The Oprah Podcast

Dr. Ania Jastreboff

Jan 14, 2025
Dr. Ania Jastreboff, an endocrinologist and GLP-1 medication expert from Yale, dives into the complex biology of obesity and the revolutionary role of medications like Ozempic and Wegovy. She explains why some struggle to lose weight and why obesity is a disease requiring more than willpower. Personal stories highlight transformative journeys with these medications, addressing misconceptions and stigma surrounding weight loss treatments. The conversation advocates for a compassionate approach to obesity management and emphasizes the importance of continuous support and understanding.
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INSIGHT

Obesity: A Biological Issue

  • Obesity is a biological issue, not a choice, driven by hormones communicating with the brain about hunger and fullness.
  • An "obesogenic environment" filled with processed foods, stress, and lack of activity exacerbates this.
INSIGHT

Food and Reward Pathways

  • Oprah's brain craves potato chips during stressful situations, highlighting the brain's reward pathways.
  • Hormones communicate with the brain's reward areas, making certain foods highly rewarding for some.
ANECDOTE

Oprah's Experience with Shame

  • Oprah discusses the public humiliation she endured for 25 years due to her weight.
  • She internalized the shame, believing she deserved it, showcasing the societal stigma surrounding obesity.
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