Folgen

  • GLP-1 After Gastric Bypass and What You Need to Know w/ Dr. Marilyn Tan

    GLP-1 After Gastric Bypass and What You Need to Know w/ Dr. Marilyn Tan
    Oct 22 2026
    Send us Fan MailAfter gastric bypass, some people make so much of their own GLP-1 that their blood sugar rockets after a meal and then crashes, and the juice or glucose tabs meant to rescue them can restart the whole cycle. Stanford endocrinologist Dr. Marilyn Tan explains post-bariatric hypoglycemia, a condition many patients live with for years before anyone names it, and whether GLP-1 medications make sense after surgery for weight regain. Then she shares phase 3 results for avexitide, an investigational drug that works in the opposite direction from the GLP-1 medications everyone is talking about.**IN THIS EPISODE**- Hypoglycemia vs. hyperglycemia in plain language, including what "level 3" low blood sugar means- What your body's own GLP-1 does after you eat, and why gastric bypass and sleeve surgery amplify it- Why diabetes can resolve within days of surgery, before the weight comes off- Whether GLP-1 medications are safe to use after bariatric surgery for weight regain- What post-bariatric hypoglycemia (PBH) is, who tends to get it, and why it often shows up six months or more after surgery- The spike-then-crash pattern one to three hours after a carb-heavy meal- Why the usual low blood sugar advice can backfire for PBH, and what helps stabilize instead- The strict PBH diet (about 30 grams of carbs per meal, 15 per snack) and how it can tip into malnutrition- Why PBH is underdiagnosed, and the new ICD-10 diagnosis code- Inside the phase 3 LUCIDITY trial of avexitide, a GLP-1 blocker that is not FDA approved- What GLP-1 agonists do and don't do for people who already have PBH- What's next for avexitide and who else it may help**ABOUT THE GUEST**Dr. Marilyn Tan, MD, FACE, FACP, is double board certified in Endocrinology and Internal Medicine. She is a Clinical Professor of Medicine at Stanford University School of Medicine and Chief of the Endocrine Clinic at Stanford Health Care. Her clinical focus is outpatient and inpatient diabetes management, and her research includes diabetes and post-bariatric hypoglycemia. She is also actively involved in resident and fellow education and mentorship.**CONNECT WITH DR. MARILYN TAN**Stanford Health Care profile: https://stanfordhealthcare.org/doctors/t/marilyn-tan.html**SPONSOR**This episode is brought to you by Timeline. When you buy a one-month supply of Mitopure Gummies, you'll get a free Discovery Size Mitopure Firming Serum, an $85 value. Go to https://www.timeline.com/glp1bundle to claim yours.**CHAPTERS**00:00 Cold open00:22 Ana's intro01:23 Welcome, Dr. Marilyn Tan02:30 Low vs. high blood sugar, explained04:04 What GLP-1 does when you eat04:27 Why gastric bypass supercharges your GLP-1 response07:02 GLP-1, the brain, and appetite after surgery09:39 Can you take a GLP-1 after bariatric surgery?10:49 Who gets post-bariatric hypoglycemia12:05 The spike and the crash, symptoms to know13:27 Sponsor break, Timeline14:22 Why juice and glucose tabs can backfire14:52 Stabilizing lows and the strict PBH diet17:12 How common PBH is, and its new diagnosis code19:05 Inside the phase 3 avexitide trial20:51 How a GLP-1 blocker works22:04 Do GLP-1 medications help or hurt PBH?24:56 From Ana, the Beyond the Shot guide26:04 The results, 55% fewer serious lows26:51 What happens next for avexitide27:39 Side effects and daily injections29:00 Where to learn more29:50 Beyond bariatric surgery, who else this could help31:08 ClosingMORE FROM GLP-1 HUB📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com📷 Follow on Instagram: @glp1hub📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub*Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.
    Mehr anzeigen Weniger anzeigen
    32 Min.
  • How to Eat Out and Travel on a GLP-1 Without Guilt w/ Holly Larson, RD

    How to Eat Out and Travel on a GLP-1 Without Guilt w/ Holly Larson, RD
    Oct 19 2026

    Send us Fan Mail

    Does a dinner out or a big trip ever feel like it could undo your progress on a GLP-1? Registered dietitian Holly Larson joins Ana to explain why a GLP-1 is a tool, not a diet, and how to enjoy restaurants and vacations without feeling terrible the next day. You'll learn how to read a menu, what to do with your medication when you travel, and the one word that tells you diet culture is doing the talking.

    **IN THIS EPISODE**
    - Why a GLP-1 is a tool, not another restrictive diet
    - How to spot the "should" voice and talk back to it
    - Ordering at a special-occasion restaurant: protein, appetizers as mains, and the foods most likely to cause the "icks"
    - Being mindful (not rigid) with bread baskets, alcohol, and fancy coffee drinks
    - Everyday restaurant eating: 25 to 30 grams of protein and plenty of fiber
    - Continuing or pausing your dose for a trip, and why that decision belongs with your prescriber
    - Traveling with your pen: insulin cooler cases, carry-on only, TSA, and international limits
    - Planning your vacation meals around the one you're most excited about
    - Packing for hydration and GI comfort: electrolytes, prunes, and backup medications

    **ABOUT THE GUEST**
    Holly Larson is a registered dietitian with almost two decades of experience. She runs a virtual private practice in Ohio supporting women, especially those using GLP-1 medications, with a food-first, no-shame approach.

    **CONNECT**
    Website: https://hollylarsonnutrition.com
    Instagram: @hollylarsonnutrition

    **SPONSOR**
    Tyde Wellness is the GLP-1 provider Ana uses herself. Visit https://tydewellness.com/GLP1Hub and use code GLP1Hub50 for $50 off your first month.

    **CHAPTERS**
    00:00 Skip a dose for a food trip?
    00:32 Welcome and episode preview
    01:25 Meet Holly Larson
    03:16 A GLP-1 is a tool, not a diet
    05:20 Quieting the "should" voice
    09:07 How to order at a special restaurant
    10:51 Bread baskets and alcohol
    12:05 Sponsor: Tyde Wellness
    13:04 Eating out every day
    14:48 Drinks and the hidden-calorie salad
    16:09 Your medication and travel
    18:07 Carrying your pen, TSA, and international trips
    21:30 How to eat on vacation
    23:22 Ana's Beyond the Shot guide
    24:23 Balancing breakfast, steps, and indulgent dinners
    26:15 Hydration and GI prep for travel
    29:37 Final thoughts and where to find Holly

    MORE FROM GLP-1 HUB

    📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com

    🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.

    🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com
    📷 Follow on Instagram: @glp1hub
    📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub

    *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.

    *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.
    Mehr anzeigen Weniger anzeigen
    32 Min.
  • Improve Body Composition on a GLP-1 With Minimal Strength Training w/ Andrew Menechian

    Improve Body Composition on a GLP-1 With Minimal Strength Training w/ Andrew Menechian
    Oct 15 2026
    Send us Fan MailIf the scale has stalled or you're worried about losing muscle on a GLP-1, that number may not be telling you the whole story. Fitness coach and competitive powerlifter Andrew Menechian explains why body composition matters more than your weight or BMI, how to set a protein target that actually fits your body, and the minimum strength training it takes to hold on to muscle. You'll also hear why he thinks cutting calories lower and lower backfires, and the diet-break approach he uses instead.**IN THIS EPISODE**- What body composition means, and why two people at the same weight can look completely different- Why BMI misses people who are "skinny fat" and labels muscular athletes as obese- Beginner gains: why people new to strength training can build muscle and lose fat at the same time- The two things that protect muscle on a GLP-1: protein and resistance training- How to set a protein target based on lean body mass instead of total body weight- How much strength training it takes to maintain muscle versus build it- Why training first thing in the morning makes the habit easier to keep- Simple options for older adults and people with injuries or physical limitations- Muscle first or fat loss first when you're already at a healthy weight- Metabolic adaptation, reverse dieting, and his diet-break strategy for plateaus**ABOUT THE GUEST**Andrew Menechian is an online health coach and head of fitness at Fit Commit, with about 15 years of coaching experience. He is a former head coach at the Clean Health Fitness Institute and former education manager at Fitness Playground in Australia. A competitive bodybuilder and powerlifter, he won the 2015 IFBB Australasian Men's League title and unofficially broke an Australian under-90 kg deadlift record.**CONNECT WITH ANDREW MENECHIAN**FitCommitWebsite: https://fitcommit.aiInstagram: https://www.instagram.com/fitcommitai/YouTube: https://www.youtube.com/@fitcommitaiAndrew MenechianInstagram: https://www.instagram.com/andrewmenechian/YouTube: https://www.youtube.com/@andrewmenechianX: https://x.com/andrewmenechianLinkedIn: https://www.linkedin.com/in/andrewmenechian/**SPONSOR**This episode is brought to you by Timeline. When you buy a one-month supply of Mitopure Gummies, you'll get a free Discovery Size Mitopure Firming Serum, an $85 value. Go to https://www.timeline.com/glp1bundle to claim yours.**CHAPTERS**00:00 Preview: why the scale isn't the whole story00:25 What's in this episode01:21 Welcome, Andrew Menechian02:19 From shy kid to bodybuilder and record deadlifter04:51 Why a goal weight can set you up for disappointment05:45 What body composition really means08:06 Why BMI falls short08:52 Can you build muscle and lose fat at the same time?11:41 Sponsor: Timeline12:35 How to avoid losing muscle on a GLP-113:12 How much protein you really need16:53 How much strength training it takes to keep muscle18:36 Why morning workouts make the habit stick21:09 Strength training with injuries or physical limitations23:35 The Plateau Breakthrough Playbook24:57 Fat loss first or muscle first?26:56 Metabolic adaptation and reverse dieting27:24 His diet-break strategy for plateaus30:33 Where to find AndrewMORE FROM GLP-1 HUB📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com📷 Follow on Instagram: @glp1hub📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub*Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.
    Mehr anzeigen Weniger anzeigen
    32 Min.
  • What Your GLP-1 Is Doing for Your Heart Beyond Weight Loss w/ Dr. Sirisha Vadali

    What Your GLP-1 Is Doing for Your Heart Beyond Weight Loss w/ Dr. Sirisha Vadali
    Oct 12 2026
    Send us Fan MailMost people think of a GLP-1 as a weight loss medication, but for your heart, the story starts before the scale moves much at all. Board-certified cardiologist and lipidologist Dr. Sirisha Vadali explains what the research shows about GLP-1s and cardiovascular risk, the simple routine she starts her patients on, and what she monitors along the way. You'll also hear why she doesn't recommend a GLP-1 for family history alone, and about one genetic cholesterol marker that diet and exercise can't change, a lab she says everyone should have checked once in their lifetime.**IN THIS EPISODE**- How GLP-1s went from diabetes drugs to heart protection, with or without diabetes- Why some heart benefit appears before major weight loss, and why no one knows exactly how yet- Who GLP-1s are currently indicated for in cardiovascular risk reduction, and why semaglutide (Wegovy) is the one with outcomes data so far- Why muscle mass, protein, and strength training belong in every GLP-1 plan- Dr. Vadali's simple phase one: 100 grams of protein (30 to 40 grams in the morning), 25 grams of fiber, water, and strength training twice a week at home- Watching blood pressure, heart rate, hydration, and kidney function on a GLP-1- Fatigue and low motivation after the shot: what to rule out first- Whether family history alone is a reason to start a GLP-1- The heart labs she checks, including Lp(a), ApoB, hs-CRP, and a coronary calcium score- What Lp(a) is, why it's a one-time lifetime screening, and the treatments expected in the next few years- A word of caution on buying unapproved triple agonists online- Simple longevity habits: sleep, stress, walking after meals, and the 80/20 approach- Why hunger coming back isn't a reason to panic**ABOUT THE GUEST**Dr. Sirisha Vadali, MD, is a board-certified cardiologist and advanced lipidologist specializing in prevention, cardiometabolic medicine, and women's heart health. She is program director for HonorHealth's Cardiometabolic Program in Scottsdale, Arizona, and a member of the HonorHealth Women's Heart Health team. Dr. Vadali focuses on prevention-forward care, using advanced lipid testing, coronary calcium scoring, and lifestyle medicine to help patients lower cardiovascular risk and build sustainable, healthy habits.**CONNECT WITH DR. SIRISHA VADALI**Website: https://www.sirishavadali.comInstagram: https://www.instagram.com/vadalimd/HonorHealth Cardiometabolic Program: https://www.honorhealth.com/physicians/sirisha-vadali**SPONSORS**This episode is brought to you by Timeline. When you buy a one-month supply of Mitopure Gummies, you'll get a free Discovery Size Mitopure Firming Serum, an $85 value. Go to https://www.timeline.com/glp1bundle to claim yours.This episode is also brought to you by Tyde Wellness, the GLP-1 provider Ana uses, with nutrition guidance built for GLP-1s, independent licensed providers, and a care team that answers when something comes up. Go to https://tydewellness.com/GLP1Hub and use code GLP1Hub50 for $50 off your first month.**CHAPTERS**00:00 Preview: why wait for a heart attack?00:12 What's in this episode01:07 Welcome, Dr. Sirisha Vadali02:11 How GLP-1s went from diabetes drugs to heart protection03:35 How GLP-1s protect the heart, even before weight loss05:35 Semaglutide vs. tirzepatide: which she uses and why06:17 What lower obesity rates could mean for heart health08:44 Lower BMI and high risk: lifestyle first, then a low dose10:26 Her simple phase one routine and at-home strength training13:23 Kidneys, hydration, and how often to check blood pressure14:33 Fatigue and low motivation after the shot15:59 Sponsor: Timeline16:53 Is family history a reason to start a GLP-1?18:31 The heart lab panel she recommends20:10 New Lp(a) treatments on the way21:08 What Lp(a) is and why it matters23:25 A caution on unapproved triple agonists26:41 Sponsor: Tyde Wellness27:42 Longevity basics: sleep, stress, walks, and 80/2030:29 Quick fixes, food noise, and when hunger comes back32:09 Where to find Dr. VadaliMORE FROM GLP-1 HUB📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com📷 Follow on Instagram: @glp1hub📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub*Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana ...
    Mehr anzeigen Weniger anzeigen
    33 Min.
  • Oral GLP-1 Pill for Weight Maintenance: A Dietitian's Real Results w/ Whitney Black, MS RD

    Oral GLP-1 Pill for Weight Maintenance: A Dietitian's Real Results w/ Whitney Black, MS RD
    Oct 8 2026
    Send us Fan MailA daily GLP-1 pill sounds like an easy way to maintain your weight loss, but what happens when it doesn't work like the shot did? Registered dietitian Whitney Black, who lives with type 1 diabetes, shares what happened when she switched from Zepbound to Foundayo (orforglipron) for maintenance, and why she went back after two months. You'll hear how her fullness cues, blood sugar, and insulin needs changed, and what she tells clients about weight regain. The surprise wasn't the food noise. It was a different signal that quietly went missing. This is one person's experience, not a verdict on how the pill will work for everyone.IN THIS EPISODE- Whitney's path to Zepbound with type 1 diabetes, Hashimoto's, and PCOS- Why hunger and fullness dysregulation is biology, not a personal failing- Where GLP-1s stand for type 1 diabetes, and why insulin changes need your care team- What Foundayo is (an oral GLP-1 from Eli Lilly, not tirzepatide) and how its dosing differs- How her fullness cues and blood sugar changed on Foundayo, and the roughly 15 pounds she regained in two months- Cost versus effectiveness when choosing a maintenance option- Switching back to Zepbound and slowly titrating up again- Practical and mental strategies when weight comes back after a break in medicationABOUT THE GUESTWhitney Black, MBA, MS, RD, LD, LMNT, is a registered dietitian specializing in weight management and practical nutrition for individuals using GLP-1 medications. Through her private practice and online education, she helps people navigate nutrition, weight management, and metabolic health with an evidence-based, realistic approach. Whitney also brings her own lived experience with weight management and GLP-1 medications to her work, allowing her to connect clinical expertise with the real-life experience of navigating these treatments. She is also the author of an upcoming GLP-1-focused cookbook with Fair Winds Press.CONNECT WITH WHITNEY BLACKInstagram: https://www.instagram.com/whitney.the.dietitian/Work with Whitney (Nourish): https://signup.nourish.com/providers/whitney-blackSPONSORSThis episode is brought to you by Timeline. When you buy a one-month supply of Mitopure Gummies, you'll get a free Discovery Size Mitopure Firming Serum, an $85 value. Go to https://www.timeline.com/glp1bundle to claim yours.This episode is also brought to you by Tyde Wellness, the GLP-1 provider Ana uses, with nutrition guidance built for GLP-1s, independent licensed providers, and a care team that answers when something comes up. Go to https://tydewellness.com/GLP1Hub and use code GLP1Hub50 for $50 off your first month.CHAPTERS00:00 Preview: why the pill appealed to her00:21 Introduction01:04 Welcome, Whitney Black02:17 Life before GLP-1s with type 1 diabetes, Hashimoto's, and PCOS04:54 Starting Zepbound as a dietitian06:53 Fullness cues: it's biology, not willpower08:38 GLP-1s and type 1 diabetes today12:29 Maintenance, dosing, and why she tried Foundayo12:57 What Foundayo is (and isn't)14:29 Sponsor: Timeline15:23 Foundayo dosing and the first weeks16:44 Losing the fullness signal18:53 Rising blood sugar and insulin resistance19:26 Cost versus effectiveness21:40 Back on Zepbound24:00 Advice when weight comes back after a break26:14 Sponsor: Tyde Wellness27:14 Why it's not just an appetite suppressant30:08 Where to find Whitney31:26 ClosingMORE FROM GLP-1 HUB📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com📷 Follow on Instagram: @glp1hub📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub*Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.
    Mehr anzeigen Weniger anzeigen
    32 Min.
  • GLP-1s and Vision Loss - How Worried Should You Be? w/ Dr. Luke Sorrell

    GLP-1s and Vision Loss - How Worried Should You Be? w/ Dr. Luke Sorrell
    Oct 5 2026

    Send us Fan Mail

    If you're taking a GLP-1, headlines about sudden vision loss can leave you wondering whether the medication helping you lose weight is putting your eyesight at risk. Ana Reisdorf talks with Dr. Luke Sorrell about NAION, a rare optic nerve condition, and the semaglutide research behind those headlines. You'll learn how to put "double the risk" into perspective, what questions to bring to your doctor, and why your health history matters to the conversation.

    **IN THIS EPISODE**

    - What NAION is and how it can affect vision
    - What semaglutide studies suggest, and the limits of observational research
    - Why relative risk and absolute risk tell different parts of the story
    - How diabetes, sleep apnea, cardiovascular health, and optic nerve anatomy fit into the discussion
    - Blood pressure changes, dehydration, and rapid blood sugar changes as possible contributing factors
    - Questions to ask your prescriber and eye care professional about your individual risk
    - What remains uncertain about tirzepatide and other GLP-1 medications
    - Weighing potential eye risks alongside the benefits of GLP-1 treatment

    **ABOUT THE GUEST**

    Dr. Luke Sorrell is a board-certified internal medicine physician, Fellow of the American College of Physicians, and founder of Sorrell MD, a concierge longevity and precision telemedicine practice based in Dallas-Fort Worth, Texas, serving patients across the U.S. He trained at UT Houston McGovern Medical School and completed his residency at Baylor University Medical Center in Dallas. His career has spanned hospital medicine, primary care, and longevity medicine. Today, he works with high-performing and health-conscious individuals across the country, using tools like cardiac CT angiography, VO2 max and metabolic testing, DEXA, genomics, and advanced hormone and lipid panels to identify health risks earlier. He also advises health tech companies building the next generation of care.

    **CONNECT WITH DR. LUKE SORRELL**

    Website: https://www.sorrell-md.com
    LinkedIn: https://www.linkedin.com/in/luke-sorrell-md/
    Instagram: https://www.instagram.com/sorrellmd/
    Facebook: https://www.facebook.com/SorrellMD
    Substack: https://substack.com/@sorrellmd

    **SPONSOR**

    Tyde Wellness offers GLP-1 care with licensed providers, nutrition guidance, and ongoing support. Use code GLP1Hub50 for $50 off your first month.
    https://tydewellness.com/GLP1Hub

    **CHAPTERS**

    00:00 GLP-1s and NAION: The "double risk" headline
    01:42 Meet Dr. Luke Sorrell
    02:52 What is NAION?
    05:10 How rare is NAION?
    06:13 Diabetes, sleep apnea, and other risk factors
    07:50 What the studies show and their limitations
    10:49 Relative risk versus absolute risk
    11:58 Sponsor: Tyde Wellness
    13:22 Semaglutide, tirzepatide, and unanswered questions
    14:22 Possible mechanisms: Blood pressure, oxygen, and hydration
    19:05 Eye exams, optic nerve anatomy, and rapid A1C changes
    22:15 Questions to bring to your doctor
    24:54 Ana's Plateau Breakthrough Playbook
    26:15 Staying grounded when health headlines spread
    27:20 Retatrutide and the future of GLP-1 treatment
    29:31 Connect with Dr. Sorrell
    30:01 Weighing eye concerns against cardiovascular benefits
    31:25 Closing thoughts and podcast reviews

    MORE FROM GLP-1 HUB

    📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com

    🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.

    🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com
    📷 Follow on Instagram: @glp1hub
    📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub

    *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.

    *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.
    Mehr anzeigen Weniger anzeigen
    32 Min.
  • Can GLP-1s Lower Your Breast Cancer Risk? w/ Dr. Anne Peled

    Can GLP-1s Lower Your Breast Cancer Risk? w/ Dr. Anne Peled
    Oct 1 2026

    Send us Fan Mail

    If breast cancer runs in your family, you may be wondering whether you're getting the right screening and what else you can do to lower your risk. Ana Reisdorf talks with Dr. Anne Peled about how GLP-1s may shift the balance, what everyday habits you should build, and why weight can become harder to manage during and after treatment. You'll learn which questions to bring to your care team, how to protect your nutrition, and what emerging GLP-1 research still hasn't answered.

    **IN THIS EPISODE**

    - How family history and breast density can shape your screening conversation
    - Exercise, alcohol, and food choices in the discussion about lowering breast cancer risk
    - Why weight, inflammation, and cancer risk are more complicated than a single cause
    - What early GLP-1 research suggests, and why prevention questions remain unanswered
    - Why hormone-blocking medications and other cancer treatments can affect weight
    - Protecting protein and nutrient intake while coordinating weight management with cancer care
    - Personalized treatment, emerging research, and advocating for yourself

    **ABOUT THE GUEST**

    Dr. Anne Peled is a breast cancer and reconstructive surgeon in San Francisco and a two-time breast cancer survivor. She earned her medical degree at Harvard Medical School and completed plastic and reconstructive surgery training and a breast surgical oncology fellowship at UCSF. She is co-director of the Breast Care Center of Excellence at Sutter Health California Pacific Medical Center. Her work focuses on improving breast surgery and reconstruction outcomes, and she brings both a surgeon's and a patient's perspective to care.

    **CONNECT WITH DR. ANNE PELED**

    Website: https://www.annepeledmd.com
    Instagram: https://www.instagram.com/drannepeled/

    **SPONSOR**

    Tyde Wellness offers GLP-1 care with licensed providers, nutrition guidance, and ongoing support. Use code GLP1Hub50 for $50 off your first month.
    https://tydewellness.com/GLP1Hub

    **CHAPTERS**

    00:00 Body fat, estrogen, and breast cancer risk
    00:24 Ana's personal connection and the questions this episode explores
    01:33 Meet Dr. Anne Peled
    03:29 Early detection, family history, and breast density
    05:59 Mammograms and questions about additional scans
    07:33 Exercise, alcohol, and nutrition
    10:05 Weight, inflammation, and emerging GLP-1 research
    11:18 GLP-1s for prevention: What we still don't know
    13:39 Sponsor: Tyde Wellness
    15:05 GLP-1 cancer concerns and unanswered questions
    16:30 Why breast cancer treatment can affect weight
    18:58 Discussing GLP-1 treatment with your care team
    20:12 Protecting nutrition during cancer treatment
    22:53 Survivorship and personalized treatment
    25:12 Emerging microbiome research
    26:44 Beyond the Shot guide
    27:46 Genetics and the future of personalized screening
    31:03 Self-advocacy, second opinions, and everyday movement
    32:46 Connect with Dr. Peled

    MORE FROM GLP-1 HUB

    📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com

    🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.

    🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com
    📷 Follow on Instagram: @glp1hub
    📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub

    *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.

    *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.
    Mehr anzeigen Weniger anzeigen
    34 Min.
  • Can GLP-1s Help Manage Heart Health? w/ Dr. Melanie Icard

    Can GLP-1s Help Manage Heart Health? w/ Dr. Melanie Icard
    Sep 28 2026

    Send us Fan Mail

    How are GLP-1 type medications and weight control changing the landscape of heart health? If you're using a GLP-1 for weight or blood sugar, which habits and risk factors still deserve attention? Ana Reisdorf talks with Dr. Melanie Icard about stress, sleep, muscle, food choices, and questions to bring to your healthcare team when heart disease runs in the family.

    Dr. Icard shares how her experience with prediabetes shaped her practice and why she asks patients, "What are you doing to relax?" Ana brings the GLP-1 user's perspective: how to eat well with a smaller appetite and make strength work realistic when life is already full. They also discuss what Ana's family history has prompted her to ask about lab markers and heart imaging.

    **IN THIS EPISODE**

    - Why stress and sleep belong in a conversation about heart and metabolic health
    - What it can look like to make room for real rest during a busy week
    - How strength work and everyday movement fit into GLP-1 weight loss
    - Choosing nourishing meals when your appetite is smaller
    - Questions to ask your clinician about family history, lab markers, and heart imaging
    - Building habits you can keep up as your health goals change

    **ABOUT THE GUEST**

    Dr. Melanie Icard, NMD, is a naturopathic and regenerative medicine physician with 24 years of clinical experience, including 11 years in hospital medicine. She leads Dr. Mel Holistic, a cardiovascular and metabolic medicine practice in Scottsdale and Sedona, Arizona, with a national virtual practice. Her Biohacked Heart Blueprint™ examines how chronic stress and HPA axis dysregulation (changes in the body's stress response) may relate to cardiovascular and metabolic health. She teaches the framework to medical professionals nationally.

    **CONNECT WITH DR. MELANIE ICARD**

    Website: https://www.drmelanieicard.com/
    Instagram: https://www.instagram.com/drmelholistic/
    YouTube: https://www.youtube.com/@Itsdrmel

    **SPONSORS**

    Tyde Wellness offers GLP-1 care with licensed providers, nutrition guidance, and ongoing support. Use code GLP1Hub50 for $50 off your first month.
    https://tydewellness.com/GLP1Hub

    **CHAPTERS**

    00:00 What are you doing to relax?
    00:18 Ana's family history and heart health beyond the scale
    01:11 Meet Dr. Melanie Icard
    06:23 Family history, calcium scoring, and prevention
    07:09 Stress and sleep in the heart health conversation
    08:44 Heart imaging and risk questions
    12:58 Finding time to truly relax
    15:42 Sponsor: Tyde Wellness
    17:19 Stress, blood sugar, and GLP-1 goals
    20:41 Meal habits and nutrient dense choices
    23:54 Lab markers, imaging, and family risk
    26:53 GLP-1s and preserving muscle
    28:09 Making relaxation realistic
    29:23 Beyond the Shot guide
    30:24 Workload, boundaries, and healthy habits
    32:10 Who Dr. Icard works with
    33:42 Connect with Dr. Icard

    MORE FROM GLP-1 HUB

    📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com

    🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.

    🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com
    📷 Follow on Instagram: @glp1hub
    📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub

    *Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.

    *The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.
    Mehr anzeigen Weniger anzeigen
    36 Min.