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Dr. Sarah Molasky

👤 Person
254 total appearances

Appearances Over Time

Podcast Appearances

Health Chatter
Weight Loss Meds

I have patients on my wait list to get this medication who are actually diabetics. So I'm going to reserve this for my patients. And that's kind of a tough discussion to have with prescribers because some prescribers don't like when pharmacists contradict them, but I'm going to prioritize my patients first.

Health Chatter
Weight Loss Meds

I have patients on my wait list to get this medication who are actually diabetics. So I'm going to reserve this for my patients. And that's kind of a tough discussion to have with prescribers because some prescribers don't like when pharmacists contradict them, but I'm going to prioritize my patients first.

Health Chatter
Weight Loss Meds

So they're definitely, whenever there's an opportunity to make money, there will be a small number of people who will take advantage of that because they don't care about patients the way most prescribers do. And unfortunately, that small group is then prescribing to people who just want to lose a small amount of weight. Well, I shouldn't say small because everything's relative, right?

Health Chatter
Weight Loss Meds

So they're definitely, whenever there's an opportunity to make money, there will be a small number of people who will take advantage of that because they don't care about patients the way most prescribers do. And unfortunately, that small group is then prescribing to people who just want to lose a small amount of weight. Well, I shouldn't say small because everything's relative, right?

Health Chatter
Weight Loss Meds

An amount of weight that isn't necessarily representative of what kind of weight loss these medications were

Health Chatter
Weight Loss Meds

An amount of weight that isn't necessarily representative of what kind of weight loss these medications were

Health Chatter
Weight Loss Meds

Yeah, so it really depends on the person, of course. But if the person comes up to me saying, you know, I've been doing all these things to lose weight and nothing's working, I really want to try one of these injectables. Obviously, the first thing I say is you need to talk to your doctor about it.

Health Chatter
Weight Loss Meds

Yeah, so it really depends on the person, of course. But if the person comes up to me saying, you know, I've been doing all these things to lose weight and nothing's working, I really want to try one of these injectables. Obviously, the first thing I say is you need to talk to your doctor about it.

Health Chatter
Weight Loss Meds

But another first line thing that I tell patients is, have you ever spoken to a registered dietitian? And that's really important because first of all, nutritionists and dietitians are two different things. You can be a registered dietitian and still be a nutritionist. But if I like literally anyone can call themselves a nutritionist. and get away with it.

Health Chatter
Weight Loss Meds

But another first line thing that I tell patients is, have you ever spoken to a registered dietitian? And that's really important because first of all, nutritionists and dietitians are two different things. You can be a registered dietitian and still be a nutritionist. But if I like literally anyone can call themselves a nutritionist. and get away with it.

Health Chatter
Weight Loss Meds

Like I could call myself a nutritionist online, right? I have no credentials, but you don't need them to call yourself a nutritionist. To be a registered dietitian in America, you need a certain set of schooling. So I tell my patients, talk to your doctor, right?

Health Chatter
Weight Loss Meds

Like I could call myself a nutritionist online, right? I have no credentials, but you don't need them to call yourself a nutritionist. To be a registered dietitian in America, you need a certain set of schooling. So I tell my patients, talk to your doctor, right?

Health Chatter
Weight Loss Meds

Your clinic or whatever, and ask them if you can have an appointment with a registered dietitian to find out, okay, I'm eating less or I'm eating more carefully, but am I eating effectively? Because when it comes to dietary changes, that looks very different for each person. And I tell my patients, look, I can give you the quick and dirty, right? Cut out pop, cut out sugary drinks, cut out juice.

Health Chatter
Weight Loss Meds

Your clinic or whatever, and ask them if you can have an appointment with a registered dietitian to find out, okay, I'm eating less or I'm eating more carefully, but am I eating effectively? Because when it comes to dietary changes, that looks very different for each person. And I tell my patients, look, I can give you the quick and dirty, right? Cut out pop, cut out sugary drinks, cut out juice.

Health Chatter
Weight Loss Meds

Just getting rid of really easy sources of quick sugar is a very... simple way to cut down on excess calories that also flood your body with sugar that gets stored as fat because your your blood sugar spikes and then your body is like, OK, let's pump out insulin and store that as fat. So those are the main things I tell people is talk to a registered dietitian first. Talk to your

Health Chatter
Weight Loss Meds

Just getting rid of really easy sources of quick sugar is a very... simple way to cut down on excess calories that also flood your body with sugar that gets stored as fat because your your blood sugar spikes and then your body is like, OK, let's pump out insulin and store that as fat. So those are the main things I tell people is talk to a registered dietitian first. Talk to your

Health Chatter
Weight Loss Meds

you know, clinical team and find out what they recommend for you specifically. When people come up to me asking about diet pills that they can buy over the counter, I say, absolutely not. That's going to raise your blood pressure. Some of them can have been found to cause liver damage. Like it's not something that's worthwhile.

Health Chatter
Weight Loss Meds

you know, clinical team and find out what they recommend for you specifically. When people come up to me asking about diet pills that they can buy over the counter, I say, absolutely not. That's going to raise your blood pressure. Some of them can have been found to cause liver damage. Like it's not something that's worthwhile.

Health Chatter
Weight Loss Meds

And if people say, you know, my, my doctor said they're going to prescribe me Ozempic because I have diabetes and I'm really worried. Like I've like, I don't know, I don't necessarily want to lose a lot of weight, valid because some patients don't want to lose too much weight, right?

Health Chatter
Weight Loss Meds

And if people say, you know, my, my doctor said they're going to prescribe me Ozempic because I have diabetes and I'm really worried. Like I've like, I don't know, I don't necessarily want to lose a lot of weight, valid because some patients don't want to lose too much weight, right?