The Dr. Francavilla Show

The Dr. Francavilla Show

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The Dr. Francavilla Show episodes

  • The Four Hunger Cues with Dr. Laure DeMattia

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

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


    Ever wonder why you literally can’t stop thinking about food?

    For a long time, weight management advice was basically “eat less, move more.” But honestly, it’s way more complicated than just willpower. Biology, hormones, metabolism, and your brain all totally play a role in why we eat and how our bodies handle weight.

    Family physician and obesity medicine specialist Dr. Laure DeMattia has decades of experience, both in the clinic and with her own weight journey. She’s also the author of The Four Food Cues: Why Your Brain Won’t Shut Up About Food and How to Fix It, which dives into the biological and behavioral signals that influence our eating habits—basically, why our brains are always nudging us toward snacks.

    Dr. DeMattia breaks down how understanding food cues, using frameworks like CHEF—Cravings, Hunger, Energy, Fullness—and knowing the role of medications like GLP-1s can make weight management way more doable, compassionate, and honestly less stressful.

    In This Episode, We Cover:

    • Why This Book Was Written – The story behind Dr. Demattia’s book and why sharing real, science-based info is so needed right now.
    • Why Food Is Always on Your Mind – Cravings, energy dips, delayed fullness… why your brain is basically obsessed with snacks.
    • From Cravings to Fullness – Using the CHEF framework to notice your body’s signals without obsessing over every single calorie.
    • Why Taking Care of Yourself Matters for Your Kids – Little self-care habits actually teach your kids that looking after yourself is normal.
    • GLP-1s: Amazing for Some, Not Everyone – Medications that help curb hunger, but not a one-size-fits-all thing.
    • Shifting the Goal: From Thinness to Health – Forget chasing the scale—focus on strength, energy, and just feeling good in your body.

    Understanding your food cues and all your options is about curiosity over blame, and science over shame. Whether it’s using CHEF, trying GLP-1s, or exploring other approaches, Dr. DeMattia gives patients ways to approach weight management that actually fit real life.

    Want all the deets and full insights? The conversation is totally laid out in the episode.

    Connect with Laure:

    • Book: The 4 Food Cues: Why Your Brain Won't Shut Up About Food and How to Fix It
    • Youtube: Navigating Obesity with Dr. D

    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
    28 min
  • Sleep Apnea and Zebpound, Insomnia, and Restless Legs with Dr. Usama

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

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

    Curious how sleep and weight might be more connected than you think?

    Not long ago, obesity wasn’t widely recognized as a medical condition. Treatments were limited, and many people assumed weight loss was all about willpower. But (thankfully!) research has shifted that understanding: obesity is a complex disease shaped by biology, environment, hormones, and metabolism.

    In this episode, sleep medicine specialist Dr. Usama discusses the connection between sleep, metabolic health, and obesity. Dr. Usama is triple board-certified in sleep and obesity medicine and practices with MultiCare Health System in the Seattle area. He also serves as an adjunct clinical assistant professor at A.T. Still University School of Osteopathic Medicine and as visiting foreign faculty at King Edward Medical University in Lahore. His work focuses on sleep apnea, obesity, and cardiometabolic health—conditions that often overlap.

    In this episode, we talk about how sleep, weight, and metabolic health are deeply connected—and why treating them together can make a real difference.

    In This Episode, We Cover:

    • Zepbound and Sleep Apnea – Why weight loss alone isn’t enough, but Zepbound may help reduce apnea severity and improve adherence to CPAP therapy.
    • How Zepbound Works Beyond Weight Loss – Potential effects on airway dynamics, brainstem breathing centers, metabolism, and even cravings.
    • Why Treating Sleep Apnea Matters – Untreated sleep apnea affects your heart, brain, weight management, and long-term health. Combining therapies provides better outcomes than relying on one approach.
    • Sleep Isn’t Optional – Sleep is when your brain consolidates memories, your muscles repair, and your metabolism resets. Learn strategies to reclaim restorative sleep, including CBT-I and practical sleep hygiene tips.
    • Legs That Won’t Quit: Restless Leg Syndrome (RLS) – Understand the signs, causes, and effective treatments including iron therapy, medications, and nerve stimulation technology.

    Improving sleep, weight, and metabolic health isn’t about perfection—it’s about alignment. When your daily habits support sleep, metabolism, brain function, and long-term health, the body responds in powerful ways. Even small, intentional changes can create momentum and meaningful results.

    Connect with Usama:

    • LinkedIn: M. Usama, MD FACP DiplABOM
    • Substack: The Sleep Physician’s Playbook
    • Facebook: Sleepwarriormd
    • Instagram: usama_aman
    • X: SleepwarriormdX

    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


    40 min
  • Seven Reasons to Cut Back on Alcohol

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

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

    Thinking about cutting back on alcohol—but not sure if it’s really necessary? 

    For years, we were told that moderate drinking, especially red wine, might support heart health. A nightly glass felt harmless—maybe even beneficial. But the research has shifted.

    We now know alcohol doesn’t improve longevity or heart outcomes and may increase the risk of cancer, liver disease, sleep disruption, weight gain, cognitive decline, and hormonal imbalance. In this episode, we break down what the science actually shows—clearly, calmly, and without guilt.

    If you’ve been wondering whether alcohol is affecting your sleep, metabolism, brain health, or long-term risk, this conversation will give you clarity.

    In this episode, we cover:

    • Alcohol and Cancer Risk – Why alcohol is classified as a Group 1 carcinogen and what “no safe level” really means.
    • Heart Health: The Red Wine Myth – What newer data shows about blood pressure, atrial fibrillation, stroke risk, and why alcohol is not recommended for cardiovascular protection.
    • Brain Health and Cognitive Function – How even moderate drinking impacts gray matter, cognitive decline risk, and daily mental clarity.
    • Sleep Disruption – Why alcohol may help you fall asleep faster but quietly damages REM sleep and restorative rest.
    • Fat Loss and Metabolism – How alcohol adds hidden calories, pauses fat burning, increases cravings, and shifts key hormones.
    • The Silent Liver Risk – How alcohol compounds fatty liver disease and accelerates long-term liver damage.
    • Hormonal Effects – The impact on cortisol, insulin sensitivity, testosterone, estrogen, fertility, and immune resilience.
    • Cutting Back Without Missing Out – Realistic strategies for social settings, simple swaps, and how to reduce alcohol without isolation.

    Reducing alcohol isn’t about perfection—it’s about alignment. When daily habits support long-term health goals, the body responds in powerful ways. Even small, intentional changes can make a meaningful difference.


    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
    18 min
  • Muscle Mass and GLPs with Dr. Ali Novitsky

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

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

    Ever worry that losing weight with GLP-1 medications will mean losing strength too? You’re not alone. Many people want to see the scale go down—but they also want to stay strong, protect their metabolism, and feel capable in everyday life. That’s exactly what this week’s episode explores.

    I’m joined by Dr. Ali Novitsky, CEO and founder of The Fit Collective. She combines expertise in obesity medicine with practical strength training strategies, focusing on building a healthier, more functional body—not just a smaller one. With both personal experience and clinical insight, she shares realistic ways to maintain muscle while losing weight on GLP-1 medications.

    In this episode, we cover:

    • GLP-1s and Muscle Loss: The Facts – Why the fear is often overstated and what actually causes muscle loss.
    • Strength Training Made Simple – How resistance work can fit any lifestyle, from bands to bodyweight moves to everyday activities.
    • Exercise That Actually Sticks – Why focusing on how movement makes you feel is the key to long-term consistency.
    • Plateaus Are Normal – How to handle them without frustration and see progress beyond the scale.

    Whether it’s intentional protein intake, simple resistance exercises, or reframing exercise for enjoyment, Dr. Novitsky’s approach gives practical strategies that work. Ready to protect your strength, support your metabolism, and feel capable in your body while losing weight? Discover all of her insights in this episode.


    Connect with Ali:

    • Instagram: alinovitskymd
    • Facebook: Ali Novitsky MD
    • LinkedIn: Ali Novitsky, MD
    • Website: www.thefitcollective.com 

    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
    37 min
  • Zepbound, Wegovy, Phentermine....Which Weight Loss Medication is Right for You?

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

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

    Have you ever wondered which weight loss medication is actually right for you? With so many options out there—new GLP-1 medications like Wegovy and Zepbound, oral versions hitting the market, and older prescriptions—it can feel totally overwhelming.

    In this episode, we break it all down: how much weight you might realistically lose, how other health conditions factor in, cost considerations, who should avoid certain medications, and even how combination therapy can sometimes make sense.

    Over the years, I’ve covered these topics in different ways. One of my favorite episodes was with Dr. Angela Fitch, where we explored all the available medications at that time. Since then, new therapies like Zepbound and oral Wegovy have emerged, changing the landscape even more. This episode isn’t meant to replace a one-on-one conversation with an obesity expert—that’s still the gold standard—but it gives the information you need to start thinking about what might fit your goals, your body, and your lifestyle.

    By the end, you’ll have a clearer picture of how these medications work, who they help most, and how to approach the decision thoughtfully and safely. Obesity is a medical condition, and like any condition, it deserves expert care—so let’s dive into your options.

    Topics Covered:

    • How Much Weight Can You Really Lose on GLP-1 Medications?
    • The Other Medications That Still Play a Role in Weight Loss
    • Wegovy vs. Zepbound: How Much Weight Loss Do You Actually Need?
    • Why Weight Loss Is a Struggle—and How the Right Medication Makes the Difference
    • Results Matter—But So Does the Price Tag
    • Who Should Avoid Certain Weight Loss Medications
    • Choosing the Right Weight Loss Medication: Pills, Injections, and Personalized Approaches
    • Do You Really Need More Weight Loss?


    By the end of this episode, you’ll have a clear understanding of the different weight loss medications, how they work, who they help most, and what to consider when choosing the right approach for your goals and health.

    For a deeper dive into each medication, real-world results, and expert insights on tailoring a plan that’s safe, sustainable, and effective, the full episode is ready for you—it’s packed with everything you need to make an informed decision about your weight loss journey.

    Referenced Episodes:

    • Can a test tell me if Wegovy or Zepbound will work for me? With Dr.Andres Acosta of Phenomix
    • Medications for Weight Loss with guest, Dr. Angela Fitch,
    • Phentermine and Qsymia - What You Need to Know About These Weight Loss
    • Oral Wegovy: All You Need to Know About This New Medication, with Joseph Zucchi

    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
    34 min
  • Tips for Binge Eating from “I Blew My Diet Now What” Author Connie Benett

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

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

    Have you ever found yourself mindlessly reaching for chips, popcorn, or sweets and wondered, “Why do I keep doing this even when I know better?

    You’re not alone—and that’s exactly what this week’s episode dives into.

    I’m joined by Connie Bennett, a self-described former sugar and carb addict who has transformed her struggles into a mission to help others. Connie is a transformational speaker, TEDx presenter, journalist, and bestselling author of Sugar Shock and I Blew My Diet. Now What? She’s also a certified health coach, DreamBuilder coach, life coach, and Bounce Back Boldly coach, and the creator of National Bounce Back Month.

    For more than seven years, Connie has researched why people eat the way they do—and which practical strategies actually work to regain control without relying on willpower alone. She’s seen it all, from emotional triggers like grief, breakups, or trauma, to the constant temptations of what she calls the “junk food jungle.”

    In this episode, we cover:

    • National Bounce Back Month: Giving yourself a guilt-free reset.
    • Why We Really Overeat: Understanding emotional and environmental triggers.
    • Sugar, Processed Carbs, and the Truth About Feeling Good: How they affect the brain and cravings.
    • Stop Relying on Willpower: Using goal-driven strategies to eat intentionally.
    • The FAST Technique: Quick strategies to interrupt cravings and take back control.

    Whether it’s sugar, processed carbs, or emotional eating, Connie’s approach gives practical, guilt-free strategies that actually work. Ready to understand your triggers, bounce back boldly, and take control of your food choices? Find all of Connie’s insights and actionable tips in this episode.

    Connect with Connie:

    • Instagram: conniebennettauthor
    • Facebook: Connie Bennett
    • Book link: I Blew My Diet! Now What? The Easy, Proven 21-Day Plan to Drop Pounds & Bounce Back Boldly
    • LinkedIn: Connie Bennett 
    • Website: www.connieb.com

    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
    36 min
  • Cut Through Health Noise: Wellness Advice with Dr. Heather Hammerstedt

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

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

    Feeling overwhelmed by all the health advice out there? Wondering what actually makes sense for your body, your life, and your goals?

    In this episode, we’re sharing how to filter through the advice, tips, and trends on social media that can make it feel like you’re falling short. Joining me for this conversation is Dr. Heather Hammerstedt, an emergency medicine physician, lifestyle medicine physician, menopause medicine physician, and integrative nutrition coach. She’s also the CEO of Whole List, where she and her team help women understand their brains and bodies, and pair that knowledge with food, health, and behavior change.

    Dr. Hammerstedt’s journey began in medical school, where her interest in holistic health led her to Healing with Whole Foods by Paul Pitchford – only to realize that approach wasn’t part of the curriculum. She later became a certified health coach through the Institute of Integrative Nutrition in New York City and has spent over 22 years guiding people through nutrition, behavior change, and lifestyle medicine. About eight years ago, she founded Whole List and expanded her work to include perimenopause and menopause, supporting midlife women navigating careers, family responsibilities, and unexpected changes in their bodies and moods.

    In this conversation, we cover:

    • Lifestyle medicine: why it’s powerful, personal, and not a cure-all
    • Medication as a tool, not a shortcut—and how it fits alongside lifestyle care
    • The problem with “everyone should” health advice, especially for midlife women
    • Why rigid nutrition and exercise rules often create stress instead of results
    • Why the basics matter more than quick fixes when it comes to long-term health

    At the heart of this episode is a simple idea: health works best when it’s individualized. Instead of following what’s trendy or flashy, this conversation focuses on building habits that are realistic, sustainable, and supportive of long-term health.

    Ready to cut through the noise? Listen to the latest episode now and learn how to build a health approach that actually fits your life.


    Connect with Dr. Heather:

    • Instagram: mommaemdoc
    • Facebook: Heather Hammerstedt
    • LinkedIn: Heather Hammerstedt MD MPH 

    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
    35 min
  • The New Dietary Guidelines: Dr. Francavilla’s Thoughts

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

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

    Have you ever wondered why the government issues dietary guidelines—and what they really mean for what ends up on your plate every day?

    The 2026 Dietary Guidelines for Americans, released this January, aren’t just suggestions for personal meals—they guide federal nutrition programs like school lunches, military meals, and other initiatives for both children and adults. In short, they influence what millions of people eat and even shape U.S. agriculture.

    Signed off by Secretary of Health Robert F. Kennedy Jr. and Secretary of Agriculture Brooke Rollins, these guidelines balance both nutrition science and agricultural policy. That’s why conversations about them can get a little complex—and often spark debate.

    In this episode, we break down the 2026 guidelines in practical, real-world terms, highlighting what matters most for everyday healthy eating. Topics we cover include:

    • Why Food Conversations Always Spark Debate (Even With Evidence)
    • Why the 2026 Dietary Guidelines Get It Right: A Practical Look at Healthy Eating
    • Macronutrients Made Simple: How the 2026 Guidelines Work for You
    • Eating for Your Microbes
    • Eating for Health: Why Fruits and Vegetables Get Top Billing in 2026
    • Fats Demystified: How to Eat Well Without Overthinking It
    • Limiting Processed Foods and Added Sugars in the 2026 Guidelines
    • Why Cutting Back on Alcohol Can Boost Your Health
    • Evidence-Based Guidance for Moms and Babies

    Whether you’re curious about proteins, fats, gut health, or even prenatal nutrition, this episode gives you a clear, evidence-based look at what the new guidelines really mean for your daily life.

    Hit play and see what the 2026 guidelines really mean for your plate—without the confusion.

    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
    31 min
  • Body positivity in the GLP1 era with Dr. Meghan Tierney

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

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

    What gets overlooked when we talk about weight, health, and body image?

    In this episode, we explore the emotional, social, and medical realities of living in a larger body—beyond the scale or appearance.

    My guest is Dr. Megan Tierney, a family physician, obesity medicine specialist, and founder of Sol Health and Wellness in Seattle. She supports women navigating perimenopause, menopause, and metabolic health changes with care that blends medical management, mindfulness, and self-compassion.

    We cover:

    • Living in a Larger Body: What Often Gets Missed – The everyday challenges, hidden stress, and societal pressures people in larger bodies face.
    • Choosing What Feels Right for Your Body – How to make intentional health choices while respecting your body and autonomy.
    • Making Space for Bodies to Change – Why body positivity isn’t about staying the same and how to honor body evolution.
    • Why Weight Is Not Just Willpower: The Role of Trauma in Health – How trauma, stress, and environment shape our relationship with weight.
    • Living Better, Not Just Lighter – Focusing on overall well-being, mental health, and thriving beyond the numbers on a scale.

    This episode offers practical insights, compassionate guidance, and strategies to navigate health, body image, and self-care in today’s complex world. Whether you’re exploring your own journey or looking to better understand these challenges, this conversation is full of clarity, support, and actionable takeaways.

    Connect with Dr. Tierney :

    • Facebook: Meghan Tierney and Sorrel Health and Wellness
    • Instagram: meghantierneymd and sorrelhealthandwellness
    • YouTube: Sorrel Health and Wellness
    • Linkedin: Meghan Tierney, MD DABOM, MSCP

    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
    40 min
  • Oral Wegovy: All You Need to Know About This New Medication, with Joseph Zucchi

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

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

    Ever wondered what’s really changing the game in weight loss treatments? 

    Well, oral Wegovy might be it. Unlike other GLP-1 medications that require weekly injections, this is the first long-term weight-loss pill in its class. For many people, taking a daily tablet just feels way more doable—it’s flexible, lowers mental barriers, and makes managing weight something that can actually fit into everyday life.

    In this episode, my guest is Joseph “Joe” Zucchi, a physician assistant and personal trainer with over a decade of experience in obesity medicine. He leads a multidisciplinary team in Salem, New Hampshire, helping patients achieve sustainable weight loss through a mix of fitness, nutrition, and medical care. Joe has been recognized for his work—leading his center to win awards, writing for outlets like the Wall Street Journal, MedPage Today, Healthline, and Doximity, and advocating for patient access to treatments like Zepbound. His insights make it clear that oral Wegovy isn’t just another pill—it’s part of a thoughtfully designed, patient-centered approach to obesity care.

    In this episode, we break down everything you need to know, including GLP-1 medications in simple terms, the future of oral Wegovy, what counts as success on the pill, side effects to expect, the technology behind it, how to take it properly, safely transitioning between pill and injection, who benefits most (and who should avoid it), and cost, coverage, and what to expect in 2026. If you’ve been curious about how oral Wegovy works and whether it could be right for you, this episode walks through it all in practical, real-world terms.

    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
    45 min

About The Dr. Francavilla Show

From the publisher's feed

Carolynn Francavilla, MD is Board Certified in Family Medicine and a Diplomate of the American Board of Obesity Medicine. She owns and operates Green Mountain Partners for Health and Colorado Weight…

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