The Dr. Francavilla Show

Dr. Francavilla
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Carolynn Francavilla, MD is Board Certified in Family Medicine and a Diplomate of the American Board of Obesity Medicine. She owns and operates Green Mountain Partners for Health and Colorado Weight Care. Dr. Francavilla is a nationally recognized obesity expert, lecturing on the topic obesity as well as through her own platform HelpYourPatientsLoseWeight.com. She serves on the Obesity Medicine Association Board of Trustees. She is an Assistant Professor at Rocky Vista University and Volunteer Faculty at the University of Colorado School of Medicine. She is passionate about helping people lose weight to treat and prevent medical problems. Dr. Francavilla has learned that losing weight and keeping it off is complex and not a matter of will power, but biology, and seeks to help others finds healthy longterm solutions to their weight.

  1. 1d ago

    Thyroid Essentials and What You Need to Know About the Thyroid and GLP1 with Dr. Chhaya Makhija

    Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Could your thyroid be affecting more than you realize? From understanding your thyroid and making sense of TSH, free T4, and free T3 to navigating weight changes, thyroid nodules, and GLP-1 medications, there’s a lot to understand when it comes to thyroid health. In this week’s episode, we break it all down in simple, easy-to-understand terms — including what your thyroid does, how your lab results work, which symptoms may be connected to an underactive thyroid, and when your thyroid may not actually be the problem. Topics Discussed: Understanding the ThyroidHow TSH Controls Your ThyroidMaking Sense of Thyroid TestsWhen the Thyroid Isn’t the ProblemCommon Signs of HypothyroidismThe Thyroid and WeightUnderstanding Thyroid NodulesGLP-1s and Thyroid HealthA Small Gland, Big ImpactJoining the conversation is Dr. Chhaya Makhija, a triple board-certified endocrinologist with nearly 20 years of experience in hormone and metabolic health. She shares practical insights to help make thyroid health easier to understand and navigate. Think you might be missing something when it comes to your thyroid health? Tune in to the full episode for the complete conversation and a closer look at the bigger picture. Connect with Dr Chhaya: Website: unifiedendocrinecareInstagram:chhayamakhijamdFacebook: Unified Endocrine and Diabetes Care Youtube: Dr. Chhaya Makhija, MDConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

  2. Sep 7

    Meal Replacements for Weight Loss with NP Jennifer Barlow

    Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Ever wonder why meal replacement shakes have such a bad reputation, even though some of the most successful weight loss stories involve exactly that? There’s a lingering idea that meal replacements are outdated or that GLP-1 medications have completely replaced them, but that’s not the full picture. In this episode, we sit down with Jennifer Barlow, a board-certified family nurse practitioner and founder of True North Medical in Rhode Island, a practice focused on evidence-based obesity medicine and midlife health. With more than 25 years of healthcare experience, Jennifer brings a unique perspective to the conversation, combining clinical expertise with her personal experience of losing more than 100 pounds and keeping it off. We dive into what medical-grade meal replacements are actually made of, why very low-calorie diets can work when properly supervised, how ketosis affects hunger, and how meal replacements can complement medications like GLP-1s. We also discuss exercise, medical supervision, who may not be a good candidate, and how patients can transition off a program. Topics discussed: Meal replacement programs and weight lossVery low-calorie diets and nutritional qualityProtein, fiber, hydration, and ketosisVariety in meal replacement optionsMeal replacements and GLP-1 medicationsExercise and muscle preservationConvenience and decision fatigueTransitioning back to regular foodMedical supervision and medication adjustmentsWho is and isn’t a good candidateThe role of meal replacements in obesity medicineWant to understand how meal replacements actually fit into modern weight-loss care?  Check out the full episode for the complete conversation with Jennifer Barlow. Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

  3. Aug 31

    Celebrating Your Way to Health Goals

    Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com When's the last time you gave yourself real credit — not for hitting some big goal, but for something small you did today? If nothing comes to mind right away, that's a pretty common spot to be in, and it's exactly the ground this episode covers. It also happens to mark a milestone of its own: episode 200. That's worth sitting with for a second, not just as a lead-in to today's topic, but because it represents two hundred conversations built around getting real, trustworthy medical information into a world where that's increasingly hard to find. Topics discussed: Be Your Own CheerleaderSkip the Finish Line: Why Celebrating Small Victories Builds Bigger HabitsCelebrate the Behavior, Not Just the OutcomeStop Comparing Yourself to YesterdayNon-Scale VictoriesRewards That Aren't FoodFind Something to Celebrate TodayBefore getting into all of that, a real thank-you is owed to everyone who's stuck around for this podcast so far — showing up week after week, passing an episode along to a friend, or leaving a five-star review that helps more people find their way to it. Two hundred episodes down, and five hundred is starting to feel less like a stretch goal and more like a real possibility. This episode is packed with practical, science-backed ways to build that habit of celebrating yourself, so grab this one from start to finish — every section builds on the last, and the payoff is worth the full ride. Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

  4. Aug 24

    Menopause and Weight Essentials with Dr. Raina Patel

    Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com Ever feel like your body just decided to rewrite the rules overnight — same workouts, same diet, but suddenly the scale (and your waistline) tell a totally different story?  If you're in perimenopause or menopause and feeling blindsided by these changes, you're definitely not alone, and there's actually a clear, physiological explanation behind it. To break it all down, we sat down with Dr. Raina Patel, a primary care physician at the University of Chicago whose practice sits right at the intersection of her two biggest passions in medicine: menopause care and weight management. She's also the host of her own podcast, Finally with Dr. Raina Patel. Topics discussed: Why Weight Gain Happens During MenopauseSmall Shifts That Actually Move the NeedleMuscle Mass and Menopause: Why It Deserves Your AttentionHormone Therapy and Weight: Setting Realistic ExpectationsOther Medical Interventions Worth Knowing AboutYou're Never Alone: Wrapping Up the Menopause ConversationAt the end of the day, menopause isn't something you have to navigate quietly or alone — and the more we talk about it, the easier it gets for every woman coming up behind us. If this conversation resonated with you, find the full episode with Dr. Raina Patel and dive deeper into the conversation. Connect with Dr. Patel: Instagram: drrainapatelConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

  5. Aug 17

    Insomnia with Dr. Muhammad Usama

    Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com) Do you actually know the difference between a rough night's sleep and a real sleep disorder? Most people use the word "insomnia" for both, but the line between them is a lot more specific than it sounds — and knowing where that line sits can change how someone approaches their own sleep struggles entirely. That's exactly what this episode digs into, with Dr. Muhammad Usama returning to the show after a prior conversation on Zepbound and sleep apnea. He's triple board-certified in sleep and obesity medicine, practices at MultiCare Health System in the greater Seattle area, and serves as an adjunct clinical professor of medicine at A.T. Still University School of Osteopathic Medicine. His clinical and research work centers on the intersection of obstructive sleep apnea, obesity, and cardiometabolic health, with a particular focus on GLP-1 therapies like tirzepatide. This time, the conversation turns to insomnia itself: what actually qualifies as chronic insomnia, why it happens, and what treatment options genuinely move the needle versus which ones just create the illusion of help. Topics discussed: When Does Insomnia Stop Being Normal?The Switch That Turns Short-Term Insomnia Into Chronic InsomniaIs Insomnia Genetic? The Nature vs. Nurture AnswerChronic Insomnia: Why CBT-i, Not Sleep Hygiene, Is the First-Line TreatmentHow to Actually Access CBT-i (No Therapist Couch Required)Do Sleep Medications Actually Work? The Research Says Not MuchAcute Insomnia: How Early Intervention Prevents It From Becoming ChronicDoes Melatonin Actually Help With Sleep? What It's Really ForDo Sleep Supplements Like Magnesium Actually Work?Alcohol and Marijuana for Sleep: Do They Actually Help—or Hurt?Chronic Insomnia: When to Get Evaluated and What Actually WorksInsomnia is far more common, and far more treatable, than most people realize. Between understanding the difference between acute and chronic, recognizing the habits that quietly turn one into the other, and knowing which treatments actually hold up under research, this episode covers a lot of ground that can change how someone approaches their own sleep for good. If sleep has been a struggle for months, it's worth getting evaluated rather than just living with it — this episode is a great place to start. Connect with Dr. Usama: LinkedIn: Muhammad Usama, MD FACP DABOMInstagram: sleepwarriormd  Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

  6. Aug 10

    What is Metabolic Health with Dr. Linsday Ogle

    Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.co Ever wonder why two people can eat the same lunch and have completely different blood sugar reactions? Or why someone can be a "normal" weight and still be dealing with insulin resistance, while someone else in a bigger body has picture-perfect labs? Turns out, the number on the scale has been stealing the spotlight from something way more important this whole time — metabolic health. Dr. Lindsay Ogle, a board-certified family and obesity medicine physician and founder of Missouri Metabolic Health, breaks down what metabolic health actually means, why it's so often missed, and what it really takes to get the full picture of what's going on inside your body. She works with adults throughout Missouri to treat and prevent conditions like diabetes, fatty liver disease, metabolic syndrome, PCOS, and obesity, using a mix of lifestyle optimization and safe, effective medications — with a mission of helping people live longer, fuller lives. Topics Discussed: What Is Metabolic Health?What Is Metabolic Syndrome?Why One Root Cause Can Explain Many DiagnosesHow Doctors Actually Test for Metabolic HealthHow Metabolic Dysfunction Is TreatedAre CGMs Worth Using?You Are Not to BlamePress play on the full conversation with Dr. Lindsay Ogle to get the complete picture on what your body's really trying to tell you. Connect with Dr. Ogle: Website: https://missourimetabolichealth.com/Podcast:  Modern Metabolic HealthYouTube: Metabolic Health with Dr. Lindsay Ogle, MDInstagram: dr.lindsayogleTikTok:Lindsay Ogle, MDConnect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

  7. Aug 3

    Nutrition Made Simple in 30 Minutes

    Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com) Do you know what happens in your body when you eat a meal? Or did you, like most of us, make it to adulthood without anyone explaining the basics? If that question made you pause, you're not alone. Most "healthy eating" advice arrives in fragments — a rule from one diet trend, a warning from another — without ever adding up to a full picture of how food actually works in the body. Protein, carbs, fat, vitamins, minerals, phytonutrients: these aren't competing categories to master one at a time. They're a system. Once you understand how the pieces fit together, meal planning stops feeling like guesswork and starts feeling like common sense. This episode covers exactly that — what each macronutrient is doing for you, why micronutrients matter even in small amounts, and how to build a plate that supports your body without obsessing over any single food or number. No fad diets, no miracle foods. Just the fundamentals, explained clearly. Topics discussed: Macronutrients: The Building Blocks of Your DietProtein: Why Your Body Needs ItCarbohydrates: Choosing Better Sources of EnergyFat: Why It's Essential for Good HealthCaloric Density: Why Some Foods Contain More Calories Than OthersMicronutrients: The Vitamins and Minerals Your Body NeedsWhole Foods: Why Variety Matters More Than Individual NutrientsBuilding a Balanced Plate for Better NutritionReducing Added Sugar Without Feeling RestrictedEating More Protein to Stay Fuller LongerFocus on Adding Healthy Foods Instead of Restricting ThemCreating Healthy Eating Habits That LastYour plate is the one thing you control every single day — three times a day, for the rest of your life. Every meal is a chance to give your body what it actually needs instead of guessing, restricting, or chasing whatever the latest trend says to avoid. This episode hands you the framework to make that choice easier, meal after meal. Press play and find out how to make it work for you. Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

  8. Jul 27

    JAMA Secret Shopper and What Obesity Care Should Actually Look Like

    Claim your complimentary gift of my exclusive mini weight care guide today! Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com) Have You Ever Wondered If Your Telehealth Weight Loss Clinic Is Actually Giving You Real Medical Care, or Just a Prescription? This episode dives into a JAMA study that's been generating serious buzz throughout the obesity medicine community, and once you hear what it uncovered, you'll understand exactly why. Researchers conducted a "secret shopper" investigation, sending someone posing as a patient to 49 different telehealth clinics offering obesity management medications, simply to see what kind of care they'd actually receive. The findings shed light on where the gaps really are in this rapidly expanding area of healthcare, and they back up what a lot of obesity medicine providers have suspected for quite some time. We're unpacking what comprehensive obesity care is truly supposed to look like, and how you can figure out whether the care you're getting, or the care you're offering, actually holds up. And there are two calls to action woven throughout: if you're someone taking these medications or considering starting them, we'll walk through how to find a provider who's doing this the right way. And if you're a clinician providing this kind of care already, consider this your reminder to put yourself out there more, because there are patients who genuinely need access to someone doing it well. Topics Discussed: The JAMA Study Raising Questions About Obesity TelehealthThe Missing Piece in Many Telehealth Weight Loss ProgramsConvenience Shouldn't Replace Comprehensive Medical CareThe Importance of Clinical Oversight in Telehealth PrescribingWhat Comprehensive Obesity Care Should Look LikeWhere to Start If You're Considering Weight-Loss MedicationHow to Find High-Quality Obesity CareThis episode covers a lot of ground, from the specific numbers behind the study to what a truly thorough evaluation should include, and what red flags to watch for if you're navigating this kind of care yourself. Whether you're a patient trying to figure out if your provider is doing right by you, or a clinician who wants to understand where the industry is falling short, this conversation breaks it all down in a way that's genuinely worth your time. Press play to catch the full episode and get every detail we covered. Want to see the data for yourself? You can check out the full JAMA study here:  https://www.sciencedirect.com/science/article/pii/S2667368123000165 Connect with me: Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

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4.9
out of 5
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About

Carolynn Francavilla, MD is Board Certified in Family Medicine and a Diplomate of the American Board of Obesity Medicine. She owns and operates Green Mountain Partners for Health and Colorado Weight Care. Dr. Francavilla is a nationally recognized obesity expert, lecturing on the topic obesity as well as through her own platform HelpYourPatientsLoseWeight.com. She serves on the Obesity Medicine Association Board of Trustees. She is an Assistant Professor at Rocky Vista University and Volunteer Faculty at the University of Colorado School of Medicine. She is passionate about helping people lose weight to treat and prevent medical problems. Dr. Francavilla has learned that losing weight and keeping it off is complex and not a matter of will power, but biology, and seeks to help others finds healthy longterm solutions to their weight.

Information

  • Creator
    Dr. Francavilla
  • Years Active
    2022 - 2026
  • Episodes
    202
  • Rating
    Clean
  • Copyright
    © 2026 The Dr. Francavilla Show
  • Show Website
    The Dr. Francavilla Show

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