Weight Medicine with Dr. Meghan MD

In this video, Dr. Megan, who describes herself as a board-certified obesity medicine physician and weight loss coach, walks through what she commonly sees in patients at one, three, and six months on a GLP-1 medication.

1. 0:00 Introduction to GLP-1
2. 1:21 Month one experiences
3. 3:22 Month three updates
4. 6:19 Month six and beyond

• Point in the journey: Month 6
• Side effects mentioned: nausea
• Who is speaking: Clinician, MD

In this video, Dr. Meghan, who says she is board certified in internal medicine, lifestyle medicine and obesity medicine and prescribes these drugs herself, explains how long weight loss typically takes on GLP-1 receptor agonist injectables.

1. 0:00 How Long to Lose Weight on a GLP-1?
2. 0:08 Meet Dr. Meghan: Obesity Medicine Expert
3. 0:36 What to Expect in Month 1
4. 1:46 Outliers Who Lose Weight Quickly
5. 2:24 Typical Timeline by Month 2 and Beyond
6. 2:57 Plateaus and Nonlinear Progress
7. 3:37 Different GLP-1s, Different Speeds
8. 4:13 Compounded Versions: Why Be Cautious

• Who is speaking: Clinician, MD

Dr. Meghan, an obesity medicine physician, explains the checks she runs through when a patient asks whether their GLP-1 dose is too low and whether it is time to go up. She says she is mainly talking about semaglutide and tirzepatide, because their dose escalation is similar.

1. 0:00 Is Your GLP-1 Dose Too Low?
2. 0:42 How Long You Should Stay at a Dose
3. 1:40 Side Effects: Manageable or a Red Flag?
4. 2:43 What Your Weight Loss Trajectory Tells Us
5. 4:49 Other Factors That Affect Dose Decisions
6. 5:54 Final Thoughts & How to Work With Me

• Who is speaking: Clinician, MD

In this video, Dr. Meghan, who says she is board certified in internal medicine, lifestyle medicine and obesity medicine, addresses the term "stomach paralysis" that she has seen in news and social media coverage of injectable weight medications.

1. 0:00 Stomach Paralysis & Weight Medications?
2. 0:10 Meet Dr. Meghan: Evidence-Based Advice
3. 0:26 What Is “Stomach Paralysis” Really?
4. 0:51 Understanding Gastroparesis
5. 1:24 Symptoms of Delayed Gastric Emptying
6. 1:30 How GLP-1 Medications Work
7. 2:01 Common GI Side Effects Explained
8. 2:12 Why “Stomach Paralysis” Is Misleading

• Side effects mentioned: nausea, vomiting and bloating
• Who is speaking: Clinician, MD

In this short video, Dr. Meghan, who describes herself as board certified in internal medicine, lifestyle medicine and obesity medicine, addresses patients who worry their weight loss medication has stopped working.

1. 0:00 Intro
2. 1:30 Weight Loss
3. 2:18 New Normal
4. 2:54 New Plateau
5. 3:40 Conclusion

• Who is speaking: Clinician, MD

A clinician (MD) talks through the first months on Wegovy. It has no captions we could read, so this is drawn from its title and description.

• Who is speaking: Clinician, MD

In this short video, Dr. Meghan, an obesity medicine physician, shares her first reactions to the FDA approval of the Wegovy pill.

1. 0:00 Introduction to oral GLP-1
2. 0:33 Medication details
3. 2:04 Expert takeaways

• Doses mentioned: 25 mg
• Who is speaking: Clinician, MD

In this 4-minute video, Dr. Meghan introduces cagrilintide, which she describes as a weight medication that is on the horizon and likely to be approved in the near to semi near future. She says it is made by Novo Nordisk and is not a GLP-1 medication.

1. 0:00 Introduction to krillintide
2. 0:39 What is krillintide?
3. 1:23 How krillintide works
4. 2:28 Future combined treatments

• Who is speaking: Clinician, MD

A clinician (MD) talks through Ozempic side effects. It has no captions we could read, so this is drawn from its title and description.

• Who is speaking: Clinician, MD

In this five-minute video, Dr. Megan, who says she is board certified in internal medicine, lifestyle medicine and obesity medicine, goes through the side effects she associates with Wegovy.

1. 0:00 Intro
2. 0:52 Side Effects
3. 1:35 Weight Loss
4. 2:38 Skin Sensitivity
5. 3:33 Conclusion

• Side effects mentioned: gallbladder and pancreatitis
• Who is speaking: Clinician, MD

A clinician (MD) talks through Wegovy side effects. It has no captions we could read, so this is drawn from its title and description.

• Who is speaking: Clinician, MD

In this video, Dr. Meghan, who says she is board certified in internal medicine, lifestyle medicine and obesity medicine, responds to viewer comments from people who are struggling on GLP-1 medications and wondering whether to stop.

1. 0:00 Is your GLP-1 worth it?
2. 2:26 Clinical assessment process
3. 4:32 Managing side effects
4. 7:02 Dose adjustments and options
5. 9:03 When to stop treatment

• Side effects mentioned: nausea and fatigue
• Who is speaking: Clinician, MD

In this short video, Dr. Meghan answers a viewer question about loose skin after weight loss on GLP-1 medications, including whether people can avoid it even after large losses.

1. 0:00 Intro – Loose Skin After Weight Loss
2. 0:37 GLP-1s and Loose Skin: What to Expect
3. 1:40 Why Loose Skin Happens After Major Weight Loss
4. 2:41 How Skin Structure Changes Permanently
5. 3:48 Why Creams & Supplements Don’t Work Well
6. 4:37 The Only Reliable Way to Fix Loose Skin
7. 5:14 Final Thoughts & How I Help My Patients

• Weight loss mentioned: 50 lb
• Side effects mentioned: loose skin or face changes
• Who is speaking: Clinician, MD

Dr. Megan, who says she prescribes GLP-1 medications regularly, answers a frequently requested question: why does weight come back after someone stops a GLP-1 medication?

1. 0:00 Intro
2. 0:40 FAQs
3. 1:35 Research
4. 2:10 Mechanism
5. 2:50 GI Tract
6. 3:25 Hypothalammus
7. 5:00 Conclusion

• Who is speaking: Clinician, MD

In this video, Dr. Megan, who says she is board certified in internal medicine, lifestyle medicine and obesity medicine, explains how dosing works for semaglutide and tirzepatide, which she calls the most popular GLP-1 medications at the time of filming.

1. 0:00 Introduction to glp-1
2. 1:04 Long-term treatment
3. 1:54 Starting at lowest dose
4. 2:42 Dose escalation protocol
5. 4:23 Goal weight and maintenance
6. 6:33 Closing thoughts

• Doses mentioned: 0.25 mg and 2.5 mg
• Who is speaking: Clinician, MD

In this question-and-answer session, Dr. Meghan, who describes herself as board certified in internal medicine, lifestyle medicine and obesity medicine, answers viewer questions about GLP-1 medications and related topics.

1. 0:00 Intro
2. 1:52 Low Dose vs Higher Dose
3. 4:55 Why Up Your Dosage
4. 6:58 Are You A Candidate
5. 10:00 Stimulant Medications

• Side effects mentioned: heartburn or reflux and low appetite
• Who is speaking: Clinician, MD

In this Ask a Doctor session, Dr. Megan, who describes herself as a board-certified obesity medicine physician and weight loss coach, answers viewer questions about GLP-1 maintenance. She notes she cannot answer personal medical questions and rephrases them in general terms.

1. 0:00 Introduction and consults
2. 2:46 GLP-1 pill dosing dynamics
3. 6:40 Protein and weight loss
4. 9:48 Choosing between medications
5. 12:13 Long-term maintenance

• Doses mentioned: 15 mg
• Who is speaking: Clinician, MD

Dr. Megan, an obesity medicine physician, explains what she tells patients who need to switch from Zepbound to the Wegovy pill.

1. 0:00 Transitioning medications
2. 1:31 Weight and dosing changes
3. 4:00 Side effects and titration
4. 5:05 Pill logistics and benefits
5. 6:01 Conclusion and resources

• Who is speaking: Clinician, MD

In this video, Dr. Megan, who describes herself as a board-certified obesity medicine physician and weight loss coach, sorts GLP-1 side effects into three groups: green light (common and usually manageable), yellow light (worth raising with your doctor), and red light (urgent).

1. 0:00 GLP-1 side effects overview
2. 1:06 Common side effects (Green)
3. 4:32 Concerning symptoms (Yellow)
4. 6:40 Emergency side effects (Red)

• Side effects mentioned: nausea, constipation and fatigue
• Who is speaking: Clinician, MD

In this video, Dr. Meghan, who describes herself as board-certified in internal medicine, lifestyle medicine and obesity medicine, explains what she tells patients who miss a dose of a GLP-1 medication.

1. 0:00 Introduction to missed doses
2. 1:00 Medication half-life explained
3. 2:03 What to do for one missed dose
4. 3:25 Managing multiple missed doses
5. 6:15 Conclusion and resources

• Who is speaking: Clinician, MD

In this FAQ episode, Dr. Meghan answers a viewer who has been on Zepbound for 20 weeks, has stalled out after losing about 5% of body weight, and worries about ending up well short of 15% loss even at the top dose. The viewer says the situation makes them feel broken.

1. 0:00 Addressing a weight loss stall
2. 1:10 Medical assessment of stalls
3. 2:52 Shifting from broken to curious
4. 4:23 Exploring alternative solutions
5. 5:21 Weight loss coaching support

• Doses mentioned: 5 mg, 12.5 mg and 15 mg
• Who is speaking: Clinician, MD

A clinician (MD) talks about a GLP-1 doses and moving up. It has no captions we could read, so this is drawn from its title and description.

• Who is speaking: Clinician, MD

In this video, Dr. Megan addresses a common question from people taking GLP-1 medications: does food noise come back? She says the data show that most people on tirzepatide who keep taking it hold their weight or lose a little more.

1. 0:00 Does Food Noise Come Back on GLP-1?
2. 0:05 Meet Dr. Meghan: Your Obesity Medicine Guide
3. 0:34 What the Research Says About Long-Term Use
4. 1:10 When Food Thoughts Return Without Weight Gain
5. 1:57 Why This Shift Happens Over Time
6. 2:28 Recognizing Food Noise Without Reacting to It
7. 3:13 How Processed Foods Fuel Food Noise
8. 4:08 Sweet Cravings, Drinks & Artificial Sweeteners

• Who is speaking: Clinician, MD

In this video, Dr. Megan, who describes herself as a board-certified obesity medicine physician, compares the Wegovy pill with the Wegovy injection.

1. 0:00 Introduction and efficacy
2. 1:06 Choosing the injection
3. 3:58 Choosing the pill and conclusion

• Doses mentioned: 1.5 mg, 4 mg, 9 mg and 25 mg
• Who is speaking: Clinician, MD

In this short video, Dr. Megan, who says she is board certified in internal medicine, lifestyle medicine and obesity medicine and prescribes GLP-1 medications regularly, answers what happens if a patient stops the medication suddenly. She says nothing bad happens.

1. 0:00 Stopping and maintenance
2. 2:08 The trials
3. 3:32 Food noise and cravings

• Who is speaking: Clinician, MD

In this short FAQ video, Dr. Megan answers a viewer question about whether the return of food noise should factor into moving up to the next GLP-1 dose.

1. 0:00 Introduction to FAQ
2. 0:27 Food noise and dose titration
3. 2:32 Long-term management
4. 5:31 Wrap up and coaching info

• Who is speaking: Clinician, MD

In this Q&A video, Dr. Meghan, who describes herself as board certified in internal medicine, lifestyle medicine and obesity medicine, answers viewer questions about weight and weight medications.

1. 0:00 Introduction to the Q&A
2. 1:24 Defining fast weight loss
3. 2:25 Exercise and medication
4. 4:52 Body composition and goals
5. 6:31 Supplement benefits
6. 8:04 Compounded medications
7. 10:37 Managing side effects
8. 12:11 Dosage and appetite

• Doses mentioned: 5 mg and 10 mg
• Side effects mentioned: muscle loss and low appetite
• Who is speaking: Clinician, MD

In this Office Hours episode, Dr. Meghan answers four community questions about GLP-1 medications. She says she cannot give personal medical advice, so she rephrases each question in a broader, educational way.

• Doses mentioned: 7.5 mg
• Who is speaking: Clinician, MD