Fatigue On GLP-1s: Why It's Happening And How To Fix It

Pediatric Obesity With Dr. Lisa Tritto, MD

We talk with Dr. Lisa Tritto about why pediatric obesity is a chronic, biology-driven disease and how shame-based advice keeps families stuck. We share how we evaluate kids and teens, where mental health and ADHD fit in, and how we think about treatment options from lifestyle support to modern anti-obesity medications. • why pediatric obesity needs a disease-based model, not willpower narratives • how environment, genetics, stress, and family systems shape weight and health • what first visits look like, including parent and teen questionnaires and screening for eating disorders • the ADHD-obesity connection, including impulsivity, dopamine-seeking, and sleep disruption • metabolic complications we commonly see, including insulin resistance, prediabetes, fatty liver disease, sleep apnea, anxiety, and depression • how we decide on medication, including Wegovy for ages 12 to 17, Zepbound for 18 and up, and Qsymia as an accessible option • setting expectations for long-term treatment and why early intervention can change outcomes • why we do not set rigid weight goals and instead focus on health, function, and a healthier relationship with food If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health. Dr. Lisa Tritto is a board-certified pediatrician and obesity medicine specialist who is passionate about changing the way we understand and treat pediatric weight and metabolic health. Dr. Tritto is fellowship-trained in Pediatric Obesity Medicine and cares for children, adolescents, and young adults through her practice, Evora for Kids, which is based in St. Louis, Missouri. Dr. Tritto takes a compassionate, science-driven approach, helping families move beyond outdated “eat less, move more” messaging to better understand the roles of biology, behavior, and mental health. She offers individualized care that may include nutrition, lifestyle support, and modern medical therapies, including anti-obesity medications when appropriate. Her goal is to create a supportive, non-judgmental space where patients and families feel empowered to make meaningful, lasting changes. Learn more at: Website: evoraforkids.com [https://www.evoraforkids.com/] Blog: evoraforkids.com/blog-1 [https://www.evoraforkids.com/blog-1] Instagram: @evoraforkids [https://www.instagram.com/evoraforkids/]OR @lisatrittomd [https://www.instagram.com/lisatrittomd/] Facebook: facebook.com/evoraforkids [https://www.facebook.com/evoraforkids] 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com [https://missourimetabolichealth.com/about-telehealth-clinic] 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ Anti-Obesity Medication Options [https://drlindsayogle.kit.com/medications] How To Prevent Diabetes [https://drlindsayogle.ck.page/diabetes] Healthy Habits Workbook [https://drlindsayogle.kit.com/habits] Preventative Health Checklist [https://drlindsayogle.ck.page/1eecd5e72f] 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ [https://www.instagram.com/dr.lindsayogle/] TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 [https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1] YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg [https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg]

Fertility, Weight, And Metabolic Health

We walk through how underweight, excess weight, and insulin resistance can change ovulation, fertility, and pregnancy risk long before a test turns positive. We also unpack PCOS basics, why some clinics enforce BMI cutoffs, and what safer preconception weight management can look like with your doctor.  • extremes of weight affecting ovulation and menstrual cycles  • RED-S and why under-fueling can stop periods  • PCOS prevalence and diagnostic criteria in plain language  • insulin resistance driving higher insulin and higher androgens  • why weight loss can be harder with high insulin  • small weight changes improving fertility potential in PCOS  • metformin and GLP-1 medications as medically supervised options before pregnancy  • fertility clinic BMI cutoffs, success metrics, and weight bias  • pregnancy complications linked with higher starting BMI, with risks possible at any size  • bariatric surgery timing and why waiting a year can matter  • anti-obesity medications not recommended in pregnancy or breastfeeding  • topiramate birth defect risk and the need for effective birth control  If you found this information helpful, please share with a friend, family member, or colleague.  Please subscribe and write a review.  ---------------------------------------------- Birth Control Option (YouTube) [https://youtu.be/lAMK9-4uqeU] Birth Control & GLP-1s (YouTube) [https://youtu.be/LB7Dm4qWc2I] 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com [https://missourimetabolichealth.com/about-telehealth-clinic] 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ Anti-Obesity Medication Options [https://drlindsayogle.kit.com/medications] How To Prevent Diabetes [https://drlindsayogle.ck.page/diabetes] Healthy Habits Workbook [https://drlindsayogle.kit.com/habits] Preventative Health Checklist [https://drlindsayogle.ck.page/1eecd5e72f] 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ [https://www.instagram.com/dr.lindsayogle/] TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 [https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1] YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg [https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg]

Food Aversions on GLP-1 Medications

One day eggs taste fine, and the next day the smell alone is a hard no. If you’re taking a GLP-1 medication and you’ve noticed sudden food aversions, you’re not imagining it and you’re not alone. We talk through what a true food aversion is, why it can feel so intense, and why it’s different from GI side effects like nausea or vomiting that need to be managed with your prescriber.  We also dig into the surprising ways GLP-1 therapy can change taste and food reward, from dulled flavors across sweet, salty, sour, bitter, and umami to the opposite experience where sweetness becomes almost too strong to tolerate. For many people, this leads to less interest in sugar-sweetened beverages and alcohol, fewer processed foods in the cart, and more whole foods day to day, which can support weight loss and better metabolic health. But we don’t gloss over the hard part: when aversions hit protein foods like meat or eggs, meeting your protein needs can feel suddenly complicated.  You’ll hear practical, patient-friendly strategies to work around protein aversions by rotating sources (fish, poultry, and other options), slowing titration when needed, and building a support team that includes a registered dietitian. We also discuss the emotional side of taste changes and how talk therapy can help if food has been a primary source of comfort or enjoyment. Finally, we explore the “pause” these medications can create and how it can help you break habits like nightly dessert or reflex snacking and eat with more intention.  If this helped you, share it with someone navigating GLP-1 food aversions, then subscribe and leave a review so more people can find trustworthy, evidence-based metabolic health guidance. GLP-1 Overview Video [https://youtu.be/J4LzMNEzyTs?si=B0CZ_qj25kK3uvP9] 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com [https://missourimetabolichealth.com/about-telehealth-clinic] 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ Anti-Obesity Medication Options [https://drlindsayogle.kit.com/medications] How To Prevent Diabetes [https://drlindsayogle.ck.page/diabetes] Healthy Habits Workbook [https://drlindsayogle.kit.com/habits] Preventative Health Checklist [https://drlindsayogle.ck.page/1eecd5e72f] 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ [https://www.instagram.com/dr.lindsayogle/] TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 [https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1] YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg [https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg]

Plant Based Nutrition With Dr. Shayla Toombs-Withers, DO

Having practiced a plant based diet for numerous years, Dr. Shayla Toombs-Withers incorporates her lifestyle into educating others how to improve and overcome their chronic diseases as a Family and Obesity Medicine Physician and Metabolic Health Coach. She founded Essence of Health Wellness Clinic & Coaching in Chattanooga, TN to help individuals heal their bodies and improve their health using her signature Mind Body Balance approach. Her basis for health are in line with two of her favorite quotes “an ounce of prevention is worth a pound of cure” and “let food be thy medicine.” Website: essenceofhealthwellnessclinic.com [https://www.essenceofhealthwellnessclinic.com ] IG: @essenceofhealthwellnessclinic [https://www.instagram.com/essenceofhealthwellnessclinic/?hl=en] TikTok: @drshayla [https://www.tiktok.com/@drshayla] YouTube: @EOHWCvideo [https://www.youtube.com/@EOHWCvideo] Podcast: Essence of Health Tea Time [https://rss.com/podcasts/teatimeeoh/] We talk with Dr. Shayla Toomes Withers about how plant-forward eating can support weight loss, blood sugar stability, and long-term metabolic health without an all-or-nothing mindset. We break down the most common plant-based pitfalls and share practical strategies for protein, travel, restaurants, and making changes that last.  • why fiber-rich whole plant foods improve fullness and help stabilize blood sugar  • using food sequencing to support portion control and post-meal glucose  • shifting the “meat and two sides” mindset toward a plant-forward plate  • clearing up protein fears with beans, tofu, tempeh, and oats  • avoiding the processed carb trap that stalls metabolic progress  • planning and self-advocacy when eating out or traveling  • using fruit and high-fiber choices to support gut health and GLP-1 constipation risk  • making it sustainable with small steps, journaling, and measurable goals  If you found this information helpful please share with a friend family member or colleague we need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health  👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com [https://missourimetabolichealth.com/about-telehealth-clinic] 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ Anti-Obesity Medication Options [https://drlindsayogle.kit.com/medications] How To Prevent Diabetes [https://drlindsayogle.ck.page/diabetes] Healthy Habits Workbook [https://drlindsayogle.kit.com/habits] Preventative Health Checklist [https://drlindsayogle.ck.page/1eecd5e72f] 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ [https://www.instagram.com/dr.lindsayogle/] TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 [https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1] YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg [https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg]

The Original Weight Loss Meds: Phentermine, Qsymia, and Contrave

GLP-1 medications are everywhere right now, but the “older” obesity medications never stopped helping real patients and they can still be the right tool when matched well. I walk through the three FDA-approved first-generation obesity management options and how I think about using them safely in modern obesity medicine, especially when cost, access, or specific symptoms like cravings are part of the story. We start with phentermine, the original FDA-approved weight loss medication, and get practical about what it actually does: appetite suppression, typical stimulant-like side effects, morning dosing, expected weight loss, and the key reasons it may be unsafe (like uncontrolled high blood pressure, certain heart conditions, glaucoma, or uncontrolled hyperthyroidism). Then we move into Qsymia, the phentermine plus topiramate combination, including why it tends to produce more weight loss, what to know about pricing, and the topiramate-specific risks like teratogenicity, kidney stones, fatigue, taste changes, and tingling sensations. Next, we dig into Contrave (bupropion plus naltrexone) and why it can be a great fit when food cravings, emotional eating, mood symptoms, or goals like cutting back on alcohol or smoking are front and center. I also explain the non-negotiable safety rules: no history of seizures, and no opioids of any kind, including products like kratom or 7OH, due to the risk of precipitated withdrawal. We close by talking strategy, including combining these oral options with GLP-1 therapy, using them for maintenance, and an honorable mention of metformin for insulin resistance and metabolic health. Subscribe, share this with someone who needs clear guidance, and leave a review so more people can find the podcast and improve their metabolic health. ------------------------------------------------- Qsymia discount program [https://qsymia.com/patient/multiple-ways-to-save] Contrave discount program [https://contrave.com/save/] 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com [https://missourimetabolichealth.com/about-telehealth-clinic] 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ Anti-Obesity Medication Options [https://drlindsayogle.kit.com/medications] How To Prevent Diabetes [https://drlindsayogle.ck.page/diabetes] Healthy Habits Workbook [https://drlindsayogle.kit.com/habits] Preventative Health Checklist [https://drlindsayogle.ck.page/1eecd5e72f] 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ [https://www.instagram.com/dr.lindsayogle/] TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 [https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1] YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg [https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg]