Advertise on podcast: GLP-1 Hub: Support, Community, and Weight Loss

Send us Fan Mail If breast cancer runs in your family, you may be wondering whether you're getting the right screening and what else you can do to lower your risk. Ana Reisdorf talks with Dr. Anne Peled about how GLP-1s may shift the balance, what everyday habits you should build, and why weight can become harder to manage during and after treatment. You'll learn which questions to bring to your care team, how to protect your nutrition, and what emerging GLP-1 research still hasn't answered. **IN THIS EPISODE** - How family history and breast density can shape your screening conversation - Exercise, alcohol, and food choices in the discussion about lowering breast cancer risk - Why weight, inflammation, and cancer risk are more complicated than a single cause - What early GLP-1 research suggests, and why prevention questions remain unanswered - Why hormone-blocking medications and other cancer treatments can affect weight - Protecting protein and nutrient intake while coordinating weight management with cancer care - Personalized treatment, emerging research, and advocating for yourself **ABOUT THE GUEST** Dr. Anne Peled is a breast cancer and reconstructive surgeon in San Francisco and a two-time breast cancer survivor. She earned her medical degree at Harvard Medical School and completed plastic and reconstructive surgery training and a breast surgical oncology fellowship at UCSF. She is co-director of the Breast Care Center of Excellence at Sutter Health California Pacific Medical Center. Her work focuses on improving breast surgery and reconstruction outcomes, and she brings both a surgeon's and a patient's perspective to care. **CONNECT WITH DR. ANNE PELED** Website: https://www.annepeledmd.com Instagram: https://www.instagram.com/drannepeled/ **SPONSOR** Tyde Wellness offers GLP-1 care with licensed providers, nutrition guidance, and ongoing support. Use code GLP1Hub50 for $50 off your first month. https://tydewellness.com/GLP1Hub **CHAPTERS** 00:00 Body fat, estrogen, and breast cancer risk 00:24 Ana's personal connection and the questions this episode explores 01:33 Meet Dr. Anne Peled 03:29 Early detection, family history, and breast density 05:59 Mammograms and questions about additional scans 07:33 Exercise, alcohol, and nutrition 10:05 Weight, inflammation, and emerging GLP-1 research 11:18 GLP-1s for prevention: What we still don't know 13:39 Sponsor: Tyde Wellness 15:05 GLP-1 cancer concerns and unanswered questions 16:30 Why breast cancer treatment can affect weight 18:58 Discussing GLP-1 treatment with your care team 20:12 Protecting nutrition during cancer treatment 22:53 Survivorship and personalized treatment 25:12 Emerging microbiome research 26:44 Beyond the Shot guide 27:46 Genetics and the future of personalized screening 31:03 Self-advocacy, second opinions, and everyday movement 32:46 Connect with Dr. Peled MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail How are GLP-1 type medications and weight control changing the landscape of heart health? If you're using a GLP-1 for weight or blood sugar, which habits and risk factors still deserve attention? Ana Reisdorf talks with Dr. Melanie Icard about stress, sleep, muscle, food choices, and questions to bring to your healthcare team when heart disease runs in the family. Dr. Icard shares how her experience with prediabetes shaped her practice and why she asks patients, "What are you doing to relax?" Ana brings the GLP-1 user's perspective: how to eat well with a smaller appetite and make strength work realistic when life is already full. They also discuss what Ana's family history has prompted her to ask about lab markers and heart imaging. **IN THIS EPISODE** - Why stress and sleep belong in a conversation about heart and metabolic health - What it can look like to make room for real rest during a busy week - How strength work and everyday movement fit into GLP-1 weight loss - Choosing nourishing meals when your appetite is smaller - Questions to ask your clinician about family history, lab markers, and heart imaging - Building habits you can keep up as your health goals change **ABOUT THE GUEST** Dr. Melanie Icard, NMD, is a naturopathic and regenerative medicine physician with 24 years of clinical experience, including 11 years in hospital medicine. She leads Dr. Mel Holistic, a cardiovascular and metabolic medicine practice in Scottsdale and Sedona, Arizona, with a national virtual practice. Her Biohacked Heart Blueprint™ examines how chronic stress and HPA axis dysregulation (changes in the body's stress response) may relate to cardiovascular and metabolic health. She teaches the framework to medical professionals nationally. **CONNECT WITH DR. MELANIE ICARD** Website: https://www.drmelanieicard.com/ Instagram: https://www.instagram.com/drmelholistic/ YouTube: https://www.youtube.com/@Itsdrmel **SPONSORS** Tyde Wellness offers GLP-1 care with licensed providers, nutrition guidance, and ongoing support. Use code GLP1Hub50 for $50 off your first month. https://tydewellness.com/GLP1Hub **CHAPTERS** 00:00 What are you doing to relax? 00:18 Ana's family history and heart health beyond the scale 01:11 Meet Dr. Melanie Icard 06:23 Family history, calcium scoring, and prevention 07:09 Stress and sleep in the heart health conversation 08:44 Heart imaging and risk questions 12:58 Finding time to truly relax 15:42 Sponsor: Tyde Wellness 17:19 Stress, blood sugar, and GLP-1 goals 20:41 Meal habits and nutrient dense choices 23:54 Lab markers, imaging, and family risk 26:53 GLP-1s and preserving muscle 28:09 Making relaxation realistic 29:23 Beyond the Shot guide 30:24 Workload, boundaries, and healthy habits 32:10 Who Dr. Icard works with 33:42 Connect with Dr. Icard MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail If you're taking a GLP-1, you've probably heard plenty about protein and strength training. Where does creatine fit, and what does it mean if the scale rises after you start taking it? Ana Reisdorf talks with Kristin Kirkpatrick about muscle health, the practical choices involved in taking creatine, and what the research can and cannot yet tell us about benefits beyond the gym. Kristin explains how creatine works alongside resistance training, why a loading phase may not be necessary, and what to consider when choosing a form. She and Ana also discuss bloating, water retention, early research on brain health, and whether you can build muscle after starting a GLP-1. **IN THIS EPISODE** - What creatine does in the body and why it comes up in the muscle-health conversation - How creatine, protein, and resistance training fit together during GLP-1 weight loss - What emerging research suggests about brain health and what it does not establish - Creatine monohydrate, HCl, powders, and gummies: questions to consider when choosing a product - Loading phases, dose, and timing, and why individual needs vary - Water retention, bloating, and why a change on the scale may not mean fat gain - Building strength and muscle after starting a GLP-1 **ABOUT THE GUEST** Kristin Kirkpatrick, MS, RD, is a registered dietitian at Cleveland Clinic and president of KAK Consulting, LLC. She has worked in nutrition and integrative care for more than 20 years, contributes to TODAY.com, and co-authored Skinny Liver and Regenerative Health with gastroenterologist Ibrahim Hanouneh, MD. **CONNECT WITH KRISTIN** Website: https://www.kristinkirkpatrick.com/ Instagram: https://www.instagram.com/fuelwellwithkrissy/ **SPONSOR** Tyde Wellness offers GLP-1 care with licensed providers, nutrition guidance, and ongoing support. Use code GLP1Hub50 for $50 off your first month. https://tydewellness.com/GLP1Hub Velogenix's Project Aeterna offers a free at-home mobility baseline and Pro assessments of strength, balance, and gait. Use code OFF for $50 off your first year of Pro. https://velogenix.com **CHAPTERS** 00:00 Why creatine is getting attention beyond the gym 01:30 Meet Kristin Kirkpatrick 03:22 Kristin's approach to integrative nutrition 06:09 What creatine does in the body 08:05 Creatine myths: Is it just for bodybuilders? 09:09 What the brain-health research can and cannot tell us 12:03 Creatine, strength training, and GLP-1 muscle health 15:13 Sponsor: Tyde Wellness 16:39 Monohydrate vs. HCl, dose, and timing 19:29 Gummies, powder, and the coffee question 23:24 Water retention, side effects, and the scale 26:07 Do you need a loading phase? 28:11 Sponsor: Velogenix 29:14 Muscle, mobility, and healthy aging 31:55 Can you build muscle after starting a GLP-1? 32:58 Connect with Kristin MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail What can getting out of a chair tell you about your muscle health? Ana Reisdorf, Registered Dietitian and GLP-1 user, joins muscle and bone researcher Mark Hamrick to explore staying strong during GLP-1 weight loss, perimenopause, and menopause. You'll learn what three simple assessments can reveal about physical function, and why muscle size alone doesn't tell the whole story. Mark explains the differences between muscle mass, quality, strength, and power, and how they connect to everyday movement and healthy aging. Ana shares her own assessment results and asks whether her regular exercise routine is enough. They also discuss bone density, fall risk, and finding an approach to exercise that works when pain or physical limitations get in the way. **IN THIS EPISODE** - Why losing muscle size doesn't necessarily mean losing the same amount of strength - What chair rises, single-leg balance, and walking speed can tell you about physical function - How menopause, sleep, and activity levels enter the muscle-health conversation - Resistance training, protein, and the research Mark discusses on creatine - Adapting exercise with help from a physical therapist when movement is painful - Bone density, DEXA scans, fall risk, and questions to bring to your healthcare provider **ABOUT THE GUEST** Mark Hamrick is president and co-founder of Velogenix and a former Regents Professor at the Medical College of Georgia. His research on muscle and bone aging has received NIH funding over the last two decades. He has published more than 225 peer-reviewed papers and advised NASA on muscle and bone loss in space. At Velogenix, he is applying that experience to tools for quickly assessing muscle health at home. **CONNECT WITH MARK** Website: https://velogenix.com LinkedIn: https://www.linkedin.com/in/mark-hamrick-44b287121/ **SPONSORS** Velogenix, co-founded by our guest, Mark Hamrick. Project Aeterna offers at-home assessments of strength, balance, and walking speed. Try the free baseline test, or use code OFF for $50 off your first year of Pro. https://velogenix.com Tyde Wellness offers GLP-1 care with licensed providers, nutrition guidance, and ongoing support. Use code GLP1Hub50 for $50 off your first month. https://tydewellness.com/GLP1Hub **CHAPTERS** 00:00 Why muscle and bone health deserve attention 01:27 Meet Mark Hamrick 02:39 Three simple assessments of physical function 05:11 Muscle size, quality, and the menopause transition 09:59 The connection between muscle and longevity 12:21 Walking, strength training, and protein 13:57 Everyday signs your strength may be changing 15:08 Sponsor: Tyde Wellness 16:33 What to do with your assessment results 17:48 Exercising with pain or physical limitations 19:13 Ana's results: Is regular exercise enough? 22:22 Sitting, standing, and moving more 24:08 Bone density, DEXA scans, and fall risk 28:46 Beyond the Shot guide 29:47 Mark's three takeaways for muscle and bone health 34:19 Try Project Aeterna and connect with Mark MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail You've reached your goal weight on a GLP-1. Now what: stay on it, lower the dose, or take a break? Ana Reisdorf, Registered Dietitian and GLP-1 user, joins pharmacist Dr. Stephanie Redmond to explore microdosing, cycling on and off medication, and the questions coming up around perimenopause and menopause. You'll hear where clinical experience meets unanswered questions—and why a smaller dose can still bring surprises. Stephanie shares her own experience with low-dose side effects and returning hunger. Together, they discuss concerns about weight regain and muscle loss, telehealth screening, and why your long-term plan deserves as much attention as getting started. **IN THIS EPISODE** - What people mean by GLP-1 "microdosing" and why the term can be confusing - Emerging uses beyond weight loss and diabetes, and where evidence is still limited - Stephanie's experience with constipation, bloating, and returning hunger - Questions about cycling, stopping treatment, and maintaining weight loss - Perimenopause, menopause, insulin resistance, and individualized care - The role of muscle preservation, nutrition, movement, and ongoing clinical support **ABOUT THE GUEST** Dr. Stephanie Redmond, PharmD, CDE, BC-ADM, is a pharmacist specializing in hormone health and diabetes management. She founded the Medication Therapy Management practice at Ridgeview Clinic System in Minnesota and has educated clinicians nationally on GLP-1 therapies. She is also the founder of Dr. Stephanie's®, a clinician-led supplement brand focused on GLP-1 support, hormone health, and women's wellness. **CONNECT WITH STEPHANIE** Website: https://drstephanies.com Instagram: https://www.instagram.com/drstephanies YouTube: https://www.youtube.com/@drstephanies **SPONSORS** Svalto Cooler Pro is a portable, battery-powered cooler for refrigerated medication. Use code GLP1HUB for 15% off. https://svalto.com Velogenix's Project Aeterna offers at-home assessments of strength, balance, and mobility. Take the free baseline test, or use code OFF for $50 off your first year of Pro. https://velogenix.com **CHAPTERS** 00:00 GLP-1 maintenance: What happens next? 01:34 Meet Dr. Stephanie Redmond 04:08 Emerging uses and gaps in the evidence 07:46 What does "microdosing" actually mean? 11:08 Telehealth screening and questions about inflammation 14:24 Sponsor: Svalto 15:20 Weighing the risks of low-dose use 17:05 Stephanie's personal experience with side effects 18:43 Cycling, returning hunger, and weight regain 22:39 GLP-1s, perimenopause, and menopause 26:59 Sponsor: Velogenix 27:58 The future of GLP-1 use and long-term planning 32:24 Connect with Dr. Stephanie Redmond 34:19 Stay connected with GLP-1 Hub MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail You can feel good about your GLP-1 weight loss and still wonder why your face looks different. Ana Reisdorf, Registered Dietitian and GLP-1 user, talks with wound-healing scientist Brian Pilcher, PhD, about what people call "Ozempic face," how volume loss differs from loose skin, and the treatment options available today. Could future treatments help the body rebuild some of its own tissue? Brian explains the science behind tissue regeneration and what his company, Conexeu Sciences, is studying. Its technology remains preclinical, with safety and effectiveness still to be established in human trials. **IN THIS EPISODE** - How weight loss can change facial volume and skin support - The differences between fillers, biostimulators, and skin-tightening treatments - Why tissue regeneration involves cells, biological signals, and a supporting framework - What early research can tell us, and what still needs to be tested in people - Why wound-care development and potential aesthetic applications have different timelines - Unanswered questions about GLP-1s and skin, plus caution around exosome claims **ABOUT THE GUEST** Brian Pilcher, PhD, is a wound-healing biologist and Chief Medical Officer of Conexeu Sciences. He brings more than 25 years of experience in dermatology and aesthetics, including leadership roles at BioForm Medical, Merz North America, and Suneva Medical. He holds a doctorate in cell and molecular biology from the University of Oklahoma College of Medicine. His research career included postdoctoral work at Washington University in St. Louis and a faculty position studying wound repair at UT Southwestern Medical Center. Today, his work focuses on translating tissue-repair science into the development of medical devices and potential regenerative treatments. **CONNECT WITH BRIAN** Conexeu Sciences: https://www.conexeu.com/ **SPONSORS** Tyde Wellness offers clinician-guided GLP-1 care and ongoing support. Get $50 off your first month with code GLP1Hub50. https://tydewellness.com/GLP1Hub Calocurb is an appetite-support supplement made with Amarasate hops extract. Use code ANA10 for 10% off. https://www.calocurb.com/ **CHAPTERS** 00:00 Facial changes after GLP-1 weight loss 05:23 What people mean by "Ozempic face" 08:58 What tissue regeneration actually means 13:51 Sponsor: Tyde Wellness 15:17 Targeting different tissues 16:27 Fillers, biostimulators, and skin tightening 21:27 What researchers still need to prove about safety 22:52 Human studies and the development timeline 26:32 Combining treatments and deciding when to start 28:23 Sponsor: Calocurb 29:22 Unanswered questions about GLP-1s and skin 30:45 Future research and caution around exosomes 33:42 Where to learn more and breast-tissue research 35:05 Stay connected with GLP-1 Hub MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail Your appetite is smaller on a GLP-1, but how do you know whether those few bites are giving you what you need? US Dietitian Ana Reisdorf and UK Nutritionist Rob Hobson explore how to put together balanced meals, make room for protein and fiber, and eat regularly without returning to calorie counting. They also unpack why familiar diet rules can make nourishing yourself harder when you’re already eating less. **IN THIS EPISODE** - What “every bite counts” means when your appetite and portions shrink - Moving beyond calorie counting and fear of carbohydrates or healthy fats - Finding a regular eating pattern that works with a low appetite - Rob’s “rule of four” for building meals with protein, produce, a fiber-rich carbohydrate, and healthy fat - Using convenient foods like precooked chicken, canned beans, and frozen vegetables - Looking beyond high-protein labels and understanding where protein shakes can fit - Understanding lean mass versus muscle loss and the role of resistance exercise - Adding fiber gradually, staying hydrated, and taking a food-first approach to supplements **ABOUT THE GUEST** Rob Hobson is an award-winning Registered Nutritionist and Sunday Times bestselling author with over 20 years of experience in public health and sports nutrition. His latest book, Every Bite Counts, explores how to maximize nutrition when appetite is reduced, including during GLP-1 treatment. His practical approach focuses on building nutrient-dense meals that support muscle, energy, long-term health, and sustainable eating habits. **CONNECT WITH ROB** Instagram: https://www.instagram.com/robhobsonnutritionist YouTube: https://www.youtube.com/@robhobsonnutritionist Website: https://robhobson.co.uk Every Bite Counts: https://theexperimentpublishing.com/catalogs/summer-2026/every-bite-counts/ **SPONSORS** This episode is supported by Svalto and CaloCurb. Svalto: Learn more about the Svalto Cooler Pro, the portable medication cooler for traveling with your GLP-1 or peptides medications, at https://svalto.com. Use code GLP1HUB for 15% off. CaloCurb: Learn more about the plant-based supplement featured in this episode’s sponsor message at https://calocurb.com. Use code ANA10 for 10% off. Discuss supplement use with your healthcare provider. **CHAPTERS** 00:00 Making every bite count with a smaller appetite 04:42 Nutrient density and moving beyond calorie counting 09:23 Eating regularly when you’re not hungry 12:55 Sponsor: Svalto 13:47 Building balanced meals with the rule of four 16:10 Convenience foods that make meals easier 18:31 Protein-added foods and when shakes can help 20:40 Protein, muscle, and resistance exercise 24:45 Sponsor: CaloCurb 25:45 Fiber, hydration, and starting small 27:37 A food-first approach to supplements 29:29 Building habits without chasing perfection 31:00 Where to find Rob and Every Bite Counts MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail Poor sleep, mood changes, low energy, and new weight around the midsection can be easy to blame on aging or GLP-1 treatment alone. In this episode, Ana Reisdorf and Sharon Lemoine explore how hormone changes, thyroid function, insulin resistance, muscle loss, and lifestyle can overlap, and what a more complete evaluation may include. You’ll learn what to look for in a hormone-informed provider, why protein and muscle monitoring matter when using a GLP-1, and why a “normal” test result may not tell the whole story. **IN THIS EPISODE** - Sharon’s experience with type 1 diabetes, surgical menopause, Graves’ disease, and thyroid cancer - What hormones do and why hormone-related symptoms can be difficult to recognize - Common signs of changing estrogen, progesterone, and testosterone levels - Why patients may still feel something is wrong after being told their results are normal - Questions to discuss with a provider when considering hormone testing or therapy - How menopause, muscle loss, and insulin resistance may contribute to changes in body composition - Why protein, resistance training, and body-composition monitoring matter during GLP-1 treatment - How Sharon decides when a GLP-1 may fit into a broader health plan - Hormone-related symptoms and low testosterone in men - How to find a qualified provider who listens and evaluates the complete picture - Why hormone therapy requires an individualized discussion of potential risks and benefits **SPONSORS** CaloCurb: https://calocurb.com Use code ANA10 for 10% off. Tyde Wellness: https://tydewellness.com/GLP1Hub Use code GLP1Hub50 for $50 off your first month. **ABOUT THE GUEST** Sharon Lemoine, MSN, ARNP, is a Nurse Practitioner, entrepreneur, public speaker, and advocate for a new model of healthcare that integrates faith, science, and personal responsibility. With more than 25 years of experience in emergency medicine and over 30 years in healthcare, Sharon has dedicated her career to helping patients move beyond symptom management and reclaim ownership of their health through hormone optimization, functional medicine, preventative care, and faith-based wellness principles. **CONNECT WITH SHARON** Website: https://gigharbormedicalspa.com/ YouTube: https://www.youtube.com/@SharonLemoine-ARNP **CHAPTERS** 00:00 When Hormonal Symptoms Feel Overwhelming 00:26 What This Episode Covers 01:42 Meet Sharon Lemoine 02:42 Type 1 Diabetes, Surgical Menopause, and Thyroid Disease 07:13 What Hormones Do 08:29 Signs Your Hormones May Be Involved 10:57 Common Perimenopause and Menopause Symptoms 12:49 How Long Does Hormone Therapy Continue? 15:37 Sponsor: CaloCurb 16:36 Life After the Menopause Transition 17:35 Midsection Weight Gain, Hormones, and GLP-1s 20:41 Lifestyle and When a GLP-1 May Fit 22:04 Finding the Right Hormone Provider 23:05 Hormone Panels and Other Lab Tests 24:50 Hormone Concerns in Men 26:48 Sponsor: Tyde Wellness 28:13 Low Testosterone in Younger Adults 30:36 The Future of Hormone Health and Peptides 31:31 Hormone-Therapy Fears and Individual Risk 33:17 Connect With Sharon MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail Reaching your goal weight on a GLP-1 can feel like the finish line, until the scale jumps two pounds and the old panic rushes back. In this conversation, Ana Reisdorf and Suzy Chase unpack why maintenance is a different job from active weight loss, how strength and cardiovascular fitness can replace “smaller” as the goal, and how Suzy uses AI-assisted tracking to put day-to-day changes into context. The question underneath it all: does every change on the scale actually require a response? **SPONSORS** Tyde Wellness: https://tydewellness.com/GLP1Hub Use code GLP1Hub50 for $50 off your first month. CaloCurb: https://www.calocurb.com?sca_ref=9166165.VWG4rbmn6m Use code ANA10 for 10% off. **IN THIS EPISODE** - Why maintenance can feel more psychologically complicated than active weight loss - What two years in maintenance have taught Suzy about chasing a specific goal weight - Why a small scale change can feel urgent without automatically requiring a corrective response - “Training for 80”: shifting the goal toward strength, cardiovascular fitness, mobility, and independence - What Suzy logs, including weight, activity, HRV, sleep, travel, and workouts - How looking at weekly and monthly trends can keep one number from controlling the entire day - Using AI-assisted tracking as an emotional pause, not a replacement for medical guidance - Finding movement you enjoy and making an early-morning routine automatic - Why Suzy’s maintenance philosophy is to “stop shrinking and start building” **ABOUT THE GUEST** Suzy Chase is a NYC-based podcaster with 20 years in audio. Her shows include Dinner Party on a GLP-1, Cookery by the Book, Decorating by the Book, and The Groove Radio, the original mixtape podcast, launched in 2005. She's the creator of The GLP-1 AI Method, a pay-what-you-wish framework that pairs daily AI-assisted tracking with a wellness approach, built from her own journey in maintenance. She lives in the West Village with her husband and son off at college, and trains six days a week, three cardio classes at The Ness and three weightlifting classes at Liftonic, with a long-term philosophy she calls training for 80. This is her experience, not a protocol. **CONNECT WITH SUZY** https://suzychase.substack.com https://suzychase.gumroad.com https://suzychase.com Instagram: https://www.instagram.com/dinnerpartyonaglp1 **CHAPTERS** 00:00 Maintenance Is a Different Job 01:19 Suzy’s GLP-1 Story and Two Years in Maintenance 05:54 Why Weight Loss and Maintenance Feel Different 08:05 Training for 80 10:23 The GLP-1 AI Method and What Suzy Tracks 14:22 Using AI as an Emotional Check on Scale Changes 19:17 Suzy’s 20-Year Podcasting Journey 20:46 Why Fitness Belongs in GLP-1 Maintenance 23:04 Stop Shrinking and Start Building 24:05 Accessible Fitness Options Beyond NYC Studios 25:28 Making Morning Movement Automatic 28:44 How Suzy Starts a Simple AI-Assisted Log 31:15 Where to Find Suzy and Closing Thoughts MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail You’ve lost weight on a GLP-1, but what does maintaining it look like in everyday life? Dietitian Ana Reisdorf and Dr Linia Patel explore practical ways to build satisfying meals, move more throughout the day, and reconnect with hunger and fullness cues, including if medication is stopped. They also unpack the less obvious influences on appetite that can make “just eat less” advice fall short. **IN THIS EPISODE** - Why weight maintenance deserves a plan of its own - Dr Patel’s “satiety stack”: protein, fiber, volume, and crunch - Making takeout and convenience meals more satisfying - Supporting muscle health and finding movement you can sustain - Understanding physical hunger, emotional hunger, and food cues - Building consistency while making room for enjoyment and self-compassion **ABOUT THE GUEST** Dr Linia Patel (PhD, RD) is an award-winning Women’s Health Dietitian, Performance Nutritionist, and Public Health Researcher with over 20 years’ experience across sport, clinical practice, and public health. Author of the best-selling Food for Menopause and new book Life After Weight Loss Medications she specialises in helping women optimise health and weight management, particularly in the era of GLP-1 medications, through an evidence-based, empowering, and holistic approach. **CONNECT WITH DR LINIA PATEL** Website: https://www.linia-nutrition.com/about Get the Book Life After Weight Loss Medications: https://amzn.to/4qLqCWt Instagram: @liniapatelnutrition https://www.instagram.com/liniapatelnutrition **SPONSORS** Johnson Fitness & Wellness Explore strength and cardio equipment for your goals, space, and budget. Visit a local store or shop online and use code GLP1Hub5 for an exclusive GLP-1 Hub listener offer. https://www.johnsonfitness.com Tyde Wellness Learn about GLP-1 care with licensed providers, ongoing support, and nutrition guidance. Use code GLP1Hub50 for $50 off your first month. https://tydewellness.com/GLP1Hub **CHAPTERS** 00:00 Appetite, hunger, and life after GLP-1 weight loss 03:17 Why weight maintenance needs its own plan 08:00 Building a flexible maintenance framework 11:09 The satiety stack: protein, fiber, volume, and crunch 14:32 Sponsor: Johnson Fitness & Wellness 15:52 Making takeout and convenience meals work 18:10 Finding movement you enjoy and can sustain 21:01 Moving more between workouts 23:28 Physical hunger, emotional hunger, and food cues 26:05 Relearning hunger and fullness cues 28:35 Sponsor: Tyde Wellness 30:01 Planning meals around a busy day 32:29 Self-compassion, food rules, and enjoying food 35:23 Dr Patel’s books and where to find her MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail A GLP-1 can quiet food noise, but it may not quiet the voice saying you’re lazy, failing, or still not good enough. Ana talks with author, artist, mental health advocate, and fellow GLP-1 user Tracey Yokas about how decades of dieting, body shame, and learned family patterns can follow us even when the medication is working. You’ll learn how to recognize action driven by shame, build a more compassionate response through therapy, journaling, art, and support, and understand why the discomfort you expect weight loss to erase may need a different kind of healing. **IN THIS EPISODE** - How being placed on a diet at age 11 shaped Tracey’s relationship with food and her body - How unhealthy patterns around food and self-worth can pass through families - What her family’s experience with disordered eating taught her about healing - How therapy helped Tracey recognize the role of trauma and self-blame - Why awareness is only the first step toward changing an old pattern - How to tell the difference between action driven by shame and action rooted in care - Why rest does not have to be earned - What changed when GLP-1 medication quieted Tracey’s food noise - Why frustration, urgency, and old self-criticism resurfaced even while the medication was working - How therapy, journaling, meditation, art, and trusted relationships can provide a safe place to begin **ABOUT THE GUEST** Tracey Yokas creates stuff. When she isn’t writing about mental health and wellness, she can be found playing with paint, glitter, and glue. Her first book, Bloodlines: A Memoir of Harm and Healing, won an IBPA silver award. Tracey earned her master’s degree in counseling psychology from California Lutheran University and lives in Newbury Park, CA, with her family. **CONNECT WITH TRACEY** Instagram: https://www.instagram.com/traceyyokas Website: https://www.traceyyokascreates.com Bloodlines: A Memoir of Harm and Healing: https://traceyyokascreates.com/bloodlines-a-memoir/ **SPONSORS** CaloCurb is a plant-based supplement designed to support appetite control. It is not a replacement for medical care, but it may be one tool to discuss with your healthcare provider. Learn more at https://calocurb.com and use code ANA10 for 10% off. Tyde Wellness offers GLP-1 programs with licensed providers, personalized dosing support, nutrition guidance, and access to a care team. Visit https://tydewellness.com/GLP1Hub and use code GLP1Hub50 for $50 off your first month. **CHAPTERS** 00:00 Why losing weight does not erase discomfort 00:25 What a GLP-1 can—and cannot—quiet 01:42 Meet Tracey Yokas 02:34 One year on a GLP-1 and managing fatigue 04:21 Decades of dieting, bullying, and body-image struggles 07:05 How unhealthy patterns can pass through families 09:48 Therapy, awareness, and understanding trauma 13:30 Recognizing coping patterns and negative self-talk 14:56 The stories underneath repeated diets 15:54 Naming emotions and practicing self-compassion 17:25 Taking action from care instead of shame 18:57 Exercise, rest, and the intention behind a habit 22:28 When old patterns resurface on a GLP-1 28:07 Why medication is a tool, not the whole solution 30:49 Safe places to begin the emotional work 32:37 Tracey’s book and where to find her 33:23 Final thoughts MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail Why can the same GLP-1 shot feel fine one week and make eating or side effects so much worse the next? In this episode, Ana talks with Dr. Ian Justl Ellis about the difference between the standard doses of GLP-1 and the medicine still in your body, why the standard four-week ladder keeps that level climbing, and how to think about a dose you can actually live on, including maintenance and travel. **IN THIS EPISODE** - Why a dose and your medication level are not the same thing - How a long half-life makes week two on the same dose feel stronger - Why the standard every-four-weeks ladder keeps restarting the climb - What a livable sweet spot feels like: some hunger, enough protein, no side effects - Why a plateau after appetite is controlled may not mean “go up” - How changing frequency, not just milligrams, can flatten end-of-week hunger - Maintenance, travel, and cycling on and off without flying blind - Why so many people quit around week five **ABOUT THE GUEST** Dr. Ian Ellis is a physician and the founder of Voafit, a platform focused on individualized GLP-1 care and precision dosing. Drawing from both his clinical background and his own personal experience with obesity and Ozempic, Dr. Ellis developed an approach centered on bloodstream levels rather than dose alone to help reduce side effects, improve adherence, and create better long-term outcomes for patients. He is passionate about making obesity treatment more personalized, effective, and humane. **CONNECT WITH DR. ELLIS** Voafit: https://voafit.com MyLevel: https://voafit.com/mylevel Social: @voafitmd **SPONSORS** Calocurb — a plant-based supplement designed to support your body’s own GLP-1 response and appetite control. https://calocurb.com — use code ANA10 for 10% off. Johnson Fitness and Wellness — strength equipment and expert help for a home setup that actually fits your space and budget. https://www.johnsonfitness.com — use code GLP1Hub5 for an exclusive listener offer. **CHAPTERS** 00:00 Why the same dose can feel different 01:37 Meet Dr. Ian Ellis 03:08 Why the standard 4-week ladder exists 05:27 Dose vs medication level 06:23 Half-life: why week two is stronger 10:01 Ian’s first weeks on semaglutide 13:34 Fixed pens vs adjustable dosing 15:23 What the sweet spot actually feels like 17:21 Clinic results: lower dose, zero dropouts 18:59 When a fraction of the starting dose is enough 22:27 Using an app like a thermostat for appetite 24:07 Why end-of-week hunger isn’t a reason to go up 25:47 How to adjust safely under a prescription cap 30:49 Maintenance, travel, and cycling on and off 39:00 Why so many people quit at week five MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail What happens to hunger and food noise when someone lowers their GLP-1 dose or stops taking the medication? In this episode, Ana Reisdorf talks with Calocurb founder and CEO Sarah Kennedy about a unique supplement designed to support appetite regulation by stimulating the body’s natural satiety hormones. Sarah walks through the reported results of a 24-week clinical trial involving 150 adults. She says the Calocurb group averaged 5.4% weight loss, reduced fat and visceral fat, and maintained skeletal muscle. Ana asks how the study was conducted, how hunger and cravings were measured, what side effects users may experience, and what evidence currently exists for using Calocurb alongside or after GLP-1 medication. **IN THIS EPISODE** - How Calocurb was developed from a New Zealand research initiative - What the new 24-week clinical trial measured and reported - How researchers measured hunger and food cravings - The roles of CCK, GLP-1, and PYY in appetite regulation - When and how Calocurb is designed to be taken - Possible digestive side effects and the onboarding process - Where Calocurb might fit alongside or after GLP-1 medication - What research is still needed for people reducing or stopping GLP-1s - Potential future studies involving postmenopausal women and adolescents - Why Sarah describes Calocurb as a tool rather than a magic pill **ABOUT THE GUEST** Sarah Kennedy is the founder and CEO of Calocurb, a veterinarian by training, and an experienced nutrition and health-industry executive. During more than 20 years in dietary and animal nutrition, she led Healtheries/Vitaco New Zealand and held senior international and nutrition leadership positions at Fonterra. She is also an MIT Sloan Fellow in Global Leadership and Innovation and has served on the boards of government, private, philanthropic, and publicly listed organizations. **CONNECT WITH SARAH AND CALOCURB** Website: https://calocurb.com Instagram: https://www.instagram.com/calocurb YouTube: https://www.youtube.com/@calocurb **SPONSORS** Johnson Fitness and Wellness offers home fitness equipment, expert guidance, delivery, and professional installation. Shop online and use code GLP1Hub5 for an exclusive offer: https://www.johnsonfitness.com Tyde Wellness provides clinician-guided GLP-1 care, nutrition support, hormone therapy, and longevity services. Use code GLP1Hub50 for $50 off your first month: https://tydewellness.com/GLP1Hub **CHAPTERS** 00:00 Why reducing calories can increase hunger 00:25 What happens when GLP-1 treatment changes? 01:34 Meet Sarah Kennedy 02:07 How CaloCurb was developed 05:20 What the 24-week trial reported 07:30 Trial design and lifestyle support 09:09 How hunger and cravings were measured 11:16 CCK, GLP-1, and PYY explained 13:16 When and how CaloCurb is used 16:47 Could it fit alongside or after GLP-1s? 19:02 Appetite regulation and weight maintenance 22:12 Side effects and the onboarding process 24:39 Combining CaloCurb with GLP-1 medication 26:33 Future studies and unanswered questions 29:48 Studying appetite support in adolescents 31:11 A tool, not a magic pill 33:59 Where to learn more MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail Teresa Keever’s first experience with tirzepatide lasted only eight weeks. The fatigue and digestive side effects consumed her weekends, left her barely able to eat, and made the standard dosing schedule feel impossible to sustain. Six months later, Teresa tried again, this time working with her provider on a lower, slower, split-dose approach. She shares how that personalized strategy changed her experience, helped make the side effects manageable, and supported a loss of more than 50 pounds. **IN THIS EPISODE** - Why Teresa stopped tirzepatide after only eight weeks - How GLP-1 medication changed her understanding of food noise and willpower - Her experience with compounded medication and split dosing - Why slower titration made treatment more manageable for her - The lifestyle changes that became easier after losing weight - How she approaches protein, exercise, and nutrition without rigid targets - Why she plans to continue GLP-1 treatment for long-term maintenance - The importance of personalized care and ongoing medical oversight **ABOUT THE GUEST** Teresa Keever is a nurse by background who now works in healthcare administration. After years of navigating weight loss and weight management, she began using a GLP-1 medication and ultimately found a clinician-guided approach that better fit her individual needs. She joins the podcast to share her personal experience with side effects, compounded tirzepatide, split dosing, and long-term treatment. **SPONSORS** CaloCurb is a plant-based supplement designed to support appetite control. It is not a replacement for medical care, but it may be one tool to discuss with your healthcare provider. Learn more at https://calocurb.com and use code ANA10 for 10% off. Tyde Wellness offers GLP-1 programs with licensed providers, personalized dosing support, nutrition guidance, and access to a care team. Visit https://tydewellness.com/GLP1Hub and use code GLP1Hub50 for $50 off your first month. **CHAPTERS** 00:00 Teresa’s experience with split dosing 00:28 Why she returned to GLP-1 medication 01:34 Meet Teresa Keever 02:17 A lifelong weight-management journey 03:44 Rethinking willpower and food noise 05:06 Insurance, telehealth, and compounded tirzepatide 06:54 Side effects and stopping after eight weeks 09:05 Returning with a slower, split-dose approach 10:28 Teresa’s results and current side effects 11:02 Movement, exercise, nutrition, and protein 14:09 Family reactions, stigma, and glucose changes 16:05 Long-term treatment and maintenance 19:26 Healthcare attitudes, access, and cost 20:50 Combining telehealth with primary care 23:04 What to discuss when side effects are difficult 26:08 Why personalized GLP-1 care matters 28:53 Visualizing medication levels with GLP-1 Plotter 30:49 Hopes for the future of GLP-1 treatment 31:41 Final takeaway and dosing-safety reminder MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

Send us Fan Mail Losing access to a GLP-1 can happen even when treatment is working exactly as intended. A lower BMI, an insurance change, or an employer facing open-ended costs can suddenly turn a prescription into a maze of denials, prior authorizations, and unexpected expenses. In this episode, Ana Reisdorf speaks with Jay Bregman, founder and CEO of Andel, about why traditional insurance struggles to cover high-demand medications and how direct-to-employer purchasing could offer another path. Jay explains how fixed employer contributions can make GLP-1 benefits more predictable, why he believes prior authorizations add unnecessary costs, and what patients can do when their coverage is at risk. They also discuss Medicare access, losing coverage after successful weight loss, options for self-employed people, compounded medications, future GLP-1 competition, and whether access can become more equitable. **IN THIS EPISODE** - Why GLP-1 demand creates problems for traditional insurance - How pharmaceutical middlemen affect medication pricing and access - What direct-to-employer purchasing means - Why employers hesitate to fund open-ended GLP-1 coverage - How fixed employer contributions could make benefits more sustainable - Why successful treatment and a lower BMI can lead to lost coverage - The hidden administrative costs of prior authorizations - What to do if you’re worried about affording your medication - Options for self-employed people without employer assistance - Jay’s perspective on Medicare, compounded medications, competition, and equitable access **ABOUT THE GUEST** Jay Bregman is the founder and CEO of Andel, a healthcare technology platform that enables high-cost medications like GLP-1s to be more accessible through employer benefits. With more than two decades of experience building and scaling companies, Jay brings a strong understanding of how policy, pricing, and market incentives intersect. In developing Andel, he has focused on redesigning access pathways for high-demand, high-cost drugs that traditional coverage models fail to accommodate. His perspective on GLP-1 access and employer responsibility has been featured in Inc., STAT News, and Pharmaceutical Executive. He has also spoken at TEDx and Web Summit about business leadership. Jay appears in this episode in his capacity as Andel’s founder and CEO. His comments about Andel and the pharmaceutical market reflect his experience and commercial perspective. **CONNECT WITH JAY** Andel: https://www.andel.org/ Andel Raises $4.5M for Its Employer-Supported Medication Marketplace: https://www.prnewswire.com/news-releases/andel-raises-4-5m-for-its-employer-supported-medication-marketplace-302588465.html Andel Launches New Direct-to-Employer Medication Platform: https://www.prnewswire.com/news-releases/andel-launches-new-direct-to-employer-medication-platform-to-make-glp-1s-affordable-for-millions-302709372.html **SPONSORS** This episode includes sponsored messages from Johnson Fitness & Wellness and gutzy Organic. Johnson Fitness & Wellness offers strength-training equipment, cardio machines, recovery products, and expert guidance for a range of fitness levels, spaces, and budgets. Visit https://www.johnsonfitness.com/ and use code GLP1Hub5 for an exclusive offer for GLP-1 Hub listeners. gutzy Organic makes refrigerated fruit-and-vegetable pouches with prebiotic fiber for convenient, produce-based snacking. Learn more at https://gutzyorganic.com/ **JOIN THE 21-DAY MEAL CONFIDENCE CHALLENGE** Starting August 17, the GLP-1 Hub Membership’s 21-Day Meal Confidence Challenge will teach you a simple framework for making food decisions at restaurants, parties, potlucks, vacations, and in everyday life. Join for $5: https://glp-1hub.com/challenge **CHAPTERS** 00:00 When successful treatment costs you coverage 00:21 Why GLP-1 access is getting harder 01:45 Meet Jay Bregman 02:16 How direct-to-employer purchasing works 03:05 Why medication pricing is so complicated 07:24 Why health plans are dropping GLP-1 coverage 08:59 Why employers hesitate to pay long term 09:48 Fixed employer contributions explained 10:46 Long-term health versus short-term employment 12:47 Sponsor: Johnson Fitness & Wellness 14:06 Medicare access and coverage uncertainty 16:03 Losing coverage after lowering your BMI 16:54 The hidden cost of prior authorizations 18:28 What to do if you’re worried about losing access 20:07 Options for self-employed patients 20:12 Competition and the future of GLP-1 pricing 23:13 Can GLP-1 access become more equitable? 24:27 Sponsor: gutzy Organic 25:05 The future of compounded GLP-1s 28:11 Where GLP-1 access could be in five years 29:10 Connect with Andel 30:13 The 21-Day Meal Confidence Challenge MORE FROM GLP-1 HUB 📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com 🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show. 🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com 📷 Follow on Instagram: @glp1hub 📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show. *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.