May 28, 2025 • 21 mins
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GLP-1 medications like Ozempic and Wegovy have become more common—but the shame and secrecy around using them haven’t gone away. In this episode, I’m talking about why these medications are not cheating, why I’ve chosen to include support for GLP-1 use in my coaching practice, and how they can be a helpful tool for some women—especially when paired with intentional, thoughtful behavior change.
Whether you’re using these medications now, considering them, or just curious about how coaching fits in, this episode will give you clarity, compassion, and maybe even some relief.
What You’ll Learn:
- Why using GLP-1s doesn’t mean you’ve failed or taken the “easy way out”
- What these medications actually do—and what they don’t fix
- How I support clients on GLP-1s with emotional eating, habit change, and long-term planning
- What “bio-individuality” means and why it matters in your weight loss journey
- Why coaching is still valuable even when medication is part of the picture
START HERE: Download my FREE GLP-1 Success Starter Kit
Let’s talk about whether support for GLP-1 use is right for you—book a free consult HERE
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
This is the Eat Well Think WellLive Well podcast.
(00:02):
I am Lisa Salisbury and this isepisode 149 Using GLP ones,
here's the support you aremissing.
Welcome to eat well.
Well, the podcast for busy womenwho want to lose weight without
constantly counting, tracking,or stressing over every bite.
(00:22):
I'm Lisa Salsbury, a certifiedhealth weight loss and life
coach, and most importantly, arecovered chronic dieter here.
You'll learn to listen to yourbody and uncover the reasons
you're reaching for food.
When you're not truly hungry,freeing you to focus on a
healthier, more fulfillingapproach to eating.
(00:42):
All right, you may have noticeda little shift on my Instagram
lately, and I wanted to do afull episode to address that.
If you saw or heard the title,um, and you're not on my
Instagram, um, and you're like,oh wait.
GLP ones, that's not for me.
Wait, wait.
Don't swipe a wages yet.
This episode isn't just forwomen who are already using GLP
(01:04):
ones, although if you are, hi,welcome.
It's also for women secretlyconsidering it, but feeling
ashamed or worried, and womenwho have ruled it out for
themselves but are curious whyothers.
Choose it.
So let's jump right in and startwith the elephant in the room.
There is a stigma and a secrecyaround weight loss medications,
(01:28):
especially for women who alreadyfeel guilty for wanting to lose
weight.
I often have consults with womenwho are like, I mean, should I
even be trying to lose weight?
Or I just feel so stuck, solike, maybe I should just accept
and love my body how it is rightnow as if we can't do both at
the same time.
Although I think the bodypositivity movement has done
(01:50):
wonders for a lot of women, itoften ignores the fact that some
women just wanna feel better intheir clothes.
And by that I mean lessrestricted, no waistbands
digging in and not having like alot of extra fabric to deal
with.
We've got summer and hot weatheraround the corner, and the heat
and extra adipose tissue oftendo not mix well, and so that
(02:10):
makes you uncomfortable inclothing.
There is a lot of discomfort inclothing that has.
Zero to do with the appearanceof the body in the clothes.
Um, maybe you want to decreasepain.
Here's something that alwayssurprises people, is, um, this
example for every pound that youlose, you're taking four pounds
(02:30):
of pressure off your knees.
So if you lose 10 pounds, that'slike relieving 40 pounds of
pressure from that joint.
I found that information fromthe Arthritis Foundation and
they talk about it because itcan make a big difference when
it comes to knee pain or evenpreventing osteoarthritis down
the road.
I really could go on and onabout reasons you might want to
(02:53):
lose weight that have.
Nothing to do with aesthetics,but also if it is about
aesthetics for you, that'stotally fine too.
There should be no guilt orshame around wanting to lose
weight.
Don't let anyone tell you thatyou aren't being body positive
if you have a weight loss goal.
It's not one or the other.
We take care of things that welove and that is how we lose
(03:18):
weight by loving our body andtaking care of it.
So that was kind of a little bitof a side note, but add to that,
the fact that people out therewill then further shame you if
you decide to use weight lossmedications.
Not only do you wanna loseweight, but now you're gonna use
medications.
And the most common thing I seeis that people act like GLP ones
are some sort of cheatingshortcut.
(03:41):
This is downright false.
Let me just say that again.
GLP ones are not a cheat andthey are not a shortcut.
They are a tool.
These meds don't do theemotional or the behavioral
work.
They allow you to do that work.
(04:03):
So let me be clear.
Taking care of your health isnever cheating, and if this is
the route you choose to go.
That is perfect.
Great.
No worries.
Okay.
These medications are not amagic fix.
They don't do the deep work ofchanging habits, managing
emotional eating, or buildingtrust with your body what they
(04:25):
can do.
Is create that window ofopportunity.
If this medication somehow tookall the excess food you ate and
turned off the calories,allowing you to eat way beyond
your caloric needs and sit onthe couch and still lose weight,
then maybe, maybe you would havea shortcut argument.
But that's not how they work atall.
(04:47):
These medications just makethose lifestyle changes possible
for someone who has tried many,many times.
GLP one.
Medications help regulate hungerand satiety signals in your
brain and gut.
I won't get into the science ofhow exactly they do that.
You, you can Google that, butfor someone who's been stuck in
a cycle of intense cravings,constant hunger or emotional
(05:11):
eating, this is a huge relief.
It's like the noise finallyquiets down and that quiet is
where we can start to do thework together.
Oh, but wait, wait.
Isn't that what coaching issupposed to do?
Are you thinking, wait, Lisa,I've heard you talk about how to
manage and reduce cravings usingyour coaching tools.
(05:34):
Are you saying those don't work,but the medication does,
everyone should just do thatnow?
No, but also I'm not, not sayingthat.
This is where Bio Individualitycomes in.
This is a concept I learnedthrough my training at the
Institute for IntegrativeNutrition, and it means that
(05:54):
there's no one size fits allapproach to health.
What works beautifully for onewoman, whether it's journaling
through cravings.
Building structured meal plansor working through urges might
not be enough for someone elsewhose biology is wired a little
differently.
GLP ones are just one moreexample of how we can honor your
(06:19):
bioindividuality.
If your brain and body respondwell to that support, it's not a
failure of willpower or a signthat coaching didn't work.
It's just a reflection of whatyour body needed in this season
to help quiet the noise so youcould actually do the deeper
work.
And I promise you, there isdeeper work to do here.
(06:42):
And really, I mean, isn't thisthe goal either way?
Isn't this what we want eitherway?
So no.
It's not that, I'm telling youcoaching doesn't work anymore.
I absolutely still have plentyof clients that are not using
these medications and they arelosing weight.
Absolutely.
I, I mean, you've probably readmy testimonials.
(07:03):
People lose weight with coachingfor sure.
But also some people don't.
And I've also had some peoplethat have really enjoyed using
these medications along with mycoaching.
So I just wanted to come out andbe really clear and really take
a stand that.
I support anyone who wants touse these to further their
(07:26):
weight loss goals.
And not only do I want to, like,not only do I say, yay you and
great job.
I want to actually support youeven more.
And that's why I wanna tell youthat.
Coaching still matters here, andit might even matter more for
those of my clients that are onGLP one Medications.
(07:46):
So if you remember from myepisode with Double Board
certified Obesity MedicineSpecialist Dr.
Lindsay Ogle, she agreed thatpatients on these medications
need coaching and support justas much as someone who isn't
using them.
But the problem is most doctorsDon't offer day-to-day
behavioral change support.
(08:08):
Obviously, many of my clientsare getting these medications
from their primary carephysician and they are just not
set up to check on your foodjournal and make sure you're
getting all your water and yoursteps in.
That's not a failure on theirpart.
That's not our medical systemfailing you.
It's just not their job to dothat.
That's not in their jobdescription.
(08:29):
Um, by the way, side note, it's,it's mine, it's my job
description.
So in addition, they are notequipped to manage some of the
emotional aspects that will cropup, for example.
If you are used to using food inthe evening as a stress reducer,
or another time, I see this alot, is like when kids come home
from school and it's a reallystressful time and everyone's
(08:52):
having a snack and you're like,yes, I better have a snack too.
When you go on these medicationsand you no longer can do that,
where do those emotions go?
You have to learn other ways ofcoping with stress and sadness
and frustration and just life.
We use food and alcohol tomanage a lot of these emotions.
(09:17):
This is what a lot of us dobecause maybe that's all we've
known.
And as you know, I love to sayfood works.
It does give you that dopaminehit your brain is looking for,
and when the emotions are comingon strong.
You just need a bit of ease fromthat.
And so, you know what A littlesnacky snack does that, but when
(09:39):
you're on these medications,food's not gonna be very.
Tempting anymore.
So even though it's likely thatwhen your dosage is correct, you
will no longer be driven to thepantry, you'll actually kind of
wander in, look around, realizeyou aren't really hungry, or
that just no food.
Sounds good.
And you'll be left with thislike negative emotion and no.
(10:02):
Coping mechanism.
So that's just one example ofsome of the emotional aspects
that can crop up when you are onthese medications.
And it's just a little bitdifferent than what you see as
far as other, um, emotionalthings that I coach on with.
weight loss without medicationSo this is a major part that I
(10:23):
will be, um, coaching on in mynew GLP one coaching program.
So your doctor also probablydidn't give you much help on the
nutrition side again.
That's not her job.
As your coach, I will take alook at your food journal, see
where your protein and fiber andwater intake is at.
I'm gonna help you work throughdigestive symptoms,
(10:44):
constipation, bloating, andanswer those questions that come
up on the nutrition side.
Um, the third critical thingthat a coaching provides that
your doctor cannot is to helpyou build that, the sustainable
habits, so that if it'sappropriate for you sometime in
the future, you can come offthose medications at some point.
(11:04):
So this is the time to bebuilding and working on those
habits if you are choosing touse a GLP one, I know you've
tried to lose weight before.
I know this is not the firsttime for you.
I know you've heard eat less,move more, but how is that
actually done?
Right.
You've heard these things andyou're like, yeah, I get that.
(11:25):
But I, I, I can't like applythat in my life.
I can't figure out where I'vegone wrong.
You have blind spots.
Totally.
Um, we all do.
I mean, we all do really.
So those are the habits thatwe're gonna be able to build
together with the help of thecoach and the medication
together.
Just because you've been toldthat all your life doesn't mean
(11:46):
you know how to execute that inyour real life.
And so those are the differenthabits that you need to learn.
And it's possible that you are aperson that needs some of that
quiet that the medicationprovides in order to build these
long-term habits.
Okay.
I wanna mention one con of thesemedications.
As kind of a side note here.
(12:08):
There's a lot of talk about thecost of these medications and
that is absolutely true if youare paying cash.
But many insurances actually docover, I.
These medications, it's worthchecking your coverage and like,
just don't make any assumptionshere if you, especially if you
have a commercial plan throughyour employer.
So you might also check theformulary during open
(12:30):
enrollment, which usuallyhappens at the end of the year
and see if there are certainplans that do provide better
pharmaceutical coverage that youcan choose.
Don't just assume that they aretoo expensive and that there's
no way, um, for example, I haveBlue Cross in California and my
plan covers them.
If you qualify at a certain BMI,which I think for, for Blue
(12:51):
Cross around here, it's like 20,it's like a 27, so they, and
then they become like the sameprice as many of the other
medications.
Honestly, it's been a whilesince I checked it, but I think
it was somewhere around like 50to$75 a month depending on
dosage.
If you have an HR departmentthat you can let them know what
drugs you would like to seecovered.
(13:11):
Many times it's the employer'schoice of health plan that will
determine the formulary.
So speak up and let them knowwhat you need.
I'm, I'm a little bit hesitantto say this.
Um, because I feel like, don'tquote me, but from what I've
read, from what I've read, um,you know, and it's, it is just
the internet, but you know,sometimes it's right aside from
(13:33):
Kaiser, every insurance companycan provide coverage if the
employer chooses.
So it's worth checking and it'sworth asking.
That said, the program I'mdeveloping specifically to help
you if you are on a medicationis lower cost than my signature
12 week one-on-one program.
There are some group elements toit, and the midweek support
(13:56):
looks a little bit differentthan my, um, than my premium
one-on-one program.
But I did that because I knowyou're already paying at least
a, a copay, sometimes a heftycopay and maybe cash for these
meds.
So I wanted to keep that in mindas I created.
This new program for you.
Okay.
Let's talk about now who mightbe a bad candidate for GLP ones?
(14:18):
Like if this is you, you shouldnot consider, um, using a GLP
one.
Um, if you aren't willing totalk to me about your poop,
okay, you should probably nottry these medications.
The digestive side effects likenausea, constipation, art.
Easily mitigated with the rightdosage as well as the right food
intake, and just a couple oftips and tricks, and I can guide
(14:39):
you through that.
But if you are not willing to beopen and honest about what is
going on with your digestion.
This, these aren't for you.
Um, you also have to be willingto give up some of your favorite
foods to manage the digestionstuff, but also to make the
change.
If you aren't willing to give upfried foods and lots of bacon,
these meds probably aren't foryou.
(15:00):
If you can't give up yourseveral diet Cokes a day, you
probably shouldn't try.
These carbonated beverages canreally cause bloating when you
have that slower gastricemptying.
This one isn't forever, and somepeople totally can handle some
soda, um, especially on lowerdosages.
Honestly, everyone is different,but the point is you've got to
be willing to try differentthings and be open to changing
(15:23):
your diet.
Generally speaking, if youaren't willing to change what
you are eating.
Don't bother getting aprescription for GLP one.
These drugs are not going tolose the weight for you.
If you keep eating the way youare eating, regardless of what
medications you have on board,you will stay the same.
So something will have tochange.
And if that's not what you'relooking for, that's fine, but I
(15:45):
wouldn't pursue thesemedications.
Okay.
Another person who would be abad candidate for GLP ones would
be someone who's not willing todo some strength training.
I would not recommend thesemedications if strength training
is not your cup of tea.
I always recommend strengthtraining to any of my clients
regardless of medication status,but especially to those taking
(16:06):
GLP ones because you can seemore rapid weight loss, and we
want to really make sure thatyou have little to no muscle
loss.
We can't prevent a hundredpercent muscle loss.
Depending on how much weight youhave to lose, but there are
several strategies and strengthtraining is the core here.
So, obviously if you haven'tdone any, I will start you at
(16:29):
body weight, but.
In the end, we need to be, belifting some heavy things.
So this goes beyond those bodypump classes.
That's an aerobics class.
That's, and, and it's somestrength training, but we, we've
got to get into the, the biggerpower moves with the lower body
to really.
(16:49):
Maintain and build some of themuscle there.
So, for example, I was talkingto a client last week and she
was saying I, that she oftendoes compound movements like a
lunge with, combined with apress or, um, a squat combined
with a bicep curl, somethinglike that.
I can't remember exactly, butthey were combination moves
with, um, with a lower body moveand a, and a upper body move
(17:11):
with dumbbells.
And we were talking about thefact that.
You can only press so manypounds, but you can squat
probably two or three times thatamount.
So if you are strength trainingwith small dumbbells, it's, it's
a great place to start.
But we, we wanna separate outthose movements for really
(17:32):
stronger muscles and for morebuilding this, we're talking
about progressive overload andtime under tension and all of
those kinds of, um, you know,strength training concepts,
which I'm, I'm not gonna getinto in this episode, but.
I need you to be willing toincrease your, your weights,
right, and to really see someheavy strength training.
(17:53):
Okay.
Another person I wouldn'trecommend this for is someone
who has a short deadline.
Even though they make it easierto stick with good habits, I
still want your weight loss tobe fairly slow and steady.
So I know above I just saidlike, you know, it's gonna be
faster.
And so we wanna mitigate themuscle loss.
Yes.
And.
I don't want it to be too fast.
(18:13):
So typically we are looking fornot more than one to two pounds
per week.
Um, so if you have 50 pounds tolose, we average the one to two
pounds to one and a half poundsper week.
We're looking at the eight tonine month range.
If you have a deadline ofdigital live for your crews to
get it all off that, it's twofast, and that's where you start
to see the hair loss, the muscleloss.
And those are associated withdramatic weight loss, not the
(18:37):
medications.
So the medications.
Can make you lose weight reallyfast because, you know, some
people just don't eat, which wewon't be doing, we won't be
doing that, but be because theyallow you to go, um, with on
very, very few calories.
You can lose weight really fast.
(18:58):
And that's where we see some ofthis, like I said, like the hair
loss and the muscle loss.
And so we don't want that.
We want to be on the very lowestpossible dose that's creating an
effect for you and to keep that,steady weight at, you know, one
to two pounds per week.
And it depends on how much youlose or have to lose if you have
a lot.
To lose.
(19:18):
So somewhere in, you know, 75 toover a hundred pounds to lose,
we can see a little bit more,especially right at the
beginning.
It's okay if you're losing threeor four pounds a week, um,
that's, that's okay at thatrange.
But when you are down, um, youknow, under 75 or 50 pounds to
go, then you wanna keep it toone to two pounds per per week.
So.
(19:39):
I want you to let it take timesto do it safely without a lot of
side effects.
And also this is the time weneed to build the habits.
So if you are looking for aquick fix, this actually isn't
it.
Okay.
I think those are all of thepeople I would not recommend
these medications for.
Um, I just wanna say, to finishup here, I get why you might be
(20:02):
keeping your GLP one use asecret because you've seen the
bullies online.
And you've seen the peopledemonizing these like amazing
tools.
So I just want to say it's okayto want to lose weight number
one.
So, and that goes for anyone,whether you choose to use a
medication or not, it's okay touse tools that help you So.
(20:23):
That be that medicationcoaching, personal trainers,
dieticians.
Like, nobody's mad at you if youhire a personal trainer.
Right?
Why are they mad at you if youhire like a doctor?
It's so weird to me, like,honestly, like writing this, I'm
just like, why are people soweird?
Why, why do they shame othersfor, for using tools, uh, you
know, great things that we haveSo anyway, it's, it's just so
(20:45):
weird.
So those are the things that areokay, but it's not okay to feel
alone or unsupported in thisprocess.
And that's what getting coachingwill change for you.
So if you are even slightlyconsidering asking your doctor
about medications or if you arealready on one and struggling.
The first thing to do isdownload my GLP one starter kit.
It will get you started withnutrition, some side effect
(21:07):
mitigation, and some mindsetwork that you will need.
So I'm looking to give you theclarity and the support that
your doctor cannot.
After you grab that kit, goahead and schedule a free
consult session to see if my newGLP one specific coaching
program is right for you.
All the links are, of course,in.
The show notes.
Remember, it's not just aboutthe food, it's about empowering
(21:29):
yourself with choices that trulyserve you.
And I say that every week, buthonestly, if medication is the
choice that is going to empoweryou, I want to say you have my
full cheerleading support behindyou.
Have a great week, and asalways, thanks for listening and
sharing the Eat Well Think WellLive Well podcast.
This is the Eat Well Think WellLive Well podcast.
(00:02):
I am Lisa Salisbury and this isepisode 149 Using GLP ones,
here's the support you aremissing.
Welcome to eat well.
Well, the podcast for busy womenwho want to lose weight without
constantly counting, tracking,or stressing over every bite.
(00:22):
I'm Lisa Salsbury, a certifiedhealth weight loss and life
coach, and most importantly, arecovered chronic dieter here.
You'll learn to listen to yourbody and uncover the reasons
you're reaching for food.
When you're not truly hungry,freeing you to focus on a
healthier, more fulfillingapproach to eating.
(00:42):
All right, you may have noticeda little shift on my Instagram
lately, and I wanted to do afull episode to address that.
If you saw or heard the title,um, and you're not on my
Instagram, um, and you're like,oh wait.
GLP ones, that's not for me.
Wait, wait.
Don't swipe a wages yet.
This episode isn't just forwomen who are already using GLP
(01:04):
ones, although if you are, hi,welcome.
It's also for women secretlyconsidering it, but feeling
ashamed or worried, and womenwho have ruled it out for
themselves but are curious whyothers.
Choose it.
So let's jump right in and startwith the elephant in the room.
There is a stigma and a secrecyaround weight loss medications,
(01:28):
especially for women who alreadyfeel guilty for wanting to lose
weight.
I often have consults with womenwho are like, I mean, should I
even be trying to lose weight?
Or I just feel so stuck, solike, maybe I should just accept
and love my body how it is rightnow as if we can't do both at
the same time.
Although I think the bodypositivity movement has done
(01:50):
wonders for a lot of women, itoften ignores the fact that some
women just wanna feel better intheir clothes.
And by that I mean lessrestricted, no waistbands
digging in and not having like alot of extra fabric to deal
with.
We've got summer and hot weatheraround the corner, and the heat
and extra adipose tissue oftendo not mix well, and so that
(02:10):
makes you uncomfortable inclothing.
There is a lot of discomfort inclothing that has.
Zero to do with the appearanceof the body in the clothes.
Um, maybe you want to decreasepain.
Here's something that alwayssurprises people, is, um, this
example for every pound that youlose, you're taking four pounds
(02:30):
of pressure off your knees.
So if you lose 10 pounds, that'slike relieving 40 pounds of
pressure from that joint.
I found that information fromthe Arthritis Foundation and
they talk about it because itcan make a big difference when
it comes to knee pain or evenpreventing osteoarthritis down
the road.
I really could go on and onabout reasons you might want to
(02:53):
lose weight that have.
Nothing to do with aesthetics,but also if it is about
aesthetics for you, that'stotally fine too.
There should be no guilt orshame around wanting to lose
weight.
Don't let anyone tell you thatyou aren't being body positive
if you have a weight loss goal.
It's not one or the other.
We take care of things that welove and that is how we lose
(03:18):
weight by loving our body andtaking care of it.
So that was kind of a little bitof a side note, but add to that,
the fact that people out therewill then further shame you if
you decide to use weight lossmedications.
Not only do you wanna loseweight, but now you're gonna use
medications.
And the most common thing I seeis that people act like GLP ones
are some sort of cheatingshortcut.
(03:41):
This is downright false.
Let me just say that again.
GLP ones are not a cheat andthey are not a shortcut.
They are a tool.
These meds don't do theemotional or the behavioral
work.
They allow you to do that work.
(04:03):
So let me be clear.
Taking care of your health isnever cheating, and if this is
the route you choose to go.
That is perfect.
Great.
No worries.
Okay.
These medications are not amagic fix.
They don't do the deep work ofchanging habits, managing
emotional eating, or buildingtrust with your body what they
(04:25):
can do.
Is create that window ofopportunity.
If this medication somehow tookall the excess food you ate and
turned off the calories,allowing you to eat way beyond
your caloric needs and sit onthe couch and still lose weight,
then maybe, maybe you would havea shortcut argument.
But that's not how they work atall.
(04:47):
These medications just makethose lifestyle changes possible
for someone who has tried many,many times.
GLP one.
Medications help regulate hungerand satiety signals in your
brain and gut.
I won't get into the science ofhow exactly they do that.
You, you can Google that, butfor someone who's been stuck in
a cycle of intense cravings,constant hunger or emotional
(05:11):
eating, this is a huge relief.
It's like the noise finallyquiets down and that quiet is
where we can start to do thework together.
Oh, but wait, wait.
Isn't that what coaching issupposed to do?
Are you thinking, wait, Lisa,I've heard you talk about how to
manage and reduce cravings usingyour coaching tools.
(05:34):
Are you saying those don't work,but the medication does,
everyone should just do thatnow?
No, but also I'm not, not sayingthat.
This is where Bio Individualitycomes in.
This is a concept I learnedthrough my training at the
Institute for IntegrativeNutrition, and it means that
(05:54):
there's no one size fits allapproach to health.
What works beautifully for onewoman, whether it's journaling
through cravings.
Building structured meal plansor working through urges might
not be enough for someone elsewhose biology is wired a little
differently.
GLP ones are just one moreexample of how we can honor your
(06:19):
bioindividuality.
If your brain and body respondwell to that support, it's not a
failure of willpower or a signthat coaching didn't work.
It's just a reflection of whatyour body needed in this season
to help quiet the noise so youcould actually do the deeper
work.
And I promise you, there isdeeper work to do here.
(06:42):
And really, I mean, isn't thisthe goal either way?
Isn't this what we want eitherway?
So no.
It's not that, I'm telling youcoaching doesn't work anymore.
I absolutely still have plentyof clients that are not using
these medications and they arelosing weight.
Absolutely.
I, I mean, you've probably readmy testimonials.
(07:03):
People lose weight with coachingfor sure.
But also some people don't.
And I've also had some peoplethat have really enjoyed using
these medications along with mycoaching.
So I just wanted to come out andbe really clear and really take
a stand that.
I support anyone who wants touse these to further their
(07:26):
weight loss goals.
And not only do I want to, like,not only do I say, yay you and
great job.
I want to actually support youeven more.
And that's why I wanna tell youthat.
Coaching still matters here, andit might even matter more for
those of my clients that are onGLP one Medications.
(07:46):
So if you remember from myepisode with Double Board
certified Obesity MedicineSpecialist Dr.
Lindsay Ogle, she agreed thatpatients on these medications
need coaching and support justas much as someone who isn't
using them.
But the problem is most doctorsDon't offer day-to-day
behavioral change support.
(08:08):
Obviously, many of my clientsare getting these medications
from their primary carephysician and they are just not
set up to check on your foodjournal and make sure you're
getting all your water and yoursteps in.
That's not a failure on theirpart.
That's not our medical systemfailing you.
It's just not their job to dothat.
That's not in their jobdescription.
(08:29):
Um, by the way, side note, it's,it's mine, it's my job
description.
So in addition, they are notequipped to manage some of the
emotional aspects that will cropup, for example.
If you are used to using food inthe evening as a stress reducer,
or another time, I see this alot, is like when kids come home
from school and it's a reallystressful time and everyone's
(08:52):
having a snack and you're like,yes, I better have a snack too.
When you go on these medicationsand you no longer can do that,
where do those emotions go?
You have to learn other ways ofcoping with stress and sadness
and frustration and just life.
We use food and alcohol tomanage a lot of these emotions.
(09:17):
This is what a lot of us dobecause maybe that's all we've
known.
And as you know, I love to sayfood works.
It does give you that dopaminehit your brain is looking for,
and when the emotions are comingon strong.
You just need a bit of ease fromthat.
And so, you know what A littlesnacky snack does that, but when
(09:39):
you're on these medications,food's not gonna be very.
Tempting anymore.
So even though it's likely thatwhen your dosage is correct, you
will no longer be driven to thepantry, you'll actually kind of
wander in, look around, realizeyou aren't really hungry, or
that just no food.
Sounds good.
And you'll be left with thislike negative emotion and no.
(10:02):
Coping mechanism.
So that's just one example ofsome of the emotional aspects
that can crop up when you are onthese medications.
And it's just a little bitdifferent than what you see as
far as other, um, emotionalthings that I coach on with.
weight loss without medicationSo this is a major part that I
(10:23):
will be, um, coaching on in mynew GLP one coaching program.
So your doctor also probablydidn't give you much help on the
nutrition side again.
That's not her job.
As your coach, I will take alook at your food journal, see
where your protein and fiber andwater intake is at.
I'm gonna help you work throughdigestive symptoms,
(10:44):
constipation, bloating, andanswer those questions that come
up on the nutrition side.
Um, the third critical thingthat a coaching provides that
your doctor cannot is to helpyou build that, the sustainable
habits, so that if it'sappropriate for you sometime in
the future, you can come offthose medications at some point.
(11:04):
So this is the time to bebuilding and working on those
habits if you are choosing touse a GLP one, I know you've
tried to lose weight before.
I know this is not the firsttime for you.
I know you've heard eat less,move more, but how is that
actually done?
Right.
You've heard these things andyou're like, yeah, I get that.
(11:25):
But I, I, I can't like applythat in my life.
I can't figure out where I'vegone wrong.
You have blind spots.
Totally.
Um, we all do.
I mean, we all do really.
So those are the habits thatwe're gonna be able to build
together with the help of thecoach and the medication
together.
Just because you've been toldthat all your life doesn't mean
(11:46):
you know how to execute that inyour real life.
And so those are the differenthabits that you need to learn.
And it's possible that you are aperson that needs some of that
quiet that the medicationprovides in order to build these
long-term habits.
Okay.
I wanna mention one con of thesemedications.
As kind of a side note here.
(12:08):
There's a lot of talk about thecost of these medications and
that is absolutely true if youare paying cash.
But many insurances actually docover, I.
These medications, it's worthchecking your coverage and like,
just don't make any assumptionshere if you, especially if you
have a commercial plan throughyour employer.
So you might also check theformulary during open
(12:30):
enrollment, which usuallyhappens at the end of the year
and see if there are certainplans that do provide better
pharmaceutical coverage that youcan choose.
Don't just assume that they aretoo expensive and that there's
no way, um, for example, I haveBlue Cross in California and my
plan covers them.
If you qualify at a certain BMI,which I think for, for Blue
(12:51):
Cross around here, it's like 20,it's like a 27, so they, and
then they become like the sameprice as many of the other
medications.
Honestly, it's been a whilesince I checked it, but I think
it was somewhere around like 50to$75 a month depending on
dosage.
If you have an HR departmentthat you can let them know what
drugs you would like to seecovered.
(13:11):
Many times it's the employer'schoice of health plan that will
determine the formulary.
So speak up and let them knowwhat you need.
I'm, I'm a little bit hesitantto say this.
Um, because I feel like, don'tquote me, but from what I've
read, from what I've read, um,you know, and it's, it is just
the internet, but you know,sometimes it's right aside from
(13:33):
Kaiser, every insurance companycan provide coverage if the
employer chooses.
So it's worth checking and it'sworth asking.
That said, the program I'mdeveloping specifically to help
you if you are on a medicationis lower cost than my signature
12 week one-on-one program.
There are some group elements toit, and the midweek support
(13:56):
looks a little bit differentthan my, um, than my premium
one-on-one program.
But I did that because I knowyou're already paying at least
a, a copay, sometimes a heftycopay and maybe cash for these
meds.
So I wanted to keep that in mindas I created.
This new program for you.
Okay.
Let's talk about now who mightbe a bad candidate for GLP ones?
(14:18):
Like if this is you, you shouldnot consider, um, using a GLP
one.
Um, if you aren't willing totalk to me about your poop,
okay, you should probably nottry these medications.
The digestive side effects likenausea, constipation, art.
Easily mitigated with the rightdosage as well as the right food
intake, and just a couple oftips and tricks, and I can guide
(14:39):
you through that.
But if you are not willing to beopen and honest about what is
going on with your digestion.
This, these aren't for you.
Um, you also have to be willingto give up some of your favorite
foods to manage the digestionstuff, but also to make the
change.
If you aren't willing to give upfried foods and lots of bacon,
these meds probably aren't foryou.
(15:00):
If you can't give up yourseveral diet Cokes a day, you
probably shouldn't try.
These carbonated beverages canreally cause bloating when you
have that slower gastricemptying.
This one isn't forever, and somepeople totally can handle some
soda, um, especially on lowerdosages.
Honestly, everyone is different,but the point is you've got to
be willing to try differentthings and be open to changing
(15:23):
your diet.
Generally speaking, if youaren't willing to change what
you are eating.
Don't bother getting aprescription for GLP one.
These drugs are not going tolose the weight for you.
If you keep eating the way youare eating, regardless of what
medications you have on board,you will stay the same.
So something will have tochange.
And if that's not what you'relooking for, that's fine, but I
(15:45):
wouldn't pursue thesemedications.
Okay.
Another person who would be abad candidate for GLP ones would
be someone who's not willing todo some strength training.
I would not recommend thesemedications if strength training
is not your cup of tea.
I always recommend strengthtraining to any of my clients
regardless of medication status,but especially to those taking
(16:06):
GLP ones because you can seemore rapid weight loss, and we
want to really make sure thatyou have little to no muscle
loss.
We can't prevent a hundredpercent muscle loss.
Depending on how much weight youhave to lose, but there are
several strategies and strengthtraining is the core here.
So, obviously if you haven'tdone any, I will start you at
(16:29):
body weight, but.
In the end, we need to be, belifting some heavy things.
So this goes beyond those bodypump classes.
That's an aerobics class.
That's, and, and it's somestrength training, but we, we've
got to get into the, the biggerpower moves with the lower body
to really.
(16:49):
Maintain and build some of themuscle there.
So, for example, I was talkingto a client last week and she
was saying I, that she oftendoes compound movements like a
lunge with, combined with apress or, um, a squat combined
with a bicep curl, somethinglike that.
I can't remember exactly, butthey were combination moves
with, um, with a lower body moveand a, and a upper body move
(17:11):
with dumbbells.
And we were talking about thefact that.
You can only press so manypounds, but you can squat
probably two or three times thatamount.
So if you are strength trainingwith small dumbbells, it's, it's
a great place to start.
But we, we wanna separate outthose movements for really
(17:32):
stronger muscles and for morebuilding this, we're talking
about progressive overload andtime under tension and all of
those kinds of, um, you know,strength training concepts,
which I'm, I'm not gonna getinto in this episode, but.
I need you to be willing toincrease your, your weights,
right, and to really see someheavy strength training.
(17:53):
Okay.
Another person I wouldn'trecommend this for is someone
who has a short deadline.
Even though they make it easierto stick with good habits, I
still want your weight loss tobe fairly slow and steady.
So I know above I just saidlike, you know, it's gonna be
faster.
And so we wanna mitigate themuscle loss.
Yes.
And.
I don't want it to be too fast.
(18:13):
So typically we are looking fornot more than one to two pounds
per week.
Um, so if you have 50 pounds tolose, we average the one to two
pounds to one and a half poundsper week.
We're looking at the eight tonine month range.
If you have a deadline ofdigital live for your crews to
get it all off that, it's twofast, and that's where you start
to see the hair loss, the muscleloss.
And those are associated withdramatic weight loss, not the
(18:37):
medications.
So the medications.
Can make you lose weight reallyfast because, you know, some
people just don't eat, which wewon't be doing, we won't be
doing that, but be because theyallow you to go, um, with on
very, very few calories.
You can lose weight really fast.
(18:58):
And that's where we see some ofthis, like I said, like the hair
loss and the muscle loss.
And so we don't want that.
We want to be on the very lowestpossible dose that's creating an
effect for you and to keep that,steady weight at, you know, one
to two pounds per week.
And it depends on how much youlose or have to lose if you have
a lot.
To lose.
(19:18):
So somewhere in, you know, 75 toover a hundred pounds to lose,
we can see a little bit more,especially right at the
beginning.
It's okay if you're losing threeor four pounds a week, um,
that's, that's okay at thatrange.
But when you are down, um, youknow, under 75 or 50 pounds to
go, then you wanna keep it toone to two pounds per per week.
So.
(19:39):
I want you to let it take timesto do it safely without a lot of
side effects.
And also this is the time weneed to build the habits.
So if you are looking for aquick fix, this actually isn't
it.
Okay.
I think those are all of thepeople I would not recommend
these medications for.
Um, I just wanna say, to finishup here, I get why you might be
(20:02):
keeping your GLP one use asecret because you've seen the
bullies online.
And you've seen the peopledemonizing these like amazing
tools.
So I just want to say it's okayto want to lose weight number
one.
So, and that goes for anyone,whether you choose to use a
medication or not, it's okay touse tools that help you So.
(20:23):
That be that medicationcoaching, personal trainers,
dieticians.
Like, nobody's mad at you if youhire a personal trainer.
Right?
Why are they mad at you if youhire like a doctor?
It's so weird to me, like,honestly, like writing this, I'm
just like, why are people soweird?
Why, why do they shame othersfor, for using tools, uh, you
know, great things that we haveSo anyway, it's, it's just so
(20:45):
weird.
So those are the things that areokay, but it's not okay to feel
alone or unsupported in thisprocess.
And that's what getting coachingwill change for you.
So if you are even slightlyconsidering asking your doctor
about medications or if you arealready on one and struggling.
The first thing to do isdownload my GLP one starter kit.
It will get you started withnutrition, some side effect
(21:07):
mitigation, and some mindsetwork that you will need.
So I'm looking to give you theclarity and the support that
your doctor cannot.
After you grab that kit, goahead and schedule a free
consult session to see if my newGLP one specific coaching
program is right for you.
All the links are, of course,in.
The show notes.
Remember, it's not just aboutthe food, it's about empowering
(21:29):
yourself with choices that trulyserve you.
And I say that every week, buthonestly, if medication is the
choice that is going to empoweryou, I want to say you have my
full cheerleading support behindyou.
Have a great week, and asalways, thanks for listening and
sharing the Eat Well Think WellLive Well podcast.
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