All Articles

GLP-1 Weight 18 min

Tirzepatide vs Semaglutide: An Honest Breakdown

Zepbound vs Wegovy — what the head-to-head trial data actually shows, who each medication is better for, side effect differences, birth control interactions, and what most patients don't know. Written by a PA-C in obesity medicine.

Read → PA-C reviewed
GLP-1 For Providers 12 min

ICD-10 Coding for Obesity and GLP-1 Medications: A Provider Quick-Reference

A complete ICD-10 quick-reference for obesity medicine providers — E66 and Z68 codes, comorbidity codes for GLP-1 prescribing, FY2025 updates, common errors, and how coding affects prior authorization outcomes.

Read → PA-C reviewed
GLP-1 Menopause Weight 20 min

GLP-1 Medications and Perimenopause: Weight, Hormones, and What Changes After 40

Why perimenopause makes weight loss so much harder — and how GLP-1 medications interact with your changing hormones, metabolism, muscle, and gut health. Evidence-based guidance from a PA-C in obesity medicine.

Read → PA-C reviewed
GLP-1 18 min

Muscle Loss on GLP-1 Medications: What's Real, What's Preventable

GLP-1 medications like semaglutide and tirzepatide can cause some muscle loss — but most of it is preventable. A PA-C in obesity medicine explains the data, your protein targets, and how to train smarter.

Read → PA-C reviewed
GLP-1 For Providers 14 min

Prior Authorization for GLP-1 Obesity Medications: A Provider's Guide

A step-by-step prior authorization guide for Wegovy and Zepbound — ICD-10 codes, documentation requirements, denial reasons, appeal strategies, and a letter of medical necessity template.

Read → PA-C reviewed
Menopause 12 min

Perimenopause & Menopause: What's Actually Happening in Your Body

The transition to menopause can span a decade — and it comes with real, measurable, and often undertreated changes. Here's what the science actually says.

Read → PA-C reviewed
GLP-1 Food Psychology 9 min

Alcohol and GLP-1 Medications: What You Need to Know

Can you drink alcohol on Ozempic, Wegovy, or Zepbound? A PA-C in obesity medicine explains why your tolerance may have changed, what the research says about GLP-1s and alcohol cravings, liver considerations, and practical guidance for staying safe.

Read → PA-C reviewed
GLP-1 For Providers 14 min

Compounded Semaglutide and Tirzepatide in 2026: What Providers Need to Know

A clinical reference for providers navigating compounded GLP-1 medications — FDA enforcement timeline through March 2026, safety concerns, patient transition guidance, documentation and liability considerations, and what comes next.

Read → PA-C reviewed
GLP-1 Postpartum Weight 12 min

Postpartum Weight and GLP-1s: What's Safe, What Isn't, and What to Ask

Thinking about starting a GLP-1 medication after having a baby? A PA-C in obesity medicine explains what's safe during breastfeeding, when the timing is right, what your body is doing hormonally, and how to have this conversation with your provider.

Read → PA-C reviewed
GLP-1 For Providers 15 min

Managing GLP-1 Side Effects in Clinical Practice: What Actually Works

A clinical reference for providers managing GLP-1 side effects — nausea, constipation, vomiting, GERD, fatigue, hair loss, mood changes, and serious adverse events. Includes dose escalation frameworks, patient communication language, and documentation guidance.

Read → PA-C reviewed
GLP-1 10 min

Stopping GLP-1 Medications: What Happens to Your Weight and How to Prepare

What actually happens when you stop Ozempic, Wegovy, or Zepbound — the weight regain data, what health gains reverse, how to prepare, and how to have an honest conversation with your provider about stopping.

Read → PA-C reviewed
GLP-1 Weight 10 min

GLP-1 Plateaus: Why Weight Loss Slows and What to Do Next

Your weight has stopped moving on semaglutide or tirzepatide. A PA-C in obesity medicine explains why plateaus happen biologically, how to tell a true plateau from a slow period, and what actually helps.

Read → PA-C reviewed
GLP-1 Nutrition 12 min

GLP-1 and Constipation: Why It Happens and What Actually Helps

Constipation on semaglutide or tirzepatide affects up to 1 in 4 patients. A PA-C in obesity medicine explains why it happens, the fiber-nausea trade-off, and a step-by-step management plan.

Read → PA-C reviewed
GLP-1 For Providers 12 min

Counseling Patients on GLP-1 Expectations: A Framework for the First Visit

A PA-C in obesity medicine shares the framework she uses at every first GLP-1 visit — covering expectation-setting, patient readiness, labwork, insurance basics, mental health screening, and what happens if the medication is stopped.

Read → PA-C reviewed
GLP-1 10 min

GLP-1 Hair Loss: Is It Real, Who Gets It, and What You Can Do About It

Experiencing hair loss on semaglutide or tirzepatide? A PA-C in obesity medicine explains the real cause, who's most at risk, and what actually helps — including minoxidil, supplements, and a dose-reduction option most patients never hear about.

Read → PA-C reviewed
GLP-1 Nutrition 10 min

How Much Protein Do You Really Need on a GLP-1?

The standard protein recommendation isn't enough on semaglutide or tirzepatide. A PA-C in obesity medicine breaks down exactly how much you need, why, and how to hit your target when you're barely hungry.

Read → PA-C reviewed
GLP-1 Nutrition 15 min

What to Eat on Semaglutide: A Practical Guide to Managing Nausea and Staying Nourished

Nausea on GLP-1 medications is common — but for most people it's temporary and manageable. Here's what the evidence says about what to eat, when to eat it, and when to call your provider.

Read → PA-C reviewed
Postpartum Nutrition 15 min

Nutrition While Breastfeeding: What Actually Matters

Evidence-based nutrition guidance for breastfeeding and pumping parents — what to eat, what to watch, and what actually affects your milk.

Read → PA-C reviewed
Food Psychology 7 min

Why Diets Fail: The Psychology Behind the Restrict-Binge Cycle

Understanding the psychological patterns that make restrictive dieting counterproductive for most people.

Read → PA-C reviewed
Exercise 8 min

Getting Started with Strength Training

A beginner-friendly framework for building strength — no gym membership required.

Read → PA-C reviewed
GLP-1 Nutrition 9 min

What to Eat on GLP-1 Medications

Practical nutrition guidance for patients taking semaglutide, tirzepatide, or other GLP-1 receptor agonists.

Read → PA-C reviewed
Weight 10 min

Metabolism Explained: What's Actually Happening

What metabolism really is, what affects it, and what the science says about speeding it up.

Read → PA-C reviewed
Menopause 7 min

Are You Doomed to Gain Weight After 40?

The real answer about menopause and weight gain — and it's more hopeful than what most people hear.

Read → PA-C reviewed
Nutrition Weight 8 min

How Much Protein Do You Actually Need?

The evidence on daily protein targets for weight management — and why the number matters more than most people realize.

Read → PA-C reviewed
GLP-1 8 min

GLP-1 and Constipation: Why It Happens and What Actually Helps

 

Coming soon
Food Psychology 9 min

Why Diets Make You Hungrier: The Physiology of Restriction

 

Coming soon
Menopause 10 min

GLP-1 Medications and Perimenopause: What the Research Shows

 

Coming soon