Tina Moore
speaker
1,621 appearances
16 recordings
2 series
first heard Jan 2025
last heard May 2025
Tina Moore’s voice in public audio — every appearance, attributed to the second.
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Appearances
You are tuned into the Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I'm so excited to bring on Dr. Spencer Nadolski. Dr. Nadolski is someone I've been following for a long time on Instagram. He's an obesity specialist. He's a lipidologist. He also is the owner and founder of Vineyard, which is an online direct care model.
He specializes in GLP-1s and we are going to have the obesity conversation that you all have been asking me for. You know I've been talking about these peptides for a long time outside of weight loss, outside of type 2 diabetes, although my message has been skewed over the past few years.
I've been trying to talk about them in relation to all of the other benefits throughout the body that they may or may not have in the clinical data. That said, this is an important conversation to have. We need to talk about obesity as a disease, and I need folks to really understand what that means. And I can't think of a better person for the job than Dr. Nadolski.
So without further ado, let's jump in. Dr. Spencer Nadolski, I'm so excited to have you on the Dr. Tina show today. And we are going to talk all things obesity, GLP-1s. This is a conversation I wanted to have because I've been trying to
seeing the praises of glp-1 agonists outside of obesity and weight loss and type 2 diabetes just more in a metabolic health cardiovascular uh you know neuroprotective way and everybody's been begging me to bring on an obesity doctor and a specialist like yourself so here we are thank you for coming we're doing it yes i'm excited i'm excited so i've been following you for years and i'm a huge fan of your work and i see more often than not these days
You sort of playing pickleball with all the GLP-1 misinformation and nonsense that comes constantly into our inboxes. I don't even get into it. I just let you do it.
Yes, yes. And then you have... really created this awesome, innovative direct care platform called Vineyard. So we're going to talk about that too, because I think what you're doing is exciting. I think you and I agree on a lot of things.
One is that these telemed companies for the most part, and I have heard good feedback from a few of them for really uncomplicated cases for people who really just needed a little something, something. But in the case of most people and most patients, especially those dealing with
at least a moderate to more excessive amount of obesity and or type 2 diabetes i think that docs or patients need a much better care system and i see you talking about that online can you extrapolate on that a bit more yeah you know these medicines are amazing i would call them miracle medicines but they there's no there's never a free lunch and you may be one of the people um
Yeah, we're going to get into that. We're going to talk about the strength training because that's the other thing that we definitely jive on.
That's personalized medicine. Everyone's always like, what's the dose? I'm like, it totally depends on the individual in front of you and so many variables and factors. And a little bit too much can be a lot too much. And it throws them into that... just the blahs, I call it. They don't want anything. All their dopamine pathways are just kind of like, like food's not that interesting.
Dark chocolate's not that interesting. Maybe sex isn't that interesting. Nothing is interesting. And I think too, the other conversation is, For people who show love through food, who show passion through food, that's how they find their community. That's how they spend their time is through love of food. Foodies, we have a lot of them here in the Pacific Northwest.
And you can dose them into losing that. And so I hear it from my girlfriends all the time. They're like all the ones using it for vanity weight are no longer going out for drinks or food anymore. Their social lives are crumbling and they're, you know, they're walking headlong into osteoporosis. And I'm like, what are you guys doing? You know?
Yeah, and I think that that's a real issue. I heard some young gals talking about just complete lack and luster of libido. And these were women in their 30s. And I was like, yeah, I think that your dose is probably too high.
Yeah. It is. Yeah. They don't want to chase their dopamine dragons. And I've heard people say they stopped doom scrolling on social media. They broke the habit of online shopping. It's all the different types of dopamine dragons. Yeah. Yeah, we don't want to dose people into oblivion. That's no fun.
You shared a really interesting story the other day about a younger woman who you reduced her dose significantly. Like she was not losing weight and then you reduced her dose and she started losing weight and started feeling much better. And I think that story, if you want to share a little bit about that case, really interesting.
I think it is. I think there's a sweet spot for each individual. And I think it depends on factors personally. And I know you've dealt with this a lot more in the obesity realm and probably with way more patients. But the factors that I see impacting it are how active are they? What's that sweet spot where you can get appetite suppression but not crushing it? You know, more of appetite control.
We just want appetite control. I guess in some cases we would want some suppression, but generally speaking, I just want people to feel in control of what's happening with what they're choosing to put in their mouth. And then past that, you get into this... The blahs. And then they do stop moving. And so you lose thermogenesis because they're just like this on the couch.
You're not getting any of that neat. You're not getting any of that. Even people who... I really do believe that a lot of folks stay lean just because they're fidgeters. Like I'm a fidgeter. It keeps me, you know, that's how I keep going. And when you lose that desire to get up and go and bustle around, and you can dose people into that place. And I think that that's probably happening.
And I really, my biggest concern at this point is the... these medispas and like what the actual hell is going on there. And then a lot of the telemedicine companies, I think some of them again are doing, are trying to do a better job and really do care. But there's others that are just like fly by night. And then there, what I don't think people understand is they're,
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