Linking To And Embedding Metabolic Mind’s “What Doctors Really Think About the ‘Miracle’ Weight Loss Drugs”

Today, I review, link to, and embed Metabolic Mind‘s What Doctors Really Think About the ‘Miracle’ Weight Loss Drugs.

All that follows is from the above resource.

Timestamps:

0:00 – Introductions to Dr. Mark Cucuzzella and Dr. Tro Kalayjian

1:55 – Who should take GLP-1 Medications?

4:58 – Why not give GLP-1’s to everyone with obesity? Who is the right patient for GLP-1s?

20:02 – How does dosage effect GLP-1 treatment?

22:46 – GLP-1 and food addiction.

26:50 – How to get people off GLP-1s?

31:40 – How successful are people in getting off GLP-1s?

38:34 – Conclusion and where to hear more


What Doctors Really Think About the ‘Miracle’ Weight Loss Drugs

Aug 18, 2025
GLP-1 medications like Ozempic, Wegovy, and Mounjaro have become household names, celebrated as breakthrough treatments for weight loss and obesity. But while headlines showcase dramatic before-and-after photos and promises of rapid transformation, when we step beyond the marketing, a more nuanced reality comes to light.
In this candid conversation, Dr. Mark Cucuzzella, a family medicine physician, and Dr. Tro Kalayjian, board-certified in internal and obesity medicine, draw on decades of clinical experience to examine where GLP-1s truly shine, where they fall short, and why the foundation for lasting health can’t come from a prescription alone.
They make the case for integrating GLP-1s into a comprehensive care plan, one that addresses nutrition, movement, sleep, and stress. Without these pillars, patients face higher risks of side effects, reduced long-term benefits, and the all-too-common rebound weight gain.
In this interview, you’ll learn:
  • Which patients benefit most from GLP-1 therapy (and which may not)
  • How “medication stewardship” ensures safe, responsible use
  • Why starting at the lowest effective dose and tapering matters
  • How lifestyle-first programs can match or exceed drug results at a fraction of the cost

Drs. Cucuzzella and Kalayjian remind us that true success lies in restoring metabolic health and building habits that last long after the injection ends. GLP-1 medications can be powerful allies, but they’re not a silver bullet. Without a foundation of nutrition, movement, sleep, and stress management, they risk becoming just another short-term fix.

Expert Featured: Dr. Mark Cucuzzella

Dr. Tro Kalayjian

Resources Mentioned:

TOWARD: a metabolic intervention that improves addiction and binge eating symptoms

CMEs Mentioned:

Managing Major Mental Illness with Dietary Change: The New Science of Hope

Brain Energy: The Metabolic Theory of Mental Illness

Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.

Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/
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