Ep. 438 The Rise of GLP-1s: Key to Weight Loss and Metabolic Health with Alexandra Sowa, MD

Everyday Wellness with Cynthia Thurlow ™

Cynthia Thurlow

Alternative Health, Nutrition, Science, Life Sciences, Health & Fitness

4.8 • 1K Ratings

🗓️ 8 February 2025

⏱️ 70 minutes

🔗️ Recording | iTunes | RSS

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Summary

I am delighted to have Dr. Alexandra Sowa joining me for our second conversation today. Dr. Sowa is a pioneer in obesity medicine, known for combining scientific expertise with compassionate patient advocacy. She is also the author of the new Ozempic Revolution book. In our discussion, Dr. Sowa shares her insights on GLP-1 medications and their role in metabolic health and weight management, and we tackle some of the biggest misconceptions about these drugs, exploring the differences between Metformin and GLP-1s and examining the damaging effects of ultra-processed foods have on our brains. We discuss the impact of the body positivity movement, yo-yo dieting, and microdosing, and Dr. Sowa offers her perspective on metabolic adaptation. We dive into the science behind how GLP-1s work in the body and some specific concerns about their side effects, and we also provide practical guidance on insurance coverage and answer a broad range of listener questions. I know you will love this invaluable discussion with Dr. Alexandra Sowa. IN THIS EPISODE YOU WILL LEARN: Dr. Sowa shares her experience with GLP-1 medications Why you must understand your metabolic health before starting with GLP-1s Some of the broader benefits of GLP-1 medications Dr. Sowa explains what food noise is and clarifies how GLP-1 medications can help reduce it Why healthy-at-any-size and GLP-1 medications are not mutually exclusive Why is Dr. Sowa opposed to microdosing? The importance of using GLP-1s for health benefits rather than thinness How yo-yo dieting impacts metabolic health The mechanism of action and side effects of GLP-1s Some tips for navigating insurance coverage and accessing GLP-1s The importance of protein and the benefits of low-carbohydrate diets for individuals with insulin resistance Connect with Cynthia Thurlow Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to [email protected] Connect with Dr. Alexandra Sowa On her website On all social media: @alexandrasowamd Purchase a copy of Dr. Sowa’s book, The Ozempic Revolution: A Doctor's Proven Plan for Success to Help You Reverse Obesity, End Yo-Yo Dieting, and Protect Yourself from Disease

Transcript

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0:00.0	Welcome to Everyday Wellness Podcast.
0:04.2	I'm your host, nurse practitioner, Cynthia Thurlow.
0:07.5	This podcast is designed to educate, empower, and inspire you to achieve your health and wellness goals.
0:13.9	My goal and intent is to provide you with the best content and conversations from leaders in the health and wellness industry each week and impact over a million lives.
0:28.9	This is my second conversation with Dr. Alexandra Soa. She's a trailblazer in obesity medicine, known for her unique blend of scientific rigor and thoughtful patient advocacy.
0:41.2	She is also the author of the new OZempic Revolution book.
0:45.6	Today we spoke about common misconceptions specific to this class of drug therapy, the advent of GLP1s, as well as their importance for not only metabolic health, but also weight loss,
0:57.6	key differences between metformin and GLP-1s as drug classes, the role of food noise and bliss points,
1:04.5	as well as damage that ultra-processed foods due to our brains, the impact of the body positivity
1:09.7	movement and health at any size, the impact of the body positivity movement and health at any size,
1:12.2	the impact of microdosing and her personal thoughts on this philosophy, the impact of yo-yo
1:18.2	dieting and metabolic adaptation, key ways the GLPs work mechanistically in the body, specific
1:24.7	concerns around side effects, including gallstones, hair loss, and gastroporesis,
1:29.1	how to get your drugs covered by insurance and specific FDA indications for them. And last
1:35.4	but not least, listeners questions that run the gamut from, do we have to be on meds forever?
1:42.2	And how to view carbohydrate intake as you are losing weight?
1:47.1	This is a truly invaluable conversation and one that I know you will enjoy thoroughly.
1:54.7	So good to have you back on the podcast.
1:56.6	We were laughing before we started recording since we last connected.
2:00.4	You've had a couple of babies.
2:01.9	You now birth this book. I'm really excited to dive into GLP1s. As you and I both know, very hot topic
2:08.4	right now. And as a provider, what are some of the most common misconceptions that patients
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