Explorez tous les épisodes du podcast The Dr. Francavilla Show
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Should I take a GLP-1 with Danielle Marston, FNP
01 Dec 2025
00:42:55
Claim your complimentary gift of my exclusive mini weight care guide today!
Should I take a GLP-1? Real Patient Scenarios and Expert Guidance
Trying to figure out if a GLP-1 medication is right for you can feel overwhelming. With options like Wegovy, Zepbound, Ozempic, and Mounjaro, it’s not just about weight—these medications can also support heart health, liver function, sleep, and blood sugar. Understanding who truly benefits takes the guidance of an expert.
Joining me today is Danielle Marston, or Dani, a board-certified nurse practitioner specializing in obesity medicine, weight management, and nutrition counseling. Dani holds a certificate of advanced education in obesity medicine through the Obesity Medicine Association and provides comprehensive care at our clinic, Colorado Wake Care at Green Mountain Partners for Health. She’s here to explain how GLP-1s work, their benefits, and who they can help the most.
Through real patient scenarios and practical advice, Dani shows how obesity care can be personalized, evidence-based, and approachable.
Whether you’re curious about starting a GLP-1, considering other treatment options, or just trying to understand what’s available, this episode gives you a clear roadmap to make informed decisions and find a plan that actually fits your life.
Have you noticed how the holidays can make it harder to stay on track—whether it’s with food, movement, routines, or even your intentions?
This season brings travel, celebrations, full schedules, and plenty of temptations. In this episode, we’re covering the areas that often pose the biggest challenges:
Enjoying traditions while staying on track
Setting realistic health goals for the holidays
Rethinking holiday drinking
Holiday tips for GLP-1 users
We’ll share practical ways to enjoy holiday food without guilt, set goals that fit this time of year, make mindful choices around alcohol, and navigate the season effectively if you’re on GLP-1 medications. Movement is also part of the discussion—what counts, what’s realistic, and how to keep it manageable even during the busiest weeks.
Taken together, these strategies create a balanced, flexible approach to the holidays—one that protects your progress while letting you fully enjoy traditions, memories, and moments that matter most.
Hear the full episode to learn strategies for enjoying the holidays without derailing your progress.
What if something as simple as your breath could calm stress, sharpen focus, and even support long-term health?
It sounds almost too simple—but breathwork is one of the most powerful and accessible tools for wellbeing. For centuries, traditions around the world have described breath as the bridge between body and mind. Now, modern science is showing how deeply it impacts emotional balance, resilience, and even longevity.
Today’s guest, Jessica Dibb, has spent years blending this ancient wisdom with medical insight. As an psychospiritual educator and breathwork facilitator, she’s seen how even a few intentional breaths can reset the nervous system, bring calm in the middle of chaos, and create lasting changes in health.
Together, we dive into:
The healing science of breathwork
How to move from stress to calm in just three breaths
Stories of transformation through breathwork
Using breathwork as a partner in health
Simple daily practices for lasting wellbeing
And if you want to see how Jessica guides these practices in real time, head over to YouTube to watch her demonstrate the breathing techniques.
This episode is a reminder that the breath is always with us—waiting to support calm, clarity, and healing. Don’t miss the chance to actually watch Jessica’s breathing guidance on YouTube, and for the full conversation, tune in to the complete episode.
Connect with Jessica:
Jessica’s Book Breathwork and Psychotherapy: Clinical Applications for Healing and Transformation. Available on Amazon, Barnes & Noble, and many local bookstores.
PCOS- Nutrition, Medications, and Weight with Dr. Basma Faris
01 Jan 2024
00:34:16
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.
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!
Supplements and Weight Loss: What You Need to Know with Dr. Sejal Desai
18 Dec 2023
00:30:13
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.
Diabetes: All About This Condition and Its Impact on Weight Loss with Dr. Harold Bays
11 Dec 2023
00:37:55
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.
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!
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!
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
Taking the Stress out of Family Meal Time with Dr. Monica Davern
13 Nov 2023
00:31:43
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
Finding truth in your weight graph
06 Nov 2023
00:26:05
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:
Root Causes: Dig deep to uncover why you've been struggling with your weight.
Medications: Sometimes, they play a role, and we explore this option.
Nutrition: Understand your unique nutritional needs for effective weight management.
Behavior Changes: I'll guide you in making sustainable changes that support your goals.
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.
Changing Traditions to Change Your Health
30 Oct 2023
00:24:17
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.
Self Compassion and GLPs for Weight loss with Melissa Mitri, RD
15 Sep 2025
00:31:14
Claim your complimentary gift of my exclusive mini weight care guide today!
Have you ever wondered why two people can follow the exact same weight loss plan, yet get completely different results?
One may see quick progress while the other struggles to move the scale at all. It can feel frustrating, discouraging, and even unfair. Without self-compassion, those moments often spiral into guilt or the belief that success isn’t possible.
That’s why today’s episode is so important. I’m joined by Melissa Mitri, MS, RD, a registered dietitian, weight loss expert, and the owner of Melissa Mitri Nutrition, a virtual practice that helps people achieve lasting results. Melissa also works as a freelance writer and health consultant, sharing her expertise in nutrition and wellness with a wide audience. In her practice, she takes a refreshing approach that focuses on what to add to the diet for better health and satisfaction—rather than just what to cut out.
In our conversation, Melissa and I explore the powerful role of self-compassion in weight management. We talk about how it influences not only food and exercise choices, but also decisions around whether or not to use GLP-1 medications as part of a weight loss plan.
If you’ve ever felt stuck in cycles of guilt or frustration on your health journey, this episode will help you see why being kinder to yourself might be the missing piece
Habits pick up where motivation leaves off- changing your approach to weight loss and health changes
23 Oct 2023
00:25:57
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.
Maintaining Weight Loss with Dr. Becky Andrick
16 Oct 2023
00:29:44
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/
Lifestyle Medicine, Plant-Based Eating, and family health with Dr. Towolawi
09 Oct 2023
00:36:42
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;
Nutrition, with an emphasis on plant-based diets.
Stress management.
Regular physical activity.
Avoidance of risky behaviors such as alcohol and tobacco use.
Adequate sleep.
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.
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.
The Menopause Menu with Dr. Susan Baumgaertel
25 Sep 2023
00:29:19
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.
What you need to know about Carbohydrates and Weight
18 Sep 2023
00:27:00
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!
How the Scarcity Mindset Makes You Overeat
11 Sep 2023
00:27:33
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!
Asthma, Allergies, and Weight with Dr. Kerry Reller
04 Sep 2023
00:26:56
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.
Protein Why we need it and how to eat more protein.
28 Aug 2023
00:26:39
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.
What should I do if I can't get my weight loss medication and are compounded peptides safe?
21 Aug 2023
00:28:38
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.
Can a test tell me if Wegovy or Zepbound will work for me? With Dr. Andres Acosta of Phenomix
08 Sep 2025
00:33:38
Claim your complimentary gift of my exclusive mini weight care guide today!
Ever wonder why the same weight loss plan can work wonders for one person but barely move the needle for another?
Or why some people respond really well to medications like Wegovy, while others struggle with side effects or see minimal results? That’s exactly what precision obesity medicine aims to answer—and today, we’re diving into it with one of the world’s leading experts.
We’re joined by Dr. Andres Acosta, a true pioneer in obesity medicine and the creator of the obesity phenotypes concept. He’s board-certified in internal medicine, gastroenterology, hepatology, obesity medicine, and nutrition. At the Mayo Clinic, he co-directs the Nutrition and Obesity Research Program and leads the Precision Medicine for Obesity program, focusing on matching the right treatment to the right patient with fewer side effects.
Dr. Acosta’s research is supported by the National Institutes of Health, with more than 145 peer-reviewed papers in top journals. His work has been featured in The New York Times, TIME, CNN, and NPR, and he’s earned “40 Under 40” recognition and co-founded Genomic Sciences—just a glimpse of his many accomplishments.
If you’ve ever felt frustrated by trial-and-error weight loss or wondered if there’s a more scientific way to find what actually works for you, you’re going to want to hear what Dr. Acosta shares in this episode.
Weight and Your Liver Health- with Emily Sutton, PharmD
14 Aug 2023
00:32:54
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.
Menopause and Weight Gain- All the details with Dr. Becky Lynn
07 Aug 2023
00:32:31
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.
Medical Fitness and Strength Training with Jeff Young
31 Jul 2023
00:33:01
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.
Rethinking Body Image Chatter
24 Jul 2023
00:24:12
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.
The Science Behind Ultra Processed Food and Weight Gain
17 Jul 2023
00:26:26
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.
Moving beyond BMI to Your Healthy Weight with Dr. Sylvia Gonsahn-Bollie
10 Jul 2023
00:32:24
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/ Twitter https://twitter.com/EmbraceYouMD Instagram https://www.instagram.com/embraceyoumd/ Facebook https://www.facebook.com/EmbraceYouMD
The 5 Objections to Using Medications for Weight Loss and Why They are WRONG!
03 Jul 2023
00:28:05
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!
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.
Ozempic Face & Other Unintended Side Effects of Weight Loss
19 Jun 2023
00:26:13
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!
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
Have you ever wondered what it would be like to live without the constant mental chatter about food?
For many, those thoughts never seem to stop. From planning the next meal to feeling guilt after eating, food can take up an overwhelming amount of mental space. It’s exhausting, and for some, it feels impossible to break free.
This ongoing noise, now widely known as food noise, is more than just hunger or cravings—it’s the mental weight of always thinking about food, and it can affect every part of daily life. In this episode, we’re diving deep into the mental weight of food noise, why it happens, and how dieting history often fuels this constant chatter. We also talk about where the term “food noise” came from, how it’s reshaping conversations around weight and eating, and what the latest research is teaching us about the biology behind it.
But we don’t stop there. We also share practical ways of taking action against food noise—from mindset shifts to medical support—and explain why GLP-1 medications are helping so many people finally quiet the noise, giving them the mental space and freedom they’ve been missing.
If you’ve ever felt stuck in that cycle, this episode is for you. Listen to the full episode to get the complete discussion and actionable insights.
How to Work as a Family to Improve Health with Guest Dr. Bleistein
05 Jun 2023
00:45:47
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.
PLUS: Email me, Dr. Francavilla, with obesity-related questions AND get your very own copies of PDFs provided by Dr. Bleistein: theDrFrancavillashow@gmail.com
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!
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
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 episodeof 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!
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.
Effects of Sleep and Stress on Weight and Health with Dr. Shayla Toombs-Withers, DO
01 May 2023
00:34:53
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:
Recognizing & Resolving Emotional Eating with Dr. Rentea
24 Apr 2023
00:27:23
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:
Recognizing you've overeaten after the fact.
Noticing you're in the process of overeating and telling yourself you shouldn't be doing that (but you keep doing it).
Before you eat, you tell yourself not to overeat, but you still do.
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.
Your Questions Answered: Constipation, Surgery, Medication for Kids, and More
17 Apr 2023
00:27:11
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.
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!
All About Life Coaching with Dr. Sarah Stombaugh, MD
03 Apr 2023
00:32:03
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
Have you ever wondered why, no matter how many diets you’ve tried, the results never seem to last?
You lose the weight, feel good for a while, and then somehow find yourself back where you started, sometimes even heavier than before. It is a frustrating and exhausting cycle that leaves so many people feeling stuck and defeated.
This is the reality that Lisa Goldberg, a nationally recognized nutritionist and behavioral weight-loss expert, has been helping her clients overcome since 2001. As a coach, speaker, and author, Lisa has dedicated her career to guiding people in shifting their mindset, breaking free from emotional eating, and ending the cycle of yo-yo dieting once and for all. Her work goes beyond simply giving out meal plans or counting calories. Instead, she focuses on helping people understand their behavior, build self-awareness, and create habits that are sustainable in the long run.
In this episode, Lisa shares practical strategies and insights to help change the way you think about food and your relationship with it. She explains how to recognize emotional triggers, how to rebuild trust with yourself, and what it takes to approach eating in a way that feels more balanced and freeing. Her perspective offers a refreshing shift from quick fixes to a mindset-driven approach that supports lasting change.
If you are tired of the endless diet cycle and ready to start creating a healthier, more consistent approach to eating and living, this conversation is one you do not want to miss.
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.
Your Questions About Weight-Loss Medications, ANSWERED
20 Mar 2023
00:24:23
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!
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.