Why Your Diet Worked Before but Isn’t Working Now

I hear this frustration almost every day in my practice: “Doctor, I’m doing everything exactly the same as when I lost weight three years ago, but nothing’s happening this time. What am I doing wrong?” Let me reassure you right away – you’re not doing anything wrong. And you’re definitely not alone in this experience. […]
When ‘Eat Less, Move More’ Isn’t Enough: The New Science of Obesity Medications

February 28, 2025•5 min read Let me take you back to my medical school days in the late 1990s. When it came to treating obesity, our options were painfully limited: tell patients to eat less and move more, prescribe a stimulant, or refer them for bariatric surgery. That was it. There was little in between. […]
Is Hormone Therapy Safe? What Every Woman Deserves to Know

I’ve seen it countless times in my office—the fatigue etched across a woman’s face as she describes months without a full night’s sleep. “The hot flashes hit like clockwork at 2 AM, and then again at 4,” she might tell me. “I’m dragging myself through work, snapping at my family, and honestly? I don’t recognize […]
Always Tired and Struggling to Lose Weight? It Could Be Insulin Resistance

You’re eating well. You’re exercising. You’re doing everything that’s supposed to work. But no matter how disciplined you are, the scale won’t budge—or worse, it’s creeping up. And to top it off? You’re exhausted. Not just the “I need another cup of coffee” kind of tired, but the deep, bone-crushing fatigue that makes it hard to get through the […]
The Estrogen Effect: Why Your Body Seems to Be Playing by New Rules After 40

You’re eating well, exercising consistently, and doing everything that used to work. You’ve cut out indulgences, tracked every calorie, and pushed yourself at the gym. Yet, when you step on the scale, nothing seems to change—or worse, the numbers are creeping up. If this sounds familiar, you’re not alone. Many women in their 40s and […]
Why Stress Is Keeping You from Losing Weight (And What to Do About It)

The Weight Loss Puzzle: Beyond Calories In, Calories Out Let me guess—you’ve been counting every calorie, hitting the gym regularly, and saying “no thanks” to dessert, but that stubborn scale still won’t budge. Trust me, I get it. And here’s the thing: it’s probably not because you’re lacking willpower or cheating on your diet when […]
Why Losing Weight After 40 Feels Impossible (and How to Fix It)

Why Losing Weight After 40 Feels Impossible (and How to Fix It) Let’s talk about something that might be frustrating you right now. You’re doing everything “right”—the same diet and exercise routine that kept you fit in your 30s—but suddenly your body seems to have its own agenda. Those stubborn pounds aren’t budging, and you’re […]