Dr. Stacy Sims

Just like when we have the HRT discussion, we don't want to see people, we'll say women for this discussion, not being offered a therapeutic option or not choosing it out of fear.

Whether you mean to or not, giving the illusion that willpower is all you need to lose weight by what you said.

I can either do these hard things or I can choose this medication, which appears to be the easier way out.

And two things can be true at once.

People can work extremely hard.

Maybe they don't understand exactly what they should be doing.

And that's part of what we're trying to change the discussion on.

But reversing some metabolic change, even initially, can make a big difference in their game plan.

But you will lose body weight on these medications.

And so you have to have somebody guiding the ship.

I think what we all don't love is the access without oversight, meaning nobody's helping you say, how are you not –

Losing muscle.

How are you doing this in a safe fashion?

You can just text somebody on an app and suddenly have the medication shipped to your house.

No, no, no.

You can't lipo the viscera.

They're inside.

That fat that's really inside the abdominal cavity is what we're talking about, that visceral fat, which is the worst kind.

It's very much what we're saying right here, that plants have fiber that's going to feed your gut microbiome that's going to decrease inflammation.

So fruits and vegetables, getting enough fiber is the number one change that most people need to make.