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The Jamie Kern Lima Show

#1 Menopause Doctor Masterclass Pt 4: GLP1s, Losing Belly Fat + Live Longer & Stronger Now! Dr. Mary Claire Haver

20 Jan 2026

Transcription

Chapter 1: What is the main topic discussed in this episode?

0.352 - 21.858 Jamie Kern Lima

This has been one of the most shared series in the history of The Jamie Kern Lima Show and brand new today, back by popular demand. She's often called the top menopause doctor in the world. Dr. Mary Claire Haver is here in this part four menopause masterclass episode, where today we're talking all things GLP-1s.

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22.258 - 35.557 Jamie Kern Lima

Those are the weight loss and weight management drugs that are taking the world by storm. Are they right for you? What are the risks versus rewards? All the things your doctor might have forgotten to mention. We are going there today.

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35.617 - 50.377 Jamie Kern Lima

And whether you're listening for yourself or because someone you love shared this episode with you, I want to welcome you to the Jamie Kernley Michelle podcast family. Ozempic, Wegovy, Majaro, Zepbound.

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Chapter 2: What are GLP-1s and how do they relate to menopause?

50.557 - 58.546 Dr. Mary Claire Haver

GLP-1s are a class of medications that are peptides found naturally in the body. They've been around for over 20 years.

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Chapter 3: Does Ozempic help with menopause-related weight gain?

58.767 - 78.537 Dr. Mary Claire Haver

We have all of that safety data. They're blocking the things that drive us to eat. It's also blocking things that drive us to drink or drive us to gamble, kind of these compulsive behaviors. Wonderful studies coming out on the mental health benefits of GLP-1s. It slows the food emptying from the stomach. It's really for my patients been miraculous.

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78.871 - 92.526 Dr. Mary Claire Haver

Muscle mass has a dramatic loss through perimenopause. Body fat has sees a tremendous uptick and increase in the percentage of body fat across the menopause transition. We're losing muscle and gaining fat just from being menopausal people.

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93.166 - 111.411 Jamie Kern Lima

Right now, 1.2 billion women are in perimenopause or menopause. And whether or not you're experiencing this personally in your life right now, I guarantee you someone in your life is. Can you get GLP-1s covered by insurance if you're not obese? It's getting harder.

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Chapter 4: What are the risks versus rewards of using GLP-1s?

111.631 - 114.918 Dr. Mary Claire Haver

The cost of these medications is outrageous. It's like $1,000 a month.

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Chapter 5: How can testosterone support women during menopause?

114.998 - 117.323 Dr. Mary Claire Haver

It's ridiculous. More coupons are coming.

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Chapter 6: What role does progesterone play in menopause management?

117.844 - 120.81 Dr. Mary Claire Haver

But just to demonize a patient and tell her it's her willpower?

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Chapter 7: Why is focusing on strength more important than being skinny?

121.632 - 121.872 Jamie Kern Lima

Yeah.

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121.852 - 124.295 Dr. Mary Claire Haver

is one of the biggest tragedies in the history of medicine.

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124.316 - 128.582 Jamie Kern Lima

Which now with the obesity genes, all these other things, they're proving it's not willpower.

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128.642 - 134.15 Dr. Mary Claire Haver

No, it's not willpower. And I was taught in that generation of it's her fault. Yeah.

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134.871 - 138.436 Jamie Kern Lima

She's just lazy until... I believed that my whole life.

Chapter 8: How can women advocate for their health during menopause?

138.616 - 149.511 Jamie Kern Lima

Like, oh, I'm gaining weight. It's definitely my fault. You know, I've been tested for the obesity genes now and I actually have two of them. And I'm like, oh, you know, and then your brain works differently. Right. There's so much science. The entire biological drive.

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149.672 - 149.952 Unknown

Yeah.

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149.932 - 154.617 Dr. Mary Claire Haver

is working against you. GLP-1s are far superior to metformin.

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154.637 - 168.852 Jamie Kern Lima

Do you prescribe both to your patients or you predominantly do GLP-1s? If somebody's doctor says no. No. If somebody's, like if they go to their doctor and say, I'm really, really interested. You're not working hard enough. In GLP-1s and they go, oh, you should just work out and eat better.

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168.912 - 176.58 Dr. Mary Claire Haver

And then you turn around and tell them, I'm doing that. And they say, no, you can't be, therefore you wouldn't be obese. Then you need to find a new doctor.

176.56 - 183.632 Jamie Kern Lima

What are some of the resources that exist online? Because there's now through telehealth, you can get prescriptions in other ways.

184.093 - 203.605 Dr. Mary Claire Haver

Because it's not just take this medication, woo, go be thin and off you go. It is really rewiring your brain. A lot of people worry about like ozempic face or ozempic. Is that simply just you've lost weight? Massive weight loss. You've lost weight fast. Right. And when you lose weight fast, the elasticity of the skin struggles to keep up. And so we see more of the hanging skin.

204.046 - 222.45 Jamie Kern Lima

So GLP-1s don't change your face or your body. It's more the result of your skin from weight loss. Okay. I think there's a misconception out there. They're like, wait, I don't want to get that. With GLP-1s, the risk of losing muscle, because if we're not eating enough, we might not be eating enough protein. We might not be lifting weights.

222.55 - 227.597 Jamie Kern Lima

And you talk about how critical it is to focus on strong over skinny.

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