00:01:11Welcome to Tattoos and Telehealth
00:01:49GLP-1 Medication Plateaus Explained
00:03:04Breaking Through Weight Loss Plateaus
00:05:31Setting Realistic Body Goals
00:07:46Episode Closing with Theo
ACERCA DE ESTE EPISODIO
Struggling with a weight loss plateau despite being on maximum-dose GLP-1 medication? You're not alone. In this candid conversation, board-certified nurse practitioners Kelli White and Nicole Baldwin tackle one of the most common frustrations patients face on their weight management journey.
Many patients mistakenly believe that climbing to higher medication doses is the key to continued success. Nicole emphatically debunks this myth, explaining why "more is not better" and the importance of staying at the lowest effective dose. But what happens when you've reached the maximum dosage and the scale stops moving?
Nicole shares several powerful strategies to break through plateaus without increasing medication. The synergistic effect of cardiovascular exercise combined with GLP-1 therapy ("one plus one equals three") tops the list, alongside the crucial importance of weight training for maintaining bone health. Dietary adjustments, including increasing protein while decreasing carbohydrates, can reignite progress when weight loss stalls.
For those truly stuck, Nicole offers several medication strategies: temporarily reducing dosage, taking a complete break from medication, or switching between different GLP-1s. Each approach can help reset your body's response and restart your progress. Kelli adds an essential psychological perspective, reminding listeners that "sometimes my goal weight is not my body's goal weight." This powerful insight helps reframe plateaus as potentially healthy responses rather than failures.
The conversation concludes with a refreshing discussion about body acceptance through different life stages. What looked healthy on you twenty years ago may not be appropriate now, and clothing sizes don't define health or worth. This nuanced approach to weight management acknowledges both medical realities and psychological well-being.
Have questions about breaking through your own plateau? Reach out to us through our website at hamiltontelehealth.com or connect with us on social media. Your weight loss journey doesn't have to end at a plateau!
This podcast is for informational, educational, and entertainment purposes only and does not constitute medical, legal, or other professional advice.
Listening to this podcast does not establish an APRN-patient or provider-patient relationship. Content on this show is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your personal, in-person healthcare provider—who knows you and your medical history best—with any ques
Thanks for tuning in to today’s episode!
Ready to take the next step in your health journey? Visit HamiltonTelehealth.com — your healthcare oasis.
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Inglés
Estados Unidos
MOSTRAR NOTAS 🔗
TRANSCRIPCIÓN 🔗
WEBVTT
00:00:58.455 --> 00:01:01.321
Hey guys, welcome back to another episode of tattoos and telehealth.
00:01:01.321 --> 00:01:17.897
I'm Kelli White, my board certified family nurse practitioner, and this is my good friend and colleague, nicole Baldwin, who is also a board certified nurse practitioner, and she is going to chat with you guys about her specialty, which is weight loss and overall wellness in that area and nutrition and kind of what that looks like.
00:01:17.897 --> 00:01:35.340
We have had a lot of patients actually that have had some pretty good questions when it comes to medications and how to treat their weight loss journey, and so, nicole, can you like touch base on what that's looking like right now for patients and what they do when they reach a peak, essentially, in their treatment?
00:01:36.763 --> 00:01:46.300
So patients have reached out now that GLPs have been out for a while and they are at some of them not all of them, but some of them are at the max dose and they're kind of like a plateau.
00:01:46.300 --> 00:01:47.251
Where do we go from here?
00:01:47.251 --> 00:01:48.655
And that's you know.
00:01:48.655 --> 00:02:06.777
That's a really good question and I want to just back up when you're prescribed these medications for those of you who are just starting the medication or who are restarting the medication or have never taken these medications, when or if you get on GLP-1s the goal is weight loss and appetite suppression.
00:02:06.837 --> 00:02:08.262
The goal is not to climb the dose.
00:02:08.262 --> 00:02:10.114
More is not better with this.
00:02:10.114 --> 00:02:13.361
Number one for side effects Number one, that's a big one.
00:02:13.361 --> 00:02:19.979
And number two when you get to the top, there's nowhere to go, and so it is important that you stay at the lowest effective dose.
00:02:19.979 --> 00:02:23.520
And so, even though we preach this to our patients, stay at the lowest effective dose.
00:02:23.520 --> 00:02:24.834
Stay at the lowest effective dose.
00:02:24.834 --> 00:02:25.757
Save your money, save.
00:02:25.757 --> 00:02:30.633
They still think more is better and more is not better if you need to go up Absolutely.
00:02:30.633 --> 00:02:40.442
But now we have patients that are at the top and they're like I'm at a plateau, I don't know what to do, and so you know there certainly is different things.
00:02:40.442 --> 00:02:42.899
Number one you can increase your cardiovascular activity.
00:02:42.899 --> 00:02:44.758
That is super, super important.
00:02:44.758 --> 00:02:51.361
When you're on GLP-1 therapy and you and you increase your cardiovascular activity, your movement, that's like one plus one is three.
00:02:51.361 --> 00:02:53.418
I mean it is super, super helpful.
00:02:53.418 --> 00:02:55.054
And weight training too, right?
00:02:55.556 --> 00:02:55.796
Yes.
00:02:56.290 --> 00:02:59.498
Yes, weight training especially for, especially for women and men.
00:02:59.498 --> 00:03:14.355
As we age, women's bones just get fragile and so even low, low weight training is super helpful to keep our skeleton strong, because keeping our muscles strong to support our skeleton as our bones naturally become fragile is super, super important.
00:03:14.355 --> 00:03:20.901
So increasing your protein intake, decreasing your the amount of carbohydrates you're taking in, is super helpful.
00:03:20.921 --> 00:03:32.002
The other thing is you can always go off of it for a little while and then start back up at whatever dose your provider deems appropriate, which will probably not be the 15 milligrams or 2.5 or whatever it is.
00:03:32.002 --> 00:03:35.873
So it's a good idea to give, if you're not diabetic, to give the body a break.
00:03:35.873 --> 00:03:39.721
You can go down a dose right For a little while and just see how you do.
00:03:39.721 --> 00:03:48.024
But you know patients can go off this, off this cold Turkey and just try to maintain the healthy lifestyle that you've learned the decrease in amount portions.
00:03:48.024 --> 00:03:54.020
You know you, your stomach has shrunk, your energy has likely increased, so stay active just like you are.
00:03:54.020 --> 00:03:56.371
Then if you need it, you can always go back to it.
00:03:56.371 --> 00:04:00.801
But once you climb that dose, there's not, there's not anywhere else to go, so it's important.
00:04:01.002 --> 00:04:03.007
You can switch in between GLP ones as well.
00:04:03.007 --> 00:04:11.576
That might be a helpful option to you as well, Switching from one GLP to the other, because they do have a little bit of difference and then, although they're still in the same class.
00:04:11.576 --> 00:04:15.411
And so the first thing is increasing your activity.
00:04:15.411 --> 00:04:17.355
It's increasing your activity.
00:04:17.355 --> 00:04:19.418
The other thing is possibly going down a dose.
00:04:19.418 --> 00:04:23.204
The other thing is possibly going, going off of it for a little while before restarting it.
00:04:23.204 --> 00:04:30.855
So you know, just be diligent with with what you're eating, be diligent with trying to stay on track, and, um, You'll be.
00:04:30.855 --> 00:04:34.737
I mean, you'll be back to losing weight in no time, especially as we get to our goal weight.
00:04:34.737 --> 00:04:39.120
Our body really wants to keep a hold on those pounds, Really.
00:04:39.120 --> 00:04:43.884
So most everybody who gets near their goal weight is going to reach a plateau.
00:04:43.884 --> 00:04:59.778
So, even though you didn't lose any weight, or maybe a minimum weight for a month or two, and you're still doing okay with your appetite, stay the course, increase your hydration, increase your protein, increase your cardiovascular activity and chances are it'll pick right back up.
00:04:59.798 --> 00:05:00.562
I think it's important.
00:05:00.562 --> 00:05:09.179
When you mentioned goal weight, I think it's important also to remind folks because this was a hard one for me to digest sometimes that sometimes my goal weight is not my body's goal weight.
00:05:09.179 --> 00:05:10.864
Your body knows what's healthy for you.
00:05:10.864 --> 00:05:18.514
Your body knows what's right for you and you may want to see yourself a little thinner than your body realizes is healthy for you and it may not want to get there.
00:05:18.514 --> 00:05:20.839
Like Nicole said, it wants to hold onto that because it knows.
00:05:20.839 --> 00:05:24.415
No, this is where I feel the best and I want to stay here.
00:05:24.415 --> 00:05:28.846
So sometimes setting a realistic goal is really important in these settings.
00:05:29.536 --> 00:05:59.050
It is certainly because if I was even though the BMI was normal, if I was ever to get to and I don't want to, but if I was ever to get to the weight that I was 20 years ago, which was the low end of normal, I would look sick, just because as we age and have children, our body shape changes and so what you were 10, 25 years ago may not be what is going to be healthy for you now.
00:05:59.050 --> 00:06:03.923
So it really is a case by case basis and it also is just how do you look and how do you feel?
00:06:03.923 --> 00:06:07.865
You know, the number on the scale doesn't necessarily define you.
00:06:07.865 --> 00:06:09.677
You know, it was hard for me to.
00:06:09.677 --> 00:06:21.915
I mean, I've kind of gained and lost just over the course of I mean, I'm mid 40s, right, we've, nobody ever stays there perfectly, but sometimes it's like I don't want to squeeze into.
00:06:22.137 --> 00:06:29.199
I want to try to squeeze into a smaller number on the shorts, but when I think about it, nobody sees that number but me, right?
00:06:29.199 --> 00:06:32.608
Do I want to look like a pound of potatoes and a five pound and a five pound sack?
00:06:32.608 --> 00:06:33.570
So no.
00:06:33.570 --> 00:06:39.504
So so you know, get the next size up or get whatever, whatever fits you, and that may be what's healthy for you.
00:06:39.504 --> 00:06:44.481
You know, a size 10 looks healthy on me, based on my height.
00:06:44.481 --> 00:06:46.305
You know I'm five 11.
00:06:46.305 --> 00:06:48.115
I think you're five 11 too, aren't you?
00:06:48.557 --> 00:06:48.957
count yeah.
00:06:49.819 --> 00:06:51.062
Oh, five, eight, I thought you were.
00:06:51.062 --> 00:06:52.505
I thought you were taller anyway.
00:06:52.505 --> 00:06:58.819
Um, eight, I thought you were, I thought you were taller anyway.
00:06:58.819 --> 00:07:01.004
Um, so it, you know, based on my height and my age, a size 10 looks.
00:07:01.004 --> 00:07:01.144
I just.
00:07:01.144 --> 00:07:05.760
I can't go down any lower, I would just look sick, even though that was a healthy weight for me back in the day.
00:07:05.760 --> 00:07:09.656
So, um, yeah, so just, so, just you know healthy goals.
00:07:10.098 --> 00:07:12.521
Yeah, yeah, but your body will try to hold onto the weight.
00:07:12.521 --> 00:07:13.382
Your body knows.
00:07:13.382 --> 00:07:14.584
But stay the course.
00:07:14.584 --> 00:07:16.629
Increase your activity and it you will.
00:07:16.629 --> 00:07:17.490
You will definitely burn.
00:07:17.490 --> 00:07:22.224
It'll definitely burn some more so definitely that is a wrap for today.
00:07:22.224 --> 00:07:23.466
This is Theo.
00:07:23.466 --> 00:07:26.202
This is Theo, and he's my supervisor for today.
00:07:27.026 --> 00:07:28.632
He's a rescue kitty Also.
00:07:28.632 --> 00:07:29.894
We always love our comfort critters.
00:07:30.396 --> 00:07:32.418
Yeah, for sure, for sure, he's definitely comfortable.
00:07:32.418 --> 00:07:36.682
So all right, guys, thanks for joining us today and we hope you have a wonderful week.
00:07:36.682 --> 00:07:39.165
If you have any questions, please send us a message.
00:07:39.165 --> 00:07:40.468
You can email us.
00:07:40.468 --> 00:07:42.771
You can go to our website, hamiltontelehealthcom.
00:07:47.154 --> 00:07:48.567
You can like and subscribe comment.
00:07:48.567 --> 00:07:49.173
Follow us all the good things.
00:07:49.173 --> 00:07:51.586
Okay, all right, guys, take care, we'll see you next time.
00:00:58.455 --> 00:01:01.321
Hey guys, welcome back to another episode of tattoos and telehealth.
00:01:01.321 --> 00:01:17.897
I'm Kelli White, my board certified family nurse practitioner, and this is my good friend and colleague, nicole Baldwin, who is also a board certified nurse practitioner, and she is going to chat with you guys about her specialty, which is weight loss and overall wellness in that area and nutrition and kind of what that looks like.
00:01:17.897 --> 00:01:35.340
We have had a lot of patients actually that have had some pretty good questions when it comes to medications and how to treat their weight loss journey, and so, nicole, can you like touch base on what that's looking like right now for patients and what they do when they reach a peak, essentially, in their treatment?
00:01:36.763 --> 00:01:46.300
So patients have reached out now that GLPs have been out for a while and they are at some of them not all of them, but some of them are at the max dose and they're kind of like a plateau.
00:01:46.300 --> 00:01:47.251
Where do we go from here?
00:01:47.251 --> 00:01:48.655
And that's you know.
00:01:48.655 --> 00:02:06.777
That's a really good question and I want to just back up when you're prescribed these medications for those of you who are just starting the medication or who are restarting the medication or have never taken these medications, when or if you get on GLP-1s the goal is weight loss and appetite suppression.
00:02:06.837 --> 00:02:08.262
The goal is not to climb the dose.
00:02:08.262 --> 00:02:10.114
More is not better with this.
00:02:10.114 --> 00:02:13.361
Number one for side effects Number one, that's a big one.
00:02:13.361 --> 00:02:19.979
And number two when you get to the top, there's nowhere to go, and so it is important that you stay at the lowest effective dose.
00:02:19.979 --> 00:02:23.520
And so, even though we preach this to our patients, stay at the lowest effective dose.
00:02:23.520 --> 00:02:24.834
Stay at the lowest effective dose.
00:02:24.834 --> 00:02:25.757
Save your money, save.
00:02:25.757 --> 00:02:30.633
They still think more is better and more is not better if you need to go up Absolutely.
00:02:30.633 --> 00:02:40.442
But now we have patients that are at the top and they're like I'm at a plateau, I don't know what to do, and so you know there certainly is different things.
00:02:40.442 --> 00:02:42.899
Number one you can increase your cardiovascular activity.
00:02:42.899 --> 00:02:44.758
That is super, super important.
00:02:44.758 --> 00:02:51.361
When you're on GLP-1 therapy and you and you increase your cardiovascular activity, your movement, that's like one plus one is three.
00:02:51.361 --> 00:02:53.418
I mean it is super, super helpful.
00:02:53.418 --> 00:02:55.054
And weight training too, right?
00:02:55.556 --> 00:02:55.796
Yes.
00:02:56.290 --> 00:02:59.498
Yes, weight training especially for, especially for women and men.
00:02:59.498 --> 00:03:14.355
As we age, women's bones just get fragile and so even low, low weight training is super helpful to keep our skeleton strong, because keeping our muscles strong to support our skeleton as our bones naturally become fragile is super, super important.
00:03:14.355 --> 00:03:20.901
So increasing your protein intake, decreasing your the amount of carbohydrates you're taking in, is super helpful.
00:03:20.921 --> 00:03:32.002
The other thing is you can always go off of it for a little while and then start back up at whatever dose your provider deems appropriate, which will probably not be the 15 milligrams or 2.5 or whatever it is.
00:03:32.002 --> 00:03:35.873
So it's a good idea to give, if you're not diabetic, to give the body a break.
00:03:35.873 --> 00:03:39.721
You can go down a dose right For a little while and just see how you do.
00:03:39.721 --> 00:03:48.024
But you know patients can go off this, off this cold Turkey and just try to maintain the healthy lifestyle that you've learned the decrease in amount portions.
00:03:48.024 --> 00:03:54.020
You know you, your stomach has shrunk, your energy has likely increased, so stay active just like you are.
00:03:54.020 --> 00:03:56.371
Then if you need it, you can always go back to it.
00:03:56.371 --> 00:04:00.801
But once you climb that dose, there's not, there's not anywhere else to go, so it's important.
00:04:01.002 --> 00:04:03.007
You can switch in between GLP ones as well.
00:04:03.007 --> 00:04:11.576
That might be a helpful option to you as well, Switching from one GLP to the other, because they do have a little bit of difference and then, although they're still in the same class.
00:04:11.576 --> 00:04:15.411
And so the first thing is increasing your activity.
00:04:15.411 --> 00:04:17.355
It's increasing your activity.
00:04:17.355 --> 00:04:19.418
The other thing is possibly going down a dose.
00:04:19.418 --> 00:04:23.204
The other thing is possibly going, going off of it for a little while before restarting it.
00:04:23.204 --> 00:04:30.855
So you know, just be diligent with with what you're eating, be diligent with trying to stay on track, and, um, You'll be.
00:04:30.855 --> 00:04:34.737
I mean, you'll be back to losing weight in no time, especially as we get to our goal weight.
00:04:34.737 --> 00:04:39.120
Our body really wants to keep a hold on those pounds, Really.
00:04:39.120 --> 00:04:43.884
So most everybody who gets near their goal weight is going to reach a plateau.
00:04:43.884 --> 00:04:59.778
So, even though you didn't lose any weight, or maybe a minimum weight for a month or two, and you're still doing okay with your appetite, stay the course, increase your hydration, increase your protein, increase your cardiovascular activity and chances are it'll pick right back up.
00:04:59.798 --> 00:05:00.562
I think it's important.
00:05:00.562 --> 00:05:09.179
When you mentioned goal weight, I think it's important also to remind folks because this was a hard one for me to digest sometimes that sometimes my goal weight is not my body's goal weight.
00:05:09.179 --> 00:05:10.864
Your body knows what's healthy for you.
00:05:10.864 --> 00:05:18.514
Your body knows what's right for you and you may want to see yourself a little thinner than your body realizes is healthy for you and it may not want to get there.
00:05:18.514 --> 00:05:20.839
Like Nicole said, it wants to hold onto that because it knows.
00:05:20.839 --> 00:05:24.415
No, this is where I feel the best and I want to stay here.
00:05:24.415 --> 00:05:28.846
So sometimes setting a realistic goal is really important in these settings.
00:05:29.536 --> 00:05:59.050
It is certainly because if I was even though the BMI was normal, if I was ever to get to and I don't want to, but if I was ever to get to the weight that I was 20 years ago, which was the low end of normal, I would look sick, just because as we age and have children, our body shape changes and so what you were 10, 25 years ago may not be what is going to be healthy for you now.
00:05:59.050 --> 00:06:03.923
So it really is a case by case basis and it also is just how do you look and how do you feel?
00:06:03.923 --> 00:06:07.865
You know, the number on the scale doesn't necessarily define you.
00:06:07.865 --> 00:06:09.677
You know, it was hard for me to.
00:06:09.677 --> 00:06:21.915
I mean, I've kind of gained and lost just over the course of I mean, I'm mid 40s, right, we've, nobody ever stays there perfectly, but sometimes it's like I don't want to squeeze into.
00:06:22.137 --> 00:06:29.199
I want to try to squeeze into a smaller number on the shorts, but when I think about it, nobody sees that number but me, right?
00:06:29.199 --> 00:06:32.608
Do I want to look like a pound of potatoes and a five pound and a five pound sack?
00:06:32.608 --> 00:06:33.570
So no.
00:06:33.570 --> 00:06:39.504
So so you know, get the next size up or get whatever, whatever fits you, and that may be what's healthy for you.
00:06:39.504 --> 00:06:44.481
You know, a size 10 looks healthy on me, based on my height.
00:06:44.481 --> 00:06:46.305
You know I'm five 11.
00:06:46.305 --> 00:06:48.115
I think you're five 11 too, aren't you?
00:06:48.557 --> 00:06:48.957
count yeah.
00:06:49.819 --> 00:06:51.062
Oh, five, eight, I thought you were.
00:06:51.062 --> 00:06:52.505
I thought you were taller anyway.
00:06:52.505 --> 00:06:58.819
Um, eight, I thought you were, I thought you were taller anyway.
00:06:58.819 --> 00:07:01.004
Um, so it, you know, based on my height and my age, a size 10 looks.
00:07:01.004 --> 00:07:01.144
I just.
00:07:01.144 --> 00:07:05.760
I can't go down any lower, I would just look sick, even though that was a healthy weight for me back in the day.
00:07:05.760 --> 00:07:09.656
So, um, yeah, so just, so, just you know healthy goals.
00:07:10.098 --> 00:07:12.521
Yeah, yeah, but your body will try to hold onto the weight.
00:07:12.521 --> 00:07:13.382
Your body knows.
00:07:13.382 --> 00:07:14.584
But stay the course.
00:07:14.584 --> 00:07:16.629
Increase your activity and it you will.
00:07:16.629 --> 00:07:17.490
You will definitely burn.
00:07:17.490 --> 00:07:22.224
It'll definitely burn some more so definitely that is a wrap for today.
00:07:22.224 --> 00:07:23.466
This is Theo.
00:07:23.466 --> 00:07:26.202
This is Theo, and he's my supervisor for today.
00:07:27.026 --> 00:07:28.632
He's a rescue kitty Also.
00:07:28.632 --> 00:07:29.894
We always love our comfort critters.
00:07:30.396 --> 00:07:32.418
Yeah, for sure, for sure, he's definitely comfortable.
00:07:32.418 --> 00:07:36.682
So all right, guys, thanks for joining us today and we hope you have a wonderful week.
00:07:36.682 --> 00:07:39.165
If you have any questions, please send us a message.
00:07:39.165 --> 00:07:40.468
You can email us.
00:07:40.468 --> 00:07:42.771
You can go to our website, hamiltontelehealthcom.
00:07:47.154 --> 00:07:48.567
You can like and subscribe comment.
00:07:48.567 --> 00:07:49.173
Follow us all the good things.
00:07:49.173 --> 00:07:51.586
Okay, all right, guys, take care, we'll see you next time.
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