230. Understanding GLP-1 Agonists: Addressing the Myth of Non-Responsiveness
"It's not that we have non-responders. It's that we have unrealistic expectations." - 00:20:38
Part 2: Addressing the Myth of Non-Responsiveness
A Personal Insight from Greece: Aligning Your Environment with Your Energy
Dr. Novitsky begins by sharing a story from her trip to Greece, where the simplicity of her surroundings inspired her to declutter her home. This serves as a metaphor for aligning one's environment with their energy and current needs.
Common Concerns About GLP-1 Agonists
Dr. Novitsky discusses why people often struggle with GLP-1 agonists. Two main reasons stand out: confusion over how to balance medication with nutrition and exercise, often accompanied by shame, and the belief that they are "non-responders" to the medication.
How a Nutrition Audit Can Help
For those who feel they are non-responders, Dr. Novitsky introduces the concept of a nutrition audit. By tracking food intake without changes for a week, clients can gather data on calories, protein, carbs, fat, fiber, and added sugars. This helps uncover what might be hindering progress.
The Importance of Caloric Deficits and BMR
Dr. Novitsky explains that GLP-1 agonists don't guarantee weight loss. Weight loss still requires a caloric deficit, which means consuming fewer calories than one's basal metabolic rate (BMR). Many mistakenly believe they’re in a deficit when they’re not, leading to frustration.
Leptin Resistance and Weight Loss Struggles
The episode dives into leptin resistance, a condition that can make weight loss harder, even when someone is consuming fewer calories. Leptin plays a role in hunger and metabolism, and resistance to it may be a reason some struggle with weight loss.
Patience and Realistic Expectations
Dr. Novitsky stresses patience when using GLP-1 agonists, explaining that weight loss varies by individual. Inflammation, body composition, and initial body fat all play a role in determining how quickly one may lose weight. She advises setting realistic goals to avoid discouragement.
Looking Ahead
Dr. Novitsky wraps up by encouraging listeners to reflect on their own journey, asking them to consider if any of the factors discussed apply to their experience. She teases upcoming episodes that will provide further insights into GLP-1 agonists and weight loss strategies.
Listen to Episode 230 Here
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Chapters
(00:02) Introduction and personal story about GLP-1
(07:45) Common misconceptions about GLP-1 agonists
(15:30) History of GLP-1 agonists and their use in diabetes
(22:10) How GLP-1 agonists support weight loss
(28:35) Criteria for GLP-1 candidacy beyond BMI
(33:50) Addressing side effects and pharmaceutical involvement
(39:12) Importance of lifestyle changes with medication
(46:20) Looking ahead: Microdose medications for longevity
(52:15) Overview of Dr. Novitsky's coaching programs
(56:40) Closing thoughts on compassion and holistic care
Resources:
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Nutrition Training Program for Healthcare Professionals is enrolling now! You can learn more HERE.
Dr. Ali's Advanced Strength Training program is now available for exercises at a higher level. See the details HERE.
Optimal GLP-1 Weight Loss Program - next program starts November, 2024. Learn more and join the waitlist HERE.
Transform® 9.0 enrollment is now open! Get started with your bonus content today. Learn more HERE.
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*Ali Novitsky MD, this podcast, and podcast write-up are NOT providing medical advice. We do not recommend you start any exercise program without first consulting with your doctor!*
