the Weight Care 8, uncovering the guiding principles that shape my approach to patient care. I'm thrilled to share these foundational principles, as they underpin how I navigate and address crucial topics of health and well-being.

Thank you for being part of this incredible journey! If you're as eager as I am to explore the 'Weight Care Guide' and discover the guiding principles in our latest episode, make sure to tune in now. Let's keep this amazing conversation on health and well-being going. Happy listening

Looking for transforming family mealtimes from stress-filled to stress-free?

Well, get ready for a treat!

In this episode, we're joined by the incredible Dr. Monica Davern – a board-certified pediatrician, a dedicated vegan, a hardcore endurance athlete, and a mom of two boys. She also assists parents in raising thriving plant-based kids.

Dr. Davern shares insightful tips, covering topics from fostering a positive mealtime culture for children to tackling kitchen writer's block with a sticky note approach. Her practical tips extend to crafting an easy, enjoyable, and nutritious mealtime by offering a straightforward method for building your kid's plate.

Join us for more parenting tips on stress-free family mealtimes and unlocking valuable insights!

Resources
IG @mighty.roots
Facebook mightyroots.org and leafy littles community
Linked in and twitter: @happyveganmd

Today, I want to dive into why tracking your weight history is so crucial in understanding your weight journey. Let's explore the five key aspects of weight care and how your history can be a game-changer.

In my practice, I believe in a holistic approach to weight care, focusing on:

Root Causes: Dig deep to uncover why you've been struggling with your weight.
Medications: Sometimes, they play a role, and we explore this option.
Nutrition: Understand your unique nutritional needs for effective weight management.
Behavior Changes: I'll guide you in making sustainable changes that support your goals.
Education: Providing you with the knowledge and tools you need for informed decisions.

Your weight history can serve as a guide to a healthier future. Stay tuned for more insights on weight care. Remember, your weight is not solely your fault; it's influenced by a complex interplay of biology, stress, and life events. Embrace this understanding to navigate your journey toward better health and stability. Create a chart, identify patterns, and use this knowledge to take kinder, judgment-free steps forward.

Getting into the holiday spirit?

Well, in this episode, as we draw nearer to the holiday season, we're going to dive into the topic of traditions. Those cherished customs that sometimes challenge our health goals.

Celebrations and traditions often come with their own set of culinary delights, special drinks, and, unfortunately, lots and lots of sugar. It's as if the holidays and sugary treats have become inseparable companions, and it can be quite a challenge to navigate through the season without overindulging.

Amidst this whirlwind of festive flavors and tempting sweets, the best tip for success is being intentional. Intentionality means consciously making choices that align with your health and well-being goals. It involves planning ahead, setting clear boundaries, and being mindful of what you consume.

If you want to dive even deeper into effective strategies for managing your weight and health while savoring the festivities, be sure to tune in to this episode. We'll provide you with valuable insights and practical tips to make this holiday season not only joyful but also healthy.

In this episode, we delve into the complex relationship between motivation, commitment, and achieving your goals. Inspired by the wisdom of Olympic runner Jim Ryan, who said, "Motivation is what gets you started. Habit is what keeps you going," we debunk the myth that motivation alone is the key to success.

Motivation is often tossed around as the driving force behind change, but it's a fleeting and sometimes unreliable emotion. We challenge the common notion of motivation and emphasize the pivotal role of commitment in bridging the gap between momentary inspiration and lasting transformation.

The driving force behind change is essentially the spark, the 'why,' or the dream that fuels your desire. Nevertheless, this driving force isn't a constant companion on your journey. We examine how its fleeting nature is influenced by external factors, internal chemistry, or even the occasional bad day. We also acknowledge that people dealing with conditions such as depression or ADHD might encounter challenges related to maintaining high levels of this driving force, even when they are committed to change.

Lastly, we explore the concept of rewarding yourself. In contrast to the instant gratification of motivation, self-reward serves as a long-term motivation booster. Celebrating your achievements, big or small, helps maintain your commitment and solidify the new habits you've cultivated. Tune in to know more about this episode.

On today's episode, I'm joined by my mentor, Dr. Becky Andrick, a seasoned physician with 28 years of experience. We discuss weight maintenance and key factors at play, including effective strategies, challenges, and the importance of long-term commitment to a healthy lifestyle.

It is a common misconception that losing weight is the most challenging part of the weight management process. Many individuals have successfully shed pounds using various methods such as diets, exercise regimens, and lifestyle changes. However, the real challenge lies in sustaining that weight loss over time.

The repeated cycle of losing and regaining weight underscores the complexity of this issue. To address the challenge of weight maintenance, it is essential to consider metabolic factors, societal influences, and emotional components.

Stay tuned for more insights on how to effectively manage and sustain a healthy weight, as we explore practical tips and expert advice to support you on your journey towards a healthier you.

Resources
https://www.wtwdenver.com/

If you're a mom or part of a family, this episode is right up your alley.

In this episode, I'm joined by Dr. Toh Togolawi, a renowned family physician and double board-certified expert in lifestyle medicine, who is particularly enthusiastic about plant-based eating. We talk about lifestyle medicine and its strong focus on six foundational pillars crucial for preventing, treating, and even reversing chronic diseases.

The pillars are;

Nutrition, with an emphasis on plant-based diets.
Stress management.
Regular physical activity.
Avoidance of risky behaviors such as alcohol and tobacco use.
Adequate sleep.
Social connection

In our conversation, Dr. Togolawi highlights the importance of passing down these principles to children, establishing a foundation for a healthier life as they grow. Whether it's adopting plant-based nutrition, encouraging more physical activity, or teaching stress management, involving kids in these practices can have a significant impact.

Tune in for valuable insights into transforming your family's well-being.

Resources
www.margarettowolawimd.com
https://www.linkedin.com/in/margaret-towolawi-md-dipablm-9013351bb/
https://www.facebook.com/TowolawiMD
https://www.instagram.com/authormargarettowolawi/
https://www.instagram.com/nurturewellcenter/

Welcome to today's discussion on the final macronutrient: fat. While fat is frequently associated with weight gain, it's essential to understand why this connection exists. This perception stems from the fact that fat is calorie-dense, containing more than twice the calories per gram compared to proteins and carbohydrates.

However, fat isn't solely about that. It's also important to understand that dietary fats come in different forms, each with varying effects on health. This macronutrient also plays a vital role in our body by helping absorb essential vitamins like A, D, and E, and it provides insulation for nerve cells, including those in the brain. So, beyond its impact on appearance or weight, fat is essential for overall well-being and proper bodily function.

So in this episode, I'll delve deeper into the various types of fats: saturated, trans, mono-unsaturated, and polyunsaturated fats. I'll explain their distinct effects on the body and offer insights into how to consume them wisely. By the end of this episode, you'll gain a better understanding of the roles these fats play in your diet and overall well-being.

Menopause is a period in a woman's life marked by numerous challenges that often coincide with major life changes. It's a time when you may be responsible for caring for aging parents while also dealing with shifts in your career, relationships, and other aspects of life.

Plus, during menopause, your hormones can go on a rollercoaster ride, with estrogen levels dropping. This can result in extra belly fat and muscle loss, leading to weight gain, particularly around the midsection. These changes can significantly affect your self-confidence and how you perceive yourself. Therefore, gaining knowledge and insights to manage this phase effectively can be truly helpful.

So in this episode, we have a special guest, Dr. Susan Baumgartel, who is the creator of 'Menopause Menu,' a free resource and blog website designed to provide support for menopause and beyond. This platform aims to help women navigate the challenges and changes that come with this significant life phase. With her 30 years of experience as an internal medicine physician, Dr. Baumgartel brings a wealth of knowledge and expertise to the discussion as we delve into topics related to women's health, aging, and well-being before and during menopause.

Join us for valuable insights and advice in this insightful conversation.

Resources:
https://www.mymdadvocate.com
https://www.menopausemenu.com
https://www.menopausemenu.com/book/
https://www.linkedin.com/in/susan-baumgaertel-md/
https://www.facebook.com/MenopauseMenu
https://www.youtube.com/@dr.susanbaumgaertel

In this episode, we explore the world of carbohydrates, covering various types such as sugar, starch, and fiber. Throughout our exploration, we shed light on the differences between simple and complex carbohydrates, their sources, and their glycemic index.

The first type of carbohydrate is sugar, and it's considered a simple carbohydrate because it's composed of just one or two molecules, known as monosaccharides and disaccharides. These monosaccharides typically include glucose, fructose, or galactose. Simple carbohydrates like sugar can lead to rapid increases in blood sugar levels when consumed.

The second type is starch, a complex carbohydrate. It's composed of long chains of glucose molecules, forming a polysaccharide. Examples include foods like pastries, rice, and potatoes.

Lastly, fiber is considered a complex carbohydrate because it's primarily made of cellulose, a polysaccharide composed of glucose molecules linked together. Unlike starch, which we digest for energy, fiber resists digestion and supports digestive health. It's also essential for our gut microbiome, a community of intestinal bacteria that thrive on it. A healthy gut microbiome can influence overall well-being, including potential effects on weight and health.

Learn about the differences between simple and complex carbs and their impact on your health. Stay tuned to this episode to learn more about this topic. Until next time, take care!

In today's episode, we'll be delving deep into the concept of the scarcity mindset, examining its impact on our health, eating habits, and various aspects of our lives.
The scarcity mindset is centered around the belief that we lack something crucial, and this, in turn, affects our decision-making processes.
The influence of this mindset on our eating habits becomes apparent when we find ourselves overindulging during travel experiences or consuming excessive amounts of celebratory treats. We might think, 'I may never have this food again,' and as a result, we overeat, even when we are already satisfied.
But fear not! We don't want scarcity to dictate our choices. Instead, our goal is to transition to an abundance mindset, where we believe there's enough for everyone. To facilitate this shift, I'll be sharing some practical tips, including the practice of mindfulness, recognizing the abundance of opportunities to savor delicious food and special treats, and considering your long-term health goals when making dietary decisions.
By recognizing and addressing the scarcity mindset, we empower ourselves to lead healthier, happier lives. So, be sure to tune in for more valuable insights into health and well-being, and let's embark on this journey from scarcity to abundance together!

Today, we have an intriguing topic as we sit down with Dr. Kerry Reller to explore the intricate connections among asthma, allergies, and weight – three prevalent health concerns that affect a significant portion of the population.

Dr. Reller brings a unique perspective to the discussion. She’s an expert in both medicine and engineering. She completed medical school and a family medicine residency at the University of Maryland. Returning to Florida, she honed her expertise in allergy and asthma care while working with her father. Dr. Reller's dedication to wellness, nutrition, and fitness drove her to specialize in obesity medicine. She is also the owner of Clearwater Family Medicine.

Her insights underscore the complexity of the relationships between asthma and weight. The interaction goes both ways: asthma can worsen weight problems, and vice versa. Past beliefs attributed asthma's impact on weight to physical limitations, but now, thanks to Dr. Keller, we understand inflammation's significant role.

On the flip side, the interplay between asthma and weight is multifaceted. Weight struggles can be influenced by asthma symptoms, and conversely, asthma can also be affected by weight. In terms of. weight loss, it can positively impact asthma. A balanced, anti-inflammatory diet. Shedding weight often leads to reduced medication dependency, better quality of life, and fewer exacerbations

Tune in to gain a deeper understanding of how these conditions intersect and interact, and to explore the expert advice offered by Dr. Reller to empower individuals on their unique health journeys.

We're delving into the essential macronutrients – carbohydrates, fats, and proteins – each with its own unique composition derived from distinct building blocks that offer specific benefits to our bodies. In this episode, we're narrowing down our focus to the crucial role of protein and how it impacts weight management.

Protein serves a greater purpose than mere nourishment; it actively functions within the body. Increasing your protein intake becomes essential when aiming to manage your weight. Its high thermic effect contributes to increased calorie burning during digestion. Diets rich in protein sustain a feeling of fullness, promoting satiety and curbing overeating. Moreover, it safeguards lean muscle mass during weight loss, thereby supporting a healthy metabolism.

We invite you to join us in this episode for an in-depth exploration of protein: its diverse sources, strategies to incorporate it without unnecessary additional calories, and a discovery of protein-rich foods that seamlessly integrate into your dietary regimen.

Despite the rapidly increasing demand for weight loss drugs, they have gotten hard and harder to get. Shortages of these crucial medications like Ozempic, Wegovy, Mounjaro and other weight loss drugs are creating a bigger issue in treating patients with diabetes and other weight-related diseases.

In this episode, I've once again invited Emily Sutton, PharmD to delve deeper into this issue. We will be discussing strategies on how to properly manage weight amidst disruptions in the supply chain of weight loss drugs. We will also talk about what “compounded” peptides are and if they are a good choice for you.

Emily Sutton, PharmD, CDECS is a clinical pharmacist specializing in treatment of chronic diseases with a focus on diabetes and obesity. She has worked with patients from all backgrounds in Vermont to provide equitable care and access to appropriate medications.

In recent times, metabolic-associated fatty liver disease (MAFLD) has emerged as a pressing global health issue, rapidly surpassing hepatitis and alcohol-related problems as the leading cause of liver disease and transplants. Often undetected until advanced stages, MAFLD is intricately linked with metabolic syndrome, hampering the liver's capacity to regulate excess sugars and lipids effectively.

In this episode, we're joined by Emily Sutton, a skilled clinical pharmacist specializing in chronic conditions like diabetes and obesity. She highlights that MAFLD is often found incidentally through imaging or blood tests. While drug trials progress, lifestyle changes remain key. Medications for diabetes management, such as GLP-1 receptor agonists, show promise in reducing inflammation.

Early diagnosis is key to preventing non-alcoholic fatty liver disease. Understanding inflammation, risks, and liver enzymes empowers proactive health. Connect with Emily Sutton's clinical practice for insights. To learn more, dive into this episode

Our reproductive health goes through various stages in life, starting from puberty with the onset of menstruation, through the reproductive years marked by regular cycles and fertility, to perimenopause in the late 30s and early 40s, culminating in menopause. Understanding how these stages can affect our weight is crucial for managing reproductive health and seeking appropriate care.

In this episode, we have the privilege of having Dr. Becky Lin, a distinguished gynecologist specializing in menopause, weight loss, and women's sexual health, who will shed light on perimenopause and the relationship of weight gain and menopause.

Menopause brings a noticeable decline in hormones like estrogen and insulin, affecting our bodies in various ways. Weight gain is a common concern, as lower estrogen levels can lead to abdominal fat accumulation and increased insulin resistance, making weight management challenging. Dr. Becky Lin will explore the factors behind menopausal weight gain and offer valuable insights for effective weight management, including how hormonal changes impact both weight and women's sexual health during this phase.

Whether you are new to exercise or already engaged in fitness activities, this episode will motivate and inspire you to prioritize movement for a healthier and happier life.

In this episode, Jeff Young, a distinguished medical fitness expert with over 30 years of experience, shares his profound insights into the transformative impact of exercise on overall well-being, providing necessary information for ultimate health.

According to him, the significance of exercise for overall health is underscored, with a beneficial impact on every system in the body, be it the muscular, cardiovascular, nervous, skeletal, digestive, hormonal, or mental system. Strength training, in particular, is an area that stands out due to its ability to enhance muscles, the skeletal system, and the nervous system more than any other form of exercise. The concept of exerkines is introduced, where our organs and systems communicate with each other through the release of proteins and hormones during exercise, contributing to various health benefits.

Moreover, most people experience improved well-being after exercise, attributed to the body's natural response to movement.

With July's scorching heat comes the highly anticipated swimsuit season, So today, we explore the profound impact of body image in our society and the growing movement towards embracing oneself with love and acceptance.

I want to unravel powerful mindset shifts that can help us reshape our perception of body image.
Because this is something a lot of American women struggle with. Whether it's splashing around in the pool, soaking up the sun at the beach, or simply relaxing in a hot tub, the swimsuit becomes a symbol of enjoyment rather than a source of anxiety. By understanding that a swimsuit is just a piece of clothing designed for fun in the water, people can liberate themselves from the pressure of unrealistic beauty standards and truly appreciate the experiences it enables.

In reality, people around us are more focused on their own experiences and having a good time rather than judging how we look in a swimsuit. Understanding this can empower individuals to let go of self-doubt and embrace their bodies with confidence. By reframing their mindset and appreciating the joy of being present in the moment, people can create a positive and healthy relationship with their bodies, free from the constraints of societal expectations.

Discover the power of a positive body image and join me in embracing self-love. Tune in to the episode and learn how to appreciate your body as the incredible vessel it is. Let's break free from unrealistic beauty standards and celebrate the beauty of being unapologetically you. You deserve to feel confident and empowered in your own skin.

In our modern society, processed food has become increasingly prevalent in our diets. These foods offer convenience, extended shelf life, and enhanced flavors. However, their classification varies based on the degree of processing, ranging from minimally processed items to heavily processed foods with additives and refined ingredients.

In this episode,I delved into the topic of processed food and introduced the Nova classification system, which categorizes food based on its level of processing. I want to emphasize the importance of personalized nutrition advice and avoiding labeling foods as "good" or "bad."

The various categories of the Nova classification system, including unprocessed/minimally processed foods, culinary ingredients, processed foods, and ultra-processed foods, have distinct impacts on our bodies, especially our gut microbiome. Unprocessed/minimally processed foods offer essential nutrients and promote a healthy microbiome, whereas ultra-processed foods, abundant in detrimental ingredients and additives, can harm gut health and overall well-being.

For nearly a century, the Body Mass Index (BMI) has been a go-to tool for measuring a person's health and medical risks. However, recently the American Medical Association voted to move away from solely relying on BMI. They've recognized its limitations and unreliability in accurately assessing an individual's health status.

In this episode, Dr. Sylvia Gonsahn-Bollie provides insights into the origin of BMI and highlights why it may not be as helpful as commonly believed. According to her, using BMI as a screening tool for obesity, adjustments need to be made for factors such as age, biological sex, muscle composition, ethnicity, race, and the presence of other metabolic or obesity-related conditions.

Unfortunately, the original BMI chart from 1832 did not take these factors into account. BMI is just one of several numbers used in medicine as a cutoff point, and its limitations and controversies have raised concerns recently. In certain populations, it can overestimate the risk of obesity and metabolic-related diseases. It's important to remember that the purpose of using BMI is as a screening tool.

Don't miss out on this episode if you want to explore BMI and personalized approaches to healthy weight loss.

Connect with Dr. Sylvia on all social media @EmbraceYouMD and on her website www.embraceyouweightloss.com
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https://www.linkedin.com/in/sylviagbolliemd/
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As an obesity medicine physician, the growing attention around weight-loss medications is exciting because these are tremendous tools to improve the health of individuals with obesity, and the world needs to know about them!

But I also hear lots of confusion and objections to the medications. I hear many questions over and over, so I'm going to give you my expert answers to the top questions I hear about anti-obesity and weight-loss medications.

The most common myth I hear from patients, the general public, and even medical colleagues is the belief that weight loss should be achievable without medication.

The truth is, most individuals seeking weight loss have already attempted various diets, supplements, and exercise plans without long-term success. Weight loss can be challenging due to the body's metabolic adaptations, increased hunger, and reduced fullness.

Medications can play a significant role in overcoming these biological barriers and enabling individuals to follow a nutrition plan and eat in a way that aligns with their intentions. While lifestyle modifications are crucial, for many, medications provide the support necessary for sustained weight loss.

Tune into this episode for more info on this and the other four common myths I hear about weight loss medication!

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Weight loss is not just about shedding pounds; it's about setting ourselves up for long-term success.

When people lose a substantial amount of weight, they often experience a significant drop in metabolic rate. This means they have to consume a very low number of calories just to stay at their new weight—making for challenging maintenance.

But there's good news: Building and maintaining muscle mass during the weight loss journey can help keep a higher metabolic rate. This means we can enjoy a more sustainable calorie intake. ( And building muscle mass has many other health benefits, especially for women.)

Building muscle mass can up the number you see on the scale, which is why it's critical to look back at your original intentions for losing weight—feeling better, being able to do the things you love without pain, having more energy, etc. These subjective experiences matter just as much as the objective numbers.

Get the expert info from this episode's guest, Nina Crowley, PhD, RD.

More from our guest:

Nina Crowley, PhD, RD
LinkedIn: https://www.linkedin.com/in/ninacrowley/
Facebook: https://www.facebook.com/ninacrowley
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Twitter: https://twitter.com/PsychoDietitian

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When we embark on a weight loss journey, it's important to remember that different people's bodies have different ways of shedding fat. Sometimes those changes surprise us, like the "Ozempic face" effect where facial fat diminishes, revealing sharper chin and cheekbones. While it can be undesirable for some, let's not forget the bigger picture.

True transformation comes from prioritizing our actual health and well-being over our appearance.

Let's shift our focus to improving our overall health, knowing that weight loss is about wellness, not just looks. It's crucial to remember that unintended consequences, like wrinkles or changes in other areas, are part of the journey.

Instead of fixating on how you look, celebrate the progress you're making internally. Our ultimate goal is reducing visceral fat, especially belly fat, which can have a significant impact on our overall health. So keep pushing forward, embracing the ups and downs, and striving for a healthier, happier version of yourself.

Get details on this and much more in this podcast episode!

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Maintaining a healthy blood pressure is crucial for overall well-being and reducing the risk of serious health issues.

Episode #32 of my podcast features guest Dolapo Babalola, M.D., who sheds light on the importance of regular blood pressure checks—they're so easy and yield important information for health and well-being. Physicians can help to determine underlying causes and a manageable plan for improvement.

The good news is that often just a modest 5% reduction in body weight yields significant health benefits! Medication and surgery play a role, but often there are even simpler solutions. Physicians are trained to help you find the right mix and plan for your unique situation.

More from our guest:
Website: livingatyourfinest.com
Instagram: @livingatyourfinestwellness

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Treating obesity is so much more than just working out more and eating less. This is true for every age, from children on up.

With the recent release of new guidelines on treating obesity in children, I asked Dr. Abby Bleistein to join us for today's episode to tackle the most controversial recommendations in the new guidelines—the use of medications and surgery for children with obesity.

Dr. Bleistein is the founder and medical director of an obesity medicine practice that focuses on the importance of comprehensive care and a multidisciplinary approach to obesity—with primary care, along with specialists in the areas of diet, nutrition, training, psychology, sleep disorders, trauma, and eating disorders.

She highlights the need to treat the underlying causes of obesity to make a lasting impact on her patients' health—thoughtfully considering factors such as nutrition, fitness, metabolic health, and lifestyle.

Get her insight and info by tuning in today!

More from our guest:Abby L. Bleistein, MD
Internal Medicine/Pediatrics/Obesity Medicine
www.healthfullifemd.com
Learn more at FreeGiftfromDoctorAbby.com
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PLUS: Email me, Dr. Francavilla, with obesity-related questions AND get your very own copies of PDFs provided by Dr. Bleistein: theDrFrancavillashow@gmail.com

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Accepting reality is a common barrier to success in lifestyle changes, nutrition, exercise, and weight loss. Many individuals struggle with accepting the reality of their busy and stressful lives, constantly waiting for the "perfect" time to make positive health changes.

Have big plans to implement exercise and meal planning "when things will settle down soon"?

Overwhelmed with work or caring for kids or aging parents and waiting to prioritize your own health "after all of that is under control"?

I get it. These struggles ARE real. But it's critical you don't let them win. Don't let them steal the important priority of good health—especially because good health has a trickle-down effect, so the better your body is running, the better you can do the things you love with and for others.

So next time you face an obstacle to your exercise or health routine, adapt and accept modified versions—that's better than doing nothing as you wait for the ideal opportunity!

By accepting reality and taking action, even in small ways, you can make meaningful changes in your health and well-being. Waiting for the "perfect" time may never happen, so it's crucial to do what is possible in the present.

In this episode of the podcast, I give you insight and ideas, so you'll want to take a listen!

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No shame in your sugar-loving game!

That's because it's 100% normal to like sugar; our brains are programmed to like it because sugar was once rare.

And sugar can actually be really important to human nutrition! It's fast nutrition we can store really well for later, so it makes sense for our bodies to like sugar and want to eat as much of it as we can.

In the modern world, though, sugar is no longer rare. There's an abundance of sugar now, and our brain hasn't caught up with that fact.

We no longer need to store as much sugar, so our craving for and enjoyment of sugar can sometimes be a problem for us in the modern world.

Knowing the history can keep us from villainizing sugar, and recognizing things have evolved can help us understand the importance of indulging in moderation.

You'll love learning all about sugar with me and Dr. Nikita Shah in this podcast episode!

More about our guest:
Dr. Nikita Shah
10437 Moss Park Road, Suite B, Orlando, FL 32832
(P) 407-753-5036
https://weight-sense.com
@nikitashahdo

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Yes, this is a real medical disorder.

No, this is not just what happens when you and your girlfriends eat way too many chips and salsa and margaritas on a night out.

Binge eating disorder is characterized by recurring episodes and the feeling of being out of control or distressed about the large amounts of food eaten in a short amount of time.

In this episodeof The Dr. Francavilla Show Podcast, I chat with endocrinologist Dr. Samantha Harris to learn more about binge eating disorder and the 5 components that are typically present.

This is such an important episode—you'll want to listen and share!

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What if we changed our mindset so the number on the scale was simply informational and not an emotionally distressing commentary on how poorly we're doing at life?

It's funny because there are lots of numbers in healthcare ... but I don't see people in my clinic feeling ashamed about a low potassium number! No one is beating themselves up when they learn their respiratory rate isn't in the normal range!

We simply examine those numbers and figure out how to get them where they need to be.

The number on the scale is no different.

You don't need to be hard on yourself if it's higher than you want. You just need to take the first step, whether that's talking it over with your physician or going back to what was working—we all stray and lose track sometimes!

It's not a judgment, just like there's no shame in your vision changing from one appointment to the next. That's why you check in! You gather the info and make a plan for managing your _______ (fill in the blank: eyesight/potassium/respiratory rate/WEIGHT!).

Take in the info and take the first step!

I can help. Just listen to this episode of the Dr. Francavilla Show.

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Lack of sleep has a negative effect on weight loss, so how can we make sure we're getting the sleep we need to support our health?

Think back to childhood and re-adopt a bedtime routine.

It doesn't have to include a story, bath, and lullaby (though it can!), but it does need to be something that signals to your brain and body to wind down for restful sleep. For the best results, stay away from screens and bright lights for at least 30 minutes before bed.

There are so many reasons you will love getting 7-9 hours of sleep each night—one being lower stress, which leads to better eating/weight loss! Get the details in today's episode of The Doctor Francavilla Show Podcast!

More from my guest, Dr. Shayla Toombs-Withers, DO:

FB/IG: @essenceofhealthwellnessclinic
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Website: www.EOHcoaching.com
Podcast: Essence of Health Tea Time Podcast - https://rss.com/podcasts/teatimeeoh/

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In this episode, Dr. Matthea Rentea gives incredible perspective on emotional eating. She highlights the phases of emotional eating/overeating, and they are SPOT ON:

Recognizing you've overeaten after the fact.
Noticing you're in the process of overeating and telling yourself you shouldn't be doing that (but you keep doing it).
Before you eat, you tell yourself not to overeat, but you still do.
THIS is the stage where you take a different action due to the progression of awareness you've developed in stages 1–3; you use your tools to keep from overeating.

Do you see patients (or yourself!) going through these phases? Many people think they can jump right to the final step, but that's not how it works. It's important to encourage our patients to keep going through all the phases—they'll get to Step 4 in due time.

You'll want to listen to the whole episode to get her insight and tools for managing emotional eating.

Matthea Rentea, MD, is Board Certified Internist and a Diplomate of the American Board of Obesity Medicine. She has 10 years experience as a primary care physician and weight-loss specialist. She owns and operates the Rentea Metabolic Clinic, a Telehealth clinic for Indiana and Illinois residents that provides comprehensive weight management. She takes a dual medical and behavioral evidence-based approach to helping her patients. She is the host of the podcast The Obesity Guide with Matthea Rentea, MD.

Connect with Dr.Rentea on social:
Website: www.RenteaClinic.com
Podcast: The Obesity Guide with Matthea Rentea MD
TikTok: MattheaRenteaMD
IG: MattheaRenteaMD

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Poop is a common topic in my office. 💩 I frequently hear from patients about changes in bowel movements after starting or changing medications, so I address that (and other FAQs!) in today's episode (#24) of The Dr. Francavilla Show Podcast.

I go over the range of normal when it comes to bowel movements and what changes patients can make to be sure they're in that normal range.

And for those who would rather stay away from that stinky topic, I also cover feelings that come with weight loss, weight loss surgery as a treatment option, and weight loss medications as they related to children.

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There is sooo much judgment around food.

Can we just agree to drop that and focus our health goals on feeling well and fueling our bodies?

If you have been operating under this assumption that carbohydrates are bad, but you find a moderate amount of oatmeal to really satisfy you and keep you full all morning, that doesn't seem bad to me! That's your experience with that food.

Mindful eating lets us experience the food, really enjoy it, get pleasure from it, and it also lets us see how each food actually affects us as individuals.

Check out this episode The Doctor Francavilla Show Podcast for an easy (and yummy!) exercise for practicing mindfulness around eating!

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Whether it's CrossFit or Peloton or kids' sports, coaches are a huge part of our lives.

Regardless of their area of expertise, coaches all have something in common: They push us forward. They motivate us. They help us find our path to reach our goals in fitness, sports, or even life itself.

If you're struggling with weight loss, consider looking for someone in the field of life coaching. There are life coaches with health specialties, and they just might have the answer to what's getting in your way with weight loss and how to get around it.

You will love episode #22 of The Doctor Francavilla, "All About Life Coaching with Dr Sarah Stombaugh MD."

More about my guest:
Dr. Sarah Stombaugh is an Obesity Medicine Physician and Life Coach. She runs a telemedicine-based weight loss practice and sees patients who live in Illinois and Virginia. To learn more about her, visit her website at www.sarahstombaughmd.com or listen to her weekly podcast, "Conquer Your Weight."
https://podcasts.apple.com/us/podcast/conquer-your-weight/id1607376873

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It seems to be the same handful of things that keep my patients from achieving their health goals. There are 5 lies they're telling themselves that, if addressed, could really change the trajectory of their wellness!

The first one is the "I'll start tomorrow" lie.

Or maybe it's next week or this summer or in the new year.

Whenever it is, it's a false projection that things will be better or goals will be easier to achieve at a later time, and that's just not something anyone can predict! Sure, maybe after a certain work project is done there won't be that stressor to worry about, but do you think there won't be another thing that will cause stress or busyness or any type of hardship? This mindset leads to yo-yoing and doesn't make for sustainable change.

Instead, it's best to go ahead and make small changes right away. Up veggie intake by a serving or start lifting weights for 10 minutes a day. Do what's doable now, even with a looming work project or whatever might make next week a "better" time to start! After all, any health plan that's worth starting will need to see you through busy seasons, vacations, stressors, etc.!

Get more on this and the other 4 lies we tell ourselves in today's Dr. Francavilla Show podcast episode, #21.

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Whether it's for you or for your patients, your questions about weight-loss medications have been so great. I dedicated today's whole podcast episode to answering them, and I can't wait for you to hear the answers and share with colleagues, friends, and family!

The question I seem to answer all. the. time. is about Wegovy and its huge price tag.

The excitement surrounding Wegovy weight-loss injectable medication is for good reason! It's worked to resolve health risks for so many people suffering from obesity.

But the expense and lack of insurance coverage keeps many from being able to access it.

I share some solutions in today's episode of The Dr. Francavilla Show Podcast. Send me your questions at thedrfrancavillashow@gmail.com and I'll answer them in another podcast episode!

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Weight bias happens on playgrounds, when the child struggling with obesity is bullied. But it happens in subtle ways, too, and it even happens in our medical offices.

Combatting this kind of bias takes education and advocacy, which is why I invited Dr. Leslie Golden to join me on today's Dr. Francavilla Show podcast episode.

Dr. Golden is an obesity medicine physician with graduate-level training in behavior change.

One important type of weight bias she detailed was internalized bias—the negative ideas we have about our own weight. We believe and buy into the idea that our weight issues are our fault, and that can really get in the way of people seeking care, causing long-term harm.

It's critical to recognize obesity as the disease that it is. It's not something everyone can control by moving more, eating less, trying harder.

And, it's important to recognize healthy bodies come in all shapes and sizes. Our patients and our society tend to assume small means healthy and large means unhealthy.

Small does NOT necessarily mean healthy. Large does NOT necessarily mean unhealthy.

These biases can keep people from getting the help they need. Some of these biases even affect insurance coverage of weight management medication.

We as physicians and members of our community can help to mitigate biases by understanding that weight is biological and that medication is a tool necessary for many.

After you listen to this week's Dr. Francavilla Show Podcast episode, Understanding Weight Bias with Dr. Leslie Golden, you can contact your Senator or Congressperson about the importance of covering obesity treatment: https://www.obesityaction.org/troa/

You can connect with Dr. Leslie Golden here:

https://www.facebook.com/weightingoldwellness
https://www.instagram.com/weightingoldwellness/
www.weightingoldwellness.com

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* Let’s eat better together. Save up to $65 off your first Daily Harvest box: https://bit.ly/3Caqqr4 *

When it comes to nutrition plans, exercise plans, or really just about anything in life, getting comfortable with the "gray zone" is important. Sure, the black-and-white, all-or-nothing mentality might make for some successes when it comes to diet or exercise (when you're all in, you likely see some great wins!), but inevitably there will be a day when you can't be all in (or in at all) ... and then what? Typically that's when people give up altogether. Any and all wins go by the wayside.

It's simply not sustainable or realistic to approach food, dieting, exercise, etc. with black-and-white thinking. Never going out to eat, for example, might be a good way to control what food goes in your mouth, but is it realistic to think you'll never need or want to eat at a restaurant? Life happens; you start dating and find yourself at restaurants or injury/illness/busy weeks cause you to turn to restaurant meals for convenience. Going to a restaurant doesn't have to mean throwing your nutrition plan out the window! It just means you have to have some intention about ordering something that will be as close to on-plan as possible.

That's the gray zone, and it seems to be where most of life takes place. So in today's Dr. Francavilla Show podcast episode, I share how to make a nutrition plan that's moderate—somewhere between all-or-nothing and something that's sustainable for real life. I debunk the the top 3 myths you tell yourself, so you won't want to miss this!

Let’s eat better together. Save up to $65 off your first Daily Harvest box: https://bit.ly/3Caqqr4

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What, exactly, is appetite?

Our appetite is so much more complex than most people realize. There are actually seven components of appetite, and understanding each of them can give a much clearer idea of what causes us to eat, overeat, or eat the "wrong" foods.

Hunger and cravings are two of the seven—likely the two we think of the most.

Hunger is that physiological desire to eat; you might notice it by a growling stomach, for example.

Craving is a desire to eat something specific; it might be something you often think about (chocolate for me!) or something that comes up sparingly (anyone else just really want a juicy cheeseburger every so often?!).

I go over these and the other five in detail in my newest Dr. Francavilla Show podcast episode, What Exactly Is Appetite? Listen in to get a better understanding and jot down the things that might help you improve your health.

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Exercising can be so intimidating, whether it's at a studio where everyone else seems to be a pro yogi or it's at a gym where just figuring out how to turn on the machine seems tricky.

But what if we could set any intimidation aside in the name of a longer, healthier life?!

What if we separate weight loss and from exercise? And make it about moving in a way that feels right to YOU?

And what if we learn the incredible benefits of intentional movement? Lower anxiety, improved sleep, better heart health, increased bone health, lower risk of dementia ... sounds pretty great, right?

That's why my newest Dr. Francavilla Show podcast episode is all about exercise and how to get moving for optimal health. Check out What You Need to Know About Exercise for my exercise insight including the top two questions I get asked about exercise.

And remember: No one is paying as much attention to you and your exercising as you are ... so let go of the myth that everyone's watching and judging you at the gym!

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Different bodies respond differently to the various weight-loss treatments, so it should not be considered a failure if a person's unique body is simply resistant to certain treatments. This is also why bariatric surgery shouldn't be considered a last-resort weight-loss solution.

In this newest podcast episode, I have an incredible and inspirational conversation with Karli Burridge, a PA and specialist in obesity management.

She reminds us we have many tools for managing obesity because people are unique and have different needs, including in weight management. Sometimes those needs involve lifestyle changes, sometimes it's medication, sometimes it's bariatric surgery—and sometimes it's a combination. Each of these tools can be considered based on individual patient situations and the best way to support their wellness.

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Weight is just one part of the whole health picture of a person.

While weight can affect overall health and losing weight can improve that, there are other factors to consider when you are looking to become healthier.

I have identified 5 factors to address BEFORE trying to lose weight so you set yourself up for success and make sure important conditions aren't overlooked when working to improve your health.

Get the 5 factors and details in today's episode!

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Unless you live a life that always goes as planned, listen up!

Backup plans are a must when it comes to your health because no matter how well-prepped your lunches are for the week, you're bound to forget the lunch bag at home one day or find that your lettuce has wilted (already?!).

So do these things get you off track and change the trajectory of your successful health plan?

Not if you have a backup plan!

Backup plans don't have to mean twice the planning—you won't have to use them much, so don't worry about spending too much time putting them in place. But when you do need to use them, you'll be so glad you thought about them in advance so you don't derail the progress you've made on your health goals!

In today's episode of The Dr. Francavilla Show Podcast, I discuss simple ways to create backup plans in case things go awry for breakfast, lunch, dinner, and even exercise plans.

Tune in to get my simple tips!

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In today's Dr. Francavilla Show podcast episode, I walk you through the pros and cons of each of the 6 most common diets that are brought up by patients at my clinic.

Data tells us the biggest predictor of success when picking a nutrition plan is if it's something you can stick with.

As an obesity physician, I typically recommend my patients start with something like this, which I call the Healthy Eating Plan.
Simply take a plate and fill ...
- 1/2 of it with veggies
- 1/4 of it with protein
- 1/8 of it with fats
- 1/8 of it with carbs

The veggies provide lots of nutrition and the protein is really good at making people feel full and satisfied, and that is really important for your patients trying to lose weight.

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It might surprise you to know that many people who come to me for weight loss don't actually need to lose weight!

So how do you know if you (or your patients) do?

In my newest podcast episode, I run through a few things to consider, because it is possible that stressing about weight is actually causing more harm than good for your health.

I always invite my patients to share with me whether their physical activity is limited due to their weight. I also ask if there is a current health problem or future concern due to family history that losing weight would solve.

Losing a moderate amount of weight can do amazing things for their health, so that's part of why I got into the field I got into. Without adding medicines or treatments, a plan to cut 5-10% of a person's weight can dramatically improve many health issues.

But the key there is "health issues." Sometimes the actual issue is more of a societal pressure or body image concern than an actual health problem or physical limitation.

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In this episode, we are going to talk all about emotional eating. We will address ways you can recognize and handle it with the "Am I hungry" method. We will also talk about what emotional eating is and what it is not. When I have researched this topic before, studies estimate that about 70 to 80% of people emotionally eat. That means the vast majority of us emotionally eat at least from time to time. You may be eating the way you want the majority of the day and this emotional trigger happens then all of a sudden you find yourself off your eating pattern, eating way more than you planned, and eating foods you hadn't planned to eat. So what do we do about this? I hope to give you some tools today that will help so make sure you check out the show!

Points of interest...

What is emotional eating? [1:18]
Recognizing the triggers [2:56]
Am I hungry? [6:48]
What is the problem and how do I solve it? [10:33]
Building a toolbox to help deal with emotional eating [14:48]
Is giving in to emotional eating on occasion ok? [17:06]
Actionable take-a-ways [20:30]

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Today's episode is all about setting goals. If you are like most of my patients, you have set lots of goals in your life around health and weight. Maybe you haven't always been successful with them, maybe you haven't always accomplished them, maybe you haven't even started them. Some of that may be that you are choosing the wrong goal. It is the beginning of 2023 and many people like to start their year by setting a goal, but you can set goals any time of the year so don't let a date on a calendar limit you. Today I'm gonna teach you how to set goals that you can actually achieve and how to set yourself up for success!

Points of interest...

Is your goal specific [2:18]
Is your goal measurable? [4:14]
Is your goal attainable? [6:43]
Is your goal realistic? [9:16]
Does your goal have a deadline? [11:43]
Once you have a goal how do you make it happen? [15:55]
Getting help with your goal [21:43]

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Today is a very exciting day on the podcast because we have our first guest, Dr. Angela Fitch. She is an internal medicine and pediatric obesity medicine physician and president of the Obesity Medicine Association. She's the former co-director of the Mass General Weight Center in Boston and now she is the Chief Medical Officer for Known Well a new in-person and virtual primary care and obesity clinic that will launch soon in Boston and across the country. In this episode, we will be talking about something that both Dr. Fitch and I are really passionate about, anti-obesity medications that help with weight loss. We will discuss why we think they are important, what kinds are out there and what they do, and why diet and exercise aren't always enough. I hope this information helps you.

Points of interest...

Why do we need medications? [2:08]
Sympathomimetic amines, a class of medications like Phentermine [6:51]
Phentermine Topiramate combination [14:32]
Naltrexone Bupropion combo [17:39]
GLP-1 agonists injections [20:34]
Keeping an eye on nutrition when using medications [28:20]
Plenity [32:29]
Orlistat [35:11]
Medications that are not technically anti-obesity medications [37:25]
Accepting long-term use [39:18]

Resources & People Mentioned
Dr. Angela Fitch

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Today we are going to talk about how to take care of your health while you travel. I'm going to help you come up with a plan for before, during, and after your trips so that you can stay on plan and not undo all the work you have done with lifestyle changes just because you are traveling. If you are like my patients, one of the biggest challenges that can throw you off track is when you have a trip, vacation, or some other type of travel. Whether this is a once-a-year or once every few years, a blowout trip of a lifetime or a regular trip home to see your family, or even business trips that you have to do on a regular basis, if you do not plan for how you're going to handle travel, it is very likely you're going to get thrown off track. So let's come up with a plan for what you can do before, during, and after travel so that you can maintain your weight or even keep losing weight while you’re on the go.

Points of interest...

Planning for your travels ahead of time [2:02]
Packing to be successful [5:14]
Coming back without going backward [7:47]
Enjoying food with the right mindset [10:10]
Alcohol brings friends [13:21]
Getting back to normal when you get home [18:47]
What to do with today’s information? [24:05]

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In this episode, we are talking about exercise. Specifically, I have 14 ways to get yourself to exercise. I am convinced that if I could find the one way to get my patients to exercise, I would win the Nobel Prize! Exercise is so important for our health, yet the majority of Americans are not getting the recommended amount of exercise. Exercise is important to all of us regardless of our health because we have decreased all-cause mortality. That is a fancy doctor way of saying you are less likely to die from any cause if you exercise. Nevertheless, it's hard to get yourself to move, even knowing how important exercise is, so I will share with you the 14 tips I find myself giving patients the most often. I hope these tips help you get moving towards a healthier you!

Points of interest...

Why exercise makes you live longer? [2:11]
One tip for what NOT to do [4:26]
Put it on your calendar [7:39]
Start a program [11:31]
Do something else while you’re moving [14:58]
Get a fitness tracker [18:12]
What to do with today’s information? [20:25]

Resources & People Mentioned

Peloton referral code: UPWXRD

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In this episode, we are going to talk about surviving the holidays and how to keep your health on track while going through the season. I’ll walk you through a few steps that you can take to prepare and get through this time of year without derailing your progress. We are also going to talk about some of the holiday challenges that my patients bring to me and what to do about those.

Before we get started, I just want to say, I recognize not everyone celebrates holidays at the same time of year. Not everyone celebrates Christmas. That is what my family celebrates and that is what a lot of my patients celebrate so that is some of what we're gonna be talking about today. You may also come across this at a different time of year so you might save it and go back to it around Thanksgiving, or you might hang in and go for the ride because I think you are gonna learn a lot in this episode that you can use for lots of circumstances in your life.

Points of interest...

Why are the holidays so hard? [1:54]
Setting goals for the season [4:43]
Planning to have fun [7:17]
Staying active [13:09]
What to do about food pushers? [15:03]
What if there is nothing from your meal plan at the event? [18:30]
What to do with food gifts and leftovers? [22:20]
What to do with today’s information? [28:20]

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In today's episode, we are going to be talking about weight maintenance. You may be thinking this episode is not for me, I have not reached my goal yet, I'm focused on losing weight right now. BUT, you are exactly who this episode is for because you need to know where you're going in order to get there and stay there successfully.

Sometimes knowing what you're getting into is really important to experience what you're doing fully. When it comes to weight loss, that is absolutely true. We tend to get very focused on losing weight when in reality we should focus more on maintaining weight because that's hard to do. It's as hard to maintain weight as it is to lose weight. Whether you're trying to stay where you're at and stop gaining weight or whether you're trying to lose weight and keep it off, this is going to be the talk for you. We're going to talk about how you get there, and how you stay there.

Points of interest...

Why it’s important to know where you’re going [1:51]
5 things we’ve learned from the National Weight Control Registry [5:12]
How often do successful weight losers weigh in? [8:00]
Watching less TV and weight [11:44]
90% of people who do this have lost 30 pounds or more and are keeping it off [13:15]
Having a consistent eating pattern [16:13]
When does it get easier? [17:19]
What to do with today’s information? [23:29]

Resources & People Mentioned

National Weight Control Registry

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In today's episode, we will talk about why it is so hard to lose weight and we'll start to touch on some of the things you can do. The whole podcast is about solutions to why it is so hard to lose weight but this episode is going to be a little bit more about the technical side because I want to get into a little bit of the science of why it is so hard. I hope, if nothing else, you leave this episode with a better understanding of why it is so hard to lose weight and be able to give yourself a little more credit and a bit more grace, but most importantly to stop blaming yourself so much if it has been hard for you to lose or keep weight off.

Points of interest...

The typical history of clients' weight loss attempts [1:52]
Basics of the calories in calories out model [4:31]
Basics of the carbohydrate-insulin model [8:36]
Not all calories are equal [12:18]
The set point [16:49]
Are medications or surgery right for you? [19:06]
It’s not your fault! [25:26]
What to do with today’s information? [29:37]

Resources & People Mentioned

Free video on medications for Clinicians

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Today we will be talking about one of my patients' most common challenges, which is overeating at night. Overeating at night is something we have all probably experienced. I know I certainly have. You know how it goes, you've eaten your dinner, in my case getting the kids to bed, and you're sitting down to get some work done or watch some tv, and the next thing you know, you have eaten way too many chips or crackers, too much chocolate, too much ice cream, or even too many fruits and vegetables. Whatever it may be, you've eaten a bunch of things you didn't plan on eating, and you feel like you've undone some of the work you did earlier in the day or earlier in the week. Well in this episode we are going to add a tool to your box by covering 7 tips I have for what you can do to work on that nighttime eating habit. Which two will you start working on today?

Points of interest...

Is your overeating a sign of a bigger problem? [2:09]
Tip 1 - Eating regularly throughout the day [3:43]
Tip 2 - Planning instead of fighting it [6:06]
Tip 3 - Pick a time to stop eating [9:40]
Tip 4 - Brush your teeth [13:14]
Tip 5 - Cutting out alcohol [14:24]
Tip 6 - Change what you do at night [15:57]
Tip 7 - Change where you eat at night [19:06]
What to do with this information? [22:10]

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