GLP-1s, metabolic health, perimenopause and menopause, explained by a Board Certified Physician Assistant. On The Better Living PA, Tiffany Bailey PA-C breaks down what the research actually says and what real patients experience, so you can make informed decisions about your health. Expect myth-busting deep dives on GLP-1 medications, side effects, protein and muscle, hormones and midlife health, plus honest conversations with patients, experts and advocates. For education only, not medical advice. Watch on YouTube @thebetterlivingPA | Links: linktr.ee/TiffanyBaileyPA
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Données mises à jour le 11/11/2026
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Nicole's GLP-1 Journey: From Liraglutide to Semaglutide to Tirzepatide
mardi 10 novembre 2026 • Durée 34:35
Nicole started with liraglutide, then went looking for a more affordable option and moved to semaglutide through an online provider. She's since switched to tirzepatide and has lost 50 pounds so far, and as she says, she's not done yet.
Nicole is also a special education teacher, so her routine changes dramatically when summer ends and the school year begins. She shares how those schedule changes affect her nutrition, habits and progress, and what she's learned from using three different GLP-1 medications.
In this conversation:
When rising doses got too expensive, and insurance covering nothing
The side effects she actually had
Choosing a well-reviewed compounder
Worrying she'd have to start over when switching medications
Why check-ins with a provider mattered more than she expected
Movement, meal plans and managing expectations
Chapters 00:00 Meet Nicole 02:00 Reflecting and planning the year ahead 04:00 When rising doses got too expensive 06:00 Liraglutide, and insurance covering nothing 08:00 Six months in: working but costly 10:00 The side effects she actually had 12:00 Choosing a well-reviewed compounder 14:00 Why tirzepatide receptors live on fat cells 16:00 Worried she'd have to start over 18:00 What makes Belle different 20:00 "I didn't realize I needed the check-ins" 22:00 When Victoza stopped working 24:00 Different practices, different freedom to prescribe 26:00 Movement yes, diet not so much 28:00 Why meal plans never stuck 30:00 Her advice: just do it, and be patient 32:00 Not eating like it's your last cheeseburger
This episode shares one person's experience. Individual results vary.
Interested in GLP-1s, peptides, hormones and metabolic health? Start here: link.joinbelle.com/betterliving (coupon code BELLE15) You'll find information on eligibility, available programs and next steps.
Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.
Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.
Jerry's GLP-1 Story: A Trucker's 50-Pound Turnaround After 24 Years on the Road
mardi 10 novembre 2026 • Durée 37:29
Jerry has been an over-the-road truck driver for 24 years. Night shifts, truck stop buffets, two packs of cigarettes a day and years of stimulants to stay awake finally caught up with him: a DOT physical flagged high blood pressure, he ended up on four blood pressure medicines, and a failed sleep study put him on a CPAP just to keep his job.
After losing 20 pounds on his own but getting stuck in a diet and binge cycle, Jerry started tirzepatide in January 2026 at 217 pounds. By the end of September he was down 50 pounds to 167. In this raw and honest conversation, he shares the hard parts too, including the risky things online fear pushed him into early on (please don't copy this part!).
In this episode:
Why trucking makes healthy living so hard
How an addictive personality can move from drugs to food
DOT physicals, sleep apnea screening and the CPAP
The first shot and the hunger finally going quiet
Stockpiling and stacking: what not to do
Why weighing in once a week helped
His six-month plan to test maintenance
What to do when your doctor says "it's not needed"
Chapters: 0:00 Meet Jerry, over-the-road truck driver 2:08 Can a trucker live a healthy lifestyle? 2:43 Truck stop buffets and sleeping it off 4:13 Coffee, stimulants and an addictive personality 5:27 When drug addiction turns into food addiction 6:14 The DOT physical that flagged high blood pressure 7:53 Why DOT physicals are hard conversations 9:28 Four blood pressure meds and quitting stimulants 10:27 Sleep apnea screening and the CPAP fear 13:01 Keto, bulletproof coffee and Subway 14:32 Weight gain and failing the sleep study 16:07 First time hearing about GLP-1s 17:08 Keto, binge eating and 237 to 217 on his own 18:46 His sister's results and a doctor's prescription 20:18 The first shot and a 72-hour fast 24:06 Stockpiling and stacking: what not to do 26:12 His strict routine and 200 grams of protein 27:23 Finding Belle and thinking long term28:17 Titrating up with no side effects29:46 Down 50 pounds: 217 to 16730:42 Why weighing once a week helped31:35 His six-month maintenance plan33:30 When your doctor says "it's not needed"34:31 Benefits beyond the scale35:49 Peptides and feeling better at 5436:25 Thank you, Jerry
Tiffany's GLP-1 Microdosing Story: Losing Weight and Her Joint Pain on a Low Dose
lundi 9 novembre 2026 • Durée 26:38
Meet Tiffany, a mom of four boys from Western North Carolina who lost weight and got her life back from joint pain by microdosing a GLP-1. After almost four years of FASTer Way to Fat Loss, macros, food logging and a strict local weight loss program, she kept hitting the same plateau and regaining weight. Watching her mom's experience on a GLP-1 helped her decide to try it for herself.
Tiffany started tirzepatide in May and has stayed on a low dose (5 mg or less) the whole time, which is what we usually call microdosing. She switched to split dosing to manage dizziness and reflux, and her shoulder pain finally went away after cortisone shots didn't help.
In this episode:
The myth that GLP-1s are only for people with a lot of weight to lose
Why there's no trophy for doing it the hard way
Why maintenance is a range, not one number
Split dosing, dizziness and the vagus nerve
Hair shedding after weight loss and perimenopause acne
Whether she ever plans to come off her GLP-1
Chapters: 0:00 Meet Tiffany, mom of four boys 0:49 When she started her GLP-1 1:10 Four years of diets: FASTer Way and macros 2:04 A strict program, a plateau and regain 2:48 Starting weights: 200, then 160, now 144 3:13 Why food logging burns people out 4:46 Her mom's GLP-1 success 5:28 Myth: GLP-1s are only for a lot of weight loss 6:25 No trophy for doing it the hard way 6:44 The first 15 pounds and an InBody scan 7:46 Maintenance is a range, not one number 9:09 New goals: pull-ups with her son 9:51 When your spouse has doubts 10:27 Why she chose tirzepatide over semaglutide 11:38 Losing weight on a microdose 12:31 Her timeline and switching to split dosing 14:21 Tip: pick a 5 to 7 pound goal range 16:07 Shoulder pain relief 17:16 GLP-1s and inflammation 18:30 Will she ever come off a GLP-1? 19:43 Side effects: reflux, dizziness and nausea 20:26 Dizziness and the vagus nerve 22:43 Hair shedding after weight loss25:35 Perimenopause acne and "pick two"26:02 Thank you, Tiffany
GLP-1 Side Effects: What's Normal & How to Manage Them with Brittany Rose
vendredi 6 novembre 2026 • Durée 55:02
What do you do about GLP-1 side effects? In this live conversation, Brittany Rose and I get honest about the most common side effects of semaglutide and tirzepatide, what's normal, and practical ways to manage them.
Nausea, sulfur burps, constipation, reflux, fatigue and even skin sensitivity are all things people ask about when starting GLP-1 therapy. Most side effects can be managed, and many improve with time and a few simple changes. We share what we see in practice and in our own experience, and answer live questions from listeners.
In this episode:
Why some people are more sensitive to medications
Trigger foods and timing meals around your injection day
Nausea, sulfur burps and eating slowly
Zofran and constipation, plus magnesium, MiraLAX and adding fiber slowly
Reflux that doesn't feel like heartburn, and Pepcid, Prilosec, Nexium and Pepto-Bismol
Fatigue, dehydration and not eating enough
Muscle soreness and skin sensitivity (allodynia)
Emotional flatness and dopamine, and when to talk to your provider
Chapters 00:00 Welcome and meet Brittany Rose 01:02 Why managing side effects matters 03:05 Why some people are more sensitive to medications 05:03 Brittany's Mounjaro start in 2022 06:03 Foods that stop agreeing with you 07:05 Timing meals around your injection day 10:03 Sulfur burps and heavy meals 11:02 Meats, raw veggies and trigger foods 13:03 Nausea and Zofran 14:00 Eating slowly and chewing your food 16:04 Bad breath and hydration 19:03 Preventing constipation 20:03 Magnesium for constipation 22:06 MiraLAX and stool softeners 24:07 Stomach pain from backed-up stool 25:02 Adding fiber slowly 27:07 Reflux that doesn't feel like heartburn 30:01 Pepcid, Prilosec and Nexium 32:00 Pepto-Bismol and black stool 33:04 Fatigue from not eating enough 35:04 Burning fat and the ketosis feeling 37:04 Dehydration early in treatment38:02 Muscle soreness during weight loss41:06 Skin sensitivity and tingling (allodynia)43:02 Overlap with menopause symptoms46:01 Emotional flatness and dopamine49:02 When to talk to your provider53:04 Everyone reacts differently: final takeaways
Steve's GLP-1 Story: Insurance Said No, So He & His Wife Lost 121 lbs Together
jeudi 5 novembre 2026 • Durée 17:35
Steve is 64, a software developer in Scottsdale, Arizona, and he's been married for 39 years. When his doctor suggested tirzepatide for his weight and sleep apnea, his insurance said no: he wasn't diabetic, and they wanted him to try an amphetamine diet pill first. So Steve and his wife found another way, and did it together.
Tiffany Bailey, PA-C, talks with Steve about going from a four-week sample of Zepbound to compounded tirzepatide, whether he noticed any difference, and why his wife stopped an oral semaglutide because of nausea. Steve has lost 48 pounds (204 to 156), his wife has lost about 60 to 65 pounds, and together they've lost about 121 pounds. They take their shots together every week.
In this episode:
When insurance makes you get sicker before it will help
Going from brand-name to compounded tirzepatide
Why oral semaglutide caused so much nausea for his wife
How food noise faded and the McDonald's drive-thru lost its pull
Why doing this as a couple has made all the difference
Hitting the gym at 6 a.m. and a Friday rowing class to protect muscle
Handling side effects, buying new clothes, and before-and-after selfies
Why one weigh-in shouldn't define your progress
Chapters: 0:00 Meet Steve 1:04 Insurance said no unless he was diabetic 3:36 Going compounded: was he nervous? 5:16 His wife's start on oral semaglutide 6:58 Goodbye, McDonald's drive-thru 8:05 Taking their shots together every week 9:54 Will he stay on a GLP-1? 10:12 6 a.m. gym and a rowing class 11:16 It's not the easy way out 12:15 121 pounds lost together and new clothes 13:41 Before-and-after selfies 15:23 Weight fluctuates: don't trust the scale alone
Every GLP-1 journey is different. This episode is for education and personal storytelling only. Always discuss medication decisions with your own provider.
Interested in GLP-1s, peptides, hormones and metabolic health? Start here:
(coupon code BELLE15)
Compounded GLP-1 Lawsuits: Should You Worry? What Actually Matters with Maria Rising
jeudi 5 novembre 2026 • Durée 39:13
Every week there's a new GLP-1 lawsuit headline, and if you're on a compounded GLP-1 it can feel like your access could disappear overnight. Should you worry? Tiffany Bailey, PA-C, sits down with Maria Rising, creator of Tirzepatide Tales, who closely tracks about 30 of these cases, to break down what's really going on and what actually matters for patients.
Maria explains why most of these lawsuits are business-vs-business fights over marketing and advertising (not safety), why court cases take years instead of days, and who benefits when headlines make us afraid. They also cover 503A vs 503B compounding pharmacies, how to tell if your telehealth company and pharmacy are legit, the additive debate, and why compounding isn't going away even if access changes.
In this episode:
Why the GLP-1 lawsuits are really about marketing, not safety
How fear-mongering works on both sides
503A vs 503B compounding pharmacies explained
How to tell if your telehealth and pharmacy are legit
Where the additive and "essentially a copy" debate stands
The cost gap between branded and compounded GLP-1s
Why lawsuits and FDA warning letters are not verdicts
Chapters: 0:00 Meet Maria Rising of Tirzepatide Tales 1:53 The business-vs-business lawsuits Maria tracks 4:41 It's about marketing, not safety 7:46 Court cases take years, not days 8:47 Who benefits from fear-mongering? 14:02 What could actually change your access? 16:05 503A vs 503B pharmacies explained 19:34 How to tell if your telehealth is legit 23:20 Additives and the "essentially a copy" debate 30:04 The shortage, cash prices and the access gap 35:34 Compounding isn't going away 36:52 Lawsuits and warning letters aren't verdicts
Phentermine: What You Really Need to Know (Side Effects, Fen-Phen & GLP-1s)
mercredi 4 novembre 2026 • Durée 18:02
Is phentermine safe for weight loss, and how is it different from GLP-1s like semaglutide and tirzepatide? Tiffany Bailey, PA-C, breaks down what phentermine is, how it works, what the FDA label actually says about short-term use, and what the research shows.
Phentermine is an older, stimulant-like appetite suppressant first approved in 1959. Tiffany explains why so many people love the energy it gives them, why tolerance, insomnia and blood pressure are real concerns, the truth about fen-phen, who shouldn't take phentermine, why weight usually comes back when you stop, why it doesn't address insulin resistance the way GLP-1s do, and how Qsymia (phentermine + topiramate) is different.
Chapters:
0:00 Why phentermine is so debated
1:18 What is phentermine?
1:45 The FDA label and short-term use
2:52 How phentermine works
4:40 Side effects, insomnia and tolerance
5:36 Why people love the energy boost
7:10 Phentermine and amphetamines
7:34 Fen-phen explained
8:53 How long is short-term?
10:48 Who shouldn't take phentermine
11:28 Phentermine in older adults
12:08 What the research shows
13:34 Phentermine vs GLP-1s
14:33 Weight regain after stopping
15:35 Insulin resistance and why GLP-1s are different
15:56 Qsymia (phentermine + topiramate)
17:08 Summary and final thoughts
Interested in learning more about GLP-1s, peptides, hormones and metabolic health? Start here:
Can GLP-1s Cause Depression? The "GLP-1 Blues" & What the FDA Found
mercredi 4 novembre 2026 • Durée 11:48
Can GLP-1 medications like semaglutide and tirzepatide cause depression, anxiety or that flat, "blah" feeling some people call the GLP-1 blues?
In this episode, Tiffany Bailey, PA-C, breaks down what the latest research shows, including the FDA's January 2026 review of 91 placebo-controlled trials with more than 107,000 participants, and why your own experience on a GLP-1 can still be different.
In this episode:
What people mean by the "GLP-1 blues" and feeling emotionally flat
Anhedonia vs. clinical depression
What the FDA review and a 2025 meta-analysis found
Why you might feel different on a GLP-1: brain reward pathways, food's role in your life, side effects and dose
What to track and bring to your healthcare provider
Letting go of shame and blame
If you are having severe or worsening depression or any thoughts of self-harm, please don't wait. In the US, call or text 988 (Suicide & Crisis Lifeline), or contact your healthcare provider right away.
Interested in GLP-1s, peptides, hormones and metabolic health? Start here:
You'll find information on eligibility, available programs and next steps.
Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.
After years of living with obesity and Hashimoto's disease, Tammy had vertical sleeve gastrectomy in 2020. Bariatric surgery helped her lose weight, but she realized it hadn't fully addressed the complex biological factors behind her obesity. Eighteen months after surgery, she started GLP-1 therapy. Today she's 150 pounds down from her highest weight and uses her experience to advocate for people seeking access to GLP-1 treatment when insurance coverage falls short.
Tammy shares the reality of combining bariatric surgery with GLP-1 therapy, what she learned along the way, and why obesity deserves to be treated as a chronic, complex medical condition rather than a personal failure.
In this conversation:
Mindset more than size, and the "if I'd just lost 10 more pounds" trap
Phentermine and the Fen-Phen history
Deciding on bariatric surgery and the two-week liquid diet
Hashimoto's, PCOS and what else was going on
Shortages, coverage changes and finding another way
Why this isn't a quick fix, and getting protein in
Chapters 00:00 Meet Tammy 02:00 Looking back: mindset more than size 04:00 Wedding photos and "if I'd just lost 10 more pounds" 06:00 Phentermine and the Fen-Phen history 08:00 Considering bariatric surgery 10:00 The vicious cycle and kidney issues 12:00 The two-week liquid diet before surgery 14:00 Hashimoto's, PCOS and what else was going on 16:00 When Mounjaro stopped being prescribed for obesity 18:00 Shortage again - and finding another way 20:00 "It's not about the weight anymore" 22:00 The sign around her neck nobody checked 24:00 Why this isn't a quick fix 26:00 Getting protein in, and food as fuel 28:00 Wanting a safe place for people to get this 30:00 One-on-one access to the providers 32:00 Her advice: research it and ask questions
Follow Tammy TikTok: @mom_is_gonna_lose_itInstagram: Facebook: Get started with Tammy's link: (code TAMMY)
GLP-1s Before and After Surgery: When to Stop and When to Restart
vendredi 30 octobre 2026 • Durée 14:34
If you take a GLP-1 medication and have surgery or a procedure coming up, when should you stop it, and when is it safe to restart?
In this episode, I explain why GLP-1 medications matter when you receive general anesthesia or deep sedation. The primary concern isn't bleeding or wound healing. It's delayed stomach emptying and the potential risk of aspiration during anesthesia.
In this episode:
Why GLP-1s can affect stomach emptying, and how anesthesia changes the risk
Why recommendations vary between providers
Who may have a higher risk of delayed gastric emptying
Whether everyone needs to stop their medication
When you may be able to restart after surgery
Why missing several doses could mean restarting at a lower dose
What to tell your surgeon and anesthesia team
Current guidance doesn't automatically require every patient to stop GLP-1 therapy. Your plan may depend on your medication, dose, symptoms, recent dose changes, medical conditions and the type of procedure. Always tell your surgeon and anesthesia team that you take a GLP-1, including the date of your last dose. If you take it for diabetes, speak with your prescribing provider before holding it, because stopping could affect your blood sugar. Always follow the instructions from your surgeon, anesthesia professional and prescribing provider.
Chapters 00:00 Why GLP-1s and surgery is such a confusing topic 00:48 It is not about bleeding or wound healing 01:14 Why every provider gives you a different answer 02:30 Aspiration: the real reason we hold GLP-1s 03:49 The recovery room is the riskiest window 04:25 Who is at higher risk 05:25 Do you actually have to stop? The newer guidance 06:44 Pre-op vs post-op: two different reasons 07:15 What changes if you take a GLP-1 for diabetes 08:12 When it is safe to restart after surgery 08:51 Narcotics plus GLP-1s: nausea and constipation 09:34 Abdominal surgery and post-op ileus 10:31 Do you need to restart at a lower dose? 11:56 Your pre-op appointment and your medication list12:40 Do not forget to list your injections13:14 The bottom line
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Every person's experience with GLP-1 therapy is different. This episode is for education and personal storytelling only.
Interested in GLP-1s, peptides, hormones and metabolic health with Belle? Start here: https://link.joinbelle.com/Betterlivingpartnerpage Code BELLE5 saves 5% on your first order and is applied automatically from this page. You'll find information on eligibility, available programs and next steps.
Read the full write-up on my Substack: https://thebetterlivingpa.substack.com/p/patient-spotlight-jerry
Medical disclaimer: The information shared here is for educational and informational purposes only and should not be considered medical advice. Listening does not create a provider-patient relationship. Always consult your own qualified healthcare provider before starting, stopping or changing any medication, supplement, peptide or treatment plan.
Every person's experience with GLP-1 therapy is different. This episode is for education and personal storytelling only and should not be considered medical advice. Always discuss medication decisions with a qualified healthcare professional.
Interested in GLP-1s, peptides, hormones and metabolic health with Belle? Start here: https://link.joinbelle.com/Betterlivingpartnerpage Code BELLE5 saves 5% on your first order and is applied automatically from this page. If you're considering treatment options, this is the best place to begin. You'll find information on eligibility, available programs and next steps.
Read the full write-up on my Substack: https://thebetterlivingpa.substack.com/p/patient-spotlight-tiffany
Follow The Better Living PA: YouTube: https://www.youtube.com/@thebetterlivingPA Linktree: https://linktr.ee/TiffanyBaileyPA Instagram: https://www.instagram.com/betterliving_pa TikTok: https://www.tiktok.com/@betterlivingforeveryone
Medical Disclaimer: The information shared here is for educational and informational purposes only and should not be considered medical advice. Listening to or watching this episode does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping or changing any medication, supplement, peptide, treatment plan or healthcare regimen.
Interested in GLP-1s, peptides, hormones and metabolic health? Start here: link.joinbelle.com/betterliving (coupon code BELLE15) You'll find information on eligibility, available programs and next steps.
Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.
Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.
Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.
Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.
You'll find information on eligibility, available programs and next steps.
Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.
Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.
This episode is for educational purposes only and is not medical advice. Always talk with your own healthcare provider before starting, stopping or changing any medication.
Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.
This episode shares one patient's personal experience. Individual results vary.
Interested in GLP-1s, peptides, hormones and metabolic health? Start here: link.joinbelle.com/betterliving (coupon code BELLE15) You'll find information on eligibility, available programs and next steps.
Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.
Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.
Interested in GLP-1s, peptides, hormones and metabolic health? Start here: link.joinbelle.com/betterliving (coupon code BELLE15) You'll find information on eligibility, available programs and next steps.
Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.
Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.
