GLP-1s for Perimenopausal Weight Gain: What a Top Bariatric Surgeon Wants You to Know | EP224

REPLAY! Bariatric surgery is the most effective tool for lasting weight loss, and her experience performing thousands of procedures has given Dr. Betsy Dovec a clear understanding of what can help patients succeed.

In this episode of Wellness Junkies, host Amy Sherman sits down with Dr. Dovec, a top female bariatric surgeon and founder of BodyByBariatrics, to break down the decision between bariatric surgery vs GLP-1 medications from the perspective of someone who treats patients with both options every day. Dr. Dovec explains what gastric bypass surgery involves, why some patients go home the same day, and who may be an ideal candidate.

The conversation then turns to GLP-1 weight loss medications. Amy and Dr. Dovec compare Ozempic and Zepbound, the often-overlooked side effects, and explain why weight regain is common after patients stop taking these medications. Dr. Dovec also shares why some post-surgery patients respond well to GLP-1 medications and how the combination may help support their long-term results.

For women in midlife, this episode examines how GLP-1 medications may fit into treatment for weight gain during perimenopause and menopause. Dr. Dovec explains why the habits you once relied on may become less effective as your hormones shift. She also discusses the health risks associated with visceral fat and the potential role of GLP-1 treatment in reducing the internal fat linked to heart attacks, strokes, and fatty liver disease.

If you have tried every diet and still feel stuck, this conversation about bariatric surgery and GLP-1 medications offers a clearer framework for understanding your options.

Episode Breakdown:

00:00 Meet Bariatric Surgeon Dr. Betsy Dovec

01:28 What Gastric Bypass Surgery Actually Involves

04:55 Who Qualifies as a Bariatric Surgery Candidate

06:30 Bariatric Surgery vs GLP-1 for Long-Term Success

09:37 Why GLP-1 Medications Are a Hot Topic

10:57 Semaglutide and Tirzepatide Dosing Explained

13:34 Same Drug Different Label for Diabetes and Weight Loss

15:54 Oral GLP-1 Pills and What Comes Next

17:25 Brand-Name vs. Compounded GLP-1 Medications

21:13 GLP-1 Benefits During Perimenopause and Menopause

23:13 Breaking the Stigma Around GLP-1 Use

27:26 Visceral Fat Differences in Men and Women

30:55 Sugar, Fatty Liver, and Visceral Fat Risks

32:56 How Surgery and GLP-1 Both Reduce Visceral Fat

36:40 Inside the OR Surgery Time and Recovery

38:38 Dr. Dovec's Beauty and Self-Care Routine

48:07 Where to Find Dr. Betsy Dovec

Connect with Dr. Betsy Dovec:

Follow Dr. Dovec on Instagram

Visit the BodyByBariatrics Website

Follow BodyByBariatrics on TikTok

⁠⁠⁠⁠For More on this Episode: Read the full show notes ⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠

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