#5 What I Wish People Knew Before Starting Weight Loss Drugs

In this episode, I'm breaking down the science, risks, and realities of GLP-1 weight loss medications like Ozempic, Wegovy and Mounjaro.

There's a lot of hype on social media, but I want to give you the full picture — what these drugs actually do, the side effects that don't get talked about enough, and what really happens when you stop taking them.

No judgment here — just the facts so you can make an informed decision.

Links:

Ultimate Weight Loss Guide

Healthy Habits Program

In This Episode

• How GLP-1 medications work and why they can be effective (we're talking 15-20% body weight loss)
• The side effects beyond just "feeling a bit nauseous" — including the serious ones
• The muscle loss problem: up to 25-40% of weight lost can be lean muscle
• What the research actually shows about weight regain (spoiler: most people gain back around two thirds within a year of stopping)
• Why these medications likely require a lifelong commitment
• The lifestyle changes you still need to make — even if you're on medication
• Questions to ask your doctor before starting
• Red flags to watch for when getting prescribed

Questions to ask your doctor

1. What are ALL the potential side effects, including the serious ones, and how common are they? Don't just accept "you might feel a little nauseous" — push for specifics.
2. What happens when I stop taking this medication? Ask them to walk you through the weight regain data. Is this meant to be short-term or long-term?
3. What's the plan for maintaining weight loss? If the answer is just "keep taking the medication," that's worth questioning.
4. What support will I have for nutrition and lifestyle changes? Will I be referred to a dietitian? A therapist if needed? Or am I just walking out with a prescription?
5. How will I be monitored while on this medication? What bloodwork will be done, how often will we follow up, and what symptoms should prompt me to call straight away?
6. What's the cost, and what happens if I can't afford to keep going — or if there's a shortage? It's happened before.
7. Given my specific health history, what are MY particular risks? Any conditions or family history that's relevant?
8. Are there alternatives we should try first? If lifestyle intervention isn't on the table, I'd want to understand why.
9. How long have you been prescribing these medications, and what's been your experience? What percentage of your patients have had significant side effects, and how many have maintained their weight loss after stopping?

Key Takeaway

These medications can be genuinely effective tools — but they're not a magic fix. They come with real risks, they still require lifestyle changes, and the current evidence suggests you'd need to stay on them long-term to hold onto the results. Make sure you have the full picture before you start.

This podcast is for informational purposes only. Always consult with your healthcare provider before starting or stopping any medication.