If you're on a GLP-1 medication or thinking about starting one, there's a good chance you're only seeing half the picture. The media is full of before-and-after stories, but what happens after the after? Most people don't find out until it's too late.

The truth is, GLP-1 medications are genuinely remarkable tools. But tools only work when you know how to use them. And right now, millions of people are stopping their medications, regaining the weight, and walking away convinced the drugs "didn't work" when the real issue was never the medication at all. Join Holly and Jim as they lay out the 12 things every GLP-1 user needs to understand to make their success last. Whether you're just starting out, thinking about stopping, or already dealing with regain, this episode could change everything about how you approach the game.

Discussed on the episode:

• Why weight management is a forever game and why knowing that isn't enough
• The phase of weight loss that experts have been leaving out for years (until now)
• What happens in your brain and body when you stop GLP-1 medication cold turkey
• Why Oprah's experience with willpower is more instructive than you might think
• The one thing Holly says everyone wants, and why chasing it is setting you up to fail
• What "a desirable body state" actually means (hint: it's not the number on the scale)
• The Four E's: the framework for making healthy habits actually stick long-term.
• Why your environment is just as powerful as your physiology and what you can actually do about it
• What Jim tells people who come off medication without a plan (this one is hard to hear)
• The question every listener should ask themselves before they ever step on a scale again

Weight loss isn’t just about the number on the scale. It’s about reclaiming your life. When you’ve been carrying excess weight for years, it’s easy to start accepting limitations as your new normal. Skipping events because of walking. Staying in the car while others explore. Wondering if you’ll see your future grandchildren grow up.

But what if the right support could help your body work with you instead of against you? What if losing weight didn’t have to mean constant hunger and willpower battles? Join Holly and Jim as they sit down with Bill Tollett, a former school principal and coach who lost over 120 pounds and rediscovered what living fully actually means.

This conversation goes beyond the mechanics of weight loss. Bill shares the mental shifts that surprised him most, the challenges of navigating insurance hurdles, and why he now describes himself as feeling “capable” for the first time in decades. Whether you’re considering medication, struggling with where to start, or simply curious about what sustainable change actually looks like, Bill’s story offers honest insights into a journey that’s transformed not just his body, but his entire approach to life.

Discussed on the episode:

• Why one doctor’s blunt comment became the catalyst for change
• The unexpected mental clarity that came with medication (and why it felt like being a superhero)
• How Bill built exercise into his day without joining a gym or running marathons
• The three different reactions people have when they see his transformation
• What “food noise” really feels like and what life is like when it quiets down
• Why Bill says this isn’t cheating, it’s “leveling the playing field.”

Have you ever done everything right, eaten well, moved your body, maybe even started a new medication, and still felt like the system wasn’t working for you? You’re not alone. And the reason might not be what you think.

Join Holly and Jim as they sit down with Dr. Fatima Cody Stanford, an obesity medicine physician and associate professor at Harvard Medical School, and one of the boldest voices shaping how we think about obesity care today. Dr. Stanford treats obesity as the complex, chronic disease it truly is, and she’s not afraid to call out the bias, broken systems, and outdated myths that get in the way. This is a conversation that will change the way you see weight loss, not just as something you do, but as something you deserve support with.

Discussed on the episode:

• The shocking age at which weight bias begins and why it’s not where you’d expect
• Why over 80% of physicians carry bias toward patients with excess body weight, and what one doctor is doing to flip the script
• The real reason GLP-1 medications aren’t the magic bullet and why that’s actually okay
• Why some patients respond brilliantly to these drugs and others don’t, and what you absolutely cannot do to change that
• The one nutrient and one type of exercise that matter most when you’re losing weight on medication
• What happens when insurance pulls the rug out, and the creative strategies doctors use to keep patients on track
• The “Ozempic baby” phenomenon: what the early science is actually showing
• Why the new oral Wegovy pill might not be the game-changer everyone is hoping for
• The grocery store moment that completely changed one doctor’s understanding of obesity

New Year’s resolutions often start with motivation and willpower, but how long does that really last? What if the problem isn’t your discipline, but the world you’ve built around yourself? Your refrigerator, your bedroom setup, even the people you spend time with, are quietly shaping every choice you make.

Join Holly and Jim as they reveal why an environmental detox might be the smartest move you can make this year. Forget juice cleanses and deprivation, this is about redesigning your space and social circle to make healthy choices the easy ones. You’ll learn how your physical surroundings impact everything from late-night snacking to your morning mindset, and why even GLP-1 users shouldn’t skip this critical step.

Whether you live in a “food desert” or work in a toxic office environment, you’ll walk away with practical strategies to take control of what you can and create a micro-environment that actually supports your goals.

Discussed on the episode:

• Why willpower works great for 4-6 weeks, then crashes spectacularly.
• The sneaky reason people on GLP-1s should detox their environment now (before it’s too late)
• The three-step detective process for identifying what’s quietly sabotaging you
• How removing your phone charger from the bedroom could transform your sleep
• The two-column social mapping exercise that reveals who’s really supporting your goals
• Why telling your spouse to “eat healthier” never works, and what does
• The clever strategy for influencing the people you can’t (or won’t) remove from your life
• What Holly’s new Peloton treadmill and hydroponic herb garden reveal about smart environmental design
• How to create a supportive micro-environment even in Alabama’s summer heat or without neighborhood sidewalks

Resources and links mentioned:

• Book: Losing the Weight Loss Meds by Holly Wyatt and James Hill (weightwisdom.com)

Going vegan for weight loss? You might be in for a surprise. Despite what social media influencers claim, switching to a plant-based diet doesn’t guarantee the pounds will melt away. In fact, many vegans struggle with weight gain even when they think they’re eating healthy.

The truth is, whether you’re eating steak or tofu, the same principles of weight management still apply. You can absolutely lose weight and thrive on a vegan diet, but it requires the same intentionality, planning, and understanding of nutrition fundamentals as any other approach. The good news? It’s never been easier to succeed as a plant-based eater when you know what to focus on.

Join Holly and Jim as they sit down with Dr. Daphne Bascom, Chief Operating Officer of The Vegan Gym and an MD/PhD who brings a refreshingly balanced perspective to plant-based nutrition. Daphne shares why she became vegan later in life, busts common myths about vegan diets and weight loss, and reveals the surprising similarities between coaching vegans and omnivores. You’ll discover practical strategies for managing weight on a plant-based diet, learn which “healthy” vegan foods might be sabotaging your goals, and find out why mindset matters just as much as what’s on your plate.

Discussed on the episode:

• The biggest myth about vegan diets that keeps people stuck and gaining weight
• Why being vegan doesn’t make you “impervious to chronic disease.”
• The surprising food Daphne keeps in her purse when traveling (and why you might want to try it)
• How to navigate restaurants, airports, and social situations without derailing your goals
• The one non-negotiable supplement every vegan needs to take
• Whether plant-based proteins are really inferior for building muscle and recovery
• The “Oreo vegan” trap and how to avoid ultra-processed plant-based foods
• Why nuts might be sabotaging your weight loss (even though they’re healthy)
• The energy density principle that works whether you’re vegan or not
• How the anabolic window for protein has evolved (it’s longer than you think)

Resources and Links:

• The Vegan Gym: https://www.thevegangym.com/
• Thrive on Plants Podcast: https://podcasts.apple.com/us/podcast/thrive-on-plants/id1793550910
• Thrive on Plants Community: https://www.skool.com/thrive-on-plants/about
• The Vegan Gym Podcast: https://podcasts.apple.com/us/podcast/the-vegan-gym-podcast/id1358557895
• Cronometer App: https://cronometer.com/
• Game Changers Documentary: https://gamechangersmovie.com/
• Books mentioned:
  • How Not to Die and How Not to Age by Dr. Michael Greger: https://www.amazon.com/Hardcover-Cookbook-Michael-Greger-Collection/dp/9124302686
  • Losing the Weight Loss Meds by Holly Wyatt and James Hill: https://www.weightwisdom.com/

The GLP-1 medications transforming weight loss didn’t appear overnight. They’re the result of decades of groundbreaking research that fundamentally changed how we understand appetite and obesity. But how did scientists first discover that this hormone could help people lose weight? And what does this history mean for anyone using these medications today?

Join Holly and Jim as they sit down with Dr. Arne Astrup, one of the pioneering researchers who helped uncover GLP-1’s role in appetite regulation back in the 1990s. Dr. Astrup has spent over three decades at the forefront of obesity research at the University of Copenhagen and the Novo Nordisk Foundation. In this fascinating conversation, he takes us back to when obesity was still seen as a willpower problem, reveals the serendipitous collaboration that led to discovering GLP-1’s satiety effects, and shares critical insights about using these medications safely and effectively.

Whether you’re currently using GLP-1 medications, considering them, or simply curious about the science, this episode offers essential perspective from someone who’s witnessed the entire journey from early physiology experiments to today’s real-world treatments. You’ll discover why lifestyle still matters in the era of highly effective medications, and walk away with a deeper understanding of both the promise and the limitations of these groundbreaking drugs.

Discussed on the episode:

• The surprising mindset shift in the 1990s that changed how medicine views obesity
• Why a diabetes researcher and an appetite scientist became unlikely collaborators
• The first human experiment that proved GLP-1 reduces hunger (and the lunch buffet that made it possible)
• Why GLP-1 medications are so much “cleaner” than previous weight loss drugs
• The protein malnutrition risk that doctors aren’t talking about enough.
• Why half of patients stop taking these medications within months, and what that means
• The one combination that could let you reduce or stop GLP-1s without regaining weight
• Why calling these medications “the easy way out” completely misses the point
• What a leading researcher wants to accomplish after decades of groundbreaking work

Food noise. If you’ve heard the term, you probably know exactly what it means. If you haven’t, you might be about to have a lightbulb moment. It’s that relentless mental chatter about food, not hunger, not cravings, but constant, unwanted thoughts that just won’t quit.

For years, people struggling with this phenomenon didn’t even have words for it. They thought it was a willpower problem. It wasn’t. And now, thanks to groundbreaking research, we finally have a way to understand, measure, and potentially treat this invisible burden that affects people across the weight spectrum.

Join Holly and Jim as they sit down with Dr. Emily Dhurandhar, Director of Research Special Projects at Texas Tech University Health Sciences Center, and lead author of the RAID-FN Inventory, the first validated tool to measure food noise. Discover why patients, not clinicians, coined this term, how GLP-1 medications are revealing what many have silently endured, and what the future holds for treating this pervasive issue.

Discussed on the episode:

• Why food noise is completely different from normal thoughts about food
• The surprising discovery about who experiences food noise (hint: it’s not just people with obesity)
• What turning off a kitchen fan has to do with understanding these medications
• How bodybuilders and endurance athletes might experience food noise differently
• Why your environment in the 1940s versus today changes everything
• The one word clinicians need to stop assuming about food noise
• What to do if you think you’re experiencing this, but your doctor has never heard of it

For decades, people with obesity were told the solution was simple: eat less, move more, try harder. When that didn’t work, they were blamed. But science has always told a different story: obesity is a chronic, biologically driven disease, just like diabetes or hypertension. And right now, we’re witnessing the most significant transformation in obesity medicine that has ever happened.

The new GLP-1 medications like Wegovy and Zepbound are making headlines everywhere, but with breakthrough treatments come big questions. Who should take them? How do you know which one is right for you? What happens when you stop? And with millions of people getting these medications online or from providers with little expertise, how do you ensure you’re getting safe, effective care?

Join Holly and Jim as they sit down with Dr. Louis Aronne, one of the true pioneers who shaped this revolution from the very beginning. For over 30 years, Dr. Aronne has been on the front lines, treating patients and conducting research at one of the premier obesity centers in the country. He’ll share the real story behind these medications, what he’s learned from treating 9,000 patients, and where obesity treatment is heading next.

Discussed on the episode:

• The mouse experiment from the 1980s that changed everything about how we understand weight
• Why some people feel amazing on Wegovy while others do better on Zepbound
• The creative dosing strategies that help patients who can’t tolerate standard doses
• What happens to the majority of people who stop taking GLP-1 medications
• The surprising parallel between treating obesity and treating high blood pressure
• Why registered dietitians could be the perfect providers for obesity care
• The 15 new medications coming in the next five years that will transform access
• How these medications prevent 94% of diabetes cases in people with prediabetes
• The simple eating strategy that works almost like taking medicine
• What it really means when people say taking medication is cheating