Menopause Weight Gain Explained: Myths, Facts, and How GLP-1 Drugs Fit In | Dr. Angela Fitch - Fempower Health: The Perimenopause and Menopause Channel
Oct 15, 2024
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Dr. Angela Fitch, Chief Medical Officer of knownwell and former president of the Obesity Medicine Association, joins to unravel the mysteries of menopause-related weight gain. She discusses the hormonal shifts that contribute to this issue and debunks common myths. Dr. Fitch highlights the role of GLP-1 medications in managing weight, stressing the importance of viewing obesity as a health condition rather than a personal failure. Tune in for insights on effective treatment options and a supportive approach to women's health during menopause.
Dr. Angela Fitch emphasizes that hormonal changes during menopause severely impact weight management and contribute to midsection weight gain.
GLP-1 medications are shown to provide significant weight loss benefits for women experiencing menopause-related weight gain, showcasing their potential effectiveness.
The podcast highlights the stigma surrounding obesity treatment, stressing the importance of a personalized and compassionate approach to health care access and obesity management.
Deep dives
The Impact of Capitalism on Health
Capitalism's influence on health care prioritizes financial stability over individual well-being, leading many to value retirement plans more than health treatments, particularly in addressing obesity. Approximately 40% of the U.S. population struggles with obesity and needs effective treatment, underscoring the urgent need for accessible medical interventions rather than solely systemic changes to food availability. Experts highlight that addressing the obesity epidemic requires robust treatment options rather than just changing the food system, which would not meet the immediate needs of those already affected. This disparity raises concerns about healthcare access, where individuals may face hurdles in obtaining necessary care amidst a profit-driven system.
Understanding the Role of GLP-1 Medications
GLP-1 medications, such as Semaglutide and Tirzepatide, show promising results in treating obesity, providing an average weight loss of 15% as opposed to previous medications that only offered 5-8%. These drugs work by mimicking a hormone produced by the gut to regulate appetite and insulin, thereby improving metabolic health. However, the conversation surrounding these medications often overlooks the broader context, resulting in misconceptions about their purpose and effectiveness. It's crucial to differentiate between effective medical treatment for obesity and the societal obsession with thinness, fostering a healthier conversation around metabolic health.
Challenges of Weight Management During Perimenopause and Menopause
Hormonal changes during perimenopause and menopause significantly affect weight management, particularly due to declining estrogen levels that influence appetite regulation and fat distribution. Many women experience inevitable weight gain around the midsection during this phase, which poses additional health risks and complicates existing conditions. The subtlety of weight gain can lead to frustration, as individuals feel they are maintaining routines while still noticing changes on the scale. Addressing these hormonal shifts alongside access to effective treatments presents a holistic approach to managing weight during this transitional life stage.
The Stigma Around Obesity and Treatment Options
There exists a stigma surrounding obesity and its treatments that often discourages effective conversations about health at every size. This stigma can lead individuals to avoid necessary treatments, with some feeling pressured to conform to societal beauty standards rather than seeking health-focused interventions. Understanding that obesity impacts individuals differently and recognizing the physiological challenges of weight management are critical for a productive discussion about treatment options. Experts stress the importance of personalizing care and addressing the root causes of obesity without attributing blame to individuals based on their weight.
The Importance of Comprehensive Care and Access
Comprehensive care for obesity encompasses both medical and lifestyle interventions, recognizing the multifaceted nature of the condition. There is a pressing need to enhance access to obesity treatment in the U.S., as many individuals face barriers to obtaining effective care and medications. The push for comprehensive health care acknowledges the complexities of obesity, including genetic, environmental, and lifestyle factors that contribute to the disease. Facilitating a supportive healthcare environment ensures that individuals can make informed decisions regarding their health and connect with the necessary treatment options.
Dr. Angela Fitch joins Fempower Health to debunk myths about menopause weight gain, explore hormonal and metabolic changes, and explain how GLP-1 medications can help. Learn about the causes of unexplained weight gain during perimenopause and how obesity treatments fit into the picture.
Weight Loss Medications and Menopause Episode Summary
In this episode of Fempower Health, Georgie Kovacs and Dr. Angela Fitch, former president of the Obesity Medicine Association, delve into the complex topic of weight gain during perimenopause and menopause. They discuss the hormonal shifts and metabolic changes that drive weight gain in this life stage, while debunking common myths and shedding light on the facts. Dr. Fitch also explains how GLP-1 medications, typically used for treating obesity, may play a role in managing weight during menopause. This episode offers a comprehensive look at the science behind menopause-related weight changes, alongside treatment options that go beyond diet and exercise.
Key Discussion Points:
What causes unexpected weight gain during menopause?
How do hormonal changes in perimenopause impact weight?
What myths about menopause-related weight gain should be debunked?
Can GLP-1 medications help manage weight during menopause?
How does obesity differ from weight gain during menopause?
What role does estrogen play in appetite regulation and body composition?
What are the best ways to manage weight during menopause without societal pressures?
How can women decide if weight loss medications are right for them?
"You may not think you’re doing anything different, but probably you are, but it’s very subtle. The thing is, to gain five pounds a year as a person, it only takes 10 extra calories a day." - Dr. Angela Fitch
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Fempower Health Guest Bio
Angela Fitch, MD, FACP, MFOMA is the current past president of the Obesity Medicine Association. She practiced primary care for 10 years before becoming a diplomate of the American Board of Obesity Medicine in 2012. She is currently the Chief Medical Officer and Co-Founder of knownwell, a comprehensive longitudinal obesity treatment and primary care clinic focused on delivering unbiased non-stigmatizing care for patients with obesity throughout the country. She is a former Assistant Professor of Medicine at Harvard University, the former co-director of the Massachusetts General Hospital Weight Center, a current ex-officio board member of the Obesity Action Coalition, and a founding member of the Massachusetts Coalition for Action on Obesity. Dr. Fitch is board-certified in obesity medicine, internal medicine, and pediatrics.
**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor. Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**
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