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Two physicians challenge everything you thought you knew about weight loss in this eye-opening discussion on the biology behind obesity. Dr. Rocio Salas-Whalen, a triple board-certified endocrinologist and obesity medicine expert, joins Dr. Daria Hamrah to reframe obesity as a complex medical condition—not a failure of willpower.

The conversation delves into why "eat less, exercise more" fails most people long-term. Dr. Salas-Whalen explains how genetics can account for up to 70% of obesity risk, with parents' weight before conception significantly affecting their children's predisposition. Beyond genetics, we learn how hormonal changes, aging, and environmental factors create what she calls "the perfect storm" working against sustainable weight loss.

Perhaps most fascinating is the detailed explanation of how GLP-1 medications work by targeting both survival and reward eating patterns. Unlike restrictive diets, these treatments address the biological roots of weight regulation while providing psychological relief many patients describe as life-changing. The doctors share moving patient stories, including one man who transformed so dramatically he was unrecognizable—ultimately quitting his job to become a nutrition specialist after experiencing the profound impact of effective treatment.

The episode also covers the alarming impact of endocrine-disrupting chemicals found in everyday items like plastic bottles and food containers, with practical advice on reducing exposure. You'll learn why building muscle might be the most important thing you can do for metabolic health, and why body composition analysis offers far more valuable information than BMI alone.

Whether you're struggling with weight, supporting someone who is, or simply interested in the science of metabolism, this conversation offers compassionate, evidence-based perspectives that could change how you think about health forever. Listen now to understand why weight management shouldn't be treated as a cosmetic concern—but rather as the serious medical issue it truly is.

Dr. Rocio Salas-Whalen

IG: @drsalaswhalen

NEW YORK ENDOCRINOLOGY, P.C.

1107 PARK AVENUE
NEW YORK, NY 10128
PHONE / (212) 722-ENDO (3636)
FAX / 212.722.3639

Tweet me @realdrhamrah
IG @drhamrah