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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever thought about what’s actually going on when a child is dealing with obesity not just physically, but emotionally and socially too?

In this episode, we’re getting into pediatric obesity and all the layers that people don’t always see. Like, it’s really not just about eating too much or not getting enough movement. There’s way more to it.

I’m chatting with Dr. Lisa Tritto, a board-certified pediatrician and obesity specialist at Evora for Kids in St. Louis, Missouri. She’s been in general pediatrics for over 20 years and even did a full-year fellowship in pediatric obesity at the University of Minnesota. And honestly, not many clinicians have done that.

We talk about what really shapes pediatric obesity, how doctors track and treat it, the meds that are usually used, and how to actually give helpful nutrition advice without making kids feel bad. We also get into how to talk to kids about weight in a way that supports their relationship with food and keeps their self-esteem intact.

So yeah, if you want to understand this better and learn how to really support kids going through it, go check out the full episode.

Connect with Dr. Tritoo:

• Website: Evora for Kids

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• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever lost a lot of weight like 40, 50 pounds or more and noticed some unexpected changes in your body?

In today’s episode, we’re talking about the surprising (and sometimes downright weird) side effects that don’t get mentioned much when it comes to major weight loss—whether it’s from lifestyle changes or medications like Zepbound or Wegovy.

For example, some people develop Eustachian tube dysfunction, which can make your ears feel blocked or pop unexpectedly. Sitting might even feel uncomfortable now that the fat cushioning your tailbone is gone.

Then there’s “slimmer’s paralysis”—a temporary nerve irritation that can pop up when the fat around certain nerves disappears. You might also spot new lumps or bumps, or find yourself feeling colder than usual since fat helps keep you warm.

Other changes can include lower blood pressure and shifts in your menstrual cycle as your body adjusts.

Want to hear more about these lesser-known effects and how to deal with them? Tune in to the full episode!

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• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

What if your gut is the key you’ve been missing in your weight and wellness journey?
Gut health is talked about a lot these days, but what does it really mean? And why does it matter so much when it comes to losing weight or simply feeling better overall?

Here’s the scoop: gut health basically means how well your digestive system is functioning. A big part of that depends on the balance of bacteria living in your gut, also known as your gut microbiome. This tiny ecosystem inside you plays a major role—it affects digestion, mood, immunity, inflammation, and yes, even your weight.

When everything is in balance, your body absorbs nutrients properly and runs more smoothly. But if that balance is thrown off, you might experience gut dysbiosis. This can disrupt nutrient absorption, cause inflammation, and even lead to something called leaky gut—where your gut lining becomes too permeable, letting things into your bloodstream that shouldn’t be there.

Here’s the catch: all of this can make losing weight tougher. Inflammation puts your body in survival mode, which means fat loss isn’t a priority. So improving gut health isn’t just about digestion—it’s about giving your body the best chance to thrive.

So today, I have Erica Gutierrez joining us. Erica is a functional registered dietitian with 20 years of experience using an integrative approach to feeling good in your body. She specializes in digging deeper to uncover root imbalances to optimize gut health and metabolic health.

In this episode, we’ll break down everything—from gut dysbiosis and leaky gut to inflammation and their effects on weight. Plus, we’ll cover practical tips like meal timing, food variety, what healthy bowel movements look like, how certain medications affect your gut, and where GLP-1 meds come into play.

Dive into the full episode to get all the details and start supporting your gut for better health, more energy, and a natural glow from the inside out.

Connect with Ms. Erica Gutierrez:

• Website: https://weighlessmd.lpages.co/erica-gutierrez-rd/

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

Ever wonder how you can get more movement into your day without committing to a full workout? 

There's actually a concept gaining popularity that's simple but effective: exercise snacks. This idea, which I first heard about from a medical student last year, is all about adding short bursts of activity into your day—not protein shakes or post-workout treats, but quick, easy movements that fit into your schedule.

Why does this matter? Well, research shows that these small bursts of activity can improve heart health, metabolism, and help regulate blood sugar. When it comes to metabolism and weight, these mini workouts really do add up. Plus, they’re an easy way to break up long periods of sitting—something many of us could use.

In this episode, we’ll talk about what exercise snacks are, the science behind them, and share ideas for adding them to your daily routine. It’s not about finding the perfect workout, but simply moving more when you can. 

Tune in to the full episode to learn all about how these small efforts can make a big impact!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

Ever find yourself stuck after a setback, unsure of how to move forward?

We’ve all been there. Failure can be tough to talk about, but it’s something everyone experiences. Whether it’s a personal struggle or a professional setback, how we respond to failure often shapes our future more than the failure itself.

As an obesity medicine physician, I see this often with my patients. They come in feeling discouraged after a failed attempt at improving their health—maybe a diet didn’t work, a medication didn’t help, or they lost motivation along the way. But here’s the thing I’ve learned: failure isn’t the end. It’s just a part of the process. And when we reframe it, it becomes a stepping stone rather than a roadblock.

Even in moments of success, like being named Clinician of the Year by the Obesity Medicine Association or hitting a milestone of 100,000 podcast downloads, I’ve faced personal setbacks. Life has a way of mixing the good with the difficult. This is why resilience is so important—not by ignoring failure, but by learning to see it differently.

In today’s episode, we’ll dive into practical ways to reframe failure so that it no longer feels like a dead end but instead becomes a valuable learning opportunity. Whether you're facing challenges in your health, career, or personal life, these tips will help you move forward with confidence and clarity.

Don’t miss out—listen to the full episode to learn how to turn failure into a stepping stone toward success.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

Why does starting a GLP-1 medication like Wegovy or Zepbound sometimes feel like your body—and your emotions—are on a whole new ride?

If you’ve just started one of these meds, you might already be noticing some changes: that queasy feeling that sticks around a little too long, the bloating that makes jeans feel like a bad idea, or maybe even some unexpected mood shifts that leave you feeling off. Sound familiar?

You're not imagining it. Nausea, reflux, constipation, diarrhea, and yes—even mood changes—are all common side effects people experience when adjusting to GLP-1 medications. And while it can feel a little overwhelming (and honestly frustrating), these symptoms are usually temporary—and more manageable than they seem.

In this episode, we’re talking about all the stuff no one really prepares you for: why these side effects happen, how your gut and brain are connected during this adjustment phase, and the small, practical changes that can actually make a difference. Whether you're in your first week or slowly increasing your dose, this info can help you feel more grounded—and a lot less stressed.

Tap in for simple, science-backed advice to help you feel better, physically and emotionally.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Ever been in a situation where someone seemed way too invested in whether or not you ate something? 

Like… why do they care that much if you skip the cake? It can feel strange, even frustrating, when someone pushes food on you like it’s their personal mission.

Today, we’re getting into the topic of food pushers, social pressure, and how to respond when someone keeps nudging—or outright guilting—you into eating something you’d rather not. Maybe you’re not hungry. Maybe it doesn’t align with your goals. Or maybe you do want it, but you’ve made a decision not to eat it right now. Whatever the reason, your choice should be respected.

This kind of pressure shows up everywhere—at office parties, family dinners, holidays, even relaxed get-togethers with friends. Sometimes it's playful and casual: “Just try a bite!” Other times it’s layered with guilt: “I made this especially for you.” Either way, it can put you in a really uncomfortable spot when you're just trying to stick to what feels right for you.

If you’ve ever felt awkward, judged, or unsure about saying no to food, you’re not alone—and this episode is definitely for you. We’re sharing six practical tips to help you stay confident, reduce the tension, and keep your peace (and your plate) intact. Let’s get into it.

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Have you ever been told what to eat—but not how to actually make it?
That gap between nutrition advice and real-life cooking is exactly what culinary medicine aims to fill. It’s the bridge between knowing what supports your health and actually making it work in your kitchen and your lifestyle.

In this episode, we’re diving into the practical side of healthy eating—through the lens of culinary medicine. You’ll hear from registered dietitian and public health expert Christina Badaracco, who leads culinary medicine training programs nationwide and recently co-authored a new cookbook called Mix It Up.

We talk about:

• What culinary medicine really means (and why it matters)
• How teaching kitchens and group cooking programs help build skills and confidence
• Common barriers to cooking and how to overcome them
• Creative ways to bring culinary medicine into healthcare, community settings, and even your own home
• Christina’s journey writing Mix It Up and how it’s designed to help beginners and hesitant cooks eat better without the overwhelm

We also dig into a big question: how can patients eat well—even when they’re eating less, such as during treatment with medications like Wegovy or Zepbound? Christina shares the thinking behind flexible recipes, ingredient swaps, and why making every bite count doesn’t have to mean complicated cooking.

Whether you’re a provider, patient, or just someone who wants to feel more at home in the kitchen, this conversation will leave you with tools, ideas, and a fresh perspective on food and health. Press play now to get started.

Connect with Ms. Christina:

• Book: Mix It Up
• Co-Author’s Website: Olivia Thomas
• Website: Christina Badaracco
• Linkedin: Christina Badaracco, MPH, RDN, LDN 
• Information about teaching kitchens: Growing the Value of Teaching Kitchens to Promote Healthy Cooking and Lifestyle Behaviors
• Teaching Kitchen Collaborative members: https://teachingkitchens.org/member-list/
• Teaching kitchen training toolkit: https://teachingkitchens.org/toolkits/
• Characteristics of Current Teaching Kitchens: Findings from Recent Surveys of the Teaching Kitchen Collaborative

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Struggling to find compounded versions of Semaglutide and Tirzepatide? You're not alone. As these medications become harder to access, many patients are left wondering, "What's next?"

In this episode, we sit down with Joe Zucchi, a physician assistant, personal trainer, and clinical supervisor at Transition Medical Weight Loss in Salem, New Hampshire. Joe walks us through the current shortage of compounded medications, what’s really going on behind the scenes, and why safe, FDA-approved alternatives are more important than ever. But it’s not just about medication. We dive into why obesity isn’t just about willpower, discussing how it’s a complex issue that goes beyond simple behavior choices. Joe also sheds light on the issue with compounded GLP-1 medications and the risks involved. Plus, he shares practical tips on how to make exercise work for you, whether you're just getting started or looking to refine your routine.

Joe’s approach to weight management is unique, combining fitness, nutrition, medical treatments, and even an on-site marketplace stocked with healthy, portion-controlled foods. His clinic’s well-rounded approach ensures that patients receive the support they need for long-term success, no matter where they are on their weight management journey.

Tune in to hear Joe’s expert insights and find out how to stay on track with your goals. Don’t forget to listen to the full episode!

Connect with Mr. Zucchi:

• Linkedin: Joseph Zucchi, PA-C
• X: JPZfitness 
• Instagram: transitionweightloss

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com

Claim your complimentary gift of my exclusive mini weight care guide today!

Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)

Should You Really Be Worried About a Weight Plateau?

Weight plateaus often get a bad reputation, but they’re not always something that needs to be “fixed.” In many cases, a plateau is simply your body settling at a stable, healthy weight. The idea that weight must always be decreasing isn’t realistic—after all, the goal isn’t to reach zero. At some point, the body naturally stabilizes, preventing unhealthy weight loss.

Rather than stressing over the number on the scale, it’s worth taking a step back and looking at the bigger picture. Is this plateau a real problem, or is it just your body settling at a healthy place? Before deciding to push past it, there are important factors to consider—like what’s actually sustainable and what truly supports long-term well-being.

Want to learn more? Tune in to the full episode, where we break down how to recognize a true plateau, when (or if) it needs to be addressed, and what really matters for lasting health. Listen now!

Connect with me:

• Instagram: doctorfrancavilla
• Facebook: Help Your Patients Lose Weight with Dr. Francavilla
• Website: Dr. Francavilla Show
• Youtube: The Doctor Francavilla Show
• GLP Strong: glpstrong.com