Dr. Paika Podcast

Mohammed Paika

Welcome to the Dr. Paika Podcast — where medicine, fitness, and humanity come together. Hosted by Dr. Mohammed K. Paika, M.D., double board-certified in obesity & internal medicine with over two decades of hospital experience, this show dives deep into the science of health, obesity, longevity, and mindset — but with compassion, not complexity. From hospital medicine to the gym floor, from patient care to personal growth — every episode blends real clinical insight with practical, inspiring stories that help you live better and think deeper. 💡 Topics include: Obesity & metabolic health Longevity & fitness Nutrition & preventive medicine Doctor insights from 20+ years in hospitals across the US! Mindset, mental health, and motivation 🎧 Subscribe for weekly conversations that are honest, empowering, and rooted in science — all from a doctor who believes medicine should heal the mind and body.

  1. 1d ago

    How To Lose Weight On Tirzepatide (Doctor Who Prescribes It)

    #Ozempic #Mounjaro #Semaglutide #Tirzepatide #GLP1 #WeightLoss #ObesityMedicine  If you're on tirzepatide or semaglutide and the scale isn't moving the way you expected, this video is for you. I'm Dr. Mohammed Paika, board-certified in internal medicine and obesity medicine — I've been dealing with these medications in the hospital since they first came out, and I've managed my own weight through diet and training alone for over a decade. In this video I break down what tirzepatide and semaglutide actually are, why they were invented, how they work in your body, the exact dosing timeline, why the shot is only once a week, what you have to do around the medication for it to actually work, and what happens once you hit your goal weight. Most important is what to do besides taking the medication which is what my GLP-1 Masterclass is designed to teach you.  🎓 Complete GLP-1 Weight Loss Masterclass — Lifetime AccessComprehensive education on GLP-1 medications, nutrition, exercise, muscle preservation, side effects & long-term success. Includes the companion eBook, quizzes, 12-week exercise program, certificate & future course updates at no additional cost.https://www.drmohammedpaika.com 📩 FREE GLP-1 Diet Cookbook + Weekly NewsletterGet weekly evidence-based insights on GLP-1s, metabolic health, nutrition, exercise & longevity.https://www.drmohammedpaika.com/newsletter 📚 The Weight Equation & The Physician’s PhysiquePhysician-written, evidence-based guides to obesity, weight loss, nutrition, metabolism, exercise, body composition & healthier living.https://www.drmohammedpaika.com/books 👥 Metabolic Health Communityhttps://www.skool.com/metabolic-health-community-5316👨‍⚕️ ABOUT DR. MOHAMMED K. PAIKABoard-Certified in Internal Medicine and Obesity MedicineCertified Personal Trainer & Nutrition CoachHelping people understand metabolism, hormones, and sustainable health through evidence-based medicine. Timestamps0:00 Intro — Why These Drugs Weren't Built For Weight Loss1:39 My Story — Both Sides Of The Stethoscope3:16 Step 1 — Know What You're Actually Taking4:14 Step 2 — Know Why It Exists5:03 Step 3 — How It Works In Your Body (Trial Data & Patient Case)8:02 Where To Go Deeper (Masterclass & Free Cookbook)8:32 Step 4 — The Dose: Where You Start, Where You End Up9:57 Step 5 — Why It's Only Once A Week10:45 Step 6 — What You Have To Do Around The Medication12:59 Step 7 — What Happens When You Get There14:13 Closing Thoughts ReferencesWilding JPH, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021;384:989–1002.Jastreboff AM, et al. Tirzepatide Once Weekly for the Treatment of Obesity. N Engl J Med. 2022;387:205–216.Rubino D, et al. Effect of Continued Weekly Semaglutide vs Placebo on Weight Loss Maintenance. JAMA. 2021;325:1414–1425.FDA. ZEPBOUND (tirzepatide) Prescribing Information, label 217806.FDA. WEGOVY (semaglutide) Prescribing Information, label 215256.Paika M. GLP-1 Masterclass, Ch. 5 & 11 (drmohammedpaika.com). ⚕️ MEDICAL & EDUCATIONAL DISCLAIMER: This content is for general educational and informational purposes only and is not medical advice or a substitute for care from your healthcare provider. Viewing this content does not create a doctor-patient relationship. Always consult a qualified healthcare professional before starting, stopping, or changing any medication, diet, exercise, or weight-loss plan. Individual results and risks vary. You assume responsibility for decisions made based on this content.

  2. 5d ago

    Peptide Doctor Gives a Peptide Masterclass

    #Peptides #PeptideTherapy #GLP1 #AntiAgingMedicine #bpc157  Peptides didn't start with a wellness influencer — they started with a dying 14-year-old boy in 1922 and a shot of insulin. Today that same category includes everything from FDA-approved medications to unregulated research chemicals sold online with zero oversight. In this video I break down over 20 peptides — from BPC-157 and TB-500 to semaglutide, tirzepatide, retatrutide, and the newest FDA regulatory update on compounding access — organized into the three levels of biology they actually work on: cellular energy, tissue repair, and systemic control (your hormones, metabolism, and nervous system). 🎓 Complete GLP-1 Weight Loss Masterclass — Lifetime AccessComprehensive education on GLP-1 medications, nutrition, exercise, muscle preservation, side effects & long-term success. Includes the companion eBook, quizzes, 12-week exercise program, certificate & future course updates at no additional cost.https://www.drmohammedpaika.com 📩 FREE GLP-1 Diet Cookbook + Weekly NewsletterGet weekly evidence-based insights on GLP-1s, metabolic health, nutrition, exercise & longevity.https://www.drmohammedpaika.com/newsletter 📚 The Weight Equation & The Physician’s PhysiquePhysician-written, evidence-based guides to obesity, weight loss, nutrition, metabolism, exercise, body composition & healthier living.https://www.drmohammedpaika.com/books 👥 Metabolic Health Communityhttps://www.skool.com/metabolic-health-community-5316 TIMESTAMPS 0:00 – Intro — why peptides aren't what you think1:21 – What a peptide actually is3:24 – Why "your body recognizes it" doesn't mean it's right for you5:15 – The three-layer framework6:18 – Layer One: Cellular energy (Epitalon, MOTS-c, SS-31)11:58 – Layer Two: Tissue repair (BPC-157, TB-500, GHK-Cu)18:08 – Layer Three: Hormones (Sermorelin, Ipamorelin, CJC-1295, Tesamorelin)21:36 – Layer Three: Metabolism (Semaglutide, Tirzepatide, Retatrutide)26:24 – Layer Three: Brain & nervous system (Semax, Selank, Dihexa, Cerebrolysin)31:40 – The most expensive mistake I see33:44 – What to do with this ReferencesWHO — Diabetes Fact Sheet: ~9 million people worldwide live with type 1 diabetes and require insulin injections for survivalNational Institute on Aging — "Exendin-4: From Lizard to Laboratory...and Beyond"PubMed — "The Development of Byetta (Exenatide) From the Venom of the Gila Monster" (PMID 21194543)Cell Metabolism (2015) — "The Mitochondrial-Derived Peptide MOTS-c Promotes Metabolic Homeostasis and Reduces Obesity and Insulin Resistance"Khavinson, Bondarev, Butyugov — "Epithalon Peptide Induces Telomerase Activity and Telomere Elongation in Human Somatic Cells," Bulletin of Experimental Biology and Medicine, 2003Khavinson et al. — "Effect of Epitalon on Biomarkers of Aging, Life Span and Spontaneous Tumor Incidence in Female Swiss-Derived SHR Mice," Bulletin of Experimental Biology and MedicineJohns Hopkins ICTR; Pharmacy Times; Drugs.com — FDA accelerated approval of Forzinity (elamipretide/SS-31) for Barth syndrome, September 19, 2025Genetics in Medicine — Phase 2/3 randomized trial of elamipretide (SS-31) in Barth syndrome (PMC7935714)Pickart et al. — "Regenerative and Protective Actions of the GHK-Cu Peptide in the Skin and Other Tissues" (PMC6073405)USADA — Athlete Advisory on 2022 WADA Prohibited List changes (BPC-157)Sport Integrity Australia — Thymosin Beta-4 (TB-500) substance profilePharmaceutical Executive — "FDA Votes to Loosen Restrictions for Four Peptides" (July 23, 2026); STAT News coverage of the same PCAC vote (BPC-157 8-6, TB-500 8-6, KPV 8-6, MOTS-c 7-5 — advisory only, formal rulemaking still pending)CBS News — "Stallone Pleads Guilty to Import Charge" / "Australia Fines Sly for Toting Hormones" (2007); Hollywood Reporter (2007); Taipei Times wire report (May 22, 2007)FDA — Approved labeling for EGRIFTA (tesamorelin for injection)Jastreboff et al., New England Journal of Medicine, 2023 — Phase 2 trial of retatrutidePharmaceutical Journal / AJMC / Pharmacy Times, May 2026 — TRIUMPH-1 topline results (Eli Lilly; peer review pending)Alzheimer's Drug Discovery Foundation, Cognitive Vitality — Dihexa peptide profileNeurologyLive / FierceBiotech — Fosgonimeton LIFT-AD (Nov 2024) and SHAPE (Dec 2023) trials, both missed primary endpointZiganshina LE et al., Cochrane Database of Systematic Reviews, 2020 — Cerebrolysin for acute ischaemic stroke ⚕️ MEDICAL & EDUCATIONAL DISCLAIMER: This content is for general educational and informational purposes only and is not medical advice or a substitute for care from your healthcare provider. Viewing this content does not create a doctor-patient relationship. Always consult a qualified healthcare professional before starting, stopping, or changing any medication, diet, exercise, or weight-loss plan. Individual results and risks vary. You assume responsibility for decisions made based on this content.

  3. 6d ago

    The Most Common Mistake Patients Make on Phentermine

    #Phentermine #WeightLoss #ObesityMedicine #GLP1 #weightlosstips  The #1 mistake I see patients make on phentermine isn't a dosing error — it's that they stop eating. In this video, Dr. Mohammed Paika (board-certified in Internal Medicine and Obesity Medicine, 20 years as a hospitalist) breaks down exactly why appetite suppression gets confused with starvation, the real physiology of what happens to your metabolism and muscle when you under-eat on phentermine, a patient case from the hospital floor you won't forget, and the protein-first framework to actually keep the weight off long-term. You'll learn:– What phentermine actually does in your body (and why it's still the most-prescribed weight-loss medication in the U.S.)– The 3-stage physiology of "starvation mode" — and the real data behind it– A protein-first meal-timing framework you can start today– Why resistance training is non-negotiable for protecting your metabolism– Why phentermine isn't your only option — and how to know if it's the right one for you 🎓 Complete GLP-1 Weight Loss Masterclass — Lifetime AccessComprehensive education on GLP-1 medications, nutrition, exercise, muscle preservation, side effects & long-term success. Includes the companion eBook, quizzes, 12-week exercise program, certificate & future course updates at no additional cost.https://www.drmohammedpaika.com 📩 FREE GLP-1 Diet Cookbook + Weekly NewsletterGet weekly evidence-based insights on GLP-1s, metabolic health, nutrition, exercise & longevity.https://www.drmohammedpaika.com/newsletter 📚 The Weight Equation & The Physician’s PhysiquePhysician-written, evidence-based guides to obesity, weight loss, nutrition, metabolism, exercise, body composition & healthier living.https://www.drmohammedpaika.com/books 👥 Metabolic Health Communityhttps://www.skool.com/metabolic-health-community-5316👨‍⚕️ ABOUT DR. MOHAMMED K. PAIKABoard-Certified in Internal Medicine and Obesity MedicineCertified Personal Trainer & Nutrition CoachHelping people understand metabolism, hormones, and sustainable health through evidence-based medicine. Timestamps0:00 Intro — The Mistake Almost Everyone Makes on Phentermine1:05 What Phentermine Actually Does In Your Body3:17 The Real Mistake: Not Eating4:21 Why It Feels Like Winning At First5:24 The 3 Stages of Starvation Mode9:28 Free Resource: The GLP-1 Diet Cookbook10:20 The Patient I'll Never Forget12:26 What To Eat Instead: The Protein-First Framework15:44 Protect Your Muscle & Metabolism17:56 Phentermine Isn't Your Only Option19:27 Playing The Long Game21:43 The Bottom Line + Free Resources ReferencesU.S. FDA, Phentermine Hydrochloride prescribing information (Initial Approval 1959)Fothergill E, et al. Obesity. 2016;24(8):1612–1619Lewis KH, et al. Obesity. 2019;27(4):591–602Hunter GR, et al. Obesity. 2008;16(5):1045–1051Mifflin MD, et al. Am J Clin Nutr. 1990;51(2):241–247Wang Z, et al., organ metabolic rate research; Javed F, et al., body composition researchNBC Sports / Olympics.com / EssentiallySports — reporting on Michael Phelps's dietLewis KH, Gudzune KA, Ard JD. Current Obesity Reports. 2024;13(1):132–140 ⚕️ MEDICAL & EDUCATIONAL DISCLAIMER: This content is for general educational and informational purposes only and is not medical advice or a substitute for care from your healthcare provider. Viewing this content does not create a doctor-patient relationship. Always consult a qualified healthcare professional before starting, stopping, or changing any medication, diet, exercise, or weight-loss plan. Individual results and risks vary. You assume responsibility for decisions made based on this content.

  4. Sep 1

    How Does Zepbound (Tirzepatide) Really Compare to Wegovy (Semaglutide)?

    #Zepbound #Wegovy #Tirzepatide #Semaglutide #glp1  Zepbound and Wegovy are the two most talked-about weight loss medications right now — but the headlines comparing them skip the context that actually matters. In this video, I break down how tirzepatide (Zepbound) and semaglutide (Wegovy) actually work in your body, compare the real clinical trial data — including the new SURMOUNT-5 head-to-head trial — and walk through the side effects, cost, and questions you need to bring to your physician before choosing between them. I'm Dr. Mohammed Paika — board-certified in Internal Medicine and Obesity Medicine, and a practicing hospitalist for over 15 years. I built DrMohammedPaika.com to give people real, evidence-based guidance on GLP-1 medications, nutrition, and exercise, because a prescription without a plan for your muscle, your nutrition, and your training is only half a treatment. 🎓 Complete GLP-1 Weight Loss Masterclass — Lifetime AccessComprehensive education on GLP-1 medications, nutrition, exercise, muscle preservation, side effects & long-term success. Includes the companion eBook, quizzes, 12-week exercise program, certificate & future course updates at no additional cost.https://www.drmohammedpaika.com 📩 FREE GLP-1 Diet Cookbook + Weekly NewsletterGet weekly evidence-based insights on GLP-1s, metabolic health, nutrition, exercise & longevity.https://www.drmohammedpaika.com/newsletter 📚 The Weight Equation & The Physician’s PhysiquePhysician-written, evidence-based guides to obesity, weight loss, nutrition, metabolism, exercise, body composition & healthier living.https://www.drmohammedpaika.com/books 👥 Metabolic Health Communityhttps://www.skool.com/metabolic-health-community-5316👨‍⚕️ ABOUT DR. MOHAMMED K. PAIKABoard-Certified in Internal Medicine and Obesity MedicineCertified Personal Trainer & Nutrition CoachHelping people understand metabolism, hormones, and sustainable health through evidence-based medicine. Timestamps 00:00 Introduction01:10 Who's Giving You This Information03:22 Wegovy vs. Zepbound: The Timeline04:52 How These Medications Actually Work07:28 Dosing and What's New in 202610:01 Side Effects (And a Case From My Hospital)13:11 Who Actually Qualifies14:09 The Individual Trial Data: STEP 1 vs. SURMOUNT-115:22 SURMOUNT-5: The Head-to-Head Trial17:28 Why the Average Doesn't Decide Your Case18:17 The Part Everyone Skips: Your Muscle20:16 What These Medications Cost in 202622:36 A Patient Case That Changed My Approach24:14 Questions to Ask Your Physician25:22 The Bottom Line26:26 Where to Go From Here References  Aronne LJ, et al. SURMOUNT-5, N Engl J Med (2025); Eli Lilly official results announcement, investor.lilly.comBaggio LL, Drucker DJ. Biology of Incretins: GLP-1 and GIP. Gastroenterology. 2007;132(6):2131-2157U.S. FDA approval history: semaglutide (Ozempic) 2017; semaglutide (Wegovy) June 2021Samms RJ, Coskun T, et al. Trends Endocrinol Metab. 2020;31(6):410-421Coskun T, Sloop KW, et al. Mol Metab. 2018;18:3-14Wegovy (semaglutide) U.S. Prescribing Information, Novo NordiskZepbound (tirzepatide) U.S. Prescribing Information, Eli LillyFDA approval of oral semaglutide (Wegovy pill), OASIS-4 trial, 2025Wilding JPH, et al. STEP 1. N Engl J Med. 2021;384:989-1002Jastreboff AM, et al. SURMOUNT-1. N Engl J Med. 2022;387:205-216He L, et al. JAMA Intern Med. 2022 (DOI 10.1001/jamainternmed.2022.0338)Neeland IJ, et al. Diabetes Obes Metab. 2024 (DOI 10.1111/dom.15728)Prado CM, Phillips SM, et al. Lancet Diabetes Endocrinol. 2024 (DOI 10.1016/S2213-8587(24)00272-9)NovoCare.com, Wegovy Cost, Coverage & Savings Resources, 2026Eli Lilly investor announcement, LillyDirect Self Pay Journey Program pricing, 2026 ⚕️ MEDICAL & EDUCATIONAL DISCLAIMER: This content is for general educational and informational purposes only and is not medical advice or a substitute for care from your healthcare provider. Viewing this content does not create a doctor-patient relationship. Always consult a qualified healthcare professional before starting, stopping, or changing any medication, diet, exercise, or weight-loss plan. Individual results and risks vary. You assume responsibility for decisions made based on this content.

  5. Aug 29

    5 Best Supplements for Longevity, Performance, and Overall Health

    #Supplements #Longevity #Creatine #Omega3 #glp1medications  Feeling overwhelmed by the supplement aisle and not sure which five actually move the needle? As a board-certified internal medicine and obesity medicine physician (and a certified personal trainer), I'm cutting through the noise and giving you the only five supplements I actually recommend for longevity, performance, and overall health — with the real dose, the form that's actually absorbed, and the timing that matters, backed by the studies behind every claim. 🎓 Complete GLP-1 Weight Loss Masterclass — Lifetime AccessComprehensive education on GLP-1 medications, nutrition, exercise, muscle preservation, side effects & long-term success. Includes the companion eBook, quizzes, 12-week exercise program, certificate & future course updates at no additional cost.https://www.drmohammedpaika.com 📩 FREE GLP-1 Diet Cookbook + Weekly NewsletterGet weekly evidence-based insights on GLP-1s, metabolic health, nutrition, exercise & longevity.https://www.drmohammedpaika.com/newsletter 📚 The Weight Equation & The Physician’s PhysiquePhysician-written, evidence-based guides to obesity, weight loss, nutrition, metabolism, exercise, body composition & healthier living.https://www.drmohammedpaika.com/books 👥 Metabolic Health Communityhttps://www.skool.com/metabolic-health-community-5316👨‍⚕️ ABOUT DR. MOHAMMED K. PAIKABoard-Certified in Internal Medicine and Obesity MedicineCertified Personal Trainer & Nutrition CoachHelping people understand metabolism, hormones, and sustainable health through evidence-based medicine. Timestamps:0:00 – Intro: the 5 supplements that actually work1:10 – #5 Creatine: dose, form, and the brain benefit nobody mentions6:46 – #4 Magnesium: the mineral running 300 systems you never think about11:51 – #3 Vitamin D: how deficient is "deficient"16:51 – Before we continue (free newsletter + GLP-1 Diet Cookbook)17:42 – #2 Fiber: the supplement nobody thinks is sexy22:51 – #1 Omega-3: heart, brain, and muscle recovery in one mechanism26:57 – If you're on a GLP-1 medication: the real risk29:31 – Where to go from here References:1.Kreider RB, et al. ISSN position stand: creatine supplementation dosing. J Int Soc Sports Nutr. 2017;14:18. — Full text (PMC)2. Creatine supplementation protocols on body composition: GRADE-assessed dose-response meta-analysis. J Int Soc Sports Nutr. 2024. — PubMed3. Rosanoff A, Weaver CM, Rude RK. Suboptimal magnesium status in the U.S. Nutrition Reviews. 2012;70(3):153–164. — PubMed4. NIH Office of Dietary Supplements. Magnesium: Fact Sheet for Health Professionals. — ods.od.nih.gov5. Prevalence, trend, and predictor analyses of vitamin D deficiency in the U.S. population, 2001–2018. Frontiers in Nutrition. 2022. — Full text6. Demay MB, et al. Vitamin D for the Prevention of Disease: Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2024;109(8):1907–1947. — PubMed7. Holick MF, et al. Evaluation, Treatment, and Prevention of Vitamin D Deficiency: Endocrine Society Guideline. J Clin Endocrinol Metab. 2011;96(7):1911–1930. — Journal page8. Dietary fiber intake and all-cause/cause-specific mortality: dose-response meta-analysis. Frontiers in Nutrition. 2023;10:1153165. — Full text9. Kapoor MP, et al. Partially hydrolysed guar gum and postprandial glucose/lipid response. Journal of Functional Foods. 2016. — Journal page10. Bhatt DL, et al. Cardiovascular Risk Reduction with Icosapent Ethyl (REDUCE-IT). NEJM. 2019;380:11–22. — NEJM11. Harris WS, von Schacky C. The Omega-3 Index. Preventive Medicine. 2004;39(1):212–220. — Journal page12. STEP 1 DXA body-composition substudy (semaglutide). — PMC13. Look M, et al. SURMOUNT-1 body composition analysis (tirzepatide). Diabetes, Obesity and Metabolism. 2025. — PubMed ⚕️ MEDICAL & EDUCATIONAL DISCLAIMER: This content is for general educational and informational purposes only and is not medical advice or a substitute for care from your healthcare provider. Viewing this content does not create a doctor-patient relationship. Always consult a qualified healthcare professional before starting, stopping, or changing any medication, diet, exercise, or weight-loss plan. Individual results and risks vary. You assume responsibility for decisions made based on this content.

  6. Aug 27

    If I Started Retatrutide Today, Here’s EXACTLY What I’d Do!

    #Retatrutide #GLP1 #WeightLoss #ObesityMedicine #metabolichealth  Retatrutide is producing weight loss results we used to only see after bariatric surgery — but the medication is only half the story. In this video, Dr. Mohammed Paika (board-certified in internal medicine and obesity medicine) breaks down the five decisions he'd make before ever taking a first dose: how to find the right dose instead of chasing the highest one, why your heart rate and mood deserve the same attention as the scale, how to protect your muscle while the weight comes off, how to build a supplement plan instead of guessing, and why the medication should never be allowed to do all the work on its own. Important: as of this video, retatrutide is still investigational and not yet FDA approved. Eli Lilly has completed three positive Phase 3 trials and plans to file for approval in Q1 2027. Right now it's accessible only through clinical trials or a narrow compassionate-use program — this video is the plan to have ready before that changes. 🎓 Complete GLP-1 Weight Loss Masterclass — Lifetime AccessComprehensive education on GLP-1 medications, nutrition, exercise, muscle preservation, side effects & long-term success. Includes the companion eBook, quizzes, 12-week exercise program, certificate & future course updates at no additional cost.https://www.drmohammedpaika.com 📩 FREE GLP-1 Diet Cookbook + Weekly NewsletterGet weekly evidence-based insights on GLP-1s, metabolic health, nutrition, exercise & longevity.https://www.drmohammedpaika.com/newsletter 📚 The Weight Equation & The Physician’s PhysiquePhysician-written, evidence-based guides to obesity, weight loss, nutrition, metabolism, exercise, body composition & healthier living.https://www.drmohammedpaika.com/books 👥 Metabolic Health Communityhttps://www.skool.com/metabolic-health-community-5316 Timestamps 0:00 – Intro2:38 – Where Things Stand: Is Retatrutide FDA Approved?4:35 – Rule 1: Dosing Is Not a Competition10:37 – Rule 2: The Scale Doesn't See Everything (Heart + Mood)16:50 – Rule 3: Muscle Is Not Optional21:30 – Rule 4: Supplements Need a Strategy, Not a Guess24:26 – Rule 5: Don't Let the Medication Do All the Work28:15 – The Five Decisions That Actually Matter29:18 – What To Do Next ReferencesTRIUMPH-1 phase 3 trial results (weight loss %, BMI outcomes, discontinuation rates) — https://www.ajmc.com/view/retatrutide-achieves-up-to-30-3-average-weight-loss-in-phase-3-triumph-1-trialTRIUMPH-1 trial summary and safety profile — https://www.hcplive.com/view/retatrutide-weight-loss-endpoints-phase-3-obesity-trialRetatrutide phase 2 data — mechanism and heart rate increase (~6.7 bpm), Doggrell, Expert Opinion on Investigational Drugs, 2023 — https://pubmed.ncbi.nlm.nih.gov/37947489/FDA Drug Safety Communication — removal of suicidal ideation/behavior warning from GLP-1 receptor agonist labels (January 2026) — https://www.fda.gov/drugs/drug-safety-communications/fda-requests-removal-suicidal-behavior-and-ideation-warning-glucagon-peptide-1-receptor-agonist-glpLilly TRIUMPH-2 and TRIUMPH-3 phase 3 results and planned Q1 2027 BLA submission — https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-successful-two-additionalRetatrutide access status, August 2026 — https://www.ajmc.com/view/lilly-expands-retatrutide-access-amid-doctor-pushbackLean body mass loss data (SURMOUNT-1, STEP-1) and 2025 joint medical-society advisory — https://www.healio.com/news/endocrinology/20251114/muscle-matters-the-challenge-of-preserving-lean-mass-during-obesity-treatmentFothergill et al., "Persistent metabolic adaptation 6 years after The Biggest Loser competition," Obesity, 2016 — https://onlinelibrary.wiley.com/doi/full/10.1002/oby.21538American Medical Association's 2013 classification of obesity as a chronic disease — https://abcnews.go.com/Health/american-medical-association-classifies-obesity-disease/story?id=19439304 and https://obesitymedicine.org/blog/ama-adopts-policy-recognize-obesity-disease/"GLP-1 personality" — patient-reported emotional blunting and researcher commentary — https://health.yahoo.com/your-body/weight-management/weight-loss/article/what-is-ozempic-personality-125300474.htmlProtein targets and resistance-training rationale — Dr. Paika's GLP-1 Masterclass, Chapters 7 & 13 (internal course material) ⚕️ MEDICAL & EDUCATIONAL DISCLAIMERThis channel and its content are provided by Dr. Mohammed K. Paika, MD for general educational and informational purposes only. The information presented is not intended as medical advice and does not replace consultation with your personal physician or qualified healthcare professional. Viewing this content does not create a doctor-patient relationship between you and Dr. Paika. Dr. Paika and affiliated entities disclaim any liability for injuries, adverse effects, or damages resulting from use or application of information presented in this content.

  7. Aug 25

    Tips That Can Help Manage Your Ozempic Side Effects

    #Ozempic #Wegovy #GLP1 #WeightLoss #obesitymedicine  Nausea, constipation, bloating, gas — if you're on semaglutide (Ozempic or Wegovy), gastrointestinal side effects are the most common thing you'll run into. In this video, I break down exactly why they happen and the specific, evidence-based strategies that actually reduce them: portion sizes, meal timing, which foods make it worse, hydration, injection timing, dose titration, and the red flags that mean it's time to call your doctor — not internet folklore, actual clinical data and two decades of hospital medicine. 🎓 Complete GLP-1 Weight Loss Masterclass — Lifetime AccessComprehensive education on GLP-1 medications, nutrition, exercise, muscle preservation, side effects & long-term success. Includes the companion eBook, quizzes, 12-week exercise program, certificate & future course updates at no additional cost.https://www.drmohammedpaika.com 📩 FREE GLP-1 Diet Cookbook + Weekly NewsletterGet weekly evidence-based insights on GLP-1s, metabolic health, nutrition, exercise & longevity.https://www.drmohammedpaika.com/newsletter 📚 The Weight Equation & The Physician’s PhysiquePhysician-written, evidence-based guides to obesity, weight loss, nutrition, metabolism, exercise, body composition & healthier living.https://www.drmohammedpaika.com/books 👥 Metabolic Health CommunityLive Q&As, evidence-based education, accountability, workouts, nutrition guidance & community support.https://www.skool.com/metabolic-health-community-5316 TIMESTAMPS0:00 – Intro & Disclaimer1:35 – What Semaglutide Actually Is (and Why Side Effects Happen)3:22 – Tip 1: Cut Your Portions5:14 – Tip 2: Smaller, More Frequent Meals6:27 – Tip 3: Foods That Work Against You8:04 – Tip 4: Hydration & Constipation9:04 – Tip 5: Time Your Injection Around Your Life9:45 – Tip 6: Injection Site — Myth vs. Evidence11:38 – Tip 7: Titration Schedule12:34 – The Symptom Timeline: When It Gets Better13:35 – When to Call Your Doctor14:39 – The Bigger Picture16:01 – Resources & Next Steps Wilding JPH, Batterham RL, Calanna S, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. New England Journal of Medicine. 2021;384:989-1002. — https://www.nejm.org/doi/full/10.1056/NEJMoa2032183Wharton S, Davies M, Dicker D, Lingvay I, Mosenzon O, Rubino DM, Pedersen SD. Managing the gastrointestinal side effects of GLP-1 receptor agonists in obesity: recommendations for clinical practice. Postgraduate Medicine. 2022;134(1):14-19. — https://www.tandfonline.com/doi/full/10.1080/00325481.2021.2002616Mozaffarian D, et al. Nutritional priorities to support GLP-1 therapy for obesity: a joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society. Obesity. 2025. — https://ajcn.nutrition.org/article/S0002-9165(25)00240-0/fulltextSaha B, Kamalumpundi V, Codipilly DC. GLP1 and GIP Receptor Agonists: Effects on the Gastrointestinal Tract and Management Strategies for Primary Care Physicians. Mayo Clinic Proceedings. 2025. — https://www.mayoclinicproceedings.org/article/S0025-6196(25)00551-8/fulltextNovo Nordisk. Ozempic (semaglutide) injection Prescribing Information. — https://www.novo-pi.com/ozempic.pdfNovo Nordisk. Wegovy (semaglutide) injection Prescribing Information. — https://www.novo-pi.com/wegovy.pdfFDA Clinical Pharmacology Review, NDA 215866 (tirzepatide) — injection site bioequivalence data, cited in the corrected Tip 6. — https://www.accessdata.fda.gov/drugsatfda_docs/nda/2022/215866Orig1s000ClinPharmR.pdf ⚕️ MEDICAL & EDUCATIONAL DISCLAIMERThis channel and its content are provided by Dr. Mohammed K. Paika, MD for general educational and informational purposes only. The information presented is not intended as medical advice and does not replace consultation with your personal physician or qualified healthcare professional.Viewing this content does not create a doctor-patient relationship between you and Dr. Paika.Health, nutrition, exercise, and medication topics discussed on this channel may not be appropriate for all individuals. Always consult your own healthcare provider before starting or changing any medication, diet, exercise program, or weight-loss plan, including GLP-1 therapies such as Wegovy, Ozempic, Zepbound, Mounjaro, or similar medications.Exercise and lifestyle changes carry inherent risks. By choosing to follow any information from this channel, you accept full responsibility for your health decisions and outcomes.Dr. Paika and affiliated entities disclaim any liability for injuries, adverse effects, or damages resulting from use or application of information presented in this content.

  8. Aug 22

    Best Foods to Eat on GLP-1: Ozempic, Mounjaro, Zepbound & Wegovy Diet

    #GLP1 #Ozempic #WeightLossJourney #ObesityMedicine #healthyeating  Eating less on Ozempic, Wegovy, Mounjaro, or Zepbound doesn't automatically mean your diet is helping you lose fat. In this video, I break down the best foods to eat on a GLP-1 — protein, carbs, healthy fats, and fiber — so you preserve muscle, manage side effects, and get better results from your medication. I'm Dr. Mohammed Paika, a board-certified internal medicine and obesity medicine physician. Everything in this video comes from the same nutrition science I use with real patients, including two cases straight from my hospital work. 🎓 Complete GLP-1 Weight Loss Masterclass — Lifetime AccessComprehensive education on GLP-1 medications, nutrition, exercise, muscle preservation, side effects & long-term success. Includes the companion eBook, quizzes, 12-week exercise program, certificate & future course updates at no additional cost.https://www.drmohammedpaika.com 📩 FREE GLP-1 Diet Cookbook + Weekly NewsletterGet weekly evidence-based insights on GLP-1s, metabolic health, nutrition, exercise & longevity.https://www.drmohammedpaika.com/newsletter 📚 The Weight Equation & The Physician’s PhysiquePhysician-written, evidence-based guides to obesity, weight loss, nutrition, metabolism, exercise, body composition & healthier living.https://www.drmohammedpaika.com/books 👥 Metabolic Health CommunityLive Q&As, evidence-based education, accountability, workouts, nutrition guidance & community support.https://www.skool.com/metabolic-health-community-5316 TImestamps0:00 Introduction — Why Food Choices Matter More on a GLP-12:07 How GLP-1 Medications Actually Work5:17 Protein: Why It's Non-Negotiable12:44 Carbohydrates: The Fuel You're Still Allowed to Eat14:40 Healthy Fats: Small Amounts, Real Benefit15:53 Fiber: The Nutrient That Makes Everything Else Work20:40 Water: The One Everyone Forgets23:26 How to Build Your GLP-1 Plate24:57 Warning Signs: When to Call Your Doctor26:46 What Realistic Progress Looks Like27:28 Bringing It All Together28:41 Resources & Next Steps References 1. Mozaffarian D, et al. Nutritional priorities to support GLP-1 therapy for obesity. Am J Clin Nutr. 2025.   https://ajcn.nutrition.org/article/S0002-9165(25)00240-0/fulltext 2. Villareal DT, et al. Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults. NEJM. 2011.   https://pubmed.ncbi.nlm.nih.gov/21449785/ 3. Leidy HJ, et al. Higher protein intake preserves lean mass and satiety with weight loss. Obesity. 2007.   https://pubmed.ncbi.nlm.nih.gov/17299116/ 4. Cruz-Jentoft AJ, et al. Sarcopenia: revised European consensus on definition and diagnosis (EWGSOP2). Age Ageing. 2019.   https://pmc.ncbi.nlm.nih.gov/articles/PMC6593317/ 5. Sacks FM, et al. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. NEJM. 2009.   https://pubmed.ncbi.nlm.nih.gov/19246357/ 6. Johnston BC, et al. Comparison of weight loss among named diet programs in overweight and obese adults. JAMA. 2014.   https://pubmed.ncbi.nlm.nih.gov/25182101/ 7. Rolls BJ. Dietary energy density: applying behavioural science to weight management. Nutr Bull. 2017.   https://onlinelibrary.wiley.com/doi/abs/10.1111/nbu.12280 8. Estruch R, et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Extra-Virgin Olive Oil or Nuts (PREDIMED). NEJM. 2018.   https://pubmed.ncbi.nlm.nih.gov/29897866/ 9. USDA & HHS. Dietary Guidelines for Americans, 2020-2025.   https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf 10. American College of Sports Medicine. Position Stand — Resistance Training Prescription for Muscle Function, Hypertrophy, and Physical Performance in Healthy Adults. Med Sci Sports Exerc. 2026.    https://pubmed.ncbi.nlm.nih.gov/41843416/ 11. American Society of Anesthesiologists. Consensus-Based Guidance on Preoperative Management of Patients on GLP-1 Receptor Agonists. 2023.    https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperative ⚕️ MEDICAL & EDUCATIONAL DISCLAIMERThis channel and its content are provided by Dr. Mohammed K. Paika, MD for general educational and informational purposes only. The information presented is not intended as medical advice and does not replace consultation with your personal physician or qualified healthcare professional.Viewing this content does not create a doctor-patient relationship between you and Dr. Paika. Dr. Paika and affiliated entities disclaim any liability for injuries, adverse effects, or damages resulting from use or application of information presented in this content.

About

Welcome to the Dr. Paika Podcast — where medicine, fitness, and humanity come together. Hosted by Dr. Mohammed K. Paika, M.D., double board-certified in obesity & internal medicine with over two decades of hospital experience, this show dives deep into the science of health, obesity, longevity, and mindset — but with compassion, not complexity. From hospital medicine to the gym floor, from patient care to personal growth — every episode blends real clinical insight with practical, inspiring stories that help you live better and think deeper. 💡 Topics include: Obesity & metabolic health Longevity & fitness Nutrition & preventive medicine Doctor insights from 20+ years in hospitals across the US! Mindset, mental health, and motivation 🎧 Subscribe for weekly conversations that are honest, empowering, and rooted in science — all from a doctor who believes medicine should heal the mind and body.

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