EPISODE DESCRIPTION

What happens when the obesity medicine physician is also living with obesity?

In this episode of Weight & Measure, hosts Mike Donnelly-Boylen and Zach Niemiec are joined by Dr. Matthea Rentea, Dr. Catherine Toomer, and Dr. Brianna Bingham for an honest conversation about obesity, GLP-1 medications, bariatric surgery, weight stigma, and the realities of treating a disease while also living with it.

Together, they discuss their personal obesity journeys, what medical education often gets wrong about obesity, and how lived experience has shaped the way they care for patients. The conversation explores obesity treatment, long-term weight management, bariatric surgery, GLP-1 medications, and the future of obesity medicine.

Topics include:

• What medical education still gets wrong about obesity
• How lived experience changes patient care
• GLP-1 medications and obesity treatment
• Zepbound, Mounjaro, Wegovy, and Ozempic
• Tirzepatide and semaglutide
• Bariatric and metabolic surgery
• Weight stigma in healthcare
• Patient-centered obesity care
• Long-term weight management
• Obesity advocacy
• The future of obesity treatment

Dr. Matthea Rentea shares lessons from her personal journey and insights from hundreds of conversations through The Obesity Guide Podcast.

Dr. Catherine Toomer discusses maintaining significant weight loss for more than twenty years while helping patients navigate multiple generations of obesity treatment.

Dr. Brianna Bingham offers her perspective on bariatric surgery, obesity care, and how personal experience influences clinical practice.

Whether you are taking a GLP-1 medication, considering bariatric surgery, living with obesity, supporting a loved one, or working in healthcare, this episode provides a perspective rarely heard in medicine: physicians discussing obesity through both clinical expertise and lived experience.

FREE EDUCATIONAL RESOURCE FOR HEALTHCARE PROFESSIONALS

If your practice provides non-surgical weight loss, obesity medicine, GLP-1 therapy, or comprehensive obesity care, download ProCare Health's Non-Surgical Weight Loss & Obesity Management Guide:

https://procarenow.com/pages/non-surgical-weight-loss-obesity-management-program

ABOUT WEIGHT & MEASURE

Weight & Measure is hosted by Mike Donnelly-Boylen and Zach Niemiec. The podcast brings together people living with obesity, healthcare professionals, researchers, advocates, and industry leaders to explore obesity care, obesity medicine, bariatric surgery, GLP-1 medications, patient advocacy, weight stigma, and the future of treatment.

KEYWORDS

obesity, obesity medicine, GLP-1, GLP-1 medications, obesity treatment, obesity care, obesity management medications, OMMs, Zepbound, Mounjaro, Wegovy, Ozempic, tirzepatide, semaglutide, bariatric surgery, metabolic surgery, gastric sleeve, gastric bypass, weight stigma, patient advocacy, obesity advocacy, chronic disease, obesity physician, obesity specialist, lived experience, patient-centered care, Matthea Rentea, Catherine Toomer, Brianna Bingham, The Obesity Guide Podcast, Weight & Measure

You Lost the Weight. Now What? GLP 1 Maintenance, Mindset, and Long Term Success

Many people focus on how to lose weight.

Far fewer talk about what happens after.

For many individuals using GLP 1 medications, pursuing Bariatric & Metabolic Surgery, or making significant lifestyle changes, reaching a goal weight is not the end of the journey. It is the beginning of a new challenge: maintaining weight loss long term.

In this episode of Weight & Measure with Mike and Zach, we explore one of the most important and least discussed topics in obesity care: long term weight maintenance.

Joining us are:

• Leslie Golden, MD
• Robyn Pashby, PhD

Together, we discuss why weight recurrence happens, why it is not simply a matter of willpower, and what people can do to build sustainable strategies for long term success.

Topics include:

• Why keeping weight off is often harder than losing it
• The biology behind weight maintenance and weight recurrence
• GLP 1 maintenance strategies after active weight loss
• Long term use of obesity medications
• Hunger, metabolism, and the body's response to weight loss
• The psychological challenges of maintaining weight loss
• Identity changes after significant weight loss
• Fear of weight recurrence and how to navigate it
• Perfectionism and all or nothing thinking
• Emotional eating, stress, and coping strategies
• Building sustainable habits for long term success
• Bariatric and metabolic surgery considerations during maintenance
• Why body composition may matter more than the scale
• The mindset shift from losing weight to living at a lower weight

One of the most overlooked realities of obesity treatment is that maintenance is not just a physical challenge. It is also a psychological one.

How do you trust yourself after years of weight cycling?

How do you respond when the scale moves up?

How do you stop living in fear of regaining the weight you worked so hard to lose?

Whether your journey includes Wegovy, Zepbound, Mounjaro, GLP 1 medications, Bariatric & Metabolic Surgery, nutrition changes, physical activity, or a combination approach, this episode provides evidence informed insights to help you navigate the next phase of your journey.

Weight & Measure with Mike and Zach is a live conversation series bringing together patients, clinicians, researchers, and advocates to discuss obesity medicine, GLP 1 medications, Bariatric & Metabolic Surgery, patient advocacy, and long term health.

Keywords: GLP 1 maintenance, weight maintenance, weight loss maintenance, weight recurrence, obesity medicine, obesity care, Ozempic, Wegovy, Zepbound, Mounjaro, Foundayo, semaglutide, tirzepatide, obesity treatment, Bariatric Surgery, Metabolic Surgery, health psychology, emotional eating, weight cycling, body composition, obesity medications, long term weight loss.

Medicare, GLP 1s, and Fear: What Older Adults Need to Know | Angela Fitch, MD, Tracy Zvenyach, PhD, MS, RN, and Deb Cooperman

As Medicare coverage for obesity treatment continues to evolve, many older adults are asking the same questions:

Can Medicare cover GLP 1 medications like Wegovy or Zepbound? Who qualifies for the Medicare Bridge Program? What should adults over 65 know before starting obesity treatment?

In this episode of Weight & Measure with Mike and Zach, we explore the rapidly changing landscape of obesity medicine, Medicare access, and GLP 1 treatment for older adults.

Joining us are nationally recognized obesity medicine physician Angela Fitch, MD, obesity policy expert Tracy Zvenyach, PhD, MS, RN, and patient advocate Deb Cooperman to discuss what seniors, caregivers, and healthcare professionals need to know about starting GLP 1 medications later in life.

Topics discussed include:

• Medicare coverage for GLP 1 medications
• The Medicare Bridge Program and who may qualify
• Wegovy, Zepbound, Mounjaro, and other obesity medications
• Obesity treatment after age 65
• Weight loss, muscle loss, and body composition in older adults
• Nutrition strategies while taking GLP 1 medications
• Side effects and medication expectations
• Mobility, strength, and healthy aging
• Caregiver and family support during treatment
• Access, affordability, and obesity care policy
• Bariatric and metabolic surgery considerations
• Long-term obesity management and maintenance

Whether you are considering Wegovy, Zepbound, Mounjaro, or another obesity treatment, this episode provides evidence-informed insights to help older adults make informed decisions alongside their healthcare team.

Resources:

• CMS Medicare Bridge Program Information: https://www.cms.gov/glp-1-bridge.pdf

Weight & Measure with Mike and Zach is a podcast and live video series bringing together patients, clinicians, researchers, advocates, and policymakers to discuss obesity medicine, GLP 1 medications, Bariatric & Metabolic Surgery, weight management, access to care, and metabolic health.

Subscribe for future conversations covering obesity treatment, Medicare policy, weight loss medications, metabolic health, patient advocacy, and evidence-based obesity care.

Keywords: Medicare GLP 1 coverage, Medicare Bridge Program, Wegovy Medicare, Zepbound Medicare, Mounjaro Medicare, obesity medicine, obesity treatment for seniors, weight loss after 65, obesity care, metabolic health, obesity advocacy, Angela Fitch, Tracy Zvenyach, Deb Cooperman, Weight & Measure podcast.