Send us Fan Mail Are GLP-1 medications like Ozempic, Wegovy, Zepbound, and the newest experimental obesity drugs changing the future of weight loss? Or are they simply another tool in a much bigger journey? In this honest, educational, and deeply personal episode of Beyond My Diagnosis, Michele Weston sits down with licensed social worker Tammy St. Clair to talk about what they call “The Weight-Loss Dance”—the lifelong reality of managing obesity, maintaining weight loss, and learning how to create sustainable lifestyle change. Both Michele and Tammy bring lived experience to this conversation. Tammy worked in a bariatric surgery office for 10 years, has maintained over 100 pounds of weight loss for two decades, and now supports clients navigating obesity, emotional eating, behavior change, and long-term weight management. Michele shares her own 16-year journey after bariatric surgery and the ongoing realities of maintaining weight loss while living with chronic illness. Together, they unpack the growing conversation around: GLP-1 medicationsObesity as a chronic medical conditionBariatric surgeryWeight stigma and shameLifestyle change versus “diet mentality”Why maintaining weight loss is often harder than losing it“Losing the weight is so much easier than maintaining your weight loss.” This episode explores the science, the emotions, and the mindset behind long-term obesity treatment in a way that is compassionate, realistic, and empowering. Inside this episode, Michele and Tammy discuss: What new obesity medications like GLP-1s and GIPs actually doThe newest experimental weight loss drug and why researchers are excitedWhy obesity is not about laziness or lack of willpowerHow hormones affect hunger, appetite, insulin, and metabolismWhy long-term maintenance is harder than rapid weight lossThe difference between “diet mentality” and lifestyle changeHow bariatric surgery and medications are tools—not magic fixesWhy emotional eating and behavior patterns still matterThe emotional impact of weight stigma and shameWhy obesity should be treated as a chronic medical conditionThe importance of realistic expectations and long-term supportWhy mindset, self-awareness, and daily choices matter 🧠 One of the most powerful themes in this episode This isn’t about finding a “magic pill.” It’s about learning how to live differently. “It becomes lifestyle and it’s learning that.” Tammy explains that many people can lose weight temporarily through diets, restriction, or short-term programs—but maintaining weight loss requires ongoing behavioral change, emotional work, and support systems. Michele and Tammy also discuss the shame many people experience around obesity and weight loss medications. “This is a medical diagnosis and it takes a village to work this through.” They emphasize that obesity is not simply a matter of discipline or pushing away from the table. Research continues to show that genetics, hormones, metabolism, emotional health, and brain chemistry all play a role. GLP-1 medications, Ozempic, Wegovy, and obesity treatment Michele and Tammy explain how medications like: OzempicWegovyZepboundGLP-1sGIP medications…work by helping regulate appetite, insulin response, metabolism, and other hormonal systems connected to obesity and weight management. The conversation also explores: Why some people lose more weight than othersWhy medications can improve cholesterol, blood sugar, inflammation, and A1C levels even without dramatic weight lossWhy side effects and medical supervision matterThe future of obesity medicine and genetic research The reality of “The Weight-Loss Dance” One of the most relatable moments in the episode comes when Michele explains that every day still involves conscious choices. Not perfection. Choices. “Every day, every meal, I get to make a decision.” This episode is not about quick fixes. It’s about sustainability, compassion, education, and understanding that managing obesity is often a lifelong journey—not a temporary one. 🔗 About Tammy St. Clair Tammy St. Clair is a licensed social worker with extensive experience supporting individuals navigating obesity, bariatric surgery, behavior change, emotional eating, and long-term weight management. She worked in a bariatric surgery office for 10 years and has personally maintained over 100 pounds of weight loss for more than 20 years. Tammy combines professional expertise with lived experience to help clients better understand the emotional, behavioral, and medical realities of obesity treatment. 🔗 Stay Connected with Michele Weston micheleweston.substack.com