Dr. Gabrielle Lyon
speaker
18,769 appearances
47 recordings
13 series
first heard Nov 2024
last heard 10 Sep
Dr. Gabrielle Lyon’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 41 in all, peaking in Jul 2026 with 9.
Appearances
They increase satiety, meaning you're not hungry and promote weight loss.
The same mechanism is exactly why fiber becomes a problem.
High fiber foods, they're already slow to digest, which is why they say eat fiber will affect your appetite.
They're bulky.
They require gastric processing time.
And when you use a medication that delays gastric emptying, on top of that, your stomach is essentially like a big traffic jam.
Food sits there longer, gas accumulates, bloating intensifies, and nausea worsens.
So this is the same pathophysiology we see in something called gastroparesis or stomach paralysis.
This is a chronic disorder where the stomach takes too long to empty.
You know, it's we see it a lot in diabetes because of the nerves, where the stomach just has food in it.
The intestines just have food in it.
And GLP1 receptor agonists can cause frank gastroparesis.
So a sudden stopping or slowing.
And many of the advisory boards specifically warn that high fiber foods, aka fiber maxing.
Should be avoided during the first few days of treatment because they can compound the delayed gastric emptying.
So I hope all of this is clear.
When the question comes, should we be fiber maxing or should we be fiber mining?
It depends.
And man, I remember when I was in my residency, I had to go and disimpact patients.
With the glove, the whole thing, I am telling you.
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