The Dr. Francavilla Show (Dr. Francavilla)

Welcome to the 1st episode of the Dr. Francavilla Show. I'm your host, Dr. Carolyn Francavilla, Board Certified in Family Medicine and a diplomate of the American Board of Obesity Medicine. I've been helping patients lose weight to treat and prevent medical problems for the last 10 years, and I'm taking what I've learned from them to you. 

In this podcast, you will learn the science behind why you struggle with your weight, what to do about it, and tips for common challenges. We will work to fight bias about what a healthy weight really is and improve your relationship with food and your body. Please remember that while I'm a doctor, I'm not your doctor. This podcast is meant to be informational, not medical advice. Please seek out care from your physician for your specific needs. 

Today you’ll hear about who I am, what it is that I do, and why I do it. I'm going to introduce you to Weight Care, which is the term I use for treating obesity, and the guiding principles that I use for Weight Care, which are the Weight 8, eight rules that I think of when I'm taking care of patients and that I want you to think of when you're taking care of yourself. 

Points of interest...

• Why I became an obesity medicine specialist [1:46]
• Skepticism and the blame game [5:56]
• Looking for underlying causes [9:21]
• Addressing nutrition and exercise [12:13]
• Behavior change and medications [16:22]
• What is Weight Care? [20:31]
• The Weight 8, the rules of Weight Care [21:44]
• Coming up on The Dr. Francavilla Show [35:19]

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Today we will be talking about one of my patients' most common challenges, which is overeating at night. Overeating at night is something we have all probably experienced. I know I certainly have. You know how it goes, you've eaten your dinner, in my case getting the kids to bed, and you're sitting down to get some work done or watch some tv, and the next thing you know, you have eaten way too many chips or crackers, too much chocolate, too much ice cream, or even too many fruits and vegetables. Whatever it may be, you've eaten a bunch of things you didn't plan on eating, and you feel like you've undone some of the work you did earlier in the day or earlier in the week. Well in this episode we are going to add a tool to your box by covering 7 tips I have for what you can do to work on that nighttime eating habit. Which two will you start working on today?

Points of interest...

• Is your overeating a sign of a bigger problem? [2:09]
• Tip 1 - Eating regularly throughout the day [3:43]
• Tip 2 - Planning instead of fighting it [6:06]
• Tip 3 - Pick a time to stop eating [9:40]
• Tip 4 - Brush your teeth [13:14]
• Tip 5 - Cutting out alcohol [14:24]
• Tip 6 - Change what you do at night [15:57]
• Tip 7 - Change where you eat at night [19:06]
• What to do with this information? [22:10]

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In today's episode, we will talk about why it is so hard to lose weight and we'll start to touch on some of the things you can do. The whole podcast is about solutions to why it is so hard to lose weight but this episode is going to be a little bit more about the technical side because I want to get into a little bit of the science of why it is so hard. I hope, if nothing else, you leave this episode with a better understanding of why it is so hard to lose weight and be able to give yourself a little more credit and a bit more grace, but most importantly to stop blaming yourself so much if it has been hard for you to lose or keep weight off.

Points of interest...

• The typical history of clients' weight loss attempts [1:52]
• Basics of the calories in calories out model [4:31]
• Basics of the carbohydrate-insulin model [8:36]
• Not all calories are equal [12:18]
• The set point [16:49]
• Are medications or surgery right for you? [19:06]
• It’s not your fault! [25:26]
• What to do with today’s information? [29:37]

Resources & People Mentioned

Free video on medications for Clinicians

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In today's episode, we are going to be talking about weight maintenance. You may be thinking this episode is not for me, I have not reached my goal yet, I'm focused on losing weight right now. BUT, you are exactly who this episode is for because you need to know where you're going in order to get there and stay there successfully. 

Sometimes knowing what you're getting into is really important to experience what you're doing fully. When it comes to weight loss, that is absolutely true. We tend to get very focused on losing weight when in reality we should focus more on maintaining weight because that's hard to do. It's as hard to maintain weight as it is to lose weight. Whether you're trying to stay where you're at and stop gaining weight or whether you're trying to lose weight and keep it off, this is going to be the talk for you. We're going to talk about how you get there, and how you stay there.

Points of interest...

• Why it’s important to know where you’re going [1:51]
• 5 things we’ve learned from the National Weight Control Registry [5:12]
• How often do successful weight losers weigh in? [8:00]
• Watching less TV and weight [11:44]
• 90% of people who do this have lost 30 pounds or more and are keeping it off [13:15]
• Having a consistent eating pattern [16:13]
• When does it get easier? [17:19]
• What to do with today’s information? [23:29]

Resources & People Mentioned

National Weight Control Registry

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In this episode, we are going to talk about surviving the holidays and how to keep your health on track while going through the season. I’ll walk you through a few steps that you can take to prepare and get through this time of year without derailing your progress. We are also going to talk about some of the holiday challenges that my patients bring to me and what to do about those.

Before we get started, I just want to say, I recognize not everyone celebrates holidays at the same time of year. Not everyone celebrates Christmas. That is what my family celebrates and that is what a lot of my patients celebrate so that is some of what we're gonna be talking about today. You may also come across this at a different time of year so you might save it and go back to it around Thanksgiving, or you might hang in and go for the ride because I think you are gonna learn a lot in this episode that you can use for lots of circumstances in your life.

Points of interest...

• Why are the holidays so hard? [1:54]
• Setting goals for the season [4:43]
• Planning to have fun [7:17]
• Staying active [13:09]
• What to do about food pushers? [15:03]
• What if there is nothing from your meal plan at the event? [18:30]
• What to do with food gifts and leftovers? [22:20]
• What to do with today’s information? [28:20]

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In this episode, we are talking about exercise. Specifically, I have 14 ways to get yourself to exercise. I am convinced that if I could find the one way to get my patients to exercise, I would win the Nobel Prize! Exercise is so important for our health, yet the majority of Americans are not getting the recommended amount of exercise. Exercise is important to all of us regardless of our health because we have decreased all-cause mortality. That is a fancy doctor way of saying you are less likely to die from any cause if you exercise. Nevertheless, it's hard to get yourself to move, even knowing how important exercise is, so I will share with you the 14 tips I find myself giving patients the most often. I hope these tips help you get moving towards a healthier you!

Points of interest...

• Why exercise makes you live longer? [2:11]
• One tip for what NOT to do [4:26]
• Put it on your calendar [7:39]
• Start a program [11:31]
• Do something else while you’re moving [14:58]
• Get a fitness tracker [18:12]
• What to do with today’s information? [20:25]

Resources & People Mentioned

• Peloton referral code: UPWXRD

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Today we are going to talk about how to take care of your health while you travel. I'm going to help you come up with a plan for before, during, and after your trips so that you can stay on plan and not undo all the work you have done with lifestyle changes just because you are traveling. If you are like my patients, one of the biggest challenges that can throw you off track is when you have a trip, vacation, or some other type of travel. Whether this is a once-a-year or once every few years, a blowout trip of a lifetime or a regular trip home to see your family, or even business trips that you have to do on a regular basis, if you do not plan for how you're going to handle travel, it is very likely you're going to get thrown off track. So let's come up with a plan for what you can do before, during, and after travel so that you can maintain your weight or even keep losing weight while you’re on the go. 

Points of interest...

• Planning for your travels ahead of time [2:02]
• Packing to be successful [5:14]
• Coming back without going backward [7:47]
• Enjoying food with the right mindset [10:10]
• Alcohol brings friends [13:21]
• Getting back to normal when you get home [18:47]
• What to do with today’s information? [24:05]

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Today is a very exciting day on the podcast because we have our first guest, Dr. Angela Fitch. She is an internal medicine and pediatric obesity medicine physician and president of the Obesity Medicine Association. She's the former co-director of the Mass General Weight Center in Boston and now she is the Chief Medical Officer for Known Well a new in-person and virtual primary care and obesity clinic that will launch soon in Boston and across the country. In this episode, we will be talking about something that both Dr. Fitch and I are really passionate about, anti-obesity medications that help with weight loss. We will discuss why we think they are important, what kinds are out there and what they do, and why diet and exercise aren't always enough. I hope this information helps you.

Points of interest...

• Why do we need medications? [2:08]
• Sympathomimetic amines, a class of medications like Phentermine [6:51]
• Phentermine Topiramate combination [14:32]
• Naltrexone Bupropion combo [17:39]
• GLP-1 agonists injections [20:34]
• Keeping an eye on nutrition when using medications [28:20]
• Plenity [32:29]
• Orlistat [35:11]
• Medications that are not technically anti-obesity medications [37:25]
• Accepting long-term use [39:18]

Resources & People Mentioned
Dr. Angela Fitch

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Today's episode is all about setting goals. If you are like most of my patients, you have set lots of goals in your life around health and weight. Maybe you haven't always been successful with them, maybe you haven't always accomplished them, maybe you haven't even started them. Some of that may be that you are choosing the wrong goal. It is the beginning of 2023 and many people like to start their year by setting a goal, but you can set goals any time of the year so don't let a date on a calendar limit you. Today I'm gonna teach you how to set goals that you can actually achieve and how to set yourself up for success!

Points of interest...

• Is your goal specific [2:18]
• Is your goal measurable? [4:14]
• Is your goal attainable? [6:43]
• Is your goal realistic? [9:16]
• Does your goal have a deadline? [11:43]
• Once you have a goal how do you make it happen? [15:55]
• Getting help with your goal [21:43]

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In this episode, we are going to talk all about emotional eating. We will address ways you can recognize and handle it with the "Am I hungry" method. We will also talk about what emotional eating is and what it is not. When I have researched this topic before, studies estimate that about 70 to 80% of people emotionally eat. That means the vast majority of us emotionally eat at least from time to time. You may be eating the way you want the majority of the day and this emotional trigger happens then all of a sudden you find yourself off your eating pattern, eating way more than you planned, and eating foods you hadn't planned to eat. So what do we do about this? I hope to give you some tools today that will help so make sure you check out the show!

Points of interest...

• What is emotional eating? [1:18]
• Recognizing the triggers [2:56]
• Am I hungry? [6:48]
• What is the problem and how do I solve it? [10:33]
• Building a toolbox to help deal with emotional eating [14:48]
• Is giving in to emotional eating on occasion ok? [17:06]
• Actionable take-a-ways [20:30]

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It might surprise you to know that many people who come to me for weight loss don't actually need to lose weight!

So how do you know if you (or your patients) do?

In my newest podcast episode, I run through a few things to consider, because it is possible that stressing about weight is actually causing more harm than good for your health.

I always invite my patients to share with me whether their physical activity is limited due to their weight. I also ask if there is a current health problem or future concern due to family history that losing weight would solve.

Losing a moderate amount of weight can do amazing things for their health, so that's part of why I got into the field I got into. Without adding medicines or treatments, a plan to cut 5-10% of a person's weight can dramatically improve many health issues.

But the key there is "health issues." Sometimes the actual issue is more of a societal pressure or body image concern than an actual health problem or physical limitation.

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In today's Dr. Francavilla Show podcast episode, I walk you through the pros and cons of each of the 6 most common diets that are brought up by patients at my clinic. 

Data tells us the biggest predictor of success when picking a nutrition plan is if it's something you can stick with.

As an obesity physician, I typically recommend my patients start with something like this, which I call the Healthy Eating Plan.
 Simply take a plate and fill ...
 - 1/2 of it with veggies 
- 1/4 of it with protein 
- 1/8 of it with fats 
- 1/8 of it with carbs

The veggies provide lots of nutrition and the protein is really good at making people feel full and satisfied, and that is really important for your patients trying to lose weight.

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Tools for Clinicians https://www.helpyourpatientsloseweight.com/

Unless you live a life that always goes as planned, listen up!

Backup plans are a must when it comes to your health because no matter how well-prepped your lunches are for the week, you're bound to forget the lunch bag at home one day or find that your lettuce has wilted (already?!).

So do these things get you off track and change the trajectory of your successful health plan?

Not if you have a backup plan!

Backup plans don't have to mean twice the planning—you won't have to use them much, so don't worry about spending too much time putting them in place. But when you do need to use them, you'll be so glad you thought about them in advance so you don't derail the progress you've made on your health goals!

In today's episode of The Dr. Francavilla Show Podcast, I discuss simple ways to create backup plans in case things go awry for breakfast, lunch, dinner, and even exercise plans.

Tune in to get my simple tips!

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Weight is just one part of the whole health picture of a person.

While weight can affect overall health and losing weight can improve that, there are other factors to consider when you are looking to become healthier.

I have identified 5 factors to address BEFORE trying to lose weight so you set yourself up for success and make sure important conditions aren't overlooked when working to improve your health.

Get the 5 factors and details in today's episode!

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Different bodies respond differently to the various weight-loss treatments, so it should not be considered a failure if a person's unique body is simply resistant to certain treatments. This is also why bariatric surgery shouldn't be considered a last-resort weight-loss solution. 

In this newest podcast episode, I have an incredible and inspirational conversation with Karli Burridge, a PA and specialist in obesity management.

She reminds us we have many tools for managing obesity because people are unique and have different needs, including in weight management. Sometimes those needs involve lifestyle changes, sometimes it's medication, sometimes it's bariatric surgery—and sometimes it's a combination. Each of these tools can be considered based on individual patient situations and the best way to support their wellness. 

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Exercising can be so intimidating, whether it's at a studio where everyone else seems to be a pro yogi or it's at a gym where just figuring out how to turn on the machine seems tricky.

But what if we could set any intimidation aside in the name of a longer, healthier life?!

What if we separate weight loss and from exercise? And make it about moving in a way that feels right to YOU?

And what if we learn the incredible benefits of intentional movement? Lower anxiety, improved sleep, better heart health, increased bone health, lower risk of dementia ... sounds pretty great, right?

That's why my newest Dr. Francavilla Show podcast episode is all about exercise and how to get moving for optimal health. Check out What You Need to Know About Exercise for my exercise insight including the top two questions I get asked about exercise.

And remember: No one is paying as much attention to you and your exercising as you are ... so let go of the myth that everyone's watching and judging you at the gym!

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What, exactly, is appetite?

Our appetite is so much more complex than most people realize. There are actually seven components of appetite, and understanding each of them can give a much clearer idea of what causes us to eat, overeat, or eat the "wrong" foods.

Hunger and cravings are two of the seven—likely the two we think of the most.

Hunger is that physiological desire to eat; you might notice it by a growling stomach, for example.

Craving is a desire to eat something specific; it might be something you often think about (chocolate for me!) or something that comes up sparingly (anyone else just really want a juicy cheeseburger every so often?!).

I go over these and the other five in detail in my newest Dr. Francavilla Show podcast episode, What Exactly Is Appetite? Listen in to get a better understanding and jot down the things that might help you improve your health.

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**** Let’s eat better together. Save up to $65 off your first Daily Harvest box: https://bit.ly/3Caqqr4 ****

When it comes to nutrition plans, exercise plans, or really just about anything in life, getting comfortable with the "gray zone" is important. Sure, the black-and-white, all-or-nothing mentality might make for some successes when it comes to diet or exercise (when you're all in, you likely see some great wins!), but inevitably there will be a day when you can't be all in (or in at all) ... and then what? Typically that's when people give up altogether. Any and all wins go by the wayside.

It's simply not sustainable or realistic to approach food, dieting, exercise, etc. with black-and-white thinking. Never going out to eat, for example, might be a good way to control what food goes in your mouth, but is it realistic to think you'll never need or want to eat at a restaurant? Life happens; you start dating and find yourself at restaurants or injury/illness/busy weeks cause you to turn to restaurant meals for convenience. Going to a restaurant doesn't have to mean throwing your nutrition plan out the window! It just means you have to have some intention about ordering something that will be as close to on-plan as possible.

That's the gray zone, and it seems to be where most of life takes place. So in today's Dr. Francavilla Show podcast episode, I share how to make a nutrition plan that's moderate—somewhere between all-or-nothing and something that's sustainable for real life. I debunk the the top 3 myths you tell yourself, so you won't want to miss this!

Let’s eat better together. Save up to $65 off your first Daily Harvest box: https://bit.ly/3Caqqr4


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Weight bias happens on playgrounds, when the child struggling with obesity is bullied. But it happens in subtle ways, too, and it even happens in our medical offices.

Combatting this kind of bias takes education and advocacy, which is why I invited Dr. Leslie Golden to join me on today's Dr. Francavilla Show podcast episode.

Dr. Golden is an obesity medicine physician with graduate-level training in behavior change.

One important type of weight bias she detailed was internalized bias—the negative ideas we have about our own weight. We believe and buy into the idea that our weight issues are our fault, and that can really get in the way of people seeking care, causing long-term harm.

It's critical to recognize obesity as the disease that it is. It's not something everyone can control by moving more, eating less, trying harder.

And, it's important to recognize healthy bodies come in all shapes and sizes. Our patients and our society tend to assume small means healthy and large means unhealthy.

Small does NOT necessarily mean healthy. Large does NOT necessarily mean unhealthy.

These biases can keep people from getting the help they need. Some of these biases even affect insurance coverage of weight management medication.

We as physicians and members of our community can help to mitigate biases by understanding that weight is biological and that medication is a tool necessary for many.

After you listen to this week's Dr. Francavilla Show Podcast episode, Understanding Weight Bias with Dr. Leslie Golden, you can contact your Senator or Congressperson about the importance of covering obesity treatment: https://www.obesityaction.org/troa/

You can connect with Dr. Leslie Golden here:

https://www.facebook.com/weightingoldwellness
https://www.instagram.com/weightingoldwellness/
www.weightingoldwellness.com

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Whether it's for you or for your patients, your questions about weight-loss medications have been so great. I dedicated today's whole podcast episode to answering them, and I can't wait for you to hear the answers and share with colleagues, friends, and family!

The question I seem to answer all. the. time. is about Wegovy and its huge price tag.

The excitement surrounding Wegovy weight-loss injectable medication is for good reason! It's worked to resolve health risks for so many people suffering from obesity.

But the expense and lack of insurance coverage keeps many from being able to access it.

I share some solutions in today's episode of The Dr. Francavilla Show Podcast. Send me your questions at thedrfrancavillashow@gmail.com and I'll answer them in another podcast episode!

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It seems to be the same handful of things that keep my patients from achieving their health goals. There are 5 lies they're telling themselves that, if addressed, could really change the trajectory of their wellness!

The first one is the "I'll start tomorrow" lie. 

Or maybe it's next week or this summer or in the new year.

Whenever it is, it's a false projection that things will be better or goals will be easier to achieve at a later time, and that's just not something anyone can predict! Sure, maybe after a certain work project is done there won't be that stressor to worry about, but do you think there won't be another thing that will cause stress or busyness or any type of hardship? This mindset leads to yo-yoing and doesn't make for sustainable change.

Instead, it's best to go ahead and make small changes right away. Up veggie intake by a serving or start lifting weights for 10 minutes a day. Do what's doable now, even with a looming work project or whatever might make next week a "better" time to start! After all, any health plan that's worth starting will need to see you through busy seasons, vacations, stressors, etc.!

Get more on this and the other 4 lies we tell ourselves in today's Dr. Francavilla Show podcast episode, #21.

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Whether it's CrossFit or Peloton or kids' sports, coaches are a huge part of our lives.

Regardless of their area of expertise, coaches all have something in common: They push us forward. They motivate us. They help us find our path to reach our goals in fitness, sports, or even life itself.

If you're struggling with weight loss, consider looking for someone in the field of life coaching. There are life coaches with health specialties, and they just might have the answer to what's getting in your way with weight loss and how to get around it.

You will love episode #22 of The Doctor Francavilla, "All About Life Coaching with Dr Sarah Stombaugh MD."

More about my guest:
Dr. Sarah Stombaugh is an Obesity Medicine Physician and Life Coach. She runs a telemedicine-based weight loss practice and sees patients who live in Illinois and Virginia. To learn more about her, visit her website at www.sarahstombaughmd.com or listen to her weekly podcast, "Conquer Your Weight."
https://podcasts.apple.com/us/podcast/conquer-your-weight/id1607376873

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There is sooo much judgment around food.

Can we just agree to drop that and focus our health goals on feeling well and fueling our bodies?

If you have been operating under this assumption that carbohydrates are bad, but you find a moderate amount of oatmeal to really satisfy you and keep you full all morning, that doesn't seem bad to me! That's your experience with that food.

Mindful eating lets us experience the food, really enjoy it, get pleasure from it, and it also lets us see how each food actually affects us as individuals.

Check out this episode The Doctor Francavilla Show Podcast for an easy (and yummy!) exercise for practicing mindfulness around eating! 

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Poop is a common topic in my office.  💩 I frequently hear from patients about changes in bowel movements after starting or changing medications, so I address that (and other FAQs!) in today's episode (#24) of The Dr. Francavilla Show Podcast.

I go over the range of normal when it comes to bowel movements and what changes patients can make to be sure they're in that normal range.

And for those who would rather stay away from that stinky topic, I also cover feelings that come with weight loss, weight loss surgery as a treatment option, and weight loss medications as they related to children.

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In this episode, Dr. Matthea Rentea gives incredible perspective on emotional eating. She highlights the phases of emotional eating/overeating, and they are SPOT ON:

1. Recognizing you've overeaten after the fact.
2. Noticing you're in the process of overeating and telling yourself you shouldn't be doing that (but you keep doing it).
3. Before you eat, you tell yourself not to overeat, but you still do.
4. THIS is the stage where you take a different action due to the progression of awareness you've developed in stages 1–3; you use your tools to keep from overeating.

Do you see patients (or yourself!) going through these phases? Many people think they can jump right to the final step, but that's not how it works. It's important to encourage our patients to keep going through all the phases—they'll get to Step 4 in due time.

You'll want to listen to the whole episode to get her insight and tools for managing emotional eating.

Matthea Rentea, MD, is Board Certified Internist and a Diplomate of the American Board of Obesity Medicine. She has 10 years experience as a primary care physician and weight-loss specialist. She owns and operates the Rentea Metabolic Clinic, a Telehealth clinic for Indiana and Illinois residents that provides comprehensive weight management. She takes a dual medical and behavioral evidence-based approach to helping her patients. She is the host of the podcast The Obesity Guide with Matthea Rentea, MD. 

Connect with Dr.Rentea on social:
Website: www.RenteaClinic.com
Podcast: The Obesity Guide with Matthea Rentea MD 
TikTok: MattheaRenteaMD
IG: MattheaRenteaMD

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Lack of sleep has a negative effect on weight loss, so how can we make sure we're getting the sleep we need to support our health?

Think back to childhood and re-adopt a bedtime routine.

It doesn't have to include a story, bath, and lullaby (though it can!), but it does need to be something that signals to your brain and body to wind down for restful sleep. For the best results, stay away from screens and bright lights for at least 30 minutes before bed.

There are so many reasons you will love getting 7-9 hours of sleep each night—one being lower stress, which leads to better eating/weight loss! Get the details in today's episode of The Doctor Francavilla Show Podcast!


More from my guest, Dr. Shayla Toombs-Withers, DO:

FB/IG: @essenceofhealthwellnessclinic
Ebook: https://essenceofhealth.link/e-book
Website: www.EOHcoaching.com
Podcast: Essence of Health Tea Time Podcast - https://rss.com/podcasts/teatimeeoh/

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What if we changed our mindset so the number on the scale was simply informational and not an emotionally distressing commentary on how poorly we're doing at life?

It's funny because there are lots of numbers in healthcare ... but I don't see people in my clinic feeling ashamed about a low potassium number! No one is beating themselves up when they learn their respiratory rate isn't in the normal range!

We simply examine those numbers and figure out how to get them where they need to be.

The number on the scale is no different.

You don't need to be hard on yourself if it's higher than you want. You just need to take the first step, whether that's talking it over with your physician or going back to what was working—we all stray and lose track sometimes!

It's not a judgment, just like there's no shame in your vision changing from one appointment to the next. That's why you check in! You gather the info and make a plan for managing your _______ (fill in the blank: eyesight/potassium/respiratory rate/WEIGHT!).

Take in the info and take the first step!

I can help. Just listen to this episode of the Dr. Francavilla Show. 

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Yes, this is a real medical disorder.

No, this is not just what happens when you and your girlfriends eat way too many chips and salsa and margaritas on a night out.

Binge eating disorder is characterized by recurring episodes and the feeling of being out of control or distressed about the large amounts of food eaten in a short amount of time.

In this episode of The Dr. Francavilla Show Podcast, I chat with endocrinologist Dr. Samantha Harris to learn more about binge eating disorder and the 5 components that are typically present.

This is such an important episode—you'll want to listen and share!

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Treating obesity is so much more than just working out more and eating less. This is true for every age, from children on up.

With the recent release of new guidelines on treating obesity in children, I asked Dr. Abby Bleistein to join us for today's episode to tackle the most controversial recommendations in the new guidelines—the use of medications and surgery for children with obesity.

Dr.  Bleistein is the founder and medical director of an obesity medicine practice that focuses on the importance of comprehensive care and a multidisciplinary approach to obesity—with primary care, along with specialists in the areas of diet, nutrition, training, psychology, sleep disorders, trauma, and eating disorders.

She highlights the need to treat the underlying causes of obesity to make a lasting impact on her patients' health—thoughtfully considering factors such as nutrition, fitness, metabolic health, and lifestyle. 

Get her insight and info by tuning in today!

More from our guest:
Abby L. Bleistein, MD
Internal Medicine/Pediatrics/Obesity Medicine
www.healthfullifemd.com
Learn more at FreeGiftfromDoctorAbby.com
Like her on Facebook
Connect with her on LinkedIn

PLUS: Email me, Dr. Francavilla, with obesity-related questions AND get your very own copies of PDFs provided by Dr. Bleistein: theDrFrancavillashow@gmail.com

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Accepting reality is a common barrier to success in lifestyle changes, nutrition, exercise, and weight loss. Many individuals struggle with accepting the reality of their busy and stressful lives, constantly waiting for the "perfect" time to make positive health changes.

Have big plans to implement exercise and meal planning "when things will settle down soon"?

Overwhelmed with work or caring for kids or aging parents and waiting to prioritize your own health "after all of that is under control"?

I get it. These struggles ARE real. But it's critical you don't let them win. Don't let them steal the important priority of good health—especially because good health has a trickle-down effect, so the better your body is running, the better you can do the things you love with and for others.

So next time you face an obstacle to your exercise or health routine, adapt and accept modified versions—that's better than doing nothing as you wait for the ideal opportunity! 

By accepting reality and taking action, even in small ways, you can make meaningful changes in your health and well-being. Waiting for the "perfect" time may never happen, so it's crucial to do what is possible in the present.

In this episode of the podcast, I give you insight and ideas, so you'll want to take a listen!

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No shame in your sugar-loving game!

That's because it's 100% normal to like sugar; our brains are programmed to like it because sugar was once rare.

And sugar can actually be really important to human nutrition! It's fast nutrition we can store really well for later, so it makes sense for our bodies to like sugar and want to eat as much of it as we can.

In the modern world, though, sugar is no longer rare. There's an abundance of sugar now, and our brain hasn't caught up with that fact.

We no longer need to store as much sugar, so our craving for and enjoyment of sugar can sometimes be a problem for us in the modern world.

Knowing the history can keep us from villainizing sugar, and recognizing things have evolved can help us understand the importance of indulging in moderation.

You'll love learning all about sugar with me and Dr. Nikita Shah in this podcast episode!

More about our guest:
Dr. Nikita Shah
10437 Moss Park Road, Suite B, Orlando, FL 32832
(P) 407-753-5036
https://weight-sense.com
@nikitashahdo

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Maintaining a healthy blood pressure is crucial for overall well-being and reducing the risk of serious health issues.

Episode #32 of my podcast features guest Dolapo Babalola, M.D., who sheds light on the importance of regular blood pressure checks—they're so easy and yield important information for health and well-being. Physicians can help to determine underlying causes and a manageable plan for improvement.

The good news is that often just a modest 5% reduction in body weight yields significant health benefits! Medication and surgery play a role, but often there are even simpler solutions. Physicians are trained to help you find the right mix and plan for your unique situation. 

More from our guest:
LinkTree: https://linktr.ee/livingatyourfinest 
Website: livingatyourfinest.com
Instagram: @livingatyourfinestwellness

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Weight loss is not just about shedding pounds; it's about setting ourselves up for long-term success. 

When people lose a substantial amount of weight, they often experience a significant drop in metabolic rate. This means they have to consume a very low number of calories just to stay at their new weight—making for challenging maintenance.

But there's good news: Building and maintaining muscle mass during the weight loss journey can help keep a higher metabolic rate. This means we can enjoy a more sustainable calorie intake. ( And building muscle mass has many other health benefits, especially for women.)

Building muscle mass can up the number you see on the scale, which is why it's critical to look back at your original intentions for losing weight—feeling better, being able to do the things you love without pain, having more energy, etc. These subjective experiences matter just as much as the objective numbers.

Get the expert info from this episode's guest, Nina Crowley, PhD, RD.

More from our guest:

Nina Crowley, PhD, RD
LinkedIn: https://www.linkedin.com/in/ninacrowley/
Facebook: https://www.facebook.com/ninacrowley
Instagram: https://www.instagram.com/ninamcrowley/
Twitter: https://twitter.com/PsychoDietitian

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When we embark on a weight loss journey, it's important to remember that different people's bodies have different ways of shedding fat. Sometimes those changes surprise us, like the "Ozempic face" effect where facial fat diminishes, revealing sharper chin and cheekbones. While it can be undesirable for some, let's not forget the bigger picture.

True transformation comes from prioritizing our actual health and well-being over our appearance.

Let's shift our focus to improving our overall health, knowing that weight loss is about wellness, not just looks. It's crucial to remember that unintended consequences, like wrinkles or changes in other areas, are part of the journey.

Instead of fixating on how you look, celebrate the progress you're making internally. Our ultimate goal is reducing visceral fat, especially belly fat, which can have a significant impact on our overall health. So keep pushing forward, embracing the ups and downs, and striving for a healthier, happier version of yourself.

Get details on this and much more in this podcast episode!

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As an obesity medicine physician, the growing attention around weight-loss medications is exciting because these are tremendous tools to improve the health of individuals with obesity, and the world needs to know about them!

But I also hear lots of confusion and objections to the medications. I hear many questions over and over, so I'm going to give you my expert answers to the top questions I hear about anti-obesity and weight-loss medications. 

The most common myth I hear from patients, the general public, and even medical colleagues is the belief that weight loss should be achievable without medication. 

The truth is, most individuals seeking weight loss have already attempted various diets, supplements, and exercise plans without long-term success. Weight loss can be challenging due to the body's metabolic adaptations, increased hunger, and reduced fullness.

Medications can play a significant role in overcoming these biological barriers and enabling individuals to follow a nutrition plan and eat in a way that aligns with their intentions. While lifestyle modifications are crucial, for many, medications provide the support necessary for sustained weight loss.

Tune into this episode for more info on this and the other four common myths I hear about weight loss medication! 

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For nearly a century, the Body Mass Index (BMI) has been a go-to tool for measuring a person's health and medical risks. However, recently the American Medical Association voted to move away from solely relying on BMI. They've recognized its limitations and unreliability in accurately assessing an individual's health status.

In this episode, Dr. Sylvia Gonsahn-Bollie  provides insights into the origin of BMI and highlights why it may not be as helpful as commonly believed. According to her, using BMI as a screening tool for obesity, adjustments need to be made for factors such as age, biological sex, muscle composition, ethnicity, race, and the presence of other metabolic or obesity-related conditions. 

Unfortunately, the original BMI chart from 1832 did not take these factors into account. BMI is just one of several numbers used in medicine as a cutoff point, and its limitations and controversies have raised concerns recently. In certain populations, it can overestimate the risk of obesity and metabolic-related diseases. It's important to remember that the purpose of using BMI is as a screening tool. 

Don't miss out on this episode if you want to explore BMI and personalized approaches to healthy weight loss. 


Connect with Dr. Sylvia on all social media @EmbraceYouMD and on her website www.embraceyouweightloss.com
Linked In
https://www.linkedin.com/in/sylviagbolliemd/
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https://twitter.com/EmbraceYouMD
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https://www.instagram.com/embraceyoumd/
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In our modern society, processed food has become increasingly prevalent in our diets. These foods offer convenience, extended shelf life, and enhanced flavors. However, their classification varies based on the degree of processing, ranging from minimally processed items to heavily processed foods with additives and refined ingredients.

In this episode,I delved into the topic of processed food and introduced the Nova classification system, which categorizes food based on its level of processing. I want to emphasize the importance of personalized nutrition advice and avoiding labeling foods as "good" or "bad."

The various categories of the Nova classification system, including unprocessed/minimally processed foods, culinary ingredients, processed foods, and ultra-processed foods, have distinct impacts on our bodies, especially our gut microbiome. Unprocessed/minimally processed foods offer essential nutrients and promote a healthy microbiome, whereas ultra-processed foods, abundant in detrimental ingredients and additives, can harm gut health and overall well-being.

With July's scorching heat comes the highly anticipated swimsuit season, So today, we explore the profound impact of body image in our society and the growing movement towards embracing oneself with love and acceptance.

I want to unravel powerful mindset shifts that can help us reshape our perception of body image. 
Because this is something a lot of American women struggle with. Whether it's splashing around in the pool, soaking up the sun at the beach, or simply relaxing in a hot tub, the swimsuit becomes a symbol of enjoyment rather than a source of anxiety. By understanding that a swimsuit is just a piece of clothing designed for fun in the water, people can liberate themselves from the pressure of unrealistic beauty standards and truly appreciate the experiences it enables.

In reality, people around us are more focused on their own experiences and having a good time rather than judging how we look in a swimsuit. Understanding this can empower individuals to let go of self-doubt and embrace their bodies with confidence. By reframing their mindset and appreciating the joy of being present in the moment, people can create a positive and healthy relationship with their bodies, free from the constraints of societal expectations.

Discover the power of a positive body image and join me in embracing self-love. Tune in to the episode and learn how to appreciate your body as the incredible vessel it is. Let's break free from unrealistic beauty standards and celebrate the beauty of being unapologetically you. You deserve to feel confident and empowered in your own skin.

Whether you are new to exercise or already engaged in fitness activities, this episode will motivate and inspire you to prioritize movement for a healthier and happier life.

In this episode, Jeff Young, a distinguished medical fitness expert with over 30 years of experience, shares his profound insights into the transformative impact of exercise on overall well-being, providing necessary information for ultimate health.

According to him, the significance of exercise for overall health is underscored, with a beneficial impact on every system in the body, be it the muscular, cardiovascular, nervous, skeletal, digestive, hormonal, or mental system. Strength training, in particular, is an area that stands out due to its ability to enhance muscles, the skeletal system, and the nervous system more than any other form of exercise. The concept of exerkines is introduced, where our organs and systems communicate with each other through the release of proteins and hormones during exercise, contributing to various health benefits.

Moreover, most people experience improved well-being after exercise, attributed to the body's natural response to movement.

Our reproductive health goes through various stages in life, starting from puberty with the onset of menstruation, through the reproductive years marked by regular cycles and fertility, to perimenopause in the late 30s and early 40s, culminating in menopause. Understanding how these stages can affect our weight is crucial for managing reproductive health and seeking appropriate care.

In this episode, we have the privilege of having Dr. Becky Lin, a distinguished gynecologist specializing in menopause, weight loss, and women's sexual health, who will shed light on perimenopause and the relationship of  weight gain and menopause.

Menopause brings a noticeable decline in hormones like estrogen and insulin, affecting our bodies in various ways. Weight gain is a common concern, as lower estrogen levels can lead to abdominal fat accumulation and increased insulin resistance, making weight management challenging. Dr. Becky Lin will explore the factors behind menopausal weight gain and offer valuable insights for effective weight management, including how hormonal changes impact both weight and women's sexual health during this phase.

In recent times, metabolic-associated fatty liver disease (MAFLD) has emerged as a pressing global health issue, rapidly surpassing hepatitis and alcohol-related problems as the leading cause of liver disease and transplants. Often undetected until advanced stages, MAFLD is intricately linked with metabolic syndrome, hampering the liver's capacity to regulate excess sugars and lipids effectively.

In this episode, we're joined by Emily Sutton, PharmD, CDECS, a clinical pharmacist specializing in the treatment of chronic diseases with a focus on diabetes and obesity. She has worked with patients from all backgrounds in Vermont to provide equitable care and access to appropriate medications.

She highlights that MAFLD is often found incidentally through imaging or blood tests. While drug trials progress, lifestyle changes remain key. Medications for diabetes management, such as GLP-1 receptor agonists, show promise in reducing inflammation.

Early diagnosis is key to preventing non-alcoholic fatty liver disease. Understanding inflammation, risks, and liver enzymes empowers proactive health. Connect with Emily Sutton's clinical practice for insights. To learn more, dive into this episode.

Despite the rapidly increasing demand for weight loss drugs, they have gotten hard and harder to get. Shortages of these crucial medications like Ozempic, Wegovy, Mounjaro and other weight loss drugs are creating a bigger issue in treating patients with diabetes and other weight-related diseases.

In this episode, I've once again invited Emily Sutton, PharmD to delve deeper into this issue. We will be discussing strategies on how to properly manage weight amidst disruptions in the supply chain of weight loss drugs. We will also talk about what “compounded” peptides are and if they are a good choice for you. 

Emily Sutton, PharmD, CDECS is a clinical pharmacist specializing in treatment of chronic diseases with a focus on diabetes and obesity. She has worked with patients from all backgrounds in Vermont to provide equitable care and access to appropriate medications.

We're delving into the essential macronutrients – carbohydrates, fats, and proteins – each with its own unique composition derived from distinct building blocks that offer specific benefits to our bodies. In this episode, we're narrowing down our focus to the crucial role of protein and how it impacts weight management.

Protein serves a greater purpose than mere nourishment; it actively functions within the body. Increasing your protein intake becomes essential when aiming to manage your weight. Its high thermic effect contributes to increased calorie burning during digestion. Diets rich in protein sustain a feeling of fullness, promoting satiety and curbing overeating. Moreover, it safeguards lean muscle mass during weight loss, thereby supporting a healthy metabolism.

We invite you to join us in this episode for an in-depth exploration of protein: its diverse sources, strategies to incorporate it without unnecessary additional calories, and a discovery of protein-rich foods that seamlessly integrate into your dietary regimen.

Today, we have an intriguing topic as we sit down with Dr. Kerry Reller to explore the intricate connections among asthma, allergies, and weight – three prevalent health concerns that affect a significant portion of the population.

Dr. Reller brings a unique perspective to the discussion. She’s an expert in both medicine and engineering. She completed medical school and a family medicine residency at the University of Maryland. Returning to Florida, she honed her expertise in allergy and asthma care while working with her father. Dr. Reller's dedication to wellness, nutrition, and fitness drove her to specialize in obesity medicine. She is also the owner of Clearwater Family Medicine.

Her insights underscore the complexity of the relationships between asthma and weight. The interaction goes both ways: asthma can worsen weight problems, and vice versa. Past beliefs attributed asthma's impact on weight to physical limitations, but now, thanks to Dr. Keller, we understand inflammation's significant role.

On the flip side, the interplay between asthma and weight is multifaceted. Weight struggles can be influenced by asthma symptoms, and conversely, asthma can also be affected by weight. In terms of. weight loss, it can positively impact asthma. A balanced, anti-inflammatory diet. Shedding weight often leads to reduced medication dependency, better quality of life, and fewer exacerbations

Tune in to gain a deeper understanding of how these conditions intersect and interact, and to explore the expert advice offered by Dr. Reller to empower individuals on their unique health journeys.

In today's episode, we'll be delving deep into the concept of the scarcity mindset, examining its impact on our health, eating habits, and various aspects of our lives. 
The scarcity mindset is centered around the belief that we lack something crucial, and this, in turn, affects our decision-making processes. 
The influence of this mindset on our eating habits becomes apparent when we find ourselves overindulging during travel experiences or consuming excessive amounts of celebratory treats. We might think, 'I may never have this food again,' and as a result, we overeat, even when we are already satisfied.
But fear not! We don't want scarcity to dictate our choices. Instead, our goal is to transition to an abundance mindset, where we believe there's enough for everyone. To facilitate this shift, I'll be sharing some practical tips, including the practice of mindfulness, recognizing the abundance of opportunities to savor delicious food and special treats, and considering your long-term health goals when making dietary decisions.
By recognizing and addressing the scarcity mindset, we empower ourselves to lead healthier, happier lives. So, be sure to tune in for more valuable insights into health and well-being, and let's embark on this journey from scarcity to abundance together!

In this episode, we explore the world of carbohydrates, covering various types such as sugar, starch, and fiber. Throughout our exploration, we shed light on the differences between simple and complex carbohydrates, their sources, and their glycemic index.

The first type of carbohydrate is sugar, and it's considered a simple carbohydrate because it's composed of just one or two molecules, known as monosaccharides and disaccharides. These monosaccharides typically include glucose, fructose, or galactose. Simple carbohydrates like sugar can lead to rapid increases in blood sugar levels when consumed. 

The second type is starch, a complex carbohydrate. It's composed of long chains of glucose molecules, forming a polysaccharide. Examples include foods like pastries, rice, and potatoes.

Lastly, fiber is considered a complex carbohydrate because it's primarily made of cellulose, a polysaccharide composed of glucose molecules linked together. Unlike starch, which we digest for energy, fiber resists digestion and supports digestive health. It's also essential for our gut microbiome, a community of intestinal bacteria that thrive on it. A healthy gut microbiome can influence overall well-being, including potential effects on weight and health.

Learn about the differences between simple and complex carbs and their impact on your health. Stay tuned to this episode to learn more about this topic. Until next time, take care!

Menopause is a period in a woman's life marked by numerous challenges that often coincide with major life changes. It's a time when you may be responsible for caring for aging parents while also dealing with shifts in your career, relationships, and other aspects of life.

Plus, during menopause, your hormones can go on a rollercoaster ride, with estrogen levels dropping. This can result in extra belly fat and muscle loss, leading to weight gain, particularly around the midsection. These changes can significantly affect your self-confidence and how you perceive yourself. Therefore, gaining knowledge and insights to manage this phase effectively can be truly helpful.

So in this episode, we have a special guest, Dr. Susan Baumgartel, who is the creator of 'Menopause Menu,' a free resource and blog website designed to provide support for menopause and beyond. This platform aims to help women navigate the challenges and changes that come with this significant life phase. With her 30 years of experience as an internal medicine physician, Dr. Baumgartel brings a wealth of knowledge and expertise to the discussion as we delve into topics related to women's health, aging, and well-being before and during menopause. 

Join us for valuable insights and advice in this insightful conversation.

Resources: 
https://www.mymdadvocate.com 
https://www.menopausemenu.com 
https://www.menopausemenu.com/book/ 
https://www.linkedin.com/in/susan-baumgaertel-md/ 
https://www.facebook.com/MenopauseMenu 
https://www.youtube.com/@dr.susanbaumgaertel

Welcome to today's discussion on the final macronutrient: fat. While fat is frequently associated with weight gain, it's essential to understand why this connection exists. This perception stems from the fact that fat is calorie-dense, containing more than twice the calories per gram compared to proteins and carbohydrates.

However, fat isn't solely about that. It's also important to understand that dietary fats come in different forms, each with varying effects on health. This macronutrient also plays a vital role in our body by helping absorb essential vitamins like A, D, and E, and it provides insulation for nerve cells, including those in the brain. So, beyond its impact on appearance or weight, fat is essential for overall well-being and proper bodily function.

So in this episode, I'll delve deeper into the various types of fats: saturated, trans, mono-unsaturated, and polyunsaturated fats. I'll explain their distinct effects on the body and offer insights into how to consume them wisely. By the end of this episode, you'll gain a better understanding of the roles these fats play in your diet and overall well-being.

If you're a mom or part of a family, this episode is right up your alley.

In this episode, I'm joined by Dr. Toh Togolawi, a renowned family physician and double board-certified expert in lifestyle medicine, who is particularly enthusiastic about plant-based eating. We talk about lifestyle medicine and its strong focus on six foundational pillars crucial for preventing, treating, and even reversing chronic diseases.

The pillars are;

1. Nutrition, with an emphasis on plant-based diets.
2. Stress management.  
3. Regular physical activity. 
4. Avoidance of risky behaviors such as alcohol and tobacco use. 
5. Adequate sleep. 
6. Social connection
   
   In our conversation, Dr. Togolawi highlights the importance of passing down these principles to children, establishing a foundation for a healthier life as they grow. Whether it's adopting plant-based nutrition, encouraging more physical activity, or teaching stress management, involving kids in these practices can have a significant impact.
   
   Tune in for valuable insights into transforming your family's well-being.
   
   Resources
   www.margarettowolawimd.com
   https://www.linkedin.com/in/margaret-towolawi-md-dipablm-9013351bb/
   https://www.facebook.com/TowolawiMD
   https://www.instagram.com/authormargarettowolawi/
   https://www.instagram.com/nurturewellcenter/
   
   
   
   

On today's episode, I'm joined by my mentor, Dr. Becky Andrick, a seasoned physician with 28 years of experience. We discuss weight maintenance and key factors at play, including effective strategies, challenges, and the importance of long-term commitment to a healthy lifestyle.

It is a common misconception that losing weight is the most challenging part of the weight management process. Many individuals have successfully shed pounds using various methods such as diets, exercise regimens, and lifestyle changes. However, the real challenge lies in sustaining that weight loss over time.

The repeated cycle of losing and regaining weight underscores the complexity of this issue. To address the challenge of weight maintenance, it is essential to consider metabolic factors, societal influences, and emotional components.

Stay tuned for more insights on how to effectively manage and sustain a healthy weight, as we explore practical tips and expert advice to support you on your journey towards a healthier you.

Resources
https://www.wtwdenver.com/

In this episode, we delve into the complex relationship between motivation, commitment, and achieving your goals. Inspired by the wisdom of Olympic runner Jim Ryan, who said, "Motivation is what gets you started. Habit is what keeps you going," we debunk the myth that motivation alone is the key to success.

Motivation is often tossed around as the driving force behind change, but it's a fleeting and sometimes unreliable emotion. We challenge the common notion of motivation and emphasize the pivotal role of commitment in bridging the gap between momentary inspiration and lasting transformation.

The driving force behind change is essentially the spark, the 'why,' or the dream that fuels your desire. Nevertheless, this driving force isn't a constant companion on your journey. We examine how its fleeting nature is influenced by external factors, internal chemistry, or even the occasional bad day. We also acknowledge that people dealing with conditions such as depression or ADHD might encounter challenges related to maintaining high levels of this driving force, even when they are committed to change.

Lastly, we explore the concept of rewarding yourself. In contrast to the instant gratification of motivation, self-reward serves as a long-term motivation booster. Celebrating your achievements, big or small, helps maintain your commitment and solidify the new habits you've cultivated. Tune in to know more about this episode.

Getting into the holiday spirit? 

Well, in this episode, as we draw nearer to the holiday season, we're going to dive into the topic of traditions. Those cherished customs that sometimes challenge our health goals.

Celebrations and traditions often come with their own set of culinary delights, special drinks, and, unfortunately, lots and lots of sugar. It's as if the holidays and sugary treats have become inseparable companions, and it can be quite a challenge to navigate through the season without overindulging.

Amidst this whirlwind of festive flavors and tempting sweets, the best tip for success is being intentional. Intentionality means consciously making choices that align with your health and well-being goals. It involves planning ahead, setting clear boundaries, and being mindful of what you consume.

If you want to dive even deeper into effective strategies for managing your weight and health while savoring the festivities, be sure to tune in to this episode. We'll provide you with valuable insights and practical tips to make this holiday season not only joyful but also healthy.

Today, I want to dive into why tracking your weight history is so crucial in understanding your weight journey. Let's explore the five key aspects of weight care and how your history can be a game-changer.

In my practice, I believe in a holistic approach to weight care, focusing on:

1. Root Causes: Dig deep to uncover why you've been struggling with your weight.
2. Medications: Sometimes, they play a role, and we explore this option.
3. Nutrition: Understand your unique nutritional needs for effective weight management.
4. Behavior Changes: I'll guide you in making sustainable changes that support your goals.
5. Education: Providing you with the knowledge and tools you need for informed decisions. 

Your weight history can serve as a guide to a healthier future. Stay tuned for more insights on weight care. Remember, your weight is not solely your fault; it's influenced by a complex interplay of biology, stress, and life events. Embrace this understanding to navigate your journey toward better health and stability. Create a chart, identify patterns, and use this knowledge to take kinder, judgment-free steps forward.

Looking for transforming family mealtimes from stress-filled to stress-free? 

Well, get ready for a treat! 

In this episode, we're joined by the incredible Dr. Monica Davern – a board-certified pediatrician, a dedicated vegan, a hardcore endurance athlete, and a mom of two boys. She also assists parents in raising thriving plant-based kids.

Dr. Davern shares insightful tips, covering topics from fostering a positive mealtime culture for children to tackling kitchen writer's block with a sticky note approach. Her practical tips extend to crafting an easy, enjoyable, and nutritious mealtime by offering a straightforward method for building your kid's plate.

Join us for more parenting tips on stress-free family mealtimes and unlocking valuable insights!

Resources
IG @mighty.roots 
Facebook mightyroots.org and leafy littles community 
Linked in and twitter: @happyveganmd 

Celebrating Our 1-Year Anniversary!


Claim your special gift: https://www.thedrfrancavillashow.com/anniversary-gift-form

What an incredible journey it's been! As we reach our 1-year milestone, my heart is full of gratitude for your unwavering support. Thanks to your contribution, we've crossed the remarkable milestone of 20,000 downloads!

To express my deepest appreciation, I'm excited to share a special gift with you – the 'Gift: Weight Care Guide.' Please click the link above to claim your special gift. 

Beyond mere tips, it's a journey towards sustainable, long-term wellness, perfectly aligned with the heart of our podcast. Dive into it with engaging activities designed just for you.

In this episode, I delve into the Weight Care 8, uncovering the guiding principles that shape my approach to patient care. I'm thrilled to share these foundational principles, as they underpin how I navigate and address crucial topics of health and well-being.

Thank you for being part of this incredible journey! If you're as eager as I am to explore the 'Weight Care Guide' and discover the guiding principles in our latest episode, make sure to tune in now. Let's keep this amazing conversation on health and well-being going. Happy listening

Snag your complimentary PDF of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you intrigued by the new weight loss medicine called Zepbound? 

In this episode, I'll delve into the mechanisms behind Zepbound, also known as Tirzepatide or Mounjaro, designed to aid weight loss. Joining me is Dr. Alicia Shelly, a board-certified physician specializing in internal and obesity medicine.

She hosts the 'Back on Track: Achieving Healthy Weight Loss' podcast and leads the vibrant Thrive for Life YouTube channel. Dr.Shelly's expertise, showcased in CNN, Fox 5 News, Upscale Magazine, and Shape.com, positions her as a leading advocate for healthier lifestyles and corporate wellness.

During our discussion, we covered the drug's benefits, mentioned studies with impressive findings, addressed potential side effects, and discussed methods to obtain this weight loss medication.

For deeper insights into this innovative weight loss medication, be sure to catch this episode!

Connect with Dr. Alicia Shelly:

• X and Instragram: @drshellymd 
• LinkedIn: Alicia Shelly, MD FACP DABOM
• Facebook: Dr. Shelly MD 
• Tiktok: drshellymd
• Website: drshellymd.com

Did you grab the special anniversary gift I shared last week? If not, it's available here for you to claim!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you seeking ways to increase your vegetable intake without resorting to salads?

In this episode, I delve into 7 different methods to seamlessly incorporate more veggies into your diet, sharing my favorite styles from snacks to main dishes. Some may even surprise you!

Embracing a diet rich in vegetables can be immensely beneficial for your health, particularly if you're aiming to lead a healthier lifestyle or shed extra pounds. Vegetables offer exclusive phytonutrients that surpass the benefits of traditional vitamins and are packed with fiber, crucial for digestive health and effective weight management. They play a key role in keeping you full, reducing the need for calorie-dense foods.

Stay tuned for actionable tips and insights on how to effortlessly integrate more vegetables into your daily meals!

Connect with me:
Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show 

Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you found weight loss to be particularly challenging while managing diabetes?

In today’s episode, we have Dr. Harold Bays, an esteemed expert in endocrinology and internal medicine, specializing in obesity medicine. He is recognized as a Diplomate of the American Board of Obesity Medicine. Now is currently serving as the Chief Science Officer for the Obesity Medicine Association and Editor-in-Chief for Obesity Pillars.

We delve into the intricate world of diabetes, specifically concentrating on type 2. Unpacking the puzzle of weight loss hurdles with this condition, we navigate through the compelling reasons behind this struggle. Moreover, our conversation ventures into the captivating realm of diabetes-related comorbidities, unraveling their origins and intriguing connections.

Dr. Bays also elaborates on why diabetes mellitus and obesity are multifactorial conditions influenced by age, gender, socioeconomic status, psychology, and various other factors.

Tune in to this episode for a deeper understanding of this condition and to learn effective management strategies.

Connect with me:
Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show

Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever questioned the true benefits of taking supplements and wondered why you're using them? 

In today's episode, we're focusing on an essential aspect of health: supplements. Joining us is Dr. Sejal Desai, MD, a double board-certified specialist in Obesity Medicine & Family Medicine. We're delving into this topic to educate people on how to wisely choose supplements, particularly those related to weight loss and overall wellness.

We'll address key considerations when selecting a multivitamin and delve into various forms of supplementation, including meal replacements and their efficacy. Additionally, we'll explore the impact of potent weight loss medications like Wegovy and natural dietary supplements on your health.

Dr. Desai will discuss selecting the right supplements that suit your needs and maximize absorption. She will also provide guidance on researching and finding trustworthy supplements personalized for your health.

Join us as we unravel the complexities surrounding supplements and their role in weight management.

Connect with Dr. Sejal Desai:

• Instagram: @tulamedicalweightloss
• Facebook: Tula Medical Weight Loss & Wellness
• Website: www.tulawlw.com

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Snag your complimentary PDF of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Does the 'calories in, calories out' formula truly reflect how our bodies absorb and utilize energy from the food we eat?

In this episode, I'm digging into the truth about calories and what really goes down after we eat. I'm chatting about how different foods mess with our hormones, our bodies, and the whole calorie game—how we absorb and burn those suckers. Plus, I'm calling out the oversimplified adage of 'calories in, calories out.’

I'll also share some helpful tips on figuring out how many calories to aim for, especially when considering weight loss medications such as Wegovy (semaglutide) and Zepbound (tirzepatide).

If you're curious about the world of calories, this episode is a perfect listen!

Connect with me:

Instagram: doctorfrancavilla
Facebook: Help Your Patients Lose Weight with Dr. Francavilla
Website: Dr. Francavilla Show
Youtube: The Doctor Francavilla Show
Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Did you know that Polycystic Ovary Syndrome (PCOS) affects around 8–13% of women globally, yet shockingly, up to 70% remain undiagnosed? It's a significant concern as PCOS stands as a leading cause of anovulation and plays a crucial role in infertility.

People affected by PCOS are approximately twice as likely to experience challenges with obesity  compared to those without the condition. The primary factor behind this is 'insulin resistance’.

So, is the common belief that excess weight causes PCOS accurate? I've invited Dr. Basma Faris to answer this question and shed light on this prevalent syndrome affecting women.

Dr. Faris is a board-certified Obstetrician-Gynecologist with over two decades of healthcare experience. Starting as a registered dietitian, she now focuses on caring for individuals dealing with Polycystic Ovary Syndrome (PCOS). 

On this episode, we delve into various aspects of PCOS:

• The Complex Relationship Between PCOS and Obesity
• Managing PCOS Through Proper Nutrition
• Potential Harm of Plastic Containers for Individuals with PCOS
• Exploring Medication Options for PCOS
• Overall Strategies for Effective PCOS Management

Join us for an in-depth discussion with Dr. Basma Faris as we uncover essential insights into PCOS and its effective management strategies.

Connect with Dr. Basma Faris:

• Instagram: drbasmafaris
• Facebook: Basma Faris, MD 
• Website: PollyPrep MD

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Did you grab the special anniversary gift I shared with you? If not, it's available for you to claim here!
Link: Anniversary Gift Form — Dr. Francavilla Show (thedrfrancavillashow.com)

Happy New Year!

In this episode, I'll be sharing 7 tips on habit formation, which seems fitting as many people aim to start new habits at the beginning of a new year.

They say when building a habit, two main factors come into play: starting the habit (instigation) and carrying it out (execution).

Our primary focus is on instigation because executing a task becomes more challenging without the habit in place. Forming a habit is more about getting started than finishing the task. Success involves minimizing decision-making by automating actions, making them habitual, and boosting the chances of reaching our goals. And that’s what I’ll be sharing.

7 Tips for formating Habits:

1.Positive Pairings & Break Negatives
2.Routine and Scheduling
3.The Chain Method for Consistency and Motivation
4.Rewarding Progress in Habit-Building
5.Alarm Reminders for Habit Formation
6.Easy Habits for Long-Term Commitment
7. Accountability in Building Habits

Get ready to unlock the secrets of habit development in this episode! I've prepared a surprise that's sure to elevate your understanding. Tune in for a thrilling journey into mastering the art of building habits!

Connect with me: 

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

This week's episode focuses on various eating behaviors, addressing topics ranging from food addiction and sugar cravings to emotional eating.

I've invited Dr. Angela Zechmann, a distinguished obesity medicine specialist with a remarkable 16-year career. As a board-certified physician in preventive and obesity medicine, Dr. Angela has made a positive impact on numerous patients and families. Her compassionate approach, combined with extensive experience, has established her as a trusted authority in weight management.

She shares her knowledge about food addiction, sugar cravings, and the impact of processed food on eating behavior, discussing what to do about these issues and how to recognize them. Following that, our conversation delved into emotional eating—why it happens and methods to overcome it.

Dr. Zechmann and I also talk about the tough task of cutting down on processed foods versus balancing it with eating more natural foods. She then tells us about her three-step plan that really works in helping detox and handling cravings, benefiting both her and her patients.

If you're intrigued by Dr. Zechmann's three-step strategy and wish to develop a healthier relationship with food, tune into this insightful episode.

Connect with Dr. Angela Zechmann:

• Linked In: Angela Zechmann, MD MPH
• Facebook: Angela Zechmann, MD
• Website: www.journeybeyondweightloss.com
• Podcast: Keep The Weight Off
• Youtube: Dr. Angela Zechmann

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Fitness routines often face challenges posed by unpredictable weather, whether it's the chill of winter, the haze of smoky conditions, or the intensity of scorching heat. 

In this episode, we explore seven fun and practical strategies to keep you active and engaged, regardless of the weather conditions. 

Sustaining year-round physical activity is essential for maintaining overall health. The National Weight Control Registry suggests a minimum of 150 minutes of exercise per week, achievable through 30 minutes of activity on five days. For added health benefits, it is recommended to strive for approximately 300 minutes weekly, equating to about an hour per day, five times a week. The rewards of this commitment to regular exercise are undoubtedly valuable.

Ready to conquer the challenges of weather and stay active? Tune in to this episode for practical tips. Your journey to a healthier and more active lifestyle starts here!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Snag your complimentary PDF of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wondered if the key to unlocking your peak fitness and optimal health might just be hiding in the mysterious world of sleep?

Well, get ready for a deep dive into an episode that uncovers the captivating connection between a good night's rest and your overall well-being.

I'm here with the incredible Dr. Audrey Wells, a seasoned sleep medicine physician and pro mindset coach on a mission. 

Together, we're taking you on a fascinating journey, chatting about the nitty-gritty links between sleep, weight, and circadian rhythm. We'll spill the beans on circadian rhythms and eating patterns, nudging you to embrace your unique chronotype for a personalized wellness journey. 

But wait, there's more – we're pulling back the curtains on how screens mess with our sleep and demystifying the intriguing link between weight and obstructive sleep apnea. And just to spice things up, we're exploring cool alternatives to CPAP for sleep apnea, going way beyond the ordinary. 

I'm excited to announce that Dr. Audrey Wells will be hosting the Sleep Summit, scheduled to take place from February 6th to the 13th. This week-long online educational program will include enlightening interviews with a diverse range of experts. I'm honored to be one of the guest speakers for this event! 

Want to join Dr. Wells’ Free Sleep Summit-  https://summits.drtalks.com/sleep-apnea-summit/

Get ready for a laid-back yet transformative experience as we join forces to unlock the mysteries of sleep together!

Connect with Dr. Audrey Wells:

• Facebook Business Page: Super Sleep MD
• Facebook Sleep Apnea Private Group: Super Sleep MD: A CPAP and Sleep Apnea Community with Dr. Wells |...
• Instagram: supersleepmd
• LinkedIn: Super Sleep MD
• Pinterest: Super Sleep MD
• YouTube: Super Sleep MD
• Website: supersleepmd.com

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Claim your complimentary gift of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you contemplating whether to get weight loss medication or surgery?

If so, then this episode is for you. I'm going to walk you through some key mindset shifts that can help you break free and feel more comfortable in your own skin. I’ll discuss a few strategies to tackle those mindset hurdles that can sometimes get in the way of finding safe and effective treatments.

I also share success stories of people I’ve worked with, detailing how surgery, weight loss medication, and other weight management treatments, along with investing in their weight loss journey, have given them greater freedom to enjoy overall health and life

So, tune in if you want to learn more and discover how these transformative journeys can inspire and guide you towards a healthier, more fulfilling lifestyle

Quick note for those seeking a weight loss doctor or professional in the Colorado area: consider working with my amazing team at Colorado Weight Care.

For those residing elsewhere in the country, I recommend seeking a physician who has successfully passed the American Board of Obesity Medicine exam. Alternatively, you can explore members of the Obesity Medicine Association to find a qualified expert who can guide you to the right path.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

The journal Nature recently published a groundbreaking study on obesogens – substances that may contribute to obesity. In this episode, we're diving into this topic. We'll discuss the various types and theories about what might be causing weight gain, breaking down different models to help you understand this complex topic throughout the episode.

And I've invited Dr. Courtney Younglove, MD, to provide her insights and offer a more in-depth explanation of this topic. Dr. Younglove is a board-certified physician specializing in obesity medicine, obstetrics, and gynecology. With nearly twenty-five years of clinical experience, she earned her fellowship from the Obesity Medicine Association in 2021.

We also looked into how obesogens and environmental triggers play a role, especially their impact on vulnerable populations like pregnant women and their children. Additionally, we delve into the biochemical aspects of obesity, uncovering some fascinating insights and what they really mean for us.

If you're keen on diving deeper into obesogens, tune in to the full episode. Here, you'll not only gain a better understanding of this topic but also discover the importance of shifting the narrative on obesity.

Connect with Dr. Courtney Younglove :

• Instagram: heartlandweightloss
• Facebook: Heartland Weight Loss 
• LinkedIn: Journeys Metabolic
• LinkedIn: Heartland Weight Loss
• LinkedIn: Courtney Younglove, M.D., FOMA, FACOG, DABOM 

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Snag your complimentary PDF of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

If you'd like to read the full article on obesogens, you can click on this link:

https://www.nature.com/articles/s41366-024-01460-3

Claim your complimentary gift of my exclusive mini weight care guide today!
Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you curious about how an expert in obesity medicine can help you choose the right weight loss medication?

Well, you're in for a treat!

Join us in this episode as we welcome Dr. Beverly Tchang, a distinguished figure in the field of obesity medicine. She is serving as an assistant professor of clinical medicine at Weill Cornell Medicine in New York, brings a wealth of expertise as a triple-boarded specialist renowned for navigating the complexities of weight management. Holding positions as Program Director of the Obesity Medicine Fellowship and President of the Tri-State Obesity Society, her insights are awesome.

In this discussion, we'll delve into the process of selecting the ideal weight loss medication under Dr. Tchang's guidance. Additionally, we'll unravel the science behind obesity and shed light on effective management strategies.

We'll also explore the changing perceptions within the medical community regarding obesity. The shift aims to dismantle the stigma and foster a compassionate approach to individuals struggling with weight.

We've covered a plethora of valuable insights, so be sure to listen to the entire episode! Remember, managing obesity goes beyond “managing” the numbers on a scale; it involves adopting a holistic approach that considers individual health contexts and challenges.

Connect with  Dr. Beverly Tchang:

• Twitter: BevTchangMD
• LinkedIn: Beverly Tchang
• Weill Cornell Medicine

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

What is lipedema, and what can be done to address it?

This week, we explore lipedema, a condition characterized by abnormal fat build up in regions like the legs and arms, leading to swelling, pain, and tenderness. It predominantly affects women and is believed to have a genetic component. 

Unlike typical weight gain, fat associated with lipedema is stubborn to respond to diet and exercise. Treatment options encompass compression therapy, physical therapy, and, in some instances, surgical intervention.

Joining us is Dr. Nicholas Pennings, a distinguished figure in the field. Dr. Pennings serves as an associate professor of family medicine at Campbell University and is a board-certified physician specializing in obesity medicine. He has contributed to establishing standards of care for lipedema in the U.S. and continues to impart knowledge to healthcare professionals through his affiliation with the Obesity Medicine Association

We also dove into crucial topics including:

• Challenges in Conventional Weight Loss Interventions for Lipedema
• Understanding and Treatment
• Prevalence of Lipedema

If you're seeking deeper insights into lipedema, don't miss out on this episode. Dr. Pennings' expertise on this condition is truly invaluable and can offer tremendous help to those grappling with it!

Connect with Dr. Pennings:

• LinkedIn: Nicholas Pennings, DO, FOMA, FACOFP, FAAFP

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

More information about Lipedema

• https://www.lipedema.org/
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8652358/
• https://www.fatdisorders.org/

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Women journey through adolescence, adulthood, pregnancy, perimenopause, and menopause, each phase marked by hormonal shifts that can impact weight management.

Today's episode delves into Zepbound and Wegovy, offering insights into what women should understand about these medications across various life stages. This discussion encompasses guidance for women with PCOS, those seeking to conceive, navigating pregnancy, and facing the challenges of perimenopause and menopause

Joining me is Dr. Stephanie Persondek, a double board-certified expert in obstetrics and gynecology and obesity medicine. With over 15 years of experience in OBGYN and a certification in obesity medicine obtained in 2021, Dr. Persondek leads Inclusa Health and Wellness. She is dedicated to women's health across all life stages and actively educates future healthcare professionals through university teaching positions and authoring materials for McGraw Hill and ABC Board Review.

If you're eager to uncover the full scope of Zepbound and Wegovy's impact on women's health across various stages, be sure to tune in to the entire episode. Dr. Persondek delivers detailed insights, offering elaborate explanations tailored to each stage. Discover how women can effectively manage their weight through every phase.

Connect with Dr. Persondek:

• Instagram: inclusapnw
• Facebook: Inclusa Health & Wellness
•  Tiktok: inclusapnw

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever found yourself pondering the best way to manage your nutrition?

Let's explore the world of meal prepping through 6 insightful methods. It's more than just about cooking in bulk and repeating meals – it's a journey filled with possibilities.

Imagine this: planning and preparing your meals ahead of time becomes your key to success. And did you know about that intriguing study by Gollwitzer and Sheeran in the Psychological Bulletin? It highlights the importance of detailed planning, painting a picture of how mapping out your meals can lead you straight to victory. Could meal prepping be the missing puzzle piece you've been searching for in your health and weight goals?

But there's another benefit worth noting – meal prepping not only saves time but also saves money. Fascinating, isn't it? Let's delve into the world of meal prepping and uncover its secrets together.

Discover additional tips and strategies by tuning in to the entire episode on effective weight management.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Want to know the connection between the brain and weight loss?

Well, in this week's episode, Dr. Caissa Troutman joins me. She delves into the details of the inner workings of our brains when it comes to metabolism. We'll chat about the various brain components linked to metabolic function and how we can sync up our behavior, eating habits, and nutrition to this rhythm to reach our desired outcome.

Dr. Caissa Troutman is the founder of WEIGHT reMDy, a direct care weight wellness practice. With a background as an obesity medicine physician and culinary medicine specialist, she offers expertise in healthy eating, diet, and weight loss. Having personally overcome obesity with a 32% weight loss, she empathizes with her patients' struggles. Dr. Caissa Troutman's current focus is on menopause and brain health.

We also address multiple angles on how to approach weight loss. From understanding different hormones such as Ghrelin (hunger hormone), Leptin (satiety hormone), Insulin, and Cortisol (stress hormone) and how they influence our bodily functions, offering insights into their management.

Join us for this insightful discussion on the intricate relationship between the brain and weight loss. Listen to the full episode!

Connect with Dr. Caissa Troutman:

• Instagram: weightremdy
• Facebook: WEIGHT reMDy 
• Website: https://www.weightremdy.net/

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you caught the latest Oprah Special?

In Oprah's recent episode: Shame, Blame, and the Weight Loss Revolution, she talked about a lot of issues related to weight. And in this episode, I want to share my insights and perspective on the topics she discussed to help break them down and explain why they matter.

Oprah discussed how individuals with obesity often blame and shame themselves. She shifted the mindset by highlighting the importance of understanding why people gain weight. It's not solely about eating behavior, lack of activity, and definitely not about intelligence or willpower. She emphasized that knowing the science behind it, or simply put, understanding the biology, plays a major role in how we manage weight. This new perspective might help us stop blaming ourselves and start being kinder when it comes to managing our weight.

Another interesting thing that Oprah shared was her own experience with weight loss medications, saying they not only helped her lose weight but also made it easier to stop thinking about food all the time. 

Oprah also discussed the challenges people face in accessing weight management medications. She invited executives from the pharmaceutical industry to shed light on the major hurdles, which they identified as insurance coverage and medication supply shortages

Her episode shows that there are still a lot of barriers that people face when it comes to getting the help they need to manage their weight. As we move forward, it's crucial for us to speak up and push for changes that make it easier for everyone to get the support they need for better health.

If you're interested in advocating for improved Medicare coverage- start here https://www.obesityaction.org/troa/

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Strength training has surged in popularity over the past few years. Countless individuals who've embraced it can vouch for the incredible benefits they've experienced firsthand.

But do we really know what strength training truly is? And what about the science behind it?

This episode is here to uncover everything about strength training. I’ve invited Dr. Carrie Holland. She’s a physician, certified coach and CEO, and she’s all about empowering women to own their wellness journey. With expertise in personal training, health coaching, and life coaching, she's your go-to for a holistic fitness approach

We talk about how our beliefs about ourselves impact our fitness journey and how we can improve them. Dr. Holland highlights the lifelong benefits of strength training for maintaining functionality as we age. She also offers practical tips for beginners to start strength training and establish regular habits.

If you're interested in learning more about strength training, be sure to listen to the entire episode. You won't want to miss the opportunity to kickstart your fitness journey.

Connect with Dr. Carrie Holland:

• Instagram: carriehollandmd
• Facebook: Fit Life with Carrie Holland, MD 
• Website: Home - Fit Life with Carrie Holland, MD (carriehollandmd.com)
• Linkedin: Carrie Holland, MD CPT
• Youtube: Carrie Holland MD, CPT

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Need some tips to amp up your weight management strategy?

You got it! In this episode, I'll be dishing out three tips that I recommend to my patients daily but haven't discussed yet on this podcast.

3 Nutrition Tips I Give Every Day:

Number 1: 80/20 rule.

Number 2: Give yourself permission.

Number 3: Stop fighting hunger.

These strategies depart from typical internet advice, aiming for a balanced approach to nutrition while also embracing life's simple pleasures. They encourage an inner dialogue aimed at making better, more helpful decisions, and offer ways to support your body rather than working against it.

If you feel that my tips could benefit you, don't miss out on the full episode!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

The Most Important Meal of The Day: BREAKFAST!

Let's talk about it! 

Are you ready to join the breakfast club?

In this episode, I'll persuade you by sharing the top reasons why eating in the morning can positively impact your weight loss journey.

The data released by the National Weight Control Registry reveals a striking trend: a majority of individuals who have successfully lost weight and kept it off are incorporating breakfast into their daily routine. Specifically, 78 percent of those who have lost 30 pounds or more and maintained it are consuming breakfast every day.

I'll also be sharing some easy breakfast ideas to help you kickstart this journey. 

So, if you're interested in learning why I'm all about breakfast, listen to the full episode and feel free to take down some notes!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

In this episode, we're joined by Dr. Ethan Lazarus, former president of the Obesity Medicine Association and a key figure at the American Medical Association. Together, we're diving into the significant transitions in the world of obesity medicine over the years, covering treatments, medications, exercise, nutrition, and, of course, mindset.

Dr. Lazarus is a true pioneer in the field, with over 20 years of experience as an obesity physician and owner of the Clinical Nutrition Center in Greenwood Village, Colorado. He's seen it all and played a significant role in advancing the field.

We'll also be touching on the ongoing issue of "Weight Stigma." Despite the years passing, it's still a major concern, and Dr. Lazarus will shed some light on it.

So join us as we explore the ever-changing landscape of obesity management and get a glimpse of what lies ahead in healthcare. Dr. Lazarus's insights will be our compass as we navigate through the complexities of improving health and wellness

Connect with Dr. Lazarus:

• Facebook: Clinical Nutrition Center 
• LinkedIn: Ethan Lazarus

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Sometimes, our inner critic can be quite harsh and demanding, especially when it comes to ourselves. This inner dialogue often leads to self-blame, self-criticism, and feelings of shame and judgment. These negative emotions can hinder our ability to make positive changes in our health and our lives.

In weight management, maintaining a positive mindset is crucial. A cheerful outlook not only boosts motivation but also helps in overcoming obstacles more effectively. When we approach our fitness journey with positivity, we're more likely to stay committed, make healthier choices, and ultimately achieve our goals.

In this episode, I'll be discussing a few mindset shifts that can transform your thinking from negative to positive, leading to increased productivity in achieving your health goals. Tune in to the full episode to learn more!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

In this episode, we review the link between Joint Inflammation, Stress, and Weight, exploring how excess weight can impact rheumatologic conditions.

I'm joined today by Dr. Isabelle Amigues, a physician and rheumatologist based in Denver, Colorado. Dr. Amigues trained in both Paris and at Columbia University in New York City. She's also the host of the Unabridged MD podcast and is an accomplished researcher, authoring multiple book chapters and scientific articles, as well as being a sought-after speaker.

Dr. Amigues and I also discussed how medications like GLP-1 receptor agonists and metformin can help manage inflammation, especially in patients with obesity dealing with rheumatic conditions.

Lastly, we touched on the interconnectedness of our physical and mental well-being. Dr. Amigues shared her personal story of battling stage 4 cancer and the impact of stress reduction techniques on healing both the mind and body.

Connect with Dr. Amigues:

• Instagram: unabridgedmd
• Podcast: UnabridgedMD (on all platforms)
• Website: unabridgedMD
• Youtube: Rheumatology 101 by Isabelle Amigues, MD, MS.
• TEDx talk: https://youtu.be/VfbMljfqdlo?si=lrVXkQtDcAEjFoPV
• Tiktok: UnabridgedMD

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Weight loss is an emotional rollercoaster. From the excitement as weight drops, to the inevitable setbacks and frustrations, the emotional landscape of weight loss is vast and varied. In this episode, we’ll explore all of them with Dr. Maribeth Orr, a fellow obesity physician from Heartland Weight Loss in Lawrence, Kansas, who specializes in patients aged 12 and up.

Dr. Orr has her own personal struggle with obesity, starting during her medical residency, and she'll share her insights on what to expect during your weight loss journey.

She also provides a refreshing perspective on tackling the ups and downs of weight loss, which she lovingly calls "Embracing the Suck." This approach encourages individuals to face the challenges head-on, helping them navigate the journey with resilience and determination. Additionally, we'll talk about how a support system can propel you forward in your progress and where to find it.

Weight loss is undeniably a journey filled with emotional highs and lows. However, with the right mindset and support, you can successfully navigate through it all.

Join us for the full episode as we delve into Dr. Maribeth Orr's personal journey and explore her unique approach to weight loss.

Connect with Dr. Orr:

• Instagram: maribethorr
• LinkedIn: Maribeth Orr, D.O., DABFM, DABOM
• Facebook: Maribeth Malburg Orr 
• Website: Heartland Weight Loss

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

GLP-1s like Wegovy and Zepbound have been on everyone's lips. These so-called 'miracle drugs' gained more attention after Oprah discussed them on her recent episode titled 'Shame, Blame, and the Weight Loss Revolution.' She mentioned that they were a key player in helping her lose weight.

But the big question on everyone's mind is: How long should one stay on Wegovy or Zepbound? Is it a lifetime commitment?

In this episode, Dr. Linda Anegawa will answer this question. She is the Chief Medical Officer for Noom and has over 20 years of experience in academic primary care, bariatrics, and leadership in digital health startups. Since becoming certified by the American Board of Obesity Medicine in 2014, she has developed weight loss and lifestyle medicine programs in both traditional healthcare settings and telemedicine.

We also discussed common misconceptions about these drugs, including the risks associated with starting and stopping them, potential dependency issues, and a range of other important information. We delved into how these medications work, their side effects, and the long-term implications for those considering or currently using GLP-1s like Wegovy and Zepbound. By addressing these topics, we aim to provide a comprehensive understanding for anyone interested in these weight management options.

Tune in to the full episode to grasp a deeper understanding of these medications.

Connect with Dr. Anegawa:

• Noom Website: https://www.noom.com/
• NoomMed Website: https://www.noom.com/med/
• NoomWeight Website: https://www.noom.com/lp/weightLossGoal
• Noom Instagram: https://www.instagram.com/noom/
• Noom YouTube: https://www.youtube.com/channel/UCXwV4vaTOZu6YRa5xxKKtnw
• Noom TikTok: https://www.tiktok.com/@noom
• LinkedIn: Linda Anegawa, MD, FACP, Dipl. ABOM, NBPAS

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Using weight loss medications like Wegovy or Zepbound? 

While rapid weight loss from medications like Wegovy or Zepbound is often what people are after, it can also lead to muscle loss. Keeping your muscle is super important because it's metabolically active, which means it helps you burn more calories even when you're just chilling. This boosts your overall metabolism and aids in weight management.

That's why resistance training is a must to keep your muscle and strength. If you're on these meds and want to kickstart your fitness journey, this episode is just for you.

I introduce my entry-level strength training program, 'GLP-Strong,' designed specifically for those who need to preserve muscle while on weight loss medication. 

In this episode, I’ve invited two of my partners, Shaun Parris and Stephanie Burke. Shaun, the owner of CrossFit Common Fortitude in Lakewood, Colorado, has over 10 years of training experience and focuses on helping people stay healthy and active into their senior years. Stephanie, a CrossFit Level 1 Trainer and former paramedic, now works in emergency preparedness. She specializes in training large-body athletes and is passionate about improving health and well-being.

We talk about:

• Exercise Guidelines 
• In-depth explanation Resistance and Strength Training
• GLP Strong with GLP 1 meds

If you're curious about our new program, GLP Strong, tune in to the full episode where Shaun Parris and Stephanie Burke provide a comprehensive overview. Discover how this beginner-friendly program is tailored for everyone, right in the comfort of their own home.

Check out the GLP Strong website to delve deeper into what our program offers.

Link: https://www.glpstrong.com/

Connect with Shaun and Stephanie: 

• Instagram: cfcommonfortitude
• Facebook: CrossFit Common Fortitude 
• Website: CROSSFIT COMMON FORTITUDE

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Did you know that stress can profoundly impact our weight?

Yes, we've all been there—reaching for sweets or salty foods when we're under stress. But have you ever looked into the science behind this behavior? The release of the hormone cortisol during stressful experiences can disrupt hormonal balance, leading to issues such as increased appetite and unhealthy food cravings.

This episode explains all about how and why stress affects our weight and eating behaviors, root causes of stress, chronic diseases affected by stress, and practical steps to reduce it and improve overall health. 

Joining us is Dr. Robyn Tiger, a distinguished physician specializing in diagnostic radiology and lifestyle medicine. Through her practice, Stress Free MD, Dr. Tiger integrates her expertise in medicine, yoga, therapy, meditation, and life coaching to provide holistic care.

Dr. Tiger and I also discussed the Blue Zones, regions known for their high number of centenarians. We explored the factors contributing to their long lifespans and how we can apply these insights to our daily lives.

To explore more about how stress impacts weight and discover practical solutions for well-being, listen to the full episode!

Connect with Dr. Tiger: 

• Instagram: stressfreemd
• X: StressFreeMD 
• Website: Stress Free MD
• LinkedIn: Robyn Tiger MD, DipABLM 

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Feeling stuck in your weight loss journey?

You kicked off your weight loss journey strong—consistent routine, pounds shedding weekly, and fitting into smaller clothes. But suddenly, progress halts. You've hit a plateau, and now you're unsure of what to do next.

If this sounds familiar, this episode is for you. We'll dive into the root causes of weight loss plateaus, what happens to your body during this phase, and how to break through it.

I also explain the science behind water weight, glycogen, and other contributing factors, and discuss the duration of weight loss progress with certain medications and interventions such as phentermine, Contrave, GLP-1 agonists like Wegovy and Zepbound, as well as bariatric surgery.

Tune in to uncover every detail about overcoming this common hurdle and get back on track with your weight loss goals.

Don’t miss out—your breakthrough awaits!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• Strength Training Program: GLP Strong 

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

In today’s episode, we explore a breakthrough in heart health with Wegovy (semaglutide). These have shown a 20% risk reduction in heart disease in at-risk individuals, according to the SELECT trials of Fall 2023.

Heart disease is the leading cause of death for both men and women, and 80 to 90 percent of cases are preventable through healthy lifestyle choices like diet, exercise, regular check-ups, and stress management.

Joining us is Dr. Tracy Paeschke, a double board-certified cardiologist and health coach with expertise in heart disease prevention.

She shares insights into preventive strategies, stress's impact on heart health, advanced testing, personalized statin therapy, and specific considerations for managing heart health in women. We also dispel the myth that heart disease predominantly affects males. Heart disease stands as the leading cause of death for women, and we delve into its prevalence and unique challenges in our discussion.

To uncover more insights into heart disease prevention and the latest breakthroughs in cardiovascular health, listen to the full episode now!

Connect with Dr. Paschke: 

• Website:: Heart Health Prevention Wellness
• Email: info@hearthealth.care

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wondered how many calories your body burns without hitting the gym? Turns out, exercise isn't the only effective calorie burner!

For busy folks who struggle to fit in daily workouts, how can you still burn those calories? Let's break it down.

In this episode, we'll dig into NEAT—Non-Exercise Activity Thermogenesis. It's all about the calories your body uses through everyday activities, like walking, cleaning, or just staying active

We’ll also discuss different ways our body burns calories from BMR to TEF, highlighting how each component contributes to our daily energy expenditure and overall metabolic activity.

And as a bonus, I've shared some practical tips to increase your NEAT effortlessly in your day-to-day life. 

So, whether you're trying to maintain a healthy weight or simply boost your energy levels, these insights and strategies can make a real difference.

Dive into this episode to discover the secrets of NEAT—Non-Exercise Activity Thermogenesis—and learn practical steps to boost your daily calorie burn effortlessly.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you finding that your mental health medications are affecting your weight? 

It's a common concern for many patients. Mental health issues have surged over the past decade, with the National Institutes of Health (NIH) reporting in 2024 that 57.8 million adults are affected by some form of mental illness. As a result, people have pursued various treatments, such as psychotherapy, behavioral therapy, medications, and other interventions.

Today, we're discussing the effects of mental health medications—meds like antidepressants and mood stabilizers—on patients' weight. Yep, we're talking about the dreaded weight gain that often comes with these meds, and it's a concern that definitely deserves some attention.

Joining us to shed light on this topic is Dr. Amy Motamed. She is an outpatient psychiatrist based in Bethesda, Maryland, and she's got a special interest in helping patients who struggle with excess weight, especially since a lot of psychiatric medications can contribute to this issue. We'll be touching on GLP 1 medications like Wegovy and Zepbound too.

Make sure to tune in to the full episode to understand how these medications can impact weight, mental health, and overall well-being.

Connect with Dr. Motamed:

• Website: Old Georgetown Mental Health Associates
• Email: drmotamed@ogmha.com

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever wonder why some people breeze through their to-do lists while others struggle to get anything done?

In today's episode, we'll explore how understanding personality types, as outlined by Gretchen Rubin in The Four Tendencies, can potentially help you manage your weight—or help others manage theirs. These insights into Upholders, Questioners, Obligers, and Rebels can provide valuable strategies tailored to your or someone else's unique approach to goals and expectations, offering new ways to stay motivated and achieve success in health and fitness goals.

Rubin's framework categorizes people into four personality types:

• Upholders: They readily meet both inner and outer expectations, making them proficient at sticking to plans and goals, including those related to weight management.

• Questioners: They meet inner expectations but question outer ones. For weight management, they need reasons and justifications for their health choices.

• Obligers: They meet outer expectations but struggle with inner ones. They may excel with external accountability, making them responsive to support and encouragement in weight management efforts.

• Rebels: They resist both inner and outer expectations and thrive on spontaneity and freedom. For weight management, they may benefit from non-traditional, flexible approaches.

By identifying your or someone else's tendency, you can tailor strategies to maximize motivation and overcome challenges in achieving health goals. Understanding these dynamics can make a significant difference in how effectively you approach weight management and overall well-being.

Ready to dive deeper? Listen to the full episode for further insights!

Visit Gretchen Rubin's website to explore her Four Tendencies framework: Gretchen Rubin - https://gretchenrubin.com/four-tendencies/

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever felt like a single slip-up derails your entire weight loss journey?

Week after week, you've been making mindful eating choices, selecting healthier options, and staying active. Then, life intervenes. You reach for comfort food, and suddenly, getting back on track feels out of reach.

If setbacks have left you feeling lost and unsure of how to move forward, this episode is for you. We'll delve into practical strategies to help you regain your momentum. I'll share five actionable tips that go beyond just health and diet—they're versatile enough to enhance any area of your life. Plus, I'll include real-life examples to make these strategies even more effective.

Let’s convert setbacks into stepping stones for success together. Make sure to listen to the whole episode to discover all the valuable tips and health strategies.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you feeling constantly tired, gaining weight, feeling cold even when it's warm, and/ or losing hair?

If your thyroid levels are in a normal range but you're still experiencing these symptoms, you might have subclinical hypothyroidism. This means your thyroid stimulating hormone (TSH) levels are slightly elevated, but your thyroid hormone levels are normal. It’s often without symptoms but can progress to clinical hypothyroidism and some may be more sensitive than others. 

In this episode, we're joined by Dr. Dana Gibbs, a board-certified ENT and thyroid surgeon, and founder of Consultants in Metabolism. She’s passionate about thyroid treatment and specializes in helping people with Hashimoto's disease, complex thyroid conditions, and chronic fatigue.

We'll discuss how your thyroid affects your overall well-being and why diagnosing thyroid issues can sometimes be confusing. We'll explain why your symptoms might not always match the test results and how to treat imbalances of T3 and reverse T3 hormones. We'll also cover how to handle side effects and related conditions, as well as the emotional triggers and cortisol release that can impact your thyroid health.

Gain control over your thyroid health and boost your well-being with this insightful episode. Tune in and listen to the full episode now!

Connect with Dr. Gibbs:

• Adrenal/thyroid supplements guide: www.danagibbsmd.com/guide
• Website: Dana Gibbs MD

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

GLP-1 agonists like Wegovy and Zepbound are making waves, but their growing popularity brings some serious concerns. Reports have highlighted potential side effects such as blindness, stomach paralysis, and even suicidal thoughts.

In this episode, we'll dive into:

• The risk of blindness associated with these medications
• Severe gastrointestinal (GI) side effects
• The potential risk of suicide with semaglutide

We’ll break down the data, explore the science behind these risks, and pinpoint what’s contributing to them. We’ll also discuss the common side effects of GLP-1 meds and what to watch for. Understanding these potential issues will help you navigate your experience more effectively.

Want to get the full picture on GLP-1 agonists? Listen to this episode to uncover the real risks and stay informed!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever felt like you're eating all the right things but still dealing with bloating, inflammation, and discomfort? 

It's frustrating, right? You follow all the guidelines, but your body doesn't seem to cooperate.

Or maybe you're sticking to a balanced diet, yet the scale keeps going up. You put in the effort, but the results just aren't there. If this sounds familiar, today's episode is just for you.

We'll dive into what healthy eating really means. We'll start by discussing how to notice the immediate effects of food on your body, like how you feel right after eating. This can give you important clues about what works for you and what doesn't.

Next, we'll talk about personalizing your diet to fit your unique lifestyle and needs. It's not just about following generic advice but finding what truly aligns with your reality and goals.

Finally, we'll explore how to identify trigger foods that might be causing issues, so you can make more intentional choices that support your overall well-being. 

By the end of this episode, you'll have a clearer understanding of how to make healthy eating work for you. So, tune in fully to this episode and discover practical strategies for achieving your nutrition goals.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Life often follows certain rhythms—goal-setting, practicing gratitude, building relationships, and even bad habits all have their own cycles. Understanding these patterns is crucial, especially when trying to incorporate new habits or break old ones. Recognizing how your body works helps you seamlessly integrate new habits and prevent bad ones from becoming routines.

Did you know weight gain has its own pattern too?

In this episode, we’ll explore what drives eating and overeating, how to recognize these patterns, and how to choose the right plan for you—whether it's weight loss medications, dietary changes, or new exercises. I’ll also discuss Dr. Andres Acosta’s four eating patterns: The Hungry Brain, Emotional Hunger, Hungry Gut, and Slow Burners, which he identified through fascinating scientific methods.

While 85% of people fit into one of these eating patterns, about 15% don’t. Who are these 15%? 

Wondering which eating pattern fits you best?

Listen to the full episode to find out. I also delve into a fascinating concept not covered in Dr. Acosta's research: sensory-specific satiety. Discover how taste, texture, and the act of chewing contribute to feelings of fullness and satisfaction.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Are you still dealing with sugar cravings even while on GLP-1 medication?

In this episode, I'll dive into why sugar cravings can persist when you're taking GLP-1 medications like Wegovy or Zepbound. I'll explain what's going on in your body and share five practical tips to help you manage these cravings if they’re still giving you trouble.

We'll also break down how GLP-1 medications work. These meds mainly affect the gut, helping you feel fuller and more satisfied, which can naturally cut down on hunger and cravings for some folks. But here's the thing—they don't specifically target cravings, particularly sugar cravings. So while many people notice a drop, it’s not unusual for some cravings to stick around because GLP-1s don't directly address them.

That’s just a sneak peek of what we’ll be covering. If you want to get the full scoop on managing sugar cravings while on GLP-1 medication, be sure to listen to the episode. I’ll be sharing all the details and tips you won’t want to miss!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

As an obesity expert, I usually give a lot of personalized advice to help my patients reach their health goals. These tips are super effective for weight management, but here’s the surprising twist—I don’t always follow them myself! It might sound a bit shocking, but even though I know what works, I sometimes find it hard to stick to my own advice.

In this episode, I'm opening up and sharing five things I regularly tell my patients to do that I don’t always manage to do myself. I’ll dive into my own experiences and explain why I sometimes stray from the advice I give others.

We’ll also talk about why some advice that’s perfect for many people might not be the best for everyone. Plus, we’ll discuss how you don’t have to get everything right to stay healthy or manage your weight. Sometimes, being flexible and finding what works for you is the key!

I hope this gives you a peek into my own journey and shows that even the experts don’t always follow every piece of advice. If you're curious to hear all the details and learn why I occasionally stray from my own recommendations, make sure to listen to the full episode. You’ll find some helpful insights, and who knows, you might discover that being less than perfect is just what you need to reach your goals.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

This episode is my opportunity to balance things out after sharing all the advice I give my patients but don’t always follow myself in the first part of the 'Confessions from an Obesity Physician' series.

Now, in this second part, I'm focusing on the five key habits that I consistently maintain and encourage my patients to adopt. I'll explain why these habits are important and how I make them work in my everyday life.

I want to highlight that the guidance I provide isn't just based on my personal experience—it's rooted in evidence-based practices and backed by medical research. I believe in a balanced approach that combines scientific data, such as studies on medications, diets, and exercise, with the unique needs of each patient. Even if a particular strategy is strongly supported by evidence, it doesn't necessarily mean it's the perfect fit for everyone, and that's perfectly fine.

Get the full picture by tuning into the complete episode and uncover more insights.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

A lot of people get caught up with the number on the scale or BMI when thinking about their health, but there’s so much more to it. Today, I’m chatting with Bradley Davie about why body composition is a game-changer. Bradley, who holds a degree in Kinesiology and Physical Education from the University of Maine, has been a health coach since 2011. For the past eight years, he’s been helping companies integrate InBody’s Health Assessment Tools, including body composition analyzers, blood pressure monitors, and grip strength testers, into varies clinics across the country.

InBody has earned its reputation for delivering top-notch technology to measure body composition. Their devices go beyond the basics, providing insight into muscle mass, body fat, and even water distribution—offering way more valuable information than a typical scale or BMI.

Bradley and I break down why understanding body composition gives you a much clearer view of your health than just primarily focusing on weight. We also dive into how InBody technology works and cover the basics of using it to get the most accurate insights.

If you're interested in how body composition can change the way you approach your health, be sure to check out the full episode!

Want to try the home composition scale Dr. Francavilla uses?  Here’s her code to get 15% of InBody’s home scale:  15% off InBody Dial H30

Connect with Bradley Davie:

• Website: Harmony Health
• Podcast: Beyond The Scale
• SoundCloud: RYA

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Today, it's all about the debate surrounding the cost of obesity treatment. This issue is especially frustrating. Unlike other medical conditions, like heart attacks or cancer—which are treated without much hesitation despite their high costs—obesity treatment often faces scrutiny and resistance due to its price tag.

To get past these challenges, we need to rethink how we approach obesity treatment. It's worth asking why we're quick to invest in treatments for other serious health issues, but hold back when it comes to obesity.

A lot of this comes from the idea that people are "responsible" for their weight, leading some to believe the cost of treatment shouldn’t be covered. But to truly move forward, we need to rethink this approach.

I’ve offered other key takeaways on this topic that can help navigate the many obstacles in obesity treatment. Tune in to the full episode for more. 

If you’re ready to take action and explore solutions, the Obesity Action Coalition is a great resource. You can visit their website to find tools and information on how to advocate for better obesity treatment coverage.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

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A significant part of the controversy stems from the belief that individuals should bear the financial burden of their weight-related health issues because they are deemed "responsible" for their condition. This perspective overlooks the fact that addressing obesity is not only about individual responsibility but also about ensuring equitable access to necessary medical care.

To get past these challenges, we need to rethink how we approach obesity treatment. It's worth asking why we're quick to invest in treatments for other serious health issues but hold back when it comes to obesity. Changing this mindset could lead to better coverage and support for those who need treatment.

For those interested in taking practical steps to address weight management, the Obesity Action Coalition offers valuable resources. Their website provides tools and information for advocating improved coverage for obesity treatments, empowering individuals to take control of their health journey.

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

The multifaceted world of type 2 diabetes can sometimes be hard to comprehend. In this episode, I’m joined by Dr. Lindsay Ogle, a family practice physician based in Missouri. She specializes in metabolic care, weight loss, and obesity through virtual telehealth services, focusing on treating and preventing conditions like diabetes, prediabetes, PCOS, fatty liver disease, high cholesterol, metabolic syndrome, and obesity.

Dr. Ogle and I delve into important topics related to type 2 diabetes, such as understanding treatment options, lifestyle changes, and other key insights.

This episode answers critical questions like:

• Why is it important to treat diabetes early?
• What is the connection between diabetes and weight management?
• Why are new medications like GLP-1 agonists and SGLT2 inhibitors beneficial for both diabetes and weight control?
• Can patients on insulin transition to these new medications?
• Who are the candidates for bariatric surgery?

Tune in to hear the full discussion and discover how the latest developments in diabetes care could impact individual health.

Connect with Dr. Ogle:

• Instagram: dr.lindsayogle
• Facebook: Lindsay Ogle 
• Website: Missouri Metabolic Health
• Youtube: Dr. Lindsay Ogle - Family & Obesity Medicine

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Check out the Medical Weight Loss Summit, launching on October 15th, 2024, which I collaborated on with Dr. Talks!

Link: Medical Weight Loss Summit — Dr. Francavilla Show

Wow, the 100th episode! I’m so excited to celebrate this milestone with you today!

In this special episode, we’re going to revisit some key topics on maintaining a healthy weight and overall well-being, including the 'Weight Care 8'—a set of guiding principles I use with my patients to treat obesity in a sustainable, thoughtful way.

I’m also thrilled to talk about GLP Strong, a strength training program I launched a few months ago to help people move better and feel stronger. This initiative is perfect for everyone and especially those on GLP medications. With full-body resistance training offered twice a week, GLP Strong is a fantastic way to boost fitness.

And to make this episode even more special, I’m introducing the Medical Weight Loss Summit! 

Launching on October 15th, 2024, this is a project I collaborated on with Dr. Talks. It’s like the podcast on steroids, featuring interviews with more than 40 experts from various fields, including obesity specialists, naturopathic doctors, chiropractors, PhDs, and more. Together, we cover a wide range of topics related to weight and health.

I’ll be sharing three key highlights from the summit in this episode, so stay tuned!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com