766: The Weight You Lose Isn't Always the Biggest Transformation: The Part of GLP-1s Nobody Talks About with Dr. Alexandra Sowa
About this episode
Dr. Mariza discusses the emotional and relational impacts of GLP-1 medications for obesity with Dr. Alexandra Sowa.
What if the hardest part of living with obesity was never actually the weight? For so many women, it's the years of dieting, judgment, doctor's appointments, body comments, weight stigma, and quietly believing that if they could finally lose the weight, then they could start living. And when the weight finally does come off? The emotional transformation doesn't necessarily happen at the same speed. In this deeply compassionate conversation, Dr. Mariza sits down with double board-certified internal medicine and obesity medicine physician Dr. Alexandra Sowa to explore the side of GLP-1 medications that almost nobody is talking about: what happens after they start working. Dr. Sowa has spent 15 years treating obesity and was one of the earliest physicians using GLP-1 medications for obesity management. She explains why medication can be an extraordinary tool while still being only one piece of a much bigger healing process. Together, they unpack what happens when your body changes faster than your identity, why compliments about weight loss can unexpectedly trigger grief or shame, and how decades of weight stigma and childhood experiences can continue influencing the way you see…
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