Guidelines, off-label use, and access

Why does your body start “shape shifting” in midlife, even if you’re doing everything “right”? And what’s really behind all the GLP-1 buzz? Endocrinologist and weight-management specialist Dr. Beverly Tchang explains the science behind midlife metabolism, why BMI alone doesn’t tell the full story, what GLP-1s actually do in the body, and what women should know before considering these treatments.

Links to resources mentioned in this episode:

Dr. Beverly Tchang’s Professional Disclosures

SWAN Study (Study of Women’s Health Across the Nation)

HOMA-IR Calculator (for assessing insulin resistance)

STEP 1 Trial – Semaglutide for weight management

SURMOUNT-1 Trial – Tirzepatide for weight management

Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.

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