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Dr. Sarah Molasky

👤 Person
254 total appearances

Appearances Over Time

Podcast Appearances

Health Chatter
Weight Loss Meds

Yeah, so I have been in pharmacy since I believe 2011, 2012 as a technician and eventually became a pharmacist. I tried out different types of pharmacy, but my passion was community pharmacy. which is not generally what pharmacy schools want you to go into. They want you to go into hospital or research or more clinical care, which is more prestigious.

Health Chatter
Weight Loss Meds

Yeah, so I have been in pharmacy since I believe 2011, 2012 as a technician and eventually became a pharmacist. I tried out different types of pharmacy, but my passion was community pharmacy. which is not generally what pharmacy schools want you to go into. They want you to go into hospital or research or more clinical care, which is more prestigious.

Health Chatter
Weight Loss Meds

But I really love working with people directly and building relationships with people. And I've been a pharmacist on Northside for almost five years. In July, it'll be five years that I'll have been a pharmacist in Northside. So really happy serving the community I serve and I wouldn't do anything else.

Health Chatter
Weight Loss Meds

But I really love working with people directly and building relationships with people. And I've been a pharmacist on Northside for almost five years. In July, it'll be five years that I'll have been a pharmacist in Northside. So really happy serving the community I serve and I wouldn't do anything else.

Health Chatter
Weight Loss Meds

Yeah, so historically speaking, weight loss drugs have been around for decades, right? And possibly longer if we go back into really old school pharmacy where you had tinctures and all of that. But in terms of government recognized weight loss medications, they started out as stimulants. And so stimulants can include things like caffeine.

Health Chatter
Weight Loss Meds

Yeah, so historically speaking, weight loss drugs have been around for decades, right? And possibly longer if we go back into really old school pharmacy where you had tinctures and all of that. But in terms of government recognized weight loss medications, they started out as stimulants. And so stimulants can include things like caffeine.

Health Chatter
Weight Loss Meds

Because caffeine and other stimulants have a side effect of appetite suppression. So this was based on the idea that weight gain was solely due to overconsumption of calories. Is that medically accurate? Not necessarily. Everybody has very different bodies. And so the cause for weight gain can be varied. It can be medical. It can be a medication that's causing it.

Health Chatter
Weight Loss Meds

Because caffeine and other stimulants have a side effect of appetite suppression. So this was based on the idea that weight gain was solely due to overconsumption of calories. Is that medically accurate? Not necessarily. Everybody has very different bodies. And so the cause for weight gain can be varied. It can be medical. It can be a medication that's causing it.

Health Chatter
Weight Loss Meds

interaction with another medication, certain types of foods. So it's really dependent on each person, but the original types of weight loss medications were stimulants. So they would make people feel very energetic. They might move around more. It would raise their heart rate and blood pressure, but also it might make them feel like eating less food.

Health Chatter
Weight Loss Meds

interaction with another medication, certain types of foods. So it's really dependent on each person, but the original types of weight loss medications were stimulants. So they would make people feel very energetic. They might move around more. It would raise their heart rate and blood pressure, but also it might make them feel like eating less food.

Health Chatter
Weight Loss Meds

And that's kind of been the main sorts of therapies we've had. There's a lot of over-the-counter weight loss medications that use the same exact concept, including ones that are still around today. I never recommend them to my patients because I think they're trash.

Health Chatter
Weight Loss Meds

And that's kind of been the main sorts of therapies we've had. There's a lot of over-the-counter weight loss medications that use the same exact concept, including ones that are still around today. I never recommend them to my patients because I think they're trash.

Health Chatter
Weight Loss Meds

They have a lot of side effects that are really problematic, especially for patients who already have risks for heart disease or where high blood pressure can cause a lot more health issues for them. So then came in the Other therapies like bupropion, topiramate, fentramine, these are ones that, again, are meant to suppress craving or suppress appetite.

Health Chatter
Weight Loss Meds

They have a lot of side effects that are really problematic, especially for patients who already have risks for heart disease or where high blood pressure can cause a lot more health issues for them. So then came in the Other therapies like bupropion, topiramate, fentramine, these are ones that, again, are meant to suppress craving or suppress appetite.

Health Chatter
Weight Loss Meds

So then we have diabetic injectables, which are called GLP-1s or glucagon-like peptide 1 receptor agonists. It's just a fancy way of saying it gloms onto a certain receptor in our body that tells our body to make more insulin to bring down our blood sugar. And it also can get that same receptor in our brain, but it tells it, hey, we're actually full. We don't have to eat more.

Health Chatter
Weight Loss Meds

So then we have diabetic injectables, which are called GLP-1s or glucagon-like peptide 1 receptor agonists. It's just a fancy way of saying it gloms onto a certain receptor in our body that tells our body to make more insulin to bring down our blood sugar. And it also can get that same receptor in our brain, but it tells it, hey, we're actually full. We don't have to eat more.

Health Chatter
Weight Loss Meds

So it has a dual action to make us potentially lose weight. This was not developed as a weight loss drug. The first JLP1 that was approved in America was Biada, which was a two-time-a-day injectable. It's still used today, but less often just because adherence isn't great, right? Not many people want to inject themselves twice a day if they have the option of once a day.

Health Chatter
Weight Loss Meds

So it has a dual action to make us potentially lose weight. This was not developed as a weight loss drug. The first JLP1 that was approved in America was Biada, which was a two-time-a-day injectable. It's still used today, but less often just because adherence isn't great, right? Not many people want to inject themselves twice a day if they have the option of once a day.

Health Chatter
Weight Loss Meds

So then in comes Victoza, which was a once a day dosing drug. And that seemed to show more efficacy for certain types of important health issues that many diabetics face. And that includes, you know, heart health and potentially kidney health. And then you got once a week ones as well. And the big one that we hear about is Ozempic, right?

Health Chatter
Weight Loss Meds

So then in comes Victoza, which was a once a day dosing drug. And that seemed to show more efficacy for certain types of important health issues that many diabetics face. And that includes, you know, heart health and potentially kidney health. And then you got once a week ones as well. And the big one that we hear about is Ozempic, right?

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