Dr. Thaïs Aliabadi

If it doesn't work, I go to metformin.

If that doesn't work, then I offer them GLP-1s.

But you can absolutely, and I always ask, patients ask me, can I be on the supplement on metformin and on the GLP-1?

Yes.

You just don't want to start the GLP-1s with the metformin because they both cause nausea and you don't know which one's causing what.

So if someone's morbidly obese and they really want to lose weight, I start with the GLP-1s and usually in about four months, my average since 2014, I can tell you,

four months of GLP-1s done correctly, patients lose 24 pounds.

That's my curve at my office.

Probably of muscle too, but these patients, a lot of them are like 300 pounds, so it's hard to even assess that.

But you know what?

As they start losing weight, they become more motivated because it's the first time in their life that something actually works for them because you're actually regulating that insulin dysfunction that they have.

And by supporting that, they become more active.

Their self-esteem gets better.

I had a 26-year-old in my office who I've been treating for many years for PCOS and these GLP-1s.

And she came into my office a few months ago.

And when I walked in, she was videotaping me.

She looked so good.

She was so confident.

Her hair was done.

She had a mini skirt with these boots.