GLP-1s are in every medical conversation right now. In this episode, I slow the conversation down and ask a harder question: what are we actually trading for rapid weight loss? I sat down with Zeke Samples to examine why so many patients are drawn to appetite suppression and quick fixes.

We explored what doesn’t always make it into the exam room conversation and the downstream effects of relying on pharmacology without building sustainable habits. We also discussed the clinical tension many physicians feel, wanting to help patients see results while knowing that muscle preservation, metabolic flexibility, and resilience matter far more than the number on the scale.

We talked about reducing friction through stress regulation and simple nutritional guidelines that patients can maintain. Zeke shared a framework that prioritizes consistency over intensity and behavior change over suppression. If you’re a physician looking to improve outcomes without sacrificing long-term health, this one is for you!

“Metabolism 101: You're either a fat burner, or you're a sugar burner.” ~ Zeke Samples

In This Episode:

- Side effects of GLP-1 medications

- Alternatives to GLP-1s for sustainable weight loss

- Zeke’s training and nutrition habits

- Common mistakes people make when losing weight

- Health and wellness book recommendations

Mentioned in the Episode:

Zeke Samples’ book, The Sustainable Edge: https://a.co/d/fCkXBSm

Connect with Zeke Samples:

LinkedIn: https://www.linkedin.com/in/zeke-samples-8764b934

Website: https://zekesamples.com/

Instagram: https://www.instagram.com/zeke_samples/

Resources:

➡️ Free community of high-performing physicians: the Physician Wealth Accelerator - https://limitless-md.mn.co/

➡️ Check out my programs - https://vikramraya.com/coaching/

➡️ Apply to become a Limitless MD - www.I8mastermind.com

➡️Claim Your Free 30-minute discovery call and $500 off your engagement with Hall CPA: go.therealestatecpa.com/limitless

Connect with Vikram:

Website: https://vikramraya.com/

Instagram: https://www.instagram.com/vikramraya/

Facebook: https://www.facebook.com/Vikramrayamd

LinkedIn:https://www.linkedin.com/in/vikramraya/

YouTube: https://www.youtube.com/channel/UCdq9M-kD0L2hy1UlfOK-hwQ

Special

In this special episode of Limitless MD, I’m sharing highlights from some of the most impactful moments in 2025. We start with Dr. Ryan Mallory, who shares how the traditional W2 physician model is limiting, compared to the freedom enjoyed by locum physicians. He left the constraints of being a salaried cardiologist and embraced locum work, which gives him control over his time, allowing him to work fewer days and spend more time with his family.

Dr. Kristine Goins describes her journey of overcoming self-limiting beliefs and finding ways to blend career and freedom. As the founder of Nomad MD, she empowers physicians to explore work-from-anywhere opportunities while still excelling in their field. Greg Dickerson gives his perspective on leadership, effective delegation, and scaling businesses, particularly for medical professionals looking to grow their practices or side hustles.

Finally, Dr. Mike Van Thielen talks about his groundbreaking work on biohacking, focusing on how physicians and high performers can unlock "zone" productivity and regain control of their time through structured rituals.

If you’re ready to take control of your time and income, as well as learn how to thrive in both your professional and personal life in 2026, this episode is for you!

In This Episode:

- Exploring locum tenens with Ryan Mallory

- How much can you earn as a locum?

-The Nomad MD: living and working anywhere

- Greg Dickerson on mastering people and leadership skills

- How to supercharge your productivity with Dr. Mike

- Practical tips for optimizing your day

Connect with Dr. Ryan Mallory:

Website: https://halftimefreedom.com/

LinkedIn: https://www.linkedin.com/in/rdmallory

Instagram: https://www.instagram.com/ryanmallorymd/

Connect with Dr. Kristine Goins:

Website: https://thenomadmd.com/

Instagram: https://www.instagram.com/thenomadmds

Facebook: https://www.facebook.com/thenomadmds

Connect with Greg Dickerson:

Website: https://www.dickersoninternational.com/

LinkedIn: https://www.linkedin.com/in/agregdickerson

Connect with Dr. Mike Van Thielen

Instagram: https://www.instagram.com/drmike_health4life/

Facebook: https://www.facebook.com/drmikeinspires/

LinkedIn: https://www.linkedin.com/in/mikevanthielenphd

Resources:

➡️ Free community of high-performing physicians: the Physician Wealth Accelerator - https://limitless-md.mn.co/

➡️ Check out my programs -

What if you could practice medicine from anywhere, have control over your schedule, and earn great money, all while making a meaningful impact? Dr. Suneer Chander, a telemedicine expert and physician entrepreneur, joins me to explore how telemedicine is transforming healthcare and offering doctors unprecedented freedom and financial flexibility.

Dr. Suneer’s journey into telemedicine began out of necessity when the pandemic reduced his shifts as an ER doctor. What started as a way to stay financially secure quickly evolved into a thriving career. He now helps doctors break into the telemedicine field through his company, AIR Physician Academy, and shares insights on how to become nationally licensed, work remotely, and take control of your schedule.

If you're a doctor looking for a way to break free from the traditional clinical setting, you'll hear how you can make a significant income with fewer hours, gain professional freedom, and even explore entrepreneurial opportunities in the digital health space.

“If you're a physician, you have to try a bunch of things, learn exactly what you like and don't like, and eventually pick the type of medicine that you wanna work clinically on.” ~ Dr. Suneer Chander

In This Episode:

- Dr. Suneer Chander’s background and journey into telemedicine

- The 51-state license concept for telemedicine doctors

- Telemedicine versus traditional healthcare models

- How telemedicine is changing healthcare access

- Physician income potential in telemedicine

- How to get started with telemedicine

Launch Your Career in Telemedicine!

Visit AIR Physician Academy to sign up for an information session and discover how telemedicine can be the next step in your career.

Connect with Dr. Suneer Chander:

LinkedIn: https://www.linkedin.com/in/suneerchandermd

Website: https://airphysicianacademy.com/

Resources:

➡️ Free community of high-performing physicians: the Physician Wealth Accelerator - https://limitless-md.mn.co/

➡️ Check out my programs - https://vikramraya.com/coaching/

➡️ Apply to become a Limitless MD - www.I8mastermind.com

➡️Claim Your Free 30-minute discovery call and $500 off your engagement with Hall CPA: go.therealestatecpa.com/limitless

Connect with Vikram:

Website: https://vikramraya.com/

Instagram: https://www.instagram.com/vikramraya/

Facebook: https://www.facebook.com/Vikramrayamd

LinkedIn:https://www.linkedin.com/in/vikramraya/

YouTube: