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E125. Not All Weight Loss is Good Weight Loss

In this episode, I’m coming from a place of real concern. Recently, I’ve had a few patients who have brought to my attention that weight loss is not always beneficial – and when done without proper support and guidance, can in fact be detrimental. These are patients who have been referred to me by other providers to assume care for their obesity treatment, when they come to me, I often find their health is compromised—they’re lacking in essential nutrients, aren’t taking necessary vitamins, and have likely lost a significant amount of muscle. This isn’t the kind of weight loss we want to see, and today I want to dive into why guidance and balanced nutrition are so critical on this journey.

Key Topics Covered:

  1. Why the Scale Isn’t the Whole Story
  2. Understanding Sarcopenia and Its Risks
  3. Risks of Severe Caloric Restriction
  4. Nutritional Deficits and Health Impacts
  5. Healthy Weight Loss Strategies


Not all weight loss is beneficial, especially when muscle loss and nutrient deficiencies come into play. GLP-1 medications, bariatric surgery, and calorie restriction can be useful tools but must be paired with lifestyle changes that support muscle retention and nutrient adequacy. The ultimate goal is optimal health, not just a shrinking scale.

Thank you for tuning in! If you found today’s episode helpful, please share it with someone who might need to hear this message. Remember, weight loss that preserves muscle and provides adequate nutrition is the key to long-term health.

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