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Claim your complimentary gift of my exclusive mini weight care guide today!) Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Why Do We Eat When We’re Not Hungry? Have you ever stood in front of the fridge for the third time in one evening, not because you were hungry, but because you were hoping something in there would make you feel better? If so, you’re far from alone. Emotional eating is one of the most common struggles around food, and it’s also one of the most misunderstood. It isn’t about willpower, and it isn’t a character flaw. Usually, there’s something deeper going on. In this episode, we’re breaking down a conversation on emotional eating, binge eating, and food noise. Our guest is Tricia Nelson, an emotional eating expert who lost 50 pounds by identifying and healing the underlying cause of her emotional eating. Her TEDx talk has more than 3.5 million views, and she is the author of the bestselling book Heal Your Hunger: Seven Simple Steps to End Emotional Eating Now. She also hosts the podcast Confessions of a Binge Eater and has spent over 30 years researching the hidden causes of emotional eating. Her work has been featured on NBC, CBS, KTLA, Fox, and Discovery Health. Here, we walk through what emotional eating really is, where it sits on a spectrum, how it can cross into binge eating, and a simple framework for understanding what drives the urge. We also cover practical tools you can start using today, and why changing your relationship with food matters whether or not the scale ever moves. Whether you’re curious, concerned, or just want to feel more at peace around food, there’s something here for you. Everything above comes from a much richer conversation. Tricia shares her own story with honesty and hope, especially for anyone who wants to feel less alone around food. Ready for the full conversation? Press play on the full episode. Connect with Tricia: Book: Heal Your Hunger: 7 Simple Steps to End Emotional Eating NowTedTalk: Emotional Eating: What if Weight Loss Isn't about the Food?Podcast: Confessions Of a Binge EaterWebsite: Heal Your HungerInstagram: HealyourhungerQuiz: Emotional Eater Quiz Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!) Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Let’s Talk About Sugar (The Real Kind and the Fake Kind) Sugar gets tossed around for everything: the white stuff in your pantry, the fruit in your bowl, even that pumpkin spice latte we swear is “basically just coffee.” In this episode, we break down what sugar actually is, starting with the four types humans eat (glucose, fructose, sucrose, and lactose). We also show you how to decode total, added, and free sugars on a nutrition label, and why “no added sugar” doesn’t always mean “no sugar.” From there, we dig into what the evidence really says. Cutting back on sugar leads to about two pounds of weight loss on average, but the more you’re eating to start, the bigger the payoff. Sugary foods can also crowd out the veggies, fruit, beans, and other whole foods your body loves. We’ll also cover artificial and non-nutritive sweeteners, including which ones have raised concerns and when a swap might actually make sense. Topics discussed: What Is Sugar, Really? A Quick BreakdownHow Much Added Sugar Should You Actually Eat?Sugar Isn’t Good or Bad, It’s All About Being IntentionalWhat the Evidence Says About Sugar (and Why Crowding It Out Works)Artificial vs. Non-Nutritive Sweeteners: What to Know Before You SipThe Sugar Wrap-Up: Moderation, Not FearThe big theme throughout is being intentional. Sugar isn’t evil, and it can absolutely have a place, whether that’s fuel for an ultra race or a seasonal treat. The goal is simply to know what you’re eating and why, so you can make choices that work for your life. Ready to find out what’s really hiding in your pantry, your coffee, and your yogurt? Tune in to the full episode for the complete breakdown, and don’t forget to follow, rate, and share it with a friend who’s always asking whether their latte counts as “healthy.” Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!) Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Could You Be Addicted to Sugar? Ever told yourself you'd have just a few cookies, and then somehow the whole row was gone? Or put the ice cream back in the freezer, only to keep thinking about it until you finally gave in? If so, you're not alone. Today's guest says sugar and ultra-processed food can pull on the brain harder than willpower can handle. This week, we're digging into food and sugar addiction: what it actually is, how it differs from an eating disorder, which foods are the real culprits, and what helps, from support groups to GLP-1s. Topics Discussed: What Actually Makes Something an Addiction?How to Tell If It's Food AddictionFood Addiction vs. Eating Disorders (and Why It's So Common Now)Which Foods Are Actually Addictive?What to Do About Sugar and Food AddictionFood Noise, Cravings, and Getting SupportGLP-1s: Helpful Tool, Not a Full SolutionThere's a Happy Ending HereJoining me is Dr. Vera Tarman, a Toronto-based physician specializing in addiction medicine, with a particular focus on food and sugar addiction. She's board certified by the American Board of Addiction Medicine and a fellow of the College of Family Physicians of Canada. Dr. Tarman is the medical director at Renascent, one of Canada's leading addiction treatment centers, and she also works with the Salvation Army's Concurrent Disorder Treatment Program, supporting patients who are managing both addiction and mental health challenges. She's the author of Food Junkies: Recovery from Food Addiction and co-hosts the Food Junkies podcast, where she talks with leading researchers and clinicians about ultra-processed food, GLP-1 medications, sugar abstinence, and the neuroscience of cravings. She's also the founder of the free Facebook community Sugar-Free for Life Support Group: I'm Sweet Enough.  That's only a glimpse of what Dr. Tarman shares. The full conversation goes deeper into recognizing the signs, what a sugar-free reset actually involves, and how to build lasting support. Connect with me Dr. Vera: Book: Food Junkies: Recovery from Food AddictionSupport Group: Sugar-Free for Life Support Group: I'm Sweet EnoughConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Is it too late to lose weight at 65?  And if it isn't, how much do you actually need to lose, and which treatments are safe for an older body? Now that Medicare patients can access GLP-1 medications through the Bridge program, these questions are a lot more practical than theoretical, and there's like, a ton of confusion out there about what's right for older adults. To help sort it out, today's guest is Dr. Melanie Jay, a professor of medicine and population health at NYU Grossman School of Medicine. She's an internal medicine physician and board-certified obesity specialist who sees patients at the New York Harbor Veterans Health Administration in Manhattan, so she's caring for older adults in real life every week. She also directs the NYU Langone Comprehensive Program on Obesity Research, where her work focuses on improving obesity treatment and prevention in primary care settings and among vulnerable patient populations. Dr. Jay has published more than 100 peer-reviewed articles, her commentary has appeared in outlets like the New York Times, CBS News, and the Today Show, and her TEDx talk on the future of obesity care was featured as an editor's pick. She's the perfect person to walk through what older adults should know about weight, medications, and surgery. Topics discussed: Is it too late to lose weight at 65? Dr. Melanie Jay says noSkipping meals in older ageGLP-1 medications in older adults: safe, effective, and no age cutoffHeart protection in older adults: what the SELECT trial showed for WegovyGLP-1s in older adults: muscle, side effects, hydration, and staying the coursePaying for obesity treatment after 65: Medicare, the VA, and why wraparound care mattersReady to hear how much weight older adults actually need to lose, what to watch for with side effects like dehydration and muscle loss, how Medicare and the VA cover treatment, and why a strong care team makes all the difference? Play the full episode to hear the whole conversation with Dr. Jay. Connect with me Dr. Melanie: LinkedIn: Melanie Jay, MD, MS, FTOSTEDx Episode:What is the future of obesity care?Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Why "Too Expensive" Keeps Winning Against a Disease That's Costing Us Billions That's the tension running through this whole episode. Dr. Doug Maready has spent nearly two decades wrestling with that question, not from behind a desk, but in the exam room with actual patients. He's an internal medicine and obesity medicine physician practicing in Mesa, Arizona, and the founder of Maready Medical, now part of Forte Wellbeing. His guiding philosophy is straightforward: obesity is a disease, it responds to treatment, and skipping treatment is often the pricier path in the long run. That stance has earned him a seat at the table on obesity policy in Arizona, where he serves as president of the Arizona Obesity Organization, stays active with the Obesity Medicine Association, and regularly weighs in through Arizona media on coverage and access issues. In this episode: The $11 Billion Question: What Obesity Really Costs UsThe Real Math Behind GLP-1 CoverageMedicare Access vs. Medicaid's State-by-State ChallengeWhy Treating Obesity Shouldn't Need an ROIPrivate Insurance, HRAs, and the Fight for GLP-1 CoverageTax Benefits for Obesity Treatment and Weight LossMaking Obesity Coverage a RealityTakeaways and the Case for Broader Access to TreatmentTogether, we unpack what obesity actually drains from state budgets and the broader healthcare system, why securing GLP-1 coverage remains such an uphill climb across Medicare, Medicaid, and private insurers, and why there's still such a disconnect between labeling obesity a disease and treating it like one. Dr. Maready brings a dual perspective, blending the policy landscape with what he's witnessing firsthand in patient care, which grounds the statistics in something more tangible. You'll come away with actionable takeaways, whether you're building a case for your employer's HR team or advocating for change at a broader policy level. Catch the full conversation to get the complete picture on what's really driving the cost of obesity care and where things can go from here. Connect with me: LinkedIn: linkedin.com/in/dougmareadyInstagram: doctor.dougmdFacebook: facebook.com/doug.maready.3YouTube: doctor.dougmd TikTok: doctor.dougmd Arizona Obesity Organization: linkedin.com/company/arizona-obesity-organizationConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Could your thyroid be affecting more than you realize? From understanding your thyroid and making sense of TSH, free T4, and free T3 to navigating weight changes, thyroid nodules, and GLP-1 medications, there’s a lot to understand when it comes to thyroid health. In this week’s episode, we break it all down in simple, easy-to-understand terms — including what your thyroid does, how your lab results work, which symptoms may be connected to an underactive thyroid, and when your thyroid may not actually be the problem. Topics Discussed: Understanding the ThyroidHow TSH Controls Your ThyroidMaking Sense of Thyroid TestsWhen the Thyroid Isn’t the ProblemCommon Signs of HypothyroidismThe Thyroid and WeightUnderstanding Thyroid NodulesGLP-1s and Thyroid HealthA Small Gland, Big ImpactJoining the conversation is Dr. Chhaya Makhija, a triple board-certified endocrinologist with nearly 20 years of experience in hormone and metabolic health. She shares practical insights to help make thyroid health easier to understand and navigate. Think you might be missing something when it comes to your thyroid health? Tune in to the full episode for the complete conversation and a closer look at the bigger picture. Connect with Dr Chhaya: Website: unifiedendocrinecareInstagram:chhayamakhijamdFacebook: Unified Endocrine and Diabetes Care Youtube: Dr. Chhaya Makhija, MDConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Ever wonder why meal replacement shakes have such a bad reputation, even though some of the most successful weight loss stories involve exactly that? There’s a lingering idea that meal replacements are outdated or that GLP-1 medications have completely replaced them, but that’s not the full picture. In this episode, we sit down with Jennifer Barlow, a board-certified family nurse practitioner and founder of True North Medical in Rhode Island, a practice focused on evidence-based obesity medicine and midlife health. With more than 25 years of healthcare experience, Jennifer brings a unique perspective to the conversation, combining clinical expertise with her personal experience of losing more than 100 pounds and keeping it off. We dive into what medical-grade meal replacements are actually made of, why very low-calorie diets can work when properly supervised, how ketosis affects hunger, and how meal replacements can complement medications like GLP-1s. We also discuss exercise, medical supervision, who may not be a good candidate, and how patients can transition off a program. Topics discussed: Meal replacement programs and weight lossVery low-calorie diets and nutritional qualityProtein, fiber, hydration, and ketosisVariety in meal replacement optionsMeal replacements and GLP-1 medicationsExercise and muscle preservationConvenience and decision fatigueTransitioning back to regular foodMedical supervision and medication adjustmentsWho is and isn’t a good candidateThe role of meal replacements in obesity medicineWant to understand how meal replacements actually fit into modern weight-loss care?  Check out the full episode for the complete conversation with Jennifer Barlow. Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com When's the last time you gave yourself real credit — not for hitting some big goal, but for something small you did today? If nothing comes to mind right away, that's a pretty common spot to be in, and it's exactly the ground this episode covers. It also happens to mark a milestone of its own: episode 200. That's worth sitting with for a second, not just as a lead-in to today's topic, but because it represents two hundred conversations built around getting real, trustworthy medical information into a world where that's increasingly hard to find. Topics discussed: Be Your Own CheerleaderSkip the Finish Line: Why Celebrating Small Victories Builds Bigger HabitsCelebrate the Behavior, Not Just the OutcomeStop Comparing Yourself to YesterdayNon-Scale VictoriesRewards That Aren't FoodFind Something to Celebrate TodayBefore getting into all of that, a real thank-you is owed to everyone who's stuck around for this podcast so far — showing up week after week, passing an episode along to a friend, or leaving a five-star review that helps more people find their way to it. Two hundred episodes down, and five hundred is starting to feel less like a stretch goal and more like a real possibility. This episode is packed with practical, science-backed ways to build that habit of celebrating yourself, so grab this one from start to finish — every section builds on the last, and the payoff is worth the full ride. Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Ever feel like your body just decided to rewrite the rules overnight — same workouts, same diet, but suddenly the scale (and your waistline) tell a totally different story?  If you're in perimenopause or menopause and feeling blindsided by these changes, you're definitely not alone, and there's actually a clear, physiological explanation behind it. To break it all down, we sat down with Dr. Raina Patel, a primary care physician at the University of Chicago whose practice sits right at the intersection of her two biggest passions in medicine: menopause care and weight management. She's also the host of her own podcast, Finally with Dr. Raina Patel. Topics discussed: Why Weight Gain Happens During MenopauseSmall Shifts That Actually Move the NeedleMuscle Mass and Menopause: Why It Deserves Your AttentionHormone Therapy and Weight: Setting Realistic ExpectationsOther Medical Interventions Worth Knowing AboutYou're Never Alone: Wrapping Up the Menopause ConversationAt the end of the day, menopause isn't something you have to navigate quietly or alone — and the more we talk about it, the easier it gets for every woman coming up behind us. If this conversation resonated with you, find the full episode with Dr. Raina Patel and dive deeper into the conversation. Connect with Dr. Patel: Instagram: drrainapatelConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com) Do you actually know the difference between a rough night's sleep and a real sleep disorder? Most people use the word "insomnia" for both, but the line between them is a lot more specific than it sounds — and knowing where that line sits can change how someone approaches their own sleep struggles entirely. That's exactly what this episode digs into, with Dr. Muhammad Usama returning to the show after a prior conversation on Zepbound and sleep apnea. He's triple board-certified in sleep and obesity medicine, practices at MultiCare Health System in the greater Seattle area, and serves as an adjunct clinical professor of medicine at A.T. Still University School of Osteopathic Medicine. His clinical and research work centers on the intersection of obstructive sleep apnea, obesity, and cardiometabolic health, with a particular focus on GLP-1 therapies like tirzepatide. This time, the conversation turns to insomnia itself: what actually qualifies as chronic insomnia, why it happens, and what treatment options genuinely move the needle versus which ones just create the illusion of help. Topics discussed: When Does Insomnia Stop Being Normal?The Switch That Turns Short-Term Insomnia Into Chronic InsomniaIs Insomnia Genetic? The Nature vs. Nurture AnswerChronic Insomnia: Why CBT-i, Not Sleep Hygiene, Is the First-Line TreatmentHow to Actually Access CBT-i (No Therapist Couch Required)Do Sleep Medications Actually Work? The Research Says Not MuchAcute Insomnia: How Early Intervention Prevents It From Becoming ChronicDoes Melatonin Actually Help With Sleep? What It's Really ForDo Sleep Supplements Like Magnesium Actually Work?Alcohol and Marijuana for Sleep: Do They Actually Help—or Hurt?Chronic Insomnia: When to Get Evaluated and What Actually WorksInsomnia is far more common, and far more treatable, than most people realize. Between understanding the difference between acute and chronic, recognizing the habits that quietly turn one into the other, and knowing which treatments actually hold up under research, this episode covers a lot of ground that can change how someone approaches their own sleep for good. If sleep has been a struggle for months, it's worth getting evaluated rather than just living with it — this episode is a great place to start. Connect with Dr. Usama: LinkedIn: Muhammad Usama, MD FACP DABOMInstagram: sleepwarriormd  Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.co Ever wonder why two people can eat the same lunch and have completely different blood sugar reactions? Or why someone can be a "normal" weight and still be dealing with insulin resistance, while someone else in a bigger body has picture-perfect labs? Turns out, the number on the scale has been stealing the spotlight from something way more important this whole time — metabolic health. Dr. Lindsay Ogle, a board-certified family and obesity medicine physician and founder of Missouri Metabolic Health, breaks down what metabolic health actually means, why it's so often missed, and what it really takes to get the full picture of what's going on inside your body. She works with adults throughout Missouri to treat and prevent conditions like diabetes, fatty liver disease, metabolic syndrome, PCOS, and obesity, using a mix of lifestyle optimization and safe, effective medications — with a mission of helping people live longer, fuller lives. Topics Discussed: What Is Metabolic Health?What Is Metabolic Syndrome?Why One Root Cause Can Explain Many DiagnosesHow Doctors Actually Test for Metabolic HealthHow Metabolic Dysfunction Is TreatedAre CGMs Worth Using?You Are Not to BlamePress play on the full conversation with Dr. Lindsay Ogle to get the complete picture on what your body's really trying to tell you. Connect with Dr. Ogle: Website: https://missourimetabolichealth.com/Podcast:  Modern Metabolic HealthYouTube: Metabolic Health with Dr. Lindsay Ogle, MDInstagram: dr.lindsayogleTikTok:Lindsay Ogle, MDConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com) Do you know what happens in your body when you eat a meal? Or did you, like most of us, make it to adulthood without anyone explaining the basics? If that question made you pause, you're not alone. Most "healthy eating" advice arrives in fragments — a rule from one diet trend, a warning from another — without ever adding up to a full picture of how food actually works in the body. Protein, carbs, fat, vitamins, minerals, phytonutrients: these aren't competing categories to master one at a time. They're a system. Once you understand how the pieces fit together, meal planning stops feeling like guesswork and starts feeling like common sense. This episode covers exactly that — what each macronutrient is doing for you, why micronutrients matter even in small amounts, and how to build a plate that supports your body without obsessing over any single food or number. No fad diets, no miracle foods. Just the fundamentals, explained clearly. Topics discussed: Macronutrients: The Building Blocks of Your DietProtein: Why Your Body Needs ItCarbohydrates: Choosing Better Sources of EnergyFat: Why It's Essential for Good HealthCaloric Density: Why Some Foods Contain More Calories Than OthersMicronutrients: The Vitamins and Minerals Your Body NeedsWhole Foods: Why Variety Matters More Than Individual NutrientsBuilding a Balanced Plate for Better NutritionReducing Added Sugar Without Feeling RestrictedEating More Protein to Stay Fuller LongerFocus on Adding Healthy Foods Instead of Restricting ThemCreating Healthy Eating Habits That LastYour plate is the one thing you control every single day — three times a day, for the rest of your life. Every meal is a chance to give your body what it actually needs instead of guessing, restricting, or chasing whatever the latest trend says to avoid. This episode hands you the framework to make that choice easier, meal after meal. Press play and find out how to make it work for you. Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com) Have You Ever Wondered If Your Telehealth Weight Loss Clinic Is Actually Giving You Real Medical Care, or Just a Prescription? This episode dives into a JAMA study that's been generating serious buzz throughout the obesity medicine community, and once you hear what it uncovered, you'll understand exactly why. Researchers conducted a "secret shopper" investigation, sending someone posing as a patient to 49 different telehealth clinics offering obesity management medications, simply to see what kind of care they'd actually receive. The findings shed light on where the gaps really are in this rapidly expanding area of healthcare, and they back up what a lot of obesity medicine providers have suspected for quite some time. We're unpacking what comprehensive obesity care is truly supposed to look like, and how you can figure out whether the care you're getting, or the care you're offering, actually holds up. And there are two calls to action woven throughout: if you're someone taking these medications or considering starting them, we'll walk through how to find a provider who's doing this the right way. And if you're a clinician providing this kind of care already, consider this your reminder to put yourself out there more, because there are patients who genuinely need access to someone doing it well. Topics Discussed: The JAMA Study Raising Questions About Obesity TelehealthThe Missing Piece in Many Telehealth Weight Loss ProgramsConvenience Shouldn't Replace Comprehensive Medical CareThe Importance of Clinical Oversight in Telehealth PrescribingWhat Comprehensive Obesity Care Should Look LikeWhere to Start If You're Considering Weight-Loss MedicationHow to Find High-Quality Obesity CareThis episode covers a lot of ground, from the specific numbers behind the study to what a truly thorough evaluation should include, and what red flags to watch for if you're navigating this kind of care yourself. Whether you're a patient trying to figure out if your provider is doing right by you, or a clinician who wants to understand where the industry is falling short, this conversation breaks it all down in a way that's genuinely worth your time. Press play to catch the full episode and get every detail we covered. Want to see the data for yourself? You can check out the full JAMA study here:  https://www.sciencedirect.com/science/article/pii/S2667368123000165 Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com) What if the biggest thing standing between you and your health goals wasn't food, or exercise, but the screen you're holding right now? Today we're talking about screen time — how too much of it affects your health, your weight, and what you can actually do about it. I've got five problems screens create, and five solutions to go with them, so stick with me. Screen time isn't something I bring up with patients as often as I probably should, but it shows up in two specific places in my practice. The first is during a comprehensive annual wellness visit, where I think about screens the same way I think about substances like alcohol, tobacco, or marijuana — something we tend to overuse, often to numb out or fill a void, and something we can usually cut back on to genuinely improve our health. The second is in weight maintenance. Once a patient reaches their goal weight and we shift into maintenance mode, I walk through a handout built around the National Weight Control Registry — a long-running study tracking people who lost 30 or more pounds and kept it off for at least a year. One of the most telling data points from that registry: 62% of people who successfully maintained their weight loss were watching less than 10 hours of TV a week. That's still over an hour a day, so there's plenty of room for your shows — but it tells us something real about the role screens play in long-term success. Today we're getting into exactly why. Topics discussed: The Sneaky Way Screen Time Is Draining Your Daily MovementWhy Screen Time and Snacking Go Together More Than You RealizeThe Hidden Link Between Blue Light, Sleep, and WeightThe Stress Connection Nobody Talks About With Screen TimeThe Real Cost of Letting Screens Eat Your Free TimeOne Easy Shift That Actually Cuts Down Screen TimeTry the 30/30 Rule to Break Up Long Periods of SittingKeep Screens Out of MealtimesSet a Screen Curfew Before BedPair Screen Time With MovementThere's a lot packed into this one, and every piece builds on the last. We'll get into why your favorite show might be quietly killing your daily movement, how it sneaks into your snacking and sleep without you noticing, and how something as small as the 30/30 rule or a bedtime curfew can start turning that around. Press play and find out where your screen time might be costing you more than you think. Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com) Ever wonder why losing weight can suddenly feel impossible in your 40s or 50s, even when nothing about your diet or workout routine has changed? That's exactly the question this week's episode sets out to answer, with guest Dr. Angela Glasnapp joining the conversation. Dr. Glasnapp is a board-certified bariatric surgeon, obesity medicine specialist, and menopause practitioner with New York Bariatric Group, and for more than 16 years, she's helped patients improve their health through evidence-based treatment for obesity and metabolic disease, blending surgical, medical, and lifestyle approaches into one comprehensive strategy. As her practice evolved, she noticed a significant gap in care for women navigating perimenopause and menopause, which led her to bring that expertise into her practice too. In this episode, we cover: The First Step to the Right Treatment Is Just Getting the Full PictureBariatric Surgery Eligibility, ExplainedCan Bariatric Surgery and Weight Loss Medications Be Used Together?Understanding the Weight Set Point TheoryWhy Dr. Glasnapp Expanded Her Practice to Menopause CareHow Hormone Therapy and GLP-1 Medications May Work TogetherA Comprehensive Approach to Women's HealthDr. Glasnapp breaks down everything from choosing the right treatment path to the science behind weight regulation, and why menopause deserves a much bigger seat at the table in obesity medicine. This episode is packed with the kind of info that could totally change how you think about weight, hormones, and what "stuck" really means. Tap play and let it all sink in, one lightbulb moment at a time. Connect with Dr. Glasnapp: Instagram: primeforwomenWebsite: NEW YORK BARIATRIC GROUPConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com