

#320: GLP-1 Plateaus Explained: Why It Happens and What to Do w/ Dr. Gabby Gerbino
Jul 7, 2025
Dr. Gabby Gerbino, a primary care physician specializing in GLP-1 medications, joins the discussion on weight loss strategies and challenges. She sheds light on the often-overlooked side effects of medications like Ozempic. The conversation delves into why weight loss plateaus occur and how crucial it is to maintain open communication with healthcare providers. Dr. Gerbino emphasizes that sustainable weight loss is about smart strategies, not just calorie cutting, and encourages a focus on overall health rather than just the numbers on the scale.
AI Snips
Chapters
Transcript
Episode notes
How GLP-1 Meds Work
- GLP-1 medications slow digestion, reduce food noise, and promote fullness to aid weight loss and improve comorbidities.
- They also reduce cardiovascular risks and can help treat conditions like sleep apnea associated with obesity.
Titrate GLP-1 Doses Carefully
- Monitor and adjust GLP-1 medication doses monthly based on tolerance and weight loss progress.
- Avoid rapid weight loss by reducing doses or pausing titration to prevent health risks like gallstones.
Speak Up About Side Effects
- Communicate openly with your doctor about side effects or intolerances to GLP-1 medications immediately.
- If nausea or vomiting is severe, reducing dose or stopping the medication is safer than just adding anti-nausea drugs.