Dr. Sarah Molasky

Or they're worried that they may lose muscle mass, which is a concern with some of these meds if someone isn't getting both enough calories and enough weight resistant exercise. So it really is about what is the patient who comes up to me like concerned about and addressing that directly. But the main thing is get more information that's customized to you. Right.

Or they're worried that they may lose muscle mass, which is a concern with some of these meds if someone isn't getting both enough calories and enough weight resistant exercise. So it really is about what is the patient who comes up to me like concerned about and addressing that directly. But the main thing is get more information that's customized to you. Right.

I, as your pharmacist only have your medication, assuming you're even my, my patient, right. I only have your medication list. I don't have your lab results. I don't have your health history, but your clinic does. And your healthcare, your larger healthcare team does have access to that. So work with a dietician for that.

I, as your pharmacist only have your medication, assuming you're even my, my patient, right. I only have your medication list. I don't have your lab results. I don't have your health history, but your clinic does. And your healthcare, your larger healthcare team does have access to that. So work with a dietician for that.

And I personally have worked with a dietician myself because I was trying to, um, I had the opposite problem where I stress starve, where I forget to eat when I'm stressed out. And so I went to a dietician to say, Hey, I feel like I'm eating enough, but I don't know if I'm eating effectively.

And I personally have worked with a dietician myself because I was trying to, um, I had the opposite problem where I stress starve, where I forget to eat when I'm stressed out. And so I went to a dietician to say, Hey, I feel like I'm eating enough, but I don't know if I'm eating effectively.

And she was able to educate me on what sorts of foods to look for, for my personal health and my eating habits. So registered dieticians are horribly underutilized, especially when it comes to, you know, weight in blood sugar, just general health. So that would be my number one thing is.

And she was able to educate me on what sorts of foods to look for, for my personal health and my eating habits. So registered dieticians are horribly underutilized, especially when it comes to, you know, weight in blood sugar, just general health. So that would be my number one thing is.

registered dietitian, and also talk to your healthcare team about whether any of these are even remotely appropriate for your overall health.

registered dietitian, and also talk to your healthcare team about whether any of these are even remotely appropriate for your overall health.

I mean, if someone's weight is going up and down, that's again, something that should be, you know, discussed with their healthcare team. And that can happen for a lot of reasons. If we're talking a weight loss or gain of like five to 10 pounds at a time, a lot of people with uteruses naturally go through that throughout the month.

I mean, if someone's weight is going up and down, that's again, something that should be, you know, discussed with their healthcare team. And that can happen for a lot of reasons. If we're talking a weight loss or gain of like five to 10 pounds at a time, a lot of people with uteruses naturally go through that throughout the month.

So it's a matter of is this weight gain and loss like necessarily metabolic or is it just hormonal or fluid retention or is it in a cycle? But when it comes to people who are doing these crash diets or things like keto is really popular and I can't roll my eyes enough at that because I have to counsel patients on that all the time on why it's not the best idea overall for most people.

So it's a matter of is this weight gain and loss like necessarily metabolic or is it just hormonal or fluid retention or is it in a cycle? But when it comes to people who are doing these crash diets or things like keto is really popular and I can't roll my eyes enough at that because I have to counsel patients on that all the time on why it's not the best idea overall for most people.

I really do think that talking to their healthcare team, getting a meal plan from registered dietitian, and then also potentially, you know, seeing occupational therapy or physical therapy about how should I be exercising correctly so I don't injure myself. All of those are things that people should be doing first before they turn to medication.

I really do think that talking to their healthcare team, getting a meal plan from registered dietitian, and then also potentially, you know, seeing occupational therapy or physical therapy about how should I be exercising correctly so I don't injure myself. All of those are things that people should be doing first before they turn to medication.

But if we're talking somebody who, yeah, my weight fluctuates by 10, 20 pounds, but I'm morbidly obese, well, I don't care about the 10, 20 pound fluctuation. I care about how, if this morbid obesity is negatively impacting your life and your health, how are we going to address that? And for some of those patients- then these medications may be clinically appropriate.

But if we're talking somebody who, yeah, my weight fluctuates by 10, 20 pounds, but I'm morbidly obese, well, I don't care about the 10, 20 pound fluctuation. I care about how, if this morbid obesity is negatively impacting your life and your health, how are we going to address that? And for some of those patients- then these medications may be clinically appropriate.

But again, I, as their pharmacist, can't give them that advice. They would need to talk to their whole team and try to set up a plan. And healthy, maintainable weight loss is not fast. That's one thing I wanted to say is outside of bariatric surgery, if we're talking the behavior I'm doing is going to change my weight,

But again, I, as their pharmacist, can't give them that advice. They would need to talk to their whole team and try to set up a plan. And healthy, maintainable weight loss is not fast. That's one thing I wanted to say is outside of bariatric surgery, if we're talking the behavior I'm doing is going to change my weight,