GLP-1 not working like before? You’re not alone.

Many people using GLP-1 medications such as Ozempic, Wegovy, or Mounjaro reach a point where weight loss slows, fatigue increases, and progress feels stalled. This phase is often referred to as a weight loss plateau, but it is frequently misunderstood.

In this episode of Weight and Measure, we break down what is actually happening during this stage of the GLP-1 journey and how both patients and clinicians can better navigate it.

Zach and Mike are joined by Angela Fitch, MD and Robyn Pashby, PhD to explore the physiological, behavioral, and clinical factors behind stalled progress and what it means for long-term care.

This episode covers:
• Why GLP-1 medications can feel like they have stopped working
• What a weight loss plateau really represents
• GLP-1 related fatigue and how to approach it
• When to adjust treatment plans and expectations
• The shift from weight loss to long term metabolic health
• Why body composition matters more than the number on the scale

This phase of treatment is where many patients begin to question the process, but it is also where the focus shifts toward sustainability, health outcomes, and long-term success.

If you are navigating a plateau, supporting patients on GLP-1 therapy, or working in obesity care, this episode provides practical insight into what comes next.

GLP-1 plateau, GLP-1 not working, Ozempic plateau, Wegovy stopped working, Mounjaro weight loss stall, GLP-1 fatigue, weight loss plateau, obesity care, metabolic health, body composition, weight management, obesity medicine

In this episode of Weight & Measure with Mike and Zach, we bring you a powerful conversation from one of our original live panels, now available in audio format.

This discussion brings together patients, clinicians, and advocates for an honest, real-time conversation about how obesity is talked about, taught, and experienced.

We are joined by an incredible group of voices across obesity care:

• Dr. Robyn Pashby• Leslie M. Golden, MD, MPH, FOMA, Dipl. ABOM• Renee J. Rogers, PhD, FACSM, FTOS• Nina Crowley, PhD, RDN, LD• Ian Patton

Together, we explore:

• Where weight bias still shows up, even in well-intentioned clinical and professional spaces
• How language, expectations, and progress culture shape the patient experience
• What supportive, evidence-based conversations actually sound like in practice
• Why trusted organizations, advocacy, and patient voice matter now more than ever

This is not a lecture. It is a conversation grounded in science, lived experience, and mutual respect, reflecting the kind of dialogue needed to move obesity care forward.

Whether you are a clinician, educator, advocate, or someone navigating your own journey, this episode offers insight into how we can create more effective, compassionate, and patient-inclusive care.

Weight & Measure with Mike and Zach is a live discussion series that brings together diverse voices across obesity care. Episodes are recorded live on Dave Knapp’s On the Pen YouTube channel and released as a podcast for re-listening.

Keywords:
obesity, weight bias, obesity care, patient experience, GLP-1, bariatric care, obesity advocacy, weight stigma, healthcare communication, patient-centered care, obesity medicine, lived experience

In this special live episode of Weight and Measure, recorded from the Canadian Obesity Summit in Montréal, we explore a critical question in obesity care today:

What does it actually look like when patients help shape the systems that affect their care?

Zach and Mike are joined by leaders from Obesity Canada alongside patient advocates Lisa Schaffer, Patty Nece, and Ian Patton for a conversation grounded in both lived experience and real world implementation.

Together, they discuss what meaningful inclusion means in practice, where gaps still exist across healthcare systems, and how patient voices can move beyond being heard to actually influencing care, policy, and outcomes.

This conversation sits at the intersection of research, care delivery, and lived experience, highlighting why progress in obesity care requires all three working together.

If you are a clinician, patient, or advocate interested in where obesity care is going next, this is a conversation you will not want to miss.

obesity care, obesity management, patient advocacy, patient centered care, lived experience, healthcare systems, obesity stigma, weight bias, obesity policy, Obesity Canada, GLP 1, metabolic health, bariatric care, healthcare innovation, chronic disease care, patient engagement, shared decision making, healthcare reform, obesity education, weight management