Psychiatry & Psychotherapy Podcast

Managing Weight Gain from Psychiatric Medications with Dr. Michael Cummings

131 snips
Sep 27, 2024
Dr. Michael Cummings, a renowned psychopharmacologist, joins the conversation to unpack the tricky link between psychiatric medications and weight gain. They delve into how antipsychotics can disrupt metabolism and appetite regulation, revealing the science behind this issue. With insights on GLP-1 agonists and effective lifestyle changes, Cummings emphasizes practical strategies for managing medication-induced weight gain. They also discuss the importance of individualized approaches to treatment, making the case for regular monitoring and patient motivation.
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ADVICE

Lifelong Commitment to GLP-1 Agonists

  • Commit to GLP-1 agonists long-term, as stopping them can worsen weight and metabolic issues.
  • Maintain a proper diet and exercise, even if you don't feel hungry, to avoid anorexia.
INSIGHT

GLP-1 Agonists' Impact on Hypothalamus

  • GLP-1 agonists impact the hypothalamus, affecting appetite, gastric emptying, and reward centers.
  • This can decrease drives like drinking, eating, and gambling, but also motivation for exercise.
ADVICE

Changing Deep-Rooted Habits

  • Changing deep-seated habits related to weight is challenging.
  • Gradual habit change, one at a time, might be more sustainable.
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