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cover of episode #1 Weight Loss Doctor: The Truth About Obesity, Ozempic, Dieting, & How to Feel Better Now

#1 Weight Loss Doctor: The Truth About Obesity, Ozempic, Dieting, & How to Feel Better Now

2025/4/17
logo of podcast The Mel Robbins Podcast

The Mel Robbins Podcast

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Dr. Rocio Salas-Whalen
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Mel Robbins
一位专注于领导力和个人成长的著名_motivational speaker_和播客主持人。
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Mel Robbins: 我对Ozempic等GLP-1类药物的反应很复杂,既为家人朋友重视健康而高兴,也担心其潜在副作用。许多人对这些药物有疑问,例如安全性、作用机制和副作用等。本期节目邀请世界知名专家Dr. Rocio Salas-Whalen解答这些问题,并提供关于GLP-1类药物、新陈代谢和真正帮助的信息。 Dr. Rocio Salas-Whalen: 肥胖是一个复杂的问题,减肥不应该成为一项全职工作。它不应该在精神上或身体上消耗你的生活。通过正确的理解和方法,减肥是可以实现的,并且不会占据你的全部生活。过去医疗保健提供者对肥胖的认识不足,但现在有更多帮助和新的科学发现。肥胖是一种疾病,它会导致多种慢性疾病,甚至死亡。肥胖不是一种自我造成的疾病,它是一种多因素慢性病,有多种原因导致肥胖,包括生活方式、遗传、荷尔蒙变化、衰老和环境因素。只有生活方式这一项是可以控制的。 我们应该改变对肥胖的看法,将其视为一种疾病,并提供相应的医疗干预。GLP-1类药物已被使用多年,最初用于治疗2型糖尿病,后来发现其具有减肥作用。GLP-1类药物通过抑制食欲激素和增加饱腹感激素来帮助减肥,并改变大脑对食物奖励的反应。在过去的15年中,GLP-1类药物的版本更新,副作用更少,疗效更好。 评估患者是否适合使用GLP-1类药物,需要了解其体重病史、家族病史、妇科病史以及进行身体成分分析。女性体内脂肪百分比超过32%被认为是肥胖,GLP-1类药物在更年期期间有益处。服用GLP-1类药物的绝对禁忌症是个人或一级亲属有髓样甲状腺癌病史。由于肥胖是一种慢性多因素疾病,GLP-1类药物通常需要长期服用。我个人在产后和更年期期间使用过GLP-1类药物,并取得了良好的效果。 快速减肥会导致肌肉流失、脱发和皮肤弹性下降等问题,需要补充足够的蛋白质来预防。“Ozempic face” 是由于快速减肥导致肌肉流失、脱发和皮肤弹性下降引起的。GLP-1类药物的疗效和安全性取决于医生的专业知识,建议在医生的指导下服用。建议每天摄入相当于理想体重每磅一克的蛋白质,并每周进行两次力量训练。选择医生时,应注意医生是否在诊所销售药物,以及是否使用FDA批准的药物。不建议微剂量服用GLP-1类药物,因为这可能会导致疗效不足或副作用增加。GLP-1类药物并非轻松减肥的捷径,需要配合健康的生活方式和医生的指导。GLP-1类药物可以改变人们对食物的思考方式,减少对食物的关注,从而改善生活质量。 与家人或朋友谈论肥胖问题时,应以关爱和理解的态度,避免责备或攻击。如果经济条件有限,可以寻求药物优惠券或更经济的药物剂型来降低药物成本。最重要的行动是分享今天学到的知识,帮助更多的人。接受帮助并寻求帮助是正常的,这并不意味着你是一个失败者。

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Shownotes Transcript

This episode is a must-listen if you or someone you love has ever struggled with weight. 

Today, Mel sits down with world-renowned, triple board certified endocrinologist and obesity specialist, Dr. Rocio Salas-Whalen, to explain the medical truth behind your metabolism, weight loss, and the most talked-about medications on the planet: GLP-1s like Ozempic and Wegovy. Today, she’s breaking down exactly how these medications work, who they’re for, and the critical mistakes people are making when using them without medical supervision. 

If you're confused about these drugs, worried about the side effects, or curious if they could help you or someone you love—this episode will answer every question you've been too afraid to ask. 

In this episode, you’ll learn: 

-The 5 real causes of weight gain—and why only one is in your control 

-Why obesity is not your fault (and how blaming yourself is holding you back) 

-What GLP-1 medications like Ozempic actually do in your body 

-The #1 risk no one is talking about when taking these drugs 

-Why these medications can change your brain, your cravings, and your relationship with food 

-How to avoid “Ozempic face,” hair loss, and muscle loss while on these drugs 

-How to know if you’re a good candidate—and the red flags to watch out for 

You’ll also hear Dr. Salas-Whalen’s personal story of using the medication herself after hitting perimenopause—and what she wants every woman to know about managing weight in midlife.  

This episode is your science-backed, shame-free guide to understanding GLP-1s, your metabolism, and what real help looks like. 

If you or someone you love is struggling with weight, send them this episode. It could change their life. 

For more resources, click here) for the podcast episode page. 

If you liked this episode, and want more evidence-based tools for a healthier life, listen to this next: The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy)

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