Modern Metabolic Health with Dr. Lindsay Ogle, MD

Lindsay Ogle, MD
  • 5.0 (8)
  • Medicine

Join Dr. Lindsay Ogle, a board certified family medicine and obesity medicine physician, as she explores evidence-based strategies and practical tips to prevent and treat weight and metabolic conditions. Dr. Ogle provides insights on managing diabetes, PMOS, metabolic syndrome, obesity and related conditions through lifestyle optimization, safe medications and personalized care. 

  1. 2d ago

    What GLP-1 Meds Mean For Mental Health & Addiction

    Find a therapist at https://www.psychologytoday.com/ Crisis line -- call or text 988 for immediate help and support Tobacco quit line -- call 1-800-QUIT-NOW QuickMD for help quiting opioids, including Kratom & 7-OH National Substance Abuse and Mental Health Services (SAMHSA)  GLP-1 medications are changing more than the number on the scale and that raises a big question: what happens when we turn down the brain’s reward signals? We walk through how GLP-1 receptor agonists act in the gut and in the brain, why many people feel satisfied sooner, and why some notice cravings shift in unexpected ways. Because the same reward pathways involved in food motivation can overlap with mood and substance use, this topic sits right at the intersection of obesity medicine, addiction medicine, and mental health care. We also take the headlines seriously. Reports of suicidal thoughts made news as GLP-1s became more widely prescribed, so we look at what the best available evidence says, including a large meta-analysis of randomized controlled trials involving about 108,000 participants that found no overall increase in psychiatric side effects versus placebo. At the same time, we explain the real-world nuance: many trials exclude people with severe or unstable psychiatric illness, and major body and lifestyle changes can be emotionally complex. We talk about anhedonia, the “feeling flat” side effect some patients report, why it might happen, and how dose adjustments or switching medications can help. Then we dig into substance use disorder research, including why alcohol reduction is one of the most common changes people report on GLP-1s, what early signals show for nicotine cravings, and why proven smoking cessation supports still matter. We also discuss a large VA observational study suggesting veterans with type 2 diabetes on GLP-1s had a lower risk of documented substance use disorders compared with those on SGLT2 inhibitors, a promising finding that still needs more research. If you find this kind of evidence-based metabolic health guidance helpful, subscribe, share the show with a friend, and leave a review so more people can find it. What questions do you want us to tackle next? 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ GLP-1 Guide Zepbound Kwikpen Chart Obesity Management Medications Protein Fiber How To Prevent Diabetes Healthy Habits Workbook Preventative Health Checklist 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg ProCare Supplements (10% off CODE: Metaboli...

  2. 6d ago

    Slow Burn Obesity Phenotype

    If you feel like you can’t eat much and the scale still will not move, you may not be failing, you may be dealing with a slower-than-expected metabolism. I’m Dr. Lindsay Ogle, a board-certified Family Medicine and Obesity Medicine physician, and I’m walking you through the fourth obesity phenotype: slow burn. It is one of the most frustrating patterns I see because it can make weight loss and weight maintenance feel brutally unfair. We unpack what “slow burn” really means in plain language: a lower resting metabolic rate, or fewer calories burned at rest. Then we map out the biggest reasons it happens, including genetics, aging, decreased muscle mass, and a history of severe caloric restriction (yes, the Biggest Loser-style approach can leave a lasting metabolic imprint). This also explains why some people do not respond as expected to GLP-1 medications like Wegovy, Zepbound, Ozempic, or Mounjaro when slow burn is a major driver. From there, we get practical. Since we do not currently have a specific medication that “treats” slow burn directly, we focus on the interventions that work: resistance training you can actually stick with, adequate protein to support muscle-building (especially during fat loss and on GLP-1 therapy), and NEAT, non-exercise activity thermogenesis, to increase daily calorie burn without living in the gym. I also share a few programs I recommend to patients for guided, at-home strength training. If this helps, share it with someone who’s stuck in a weight loss plateau, then subscribe and leave a review so more people can find evidence-based metabolic health guidance. Links Mentioned: Peloton https://www.onepeloton.com/app-membership GLPStrong https://www.glpstrong.com/ 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ GLP-1 Guide Zepbound Kwikpen Chart Obesity Management Medications Protein Fiber How To Prevent Diabetes Healthy Habits Workbook Preventative Health Checklist 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg ProCare Supplements (10% off CODE: Metaboli...

  3. Oct 26

    New FDA Trials for GLP-1 Coverage

    12% of U.S. adults are already taking a GLP-1 agonist, yet far more people likely qualify. So why does getting these medications still feel like a maze? We dig into the uncomfortable gap between what obesity medicine knows clinically and what insurance coverage allows on paper, and we talk candidly about how stigma still shapes who gets treated and when. We walk through why FDA approval often becomes the gatekeeper for chronic care, and why obesity is treated differently than other diseases. I share a real-world example from practice: some plans won’t cover GLP-1 therapy for obesity, but will cover the very same medication for moderate to severe obstructive sleep apnea. That kind of workaround can help patients in the short term, but it also highlights the larger problem: we’re often forced to wait for obesity-related complications before coverage “makes sense.” We also break down the long-term treatment question using a simple analogy. No one is shocked when blood pressure rises after stopping hypertension meds, so why do we act surprised when appetite, cravings, insulin resistance, and weight rebound after stopping GLP-1s? Obesity is a chronic, multifactorial disease and a major risk factor for heart disease, stroke, heart failure, kidney disease, fatty liver disease, and multiple cancers. Treating it earlier is prevention. Finally, we review the growing list of conditions being studied for GLP-1 benefits, from HFpEF and knee osteoarthritis to PMOS (formerly PCOS), substance use disorders, inflammatory disease, and more, plus the big research question: are improvements driven by weight loss, the medication itself, or both? If this conversation shifts how you think about metabolic health and obesity treatment, subscribe, share, and leave a review so more people can find it. Advocacy & Support Groups: https://www.obesityaction.org/ https://glp1collective.org/ http://cozybutter.com 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ GLP-1 Guide Zepbound Kwikpen Chart Obesity Management Medications Protein Fiber How To Prevent Diabetes Healthy Habits Workbook Preventative Health Checklist 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg ProCare Supplements (10% off CODE: Metaboli...

  4. Oct 22

    Emotional Hunger Obesity Phenotype

    We break down the emotional hunger obesity phenotype and why cravings for sugar, salt, and fat can feel overpowering even when you “know better.” We explain why it is not a willpower issue and how a tailored plan using the right medication plus therapy can improve long-term metabolic health.  • how obesity phenotypes can affect how well GLP-1s work for you  • what emotional hunger looks like in daily life and why triggers can be positive or negative  • why emotional hunger is hardwired and often internalized as shame  • how genetic testing may help identify an obesity phenotype  • why Contrave fits emotional hunger and what it targets in the brain’s reward pathway  • bupropion basics, potential benefits, and who should not take it due to seizure risk  • naltrexone basics, alcohol craving support, and why opioids are a hard stop  • common side effects and why slow dose increases matter  • why therapy improves outcomes and how to find a better-fit therapist  • how coaching can support body image and sustainable lifestyle change  If you have any questions, comment below. Please remember to like and subscribe and share with anybody who you think would benefit from this information. If you found this information helpful, please share with a friend, family member, or colleague. Please subscribe and write a review.  Links Mentioned: Find a board certified Obesity Physician: https://obesitymedicine.org/about/find-a-provider/ Genetic Testing: https://www.phenomixsciences.com/ Find a Therapist: https://www.psychologytoday.com/us Find a Life Coach: https://www.thelifecoachschool.com/directory 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ GLP-1 Guide Zepbound Kwikpen Chart Obesity Management Medications Protein Fiber How To Prevent Diabetes Healthy Habits Workbook Preventative Health Checklist 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg ProCare Supplements (10% off CODE: Metaboli...

  5. Oct 19

    Still Hungry On A GLP-1? Here Is What You Can Do!

    Hunger coming back on a GLP-1 can feel scary, especially if you’ve been told the medication should “shut off” your appetite forever. I walk through what’s actually happening in the body, starting with ghrelin, the main hunger hormone, and why hunger is a necessary survival signal that can get dysregulated by chronic calorie restriction, weight cycling, and other metabolic conditions. We also talk about why a little appetite returning can be normal and expected, and how to spot the difference between appropriate hunger and the kind that keeps you thinking about food all day. From there, I get practical. We start with the biggest levers that often get missed: eating earlier in the day instead of saving calories for dinner, building meals around enough protein to protect muscle and support satiety, and increasing fiber (goal: 25 to 35 grams per day) to improve fullness, blood sugar, heart health, and GLP-1 related constipation. I also cover healthy fats, hydration (because thirst can masquerade as hunger), and why consistent, balanced meals beat “powering through” the day and getting ambushed at night. If you’ve tightened up nutrition and you still have excessive hunger, we move into medical options to discuss with your clinician, including adjusting your GLP-1 dose and considering combination obesity medicine. Finally, we zoom out to common hidden drivers like poor sleep and obstructive sleep apnea, chronic stress and elevated cortisol, other medications that can affect weight or appetite, and exercise volume that may unintentionally increase hunger. If you want a clear checklist and a calmer framework for troubleshooting GLP-1 hunger, listen now, share with someone who needs it, and subscribe and leave a review so more people can find the show. Binge Eating Disorder YouTube & Podcast First Generation Obesity Management Meds YouTube & Podcast 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ GLP-1 Guide Zepbound Kwikpen Chart Obesity Management Medications Protein Fiber How To Prevent Diabetes Healthy Habits Workbook Preventative Health Checklist 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg ProCare Supplements (10% off CODE: Metaboli...

  6. Oct 15

    Hungry Gut Obesity Phenotype

    We break down the “hungry gut” obesity phenotype and why some people feel hungry again soon after eating even when the meal is satisfying. We share the treatment options that best match fast gastric emptying, plus a simple protein-first habit that can extend fullness between meals.  • Why obesity treatment is not one size fits all  • What “hungry gut” means and how imaging studies identified faster gastric emptying  • How fast gastric emptying can drive earlier hunger and more snacking  • Why GLP-1 agonists fit hungry gut by slowing gastric emptying  • Common GLP-1 side effects linked to slower emptying and why that can be beneficial here  • Why gastric bypass is the preferred surgery option over sleeve gastrectomy for hungry gut  • When gastric bypass is often recommended for obesity with type 2 diabetes  • Lifestyle strategy of starting meals with protein up to an hour before eating  • Combining phenotypes and using a combination treatment plan with an obesity medicine physician  Subscribe and stay tuned so we can learn about the next two obesity phenotypes.  If you found this information helpful, please share with a friend, family member, or colleague.  Please subscribe and write a review.  More information about GLP-1s: General Info: https://youtu.be/J4LzMNEzyTs?si=xUj0GX77rOlcs5rS How to Start: https://youtu.be/QItUBNUau7M?si=NCsVVFiORlkjNJoI Long Term Safety: https://youtu.be/jMAzVmaLqic?si=TlT32F8OMDTSCS0b Nausea: https://youtu.be/07-QFm71YMo?si=ySEQtNdf1Pph9-L2 Constipation: https://youtu.be/rog26mYgg9g?si=ER3jharJZ8F6K4GJ Reflux: https://youtu.be/cwJfaq6CA-o 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ GLP-1 Guide Zepbound Kwikpen Chart Obesity Management Medications Protein Fiber How To Prevent Diabetes Healthy Habits Workbook Preventative Health Checklist 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg ProCare Supplements (10% off CODE: Metaboli...

  7. Oct 12

    Binge Eating Disorder Is Treatable And You Are Not Alone

    If you’ve ever felt out of control around food and then drowned in guilt afterward, you’re not weak and you’re not alone. We’re talking about binge eating disorder (BED), the most common eating disorder and one of the most underdiagnosed, largely because it’s hard to say out loud and easy for clinicians to miss. I break down what actually defines BED: recurrent binge episodes within a short time window, a painful loss of control, secrecy and shame, and real distress, without compensatory behaviors like vomiting or over-exercising. We also dig into why it happens, including genetics, environment, restrictive dieting patterns, trauma, food insecurity, chronic stress, and the brain’s reward pathway that can make urges feel overwhelming. Along the way, I explain why you can’t diagnose BED by looking at someone, and why BED is a biologic condition rather than a “willpower problem.” You’ll also hear how diagnosis works in real life, including the key time frame and frequency criteria and the BED-7 screening questions that can guide a conversation with your clinician. Then we get practical about treatment for binge eating disorder: evidence-based therapy like cognitive behavioral therapy (CBT) and interpersonal therapy, FDA-approved medication options like lisdexamfetamine (Vyvanse), and other medications that may help when anxiety, depression, or ADHD overlap. I also share a careful perspective on GLP-1 medications and why caution matters for some people. If any of this resonates, take the next step: talk with your primary care clinician, obesity medicine physician, therapist, psychiatrist, eating disorder specialist, or dietitian. Subscribe, share this with someone you care about, and leave a review so more people can find real help. Here are links to Binge Eating Disorder dietitians I recommend: https://www.bamboonutritionrd.com/columbia https://thetastybalance.com/ https://www.restordnutrition.com/ Eating Disorder Crisis Support: https://www.eatingdisorderhope.com/treatment-for-eating-disorders/eating-disorder-hotlines 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ GLP-1 Guide Zepbound Kwikpen Chart Obesity Management Medications Protein Fiber How To Prevent Diabetes Healthy Habits Workbook Preventative Health Checklist 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg ProCare Supplements (10% off CODE: Metaboli...

  8. Oct 8

    Hungry Brain Obesity Phenotype

    Ever watched two people start the same GLP-1 medication like Wegovy or Zepbound and get wildly different results, then wondered what you’re missing? We’ve seen it too: some patients lose an incredible amount of weight, while others barely budge or even gain. That isn’t just “willpower” or “motivation.” A big part of the answer is obesity phenotypes, and today we dig into phenotype number one: hungry brain. Hungry brain obesity is the pattern of persistent, excessive hunger even after a meal that should have been satisfying. When your brain keeps sending “eat more” signals despite adequate nutrition, it becomes incredibly hard to stick to portions, meal timing, and long-term lifestyle changes. We explain what that experience looks like in real life, why a one-size-fits-all plan can backfire, and how a phenotype-based approach can make weight loss treatment feel less like a daily fight. Then we get practical: we walk through targeted anti-obesity medications that may fit hungry brain, including phentermine and Qsymia (phentermine plus topiramate), along with key safety considerations, monitoring needs, and who should not use stimulant-based therapy. We also cover why sleeve gastrectomy can be an optimal bariatric surgery choice for hungry brain due to stomach stretch signaling and the hunger hormone ghrelin, and we share the lifestyle strategy that matches the same biology: high-volume, high-fiber eating with foods like fruits, vegetables, and whole grains. Subscribe for the next three releases on the remaining obesity phenotypes, share this with someone who’s stuck, and leave a review so more people can find trustworthy metabolic health guidance. 👩🏼‍⚕️ Live in Missouri? Want to be my patient? Telehealth clinic: https://missourimetabolichealth.com 🥑 Have questions you want answered on the podcast? Email support@missourimetabolichealth.com ✨Freebies✨ GLP-1 Guide Zepbound Kwikpen Chart Obesity Management Medications Protein Fiber How To Prevent Diabetes Healthy Habits Workbook Preventative Health Checklist 🤗 Socials: Instagram: https://www.instagram.com/dr.lindsayogle/ TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg ProCare Supplements (10% off CODE: Metaboli...

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Ratings & Reviews

5
out of 5
8 Ratings

About

Join Dr. Lindsay Ogle, a board certified family medicine and obesity medicine physician, as she explores evidence-based strategies and practical tips to prevent and treat weight and metabolic conditions. Dr. Ogle provides insights on managing diabetes, PMOS, metabolic syndrome, obesity and related conditions through lifestyle optimization, safe medications and personalized care. 

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